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Michael Cheikin MD Heavy Metal Cases June 2010 Page 1
Case
#
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 Page 2
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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
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Without Provocation With Provocation
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
!!"#$%&'()*+,-&./$0(
TOXIC METALSRESULT REFERENCE WITHIN
µµµµg/g creat INTERVAL REFERENCE OUTSIDE REFERENCE
Aluminum (Al) 10 < 25
Antimony (Sb) < dl < 0.3
Arsenic (As) 11 < 108
Barium (Ba) 0.4 < 7
Beryllium (Be) < dl < 1
Bismuth (Bi) 6.3 < 10
Cadmium (Cd) 0.4 < 0.8
Cesium (Cs) 2.1 < 9
Gadolinium (Gd) < dl < 0.3
Lead (Pb) 0.2 < 2
Mercury (Hg) 0.5 < 3
Nickel (Ni) 1.9 < 10
Palladium (Pd) < dl < 0.3
Platinum (Pt) < dl < 1
Tellurium (Te) < dl < 0.8
Thallium (Tl) 0.1 < 0.5
Thorium (Th) < dl < 0.03
Tin (Sn) 0.5 < 9
Tungsten (W) < dl < 0.4
Uranium (U) < dl < 0.03
URINE CREATININERESULT REFERENCE
mg/dL INTERVAL -2SD -1SD MEAN +1SD +2SD
Creatinine 156 45- 225
SPECIMEN DATA
Comments:
Date Collected: 2/22/2012 pH upon receipt: Acceptable Collection Period: RandomDate Received: 2/24/2012 <dl: less than detection limit Volume: Date Completed: 2/27/2012 Provoking Agent: Provocation: PRE PROVOCATIVEMethod: ICP-MS Creatinine by Jaffe Method
Results are creatinine corrected to account for urine dilution variations. Reference intervals and corresponding graphsare representative of a healthy population under non-provoked conditions. Chelation (provocation) agents canincrease urinary excretion of metals/elements. V13
©DOCTOR’S DATA, INC. !!!! ADDRESS: 3755 Illinois Avenue, St. Charles, IL 60174-2420 !!!! CLIA ID NO: 14D0646470 !!!! MEDICARE PROVIDER NO: 1484530001523
LAB #: U120224-2264-1PATIENT: ID: SEX: MaleAGE: 27
CLIENT #: 32029DOCTOR: Michael Cheikin, MDWynd Moore Rehab Association832 Germantown Pike 3Plymouth Meeting, PA 19462 USA
!!"#$%&'()*+,-&./$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
©DOCTOR’S DATA, INC. !!!! ADDRESS: 3755 Illinois Avenue, St. Charles, IL 60174-2420 !!!! CLIA ID NO: 14D0646470 !!!! MEDICARE PROVIDER NO: 1484530001523