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Comprehensive Guide to
Managing Autism
Willis S. Langford
Slightly changed by Kees de
Vries, Drunen, Holland (june 2003)
Warning: Do not scan
and read this paper piecemeal. It must be studied to avoid mis-steps.
Introduction
There are several very
basic things discussed in this paper that can be done at home with little or no
expensive testing. Foremost is the home testing for thyroid function discussed
toward the end of this paper, and support of thyroid function. The “unloading
of the donkey” is vital to possibly 80% of these troubled children for they
are poisoned, drowning in their own toxic wastes. Elimination of bowel disorders
is very first on the list of vital action. It is often as simple as supplying a
digestive enzyme supplement, or removing milk. Some autistic children can be
helped dramatically by medical procedures such as an infusion of the intestinal
hormone secretin. The need and the beneficial response to secretin, I think, are
dependent upon the amount of damage to the duodenum and small intestine from
whatever cause, and on the stomach’s ability to produce adequate hydrochloric
acid (HCl) for proper digestion. Since proper functionality of these two things
largely determine proper digestion, it is vital that both be operative. Without
adequate HCl, secretin infusion can, at best, be only partially effective in
restoring digestion and proper physical and mental function. Secretin is reduced
in hypothyroid rats (Robberecht et al, 1981), so first support the thyroid. HCl
production is very dependent on adequate zinc levels, usually lacking in these
children. With support for the thyroid, adequate zinc, and possibly
supplemental betaine hydrochloride, secretin infusion may be totally
unnecessary.
The path of autism is
different for each child. Some are prone to seizures, some are not; some behave
aggressively while others are overly passive. However, children with autism and
with ADHD share several factors. There is a deep disturbance in their fatty acid
metabolism that impairs their utilization of amino acids, and often there is an
imbalance in their electrolytes. Electrolytes control what’s called membrane
traffic—what goes in and out of cells. This means that providing other
nutritional supplements is relatively ineffective until the electrolyte
(sodium-potassium-magnesium-calcium) imbalance is corrected. The delicate
balance of electrolytes also controls the electrical activity within the brain.
Practitioners suggest the extent of the nutritional problem in these
observations:
Nutritional
abnormalities:
a. Zinc deficiency
exists in 90% of autistic children
b. Copper excess exists
in 85%
c. Calcium and
magnesium deficiencies are common
d. Omega 3 fatty acid
deficiency exists in nearly 100%
e. Fiber deficiency
exists in nearly 100%
f. Antioxidant
deficiency exists in nearly 100%
Additionally, there is
heavy metals poisoning: A recent study found 85 percent exhibited severely
elevated Copper/Zinc (Cu/Zn) ratios in blood, suggesting a disorder of
metallothionein (MT), a short, linear protein responsible for homeostasis of
copper and zinc and many other metals. “The severity of the Cu/Zn imbalance
was far greater than that of any other population we have studied over the past
25 years,” said William J. Walsh, Ph.D., Physician, biochemist and chief
scientist of the Pfeiffer Treatment Center, Naperville, Illinois. His database
suggests that copper overload and zinc depletion are the most common
metal-metabolism abnormalities in behavioral conditions such as, ADHD, autism,
depression, bipolar disorders, and schizophrenia. In addition, these sufferers
are unusually sensitive to lead, cadmium, mercury, and other toxic metals that
they tend to accumulate rather than eliminate. Nevertheless, if a mouse cannot
make MT, then it should not get copper deficient when fed a high-zinc diet. We
fed some of these mice and some control mice (ones that can make MT) diets that
contained normal amounts of zinc and some that contained much more zinc. The
results showed that the mouse without MT got copper deficient when fed the same
high-zinc diet as the mouse that had MT. This study strongly suggests that the
old theory is not true and that stimulation of MT is not necessary for high-zinc
to bring about a copper deficiency. We suggest instead that the high zinc is
inhibiting a copper transport protein in the intestinal membrane, and copper
cannot be absorbed—Reeves PG, Copper Metabolism in Metallothionein-null Mice
Fed a High-zinc Diet. J Nutr Biochem 9:598-601, 1998.
Blood and urine
analyses yielded evidence of a metallothionein dysfunction in 499 of 503
patients (99%) diagnosed with autism spectrum disorders, according to Walsh,
suggesting that autism may be caused by either a genetic MT defect or a
biochemical abnormality, which disables MT protein. “An MT disorder may affect
the development of brain neurons and may cause impairments in the immune system
and gastrointestinal tract, along with hypersensitivity to toxic metals,” he
said. The excess copper in these kids is probably from two causes. Mercury
depresses zinc, and there is a high incidence of zinc malabsorption. To reduce
copper, you must use significant amounts of vitamin C and zinc.
Treatment for this
imbalance centers on stimulation of MT protein with divalent metals (such as
zinc and manganese) that are in depletion, and by providing N-acetylcysteine,
serine, selenium, and other constitituents of MT. Of secondary benefit are
vitamins B6, A, C, D, E, glutathione, genistein and biochanin A (both
from soy), and glucocorticoids (anti-inflammatory drugs). This treatment should
be gradual during the first 4 weeks of treatment to avoid rapid release of
copper from tissues, which could cause a sudden worsening of symptoms.
Mercury adversely
affects detoxification systems such as metallothionein, cytochrome P-450 (Phase
I), and bile. Mercury ties up this material so it cannot bind and clear other
metals such as lead, cadmium, and aluminum. Mercury inhibits sulfur ligands in
MT and, in the case of intestinal cell membranes, inactivates MT that normally
binds cuprous ions, thus allowing buildup of copper to toxic levels and
malfunction of the zinc and copper containing Super Oxide Dismutase (SOD).
Mercury induced reactive oxygen species and lipid peroxidation (forming free
radicals) has been found to be a major factor in mercury’s neurotoxicity,
along with its leading to decreased levels of the vital enzymes glutathione
peroxidase and superoxide dismustase (SOD).
Metallothioneins across
species are rich in cysteine (~30%) and have higher affinities for mercury (Hg)
and cadmium (Cd) than for zinc. Therefore, as Hg and Cd bind to metallothionein,
and are restricted from entering the mitochondria, zinc is released. The free,
ionized zinc, which would be toxic if permitted to accumulate, binds to a metal
regulatory element on the promoter region of the metallothionein gene and
“turns on” the synthesis of metallothionein. Increases of as much as 3-times
are reported. Such induction of metallothionein provides increased binding
capacity for both toxic metals (protective) and zinc (functional). The
displacement of zinc in the presence of toxic metal burden may explain in part
why increased levels of zinc are so commonly seen in the scalp hair of patients
exhibiting significant levels of toxic metals Hg, Cd, Pb (Quig, unpublished
observations).
Furthermore, their
minerals and amino acids are deficient and/or imbalanced. Their production of
red and white blood cells is irregular. They have a dysfunctional immune system
(often attacking “self”). Eighty percent suffer mitochondrial disorders
(lack of energy production) according to Dr. Colemen, George Washington
University Hospital. Ninety percent suffer some degree of hypothyroidism despite
“normal” TSH readings (Raphael Kellman, MD). Eighty-three percent suffer
dysfunctional Phase I and II, liver-enzyme activity (causing a build up of
toxins and heavy metals), and 85% of autistic meet criteria for malabsorption
leading to a multitude of nutrient deficiencies (Wm. Walsh). Both the autistic
and the ADHD children often suffer lymphoid modular hyperplasia (measles
infection in the gut—Wakefield). Thus, children with autism do not absorb food
properly, leading to nutrient deficiencies. The most common deficiencies of poor
diet and malabsorption are fatty acids, the minerals zinc, selenium, magnesium,
and calcium, and the vitamins A, B6, C, and D, and E. This
compromises immune function, and provides inadequate antioxidant protection to
offset the high oxidative stress these children suffer, thus causing significant
damage to cells throughout the body and brain. It is interesting to note that
uric acid plays a key antioxidant role in the plasma, and many of these children
have low urea/uric acid, possibly reflecting high oxidative stress. The nutrient
deficiencies can occasionally cause extreme behaviors; some children with autism
have been reported to have actually gouged out their eyes due to a calcium
deficit. If your child is pushing at his eyes, supplement calcium and vitamin D,
and get him in the sun.
Children with autism
have a lot of metabolic abnormalities as indicated, but that is a result of the
problems with their immune system. Heavy metals such as mercury induce a
dramatic activation of the immune system and autoantibody production in the
genetically susceptible. This autoimmune syndrome is dependent on T-Cells, which
are important for B-Cell activation and cytokine secretion. Studies have found
mercury impairs the body’s ability to kill Candida
albicans by impairment of the lytic activity of neutrophils. A population of
plant workers with average mercury excretion of 20 ug/g creatinine was found to
have long-lasting impairment of neutrophil function.
Another study found
such impairment of neutrophils decreases the body’s ability to combat viruses
such as those that cause heart damage, resulting in more inflammatory damage.
Samplings of immune data reveal that most of these autism-spectrum disorder (ASD)
children have atypical elevations of antibodies against otherwise common
pathogens such as Epstein-Barr virus, Cytomegalovirus, and/or Human Herpes Virus
6 (EBV, CMV, HHV-6), and in some 30%, elevated anti-measles antibodies
indicative of chronic infection from measles vaccine—Kawashima H, Mori T,
Kashiwagi Y, Takekuma K, Hoshika A, Wakefield A; Department of Paediatrics,
Tokyo Medical University, Japan. “Of the 160 autistic children we looked at,
only five did not have bowel disease”—Wakefield. (Attenuated vaccines
contain live viruses that don’t usually cause overt disease.) HHV-6 induces
synthesis of a broad range of host cell proteins, including interferon alpha,
CD4, interleukin-1 beta, and tumor necrosis factor alpha. Additionally,
HHV-6 kills Natural Killer Cells.
Human herpesvirus-6,
the etiologic (causative) agent of roseola, is ubiquitous, establishes latency
in the host, and can infect a variety of immunocompetent cells, with CD4+ T
lymphocytes being the targets in which it replicates most efficiently, and HHV-6
has an “Immunosuppressive effect... on T-cell functions” such as
“suppression of interleukin-2 synthesis and cell proliferation.”
HHV-6 is a commensal
inhabitant of brains. Various neurologic manifestations, including convulsions
and encephalitis, can occur during primary HHV-6 infection, or in
immunocompromised patients. HHV6 has been reported within oligodendrocytes and
microglia, and focal HHV6—encephalitis has been documented. It is considered
causative in CFS.
John O’Leary, Ph.D.,
a world-class researcher and molecular biologist from Ireland, using state of
the art sequencing technology, showed how he had found measles virus in the gut
of 96% of autistic children, compared to 6.6% of normal children. This virus did
not come from the natural disease; it came from the measles vaccine. In
addition, Dr. O’Leary found measles virus present in 75% of children with
Crohn’s Disease. Crohn’s has traditionally been an intestinal disease of
adults, following years of dietary abuse. Its appearance in children is a new
event, and Dr. O’Leary’s work points to measles virus from vaccines as the
likely cause. Additionally, Candida,
according to antibody studies done at the Atkins Center, is involved in more
than 80 percent of all cases of Crohn's and Colitis.
Their pathogenic
(disease producing) power is derived from the fact that they can set up
persistent infections within various lymph tissues (that of the gut, for
example, as shown by Wakefield) as well as within circulating cells of the
immune system. Wakefield found that controls had prevalence in the gut of HHV-6
DNA similar to that of those with ulcerative colitis—86%! Virus infected
monocytes (White Cells) travel freely throughout the body, and have been shown
to enter the brain, take up residence there, and secrete cytokines (chemical
messengers) toxic to brain tissue. They also serve as foci of infection. It is
not uncommon for infants to run fevers and show other signs of acute
inflammation after receiving multiple vaccinations. Interferon production is
stimulated by infection with a virus to protect the body from super infection by
some other microorganism. In this study, vaccination of one-year-old infants
with measles vaccine caused a precipitous drop in the level of alpha-interferon
produced by lymphocytes. This decline persisted for one year following
vaccination, at which time the experiment was terminated—Journal of Infectious
Diseases. Thus, this study showed that measles vaccine produced a significant
long-term immune suppression. Similarly, the report in the British medical
journal Lancet confirmed that a significantly higher percentage of these
children had received a DTP shot within 30 days of the onset of polio compared
to a control group of children without polio, 43 percent of polio victims
compared to 28 percent of controls. The DTP vaccine suppresses the body’s
ability to fight off the polio virus. Thus, we have evidence of long-term damage
to the immune system from vaccines. Starting at about 4 months, this leads to
the infections, antibiotics, more infections, and more vaccines that often
precede autism.
“Complete
Immunoglobulin E (IgE) deficiency was seen in 10% of the patients. Almost 20% of
the patients had low IgA, and 8% of them had a complete lack of it, which is
quite high compared to the general population (1 in 700-1,000). About 25% of the
subjects had IgG subclass deficiency. About 25% of the patients had a deficiency
of various subsets of lymphocytes (e.g., CD3, CD4, and CD8 Killer T-Cells). In
fact, almost 35% of these autistic children had a deficiency in Natural Killer
Cells. In general, the cytokines IL-2 and alpha-interferon are increased, while
IL-1 is normal”—Dr. Sudhir Gupta. IgG anti-brain autoantibodies were present
in 27% with ASD, and with 2% from healthy children. IgM autoantibodies were
present in 36% with ASD compared with 0% of controls. The presence of these
antibodies raises the possibility that autoimmunity plays a role in the
pathogenesis of language and social developmental abnormalities in a subset of
children with these disorders—Serum autoantibodies to brain in Landau-Kleffner
variant, autism, and other neurologic disorders. J Pediatr 1999
May;134(5):607-13.
“I firmly believe
that up to eighty percent (and possibly all) cases of autism are caused by an
abnormal immune reaction, commonly known as autoimmunity. The autoimmune process
in autism results from a complex interaction between the immune system and the
nervous system.
“Antibodies to
measles (rubeola) virus (MV) and human herpes virus-6 (HHV-6) are elevated,
which is a sign of a present infection, past infection, or a reaction to the
measles-mumps-rubella (MMR) vaccine. The HHV-6 and measles viruses are
etiologically linked to autism because they are related to brain autoantibodies
and demyelinating diseases.
“Recently, I
conducted a study of measles virus (MV) and HHV-6 in autism....This study showed
two things in particular: first, that the virus antibody levels in the blood of
autistic children were much higher when compared to normal children; and
secondly, the elevated virus antibody levels were associated with the brain
autoantibody titer. Interestingly, the viral antibody and brain autoantibody
association was particularly true of MV antibody and Myelin-Basic Protein (MBP)
autoantibody (i.e., 90 percent of autistic children showed this association).
This observation led me to hypothesize that a measles virus-induced autoimmune
response is a causal factor in autism, whereas HHV-6, via co-infection, may
contribute to the pathophysiology of the disorder. Although as yet unproven, I
think it is an excellent working hypothesis to explain autism, and it may also
help us understand why some children show autistic regression after the
measles-mumps-rubella (MMR) immunization.
“There is enormous
potential for restoring brain function in autistic children and adults through
immunology....The goal of therapy should be to normalize or reconstitute the
immune response instead of inducing immune suppression or stimulation. This will
maintain a balance within the normal immune response, avoiding major
fluctuations of overt immune activity which could be detrimental to the
patient”—Excerpts from Autism, Autoimmunity, and Immunotherapy: a Commentary
by Vijendra K. Singh, Ph.D. Department of Biology & Biotechnology Center,
Utah State University, Logan Scientific Board Member, Autism Autoimmunity
Project.
Reed Warren, et al,
mention how the IgA findings relate to infections and report a fascinating
double susceptibility in that 6 of 8 autistic kids with low IgA levels also had
null alleles of the complement C4b: “...IgA is also important in protection
against pathogenic infections and participates in the clearance of pathogens via
the alternative complement pathway. C4 proteins [e.g., from the C4a and C4b
genes] are involved in the other complement pathway, the classical complement
pathway. Therefore, it is interesting that of the eight autistic subjects with
decreased IgA levels, all but two also had a C4b null allele suggesting that, in
these patients, both pathways of complement activation [and response to
infections] are probably operating at less than optimal level.”
A test of thirty-six
children revealed grade I or II reflux esophagitis in 25 (69.4%), chronic
gastritis in 15 (42%), and chronic duodenitis in 24 (67%). Low intestinal
carbohydrate digestive enzyme activity was reported in 21 children (58.3%),
although there was no abnormality found in pancreatic function. Seventy-five
percent of the autistic children had an increased pancreatico-biliary fluid
output after intravenous secretin administration (indicating hypersensitivity of
the pancreas) —Gastrointestinal abnormalities in children with autistic
disorder. J Pediatr 1999 Nov;135(5):559-63.
Children with autism
produce higher levels of pro-inflammatory cytokines than children without
autism. Autistic children have been shown to exhibit many anomalies in
cell-mediated immunity, including abnormal T-cell activation (Warren et al,
1995), decreased relative numbers of helper-inducer lymphocytes, and a lower
helper-suppressor ratio. (Denney et al, 1996) These last 2 measures were
inversely correlated with severity of autistic symptoms. In children with
these abnormal antibody patterns, selenium supplementation at a dose of 10
mcg/kg body weight for six months significantly increased IgG-2 and IgG-4 levels
and reduced the number of infections. Low blood values of these two antibodies
are associated with intractable seizures. Selenium and vitamin E supplementation
has overcome intractable seizures that were resistant to drugs.
In workers exposed to
fluorine, those with subclinical hypothyrosis [reduced tri-iodothyronine (T3) in
51%] had immune alterations that were more evident. T-lymphocytes count rose,
but their functional activity declined, indicating impaired cooperation of
immunocytes as a result of imperfect control under low concentrations of T3 (Balabolkin,
1995). Their immune system is driving with no brakes!
Elevated serotonin
levels have been consistently found in 30% -50% of autistic patients, and may
represent a marker for familial autism. Hyperserotonemia in autism appears to be
due to enhanced 5-HT uptake, as free 5-HT levels are normal and the current
report of an excess of the long/long 5-HTTLPR genotype in autism could provide a
partial molecular explanation for high platelet serotonin content in autism—PMID:
11378854. Serotonin synthesis is decreased in the brains of autistic children
and increased in autistic adults, relative to age-matched controls (Chugani et
al, 1999), while whole blood serotonin in platelets is elevated regardless of
age (Leboyer; Cook, 1990).
Finally, these kids are
hypersensitive to everything: sound, light, touch, and colors. Typically, bright
yellow will drive them up the wall leading to all sorts of aberrant behavior.
This sensitivity is usually related to a deficiency of vitamin B6,
zinc, and magnesium.
These medical facts
show that every symptom of these dear children is treatable! These kids are
sick. They are not usually brain damaged. What seems to be occurring is an
immune mediated, abnormal “shut down” of blood flow in the temporal lobe
area of the brain, and therefore an interference with central nervous system
function.
This paper is not
meant as a medical prescription, nor do all the conditions and suggested
interventions apply to every child. You must study this paper until you see your
child’s face in it, and then use the parts that are applicable to him. In all
instances, it is good to consult with your medical professional when making any
major nutritional changes.
Immune 101
There are three major
classes of Immune Cell types: granulocytes, monocytes, and lymphocytes.
Lymphocytes are divided into three subgroups: B-Cells, T-cells, and Natural
Killer Cells. T-cells are divided into CD4, helper cells, CD8, suppressor cells,
and cytotoxic, CD8, Killer T-cells. That is, they show the Cluster Determinant
(CD) glycoproteins on their surface. During the first two years of life a
delicate one-to-one ratio between CD4 (helper) and CD8 (suppressor) cells forms.
CD4/CD8 ratios that do not equal 1:1 are indicative of abnormal immune systems.
All these produce cytokines, chemical messengers that tell the other cells what
to do. Cytokines, also called growth factors, are the common language of the
immune, hormonal, and nervous systems regulating the growth and development of
cells and tissues. Scientists state that: “Stimulation of the developing
immune system (by early childhood diseases—WSL) can prevent auto-immunity”
with clinical evidence proving that immune stimulation prevents auto-immune
disease by up-regulating growth factors that bring the body back into balance
with normal cell-to-cell communication.
Growth factors are
biologically active, biochemically well-characterized, small proteins
(cytokines) that regulate cell growth, repair, renewal, and cell death
throughout the body, including the developing nervous and immune systems. Growth
factors need not enter cells to exert their effects upon DNA and cellular
activities because they use specific cell receptors that carry their signals
into the genes. Specific growth factors, such as platelet-derived growth factor
(PDGF), insulin-like growth factor-1 (IGF-1) and transforming growth factor-beta
(TGFB) play critical roles early in the four-stage, cell
cycle, during what is called G1 phase. These growth factors determine the
cell’s fate by regulating what genes are turned on or off. If a gene is
“turned on”, it will be read and its message translated into protein. If a
gene is “turned off”, its message will remain dormant. Many viruses compete
for the same DNA gene regulatory (transcription) sites as growth factors do
since viruses need to overcome the growth factor’s control of the cell’s
fate so that the virus can multiply and infect more cells. Growth factors
contribute to healthy communication between the protective systems in the body,
such as the nervous, immune, and hormonal systems. If growth factors do not work
appropriately, there is aberrant cell-to-cell communication throughout the body,
and a type of chaos ensues—Dr. Barbara Brewitt, Chief Science Officer, Biomed
Comm, Inc.
The CD4+, lymphocyte
helper-cell activities are divided into Th1 (Cell-mediated immunity), and Th2 (humoral
immunity). Th1 is the first-line of defense primarily against viral, fungi, and
protozoa, while Th2 helps the B-cells to produce antibodies. The T-cells are
separated into these two classes depending upon the specific cytokines the cells
secrete in response to antigenic stimulation. Th1 cells primarily produce
interferon (IFN) and interleukin-2 (IL-2), whereas Th2 cells produce IL-4, IL-5,
IL-6, IL-10, and IL-13. The two helper T-cell classes also differ by the type of
immune response they produce. While Th1 cells tend to generate responses against
intracellular parasites such as bacteria and viruses, Th2 cells produce immune
responses against helminths and other extracellular parasites. Interestingly,
the cytokines produced by each Th subset tends to both stimulate production of
that subset, and inhibit development of the other subset. Th1 and Th2 represent
two, separate, counterbalancing functions of the immune system, and problems
occur when they are out of balance.
After a strong Th1
response to infection gets on top of the search-out-and-kill activity,
Interleukin 4 and 10 promotes a change of a class of antibody (IgG1) produced by
memory cells, and suppresses the activity of the killer cells and starts to shut
down the Th1 immune response. The production of memory cells is dependent on
this strong Th1 immune response. For example: the immunological action taken
against a primary attack of measles is primarily Th1, with a later back-up by a
Th2 antibody that is dependent on the initial Th1 response, and then a dampening
down of the Th1 system by the Th2 antibody. However, “These alterations
support the hypothesis that the immunologic alterations induced by immunization
do activate type-2 cell responses leading to improved antibody production, while
suppressing type-1, T-cell responses leading to reduced lymphoproliferation.”
(JID 1996, Vol 173, pg 1324-1325) Do you understand the implications of this?
There are plenty of antibodies at the expense of the ability to
“search-and-destroy”—to fight other infections. This is the key—the
difference between natural Th1, and vaccine induced Th2 immunity—and yet, some
fail to show antibodies even when vaccinated and boosted and revaccinated! Could
that be because they had no sufficient Th1 response? Possibly, but
magnesium deficiency has been shown to decrease antibody production, and
lymphocytes, the body’s defense against invaders, are inhibited by magnesium
deficiency, and most of these children are deficient in magnesium.
To avoid rejection of
the fetus, a Mother’s immune system shifts quickly to Th2, and the baby is
born with this skew to Th2. After the baby is born, the healthy mother’s
immune system changes back to normal Th1 dominance very quickly, and breast milk
quickly starts the process of changing the baby’s balance towards Th1
dominance. The vaccinated Mother’s immune function is likely to stay Th2
predominant, robbing her of her natural immunity to infections and allergies,
and she passes this skewed system to her baby! The poor, bottle-fed child gets
no help at all to restore Th1.
It’s most revealing
to learn that the same insult given to those of different genetic makeup will
cause some to have a Th1 response, whereas others will have a Th2 response! The
ratio of these two is determined by the balance of adrenal steroids, notably
cortisol and DHEA. Since cortisol is an antagonist of DHEA, stress-induced
cortisol production shifts the number of CD4+ lymphocytes to predominantly Th2
expression. Cortisol also impairs liver detoxification, allowing buildup of
environmental and physiological toxins. "Thus, even a potentially
Th1-inducing virus may fail to induce Th1 during a time of stress"-Lancet,
1997, Volume 349, pg 1832.
When Th1 is diminished,
Th2 predominates leading to a host of chronic diseases. Conditions are pro
viral, pro Candida. The
chronic viral infection, whether measles or other, cannot be cleared as long as
this bias exists. Furthermore, Candida
can enhance Th2. This increases IgE, causing Candida
to really flourish. One of the things that’s primarily responsible for
maintaining the balance is healthy, gut microflora. When microflora are depleted
or destroyed you're going to become more Th2 dominant, and have more tendencies
towards allergies, and asthma. A strong presence of IgE in the blood is evidence
of prominent Th2 activity, and a deficiency of vitamin B6. Elevated
IgE is associated with a history of numerous allergies. Allergies are indicative
of an overactive (reactive) immune system. So, if you have high IgE, suspect
that Candida and stress are
at work, and supplement the vitamin B-complex. IgE mediated allergies have
disappeared with removal of mercury.
Stress is a major
factor in the Th2 skew, and is considered a major cause of depression. Any type
of stress raises a hormone called cortisol and a secondary hormone called
epinephrine, your stress hormone, and this will make you more Th2 dominant, and
more prone to allergic type situations. It will put a “tire” of fat on the
belly and hips, and it can damage and kill neurons. It also decreases levels of
growth factors that enable brain cells to thrive, and it reduces levels of
serotonin needed to promote neurogenesis (growth of new neurons). A diet high in
refined carbohydrates is going to alter the slow hormonal collective which
includes cortisol, epinephrine, and insulin and create a Th2 dominance. Adrenal
exhaustion will promote a cytokine shift from Th1 to Th2. Additionally, there
are chemicals and heavy metals, such as mercury, that will make you more Th2
dominant. To reduce stress-produced cortisol by 47%, give the child 100 mcg
of chromium each day (200 mcg for adults). Magnesium, vitamin C, and
pantothenic acid also reduce cortisol and should be supplemented. A 45-minute
massage (back rub?) will give a like reduction.
One study shows that
glutathione levels in antigen-presenting cells determine whether Th1 or Th2
response patterns predominate. “Raising glutathione levels has been shown to
alter the cytokine balance in favor of a Th1 immune response”—“The immune
system”, Peterson, JD, et al., 1998. The best way to increase glutathione
quickly is with a transdermal lotion from Kirkman. Another interesting way has
been developed to aid those with respiratory problems. Doctors at the Tahoma
Clinic have observed remarkable improvements in many with chronic bronchitis or
with emphysema who used 60 mg of nebulized, inhaled glutathione two times daily.
If you have a problem metabolizing sulfur this may cause yur body to accumulate
too much sulfite, creating a wheezing symptom, among others. For an appointment
with a physician at Tahoma Clinic, call (253) 854-4900. For a doctor in your
area inquire at (800) 532-3688.
Additionally, when
patulin, a sulfhydryl-binding chemical that conjugates glutathione rendering it
unavailable for mBCl interaction, was applied to cells that were treated with
the glyconutrient Ambrotose™
by Mannatech™,
the glyconutrients protected the cells from glutathione depletion. This shows
the potential of glyconutrients to not only increase glutathione production as
reported elsewhere, but to protect it from loss leaving twice as much
glutathione available —Proceedings of the Fisher Institute for Medical
Research, November 1997, Page 14. Acemannan® (Manapol®), and reishi mushrooms
among others, have been shown to increase the enzyme glutathione synthetase,
which in turn produces glutathione (providing the substrates glycine, glutamine,
and cysteine are available, WSL). Additionally, in a series of human trials,
Acemannan® (from aloe) improved food digestion and absorption and enhanced
“good” bacterial flora in the digestive tract by reducing yeast and pH
levels—Sugars That Heal, Dr. Emil I. Mondoa, MD. The aloe extract found
in Ambrotose® by Mannatech™,
also significantly inhibited superoxide anion formation. This is one type of
free radical that can have dangerous effects on the fragile DNA in our cells—Kim,
HS et al. In Vitro Chemo-protective Effects of Plant Polysaccharides,
Carcinogenesis, Aug 1999, 20:8, 1637-40.
In addition to
stress-induced, immune suppression, the body’s natural defense system is also
susceptible to stress-induced malnutrition. When the body begins to suffer from
stress-induced malnutrition, the cells of the immune system are deprived of
critical nutrients necessary for their function. In addition to the
macronutrients, myriad micronutrients that include zinc, selenium, vitamins A,
C, E, and B6, the amino acids glutamine, cysteine, and arginine, and
proper ratios of Omega-3 and Omega-6 fatty acids are known to be necessary for a
functional immune system. Observations indicate that Fatty Acids (FA) can
modulate immune responses by acting directly on T-cells, and suggest that
alteration of cellular FA toward Omega-3 may be a worthwhile approach to control
of inflammation that often tends to cancer. It is vital to note that MMR
vaccine, and the chronic measles infection so often following, depletes the body
of vitamin A. A deficiency of vitamin A and zinc, in particular, hinders
cell-mediated immunity (Th1), and “our” kids are universally lacking in
these vital nutrients. Scrimshaw, et al. (1968) reviewed over 50 studies of
infection and nutrition and wrote, “no nutritional deficiency in the animal
kingdom is more consistently synergistic with infection than that of Vitamin
A”. In Southern Africa, it was found that injection of 250,000 units of
vitamin A reduced measles vaccine deaths to virtually zero. Children with
vitamin A deficiency are more susceptible to the effects of DDT, hydrocarbon
carcinogens, and PCBs.
Additionally, the
Australian, Archivide Kalokerinos, M.B., B.S., Ph.D., noted for his work among
the Australian aborigines in which he reduced an infant morality rate
approaching 50% to virtually zero. Noting features of scurvy among some of the
infants and children, and observing that many deaths followed vaccinations, he
hypothesized that the vaccinations provoked death by throwing the infants into
fulminating scurvy. Based on these observations, he improved the nutrition of
the children, provided generous amounts of vitamin C, and avoided vaccines when
children were ill with colds or other minor infections. As a result of this work
he was awarded the Australian Medal of Merit in l978.
Cell-mediated immunity
(CMI) in many infants is probably low, and the vaccines lower CMI further. One
vaccine decreases CMI by 50%, two together by 70%. Three? Yet, repeated
immunizations with three vaccines simultaneously from four weeks to 12 or 18
months are given. All these triple vaccines markedly impair CMI, yet some
uninformed doctors, solely for convenience and profit give 10 viruses into these
struggling immune systems in one sitting! Don't let this happen to your child!
The longest safety trial of the triple vaccine MMR (all live attenuated viruses)
was three weeks!
Repeat DPT is given at
12 months. In mice, spectrally assayed cytochrome p450 was decreased by 50% for
7 days following DTP vaccination. Phospho-sulfotransferase, a Phase II detox
enzyme was also decreased as was the RNA necessary to their production. Children
receiving DPT show three times as many seizures as is the norm for children. A
similar increase 3.3 times the norm occurred within four to seven days following
MMR. This decrease of p450 enzymes tends to harbor toxins within the system,
leading to toxicity through a build up of heavy metals and other poisons,
including the thimerosal (mercury), aluminum, formaldehyde and other poisons in
the vaccine. Mercury has also been found to play a part in neuronal problems
through blockage of the p450 liver enzymatic process. Mercury has been shown to
diminish and block sulfur oxidation thus reducing glutathione levels which is
the part of this process involved in detoxifying and excretion of toxics like
mercury. Glutathione is produced through the sulfur oxidation side of this
process. Low levels of available glutathione have been shown to increase mercury
retention and increase toxic effects. The cytochrome p450 (Phase I) enzyme
pathway is the only way a baby has to deal with endotoxins from the gut. The
Phase I system is one of several shut down temporarily by the DPT and other
vaccines. Toxins from E. Coli (and those of Candida),
being given off when the liver is impaired by DTP, can have severe consequences,
having been associated with Sudden Infant Death Syndrome! This is all the more
likely when there is a chronic deficiency of vitamins A and C as might be
induced by a poor diet or by a chronic measles infection of the gut. No effort
should be made to eradicate bacteria and fungi, releasing as it does large
amounts of endotoxins, without ensuring the child is adequately supplied with
nutrients, particularly vitamins A and C. Use of AlkaSeltzer Gold™
is said to reduce the impact of this die off.
“The repeated use of
vaccinations would tend to shift the functional balance of the immune system
toward the antibody-producing side (Th2), and away from the acute inflammatory
discharging side (the cell-mediated side or Th1). This has been confirmed by
observation especially in the case of Gulf War Illness: most vaccinations caused
a shift in immune function from the Th1 side (acute inflammatory discharging
response) to the Th2 side (chronic auto-immune or allergic response).
“The wise use of
vaccinations would be to use them selectively, and not on a mass scale. In order
for vaccinations to be helpful and not harmful, we must know beforehand in each
individual to be vaccinated whether the Th1 function or the Th2 function of the
immune system predominates. In individuals in whom Th1 predominates, the
cellular immune system is overreactive causing many acute inflammations, thus a
vaccination could have a balancing effect on the immune system and be helpful
for that individual. In individuals in whom Th2 predominates, causing few acute
inflammations, but rather the tendency to chronic allergic or autoimmune
inflammations, a vaccination would cause Th2 to predominate even more,
aggravating the imbalance of the immune system and harming the health of that
individual”—Philip F. Incao, MD.
Multiple vaccinations,
in shifting this delicate balance to a predominant Th2 response, favor the
development of atopy (asthma, eczema, hay fever, and food intolerances) and,
perhaps, autoimmunity through vaccine-induced, polyclonal activation leading to
autoantibody production. An increase in the incidence of childhood atopic
diseases may be expected as a result of concurrent vaccination strategies that
induce a Th2-biased immune response.
The literature shows an
association between antiviral vaccination and onset of childhood asthma. We have
noted that attenuation of viral target by conventional vaccine preparation does
not completely remove or degrade viral nucleic acids such as double-stranded RNA
(dsRNA). It is known that viral dsRNA can induce activation of a host’s
antiviral protein kinase (PKR). We have shown that activation of PKR by dsRNA
leads to expression of Th2-type immune responses, e.g., allergy and asthma—Farhad
Imani, M.D., David Proud, M.D. Recent discovery shows the gamma-delta group of
T-cells are responsible for allergic responses through their production of
interleukin-4 (IL-4).
The odds of having a
history of asthma were twice as great among (DTP) vaccinated subjects than among
unvaccinated subjects (adjusted odds ratio, 2.00; 95% confidence interval, 0.59
to 6.74). The odds of having had any allergy-related respiratory symptom in the
past 12 months was 63% greater among vaccinated subjects than unvaccinated
subjects (adjusted odds ratio, 1.63; 95% confidence interval, 1.05 to 2.54). The
associations between vaccination and subsequent allergies and symptoms were
greatest among children aged 5 through 10 years—Hurwitz, E.L., Morgenstern, H;
UCLA School of Public Health, Department of Epidemiology, Los Angeles,
California.
One study published in
the “Journal of Infectious Diseases” documented a long-term depressive
effect on interferon production caused by the measles vaccine. Interferon is a
chemical produced by lymphocytes (a type of white blood cell) that renders the
host resistant to infection. Vaccination of one-year-old infants with measles
vaccine caused a precipitous drop in the level of alpha-interferon produced by
lymphocytes. This decline persisted for one year following vaccination, at which
time the experiment was terminated. Thus, this study showed that measles vaccine
produced a significant long-term immune suppression. This suppression lays the
child open to all sorts of infections.
For example: a study
published in the “American Journal of Public Health Investigators” on
children who contracted polio, a total of 1,300 cases in New York City and 2,137
cases in the remainder of New York State, discovered that children with polio
were twice as likely to have received a DTP vaccination in the two months
preceding the onset of polio than were the control children. More recently, in a
polio epidemic in Oman, DTP vaccination caused the onset of paralytic polio. The
report in the British medical journal “Lancet” confirmed that a
significantly higher percentage of these children with polio (43% compared to
28% of the controls) had received a DTP shot within 30 days of the onset of
polio. The DTP vaccine suppresses the body’s ability to fight off the polio
virus.
Usually then, the
autistic child needs to boost Th1 cells. This can be done with Omega-3 fatty
acids [EPA at 1000 to 1500 mg a day (two to three teaspoons of CLO), and DHA
between 1500 to 2500 mg a day (3 to 5 teaspoons of CLO or fish oil)]. The extra
Virgin Olive oil, that contains oleic acid: four tablespoons a day of fresh oil
that’s been refrigerated is very supportive of Th1, as is Vitamin A, 25,000 IU
(adults), with a lot of carotenoids, a lot of vegetables, carrots, and things
like that. In addition to that, L-glutamine, 10 to 20 grams (adult) a day, will
strengthen Th1. Use Lactobacillus, two or three different kinds, and Bifidus,
and magnesium, zinc, chromium, and silica.
Hepatic glutathione is
a key substrate for reducing toxic oxygen metabolites and oxidized xenobiotics
in the liver enabling their clearance from the body. Depletion of hepatic
glutathione is a common occurrence in mercury and cadmium toxicity and Leaky Gut
Syndromes contributing to liver dysfunction and liver necrosis. It has also been
demonstrated that Hg not only directly removes GSH from the cell, but also
inhibits the activities of two key enzymes involved in GSH metabolism, GSH
synthetase and GSH reductase. Hg also inhibits the activities of the free
radical quenching enzymes catalase, superoxide dismutase, and perhaps GSH
peroxidase. Inside the cell, Hg0 is oxidized by catalase to the highly reactive
Hg2+. Once assimilated in the cell, Hg2+ and MeHg+ form covalent bonds with
glutathione and cysteine residues of proteins. Many factors can affect liver
function and glutathione availability. For instance, a recent or chronic-active
infection can deplete glutathione as does a single dose of Tylenol™.
Studies have found that heavy metals, especially mercury and cadmium, deplete
glutathione and protein-bound sulfhydryl (SH) groups resulting in inhibiting SH-containing
enzymes and the production of reactive oxygen species such as superoxide ion,
hydrogen peroxide, and hydroxyl radicals. These reactive oxygen species result
in increased lipid peroxidation, enhanced excretion of urinary lipid
metabolites, modulation of intracellular oxidized states, DNA damage, membrane
damage, altered gene expression, and apoptosis. Increased fragility and
decreased sulfhydryl content in cell membranes follow closely, within 4-5 days,
a decrease in plasma zinc concentration. These latter signs are readily
reversible within 1-2 days by zinc supplementation. Additionally, one must
supplement antioxidants vitamins C and E, selenium, and glutathione, and attempt
to enhance the body’s production of glutathione.
The displacement of
zinc in the presence of toxic metal burden may explain in part why increased
levels of zinc are so commonly seen in the scalp hair of patients exhibiting
significant levels of toxic metals Hg, Cd, Pb (Quig, unpublished observations).
Such high zinc readings in hair tests would indicate an actual lack of systemic
zinc!
Platelets from zinc
deficient rats exhibit abnormal aggregation (failure to aggregate normally), a
defect that is associated with impaired calcium uptake. The evidence suggests
defective calcium channels in the plasma membrane of cells. Similar observations
have been made in brain synaptic membranes from zinc deficient guinea pigs. As
in the red cell, membranes from platelets have a lower than normal concentration
of sulfhydryls. Treatment of zinc deficient blood with glutathione increases the
aggregation response of platelets isolated from the blood of zinc deficient
rats, bringing it back to normal.
Chelation with DMSA
needs GSH or NAC to metabolize out as disulfide-bound DMSA-GSH or DMSA-NAC. If
replacement NAC/GSH is not supplied, DMSA and DMPS (3-4 times more so than DMSA)
consume available stores leaving a dangerous deficiency. In humans, oral
glutathione is readily absorbed by the gut mucosa, repleting its glutathione
supply; but all remaining GSH is then broken down by the mucosa preventing
systemic absorption. This may explain why oral glutathione has been of help to
autistic children even when there is apparently no systemic absorption. This
being true, one must support the body in its manufacture of GSH to avoid a
dangerous lack due to chelation. Nevertheless, given the gut dysfunction found
in many autistic children, oral glutathione at 250 - 500 mg/day may be of
significant help. Additionally, a glutathione cream has become available. I
think this means of replenishment of cellular glutathione is highly desirable.
Further, it seems both forms should be used.
An important point
should be emphasized, however, regarding the potential for DMSA to contribute
further to cysteine depletion. Ninety percent of the DMSA absorbed is excreted
in the urine as a cysteine-DMSA-cysteine disulfide complex.42
Therefore, between days of oral administration of DMSA it is important to
replace cysteine, except in those instances where the child is cysteine toxic.
The important point here is that pharmacological doses of cysteine/NAC, in the
range of 1500 mg daily, have the potential to exacerbate the adverse
neurological effects of toxic metals since it moves mercury into the brain in
rats. It is of interest to note that intravenous glutathione removes mercury
from the brain.
Methionine, betaine,
and choline enhance liver function and increase the levels of SAMe and
glutathione. In addition to the above supplements, use these that build
glutathione: garlic, dandelion, shark liver oil, rice bran extract, lysine, and
SAMe. All are totally nontoxic. Carotenes enhance immune response and
“spare” the glutathione, a Phase II detoxification enzyme in the liver that
we rely on to safely eliminate pollutants and toxins from the body. You might
even want to add, after careful testing, Pregnenolone or DHEA, (both suppress
cortisol), because the higher the levels of DHEA, within normal, the better Th1
performs. Thyroid, along with the retinol form of vitamin A, is needed to create
progesterone and pregnenolone, so it may be better to support the thyroid and
use cod-liver oil as suggested herein. Chromium reduces cortisol by 47%. Vitamin
E, vitamin B-complex, panax ginseng, digestive enzymes, Transfer Factor™,
even some things called arabinogalactans and glyconutrients (AmbroStart™
by Mannatech™),
all build Th1 (enhance macrophage action and Natural Killer Cell function). Aloe
(Manapol™—a
stabilized, standardized Aloe contained in Ambrotose®), Ambrotose®, AmbroStart™,
Phyt•Aloe®, PLUS, and ImmunoStart™
(all from Mannatech, Inc.) are without peers in producing glutathione, and in
modulating this function of the immune system. A good back rub will make it all
come together.
Additionally, it is
known that Vitamin C seems to suppress the Th2 system and promote the Th1
system, which is why asthmatics on Vitamin C have fewer and less severe attacks
than those who don’t take Vitamin C (Trop Geogr Med 1980;32:132-7). It has
also been shown that the mean vitamin C level in patients with asthma is
significantly lower than in healthy control subjects (Afr J Med Sci.
1985;14:115-120), and that Vitamin C can have a protective effect and block
Exercise-Induced Asthma (Arch Pediatr Adolesc Med Vol 151, April 1997, pg 367).
Other than vaccines, candida,
and stress, what causes Th2 to be elevated? Faulty digestion, a leaky gut, over
consumption of glucose (sugar) and processed foods (that weakens systemic
resistance to infection), transfatty acids, a diet high in the Omega-6 fatty
acids like linoleic acid (cut canola, use olive). All of these promote
over-functioning of Th2. This makes the cell membranes porous, and very
vulnerable to infection. Adrenal exhaustion or a lack of glutathione may promote
a cytokine shift from Th1 to Th2.
Adrenal dysfunction can lead to hypoglycemia, increased allergy symptoms, weight
gain, increased menopausal symptoms, mood swings, and mental confusion.
Any suffering allergies, including asthma, undoubtedly have two conditions
undiagnosed: hypoglycemia and hypoadrenocorticism. These must be corrected by
temporary elimination of allergens, a low carbohydrate, high protein intake, and
a supplement of nutrients chosen to support the adrenals and pancreas, including
desiccated, whole-adrenal glandular. If not needed, the adrenal tablets may make
you feel weak. The doctor may wish to offer whole, adrenal-cortex extract
injections for faster results. Do not accept cortisone or prednisone! Do not
fail to heed what you have just read!
Additionally, vitamins
B6, B12, A, C, E, para-aminobenzoic acid, pantothenic
acid, and the minerals zinc, magnesium, and calcium aid the adrenals in
conditions of hypoadrenocorticism (adrenal cortex deficiency). Pantothenic acid
(300 mg), vitamin C (2000 mg), for adults, will support the pancreas. The
bioflavonoids will reduce allergic reactions to foods and other substances.
To determine if you
have adrenal exhaustion, have your blood pressure checked after lying quietly
for 5 minutes, then stand up and immediately recheck the pressure. If the blood
pressure reading is lower when you are standing, suspect reduced adrenal
function. The degree to which the blood pressure drops upon standing is often
proportionate to the degree of hypoadrenalism. (low adrenal function).
A “Journal of Allergy
and Clinical Immunology” at McGill University and the Institute Pasteur in
France article says, “A new study has found additional evidence that a
chemical involved in inflammation may play a role in asthma. The study found
more of the chemical known as Interleukin 9 (IL-9).” IL-9 is one of those Th2
substances that gets overactive, suppresses Th1, and you wind up with asthma.
They believe that if you can lower IL-9 this is going to help treat, and even
prevent, asthma. It says, “Interleukins have been known to play a role in
regulating the immune system, and in particular, to be responsible for causing
the early stages of inflammation.” They found that if you can lower the Th2,
especially these Interleukins, and boost Th1 with all the nutrients we’ve been
speaking about, they’re going to help dramatically in the management of a wide
range of illnesses, including multiple sclerosis, psoriasis, rheumatoid
arthritis, inflammatory bowel disease, AIDS, Chronic Fatigue, candida,
multiple allergies, multiple chemical sensitivities, hepatitis, Gulf War
Syndrome, cancer, and other autoimmune diseases, like autism. Just the
elimination of candida has
been found to cure a third of all eczema, irritable bowel, some asthma, joint
pains, and virtually all psoriasis. Other symptoms of candida:
internal bloating of the lower abdomen that is aggravated by beer, bread, pasta,
sweets, or juices. Another good clue (90% probability) is when one reacts
adversely to taking vitamins orally. To this add a high sensitivity to yeast and
fungi or products containing them, like yeast, yeast breads, beer, mushrooms,
cheese, mustard, vinegar, and mold spores that will cause discomfort when in
bathrooms, basements, areas with wet leaves, summer beach houses, etc. Note:
Good Housekeeping and Heloise have determined that regular vinegar kills molds
at 90% and bacteria at 99.9% efficiency.
Cytokines (hormone
messengers secreted by immune cells), actively transported into the Central
Nervous System (CNS), play a key role in this immune activation. It was recently
observed that cytokines activate astrocytes and microglia cells (immune system
cells) that in turn produce cytokines by a feedback mechanism. Where T-cells are
over stimulated, they produce large numbers and amounts of cytokines that cause
inflammation in the body, muscular pains, headaches, and often weight loss, and
malnourishment. The free radical damage to “self” is great. Moreover,
cytokines strongly influence the dopaminergic (dopamine), noradrenergic (noradrenaline),
and serotonergic (serotonin) neurotransmission. There are indications that the
cascade of cytokines can be activated by neuronal processes. These findings
close a theoretical gap between stress and anxiety and their influence on
immunity (they greatly lower the natural-killer-cell function). “When we are
fit and healthy it means our bodies are working properly and keeping the germs
and bugs at bay. It is only because the immune system falls down that we get
ill,” said Michael Endecott, research director of the Institute for
Complementary Medicine in London.
Gluten (from grains)
and casein (from milk) have immune, as well as neurotransmitter, impacts.
Therefore, they have the ability to cause immune dysregulation and
neurotransmitter imbalance. Opioids decrease T-cell proliferation via the mu-receptors,
and this may cause a mild, immune suppression. Opioids can increase levels of
gamma interferon also. When an opioid molecule attaches to a receptor in which
it “fits”, adenylate cyclase is inactivated, leading to a decrease in
intracellular Cyclic AMP (cAMP). Cyclic AMP is an important messenger system in
the brain and body. When intracellular cAMP levels have been lowered because of
constant (inappropriate) stimulation of opioid receptors on the cell surface,
less tryptophan hydroxylase is phosphorylated, and therefore more of the enzyme
is inactive. When this happens, tryptophan is not converted into serotonin, but
is shunted down alternate pathways, eventually leading to urinary IAG (indolyl
acryloyl glycine) and 3-indoleacetate. It is reported this affects 93% of
autistic children. Urinary excretion of IAG in 15 normal subjects was
significantly increased in June-September against the November-April collection
in the same subjects. Elevated levels of IAG are also found in Hartnup's and SAD
(seasonal depression from darkness).
Organo-phosphate
pesticides cause paralysis by inhibiting certain enzyme systems. One of these
pesticides, Diazinon, has been shown to seriously interfere with the metabolism
of tryptophan in a way that might force tryptophan metabolism towards the IAG
route. Are these pesticides contributing to the increased IAG in the urine
samples from the majority of people with autism and related disorders? In
England, about 80% of those with autism or ADD/ADHD have high IAG levels.
Increased IAG could contribute to increased intestinal permeability (leaky gut),
and perhaps increased blood-brain barrier permeability. In animals, high opioid
levels cause indifference to mother and others in the family.
Immune B-cells can
secrete the antibodies, immunoglobulins IgD, IgM, IgG, IgA, and IgE, which bind
with the foreign antigen and produce red cell lysis, inactivate the virus, or
produce bacterial phagocytosis. Most autistic children have delayed allergic
reactions to some foods (show high IgG), and/or immediate, strong reactions to
foods, inhaled pollens or mold (high IgE). These allergic reactions disrupt
normal immune balance and alter interleukin-2 levels exacerbating their
symptoms. IgA is normally secreted into the digestive tract in response to
incoming food. IgA protects the mucosal surfaces of the mouth, nose, throat,
gastrointestinal tract, ears and the eyes. Recurrent infections are an
indication of deficient IgAs. Secretory IgA (sIgA) levels are elevated in the
presence of infection or overgrowth of unwelcome germs, and are depressed if the
infection or overgrowth is excessive. The incidence of selective IgA deficiency
is 10 times higher in those with celiac disease than in the general population.
IgA protects the mucus membranes of the body. Comprehensive stool analysis often
finds below normal levels of Secretory IgA’s in the gut. One of the first
things you want to do is to balance these Secretory IgA’s so as to protect the
first line of defense in the intestinal tract. Tribes that live mainly on animal
protein have the highest levels of IgA, and they almost never have infections
according to Wolfgang Lutz who wrote the book on the myth of carbohydrate. IgA
is found at very high levels in colostrum. The use of Bovine Colostrum should be
very productive in overcoming these chronic infections, and should be preferred
to repeated courses of antibiotics. When there is active infection, take a dose
of colostrum every four hours around the clock until symptoms are fully cleared.
It is interesting to
note that diseases that can be associated with celiac disease include lactose
intolerance, dermatitis herpetiformis, insulin dependent diabetes mellitus (IDDM),
systemic lupus erythematosus, thyroid disease, and autoimmune disorders. In
fact, if you have dermatitis herpetiformis (an itchy, blistery skin problem),
you have celiac disease.
One additional bit of
advice: Never, ever let a child be vaccinated if he has had a recent
infection/sickness, or is prone to repeat infections with the related antibiotic
courses. Early and high frequency rates of ear infection are associated with
greater severity of autism (J Autism and Dev Dis 17:585,1987). It is the
children who have had three or more antibiotic courses who have a 4-times higher
rate of adverse vaccine reaction. It is the ones vaccinated while suffering an
infection or after a recent infection that often regresses into autism. Be
warned. It all has to do with the immune function. Never accept a vaccine
containing Thimerosal™,
and never accept more than one shot per day. To pump ten viruses with the
related mercury and other toxins into a child at one sitting is asinine and
stupid, and should be criminal!
Yeast species like candida
are known to induce immune changes, and to produce neurotoxins, and most
autistic children have yeast problems. Yeast binds the B-vitamins, and in
absence of Bifidus flora, creates subclinical pellagra and beriberi. This lack
of B-vitamins, particularly vitamin B6 will interfere with the
production of serotonin, melatonin, and other important neurotransmitters that
controls behavior—so normal brain chemistry in the presence of yeast
overgrowth is unlikely. Clostridia, found in approximately 20% ASD patients, and
other harmful bacteria, also cause neurotoxic effects. These immunological
changes (altered interleukins, cytokines, histamine, neuro-hormones, and other
immune factors) affect brain chemistry, especially in the cerebellar and sensory
components of the brain, and most autistic children have altered sensory
perception. Reactions to clostridial toxins in mice suggest that it enhances
glutamate efflux, leading to seizure and hippocampal neuronal damage. Komulain
and Tuomisto, in 1981, found that methyl mercury, even in low concentrations,
inhibited the uptake in synaptic nerve endings in the brain of the
neurotransmitters dopamine, noradrenaline, and serotonin. This would be
excitotoxic and tend to deplete the available neurotransmitters. The possibility
of each of these imbalances should be examined, and, if present, corrected.
Since a major
consequence of this immune imbalance is allergy, it is good to note some
frequent manifestations. “Toddlers have excessive infections. They whine, they
pinch, they hit, they spit, they kick, and they bite in excess between two and
four years. They bite their siblings, their mother in particular, and sometimes
their father. They have excessive temper tantrums. They have a lot of intestinal
symptoms. They vomit clear mucous, and that means milk allergy. They dislike
being held. They say the same sentence over and over again. They’re
hyperactive, fatigued, and they have bowel problems. These are characteristic
symptoms that frequently are related to something they ate, touched, or smelled.
(You can often tame the Terrible Two’s with a zinc supplement—WSL.) Any food
can cause diarrhea, but the food that’s most apt to cause constipation in any
age group is milk and dairy products. Abdominal complaints such as swelling,
belching, bloating, rectal gas, that sort of thing, is the result.
"Bad breath is
almost always milk, wheat and eggs. Bedwetting, after age five, if it’s
related to a food, is due to milk or it’s due to a fruit juice. Soiled
underwear: when they leak, and they have a little bowel movement on their pants
all the time, it’s frequently due to grapes and raisins, but other foods can
also cause it (like undigested fats, shown by light-colored stool—WSL). Leg
aches, called growing pains—take the milk out of the diet for a week, then add
the milk back, and you’ll see that many leg aches are due to milk
sensitivities. Again, there are other causes for leg aches, but this is one of
the causes. Clucking throat sounds—that’s a milk allergy. The potbelly is
very characteristic of people who have food allergies. There are many other
causes; you may have parasites, enzymatic dysfunction, or a malfunction in your
gut, but one reason is allergies.
"Learning,
behavior problems, and depression: Young children four and five that want to
kill themselves. Again, ask what did they eat, touch, or smell? They have
headaches. They make strange noises. They bark like dogs. That sort of thing.
They have asthma, hay fever, and eczema. When a person eats a food that causes
eczema, which is an itchy rash in the creases of the arms and the legs, the area
will get red when you’re eating the food, and the next day, they have the
rash. So, there’s a delayed reaction, and that makes it difficult to put cause
and effect together. But, if you watch the skin while they’re eating, you’ll
be able to tell when it feels red and hot and that’s when they’ve eaten a
food to which they are sensitive.
"The adolescents
have intestinal problems. Depression and fatigue are much more common. They say
they have a ballooned, fuzzy head. They recognize that their head’s not
thinking, not feeling right. Their muscles and joints ache. They frequently have
an irregular heartbeat. Take your pulse. It should be nice and regular, if
it’s irregular; something’s wrong (it could be a lack of potassium or
magnesium—WSL). What did you eat, touch, or smell? Start to pay attention to
your body, especially to your pulse. It’s like a smoke alarm in a room. (Get
“The Pulse Test” by Dr. Arthur F. Coca, MD—WSL.)
“Irritability and
aggressiveness in adults are very common. I believe that much battering—wife
battering, husband battering, sibling battering, mother battering—I think a
lot of that is due to unrecognized sensitivities to foods and chemicals, and
things of that sort. Now, the adults tend to be too tired. The women, in
particular, cry easily, and are very depressed. Many times, they are moody and
easily upset.”—(edited) Dr. Doris Rapp, MD.
Aggression has also
been connected to both too much and too little magnesium. Usually it is too
little. Magnesium controls the breakdown and loss of serotonin in the synapse,
and it is the best calcium channel blocker.
Research shows that it
is the magnesium status that controls cell membrane potential and through this
means controls uptake and release of many hormones, nutrients, and
neurotransmitters. It is magnesium that controls the fate of potassium and
calcium in the cell. If it is insufficient, potassium and calcium will be lost
in the urine and calcium will enter the cell excessively causing spasms and
cramps, and it will be deposited in the soft tissues (kidneys, arteries, joints,
brain, etc.).
Magnesium protects the
cell from aluminum, mercury, lead, cadmium, beryllium, and nickel. Evidence is
mounting that low levels of magnesium contribute to the heavy metal deposition
in the brain that precedes Parkinson's, Multiple Sclerosis, and Alzheimer’s.
It is probable that low total body magnesium contributes to heavy metal toxicity
in children, and it is a participant in the etiology of learning disorders.
In addition to allergy
or opioid production, it has been found that milk and dairy can actually cause a
microscopic blood loss in the intestine by a “reactive” inflammation of the
bowel. This can lead to anemia. Curiously, a child that might go berserk on milk
may not have a reaction to “processed” cheese. When the protein structure is
changed, the food will not give as large an allergic reaction. “Unless a child
has eczema where yolk or egg is triggering off a skin reaction, for some reason
the immune pathway fired off by eggs doesn’t seem to play a role in what we
are talking about in the brain. I rarely have to worry about taking a child off
of eggs, even though you may have this ‘huge reaction’ on the food
screen”—Dr. Michael Goldberg.
There is evidence of
immune suppression on exposure to testing doses of phenols (see PST).
There may be a drop in T-suppressor cells or total T-cell numbers. An
overabundance of B-cells was interpreted as a reflection of toxic image to the
immune system. An increase in helper cells, antibody formation, and elevation of
some immunoglobulins was also noted. Other findings on phenolic exposure have
been depressed serotonin, elevated histamine, and prostaglandins, abnormal
complement and immune complex formation. It can contribute to the toxic overload
in PST, or it can precipitate an allergic reaction.
These alterations in
normal body chemistry are largely due to a damaged, chronically-irritated,
gastrointestinal tract largely caused by vaccinations, heavy metals,
particularly mercury, antibiotics, resulting candida
and bacterial overgrowth, and by chronic viral infections, and milk. While
it is important to remove the allergens and to deal with the yeast, the single
most effective, least expensive, way to treat the cause and not the secondary
symptoms is homeopathy. I know the principles of homeopathy offend reason and
the good American Way, “more is better”. With homeopathy, “less is
more”. There are forces we do not begin to comprehend working in this body,
and homeopathy is working with one. Find a skilled homeopath, and ask him to
clear the vaccine damage and resultant virus infections, and the heavy metals
poisoning. There seems to be two schools. Some will treat individual allergies.
If you treat the causes (vaccine damage to the immune system, and the metal
overload) and not the allergic symptoms, expensive tests and therapies for
allergies will be unnecessary. The method I recommend uses the actual vaccine to
clear vaccine damage and the toxins and metals that vaccine introduced into the
body. When this is done, the gut is usually healed, there will be few if any
allergies left, and candida
will likely no longer be a problem. You will be amazed at the simplicity and
relative, low cost, and immediate results, though there is some temporary
regression with each course. This will restore the immune function to balance,
and then other necessary, nutritional and behavioral interventions will be 10
times more effective. Until you have done this, other efforts will be very
expensive and not fully effective. To those who are ready, I will supply the
name of a homeopath using real vaccine remedies that are not usually offered by
other homeopaths.
Leaky Gut
In a test of 36
autistic children reported by Repligen Corporation, 75% had a greater than
normal pancreatic response to secretin infusion, especially among those with
diarrhea (whose stool improved in consistency for several weeks afterward).
These children are probably producing too little secretin, and thus receptor
sites have proliferated. Human secretin receptor is a G-protein-coupled receptor
that is functionally linked to the cAMP second messenger system by stimulation
of adenylate cyclase (Ng et al, 1999). When given secretin, there is
overactivity of the pancreas. I.V. Secretin causes a five-fold increase in the
output of IGF-1 in pancreatic fluid. They also documented a pattern of
intestinal inflammation (esophagitis, gastritis, and duodenitis that would
greatly hinder absorption of nutrients) in the majority. The most frequent
gastrointestinal complaints were chronic diarrhea, gaseousness, and abdominal
discomfort and distention. Histologic examination in these 36 children revealed
grade I or II reflux esophagitis in 25 (69.4%) with symptoms of wakefulness with
irritability or crying, pressing of the lower abdomen, and diarrhea. Chronic
gastritis was detected in 15, and chronic duodenitis in 24. Low intestinal
carbohydrate digestive enzyme (amylase) activity was reported in 21 children
(58.3%), although there was no abnormality found in pancreatic function.
Thirty-nine percent were deficient of the enzyme Lactase, and thus had digestive
problems with milk, with bloating, gaseousness, and a loose stool (these
symptoms can be alleviated with a digestive enzyme supplement containing
lactase). None showed signs of Helicobacter Pylori infection, or of fungal or
bacterial overgrowth even in the one-third with suspected fungal or bacterial
overgrowth based on urine acid test results.
Your doctor has
probably forgot a simple, inexpensive, urine test the doctor can make in office
that uncovers toxic bacteria. Ask for a “urinary indican” test. Indican is
created when the essential amino acid tryptophan is fermented by harmful
bacteria in the bowel. If the indican test is positive, decrease intake of sugar
and high glycemic carbohydrates because eating these things encourage overgrowth
of many types of unfriendly critters, including candida.
Supplement friendly flora to crowd out the nasties.
This inflamed gut
(dubbed “Leaky Gut” because it has become porous allowing large, food
particles both protein and undigested starch to pass unnaturally into the blood)
produces a number of symptoms. Increased intestinal permeability (IP) may
reflect damage to the microvilli, which can reduce levels of lactase, the enzyme
needed to digest milk sugar, eventually triggering osmotic diarrhea. Once this
disease process starts, small bowel mucosal damage, indicated by higher IP
ratios, remains “an important factor” associated with increased acidosis,
hypokalemia (lack of potassium), iron deficiency, dehydration, and parasitic
infection. Sucrose (table sugar) leaks into the blood, and this abnormal sugar
in the blood stream causes a host of problems. Particles [especially from milk
(casein) and grains (gluten/gliadin)] called peptides pass through the “Leaky
Gut”, and activate the immune system creating many allergic symptoms, and also
creating opioids in the brain that cause much of the “weird” behavior.
Dermorphin and other opioid-like peptides can reduce stomach acid output (by
inhibiting a zinc-bearing enzyme needed to make HCl), and change emptying time
for the stomach, and therefore, hamper digestion. Undigested particles of
undercooked grain starches pass into the blood and to the capillaries where they
slow and clog blood circulation. Collateral circulation is likely enough to keep
the organ functioning, but in the brain, neurons may be lost. This is why
digestive enzymes are so vital to break down these protein and starch particles
before they reach the gut.
Mothers are often
perplexed when, having been on Gf/Cf for a period, they find high levels of
peptides still present. When a person goes Gf/Cf the body takes the opportunity
to dump these things in the blood/urine again. That is why we see them in the
urine for some time afterwards. In celiac literature, it speaks of taking 7
years to totally clear the system! “Treatment of the latter (candida)
with conventional synthetic antifungal agents often causes impairment of liver
detoxification functions, and a decrease in synthesis of
phospho-sulfotransferase, an enzyme necessary to cleave food proteins, e.g.,
casein, into smaller easily absorbable peptides.”—Dr. Hugh Fudenberg,
MD. Thus, fungicides exacerbate the opioid problem, and increase the potential
for toxicity in PST kids. Of utmost significance is the observation that
those eating soy proteins or drinking soy milk may also have high peptide
readings in their urine. Soy proteins are used extensively as emulsifiers,
binders, and stabilizers in meat, poultry, snack foods, sausage, frozen
spaghetti, and whipped toppings. Textured vegetable protein is soy-based, and
many meat substitutes are soy-based. It has been found that those on soy may
have high values of gliadorphin and casomorphin, presumably because of peptides
from soy that are similar or identical to those in gluten or casein (Zhang XZ,
Wang HY, Fu XQ, Wu XX, Xu GL. Bioactive small peptides from soybean protein.
Anri NY, Acad Sci 1998 Dec 13, 864: 640-5.
Additionally, those
on SerenAid™ or EnzymAid™ may show high peptide values in the urine. This
may be because these products are interfering with the test.
Are the symptoms
being suffered symptoms of “autism”, or of malnutrition, toxicity, and
immune changes induced by that chronically inflamed, out of balance,
gastrointestinal tract? Can nutritional intervention ameliorate these
“autistic” symptoms?
Digestion 101
Digestion begins in the
mouth. Here foods are to be chewed until totally fluid, thus mixing ptyalin and
other enzymes necessary to digestion of starch with the food. No fluids should
be taken during chewing. Furthermore, thorough mastication of food may nourish
the gut by providing it with salivary Epidermal Growth Factor (EGF) that is
healing to the epithelial lining of the gut. Purified Epidermal Growth Factor
has been shown to heal ulceration of the small intestine.
The food then passes to
the stomach where it is thoroughly mixed and “ground” down to smaller
pieces, separated and held back as required for proper digestion. It may be held
for an hour while starches continue to digest. Food ready for digestion passes
to the lower stomach, the pyloric antrum, where most digestion takes place. This
highly sensitive area of the stomach controls the acidity of the stomach
digestive juices. Secretions of the parietal cells into the stomach create the
acid necessary to the breakdown and digestion of proteins. Acting as a
thermostat, its G-cells secrete varying amounts of gastrin into the blood that
signals the H2 cells of the upper stomach to produce more or less acid as
needed. Histamine acts on the H2 receptors of the upper stomach’s parietal
cells empowering them to produce hydrochloric acid (HCl) when called for by
gastrin. It’s interesting to note that the acid is actually produced in the
stomach by the mixing of chemicals secreted by these cells. Acetylcholine,
released by the nerves, also affect the amount and timing of HCl production.
Stress and emotions, then, also affect HCl production. These same cells, also
release “Intrinsic factor” necessary to utilization of vitamin B12. Sodium
and potassium are required in optimal amounts for production of HCl. If these
things are not happening, your child may refuse meat, or will not digest it
well.
This dislike for meat,
or a loss of taste, could indicate cellular distress and possibly cancer, or a
lack of hydrochloric acid, or a zinc deficiency, for zinc controls the enzyme
that makes HCl. Because there is a strong association between protein and zinc
content in virtually all foods, insufficient protein intake, or stress on fish
and fowl, may often be the cause of zinc deficiency. The food additive
tartrazine is found to act directly as a zinc-chelating agent. Zinc is an
essential component of about 70 metalloenzymes (including dehydrogenases
lactate, malate, alcohol, and glutamate), alkaline phosphatase, carbonic
anhydrases, carboxypeptidase A and B, and DNA and RNA polymerases. Zinc is thus
widely found, and in relatively high concentrations throughout the body. A
deficiency has far reaching consequences. Studies show that a marginal zinc
deficiency reduces serum testosterone levels by 50% in adults. This adversely
affects muscle tone and strength as well as digestion and utilization.
Acrodermatitis enterophatica is presently the most well recognized human zinc
responsive syndrome attributable to an inherited defect of zinc absorption.
However, there are also a variety of other conditions that have been found to
respond to zinc therapy, such as idiopathic hypogeusia, improvement in wound
healing, gastric ulcers, acne, rheumatoid arthritis, as well as dyslexia. Zinc
controls the release of vitamin A from the liver. An inadequate zinc nutriture
has been linked with a variety of immune deficiency disorders, including cancers
in both animals and in humans.
Complex nitrogen
(protein) metabolism appears to flourish in children with seizures,
developmental delay, and Autism Spectrum Disorder (ASD) involving not only
Nitric Oxide (NO), but nitrogen retention as a whole (described previously as
purine autism by Mary Coleman). Kids presenting with suppression of carbon
dioxide (CO2) may shun nitrogen rich foods due to the formation of
ammonia (an alkaline compound of nitrogen and hydrogen) leading to a state of
hyperammonemia. Excitotoxic effects of ammonia are augmented by increased
synthesis of nitric oxide (NO), which is associated with N-Methyl-D-Aspartate (NMDA)
receptor activation and/or increased synaptic transport of arginine. The
behavior associated with excess NO/ammonia production in the autist is maniacal
laughter.
Hyperammonemia means
that ammonia, instead of being discharged by the liver, is recirculated into the
blood stream. It is apparently caused by a deficiency of four Amino Acids:
Citrulline, Aspartic Acid, Threonine, and Arginine. Vegetarians are especially
susceptible to Hyperammonemia because of the lack of essential, Medium-Chained
Amino Acids (L-Leucine, L-Isoleucine, and L-Valine) that in turn cause a
deficiency of those Amino Acids named above. Thus, a hyperammonemic state yields
the spacy “brain fog” reaction, or in more severe instances may lead to
seizures.
Over breathing,
expelling too much carbon dioxide through fast, shallow or even fast, deep
breathing is part of the primitive stress response built into every human body.
If this natural fight-or-flight response becomes chronic, the lack of CO2
causes much havoc. Dr. Robert Fried found that hyperventilation (low CO2,
high alkalinity) precedes seizures and results in arterial constriction,
including brain arteries, and spasms. This reduces blood flow and oxygen supply
to the brain. This affects the brain’s metabolism, therefore its function.
Additionally, apnea is the absence of effective breathing for 20 seconds (15 in
a preemie), and is associated with color changes (blue, gray, or dusky) and/or reduced
muscle tone (turning “floppy”). In the infant, whether premature or not,
breathing is exquisitely controlled primarily by the level of carbon dioxide in
the blood, and to a lesser extent by oxygen levels. The method of children
re-breathing their own air through “masking” used at The Institutes for the
Achievement of Human Potential has often been helpful with these children as
they raise their CO2 and oxygen levels (and acidify the system).
(Conversely, one Mom writes, “What we thought to be seizure behavior are
periods of her blood pressure dropping suddenly and dangerously”.) Fried
concluded that the abnormal electrical activity picked up on EEGs is the result
of seizures, not the cause, nor the seizure itself. CO2 is the main
regulator of Cerebral Blood Flow, so this impaired vasoreactivity (constriction)
may reflect the brain dysfunction in the seizure focus and adjacent areas.
“By examining blood
chemistries, the data that began to unfold was fascinating and clearly earmarked
the acidosis and hypoxic state (low serum bicarbonate = low oxygen levels).
Seizures were often brought under control by examining the electrolytic
disturbance, and matching them to the child’s needs. Potassium bicarbonate,
sodium bicarbonate, magnesium carbonate, and the like were used. (Potassium
Bicarbonate from Emerson Ecological, Inc., www.emersonecologics.com.) (These
normally alkaline minerals release the carbonate raising carbonic-acid levels,
acidifying the system. CO2 acts as an anticonvulsant,
and also reduces glucose metabolites, which accumulate around the foci. Blood
flow is increased to the brain—WSL.) Now we began to understand why so
many children responded to Buffered C (potassium bicarbonate, calcium carbonate,
magnesium carbonate), and why others needed a more specific buffer (in some
children for example niacin was grossly depleted, and they required niacin
bicarbonate). (Calcium carbonate tends to constipate, and may be useful in
controlling diarrhea, or when magnesium is tending to loose bowels—WSL.)
Buffers and butyrates attenuate (lessens the effects of) abnormal nitrogen
metabolism, however, children with ASD are unique in their presentations, and as
we examine nitrogen retention/NO, electrolyte stability, catalysts, and lipid
status to determine disturbances in metabolism, it requires that we act upon
these aberrations in an integrative manner from a cellular perspective, not as
singular interventions....We found that mineral endings contained in many
multiples were worthless (magnesium oxide—a laxative), or irritating to the
CNS (aspartates), or to the urea cycle (picolinates), but the children responded
beautifully to alkaline salts such as Buffered C, the carbonates, and digestive
support, including duodenum (naturally containing secretin and other components
of the small intestine—1 teaspoon after meals—WSL. Obtain from
www.krysalis.com.), and pancreas (available in porcine, bovine, or bovine
derivatives—1 to 2 capsules after meals—WSL)”—Patricia Kane. “I
found...that many, many of these children are in negative nitrogen balance.
Their BUN-to-creatinine ratios are very high”—Dr. Mary Megson. Nitrogen
retention is dependent upon dietary consumption of nitrogen-rich foods, along
with lipid consumption, electrolyte stability, and mineral density and balance.
Those with organic acidemias or amino acidemias will often exhibit this same
protein intolerance.
Purines are key
building blocks for the synthesis of DNA and RNA, and are involved in a variety
of other cellular processes. “Purine autism” was first characterized in the
1970s by Mary Coleman who noted elevated levels of uric acid in the urine of
some patients. Uric acid is the end product of purine metabolism, and is
elevated in other diseases of purine metabolism such as Lesch-Nyhan Syndrome.
Recent studies at UCSD suggest that some of the autistic patients with elevated
urate levels also have evidence of abnormally high rates of intracellular purine
synthesis further indicating that they have a purine metabolism defect. A few of
these patients have been treated with an analog of uridine for several years,
with improvements observed in cognitive performance and muscular function.
Repligen Corp now holds the patent to uridine treatment for this condition.
Through its conversion
into carbonic acid, carbon dioxide is the most vital player in the maintaining
of the body’s acid-base balance. Lowering carbon dioxide in the lungs by
hyperventilation shifts the body’s pH towards alkalinity, which slows the rate
of activity of all body ferments, enzymes, and vitamins. Chronic
hyperventilating is not good for an alkaline system is more susceptible to virus
and allergies. This shift in the rate of metabolic-regulator activity disturbs
the normal flow of metabolic processes and leads to the death of the cell. The
lowering of carbon dioxide in the nerve cells heightens the threshold of its
excitability, alerting all branches of the nervous system and rendering it
extraordinarily sensitive to outside stimuli. This hypersensitivity to
light, sound, touch, taste, smell, heat or cold leads to irritability,
sleeplessness, stress problems, unfounded anxiety, fears, allergic reactions,
and inordinate stress. Concurrent with this, the breathing center in the brain
is further stimulated causing a further loss of carbon dioxide. A vicious cycle
has commenced. The detrimental influence of the rapid, deep breathing on the
organism is a direct result of the creation of a carbon-dioxide deficit. It is
clear that a deepening of the breathing does not necessarily mean an increase in
oxygen uptake. On the contrary, it can mean a decrease in oxygenation, which
leads to hypoxia, an alkaline imbalance, and cell spasming. “You are
hyperventilating if breathing is predominantly thoracic (chest); if little use
is made of the diaphragm (abdominal movement is minimal); if breathing is
punctuated by frequent sighs; if sighing has an effortless quality with a marked
forward and upward movement of the sternum but little lateral
expansion.”—Dr. Robert Fried.
If the above condition
is suspected, one should obtain a roll of pH paper and check the pH of saliva
and urine. Details of this testing are found in my electronic book “Self-help
to Good Health”, (34 Chapters, 535 Pages, $21.95 US) in the Chapter
“Digestion and Utilization”. An excessively acid condition would likely
signal a too high CO2. The lungs are not getting the carbon dioxide
out and the needed oxygen in. The opposite would be true for an excessively
alkaline condition—there is too little CO2, yet the cells will be
starving for oxygen. The best time for checking pH is mid morning and late
afternoon before the evening meal. A word of warning: in using sodium
bicarbonate excessively, potassium can be excreted producing a potassium
deficiency that can cause heart palpitations. Use of too much bicarbonate can
cause the system to become overly alkaline.
If suffering
hyperammonemia, or over alkalinity of any cause, calm the child’s breathing in
whatever manner you can in order to raise CO2 levels, and use these
carbonate buffers to restore CO2 and body acidity. One quick way to
restore acidity is to drink a teaspoon of raw, unfiltered, apple-cider vinegar
every hour or so until desired acidity is restored. Deep breathing can be used
consciously, and perhaps unconsciously, to make more alkaline an already acid
system—quite common in ASD. As Dr. Fried states, the over breathing may be
“the body’s best adjustment to its present needs.” If the acidity were
that of excess lactic acid, consciously hyperventilating would likely make the
condition worse. Use these methods also to stop severe allergic reactions. The
average asthmatic, for example, over-breathes 3-5 times the recommended amount,
sometimes more. If you think someone’s having an allergic reaction, and you
don’t have those (bi)carbonate buffers, try half a teaspoon or a teaspoon of
baking soda in a half-glass of water. Sometimes, that will stop a reaction
within 10 to 15 minutes. Three commercial, bicarbonate products AlkaAid™,
AlkaSeltzer Gold™,
and AlkaLime™,
or alkali salts (from health food stores, usually a combination of sodium and
potassium and sometimes calcium carbonate) can be used. This is very effective,
not only in stopping reactions, but if you take it before you eat a food to
which you are sensitive, you can sometimes prevent a reaction. If you’re going
to dinner, and you’re not quite sure what they’re going to serve, you
certainly should try to take that in advance. Supporting the thyroid will
increase carbon dioxide production. A word of warning: in using sodium
bicarbonate excessively, potassium can be excreted producing a potassium
deficiency that can cause heart palpitations, and reduce HCl production. It is
possible to cause the system to become overly alkaline. Many have found bee
pollen, or perhaps more so, honeycomb, from local honey farms to be highly
effective in relieving environmental allergy. Start with very small amounts, and
slowly increase amounts until the allergy is overcome.
ButyrEn™
(butyric acid) by Allergy Research Group/Nutricology, Inc (800-782-4274) is a
short-chain, fatty-acid, dietary supplement in the form of an enteric-coated
formulation of calcium and magnesium salts of butyric acid (2 tablets crushed,
2x daily, mixed in food). It supports the integrity of colonic mucosa by acting
as primary fuel for the colonic epithelium. Colonic bacteria normally produce
it, but when these bacteria are disrupted this supplement will support colon
health as you rebuild colon flora. This has been shown to modulate local
electrolyte flux, thereby mediating diarrhea. Alpha ketoglutarate clears
ammonia, and butyrate clears ammonia, spores, and nitrogen. Butyrate and another
short-chain fatty acid, caprylic acid, are frequently used as anticandida
agents. Ecological Formulas (800) 654-4432 supplies a fluid butyrate. Liver and
gallbladder congestion are major issues in states of toxicity. To insure that
your gallbladder bile flow is functional add magnesium taurate or L-taurine, and
butyric acid. An increased amount of niacinamide will be helpful too for it aids
in release of toxins stored in fats. Sugar, caffeine, alcohol, and drugs deplete
niacin. Vitamins E, C, selenium, CoQ10, and low dose Alpha Lipoic Acid all
support the liver.
As indicated, the
undigested protein turns into ammonia and goes to the brain. Kane recommends
that one hour after every meal, when the body is supposed to be producing its
own bicarbonate the carbonate buffers be given, along with a big glass of
carbonated water. I feel this is too soon for it will stop protein digestion and
defeat the purpose of intervention. Studies of stomach content have shown that
for up to an hour after eating, the stomach produces no acid, but digests
carbohydrate. Though dumping takes place in small lots over time, it seems to me
that 2 1/2 or 3 hours after eating would coincide with dumping time, and serve
the purpose better. A child with these problems will consume mostly
carbohydrates. All those carbs cause high glucose which produces more insulin
than is healthful, and that interferes with fatty acid metabolism and protein
utilization, and produces insulin resistant cells, tending to overweight and
diabetes. Overweight children with high levels of insulin in their blood are
also likely to have high levels of homocysteine, a substance that appears to
raise the risk of heart disease, stroke, and birth defects, as well as possibly
other adverse effects as well. In addition, these children and adolescents
appear to have lower levels of folate, a vitamin that can lower homocysteine
levels. These children may have high albumin—which is the substance that
transports toxins out of the body. High albumin means high levels of toxins are
presently being transported.
“Albumin binds
organic acids and neutralizes their toxic effect to some extent. A low serum
albumin is a significant risk factor that results in a more serious clinical
episode in patients with organic acidemias. The administration of valproic acid
(Depakene™),
or salicylates, should be carefully evaluated in cases of suspected organic
acidemias, since these drugs also bind to albumin, and diminish the protective
effect of albumin in neutralizing toxic organic acids. Swedish developmental
biologist Rodier has found that valproic acid, a common anti-seizure drug known
to induce autism, causes brain damage in rodents, and precisely in the places
expected, based on what’s known about autism. Anytime you are taking Valproic
Acid, you must supplement L-carnitine (Carnitor™)
and folic acid to avoid the deadly consequences of their deficiency.
“Lactic acid may be
elevated in a wide range of conditions including the pyruvate dehydrogenase,
pyruvate carboxylase, 6 diphosphatase, and phosphenol-pyruvate carboxykinase,
and dihydrolipoyl dehydrogenase deficiencies, glycogen storage disease type I,
fructose 1, and respiratory chain deficiencies”—Wm. Shaw. Additionally,
vigorous exercise, bacterial overgrowth of intestines, shock, and anemia will
elevate lactic acid. A possible link of metal toxicity to chronic fatigue is via
metal binding to the sulfhydryl-containing antioxidant, lipoic acid, making
lipoic acid unavailable for its vital role in the energy-producing tricarboxylic
acid (citric acid, Krebs) cycle. A deficiency of lipoic acid results in reduced
muscle mass, brain atrophy, failure to thrive and increased lactic acid
accumulation. An enzyme complex that contains lipoic acid, niacin, and thiamine
breaks down the pyruvate. If pyruvate were high, I would supplement these
nutrients.
When the mitochondrial
respiratory chain (Krebs or citric acid cycle) is blocked, metabolites that are
normally processed by its enzymes may build up in the cells and cause problems.
When glutathione levels are compromised the mitochondrial respiratory chain is a
vulnerable target and cell death ensues. Aluminum interferes with the citric
acid cycle (inhibits alpha-ketoglutarate and results in toxic levels of
ammonia), and thereby reduces energy production from foods. This has been shown
to influence mood and energy levels. High aluminum levels were found to be
related to encephalopathies and dementia. Recent studies suggest that aluminum
contributes to neurological disorders such as Alzheimer’s disease,
Parkinson’s disease, senile and presenile dementia, clumsiness of movements,
staggering when walking, and inability to pronounce words properly.
Aluminum, as obtained
from antacids, can bind pepsin and weaken protein digestion. It also has
astringent qualities, and thus can dry the tissues and mucous linings and
contribute to constipation. Regular use of aluminum-containing deodorants may
contribute to the clogging of underarm lymphatics and then to breast problems
such as cystic disease.
Acute aluminum
poisoning has been associated with constipation, colicky pain, anorexia, nausea
and gastrointestinal irritation, skin problems, and lack of energy. Slower and
longer-term increases in body aluminum may create muscle twitching, numbness,
paralysis, and fatty degeneration of the liver and kidney. It is worse with
reduced renal function. Aluminum may reduce the absorption of selenium and
phosphorus from the gastrointestinal tract. The loss of bone matrix from
aluminum toxicity can lead to osteomalacia, a softening of the bone. Skin rashes
have occurred with local irritation from aluminum antiperspirants.
Pyruvate is a chemical
derived from glucose that’s normally shipped into the mitochondria. A
mitochondrion is a bean-shaped organelle that resides in the cytoplasm of every
cell. One of the more unsung heroes of cellular life, the mitochondria use
Pyruvate and fatty-acid metabolism and electron transport to provide energy for
cells. Researchers studying the enterprising organelle have discovered that in
95 percent of the cases of stroke, Alzheimer’s disease, and ALS, there are
elevated levels of free radicals and crashed mitochondria.
Pyruvate is processed
further so that the respiratory chain can harvest its potential energy. However,
when the respiratory chain (electron transport) is blocked, pyruvate accumulates
outside the mitochondria, and when too much pyruvate has accumulated, the cells
start to convert it to lactic acid. “Many patients with mitochondrial disease
have lactic acidosis—lactate in the blood,” neuroscientist Eric Schon of
Columbia University in New York says. “And there’s decent evidence that the
lactate isn’t just a sign of faulty mitochondria, but that the lactate itself
is bad—especially in the brain, but probably also in the muscle. If this is
true, then holding that lactate down would help the patient.” There is a
frequent association of lactic acidosis and carnitine deficiency in autistic
patients, which suggests excessive nitric oxide production in mitochondria
(Lombard, 1998; Chugani et al, 1999). Sport by Mannatec |