Guest guest Posted December 30, 2002 Report Share Posted December 30, 2002 why don't you try dr. boyd's message board. when people are inaccessible they usually are for a reason what do you think that reason is? > andy, dr. haley seems to have done alot of work on mercury toxicity > and seems very respected...he seems to think there isn't a problem > with dmsa every 8 hrs and a problem with mercury dropping off and re- > depositing...can you explain why you don't think he is right ? Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 31, 2002 Report Share Posted December 31, 2002 > andy, dr. haley seems to have done alot of work on mercury toxicity > and seems very respected...he seems to think there isn't a problem > with dmsa every 8 hrs and a problem with mercury dropping off and re- > depositing...can you explain why you don't think he is right ? He is confusing equilibrium and kinetics. A discussion of this problem can be found in any physical chemistry or chemical engineering kinetics textbook. It is generally one of the more difficult concepts to get through to people. I have made several previous posts discussing analogies like musical chairs and social dances. You can find those in the archives. Technical reasons that I know my interpretation is correct are as follows: The most important, of course, being the redistribution effects seen in people who take chelators wrong, e. g. DMSA every 8 hours instead of every 4, DMPS injections monthly instead of pills every 8 hours, ALA daily instead of every 3 hours. Apparently Boyd Haley hasn't bothered to actually talk to people about what happened to them and what they were doing. More " techincal " reasoning is as follows: The kinetics of toxin extraction by these chelators is about half order. This is true in mice and men. Women and children too for those who don't like older rhetorical styles ;-) Anyone knowledgeable in the relevant areas of kinetics of course realizes that the most likely explanation for this is transport limitations on extraction rate. Toxin has to diffuse from where it is to where it gets bound by the chelator. If binding was high affinity and irreversible (the DMSA didn't drop the mercury often) and extraction was diffusion controlled, then all the mercury would immediately be scooped up by the first 0.1% of the DMSA and not dropped, plasma concentration of mercury would go to very low values, and diffusion from whatever reservoir into plasma would occur at the maximum possible rate. Under this circumstance, a fixed amount of mercury would be removed with every chelator dose regardless of how much was given. In fact, excretion does increase with dosage even though each dose has far more than enough DMSA in it to bind all the mercury present in the body. If binding were slow but irreversible, then extraction kinetics would be linear. Doubling the amount of DMSA would double the amount of mercury it removed. This isn't what happens. Quote Link to comment Share on other sites More sharing options...
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