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Marked improvement in PD status after phlebotomy

MehmetKutlu profile image
9 Replies

A very interesting case report.

hgculiacan.com/revistahgc/a...

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MehmetKutlu
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9 Replies
Astra7 profile image
Astra7

This is so interesting. I really feel that 2 iron transfusions I had have something to do with my PD.

I haven’t found anyone else with the same problem though.

MehmetKutlu profile image
MehmetKutlu in reply to Astra7

There also seems to be a very nasty relationship between deranged copper metabolism and pathologic iron deposition in substantia nigra:

Copper is not only directly toxic to neural tissue, it also facilitates harmful iron build-up in basal ganglia.

Copper-carrying protein, ceruloplasmin, is also tasked with removal of toxic iron ions from the brain. When ceruloplasmin is low, it cannot accomplish this task, with resultant iron accumulation in motor control centers. Most PD patients have a low ceruloplasmin level.

Low ceruloplasmin is also the hallmark of Wilson’s disease, a genetic condition characterized by progressive copper accumulation in tissues. Interestingly, there is at least one investigator asserting that PD could well be the milder heterozygote form of Wilson’s disease

.

dovepress.com/ceruloplasmin...

bmcneurol.biomedcentral.com...

academic.oup.com/brain/arti...

onlinelibrary.wiley.com/doi...

hindawi.com/journals/bmri/2...

academic.oup.com/brain/arti...

Astra7 profile image
Astra7 in reply to MehmetKutlu

I had my copper checked by an integrative gp who said it was very high. She sold me something to remove it, but when I mentioned it to my neurologist he got very agitated and said low copper was the last thing I want!

I’m seeing him next week so I’ll ask him about these issues. He can earn his $200 for a change!

I wonder if he could do a brain biopsy without damaging me?

kaypeeoh profile image
kaypeeoh

I couldn't bring up the report on my laptop. 20 years ago I read a study that showed people who donated blood regularly had a lower incidence of all forms of cardiac disease. One theory is phlebotomy forces the marrow to release new red cells. These young cells are elastic. They can bend and fold to move through smaller arteries. BTW, ozone acts similarly on red cells. I donated blood four times a year for over 20 years. I was diagnosed with PD but don't have the more serious symptoms: No bradykinesia and no 'freezing'. Essentially I have a hand tremor and small handwriting. I had to stop donating after I was put on drugs to treat Multiple Sclerosis. I stopped those drugs last year and hope to continue donating after the drug 'washout' period.

bepo profile image
bepo in reply to kaypeeoh

Excellent. Are you familiar with the natural way to treat MS with Dr. Terry Wahls? She had MS while going through medical school, and waes confined to a wheelchair. Now she is very active. The Wahl's Protocol is helpful and can cure MS.

kaypeeoh profile image
kaypeeoh in reply to bepo

I read her book. Her idea of eating 40# of greens per day may be a good idea but seems impractical.

bepo profile image
bepo in reply to kaypeeoh

Juicing? The juicing of greens is part of the cancer treatment at Gersen Clinic.

MehmetKutlu profile image
MehmetKutlu

Thanks for your feedback. I am sorry that you were unable to read the case report from the link. A google search "Parkinson's + phlebotomy" could bring up the report.

In brief; a 43 year-old male with PD and hemochromatosis presents to a Neurology clinic in New Jersey. Motor UPDRS score was 78. During a course of 2 years in which he received maximal medical therapy, his score fell to 66. Subsequently, a decision to proceed with phlebotomy was made, to decrease iron load of the patient. Just after 3 weeks, the motor UPDRS score dropped from 66 to 35 with dramatic decrease in pains and reduction in medication doses.

4 months later, probably due to re-accumulation of iron, the score rose to 51. A repeat phlebotomy was undertaken, which brought the UPDRS score down to 16.

To me, 2 points were notable:

1. This was apparently a relatively mild case of hemochromatosis, since the patient was under Hematology follow-up without treatment, ie, just observation. Phlebotomy decision was made by the Neurology team, not by Hematology.

2. Brain MR of the patient revealed no iron deposition (for which, my neurologist says, MR is highly sensitive. His explanation was: microscopic deposition of iron at the cellular level in basal ganglia).

Phlebotomy, worth a try ?

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