Mercury
poisoning fibromyalgia chronic fatigue chemical sensitivity autism
hyperactivity
Amalgam Illness
Diagnosis and Treatment
A book on
how to cure mercury poisoning
by Andrew Hall Cutler, PhD, PE
A
wide variety of debilitating and supposedly incurable conditions may actually
be due to chronic mercury poisoning. Mercury poisoning can be easily cured if it
is recognized. These conditions are seldom cured because mercury poisoning is
believed to be rare. It is not. It is quite common. Thus, many people suffer
needlessly.
Many of today's "mystery syndromes" that physicians don't know how to
treat at all - fibromyalgia, chronic fatigue, anorexia, recurrent depression -
aren't mystery syndromes. They are just mercury poisoning. Treating them as
mercury poisoning cures them, while the usual treatments are seldom effective
in the long term.
This book gives practical guidance on how to tell if you really have chronic
mercury poisoning or some other problem. If mercury poisoning is your problem,
the book tells you how to get the mercury out of your body, and how to feel
good while you do that.
Sections also explain how the scientific literature shows many people must be
getting poisoned by their amalgam fillings, why such a regulatory blunder
occurred, and how the debate between "mainstream" and
"alternative" medicine makes it more difficult for you to get the
medical help you need.
Most of the book is devoted to what you can do to treat the symptoms of amalgam
illness while you get rid of your mercury. The treatment section gives step by
step directions to figure out exactly what mercury is doing to you and how to
fix it. You can feel better soon. This book tells you how.
Amalgam
Illness: Diagnosis and Treatment was written by a research chemist who himself got mercury
poisoning from his amalgam dental fillings. He found that there was no suitable
educational material for either the patient or the physician. Knowing how much
people can suffer from this condition, he wrote this book to help them get well
fast.
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Don't waste any more time wondering whether you have a mercury problem, or what
to do about it. Get Amalgam Illness: Diagnosis and Treatment, find out, and get
well!
Amalgam Illness: Diagnosis
and Treatment
What you can do to get better
How your doctor can help
by Andrew Hall Cutler, PhD, PE
ISBN 0-9676168-0-8
Amalgam
Illness: Diagnosis and Treatment starts with a detailed explanation of why to consider amalgam
illness to be something that some people must have by comparing the well known statistics
for how much mercury people absorb from their fillings to the well known
statistics of how sensitive different members of a population are to a given
toxin. This is for people who really don't know if they believe in amalgam
illness or not (the other material available is rather sensational and I can't
blame anyone reading it for having questions) before going any further.
Amalgam
Illness: Diagnosis and Treatment discusses how to deal with physicians if you think you have
a controversial disease - especially if you have the great "luck" to
be covered by a managed care plan.
A
key section is devoted to diagnosis - how to tell if you actually have amalgam
illness instead of something else. It is also possible to be mercury poisoned
from something other than amalgam, and the testing and examination described
here is diagnostic regardless of the source.
How to get the dental work done safely if you have decided amalgam fillings are
the problem is briefly described - there is a robust industry of amalgam free
dentists if you know how to look for them. The use of drugs and nutritional
supplements to get the mercury out of your system is carefully presented- there
are some important factors here that are not well described in the previous
books on the subject and not all physicians who claim they know what to do
actually give good advice.
Then comes what turns out to be the major section of the book - how to treat
all the related health conditions amalgam illness can cause so as to relieve
them while mercury detoxification proceeds. Since amalgam illness is not widely
recognized in the medical community, most people with it get pretty sick before
they get motivated to bounce around between doctors and eventually end up in
front of one who tells them about it. So most victims have pretty serious,
unpleasant health problems (like fibromyalgia or severe allergies) and they
really need to make these STOP for the year or two it can take to get fully
detoxed and let your body heal.
There are extensive tables of what to use for different conditions, a
description of all the drugs and nutritional supplements suggested in the book,
and appendices covering things like what the assorted clinical laboratory tests
you might get actually mean, what other helpful books are that you might use,
and supporting information like what the chelating agents are and how they
work.
This book explains how the modern epidemic of disabling, incurable chronic
diseases is due to unrecognized mercury poisoning. Many conditions, from Parkinson's
disease and autism - widely recognized as terrible afflictions - to those like
chronic fatigue and fibromyalgia which, though equally serious, are disparaged
as "Yuppie flu" can be undiagnosed mercury poisoning. The book
explains WHY mercury poisoning is so widespread, yet seldom diagnosed. Proper
diagnostic procedures are given so that sick people can decide what is wrong
rather than trying random treatments. This book explains how to cure chronic
mercury poisoning, what to do to control the problems it causes, and provides
the real technical information needed for diagnosis and treatment in a
straightforward manner. This down to earth book lets patients take care of
themselves. It also lets doctors who are not familiar with chronic mercury intoxication
treat it. The book is a practical guide to getting well.
Mercury can cause a bewildering variety of problems. In fact, one of the major
criticisms of amalgam illness is that it is cited as the cause of so many
things. But, like the parable of the blind men and the elephant, mercury can
indeed cause many diseases. Modern physicians are not trained to find the root
cause of a sick person's problems. They are trained to translate what they see
into latin, look it up in their textbook, and apply a cookbook treatment. With
a toxin that poisons fundamental metabolic processes different people will
experience different symptoms to start off, depending on their own individual
biochemistry. As the poisoning becomes more and more serious, further symptoms
surface and the modern doctor adds more diagnoses - a patient who starts with
depression might later be considered to have hypothyroidism, allergies and
asthma in addition. But no thought is given to why one person should develop
more and more "diseases," when a single diagnosis - chronic mercury
poisoning - could account for them all.
Some
of the "diseases" a modern physician might mistakenly misdiagnose
chronic mercury poisoning as are:
|
Addison's disease |
Gastritis |
|
Allergies |
Hypogonadism |
|
Alzheimer's' disease |
Hypothyroidism |
|
Amylotrophic lateral sclerosis |
Infertility |
|
Ankylosing spondylitis |
Insomnia |
|
Anorexia nervosa |
Irritable bowel syndrome |
|
Anxiety |
Juvenile arthritis |
|
Asthma |
Learning disabilities |
|
Attention deficit hyperactivity disorder |
Lupus erythromatosus |
|
Autoimmune disease |
Manic depression |
|
Bipolar disorder |
Multiple chemical sensitivities |
|
Borderline personality disorder |
Multiple sclerosis |
|
Bulimia |
Myasthenia gravis |
|
Candidiasis |
Obsessive-compulsive disorder |
|
Chronic fatigue |
Panic attacks |
|
Colitis |
Parkinson's disease |
|
Crohn's disease |
Pervasive developmental disorder |
|
Depression |
Psychosis |
|
Endocrine disorders |
Rheumatoid arthritis |
|
Environmental illness |
Schizophrenia |
|
Fibromyalgia |
Sciatica |
|
Food allergies |
Sleep disorders |
|
|
Yeast syndrome |
Amalgam Illness: Diagnosis and Treatment is a practical guide to getting well. It does not stop
at saying you MIGHT have mercury poisoning if you have one or more of these. It
tells you how to find out. Quantitative diagnostic procedures are included so
that you can decide whether your problems are due to mercury poisoning or not.
Introduction
Where to start if you think you have amalgam illness
How to use this book
What is in this book
Using other books
Using the internet
Medicine,
controversy, and mercury
The mercury controversy and me
Scientific or dogmatic medicine?
Mainstream and alternative
medicine
Physical versus mental illness
How can a doctor help you?
Why doctors should read this book
Discussion for physicians
The pressures of managed care
A warning to physicians and patients alike
Why worry about
mercury poisoning?
Chronic mercury poisoning is widespread
Clinical Studies highlight a dichotomy
Flawed clinical trials fail to resolve the mercury issue.
Current levels of mercury exposure are known to poison people
Only people who are immune to mercury work with it
Sources of mercury exposure
Fish mercury is a small concern
Mercury exposure levels
Mercury poisoning doesn't get diagnosed properly
People at risk for mercury poisoning - but not from amalgam
What not to worry about
What mercury poisoning does to you
Description of chronic mercury poisoning
Complication by other toxins
How mercury hurts you
How your body handles mercury
Mercury shows up in sick people
Physiology in outline
The physiological effects of mercury intoxication
Copper metabolism
Do you have it? How
to diagnose mercury poisoning
What to do if you can't get medical help
First, do no harm.
How to diagnose chronic mercury poisoning
Diagnostic checklist for mercury intoxication
Counting procedure
Further discussion of diagnosis
Old (possibly unrecognized) exposure
Arsenic, cadmium, lead and copper
Copper versus mercury poisoning
What to do about
mercury poisoning
Diet
Day to day practicality
How to keep your life together during treatment
Short instructions to the doctor when amalgam illness is suspected
Outline: treatment for mercury tox
What to do in case of an adverse reaction to improper chelation protocol
The doctor's approach to the patient with chronic mercury poisoning
Dental treatment
Dental work details
Medical Treatment
Introduction
Children
Chelation
Intravenous vitamin C
Testing table and suggestions
Fibromyalgia
Fatigue
Amino acid analysis
Magnesium, potassium, copper and iron
Fatty acids
Oxidative stress
Heart pain (angina)
Kidneys
Digestive tract
Skin
Allergy
Autoimmunity
Susceptibility to infection
Immune function
Liver metabolism
Sulfur metabolism
Hypoglycemia
Hormone profile
Pituitary
Hormone interactions
Thyroid
Wilson's disease
Adrenal insufficiency
Sex hormones
Growth hormone
Sleep
Brain function
Side effects and adverse reactions
Hospitals and avoiding harmful care
Psychiatric emergencies
What will happen - Prognosis
What to take for
mercury poisoning
Chelating agents
Pain relief (analgesics)
Antioxidants
Anti-anxiety agents (anxiolytics)
Liver support
Digestive tract support
Anti-yeast (candida)
Anti-parasites
Antidepressants
Manic depression (bipolar disorder)
Brain support
Immune support
Asthma/allergy suppression
Adrenal issues
Hypoglycemia
Blood pressure
Hormones (endocrine system)
Insomnia
Achiness or fibromyalgia
Energy improvement
Anti-mercury supplements
Heart
Summary table of therapeutic agents
Descriptions of stuff you can take (Materia medica)
Appendix
Useful books
Other references cited
Diagnostic tests - when to perform them and what they mean
Therapy with Prescription Medications
Prednisolone taper
Magnesium and vitamin C injections
Food
How to get your medical records
Sources
Chelation Considerations
DMPS, DMSA, LA, BAL, PA and Cysteine structural formulae
Chelating agent pharmacokinetics
Mathematical background for diagnosis
Symptomatic diagnosis - accurate numeric procedure derived
The toxic threshold for mercury
Dental amalgam - major source of mercury exposure
Cutaneous absorption of mercury
Iatrogenic exposure to mercury
Iatrogenic self exposure to mercury
Index
List of figures
Figure 1. Mercury comparison of poisoned dentists and students as
measured
Figure 2. Mercury comparison of poisoned dentists and the general
population
Figure 3. Mercury is metabolized differently by assorted types of people
Figure 4. How different parts of your brain control your hormones
Figure 5. Simplified figure of the important steroid hormones
Figure 6. Complete figure of steroid hormones made by your gonads and
adrenal glands
Figure 7. Figure showing the metabolism of sulfur amino acids and related
compounds
Figure 8. Simplified figure showing the metabolism and effects of
essential fatty acids
Figure 9. Complete figure showing the metabolism and effects of essential
fatty acids
Figure 10. Schematic illustration of cell membrane function
Figure 11. Phase 1 liver metabolism
Figure 12. Phase 2 liver metabolism
Figure 13. Blood sugar and brain energy after a meal
Figure 14. Blood sugar and brain energy when you haven't eaten for a
while
Figure 15. Brain mercury and how you feel after amalgam removal
Figure 16. T3 and T4 levels on various forms of thyroid hormone
Figure 17. Normal relationship between ACTH and cortisol in healthy
resting people
Figure 18. Normal relationship between T3 and T4 in healthy people
Figure 19. Normal relationship between free T4 and TSH in healthy people
Figure 20. Schematic illustration of how different anti-mercury drugs
work in the body
Figure 21. Blood concentration of chelating agent for various
administration schedules
Figure 22. Structure of various chelating agents and anti-mercury drugs
List of tables
Table 1. Average nonoccupational exposure to mercury
Table 2. The effect of the various hormones on the body
Table 3. Phase 2 metabolic pathways and how to affect them
Table 4. Effects of medicines and supplements on diagnostic tests
Table 5. Statistical tables for diagnosis based on standard assumptions
Table 6. Statistical tables for diagnosis based on conservative
assumptions
Table 7. Common problems and possible treatments in mercury poisoning
Table 8. Summary table of therapeutic agents
Table 9. 24 hour urinary creatinine versus height and sex
Table 10. Correction factor table for testosterone measurements
Table 11. "One size fits all" short prednisolone taper
Table 12. Prednisolone tapers by body weight and initial mg/kg desired
Table 13. Mercury excretion on various chelation regimes
Table 14. Conversion table for comparison of different challenge test
results
Table 15. Diagnostic probability table based on low population incidence
Table 16. Diagnostic probability table based on high population incidence
Table 17. Factors for exact diagnostic calculation from symptoms
Excerpt
from the Book:
Medicine, Controversy and Mercury
This is not the first
time in the history of modern medicine that a very obvious disease was
belittled and ignored. Until recently it was believed that ulcers were
entirely psychosomatic. Ulcer sufferers underwent prolonged
treatment, were seldom cured, and often ended up under the
surgeon's knife. After years of intense criticism and ridicule - about 20
years after the research was published - it has finally been accepted that most
ulcers are due to helicobacter pylorii infection which can be easily cured with
appropriate antibiotic therapy. At least by the medical schools and
licensing boards. Yet it is still common to find physicians who still
treat ulcers by prescribing acid suppressors - as if they resulted from too
much stomach acid.
Cholesterol was held
out as the root cause of atherosclerosis and coronary artery disease for about
30 years during which the correct evidence that elevated homocysteine played a
major role was ridiculed and ignored.
Older physicians
still remember when "there was no such thing as Epstein Barr Virus
(mononucleosis)."
And who can forget
Lyme disease? A housewife fell ill. Her arthritis and other
symptoms were diagnosed as psychosomatic. When her husband and children came
down with similar symptoms, this was regarded as some kind of projection of her
psychosomatic complaint. She was eventually able to convince physicians
that the only crazy thing was assuming that something psychosomatic could be
contagious!
Chronic Fatigue
Immune Deficiency Syndrome is still routinely considered a psychiatric disorder
despite the repeated publication of physical and laboratory abnormalities
always found in victims of it. When it can no longer be ignored, it
is dismissed with a bit of namecalling - "Yuppie flu."
And in less recent
times, another form of mercury poisoning - acrodynia - was endemic for
150 years until physicians recognized mercury as the causal agent. The disease
was promptly eliminated by changing the formulation of certain infant care
products.
Excerpt from the Book:
Mainstream versus Alternative Medicine
It is common for two
conflicting but legitimate segments of the medical community to be at odds as to
the methods for diagnosing and treating certain conditions. Where there
is more than one recommended method of diagnosis or therapy and none of them
are used exclusively and uniformly by all physicians, a physician is
acting ethically and in accordance with the law if he uses one of these
approved methods, even if it later turns out to be the wrong one.
Thus, in
controversial areas, the burden really is on the patient to decide
whether to accept the physician's diagnosis and proposed treatment plan,
or to seek another. This is why patients' rights exist and are strongly
protected by law. So if you are getting diagnoses like "there is
nothing wrong," or "it's all in your head" and proposed
treatment plans like "try ignoring it and seeing if it goes
away," you have no obligation to accept these. If you want
another diagnosis or treatment plan, you have to find another physician
who follows different methods of diagnosis and treatment for this kind of
condition.
Excerpt
from the Book:
What Mercury Poisoning Does to You
In an overall
lifestyle sense, the fact that symptoms come and go leads to the victim
having periods of weeks to years of being highly functional and
productive, interspersed with periods of being nonproductive and having a
hard time getting anything done. Life seems to progress in fits and
starts. Great progress is made on projects which later get shelved for long
periods. As the disease continues, the productive periods become shorter,
fewer, and farther between.
There are emotional
changes in mercury poisoning. Depression slowly sets in. Victims
feel fatigued and listless. They lack motivation - even for crucial
tasks. They lose interest in their surroundings and in their own
life. They do not enjoy life, or experience happiness or joy.
They experience constant fear e. g. of losing their job. They may be very
tense. They feel hopeless. They have a sense of impending
doom. Every small problem is discouraging. Minor difficulties seem
overwhelming and insurmountable.
The altered emotional
state of a mercury intoxicated person leads to impaired interpersonal
relationships. They become increasingly irritable and sensitive,
reacting strongly to relatively innocent remarks. They may not be able to
take orders, instructions, or suggestions without losing their
temper. They resent criticism and may interpret innocent remarks
critically. They may have an exaggerated response to stimulation and
become fearful or anxious and nervous. They may project their fears and
anxieties onto others, making inappropriate criticisms or attacks.
They become shy and avoid dealing with strangers. While timid, they
may unexpectedly lose self control with strangers. They may wish to visit
with friends and family extensively, often wishing to engage in
long, repetitive conversations, then withdraw for prolonged periods
of time. They withdraw more and more from social contacts.
Intelligence
gradually deteriorates. Previously bright persons become dull and slow in
thinking. They suffer from a progressive decline specifically affecting
short term memory as well as the faculties for logical reasoning. Thus
their ability to do things like balance the checkbook, do math, or
play chess suffers. They lose the ability to concentrate. Memory problems
may be more from distractability and inability to concentrate and pay enough
attention to get things INTO their memory than an actual failure to remember
things (thus they may complain of memory problems but do well on memory
tests). They cease being motivated towards their work or other
tasks. Thoughts become heavy, repetitive and pedantic. Creative thinking
becomes progressively more difficult, eventually becoming impossible.
They become unable to select the right words to convey their meaning, and
make stylistic and grammatical errors. Their ability to express
themselves declines progressively.
There is a
distinctive cognitive symptom of being unable to think clearly without great effort.
The best description for people who have not experienced it is of a hangover
without pain. People who have experienced it will recognize the term
"brain fog" as entirely descriptive.
As the victim's level
of intoxication waxes and wanes they go through periods of life when they do or
do not dream. Dreaming may be in black and white.
Early physical
symptoms include dizziness, tinnitus (ringing in the ears),
insomnia, daytime drowsiness, loss of appetite, a tendency towards
diarrhea - often alternating with constipation, cold hands and
feet, a tendency towards sweating (some people have the opposite symptom
and do not sweat at all), flushing or reddening of the skin - particularly on
the face and neck. Some people blush frequently, but others do not blush at
all. Asthma is a symptom of chronic mercury poisoning. Digestive
disturbances are also common.
The skin becomes
dry, athlete's foot and toenail fungus progress, and the insides of
the ankles, particularly behind the ankle bone and a bit above it become
dry, itchy, flaky and peel. This often becomes painful and
annoying enough to keep the victim up at night. Even after fungus and
yeast infection has been eliminated hyperkeratosis, often with papular
erythema and itching are common.
The hair becomes
thinner, dryer, duller, less strongly colored, slower
growing, and more brittle.
The biological clock
is disturbed. Waking up late and staying up late is more common than
being an "early bird." Try as they might, the mercury poisoned
person simply cannot control their circadian rhythm.
Victims may become
photophobic and find bright light uncomfortable and unpleasant. There may
be visual disturbances, including alterations in color perception leading
to reduced sensitivity to the color red, or color blindness. The
ability to focus on distant objects may be sporadically impaired. Peripheral
vision may be reduced in the most severe cases.
The hands and feet
often become distinctly cold. This can occur suddenly and is most
distinctive when combined with sweating. Later in more severe poisoning
they may also tingle or lose feeling.
The effects of
mercury on the mouth are receding, sometimes spongy gums that bleed
easily and teeth that are 'loose' in their sockets and can be wiggled very
slightly. It also causes excessive salivation and unusually bad breath.
Mercury interferes
with the sense of smell which becomes less acute, and later with
hearing, in which perception of sounds does not diminish as notably as
the patient's ability to understand and interpret them - e. g. to understand
speech directed at them even though they hear it clearly.
Victims often
experience discomfort that feels like a "tight band around their
head." They may also experience sharp points of discomfort in their
ear canals at bedtime.
Mercury also
interferes with the body's ability to regulate temperature. Victims may
alternate between being hot and cold when the temperature isn't changing,
or have to wear more clothes than other people, or have more difficulty
than other people in staying comfortable while the temperature changes.
Temperature disregulation also leads to 'night sweats.'
Excerpt
from the Book:
Overview of Treatment
Amalgam illness is
analogous to a war. Your enemy, mercury, captured a beachhead
in your teeth and fortified it with amalgam. Then it launched an
attack. House to house. Organ to organ. Cell to cell.
Slowly capturing your body. You win the war with a surgical strike.
Dental surgery. Drill out those fillings. Removing your amalgam
declares an armistice. Fighting stops, but the mercury atoms are still
dug in wherever they reached. Chelation sends clean up squads off to
round up the enemy and escort them out. Meanwhile the surviving cells in
your body get to work and to repair the war damage. Supplementation is
like disaster relief - it makes the process go a lot faster.
There are two goals
to treatment. First, get rid of the mercury. Second, control
symptoms so you can be comfortable and productive during the prolonged period
when mercury is removed and healing takes place. In order to control your
symptoms it is necessary to identify the metabolic defects mercury is causing
for you.
In your ongoing
battle to control symptoms while the mercury comes out and your body repairs
all the damage, you need to take a straightforward, common sense
approach.
Know yourself. If you
react to everything, go slow, start with small doses of
things, be patient. Don't be any more aggressive than your body and
your psyche can tolerate.
Start with the problems
that are causing other problems.
If your digestion is not
working, get your guts fixed up since this will take a load off your
liver and let you get helpful supplements and medicines into you.
Make sure your hormones are
working right. Treat your body, not numbers on a lab report.
Solve the other troublesome
problems, and find solutions that work for you.
It is very common for
mercury poisoned people to have been treated for depression, and for most
MD's to diagnose them as "just depressed." While depression is
often present it is not the cause of the problem. It should be treated to
reduce suffering. The underlying problems causing it must be identified
and treated too - just treating depression is like continuing to give
painkillers day after day for a broken arm instead of setting it and putting it
in a cast.
Excerpt
from the Book:
What to Expect - Prognosis
Both you and your
doctor need to know how long it takes before you get well, and what do
you expect along the way.
Using a proper protocol,
e. g. DMSA every 3-4 hours on alternate weeks: 2-6 months to feel
better. Then DMSA + LA every 3-4 hours 3 or 4 days every week or two to
clear the brain and internal organs, 2-6 months to feel better.
Continue supplements and diet control with continuing DMSA + LA chelation while
healing takes place, another 4-30 months to good physical and mental
health. Total time: 1 to 4 years if you stick with the program.
The big determiner of
how long it takes is the DMSA+LA phase. That depends on how seriously
poisoned you got.
You feel depressed,
tired, icky. You are moderately poisoned. 6-11 months of
DMSA+LA treatment will be required. You will FEEL cured immediately if
you take the right supplements and medicines, but you have to chelate to
get rid of the mercury.
You are starting to get
stuff like chronic fatigue, fibromyalgia, environmental
sensitivities, severe allergies or asthma, emotional
disturbances. 14-25 months of DMSA-LA will be required. You will
feel MUCH better with the proper supplements and medicines and be able to get
on with life pretty quickly.
You have multiple chemical
sensitivities, chronic fatigue syndrome, serious emotional
disturbances. You really are not able to participate in life. You
are very seriously poisoned. You will need 20-36 months of DMSA+LA to get
well. You will need proper supplements and medications to be at all
functional and will need to pay careful attention to continuing them and
adjusting them for 2-3 years until you are detoxed enough that your health
isn't coming out of a pill bottle.
If you continue to
chelate with DMSA+LA for 6 months to a year after you are sure you are well you
will remove more mercury from your brain and greatly reduce the chances of
future problems, neurological disease, or premature aging.
If you follow a
standard "alternative medicine" or "witch doctor"
protocol, e. g. DMSA every other day or DMPS injections monthly:
you will get worse for 6 months to one year, then slowly get better for
another several years - but behavioral and coordination problems are
exacerbated by this therapy and emotional symptoms are not alleviated.
There is also a substantial risk of psychiatric illness. Total time: a
year of misery, 5 years to feel better, but you never will be
completely well.
If
you drill out your fillings then do nothing: about the same thing will
happen as with the "witch doctor" protocol, but without the
side effects, expense, or risk of insanity.
What
people have to say about
Amalgam Illness: Diagnosis and Treatment
What
reviewers have to say
Amalgam Illness: Diagnosis and Treatment provides practical tools for use in trying to sort out a health problem. Himself and amalgam victim, Cutler describes the weird world of an amalgam patient in a very initiated way.