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Kim C
I had no idea for 10 years of ME/CFS that tinnitus is an adrenal symptom. Mine decreased with each step of my progress, from a high point when I could barely attend to conversations. When I recently cleared my adrenals I woke up to Silence! In the last weeks I have a low hiss that comes and goes according to how my adrenals are feeling. Today, the hiss + a few other returned symptoms have told me it's time for coffee enema to clear my liver
Glad the pyroluria info is helpful. I'm currently taking only 50mg zinc picolinate, 33mg P5P (Nutricology). Initially I took 200mg zinc, in divided doses. This was in part to help detox other metals. Immediately after my recent dumping of toxins I self-tested for a handful of zinc caps, about 10, also selenium. I interpret this to have been replacing the toxins in the critical pathways, as outlined by Klinghardt. Toxic metals insert themselves into places that should have zinc.
Yes, zinc is, fortunately, inexpensive. My understanding, particularly from Freddd, is that there is at least a year of rehabilitation following initial healing of methylation pathway. I expect to need high folate and B12 for at least that long. My genetic profile specifically notes a need for extra B12, tho I don't know of a specific reference to folate. I'd love to be able to decrease my dosage, but do not know if that's going to happen. When I asked my GP if there was any folate by rx here, he told me there was rx folic acid

So...as long as I can afford my supps, my quality of life continues to improve. Best to you, ahmo