Ideally, you should be tested for heavy metals before amalgam removal – to minimize any exposure or problems from the procedure.
If you’re a new patient, we’ll start with an initial meeting – about 45 minutes long – so Dr. Ewing can get to know you, gather information and hear your concerns. She will review any prescriptions and supplements you’re currently taking and may give you a list of lab tests and other additional information to get prior to testing.
If you have seen Dr. Ewing before for dental testing only, you still need to have this initial appointment to become established as a patient in her office.
Your most current labs should include values for…
- Kidney function (BUN, GFR, creatinine, B/C ratio, uric acid)
- Electrolytes (sodium, potassium chloride, bicarbonate [CO2], calcium, phosphorous)
- Lipid panel (cholesterol, triglycerides, HDL, LDL, HDL/LDL ratio)
- Liver function (total protein, albumin, globulin, A/G ratio, total bilirubin, alkaline phosphatase, GGTP, AST, ALT, LDH)
- Iron panel (iron, TIBC, UIBC, SAT%)
- CBC with differential (WBC, RBC, HGB, HCT, MCV, MCH, MCHC, RDW, neutrophils, lymphocytes, monocytes, eosinophils, basophils, platelet)
- Thyroid panel (T3 uptake, T4, T7, TSH)
If any of these are missing from your most current labs, Dr. Ewing may request additional bloodwork.
Once your labs are complete, Dr. Ewing will write a report on them and schedule a visit to discuss her findings with you.
Certain situations – for instance, poor kidney function, severe anemia or low calcium – will delay metals testing. Testing will only begin once they have been corrected.
The metals testing includes both a toxic metal hair test to see if your body is excreting heavy metals and a urine challenge to show what metals are actually in your body. We’ll then set up another meeting with you and Dr. Ewing to review the results.
A chelation plan is customized for each patient and may involve cleanses, homeopathics, nutritional support and oral chelators. I do not provide IV chelation.