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EDTA BY RECTAL SUPPOSITORY IS
POORLY ABSORBED AND POTENTIALLY DANGEROUS
No Evidence for Benefit
by Elmer M. Cranton, M.D.
EDTA rectal suppositories are being promoted as a substitute for intravenous chelation. Research showing that EDTA is very poorly absorbed by rectum, less than 7%. EDTA retained in the rectum can damage the mucosal lining.
EDTA suppositories are being deceptively marketed as past of
a scheme involving alleged nanobacteria.
Published research shows that the colon and rectum absorb very little EDTA.(1)
51Cr-radioactive isotope labeled EDTA is used as a 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 a published 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 results show that very
little EDTA can be absorbed when distributed throughout the colon by enema.
Even less would be absorbed if administered by suppository and limited to the
rectum.
Another research study was been deceptively cited by marketers of EDTA suppositories
by erroneously stating that it provides evidence for safety.(2) The opposite is
true. The cited study showed a high incidence of damage to the lining of the colon
and rectum from direct application of EDTA. A 250-ml enema containing a dilute 0.5% solution of EDTA was administered
to a group of dogs. Half of those dogs were found to suffer mucosal hemorrhages
of the colon and rectum two hours after instillation of EDTA. Rectal
suppositories release all of their EDTA in a small area, producing a much 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)
This same type of damage to the rectum would be expected after taking EDTA by mouth, since very little oral EDTA is absorbed. Oral EDTA thus ends up in the rectum, much like a suppository.
Rectal cancer is not uncommon. An important defense against cancer is superoxide dismutase (SOD). SOD is a metallo-enzyme that must have zinc, copper, and manganese to function. EDTA has a very high affinity for all three of those metals. If EDTA is retained at high concentrations in the rectum, it will bind tightly to those essential metals and remove them from the mucosal lining of 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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