SWANK Profile: Ketoconazole
The Heavy Hitter. The Endgame Burner.
Filed Under: Liver Watch / Fat-Soluble Fungus / Hormonal Interference Recovery
1. Broad-Spectrum Antifungal
Ketoconazole is potent against:
- Candida
- Tinea (ringworm, jock itch, athlete’s foot)
- Seborrheic dermatitis + dandruff
- Histoplasma, blastomyces, and other deep fungi
- Skin + mucosal colonization
- Mild efficacy against mold in tissues and fat
Used when fungus has spread but isn’t responding to lighter meds.
2. Targets Fungus in Hormone-Sensitive Tissue
Ketoconazole also inhibits:
- Steroid synthesis in the adrenal glands
- Cortisol + testosterone production (dose-dependent)
It’s sometimes used in Cushing’s Syndrome and prostate cancer.
But in fungal purging, this means:
Be cautious if you’re hormonally sensitive—support adrenals (licorice root, vitamin C, adaptogens) if needed.
3. Fat-Bound Fungus + Sebaceous Tissue
Excellent for:
- Scalp
- Face
- Upper chest + back
- Hair follicles + oil glands
Especially in:
- Seborrheic dermatitis
- Fungal acne
- Chronic oily skin + fungal inflammation
4. Works Where Skin Meets Endocrine
Some call Ketoconazole the “hormone-aware antifungal.”
It acts on tissue systems where fungus and hormone disruption overlap:
- Skin
- Scalp
- Fatty lymph areas
- Adrenals
- Cortisol-regulating zones
Often used topically, but oral dosing penetrates far deeper.
Mechanism of Action:
- Blocks 14α-demethylase → disrupts ergosterol synthesis
- Interferes with fungal cell membranes
- At higher doses: inhibits adrenal steroidogenesis
Dosing (Oral):
- 200mg every other day or every third day x 21–30 days MAX
- Must be taken with food and acid (no antacids)
Cautions:
- Liver support required (watch ALT/AST if long-term)
- Avoid alcohol and other hepatotoxic meds during cycle
- Watch energy and mood if adrenals are fragile
Notable Benefits:
- Clears skin + facial fungus deeply and quickly
- Resets oily fungal terrain
- Temporarily lowers cortisol if chronically high
- Often last-resort option after Fluconazole and Itraconazole
What It Doesn’t Do:
- Doesn’t rebuild terrain
- Doesn’t kill gut-only candida (combine with Nystatin if needed)
- Not ideal for long-term unless clinically monitored
Conclusion:
Ketoconazole is your controlled burn.
It doesn’t come first—but when the colonists won’t leave, and your face, scalp, and endocrine tissue are under siege, it wipes them out fast.
Use it short-term. Pair with support.
It’s not a supplement—it’s fungal fi
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