All Interventions

    Ozone Therapy

    Therapies
    Oxygen Therapies

    Medical application of ozone (O3) to stimulate oxygen metabolism, modulate immunity, and exert antimicrobial effects.

    Evidence Summary

    5
    / 10Score
    Moderate
    Moderate Evidence

    Ozone therapy has extensive European clinical use and a growing evidence base, though quality varies by application. A 2025 randomized controlled trial (Frontiers in Medicine, n=62) found ozone major autohemotherapy added to standard care improved neurological recovery (NIHSS, Barthel Index, MoCA scores) after acute ischemic stroke with no signal of organ toxicity -- an early, single-center finding that needs replication before broader use. A 2025 meta-analysis of 13 RCTs (Evidence-Based Dentistry) found ozone as an adjunct to periodontal scaling and root planing modestly reduced pocket depth and gingival inflammation versus scaling alone, with no significant benefit for plaque control or attachment level. Antimicrobial and immune-modulatory effects remain the best-supported mechanisms. Ozone therapy is not FDA-approved; the FDA issued a 2019 consumer warning citing insufficient evidence of safety and effectiveness, so it should be pursued only through experienced practitioners following established safety protocols (G6PD deficiency screening, proper gas-phase administration to avoid embolism).

    Evidence Scale

    1
    2
    3
    4
    5
    6
    7
    8
    9
    10
    AnecdotalStrong RCT

    Mechanism of Action

    Ozone creates controlled oxidative stress, activating Nrf2 pathway, enhancing antioxidant systems, improving oxygen utilization, and modulating immune response.

    Who Is This For?

    Chronic infections, immune dysfunction, vascular disease, anti-aging. Screen for G6PD deficiency.

    Protocol & Dosing

    Dose

    MAH: 50-200ml blood + ozone 20-60 mcg/ml. Rectal: 100-300ml at 30-40 mcg/ml.

    Frequency

    2-3x/week acute, weekly maintenance

    Duration

    10-20 session series

    Protocol Summary

    Various routes: IV (Major Autohemotherapy), rectal insufflation, local injections. MAH most common for systemic effects.

    Interactions & Precautions

    Contraindications

    • G6PD deficiency
    • Hyperthyroidism
    • Pregnancy
    • Active hemorrhage

    Potential Risks

    • •Improper administration risks
    • •Oxidative stress if overdosed

    Potential Side Effects

    Herxheimer reactions
    Fatigue
    Minor bruising
    Rare: air embolism if improperly administered

    Practitioner Notes

    Clinical annotations from Dr. Goel

    Start low, go slow with ozone concentration. 10-pass protocol for intensive therapy. Combine with other oxidative therapies.
    SG

    Dr. Sanjeev Goel

    Chief Medical Officer, Peak Human

    Cost & Access

    Cost Range

    $$

    Accessibility

    Specialty clinics

    Availability varies by location

    PHS
    671
    / 1000
    T3
    Longevity Operator

    Sample member

    Longevity Operator

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