How Flu Makes You Sick: The Complete Science-Backed Protocol

Written by: Baldomero Garza

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Time to read 6 min

The flu doesn't just "happen"—it's a step-by-step process of viral invasion and inflammatory response. Most people are deficient in the exact nutrients needed to fight back: vitamin D and NAC (N-acetylcysteine). These two supplements act as "fire extinguishers" for the cytokine inflammation that destroys your lungs during infection. By understanding how flu makes you sick at each phase, you can interrupt the process, recover faster, and protect yourself year-round.

The Flu Isn't What You Think It Is

Here's what nobody tells you about the flu: it never really leaves.


Unlike bacterial infections that come and go, viral infections like influenza embed themselves in your body and can flare up whenever your immune system is compromised. This is why some people get completely leveled by the flu while others barely notice it. The difference isn't luck—it's biology.


I've been practicing as a family nurse practitioner for years, and I can tell you exactly what happens when someone walks into my clinic during flu season looking like death. Their vitamin D levels are in the basement. Their glutathione production is tanked. Their body is trying to fight a war with no ammunition.


The real problem? Most people are trying to fight the flu with Sprite, Gatorade, and chicken soup. That's not going to cut it when your lungs are on fire with inflammatory cytokines.

How The Flu Actually Makes You Sick (And How To Stop It)

The flu virus enters through your nose and throat. You can't really prevent exposure—viruses are everywhere, especially during winter when everyone's packed indoors. But you can support your mucosal immunity and respiratory lining.


This is where NAC becomes your secret weapon. N-acetylcysteine is a natural liver antioxidant that does three critical things:

  • Thins mucus so you can expel it instead of letting it settle in your lungs
  • Reduces inflammation in respiratory tissues
  • Boosts glutathione production (more on this in a moment)

I started taking NAC daily years ago after discovering I have an MTHFR gene mutation that limits my body's natural NAC production. Since then? I rarely get sick. When I do catch something, it's mild and brief.


Phase 2: Inflammatory Cytokine Response

Once the virus enters your body, your immune system releases pro-inflammatory cytokines—chemical messengers like tumor necrosis factor (TNF-α) and interleukin-6 (IL-6). [8] These compounds are supposed to fight the infection, but they also cause the inflammation that makes you feel like you're dying.


Your lungs become a battlefield. The virus is attacking. Your immune system is counterattacking. And if you don't have enough vitamin D in your system, that inflammation spirals out of control.


Here's what the research shows: vitamin D acts like a fire extinguisher for inflammatory cytokines. [1] Studies recommend taking 10,000 IU of vitamin D3 daily for a few weeks during high-risk periods to rapidly raise your blood levels above 40-60 ng/mL. [4] After that, maintain with 5,000 IU daily.


Think about it: every winter, you're getting less sunlight. Just 10-15 minutes of morning sun can give you the equivalent of 10,000 IU of vitamin D. But most people aren't getting that, which means they're walking into flu season defenseless.


I've had clients whose vitamin D levels tested as low as 9. That's catastrophic. And then they wonder why every cold knocks them out for weeks.


The Glutathione Connection You Need To Understand

Here's where NAC becomes even more important: it's the precursor to glutathione, your body's master antioxidant. [7]


Glutathione is what actually neutralizes the oxidative stress and inflammation caused by viral infections. But if you have fatty liver disease (which affects 1 in 4 people globally), you're not making enough glutathione. That means your body can't fight back effectively.


When patients come to our clinic with severe flu symptoms, we give them IV bags with NAC and glutathione. The results are dramatic—people who looked half-dead walk out feeling functional within hours.


But you don't need an IV to get these benefits. Oral NAC supplementation increases glutathione production and provides powerful anti-inflammatory effects.[2] Studies show it reduces TNF-α, IL-6, and other inflammatory markers that cause lung damage during viral infections.[3]


The Nutrient Depletion Crisis During Infection

Fighting a viral infection is metabolically expensive. Your body burns through vitamins and minerals at an accelerated rate, which is why you feel so wiped out.


Here's what you need to replenish:

Zinc – Inhibits viral RNA polymerase activity and regulates immune cell function. Zinc deficiency leads to serious changes in lung tissue and enhanced inflammatory response. [5]


Selenium – Regulates selenoprotein expression and has been shown to enhance response to flu vaccines in older adults. [6] Our NAC+ includes selenium for this exact reason.


Lysine – Particularly important for viral infections. I use lysine injections for patients with shingles outbreaks, and it's remarkably effective.


The problem is that most multivitamins contain inadequate amounts of these nutrients, and eating your way to therapeutic doses during an active infection is nearly impossible when you have no appetite.


This is why targeted supplementation matters.




Why Your Adrenal Glands Need Support After Flu

Here's what nobody talks about: the aftermath.


Even after the acute infection passes, your body remains in fight-or-flight mode. Your adrenal glands have been pumping out cortisol and adrenaline for days or weeks. Your heart rate variability (HRV) tanks— sometimes by 20-40 points—indicating severe physiological stress.


Studies on long COVID and post-viral fatigue show that viral infections can cause lasting dysautonomia and decreased HPA axis activity. Your DHEAS levels (a marker of adrenal function) plummet during infection and need support to recover.


If you don't address this, you'll experience:

  • Persistent fatigue for months
  • Increased susceptibility to future infections
  • Autoimmune-like symptoms
  • Chronic inflammation

This is where adrenal support becomes critical for full recovery.

The Clinical Protocol We Use During Flu Season

After years of treating patients and dealing with my own health, here's my personal flu prevention protocol:


Daily (Year-Round):

  • The D: 5,000 IU vitamin D3 (10,000 IU during high-risk periods)
  • NAC+: For glutathione support, respiratory health, and selenium
  • Morning sunlight: 10-15 minutes when possible
  • Quality sleep and stress management

When Sick:

  • Double NAC+ dosage
  • Increase vitamin D to 10,000 IU
  • Add zinc supplementation
  • High-dose glutamine (our Gut Powder)
  • Rest and hydration with electrolytes

Post-Infection Recovery:

  • Continue elevated vitamin D and NAC+
  • Add adrenal support
  • Monitor HRV to track nervous system recovery
  • Focus on nutrient-dense foods

This protocol has kept me healthy through countless flu seasons while working directly with sick patients every day.



Everything you need to build your immune defenses this flu season. The D + NAC+ working together.


The Bottom Line On Flu Prevention

You can't avoid exposure to influenza. The virus is endemic—it's been around longer than humans and will be here long after we're gone.


But you can control how your body responds.


Most people who get demolished by the flu are walking around with profound deficiencies in vitamin D, glutathione precursors, and key minerals. Their immune systems are trying to fight a war with no weapons.


The research is clear: vitamin D and NAC act as "fire extinguishers" for the inflammatory response that causes severe flu symptoms. They don't kill the virus directly, but they prevent your immune system from destroying your lungs in the process of fighting back.


This flu season, don't wait until you're sick to take action. Build your defenses now with The D and NAC+.

REFERENCES

  • [1]Martineau AR, Jolliffe DA, Hooper RL, et al. Vitamin D supplementation to prevent acute respiratory tract infections: systematic review and meta-analysis of individual participant data. BMJ. 2017;356:i6583. PubMed
  • [2]Sadowska AM, Manuel-y-Keenoy B, De Backer WA. Antioxidant and anti-inflammatory efficacy of NAC in the treatment of COPD: discordant in vitro and in vivo dose-effects. Pulm Pharmacol Ther. 2007;20(1):9-22. PubMed
  • [3]De Flora S, Grassi C, Carati L. Attenuation of influenza-like symptomatology and improvement of cell-mediated immunity with long-term N-acetylcysteine treatment. Eur Respir J. 1997;10(7):1535-41. PubMed
  • [4]Cannell JJ, Vieth R, Umhau JC, et al. Epidemic influenza and vitamin D. Epidemiol Infect. 2006;134(6):1129-40. PubMed
  • [5]Wessels I, Maywald M, Rink L. Zinc as a Gatekeeper of Immune Function. Nutrients. 2017;9(12):1286. PubMed
  • [6]Hoffmann PR, Berry MJ. The influence of selenium on immune responses. Mol Nutr Food Res. 2008;52(11):1273-80. PubMed
  • [7]Polonikov A. Endogenous Deficiency of Glutathione as the Most Likely Cause of Serious Manifestations and Death in COVID-19 Patients. ACS Infect Dis. 2020;6(7):1558-1562. PubMed
  • [8]Mehta P, McAuley DF, Brown M, et al. COVID-19: consider cytokine storm syndromes and immunosuppression. Lancet. 2020;395(10229):1033-1034. PubMed

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