Andy Cutler Protocol

A summary of Andy Cutler’s Chelation (ACC) Protocol can be found here: http://www.livingnetwork.co.za/chelationnetwork/chelation-the-andy-cutler-protocol/

Basically, it’s low dose, frequent, oral chelation based on the half-life of the chelators. It’s a marathon, not a sprint. Low, slow and methodical will allow you to live your life while getting the mercury out with limited side-effects and no damage.

Success stories: http://cutlersuccessstories.weebly.com/

The summary is no substitute for his books. His books can be purchased here:
Amalgam Illness: http://noamalgam.com/
Hair Test Interpretation: http://noamalgam.com/

A collection of good posts online from Andy Cutler: http://home.earthlink.net/~moriam/ANDY_INDEX.html#introduction

A sample of the hair test book can be found here: https://books.google.com/books?id=U765adeBPlEC&printsec=frontcover&source=gbs_ge_summary_r&cad=0#v=onepage&q&f=false

The type of Hair Test he recommends can be ordered here: http://www.holisticheal.com/hair-elements-test.html. Ignore all the writing that comes with the results.

The “Counting Rules” for interpreting the hair test for mercury toxicity are here: http://home.earthlink.net/~moriam/HOW_TO_hair_test.html#counting_rules.

  • Rule 1: If five or fewer elements are higher than 50%.
  • Rule 2: If five or fewer elements are less than 50%.
  • Rule 3: If four or more elements extend into the red on either side.
  • Rule 4: If eleven or fewer elements are completely contained in the white and green sections.
  • Rule 5: If any two of the previous rules are one bar short of being met.

Chelating Agents can be purchased here: http://www.livingsupplements.com/ or http://www.everythingspectrum.com/cutler-detox/.

Bulk ALA powder can be purchased here: http://www.nutrabio.com/mm5/merchant.mvc?Store_Code=NOS&Screen=PROD&Product_Code=23173

Remove Amalgams or other source of mercury poisoning:

Remove the source of your mercury exposure – get your amalgams out before starting chelation. You can start DMPS or DMSA four days after your last exposure to heavy metals. In most cases this means four days after you get your last amalgam removed. Four days is a precaution in case you ingested any amalgam pieces during the removal process – you want to give your body enough time to eliminate them.

A good tip for amalgam removal: stop taking vitamin C the day before your removal procedure as vitamin C can cause the numbing agents to wear off too soon. Take activated charcoal right before your dentist appointment and then again right after. You can take 250mg to 500mg each time. When you get home, you can start taking vitamin c every hour to bowel tolerance. A detox bath followed by a shower is also helpful. Follow up with lots of water, mag and C to help move that charcoal out.

Do not take chlorella, cilantro, glutathione, or any of the many supplements your dentist might suggest.

Check your supplements and body care products for Alpha Lipoic Acid (ALA). ALA is a chelator that is added to many products as an “antioxidant” – it can move mercury from your amalgams to your brain. If not taken on a strict schedule, it will just move mercury around and around and make you feel horrible. Stop these products and do not use ALA until 3 months after amalgams are removed, and only on a strict 3-hour chelating schedule as detailed below.

 

Start the Basic 4 Supplements:

The following four supplements are required on ACC. These are taken daily, on and off round.

  • 3 grams or more of C a day in divided doses
  • 400-800 mg or more of magnesium in divided doses
  • 50 mg of Zinc
  • 400 mg – 1200 mg of vitamin E

Use other supplements according to the symptoms that may come and go while you are getting better.

My supplement list can be found here: https://mercurialjourney.wordpress.com/the-plan-2/my-supplements/

A great list of supplements that Andy Cutler recommends can be found here: http://www.maybeitsmercury.com/supplements-you-can-use-to-help-with-symptoms.html

Our Chelator Options:

There are three chelators used with ACC: DMSA, DMPS, and ALA. DMSA and DMPS detox thru the kidneys and ALA detoxes through the bowels. DMSA and DMPS clear mercury out of the body. Only ALA chelates mercury out of the brain.

DMPS is taken every 8 hours.
DMSA is taken every 4 hours.
ALA is taken every 3 hours.

If combining ALA with DMSA, take both every 3 hours.
If combining ALA with DMPS, take ALA every 3 hours and take DMPS every 6 hours (every other ALA dose).

During the first 3 months after amalgam removal only use DMSA or DMPS.

After 3 months, you can add ALA to either DMSA or DMPS, or you can take it by itself. The reason for this is that ALA crosses the blood brain barrier, and mercury likes to distribute evenly across the entire body – so if you have a high body/blood concentration of mercury from having amalgams removed, taking ALA too soon could possibly allow mercury to cross the blood brain barrier and settle in the brain.

  • DMSA chelates lead in addition to mercury.
  • DMSA can exasperate candida issues.
  • DMPS gets more mercury out than DMSA.
  • DMPS might be better for those with autoimmune issues.
  • DMPS usually alleviates more symptoms than DMSA or ALA does.
  • DMPS is much more expensive than DMSA.

Everything you want to know about the chelators: http://home.earthlink.net/~moriam/ANDY_INDEX.html#agents_general

ALA studies, with comments from Andy Cutler can be found here: http://www.curezone.org/upload/PDF/lipoic.pdf

How to Chelate the Mercury Out:

Initial doses during the 3 months after amalgam removal:

Start with a low dose of DMSA or DMPS. Many people start with 12.5 mg or an even smaller dose of one of these chelators. Some people start as low as 1 mg. The sicker a person is, the smaller the dose they usually choose to start with, hoping for fewer side effects as they chelate.

  • DMSA: take every four hours.
  • DMPS: take every eight hours.
  • You can take them more frequently but not less.  For instance you can take DMSA every three hours, or DMPS every six.

Rounds:

The minimum “round” is three full days and two full nights.  The rest of the week is used to recover.

You can do longer “rounds” but never shorter.  You must take a 3 day break after ending a round to allow your body a chance to recover the stress of chelation.

  • If your symptoms are not too unpleasant, and manageable, stay at your initial dose.
  • If your symptoms are horrible, and more vitamin C doesn’t help, lower the dose the dose the next round.
  • If you don’t feel anything at all, increase your dose next round.
  • If after several rounds you feel you can increase the dose, do so by no more than 25% to 50%.
  • If you miss a dose by more than an hour, stop the “round” and start over after a 3-day break.
  • If you are less than an hour late taking a dose, you may want to adjust your next dose to match.
  • Some people benefit by taking their doses closer together.
  • The only time you can lengthen the dosing schedule is at night when you are sleeping – you can add an hour to your dosing, so instead of 4 hours with DMSA, you could set your alarm for 5 hours. Do not stretch this more than 2 times in a night.

Adding ALA after your amalgams have been out for at least 3 months:

If it’s been three months or more since you had your last mercury exposure (amalgams removed), you can start Alpha Lipoic Acid (ALA).  ALA is the chelator that will get past the blood brain barrier. It is the only thing that will chelate mercury from your brain. You want “ALA” not R-ALA or R-LA. ALA is less expensive and has a known half-life of 3 hours. R-ALA is what our bodies make (in very small quantities). People have better results chelating with “ALA”.

  • You can take ALA with DMSA, or with DMPS, or by itself.
  • You start at 12.5 mg or less, and take it every three hours. Many people start at 1 mg or 3 mg of ALA.
  • Rounds are the same as above, minimum three days on, four days off.
  • If you are taking it with the other chelators you must adjust their schedule to the ALA.  For instance take the DMSA every three hours rather than four and take the DMPS every second dose of ALA.

To make your life easier, you can take the ALA every 4 hours at night. We can do this because our metabolism slows down while we are sleeping.

An example of a dosing schedule for this would be (2:45 hour doses in the day and 3:45 hour doses at night): 7:00AM, 9:45AM, 12:30PM, 3:15PM, 6:00PM, 8:45PM, 11:30PM, 3:15AM. 

  • If your symptoms are not too unpleasant, and manageable, stay at your initial dose.
  • If your symptoms are horrible, and more vitamin C doesn’t help, lower the dose the dose the next round.
  • If you don’t feel anything at all, increase your dose next round.
  • If after several rounds you feel you can increase the dose, do so by no more than 25% to 50%.
  • If you are taking two chelators at once, only increase one at a time.
  • If you miss a dose by more than an hour, stop the “round” and start over after a 3-day break.
  • If you are less than an hour late taking a dose, you may want to adjust your next dose to match.
  • Some people benefit by taking their doses closer together.
  • The only time you can lengthen the dosing schedule is at night when you are sleeping – you can add an hour to your dosing, so instead of 4 hours with DMSA, you could set your alarm for 5 hours. Do not stretch this more than 2 times in a night.

Continuous Rounds:

Some people find they do well with a low dose of DMPS on a continuous round – which is just a very long round until you either feel like you need a rest, or you miss a dose.  When you end a long round, give your body a chance to recover and heal from any redistribution symptoms before starting again.

Some people find that they do well with continuous ALA rounds, as long as the interrupted sleep is not an issue for them, and as long as they are keeping an eye on the possibility of increased zinc and copper storage.

This can be hard on adrenals, so keep an eye on those.

The Dump Phase:

The Dump Phase starts around 2-4 months after someone begins chelation or the amalgams have been removed. It ramps up and usually peaks between 6-9 months and then abates, slowly, finally ending 12-24 months out.

The Dump Phase is when you’ve sufficiently lowered your blood/intercellular mercury levels enough that the organs start releasing some of the mercury they have stored to try to “spread the mercury out” – lessen the organ load and try to detox.

It’s part of the healing process, and isn’t necessarily a bad thing or something to dread – but it can feel like a setback, or a stall in healing. Some people have to lower their doses to get through it, some old symptoms might return, but still, things shouldn’t get as bad as they were before you had your amalgams out.

The best way to get through this is to keep chelating.

What NOT to Do:

http://cutlersuccessstories.weebly.com/what-not-to-do.html

  • Don’t take chelators off their half-life schedule, which is:
    • 3 hours for ALA
    • 4 hour hours for DMSA
    • 8 hours for DMPS
  • Don’t skip the nighttime dose.  You will make yourself worse.
  • Don’t do short “rounds.”  The minimum round is three days and two nights. If you keep messing up your rounds, you are just moving more mercury around than you are getting out.
  • Don’t do any IV chelators.
  • Don’t use cilantro.
  • Don’t use chlorella.
  • Don’t take random supplements with ALA in them or use body care products with ALA in them.

What to Do when You are Suffering:

  • If you have a fever, stop the round. Same with catching a virus.
  • If you are having uncomfortable symptoms, try more vitamin C. Up to a gram an hour if you can handle it.
  • Try a detox bath with sea salt, Epsom salt, or clay.
  • Try to sweat – a sauna can help.
  • Take care of your adrenals. Try Adrenal Cortex Extract (ACE).
  • Lithium Orotate 5m-20mg can help with irritation or anger issues when a round ends.
  • If you feel needing the dose before the next dose is due, consider adjusting your round so that doses are closer together.
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