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Protocol · Respiratory Health

Respiratory Health General Support Protocol

Vitamin D and N-Acetyl Cysteine (NAC) are the core of this stack, with 7 supporting supplements. Each row gives the amount the protocol lists and the grade our evidence database holds for that supplement in Respiratory Health General Support.

We are re-verifying the studies cited on protocol pages; only confirmed citations are shown.

The stack

9 supplements · 1 graded · 4 confirmed studies

Amount listed in this protocol; not a recommendation.

Supplements in the Respiratory Health General Support protocol, with the amount the protocol lists, the grade on file and confirmed studies
GradeSupplementAmount listedWhy it’s in the stackEvidence on fileShop
Primary stackThe core of this protocol
Vitamin DAmount listed: 2,000–4,000 IU daily (target 40–60 ng/mL)

Supports respiratory immune defenses; deficiency associated with increased respiratory infections

  • Lower Respiratory Tract Infection Risk: studied
  • Upper Respiratory Tract Infection Risk: changes; see studies
Grade D for Lower Respiratory Tract Infection Risk5,724 people
N-Acetyl Cysteine (NAC)Amount listed: 600–1,200 mg twice daily

Mucolytic that thins mucus; antioxidant that protects lung tissue

Not graded yet
Supporting stackListed as additions to the core
Vitamin CAmount listed: 500–1,000 mg daily (higher during illness)

Supports immune function; may reduce duration and severity of respiratory infections

  • Upper Respiratory Tract Infection Symptoms: improves
Not graded yet
ZincAmount listed: 15–30 mg daily; 75 mg/day as lozenges during acute illness

Supports respiratory immune function; lozenges may reduce cold duration

Not graded yet
ElderberryAmount listed: 175–600 mg elderberry extract daily during illness

Antiviral properties; may reduce duration and severity of respiratory infections

Not graded yet

Confirmed studies for Elderberry (titles as PubMed lists them)

Omega-3 Fatty AcidsAmount listed: 2–3 g EPA+DHA daily

Anti-inflammatory effects support lung health; may help resolve respiratory inflammation

Not graded yet
QuercetinAmount listed: 500–1,000 mg daily

Flavonoid with antioxidant and anti-inflammatory properties; supports respiratory health

Not graded yet
Pelargonium SidoidesAmount listed: 20–30 drops extract 3 times daily during acute illness

African geranium extract with antibacterial and immunomodulatory effects for respiratory infections

Not graded yet
ProbioticsAmount listed: 10–20 billion CFU daily (Lactobacillus and Bifidobacterium strains)

Support gut-immune axis; may reduce incidence and duration of respiratory infections

Not graded yet

Confirmed studies for Probiotics (titles as PubMed lists them)

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Fullscript collectionImmune support: evidence-graded picksOpen on Fullscript

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Each opens third-party tested products, matched to the dose above where we can.

  • Grade D

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How this protocol works

In plain language

Respiratory health encompasses the function of your lungs, airways, and the immune defenses that protect them from infections and environmental insults. Good respiratory health means efficient oxygen exchange, clear airways, and robust defenses against pathogens. Common respiratory concerns include frequent colds and infections, chronic bronchitis, asthma, COPD, and environmental sensitivities.

CRITICAL: Respiratory symptoms like persistent cough, shortness of breath, wheezing, or chest tightness require medical evaluation. Conditions like asthma, COPD, and pneumonia need proper diagnosis and treatment. These supplements support respiratory health and immune function but do not replace medical treatment for respiratory diseases. If you have chronic respiratory disease, work with a pulmonologist and discuss any supplements to avoid interactions with medications.

Vitamin D* plays a crucial role in respiratory immune defenses. A large meta-analysis showed vitamin D supplementation reduces respiratory infections, especially in those who are deficient. Maintaining adequate levels supports lung immunity.

N-Acetyl Cysteine (NAC)* is a mucolytic that thins mucus, making it easier to clear from the airways. It's also an antioxidant that protects lung tissue. Meta-analyses support its use in chronic bronchitis and COPD.

Vitamin C* supports immune function and may reduce the duration and severity of respiratory infections. Regular supplementation is more effective than starting when already sick.

Zinc* is essential for immune function. Zinc lozenges taken at the start of a cold can reduce its duration.

Elderberry* has antiviral properties and meta-analyses show it can significantly reduce the duration and severity of upper respiratory infections.

Omega-3 Fatty Acids* have anti-inflammatory effects that support lung health. They help resolve inflammation and may benefit chronic respiratory conditions.

Quercetin* is a flavonoid with antioxidant and anti-inflammatory properties that supports respiratory health.

Pelargonium Sidoides* (African geranium) is effective for acute bronchitis based on Cochrane review evidence.

Probiotics* support the gut-immune axis and Cochrane review evidence shows they can reduce the incidence of acute upper respiratory infections.

Expected timeline: Vitamin D optimization: 2-3 months for full effect. NAC mucolytic effects: within days to weeks. Acute illness supplements (zinc, elderberry): most effective when started at first symptoms.

Printed from drgrey.ai/protocols/respiratory-health. For education only; not medical advice. Talk to a clinician before starting any supplement.