COVID-19 Weekly Update: Consultations and Curbside PickUp


Dear Patients and Friends: 

Here are our latest thoughts and recommendations about the COVID-19 pandemic. Things are continuing to change rapidly. I will keep you updated as often as I can. This is a LONG email, so I’m providing this index. You can read more detail below this list.

    1. Office Status: We are OPEN for staggered consults, IV Therapy, HOCATT Ozone Sauna appointments.  We are also providing phone/telemedicine consults if you prefer.
    2. Supplement Orders: Local courier and curbside pickup orders are available, as well as phone and online orders. 
    3. Supplements That Are Helpful: A list of helpful supplements
    4. Immune Support Modalities
    5. What to Eat and Drink for Optimal Wellness: My best dietary recommendations 
    6. Other Vital Wellness Tips: Definitely read this if you are taking Advil or ibuprofen (NSAID) medications. 
    7. What Else Can I Do to Reduce My Exposure? Some less-obvious tips that you might not be doing. 
    8. What Else Can I Do If I Get Sick or Someone in My Family is Sick? When to call for emergency help, how to protect your family in quarantine. 
    9. Testing: Tringali Vibrant Health is NOT a COVID-19 testing center. 

    1. Office Status: OPEN
    The Tringali Vibrant Health team has been working hard to implement the practices recommended below and to keep ourselves isolated (at home and the office) so that we can continue to take care of you. Our hope is that we will get through this without having to close the office for any significant period of time. Fortunately, Dr. Gandhi and I are keeping our consultation appointments, and we will both be able to do patient visits through a Telemedicine program or phone if this is your preferred consultation option. Please call for answers on how to set up this method of communication. We are also open for staggered IV Therapy and HOCATT Ozone appointments. 

    See Our Full Commitment to You What We’re Doing at the Office and What We Ask of You


    We have also been working very hard to keep a supply of the highest quality supplements in stock for you to be able to continue to have the supplements you usually take as well as ones that will help support your immune system and hopefully keep you healthy. Many of the supplement companies are running into temporary shortages, but we have a lot of supplements still in stock. Currently we can ship or provide curbside pickup. 

    3. Supplements/Modalities That Are Helpful: 
    There are many supplements that support the immune system or have antiviral properties that you can also use if we have them in stock or if you have them at home.


    Vitamin C • Quercetin • Probiotics • Vitamin D3 • Curcumin • Liposomal Glutathione • Olive Leaf  • Zinc • Beta Glucan • Biocidin • Throat Spray • Melatonin • Nitric Oxide Support • NAC •Allicin (garlic extract) • Echinacea  • Cat’s Claw • Resveratrol • Vitamin A • Vitamin E • CoQ10/ MitoQ • Taurine

    Visit Our Supplement Portals

    4. Immune Support Modalities:

    Thymosin Alpha-1 
    Ta1 improves your body’s innate immunity when needed, and it down regulates immunity when not needed.

    Learn More About Thymosin Alpha-1

    5. What to Eat and Drink for Optimal Wellness: 

    • Eat a variety of vegetables: celery, greens (beets, chard, kale), eat orange foods for vitamin A/ beta carotene (beets, squash, pumpkin, sweet potato, carrots), onions, garlic, Brazil nuts
    • Fruits that are good antioxidants: blueberries, blackberries, raspberries, cherries, strawberries, goji berries
    • Drink green tea, or stew turmeric and/or fresh ginger and drink the brew.
    • Incorporate lots of healing food/spices/herbs into your meals
    • Top Two beneficial anti-viral foods: Garlic & Celery– Also Turmeric/Curry, Cinnamon, Oregano, Pepper, Cloves, Ginger, Rosemary, Cacao, Mint, Cayenne, Beets
    • Avoid sugar, gluten and dairy
    • Drink your vegetables – Exceed Greens & Reds or Dynamic Greens are the ones we have in the office that I love!
    • Make sure you include good sources of high-quality protein in your diet, ideally grass-fed and pasture-raised meats.
    • Avoid alcohol and tobacco. 

    6. Other Vital Wellness Tips: 

    • If you are taking Advil, Motrin, ibuprofen or other NSAIDs, you could be more susceptible to complications of COVID-19. Reduce or stop your dose if possible. If you are not able to stop for severe pain issues, you may want to consider extra immune support. For some needs, studies have shown Curcumin supplementation can provide equal or better results than NSAID medications.
    • Get a least 8 hours of sleep— rest makes your body more resilient.
    • Practice daily meditation to alleviate the anxiety and stress many of us are feeling and for general well-being, boosting immunity, and many other benefits.
    • Exercise, but do not overdo it— you could actually lower your resistance to infection by exercising too much.

    7. What Else Can I Do to Reduce My Exposure?

    • Practice social distancing, stay home. 
    • Prepare homemade meals. 
    • Know your risk – who are your family members coming in contact with? Are they at risk? Do what you can to limit your family’s contacts and emphasize to your teens and older children that they are not invincible! The rumor that younger people are less affected is not true– Saturday the New York governor reported in his press conference that 54% of their state’s cases were patients ages 18-49. 
    • Understand that the virus can live on some surfaces for many days. Cardboard and plastics possibly too – if you receive a delivery, wear gloves if you have them, don’t sign using their pens/devices, open boxes to remove items, dispose of the packaging and wash your hands. 
    • Be vigilant about cleaning your hands–even at home.
    • Clear air with a HEPA or other air filter (they don’t do much for viruses, but breathing clean air is helpful for your immune system in general). 
    • Keep your hands away from your face.… this one is such a challenging habit to change! 
    • Wear gloves if you must go to the grocery store or get gasoline or any other necessary errand. 
    • Leave your shoes by the door so you don’t track anything in. 
    • Clean surfaces at least once daily. From Harvard Medical School: How long can the coronavirus that causes COVID-19 survive on surfaces? “A recent study found that the COVID-19 coronavirus can survive up to four hours on copper, up to 24 hours on cardboard, and up to two to three days on plastic and stainless steel. The researchers also found that this virus can hang out as droplets in the air for up to three hours before they fall. But most often they will fall more quickly. There’s a lot we still don’t know, such as how different conditions, such as exposure to sunlight, heat, or cold, can affect these survival times. As we learn more, continue to follow the CDC’s recommendations for cleaning frequently touched surfaces and objects every day. These include counters, tabletops, doorknobs, bathroom fixtures, toilets, phones, keyboards, tablets, and bedside tables.” 

    8. What Else Can I Do If I Get Sick or Someone in My Family is Sick? 

    • If you think you or someone in your family has been exposed to someone with COVID-19, see below on testing. While you are waiting for a result, quarantine yourself or the individual according to these guidelines.
    • Increase fluids. 
    • Increase vitamin C and other supplements, see list above
    • See latest CDC guidelines here. 
    • If you develop emergency warning signs for COVID-19 get medical attention immediately. Emergency warning signs include, but are not limited to, this list: Difficulty breathing or shortness of breath, persistent pain or pressure in the chest, new confusion or inability to arouse, bluish lips or face. Please consult your medical provider for any other symptoms that are severe or concerning.

    9. Testing: Tringali Vibrant Health is NOT a COVID-19 testing center.

    We are empowered to help our bodies be more resilient in any situation, including this one. I believe that if we take daily actions to support our immune system, we will have a much better outcome. This may feel overwhelming, but just take the next best step and the steps will add up. Use this time to implement more proactive habits in your life for your future. Sending my best wishes for you and your loved ones. 

    If you have any questions, comments, or concerns please feel free to email us at or call us at 561-283-1166.

    Elizabeth Tringali, PA-C
    Kunal Gandhi, M.D.


    Elizabeth Tringali, PA-C & Kunal P. Gandhi, M.D.

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