I've been doing a bit more research into heavy metal detox since the recent articles by Chris Shade who does not advocate the typical DMSA route. Since I have done a fair bit of DMSA, and it's pretty painful every time, I would like to try something else. I started putting together a big word document with all of the information.
Below are some notes I made based on this - mainly focusing on what are the most easily-available treatment options. I will be doing this kind of detox at a gentle and slow rate over a few months and will see what the results are
From what I've gathered so far, the idea is to create a gradient away from the body so that toxic compounds and metals will flow out, instead of further in. This is particularly true when we start using mobilizers and chelators. If the flow out is blocked, the heavy metals can become further entrenched in the body, into the CNS and brain. So, we move from the 'bottom up', with the gut, liver/kidneys and lymph system worked on first.
This doesn't include anything about diet and general inflammation-reducing, which should naturally be worked on before any detox is attempted.
This image shows the 3 detoxification stages. On the right it shows how inflammation slows down all of the detox processes through a negative feedback loop.
The Gut
We want to get metals and toxins flowing out of the body through the intestines. Phase 3 takes toxins from the blood, through the liver, into the small intestine. If they hang around here then they can be re-absorbed and cause further inflammation, contributing to that feedback loop. They are also exreceted through bile, through the kidneys into the urine, and possibly through sweat.
Binding toxins in the intestines and moving them on reduces inflammation and ‘un-clogs the pipes’, allowing the detox system to move more freely.
Chlorella is the most popular supplement for this. Combined with charcoal it could be effective in the long term. It is safe, well-known and used for a long time. However some cannot tolerate it.
Microsilica - IMD (Intestinal Metal Detox) by QuickSilver Scientific.
This is the product mentioned in the Mercola article above. This binds to toxins in the gut. Apparently it has a much greater affinity and capability for binding heavy metals than chlorella. This product is very expensive and not widely used. Among the few users who have reviewed, I have seen favourable reviews on the likes of CureZone, AutismWeb and PhoenixRising. This product is very expensive however.
There is another product called MetalSweep by BipPure which does the same thing, and is apparently made up of nano-silica. Also very expensive.
Another option would be Diatomaceous Earth, a silica-based binder which works on the gut in a similar way. From Wikipedia, “It has a particle size ranging from less than 3 micrometres to more than 1 millimetre, but typically 10 to 200 micrometres.”
Enterosgel is another one that is widely used medically although its effects on heavy metals aren’t clear.
Activated Charcoal helps mop up various toxins.
Support Liver and kidneys
Milk Thistle and NAC can be used for liver support, both are very popular for this.
Another option is Dandelion for Kidneys. High quality tinctures are recommended when using herbals.
Another thing is that Dr Hulda Clark explains that having parasites can be bad for the liver and getting rid of them will improve liver health (among many other things). You can attack the parasites simultaneously to doing the gut cleansing. In fact, taking the 3 herbs recommended for Dr Clarks protocol in a tincture (Black Walnut, Wormwood and Common Cloves) synergises in other ways too. They have anti-viral, anti-fungal properties. Cloves have anti-inflammatory properties, and wormwood increases acidity of the stomach and bile production (both good for phase 3 detox).
Support Lymphatic System and Extra-Cellular Matrix (ECM)
A large network of fluid-filled nodes, glands, vessels and organs, the lymphatic system cleanses toxins by carrying them away from tissues and into the blood stream. The ECM is the area between cells, containing lymphatic fluid across through which all nutrition and all waste must pass for exchange between blood and cells. Sinus problems, swollen glands, puffy eyes, water retention, or general upper respiratory problems can be a sign of a sluggish lymph system.
There are various methods to get the lymph flowing, including jumping up and down, being upside down, massage, dry brushing, exercising often and staying well hydrated.
Cleavers tincture is a well-known herbal medicine for cleansing the lymph, which I have not tried yet but have ordered to experiment with.
Upregulate NRF-2
Glutathione works properly with proper expression of glutathione-S-transferase, which is made possible by upregulating NRF-2.
Polyphenols, and R-lipoic acid, activate Nrf2 and induce phase II enzymes through the antioxidant response element.
Milk thistle, turmeric, green tea, ashwaganda contain polyphenols which can achieve this, and there are many other botanicals with the same effect.
MSM also seems to achieve the same thing, along with having numerous other benefits.
Garlic (allicin and diallyl disulphide) also help with this.
Intracellular Detox
All of this should be done slowly.
Glutathione the most important substance for detoxification in this protocol without chelators. It is worth taking it liposomally to get the effects instead of relying on NAC or whey protein. Lipo Glutathione is fairly expensive, but it seems that this can be made in the same way as Lipo vitamin C, although how effective it is homemade from a jewellery cleaner is not clear.
R-Alpha Lipoid acid. The powerful antioxidant which regenerates other antioxidants, and also acts as a chelator. It is easily absorbed in the gut and crosses the blood brain barrier and cell membranes. Therefore ALA poses risks for redistribution of heavy metals if we don't have that 'gradient' set up correctly.
Iodine - mobiliser.
Cilantro - It's not actually clear how effective cilantro is but many people seem to believe it is a strong mobiliser also.
Extra:
Molybdenum: Could be helpful if there is a problem with sulphur compounds which are created when these supplements begin detoxing things. Molybdenum is said to help with the detoxing of sulphites and may make it go smoother.
B vitamins, vitamin E, vitamin C.
Some further reading
Chelation: Harnessing and Enhancing Heavy Metal Detoxification—A Review
Mercury toxicity and antioxidants: part I: role of glutathione and alpha-lipoic acid in the treatment of mercury toxicity. (Mercury Toxicity).
Sulforaphane and α-Lipoic Acid Upregulate the Expression of the π Class of Glutathione S-Transferase through c-Jun and Nrf2 Activation
Transcription factor Nrf2 is essential for induction of NAD(P)H:quinone oxidoreductase 1, glutathione S-transferases, and glutamate cysteine ligase by broccoli seeds and isothiocyanates.
Upregulation of phase II enzymes through phytochemical activation of Nrf2 protects cardiomyocytes against oxidant stress.
Phytochemicals and botanical extracts regulate NF-κB and Nrf2/ARE reporter activities in DI TNC1 astrocytes.
Loss of the Nrf2 transcription factor causes a marked reduction in constitutive and inducible expression of the glutathione S-transferase Gsta1, Gsta2, Gstm1, Gstm2, Gstm3 and Gstm4 genes in the livers of male and female mice.
MSM ameliorates HIV-1 Tat induced neuronal oxidative stress via rebalance of the glutathione cycle.