DETOX SERVICES
DETOX
Detoxification has been practiced since the times of the
ancient Greeks. Hippocrates, proclaimed as the father of western
medicine, recommended fasting as a form of detoxification
to improve health. Any compound that has a detrimental effect
on cell function or structure is considered a toxin.
Our bodies are exposed to an increasing number of toxic compounds
in the environment, as well as to a growing variety of drugs.
Given these exposures, the individual’s ability to detoxify
is now recognized as a key factor to overall health. A significant
body of literature suggests an association between the ability
of the body to efficiently detoxify and etiology of various
puzzling chronic diseases such as fibromyalgia, multiple chemical
sensitivities, and chronic fatigue syndrome. Furthermore,
recent research supports the link between chronic neurological
diseases, such as Parkinson’s, as well as certain types
of cancer, with the subject’s ability to adequately
detoxify.
SCIENCE OF DETOX
All ingested and microbial-produced toxins are presented
to the first-pass clearance system. First-pass clearance involves
the biotransformation and clearance of a chemical from the
body before it reaches the systemic circulation. This clearance
may take place in several organ tissues including the intestinal
mucosal wall and the liver.
The liver is the body’s primary detoxifying organ.
Here, detoxification is carried out in two related processes
known as Phase I and Phase II. Phase I serves to biotransform
substances through oxidation, reduction or hydrolysis, using
the cytochrome P450 mixed-function oxidase enzymes. This process
increases the solubility of molecules and prepares them for
Phase II reactions which will further increase their solubility.
The Phase I reactions are necessary for detoxification, but
the resulting production of reactive oxygen species can at
times be very damaging. Thus, the liver needs to be able to
generate oxidation capacity when needed, yet at the same time
generate no more than what is needed. Perhaps this is why
Phase I systems are inducible by different compounds.
In Phase II, conjugation reactions add a polar hydrophilic
molecule to the metabolite or toxin, converting lipophilic
substances to water-soluble forms for excretion and elimination.
Phase II reactions may follow Phase I for some molecules
or act directly on the toxin or metabolite. Major Phase II
pathways include glutathione, sulfate, glycine, and glucuronide
conjugations. Individual xenobiotics and metabolites usually
follow a particular path. This makes assessment of the metabolic
status of each of the major processes essential for complete
understanding of the body’s capacity to detoxify foreign
substances.
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