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treatment david 1

Geplaatst: za mei 26, 2007 10:26 pm
door david 1
Hello,

My name is David, I am 34 years old. I was diagnosed with dilated cardiomyopathy, cardiologist called it left ventrical dysfunction. I was told it was from a virus. I have no symptoms at all. My cardiologist has me taking 12.5 mg of coreg twice a day, also Vasotec 5 mg once a day. My ef showed 45% on an echo and 30 % after a heart cath.

Geplaatst: za mei 26, 2007 10:54 pm
door Corrij (therapeut)
Hello David,

First of all a very warm welcome on this forum :D

Do you think its oke if I posted the e-mails you`ve sent me on the forum?

regards,
corrij

Geplaatst: za mei 26, 2007 11:49 pm
door david 1
Corrij (therapeut) schreef:Hello David,

First of all a very warm welcome on this forum :D

Do you think its oke if I posted the e-mails you`ve sent me on the forum?

regards,
corrij
Thanks for the welcome, it sure is ok to post my emails.

Geplaatst: zo mei 27, 2007 2:48 pm
door Corrij (therapeut)
Hello,

My name is David. I am 34 years old, I was diagnosed last month with dilated
cardiomyopathy, he called it left ventrical dysfunction. I was told it was
from a virus. I have no symptoms at all. My cardiologist has me taking 12.5
mg of coreg twice a day, also Vasotec 5mg once a day. My ef showed 45% on an
echo and 30% after a heart cath. I live in New York USA. I exercise
everyday, biking, rollerblading and fast walking. I have a lot of questions
and am so confused and stressed about this, never would have known i had it.
It was found
out, I guess by accident when i was getting established with a new doctor,
he did a EKG. I dont know where to start. If i need to answer more
information please let me know. Also i forgot to mention that during my
heart cath my cardiologist found that my valves were working good, I had
absolutly no plaque build-up in my arteries, I dont have high blood
pressure. I had a 24hr holter monitor, which came back with no problems.

Thank You

David

Geplaatst: zo mei 27, 2007 2:49 pm
door Corrij (therapeut)
Yes, I have read most of the articles in the forum, I just need a starting
point. To let you know, through reading on the internet, before i found your
site, on my own I started taking 100mg C0Q-10, I am also taking this GNC
vita pack
http://gnc.imageg.net/graphics/product_ ... el_pdf.pdf
(I didnt know if i should type it all out or if you can use the link that
shows the label of all the ingredients. I am very confused when it comes to
vitamins and medication since I have never taken any meds before. I have
another question, is there anything that can help me lose weight, I was
dieting and losing weight since Feb 1-3 lbs a week, total of 22 lbs. Now i
dont seem to be losing at all, i dont know if it is the medicine or what. I
dont dare take a weight loss pill due to it speeding up my heart which
defeats the purpose of the medication. Sorry if i am asking too many
questions.

David

Geplaatst: zo mei 27, 2007 3:44 pm
door Corrij (therapeut)
Hi David,

You don't have to apologize for your questions David, the more you ask the better. the Dutch motto of our site is: knowledge=power.

The world of supplements isn't always that easy, but you don't have to worry about that, that's why you've got me.
I can imagine it must have been quite a shock being diagnosed with this, especially because you didn't have any complaints.
You should be glad really that you found out in the early stage, experience showed us that you have a better chance of total cure.

I assume that your EF is around 30, and I want it on at least 50 within the year. You know 60% is normal?

It's fine that you started with Q10, the daily dose should be 2x 100 mg.
I can't open the link, but that is because my computer is slow. It's about a multi vitamin, right?
The only thing you have to think of with a multi is to make sure it doesn't contain vitamin K if you're using blood thinners.

I would like to suggest you start with
L-Carnitine 3x a day 500 mg, this always has to be taken on a empty stomach, so 1/2 an hour before the meal or 2 hours after.
Q10 2 x 100 mg
Taurine 3 x 500 mg

This is to start with, more supplements will follow in a few weeks time.
Then we'll also discuss your diet in more depth and try to loose some weight.

regards,
Corrij

Geplaatst: ma mei 28, 2007 12:35 am
door david 1
Thank You very much for the help, I will start those doses that you suggested today. Would you like me to list everything that come n the vitamin pack that I take. i dont know if that would help you to determine whether I should continue to take them. Yes, I was told EF was at 30%, which is what is bothering me, I feel good I dont feel restricted in any way. When you list L-Carnitine 3x a day 500mg, do you mean 500mg tablet 3 x a day to equal 1500 total or take a total of 500mg a day. I have never been a pill taker so i just want to be sure. Thank you again for being patient with me.

David

Geplaatst: ma mei 28, 2007 1:21 am
door Corrij (therapeut)
Hi David,

You don`t have to thank me David,I`m very glad if I can help you :D

I have seen the list of the vitamine pack youre taking and I think is a good multi vitamin so keep continue taking it,I suggest that once a day is enough.(I finally could link to that page :P )

The amount of L-carnitine is indeed 3 x 500 mg a day, and you can take this tree times a day or at once,what you like.

If it`s possible to do I suggest tree times a day,if youre still at work it might be difficult,and then I suggest 1 x 1500 mg(on a empty stomach)

Please David If you still have any questions don’t hesitate to ask,

regards,
Corrij

Geplaatst: ma mei 28, 2007 11:58 pm
door Willy
Hello David welcome on this forum.

questions from me also

How did you find us?

Which country do you come from?

Is it the CMV virus that caused your CMP and is it gone now?

Geplaatst: di mei 29, 2007 1:32 am
door david 1
Thank You for allowing me to be a part of this forum. i found the website while searching the internet for some answers and something positive about this disease. I am from New York USA. I dont know what virus caused this, thats all my cardiologist said. He was orginally questioning my family, if I drank alcohol a lot, cause he saw the enlarged heart and EF of 30% but nothing else such as bad arteries or valves, and no high blood pressure. But I dont drink, very rarely. So then he assumed it was from a virus.

Geplaatst: di mei 29, 2007 6:46 pm
door Willy
Thanks for the update.

I understand his line of thoughts

Geplaatst: ma jun 11, 2007 6:02 am
door david 1
Hello Corrij,

I have been taking the L-Carnitine 500mg 3 x a day, Q10 100mg x 2 x a day, and Taurine 500mg 3 x a day, for 2 weeks now. I was wondering if I should start any more supplements at this time or continue what Im taking for now. I know you said the would be more to follow.

Thanks

David

Geplaatst: ma jun 11, 2007 1:04 pm
door Corrij (therapeut)
Hello David,

If youre feeling oke then we can added some more supplements :D

Vitamin C 3 x 1000 mg
Vitamin E 1 x 512 IE
Alpha-lipoic acid 1 x 300 mg
Selenium 1 x 200 mg

Maybe we will added some more in the future but for now this will do, this is the biggest part of the heartfailure protocol.

Can you give me a example of what youre eating and drinking all day?
So I can see what we have to change to loose some weight,

regards,
Corrij

Geplaatst: ma jun 11, 2007 8:25 pm
door david 1
I drink only water, i have been doing a low carb diet. Is there a supplement that can boost my metabolism and still be safe? I was taking Xenadrine EFX before finding out the heart issue. I dont dare take it now. I will go get those new supplements and start them immediately. Thanks again.

Geplaatst: di jun 12, 2007 12:17 pm
door Corrij (therapeut)
Hello David,

Instead off a low carb diet its better too eat slow carbs and fibers,

The slow-carb diet is actually a more balanced way of eating. Instead of banning certain foods from your diet, it simply classifies them based on their glycemic index (GI). The GI reveals how high carbohydrate can raise blood glucose levels within two hours. Foods that break down quickly during digestion have a high GI, and those that break down more slowly have a low GI.
Foods with a relatively low GI level, such as whole grains, oats, fruits, vegetables, and lentils are recommended. These foods are digested slowly and provide the body with a more sustained energy supply. Foods that have a high GI index - including white bread, refined breakfast cereals, pastries, and other concentrated sugars - are digested rapidly, causing a surge of blood glucose and insulin in the body. The slow-carb diet, on the other hand, is full of complex carbohydrates - healthy carbs that positively affect hunger, concentration and mood levels.
Since the slow-carb way of eating incorporates a healthy mix of carbohydrates, protein and fat, it is more varied than low-carb diets and is therefore easier to maintain for life.
The following is a discussion of the benefits of a high fiber diet.
Fiber refers to a group of substances that include plant polysaccharides and lignin that are resistant to the digestive enzymes. They consist of the structural components of plant cell walls, primarily cellulose, hemicellulose pectins and lignin. Cellulose is the main structural component of plant cell walls, hemicellulose consists of polymers of nonglucose sugars and lignan is a non-carbohydrate cell wall material that is highly resistant to degradation. Some fiber does undergo degradation by bacteria in the colon (large intestine).
Well, so much for the scientific description and big words!
Essentially, fiber is a complex carbohydrate and the part of the plant that cannot be digested.
Fiber can be either water soluble or water insoluble. Soluble fiber, which includes vegetable fiber, gums and pectins, lowers cholesterol and helps manage blood glucose (see below). Fruits, vegetables, dried beans and peas, nuts, seeds, brown rice, oat bran, barley bran and rice bran are prime sources.
Water-insoluble fiber such as wheat bran is less subject to digestion in the colon than are the water-soluble fibers. Insoluble fiber helps mainly with intestinal disorders such as Irritable Bowel Syndrome and Diverticulitis. It also shortens the time food is in the bowels and promotes more frequent bowel movements. Sources include wheat and corn bran, whole grain breads, cereals, vegetables, fruit skins and nuts.
A high fiber diet affects most segments of the digestive system. It increases the chewing time, which results in increased salivary and gastric juice flow. This subsequently decreases dental plaques and decay, satisfies the appetite more quickly and as a result reduces calory intake (a high fiber diet is a natural way to feel full sooner which can lead to weight loss).
The rate at which your stomach emptys and the rates of digestion and absorption are also affected by a high fiber diet. Guar gum and pectins increase the viscosity (thickness) of the partially digested food and decrease stomach emptying, although particulate fibers such as wheat bran promote more rapid stomach emptying.
Soluble fibers also have a cholesterol lowering effect. It increases the removal of bile acids, decreases intestinal absorption of fatty acids and cholesterol and decreases cholesterol synthesis. Soluble fiber also binds cholesterol for elimination.
Once in the colon, soluble fiber is fermented causing production of substances known as short chain fatty acids which are absorbed and cause further glucose and cholesterol control.
Recently, a study from Norway has demonstrated that a high fiber diet also decreases the tendency of the blood to clot, adding another mechanism for heart attack reduction
A high fiber diet improves diabetic control. Pectins, guar and beans appear to be the most effective in stabilizing blood glucose. The main action of fiber is in the gastrointestinal tract. Water-soluble fibers slow transit through the stomach and small intestine and are rapidly broken down by colonic bacteria. They do not alleviate constipation.
Water-insoluble fibers, on the other hand, are either slow or not fermented at all, and thus act as laxatives. Oats and psyllium seeds are exceptions. Oats contain 50 percent soluble fiber. Psyllium seed also acts as a soluble fiber. Both act as laxatives.
A high fiber diet appears to protect against colon cancer . A recent study in the New England Journal of Medicine disputed this beneficial effect of fiber, but there are a number of serious questions about this study, and much further study is needed. A review of 13 studies of colorectal cancer rates and dietary practices concluded there is substantial evidence that intake of fiber-rich foods reduces risks of both colon and rectal cancer.
It is estimated that the risk of colorectal cancer in the U.S. population could be reduced by almost 31 percent if fiber intake from food sources were increased an average of 13 grams/day.

On a molecular level, a recent study the mechanisms by which fiber protects against the formation of colon cancer. It has been shown that butyrate, the gas produced by the fermentation of fiber by bacteria in the colon, induces a protein formed within the cells that prevents the change of the normal colonic cell to a dysplastic (early cancerous) one. In other words, a high fiber diet clearly protects against the development of colon cancer.
A high fiber diet has also been shown to reduce the incidence of prostate cancer
There's more...
A high fiber diet decreases the rate of diverticulitis and diverticulosis. Diverticuli are small herniations (cracks or holes) in the wall of the bowel that occur over the course of years due to the very high and sustained pressures generated within the colon. Diverticulosis refers to the presence of diverticuli within the colon.
These pressures within the bowel are needed for evacuation. They are much higher in a highly refined Western diet. In fact, diverticuli are unusual in certain parts of the world where diets are consistently high in fiber. Diverticulitis results when one of these diverticuli gets obstructed and ruptures. This can be life threatening and often requires surgery. Fiber creates more bulk and water content within the stool, which results in lower pressures being needed for evacuation.
A high fiber diet has many other beneficial effects. For example, a study in the Journal of the American Medical Association showed that fiber reduces the risk of heart attack in a way that was independent of cholesterol lowering, meaning that whether or not the cholesterol went down, the risk of heart attack was far lower if dietary fiber was increased by 10 grams per day.
It is recommended that dietary fiber intake for adults be in the range of 20-35 grams (g) per day. The average American consumes only 14 g of fiber per day, and most popular American foods are not high in fiber. The fiber-intake recommendation for children over the age of two is the age of the child plus five.
Clearly, North Americans need large increases in fiber to substantially improve overall health.
There is substantial evidence that lack of dietary fiber and nutrient deficiency are responsible for many of the diseases which afflict us.
Diabetes, heart disease, cancer, cataracts, and even aging itself can be prevented by proper nutrition.
The typical low fiber, high fat American diet is estimated to be responsible for 35% of all cancers.
Boston researchers reported in 1996 that increasing dietary fiber intake from the average 12 grams per day to 28 grams per day resulted in a dramatic 41% reduction in heart attacks .
The American Dietetic Association has advised all Americans to consume 25-35 grams of fiber each day. Guidelines have been developed for children by the American Academy of Pediatrics recommending that a child consume the number of grams of fiber equivalent to age plus 5-10 grams per day. Public health agencies are advocating the "optimal diet", that is, 25% of calories as fat and 25 grams of fiber per day .
At somewhere between 25 and 35 grams of fiber per day, people enter into a "health envelope" where there appears to be a reduction in the incidence of heart disease and certain cancers including colorectal, prostate and breast.
There are many mechanisms responsible for the dramatic health benefits of a high fiber diet.
Foods rich in soluble fiber include whole grain foods (made from oats, barley and oat bran), fruits, vegetables, legumes, brown rice and seeds. Foods high in insoluble fiber include whole grain foods (made from wheat, rice and corn) and some fruits and vegetables.
Because insoluble fiber keeps foods moving through the colon, it reduces the time that cancer-causing substances can remain in the digestive tract. Soluble fiber delays emptying of foods from the stomach resulting in a more uniform absorption of carbohydrates thereby improving glucose control. .
Dietary Fiber and Hypertension
A report recently published in the New England Journal of Medicine on the DASH Trial (Dietary Approaches to Stop Hypertension) compared the effects of three different diets on blood pressure in patients with hypertension. The first group followed the regular daily American low fiber, high fat diet (9 grams fiber, 37% fat). The second group followed a high fat, high fiber diet, (31 grams fiber, 37% fat). The third group followed a low fat, high fiber diet (31 grams fiber, 27% fat) that was supplemented with calcium (1240 mg) from low-fat dairy products. Sodium intake and body weights were maintained at constant levels.
A significant reduction was seen in both high fiber groups, however, the most profound reduction was seen in the low fat, high calcium, high fiber diet group. In that group the systolic and diastolic blood pressures fell by 11.4 and 5.5 mm Hg, respectively.
In summary, a high fiber diet, low in fat and high in dietary calcium is an effective alternative approach to the treatment of high blood pressure.
7-8 daily servings of grains and grain products 4-5 daily servings of vegetables 4-5 daily servings of fruit 2-3 daily servings of low-fat or non-fat dairy foods 1-2 daily servings of lean meat, poultry (no skin, breast preferable) or fish 4-5 weekly serving of legumes, nuts and seeds. Total daily fat intake not to exceed 30%
Foods high in dietary fiber also contain many potent anti-aging and disease preventing nutrients, cofactors, vitamins and antioxidants. The list is large.
Antioxidants appear to decrease the incidence of heart disease by preventing the oxidation of cholesterol making it less likely to get stuck in blood vessels .
Antioxidants also are believed to protect against a number of cancers and age-related chronic diseases such as macular degeneration, cataracts and skin photo aging. Phytochemicals, recently discovered compounds present in fruits and vegetables, prevent cancer by helping to remove cancer-causing substances from the cell or preventing entry into cells.
Reference: A Review of Fiber by Dr. Peter Gardner, M.D.



Its very good that youre stop the intake of Xenadrine EFX,

The UCSF study involved 10 healthy adults given single doses of one of the two supplements or a placebo. The two supplements tested were Advantra Z and Xenadrine EFX.

Single doses of both products increased heart rate by an average of 11 to 16 beats per minute over baseline, the scientists found. This would be the equivalent of an 18 percent increase if baseline rate is 80 beats per minute.

In addition, Xenadrine EFX also significantly increased blood pressure by 7 to 12 percent. Xenadrine EFX appears to have similar acute cardiovascular stimulant actions as banned ephedra products, according to their report.

"These findings indicate that ephedra-free dietary supplements could have some of the same adverse health effects associated with previously available ephedra products, such as Metabolife 356 and Ripped Fuel," said Christine Haller, MD, UCSF assistant professor of medicine and lead author of the paper.

The predominant constituent of bitter orange is synephrine, which in pharmaceutical form is commonly used to treat low blood pressure and nasal congestion.

Advantra Z contains only bitter orange, while one dose of Xenadrine EFX contains several other ingredients, including caffeine equivalent to the amount in 3 cups of coffee, the researchers found.

The increased blood pressure from taking Xenadrine EFX is likely not due to caffeine alone, they concluded, but potentially related to the actions or interaction of other constituents in the multi-ingredient supplement.

The scientists call for longer term dosing studies and suggest doctors should caution patients about using ephedra-free weight-loss dietary supplements and should monitor blood pressure in those who choose to use the products.

In particular, people with health condition that could be worsened by the effects,such ashypertension, heart disease or other pre-existing conditions should avoid the supplements.

"Consumers should be aware that ephedra-free dietary supplements have not been extensively tested for safety and the health effects are not well known," Haller noted.


The research is published in the September issue of The American Journal of Medicine.

This article was adapted from a news release provided by The National Institutues of Health.

For weight loss, these easy steps can be taken every day:

Before each meal, take one of the following:
8–9 g of Enhanced Fiber Food Powder (flavored or unflavored) or
8–9 g of High Lignan Flax seed powder or
3–6 capsules of PGX soluble fiber blend
Take 200–600 mcg of Chromium daily.


Maybe Willy can have a look at this all, because he is the expert in loosing weight, :wink:


regards,
Corrij