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Practitioner protocol
Ozone Limb Bagging and Cupping Protocol
Concentration, weekly step-down schedule, helpful hints and precautions for ozone limb bagging and cupping.
Quick answer: Ozone limb bagging and cupping expose a limb or area of skin to ozone gas in a bag or cup. The sheet uses 25–80 µg/mL for 30 minutes, 5 times a week for 4 weeks, stepping the concentration down each week. It is a practitioner protocol.
Home method. Best done as recommended by a licensed provider who knows your health history.
What are the basics of ozone limb bagging?
- Concentrations generally range from 25–80 ug/mL (gamma).
- Limb bagging is one of the few applications where you start high and work down.
- This guide follows the Madrid Declaration's recommendation of 60, 50, 40 and 30 gamma, decreasing each week.
- In the most extreme cases, start at 80 gamma and decrease by 10 gamma each week.
- This is a 4-week administration.
What dose and schedule are used for ozone limb bagging?
| Method | Frequency | Amount | Flow rate | Strength |
|---|---|---|---|---|
| Bagging or cupping | 5x per week | 30 minutes | 1/4–1/2 LPM | 25–80 gamma |
| Oil | 2–3x per day | Cover the affected area | N/A | Extra strength |
| Ozonated glycerin | 2–3x per day | Cover the affected area | N/A | 10% in lotion; full strength on spots |
Start extremely slowly with these applications. It is a powerful modality. If you know you are sensitive, cut the starting points in half and slowly work your way up.
What are the best tips when using ozone limb bagging?
- The bag circulates gas over the affected area and usually won't inflate like a balloon.
- For a severe skin issue, moisten the skin to help the gas absorb.
- General rule: if the skin is broken, no need to moisten; if not, moisten first.
- A limb bag is for one person only; don't share it.
What equipment is needed for ozone limb bagging?
- Oxygen tank
- Oxygen regulator (usually comes with the generator)
- Ozone generator
- Ozone limb bag or ozone cupping device
- Ozone destructor
What are the precautions for ozone limb bagging, and who should avoid it?
- A lot of gas can be released when removing the bag; use a fan or a ventilated area.
- Stop if you get skin irritation, redness or burning.
- Do not bag deep or infected wounds without a practitioner.
- Pregnancy: check with your healthcare provider before starting.
Learn more
Background, benefits and research: Ozone limb bagging, full article and Ozone cupping, full article. Comparing routes: Comparing home ozone therapies.
Related protocols: Breathing Ozonated Oil (BOO) Protocol, Ozone Sauna Protocol, Rectal Ozone Insufflation Protocol.
Other protocols
For licensed practitioners. Educational reference only, not medical advice. Follow your scope of practice and local regulations.
