We did 170 rounds with DMSA/ALA before we discontinued DMSA. I suspected neutropenia based on labs although he did not have any symptoms. I was being over-cautious but after all his Lead was down anyway. (we later learned the neut issue on his labs was a viral issue)

After doing ALA only from 171 until just now we decided to toss in some DMSA on round 190 just to see if it did anything.


  • Increased in sensory symptoms on round
  • More oral sensory
  • Some brain fog
  • Feeling tired.

We didn’t see any gains but clearly the dmsa was doing something. These symptoms went back to his normal sensory levels after the round. The fatigue and brain fog gone too.