Michael Cheikin MD Heavy Metal Cases June 2010 …_educational/hm...Michael Cheikin MD Heavy Metal...

Michael Cheikin MD Heavy Metal Cases June 2010

Case

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Pages Summary

1 2-4 First patient evaluated, at her insistence, for heavy metal

toxicity. Blood test negative by history. Special test

positive in 7/2007. Despite large amount of mercury,

had no fillings in her mouth. However, was a big sushi

eater. Treated with oral detox agents for approximately

7 months, during which time the blood test was repeated

for lead and showed none; repeat special test showed im-

provement which correlated with improvement in her

symptoms.

2 5-6 Had numerous evaluations and treatments over 30 years.

Special heavy metal test showed very high levels of lead

(initially 110, upper level 2-5). Treated with oral agents;

11 months later levels improved, as are symptoms. 2

years later is 95% improved.

3 7 Demonstrates that family members often share environ-

mental exposure. In this case, he renovated old build-

ings, probably bringing lead dust home in his clothes

4 8 This patient had bouts of depression. She was renovating

a very old house in Philadelphia. Blood levels for lead

and mercury were undetectable.

7 12 Not all tests are positive!

Diagnosis/

Complaint

41 year old femal

Insomnia

Anxiety

Chronic Diarrhea

64 year old female

“Fibromyalgia” for

over 30 years

Multiple joint pains

Fatigue

67 year old male

Husband of case 2

37 year old female

Chronic depression

60 year old male

Hypertension

6 10-11 26 year old female

“Fibromyalgia”

since age 16

This severely disabled woman had been to numerous

practitioners. I initially discovered low Vitamin D levels

and some thyroid dysfunction. Three months later, she

was only 5-10% improved; Vitamin D levels remained

low—a sign of lead toxicity. Though she vehemently

denied any possible exposure, she agreed to testing.

When the “special” test demonstrated a value of 9560,

conventional blood tests were performed, which also

showed high levels. This is the only case where blood

tests were positive.

5 9 48 year old female

Parkinsons disease

in early 40’s

This patient had been treated by conventional and other

CAM physicians. Despite all care, her Parkinsons was

progressing. Lead is known to cause neurological de-

generation at virtually any level.

Michael Cheikin MD Heavy Metal Cases June 2010

URINE TOXIC METALSLAB #: U110427-2425-1PATIENT: ID: SEX: FemaleAGE: 45

CLIENT#: 32029DOCTOR: Michael Cheikin, MDWynd Moore Rehab Association832 Germantown Pike 3Plymouth Meeting, PA 19462 USA

POTENTIALLY TOXIC METALS

RESULT REFERENCE WITHIN VERY

METALS µµµµg/g creat RANGE REFERENCE RANGE ELEVATED ELEVATED

Aluminum 9.3 < 35

Antimony < dl < 0.4

Arsenic 7.9 < 117

Barium 1.3 < 7

Beryllium < dl < 1

Bismuth < dl < 15

Cadmium 0.3 < 1

Cesium 4.1 < 10

Gadolinium < dl < 0.4

Lead 13 < 2

Mercury 3.2 < 4

Nickel < dl < 12

Palladium < dl < 0.3

Platinum < dl < 1

Tellurium < dl < 0.8

Thallium 0.2 < 0.5

Thorium < dl < 0.03

Tin 0.8 < 10

Titanium N/A < 15

Tungsten < dl < 0.4

Uranium < dl < 0.04

URINE CREATININE

RESULT REFERENCEmg/dL RANGE 2SD LOW 1SD LOW MEAN 1SD HIGH 2SD HIGH

Creatinine 47.0 35- 225

SPECIMEN DATA

Comments: Date Collected: 4/25/2011 pH upon receipt: Acceptable Collection Period: timed: 6 hoursDate Received: 4/27/2011 <dl: less than detection limit Volume: Date Completed: 5/4/2011 Provoking Agent: DMSA Provocation: POST PROVOCATIVEMethod: ICP-MS

Toxic metals are reported as µg/g creatinine to account for urine dilution variations. Reference ranges are representativeof a healthy population under non-challenge or non-provoked conditions. No safe reference levels for toxic metalshave been established. V12

©DOCTOR’S DATA, INC. !!!! ADDRESS: 3755 Illinois Avenue, St. Charles, IL 60174-2420 !!!! CLIA ID NO: 14D0646470 !!!! MEDICARE PROVIDER NO: 1484530001395

Michael Cheikin MD Heavy Metal Cases June 2010 Page 5

Without Provocation With Provocation

LAB #: U120224-2105-1PATIENT: ID: SEX: MaleAGE: 27

CLIENT #: 32029DOCTOR: Michael Cheikin, MDWynd Moore Rehab Association832 Germantown Pike 3Plymouth Meeting, PA 19462 USA

!!"#$%&'()*+,-&./$0(

TOXIC METALSRESULT REFERENCE WITHIN

µµµµg/g creat INTERVAL REFERENCE OUTSIDE REFERENCE

Aluminum (Al) 10 < 25

Antimony (Sb) < dl < 0.3

Arsenic (As) 11 < 108

Barium (Ba) 0.4 < 7

Beryllium (Be) < dl < 1

Bismuth (Bi) 6.3 < 10

Cadmium (Cd) 0.4 < 0.8

Cesium (Cs) 2.1 < 9

Gadolinium (Gd) < dl < 0.3

Lead (Pb) 0.2 < 2

Mercury (Hg) 0.5 < 3

Nickel (Ni) 1.9 < 10

Palladium (Pd) < dl < 0.3

Platinum (Pt) < dl < 1

Tellurium (Te) < dl < 0.8

Thallium (Tl) 0.1 < 0.5

Thorium (Th) < dl < 0.03

Tin (Sn) 0.5 < 9

Tungsten (W) < dl < 0.4

Uranium (U) < dl < 0.03

URINE CREATININERESULT REFERENCE

mg/dL INTERVAL -2SD -1SD MEAN +1SD +2SD

Creatinine 156 45- 225

SPECIMEN DATA

Comments:

Date Collected: 2/22/2012 pH upon receipt: Acceptable Collection Period: RandomDate Received: 2/24/2012 <dl: less than detection limit Volume: Date Completed: 2/27/2012 Provoking Agent: Provocation: PRE PROVOCATIVEMethod: ICP-MS Creatinine by Jaffe Method

Results are creatinine corrected to account for urine dilution variations. Reference intervals and corresponding graphsare representative of a healthy population under non-provoked conditions. Chelation (provocation) agents canincrease urinary excretion of metals/elements. V13


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Pre Challenge

LAB #: U120224-2264-1PATIENT: ID: SEX: MaleAGE: 27

CLIENT #: 32029DOCTOR: Michael Cheikin, MDWynd Moore Rehab Association832 Germantown Pike 3Plymouth Meeting, PA 19462 USA

!!"#$%&'()*+,-&./$0(

TOXIC METALSRESULT REFERENCE WITHIN

µµµµg/g creat INTERVAL REFERENCE OUTSIDE REFERENCE

Aluminum (Al) < dl < 25

Antimony (Sb) 0.6 < 0.3

Arsenic (As) 12 < 108

Barium (Ba) 0.5 < 7

Beryllium (Be) < dl < 1

Bismuth (Bi) 38 < 10

Cadmium (Cd) 0.5 < 0.8

Cesium (Cs) 2.3 < 9

Gadolinium (Gd) < dl < 0.3

Lead (Pb) 20 < 2

Mercury (Hg) 17 < 3

Nickel (Ni) 2.8 < 10

Palladium (Pd) < dl < 0.3

Platinum (Pt) < dl < 1

Tellurium (Te) < dl < 0.8

Thallium (Tl) 0.3 < 0.5

Thorium (Th) < dl < 0.03

Tin (Sn) 0.9 < 9

Tungsten (W) < dl < 0.4

Uranium (U) < dl < 0.03

URINE CREATININERESULT REFERENCE

mg/dL INTERVAL -2SD -1SD MEAN +1SD +2SD

Creatinine 26.0 45- 225

SPECIMEN DATA

Comments:

Date Collected: 2/22/2012 pH upon receipt: Acceptable Collection Period: timed: 6 hoursDate Received: 2/24/2012 <dl: less than detection limit Volume: Date Completed: 3/2/2012 Provoking Agent: DMSA Provocation: POST PROVOCATIVEMethod: ICP-MS Creatinine by Jaffe Method

Results are creatinine corrected to account for urine dilution variations. Reference intervals and corresponding graphsare representative of a healthy population under non-provoked conditions. Chelation (provocation) agents canincrease urinary excretion of metals/elements. V13


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