Nebulized Glutathione - Maximizing Lung and Respiratory Health

Have you or a loved one been hit with the “100-day-cough” that turns into a “300-day-cough”? Amongst other evidence based naturopathic therapies, inhaled nebulized glutathione can be a very effective way to fight that pesky cough and other inflammatory respiratory conditions.

First thing is first - What is Glutathione?

Glutathione is often referred to as the “mother of all antioxidants”, serving as one of the main molecules to maintain health and prevent the development of chronic disease. It is produced naturally in the body as an assembly of 3 amino acids – glycine, cysteine and glutamine.

The critical roles of glutathione in the body:

1)   Direct chemical neutralization of damaging free radicals produced by Phase I liver metabolism of chemical toxins.

2)   Cofactor of several antioxidant enzymes

3)   Regeneration of vitamins C and E

4)   One of approximately 7 liver Phase II reactions, which conjugate the activated intermediates produced by Phase I to make them water soluble for excretion by the kidneys

5)   Transportation of mercury out of cells and the brain

6)   Regulation of cellular proliferation and apoptosis (natural and healthy cell death)

7)   Vital to mitochondrial function (energy unit of each cell) and maintenance of mitochondrial DNA (mtDNA)

Dr. Mark Hyman, MD explains, “The secret of its power is the sulfur (SH) chemical group it contains. Sulfur is a sticky, smelly molecule. Its acts like fly paper and all the bad things in the body stick onto it, including free radicals and toxins like mercury and other heavy metals. Normally, glutathione is recycled in the body, except when the toxic load becomes too great”.

We can provide glutathione via IV therapy, oral repletion as well as through inhalation. For lung and respiratory-related conditions, inhalation is the most effective delivery method.

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Why is glutathione important for respiratory health?

Glutathione (GSH) is known to be in high concentrations within the epithelial lining fluid (ELF) of the lower respiratory tract, which refers to the layer of cells which first come into contact with inhaled air. In fact the ELF concentration of GSH is 140 times that of blood serum concentrations with a redox ratio of greater than 9:1.

 GSH is the body’s first line of defense against oxidative stress imposed from the outside world including but not limited to pollution, cigarette smoke, bacteria and viruses, amongst many other invaders. In respiratory disease, cellular damage and injury is mediated by an increased oxidant burden and/or decreased antioxidant defenses. By ensuring we provide the body with adequate glutathione to counteract the increased demand, we may improve respiratory function and alveolar health.

Glutathione is only beneficial for lung conditions when it is delivered directly to the pulmonary tissue – this is best achieved using a nebulizer

What is a nebulizer?

In medicine, a nebulizer is a drug delivery device used to administer medications (both pharmaceuticals or neutraceuticals) in the form of a mist inhaled into the lungs.


This therapy may be helpful in the following conditions:

·      COPD

·      Cystic fibrosis

·      Idiopathic pulmonary fibrosis

·      Cigarette smoking detox-support

·      Multiple chemical sensitivity disorder

·      Non-sulfite sensitive asthma

·      Farmer’s lung

·      Chronic congestion

·      Chronic rhinitis

·      Chronis sinusitis

·      Post-viral cough

·      Upper and lower respiratory tract infections

·      Bronchitis

·      Bronchiectasis

·      Pneumonia

·      Chronic otitis media with effusion

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Who is a good candidate for this therapy?

Adults and children can both benefit from nebulized glutathione when indicated.

A note for children:

1)   They will need to sit still for the duration of the treatment which lasts for approximately 10-15 minutes

2)   They will need to wear a mas that covers their nose and mouth

3)   There is no pain associated with treatment

Parents are encourages to bring along a favourite book, iPad or any other device or toy to keep their child occupied and calm for the treatment. Parents are welcome to hold their children or sit right beside them during treatment.

 Who is not a good candidate for this treatment?

Any individual who has a sensitivity to sulfites is not a safe candidate for treatment as the GSH may lead to bronchoconstriction or trigger an asthma flair. Before your first treatment, you will collect a urine sample and test for this sensitivity in order to prevent this from occurring.

Nebulized glutathione is NOT used as a treatment for primary lung cancer

 

How often are treatments required?

This varies on a case-by-case basis and commonly depends on the condition being treated. Typically, 1-2 times per week for 4-6 weeks is most common. Thereafter, depending on the individual’s progress, a maintenance plan of 1 treatment every 2-6 weeks may be indicated in order to prevent recurrence.

In the case of a severe and progressive condition with acute exacerbations, treatments may be administered every few days or even twice daily for best results. This will be determined by your practitioner with assessment.

Treatment can be monitored by organizing spirometry tests before the first treatment and then periodically throughout treatment to compare objective results to determine effect.

 

What is the cost of the therapy?

The cost of each session will vary depending upon the dosage of glutathione required for an effective treatment plan. This may range between $50-$100 per treatment. You will require a mask which you can bring to each appointment as well which would be a one time cost of $5.00.

Are there any side-effects?

Minor side effects uch as transient coughing and an unpleasant odor are common with this treatment

 Are there any risks?

An allergic reaction is possible if you are sensitive to sulfites. We will try to minimize this risk by recommending a sulfite urine test to be completed prior to initiating treatment.

 How do I access this therapy?

This is only available to patients of Lemon Water Wellness who are currently under the care of one of our naturopathic doctors.


For more information, please feel free to reach out via the contact page.

How IV Therapy can help your Seasonal Allergies!

For many of us, along with the seasonal changes of bursting flower buds or fluorescent coloured leaves, our allergies decide to overcome us in full force with constant sneezing, persistent watering eyes and sometimes even asthma flairs.

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Taking over the counter “anti-histamines” are an effective and fast way to help the body get rid of the histamines and provide relief from allergy symptoms; however, this is not addressing the possible root cause of where those allergies have originated. In this case, you will be dependant on taking these medications year after year and run the risk of your allergies becoming worse with age.

 

IV therapy and Allergy Treatment

 One of the ways we approach seasonal allergies is by using high dose Intravenous Vitamin C.  In an allergic response, histamines are released from an immune white blood cell called a mast cell.  Vitamin C, along with other nutrients, help stabilize these cells so it becomes more resilient to the allergic triggers (such as pollen) and prevents the hyper-reactive release of histamine and hence prevents the allergic symptoms from occurring.

We observe this is clinical practice, as well as in the research as seen in an observational study conducted in Germany, with more than 50% of patients not requiring allergy-related medication with the adequate relief provided by the Vitamin C intravenous therapy provided to the cohort.

Reference: Vollbracht C, Raithel M, Krick B, Kraft K, Hagel AF. Intravenous vitamin C in the treatment of allergies: an interim subgroup analysis of a long-term observational study. J Int Med Res. 2018;46(9):3640–3655. doi:10.1177/0300060518777044

  

Why Intravenous Therapy is superior to taking those delicious chewable vitamin C tablets?

Intravenous administration of Vitamin C is most effective due to the fact that vitamin C is limited to the amount able to be absorbed orally. Should an individual consume orally too much vitamin C it will result in diarrhea. By bypassing the gastrointestinal system, we are able to provide the body with high doses of a safe potent antioxidant without this side effect.

Some patients respond in as little as a few sessions, while others may need this supportive therapy for the entire season along with adjunctive acupuncture and botanical supports depending on the severity and chronicity of your allergic health history.

 

Extra TIP:

It is important to note that frequent use of Benadryl© has been linked to a possible increase in risk of developing dementia later in life.

Reference: DeGage SB, et al. "Benzodiazepine use and risk of Alzheimer's disease: Case-control study," BMJ (Sept. 9, 2014), Vol. 351, published online; Salahudeen MS et al. "Anticholinergic burden quantified by anticholinergic risk scales and adverse outcomes in older people: A systematic review," BMC Geriatrics (March 15, 2015), Vol.15, No.31, published online.