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Andy

Would you recommend using the glutathione by itself? Would it be

beneficial for a child undergoing chelation and that is glutathione

deficient?

Thanks in advance.

> > Andy,

> >

> > I appreciate your responding to my question about TTFD,

though I admit I was surprised by it. I am certainly no expert

about these matters, which is why I posted in the first place. I

can use all the info I can get. In that spirit, it would be helpful

if you could give us some background upon which you have these

strong opinions about TTFD and our DAN doctor's competence.

> >

> > Why do you feel that TTFD is " inappropriate and dangerous " ?

>

> The reported adverse reaction rate is 20%. An adverse reaction is

a

> severe problem that leads to at least long term serious worsening

and

> often requires further medical attention.

>

> TTFD does not remove any heavy metals. The paper by Lonsdale is

> conclusive on this. His words say it does, but his data says it

does

> not. There is no chemical reason one would expect it to either.

I

> also went to the trouble to wheedle a lot of people out of test

results

> with and without TTFD to double check thins, and the tests that

lots of

> people did also showed TTFD does not increase heavy metal

clearance.

>

> >Is your concern about the TTFD,

>

> Yes.

>

> > or the MB-12,

>

> There is some concern about the m-b-12, but less. It is true that

there

> are frequent adverse reactions to this, but there are also

frequent

> substantial improvements, and it is addressing a condition that is

> reasonably believed to have the potential to cause permanent,

> irreversible damage if not treated in a timely manner. Also the

adverse

> reaction is a few months of agitated anger with no motivation.

This is

> not very serious for a small child. Once they are big enough to

be

> physically dangerous to adult caretakers it is an entirely

different

> matter.

>

> >or both? Do you have concerns about the DAN movement in

general?

>

> Yes and no.

>

> The people in charge of coming up with their protocol are

laughably

> incompetent to design any such thing, however they are mostly very

> motivated, really DO want to figure out how to help, and in an

overall

> sense of promoting the idea that autism is biomedical and should

be

> treated they are doing a wonderful public service.

>

> Really my only issue with DAN! is a small subset of their protocol

that

> is technically indefensible, dangerous, harmful, and not based on

> scientific reality.

>

> The fairly large part of their protocol that is either derived by

> logical extension of mainstream MD medicine, or is health care

> developed by other kinds of doctors, are just fine.

>

> Unfortunately for cultural reasons some of the DAN! doctors are

upset

> that I don't agree with them on 10% of the protocol rather than

being

> happy I do agree with them on the other 90%.

>

> > In Children with Starving Brains, Jaquelyn McCandless

discusses the use of TTFD with her patients, and calls it " benign

and beneficial and a welcome addition " as a treatment option for

autistic kids.

>

> I don't think that is her patient experience - at least that is

not

> what some of the parents tell me.

>

> It is also a cultural thing in MD medicine to not report on the

side

> effects, adverse reactions, and other problems. The mainstream

guys

> invented this bad habit, it is nothing special to DAN!

>

> > p. 267. She states that " it appears that those children who

can tolerate the glutathione especially benefit from the combination

of GSH [glutathione] with TTFD. "

>

> Nope.

>

> >p. 267. She further states that " the positive effects I am

noting with this treatment trio of injectable Vitamin B12,

transdermal TTFD and transdermal glutathione (GSH) are impressive

and exciting. " p. 275.

>

> For some people. Others get really messed up by it. Most of

those

> stop paying to go back and argue with her that their kid isn't

doing

> well on the treatment, and go find a doctor who offers a different

> treatment. Soon all doctors have a clinci full of patients doing

> marvelously on their pet treatment. This does NOT mean every

person on

> the street will do well on every one of those treatments!

>

> > Again, I'm no expert, which is why I rely (as so many

parents do) on the McCandless book (and the advice of our DAN

doctors). Has there been a change in scientific opinion since

publication of McCandless' book, or do you disagree with her

assessment?

>

> Her assessment was never correct.

>

> Science is based on observation (I think this is where I differ

with

> DAN!). Since it is observed that 20% of people have adverse

reactions

> to TTFD, no amount of theoretical blather or claims to the

contrary

> makes it wonderful and safe for everyone.

>

> Search the archives for TTFD problems, or ask people to contact

you

> privately if you need more information. .. . . . . . .

>

> >Thanks for sharing your knowledge.

> >

> > -Mike

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Dear Andy,

Thankyou very much for this most useful post.

Margaret (UK)

> Unfortunately, most DAN! doctors really don't know any more about

> physiology than about chelation so they think glutathione is

relevant

> as a treatment. It isn't.

>

> All toxic people and most sick people have low measured

glutathione.

> This simply indicates it is being consumed by excessive oxidative

> stress. The body makes it relatively rapidly, giving people some

is

> seldom helpful.

>

> The body makes glutathione using an enzyme (glutathione

synthetase)

> that puts cysteine together with other stuff to make glutathione,

and

> that goes faster the less glutathione is around (this is called

> allosteric control - a very clever way the body regulates what it

> does).

>

> So people with low glutathione are making it fast and using it up

fast.

> Those with high cysteine and low glutathione are making it double

fast.

> Giving them more isn't the solution. Doing something about the

> oxidative stress is the solution.

>

> What you want to know is cysteine. If low, give them lots of

sulfury

> stuff so the body can make more, and thus more glutathione,

otherwise

> don't give them more.

>

> The best way to raise glutathione is with ancillary antioxidants

like

> vitamin C 4 times a day and vitamin E.

>

> If interpretation of tests is so obvious that all you do is give

people

> whatever is low, why do doctors need licenses? Why not just let

high

> school grads hang out a shingle? For the tests they are taught in

> school they realize a lot of knowledge and understanding is

requried

> (e. g. elevated MCV - big red blood cells - does not mean you eat

too

> much so your blood cells are getting fat). This is equally true

of the

> more modern (also known as alternative) tests that they weren't

taught

> about in school.

>

> Andy . . . . . . . . . . . .

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Andy,

I think we've had this conversation before, but I have four four-drawer

filing cabinets full of complete papers (and I need a new a new filing

cabinet because I " m running out of room!) . Reading all those papers has

been hard work, but I've been doing this for nine years, and yes, the

papers that are in the filing drawers are the ones I've read basically

cover to cover, and I have many more I'm in the process of reading that

aren't filed yet.

Generally, when I post abstracts on topics that I have not introduced to

the list myself, that is when I am first looking for an answer for someone

to a question that is newly being considered where I think my background

might be helpful. You will notice that I don't chase every sort of

question...just the ones that seem to relate to my own studies.

It is appropriate to use abstracts for that purpose if the information the

abstracts contain seems relevant. But mostly, Andy, I will do listings of

about a hundred or so abstracts from Medline (fewer if fewer exist) that

speak to the question. Then I read all of the absracts, and see what they

have in common. At that point, I post maybe one or two examples which best

expressed the territory the others covered. Writing a good abstract is an

art, and some do it better than others!

I often also post abstracts from papers that I have already studied

meticulously. That is so listmates can go get the paper and read it

themselves. When I have cited abstracts I haven't read, I don't stop

there. I will collect these abstracts and some others I didn't post, and

put them in a " for my next trip to the library " folder. I make library

runs to find the papers, and generally spend about $40 in copying fees at

one whack (about 400 pages!). Once home with that load, I spend the next

weeks reading those articles basically cover to cover to see what else I

can learn. If it is useful, some part of this new information is likely to

show in my next lecture wherever.

Some of these studies end up not being available at the library, so those

go unread, but I am positively gleeful about finding the ones that have

been ignored for years, or the ones that had no abstract but end up being

very valuable. But, I agree with Mark completely that most of the really

good stuff never makes it into the abstract. This is largely because the

purpose of an abstract is to help you identify and locate the relevant

articles, but it is not meant to be a complete summary necessarily, as

there are word count restrictions that may make it impossible to be very

complete. You certainly don't want to rewrite the paper in the

abstract! Abstracts are written puposefully with a lot of keywords that

will make the papers easier to locate by search engines. Like any sign

that is pointing you somewhere, the usefulness of abstracts is where they

take you, and that means that they are not themselves a destination.

Once you have the paper in hand, a new world opens up. In the discussion

section I often find references to things I haven't heard before, and

information on relationships you can't find in medline, so the references

in those papers allow someone to chase generally much older studies which

have wonderful content and aren't in Medline. The information in these

older or unindexed papers can suddenly mean so much more in the context of

discoveries that happened to be made much later on, but which now obviously

tie in beautifully with the old work. The new work that hadn't been done

yet can often answer the " holes " in concept that couldn't be discerned

before. It is especially exciting to find those links when it is clear the

new paper didn't know about the old work. Doing this sort of comparing

over decades of work on a topic makes a person a little more realistic

about how many of those conclusions do and don't stand the test of time.

Yes, Andy, often I find biases in the interpretation that was stated in the

abstract. These are easier to spot if you know alternative explanations

for the data that come from other fields. That is why I advise people not

to take the conclusion stated in an abstract at face value without getting

the paper and seeing if they really demonstrated what they said they

did. Sometimes their experimental method was inappropriate, but you cannot

figure that out without reading the papers of their peers to see how the

others did it. If you are lucky, you may find a paper that actually

explains WHY they used the procedure they used. Explanations like that are

more likely to be present in older papers, whose writing style is generally

less cryptic.

While in graduate school, I took four different courses on how to read

scientific papers. The first was part of my academic program and was a

course in how to spot junk science. One of our assignments was to find and

to critique a paper that had totally missed the mark but had gotten through

peer review anyway. I found a very recent doozy of a bad paper. I had to

learn a new field (tuberous sclerosis) in order to understand what methods

were appropriate to the field and that allowed me to see how the author had

really messed up. I was shocked that the reviewers had missed so many,

many errors in procedure and had also failed to realize the author avoided

referencing papers that came up with conflicting data...data which clearly

invalidated his hypothesis. It is too bad that the people who gave him more

funding based on that paper were as unskilled in critical reading as his

reviewers had been.

The other three courses were designed for graduating senior majors (which I

wasn't, being in graduate school) but there was no equivalent course in

critical reading in the graduate school. I had some extra time on campus,

so I attended the classes and did the readings as if I were taking the

courses for credit. On the last one, I even did the semester project just

for fun. My goal in participating was to learn what I could from the

differing slant of the various professors, as each course covered a

different biological field and presented the professor's own special set of

papers that he felt had been the most influential in his own thinking and

career. All this was quite a good background for what I do now!

Andy, I admit, being a reader of such stuff is an odd calling, but if you

love to do this sort of work, you get pretty fast at it, as doubtless you

are pretty fast at chemistry. Reading these papers no longer seems like

reading a foreign language to me, but it certainly did at first, but now

I'm much more " fluent " and I read these technical papers at not too

different a clip from how I read anything else. I can spot things that are

easily missed by others because the information from all the previous

papers I've read gives me so much larger a context to put the new

information into. Also, reading across disciplines makes a person become

particularly familiar with the usual biases or blind spots from different

fields.

The content you learn this way is pretty far removed from what textbooks

cover, and it is also far-removed from what you would learn if you only

studied in one field of research, or if you confined your readings to a

particularly set of well-known journals, as most academics usually do.

So, if you really want to know what I've read, you would have to come to my

office and start with that first file drawer and slowly move through!

At 10:08 AM 4/5/2004 +0000, you wrote:

>Let's try a poll of our two big offenders here on list.

>

>, , how many of the papers that you post abstracts of did

>you read before you posted the abstract? Where did you get them? How

>do you find time to read so many papers when I find it takes at least

>half a day to do even a simple one justice?

>

>And how many of them have you found where the abtract bears no real

>relationship to what is in the paper? I find that all the time.

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