Neurological and Chronic Disease: The Aluminum Connection
As a neuroscientist, I study various kinds of toxicology as applied to human neurological disease. For much of my career, I have focused on a disease called amyotrophic lateral sclerosis (ALS), also known as “Lou Gehrig’s disease.” ALS is a progressive neurodegenerative disease that affects nerve cells in the brain and spinal cord, eventually causing paralysis and death by respiratory failure.
It was my interest in ALS that prompted me to look at a mystery disease that was once prevalent on Guam, called amyotrophic lateral sclerosis-parkinsonism dementia complex (ALS-PDC). As it turns out, the story of ALS-PDC provides interesting clues about aluminum toxicity, though I did not initially suspect aluminum as a culprit. To properly tell the story requires that I address the related topics of aluminum chemistry, aluminum’s distribution in the biosphere and aluminum’s use as the dominant adjuvant in vaccines, including its role in Gulf War syndrome.
A MYSTERY IN GUAM
The Spanish occupied Guam for several hundred years, until America took over in 1898 as a consequence of the Spanish-American War. The individual who first described ALS-PDC in the scientific literature was a neuropathologist named Harry M. Zimmerman, who went to Guam with the U.S. Navy right after WWII. He noticed that a disproportionate number of Guam’s indigenous Chamorro people seemed to have ALS.¹
In 1953, Leonard Kurland—considered the “father of neuroepidemiology”—and a neurologist named Donald Mulder arrived on Guam to assess the ALS cluster and then found what they described as “parkinsonism dementia complex” (PDC). Parkinson’s disease, a motor disease that originates in the area of the brain called the substantia nigra, had first been described in the early nineteenth century by James Parkinson.² Characteristic symptoms of Parkinson’s disease are tremors, gait disturbances and slow shuffling, but what Kurland and Mulder found on Guam was different. Among the unusual features that they observed were a strong dementia component, “frozen” faces and, often, a young age of onset in the teenage years.
Kurland, whose career included stints at the National Institute of Health (NIH) and Mayo Clinic, thought that if researchers could identify the disease’s causes, it would be the medical equivalent of the Rosetta Stone (the stele that allowed scholars to decipher ancient Egyptian hieroglyphics), providing clues concerning the rise of ALS, parkinsonism, Alzheimer’s and other dementias not just on Guam but around the world. At the time, Guam’s indigenous population was small and relatively genetically homogeneous—what Kurland termed a “geographical isolate.”³ When you’re looking for causal factors, whether environmental or genetic, it can be like looking for a needle in a haystack, but at least on Guam, the haystack was small. Kurland’s assumption—erroneous, as things turned out—was that this would make the disease’s etiology easier to figure out.
As the twofold ALS-PDC nomenclature suggests, researchers initially thought they might be looking at two separate diseases. My own research on ALS-PDC has led me to believe that it was one disease with two separate expressions. Quite unusually, ALS-PDC could present as classic ALS, as the PDC component or as both. Roughly 10 percent had both components, with the ALS part typically manifesting first. This odd variability was evident in various ALS-PDC “family pedigrees.” For example, if one or both parents had ALS, some of the children might have ALS, some might have PDC and some might have both.
ALS-PDC had a seemingly inexplicable twentieth-century rise and fall. Although there are some Spanish records suggesting its presence in the nineteenth century or earlier, it rose rapidly and peaked, becoming the leading cause of adult Chamorro death, from the mid-1940s to mid- 1950s.4 Then, it declined and disappeared. The Guamanian versions of both ALS and PDC have not been seen in those born after 1960.
THE CYCAD CONNECTION
In the early 1960s, Kurland brought in a nethnobotanist named Margaret Whiting, who lived with Chamorro families to investigate nutritional, environmental and behavioral variables that might provide disease clues. Despite the observed “family pedigrees,” researchers had decided that the disease was probably not hereditary.
After years of research, Whiting decided that the culprit was consumption of the seeds of the cycad palm.5 This hypothesis seemed to be consistent with the peculiar incidence pattern of ALS-PDC—the peak in the 1940s and 1950s and ensuing dropoff—which could at least in part be explained by the displacement of cycad seed consumption by a more Westernized diet and American fast food. Moreover, ALS-PDC occurred on Guam and the neighboring island of Rota but not on the Northern Mariana island of Saipan; when the Japanese occupied Saipan after WWI, they cut down the cycads for sugar plantations.
Cycads are a very ancient order of trees, and consumption of cycad seeds in the form of tortillas or dumplings made with cycad seed flour has been going on for a long time, including as a famine food. Typhoons go through Guam all the time; when crops were wiped out, the Chamorros would go to the forest and harvest the cycad. Today, the cycad flour (which the Chamorros call fadang) remains a cultural icon, and many still eat it.
Cycads may look like palm trees, but as gymnosperms directly fertilized by pollination, they are actually more closely related to the pine tree. The seeds are fairly large—about the size of a small grapefruit. Perhaps through bitter experience, Chamorro women knew that there was something toxic about the seeds, which indeed turns out to be the case. Consequently, when they harvested the seeds, they would break open the fleshy outer layer (the sarcotesta) and the protective hard shell inside the sarcotesta to access the internal gametophyte layer. Then, they would chop that into pieces and wash it for up to seven days. Only then was it considered safe to grind into flour and eat.
In the search for cycad components that might cause ALS-PDC, Kurland and Whiting extracted an amino acid called cycasin, which has a sugar molecule, glucose, on one end. When you pull the sugar off, you get a toxic metabolite called MAM (methylazoxymethanol), which has genotoxic effects. However, when researchers Peter Spencer and Glen Kisby at the Center for Research on Occupational and Environmental Toxicology in Oregon fed MAM to mice and rats, they got interesting results but no ALS-PDC.6 So, the answer to the question of whether MAM was the causal factor is, “probably not.”
Spencer and Kisby also looked at a cycad seed component called BMAA (beta-N-methylamino-L-alanine),7 but it turned out to be a very weak neurotoxin.8 Feeding monkeys a high concentration of BMAA produced some behavioral changes but no dead neurons—a bit of a problem for something you hypothesize to be causing neurological disease. Moreover, the Chamorros’ practice of washing their cycad meant that they were washing out a lot of the BMAA.
Later, a group headed by Paul Cox looked at BMAA and came up with a hypothesis of “biomagnification,” defining it as “the increasing accumulation of bioactive, often deleterious molecules” up the food chain.9 Their thinking was that fruit bats, once quite prevalent on Guam, would eat the cycad seeds, and when humans ate the bats, they would get a higher concentration of BMAA. Again, however, when they tested this hypothesis, they found very little in the way of neurological damage. In my view, their findings indicate that while BMAA may have played a partial role, it was not the driving factor behind ALS-PDC.
MY WORK ON CYCAD NEUROTOXINS
In the 2000s, my research group obtained washed cycad seed flour from a Chamorro gentleman who worked with the ALS-PDC consortium with Dr. Ulla Craig in Guam and had harvested cycad both for research purposes and for his family’s consumption. When we extracted a series of molecules and did various toxicology tests on them in a cell-culture model, we found that after all the washing and extraction, three kinds of steryl glucoside molecules seemed to be the most toxic.10
Our next step was to calculate how much of the cycad starch the Chamorros would have eaten on a daily basis. We made one-gram pellets out of the cycad seed flour and fed it to one group of outbred colony mice, while a second group of mice got pellets of regular flour.11 We then did a series of motor tests and found that the experimental group very quickly began to lose a reflex considered to be a marker of alpha motor neuron integrity. When you take a mouse and gently lift it by its tail, it should splay out its limbs—if it doesn’t do that, there’s something wrong in the motor system. In our cycad flour group, this reflex fell off very quickly. At the same time, the mice began to move differently, showing a much smaller gait length. Their balance was also affected. In water maze tests, the cycad-fed mice made a lot more errors. Finally, we observed cognitive deficits in a test for different kinds of reference memory.
When we sacrificed the mice and looked inside the spinal cord and brain, comparing the untreated mice fed regular flour with the cycad-fed mice, we observed apoptosis (programmed cell death) in the hippocampus, spinal cord and substantia nigra. Both behaviorally and histologically, the cycad-fed animals looked like ALS-PDC patients.12 We then synthesized the cycad toxin BSSG (beta-sitosterol-beta-d-glucoside) and found that it did much the same thing, killing motor neurons in the lumbar and thoracic spine and dopamine-containing neurons in the substantia nigra.13
THE ALUMINUM AGE
Now let’s turn to a consideration of aluminum. Geologically, aluminum is the third most common element in the Earth’s crust and is mostly found in combination with other minerals, as in bauxite. It binds very avidly to and interferes with elements essential for life such as carbon, sulfur, phosphorus and others.14 There are no beneficial biological roles for aluminum in any animal species, and although some plants may use it to offset ions such as calcium that can be overexpressed, plants don’t use it for anything else. Christopher Exley, one of the world’s leading experts on aluminum chemistry and biochemistry, suggests that aluminum was “selected out of evolution,”15 because, prior to the mid-1850s when it began to be industrially extracted, it was not geologically available except near volcanic zones.
Because of aluminum’s properties—it’s durable, lightweight, relatively non-corrosive and conductive—many people think it’s a great metal, but in the human body, it becomes toxic. It interacts at all levels of the nervous system— from the genes to the organelles, cells and synapses—and affects them all in a negative way. Crucially, it is also a very powerful immune system stimulant. And if it can hyperstimulate your immune system, it can certainly hyperstimulate the microglia in your brain, which are there to maintain neuronal networks and repair damaged cells.
Note that awareness of aluminum’s toxicity is not new. Over a century ago, in 1911, biochemist and dentist William Gies wrote, “These studies have convinced me that the use in food of aluminum or any other aluminum compound is a dangerous practice. That the aluminum ion is very toxic is well known.” Gies was quoting an even older literature. Yet today, aluminum surrounds us and has become part of our human biosphere. Exley calls our era the “Age of Aluminum.”
A seminal paper by my long-time colleague Lucija Tomljenovic has a chart of the major sources of bioavailable aluminum, which include food (aluminum is used, for example, as an anti-caking agent16), water, pharmaceuticals, cosmetics and the aluminum industry itself.17 Some water treatment plants add aluminum citrate or aluminum sulfate during treatment because aluminum acts as a flocculant, causing unwanted particles in the water to precipitate.18 The potential adverse effects on human health have made this a controversial practice,19 but the chemical industry continues to praise aluminum sulfate as “the unsung hero of water treatment.”20
Pharmaceuticals such as antacids, buffered analgesics, anti-ulceratives and anti-diarrheal drugs contain a fair amount of bioavailable aluminum—and vaccines contain a lot. In fact, roughly two-thirds of pediatric vaccines in both Canada and the U.S. have aluminum adjuvants—anywhere from one hundred twenty-five to over six hundred micrograms per dose.21 Aluminum is also found in cosmetics. Exley’s group looked at the incidence of breast cancer in women who exfoliated under their arms and used aluminum-containing antiperspirants, finding that frequent use of the antiperspirants could lead to aluminum accumulation in breast tissue and increased breast cancer risk.22 When cooking very acidic foods, aluminum is released from aluminum pots and pans and from aluminum foil.
Aluminum is toxic not just by ingestion or injection but also by inhalation. A 2020 study by Chinese researchers looked at the relationship between aluminum plasma levels and cognitive performance among aluminum-exposed workers; they concluded that “aluminum exposure may exert a substantial effect on impairing executive/visuospatial functions.”23
LIES ABOUT ALUMINUM ADJUVANTS
The story of how aluminum first made its way into vaccines is that people working for Alexander Glenny and colleagues at the Wellcome Physiological Research Laboratories in Britain in the 1920s were trying to get their vaccines to generate a longer immune response. After some trial and error, they reported in 1926 that aluminum potassium sulphate did the trick,24 producing “better antibody responses than soluble antigen alone.”25 Subsequently, aluminum phosphate and aluminum hydroxide compounds came into common use in vaccines. Both are toxic. Merck also makes a proprietary aluminum adjuvant called amorphous aluminum hydroxyphosphate sulfate (AAHS) that is even more potent26 than the other two; it is a central component of the Gardasil human papillomavirus (HPV) vaccine.
My guess is that in Glenny’s day, researchers may have assumed that aluminum was safe because aluminum potassium sulfate was (and still is) widely available for pickling. Perhaps they reasoned, “If it’s good in pickles, it must be fine in you!” At any rate, aluminum adjuvants took off and became a staple of almost every vaccine. Later, the U.S. Food and Drug Administration (FDA) used Glenny’s assumptions—as well as its own bad modeling (see next paragraph)—to “grandfather” aluminum adjuvants and pronounce them safe. In reality, no regulatory agency has ever tested aluminum adjuvants for safety. “What is found instead,” says Tomljenovic, “are unsubstantiated claims and widespread misinformation about the presumed safety of these compounds, and sadly these are propagated not only by the vaccine manufacturers but also by the regulatory agencies.”26
In 2011, the FDA’s Robert Mitkus and his crowd worried that aluminum adjuvants were developing a bad reputation, so they published a paper reporting on some pharmacokinetic studies.27 Their paper is a classic example of bad modeling. They used aluminum citrate as a modeling method, even though aluminum citrate has never been in any vaccine. This allowed them to assert that aluminum citrate “vanishes” the minute you put it in the blood, even though aluminum hydroxide and aluminum phosphate do the exact opposite! In fact, the work of Romain Gherardi and colleagues in Paris has shown that aluminum adjuvants have long-lasting biopersistence, setting the stage for “slow brain translocation and delayed neurotoxicity,” leading to cognitive impairment.28 Gherardi’s research shows that injected aluminum is neurotoxic not just for children but for adults as well.
With lawyers Aaron Siri (of Siri & Glimstad), who works with the Informed Consent Action Network, and Mary Holland of Children’s Health Defense, we decided to do a Freedom of Information Act request and ask the Centers for Disease Control and Prevention (CDC), as well as FDA and NIH, for the data that they rely on to assert that aluminum adjuvants in vaccines are safe for children and infants. We asked all three agencies for “copies of any human or animal studies involving the subcutaneous or intramuscular injection of aluminum adjuvants relied upon by the CDC to establish the safety of injecting infants and children with aluminum hydroxide, aluminum phosphate or amorphous aluminum hydroxyphosphate sulfate.” All three agencies said, “We could find no records responsive to your request.”
Paul Offit and the Children’s Hospital of Philadelphia (CHOP) promote mass vaccination with aluminum-adjuvanted vaccines for all children. CHOP used to have a webpage stating that aluminum is an “essential metal,” which it most assuredly is not! They also said on that page, “It is found in all tissues and is also believed to play an important role in the development of a healthy fetus.” That is not true either! Ostensibly to prove their point, they cited a 1986 paper in Environmental Health Perspectives by Swedish researcher PO Ganrot, “Metabolism and Possible Health Effects of Aluminum.”29 Ganrot’s seventy-eight-page manuscript included nine hundred fifty-nine references, none of which support the idea that aluminum is safe. Quite the opposite: Ganrot concluded, “In no case has [aluminum] been shown to have a definite biological function. Taken together, this suggests that [aluminum] possesses properties incompatible with fundamental life processes.” After I gave a talk referencing this webpage, CHOP took it down (but not before we saved it).
A 2020 paper by James Lyons-Weiler, Dr. Paul Thomas and other colleagues compared the aluminum content in pediatric vaccines over the first two years of life for three different vaccine schedules: the standard CDC schedule, the CDC schedule using low- or no-aluminum vaccines and the schedule as per Dr. Thomas’s “Vaccine Friendly Plan.”30 They found that the standard CDC schedule injects infants with aluminum levels that frequently exceed the declared “safe level” in adults, producing chronic aluminum toxicity.
THE GULF WAR SYNDROME CLUSTER
At a certain point, my research group decided to look for another cluster of neurological disease besides the one on Guam. The Guam cluster had led to insights about cycad and the cycad toxin BSSG, but at that time, we still thought that aluminum had nothing to do with ALS-PDC.
We settled on Gulf War syndrome as our second cluster. We noticed that whether or not soldiers had deployed, they all had one thing in common—they had received a large number of vaccines, including the anthrax vaccine, and many of the shots contained aluminum adjuvants. The military gave some soldiers up to twenty-four vaccines.
When we tried to buy some anthrax vaccines from the manufacturer, they refused to sell them to us (no real surprise there). We decided to look at what was in them instead, and the ingredient that struck us as the most likely culprit for Gulf War syndrome was the aluminum hydroxide adjuvant. Next, we did the same type of animal experiment that we had done with the cycad. We injected aluminum hydroxide into mice in a dose comparable to what the soldiers would have received by weight and looked at various motor behaviors. The aluminum-injected mice very quickly lost motor function; they also behaved very differently on an open field (a test of neural damage and anxiety), and they displayed cognitive deficits. In other words, they behaved a lot like the cycad-fed mice. In addition, our histological examination of the mice injected with aluminum hydroxide adjuvant showed that the aluminum targeted the motor system and killed motor neurons by apoptosis.31
NEUROTOXICITY CLUES PILE UP
In 2011, Lucija Tomljenovic wrote the paper that I referenced earlier—for all intents and purposes a meta-analysis of aluminum toxicity—looking at aluminum and Alzheimer’s disease (AD).17 She concluded, “The hypothesis that [aluminum] significantly contributes to AD is built upon very solid experimental evidence and should not be dismissed.” The paper included table after table of data showing that aluminum has impacts at every level of the nervous system and at every level of cell and systems action.
That same year, Tomljenovic and I published a paper that asked the question, “Do aluminum vaccine adjuvants contribute to the rising prevalence of autism?”32 The clear answer, with a high degree of statistical significance, seemed to be yes, whether the level of aluminum was low, medium or high. Recognizing that correlation does not equal causation, we also looked at and satisfied most of the Bradford Hill criteria for causality (strength of association, consistency, specificity, temporal precedence, dose-response relationship, plausibility, coherence, experimentation and analogy).33
Chris Exley’s research group reached similar conclusions about aluminum and its relationship to Alzheimer’s and autism. They did important work showing the presence of aluminum in autistic brains34 and in the Alzheimer’s brain,35 confirming that aluminum gets into and damages the nervous system. Unfortunately, Exley managed to annoy both the aluminum industry and the pharmaceutical industry, and in 2021, he was forced out of his decades-long academic position at Keele University when the university refused to let him take money from private donors to do aluminum research.36 The shutting down of his top-tier lab is a tragedy for aluminum science.
If you have normal kidney function, you will generally be able to excrete over 99 percent of ingested aluminum—although you will get less of it out if you are either very young (and don’t yet have mature kidneys) or elderly (when kidney function is slowly declining). Injected aluminum behaves very differently. Using compounds that aluminum binds to, the Gherardi group has traced injected aluminum hydroxide in mice, showing that it does not remain in the muscle where it’s injected but can travel to the spleen and to different cells in the brain.37 In other words, the trajectory of injected aluminum is entirely different from that of ingested aluminum. Gherardi and colleagues concluded that “continuously escalating doses of this poorly biodegradable adjuvant. . . may become insidiously unsafe,” notably in cases of “overimmunization.”
A dozen or so years ago, Spanish researcher Luis Luján observed that sheep who had received an aluminum-adjuvant-containing vaccine for a ruminant disease called bluetongue experienced severe muscular and subcutaneous body wasting and spinal column necrosis.38,39 Luján decided that what he was seeing was a form of “autoimmune/autoinflammatory syndrome induced by adjuvants” (ASIA), a label originally put forth by Israeli researcher Yehuda Schoenfeld.40 Soon after doing his work with sheep, Luján contacted our lab to report that they had encountered the same phenomena that we had observed in mice.
The immune system is used to dealing with pathological organisms, but it doesn’t know how to deal with aluminum. All it can do—because it has been “revved up” by the adjuvant—is go on the attack. With other colleagues, Tomljenovic and I have published a number of papers addressing HPV vaccines.41-43 Notably, the nine-strain Gardasil-9 (now the only HPV jab on offer) contains more than double the aluminum content of the already aluminum-heavy bivalent and quadrivalent formulations originally introduced.44 Before the advent of the disastrous mRNA Covid shots, both the four-strain and nine-strain Gardasil shots were some of the most notorious vaccines causing serious adverse events, including autoimmune disease and death.45
BACK TO GUAM
The early researchers looking at ALS-PDC in Guam briefly considered a connection with aluminum. D. Carleton Gajdusek, 1976 co-recipient of a Nobel Prize for his studies of kuru in New Guinea, hypothesized in the early 1980s that aluminum was interfering with calcium-magnesium homeostasis, leading to neurodegeneration.46,47 In a 1989 study, neurologist John Steele reported that Guam’s agricultural soils “averaged 42-fold higher yield of elutable [extractable by solvent] aluminium” compared to soil samples from Palau and Jamaica, leading his research group to recommend further study of soil aluminum in Guam.48 By 1995, however, Steele was pronouncing the aluminum hypothesis “unlikely.”49 And with that, researchers’ interest in aluminum seems to have evaporated.
Because researchers had discounted the presence of aluminum on Guam, I did not initially consider it as a potential causal factor—but it is! A curious fact, never really explained, was that there were ALS-PDC “hotspots” in three southern villages of Guam. This prompted speculation that there was something about the southern region that was different. In 2022, I published a paper with Tom Marler reporting on our analysis of different metals found in cycad seeds.50 In southern Guam, depending on growing conditions, we found an aluminum content in cycad seeds that was up to eighty micrograms per gram. In that region, aluminum and selenium accounted for 90 percent of the seeds’ total metal content. Shaded forest microsites had a higher metals content than seeds grown with more sunlight transmission. We know that the southern region had more volcanic soil and, therefore, more aluminum in the soil than elsewhere. In my view, aluminum almost certainly played a role in ALS-PDC.
THE STATE OF ALUMINUM SCIENCE
The multiple strands of research I have just described—by my own lab and research groups around the world—reveal an indisputable role of aluminum (and, notably, aluminum adjuvants) in neurodegeneration. We still don’t know enough about aluminum, but we know that it’s a hyperstimulant and is very toxic. Unfortunately, the research done by independent scientists is always under attack. We get labeled as “pseudo-scientists,” which makes it virtually impossible to get grants.
Informed consent, as per the Nuremberg Code and Declaration of Helsinki, requires that people be provided with information about all risks, but that isn’t what happens in practice. Instead, governments respond to safety concerns with “Trust us, we’re the experts.” This has been their standard response every time the public raises questions about chemical, pharmaceutical or industrial products, whether tobacco, lead, PCBs, GMOs, biosolids or, most recently, the Covid mRNA gene products.
The pharmaceutical industry spends more money across both sides of the aisle of Congress than any other lobbying group—even more than defense or agribusiness. When corporations rule, you are essentially looking at fascism, although I agree with Mussolini that it “should more appropriately be called Corporatism, because it is a merger of state and corporate power.” Philosopher Giorgio Agamben has described what he calls a “state of exception”—the space between laws—referring to governments that work outside of their mandates to enforce measures that are usually for the benefit of corporations. The “state of exception” resembles a state of emergency or state of war, allowing governments to adopt control measures without any real justification for what they’re doing.
One result of the corporatism model is that the U.S. and Canada now have a massive chronic illness problem. As of 2023, fully 76 percent of U.S. adults had at least one chronic condition,51 as did at least 54 percent of U.S. children according to a now-dated study from 2011.52 Aluminum is certainly a major contributor to human disease and to neurological conditions, in particular. Our lab’s studies have conclusively demonstrated that we can produce an ALS phenotype by injecting animals with aluminum hydroxide.
Considering that neurological diseases tend to take a while to emerge (a lot of cell death has to occur before they are expressed), I think what we are seeing currently is only the tip of the iceberg. If you combine the neurological assault from repeat injection with aluminum adjuvants and the new and as yet not-fully-understood neurological assault from injectable mRNA technology, we could soon see a neurological crisis of unimaginable proportions. Alzheimer’s and ALS already impose a heavy caregiving burden on families, with relatives often having to leave the workforce to take care of their loved ones. How will society manage double or triple the number of neurological injuries? Our goal must be to stop putting substances like aluminum adjuvants—and now, mRNA gene products—in our bodies so that we can restore the health of our population and prevent the chronic diseases of the future.
SIDEBAR
TACKLING THE ALUMINUM BODY BURDEN
In his book, Imagine You Are an Aluminum Atom: Discussions with Mr. Aluminum,53 and in his peer-reviewed publications,54-55 aluminum expert Chris Exley discusses regular consumption of silicon-rich mineral water as a non-invasive method for reducing the body burden of aluminum. In addition, even if the human body has an easier time excreting ingested (versus injected) aluminum, it makes sense to eliminate aluminum-containing processed foods from your diet.
Another interesting observation—anecdotal at this point because no one is funding this type of research—is that hyperbaric oxygen may be able to diminish symptoms of conditions like ALS. Some researchers speculate that in ALS and other neurological conditions, some of the neurons may be simply non-functional rather than “dead and gone.” There is suggestive anecdotal evidence that by putting high levels of oxygen into the cells, hyperbaric oxygen may recover some of those neurons.
REFERENCES
- Pandya SK, Shankar SK. Dr. Harry M. Zimmerman (1901– 1995): neuropathologist who autopsied Dr. Harvey Cushing, and his interactions with Indian colleagues. Neurology India. 2017 Sep-Oct;65(5):948-963.
- Goetz CG. The history of Parkinson’s disease: early clinical descriptions and neurological therapies. Cold Spring Harb Perspect Med. 2011 Sep;1(1):a008862.
- Hirano A, Kurland LT, Krooth RS, et al. Parkinsonism-dementia complex, an endemic disease on the island of Guam. I. Clinical features. Brain. 1961 Dec;84:642-661.
- Shcherbakova A. The mystery of the Guam disease. The Oxford Scientist, Aug. 16, 2023.
- Laqueur GL, Mickelsen O, Whiting MG, Kurland LT. Carcinogenic properties of nuts from Cycas Circinalis L. indigenous to Guam. J Natl Cancer Inst. 1963;31:919-951.
- Kisby GE, Fry RC, Lasarev MR … Spencer PS. The cycad genotoxin MAM modulates brain cellular pathways involved in neurodegenerative disease and cancer in a DNA damage-linked manner. PLoS One. 2011;6(6):e20911.
- Kisby GE, Ellison M, Spencer PS. Content of the neurotoxins cycasin (methylazoxymethanol beta-D-glucoside) and BMAA (beta-N-methylamino-L-alanine) in cycad flour prepared by Guam Chamorros. Neurology. 1992 Jul;42(7):1336-1340.
- Chernoff N, Hill DJ, et al. A critical review of the postulated role of the non-essential amino acid, β-N-methylamino-L-alanine, in neurodegenerative disease in humans. J Toxicol Environ Health B Crit Rev. 2017;20(4):1-47.
- Cox PA, Banack SA, Murch SJ. Biomagnification of cyanobacterial neurotoxins and neurodegenerative disease among the Chamorro people of Guam. Proc Natl Acad Sci U S A. 2003 Nov 11;100(23):13380-13383.
- Ly PT, Singh S, Shaw CA. Novel environmental toxins: steryl glycosides as a potential etiological factor for age-related neurodegenerative diseases. J Neurosci Res. 2007 Feb 1;85(2):231-7.
- Wilson JM, Khabazian I, Wong MC … Shaw CA. Behavioral and neurological correlates of ALS-parkinsonism dementia complex in adult mice fed washed cycad flour. Neuromolecular Med. 2002;1(3):207-221.
- Shaw CA, Wilson JM. Analysis of neurological disease in four dimensions: insight from ALS-PDC epidemiology and animal models. Neurosci Biobehav Rev. 2003;27(6):493-505.
- Tabata RC, Wilson JM, Ly P … Shaw CA. Chronic exposure to dietary sterol glucosides is neurotoxic to motor neurons and induces an ALS-PDC phenotype. Neuromolecular Med. 2008;10(1):24-39.
- Shaw CA, Marler TE. Aluminum and the human diet revisited. Commun Integr Biol. 2013 Nov 1;6(6):e26369.
- Exley C. Darwin, natural selection and the biological essentiality of aluminium and silicon. Trends Biochem Sci. 2009 Dec;34(12):589-593.
- https://periodical.knowde.com/aluminum-silicate-in-food-nutrition/
- Tomljenovic L. Aluminum and Alzheimer’s disease: after a century of controversy, is there a plausible link? J Alzheimers Dis. 2011;23(4):567-598.
- Conventional water treatment: coagulation and filtration. Safe Drinking Water Foundation, 2017.
- Krupińska I. Aluminium drinking water treatment residuals and their toxic impact on human health. Molecules. 2020 Feb 2;25(3):641.
- Taki A. From cloudy to clear: the essential role of aluminum sulfate in coagulation & flocculation. Alliance Chemical, Dec. 12, 2023 (updated Sep. 5, 2024).
- Miller NZ. Aluminum in childhood vaccines is unsafe. Journal of American Physicians and Surgeons. 2016 Winter;21(4):109-117.
- Linhart C, Talasz H, Morandi EM, et al. Use of underarm cosmetic products in relation to risk of breast cancer: a case-control study. EBioMedicine. 2017 Jul;21:79-85.
- Wang S, Meng H, Shang N, et al. The relationship between plasma Al levels and multi-domain cognitive performance among in-service aluminum-exposed workers at the SH Aluminum Factory in China: a cross-sectional study. Neurotoxicology. 2020 Jan;76:144-152.
- Glenny AT, Pope CG, Waddington H, Wallace V. The antigenic value of toxoid precipitated by potassium-alum. J Pathol Bacteriol. 1926;29:31-40.
- Marrack P, McKee AS, Munks MW. Towards an understanding of the adjuvant action of aluminium. Nat Rev Immunol. 2009 Apr;9(4):287-293.
- Baletti B. Merck used highly potent aluminum in Gardasil HPV vaccine trials without informing participants. The Defender, Jun. 5, 2024 (updated Jun. 6, 2024).
- Mitkus RJ, King DB, Hess MA, et al. Updated aluminum pharmacokinetics following infant exposures through diet and vaccination. Vaccine. 2011 Nov 28;29(51):9538-9543.
- Gherardi RK, Eidi H, Crépeaux G, et al. Biopersistence and brain translocation of aluminum adjuvants of vaccines. Front Neurol. 2015 Feb 5;6:4.
- Ganrot PO. Metabolism and possible health effects of aluminum. Environ Health Perspect. 1986 Mar;65:363-441.
- McFarland G, La Joie E, Thomas P, Lyons-Weiler J. Acute exposure and chronic retention of aluminum in three vaccine schedules and effects of genetic and environmental variation. J Trace Elem Med Biol. 2020 Mar;58:126444. Erratum: J Trace Elem Med Biol. 2021 May;65:126727.
- Petrik MS, Wong MC, Tabata RC, Garry RF, Shaw CA. Aluminum adjuvant linked to Gulf War illness induces motor neuron death in mice. Neuromolecular Med. 2007;9(1):83-100.
- Tomljenovic L, Shaw CA. Do aluminum vaccine adjuvants contribute to the rising prevalence of autism? J Inorg Biochem. 2011 Nov;105(11):1489-1499.
- Hill AB. The environment and disease: association or causation? Proc R Soc Med. 1965 May;58(5):295-300.
- Mold M, Umar D, King A, Exley C. Aluminium in brain tissue in autism. J Trace Elem Med Biol. 2018 Mar;46:76-82.
- Mold M, Linhart C, Gómez-Ramírez J, Villegas-Lanau A, Exley C. Aluminum and amyloid-β in familial Alzheimer’s disease. J Alzheimers Dis. 2020;73(4):1627-1635.
- Children’s Health Defense Team. University shuts down world-renowned aluminum expert’s research after big pharma sets up shop on campus. The Defender, Mar. 25, 2021.
- Khan Z, Combadière C, Authier FJ, et al. Slow CCL2-dependent translocation of biopersistent particles from muscle to brain. BMC Med. 2013 Apr 4;11:99.
- Luján L, Pérez M, Salazar E, et al. Autoimmune/autoinflammatory syndrome induced by adjuvants (ASIA syndrome) in commercial sheep. Immunol Res. 2013 Jul;56(2-3):317-324.
- Asín J, Pérez M, Pinczowski P, et al. From the bluetongue vaccination campaigns in sheep to overimmunization and ovine ASIA syndrome. Immunol Res. 2018 Dec;66(6):777-782.
- Borba V, Malkova A, Basantsova N, … Shoenfeld Y. Classical examples of the concept of the ASIA syndrome. Biomolecules. 2020 Oct 12;10(10):1436.
- Inbar R, Weiss R, Tomljenovic L, et al. Behavioral abnormalities in female mice following administration of aluminum adjuvants and the human papillomavirus (HPV) vaccine Gardasil. Immunol Res. 2017 Feb;65(1):136-149.
- Tomljenovic L, Shaw CA. Human papillomavirus (HPV) vaccine policy and evidence-based medicine: are they at odds? Ann Med. 2013 Mar;45(2):182-193.
- Tomljenovic L, Shaw CA. Too fast or not too fast: the FDA’s approval of Merck’s HPV vaccine Gardasil. J Law Med Ethics. 2012 Fall;40(3):673-681.
- Children’s Health Defense Team. Garbage in, garbage out: researchers dress down Cochrane for its flawed and biased review of HPV vaccines. Children’s Health Defense, Aug. 2, 2018.
- Children’s Health Defense Team. Gardasil’s long shadow of autoimmunity confirmed—again—by new study. The Defender, Dec. 1, 2022.
- Perl DP, Gajdusek DC, Garruto RM, et al. Intraneuronal aluminum accumulation in amyotrophic lateral sclerosis and Parkinsonism-dementia of Guam. Science. 1982 Sep 10;217(4564):1053-1055.
- Garruto RM, Swyt C, Yanagihara R … Gajdusek DC. Intraneuronal co-localization of silicon with calcium and aluminum in amyotrophic lateral sclerosis and parkinsonism with dementia of Guam. N Engl J Med. 1986 Sep 11;315(11):711-712.
- Crapper McLachlarf DR, McLachlan CD, … Steele JC. Aluminium and calcium in soil and food from Guam, Palau and Jamaica: Implications for amyotrophic lateral sclerosis and parkinsonism-dementia syndromes of Guam. Environ Geochem Health. 1989 Jun;11(2):45-53.
- Steele JC, Williams DB. Calcium and aluminium in the Chamorro diet: unlikely causes of Alzheimer-type neurofibrillary degeneration on Guam. In: Leigh PN, Swash M (Eds.), Motor Neuron Disease. London: Springer, 1995.
- Marler TE, Shaw CA. Metals and metalloids increase in Cycas micronesica seed gametophyte tissue in shaded growth conditions. Toxics. 2022 Sep 20;10(10):550.
- Watson KB, Wiltz JL, Nhim K, et al. Trends in multiple chronic conditions among US adults, by life stage, Behavioral Risk Factor Surveillance System, 2013-2023. Prev Chronic Dis. 2025 Apr 17;22:E15.
- Bethell CD, Kogan MD, Strickland BB, et al. A national and state profile of leading health problems and health care quality for US children: key insurance disparities and across-state variations. Acad Pediatr. 2011 May-Jun;11(3 Suppl):S22-33.
- Exley C. Imagine You Are an Aluminum Atom: Discussions with Mr. Aluminum. Skyhorse Publishing, 2020.
- Davenward S, Bentham P, … Exley C. Silicon-rich mineral water as a non-invasive test of the ‘aluminum hypothesis’ in Alzheimer’s disease. J Alzheimers Dis. 2013;33(2):423-430.
- Exley C, Korchazhkina O, Job D, et al. Non-invasive therapy to reduce the body burden of aluminium in Alzheimer’s disease. J Alzheimers Dis. 2006 Sep;10(1):17-24; discussion 29-31.
This article appeared in Wise Traditions in Food, Farming and the Healing Arts, the quarterly journal of the Weston A. Price Foundation, Fall 2025
🖨️ Print post

Leave a Reply