Treatment in my opinion should primarily focus on reducing the neurotransmitter glutamine and NMDA activity, both significantly contribute to heightened pain, prolonged pain, wide spread pain (allodynia, hyperalgesia, hyperpathia) and hypersensitivity to chemicals, stimuli and stress.
Heightened NMDA activity and glutamine (glutamate) are involved in the self maintaining NO/OONO inflammatory disease cycle postulated by biochemist Dr Martin Pall, it is worsened by what I call Toxicity, inflammation and stress (TIS).
Treatment for MCS and (TIS) involves:
> careful product selection,
> careful food selection (start by avoiding food containing MSG, Aspartame and foods high in glutamates) then if necessary reduce other food chemicals associated with
> Environmental management at home (reduce exposure to chemicals in particular Volatile Organic Compounds, as well as stimuli such as noise
> A multi dimensional biopsychosocial treatment approach similar to what is recommended to people with fibromyalgia and chronic fatigue syndrome as these are all what are known as Central Sensitivity Syndromes.(http://www.50symptomsgone.com/?page_id=1211)
>For some people detoxification methods such as FIR Sauna Therapy can be useful if engaged in very safely, however, other detoxification methods can be problematic due to enzyme depletion and liver detoxification impairment and are generally not recommended.
When it comes to Sauna Therapy Dr Sarah Myhill says that short periods of time in the sauna is all that is necessary as most chemicals come out within a few minutes of sweating. After being in the sauna it is also really important to shower and rehydrate with a mineral mix. http://drmyhill.co.uk/wiki/Detoxing_-_Far_Infrared_Sauna_(FIRS)
Dr Grace Ziem and Dr Martin Pall recommend a supplement protocol known as the neural protocol. This contains many agents that support the liver, gut and nervous system and is supposed to help with the reversal of neural (nerve) sensitisations and provide antioxidant protection. Sensitisations are changes that have occurred to the nervous system that make the nervous system (in particular somatosensory and nociception) more hypersensitive to stressors such as chemicals, but also stimuli such noise and light and stress in general.
Some people report very good results from this protocol, however for it to be most effective Dr Grace Ziem recommends that it be combined with chemical minimisation. Unfortunately, however, this supplement protocol does not appear to be suitable for everyone, and in fact can make some people feel a lot worse. This is most likely the case for people who have very severe salicylate - phenol intolerance as the neural protocol contains a lot of herbal/plant based substances that are very high in these.
People with more severe phenol salicylate intolerance (and even oxalates) also generally have pharmacological food (chemical) intolerance and generally benefit greatly from following the guidelines provided by the RPAH Allergy Unit regarding this matter. [Recommended read introduction to the RPAH Friendly Food Cookbook - free on line to read]
Tolerance to medications vary, while some people will gain symptom relief from medications generally recommended to people with fibromyalgia at low dose e.g. Lyric, tricyclics, Gabapentin. Others with more severe liver detoxification impairment and hypocortisolism are likely to have very poor tolerance to these and in fact will tend to experience very nasty side effects.
For people with very severe pharmacological food intolerance (http://www.50symptomsgone.com/?page_id=1473) drug resistant depression can be a problem and symptoms can be worsened from psychogenic medications according to psychiatrist Dr Gordon Parker.
While there are a number of treatment approaches there is no one size fits all, and some trial and error is always involved. Links to a number of treatment protocols and resources you may find helpful (including my experiences with implementing Dr Grace Ziems Environmental Control Plan can be found these can be found at www.50symptomsgone.com and at www.mcssimplified.com.
To get started I recommend read what Dr Grace Ziem has to say. Dr Bradford at his site http://www.dr-bradford.com/Ziem-Protocol.htmlrecommends patients read the following
ENVIRONMENTAL CONTROLS ARE THE MOST IMPORTANT FIRST STEP.
LETTER TO PATIENTS: Detailed explanation of Dr. Ziem’s treatment.
NEW PATIENT HEALTH AND ENVIRONMENT HISTORY: Form filled out by Dr. Ziem’s new patients. (Doctors are permitted to adapt and use this form in their own practices.)
Glutathione is the body's important antioxidant and detoxifying molecule, needed in higher amounts in chemical injury. Commercial oral forms are not absorbed, but a new oral form, S-acetyl Glutathione, is now available that is absorbed directly into the blood stream (contact me for details).
SpectraCell Comprehensive Nutritional Panel (cultured lymphocytes) testing
Intestinal healing is essential to health
Oral forms of healing substances, and sublingual MethylCobalamine (the active form of B12)
Help your healthcare provider help you better
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