Frequent Low Dose Chelation Protocol Summary: The human body has no natural mechanism to remove mercury from the brain. Once in there it is trapped and must be removed through other means. You can make its effects far worse by the use of improper substance to attempt to remove the mercury (i.e. chlorella, cilantro, EDTA, homeopathy, etc…) or by following improper protocols (i.e. high dose IV protocol, the 10mg per pound 8 hour protocol, or even the once every other day method). We believe it is very important to be informed about the options available to remove metals safely.
What is frequent low dose chelation? Frequent low dose chelation came into the lime light when Andrew Hall Cutler PhD started researching to find a safer therapy to address his own mercury toxicity. Dr. Cutler applied basic chemistry to the use of the chelator. By applying the rules of Pharmacokinetics one avoids many of the symptoms that happen when chelators are taken randomly. This helps you safely remove metals without causing serious side effects or risks of further damage. The substances used in frequent low dose chelation are DMSA and ALA (alpha lipoic acid). DMSA is taken every 4 hours. ALA must be taken every 3 hours. This is done for a minimum time of three days, which is referred to as a “round”. It is then followed by 4 or more days break in between the next “round”. Dr. Cutler details more about this protocol in his book, Amalgam Illness: Diagnosis & Treatment.
How safe is this? There a numerous protocols on the internet and in use by physicians that are said to remove heavy metals. Some of them are not safe, or worse, quite dangerous. When frequent low dose chelation is done properly by sticking to the dosing and timing guidelines is it very safe. High doses are never given and Intravenous medications are never used. With frequent low dose chelation side effects are extremely minimal and controlled or reduced by adhering to the protocol and using supportive supplements. Should any significant symptoms occur on a round, you as the parent can stop the round immediately, and there is no risk of further harm. You are in control.
What about support while we do this? It can be very difficult to find this support locally in our communities, but there are hundreds of families experiencing the wonderful gains of frequent low dose chelation. Most of us are doing this without the aid of any special doctor. This protocol doesn’t require special testing. If your child gets sick you take them to a regular family physician or pediatrician just like you would any other child. Most “chelation” doctors recommend treatments far more dangerous than anything you will do in frequent low dose chelation and in fact many children have been severely damaged following other protocols. Read and learn as you are far more motivated to keep your child safe than any practitioner. Visit www.AutismParentCentral.com to talk to other parent following this protocol.
How will we know if this is working? Generally parents see positive changes in their child within 5-10 rounds. The majority of the time you will see positive things in the first round. It is often helpful to keep a video journal and/or written journal of your child’s symptoms, improvements as well as the doses, round numbers etc. Follow up testing is not generally needed for most children. Some parents do follow up hair testing annually if they wish, but it is not required.
Are there any side effects we should be looking for? Sometimes chelation can cause a slight flare up in your child’s symptoms. This usually wears off in a day or two after the round has ended. In many children yeast flare ups will happen during chelation but they are easily controlled with probiotics and natural over-the-counter anti-fungals. Mild side effects like this are easily managed with supplements and they are discussed in the book Fight Autism and Win to help you minimize or eliminate these symptoms. Generally with this protocol children are very comfortable and do not experience negative symptoms.
Are there supplements we should have our child on? The chelators DMSA www.vrp.com and ALA are available over the counter in the United States. (do not use R-ala) 5mg ala is available here: www.everythingspectrum.com It is necessary for children to take basic supplements. These help their bodies work better in light of having mercury poisoning. They also help reduce any side effects of chelation, such as fatigue.
Children need the following 3-4 times per day:
Vitamin C: 500-1000 mg/day divided into four doses
Magnesium: 400 mg/day per day divided into four doses
Fish oils (while not one of the “basic supplements” we have found it beneficial for children to be on high-quality mercury free fish oil.) There are other helpful supplements depending upon the symptoms of your child that are listed in the book.
Do we need any medical tests and if so where do we get them? The only recommended test is the Hair Elements Test from Doctors Data Lab. Parents, if they wish, can obtain a CBC (complete blood count) w/manual differential, but it isn’t required. Any pediatrician can order this basic screening test and it is usually covered by insurance. Most parents doing low frequent dose chelation choose to use over the counter supplements without the aid or advice of a doctor.
How long will this take? Chelation is a long, slow process. The range is somewhere between 100-300 rounds, which is between 2-5 years. Improvements are usually quick and do keep you motivated to continue all the way through!
Does my child need a special diet? Managing your child’s health often includes examining their diet and choosing one that is best suited for them. Some children need a particular diet because of food allergies or chemical sensitivities. Not all children required a gluten free casein free diet. This diet helps some ASD children, but not all. The key is to find a diet that helps your child feel his or her best! It is highly recommended that everyone eat as close to a natural/organic, whole foods diet as possible.
3. Introduce the supplements listed above. Begin one at a time and wait a few days before adding a new one to be sure they are well tolerated.
4. Be absolutely sure that your child does not have any amalgam (metal dental) fillings in their teeth. These are silver or gray colored. If they have them, they will need to be replaced safely prior to chelation.www.IAOMT.org
5. Eliminate any ongoing sources of mercury exposure from fish and vaccines.
6. Familiarize yourself with the symptoms of yeast and adrenal fatigue. They are the most common issues that arise during chelation and are easily handled with proper support.
7. Start chelation following the frequent low dose protocol.
The Dosing/Timing Protocol
You can begin with either chelator providing there is no current (in the past 3 months) exposure to mercury (vaccines, amalgams, very high fish diet, etc.). Most parents choose to begin with DMSA adding ALA in somewhere between round 2 and 10. In the case of current exposure you wait 4 days to give DMSA and at least 3 months before introducing ALA. (do not use R-alpha lipoic acid, its not the same).
Low dose chelation is 1/8-1/2 mg per pound of body weight. Begin with 1/8mg and work up. Increasing by no more than 50% and only after you have completed at least 5 rounds without any reaction either positive or negative.
DMSA is given every four hours around the clock, day and night, for the duration of the three day round. You can use ALA either alone or together with DMSA. When using ALA, dosing is every 3 hours during the day, with an option to go four hours at night during the parent sleep cycle only. That is only two four hour stretches per 24 hours.
If a daytime dose is more than 1 hour late it cannot be given. The round must be ended and you can begin again for the next scheduled round (usually next weekend). When going 4 hours at night with ALA you cannot be late by more than 30 minutes. You can give a dose earlier if needed but not later. Giving at 2.5 hours instead of three for example is acceptable. If a dose is given earlier adjust the next dose accordingly so that you are never dosing later than the maximum (4 hours for DMSA alone/ 3 hours for ALA or ALA+DMSA).
note: It is recommended to keep dosing times as consistent as possible so while dosing 30 min or so early once in awhile is fine, do not dose at 1 hour this time, then 3 hours, then 1.5 hours, then 2.5 hours, and so on. Keep the 3 or 4 hours consistent as much as possible.
A round is 72 hours. The minimum round length is 64 hours for those whose children are in school. You begin the moment they come from the school on Fri and continue the round until the moment they leave for school Monday morning. The further away from 72 hours you get the more symptoms are seen and the greater the overall redistribution will be, so avoid shorter rounds whenever possible.
The time between rounds is at minimum equal to the time you spent chelating. For most this is three days on and four days off meaning you chelate once a week (usually every weekend). You can chelate every other week, but this will double the overall time it takes to complete the recovery process so it is not recommended.
When to stop a round:
1. Vomiting 2. Lethargy-extreme tiredness 3. Fever of 102 F or higher 4. Missed a dose by more than 1 hour