Mineral Levels on TD-DMPS
Patient Questions
ADHD and Heavy Metal Toxicity
TD-DMPS
Q: Mineral Levels on TD-DMPS
Dr. Buttar:
I have a 3 year old male that has been using the TD-DMPS protocol as per your guidelines, along with appropriate mineral supplementation, and I am concerned about a very low red blood cell potassium level that was noted on recent rbc mineral analysis. this correlates with a serum potassium of 5.0. His intracellular calcium (rbc) has also climbed quite high (in the abnormal range) along with a serum total calcium of 10.2 mg/dl. These levels are with him off of the DMPS for 3 weeks. I am wondering if the mobilization of metals could be affecting his Na+/K+ ATPhase pump causing extracellular potassium leakage resulting in a relative low potassium state intracellularly. I am repeating his labs tomorrow and am contemplating oral potassium supplementation. I would appreciate any clinical guidance.
A:
DO NOT WORRY ABOUT THE INTRACELLULAR LEVELS OF ANY OF THE ESSENTIAL MINERALS. THEY WILL RUN THE GAMUT OF VARIANCE AND ARE NOT RELIABLE FOR DECIDING WHAT SHOULD BE SUPPLEMENTED. YOU WILL NOTE THAT THESE LEVELS WILL SHIFT FROM ONE EXTREME TO ANOTHER IN SUBSEQUENT TESTING AND AS YOU HAVE DISCOVERED YOURSELF, DO NOT CORRELATE WITH SERUM LEVELS. uSE THE ESSENTIAL ELEMENTS IN THE PROVOCATIVE URINE CHALLENGE TO MAKE A DECISION ON WHAT SHOULD BE SUPPLEMENTED. REMEMBER, EVERYTHING SHOULD BE HIGH SINCE YOU'RE PROVOKING THE MINERALS. IF THEY ARE STILL LOW ON PROVACATION, THEN THEY ARE REALLY LOW AND SHOULD BE AGRESSIVELY REPLETED. HOPE THAT HELPS.
Q: Patient Questions
Parents want to email questions to you, but were told you could not answer questions from individual families, which is understandable. Can you answer a question posed by a doctor on their behalf.
A:
WE CAN'T ANSWER ANY SPECIFIC PATIENT QUESTIONS DUE TO MEDICO-LEGAL ISSUES.
Q: ADHD and Heavy Metal Toxicity
We have a patient who is a 14 year old boy with ADHD and heavy metal toxicity. He was put on TD-DMPS to chelate for the heavy metals. He is just reaching the 4 month mark. In the last couple of months, he has had increasing symptoms of OCD, oppositional behavior, possibly bipolar, and definitely more of an Asperger's set of sx than he ever showed before.
His behaviors have become quite disruptive to the family. It is difficult to tease out if this is related to his developmental adolescent stage, when psych conditions can first clearly appear, or if it is due to the TD-DMPS. His parents are hopeful that these sx are a form of detox, due to the heavy metals being cleared. They have read that it is common for patients to get worse during the first 4 months on TD-DMPS, and are hoping he will pull out of this phase soon.
A:
THIS IS VERY COMMON AND IS A GOOD PROGNOSTIC INDICATION SECONDARY TO MOBILIZATION. BUT IT CAN LAST LONGER THAN 4 MONTHS.
Q: TD-DMPS
Have you seen this kind of behavior as a reaction to TD-DMPS? Have you seen it in teenage boys? Could these sx be dose-related?
A:
YES, BUT IS NOT RELATED TO BOYS OR GIRLS OR DEVELOPMENT. IT IS DOSE RELATED BUT IF YOU REDUCE DOSE, IT WILL PROLONG TIME BEFORE RESOLUTION IS ACHIEVED AND WILL SLOW DOWN THE DETOXIFICATION PROCESS. BUT IT MAY MAKE LIFE MORE BEARABLE FOR THE PARENTS. COST VS BENEFIT....
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