What supplement to help with Diuretics like Lasix

[praveen]

Hi willie

thanks for sorting out my login.

What sort of supplement do you recommend for someone one Lasix 40mg twice a day. It seems to drain you off completely. also you can see the body is loosing muscle/fat.

Thanks for the help.

thanks
Pravn

[Willy]

Do not start a new discussion

These are your old messages search.php?author_id=3528&sr=posts

Make ONE new post with a complete description of the disease, medication blood vaLues and ejectection fraction

current symptoms etc etc

[Willy]

We will use this thread,

but there are also messages in an old thread here viewtopic.php?f=65&t=7447

This is what you wrote in 2005

Hello everyone

I am Praveen from South Africa

I write here for my wife.

Below is 2 reports from the doctor that describe her condition.She got the myopathy after giving birth to our baby girl in 1998.THe reports below are outdated in date at but our last visit to the Cardiologist last year, he said that her condition was almost still the same, although he sees that her
heart size is becoming normal again.Currently she gets short breath during mild exertion.The medication she is on also causes her put on alot of weight.She is unable to exercise, she gets short breaths.When she tries Yoga exercises, her stomach blows up.

REPORT ONE

Thank you for referring Mrs Naidoo on the 9 September 1998.

Approx. 2 weeks ago she presented to you with a bronchitic illness and a wheeze. She was treated with Bisolvon and Zinnat and did not respond well. A subsequent chest x-ray showed cardiomegaly with features of heart failure. She was then assessed by Dr P L Perumal and the diagnosis was the she most likely had a postpartum cardiomyopathy. She was treated with Lasix, Slow K and Capoten and discontinued all of this treatment because of severe headaches. She now presented to you again with cardiac failure which responded to a single dose of intravenous Lasix. There is no history of hypertension. She had gestational diabetes but her glucose levels are now normal. She delivered 2 months ago. There was no other relevant history.

General examination was normal except for obesity . There were no signs of cardiac failure except for a gallop rhythm. The pulse rate was 110/min and regular, BP 110/70. No murmurs were audible. The rest of the examination was normal.

The resting ECG showed sinus rhythm but no other abnormalities.
Echocardiography showed that all chambers were dilated with poor left ventricular function. There was global hypokinesis. Trivial mitral and tricuspid regurgitation was detected and there was evidence of pulmonary hypertension. All of the valves appeared normal on 2 dimensional echocardiography.

In conclusion, Mrs Naidoo has a cardiomyopathy which is most probably postpartum. I have explained to her the nature of her disease and that she needs to be on maintenance therapy. She has been maintained on Renitec 2.5mg bd, Slow K 1 bd and Lasix 40mg daily. She has also been advised to stay away from work and I will review her again in 2 weeks time.

REPORT TWO

Herewith a report on Mrs Naidoo who was reassessed on the 17 March 2000.

Mrs Naidoo has heart failure due to cardiomyopathy, which is most likely idiopathic dilated cardiomyopathy. I first saw her on the 9 September 1998. She then presented with a 2 weeks history of wheezing and dyspnoea. She was found to be in heart failure and echocardiography showed dilatation of all chambers and poor left ventricular function. She was initially treated with Renitec, Lasix and Slow K. On the 31 October 1998 she was admitted to hospital in severe heart failur. She gradually responded to intravenous Lasix. Since her discharge from hospital she has been seen very frequently for follow up and for episodes of severe dyspnoea. Her treatment has been altered over the years depending on her reponse. Her current medications are Dilatrend 3.125mg bd, Renitec 5mg bd, Lasix 80mg daily, Swiss Kal 2 daily and Zaroxolyn 2.5mg whenever necessary.

When seen on the 17 March 2000 she complained of increasing shortnes of breath for 2 weeks. She was also getting orthopnoea and nocturnal dyspnoea and needed to take Zaroxolyn on a daily basis. She was in NYHA functional class III.

ON examination there were no objective signs of heart failure. BP 115/80, pulse rate 62/min.and regular.

Echocardiography shows a dilated left ventricle with reduced systolic function. The EDD is 62mm and ESD 48mm. EF 44%. All of the valves appear normal.

I have added Aldactone 25mg daily to her treatment.

In conclusions, Mrs Rita Naidoo has heart failure due to idiopathic dilated cardiomyopathy. At present she is NYHA functional class III. She gets shortness of breath on mild to moderate exertion and is unable to even take care of her child properly. Her longterm prognosis is poor and she may ultimately require heart transplantation.


Current Medication as of September 2005

Flurosomide : 1 a Day 40 mg ( This is the Generic of Lasix)
Carloc – 3.25 2 times a day ( This is the generic of Dilatrend)
Spiractin 1 a day
Pharmapress 20 mg 1 a day ( This was substituted for Atacand)


Any help will be appreciated

[Willy]

Now foods sells a good Q10 product see https://www.amazon.nl/Now-Foods-Ubiquin ... B003PWKVKE

Please make a list with medication she is using when @ home

And now the extras @ the hospital

I will call you later

[Willy]

ChatGTP

Certainly! Here's the explanation in English:

---

### **Why do older people get delirium from a urinary tract infection (UTI)?**
1. **Altered immune response**
Older adults often have a weaker or altered immune system. During a UTI, inflammatory substances (such as cytokines) are released and can reach the brain through the bloodstream, disrupting normal brain function.

2. **Brain vulnerability**
Aging often leads to reduced brain resilience due to changes like brain atrophy, vascular damage, or pre-existing cognitive decline. This makes the brain more sensitive to disturbances.

3. **Risk factors**
Additional factors like dehydration, poor nutrition, medication use (e.g., sedatives or anticholinergics), and pre-existing dementia increase the likelihood of developing delirium.

4. **Atypical presentation of infections**
In older people, infections may not present with typical symptoms (like fever or painful urination) but rather with behavioral changes, confusion, or drowsiness.

---

### **Are there lasting effects?**
In most cases, delirium resolves once the underlying cause, such as the UTI, is treated. However:

1. **In healthy older adults**
If there is no underlying brain damage or cognitive impairment, they usually recover fully from delirium.

2. **In frail older adults**
In those with pre-existing brain conditions (such as dementia or prior strokes), delirium may cause a lasting decline in cognitive function. They may not fully return to their previous level of functioning.

3. **Increased risk of recurrence**
Delirium can be a sign of underlying frailty. Older adults who have experienced delirium are at higher risk of having another episode in the future, particularly during infections or other stressors.

---

### **Advice**
If delirium occurs, it’s important to quickly address the underlying cause, prevent dehydration, and create a calm, predictable environment. Follow-up care, such as cognitive assessments, can help identify any lasting effects.

---

Let me know if there's anything you'd like adjusted!

[Willy]

Video fasting —> praveen

[praveen]

HI Willie

Currently my is in ICU with ascites and edema. They are struggling to get rid of the excess fluid. One would think she is carrying triplets.


Currently she is getting IV Furosemide, antibiotics, Albumin, and Dobutamine, and they are giving her some medications like Slow K ( Potassium) and also Coralan and a few others

 
I would like to give a brief history of my wife’s condition below, so that we have some reference point to start with.
 
She was diagnosed with Cardiomyopathy in 1998, after our only kid was born. It is peripartum they tell us. She has been managing along since then, even tried your protocol on the forums in 2007 I think ( mostly though she has been off and on with your protocol, she was not consistent). In the early 2000s she was NYHA class 3. I think her EJF was around 40%. Around 2017 her health deteriorated with the EJF around 17% and the Cardiologist motivated for a CRT-D device to be implanted. After this procedure she was able to have a decent quality of life, but it was not exaggerated at all.  In 2018, she was diagnosed as having Lupus and Rheumatoid. By this time she was being treating for her heart, Lupus, Rheumatism, Hyperthyroidism, and Diabetes type 2 and a few weeks ago they told  her that she has fatty liver as well. She was also told that has interstitial lung disease because of the lupus. She is also low on iron, but not able to take much at the moment, because of her gut. She was able to walk about 100m with some rest. Then Covid came, she took 2 Pfizer shots and the 3rd which was the booster. She was able to isolate herself at most times without getting infected. However, in January 2024, she contracted Covid, and since then her health has gone downhill. It is shocking to see how she had gone from being able to walk some distance, to being wheelchair bound, which she currently is. I know the vaccine has it’s own controversy, but we were told by the Specialists that it would be safe for her to take it. On the other hand, we have some friends that are treated by other Cardiologist who were told not to go near. We had been to a few antivax doctors this year and they are all of the view that her deterioration is vaccine induced. The treating cardiologist, is of the view that the heart now needs to be transplanted. We did consult with Shankara Chetty on – he is a popular antivax doctor in South Africa, he did give us some treatment but it was not completed, as my wife was regularly in hospital . He had prescribed some antibiotic, antihistamine, lumont, cholchichine, and something for the gut. In 2024 alone, she might have been admitted over 7 times, and on one occasion to replace the CRT-D pacemaker device.


I am not sure if there are some mast cell activations that is triggering histamine and causing her fluid build- up or if it is really the heart that cannot function to pump blood.. We have tried Furosemide and also Bumetamide as a diuretics. Bumetanide works better, but only by a small margin. I am not sure if she is having a resistance to Furosemide. I was hoping to try Torsemide but never get the go ahead from the Cardiologist.



Currently her medication is as follows.


Eltroxin 175 mcg once a day for her Thyroid.
Ivabradine 5mg twice daily
Entresto 25 mg twice daily, it was 50 mg,but changed because of low blood pressure and nose bleeds.. currently her pressure is very low for the past 2 weeks,  below 100 for the top reading.
An asprin based blood thinner – 81 mg once a day ( Ecotrin)
She was on Carvedilol, 6.25 -> then 3.125, but had to be stopped due to low blood pressure.
Dapagliflozin 10 mg only daily.
Glucophage 1000mg, twice daily and more if needed
Insulin, once a day
She is meant to be taking potassium tablets, but it is very hard on her gut, she cannot manage it.
Salfasalzine – Salazopyrin – 1000mg twice daily for her lupus
Prednisone 5mg daily
Furosemide 80mg three times daily
Spironolactone 25 mg daily
 
 
She also takes..


Vitamin 3 – 3000 iu once a day

A multivitamin
Magnesium tablets twice a day.

some kidney drops by A Vogel
Some liver drops by A Vogel

[Willy]

That is a lot of SHIT

kalium is important for her heart

apricots and bananas contain a lot of kalium try that soltion

3 or 4 apricots and 2 bananas a day

I call it my monkey protocol

[praveen]

Hi Willie

Is this for fluid removal?

They are giving her Slow K which is potassium

[Willy]

No only to raise her kalium blood value

that is important by heart failure

do you know her kalium blood value?

[Willy]

No only to raise her kalium blood value

that is important by heart failure

do you know her kalium blood value?