I am glad to hear your feeling good
You could add D-Ribose, 10 gram a day.
D-ribose is the new kid on the heart supplement block. As a building block of ATP (adenosine triphosphate), it rapidly restores depleted energy in sick hearts.
You probably haven’t heard about D-ribose. But you will. It’s that good. Every cell in the human body makes some of this simple sugar molecule, but only slowly and to varying degrees, depending on the tissue. The liver, adrenal glands, and fat tissue produce the most—enough to serve their purpose of making compounds involved in the production of hormones and fatty acids. But tissue elsewhere has little.
Red meat, particularly veal, contains the highest dietary concentration of D-ribose, but not significant enough to provide any meaningful nutritional support, especially to unwell individuals. Heart, skeletal muscle, brain, and nerve tissue can only make enough D-ribose to manage their day-to-day needs when their cells are not stressed. Unfortunately, these cells lack the metabolic machinery to make D-ribose quickly when they come under metabolic stress such as blood and oxygen deprivation (ischemia). When oxygen or blood flow deficits are chronic, as in heart disease, tissues can never make enough D-ribose. Cellular energy levels become depleted.
Ischemia may cause the heart to lose up to 50% of its ATP pool. Even if blood flow and oxygen are restored to normal levels, it may take up to 10 days for an otherwise healthy animal heart to rebuild cellular energy and normalize diastolic cardiac function. In studies, when oxygen-starved animals receive D-ribose, energy recovery and diastolic function return to normal in an average of two days. When patients with CAD (coronary artery disease) are treated with D-ribose, symptoms and treadmill time improve significantly within one week.
Several factors determine who should take D-ribose supplements and when they should be taken. Age is one consideration. We believe 20-25% of people over 45, men and women alike, show early signs of diastolic cardiac dysfunction (stiff heart) and are at risk of contracting heart failure later in life. This is especially true in people with high blood pressure, people taking statin drugs, and in women with severe mitral valve prolapse. For these people, D-ribose supplementation increases the cardiac energy reserve and helps the heart restore normal diastolic cardiac function.
We also know that the health of our mitochondria suffers as we age. As a result, even minor metabolic stress can have a dramatic effect on cellular energy stores in an aging population.
Patients with heart disease on drugs intended to increase the contractile strength of their heart are also good candidates for D-ribose. These drugs, known as inotropic agents, make the heart beat harder. This places considerable strain on the heart’s ability to supply enough energy to support the extra metabolic stress. Long-term treatment with these agents drains the energy reserve, essentially running the heart out of energy. Patients with heart failure, chronic coronary artery disease, or cardiomyopathy should take D-ribose to offset the energy-draining effects of inotropic drugs such as digoxin. Research shows that supplementation reduces the energy drain without any negative impact on the activity of the drug.
Patients with coronary artery disease and persistent symptoms remain in a chronic state of energy depletion, constantly fatigued, weak, and with their heart function progressively worsening. These patients will almost certainly advance into congestive heart failure without improvement of the energy state of their heart. Restoration of their energy pool can only be accomplished through the pathway of energy metabolism regulated by the availability of D-ribose.
We cannot overstate the effect of D-ribose supplementation on maintaining energy levels. Any tissue that relies heavily on aerobic energy metabolism, such as the heart and muscles, will be severely affected by any amount of oxygen deprivation. The problem is ATP drain. The solution is to give it back!
By the way, I am doing fine, thanks for asking