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intake of P5P. I’ve noted that in certain instances, the use of high dose B6 or<br />

P5P is not always helpful, and may cause overstimulatory or OCD type behaviors.<br />

While kynurenic acid is a calming neurotransmitter, it’s converted by B6 or<br />

P5P into quinolinic acid, which is an excitotoxin that can aggravate the nervous<br />

system. Increased levels of quinolinic acid have been implicated in Alzheimer’s<br />

disease and in excitotoxic damage of nerves. Quinolinic acid was found to be<br />

substantially elevated in patients with Borrelia burgdorferi (Lyme) infection and<br />

has been postulated that it contributes to the neurological and cognitive defects<br />

associated with Lyme disease.<br />

The Clean-Up<br />

Again, it is normal to see symptoms during detoxification. At any point that you<br />

are concerned about behaviors or physical symptoms, simply stop the program<br />

and those symptoms will subside in several days. You can then start again later.<br />

Some parents have used a combination of detoxification supports as a final “clean<br />

up.” This combination includes the use of Metals I, Metals IV, and Microbial<br />

Support RNAs along with Valtrex. Gradually increase the amount of the Metals<br />

I and IV and Microbial Support over time in a manner similar to that described<br />

above. Remember that this combination approach is only used after each of the<br />

Metals RNAs has first been used individually.<br />

Again, detoxification should always be conducted in conjunction with your<br />

health care provider.<br />

Visual Inspection<br />

Although it is always gratifying to see progress, weekly urine tests can get expensive.<br />

If you’re on a budget, watch the urine itself, and observe when it gets<br />

dark and then light again. Send in the clear samples to get a measure of the metal<br />

excretion. This will be easier on the pocketbook, However, remember that this<br />

will not monitor creatinine and potential viral excretion, and you may miss some<br />

metals. A number of parents have also taken advantage of creatinine test strips.<br />

These will not give you a quantitative measure of creatinine but they will give<br />

you a sense of the trend, and whether it is increasing or decreasing, and you can<br />

use them in conjunction with biweekly, or every third week, spot urine tests. Another<br />

reason not to rely solely on the creatinine test strips is that, unlike mercury<br />

or lead, aluminum excretion appears to be independent of the creatinine levels.<br />

Sending in spot urine samples should be done on a regular basis, even if the<br />

creatinine numbers have not dropped. In addition, testing for essential minerals<br />

(UEE) along with the toxic metal excretion is very important. As I have mentioned,<br />

essential minerals can be excreted along with toxic metals, and mineral<br />

depletion can be a cause for concern. For this reason alone, you should perform<br />

occasional spot urine tests regardless of the creatinine number and also include<br />

184 Autism: Pathways to Recovery

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