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» LymeNet Flash » Questions and Discussion » Medical Questions » hypertensive crisis and hospital stay

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Author Topic: hypertensive crisis and hospital stay
randibear
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I haven't best posting as I've been in the hospital twice again. first time my blood pressure was 246 over 138.

unfortunately got a bad doc. when I told them about husband, bad mistake, they just said oh you're upset. they left me alone in a room for five hours and sent me home. no medication nothing. I kid you not.

last Tuesday I went to primary. really ill. bp was 244 over 130. he immediately gave me clonidine and said off to er.

two days later I get out. jus had meds because I've had so many tests already.

I'm so discouraged. I'm on diovan, norvasc, clonidine, nadolol, ativan and lexapro.

they can't seem to control it and neither can I. I have a bad headache now every single day and the tinnitus is excruciating. I get very little sleep.

I'm afraid to go out now for fear of having an attack. boy, my life has taken a turn for the worst.

anybody deal with malignant blood pressure?

--------------------
do not look back when the only course is forward

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map1131
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I'm so sorry randi. You've got to be scared with those kind of numbers.

I don't have any experience with BP troubles. Please take care of you.

Pam

--------------------
"Never, never, never, never, never give up" Winston Churchill

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Lymetoo
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Randi ..That's so unreal that they can't get a handle on it. Very scary.

Have you tried cutting out caffeine? Anything you can do with your diet could help.

[group hug]

--------------------
--Lymetutu--
Opinions, not medical advice!

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randibear
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no caffeine no salt, watching diet.

he's doing much better. his bag is gone. wounds are almost closed up. he's jus using a bandaid. going both ways now too. very little urine leakage now and thats good.

it's me that's a problem. I can be alone, tv off, reading a book and bp will go over 200.

I could cry.

--------------------
do not look back when the only course is forward

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MannaMe
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Do you feel like you are toxic? For my hubby, it seems his bp goes up when he's toxic.

With the MTHFR mutation he has, they said it means he doesn't detox well. His body will tend to reabsorb the toxins and the more toxic he gets the higher his bp climbs.

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Keebler
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Sorry to hear of this most unsettling news. Bits & pieces here due to tender hands and fleeting energy so not just being "short" but to the points, I hope, with just a few ideas that come to mind.

check every single ingredient in all your foods. Best if you eat zero foods that are packaged or prepared as so many of the additives can send blood pressure to the moon.

1. MSG has dozens of names. Even tuna from a can should be avoided if it anything - and I mean anything added. There are similar flavors that can also affect BP.

2. "Natural Flavors" can be anything and often high in glutamic acid / glutamate which is best avoided as additive.

3. Avoid all herbal supplements & all vitamin "formulas" that have lots of ingredients.

Avoid licorice - if you might have some of that in the holiday candy dish. Licorice can send blood pressure to the moon.

With all those Rx, there is no prediction with interactions of all those with each other much less with any herbs - other than culinary / garden herbs with your foods.

The only supplements I would consider would be magnesium - but with all those Rx, again, I urge you to take nothing else other than good, nutritional foods specifically to help

the autonomic and sympathetic nervous systems - and the adrenal system . . . and your heart (dark berries, for instance). Lots of colorful vegetables, good fiber, etc.

Foods that help the liver & kidneys, too. While best to avoid supplements with all the Rx on board - there are foods to help here.

4. You would still require a little bit of SEA SALT, not regular salt though you might get some from foods like celery, etc. Without salt, our bodies risk kidney damage. This will take some research, though.

5. Tinnitus could be adding to the stress. Some of those Rx could be ototoxic and that could exasperate the problem and actual dangers to your ear nerves.

6. DRUG TOXICITY

It may take a while yet important to really study each drug for some of there side effects may be causing one or more problems for you. It seems like a very high number of Rx to be mixing.

If you do not have a doctor who has the time to carefully consider this mix and try to get the number of Rx down, please search out another. With that number of Rx, it just sounds like a science project that could be very toxic to your body, and thereby raising BP.

I wonder - with very careful thought - if these could be brought way down over a safe period of time though, I'd say this is the most important consideration and not to wait to address the high possibility of drug toxicity.

As MannaMe just posted, if your body does not process metabolic waste well, what's not toxic to others could be very toxic to you. In addition to food additives that are MSG by other names, I would bet all the money I have on this being a major point at this time.

you say you are taking: diovan, norvasc, clonidine, nadolol, ativan and lexapro.

All my money is not much but I don't know how else to get my point across. Some of these drugs / this high number / combination could be killing you.

No doubt that some medications can be life saving, indeed. But with a half dozen in your body's test tube of sorts, in a body that likely does not process drugs well, no single drug in that mix can possibly be working as intended.

Take care.
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Keebler
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A while back you said that you have a book by Stephen Sinatra, MD. You might look over that for some clues here.
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randibear
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that's what I'm afraid of. I'm feeling much worse on these drugs than I was before.

when my bp goes high, my head and ear pressure skyrocket. the hospital put me on norvasc and toprolol aspirin and a water pill.

because of bruising, dehydration and swelling, my gp changed my meds.

I know he thinks it's all mental but I'm not so sure.

I'm having sharp stabbing temple pain, jabs around eyes, shortness of breath, extreme fatigue, dizziness and constipation. lower back pain and under both ribs. gosh, I'm a wreck.

before he was diagnosed with cancer I was doing pretty good. oh sure, bp was running 140 to 160 or so but I was only on diovan and nadolol. I was walking over a mile a day. now I stumble when going to the bathroom.

just seems everything has gone to hell in a handbasket.

he says drop gp and go back to cardiologist before I have a damn stroke. maybe he's right, ya think?

I've cancelled a big trip because I'm afraid. I don't want to live like this.

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do not look back when the only course is forward

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Keebler
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" . . . stumble when going to the bathroom.. . ."

a sign of toxicity and also of vestibular toxicity - &/or muscle relaxation from Rx mix that can endanger your balance and increase risk of falls. MANY falls in U.S. each year are from prescription drugs gone wrong.

I think you need a better doctor. Far better. Yet one with a far different method other than just slapping one drug onto another.

As long as you go round and round on this not-so-merry-go-round, with the same doctors, you're not likely to get to solid ground. There are better doctors out there who are not so into pill loading.

To be clear: I'm not saying to just stop any / all of the Rx. That would require a special approach. Still, if you do think the issue of potential drug toxicity could be valid, then you won't get anywhere with the same approach.

Take care
-

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Keebler
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If you consume any "alternate" milks in a cartoon, those often are loaded with (no really "Natural Flavors" & MSG (by other names).

Same with broths in those cartons or cans, too.

http://flash.lymenet.org/scripts/ultimatebb.cgi?ubb=get_topic;f=3;t=029690;p=0

Excitotoxins; MSG; Aspartame; & "Natural" Flavors (that are not likely natural at all).
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randibear
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my cardiologist is rated as one of dfw's best. he's head of the heart unit and has an excellent reputation. he did not prescribe the ativan nor lexapro nor zorco.

I think husband is right. I'm not functioning like this.

I don't want them to think I'm dr shopping or anything but they're giving me contradictory treatment.
besides I think a cardiologist would know how to treat high bp than a gp right?

--------------------
do not look back when the only course is forward

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Lymetoo
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Aspirin will make your ears ring .. for sure. I can't even take it. The ear pressure, etc would be horrible and I KNOW I would be wide awake from it.

Some of us are sensitive to salicylates and that is exactly what aspirin is. They keep me wide awake. For you .. being wide awake = more high blood pressure.

Keep searching for clues.

--------------------
--Lymetutu--
Opinions, not medical advice!

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randibear
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my gp said my bp was hypertensive and then the cancer plus surgery just stressed me out completely. he stopped the aspirin cause I was bruising bad.

hubs came home with bags and open incision and I was not prepared for it. after a few major leakage issues, I was a nervous mess.

dr compared it to extreme ptsd. two days after hubs comes home I'm in hospital with 244. week or so later back in with 240ish.

that's why he thinks its all anxiety. and why the ativan and lexapro.

I have an appt on the 19th and h ope to review all this.

--------------------
do not look back when the only course is forward

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Lymetoo
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But he just now changed the aspirin, right? It will take several days to get the sals out of your system. The bad news is that if you are sensitive to it, you will have to eliminate the sals in foods also.

Ativan will help .. just don't get hooked on it.

God bless and try to get some sleep!

--------------------
--Lymetutu--
Opinions, not medical advice!

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Lymetoo
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I'll be off-line a few days, randi. Take good care of yourself!

https://fedup.com.au/factsheets/additive-and-natural-chemical-factsheets/salicylates

--------------------
--Lymetutu--
Opinions, not medical advice!

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Keebler
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Sadly, the matter of chronic lyme or other chronic stealth infections is missing in the interaction with most doctors you post here about. That is not likely a separate matter for what's happening to you, yet, they just don't do that part of all this. Sigh.

Focusing on what they do do, though -- and with strong echos of some bad roads I've been down with similar experiences I keep coming back to the food pharmacy. I know you are careful but so often that kind of focus is more on deprivation than on actually getting enough food.

Did your doctor ask you the number & kinds of fruits and vegetables you get with each meal starting with breakfast, and with each snack? The brighter colors often hold the better nutrients and the fiber is key, too.

More vegetables at each meal and careful fruits (low glycemic index dark berries / cherries) can help with so many of the issues that could be contributing to various medical issues. They are a powerhouse to help the body in dozens of ways.


To declare it "anxiety" as the cause is a cop out. It can be dismissive and is used more on women than on men.

And having the patient on six different Rx is not the best way to even address anxiety. It can cause so much toxicity & interactions / cross reactions in the body that then it's even harder to manage. And the chemistry then inside our body changes creating even more of a puzzle.

The way our medical system is set up can put the patient at a disadvantage. While you state your doctors hold prestige at the institutions where they are, it is this institutional approach that puts most patients at a risk.

Pharmaceutical companies actually design what is taught in medical schools. They pay a lot of the doctors salaries at major medical centers, too. The stress on drugs is ingrained in this system.

There are doctors who practice in a more integrated manner. I hope you might find one.

Yes, anxiety can be a trigger but it is not the cause. Is the doctor trying to figure out exactly how it is that your body is not able to handle anxiety . . . such as the adrenal functions, sympathetic and other nervous system dysfunction?

Identifying the underlying "mechanics" and addressing those with proper supports is important.

Did the doctor suggest yoga, qigong, tai chi or meditation classes? These all have similar breathing techniques that have been proven to help during anxiety and other emergency situations but these tools and techniques also just to help manage and keep a more even keel.

Did the doctor or nurse right there in their office give a brief demonstration for slow deep breathing and progressive muscle relaxation?

In the six Rx you listed, you did not list ibuprophen or acetaminophen. Still, hope the doctor informed why to avoid those:

Did they advise you to avoid ibuprofen (because it constricts all blood vessels)? This really matters because most of us have not been informed that ibuprofen constricts not just kidney blood vessels but those in the entire body.

And that acetaminophen blocks glutathione in all the body's cells, not just in the liver. This matters to blood pressure, too, when the cells hold onto toxicity when depletion of glutathione prevents cellular respiration and the elimination of waste from the cells.

Did they run an intracellular magnesium test? This is of utmost importance.

When looking over the pharmacology of each drug, be sure none deplete magnesium. Some do. And some can also be hard on the liver & kidneys. It's important to know if any of those you take are and how so, exactly.

Did they order a tilt-table test or other autonomic nervous system evaluations?

Did they carefully cross check each other pill you take with the interaction data base?

While there are times with Rx can be helpful and even life saving yet there is a risk with doctors who just want to layer on the pills.

I stumbled upon this article today & have been aware of this concept for along time, though.

While your diet is likely without some of the downfalls his was before, it might help to add more vegetables and fruits and, again, check to be certain there are zero additives / hidden additives to any foods you take for they can zoom blood pressure to the moon.

Even hospital foods can be loaded with additives that are hidden MSG and "natural flavors"

The kinds of foods that many of us might reach for when life is more stressful, too, the easy foods in cans or boxes, or prepared by others. Any kinds of flavor enhancements can cause a tumble.

I hope it might hold some hope. This guy sure got a lot better.


http://www.motherjones.com/food/2017/12/pharmacy-fruit-and-vegetables-prescriptions-preventative-food-pantry-san-francisco-boston/

As Diet-Related Illnesses Surge, a New Kind of Pharmacy Dispenses Fruit and Vegetables

Doctors are teaming up with food banks to prescribe meals to their patients.

By Maddie Oatman - Mother Jones - Novemeber / December 2017

Excerpts:

. . . Six years ago, James Stancil, 62, a former long-haul trucker, decided to move from Iowa back to his hometown of San Francisco to live with his aging mother.

There was just one problem: His enlarged heart, high blood pressure, and diabetes made his body so swollen he couldn’t get on an airplane. Doctors had to drain 75 pounds of fluid before he was well enough to fly.

By the time he walked into a public health clinic near his mother’s house, his blood pressure was so high that “people were telling me, ‘You should be dead right about now,'” recalls Stancil . . . .

. . . a nutritionist, who urged him to cut down on salty, fatty foods like fried chicken and mac and cheese. After he learned to prepare his favorite dishes differently, his blood pressure plummeted; it’s now back to normal.

Stancil no longer has to take so many pills. Yet thanks to a new program, he still frequents a pharmacy at Silver Avenue Family Health Center —

only this one fills prescriptions for things like pears and squash. The so-called food pharmacy brings together . . . .
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[ 12-27-2017, 09:51 PM: Message edited by: Keebler ]

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Keebler
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Regarding tinnitus: it is one sign of ototoxicity. The stumbling you mention could also be similar matter of being toxic to the vestibular system.

Tinnitus can trigger anxiety and high blood pressure, too.

Normally excellent liver support (including caution with liver stressing Rx) and key supplements might be of some help. Still for anyone on so many Rx, I do not advise taking any supplements unless a naturopathic doctor can prescribe precisely for your body, your diagnoses and Rx load.

A doctor who practices integrative medicine might also be a good guide for support measures against drugs that can hard on the body in various ways.

This information is intended to help prevent devastation to the ears & vestibular system that can be permanent. All drugs cannot be found online, though. The book is vital to have on hand.

If you can't find the Rx names below, you might find some detail by a cross search for:

Rx name, tinnitus, Bauman [then interchange ototoxic / ototoxicity / vestular / balance for other searches - still the book will have more detail.]


http://hearinglosshelp.com/wp-content/uploads/2013/02/tinnitusdruglist2013.pdf

Prescription Medications, Over-the-Counter Drugs, Herbs & Chemicals Associated with Tinnitus

2013 Edition - 30 pages - Compiled by Neil G. Bauman, Ph.D.

with 30 pages, many Rx are listed here.

Still, his 3rd edition of Ototoxic Drugs is best to have for a fuller set. So much just cannot be found via the web. Book:

http://hearinglosshelp.com/shop/ototoxic-drugs-exposed/

Ototoxic Drugs Exposed (3rd edition)

The Shocking Truth About Prescription Drugs, Medications, Chemicals and Herbals That Can (and Do) Damage Our Ears

By Neil Bauman, Ph.D.

. . . detailed listings of the ear-damaging side effects of 877 drugs, 35 herbals and 148 chemicals (798 pages).

[aspirin is included in the list of ototoxic agents, and it can also cause tinnitus that may not lessen when aspirin is stopped.]
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[ 12-27-2017, 08:43 PM: Message edited by: Keebler ]

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Keebler
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http://flash.lymenet.org/scripts/ultimatebb.cgi?ubb=get_topic;f=1;t=123746;p=0

Topic: MAGNESIUM - Informational Links set

See the emergency and heart links in this set. Also note that magnesium must be taken 3 - 4 x a day. Just once or even twice is not adequate for constant levels to be maintained. And it has to be right kind for one's body needs.


https://www.ncbi.nlm.nih.gov/pubmed/26335852

Admission hypomagnesemia linked to septic shock in patients with systemic inflammatory response syndrome.

2015 - Ren Fail. 2015;37(9):1518-21.

Excerpt:

Conclusion: Patients with SIRS and hypoMg (<1.5 mg/dL) at the time of admission had increased risk of developing septic shock during hospitalization.


https://www.ncbi.nlm.nih.gov/pubmed/?term=magnesium+deficiency%2C+hypertension

PubMed Search of medical literature

magnesium deficiency, hypertension - 357 abstracts

a few of those:


https://www.ncbi.nlm.nih.gov/pubmed/15692166

Magnesium and hypertension

2005

Excerpts:

. . . Serum magnesium does not reflect true magnesium status as do intracellular magnesium measurements.

Several studies on the effect of calcium on blood pressure need these added considerations of magnesium status to fully understand the impact of the Mg:Ca ratio as the primary cause of hypertension . . . .

. . . The knowledge that low magnesium causes imbalance in both cellular and physiological calcium widens our view of the studies showing hypertensives have abnormal calcium metabolism.


https://www.ncbi.nlm.nih.gov/pubmed/?term=Rosanoff%20A%5BAuthor%5D&cauthor=true&cauthor_uid=15692166

More articles about magnesium deficiency and the heart by the same author as above.
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[ 12-27-2017, 09:32 PM: Message edited by: Keebler ]

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Keebler
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Where you might find the kind of doctors who can think outside of the drug stacking approach:

http://www.nadallas.com/DAL/January-2014/Baylors-Integrative-Medicine-Program-Offers-Holistic-Approach/

January 2014

Baylor’s Integrative Medicine Program in Dallas is blazing trails in North Texas.

Located in the Baylor Charles A. Sammons Cancer Center, it provides complementary holistic treatments to traditional medical approaches. It’s also designed for those seeking a rigorous wellness program for preventive care.

“This is for anyone who wants to think outside of the box for how they can be healthier,” says the program’s director, Dr. Carolyn Matthews.

Although the integrative medicine program is located in the cancer center, Matthews says patients suffer from a variety of chronic diseases and chronic pain. Some healthy clients also seek treatment as part of their wellness program. . . .

. . . Integrative medicine works in tandem with traditional treatments . . . .

. . . The program begins with an in-depth consultation with a doctor that reviews a comprehensive medical history and environmental factors impacting the client to develop a personalized program.

Prescriptions may include . . . [stress management] techniques . . . massage, acupuncture . . . botanical and nutritional supplements is also offered. . . .


https://www.bswhealth.com/locations/dallas/specialties/cancer-care/Pages/default.aspx?cmpid=r_integrativemedicine

Baylor Charles A. Sammons Center - Integrative Medicine

- - - - - - - - - - - -

https://articles.mercola.com/sites/articles/archive/2017/09/18/foods-help-lower-blood-pressure.aspx

Top Foods to Help Lower Blood Pressure

By Dr. Joseph Mercola - September 18, 2017

Story at-a-glance

Arugula is extremely healthy leafy green that helps decrease your blood pressure due to the minerals potassium, calcium and magnesium, which help relax your blood vessels and, in turn, help reduce blood pressure

Other foods that can help lower your blood pressure levels include flaxseeds, beets, celery, olive oil and cooked tomatoes

. . . . [Full article at link]


https://articles.mercola.com/sites/articles/archive/2017/05/11/breathing-exercises.aspx

Breathing Exercises Can Help Control High Blood Pressure

By Dr. Joseph Mercola - May 11, 2017

Article with four videos. Excerpts:

. . . Your Breath and Blood Pressure Are Closely Related . . . .

. . . Breathing Exercises Lower Blood Pressure . . . .

. . . Sample Breathing Exercise to Control Anxiety and Reduce Stress

There are many different breathing techniques out there.

As mentioned above, simply inhaling and exhaling to the count of six can go a long way toward regulating your breathing and lowering your blood pressure. Be sure to breathe through your nose, not your mouth.

Another variation is the "HA" breath, which involves inhaling slowly through your nose, then exhaling quickly while saying "ha" out loud.

The following is a Buteyko breathing exercise that can help reduce stress, control anxiety and quell panic attacks.

This sequence helps retain and gently accumulate carbon dioxide, leading to calmer breathing and reduced anxiety. In other words, the urge to breathe will decline as you enter a more relaxed state:

1. Take a small breath into your nose, followed by a small breath out

2, Then hold your nose for five seconds in order to hold your breath, and then release your nose to resume breathing

3. Breathe normally for 10 seconds

4. Repeat the sequence . . .

. . . Address insulin and leptin resistance

High blood pressure is typically associated with insulin resistance, which results from eating a diet too high in sugar.

As your insulin level elevates, so does your blood pres­sure. Insulin stores magnesium, but if your insulin receptors are blunted and your cells grow resistant to insulin, you can't store magnesium so it passes out of your body through urination.

Magnesium stored in your cells relaxes muscles. If your magnesium level is too low, your blood vessels will constrict rather than relax, and this constriction raises your blood pressure.

Fructose also elevates uric acid, which drives up your blood pressure by inhibiting the NO in your blood vessels.

(Uric acid is a byproduct of fructose metabolism. In fact, fructose typically generates uric acid within minutes of ingestion.)

NO helps your vessels maintain their elasticity, so NO suppression leads to increases in blood pressure.

If you're healthy, and want to stay that way, the general rule is to keep your total fructose intake to 25 grams per day or less.

If you're insulin resistant and/or have high blood pressure, keep your total fructose to 15 grams or less per day until your condition has resolved.
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[ 12-28-2017, 10:10 PM: Message edited by: Keebler ]

Posts: 48021 | From Tree House | Registered: Jul 2007  |  IP: Logged | Report this post to a Moderator
   

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