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I am a BCBA and state-accredited nutrition advisor working with a breastfeeding mother whose amalgam fillings were removed today while she was breastfeeding.
Current situation: — Amalgam removal performed today — Currently breastfeeding — She has been advised to pump and discard for 48 hours and to take activated charcoal (sorbent) for 14 days — She is already taking liposomal vitamin C 500mg daily — 2 Brazil nuts daily for selenium
After the 14 day sorbent protocol is complete, I am considering introducing NAC 600mg daily to support: 1. Glutathione production — which will be depleted by mercury exposure 2. Mercury excretion — NAC is a known chelating support agent
My specific concerns and questions:
1. Is NAC safe to introduce while still breastfeeding after the acute mercury phase has passed? 2. Is there a risk that NAC could mobilise residual mercury from tissues into the bloodstream and temporarily increase breast milk mercury levels? 3. What timing after the amalgam removal would you consider safe to introduce NAC in a breastfeeding mother? 4. Is 600mg once daily the appropriate dose or would you recommend starting lower?
I am aware that published data on NAC and breast milk transfer is very limited and would welcome any clinical guidance your team can offer."
Current situation: — Amalgam removal performed today — Currently breastfeeding — She has been advised to pump and discard for 48 hours and to take activated charcoal (sorbent) for 14 days — She is already taking liposomal vitamin C 500mg daily — 2 Brazil nuts daily for selenium
After the 14 day sorbent protocol is complete, I am considering introducing NAC 600mg daily to support: 1. Glutathione production — which will be depleted by mercury exposure 2. Mercury excretion — NAC is a known chelating support agent
My specific concerns and questions:
1. Is NAC safe to introduce while still breastfeeding after the acute mercury phase has passed? 2. Is there a risk that NAC could mobilise residual mercury from tissues into the bloodstream and temporarily increase breast milk mercury levels? 3. What timing after the amalgam removal would you consider safe to introduce NAC in a breastfeeding mother? 4. Is 600mg once daily the appropriate dose or would you recommend starting lower?
I am aware that published data on NAC and breast milk transfer is very limited and would welcome any clinical guidance your team can offer."