Pre- and post-blood draw guidelines

The guidelines recommended below were developed over multiple years of research by RGCC. The main purpose of these recommendations is to allow the lab to find more cancer cells, viruses, and/or Lyme in the patient’s blood sample, allowing for the most accurate test results, and most effective therapies.

Q: How long should you wait to draw blood after medical therapies/procedures?

A: The time frames for blood draws are based on the time it takes for the therapy to be metabolized by the body and/or be eliminated from the cells. The following are guidelines and may differ depending on the status of the patient.

Pre Blood-Draw:

For virus/Lyme (V. Antagonist) SOT:

The patient must be off ALL antiviral/antibacterial/antiparasitic medications and therapies for 14 days prior to the blood draw. These include antibiotics, antiviral medications, and herbs, as well as IVs like Vitamin C or Ozone. 

Note: Detox supplements, such as binders, glutathione, cytokine reducers, etc. will not interfere with the action of the SOT and can be used pre-SOT blood draw.

For cancer tests, cancer therapies, and Immune-Frame:

The patient must be off ALL cytotoxic and free radical producing therapies. If drawing blood for cellular therapies, the patient must be off ALL immune-suppressing therapies as well. See the list below for specific timelines.

Reason: The breakdown of the CTC caused by these therapies creates debris and clouds the field. Removing these therapies prior to the blood draw will allow time for the body to clear the debris, providing the best quality blood sample and ensuring better quality test results and therapy targets.

• Natural substances (IV): Cytotoxic substances like Vitamin C or Ozone at least 14 days
• Natural substances (oral supplements): Class 1 or 3 cytotoxic substances (per patient’s Onconomics Plus results) at least 14 days.
• Off-label medications: Ivermectin-FenBen-Itraconazole: 21 days
• Chemotherapy (non-platinum derivative): At least 14 days
• Chemotherapy (platinum derivative): At least 21 days
• MOAB or SMW drugs: At least 14 days
• Blood transfusions: At least 120 days
• Radiation: At least 14 days
• Contrast: At least 14 days
• Surgery (simple/routine): At least 7-10 days
• Surgery (brain or extensive): Minimum of 30 days based on time of recovery. Could be longer if slow recovery or if the person had some type of adverse reaction. Must be evaluated on a case-by-case basis.
• Fever: At least 14 days
• Hyperthermia (local/concentrated/microwave ablation): At least 30 days due to increased cellular debris released into the blood bloodstream.
• Hyperthermia (generalized/systemic): No waiting
• Cryoablation: No waiting
• Immune suppression medication (All pre-cellular therapies – VAXO-Q-RE, vaccine prep, Dendritic cells): At least 14 days
• Mistletoe: 14 days
• Radioactive seeds: Patients are not eligible for therapies due to the prolonged and undetermined time of radiation exposure.
• Gamma Delta T Cell Therapy (GDTC): Patients are not eligible for therapies due to the potential interaction with RGCC therapies.

Q: What need not be avoided before OR after this therapy?

• Hormone suppression therapy (applies to most, there are exceptions ex: Verzenio requires 3 days based on ½ life ) – You will need to look up the individual drug for this information
  • Checkpoint inhibitors
• Mild hyperthermia (Infrared sauna)
• Hyperbaric therapy

Post blood-draw:

• For cancer (Apoptosis): All therapies may be resumed the day after the blood draw.
• For virus/Lyme (V. antagonist): All therapies may be resumed the day after the blood draw.

Blood draw instructions

Blood draw instructions - Multi-fly needle method (30 ml glass vials)

1. Sterilize area.
2. Insert multi-fly needle and stabilize.
3. Fit adapter to other/open end.
4. Remove inner circle of aluminum foil to expose rubber stopper on 30 ml vial in preparation for the blood draw. DO NOT remove the entire foil cap.
5. Collect 2-3 ml of blood in a small vacutainer tube and discard it.
6. Collect 20-25 ml of blood in the 30 ml vial.
7. Invert vial 3-4 times to mix anticoagulants. Do not shake vigorously.
8. Complete label information.
9. Place a 30 ml vial in a round slot in molded foam when ready for shipping.
10. If not shipping right away, store the vial in the refrigerator, no more than 24 hours before shipping. DO NOT freeze.

Blood draw instructions - Syringe method

1. Sterilize area.
2. Draw 2-3 ml of blood and discard.
3. Draw 20-25 ml of blood with a syringe.
4. Remove inner circle of aluminum foil to expose rubber stopper on 30 ml vial in preparation for the blood draw. DO NOT remove the entire foil cap.
5. Place the needle of the syringe through the middle of the rubber stopper – blood will transfer automatically.
6. Remove the syringe and needle together.
7. Invert vial 3-4 times to mix anticoagulants. Do not shake vigorously.
8. Complete label information.
9. Place a 30 ml vial in a round slot in molded foam when ready for shipping.
10. If not shipping right away, store the vial in the refrigerator, no more than 24 hours before shipping. DO NOT freeze.

Blood draw demonstration video: https://vimeo.com/787603633/cbd854d32c

Remote blood draws

The remote blood draw option is available to patients who live at a distance from their RGCC practitioners. This can help avoid the time and expense of long-distance travel when needing an RGCC blood draw.

The RGCC practitioner will order a blood draw kit and have it drop-shipped to the patient’s address. The patient will need to find a blood draw service in their area to help. The kit is then shipped directly from the patient to the lab, after the blood draw is complete.

1. Simply follow the steps below:
   1. Sending a kit to a patient:
   2. The in-portal kits-vials order form allows for an alternate shipping address so you can drop-ship a kit directly to the patient. (look for the purple bar at the bottom of the order form to edit the shipping address)
   3. Simply enter the exact quantity of isoboxes, vials, blood draw sets, labels, etc. that the patient will need to complete the blood draw. Reference the Quantities Guide below to determine the number of vials to drop-ship, if needed.
   4. The warehouse will send the kit directly to your patient’s address, as specified in the order form.
   5. When all items are ordered, the kit will come complete with blood draw and shipping instructions.
2. Placing the order:
   1. Place and pay for the order in the portal.
   2. Download the order confirmation form and email it to the patient so they can place it in the box along with the blood sample.
   3. Instruct the patient to write in the vial number(s) upon receipt of the kit.
3. Receiving the kit:
   1. As soon as the kit arrives, open the box, remove the ice packs, and place them in the freezer. The ice packs MUST be frozen for at least 24 hours before placing them back in the box for shipping. 
   2. Confirm that all items needed to complete the blood draw are in the
      box.
      • Molded foam with slots for the vial
      • Biohazard bag
      • 30ml glass collection vial(s)
      • Blood draw set (butterfly needle, adapter, and small blood draw vial with a purple top).
      • Blood draw instructions for the phlebotomist
      • Shipping instructions
      • Shipping documents
        • Material data invoice (1 copy)
        • Audit form (1 copy)
        • Commercial invoice (3 copies)
        • Shipping labels (1 with a barcode, without barcode)
        • Order Confirmation Form (emailed to you by your practitioner)
   3. All contents, including the ice packs, will need to be taken to the blood draw appointment.
   4. The practitioner will not know the vial number(s) before the kit arrives at the patient’s address. Please make sure to write the vial numbers on the Order Confirmation form.
4. Scheduling a blood draw:
   1. Blood draws should be scheduled, and the kit should be shipped back to the lab, on Monday or Tuesday to ensure the sample will arrive at the lab in a timely manner. If shipped later in the week, the kit may not clear customs before the weekend, extending the shipping time.

Blood draw guide - quantities & number of vials