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
Diet
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
Introduction
Children
Chelation
Intravenous vitamin C
Testing table and suggestions
Fibromyalgia
Fatigue
Amino acid analysis
Magnesium, potassium, copper and iron
Fatty acids
Oxidative stress
Heart pain (angina)
Kidneys
Digestive tract
Skin
Allergy
Autoimmunity
Susceptibility to infection
Immune function
Liver metabolism
Sulfur metabolism
Hypoglycemia
Hormone profile
Pituitary
Hormone interactions
Thyroid
Wilson's disease
Adrenal insufficiency
Sex hormones
Growth hormone
Sleep
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)
Antioxidants
Anti-anxiety agents (anxiolytics)
Liver support
Digestive tract support
Anti-yeast (candida)
Anti-parasites
Antidepressants
Manic depression (bipolar disorder)
Brain support
Immune support
Asthma/allergy suppression
Adrenal issues
Hypoglycemia
Blood pressure
Hormones (endocrine system)
Insomnia
Achiness or fibromyalgia
Energy improvement
Anti-mercury supplements
Heart
Summary table of therapeutic agents
Descriptions of stuff you can take (Materia medica)

Appendix
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
Food
How to get your medical records
Sources
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
Index

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