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Multistep Oxygen Therapy (EWOT) - The Best AntiAging Gift You Can Give Your Body
Written by: Robert Rowan MD;
Also read about Ozone in Sierra Leone and Vaccines at


In the never-ending fight against the aging process, we have finally found a therapy that now gives us the edge. It can dramatically reduce the effects of the aging process from your body, it costs very little, and it can be done in the comfort of your own home.

The therapy is called EWOT (exercise with oxygen therapy) or multi-step therapy. You’ve read about it in the past, but that’s just the beginning of what will be one of the biggest breakthroughs ever in anti-aging medicine in decades, and yet it’s still virtually ignored by the medical establishment. Why? Probably because it doesn’t cost much, so the doctors and drug companies aren’t going to get rich using it. But I suspect most are simply in the dark about the incredible benefits you can receive using this therapy. I know I was for many years.

As an avid user of oxidation and oxygen therapies, I was fortunate to attend a lecture on oxygen multi-step therapy at the International Oxidative Medicine Association’s convention years ago. However, it was presented in poor English without a clear understanding among the attendees of the mechanisms of action. Like most physicians, I need to know how something works to better apply it to patient care. Just hearing results without understanding is not satisfactory.

Now, with the aid of recent writings by Dr. Manfred von Ardenne, how this procedure produces its stunning effects becomes not only crystal clear, but also amazingly simple.

Before I explain the therapy, though, we need to understand how oxygen gets from your lungs to your tissues. This gets a little technical, but it will help you understand why multi-step therapy is so crucial to effectively fight the aging process.

Atmospheric air pressure at sea level is 760 mm of mercury. Since oxygen comprises approximately 20 percent of the atmosphere, the pressure component of oxygen, called partial pressure, is 20 percent of 760, or about 150 mm. The air coming into the lungs, therefore, contains a pressure of O2 at 150 mm. However, in the lungs, the oxygen is diluted considerably with carbon dioxide leaving the body. Thus, in the air sacs of the lungs (alveoli), the pressure of oxygen is the 150 mm minus the partial pressure of CO2 (which is 40) for a net O2 pressure in the air sacs of about 100-110 mm. With me so far?

This 100-110 mm is the amount of pressure that drives the oxygen from the lungs into the blood. The blood takes the oxygen by way of the arteries to the extremities where it is fed to the capillaries. The capillaries release some of the oxygen to support each individual cell along their pathway. In an ideal situation, the pressure of oxygen in the arteries will almost match the pressure in the alveoli. When we’re young, this is the case, with the arterial pressure running around 95 mm. However, as we age, the arterial pressure declines, with the average 70-year-old having an arterial pressure of only about 70 mm.

The reason this is significant is because when the blood carries the oxygen to the capillaries, the oxygen must dissolve in the waters of the body in order to reach the O2-thirsty cells beyond the capillary membrane. Unlike carbon dioxide, O2 is much harder to dissolve in liquids and its solubility is heavily dependent on the pressure driving it. Oxygen is extracted in the capillaries and when the blood comes out the venous end of the capillary, the average pressure of oxygen in the veins is about 40 mm early in life and drops to about 35 mm by age 70. The difference in the pressure of oxygen between the arterial and venous sides reflects how well the oxygen is delivered and consumed.

In your 30s, the amount of oxygen released to the cells is significantly higher than in your 70s. If you do the math, a 30-year-old will release 55 mm of pressure (95-40=55), while a 70-year-old will release only 35 mm of pressure (70-35=35). That’s a huge drop (55 vs. 35) in the amount of pressure of oxygen your cells are receiving.

This is extremely important, as the most common complaint I’ve heard about multi-step therapy is from patients who have their blood tested by a conventional doctor who measures the amount of oxygen in the blood. When it comes back normal, people think they don’t need the therapy. What the doctor is missing is how well the oxygen is transferred to the cells.

When the oxygen pressure falls as you age, the volume of oxygen may stay the same, but you may be oxygen deficient because there’s not enough pressure to push the volume to a usable state. When your doctor tells you there’s plenty of oxygen in your blood, he’s correct. The blood is saturated with oxygen. Problem is, there’s not enough oxygen in your cells! You see, the body’s ability to transfer oxygen to the cells becomes damaged as we age.

This transfer of oxygen from the blood to the cells is perhaps the most significant underlying factor in whether you live a healthy life or not! The more damaged the transfer mechanism becomes, the more likely you will become ill. This is why you are more susceptible to illness as you age! (There is much more to this aspect of the therapy, but I’ve given you enough science for one day.)

The breakthrough with multi-step therapy is that it actually raises the arterial pressure back to youthful levels. And what’s just as important is the effect is long lasting!

Furthermore, the technique lowers the oxygen in your veins at the same time, which indicates a dramatic increase in the release and consumption of oxygen as a result of treatment. The larger the difference between the pressure of oxygen in the arteries and veins simply indicates greater oxygen release and consumption by the cells.

Multi-step therapy is surprisingly simple. All it involves is breathing high levels of oxygen while exercising. The higher oxygen level in the lungs creates a greater head of pressure to drive oxygen into the pulmonary capillaries. The exercise moves the circulation much faster, ensuring a greater oxygen carriage. Initially, the oxygen pressure in the veins rises, as more oxygen is getting through to the venous side, but it is this oxygen that allows the capillaries to repair the transfer mechanism. Once the mechanism is fixed, more oxygen can diffuse through the capillary wall to oxygen-thirsty tissues.

Typically, the multi-step therapy consists of an 18-day, 36-hour program. First, a drug-nutrient combination is orally administered 30 minutes before the exercise starts. The combination consists of 30 mg of thiamin (vitamin B1), 75 mg of Dipyridamol (the prescription drug Persantine), and 100 mg of magnesium orotate. These agents help the uptake and utilization of oxygen.

Thirty minutes after taking the combination, you begin exercising while breathing oxygen using a mask and storage balloon at a flow rate of four to six liters per minute. This lasts two hours each day for 18 days, giving you a total of 36 hours of therapy time. Every 20 minutes during the two-hour treatment period, the individual pushes the exercise to a comfortable maximum, which enhances cardiac output and oxygen delivery to the needy areas. This procedure is probably best supervised by a doctor, though this is not entirely necessary.

A simpler modification, called the quick technique, uses the same procedure (including the drug-nutrient combination), but instead of two hours, you do moderate aerobic exercise for only 15 minutes while breathing pure oxygen at 10 liters per minute.

Some combination of the two techniques might be the most effective method.

The effects of this treatment are far reaching for virtually every conceivable human condition. Not that this is a cure for anything, but by improving delivery of the most important substance for tissue life and repair, the body will have a much better opportunity to correct any problem. Emphysema, for example, can definitely be assisted, but ongoing sessions are necessary since the transfer mechanism is severely compromised by loss of tissue due to the emphysema. All circulatory disturbances can benefit, including high blood pressure. The development of cancer also may be inhibited. Otto Warburg won the Nobel Prize years ago for demonstrating that cancer functions in an oxygen-poor environment.

There are also reports of excellent results in eye problems, including cataracts (this is understandable, since the lens of the eye is known to be oxygen-deficient already). Other illnesses that benefit from multi-step therapy include: senility, arthroses (joint disturbances), liver and internal organ disturbances, infections, radiation exposure, late effects of strokes, poisonings and burns, and stress.

Oxygen multi-step therapy is definitely something you can do in the privacy of your home and very inexpensively. And it may be the most dramatic single thing you can do to prevent disease and restore health. Now you have the tools to turn back the aging clock in your circulation to youthful parameters in just a few weeks.
To get medical-grade oxygen, you’ll need a prescription, so I suggest you find a doctor who is a member of the International Oxidative Medicine Association (IOMA). These doctors are aware of this therapy and know the value of increasing your body’s use of oxygen as you age. They can give you a prescription for the oxygen tanks.

If you’re interested in doing the 18-day program, you can use an oxygen concentrator, which is available from most medical supply houses. Check with them to see if your state requires a prescription. Oxygen concentrators are more expensive up front (well over $1,000) than oxygen tanks, but you’ll save money over the long haul because you don’t have to refill the tanks. Also, you'll have the convenience of never running out of oxygen; it is always available for you by just turning on the oxygen concentrator. Shop around to find the best deal. Many of my patients buy from Longevity Resources in Canada for high quality equipment and low prices. You will find them at

Many people have asked me if they can use the commercial-grade oxygen found at their local compressed-gas supply house because it’s cheaper and they can get it without a prescription. While I’ve known people to use this successfully without any problems, they purchase their oxygen from supply houses that use the same source (meaning the supply house uses the same compressor and filter) for the commercial and medical-grade oxygen. I’ve been assured by the suppliers in my area that the oxygen is taken from the same source, but not all supply houses do so. When the commercial oxygen is taken from the same source as the medical-grade, there is no difference between the two. While this is a very safe option, as a doctor, I’m prohibited by law from prescribing it. Federal law also prohibits me from using commercial-grade oxygen for any medical purpose. And whoever you get your oxygen from, make sure you get and read all the safety precautions associated with handling oxygen.

The thiamin and magnesium orotate can be acquired from health food stores. The dipyramidole (Persantine) would have to be obtained through prescription, but appears not to be an absolute essential (ask your IOMA doctor about it). Acquisition of an exercise machine (a treadmill or exercise bike will work just fine) takes a little effort and money, but you probably should have one of these anyway.

The quick technique is so easy and time efficient and may suffice for those in relatively good shape who want to practice prevention. For those with more significant problems, the 18-day, 36-hour method may be best. For those even more impaired, it would be most advisable to consult with a physician familiar with oxygen therapies. A graded exercise program perhaps beginning with nothing more than lifting a few pounds can be easily devised together with oxygen to begin the transforming process.

As Paul Harvey would say, “and now you know the rrrrrrest of the story.” Oxygen multi-step therapy is a monumental breakthrough that can benefit nearly everyone and is easily administered in your own home.

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