Guest guest Posted January 14, 2009 Report Share Posted January 14, 2009 Please read this paper, its the missing link.... Scroll down for the abstract and a link to the full text in PDF format (with graphics, etc.) BMC Neurosci. 2008 Dec 10;9 Suppl 3:S5. Click here to read http://www.pubmedcentral.nih.gov/articlerender.fcgi?tool=pubmed & pubmedid=1909100\ 2 Intranasal delivery bypasses the blood-brain barrier to target therapeutic agents to the central nervous system and treat neurodegenerative disease. Hanson LR, Frey WH 2nd. Alzheimer's Research Center at Regions Hospital, HealthPartners Research Foundation, 640 Street, St, , MN 55101, USA. PMID: 19091002 [PubMed - in process] PMCID: PMC2604883 BMC Neurosci. 2008; 9(Suppl 3): S5. Published online 2008 December 10. doi: 10.1186/1471-2202-9-S3-S5. PMCID: PMC2604883 Copyright © 2008 Hanson and Frey; licensee BioMed Central Ltd. Intranasal delivery bypasses the blood-brain barrier to target therapeutic agents to the central nervous system and treat neurodegenerative disease Leah R Hanson1 and H Frey, II1,2 1Alzheimer's Research Center at Regions Hospital, HealthPartners Research Foundation, 640 Street, St. , Minnesota 55101, USA 2Department of Pharmaceutics, University of Minnesota, 308 Harvard Street S.E., Minneapolis, Minnesota 55455, USA Corresponding author. H Frey, II: alzheimr@... Supplement Proceedings of the 2007 and 2008 Drug Discovery for Neurodegeneration Conference Fillit and Antony Horton The conference and the publication of these proceedings were supported by a conference grant: U13-AG031125 from the National Institute of Aging and the National Institute for Neurological Disorders and Stroke. Additional support was provided by CoMentis, Inc; Pfizer, Inc.; Biogen Idec and Boehringer Ingelheim Pharmaceuticals, Inc. http://www.biomedcentral.com/content/pdf/1471-2202-9-S3-info.pdf Conference 2007 and 2008 Drug Discovery for Neurodegeneration Conference Washington DC USA 4–5 February 2008 New York, USA. 5-6 February 2007 This is an open access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. Abstract Intranasal delivery provides a practical, non-invasive method of bypassing the blood-brain barrier (BBB) to deliver therapeutic agents to the brain and spinal cord. This technology allows drugs that do not cross the BBB to be delivered to the central nervous system within minutes. It also directly delivers drugs that do cross the BBB to the brain, eliminating the need for systemic administration and its potential side effects. This is possible because of the unique connections that the olfactory and trigeminal nerves provide between the brain and external environment. Intranasal delivery does not necessarily require any modification to therapeutic agents. A wide variety of therapeutics, including both small molecules and macromolecules, can be targeted to the olfactory system and connected memory areas affected by Alzheimer's disease. Using the intranasal delivery system, researchers have reversed neurodegeneration and rescued memory in a transgenic mouse model of Alzheimer's disease. Intranasal insulin-like growth factor-I, deferoxamine, and erythropoietin have been shown to protect the brain against stroke in animal models. Intranasal delivery has been used to target the neuroprotective peptide NAP to the brain to treat neurodegeneration. Intranasal fibroblast growth factor-2 and epidermal growth factor have been shown to stimulate neurogenesis in adult animals. Intranasal insulin improves memory, attention, and functioning in patients with Alzheimer's disease or mild cognitive impairment, and even improves memory and mood in normal adult humans. This new method of delivery can revolutionize the treatment of Alzheimer's disease, stroke, and other brain disorders. Introduction The use of intranasal (IN) administration to target therapeutics to the central nervous system (CNS) has many benefits in the treatment of neurologic disorders. The blood-brain barrier (BBB) restricts the use of numerous therapeutic agents that have been developed to treat memory loss and neurodegeneration because it limits CNS penetration, depending on drug size or charge. Although invasive methods of administration (for instance intracerebroventricular) have been used to overcome the BBB, these methods are not practical for use in humans for several reasons, including convenience, safety, and cost. Direct delivery of therapeutics from the nasal cavity into the CNS (IN delivery) bypasses the BBB and provides an alternative to invasive methods of drug administration [1,2]. Noninvasive IN delivery targets therapeutics to the CNS, reducing systemic exposure and side effects; this can be advantageous for delivery of many CNS therapeutics, including those that can cross the BBB upon systemic administration. CNS therapeutics do not necessarily need to be modified for IN delivery, and delivery of therapeutics to the CNS is rapid, occurring within minutes. The IN delivery method was first developed by Frey in 1989 [3] for targeting neurotrophic factors (for example, nerve growth factor [NGF] and fibroblast growth factor-2) to the CNS. Olfactory and trigeminal pathways Intranasally administered therapeutics reach the CNS via the olfactory and trigeminal neural pathways. Both the olfactory and trigeminal nerves innervate the nasal cavity, providing a direct connection with the CNS. Direct delivery of therapeutics from the nose to the brain was initially attributed to the olfactory pathway [3-6]. More recently, the contribution made by the trigeminal pathway to IN delivery to the CNS has also been recognized, especially to caudal brain regions and the spinal cord [7,8]. Extracellular delivery, rather than axonal transport, is strongly indicated by the short time frame (≤ 10 minutes) observed for IN therapeutics to reach the brain from the nasal mucosa. Possible mechanisms of transport may involve bulk flow and diffusion within perineuronal channels, perivascular spaces, or lymphatic channels directly connected to brain tissue or cerebrospinal fluid [9]. Intranasal delivery targets therapeutics to the central nervous system IN delivery has been used to target a wide variety of therapeutics to the CNS. For example, the following classes of therapeutics have successfully been intranasally delivered to the CNS: neurotrophins (NGF [5] and insulin-like growth factor [iGF]-1 [7]); neuropeptides (hypocretin-1 [10] and exendin [11]); cytokines (interferon β-1b [8] and erythropoietin [12]); polynucleotides (DNA plasmids [13] and genes [14]); and small molecules (chemotherapeutics [15] and carbamazepine [16]). IN delivery works best for potent therapeutics that are active in the nanomolar range [1]. Even therapeutics that are substrates for the P-glycoprotein efflux transporter, which is known to operate in the nasal epithelium, have been reported to reach the CNS in effective concentrations [17]. Intranasal neurotrophins for the treatment of neurodegeneration Although the ability of neurotrophins to protect and promote the growth of new neurons makes them desirable candidates for the treatment of neurodegenerative disease, the inability of neurotrophins to cross the BBB efficiently, and the impracticality of invasive injection methods, have prevented their use. Growing evidence suggests that IN administration of neurotrophins provides a noninvasive way to target neurotrophins to the CNS to treat neurodegeneration. In a mouse model of Alzheimer's disease, IN administered NGF both reduced neurodegeneration and improved performance in memory tasks [18,19]. In a rat model of stroke, IN IGF-I reduced brain damage and neurologic deficits [20]. In addition, cerebral neurogenesis was induced in the subventricular zone of adult mice after IN administration of FGF-2 [21]. IN activity dependent neurotrophic factor, as well as its active peptide fragment NAP, have been shown to reduce neurodegeneration, tau pathology, amyloid accumulation, and memory loss in mouse models of Alzheimer's disease [22-25]. IN NAP is now being tested in phase II clinical trials as a potential treatment for Alzheimer's disease and mild cognitive impairment. Memory is improved by intranasal insulin treatment IN insulin improves memory in normal adults and patients with Alzheimer's disease without altering blood glucose. Energy metabolism in the CNS is dependent upon glucose uptake and is regulated by insulin in key brain regions. It has long been known that glucose uptake and utilization are deficient in patients with Alzheimer's disease [26]. Recently, the gene expression levels of insulin, IGF-1, and their receptors were shown to be markedly reduced in the brains of patients with Alzheimer's disease [27]. Consequently, ability to deliver insulin to the CNS without altering blood glucose could provide an effective means to improve glucose uptake and utilization, and reduce cognitive deficits in patients with memory disorders. Using the IN delivery method to target insulin to the CNS originally developed by Frey [28], Born and coworkers [29] demonstrated that cerebrospinal fluid insulin levels significantly increased after treatment of normal adults with insulin, with no change in blood levels of insulin. In normal adults, IN treatment with insulin for 8 weeks improved memory (delayed recall of words) and mood at doses that did not alter blood levels of insulin or glucose [30]. In addition, IN administration of a rapidly acting form of insulin that forms hexamers and is more rapidly absorbed, insulin aspart, improved memory in normal adults significantly more than did regular insulin [31]. In Alzheimer's patients, a single IN treatment acutely improved verbal memory (total story recall and total word list recall) at doses that did not alter blood levels of insulin or glucose [32]. The benefit of IN insulin treatment was seen primarily for Alzheimer's patients without the apolipoprotein E ε4 allele. Longer treatment with IN insulin (21 days) enhanced memory, attention, and functioning compared with placebo in patients with either early stage Alzheimer's disease or mild cognitive impairment [33,34]. Top Conclusion IN delivery is a noninvasive method that bypasses the BBB and targets drugs to the CNS, reducing systemic exposure and side effects. This novel method has already been used successfully to improve memory in both normal adults and patients with Alzheimer's disease. IN delivery could revolutionize the way we treat Alzheimer's disease and other neurodegenerative disorders. Top List of abbreviations used BBB: blood-brain barrier; CNS: central nervous system; IN: intranasal; NGF: nerve growth factor. Top Competing interests WHF holds intellectual property related to IN delivery of therapeutics. LRH and WHF are inventors on patents related to IN delivery of therapeutics. Acknowledgements This article has been published as part of BMC Neuroscience Volume 9 Supplement 3, 2008: Proceedings of the 2007 and 2008 Drug Discovery for Neurodegeneration Conference. The full contents of the supplement are available online at http://www.biomedcentral.com/1471-2202/9?issue=S3. References Dhanda, DS; Frey, WH, 2nd; Leopold, D; Kompella, UB. Approaches for drug deposition in the human olfactory epithelium. Drug Delivery Technol. 2005;5:64–72. Frey, WH., 2nd Bypassing the blood-brain barrier to delivery therapeutic agents to the brain and spinal cord. Drug Delivery Technol. 2002;5:46–49. Frey, WH., 2nd (WO/1991/007947) Neurologic Agents for Nasal Administration to the Brain (priority date 51289). Geneva, Switzerland: World Intellectual Property Organization; 1991. http://www.wipo.int/pctdb/en/wo.jsp?wo=1991007947 & IA=WO1991007947 & DISPLAY=CLAIMS Thorne, RG; Emory, CR; Ala, TA; Frey, WH., 2nd Quantitative assessment of protein transport to the rat olfactory bulb following intranasal administration: implications for drug delivery. Brain Res. 1995;692:278–282. doi: 10.1016/0006-8993(95)00637-6. [PubMed] Chen, X-Q; Fawcett, JR; Rahman, Y-E; Ala, TA; Frey, WH., 2nd Delivery of nerve growth factor to the brain via the olfactory pathway. J Alzheimer's Dis. 1998;1:35–44. [PubMed] Frey, WH, 2nd; Liu, J; Chen, X; Thorne, RG; Fawcett, JR; Ala, TA; Rahman, Y-E. Delivery of 125I-NGF to the brain via the olfactory route. Drug Deliv. 1997;4:87–92. doi: 10.3109/10717549709051878. Thorne, RG; Pronk, GJ; Padmanabhan, V; Frey, WH., 2nd Delivery of insulin-like growth factor-I to the rat brain and spinal cord along olfactory and trigeminal pathways following intranasal administration. Neuroscience. 2004;127:481–496. doi: 10.1016/j.neuroscience.2004.05.029. [PubMed] Ross, TM; ez, PM; Renner, JC; Thorne, RG; Hanson, LR; Frey, WH., 2nd Intranasal administration of interferon beta bypasses the blood-brain barrier to target the central nervous system and cervical lymph nodes: a non-invasive treatment strategy for multiple sclerosis. J Neuroimmunol. 2004;151:66–77. doi: 10.1016/j.jneuroim.2004.02.011. [PubMed] Thorne, RG; Frey, WH., 2nd Delivery of neurotrophic factors to the central nervous system: pharmacokinetic considerations. Clin Pharmacokinet. 2001;40:907–946. doi: 10.2165/00003088-200140120-00003. [PubMed] Hanson, LR; ez, PM; Taheri, S; Kamsheh, L; Mignot, E; Frey, WH., 2nd Intranasal administration of hypocretin 1 (orexin A) bypasses the blood-brain barrier & targets the brain: a new strategy for the treatment of narcolepsy. Drug Delivery Technol. 2004;4:65–71. Banks, WA; During, MJ; Niehoff, ML. Brain uptake of the glucagon-like peptide-1 antagonist exendin(9–39) after intranasal administration. J Pharmacol Exp Ther. 2004;309:469–475. doi: 10.1124/jpet.103.063222. [PubMed] Yu, YP; Xu, QQ; Zhang, Q; Zhang, WP; Zhang, LH; Wei, EQ. Intranasal recombinant human erythropoietin protects rats against focal cerebral ischemia. Neurosci Lett. 2005;387:5–10. doi: 10.1016/j.neulet.2005.07.008. [PubMed] Han, IK; Kim, MY; Byun, HM; Hwang, TS; Kim, JM; Hwang, KW; Park, TG; Jung, WW; Chun, T; Jeong, GJ; Oh, YK. Enhanced brain targeting efficiency of intranasally administered plasmid DNA: an alternative route for brain gene therapy. J Mol Med. 2006;85:75–83. doi: 10.1007/s00109-006-0114-9. [PubMed] Draghia, R; Caillaud, C; Manicom, R; Pavirani, A; Kahn, A; Poenaru, L. Gene delivery into the central nervous system by nasal instillation in rats. Gene Ther. 1995;2:418–423. [PubMed] Wang, D; Gao, Y; Yun, L. Study on brain targeting of raltitrexed following intranasal administration in rats. Cancer Chemother Pharmacol. 2005;57:97–104. doi: 10.1007/s00280-005-0018-3. [PubMed] Barakat, NS; , SA; Ahmed, AA. Carbamazepine uptake into rat brain following intra-olfactory transport. J Pharm Pharmacol. 2006;58:63–72. doi: 10.1211/jpp.58.1.0008. [PubMed] Graff, CL; Pollack, GM. P-glycoprotein attenuates brain uptake of substrates after nasal instillation. Pharm Res. 2003;20:1225–1230. doi: 10.1023/A:1025053115583. [PubMed] Capsoni, S; Giannotta, S; Cattaneo, A. Nerve growth factor and galantamine ameliorate early signs of neurodegeneration in anti-nerve growth factor mice. Proc Natl Acad Sci USA. 2002;99:12432–12437. doi: 10.1073/pnas.192442999. [PubMed] de , R; , AA; Braschi, C; Capsoni, S; Maffei, L; Berardi, N; Cattaneo, A. Intranasal administration of nerve growth factor (NGF) rescues recognition memory deficits in AD11 anti-NGF transgenic mice. Proc Natl Acad Sci USA. 2005;102:3811–3816. doi: 10.1073/pnas.0500195102. [PubMed] Liu, XF; Fawcett, JR; Hanson, LR; Frey, WH., 2nd The window of opportunity for treatment of focal cerebral ischemic damage with noninvasive intranasal insulin-like growth factor-I in rats. J Stroke Cerebrovasc Dis. 2004;13:16–23. doi: 10.1016/j.jstrokecerebrovasdis.2004.01.005. [PubMed] Jin, K; Xie, L; Childs, J; Sun, Y; Mao, XO; Logvinova, A; Greenberg, DA. Cerebral neurogenesis is induced by intranasal administration of growth factors. Ann Neurol. 2003;53:405–409. doi: 10.1002/ana.10506. [PubMed] Matsuoka, Y; Jouroukhin, Y; Gray, AJ; Ma, L; Hirata-Fukae, C; Li, HF; Feng, L; Lecanu, L; , BR; Planel, E; Arancio, O; Gozes, I; Aisen, PS. A neuronal microtubule-interacting agent, NAPVSIPQ, reduces tau pathology and enhances cognitive function in a mouse model of Alzheimer's disease. J Pharmacol Exp Ther. 2008;325:146–153. doi: 10.1124/jpet.107.130526. [PubMed] Matsuoka, Y; Gray, AJ; Hirata-Fukae, C; Minami, SS; Waterhouse, EG; Mattson, MP; LaFerla, FM; Gozes, I; Aisen, PS. Intranasal NAP administration reduces accumulation of amyloid peptide and tau hyperphosphorylation in a transgenic mouse model of Alzheimer's disease at early pathological stage. J Mol Neurosci. 2007;31:165–170. [PubMed] Visochek, L; Steingart, RA; Vulih-Shultzman, I; Klein, R; Priel, E; Gozes, I; Cohen-Armon, M. PolyADP-ribosylation is involved in neurotrophic activity. J Neurosci. 2005;25:7420–7428. doi: 10.1523/JNEUROSCI.0333-05.2005. [PubMed] Gozes, I; Giladi, E; Pinhasov, A; Bardea, A; Brenneman, DE. Activity-dependent neurotrophic factor: intranasal administration of femtomolar-acting peptides improve performance in a water maze. J Pharmacol Exp Ther. 2000;293:1091–1098. [PubMed] de Leon, MJ; Ferris, SH; , AE; Christman, DR; Fowler, JS; Gentes, C; Reisberg, B; Gee, B; Emmerich, M; Yonekura, Y; Brodie, J; Kricheff, II; Wolf, AP. Positron emission tomographic studies of aging and Alzheimer disease. AJNR Am J Neuroradiol. 1983;4:568–571. [PubMed] Steen, E; Terry, BM; , EJ; Cannon, JL; Neely, TR; Tavares, R; Xu, XJ; Wands, JR; de la Monte, SM. Impaired insulin and insulin-like growth factor expression and signaling mechanisms in Alzheimer's disease: is this type 3 diabetes? J Alzheimers Dis. 2005;7:63–80. [PubMed] Frey, WH., 2nd US Patent 6313093: Method for Administering Insulin to the Brain. US Patent and Trademark Office; 2001. http://patft.uspto.gov/ Born, J; Lange, T; Kern, W; McGregor, GP; Bickel, U; Fehm, HL. Sniffing neuropeptides: a transnasal approach to the human brain. Nat Neurosci. 2002;5:514–516. doi: 10.1038/nn0602-849. [PubMed] Benedict, C; Hallschmid, M; Hatke, A; Schultes, B; Fehm, HL; Born, J; Kern, W. Intranasal insulin improves memory in humans. Psychoneuroendocrinology. 2004;29:1326–1334. doi: 10.1016/j.psyneuen.2004.04.003. [PubMed] Benedict, C; Hallschmid, M; Schmitz, K; Schultes, B; Ratter, F; Fehm, HL; Born, J; Kern, W. Intranasal insulin improves memory in humans: superiority of insulin aspart. Neuropsychopharmacology. 2007;32:239–243. doi: 10.1038/sj.npp.1301193. [PubMed] Reger, MA; , GS; Frey, WH, 2nd; Baker, LD; Cholerton, B; Keeling, ML; Belongia, DA; Fishel, MA; Plymate, SR; Schellenberg, GD; Cherrier, MM; Craft, S. Effects of intranasal insulin on cognition in memory-impaired older adults: modulation by APOE genotype. Neurobiol Aging. 2006;27:451–458. doi: 10.1016/j.neurobiolaging.2005.03.016. [PubMed] Reger, MA; , GS; Green, PS; Wilkinson, CW; Baker, LD; Cholerton, B; Fishel, MA; Plymate, SR; Breitner, JC; DeGroodt, W; Mehta, P; Craft, S. Intranasal insulin improves cognition and modulates beta-amyloid in early AD. Neurology. 2008;70:440–448. doi: 10.1212/01.WNL.0000265401.62434.36. [PubMed] Reger, MA; , GS; Green, PS; Baker, LD; Cholerton, B; Fishel, MA; Plymate, SR; Cherrier, MM; Schellenberg, GD; Frey, WH, 2nd; Craft, S. Intranasal insulin administration dose-dependently modulates verbal memory and plasma amyloid-beta in memory-impaired older adults. J Alzheimers Dis. 2008;13:323–331. [PubMed] ________________________________ Articles from BMC Neuroscience are provided here courtesy of BioMed Central Quote Link to comment Share on other sites More sharing options...
Guest guest Posted January 15, 2009 Report Share Posted January 15, 2009 Live, I am not following you on this one. Please explain to me what I am missing as this pertains to us or is a missing piece. I know I am missing something but help me out here. Thanks Chris... Quote Link to comment Share on other sites More sharing options...
Guest guest Posted January 15, 2009 Report Share Posted January 15, 2009 Thanks Live,exactly, and this is the part most people dont get. just how easily chemicals and toxins can reach our brain and affect us. this is so important, and it's very obvious that the nose is the most suspectable route even at low doses of exposure where chemical's still make it past the mucus system and into the very thin layers of tissue to the nerves and even the blood vessels in the nose and through the nasal roof to the olfactory bulbs and brain. it's obvious that it's known now the route chemicals cause alztimers and it's just insane that there could still be any debate about how exposure to mycotoxins and voc's can affect the brain and cause nerve damage, and plus other contaminants causeing spinal/CSF infections or inflamationS AND WHEN A DOCTOR DOES NOT DEAL WITH THIS, HOW IT CAN CAUSE BRAIN SWELLING AND TBI AND EVEN CSF TO DAMAGE AND LEAK OUT OF YOUR EARS AND NOSE. --- In , LiveSimply <quackadillian@...> wrote: > > Please read this paper, its the missing link.... > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted January 15, 2009 Report Share Posted January 15, 2009 Things you inhale in air, through your nose, impact on the convoluted wet folds of the sinus tissue and go into the blood where they are rapidly carried DIRECTLY INTO THE BRAIN, bypassing the blood brain barrier, bypassing the stomach, the immune system's defenses, bypassing the gut, completely avoiding cholestyramine being able to bind them and all the rest.. The World Heath Organization in *1999* referenced the animal studies that ACOEM and AAAAI had a fiduciary duty to mention too, but deliberately ignored.. The military and other researchers have consistantly found that many mycotoxins are far more toxic when: *inhaled or *injected directly into the brain, than when *eaten or *absorbed through the skin.. Given that people have repeatedly begged the medical community to recognize that mold effects the brain, and said again and again that it changes them- permanently, as brain injuries are wont to do, SOMETHING IS VERY WRONG THAT THEY IGNORE THIS RESEARCH JUST BECAUSE IT SHOWS HOW MOLD TOXINS REACH THE BRAIN BYPASSING THE BLOOD BRAIN BARRIER AND THE LIVER.. Now, the drug industry is busy comerciallizing the intranasal route through the blood brain barrier.. Tons of research is being done on it. Some of these drugs are even mycotoxins.. It couldn't be clearer.. Something is very wrong. On Thu, Jan 15, 2009 at 3:22 AM, <unitedstatesvet@...> wrote: > Live, I am not following you on this one. Please explain to me what I am > missing as this pertains to us or is a missing piece. I know I am missing > something but help me out here. Thanks > Chris... > > > > > > > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted January 16, 2009 Report Share Posted January 16, 2009 I've been posting and trying to get people to realize this for a long time. I had alot of damage in this area so it made it very obvious to me that even at lower dose exposures what people complain about as a stuffy nose, bad taste in the mouth, and brain fog,ect. this is whats happening and believe me it's nothing to take lightly. with lower dose exposures you might not realize whats really happening yp in your nose. I have doctors notes of complaining about the bad taste and stuffy nose from my first home early on. the brain effects were so gradual I didn't realize I was haveing any and it was probably the brain effects that kept me from realizeing much of anything. but the nerve effects were immedete and strong and so was the spinal infection/inflamation. and whar was draining down my throat to my stonach was no good either. this was so different from the second home that was so bed when I moved in it was a nightmare to be there as long as I was. and only that long because I had the windoes open the first 2 1/2 months. I dont know how else to make people realize that this route from the nose to the brain is so important when they haven't had their exposure cause severe damage in that area to the point that it's so obvious that you actually research it and dig for hours to find what little info. is out there. but there is some and I've posted here. one was about feed lot contamination afecting neighbors that went into some detail about the damage to the olfactory and sinus area. this is why I preach alot about washing the sinuses !! --- In , LiveSimply <quackadillian@...> wrote: > > Things you inhale in air, through your nose, impact on the convoluted > wet folds of the sinus tissue and go into the blood Quote Link to comment Share on other sites More sharing options...
Guest guest Posted January 16, 2009 Report Share Posted January 16, 2009 Well, Jeanine, this is one situation in which you are 100% right. Me too. You and me both. Maybe someday the deniers will stop trying so hard to ignore the obvious. On Fri, Jan 16, 2009 at 12:43 PM, who <jeaninem660@...> wrote: > I've been posting and trying to get people to realize this for a long > time. I had alot of damage in this area so it made it very obvious to > me ... Anybody who doubts the medical potency of inhalational exposure only needs to go read the Bulletin of the World Heath Organization, 1999, vol 77(9) pg 759 There it is.. *40 times* more toxic through the nose.. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted January 16, 2009 Report Share Posted January 16, 2009 Excuse me, one of many, you just think you have to say it's so before it offically is. thanks for the quick reminder of why I quit posting. --- In , LiveSimply <quackadillian@...> wrote: > > Well, Jeanine, > > this is one situation in which you are 100% right. > > Me too. You and me both. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted January 16, 2009 Report Share Posted January 16, 2009 Here's the link for the article. http://www.who.int/docstore/bulletin/pdf/issue9/bu0024.pdf ________________________________ From: LiveSimply <quackadillian@...> obvious. Anybody who doubts the medical potency of inhalational exposure only needs to go read the Bulletin of the World Heath Organization, 1999, vol 77(9) pg 759 There it is.. *40 times* more toxic through the nose.. Quote Link to comment Share on other sites More sharing options...
Recommended Posts
Join the conversation
You are posting as a guest. If you have an account, sign in now to post with your account.
Note: Your post will require moderator approval before it will be visible.