The first treatment for GDD is to never get another GBCA injection again. Unfortunately many patients with GDD get repeat GBCA injection to investigate what actually turns out to be the disease. This is one of the great tragedies of the disease: getting more of the same injury when suffering with a disease, to investigate for what is causing the sickness.
So, if one's symptoms are getting a lot better on their own by 3 months or 6 months, then I would recommend holding off chelation. I would follow the conservative at home managements that I describe on my web-site.
If by 1 or 2 years one is still suffering significantly with symptoms, even if they have improved from what they were at the start, the immune system impetus for a major Flare (especially at 2 years) is greater diminished, so one could consider chelation treatment then. The essential need for an extended hypersensitivity protocol that exists within 1 year of disease, is also generally no longer present by 2 years.
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Richard Semelka, MD. Consulting