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Diet and lifestyle recommendations for the treatment of chronic cough and chronic disease
  1. Nathaniel Bergman1,
  2. David S Riley2,
  3. Michelle Beidelschies1
  1. 1Cleveland Clinic, Cleveland, Ohio, USA
  2. 2Integrative Medicine Institute, Portland, Oregon, USA
  1. Correspondence to Dr Michelle Beidelschies, beidelm2{at}


Chronic cough, possibly due to toxicant exposure, may be improved by using a low-risk nutrition-centred strategy. A 71-year-old man experiencing chronic cough for the past 25 years presented to the Cleveland Clinic. In recent years, the patient’s cough had increased in frequency and intensity despite pulmonary interventions. The patient’s social history revealed exposures as a foundry worker to dimethylethylamine and triethylamine two known respiratory irritants. The patient was placed on a nutrition programme (nutrient dense, low glycaemic index and anti-inflammatory), encouraged to use a sauna each day and placed on nutraceutical supplementation that supports liver detoxification, digestive health and inflammation reduction. Over the course of approximately 1 year, the patient experienced improvement in his cough despite the discontinuation of formal, intensive pulmonary therapy. The patient also experienced weight loss, lower blood pressure and glycaemic status improvement, as well as decreased fatigue and increased energy.

  • nutrition
  • exposures
  • vitamins and supplements
  • diabetes

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  • Contributors NB: Patient management, collection of data, writing and editing. DSR: Editing and structuring of case. MB: Writing, review of literature, editing and structuring of case.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Patient consent Obtained.

  • Provenance and peer review Not commissioned; externally peer reviewed.