ima-claude 2.18.0 → 2.20.0
This diff represents the content of publicly available package versions that have been released to one of the supported registries. The information contained in this diff is provided for informational purposes only and reflects changes between package versions as they appear in their respective public registries.
- package/README.md +7 -0
- package/dist/cli.js +5 -1
- package/package.json +1 -1
- package/plugins/ima-claude/.claude-plugin/plugin.json +2 -2
- package/plugins/ima-claude/skills/agentic-workflows/SKILL.md +133 -0
- package/plugins/ima-claude/skills/agentic-workflows/references/phases/deliver.md +181 -0
- package/plugins/ima-claude/skills/agentic-workflows/references/phases/draft.md +99 -0
- package/plugins/ima-claude/skills/agentic-workflows/references/phases/gather.md +130 -0
- package/plugins/ima-claude/skills/agentic-workflows/references/phases/outline.md +106 -0
- package/plugins/ima-claude/skills/agentic-workflows/references/phases/review.md +137 -0
- package/plugins/ima-claude/skills/agentic-workflows/references/standards/draft-format.md +159 -0
- package/plugins/ima-claude/skills/agentic-workflows/references/standards/editorial-standards.md +160 -0
- package/plugins/ima-claude/skills/agentic-workflows/references/standards/outline-format.md +110 -0
- package/plugins/ima-claude/skills/agentic-workflows/references/templates/avada-construction-guide.md +263 -0
- package/plugins/ima-claude/skills/agentic-workflows/references/templates/avada-webinar-example.txt +275 -0
- package/plugins/ima-claude/skills/agentic-workflows/references/templates/cta-block-catalog.md +169 -0
- package/plugins/ima-claude/skills/agentic-workflows/references/templates/espo-email-preparation.md +241 -0
- package/plugins/ima-claude/skills/agentic-workflows/references/templates/webinar-recap-email-espo.html +339 -0
- package/plugins/ima-claude/skills/agentic-workflows/references/templates/webinar-reminder-email-espo.html +458 -0
- package/plugins/ima-claude/skills/agentic-workflows/references/workflows/editorial/webinar-summary.md +81 -0
- package/plugins/ima-claude/skills/design-to-code/SKILL.md +126 -0
- package/plugins/ima-claude/skills/design-to-code/references/guardrails.md +46 -0
- package/plugins/ima-claude/skills/design-to-code/references/phase-a-design-to-prompt.md +141 -0
- package/plugins/ima-claude/skills/design-to-code/references/phase-b-prompt-to-code.md +155 -0
- package/plugins/ima-claude/skills/design-to-code/references/prompt-template.md +95 -0
- package/plugins/ima-claude/skills/mcp-atlassian/SKILL.md +94 -14
- package/plugins/ima-claude/skills/mcp-atlassian/references/direct-api-attachments.md +115 -0
- package/plugins/ima-claude/skills/mcp-atlassian/references/direct-api-auth.md +103 -0
- package/plugins/ima-claude/skills/mcp-atlassian/references/direct-api-bulk.md +149 -0
- package/plugins/ima-claude/skills/mcp-atlassian/references/direct-api-misc.md +195 -0
- package/plugins/ima-claude/skills/mcp-atlassian/references/direct-api-sprints.md +158 -0
- package/plugins/ima-claude/skills/prompt-starter/SKILL.md +9 -6
package/plugins/ima-claude/skills/agentic-workflows/references/templates/avada-construction-guide.md
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# Avada/Fusion Builder Construction Guide
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General reference for building IMA blog posts and editorial pages in the WordPress backend using Fusion Builder shortcode markup. This document covers building blocks, syntax patterns, and placement principles. It is content-type agnostic. Content-type-specific templates (webinar summaries, research posts, etc.) live in their respective project instruction files and reference this guide for construction mechanics.
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---
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## Core Container Structure
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Every post is wrapped in a single container → row → column stack:
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```
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[fusion_builder_container]
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[fusion_builder_row]
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[fusion_builder_column type="1_1"]
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<!-- all content blocks go here -->
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[/fusion_builder_column]
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[/fusion_builder_row]
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[/fusion_builder_container]
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```
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This outer wrapper never changes. Copy verbatim from any existing post.
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---
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## Content Block Types
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### Text Block
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The workhorse. Used for body paragraphs, bullet lists, blockquotes, and inline links.
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```
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[fusion_text]
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<p>Paragraph content here with <strong>strategic bold</strong> for emphasis.</p>
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<blockquote>"Speaker quote here." — <strong>Name</strong></blockquote>
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<ul>
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<li><strong>Label:</strong> Description text</li>
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<li><strong>Label:</strong> Description text</li>
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</ul>
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[/fusion_text]
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```
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**Usage notes:**
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- One `fusion_text` block per logical content section. Don't cram an entire post into one block.
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- Break into new blocks at natural visual anchor points: before/after images, at section transitions.
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- `<strong>` for emphasis within paragraphs. Don't bold entire sentences.
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- `<blockquote>` for speaker/researcher quotes with em-dash attribution.
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### Title Block
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Used for section headers and styled intro text.
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```
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[fusion_title title_type="text" style_type="none" title_tag="h2"]
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<strong>N.</strong> Section Title
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[/fusion_title]
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```
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For styled intro blocks (non-heading text that needs title-level formatting):
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```
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[fusion_title title_type="text" style_type="none" size="div"]
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Intro text styled as a title block
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[/fusion_title]
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```
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**Usage notes:**
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- Numbered sections use `<h2><strong>N.</strong> Section Title</h2>` inside a `fusion_text` block (not `fusion_title`) for consistency with existing posts.
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- `fusion_title` is primarily for standalone headers and styled intro text.
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### Image Block
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Used for slide images, diagrams, headshots, promo graphics, and resource covers.
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```
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[fusion_imageframe
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image_id="ATTACHMENT_ID|full"
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style_type="none"
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alt="Descriptive alt text"
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align="center"
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lightbox="yes"
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margin_top="20px"
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margin_bottom="20px"]
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https://imahealth.org/wp-content/uploads/path/to/image.jpg
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[/fusion_imageframe]
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```
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**Lightbox rules:**
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- `lightbox="yes"` for diagrams, charts, slides, data tables — anything the reader might want to zoom into
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- `lightbox="no"` for promo images and linked graphics. Add `link` attribute when the image should click through to a page.
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**Sizing:**
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- Headshots: `max_width="200"` in a `1_4` column
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- Slide images: full-width within the content column
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- Promo images: full-width, linked, no lightbox
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**Border treatment for covers, figures, and charts:**
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- Study covers, guide covers, book covers, figures, charts, and graphs: `bordersize="3" bordercolor="#00066f" borderradius="10"`
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- This applies to any image that represents a document or data visualization. It does not apply to promo images, headshots, or hero images.
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**External links:**
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- All links to external sites (anything outside imahealth.org) must include `linktarget="_blank"` on imageframes and `target="_blank"` on `<a>` tags within fusion_text blocks.
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**Video embed spacing:**
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- The first `fusion_text` block after a video embed should include `margin_top="30px"` for breathing room between the video player and the body text.
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### Button Block
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Used for CTAs (forums, donation, external links).
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```
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[fusion_button
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link="https://imahealth.org/forums/"
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icon="fa-comments fas"
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alignment="center"]
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Continue the conversation at the Forums
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[/fusion_button]
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```
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### Separator Block
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Used for visual breaks between major sections.
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```
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[fusion_separator style_type="single solid" sep_color="#e0e0e0" border_size="2"][/fusion_separator]
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```
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### Code Block (for embeds)
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Used for video embeds and any content requiring base64-encoded shortcodes.
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```
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[fusion_code]BASE64_ENCODED_SHORTCODE_HERE[/fusion_code]
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```
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**Common use:** Cloudflare stream video embeds. Encode the stream shortcode as base64 and place inside `fusion_code`.
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---
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## Layout Patterns
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### Single Column (default)
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Most content uses the outer 1_1 column. No inner rows needed.
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### Two-Column Split (e.g., resource covers, side-by-side elements)
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Nested inner row with two half-width columns:
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```
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[fusion_builder_row_inner]
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[fusion_builder_column_inner type="1_2"]
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[fusion_imageframe ...]image_url[/fusion_imageframe]
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[fusion_text]<p style="text-align: center;"><strong>Title</strong><br>One-line description</p>[/fusion_text]
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[/fusion_builder_column_inner]
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[fusion_builder_column_inner type="1_2"]
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[fusion_imageframe ...]image_url[/fusion_imageframe]
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[fusion_text]<p style="text-align: center;"><strong>Title</strong><br>One-line description</p>[/fusion_text]
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[/fusion_builder_column_inner]
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[/fusion_builder_row_inner]
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```
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**Use when:** Featuring two related resources side by side (PDF covers, guide pairs, before/after comparisons).
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### Headshot + Bio (e.g., expert profiles, author intros)
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Quarter-width image column + three-quarter text column:
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```
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[fusion_builder_row_inner]
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[fusion_builder_column_inner type="1_4"]
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[fusion_imageframe image_id="ID|full" max_width="200" style_type="none" align="center"]
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headshot_url
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[/fusion_imageframe]
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[/fusion_builder_column_inner]
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[fusion_builder_column_inner type="3_4"]
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[fusion_text]
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<p><strong>Name</strong><br><em>Title, Credentials</em></p>
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<p>Bio paragraph.</p>
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[/fusion_text]
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[/fusion_builder_column_inner]
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[/fusion_builder_row_inner]
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```
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**Credential structure:** Keep parallel across multiple experts. If some lack titles/achievements, simplify everyone to the same level of detail (e.g., institution affiliation only).
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---
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## Interstitials (Global Blocks)
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Reusable CTA blocks stored as Fusion Builder globals. Each global block requires the full `row_inner` → `column_inner` → content structure inline. The `fusion_global` attribute syncs with WordPress, but **the inline content is what renders**. Never swap a global ID without swapping the full content block.
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**Available blocks and their full markup live in the CTA Block Catalog** (`cta-block-catalog.md`). That file is the single source of truth for all globals. Copy the markup verbatim from the catalog when placing CTAs in post markup.
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### Placement Principles
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- One interstitial every 1–2 sections
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- Never back to back
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- Place at natural pause points, not mid-argument
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- Engagement CTAs (Journal, Research Hub, Substack, Conference) go earlier in the post as informational breaks
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- Donation CTAs are the ask: they go late, typically before the emotional close or final section
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- Match the donation CTA to the content topic (webinar → Webinar Donation, cancer → Cancer Research Donation, research study → Research Donation, journal → Journal Donation). The CTA catalog has usage notes for each block.
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---
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## Image Placement Decision Framework
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1. **Does the section introduce a visual concept (framework, diagram, cycle)?** → Place the corresponding image immediately after the text introduces it, before the next paragraph continues.
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2. **Are new resources being released?** → Use the two-column PDF cover split in the section that introduces them.
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3. **Is there a contextually relevant promo?** → Place after the final body section. Must be earned by the content (e.g., speakers mentioned in the post are at the conference).
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4. **Are there 2+ sections in a row without a visual break?** → Insert an interstitial between them.
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5. **Does the post feel visually dense in the middle?** → Rearrange interstitials to create breathing room.
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---
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## TODO Placeholders
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Use these standardized placeholders in templates. Replace before publishing.
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| Placeholder Pattern | What to Replace With |
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|---------------------|---------------------|
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| `VIDEO_EMBED_BASE64_HERE` | Base64-encoded fusion_code shortcode |
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| `*_HEADSHOT_ID` | WordPress media library attachment ID |
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| `PATH_TO_*.jpg` | Full URL path to image in media library |
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| `*_COVER_ID` | Media library ID for guide/resource cover images |
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| Any `image_id="*_ID\|full"` | Actual WordPress attachment ID |
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---
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## Related Reading Block
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Standard footer block before the forums button. Curated links relevant to the post content.
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```
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[fusion_text]
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<h2>Related Reading</h2>
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<ul>
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<li><strong>Label:</strong> <a href="URL">Title</a></li>
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<li><strong>Label:</strong> <a href="URL">Title</a></li>
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</ul>
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[/fusion_text]
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```
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**Format:** Bold type label + linked title. No descriptions. Labels indicate content type (Guide, Monograph, Webinar, Hub, etc.).
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---
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## Forums Button (standard footer)
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Appears at the bottom of every post. Copy verbatim.
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```
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[fusion_button link="/forums/" icon="fa-comments fas" alignment="center"]
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Continue the conversation at the Forums
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[/fusion_button]
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```
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---
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## Transition to LiveCanvas / Bootstrap
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When the environment changes, the principles carry over:
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- **Content structure** (intro → experts → body sections → related reading) doesn't change
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- **Image placement logic** doesn't change
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- **Interstitial placement logic** doesn't change
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- **What changes:** The markup language. Fusion Builder shortcodes become Bootstrap utility classes and HTML. This document will be updated with new markup patterns, but the structural logic transfers directly.
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package/plugins/ima-claude/skills/agentic-workflows/references/templates/avada-webinar-example.txt
ADDED
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1
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<strong>Host:</strong> Dr. Ryan Cole <strong>|</strong> <strong>Guest:</strong> Dr. Paul Marik
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This week, host <strong>Dr. Ryan Cole</strong>, IMA Head of Medical & Scientific Affairs, is joined by <strong>Dr. Paul Marik</strong>, IMA Chief Scientific Officer, for a timely conversation on the role of drug cycling in cancer care and why it may be essential to improving outcomes for patients.
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<p><strong>Cancer treatment is evolving.</strong> Thanks to the work of researchers like Dr. Paul Marik, a growing body of evidence shows that repurposed drugs and metabolic strategies can punch far above their weight class, often outperforming the outcomes patients see from chemotherapy and radiation alone. Patients and providers around the world are reporting real results.</p>
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<p><strong>But with that progress comes a new challenge.</strong> A physician recently reached out to Dr. Marik with a troubling pattern: his patients would respond well to metabolic therapy for the first two years, and then their tumors would spiral out of control. Nothing he tried could get them to respond again. That question sent Dr. Marik down a research path that led to a surprising discovery—simple, powerful concepts that had never been highlighted in the published literature. Those findings led to the creation of two brand-new Cancer Care companion guides, both of which are explored in this week's conversation.</p>
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[fusion_imageframe lightbox="no" alt="Dr. Paul Marik" linktarget="_self" hide_on_mobile="small-visibility,medium-visibility,large-visibility" sticky_display="normal,sticky" max_width="200" align="none" hover_type="none" caption_style="off" caption_title_tag="2" animation_direction="left" animation_speed="0.3" animation_delay="0"]https://imahealth.org/wp-content/uploads/2023/05/Paul-Marik-Headshot-2023-sq.jpg[/fusion_imageframe]
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<p><em>IMA Chief Scientific Officer. Author of <a href="https://imahealth.org/research/cancer-care/">Cancer Care</a>.</em> Dr. Marik is one of the most published critical care physicians in the world, with over 500 peer-reviewed publications. His ongoing research into repurposed drugs and metabolic approaches to cancer has produced a growing body of freely available clinical guides for patients and practitioners through IMA's <a href="https://imahealth.org/cancer-resource-hub/">Cancer Resource Hub</a>.</p>
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[fusion_imageframe lightbox="no" alt="Dr. Ryan Cole" linktarget="_self" hide_on_mobile="small-visibility,medium-visibility,large-visibility" sticky_display="normal,sticky" max_width="200" align="none" hover_type="none" caption_style="off" caption_title_tag="2" animation_direction="left" animation_speed="0.3" animation_delay="0"]https://imahealth.org/wp-content/uploads/2024/05/Cole_Headshot_sq.png[/fusion_imageframe]
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<p><em>IMA Head of Medical & Scientific Affairs. Board-certified pathologist.</em> Dr. Cole brings decades of experience in cancer diagnostics and a cell-level understanding of how tumors behave, adapt, and resist treatment. His expertise in tissue pathology gives him a unique vantage point on why cancers respond to some therapies and evade others.</p>
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<h2><strong>1.</strong> New Cancer Care Guides: Why They Matter</h2>
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<p>IMA's metabolic approach to cancer is built on <a href="https://imahealth.org/research/cancer-care/">Cancer Care</a>, Dr. Marik's comprehensive monograph on repurposed drugs and nutraceuticals in cancer treatment. Cancer Care is a living body of work, supported by companion guides that get updated as new evidence emerges. The companion guide on repurposed drugs alone is now on its 26th version. As Dr. Marik notes, that's the advantage of publishing online rather than in print: <strong>“A book is static. It doesn't grow and it's usually outdated very quickly.”</strong></p>
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<p>Cancer Care is supported by a growing library of companion guides, each focusing on a specific aspect of the metabolic approach. This week, IMA is releasing two new additions:</p>
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[fusion_imageframe lightbox="no" alt="The Metabolic Trap - Cancer Care Companion Guide" link="https://imahealth.org/wp-content/uploads/2026/03/cancer-care-the-metabolic-trap-dr-paul-marik.pdf" linktarget="_blank" hide_on_mobile="small-visibility,medium-visibility,large-visibility" sticky_display="normal,sticky" align="center" hover_type="none" bordersize="3" bordercolor="#00066f" borderradius="10" caption_style="off" caption_title_tag="2" animation_direction="left" animation_speed="0.3" animation_delay="0"]https://imahealth.org/wp-content/uploads/2026/03/the-metabolic-trap-cover.jpg[/fusion_imageframe]
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<p><strong><a href="https://imahealth.org/wp-content/uploads/2026/03/cancer-care-the-metabolic-trap-dr-paul-marik.pdf">The Metabolic Trap</a></strong><br/>A new framework for simultaneously targeting five metabolic pathways in the cancer cell.</p>
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[fusion_imageframe lightbox="no" alt="Cancer Resistance - Cancer Care Companion Guide" link="https://imahealth.org/wp-content/uploads/2026/03/cancer-care-cancer-resistance-dr-paul-marik.pdf" linktarget="_blank" hide_on_mobile="small-visibility,medium-visibility,large-visibility" sticky_display="normal,sticky" align="center" hover_type="none" bordersize="3" bordercolor="#00066f" borderradius="10" caption_style="off" caption_title_tag="2" animation_direction="left" animation_speed="0.3" animation_delay="0"]https://imahealth.org/wp-content/uploads/2026/03/cancer-resistance-cover.jpg[/fusion_imageframe]
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<p><strong><a href="https://imahealth.org/wp-content/uploads/2026/03/cancer-care-cancer-resistance-dr-paul-marik.pdf">Cancer Resistance</a></strong><br/>What to do when a metabolic protocol stops working, and how to prevent it from happening in the first place.</p>
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<p>This week's conversation introduces the thinking behind both guides.</p>
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<h2><strong>2.</strong> The Hidden Detail That Changes Everything</h2>
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<p>There's a four-drug regimen for glioblastoma called the METRICS protocol. It combines atorvastatin, metformin, doxycycline, and mebendazole, and it's well known among naturopathic and integrative oncologists.</p>
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<p>What almost nobody knows is that <strong>the paper associated with the protocol left out a critical detail.</strong></p>
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<p>Buried in the original, unpublished version was a specific instruction: cycle the doxycycline and mebendazole one month on, one month off. The researchers did this deliberately, but never highlighted it in their published findings. As Dr. Marik explains, that cycling was the mechanism that prevented resistance.</p>
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<p>“If you have constant pressure on that pathway, just by evolutionary biology, the cells will adapt and mutate, so they become resistant.” — Dr. Paul Marik</p>
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<p>Drugs like doxycycline and mebendazole each target a single metabolic pathway in the cancer cell. <strong>Sustained, unrelieved pressure on one pathway gives the cell time to evolve around the blockade.</strong> Once resistance develops on one pathway, it can cascade into multi-drug resistance.</p>
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<p>Drugs that act on multiple pathways simultaneously, like curcumin and metformin, are less prone to this problem. But for single-pathway agents, cycling is what keeps the cancer from adapting.</p>
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<p>For patients who have watched a promising treatment lose its effectiveness, this is meaningful. It means what happened wasn't random, and there are strategies to address it.</p>
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Join us for the <strong>2026 IMA Medical Education Conference: Emerging Trends in Medicine</strong>, a two-day gathering dedicated to the latest innovations, research, and forward-thinking practices shaping the future of healthcare in Las Colinas, Texas—just minutes from Dallas and Fort Worth.
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<h2><strong>3.</strong> Multi-Axis Metabolic Pressure: Targeting Five Pathways at Once</h2>
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<p>From that insight, Dr. Marik developed what he calls Multi-Axis Metabolic Pressure. The concept is to <strong>simultaneously block five metabolic pathways</strong> in the cancer cell so it has no remaining source of energy.</p>
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<p>The five axes and their corresponding agents:</p>
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<p>“With these five used in combination, you completely whack-a-mole the cancer cell. It has no way of getting energy and surviving.” — Dr. Paul Marik</p>
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<p>The timing and sequencing matter as much as the drugs themselves.</p>
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<li><strong>Multi-pathway drugs (metformin, berberine, propranolol, and melatonin)</strong> are far less prone to resistance because they hit multiple targets at once. They run continuously through both phases of the cycle. Skip a month, and the cancer refuels through that open door.</li>
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<li><strong>Single-pathway drugs (doxycycline and mebendazole)</strong> are vulnerable to resistance under sustained pressure. They alternate monthly in an eight-week cycle, applying shifting pressure that keeps the cancer cell metabolically trapped.</li>
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<p>All five drugs are inexpensive, widely available, and carry well-established safety profiles. For families already under the financial and emotional weight of a cancer diagnosis, that accessibility matters.</p>
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<p>Dr. Cole compared the challenge to the hydra of Greek mythology: cut off one head and two grow back. You have to cauterize each one.</p>
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<p>“It's similar in cancer. We want to cut off certain cancer pathways that are good for the cancer. We want to kill those. And then we want to be able to get the cell back to normal.” — Dr. Ryan Cole</p>
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<p><strong>A frontal assault on one pathway just sends the tumor off to the side.</strong> The multi-axis approach is the flanking maneuver.</p>
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<strong>📄 We're open for submissions.</strong>
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<span style="font-weight: 400;">If your work is evidence-based and unafraid to challenge consensus, <strong>we want to see it</strong>. We publish science on its merits and welcome submissions across all areas of medicine. We are also seeking papers for <a href="https://imahealth.org/call-for-papers-journal-special-editions/">two special editions</a>: one on PACVS and one on chronic disease.</span>
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<p>Both physicians are clear on this point: dietary change is foundational to cancer care, not a supplement to it.</p>
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<p>Cancer cells consume glucose at roughly <strong>16 times the rate of a normal cell.</strong> Choking off that fuel source is, in Dr. Marik's view, as important as any medication a patient will receive. He shared the story of a dermatologist with metastatic breast cancer who had been treated for 10 years. She had seen multiple oncologists and gone through multiple rounds of chemotherapy. Not one of them ever mentioned diet.</p>
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<p>This is a pattern Dr. Marik sees repeatedly, and he considers it <strong>a fundamental failure of standard cancer care.</strong> The metabolic approach calls for:</p>
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<p>IMA has published several guides on this topic, including <a href="https://imahealth.org/tools-and-guides/nutrition-for-cancer-prevention/">Nutrition for Cancer Prevention</a>, <a href="https://imahealth.org/tools-and-guides/cancer-nutrition-guide/">Cancer Nutrition Guide</a>, and <a href="https://imahealth.org/dietary-interventions-in-cancer/">Dietary Interventions in Cancer</a>.</p>
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<p><strong>Gut health</strong> is equally critical. With 70 to 80 percent of the immune system based in the GI tract, an unhealthy microbiome leads to sluggish immune response no matter how well the drug protocol is designed. Cycling doxycycline monthly, rather than running it continuously, also serves to protect the microbiome from sustained antibiotic pressure.</p>
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<p><strong>Morning sunlight</strong> sets the circadian clock, triggers melatonin production cycles, and delivers near-infrared light that directly powers mitochondrial function. Most people associate melatonin with sleep, but the intracellular melatonin produced by mitochondria is actually <strong>the most powerful antioxidant within the cell.</strong> Spending the day indoors under artificial light depletes this system entirely.</p>
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<p>“Your body cycles every day. You don't have high insulin all day, high cortisol all day. When you're treating something that's off-cycle, you're trying to cycle something to match the most beneficial timing of treating human physiology.” — Dr. Ryan Cole</p>
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<p><strong>Propranolol</strong>, the low-dose beta blocker in the protocol, addresses an often-overlooked factor: stress. At just 20mg twice daily, it blocks adrenergic receptors on tumor cells. Women on propranolol do significantly better with breast cancer. It's not about sedation. It's about <strong>dampening the stress response that actively fuels tumor growth.</strong></p>
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Each webinar takes time, research, and behind-the-scenes coordination from our team and expert guests. If you've found value in these discussions, consider making a donation to support the work that makes them possible.
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<p>Getting the good news that a tumor is in remission changes everything for a patient. But it doesn't mean the fight is over.</p>
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<p>Dr. Marik pointed to the experience of Jane McClelland, author of <em>How to Starve Cancer</em>, who treated her own cancer, went into remission, stopped her medications, and then relapsed. <strong>Dormant cancer cells can remain in the body for years</strong>, potentially reactivating when the metabolic pressure is lifted.</p>
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<p>After remission, the intensity of the protocol can be reduced, but some form of maintenance therapy is likely necessary for life. The same principle applies after surgery. As Dr. Marik explained, surgery itself can cause cancer cells to break off and circulate in the bloodstream, potentially seeding metastases. IMA publishes a preoperative protocol specifically designed to reduce that risk.</p>
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<p>Every patient is different. Tumor biology, genetics, immune function, diet, and stress all shape the treatment response. That's why this approach must be guided by a clinician who can monitor progress and adapt the strategy in real time.</p>
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<p>“The days are gone where physicians dictate therapy and patients passively accept whatever they're told. Patients need to take ownership and need to be involved.” — Dr. Paul Marik</p>
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<p>For patients whose doctors are unwilling to discuss metabolic or repurposed drug approaches, Dr. Marik's advice is direct: <strong>find a physician who will.</strong> The resources to support that conversation are freely available through IMA's <a href="https://imahealth.org/cancer-resource-hub/">Cancer Resource Hub</a>.</p>
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<h2>Related Reading</h2>
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<li><strong>Monograph:</strong> <a href="https://imahealth.org/research/cancer-care/">Cancer Care</a></li>
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<li><strong>New Guide:</strong> <a href="https://imahealth.org/wp-content/uploads/2026/03/cancer-care-the-metabolic-trap-dr-paul-marik.pdf">The Metabolic Trap: Multi-Axis Metabolic Pressure in Cancer Therapy</a></li>
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<li><strong>New Guide:</strong> <a href="https://imahealth.org/wp-content/uploads/2026/03/cancer-care-cancer-resistance-dr-paul-marik.pdf">Cancer Resistance and Interventions to Mitigate Resistance</a></li>
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<li><strong>Hub:</strong> <a href="https://imahealth.org/cancer-resource-hub/">IMA Cancer Resource Hub</a></li>
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<li><strong>Guide:</strong> <a href="https://imahealth.org/tools-and-guides/nutrition-for-cancer-prevention/">Nutrition for Cancer Prevention</a></li>
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<li><strong>Guide:</strong> <a href="https://imahealth.org/tools-and-guides/cancer-nutrition-guide/">Cancer Nutrition Guide</a></li>
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<li><strong>Guide:</strong> <a href="https://imahealth.org/dietary-interventions-in-cancer/">Dietary Interventions in Cancer</a></li>
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