In therapeutic apheresis, a closed blood/plasma circuit (veno-venous through two peripheral venous access points) uses a special filter system that, depending on the pore size, can remove pathological proteins and pathogenic substances bound to them from the blood plasma outside the body (various environmental toxins, toxic light and heavy metals, solvents, plasticizers, wood preservatives, pesticides (such as glyphosate), microplastics and other organic and inorganic toxins), as well as inflammatory mediators in the case of acute and chronic infections, chronic inflammation, autoantibodies in autoimmune diseases (pathologically changed antibodies that target the body's own organs), and antibodies against various allergens.
The removal of pathogenic substances occurs through adsorption (attachment to the filter), precipitation (precipitation) and filtration. The "cleansed" plasma is completely returned to the patient, similar to a lipid apheresis ("blood fat removal").
There are no significant losses of electrolytes or physiological proteins. The duration of treatment is based on the individually calculated plasma volume to be cleaned. For the safety of the patient, comprehensive monitoring of various vital parameters is carried out. A doctor is present with the patient throughout the duration of the treatment. If there are losses of macro and micronutrients during blood filtration, it is possible to prepare an individual infusion directly after the apheresis and to return the vitamins, minerals, fatty acids, proteins, antioxidants, etc. to the patient through one of the venous accesses in the same session, so that no side effects (nutrient losses) are felt.
It is important to have current laboratory values including nutrient profile before such a treatment is carried out.
