Guest guest Posted December 28, 2002 Report Share Posted December 28, 2002 CONCEPTS FOR SAFE HUMAN BODY MERCURY REMOVAL BY BOYD HALEY, PROFESSOR AND CHAIR OF CHEMISTRY UNIVERSITY OF KENTUCKY The following is my opinion on the use of natural materials and compounds that may be safely used to remove mercury from the body. It is totally based on the science known about how the mammalian body removes toxic mercury. I do not present any opinion on EDTA, DMSA, DMPS or BAL or other manufactured chelators. It is my opinion they should be used only after the use of natural compounds has failed. Using the adage " First, do no harm " I think that supplementing the body's metabolic system that is active and needed for natural removal of mercury is the best approach. This is not as much " chelation therapy " as " anti-oxidative stress therapy " and is based on the supplementation that enhances the production of materials normally used to remove heavy metals. It is my opinion that safe removal of mercury is best done by supplementation and IV treatments that supply the body with reducing equivalents, natural compounds used by the body to remove mercury, or otherwise protect the body from the toxic effects of mercury. I am not certain of the optimal dosage for any of these natural compounds as the clinical trials have not yet been done. It is likely that the amounts needed will be different for each patient. I think the first thing is to give the body supplementation that will increase the " reduced status " of our cells. In normal healthy cells the levels of reduced forms of many natural compounds is quite high and this protects us from reactive oxygen species (e.g. free radicals) and heavy metal accumulation. It is well known that vitamin-C is used to produce increased reduced status. For example it is well known that Vit-C produces NADH (the reduced form of oxidized NAD+) and this NADH is used to convert oxidized glutathione (GSSG) back to 2 molecules of reduced glutathione (2 GSH). Vit-C is also an electron donor to heavy metals in biochemical pathways. Vit-C, in a test tube can donate electrons to Ag2+ and Hg2+, reducing them. The same is likely to happen in patients given high dose Vit-C IV making the metals have less affinity for cellular proteins and aiding in their removal. Vit-C also contributes to the total reducing equivalents in the body and greatly reduces " oxidative stress " that accompanies heavy metal toxicity. Finally, vit-C crosses all cellular membranes, including mitochondrial membranes, and the blood brain barrier. This is something that DMPS and DMSA cannot claim to do and you cannot remove the mercury if you can't get to it. The reported dose that many MDs use is 0.75g/kg body weight or about 50 grams/150 lbs body weight. Second, supplementation with lipoic acid (an oxidized dithiol), which is rapidly converted to dihydro-lipoic acid (the reduced form with 2 -SH groups) has been shown to elevate Hg2+ removal from rats toxic with mercury. Reduced lipoic acid has a dithiol similar to DMPS/DMSA that can bind mercury with high affinity, but not quite as high as these two drugs---but it is a lot safer if taken in appropriate doses as it is a component of essentially all foods. Also, in the mitochondria the first step leading into the citric acid cycle the enzyme complex, pyruvate dehydrogenase complex (PDH) requires lipoic acid and this site is readily inhibited by Hg2+. Therefore, supplementation with lipoic acid may also help reactivate this enzyme. I really don't know the best dose of alpha-lipoic acid to use, but start low and increase it until you feel satisfied with the mercury removal enhancement of this compound. Third, IV GSH is a good idea immediately following high dose vit-C as GSH is low in the blood while it is high intra-cellularly. If one mobilizes mercury it is a good idea to have the GSH high in the serum to bind and remove the mercury via the liver's bilarly transport system----which is the way the adult body normally removes toxic mercury. MDs I have talked to use doses of 0.5 to 1.5 grams. Note, vit-C is a reduced compound as is GSH, therefore vit-C cannot oxidize GSH as many people seem to think---the chemistry just is not there for this to happen. Supplementation of many patients may be enhanced by addition of 1-3 mgs of melatonin every night just before bed. The rationale for this is that as we age the amount of melatonin we produce decreases, especially after age 40. Pretreatment with melatonin has been shown to protect neurons and muscle cells from oxidative stress and toxicity produced by addition of mercury. Supplementation with selenium may prove effective. Se2+ forms a very tight bond with Hg2+ and forming HgSe (similar to HgS, mercury sulfide or cinnabar the ore where mercury is mined from) would greatly reduce the toxicity of body mercury. However, it may also interfer with the removal of mercury from the body as HgSe would not be removed by GSH or lipoic acid. One should also consider that any patient who is mercury toxic should also be selenium deficient as the mercury would remove the selenium from bioavailability. Supplementation to increase sulfur containing amino acids in the body. Both cysteine and methionine are short in our diets due to food processing and oxidation on bleaching, cooking etc. I know that cysteine increases Hg2+ crossing the blood-brain barrier but it also serves in a positive way numerous important biochemical processes in the body, including being needed in the synthesis of GSH. Supplementation with methionine seems appropriate and not to have any known down side. Finally, I don't think anyone has the best way to remove mercury from the human body down pat. We need clinical research to determine this, but to get this research done we have to convince our government it is a problem. I would recommend, as a biochemist/toxicologist that all MDs addressing this issue use the natural compounds to supplement and strengthen the body's metabolism redox state to healthy levels, then determine if additional mercury chelating drugs are helpful. After the patient is showing improvement it may be advantageous to use DMPS or DMSA to enhance the removal of mercury. I am not totally against their use but I do not think they are the best or safest way to approach removal of mercury from a very sick patient due to their own toxicity as British Anti-ite agents. Quote Link to comment Share on other sites More sharing options...
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