Lynn,
Yes, the low VMA is likely coming from blocked conversion. Vitamin C and copper are needed to activate the Dopamine Beta-Hydroxylase. Also, there could be a Catechol-o-Methyltransferase (COMT) polymorphism contributing as well.
Die-off – it is fairly quick, usually about 24 to 48 hours. If nothing is happening by 3 days in then I typically do not see die-off. I try not to use the activated charcoal for more than a week. It is not something that is ongoing.
I am not sure I understand your question about “…higher numbers in range…”
Cholesterol – I am focusing on the Total Cholesterol from an autism standpoint. There certainly are risk factors for high cholesterol, especially when inflammation is present. I am not specifically addressing this, but I would say its rare to see low total cholesterol when LDL is high.
Glandulars – the difficulty with these is not knowing what exactly is in them. However, I have not seen problems and have had a few kids do well on them for adrenal support.
DPPIV – definitely use when Urinary Peptide test is showing high casein and/or gluten peptides. Also, if strongly suspect deterioration in skills and behaviors when exposed to these foods. IgG positive testing by itself does not automatically trigger the use of DPP-IV, although it won’t hurt to try.
I hope this helps.
Dr. Woeller