Getting ready to replace one mercury filling

07 Sep 2015

As I continue to research what path I’m taking to maintain my health, I have pretty much decided to go ahead and replace my mercury amalgam fillings. I know the evidence isn’t fully there to support their removal but I have researched enough to convince me that it’s not healthy to continue me having them in my mouth.

If you recall, my mercury free dentist (I’ll refer to him as my biological dentist going forward as that seems to be the description used by the profession) performed a few tests, one including an optical scan to test for nutrient and antioxidant levels in my body and my results came up in the marginal zone. Based on that result, I decided to go for a more detailed micronutrient blood test with my naturopath and I have a more definitive assessment of where my deficiencies are. Overall, my results were surprisingly good in most areas and only identified 3 nutrients where I was under or borderline for being considered deficient. My B complex vitamins, amino acids, metabolites, other vitamins (D, A and K), antioxidants, and minerals were all good with the exception of Oleic Acid (only 3% below the reference range), copper and CoQ10 (both at the bottom of the good reference range).

My results might be good because I do consider myself to eating a fairly balanced diet and I also take a daily multivitamin supplement. I won’t make any changes to my diet until other tests I’m taking to check for any potential food allergies, including gluten sensitivities, come back so more to follow when I get those results.

I will change my vitamin and supplement protocol only because my biological dentist does have a specific protocol that he wants me to follow one month from when he will remove and replace my first amalgam. Most of this is to maintain and improve my nutrient levels so I will switch from my generics to higher grade compounds accessible to the profession. These will include:

  • Co Q 10
  • Multiprobiotic
  • Glutathione Plus
  • NAC (N Acetyl Cysteine)
  • Molybdenum
  • Vitamin C
  • B complex with metafolic
  • Protection III multi vitamin with no copper or iron (even though I’m slightly copper deficient, my biological dentist ask I exclude it)

I will also take a couple enzymes (lymph drainage and protease) to help begin clearing my body of toxins and digest proteins.

Along with the nutrient testing, I did decide to follow-up on the bioenergetic assessment and see how I’m reacting to my recent dental work (extractions, implants and crowns). The test, without getting overly technical, is what I would describe as computerized acupuncture. Using electrodes, the practitioner, passes micro currents through pressure points on my hand that map back to mouth and teeth. The three teeth being evaluated are for my right upper second bicuspid (implant with crown), lower left wisdom tooth (extract), and lower left second molar (implant and crown). This test revealed cavitation under the second molar implant with signs of infection. The test is also reading positive for nickel, which I find surprising since the dentist who did this work tells me the implant is pure titanium, and I know that I am sensitive to nickel and don’t think I would have healed properly if present. I do have a significant mercury amalgam filling in my first molar so it’s possible it’s picking it up from that tooth. In any case, the prescription for treating the infection is injecting the site with ozone (1 cc a week for 4 weeks). This will be performed by my biological dentist when I go in to replace my first filling.

What’s interesting here is the infection and cavitation. I don’t feel anything and it (the resulting cavitation or bone loss) may not even show up in the x-rays of the area. It is worth noting that I have not had any health issues prior to all my recent dental work. I don’t fault my prior dentists as I did not experience any problems with healing after those extractions and implant. Who knows when and how the infection started but it is a potential cause for my compromised immune system and leading ultimately to me coming down with Graves’ disease. The infection has been around long enough to cause a cavitation so it could be the type of long term inflammation, like what happens with gluten, to trigger an autoimmune response. I will continue looking at this angle plus whatever is discovered from my food sensitivity testing to see where I go next.

Personally, I’m pulling for not finding any food sensitivities and zeroing in on the infection as the root cause to my Graves’. How autoimmune diseases start is still not well understood and the cause is likely to be different for anyone who does come down with one. Be diligent, do your research and ask lots of questions before settling in on any prescribed treatment.


Mercury amalgam fillings and nutrient testing

14 Aug 2015

Visited with my mercury free dentist Wednesday and that was pretty interesting. Among being a dentist, I think he described himself as being a ‘bioethical’ dentist and what he is promoting closely aligns with what I’m finding are services covered under functional medicine. While my intention was to do an initial evaluation about removing and replacing my fillings, it turns out that it’s not as simple as that. He too is interested in whole body health and did a ‘biophotonic’ scan to test the overall antioxidant level in my body. More on that in a bit. We also talked about my implants and crowns, which I had no idea could contain nickel, a metal that I know I’m sensitive to (when I was younger and was prescribed corrective lenses, I decided to try hip wire frame glasses when I started reaching middle and high school – needless to say, I broke out like crazy and eventually had to switch back to the old fashioned plastic turtle frames). So now on top of the nutrient scan, I was in need of a material sensitivity test and also in the process of connecting with my other dentists about the composition of my implants (pure titanium or an alloy?) and crown (composition of the ceramic/porcelain may contain nickel). And I’m also asked to take a ‘bioenergetic’ assessment to measure my aura/electromagnetic field/meridians, which can be used to identify underlying health issues in my organs. How many tests was that now? Well other than the nutrient scan, there was only one other test that I actually had completed during my visit, which was to measure the mercury vapor levels in my mouth.

The nutritional scan didn’t require any blood work and basically used light to evaluate my antioxidant levels. This done by placing the left hand on top of a scanner for a minute or less. Scores can run in 10,000 to 19,000 (bad), 20,000 to 29,000 (also bad), 30,000 to 39,000 (marginal – this is where I scored a 33,000), 40,000 to 49,000 (good), and 50,000+ (optimal). Me being the marginal person that I am, I was recommended to take supplements to improve my results and of course the supplements are tied to the manufacturer of the scanner.

Now to the heart of the matter – the mercury vapor scan. The doctor relays to me that that OSHA threshold limit value (TVL) for mercury vapor is around 25 micrograms/ cubic meter (assuming time weighted average or TVA over 8 hrs). My resting rate (non eating) was measured at 70 micrograms and then he had me chew gum to simulate eating and remeasured me for a value of 107 micrograms! I am a walking superfund site! At the very least, I know I’m leaching a lot of mercury vapors. I had to dig deeper to verify what the OSHA limits meant and if there were other data points I needed to look at.

When I do the research, the OSHA numbers are guidelines and the actual number posted in their site is 0.1 mg/cubic meter (if I’m reading their table correctly) or 100 micrograms. Looking at the CDC site, they are promoting a permissable exposure limit (PEL) of 0.05 mg/cubic meter, and which makes me distinctly over if at rest or while eating. The rate of emission was probably lower when the fillings were new but these bad boys have been with me for 40 plus years and given the numbers, I have to say, their time with me is limited.

Stepping back for a second here, why am I so focused on mercury and my recent dental work? It all has to do with metal toxicity. Mercury, fluoride, chloride and other metals affect thyroid health by interfering with iodine uptake needed to sustain a healthy thyroid gland, regardless if you are hyper or hypo. And for me to get to remission with Graves’, these are just some of the steps I have to take to get me there.

I also had a follow-up visit with my naturopath doctor yesterday and I discussed some of the treatment options the dentist presented to me. She’s heard of this antioxidant scanner and provided me additional insight as to how it works. She didn’t completely poo-poo it but she did tell me that the marketing is such that it is also setup to look for a marker that is contained in the supplements that they are trying to get you to take. Not completely honest but it seems you get dinged if you don’t take their brand of supplements. Nevertheless, I do decide to take an actual blood test to check on the whole spectrum of vitamin, mineral and antioxidant deficiencies. She also offers the materials test I covered above to identify heavy metal and environmental toxicity and I opt to take that test (porphyrins profile) with her and provide a layer of independent testing from my dentist. Don’t get me wrong, I thought he was great in walking me through all the different things I should consider, but me, as a doubting Thomas to start, I needed to have my own peace of mind in reaching a conclusion. I think it’s invaluable to get these second and third opinions.

I’ll start getting those test results back in a few weeks and still have other tests to schedule. Removing and replacing the fillings will take time as we’ll do one and see how I react afterwards. But I can’t get those scheduled without some of the other test results, mostly to confirm if I’ll be reactive to certain types of material and determine what the composition of my replacement fillings will be.

As for my health, still feeling good. BP was 120/74 at the dentists and a measured temp of 98.1F. My resting pulse is in the 60-70 range and weight is holding at about +20 from my low. Very pleased with my overall progress to date and am continuing to explore next steps to sustain my health (inching ever closer to the gluten free decision point).

Latest blood test results are back

06 Aug 2015

More good news but still have a little more to go before my endocrinologist will call me back in the normal range. My latest blood test results are in and my TSH is now at 0.3. Apparently normal is anywhere from 0.3-0.5 to 3.0-5.0 (there’s some debate about what the lower and upper range should be) and my starting point was 0.01 (!?) at the height of my event. At the very least, I’m at the bottom of the lower end so he would prefer my level be more somewhere in the middle. For now, he has reduced my dosage to one 10 mg pill a day. I won’t challenge it for the time being and have another check-up in Nov.  I’ve regained a total of 20 lb. now and back to working out to nearly my old routine. Feeling strong!

Follow-up with my endocrinologist 

31 July 2015

It’s been 6 weeks since my initial visit and diagnosis and, I have to say, I’m feeling good. I’m up around 20 lb. from my recent low, despite my goal of wanting to stay closer to 165. BP was 122/66 and pulse 64. The doctor was happy with my progress and based on seeing me, agrees that my progress is good. I’m working out again, and because I like lifting vs aerobic activities, I have to believe that’s accounting for some of my gains. Blood test is underway and I shouldhave  a more definitive answer for where my thyroid hormones are by next week. From that, he’s looking to reduce my prescription dosage of methimazole from 20 mg (10 mg x 2/day) to just 2 mg, and keep me there for a year. My goal is zero, but he wants me to continue at a low dose to keep me at remission. We’ll see. At least, from our discussion, he’s not a fan of ablation – something we both agree on. Remission is the goal. This is where he and I differ. If I get to remission, but some time downstream, it flares up again, he would want me to go back on methimazole. According to him, it’s inevitable that I’ll have another occurrence. I don’t buy into that train of thought. 

I’m doing tons of homework and I’m seeing a lot of evidence that suggests that you can prevent the hyperthyroidism from returning. This will require a lifestyle change for me to remain healthy. I’ve already removed fluoride (interfere with iodine uptake (needed for a healthy thyroid) from my dental care products and am inching closer to going gluten-free (difficult because mom doesn’t comprehend this and she still controls dinner 5x a week). I have Mercury amalgam fillings (I know there’s research out there that says Mercury is safe in the amalgam form but still, it’s a toxic metal and if I do this, I will commit to it all) and will likely get those removed with a certified Mercury-free dentist. I’ll consult with my functional medicine doctors and have some additional tests done to show where my sensitivities are and figure out next steps given my constraints. 


Living with Graves’s Disease, the start of my journey to recovery

I’m starting this blog as I want to contribute my own personal experience with Graves’ Disease. I’m not saying that everyone will get the same results that I will but I do want to give hope for others going through this to not give in or give up and that your body can heal itself. I feel fortunate with own success thus far and want to encourage people who think that conventional medicine is the only recourse and that they have options. Don’t ignore what your doctor have diagnosed and prescribed but use it as a foundation to keep exploring on how else to treat your disease, particularly when it comes to autoimmune diseases, where traditional medicine is still looking at single threaded causes.

Long ago, I was a pre-med student but I gave up that career track because I felt my then classmates were not really out to help people as much as they were looking for a lucrative career ($$$) choice. Oh sure, many also had good intentions but there were enough who weren’t to turn me off. I find it ironic now, many years removed from college, that here I am offering health advice. I am not a practitioner of functional medicine but I feel that that was what I was looking for when I though of going to medical school all those years ago.

I digress. The point I’m making is that treating a disease is not as simple as just addressing an array of symptoms and picking the right drug to treat it. Our bodies are made up of many interconnected systems and an imbalance in one can manifest itself somewhere else. Conventional medicine is often a bit nearsighted and overlooks these relationships. Functional medicine looks to treat the body as a whole and I’m pretty sure that my answer lies there.

Anyways, this is the beginning of my journey…

Winter 2015: Something’s not right but not sure what it is. First signs, from what I can recall, are muscle tremors.

Late Winter 2015 into Spring 2015: Losing weight to go with the shakes. Losing weight wasn’t such a big deal, I was looking to get rid of 30 lbs anyways. Tremors are bad though, sometimes so bad, I can’t even compose text messages on my phone. I also have this ‘hoarseness’ in my voice. I think that must be allergies as I’ve recently relocated to one of the highest pollen producing areas in the states – the south. And now, I also have this annoying acne developing on the back of my neck.

Late Spring 2015: Vacation schedule, family and other things get in the way of scheduling a visit with my primary care but now making time to have my annual physical.

1 June 2015: Finally have my physical and so my doc checks me out. I relay to him what I’ve been experiencing. He has me do a couple of tests like holding out my arms and feeling around my neck. He does see the shaking but couldn’t determine if my thyroid was enlarged. By this time, I had lost 30 lb. and my clothes were all hang off of me. Blood tests are ordered but he is guessing hyperthyroidism.

8 June 2015: I get the blood test results but as my doc is not an endocrinologist, I, of course, get referred to one. He does say that my thyroid levels are elevated (he didn’t tell me by how much) and that I have hyperthyroidism. For that visit, I am astonished to find I lost another 10 lb. Some of my friends have been asking if I’m ok – I can imagine that they are seeing me waste away but me being somewhat ignorant to my condition, think nothing of it. Despite this all, I had managed to keep functioning and didn’t lose a day of work. Ok – yes, I’m a type A, so weight loss and muscle shakes be damned!

Now that I was armed with at least some information, I begin my hunt for more information about hyperthyroidism but I still haven’t connected it with Graves’ Disease. I find enough research online to suspect and start looking for cures and was not too happy to find out about the normal way this gets treated: radioactive iodine (RAI), to fry my thyroid, or surgery, to remove it. I’m even more resolved to avoid traditional treatment and dig deeper to find out as much as I can. I’m finding more and more about thyroid disease and alternative forms of treatment, starting with herbal remedies. I pick lemon balm as my first course and start looking at obtaining bugleweed and Indian gooseberry.

18 June 2015: Endocrinologist is indicating Graves’ disease as to my hyperthyroidism. Doing more blood tests to confirm and ultrasound of thyroid. They are surprise I’m doing as well as I am considering my thyroid hormone levels are way out there (7x higher than normal). I’m prescribed methimazole @ 10 mg, taken twice a day. I’m happy with my endocrinologist as he prefers taking a cautious approach for treatment and will only look at RAI if I can’t bring this under control. Super happy that he didn’t make me do a radioactive iodine test for iodine uptake by my thyroid and opting to scan me to find my thyroid gland to be moderately enlarged instead. Still, my options with him are surgery or fry my thyroid and I’m not ready to give up.

By this time, I’ve also sourced the bugleweed and Indian gooseberry powder and have added that to my regimen. My protocol was to follow my doctor’s perscription plus take my combination of supplements: lemon balm (500 mg) three times a day, bugleweed (900 mg) once a day, although the recommended dose is twice a day, and Indian gooseberry powder (1 tsp), brewed with hot water and honey (Indian gooseberry is otherwise very tart).

I find out that Graves’ can have some really serious symptoms (heart palpitations and vision problems). Having the palpitations can be really bad as, long term, that can have damaging effects to your heart. I feel exceptionally fortunate that this hasn’t happened with me.

26 June 2015: So got the call from the endocrinologist and they are confirming I have Graves’ Disease. On the positive side, been on lemon balm for 2 weeks, which helped me recover 5 lbs (stabilizing between 160-165 lb., and, ironically, where I wanted to be before getting sick) and have been on methimazole for a week, plus taking a half dose of bugleweed, and that seems to be ‘cooling’ me down and reducing my shakes, too. Keeping fingers crossed that I can send this condition into remission (there’s no known cure for Graves’ other than getting rid of the thyroid, but doing that means a lifetime on synthetic thyroid).

I’m getting lot’s of support from my friends and family as they are finding out about my condition. I’m also stunned to find out how much more common my disease is than I’m lead to believe. I remember one of my good friends and co-worker having this some 20 yrs ago and the trouble she had dealing with this. She underwent RAI and after having figured out what dose of synthetic thyroid she should be on, has done well. I knew my ‘cousin’ was having health issues recently and that was also attributed to Graves’ (btw – could the name be any worse?), and she too had RAI but is still struggling with health issues and vision trouble. I find similar testimonials across the internet and have pretty much guessed that conventional treatment for Graves’ is still a crap shoot.

2 July 2015: Went to see a naturopath ‘doctor’ and had a good visit. Some of the things I’ve been doing is the right path from her perspective. I could be doing more and will consider additional changes to move along the curve (avoiding some food types, adding others). Advice for now is to continue with the protocol I’ve come up with (apart from the pharmaceutical) for 3 months and reassess. I’ll get another opinion from a functional medicine doctor mid-month and a blood test reading from the endocrinologist at the end of the month. Weight is holding between 162-165 and the feeling of being warm and muscle tremors are way down. There were other symptoms that I didn’t connect to my illness (hoarseness, neck acne) that are also disappearing. All good! Have a happy 4th!

15 July 2015: One month into my formal diagnosis of Graves’ Disease and I have to say I’m doing pretty well with my protocol. Weight is back up to 170 lbs now and have started to workout again. Visited with a functional medicine doctor today and they pretty much agree that I’m taking the right actions, too. Both the naturopath and the functional doctor think that I should do a micronutrient test so will review further once I have my follow-up blood test and visit with the endocrinologist at the end of the month. Gluten also came up in discussion but will put that aside for now as I don’t want to change my protocol or have too many variables to evaluate for next steps.I have eliminated fluoride from my toothpaste and mouthwash (fluoride interferes with iodine uptake) and will be consulting with a mercury free dentist to see about my potentially leeching fillings (another suspect for autoimmune diseases) and having those removed/replaced. In my opinion, I feel I’m on my way to Kong-quering this and sending it into remission.

— feeling pumped.

24 July 2015: One week before my follow-up with my endocrinologist. I’m continuing to feel good. I’m working out enough that I begin to see my muscle strength returning, and much to my chagrin, adding on more of the weight I’ve lost (edging closer to 175). I have to think that some of this is probably attributed to my reversing my hyperthyroidism and perhaps trending towards being hypo because I’m still on prescription methimazole and one of the supplements I’m taking both target slowing my thyroid gland down from producing too much thyroid hormone. I know that something is working as my voice is no longer strangled (the hoarseness), my shakiness all but gone, and the acne is getting better. While I would prefer to stay my course until I get my next blood test, I don’t want to risk causing my body to swing from one extreme to the other. I will stop taking both the bugleweed and lemon balm beginning tomorrow. I will continue with the Indian gooseberry as that is a superfood and I want to keep supporting my immune system. I am very optimistic that I can control this.

I’ve also dived into a lot of material and am slowly coming around to the fact that I will have to do at least one more lifestyle change to address the likely root cause for my autoimmune disease – Gluten. Yeah, this one has me bugged because I love my carbs! I used to be a hobbyist baker and I can’t imagine going without grain baked goods but I think I have to do this if I want to be free of Graves’. More to follow!