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EDTA BY RECTAL SUPPOSITORY IS POORLY ABSORBED AND POTENTIALLY DANGEROUS

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EDTA BY RECTAL SUPPOSITORY IS POORLY ABSORBED AND POTENTIALLY DANGEROUS

Elmer M. Cranton, M.D.

EDTA rectal suppositories are being promoted as a substitute for intravenous chelation, despite research showing that EDTA is very poorly absorbed by rectum and also damages to the mucosal lining.

 Published data show that the colon and rectum absorb very little EDTA.(1) 51Cr-labeled EDTA is used as a radioactive tracer to study abnormal intestinal permeability precisely because it is not well absorbed. When EDTA enters the circulation it is rapidly excreted in the urine. In one study the authors determined that 85% of an intravenous dose of EDTA was recovered in the urine after 6 hours.(1) They also reported that when a saline solution of EDTA was administered by enema, only “. . . 7% of the 51Cr-EDTA instilled into the colon can be recovered in urine over the next 6 hours.”(1) These data show that very little EDTA is absorbed, even when distributed throughout the colon by enema. Even less would be absorbed if administered by suppository and limited to the rectum. 

Another study has been deceptively cited by proponents of EDTA suppositories, who erroneously state that it provides evidence for safety.(2) The opposite is true. That study showed a high incidence of damage to the lining of the colon and rectum from EDTA. A 250-ml enema of a 0.5% solution of EDTA was administered to a group of dogs. Half of those dogs suffered with fresh mucosal hemorrhages of the colon and rectum two hours after instillation of EDTA. Rectal suppositories will release all of their EDTA in a small area, producing a higher local concentration for a prolonged period of time, while an enema dilutes the EDTA throughout the entire colon. Even with a lower concentration, half the dogs suffered mucosal hemorrhages.(1)

 Rectal cancer is common. An important defense against cancer is superoxide dismutase (SOD). SOD is a metallo-enzyme that absolutely requires zinc and copper, or manganese to function. EDTA has a very high affinity for all three of those metals. If EDTA is sustained at high concentrations from suppositories, it would bind those essential metals and remove them from mucosal cells lining the rectum, inactivating intracellular SOD and other vital metalloenzymes. Latency for rectal cancer can take years for transformation from benign to malignant cells. It would require quite a long study to prove that repeated use of rectal EDTA is safe.

REFERENCES

1.      Elia M, Behens C, Northrop C, Wraight P, Neale G: Evaluation of mannitol, lactulose and 51Cr-labeled  ethylenediaminetetra-acetate as markers of intestinal permeability in man. Clinical Science 1987;Aug 73(2):197-204.

2.     Rabau MY, Baratz M, Rozen P: Na2 ethylenediaminetetraacetic acid retention enema in dogs: Biochemical and histological response.  Gen Pharmacol 1991;22(2):329-30.

 

 

 


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