3Detoxification Pathways Drainage vs. eliminationDrainage- from the organ/matrix to the circulation systemElimination- From the circulation system out via the GI Tract, urination, breathing (lungs), skin, & other excretions
4Chelation & Detoxification Principles Patient’s HealthPatient’s DiseaseTiming - SeasonsComplexity of Toxic State
6Detox Principles & Philosophy Understand the difference between drainage and elimination and how to support bothInitial preparation - assessment, strategy & planning with emphasis on seasonal timingUtilize appropriate support structure and toolsConstruct realistic goals and proceed slowly
7Detox Principles & Philosophy Follow up program:Maximize benefits of detoxificationSmooth transition after detoxificationFreedom - the concept of loosening our grip:Mentally/Emotionally/Spiritually: supports overall detoxPhysiologically: releasing the toxins from organs & tissuesGrasping & letting goExpanding while detoxifying
8The Detoxification Cycle Liver as the starting pointFollow circulationLungsHeart/brainGastrointestinal tractSystemic - joints, etc.Elimination or… back to the liver or other tissues
9Tools in Detoxification DietNutritional supplementsBotanicalsAcupuncture & MoxibustionHeat therapies - Infra red saunasPurging - colonics, enemas, washesIntra venous therapiesLymph drainageMeditationBody/Mind Connection
10Detoxification Diet High fiber High greens Help elimination - liver & large intestinesCatabolicOrganicModify as needed
11Heavy Metal Detoxification Principles Go slowAppropriate timingAvoid fasting or radical low protein diets while detoxifying heavy metalsSupplement with mineralsSupport the body in the processHave a long term maintenance plan
12Chelation Guidelines: A Multi-step Graduated Program Start by Chelating from the blood & GI TractOnce total body burden has decreased, enhance chelation & add organ specific detoxificationSupport drainage, elimination mechanisms & pathwaysSupport body’s systemMinimize side effects & aggravationsGentle & gradual chelation is almost always preferable
14EDTA, DMSA & DMPS Used for Provocation Sometimes called a "challenge" or "provoked" heavy metals test.The ability of EDTA, DMSA or DMPS to mobilize heavy metals stored in body tissues (& therefore not typically present in the circulation) increases the excretion of heavy metals in the urine, leading to more accurate identification of total heavy metal toxicology than hair or blood tests alone.This must be performed by trained medical practitioners, with timed urine collections sent out to a specialized laboratory for analysis.
16Natural ChelatorsMore recently natural chelating agents have also been discovered, such as the use of pectins after the Chernobyl disaster in 1986.Includes polyuronide soluble fibers (Modified Citrus Pectin & kelp alginates), Vitamin C, natural thiol compounds & sulfur containing amino acids, kelp derived alginates & even herbs such as cilantro/coriander (Coriandrum sativum).These have properties that bind with metallic ions so that the ion is held by several chemical bonds. This renders it much less chemically reactive, producing a complex that is water soluble allowing it to be excreted harmlessly by the body.
17Natural Chelation is Significantly Safer Alpha Lipoic Acid (ALA): Rare cases of allergic reaction. Other possible side effects include headache, muscle cramps, & a feeling of “pins & needles” in the body. Not to be used in initial state of chelation.Vitamin C: Rare cases of gastrointestinal complaints. These side effects normally stop as soon as high potency intake is reduced or stopped.Modified Citrus Pectin: No known adverse effects other than occasional loose stools.Alginates: No documented adverse effects
18Modified Citrus Pectin (MCP) in Chelation and Detoxification Clinical data indicates that MCP functions as a gentle chelator of heavy metals.The detoxification properties have been confirmed in clinical trials & case studies.MCP has shown in clinical studies to increase the urinary excretion of toxic metals such as lead, cadmium, arsenic & mercury.Long-term use of this gentle safe chelator could effectively reduce the body burden as shown in a clinical trial.The ability of MCP and modified Alginates to remove heavy metals & environmental toxins on an ongoing basis has been shown to be of significant clinical benefit in multiple case studies.
19Chemical Properties of Alginates & Pectin A class of complex polysaccharide compounds known as polyuronides. Polyuronides are long chains of repeating sugar acid groups such as galacturonic acid (pectin) or mannuronic & guluronic acid (alginates). Polyuronides are proven chelators of toxic metals, pesticides & herbicides, and have been used in humans exposed to lead & radioactive metals as well as in the clean-up of environmental pollution for over 40 years.
20Chelation “Egg Box” Theory Metal Complex FormationPolyuronides form stacks in solution in what is known as an “egg box” structure. Each pocket of the “egg carton” contains a positively charged ion to balance the negatively charged chains. Normally the positive ions are sodium & potassium. However, toxic metals especially lead, mercury, cadmium, & radioactive metals have a higher affinity for polyuronides than the essential ions like calcium, magnesium, & potassium. Toxic metal ions become trapped in the “egg box” structure & are eliminated from the body.
21Stage I Detoxification During the first stage of detoxification, avoid introducing agents that can penetrate into the tissues & bind heavy metals to them. The concern is that they can pull heavy metals including mercury from the circulation into the tissues, especially the brain.
22Stage I Detoxification Continued First chelate using MCP, or Modified Citrus Pectin/Alginate complex to slowly reduce the overall heavy metal burden on the tissue level for 2-4 weeks.During the initial chelation stage, higher dosages of such a combination are needed.For maintenance & long term prevention, lower dosages are sufficient. Due to ongoing exposure to heavy metals such as lead & mercury, there is great benefit to using such a preparation on a long term basis.Modified Citrus Pectin/Alginate complex provides on-going gentle chelation systemically in the blood stream as well as in the digestive tract.
23The Effect of Modified Citrus Pectin on the Urinary Excretion of Toxic Metals Eliaz I, Hotchkiss AT, Fishman ML, Rode D.3 Amitabha Medical Clinic & Healing Center, Sebastopol, California, USA. Eastern Regional Research Center, Agricultural Research Service, U.S. Department of Agriculture, Wyndmoor, PA 19038,3University of California, Davis, CA, USA. Phytother Res (10):Methods: Prior to oral administration of MCP, the subjects collected a 24 hour urine sample for baseline measurements. Twenty four hour urine samples were also collected on day one & day six. The subjects ingested 15 grams of Modified Citrus Pectin (MCP) each day for five days & 20 grams on day six. Urine samples were analyzed by ICP-MS (inductively coupled plasma-mass spectrophotometer).Results: Lead, mercury, cadmium & arsenic increased significantly in urine analysis.Essential minerals were not changed significantly.No side effects were reported.
24Results: Modified Citrus Pectin & Urinary Excretion of Toxic Elements - Day One Results – Day One*
25Results: Modified Citrus Pectin & Urinary Excretion of Toxic Elements - Day Six Results – Day Six*
26Results Summary No Side effects were reported. In the first 24 hours of MCP administration the urinary excretion of arsenic increased significantly (30% over baseline/day zero, p<0.05).In this same period, the excretion of mercury & cadmium approached significance (50% & 130% over baseline respectively; p<0.1). On day six, urinary excretion was significantly increased for cadmium (50% over baseline, p<0.05) with tin approaching significance (130% approached significance; p < 0.1).In addition, lead showed a dramatic increase in excretion (460% over baseline) with p=0.05No significant changes in the excretion of Al, Ca, Cu, Mg, Zn, Fe, Se, Pt, Be, Bi, Tl, Th, U & Sb were observed.No Side effects were reported.
27Modified Citrus Pectin Decreases the Total Body Burden: A Pilot Human Clinical trial Eliaz I. Amitabha Medical Clinic & Healing Center, Sebastopol, California, USA.EcoNugenics, Santa Rosa, California, USA. 228th ACS National Meeting, Philadelphia, PAMethods: Oral intake 5 g Modified Citrus Pectin/3x day for 4-10 months. Base line body burden and change measured with DMPS challenge (250mg i.v. followed by 6 hr. urine collection).Results: All subjects showed significant decrease in Mercury levels. Average decrease was 62.17%, ranging between 38.13% & 74.83% (p=0.0313).No significant side effects were noted.
28Study ConclusionMCP was effective in decreasing the total body burden of Mercury in all subjects.MCP is a promising systemic gentle chelator of heavy metals that can be used on an on going basis.Percent Reduction in Mercury from Baseline10 months4.5 months4 months6 months6.5 monthsMCP Intervention Individual Results
29The Role of Modified Citrus Pectin as an Effective Chelator of Lead in Children Hospitalized with Toxic Lead LevelsZhao ZY, Liang L, Fan X, Yu Z, Hotchkiss AT, Wilk BJ, Eliaz I. Children’s Hospital, Zhejiang University, School of Medicine, Hangzhou, Republic of China, Centrax International, Inc, San Francisco, California, USA. Eastern Regional Research Center, Agricultural Research Services, US Department of Agriculture, Wyndmoor, Pennsylvania, USA. EcoNugenics, Inc. Santa Rosa, California, USA. Altern Ther Health Med (4):34-8.
30Lead in 24 Hour Blood Serum 1020304050601234567P Value =Figure 1 Blood serum lead concentration (ug/dL) measured in blood serum by GFAAS before (Blue) and after (Red) Modified Citrus Pectin treatment (5 grams three times daily) in 7 hospitalized children 5-12 years of age. No side effect reported.
31Lead in 24 Hour Urine Excretion 204060801001201401234567P Value =Figure 2 Lead levels (µg/dL) measured in 24-hour urine excretion by GRAS before (Blue) and after (Yellow) Modified Citrus Pectin treatment (5 grams three times daily) in 7 hospitalized children 5-12 years of age. No side effects reported.
32Stage II Detoxification Support heavy metal discharge and purge heavy metals while the body is going through a detoxification process. We can foster this process by:Removal & excretion of heavy metals from the tissue.Preventing re-absorption of heavy metals secreted via the bile to the gut.Binding circulating heavy metals, neutralizing & preventing re-absorption in the gut.Aiding the liver & the detoxifying enzymes in the body, support drainage & elimination.Supporting the body’s energy/vitality/strength to allow the body to “follow through” & successfully chelate the heavy metals.Supporting tissues where the chelation process can create side effects, such as the brain.
33Stage II Supplementation: Detox Complete Poly botanical/thiols/nutrient formula is the second stage in a unique, two-part integrated detoxification system that broadens the gentle systemic chelation process.Designed as a complimentary formula to be used after 2-4 weeks of gentle chelation with Modified Citrus Pectin/Alginate complex.Poly botanical/thiols/nutrient formula supports detoxification by addressing multiple facets of chronic heavy metal toxicity.It fosters systemic chelation by providing a comprehensive combination of vitamins, nutrients & herbs that support detoxification from the tissues & organs and aids in liver detoxification, promoting elimination through both the bile/intestines & the urinary tract.
35Integrative Medicine & the Role of Modified Citrus Pectin/Alginates in Heavy Metal Chelation & Detoxification - Five Case ReportsEliaz, I, Weil, E, Wilk, B.Amitabha Medical Clinic & Healing Center, Sebastopol, California, USA. EcoNugenics, Santa Rosa, California, USA.Forsch Komplementmed Dec;14(6):35
37Detoxification Guidelines Start by Chelating from the blood & GI TractOnce Total Body Burden has decreased, enhance chelation & add organ specific detoxificationSupport drainage, elimination mechanisms & pathwaysSupport body’s systemMinimize side effects & aggravationsGentle & gradual chelation is almost always preferable
38Detoxification Summary Define your goals - patient & practitionerProper timingMulti faceted programPost detoxification follow upRepeat cleanse during spring & fallEvaluate success - physical, emotional & mental/psychological/spiritual
40Specific Dental Risk Factors in Cancer Root CanalsMercury amalgam fillingsInfectionInflammation
41Links between Cancer and Dental Health Research shows generalized links between periodontal disease and certain cancersTraditional Chinese Medicine demonstrates relationships between teeth and organ systems
43Periodontal Disease Linked to: CancerSystemic InflammationHeart DiseaseDiabetesAutoimmune DiseaseOsteoporosisAllergiesLung ConditionsObesityOther conditions
44Periodontal Disease, Inflammation and Cancer Research Highlights
45The Association of Dental Plaque with Cancer Mortality in Sweden Soder B, Yakob M, et al. Dept. of Dental Medicine, Karolinska Institutet, Huddinge, Sweden BMJ Open 2012;2;e doi: /bmjopenObjectives: To study whether the amount of dental plaque, which indicates poor oral hygiene and is a potential source of oral infections, correlates with premature death from cancer.Methods: Prospective cohort study randomly selected healthy young Swedes followed from 1985 to 2009.
46The Association of Dental Plaque with Cancer Mortality in Sweden Soder B, Yakob M, et al. Dept. of Dental Medicine, Karolinska Institutet, Huddinge, Sweden BMJ Open 2012;2;e doi: /bmjopenResults: 4.2% of participants died during the study. Amount of dental plaque between those who died and those who survived was statistically significant with 1.79 times the overall risk of death via scattered malignancies in men and breast cancer in majority of women.Conclusion: Increased amount of dental plaque may be associated with increased cancer mortality. Further studies are warranted.
47Chronic Periodontitis and the Incidence of Head and Neck Squamous Cell Carcinoma Tezal M, et al. Depts. Oral Diagnostic Sciences, Oral Biology, Social and Preventive Medicine, Otolaryngology, S.U.N.Y. New York, USA Cancer Epidemiol Biomarkers Prev ;2406.Objective: To assess the effect of chronic periodontitis on head and neck squamous cell carcinoma (HNSCC).Methods: 473 HNSCC patients studied btw Periodontitis measured by alveolar bone loss (ABL).Results: Each millimeter of ABL was associated with >4-fold increase risk of HNSCC. Chronic periodontitis may be an independent risk factor for HNSCC.
48Periodontal Disease May Associate with Breast Cancer Soder B, et al. Dept. of Dental Med., Division of Periodontology, Karolinska Institutet, Huddinge, Sweden. Breast Cancer Res Treat. June 2011; 127(2):Objective: To evaluate the association between periodontal disease, missing molars and breast cancer.Methods: Prospective study of 3,273 subjects ages at baseline.Results: Chronic periodontal disease accompanied by missing molars associates statistically with increased incidence of breast cancer.
49A Review of the Relationship Between Tooth Loss, Periodontal Disease, and Cancer Meyer M, et al. Harvard School of Public Health Dept. of Epidemiology, Boston, MA. USA Cancer Causes Control :Objectives: A review of 18 published studies demonstrating relationships and possible mechanisms of action between tooth loss, periodontal disease and various cancers. Controlled for smoking, demographics and other possible confounding factors.
50Summary Relationships between teeth and organs Relationships between periodontal disease, inflammation and cancerRelationships between heavy metal toxicity, inflammation and cancerNatural agents with anti-inflammatory/anti-microbial/anti-cancer properties:Modified Citrus PectinTibetan Herbal FormulaHonokiolVitamin D3