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Some people (not all) with NID, Lyme and other Environmental illness have a little known blood disorder called Kryptopyrroluria (KPU) or
Pyrrole. This disorder can play havoc with the nervous system, immune system and cause impaired detoxification of toxins and neurotoxicity.
KPU is a severe but reversible deficiency of zinc, vitamin B6 (or P5P), biotin, manganese, arachidonic acid, and other co-factors. It is important to recognize, however, that treatment with zinc and vitamin B6 does not result in fewer pyrroles being excreted in the urine. KPU orthomolecular treatment does not fix the underlying condition; it substitutes what is being lost as a result of the condition such that the person is no longer deficient in key nutrients needed by the body to move towards health.
The general KPU substitution treatment that Klinghardt uses in his practice is as follows (dosages for 160 lb.) adult and should be adjusted based on weight; may be customized for specific patient needs):
- Zinc 25-30 mg (as picolinate, gluconate,sulfate, or zinc l-carnosine). Nausea after zinc supplementation may be a sign of hypochlorhydria or low stomach acid; this often resolves after a few months on treatment.
- Vitamin B6 50-100 mg (split between pyridoxine HCl and P5P, with P5P being the predominant form)
- Biotin 3-5 mg for brain, skin, hair, and nails
- Magnesium 100 mg (glycinate, bisglycinate, or malate) – or titrate to bowel tolerance.
- Arachidonic acid from omega-6 oils (Ghee such as Mt. Capra Goat Milk Ghee, Evening Primrose Oil, Hemp Seed Oil, Black Currant Oil, Borage Oil, Pumpkin Seed Oil; 4-6 capsules of Evening Primrose Oil per day is commonly used.)
- Zinc 25-30 mg
- Vitamin B6 50-100 mg
- Biotin 3-5 mg
- Magnesium 100 mg
- Omega-6 Oils
This is the core treatment Klinghardt utilizes for KPU.
- Vitamin A 1,500-3,000 IU per day to improve the absorption of zinc in the gut
- Niacin 40-50 mg per day for psychiatric symptoms. (Abram Hoffer used up to 3000 mg per day.)
- Taurine 100 mg twice per day (up to 2,000 mg at bedtime) for brain-related symptoms such as seizures, brain fog, and memory loss. Supports elimination of neurotoxins, improves bile quality, increases glutathione, and normalize brain rhythms.
- Lithium 5-10 mg per day (Orotate or Aspartate); lithium is lost in the urine in some patients with KPU.
- Manganese 2-5 mg per day (Patients with joint problems may require additional manganese above the dosages recommended here; see additional considerations later in this article on manganese for patients with Lyme disease.)
- Chromium 250-500 mcg per day
- Molybdenum 100-500 mcg per day
- Boron 1-3 mg per day
- Trace Minerals – As more is learned about KPU, additional elements are found to be lower in those with the condition. Thus, supplementing trace minerals may be a supportive strategy. BioPure MicroMinerals, Quinton Isotonic, or similar mineral products may be helpful