Autismum

By day: mum of an autistic tot. By night: mum of an autistic tot.

Amber Teething Necklaces

This is an off topic rant and probably more Vaximom’s territory. It has nothing to do with autism, vaccines and definitely zero to do with Pwd because I would have never been so stupid as to put the strangulation and choking hazard that is an amber teething necklace around his neck.

These things are everywhere. As pretty as they are, I hate them. I hate them so much that I have lost friends over them. A few weeks ago, a friend I have known for some time (and in real life too) posted a picture of her beautiful year old daughter with one of those wretched things around her neck. I was polite. I sent a private message asking mum if she was aware of the dangers of putting anything around the neck of a child so young. No reply. As is only natural and to be expected when a picture of an adorable, smiling baby gets posted on Facebook, people will comment. The thread soon turned to “What a pretty necklace,” and my once friend extolling the virtues and supposed benefits of amber teething necklaces and where the credulous can pick one up.

I couldn’t help myself. I took a look at the website  selling these baby strangling devices.  The claims being made therein were nothing short of  ludicrous. The FAQ section, in particular, was rife with new age and pseudo scientific bullshit. Let me illustrate:

Of all the assertions in that little paragraph, the only one that is one hundred percent true is that Robert Koch won a Nobel Prize, though that was actually in 1905 and not 1886, for his work on isolating the mycobacterium  Tuberculosis bacillus,  the causative agent of TB. As far as his work on succinic acid goes, this is what I have found:

Scientists seem to have a fascination with autoexperimentation…Robert Koch was no exception. He decided to eat 1/2 kg of butter everyday and measure the concentrations of succinic acid in his urine. Not surprisingly, it made him so sick that he soon gave up the idea.

Robert Koch

This vomit inducing work formed part of his work for his doctorate  and his  findings, entitled “Ueber das Entstehen der Bernsteinsäure im menschlichen Organismus,” were published in a 1865 edition of the journal, Zeitschrift für rationelle Medizin. 

Amber does, indeed, contain succinic acid. Succinum is the Latin name for amber. However, to call it an “active ingredient” is disingenuous in the extreme. Relatively large amounts of succinic acid are safe to consume. It is an additive used to give a certain variety of sweetness and is often referred to on labels as succinate. Being a byproduct of  fermentation it is also found in wines, beers and other alcoholic beverages. In the pharmaceutical industry succinic acid is used to balance acidity. Succinic acid is also the basis of the popular Ameren which claims to alleviate some of the more troubling aspects of the menopause.

Remember, though, that here we are talking about ingesting succinic acid. The beads on amber teething necklaces are not meant to be chewed or gummed and certainly not swallowed. So, how does the succinic acid found in amber beads have its effect? Back to the FAQs:

Now, I like amber jewellery (for adults) as much as the next woman and even had some amber beads. Never noticed them breaking down or becoming more brittle with wear, which is pretty much what you would expect if the “healing oils” contained in the beads were being transferred from the amber into the skin. I have also noted that amber does not become appreciably softer when in contact with the skin so just how are these oils being released? Now, after a beer or two I think I’m one hot momma but not 185-189 degrees celsius hot – the melting point of succinic acid and definitely not the 350-370ºC required to extract oil of amber. Further, if it was being released by the skin it would be released onto the skin. Succinic acid is an irritant. Why no warnings of such? Oh wait, that would because the very suggestion that amber delivers succinic acid transdermally to relieve pain or modulate the immune system  is a LIE.

With all of this in mind, I wrote a complaint to the Advertising Standards Authority. Here is the gist of it:

“The suggestion that amber, when in contact with the skins, breaks down sufficiently that “healing oils” can be absorbed through the skin and into the bloodstream in any appreciable amount is clearly a nonsense. Therefore, the claim that these amber necklaces can ” assist with alleviating pain and will provide assistance with restlessness, irritability and acidity.” is demonstrably false. Further, these items are not recommended for children under 36 months, an age by which, for the majority of children, the worst of teething is over. These products pose a significant choking, strangulation and even hanging risk to babies and toddlers made to wear them and should be banned outright.
The claims that “Recent scientific research has also proved that succinic acid has a very positive influence, it strengthens the body, improves immunity and the balance of acids,” is a lie. Indeed, some studies have shown that succinic acid actually inhibits the function of certain cells involved in immune responses.*”

I have to say, that all in all, I was pleased with the response I received and the fact that this particular website’s FAQ page seems no longer to exist. Here is part of the  Advertising Standards Authority‘s response to my complaint:

Thank you for contacting the Advertising Standards Authority.  We have viewed the claims you refer to on this website’s FAQ page and concluded that they are likely breach the advertising Code we administer and the established position the ASA has on the advertising of amber jewellery – you can read the online advice entry our sister organisation the Committee of Advertising Practice provides for marketers here.  Given this, we have passed the matter to our Compliance team, who work to ensure that advertising in breach of the advertising Codes is removed or amended.

In essence, within the UK, amber teething jewellery is allowed to be advertised as available to purchase. No claims can be made about pain relieving or immunomodulating properties (not that they exist).

Moreover, the Medicines and Healthcare products Regulatory Agency (MHRA) has confirmed that the products are not medical devices and would not be medicinal products because the transdermal effects of any remaining oils in the beads would not have a meaningful pharmacological effect.

Sadly, amber teething  jewellery is still being sold in the UK. Many of those hawking it claim that knotted necklaces pose little choking risk as only one bead at a time can break off. The fact that seems to be overlooked is that a child can choke on just one bead. Some claim their necklaces to be exceptionally strong – this poses a strangulation/hanging risk to a child whose necklace catches on an object. Some have magnetic clasps to overcome this making the necklaces easy to pull of and so, put into the mouth. These items are not safe for any child. They are certainly unsafe for those under the age of 36 months.

Marketers of these products should market the products on an availability-only basis unless they hold convincing evidence based on humans (Rule 12.1).

If you see anyone marketing these items otherwise, feel free to use any or all of my complaint to report them.

*Succinic acid inhibition of the function of cells of the immune system.

Just a sample!

*Rotstein O.D., Nasmith P.E., Grinstein S. The bacteroides by-product succinic acid inhibits neutrophil respiratory burst by reducing intracellular pH. Infect Immun. 1987;55:864–870.

 The reduction in intracellular pH was sufficient to account for both the irreversible and reversible impairment of the neutrophil respiratory burst. Thus, short-chain fatty acids appear to exert their inhibition, at least in part, by reducing intracellular pH. These data also demonstrate the potential for interactions between Bacteroides species and their microenvironment to increase the virulence of an infection.

Rotstein O.D., Vittorini T., Kao J., McBurney I., Nasmith P., Grinstein S.A. A soluble Bacteroides by-product impairs phagocytic killing of Escherichia coli by neutrophils. Infect. Immun. 1989;57:745–753.

Succinic and acetic acids were measured in high concentrations, while lactic, formic, and fumaric acids were present in lower concentrations. Reconstituted media mimicked the inhibitory effect of B. fragilis filtrate on neutrophil killing capacity. In further support of the hypothesis that short-chain fatty acids were responsible for the inhibition, the filtrates of other Bacteroides strains were found to be inhibitory only after bacterial growth had entered the stationary phase, a period during which fatty acid production is maximized.

Rotstein O.D., Pruett T.L., Fiegel V.D., Nelson R.D., Simmons R.L. Succinic acid, a metabolic by-product of Bacteroides species, inhibits polymorphonuclear leukocyte function. Infect Immun. 1985;48:402–408.

Succinic acid, a major fatty acid by-product of Bacteroides metabolism, was tested for its effect on neutrophil function to determine whether it might play a role in enhancing the virulence of Bacteroides-containing infections…succinic acid at concentrations commonly found in clinical abscesses profoundly inhibits in vitro neutrophil function. It virtually obliterates phagocytic killing of Escherichia coli…

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23 Comments on “Amber Teething Necklaces

  1. C
    29 October, 2012

    I <3 Autismum!

  2. Susan
    29 October, 2012

    Well done Autismum!

  3. Darwy
    29 October, 2012

    So, have they thought about how they’re administering the ‘dose’ of succinic acid from those stupid beads? What about other ‘things’ that you find in amber? What about impurities?

    What kind of amber is it, really?

    Is it ‘natural’ baltic amber? Modified baltic amber? Reconstructed (pressed) baltic amber? Bonded baltic amber?

    If it’s bonded (read: glued) – what is the risk of breakage again? Amber can be pretty damn sharp.

    The stupidity… it burns.

  4. Clara Obscura
    29 October, 2012

    Brilliant. Everyone I know seems to have these.
    I considered getting an anklet in case the placebo effect kicked in, then realised it probably wouldn’t work if I was a total skeptic and I’d just end up with a bead in my ear canal whilst trying to unchoke my son.

    • Autismum
      29 October, 2012

      I know the Pwd used to get his toes stuck in onesies so I’m not convinced using them around the ankle is safe and I would imagine they could be very uncomfortable too.

  5. Allison H
    30 October, 2012

    Once again, you have nailed the woo on the head. Well done!

  6. Pingback: Autismum at Skeptoid « Autismum

  7. Katy Johanna Benson
    16 November, 2012

    Great post, great outcome and you get a gold star for making the effort to complain too!

  8. Tom Steinberg
    25 December, 2012

    Autismum – Thanks! I just encountered a new grandson wearing one of these. I was dismayed because I thought the mom knew better. I was in circumstances where I was obliged to be silent. Trying to figure how to politely broach the topic now.
    I learned about you through the Respectful Insolence blog where I occasionally comment as THS.

    • Autismum
      26 December, 2012

      Thanks for popping over here – good to see you xx

  9. kirsten
    26 December, 2012

    well if amber necklaces for babies get you all fired up, then the fact that I am using succinic acid supplements for my autistic son are probably gonna send you into orbit. But its true, I am. And its helping a lot. It is terrible tasting stuff, but since my son has bad sensory issues, i cannot give him capsules. But a tiny amount, like 20 mg of succinic acid three times a day, makes my sons frequent anger and fairly frequent meltdowns almost non-existent. The improvement in his behavior is very noticeable, to a point that without it, we have difficulty bringing him places. Right now, our regime is succinic acid, namenda, inositol hexonicotinate (no-flush niacin), lutemax (we are on the fence about that one yet), dimethylglycine (dmg) and biotin (for yeast). We are also seeing some language gains. I got the idea for succinic acid from noticing several metabolic issues result in the deficiency of succinic acid. And yes, we did go to the neurologist first. They were fascinated. And they also said they would support the namenda if we tried their med first. It was guanfacine….a med that we dropped after a month. I like having a calm child, but dont want to erase his personality as guanfacine did. He was like a little zombie. So went to succinic acid and now i can deal with my son again!

    • Autismum
      26 December, 2012

      What horrifies me as much the fact you have fallen for such quackery is the language you use to describe your son – you call him a zombie. No wonder you’re happy to use him as a guinea pig in your quest for the quiet life. “I like having a calm child” you say. What about what he likes because, by the sounds of it, he doesn’t like having snake oil poured down his gullet. But it’s all “me, me, me” with you biomeddlers.
      And yes, teething beads get me fired up as does anything that can potentially kill a baby just because their parents are utterly credulous. I hope you fully understand where I’m coming from now.

  10. Bby
    4 February, 2013

    I use them wrapped around my baby’s ankles with a knee length socks over them. I check her ankles everyday to make sure they are not tight on her and that there are no red marks or any rash etc. she is also not bothered by them so it means she is comfortable wearing them.

    My baby was always a crappy sleeper and never slept thru the night but was worse with teething pain. So I tried them and now 2 weeks later sleeps 8 to 9 hrs straight with two 1 hr naps. She eats, poops well and is active and happy baby. So it didn’t change her except it made her less fussy and better sleeper.

    • Autismum
      5 February, 2013

      all that fuss for nothing. I don’t know how old your baby is but I know from personal experience a lot can change in two weeks – like a tooth that’s painful finally breaking through, maybe?

      • Bby
        6 February, 2013

        She is 7month & 2 wks old now. She cut her two bottom teeth 3 weeks ago. She was extremely fussy & in physical teething pain for weeks before cutting her teeth and also after. Like gnawing on everything, drooling, hysterical crying every hour all through the night…..only Tylenol calmed her down. I didn’t want to drug every night so tried amber necklaces out of sheer desperation thinking it won’t hurt either.

        The transition to a happy, calm and good sleeping baby happened within days and complete transformation 2 weeks later! I don’t know whether its really the necklaces but lets just say I’m not taking them off to find out either…..

      • Bby
        6 February, 2013

        I guess my main point here is how to where them safely on your baby. Since your post stresses the strangulation hazards. I’m extremely wary of putting it around her neck. No way! She is a very active, curious and a wiggly sleeper so I am very aware of how dangerous it would be to wear around the neck. Wrapping it around the ankles and covered with knee length socks provides a safe alternate way to wear them…not to mention the double wrap actually gives more coverage (skin to amber).

  11. Amber
    25 February, 2013

    Autistum you obviously haven’t done enough research on Baltic Amber! It has been scientifically prover by tests carried in Russia – amber acid is powerful healer! Couple links for you to read: cardio vascular & heart tissues protection http://www.anikton.ru/articles_194_6.html ; amber acid for treatment of pneumonia for newborn http://www.anikton.ru/articles_194_8.html ; amber acid treatment of children viral infections, amber acid treatment of children viral infections, amber acid against diabetes, cardio vascular & heart tissues protection, amber acid treatment of oncological cases all of these based on clinical trials not using mice but HUMAN! It’s only few tests mentioned out of loads more!

    • Mark Hanna
      16 April, 2013

      Even if one were to assume that putting succinic acid on the skin were an appropriate and useful treatment for teething symptoms, putting an amber necklace around an infant’s neck is simply not going to be able to deliver a useful dose.

      There are a lot of holes in the idea that amber teething necklaces can work; the plausibility of the idea that putting succinic acid on an infant’s skin can relieve their teething symptoms is only one such hole. You still have to get the succinic acid out of the amber and into the baby at a useful dose without “using up” the necklace within a very short period.

      I’ve written my own post on amber teething necklaces, inspired by Autismum’s writings on the topic. Perhaps you’d like to have a look at that as well and provide some criticism on my points. Here’s a link – http://honestuniverse.com/2013/02/13/amber-teething-necklaces/

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