Guest guest Posted September 3, 2006 Report Share Posted September 3, 2006 Hi, a. I realize that you've asked me about Recup several times, and I wish I could give you a definitive answer for why it works for you, but I'm not sure. Here is something to consider, though: Mark London noted the high citrate content of Recup, and that citrate produces alkalinization, and this has gotten me thinking. I want to comment on that a little, and suggest a possible mechanism for how it could be helping you. First, it's true that in a person whose citric acid cycles are operating normally, if citrate is ingested, it will be utilized by the citric acid cycle in the cells and will be burned as fuel. Probably the cells of the gut will burn most of it, because they get first access. So long as the citric acid cycle (Krebs cycle) is operating well, this should happen. Since citrate is an anion (negatively charged ion), it must come into the body with a cation (positively charged ion) to balance the charge. In Recup, the cation is sodium. Being an elemental mineral, sodium survives in the body as sodium, and the excess is excreted in the urine. Since sodium is a cation, in the urine it must be balanced with an anion, and the body takes care of this by dissociating water molecules into hydrogen ions and hydroxide ions, and matching up the excreted sodium with hydroxide. The result is that the pH of the urine rises, i.e. becomes more alkaline. So that's why taking a citrate causes alkalinization of the urine, and that's what happens in a person who has normally operating Krebs cycles. I suspect that your Krebs cycles are operating more or less normally, so that this is what happens in your body when you ingest Recup. I'll get back to your case (Lyme disease) again below, but first I want to talk about cases in which the citric acid cycle is not operating normally. In many PWCs (I expect not in you, but I don't have a urine organic acids test for you, so I can't be positive in your case) it is found that citrate is elevated in the urine. This means that there is a partial blockade in the citric acid cycle beyond the location of citrate. I have argued that the partial blockade is at actonitase, and is produced by a rise in superoxide in response to glutathione depletion and consequenct product inhibition of the superoxide dismutase reaction. If people who have this partial blockade ingest citrate, I don't believe their bodies will be able to metabolize it well, and the excess will be excreted in the urine. To the degree this happens, the ingestion of citrate will probably not alkalinize their urine to the degree it does in a person with normally operating citric acid cycles. This may explain why Recup doesn't work well for some PWCs. This could be checked by urine organic acids testing and correlation with response to Recup. Also, by the, way, in these people, the ingestion of citrate will not help to raise their magnesium and calcium, as Mark suggested, because citrate is a good chelator for the +2 ions, and will tend to take them out in the urine. Now, back to your case, a. We know that you have tested positive for Lyme disease, and we also know that your HLA typing shows that your immune system is not able to recognize and destroy Lyme disease toxin. We know from Dr. Shoemaker's work that Borrelia produce an anion toxin, because he has been able to bind it with cholestyramine, which is an anion exchange resin. I'm going to guess that this anion toxin acts as a weak acid. What that means is that it binds hydrogen ions fairly well, and doesn't give them up and become ionized as an anion unless the pH of the environment is fairly high. This is the case in bile (pH 7.5 in the liver, pH 6 in the gall bladder), and that would explain why the Lyme toxin is able to be in anion form when it is excreted into the duodenum in the bile, and hence, why it can be bound with an anion exchange resin. Now, move with me to the field of clinical toxicology. In this field, one of the ways used to cause certain toxins to be excreted faster is to alkalinize the urine, usually by the injection of bicarbonate. However, ingesting sodium citrate will also alkalinize the urine, provided that the Krebs cycles can burn the citrate, as I discussed above. The reason alkalinization is used for detox of certain substances is that if they behave as weak acids, the elevation of pH will cause them to become ionized, and then they are more likely to remain in solution and be excreted in the urine than to be resorbed in the kidney tubules and be retained in the body. In clinical toxicology, this is referred to as " ion trapping. " So I suggest that in your case what's happening is that taking Recup is raising the pH of your urine to a level where the Lyme toxin is ionized and thus is excreted more readily. This hypothesis can be tested. One of the simplest things you could do would be to get some pH paper at a drugstore and check the pH of your urine when you have been taking Recup. I would guess that it will be on the high side, say pH 6 or higher. Many people, especially if their diet is high in meat and low in vegetables, have a lower pH than this. If your urine pH is lower than about six and Recup is helping you, then I would say that this hypothesis is not valid for your case. If it's pH 6 or higher, I would say that this hypothesis still has a chance. Another test would be to try taking a significant amount of sodium bicarbonate orally instead of Recup, and see if that also gives a benefit. Of course, this will tend to make you burp a lot if you have normal stomach acid leves, but it's all for the sake of science, and you do want to know why Recup helps you, right?(:-) If the bicarb also helps you, then I think the alkalinization-of-urine idea may be valid in your case. Rich > > Rich, > Have you read Mark London's article on Recuperation and why it may > work? So far Recuperation along with antibiotics has worked the best > of anything I have tried. My diagnosis is cfs, Lyme, and quinolone > tendon damage. > > Here is a link to his article. I would be interested in your > perspective on it. > http://web.mit.edu/london/www/RRR.htm > > a Carnes Quote Link to comment Share on other sites More sharing options...
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