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#2. Aldehyde Dehydrogenase
This page is about chronic fatigue syndrome and aldehyde dehydrogenase
deficiency, and is category two (2) of the following five1
possible categories that I think chronic fatigue syndrome (CFS) sufferers may
fall into:
1.
People
that have an already recognized (orthodox) disorder that remains undiagnosed.
2.
People
that have Aldehyde Dehydrogenase deficiency/malfunction.
3.
People
who have problems with "bugs".
4.
People
who have several different problems that all add up to a CFS illness.
5. People
who have a mixture of one or more of the above.

This page is based upon a book which I read in 2001 by David Eather called
"The Cause of Chronic fatigue Syndrome, Light at the End of the
Tunnel". David Eather's web site is no longer present, but the book is
still available (confirmed to me by David Eather) through the international online distributor Golden Glow (www.goldenglow.com.au)
(Latest information, 28. Oct. 2003: The book may no longer be available through
Golden Glow. I have yet to confirm this.
Please see the .pdf files below that
relate to the book and which have been kindly sent to me by David Eather)
I have
found the suggestions in this book very helpful for some (the full regime works
for 10% max. of the patients I see). I would, however, recommend David Eather's
book to any CFS sufferer as it gives a good background to basic CFS issues as
well as presenting his main idea about the possible cause. The evidence that
this is the cause for some sufferers is significant.
The hypothesis in the book is that CFS is caused by the malfunction or
reduction of a certain muscle enzyme (aldehyde dehydrogenase) that causes a
build up of the chemical acetaldehyde. Acetaldehyde (called "aldehyde"
for short in the rest of this article) is a nasty chemical that, when once
triggered, can theoretically set off a vicious cycle within the muscles that
results in more aldehyde buildup whenever the sufferer exercises.
What triggers off this vicious cycle? The theory is that in people with a low
level of the critical enzyme, prolonged exertion or exposure to industrial
chemicals produces enough unprocessed aldehyde to damage the muscle mitochondria
and so set the thing going. A good clue to the possibility of you having this
problem is severe alcohol intolerance. Alcohol causes a lot of aldehyde
formation in people with this problem.
Excess aldehyde can cause all kinds of problems for the human body including
all the multi-system complaints found in the typical CFS sufferer.
The treatment regime suggested in David Eather's book is simple and not very
expensive. It is based on supplements to treat the excess aldehyde, an exercise
program and advise to normalise weight.
If you want to try the regime it is essential, in my opinion, for you to get
the book. However, since for sufferers of this problem, it is important to get
onto treatment as soon as possible I will mention the basic supplement regime
here (roughly in order of importance):
-
L-Methionine 1-3 grams/day.
-
Vitamin C 1-3 grams/day.
-
Nicotinamide (or Niacinamide -- but NOT niacin or nicotinic acid) 250-500 mg/day
as single dose.
-
L-Glycine 1.3-4 grams/day.
-
Multivitamin and Mineral Supplement 1/day (not with high amounts of vitamin B1
or vitamin A).
The exercise program involves careful attention to gradual
improvement in anaerobic muscle health. The aerobic muscle is where the
acetaldehyde (aldehyde) problem occurs. Anaerobic exercises involves moving
parts of the body slowly against a weight.
CFS sufferers with this problem are advised to avoid paracetamol and flagyl
(metronidazole) as much as possible as it tends to exacerbate the problem. They
should use alternative types of analgesia.
PDF
Files from David Eather relating to his Book.
Footnotes.
1. There is a sixth possible category called "the unknown
disorder". But I have not included this as I cannot write anything about
it! I guess there must still be some undiscovered disorders out there that could
cause all the problems of CFS, but I don't think there would be many who
fall completely into this category.
Disclaimer: These notes are not intended to
provide personal medical advice. Such advice should be obtained personally from
a qualified health professional. If you have fibromyalgia or CFS I do not advise
following any of the suggestions contained herein without first consulting a
suitably qualified health professional.
The contents of this web page may be freely copied and distributed on
the condition that it is copied and distributed in its entirety. Please
ask if you want to use just part of it.
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