Where to start if you think you have amalgam illness
 How to use this book
 What is in this book
 Using other books
 Using the internet

 Medicine, controversy, and mercury
 The mercury controversy and me
 Scientific or dogmatic medicine?
 Mainstream and alternative medicine
 Physical versus mental illness
 How can a doctor help you?
 Why doctors should read this book
 Discussion for physicians
 The pressures of managed care
 A warning to physicians and patients alike

 Why worry about mercury poisoning?
 Chronic mercury poisoning is widespread
 Clinical Studies highlight a dichotomy
 Flawed clinical trials fail to resolve the mercury issue.
 Current levels of mercury exposure are known to poison people
 Only people who are immune to mercury work with it
 Sources of mercury exposure
 Fish mercury is a small concern
 Mercury exposure levels
 Mercury poisoning doesn't get diagnosed properly
 People at risk for mercury poisoning - but not from amalgam
 What not to worry about

 What mercury poisoning does to you
 Description of chronic mercury poisoning
 Complication by other toxins
 How mercury hurts you
 How your body handles mercury
 Mercury shows up in sick people
 Physiology in outline
 The physiological effects of mercury intoxication
 Copper metabolism

 Do you have it? How to diagnose mercury poisoning
 What to do if you can't get medical help
 First, do no harm.
 How to diagnose chronic mercury poisoning
 Diagnostic checklist for mercury intoxication
 Counting procedure
 Further discussion of diagnosis
 Old (possibly unrecognized) exposure
 Arsenic, cadmium, lead and copper
 Copper versus mercury poisoning

 What to do about mercury poisoning
 Day to day practicality
 How to keep your life together during treatment
 Short instructions to the doctor when amalgam illness is suspected
 Outline: treatment for mercury tox
 What to do in case of an adverse reaction to improper chelation protocol
 The doctor's approach to the patient with chronic mercury poisoning
 Dental treatment
 Dental work details
 Medical Treatment
 Intravenous vitamin C
 Testing table and suggestions
 Amino acid analysis
 Magnesium, potassium, copper and iron
 Fatty acids
 Oxidative stress
 Heart pain (angina)
 Digestive tract
 Susceptibility to infection
 Immune function
 Liver metabolism
 Sulfur metabolism
 Hormone profile
 Hormone interactions
 Wilson's disease
 Adrenal insufficiency
 Sex hormones
 Growth hormone
 Brain function
 Side effects and adverse reactions
 Hospitals and avoiding harmful care
 Psychiatric emergencies
 What will happen - Prognosis

 What to take for mercury poisoning
 Chelating agents
 Pain relief (analgesics)
 Anti-anxiety agents (anxiolytics)
 Liver support
 Digestive tract support
 Anti-yeast (candida)
 Manic depression (bipolar disorder)
 Brain support
 Immune support
 Asthma/allergy suppression
 Adrenal issues
 Blood pressure
 Hormones (endocrine system)
 Achiness or fibromyalgia
 Energy improvement
 Anti-mercury supplements
 Summary table of therapeutic agents
 Descriptions of stuff you can take (Materia medica)

 Useful books
 Other references cited
 Diagnostic tests - when to perform them and what they mean
 Therapy with Prescription Medications
 Prednisolone taper
 Magnesium and vitamin C injections
 How to get your medical records
 Chelation Considerations
 DMPS, DMSA, LA, BAL, PA and Cysteine structural formulae
 Chelating agent pharmacokinetics
 Mathematical background for diagnosis
 Symptomatic diagnosis - accurate numeric procedure derived
 The toxic threshold for mercury
 Dental amalgam - major source of mercury exposure
 Cutaneous absorption of mercury
 Iatrogenic exposure to mercury
 Iatrogenic self exposure to mercury

 List of figures
 Figure 1. Mercury comparison of poisoned dentists and students as measured
 Figure 2. Mercury comparison of poisoned dentists and the general population
 Figure 3. Mercury is metabolized differently by assorted types of people
 Figure 4. How different parts of your brain control your hormones
 Figure 5. Simplified figure of the important steroid hormones
 Figure 6. Complete figure of steroid hormones made by your gonads and adrenal glands
 Figure 7. Figure showing the metabolism of sulfur amino acids and related compounds
 Figure 8. Simplified figure showing the metabolism and effects of essential fatty acids
 Figure 9. Complete figure showing the metabolism and effects of essential fatty acids
 Figure 10. Schematic illustration of cell membrane function
 Figure 11. Phase 1 liver metabolism
 Figure 12. Phase 2 liver metabolism
 Figure 13. Blood sugar and brain energy after a meal
 Figure 14. Blood sugar and brain energy when you haven't eaten for a while
 Figure 15. Brain mercury and how you feel after amalgam removal
 Figure 16. T3 and T4 levels on various forms of thyroid hormone
 Figure 17. Normal relationship between ACTH and cortisol in healthy resting people
 Figure 18. Normal relationship between T3 and T4 in healthy people
 Figure 19. Normal relationship between free T4 and TSH in healthy people
 Figure 20. Schematic illustration of how different anti-mercury drugs work in the body
 Figure 21. Blood concentration of chelating agent for various administration schedules
 Figure 22. Structure of various chelating agents and anti-mercury drugs

 List of tables
 Table 1. Average nonoccupational exposure to mercury
 Table 2. The effect of the various hormones on the body
 Table 3. Phase 2 metabolic pathways and how to affect them
 Table 4. Effects of medicines and supplements on diagnostic tests
 Table 5. Statistical tables for diagnosis based on standard assumptions
 Table 6. Statistical tables for diagnosis based on conservative assumptions
 Table 7. Common problems and possible treatments in mercury poisoning
 Table 8. Summary table of therapeutic agents
 Table 9. 24 hour urinary creatinine versus height and sex
 Table 10. Correction factor table for testosterone measurements
 Table 11. "One size fits all" short prednisolone taper
 Table 12. Prednisolone tapers by body weight and initial mg/kg desired
 Table 13. Mercury excretion on various chelation regimes
 Table 14. Conversion table for comparison of different challenge test results
 Table 15. Diagnostic probability table based on low population incidence
 Table 16. Diagnostic probability table based on high population incidence
 Table 17. Factors for exact diagnostic calculation from symptoms