Our Unofficial Guide to the
ANDY CUTLER CHELATION PROTOCOL                       
  November 10, 2011
More frequently than any other question, I'm asked how people can learn about and
begin Andy Cutler Chelation.  Part of the reason for the inquiries is the lack of readily
accessible information.  When you're on the outside, it can seem like a secret
society, complete with a steep learning curve.  However, once you're indoctrinated,
you realize it's not nearly as difficult as you expected and quite possibly the best
thing you ever did in the name of recovery.  

The secret handshake

It's not for lack of people using Dr Cutler's protocol that there's minimal information,
because many thousands of parents use it for their children.  It's safe, inexpensive,
and can be done without a doctor.  Wait, what's that, done without a doctor?!!  Could
that be why it's often unknown?  There's certainly no money to be made from it.  So
why would anyone spend their time teaching a protocol that can't put food on the
table for their family?

Which means, it's generally only through parent networks that you'll learn about
people's experiences with it.  And parents in the thick of recovering a child often
don't have time to teach others.  But there's now a Facebook Group for that...

Recovering Kids is a group you can join and  find relevant and informed advice.  It's
an amazing autism reference group and it's where you'll learn the secret handshake
and more.

THE FAQ's...
Why should I consider chelation?

The short answer is because it works.  Every parent I know who's tried it says it's the
one thing that truly lifted the veil that separated their child's world from their own.
Andy has estimated that 75% of children respond and of those, 50% will recover.

The reason removing metals is critical to recovery is because metals impair the
immune system and cause autoimmune disorders.

If your child regressed following vaccines containing mercury, chelation is the only
way to remove it.

Keep in mind, chelation can also help with more than just autism.  Many parents who
are chelating an ASD child, often chelate their other children with autoimmune
disorders, such as allergies, asthma, PANDAS etc... They repeatedly find their other
children also improve with chelation.  

Who is Andy Cutler?

Andrew Hall Cutler, PhD, is a chemist with a degree from Princeton. When his
amalgam fillings gave him mercury poisoning and no one else could help, he
recovered himself using the
chelation protocol he developed.  

How did he develop his protocol?

Having a background in chemistry, Dr. Cutler knew the importance of half lives.  A
half life is the period of time it takes for the amount of a substance be reduced by
half.   For example if you take 10 mg of a supplement and it's half life is 3 hours.  In 3
hours you have 5 mg left in your body.

When you take a chelating agent, it binds to metals in your body and escorts them
out.  However, every time you stop taking it, the metals it was binding (that haven't
yet exited) are released into your body.  The mobilized metals may be redeposited
into the brain, potentially causing more problems than never chelating in the first
place.

Therefore, Dr. Cutler's protocol involves frequent, low doses of chelators to keep
them at a fairly consistent level in the blood.  Subsequent doses are be given before
the prior one releases the metals it was binding, eliminating the danger of
redistribution following each dose.  

Using other protocols with higher doses (pulling more than the body can excrete)
and / or infrequent doses (not based half life) is likely to result in pulling mercury
from various areas of the body and releasing it into the brain.  A very scary thought.

What chelators are used?

The chelators used in Dr Cutler's protocol are ALA, DMSA and sometimes DMPS.

ALA (Alpha Lipoic Acid - an antioxidant)
  • Removes mercury & arsenic from the brain
  • Does not remove lead
  • Available over the counter
  • Must be given every 3 hours (may stretch to 4 hours overnight)
  • Not to be usedby anyone with mercury exposure in the past 3 months
(including people who have received a flu shot, people who have been
exposed to a broken CFL bulb or have amalgam fillings.)

DMSA (Meso-2,3-dimercaptosuccinic acid)
  • Removes Lead and mercury from organs other than the brain
  • Does not cross the blood brain barrier.  
  • Available over the counter
  • Must be given every 4 hours (can give every 3 hrs with ALA for ease)
  • Known to cause more yeast issues than ALA alone
  • Used with ALA, speeds the excretion of metals

DMPS (2,3-Dimercapto-1-propanesulfonic acid)
  • Removes mercury & arsenic, not as good for Lead and not from the brain
  • Does not cross the blood brain barrier
  • Available only with a prescription
  • Must be given every 8 hours (or give with every other ALA dose)
  • Used with ALA, speeds the excretion of metals

What is a "Round?"

The chelator(s) you select are administered for 72 hours around the clock; according
to their half life
.  The 72 hour period is called a "round."  Following a round, you take
at least an equal amount of time off and then repeat.

For example, people typically follow a 3 day on / 4 day off schedule, starting on
Friday and continuing through Monday morning.  The balance of the week there is
no chelation.   If your child is in school, you should determine the specific hours
which will maximize the time you can chelate.  

Rounds can be longer than 3 days, but you should take an equal amount of time off
round as you spent on... so a 5 day round requires a 5 day break.  Longer rounds
tend to be harder on the adrenals, so watch for signs of
adrenal fatigue.

It's been estimated that a child with ASD needs between 100 and 300 rounds to
recover.

GETTING STARTED...
Deciding what chelator to begin with:

Often people do several rounds with DMSA initially, to lower the total body burden,
and then add ALA.  At least one round this way is recommended.

In our case, we did 2 rounds with DMPS and then added ALA, using them both
together for 32 rounds.  Then we switched to DMSA to remove more lead.  Most of
our rounds lately have been ALA only.

Determining the dose:

Begin with 1/8 mg/lb or less.  For future, gradual increases, consult the RFA group
files. Do not change the dose in the middle of a round.  Max dosage is 1/2 mg/lb.

With Caroline, we began with 1/12th mg/lb which was 3mg.  Even after 42 rounds,
she is still only at 5mg.

Purchasing the Chelator:

ALA
can be bought at any health food store.  Do not use R-ALA, only ALA.  The
main issue is finding capsules small enough to divide into the dose you need.  At a
traditional store 100-200 mg capsules will be the smallest you'll find.

Kirkman Labs sells 25 and 50 mg capsules.  
The 25 mg also comes flavored if you prefer.  Caroline does not mind the unflavored.

Pure encapsulations sells 100 mg which is ideal if you are dividing it at home.  See
our
HOW TO MAKE CAPSULES blog

DMSA is best purchased from Vitamin Research Products
It's available in 25mg or 100mg

DMPS is available only with a prescription which you can get from a physician.

Dividing the Chelator:

If your dose doesn't match the capsule size you have, you'll have to divide them into
proper dosages.  But don't despair, it's not as daunting as it may seem!  

I've read several methods for how people divide them, but I think the way I do it is the
easiest (obviously).  You're free to be creative.

I use two pill boxes and put the chelator into compartments.  See photos at right

Caroline's dose is 5 mg, and I use a 50 mg capsule (because I want to give her as
little filler as possible at night time).

To Administer the dose, I use a miniature oral syringe, see #3 at right for details.  

Insuring you don't miss a dose:

The regular timer on your phone is good for a backup alarm, but it's annoying to
have to keep setting it.  I like the App
Simply Pill Alert because you can set it for an
interval (such as every 3 hours) and when it beeps, you
"simply" click "I will take my
pill now."  it resets to alert you in another 3 hours.  You can also set any interval, so
if you need to do 2 hr 45 min all day to move up the bedtime doses, you can.



















Making a schedule:

Planning out your schedule is important for two reasons:
1. You want to time the nighttime dose so you won't need to wake up more than once.
2. If you stretch the nighttime dose of ALA to 4 hours, your following day's times will
need to be adjusted to get the night doses back on track.

For example, here is our typical schedule with ALA every 3 hours (3hr 45min at night)

Day 1
8:30 am / 11:30 am / 2:30 pm / 5:30 pm /. 8:30 pm / 11:30 pm // 3:15 am

Day 2
7:00 am / 9:45 am / 12:30 pm / 3:15 pm / 6:00 pm / 8:45 pm / 11:30 pm // 3:15am

Day 3
7:00 am / 9:45 am / 12:30 pm / 3:15 pm / 6:00 pm / 8:45 pm / 11:30 pm // ....

Notice on days 2 & 3, the daytime doses are shortened to 2h 45 min to ensure that
the nighttime doses don't get too late, causing multiple night awakenings.

Required Supplements:

Dr. Cutler strongly suggests you take certain supplements when chelating.  They are:









Some additional recommended supplements are Vitamin A & D, B vitamins (especially mb-12 and
methyl folate), Molybdenum & Milk Thistle.


Antifungals:

Because eliminating metals can flare yeast, many children also need an antifungal.  
There are many natural antifungals to choose from and
this page can help you
select the right one for your child.  

A fear of yeast should not stop you from chelating because metals suppress the
immune system, causing fungal overgrowth in the first place.  Yeast also binds to
metals.  Therefore, chelation is the one thing that can permanently end the battle
with yeast.  Parents often report that near round 50, yeast becomes significantly
easier to control.  


How do I get started?

If you're serious about starting AC chelation, I recommend joining the Recovering
Kids Facebook Group.  There you can find help for many nuances and details
specific to certain situations not covered here.  
An example is the use of Adrenal
Cortex Extract (ACE).  Children with low adrenal function will need to supplement it.  I
wrote about it
here.  The group has a file devoted to it.
.
You can also buy Andy's book Amalgam Illness at
www.noamalgam.com


Heavy Metal Testing:

I'm inclined to say it's not critical.  It's also not a requirement for the protocol.  
If you have a child with autism and a poor detox system (which goes hand-in-hand)
and that child has been exposed to mercury, what are the chances he or she could
benefit from chelation?  Very likely -- and oftentimes one round will show results.

There are only two tests that will help you determine if you should chelate.
1.
Urinary Porphyrin Test - Checks for abnormal levels of porphyrins in the
urine, where different porphyrin levels correlate with body burden of
mercury, lead, or other toxic metals. Performed by a
French Lab.  We did this test.

2.
Hair test - The recovering kids group can help you order and analyze.  
The problem is that the analysis is tricky and involves "counting rules," making it
slightly more of an art than a science.  There are many children who benefit from
chelation who technically didn't meet the counting rules.  We have a hair test and I
never truly figured out if Caroline did or didn't meet them because it just did not
matter since we were seeing good results from our rounds.

Note: Never a good idea to do a challenge test (administering large doses of
chelator and testing urine for metals being excreted).  It's dangerous and proves
nothing. Who wouldn't excrete large amounts of metals after given high doses of
chelator?   Doctors who do that test have gotten a bad name for a good reason.


FINAL WORDS... Learning about Andy Cutler chelation can be a large undertaking.
but one with potentially huge gains.  To read more about our successes with the
protocol (if you haven't already) please consider these posts:
June 14, 2011   ~ Where is it, Moon?   [32nd round of chelation]
August 1, 2011  ~ A bed is made, recovery is closer   
3. To administer, use a 1 or 3 ml syringe (buy here).

Suction water from a small cup then squirt it into the pill
box, stir, and then place the tip in the corner of the box
and suction it back up.  

If you don't want to administer to your child via the
syringe, you could squirt it back into the cup.  We use
the syringe which makes it very easy at night.

At night, Caroline usually simply swallows and rolls over,
staying asleep.

** TIP:  I add melatonin to the midnight dose to help         
        her stay asleep.
1. Open capsule and pour it evenly
into piles in the pill boxes.  Stop  
when you've used about 3/4 of it.
2. Tap the box on its side to determine if they're equal,
use the remaining powder to equalize doses.
How we Divide the Chelator
Divided and given
3-4 times per day
Once per day
Nov 6, 2011       ~ Back to the Business of Chelating  (Part 1)
This page combines personal experience with a step-
by-step guide for navigating Andy Cutler Chelation.

His low dose method is safe for children and
responsible for a significant percentage of recovery
stories from autism and other disorders.
Do I really have to wake up in the middle of the night?!  

Yes, and it gets easier.

I let this reason stop me from considering the protocol
for several months.

I thought there was no way I could do it.  But once you
start, and you see the gains (oftentimes in just the first
round), you're motivated to keep going and the night
waking becomes second nature.... I know you don't
believe me, but it does!
Vitamin C 500-1,000 mg*
Magnesium 400 mg*
Zinc 30-50 mg*
Vitamin E  400IU/day*    
Fish Oil (mercury free)
Additional Tips:
To administer supplements, I break open
capsules and mix into 1/4 oz. of pear sauce.

You must approach it with the same
vigilance as if they were medicine
....Don't give up!

Supplements in the citrate form are
recommended

Do
not use magnesium oxide or
Vitamin E containing dl alpha

Do not take zinc on an empty stomach
When you begin
chelation, it's essential
to
take good daily
notes.  
You'll want to
look back on them to
track progression.
Is Chelation Safe?
I wouldn't be writing this page if I didn't
feel certain of it's safety.  I researched
it thoroughly before we began.  You
should too.  Starting with,
Chelation:
The Story Behind the Headlines  
Please note, the author is referring to
traditional DAN chelation, which uses
exponentially higher doses of chelator
than Andy Cutler.   
Lower doses = even safer.  
If a child has seizures, they must
be controlled before chelating.
Andy's Two-page       
summary of the Protocol
including:
  • Descriptions of the
    chelators & the protocol
  • Link to his book
    "Amalgam Illness"
   (the link on his page is broken)
  • Link to another yahoo
    group (Autism-Mercury)
  • Information on heavy
    metal testing
For more information, please visit




Before you use ANY other
method of chelation.  
Suppositories, IV, cilantro,
please read this...
A Comparison:
DAN Doctor vs. Andy
Cutler Chelation
For Regarding Caroline Blog notifications
Other Chelation posts:
How To Guide :
Making Capsules (blog)