Section I: Introduction to Environmental Medicine
-
The Science of Environmental Medicine
- Environmental Health Professions
- Total Toxicant Body Burden
- Other Factors Important in Environmental Medicine
- References
-
Oxidative Damage and Inflammation
- Description
- Mechanisms
- Sources
- Assessment
- Biotransformation and Oxidative Stress
- Clinical Significance
- Intervention
- References
-
Food Pollution
- Introduction
- Persistent Organic Pollutants
- Nonpersistent Pollutants
- Intervention
- Organic Foods
- References
-
Water Pollution
- Introduction
- Major Pollutants and Adverse Health Effects
- Intervention
- References
-
Indoor Air Pollution
- Overview
- Solvents
- Intervention
- References
-
Outdoor Air Pollution
- Overview
- Major Pollutants
- Adverse Health Effects
- References
-
Health and Beauty Products
- Description
- Sources
- Body Burden
- Intervention
- References
-
Drugs
- Description
- Toxicity
- Clinical Significance
- Detoxification/Excretion Processes
- Intervention
- References
Section II: The Toxicants
Metals
-
Arsenic
- Description and Toxicity
- Sources
- Intervention
- References
-
Cadmium
- Sources
- Body Burden
- Intervention
- References
- Hexavalent Chromium
- Description
- Toxicity
- Sources
- Body Burden
- Intervention
- References
- Cobalt
- Description
- Toxicity
- Sources
- Body Load
- Intervention
- References
- Lead
- Description
- Toxicity/Metabolism
- Sources
- Body Burden
- Intervention
- References
- Mercury
- Description
- Toxicity
- Sources
- Body Burden
- Assessing Biomarkers
- Treatment
- References
- Other Metals
- Description
- Toxicity
- Sources
- Body Burden and Assessment
- Detoxification/Excretion Processes
- Clinical Significance
- Intervention
- References
Inorganic Chemicals
- Fluoride
- Description
- Toxicity
- Sources
- Body Burden
- Intervention
- References
Solvents
- Benzene, Toluene, Ethylbenzene, Xylenes (BTEX)
- Description
- Toxicity
- Sources
- Body Burden
- Intervention
- References
- Chlorinated Solvents
- Description
- Toxicity
- Sources
- Body Burden
- Intervention
- References
- Styrene
- Description
- Toxicity
- Sources
- Body Burden
- Intervention
- References
Pesticides
- Organochlorine Pesticides
- Description
- Toxicity
- Sources
- Body Burden
- References
- Organophosphate Pesticides
- Description
- Toxicity
- Sources
- Body Burden
- Intervention
- References
- Pyrethroid Pesticides
- Description
- Toxicity
- Sources
- Body Burden
- Intervention
- References
Herbicides
- Glyphosate and Petroleum Distillates
- Description
- Toxicity
- Sources
- Body Burden
- Intervention
- References
- Chlorophenoxy Herbicides
- Description
- Toxicity
- Sources
- Body Burden
- Intervention
- References
Plasticizers
- Bisphenol A
- Description
- Toxicity
- Sources
- Body Burden
- Intervention
- Bisphenol Analogs
- References
- Phthalates
- Description
- Sources
- Body Burden
- Intervention
- References
Other Persistants
- Polybrominated Diphenyl Ethers
- Description
- Toxicity
- Sources
- Body Burden
- Intervention
- References
- Polychlorinated Biphenyls
- Description
- Toxicity
- Sources
- Body Burden
- Intervention
- References
- Perfluorocarbons
- Description
- Sources
- Body Burden
- Intervention
- References
Preservatives
- Parabens
- Description
- Toxicity
- Body Burden
- Detoxification/Excretion Processes
- Intervention
- References
Airborne
- Mold and Water-Damaged Building Toxicity
- Introduction
- Toxins Produced in Water-Damaged Buildings
- Health Effects
- Diagnosis/Assessment
- Intervention
- References
- Ozone
- Description
- Toxicity
- Sources
- Assessment
- Intervention
- References
- Particulate Matter and Polycyclic Aromatic Hydrocarbons
- Description
- Toxicity
- Sources
- Body Burden
- Intervention
- References
- Sulfur and Nitrogen Oxides
- Description
- Toxicity
- Sources
- Body Burden
- Intervention
- References
Endogenous
- Endotoxicity
- Description
- Sources
- Toxicity
- Detoxification/Excretion Processes
- Clinical Significance
- Intervention
- References
Toxins of Choice
- Alcohol
- Description
- Toxicity
- Sources
- Body Burden
- Intervention
- References
- Marijuana
- Description
- Toxicity
- Body Burden
- Intervention
- Benefits
- Conclusion
- References
- High Fructose Corn Syrup
- Description
- Toxicity
- Sources
- Body Burden
- Intervention
- References
- Salt
- Description
- Toxicity
- Sources
- Body Burden
- Intervention
- References
- Smoking
- Description
- Toxicity
- Sources
- Body Burden
- Intervention
- References
- Wheat
- Description
- Toxicity
- Sources
- Body Burden
- Intervention
- References
Section III: Systemic Effects of Toxins and Toxicants
- Neurotoxicity
- Introduction
- Basic Mechanisms of Neurotoxicity
- Disease Manifestation
- Diseases
- Assessment
- Intervention
- References
- Immunotoxicity
- Overview/Introduction
- Basic Mechanisms
- Disease Manifestation
- Assessment
- Intervention
- References
- Endocrine Toxicity
- Introduction
- Disease Manifestation
- Assessment
- Intervention
- References
- Mitochondrial Toxicity
- Overview
- Mitochondrial Insufficiency
- Assessment
- Intervention
- References
- Respiratory Toxicity
- Description
- Basic Mechanisms of Toxicity
- Sources of Respiratory Toxicants
- Assessment
- Intervention
- References
- Cardiovascular Toxicity
- Overview/Introduction
- Disease Manifestation
- Assessment
- Intervention
- References
- Musculoskeletal Toxicity
- Description
- Basic Mechanisms of Toxicity
- Sources of Musculoskeletal Toxicants
- Assessment
- Intervention
- References
- Liver Toxicity
- Description
- Toxicity—Mechanisms of Action
- Sources
- Assessment
- Intervention
- References
- Renal Toxicity
- Introduction
- Kidney Excretion of Toxins and Toxicants
- How the Kidneys Are Damaged
- Protecting and Regenerating the Kidneys
- References
- Cancer
- Description
- Clinical Significance—Cancer Sites and Associated Toxicants
- Additional Factors Associated With Cancer
- Body Burden
- Intervention
- References
Section IV: Assessment of Toxic Load
- Assessment
- Identifying Environmental Illness
- Patient Examples
- The Diagnostic Opportunity Afforded by Chemical Sensitivity
- Classic Patterns
- References
- Laboratory Assessment of Toxicant Levels
- Introduction
- Normalizing Results
- Prevention and Preconception Care
- Identification of Health-Damaging Pollutants
- References
- Conventional Laboratory Tests to Assess Toxic Load
- Assessment of Toxic Load
- Direct Measures of Toxicants
- Conventional Laboratory Tests
- References
- 8-Hydroxy-2′-deoxyguanosine and Other Nucleoside Metabolites
- Description
- Assessment of Urinary 8-OHdG
- Sources
- Clinical Significance
- Intervention
- References
Section V: Biotransformation and Excretion
- Biotransformation and Elimination
- Functionalization (Phase 1)
- Conjugation (Phase 2)
- Routes of Excretion (Phase 3)
- Assessment
- References
- Lung Excretion
- Introduction
- Function
- Analysis
- Specific Toxicants
- References
- Hair Excretion
- Introduction
- Hair Mineral Analysis
- Excretion of Minerals and Metals
- Hair Status and Systemic Disease
- Excretion of Non-Elemental Toxins and Toxicants
- Autism: Analysis of Hair Testing Data With Pathophysiological Implications
- References
- Breast Milk Excretion
- Introduction
- Synthesis and Composition of Breast Milk
- Analysis
- References
Section VI: Therapeutics
- Avoidance
- Introduction
- Reducing Exposure to Air Pollutants
- References
- Sauna
- Overview
- Sauna Types
- Physiological Response to Sauna Therapy
- Contraindications for Sauna Therapy
- References
- Gastrointestinal and Renal Elimination
- Overview
- Reducing Hepatic and Renal Recycling (Reabsorption)
- References
- Microbiome
- Overview
- Health Properties of Probiotics
- Endotoxemia
- Factors That Alter the Microbiome
- Specific Benefits
- Support
- References
- Chelation (Oral and Intravenous)
- Description
- Chelating Agents
- Chelatable Toxicants
- References
- Nutritional Supplementation for Environmental Toxins and Toxicants
- Overview
- Most Common Natural Antitoxicant Compounds
- Enhancement of Biotransformation and Excretion
- Amelioration of Specific Toxicant-Induced Damage
- References
Appendix A
Dimercaptosuccinic Acid Metal Mobilization Protocol: Two Days On and Five Days Off
Appendix B
Dimercaptosuccinic Acid Metal Mobilization Protocol: Five Days On and Nine Days Off
Appendix C
CaEDTA/DMPS IV Metal Mobilization Protocol
Appendix D
Intravenous Metal Mobilization Testing
Appendix E
Oral Metal Mobilization Testing
Appendix F
Environmental Exposure Questionnaire
- Environmental Toxic Exposure / Residence History
- Environmental Toxic Exposure / Occupational History
Appendix G
Environmental Exposure Questionnaire: Interpretation Guide
- A Metabolism of Pollutants:
- B Toxicant-Related Health Problems:
- C Pollutant Exposure:
Index
