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Plasma exchange involves removing blood, separating the plasma, and replacing it with sterile albumin to eliminate mold spores, mycotoxins, viral pathogens, heavy metals, glyphosate, microplastics, and spike protein. Dr. McCullough formulated an over-the-counter capsule containing nattokinase, bromelain, and thymulin to bind and remove spike protein; urinary spike protein levels reportedly decrease after use. For severe long-hauler COVID syndrome, blood filtration, similar to dialysis, is available outside the U.S. and involves running blood through carbon or heparin-binding filters to remove toxic chemicals. Over-the-counter spike protein detox options with nattokinase, bromelain, and thymulin are also available.