Abstract:Here we describe the Ruggiero-Klinghardt (RK) Protocol that is based on integration of Autonomic Response Testing (ART) with diagnostic ultrasonography and on application of therapeutic ultrasounds; the latter are used as a provocation tool and as an instrument to optimize drug uptake and utilization in specific areas of the body. This protocol consists of a precise sequence of diagnostic and therapeutic procedures with the ultimate goal of improving sensitivity and specificity of diagnosis at the same time evaluating and optimizing efficacy of treatments in chronic conditions including, but not limited to, persistent Lyme disease. The RK Protocol represents a paradigm shift in diagnostics and therapeutics: Thus, compartmentalized microbes, transformed cells, toxins and metabolites could be detected using a safe and non-invasive method. In addition, the RK Protocol allows optimization of efficacy of drugs and other therapeutic interventions. Although the RK Protocol was initially developed for persistent Lyme disease, it shows significant potential in conditions ranging from cancer to neurodegenerative diseases and autism. In oncology, the RK Protocol may serve to facilitate early diagnosis and to increase sensitivity of cancer cells to the killing effects of a variety of remedies ranging from conventional radio-and chemotherapy to more recent forms of immunotherapy. Thus, the 1st goal of the RK Protocol is diagnostic: That is, to make pathogens, toxins, transformed cells and cells infected by viruses that are inaccessible to conventional diagnostic and therapeutic tools, "visible" to the therapist who can detect them with laboratory methods and deal with them with appropriate interventions; and also to make them "visible" to the immune system that can fight them in a physiological manner. The 2nd goal is to optimize drug uptake and utilization in the organs and tissues studied and targeted with these procedures.

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Here, we describe the adaptation to the field of autism of an original procedure denominated the "Ruggiero-Klinghardt Protocol" (RK Protocol), a procedure that represents a paradigm change with significant implications for chronic conditions where immunotherapy may prove effective; that is from silent infections to neurodegenerative diseases, autism and cancer. In the context of autism, the modified RK Protocol that we propose here serves the purpose of discovering hidden infections that may be associated with autism and contribute to its symptoms. This notion is consistent with the observation that immune modulating molecules are effective in autism treatment. In the RK Protocol modified for autism, we introduce the Autism Treatment Evaluation Checklist (ATEC), a more objective and sophisticated method of evaluation compared with the Clinical Global Impression of Improvement scale that was previously used, independently of the RK Protocol, to evaluate the effectiveness of immunotherapy of autism. The modifications that we present in this study take advantage of the experience that has accumulated in the two years after the publication of the original RK Protocol. Similarly to the original RK Protocol, this new version offers the advantage of being safe and relatively inexpensive since it does not require sophisticated instruments; because of this, it can be implemented in different parts of the world. We envisage that implementation of the RK Protocol modified for autism may contribute to decrease the burden of the disease as it enables prevention, early diagnosis and treatment on a large scale.

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