Neurotoxic Membrane Syndrome (Summary) John Foster, MD, Patricia Kane, PhD, and Neal Speight, MD Chronically ill individuals suffering from neurotoxin exposure impacts patient populations with CFS, Fibromyalgia, IBS, MS, Cardiovascular Disease, Depression, Rheumatoid Arthritis, Infertility, ALS, Parkinson’s, Lyme, Toxic Building Syndrome, Estuary Associated Syndrome, Psychosis, Diabetes (without family Hx), Optic Neuritis, Refractory Heavy Metal Toxicity, Autism, Pulmonary Hemorrhage, Stroke. Patients diagnosed with these chronic illnesses may be potentially classified as ‘Neurotoxic Membrane Syndrome’ (NMS) with the endothelial cell membrane as the target of degeneration. While hypercoagulation involves a myriad of proteins, it is ultimately a membrane event, essentially disrupting the phospholipids that structure the membrane. Agglomeration (blocked cellular exposure to blood flow/nutrients and impaired cell-tocell communication) indicates elevation of phospholipase A2 and the uncoupling of eicosanoids from the cell membrane causing inflammation. The agglomeration that eventually occurs is, in essence, a product of a weakened membrane, and ultimately a disturbed red cell fatty acid profile. Through isolating individual fatty acids and dimethylacetyls in red cells we can now examine the cellular integrity/structure, fluidity, the formation of renegade fats that impair membrane function, myelination status, and the intricate circuitry of the prostaglandins. Our biomedical approach is an attempt to reach the systemic nature of these tenacious neurotoxic syndromes and provide clinically proven methods that eradicate neurotoxins. Our course of action is that of freeing the patient of pervasive symptoms of neurotoxic illness in a noninvasive manner that heals the membrane, and ultimately, the body and brain. The recent pioneering work of Ritchie Shoemaker, MD, as communicated in his book “Desperation Medicine” and his peer-reviewed paper (Shoemaker 2001), lends strong support to a connection between Chronic Fatigue Syndrome, Fibromyalgia, Lyme Disease, Pfiesteria infection and that of numerous Neurotoxic Syndromes. The presentation of biotoxin exposure often parallels neurological and psychological impairment due to the interrelationship between the ENS (Enteral Nervous System) and the CNS (Central Nervous System). The biliary tree, gall bladder, and bile formation within the liver serve in the vital processes of detoxication (disposal of waste products, bilirubin, heavy metals, biotoxins, xenobiotics), lipid metabolism, transport and digestion (bile acids). Abnormalities of the hepatobiliary system may involve biliary stasis whereby infectious material or biotoxins reside within the liver, biliary tree and gallbladder, as a viscous suspension in biliary sludge. Biotoxins as bacteria, viruses, parasites, spirochetes, dinoflagelletes, and fungus may be within biliary sludge often creating neurotoxins impacting the CNS via the ENS, or the Second Brain (gut). The occurrence of biliary sludge may be due to prolonged fasting, low fat intake, high carbohydrate diets or exposure to pathogens. Restriction of dietary fat may impair biliary flow which would be contraindicated in attempting to clear toxicity as bile is paramount to cleansing the body and getting biotoxins and heavy metals excreted into the fecal matter. Neurotoxins are minute compounds between 200-1000 KD (kilodaltons) that are comprised of oxygen, nitrogen and sulfate atoms arranged in such a way as to make the outside of the molecule fat loving and water hating. As such, once it enters the body, it tends to bind to structures that are rich in fat such as most of our cells, especially the liver, kidney, and brain. Neurotoxins are capable of dissolving in fatty tissue and moving through it, crossing cell membranes (transporting against a gradient, particularly with potassium) disrupting the electrical balance of the cell itself. The Liver as the Center of the Storm As fat soluble neurotoxins move through the cells of the body from the GI tract to sinus to lung to eye to muscle, to joint to nerve, whereby they eventually enter the liver and the bile. Once neurotoxins bind with bile they have access to the liver, the body is poisoned over and over again as the bile is re-circulated (first released into the intestine to digest fats, and then reabsorbed). 1 Unhealthy bacteria have been known to colonize the liver and its biliary system. These bacteria as well as viruses, spirochetes, dinoflagellates, and the like can synthesize very long chain saturated or renegade fats that lead to liver toxicity, biliary congestion, impairment of prostaglandin synthesis and the release of glutathione. Lipids vibrate in the cell at millions of times/second. The double bonds of the omega 6 and omega 3 lipids are the singing backbone of life expressed through their high energy level. These bonds are their vibratory song, and they absolutely carry a tune befitting every act and function in the exercise of life, providing all 70 trillion of our cells their flexible nature. When renegade fats are over represented in the cell membrane they result in off key expression, and if strong enough, may spell cellular death and apoptosis. Healing the outer leaflet of the membrane comprised primarily of phosphatidylcholine, with phospholipids therapy, is our highest priority in addressing chronic illness and hypercoagulation. Healing the membrane is virtually ... healing the brain . The Detoxx System, developed by Dr. Patricia Kane Our clinical protocol at the WellSpring Clinic in Wayne, Pennsylvania is to initiate treatment with changing the patients’ overall diet, addressing the lipid balance and especially the outer lipid leaflet of the cell membrane through fatty acid therapy and the addition of supplementation targeted towards dissolving fibrin, clearing the liver/biliary tree, and healing the cell membrane. Patient progress is evaluated through the Visual Contrast Test (VCS) and repeat lab evaluation. **(PhosChol) BodyBio PC – (PhosphatidylCholine) (E-lyte US only) This supplement is a fat that is taken daily. Its benefits include: Major component of cell membranes and component of the GI mucosal protective lining. Maintains and improves membrane fluidity. Prevents/treats microbial fungal and viral infection by phosphoglycerides. Increases blood choline levels necessary for proper brain functioning. Also acts as an essential precursor for acetylcholine, a neurotransmitter. Reduces Low Density Lipoproteins (bad cholesterol) and increases HDL (good cholesterol). Heals toxic liver damage. Improves cell regeneration, enzyme functioning, inflammation, reduces fatty deposits from tissue. Aids Leaky Gut Syndrome, which can be brought on by candida or the use of NSAIDs (Non Steroidal Anti Inflammatory Drugs). Boosts immune system strength. **Chlorella (E-lyte, Puritan’s Pride US, Solgar IL) An oral chelation agent that binds to metals and is safer than IV therapy. Chlorella algae are microscopic small water plants and, although a vegetable, its detoxification ability, immune enhancement and anti-viral characteristics are highly effective. Some detox agents have multiple mechanisms by which they bind to metals. The algal organism chlorella has over 20 such known mechanisms. Chlorella has a strong affinity for both heavy metals and neurotoxins. Chlorella possesses a three-layer cell wall, which shows strong adsorptive properties against toxins such as dioxins and heavy metals (e.g. mercury, cadmium or lead). Chlorella has the ability to bind heavy metals, pesticides and toxins and carry them safely out of the body. It dramatically increases glutathione production. Super nutrient: 50-60% amino-acid content, ideal nutrient for vegetarians, methylcobolamin, the most easily absorbed and utilized form of B12, B6, minerals, chlorophyll and beta carotene. Immune system strengthening. Restores bowel flora. Chlorella pulls toxic metals through the mucosal surface of the intestines, from the blood and protects the kidneys. 2 **Butyrate (E-lyte) This is a short chain fatty acid and fat-soluble nutrient. It’s also found in butter. Has a powerful ability in mobilizing renegade fats and clearing neurotoxins. Clears the liver and biliary tree, GI tract and bowel of fat-soluble toxins/renegade fatty acids (odd and very long-chain fatty acids). Inhibits bacterial growth in the stomach. BodyBio Balance Oil (E-lyte) EFA with protein. Contains most beneficial ratio of 4:1 Omega-6 to Omega-3, crucial to human lipid metabolism. The effects of this ratio are an increase in polyunsaturated EFAs and a reduction of cholesterol in the neuronal membrane of the brain. The result is improved membrane structure and behavioral functioning. All detoxification functions depend on optimal oxygen delivery and blood flow, which depend on optimal cell membrane fluidity. Evening Primrose Oil (E-lyte, Solgar) This is an omega-6 EFA. It is high in linoleic acid (LA) and gamma linolenic acid (GLA), which is depleted in states of toxicity. Almost one third of cell membranes are made up of omega-6 fatty acids. EFAs support the immune system, GI tract, kidneys, liver, brain, hormonal system and skin. Arachidonic acid (AA) is derived from dihomo gamma linolenic acid (D.GLA) which itself is derived from GLA. AA is the main eicosanoid that controls functions such as inflammation, growth, reproduction, gut motility, mucous control, PH, heart rate and brain development. Oral Electrolyte Concentrate (E-lyte) These minerals are important, comprising sodium, potassium and magnesium. Enables transport of toxic waste across the extra-cellular space towards the lymphatic and venous vessels. Adding a balanced electrolyte solution in small amounts to water helps to restore intra – and extra-cellular fluid balance and therefore maintain cellular health. Liquid Trace Minerals (E-lyte) These include magnesium, chloride, sodium, potassium, sulphate, lithium and boron. Crucial for maintaining body systems including immune, GI tract, brain, heart, liver, kidneys, hormonal systems. Supports body in relieving it of toxins and heavy metals. Ground Organic Flax Seed (E-lyte, Solgar-oil) Flaxseed is rich in omega-3 fatty acids, alpha linolenic acid (ALA). ALA is high in lignans, which have antioxidant properties (and act as a natural anticancer agent). Normalises bowel function and reduces constipation that can occur as you detox. Vitamin C (Ascorbic Acid) Greater doses than 10,000 mg/day start to have negative effects, flushing out calcium. Vitamin C is essential for efficient immune system functioning. Immunity involves the determination of self from non-self, and attacking only foreign bodies. Raises glutathione production in the body High intake of ‘C’ manufactures more antibody molecules, types IgG and IgM. Shown to be very beneficial to protect the body from heavy metals as well as aid in excretion and detoxification. 3 E-lyte Introduces New Detoxx™ Program! Our external environment has radically changed with increased exposure to toxins such as chemicals and heavy metals (lead, cadmium, mercury). Pathogens such as parasites, viruses, bacteria, fungus and dinoflagelettes are now also part of our world and hard to avoid. They are even more difficult to remove once they have embedded themselves into our tissue. Removal of toxins, which often act as neurotoxins, can be as challenging as the symptoms they produce PhosChol Phosphotidylcholine, at a concentration of 50%, is the principle phospholipid in the membrane and incorporates a high concentration of Highly Essential Fatty Acids. The membrane contains a rich assortment of both active and inactive fatty acids, all of which are metabolically important including the omega 6 and the omega 3 essential fatty acids. Chlorella Chlorella is a tiny water plant and although a vegetable, its detoxification ability and immune enhancement make it an important addition to one’s nutrient armament. 4 BodyBio Balance The interest in lipids is exploding following the research which dramatically supports the use of omega 3 fatty acids for a wide range of health improvements. The list grows daily, however there is an issue of balance between the Omega 6s and the Omega 3s. - 4:1 ratio Flax Seed Ground Flax contains the highest concentration of omega 3 oils, but is also the highest in lignans, which give it substantial. Also recent health studies on flaxseed lignans is exciting Butyrate Butyrate is a short chain fat that is a potent detoxifier of ammonia and neurotoxins. It encourages the formation of essential friendly bacteria in the gut. 5 Evening Primrose Oil The list of metabolic enhancing functions of GLA could fill volumes. It is clearly one of the most important nutrient/hormones in the entire metabolic scene. Electrolyte Concentrate The 4 marvelous Alkaline Minerals (the electrolytes); Sodium, Potassium, Magnesium, and Calcium are the 4 horseman of metabolism. Nothing stirs within us without them, including the beating of our heart and the blinking of our eye, not even a thought. In essence there is no life. Liquid Minerals Minerals are essential for life and are also the beginning of life. They are rejuvenating and detoxifying. The secret of E-Lyte minerals is in the ability to test each one separately. Taking only the ones you need is paramount and the only way to take minerals. Vitamin C Albert Szent-Gyorgyi compounded vitamin C in 1928, but it was first shown to be ascorbic acid in 1932. The ravages of scurvy among early sea voyagers were terrible. Five mg of ‘C’ is enough to prevent Scurvy, but the fact that as little as 5 mg can prevent the disease speaks to the power of vitamin C. Vitamin C is found in many foods. Some foods, such as red and green peppers, parsley, turnip greens, oranges and other citrus fruits, and certain berries, are rich in vitamin C. 6