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Is Chronic Illness Driven by Persistent Infection? A Conversation with Dr. Amy Proal
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Is Chronic Illness Driven by Persistent Infection? A Conversation with Dr. Amy Proal

Episode 117 of The One Thing Podcast

“Every time you have a viral infection, including those that might not clear, the metabolic output of your mitochondria inevitably changes. These pathogens hijack energy production, shift metabolism, and create a low-energy state that underlies many chronic illnesses.”
— Dr. Amy Proal, Episode 117 of The One Thing Podcast

In this episode, I sit down once again with Dr. Amy Proal, microbiologist and co-founder of the PolyBio Research Foundation, to discuss one of the most provocative ideas shaping the future of chronic illness care: the role of persistent infection.

We explore how chronic viruses, bacteria, parasites, and fungi may evade the immune system, linger in the body’s tissues and nerves, and gradually drive conditions like:

  • Long COVID

  • Alzheimer’s disease

  • POTS and autonomic dysfunction

  • Chronic fatigue syndrome (ME/CFS)

  • Neuropsychiatric and cognitive disorders

Dr. Proal explains the mechanisms by which microbes hijack mitochondria, disrupt immune signaling (including interferons and T-cell function), and rewire cellular metabolism toward a state of low energy and chronic inflammation.

Topics we cover:

  • Why Alzheimer’s plaques may form in response to infection

  • How the vagus nerve becomes a conduit for neurotropic viruses

  • Mitochondria as immune organelles—and how they’re disrupted

  • The potential of low-dose rapamycin to support immune rebalancing

  • Why supporting immune function (not suppressing it) is the future of treatment

This conversation is a paradigm shift. If you work with patients, live with complex chronic illness, or are searching for root-cause answers, this episode offers a compelling new lens.

Full Show Notes:https://www.onethingpod.com/episode-117-the-hidden-microbial-drivers-of-chronic-illness-with-dr-amy-proal/

Learn more about Dr. Amy Proal’s work:

https://www.polybio.org

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