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VIP (Vasoactive Intestinal Peptide)

Endogenous 28-amino-acid neuropeptide. Modulates immune function and inflammation. Used in CIRS (chronic inflammatory response syndrome) protocols and biotoxin exposure recovery, popularized by Dr. Ritchie Shoemaker.

Immune
Evidence: Moderate
Half-life
~2 minutes (rapid clearance)
Route
Intranasal (most common in clinical use)
Cycle
Months in CIRS protocol
Schedule
4x daily intranasal
In plain English

VIP is a 28-amino-acid neuropeptide your body already makes. Modulates inflammation and immune function. The well-known use is in Dr. Shoemaker's CIRS protocol for mold/biotoxin illness recovery — used intranasally, multi-month courses, only after upstream prep work.

Status & legality
Natty?
Grey area

Endogenous neuropeptide used clinically in CIRS protocols. Federations don't typically address it.

FDA
Not approved

Not FDA approved as a drug. Used in compounded form in CIRS clinical protocols (Shoemaker).

Compounding
Not classified

Not formally categorized in the FDA bulks lists.

WADA
Not listed
Prescribed

Yes by some functional-medicine and CIRS-literate providers, via compounding pharmacies.

Who it's for

  • Users with CIRS or mold-illness contexts under medical guidance
  • Chronic inflammatory conditions
  • Post-biotoxin-exposure recovery (well-defined Shoemaker protocol)

What to expect

  1. Week 1

    Some users notice neurological symptom shift early.

  2. Week 4

    Cumulative inflammation markers decline in CIRS context.

  3. Week 8

    Long courses are the norm in CIRS — months to years.

How it works (mechanism)

Endogenous 28-amino-acid neuropeptide. Binds VPAC1 and VPAC2 receptors expressed on immune cells, modulating both Th1/Th2 balance and inflammation. Used clinically (off-label US, on-label some EU contexts) for chronic inflammatory conditions.

Dosing protocol

Shoemaker CIRS protocol: 50 mcg per nostril, 4x daily, intranasal. Different uses have different dose patterns.

Stacks well with

CIRS protocol involves multi-step preparation (binders, treating biofilm) before VIP — see Shoemaker's published sequence

Side effects

01Mild flushing
02Injection-site reaction (if sub-q)
03Rare: hypotension at high doses

When NOT to use

  • Hypotension or unstable cardiovascular status
  • Pregnancy / nursing
  • CIRS protocol specifically requires baseline biotoxin clearance first

Bloodwork to monitor

  • MMP-9, C4a, TGF-β1 in CIRS context (Shoemaker panel)

Common mistakes

  • Running VIP for CIRS without doing the upstream Shoemaker prep first
  • Stopping too early (CIRS courses run months)
  • Treating it as a general anti-inflammatory rather than a specific protocol piece

Drug & supplement interactions

  • Vasodilators: additive hypotensive effect
  • Shoemaker CIRS protocol: requires upstream binders and biofilm clearance first — VIP is the last step, not the first

Educational only. User-specific dosing is between you and a qualified provider.

Frequently asked

What is VIP (Vasoactive Intestinal Peptide)?+
VIP is a 28-amino-acid neuropeptide your body already makes. Modulates inflammation and immune function. The well-known use is in Dr. Shoemaker's CIRS protocol for mold/biotoxin illness recovery — used intranasally, multi-month courses, only after upstream prep work.
Is VIP (Vasoactive Intestinal Peptide) FDA approved?+
Not FDA approved as a drug. Used in compounded form in CIRS clinical protocols (Shoemaker).
Is VIP (Vasoactive Intestinal Peptide) banned by WADA?+
VIP (Vasoactive Intestinal Peptide) is not currently on the WADA prohibited list.
Are you still natty after taking VIP (Vasoactive Intestinal Peptide)?+
Grey area. Endogenous neuropeptide used clinically in CIRS protocols. Federations don't typically address it.
Do doctors prescribe VIP (Vasoactive Intestinal Peptide)?+
Yes by some functional-medicine and CIRS-literate providers, via compounding pharmacies.
What's the typical dose of VIP (Vasoactive Intestinal Peptide)?+
Shoemaker CIRS protocol: 50 mcg per nostril, 4x daily, intranasal. Different uses have different dose patterns.
What are the side effects of VIP (Vasoactive Intestinal Peptide)?+
Common side effects include: Mild flushing; Injection-site reaction (if sub-q); Rare: hypotension at high doses. Less common effects and full safety details are on the entry page.
How long until VIP (Vasoactive Intestinal Peptide) starts working?+
Some users notice neurological symptom shift early.