Re: Re: Filling removal Enlander MD

[Guest guest]

Dear and Rich

A simple study of mercury exposure IMMEDIATELY after drilling amalgam

fillings does not address the intracellular mercury load. It is a simple

method to

show whether the plume of vapor is absorbed. If the test was performed weeks

later then the mercury would be absorbed intracellularly and serum levels

would be near normal. The immediate mercury testing is not perfect but it does

show exposure as suggested in a previous small sample, here we may have an

opportunity of having a larger population sample.

It is understood that a normal serum mercury level is not indicative of

normal intracellular levels. The testing after chelation challenge is the

method

of choice. I prefer BAL as it is easier to administer by Depo IM injection,

it has a relatively long biological half life, others prefer DMSA. I am very

familiar with DMSA as I used it as a renal imaging agent in 1974. Perhaps a

mixed blessing as it does adhere to the nephron. In some cases the

therapeutic dose rather than the lower imaging dose can produce a renal

problem.

So where does this leave us? A simple mercury test before and after

drilling by your doctor to show if there is added exposure . If there is then

drilling may be re evaluated. So send me the results of your mercury tests

and we

will correlate them.

best regards

Enlander MD

_Renal cortical imaging in 35 patients: superior quality with 99mTc ..._

(http://www.issoonline.com/pubmed/4854105)

Renal cortical imaging in 35 patients: superior quality with 99mTc-DMSA.

Enlander D, Weber PM, dos Remedios LV. MeSH Terms: ...

www.issoonline.com/pubmed/4854105 - _Similar pages_

(http://www.google.com/search?hl=en & lr= & ie=UTF-8 & q=related:www.issoonline.com/pu\

bmed/4854105)

In a message dated 12/26/2005 9:07:03 P.M. Pacific Standard Time,

richvank@... writes:

The latest edition of the Cecil Textbook of Medicine recommends DMSA

for chelating inorganic mercury.

In summary, I applaud your effort to help clarify the issue of

mercury exposure during amalgam removal, but I think some more

consideration should be given to methods of testing and chelation.

Again, welcome to the group, and I hope we can have some penetrating

discussions of the issues in CFS.

Rich Van Konynenburg, Ph.D.

[Guest guest]

Dear Jill,

I would like to add to a big thank you for compiling this information.

Happy New Year, with better health for everyone,

L

On Dec 26, 2005, at 6:36 PM, jill1313 wrote:

> Dr Enlander, you prefer this to DMPS, DMSA etc? I have now watched 90%

> of the DAN videos and taken some brief notes. I suppose it will help

> others if I summarize for this group all of whom probably have most of

> the problems seen in the autistic spectrum disorders.

>

> 1) If you are the type who likes to test, do metabolic tests for amino

> acids, fatty acids, organic acids, red blood cell minerals, plasma

> zinc, serum copper, plasma sulfate, plasma cysteine, lipid peroxides,

> ferritin, glutathione, myelin antibodies, markers of inflammation like

> c reactive protein etc, and perhaps more sophisticated immune tests if

> you can get them to test NK activity etc

>

> 2) No matter, if you've got CFS assume your glutathione is screwed up.

> Do IV glutathione, try lipoceutical glutathione, and supplement

> precursors to the whole methylation pathway so you can get to

> glutathione: TRhat means Methyl b12, folinic acid, TMG or DMG or

> both, GSH

>

> 3) Supplement with cod liver oil or some form of fish oil, I

> personally use pharmax. These EFA's are crucial--esp for the heart,

> one guy talked about some fascinating studies in dogs (poor things)

> preventing ventricular fibrillition (induced by the experiment) with

> EFA's (he's a harvard educated neurologist)

>

> 4) Figure out what chelation method might work for you, this is indeed

> dangerous for some, and for me with my history with DMSA so I am going

> to really think about that. There is a transdermal DMPS working with

> the autistic kids. DMPS is stronger than DMSA.

>

> 5) They talked about mercury screwing up everything--increasing the

> permeability of the tubular epithelium in the kidneys, leading to

> screwed up sulfation, screwed up glutathione, wasting of sulfates,

> leaing to metallothionein dysfunction meaning you can't get rid of

> subsequent metals as well, leading to more oxiddative stress, pro

> inflammatory in gut and throughout the body, etc

>

> 6) Oh yeah, low zinc--supplement with zinc, and selenium, the former I

> have NOT been doing, had not thought of it

>

> 7) Eliminate gluten and casein? Works for a lot of the kids. I

> eliminated all gluten 6 months ago. Probiotics, antifungals,

> antibacterials...this seems to be talked about more in Amy Yasko than

> here, although one mother whose son is doing GREAT now talked about

> probiotics and the Donna...I forget her last name, the body ecology

> diet woman with her coconut kefir etc.

>

> 8) I use IVIG in very modest amounts, every other week, VERY modest,

> they are using it on some of the kids and an oral form is an IND right

> now.

>

> 9) Deficiencies they find in the kids: low b6, lolw intracellular

> magnesium, low taurine, low cysteine, low vitamin a (levinson talks

> about one kid where only two days of 100,000 units of vitamin A had a

> remarkable effect), low selenium, low intracellular folate and b12,

> low efa's, HIGH OPOID peptides, high Igg antibodies, High yeast

> metabolites, high bacterial metabolites (both of those in the urine)

>

> That's a bit of a summary of what I found useful for myself. HOep it

> helps folks who are too brain foggy or whatever to spend a day

> listening to lectures. Thank God I could do it at home so when I was

> bored I could also be doing email or googling around the internet. I

> hate being captive in an audience!

>

>

>

> >

> > In a message dated 12/26/2005 10:17:10 A.M. Pacific Standard Time,

> > mgrahn@t... writes: The wisdom I've read on this forum on this

> topic I

> > just don't see from the doctors; it's sad.

> >

> > I have been asked by a number of members of this board about

> Mercury

> > amalgam fillings and its affect in CFS

> >

> > Obviously heavy metal poisoning is a problem in CFS. In fact we

> routinely

> > test for several toxic metals including lead, mercury,arsenic, and

> cadmium.

> > We looked at the mercury amalgam filling problem about nine years

> ago when

> > there was great interest in dental filling removal. It was done on a

> limited

> > number of patients.

> > Possibility of a new research project to answer the mercury question

> >

> > If there is a renewal of interest in mercury amalgam removal, I will

> act as

> > a central point for the collection of data before and after dental

> mercury

> > filling removal. We will then be in a better position to answer

> the question

> > whether or not to remove fillings.

> > Here is the method .

> > Immediately before and immediately after (within 24-48 hours) of the

> dental

> > mercury filling removal, have your MD doctor draw blood for serum

> mercury.

> > In the US if patients used Quest labs we could have a uniform

> testing method.

> > Of course we will accept results from other labs (I do not have an

> interest

> > in Quest ! ). In order to have comparison the lab methods should be

> similar

> > As a supplement have the lab test a hair sample for mercury, long

> term toxic

> > metal build up can be seen in the hair even when serum levels are

> normal.

> > When we have sufficient samples we will statistically analyze the

> data and

> > report the findings.

> > Treatment we use

> > The effective treatment for heavy metal poisoning is BAL, (British

> anti

> > ite; dimercaprol; 2,3-dimercaptopropanol) ) an old well tried

> chelation

> > which does not need IV drip. The advantage of BAL is that it can

> remove

> > intracellular mercury as well as serum circulating mercury.

> Treatment is 2-10 days

> > with deep IM injection, the BAL is suspended in an oil mixture,

> patients with a

> > peanut allergy should be aware of the suspension. It can not be

> administered

> > by a naturopath as it is a prescription item.

> >

> > go to google for British anti ite or

> _www.chm.bris.ac.uk/motm/bal/_

> > (http://www.chm.bris.ac.uk/motm/bal/)

> >

> > regards

> >

> > Enlander MD

> >

> > ===================================================

> >

> >

> >

> > my merc free dentist has been doing this work for about 30yrs and

> he'd never

> > heard of glutathione. He might have been interested but frankly I

> was too

> > sick and too tired to try and have to educate another Dr. He leaves

> all the

> > chelation and other nutritional support to the naturepath

> >

> >

> >

> >

> >

> >

[Guest guest]

I would love to have these blood tests done. But in 27 yrs of cfs I've never had

a 'cfs' Dr or one even remotely educated about it or that barely believes in it.

My dr would not do any such thing for me, I'm seeing a naturepath that I found

this year, he is helpful and knows more about all this, has used DMSA before.

But if I have him do those blood samples my insurance won't cover any of it (and

its not very good insurance, covers less and less now anyway) and I can't work

so I just can't afford to have that kind of testing done. I am paying for the

oral DMPS urine collection metals challenge test from Drs Data, and the other

relevant cfs testing I've had I had to pay out of pocket. I will be having a

large cracked merc filling out soon but I just can't afford to do the blood

tests, this would be helpful to collect that info that I do agree.

marcia

So where does this leave us? A simple mercury test before and after

drilling by your doctor to show if there is added exposure . If there is then

drilling may be re evaluated. So send me the results of your mercury tests

and we

will correlate them.

best regards

Enlander MD