healthPi is becoming RECURIO – Dr. Gruther & Team Dear patients, the former practice of Dr. Gruther / healthPi is now RECURIO – Dr. Gruther & Team. Your location and contact persons remain the same – the medical focus is becoming even clearer: We specialize in precise medical diagnostics and physician-led, structured therapy programs. RECURIO stands for "return to strength" – through medicine that understands the causes and implements therapy in a structured manner.

What this program is designed to do

INUS is not built around a miracle treatment.

It is built around a better question:

What phenotype is actually driving this case — and what follows from that?

The sequence is:

Safety → Differential diagnosis → Phenotyping → Management

What matters most

Many patients associate the name INUS with apheresis.

That is not the core.

The core value is:

  • physician-led phenotyping
  • crash prevention when needed
  • orthostatic management when needed
  • sleep and deficit review
  • a clear treatment pathway

If apheresis is ever discussed, it belongs at the top of the pyramid — not at the entrance.

This program may fit you if

  • You crash after exertion
  • You suspect PEM
  • Standing makes brain fog worse
  • Standard diagnostics have not given you a workable path
  • Daily life or work capacity is clearly reduced
  • You want a structured pathway instead of random measures

Who this program is for — and not for

INUS is not a miracle-cure request line.

It is for post-infectious functional loss that needs structured clarification.

It is not designed as:
– direct entry into apheresis
– a “vitamin package”
– symptom treatment without diagnostic logic

 

The pictogram schematically shows the process of Inuspheresis. The blood is separated in the first filter into plasma and solid components. The plasma is then purified of harmful substances in a second filter and flows back into the body together with the solid components.

How the program works

1) Medical indication check

  • Red-flag review
  • Basic differential diagnosis
  • Basic labs
  • Phenotype logic
  • Baseline outcomes and function

2) Intensive start cycle

Depending on phenotype:
– pacing / energy-envelope rules
– orthostatic management
– sleep stabilization
– selective correction of plausible deficiencies
– supportive infusion logic selectively

3) Progression and decision

  • Re-check symptoms and function
  • Refine the phenotype logic
  • Continue, co-manage or escalate based on the actual course

What we measure

  • Fatigue scores
  • PEM pattern
  • Orthostatic measurements
  • Daily-life cognition
  • Sleep screening
  • Function and work milestones

Common Questions

Is fatigue just “low energy”?

No. It is a true functional limitation that often includes cognitive and orthostatic components.

What is PEM?

A delayed worsening after exertion, often by 12–48 hours.

Are microclots, endothelial dysfunction or apheresis standard?

No. They may be discussed selectively, but they do not replace proper phenotyping.

Why can classic training be risky in PEM?

Because without crash logic, even well-meant activation can worsen the course.

When does this need urgent review?

With chest pain, shortness of breath, syncope, focal neurological symptoms or other red flags.

This page is for information only and does not replace a personal medical examination. Red flags require prompt medical assessment.

Get in touch

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