Detoxification
In recent years numerous “detoxification centers” have been established for treatment of drug addiction. More recently chemical detoxification has been recommended by a small group of practitioners to remove undesirable chemicals from patients believed to have IEI, based on the concept that the sensitivity is caused by toxic effects of low-level synthetic chemicals in the body.
The Procedure.
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Treatment consists of several steps. Aerobic physical exercise is performed for 20 to 30 minutes, followed immediately by forced sweating in a sauna at 140° to 180° F for 2½ to 5 hours and then physical exercise, a cooling shower, and additional exercise. Niacin is then given in increasing doses to produce a flush. Water and salts of sodium, potassium, calcium, magnesium, and other minerals are prescribed to correct for water and salt depletion from sweating. Polyunsaturated oils (a mixture of soybean, walnut, peanut, and safflower oils, which are said to be essential) are consumed orally. A planned schedule of balanced meals and adequate sleep is recommended, along with avoidance of medications and alcohol.
The routine described above is repeated daily, usually for 30 days.
Theory.
The enforced program of exercise and sweating with niacin-induced cutaneous vasodilation is believed to mobilize fat-soluble “toxic chemicals,” presumably into the circulation, where they are excreted. The oil ingestion is to prevent reabsorption of chemicals through the normal enterohepatic recirculation. The “essential oils” are believed to allow toxic substances mobilized into the gut to be excreted from the colon, but some toxic material is believed to be excreted also through sweat.
Studies of Effectiveness.
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All reports up to now by proponents of this detoxification procedure are anecdotal. Results are measured by the patient’s self-report of symptomatic improvement. Placebo effect, proper diet, elimination of unnecessary medications, exercise, and adequate sleep therefore have not been ruled out as the reason for subjective improvement.