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Factors that impede detox – genetic and toxic induced Detox ability? In a toxic world, a persons ability to detox will determine his/ her health and survivability Two factors: Genetics Environment – genetic expression is determined by nutrition, toxicity and other environmental factors Example: study of autistic kids vs. controls: hair samples from moms with the same amount of mercury in their mouths. EPI-Genetics Old model of genetic determinism (control by genes), which states that our genes (DNA) are self-regulating blueprints and influence our health and determine the outcome of our physical existence Replaced by the new model of epi-genetics or “control above the genes”. Epi-genetics exposes the fact that genes are turned on and off by external, and environmental stimuli. So rather than genes controlling our lives and thus creating if we “get” cancer, ASD, ALS or any other disease and therefore creating us as victims of our genetic code, understanding epi-genetics places the patient in control of our genetic expression. Epi-genetic issues= pattern to survive To understand the field of determinism or self expression through epi-genetics - toxicity, nutrition and our environment becomes critically important because these are the elements that turn our genes on or off When chronically assaulted by adverse and unhealthy factors like heavy metal and chemical toxicity, chronic infections, noxious energies, unresolved psycho-emotional conflicts (and the other factors that negatively impact our neuro-immunological system), the field of epi-genetics shows us that these factors can negatively influence our gene expression. Epi-genetic therapeutics Regulation Therapeutics (or information therapy) becomes very important because when detoxification patterns are performing sub-par, homeopathy, and other energetic information health systems can re-establish the correct signal for the body to detox and rehabilitate or heal. Our bodily regulation systems, which include our psycho-neuro- immunological and hormonal systems at the whole body level and the genes at the cellular level, become programmed to deal with the chronic adversity and toxicity. Foods and nutrition, physical activity, reducing stress and positive mental and spiritual thoughts, attitudes and beliefs (whether only the patient or concerned others) have been showed to positively effect genetic expression. Detox inability? Neurological and mental (nerve and brain) problems: stress intolerance, emotional instability, explosive anger, anxiety , withdraw, depression, Tremor, shaking and spasms Brain fog, mental confusion Criminal/ delinquency issues, substance abuse Energy and metabolic problems: Chronic Fatigue Syndrome, Multiple Chemical Sensitivity, Fibromyalgia Metabolic syndrome, glucose intolerance, hypoglycemia Problems with detox treatment, History of Borellia b, Autistic Spectrum -> neurodegenerative disease: Profound ASD, PPD, Asperger's, asthma, ADD, ADHD, delayed development, delayed puberty, ALS, Alzheimer’s, Parkinson’s, MS, unexplained brain and neurological symptoms Detox factors Can be the result of genetic, toxic and/ or infectious factors Methylation Glutathione metabolism KPU – krypto- pyrol- uria Sulfunation Acetylation Liver detox Apo-protein E Metallothionine PPAR repair Assessment Labs: Genetic testing Functional testing: ART, MST History Your history Family history Course of treatment, how easy is detox? Amy Lasko PhD – genetic testing Genetic testing Methylation Transferring Methyl groups to Amino acids, DNA, fats and other biochemicals, including toxins into bioactive molecules MTHFR (methyl, tetrahydrofolate reductase) Expect if brain, mental and neurological symptoms Genetic methylation problems (which severely affect the brain and detox functions) are in 15% of the population and after mercury exposure the figure jumps to 55%. Methylation Reduced methylation capacity affects: Reduced DNA and RNA activity Altered function, synthesis and activity of proteins, enzymes and altered neurotransmitter function Reduced activity and function on all bioactive structures on membranes. Remember all detox and brain functions occur in membranes And reduced synthesis of phosphatidylcloline, critical for brain and nerve function, rehabilitation and development Methylation problems are healed by mercury detox, however it takes a long time to correct the methylation defect – often 8 years. Methylation treatment The strategy to compensate for the methylation problem and correct it is: Mercury detox B-12 and folate supplementation Chlorella – has the highest amount of B-12 found in nature Methylated B-12 or hydroxyl – B-12, and Methylated Folic (Folinic acid) Oral, IM, nasal inhalation, and transdermal - methyl and hydroxyl B-12, folinate Support for the MTFR pathway: SAMe, magnesium, zinc, B-6 Supplement methyl groups with Betaine HCl, which supplies hydrochloric acid for digestion and many methyl groups; others di-methyl Glycine (DMG) and tri-methyl Glycine (TMG) Membrane rehabilitation: for the complete list of MR factors consult Phase II, but the phosphatidylcloline supplement choices are: Biopure – Phospholipid Exchange, NT factors in supplementation, PhosphaLine, lecithin IV phosphatidyl choline infusions MTHFR cycle B-12 and Folate Critical important in normalizing brain membrane functions, cell replication and detoxification capacity; B12 and Folate function together are critical for the methylation of amino acids and other biochemical substances into bio-active molecules and functions including proper signaling in the brain, brain detox and healing. As mentioned mercury will create genetic defects in the methylation genes that need to be compensated by large doses of B-12 and Folate; There are two B-12 strategies. We incorporate hydroxyl Cobalamin (OH B-12), because it is a scavenger for toxic levels of nitrous oxide levels in the brain. Methyl Cobalamin is the bio active form of B-12, which is needed to correct the methylation problem and therefore brain and detox functions. B-12 therapy OH-B 12 and Folic acid: daily dosing in 5:2 ratio Sublingual drops 2-3 times per day; can use as much as 30 drops/day Other forms of folic acid: methylated folic acid (folinic acid) could also be tried (ART test it) Folic acid de-methlyates toxic substances and OH B 12 removes toxic nitric oxide compounds from the brain Methyl-B 12 (Neubrander) (25 mg/ml injection) Dose 65mcg/ kg sub-Q, every three days for kids Adult dose is 1-10 mg per every three days to 1 week Takes several months to show positive results If inject under the skin, the B-12 is taken up by the nerves (ANS) and delivered to the brain very efficiently Methyl B-12 can be supplied in Nasal gel/ spray -1000mcg, /0.1cc Sublingual drops- 1000mcg-25000mcg, Transdermal: TD-Methyl B-12, B-12, Folinic acid Nasal gel 125mcg/ 300mcg, Also the above in sublingual caps. Glutathione Glutathione is perhaps the most important natural chelator our body produces to manage mercury and other toxins. Some have genetic, nutritional or toxic blocks to making enough glutathione and thus enhanced problems from toxic exposures and major impediments to detox. Maintaining optimal glutathione nutrition is the goal in mercury detox. Glutathione accounts for 10-50% of antioxidant capacity of plasma- an important antioxidant and natural detoxifier. Glutathione also functions intracellular, however there is a finite amount of glutathione, which when used up reduces the bodies capacity to protect itself from oxidation and heavy metal toxicity. The cell literally burns up and the cell’s energy capacity and all other functions are reduced. Intracellular glutathione is the only naturally produced intracellular detoxifying agent, which removes mercury from inside the cell. It acts as an intracellular shuttle system. However, intracellular glutathione is not recycled. Once spent in removing mercury from inside the cell the glutathione is lost and intracellular glutathione is not easily manufactured. It cannot go through the cellular membranes from extra cellular stores. This leaves the cell mitochondria at risk to oxidative damage, which leads to lipid membrane per oxidation and ultimate destruction of the mitochondria Glutathione It is not glutathione that is the ubiquitous chelating agent that we wish to enhance but its reduced form (GSH), which has its full supply of electrons. Too often detox patients are suffering at the cellular level from acidosis and oxidosis (not enough electrons); Therefore, concurrent therapy must include: An anti-oxidant rich and mineral rich food and supplementation program, to correct the acidosis and excessive oxidation Glutathione S transferase (type M-1, T-1) can be (epi) genetically altered, which reduces the bio-synthesis of glutathione. M1 is responsible for detoxifying many environmental toxins. Glutathione Reduction in glutathione stores can be due to: Genetic and epigenetic factors that make it harder for the patient/ child to make glutathione. Nutritional factors that don’t allow enough production of glutathione – either extra cellular or intra cellular Too much toxins that overwhelm the available glutathione stores Glutathione treatment The nutritional factors that increase glutathione are Chlorella – abundant in the right amino acids – Cystiene, Glycine, and the branched amino acids (for the intracellular transport of the above), and B12. Chlorella is the most abundant food in our detox arsenal. B-12 is critical for construction of glutathione; therefore if methylation problems are present, glutathione is reduced. Oral NAC (N- Acetyl- Cystiene) the primary rate limiting precursor for glutathione is a supplement that we use in lower doses in the early phases (due to its ability to bring toxins into the brain (or cells) – if the diffusion gradient is greater outside the brain (or cells) than inside). Oral Glycine and Di-Methyl-Glycine (DMG) are supplemented for glutathione synthesis, liver conjugation and toxic chemical detox. Alpha Lipoic Acid builds and regenerated intracellular glutathione levels. Max GSL: to increase glutathione (GSH) Combination of Vitamin C, Alpha Lipoic acid, L Glutamine, NAC and proprietary GSH absorption and recycling blend: Cordyceps, N-acetyl-D-Glucosamine, Quercitin, Milk Thistle extract Glutathione Glutathione strategies are employed to raise the blood levels during detox and raise the brain glutathione; note that IV glutathione does not raise the brain glutathione levels, unless the brain-barrier is leaky. IV glutathione is added separately to the Vitamin and Mineral IV after the administration of DMPS; this is usually the second day of the chelation phase cycle. IV glutathione, IV NAC are protocols for ASD patients, and others in the later phases of detox IM glutathione strategies 200mg 3 times /week Oral supplementation of glutathione does not work, so bypass the gut by: Liposomal skin formulas of glutathione Sub-lingual drops (100mg/cc) or tabs (100mg) Transdermal (TD- glutathione)- 4mg/ drop Transdermal Glutathione Precursor – 30mg- 60 mg/ml Inhale glutathione products, which directly place the glutathione into the brain. Glutathione A coffee enema is a very effective way of raising the extra cellular glutathione levels (estimated~ 200 times normal levels). This treatment is one of the foundations for the Gershon Cancer protocol, used very successfully in all detox strategies. We recommend the coffee enema during the chelation detox cycle; it is in essence a cheap IV glutathione infusion. The Kelly, Gershon, Gonzalez cancer protocol calls for 1-2 coffee enemas a day Intracellular glutathione: Whey protein: has an ample supply of all the amino acid precursors for glutathione – glutamine, cysteine, and Glycine, plus the branched chained amino acids to get the amino acids through the cellular membrane Add Whey protein to food Normal dosage 2 packs/ day away from meals, if 2 packs don’t work add 3-4. Products for cow’s whey : Aminocal, Immu plus (Allergy Research) and others, Goat whey appears to be a good source to whey much less expensive, and a good source of minerals and AA. This is proving to be an important part of our detox strategies. This product also is a very good source of minerals Sulfation Sulfur genes and detox pathways can be depressed in mercury toxic patients The patient must have enough sulfur in its various forms to carry the toxic substances out of the body Amino acids – cysteine, methionine, Taurine, In milk whey protein powders, proteins in the diet Chlorella, MSM, freezed dried garlic, sulfur foods, Glutathione supplementation All chelating agents are sulfur (sulfhydral): DMPS, DMSA If sulfation problem, all sulfur foods and supplements are a problem, which needs to be corrected. Sulfation sulfur metabolism regulation, or giving the proper cellular signaling for the sulfur detox reactions. The regulation therapy we employ is: Allergy Elimination Therapeutics for sulfur, glutathione, the sulfation pathways, the sulfur foods, autoimmune…; Phase I LED - Cowden’s laser energetic detox neutralizes sulfur metabolism as the first step Schwef-Heel (Sulfur 4x, 6x, 12x, 30x, 200x (homochord); mobilizes mercury and all other toxins from their protein binding sites. Must be used in Phase III and slowly, to prevent detox symptoms. Since most of the trans-sulfuration pathways occur in the liver, liver support is critical: See below Hepar Compositum: liver drainage Sulfur problems For some heavy metal toxic patients, sulfur foods and/or supplements make them sick. These patients have sulfur metabolism problems, which without sulfur make the detox program impossible. For these patients, sulfur is almost toxic because of their inability to properly metabolize the sulfur. In addition, usually glutathione stores are depleted, and liver sulfur detox is minimal. These patients demonstrate on blood chemistries: Low uric acid (xanthine to uric acid is blocked); and low Chlorine in their blood chemistries. Don’t use sulfur in any form – MSM, DMPS, DMSA, alpha Lipoic acid, garlic – causes moderate to severe symptoms. Must increase the ability to sulfinate and metabolize sulfur first, then enhance the much required sulfur to detox. Treatment: Supplement with Molybdenum, which is essential to convert sulfite to sulfate and is usually very low in this condition. Supplement for at least 1 month N acetyl glucosamine Allergy/ hypersensitivity elimination to sulfur, Molybdenum and check all minerals. Once sulfur metabolism is re-established then sulfur supplementation is need to replenish deficiency in sulfur. Apo-protein E Apo-protein E is the shuttling molecule for removing oxidized cholesterol from the brain. It is genetically determined allele group. If Apo-protein allele has 2 cysteine groups (Apo E-2), it is very efficient in shuttling out mercury and other heavy metals from the brain. If it only has one cysteine group and an Arginine group (Apo E-3), it is much less efficient at removing heavy metals from the brain. And if no cysteine groups (Apo E-4), there is no natural chelating effect from this important natural mechanism. Apo-protein E If the patient has the inefficient type of Apo- protein- E, it can help explain neuro and brain toxic signs and symptoms especially earlier in life. Armed with this genetic information, the patient must be very diligent with mercury and other heavy metal detox program. KryptoPyrrolUria (KPU) Foundational to evaluate and treat if present for heavy metal and toxic chemical detoxification, and Lyme’s disease KPU patients loose supra-physiological amounts of zinc, B-6 and Manganese in the urine KPU patients have a defect of enzymes needed for the synthesis of heme (part of hemoglobin), resulting in defective heme Heme needed for multiple functions including liver detox (cytochrome P450 detox enzymes), KPU patients have low glutathione levels, high NO and low histamine KPU can be inherited or acquired by stress (including early childhood traumas), heavy metal and chemical toxins and infections especially Borrelia b KPU First discovered by Dr. Abraham Hoffer (1960): patients include schizophrenics (40-70%), Downs (70%), Autism (50%), ADHD (50%), Alcoholics and other addictions (20-80%), Lyme disease and other coinfections (80% positive – Klinghardt), Toxic patients with mercury, lead…(75% - Klinghardt) KPU health issues The result of KPU is what causes the health problems (defective heme and zinc, manganese and B-6 deficient): Lack of oxygen to the tissues – dys-oxygenosis, with a tendency towards acidosis Immune problems – lack of zinc, lack of methylation to quench viral replication Digestive problems – zinc required for hydrochloric acid and digestive enzyme production Detox problems – reduced glutathione production, methylation problems due to not enough zinc and B-6 as co-factors to drive the methylation pathways. Methylation problems create problems for cell replication and exacerbate all mental and neurological functions What are the symptoms of KPU? Poor dream recall Stress intolerance Poor breakfast appetite Emotional instability Nail spots (leukodynia) Explosive anger Stretch marks (striae) Anxiety, withdraw Pail skin, poor tanning Pessimism Allergy, acne, obesity Depression Tremor, shaking, spasms Hypoglycemia, glucose intolerance Brain fog Course eyebrows Paranoia, hallucinations knee and joint pain Perceptual disorganization Cold hands and feet Crime and delinquency Abdominal tenderness Substance abuse Eosinophilia (parasites) Attention deficit, ADHD Light, sound odor intolerance Autism Spectrum Disorder Delayed puberty, impotence Amenorrhea, irregular periods B-6 responsive anemia How is KPU diagnosed? All sick patients that do not get better are a high level of suspicion, especially those with heavy metal, toxic chemical, Lyme infections, chronic fatigue or Fibromyalgia. Also see symptoms 24 hour urine test for KPU from Vitamin Diagnostics: note that light breaks down the testing biochemical in the urine, so the urine must be covered in foil during collection and shipping at all times for accuracy in testing; add 500 mg of vitamin C to urine to preserve; wrap in foil Test preparation: no vitamins or minerals for 5 days prior, expose to normal stress or provoke with increased stress (will increase the KPU); note the release of large amounts of zinc often comes in phases, so it might not be available in one 24 hour sample. KPU is a frequent co-factor in: Heavy metal toxicity – the detox pathways are overwhelmed and ineffective, lack of glutathione Lyme disease – microbes induce KPU enzymes to deplete WBC of zinc and weaken their fighting abilities Many if not most neurological illnesses (common in MS, Parkinson, depression, autism) Others: dental cavitations (jaw bone gives up its zinc) Note: when KPU is correctly diagnosed and the recommended substitution of supplements is included in the treatment of any chronic illness, outcome can be dramatically improved Treatment: KPU KPU treatment must co-exist with the patient’s other problems, because if during this treatment heavy metals will be released and must be detoxed, and the immune system will be activated and the neurotoxins must be detoxed. Use AM to treat KPU and PM to detox heavy metals, because the two treatments are not simultaneously compatible. Treatment should last for 3-4 months, then maintenance. KPU treatment Core supplements: in the AM Zinc (picolinate, glutamate, sulfate): 200 – 600 mg/ day Manganese: 10-30 mg/ day – this is important if joint pain, disc problems are present In the PM: B-6: split between the activated form and B-6: P-5-P 25-50 mg and B-6; 50mg/day; 2/3 of patients don’t do well on P-5-P Treatment: KPU Support supplements: Membrane rehabilitation: Omega 6 fatty acids: evening primrose, ghee, black current , borage Omega 3 Fatty acids: fish oils – 1 tsp/ day Arachidonic acid: ghee, butter, milk products, animal fat Coconut oil Anti-oxidants: Vitamin E: 400 IU per 40 lbs of body weight Vitamin C complex and high orac foods Niacinamide 1000 mg 3 times per day Biotin Taurine 500mg 3 times per day PM: continue heavy metal, toxic chemical detox; Lyme detox Observations, clinical tips and unresolved issues Many KPU patients are copper intolerant, but also copper deficient in various body compartments (i.e. WBC, cranial nerve, frontal lobe/ dopamine etc.); Copper is deposited in tissues, oxidized and unavailable to WBC’s to fight chronic infections; need to mobilize with anti-oxidants to get copper out of the tissues. Look for copper deficient symptoms RBC mineral analysis to monitor Copper supplementation should be considered 2-4 weeks into the protocol, to balance the zinc; 2-4 mg / day Observations, clinical tips and unresolved issues Zinc has a synergistic effect with mercury and other heavy metals, and may temporarily increase toxic symptoms – thus the need for heavy metal detox to move the toxic metals out with least damage. Zinc in large doses displaced mercury on the enzyme’s metal binding sites; zinc also binds to the same sulfhydral binding sites as all chelating agents (chlorella, DMPS, DMSA, OSR, cilantro, EDTA, cilantro); thus the need to separate the zinc dosage and the heavy metal detox agents. Supplementing zinc liberates many di-valent toxic metals, such as mercury, cadmium, lead, nickel. These start moving and may cause damage on the way out. The clients may need metal capturing agents on board (chlorella, cilantro, anti-oxidants) and support with other detox strategies (colonics, IV DMPS, EDTA) Observations, clinical tips and unresolved issues The KPU protocol improves hormonal status, Patients may become symptomatic (reducing or eliminating need for thyroid, progesterone – these have become long term maintenance hormonal therapies) The kidneys and lymph often need support with drainage remedies, including drainage remedies, and electrolytes and water. Zinc is part of many metallo-proteinases, These are activated in Lyme disease and cancer, Doxycycline 200mg. will silence the proteinases Disulfram is an effective antidote MetallothionineThe metallothionine system is a natural excretory phase system that binds the mercury and other heavy metals in the lining cells of the GI and lung, and the blood vessel endothelium and then excretes the dead cells into the lumen for excretion. It is a large intracellular molecule with multiple binding sites of cysteine, which bind zinc, iron and toxic metals. Mercury and other heavy metals will replace Zn and Cu in metallothionine. Metallothionine Metallothionine requires adequate proper Zn and Cu nurturer. Too little Zn/ Cu will minimize the production of intracellular metallothionine, too much Zn/ Cu will displace the mercury and other sequestered heavy metals. Metallothionine production also has a genetic component PPAR repair PPAR - Cell wall receptor – determines the number and type of peroxisomes inside the cell Peroxisomes are the manufacturing units of the cell (produces all the enzymes, hormones and cellular products) and detoxification units of the cell (like the cellular liver and kidney) the health and regulation of the cell and organism is due to the genes but also the peroxisomes; in fact the peroxisomes can compensate for defective genes Chlorella is very potent PPAR stimulator (10 times more potent than the drug Actose, which is the current medical treatment) In Summary In a toxic world, a persons ability to detox will determine his/ her health and survivability Two factors: Genetics Environment – genetic expression is determined by nutrition, toxicity and other environmental factors Methylation, Glutathione metabolism, KPU – kryptopyrol- uria, Sulfunation, Acetylation, Liver detox, Apoprotein E, Metallothionine, PPAR repair