2. Doctor Preparation. The doctor
may request that the patient have more tests done or images taken. Then,
based on all the information at hand, the doctor puts together a treatment plan,
and decides on the medications to be given during the first
3. Choice of medications.
Intravenous insulin and hypertonic glucose are the common elements of all IPT
type and dose may be varied to determine the speed and depth of
hypoglycemia. A larger dose goes faster and deeper.
The insulin of choice is currently Humalog ®
(Lilly) fast-acting lispro insulin, given at 0.1 to 0.4 units per kilogram of patient weight.
(This is the range of doses specified in the 1990 patent. Preferred doses,
which tend towards the upper end of this range, are explained by Dr. Perez Garcia 3
Formerly, Humulin ® (Lilly) human-like insulin was used, in the same dosage.
Typically 20 cc of 50% hypertonic glucose is given later in
the treatment (see below).
But the real art is in the choice and dosage of the other medications.
Typically they consist of:
a. Medications which directly address and treat the specific
primary disease(s) and condition(s) of the patient. These are typically
the same medications that a regular doctor would give for the condition, only
at roughly 1/2 to 1/20 of normal dose. Multiple drugs can usually be given simultaneously, with reduced chance of interference, because the doses
are so low. Yet they can have the full effect, or often better.
b. Medications which address the secondary conditions and symptoms
of the patient. Again at fractional doses. The doctor can
often treat everything at once, using very small doses of drugs.
c. Medications which are chosen to improve the general health of the
patient. These can include nutrients such as vitamin C and vitamin B
complex, substances which stimulate the immune system, and substances
which aid the body in detoxification.
Medications packaged for any delivery method can be used. Typically they
include oral, intravenous, and intramuscular compositions. A typical
treatment may incorporate from 5 to 25 different medications.
It should be noted that the Drs. Perez Garcia and Dr. Paquette have
empirically found certain medications and combinations to be particularly useful
in combination with IPT. Many of these are disclosed in the 1990
and 1992 patents, and in Medicine
of Hope. Others are disclosed during training by Dr. Perez Garcia 3, and by
consultation with him and the other experienced IPT doctors.
4. Patient Preparation. The patient is
encouraged to take 25ml of lactulose syrup (a laxative) after breakfast on the day before the
treatment, to help detoxify the digestive system. The patient can have lunch
and dinner as usual, and then begins fasting after dinner that night. No
food after 11 pm. Sometimes the patient is also directed to take a laxative that evening, to clear the bowels before the
treatment in the morning. On the morning of the treatment, only water is
permitted --- no breakfast and no medications.
Dr. Perez Garcia 3 is particularly sensitive to patient comfort. He avoids extra
tests and blood draws whenever possible. In an email he wrote me:
"I just don't like to torture more these suffering
humans. That is why I always
make a joke about the procedure or something that would relieve the patient's
tension. Even a hug helps a lot."
The patient comes to the office in the morning, gets into a hospital gown (for comfort and
to avoid absorbing sweat into the clothing), and is placed into a comfortable
bed. A standard intravenous (IV) saline drip (250 cc of NaCl 0.09%) is installed in an arm vein. This makes the injection of insulin,
glucose, and other intravenous medications very easy. And it adds to the
safety of the procedure by allowing for very quick administration of glucose if
the patient over reacts to insulin, without having to search for a vein.
5. Preparation of Medications. Typically done shortly before the treatment,
either by the doctor, or by a highly trained nurse according to the doctor's
prescription. Medications are opened, mixed, dosed, and laid out
systematically on a tray. Intramuscular drug syringes with proper doses are
placed together. Oral medications are placed together. And
intravenous medications in syringes are placed together. This way all the
medications can be administered quickly and systematically.
It is a good idea to have extra glucose ready, in case the procedure needs to
be terminated quickly. Water is needed for taking oral medications.
And a sugar-sweetened drink (preferably Gatorade ®) is needed for recovery.
6. Insulin Injection, and IM and oral medications.
Insulin is injected into the IV line. These days, this is usually Humalog ®
fast acting insulin, typically 0.1 to 0.4
units per kilogram of patient weight. A larger dose leads to faster and
deeper hypoglycemia, and 0.4 units/kg is the most common dose today. Formerly, Humulin ® (Lilly)
was the preferred insulin, given in a similar dose, and requiring a longer time to develop
hypoglycemia. It is important to immediately write the time of
insulin administration on the IV bag, to avoid any possible confusion.
A few minutes after insulin administration, the oral
medications are taken with water, and the intramuscular (IM) drugs are injected
into the buttocks. These medications are given approximately 5 to 18 minutes after Humalog administration,
or some 10 to 20 minutes after Humulin administration. Exact timing
is based on clinical observation of the patient, and the doctor's judgment
based on experience. Oral and IM medications are taken at this early stage
because they take longer to absorb into the bloodstream (IV medications are
absorbed instantly later in the treatment).
7. Waiting and observation. Under
close observation by the doctor, or a highly trained nurse, the patient just
relaxes and waits for the insulin to take effect. Gradually, symptoms
of mild hypoglycemia develop, at a speed that depends on type and dose of insulin, and
individual patient response, This can take about 18 to 21 minutes for Humalog
, and about 20 to 40 minutes for Humulin, depending on dose, patient symptoms,
and the doctor's judgment. These symptoms can include increased body temperature,
palpitation and tachycardia (slightly irregular or faster heartbeat), hunger,
thirst, mild sweating, and often sleepiness.
Normal blood sugar ranges from about 80 to 100 mg%. The target range
for mild hypoglycemia in IPT is about 25 to
45 mg/dL, as measured on a glucometer, high enough that the brain is
not deprived of glucose. In Mexico, doctors
often do not need to take blood
samples for monitoring blood sugar levels, but only needs to carefully watch for
the symptoms. This skill becomes better with years of
practice. In the US, and as taught at IPT
seminars, blood glucose measurements are taken at the time of insulin
administration, at the apparent therapeutic moment, and after the glucose and
sweet drink at the end.
If symptoms were ever to develop too fast or go too far, due to unexpected
hypersensitivity of the patient to insulin, or due to other causes, 20 cc of 50% hypertonic glucose
(more if needed) could be immediately injected IV to quickly bring symptoms to a halt, and
treatment. Glucose is always kept ready for such an unlikely situation,
the same way fire extinguishers are kept ready for an unlikely fire.
(Situations like this are very rare.
Dr. Perez Garcia 3 has only experienced this
once, and that was due to the nurse not properly noting the time of insulin
injection. There was no harm to the patient, just anxiety of the medical
team as they tried to find out what had happened.)
8. "The Therapeutic Moment."
This is the point where the body has become prepared to receive all the medications into
its cells and tissues. The hypoglycemia has reached the level the doctor
wishes, as determined by his monitoring of the patient's symptoms. And the
oral and intramuscular medications have been absorbed enough into the
bloodstream. "The doors to the cells are open," as the Drs.
Perez Garcia have long expressed it. Symptomatically, Dr. Perez Garcia 3
recognizes this moment by "when the patient says 'I am hot'."
At this point the intravenous medications are administered into the IV line.
They are followed immediately by the 20 cc of 50% glucose, either directly into
the line (faster), or mixed into the IV bag (slower). This quick choreography
apparently delivers all the medications simultaneously into all tissues and
cells of the body, even into parts that are normally difficult to penetrate.
9. Recovery. The hypoglycemia immediately
recedes, and symptoms end, as the glucose is quickly distributed through the
body. This takes only a few seconds, regardless of the type of insulin
used. (This is quite an amazing transformation to experience the for first
time, whether you are the patient or the doctor.)
The patient is then given a sugar-sweetened drink (preferably 16 oz of
Gatorade ®) as desired to complete bringing
the blood sugar back to normal. After 60 to 90 minutes, the patient can get dressed, and then goes to the
doctor for follow-up instructions. The entire procedure may have taken as
little as 90 minutes, if Humalog ® insulin was used.
10. Follow-up. After the treatment, the
doctor asks the patient about how they feel, and about any improvement of
symptoms. The patient is instructed to follow a healthy low-fat high-fiber
diet, drink juices, take a mild fiber laxative (cancer patients take
lactulose), practice good sleeping
habits, avoid smoking and smokers, and get mild regular exercise. And the
only alcohol allowed is 2 to 4 ounces of red wine 3 to 4 times per week.
Then the patient is sent off to have a fresh fruit salad (which he will be
hungry for). Lunch and dinner can be eaten later that day, but no spicy or
fatty foods. The patient does not return to the office until the next IPT
11. Medications between treatments. In
many cases, the doctor will prescribe oral medications for the patient to take
between treatments. The dose is typically less than normal, but not as low
as would be given during an IPT treatment.
12. Timing of treatments. Timing of
treatments is highly variable, depending on the disease and condition of the
patient, how the patient is responding, patient convenience (travel and lodging
arrangements), and the doctor's experience with similar cases. Typically
IPT treatments for cancer can be given one to five times the first week or
two, then weekly for a few months, then monthly until complete remission is
obtained. Arthritis may require just one to three treatments, often with
complete remission for about 5 to 7 years, at which time treatments can be repeated.
13. Progress of tumors. According to
Dr. Perez Garcia, tumors often stop growing after the first few treatments, but
may not start shrinking until after 8 or 10 treatments, and may need as many as
24 treatments to become "almost completely
invisible". When laboratory studies of IPT are finally
carried out, we will find out what is going on inside tumors during this
Click on this image for enlarged version.
The IPT Process --- a pulse of hypoglycemia
Note to Physicians
Doctors who want to
learn to practice IPT, and who want access to detailed information about IPT
drug combinations that have been successfully used by other IPT doctors should
contact Dr. Perez Garcia 3 to arrange for a course of training
and follow-up consultations.
I am presenting the current method here according to my best understanding of
the way insulin potentiation therapy (IPT) is practiced today in the office of Dr. Perez Garcia
3, and doctors
trained by him. Details may vary between doctors and between patients of
one doctor . This is not an instruction manual, and IPTQ.org does not
guarantee accuracy or results. Please read the IPTQ
Training in IPT is important. If a doctor
wants to practice IPT, it is highly advisable for her or him to learn the
current method directly from Dr. Perez Garcia 3. Even email
contact with them would be highly beneficial. Mistakes are possible,
and optimum results might not be obtained unless the practitioner either has years of
experience or consults with a doctor who has such experience. Dr. Perez Garcia 3
told me that, during his first few years, even he learned "several ways not to
On the other hand, if time, resources,
or circumstances do not permit
such instruction, a doctor may be able to gather enough information from reading
this page, and from carefully studying the patents, books, articles, protocols, and case studies on this website, to
understand the basic principles of IPT, and to practice IPT at a rudimentary level.
By using this information, combined with his own judgment, experience, and understanding of medicine,
he may be able to obtain some of IPT's benefits for at least some of his patients. If
all the experienced IPT doctors were to disappear, there is enough information
here for the basics of IPT to be reconstructed