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Mercury/Toxic Metal Sensitivity Questionnaire This questionnaire should serve as a warning/alert to persons scoring "yes" in five or more of the questions below.
1. Have you had sore gums (gingivitis) often over     the years?	Yes	No
2. Have you had mental symptoms such as     confusion, forgetfulness?	Yes	No
3. Has severe depression been a frequent     problem?	Yes	No
4. Has ringing in the ears (tinnitus) been present?	Yes	No
5. Have TMJ (temoral mandibular joint)     problems been a concern of yours?	Yes	No
6. Have you had unusual shakiness (tremors) of     your hands and arms or twitching of other     muscles?	Yes	No
7. Do you have "brown spots" or "age spots"     under your eyes or elsewhere in the skin of     your body?	Yes	No
8. Have you tended to have more colds, flu, and     other examples of infectious diseases than     "normal"?	Yes	No
9. Have you had food allergies or intolerance?	Yes	No
10.Have you been to many doctors for your      health problems and they have usually said      "There is nothing wrong"?	Yes	No
11.Do you have numbness or burning sensations      in your mouth or gums?	Yes	No
12.Do you have numbness or unexplained tingling      in your arms or legs?	Yes	No
13.Have you developed difficulty in walking      (ataxia) over the years?	Yes	No
14.Do you have 10 or more "silver" fillings?	Yes	No
15.Do you often have a "metallic" taste in your      mouth?	Yes	No
16.Have you ever worked as a painter or in      manufacturing/chemical or pesticide/fungicide      factories (fungicides with methyl mercury      ingredients) or in pulp/paper mills that used      mercury?	Yes	No
17.Have you worked as a dentist, hygienist, or      dental assistant?	Yes	No
18.Have you ever had Candida-Related      Complex (CRC) or yeast infections (vagina,      mouth, or GI tract)?	Yes	No
19.Do you have a lot of bad breath (halitosis) or      white tongue (thrush)?	Yes	No
20.Have you frequently had low basal body      axillary temperature (below 97.4 degrees F.)      over the years?	Yes	No
21.Do you have problems with constipation?	Yes	No
22.Do you have heart irregularities or rapid pulse      (tachycardia)?	Yes	No
23.Do you have unexplained arthritis in various      joints?	Yes	No
24.Is it common for you to have a lot of mucus in      your stools?	Yes	No
25.Do you have unidentified chest pains even      after EKG's, X-ray, and heart studies are      normal?	Yes	No
26.Is your sleep poor or do you have frequent      insomnia?	Yes	No
27.Have you had frequent kidney infections or do      you have significant kidney problems?	Yes	No
28.Are you extremely fatigued much of the time      and never seem to have enough energy?	Yes	No
29.Do you have irritability or dramatic changes in      behavior?	Yes	No
30.Are you on antidepressants now or have you been in the past?	Yes	No
Some Other Facts About Mercury 1. Mercury is the most toxic non-radioactive element on Earth. 2. A silver colored mercury amalgam filling normally contains 52% mercury 3. On average, amalgam filling weighs 1 gram and contains 1/2 gram of mercury 4. The typical aduly carries ten amalgam fillings containing about 5 grams of mercury 5. 1/2 gram of mercury in a ten acre lake would warrant issuance of a fish advisory for the lake 6. Running shoes with mercury lights in their heels were banned by the Minnesota Legislature in 1994 because they contained a 1/2 gram of mercury in them and this was considered dangerous to public health 7. The use of mercury amalgams has been banned and are on a scheduled phaseout in Germany, Austria, Denmark and Sweden 8. A proposition passed in California in 1994 requires a warning in dental offices using mercury amalgam stating that "the people of the state of California have determined that the use of mercury in dental amalgam causes birth defects and other health problems" The proposition also requires that permission must be obtained from a patient before placing hazardous material in the mouth. (The new law is being contested by the ADA and California Dental Association and is tied up in Federal Court) 9. Legislation is now being proposed in Minnesota for a similar "Informed Consent" legislation for all dental patients.   Conclusion: It is our conclusion that mercury toxicity is an autoimmune disorder. This was summarized recently in an article in Advance Magazine. Its wide range of symptoms can only be accounted for by multiple adverse effects on the immune system, nerve tissue in general. The Mercury / Toxic Metal Sensitivity Questionnaire has now been tested on over 200 patients and will serve as a warning/alert to clinicians when patients have scores of "yes" in five or more of the questions. Such patients should then be refered to dentists with special knowledge of mercury amalgam removal and replacement with nontoxic composites and dental materials. Reprinted with permission of : The Townsend Letter for Doctors & Patients 911 Tyler Street Port Townsend, WA 98368-6541 (360)385-6021 August/September 1999 issue   Please contact us at info@extendedhealth.com or phone us at the number belows. Your health is a vitally important and we are happy to answer your questions about oral chelation and its advantages for you. 1-800-300-6712 Monday to Friday 9:00AM to 5:00 PM Pacific Standard Time 925-988-8065 Fax 925-988-8013 2175 N. California Blvd. Suite 150 Walnut Creek, CA 94596 USA   Pharmaceutical Quality, FDA approved manufacturing plant and procedures     Links