Tuesday, May 03, 2005

Prepping the System

"Surgery is one of the biggest stresses the body can endure." The mental stress that goes hand in hand with surgery is a given. The stress that panelist Allan Spreen, M.D., refers to in the above quote concerns the demands that surgery puts on the immune system. In the alert "Answering the Call" Dr. Spreen shared his insights on five immunonutrients that have been shown to improve immune system function after surgery. But if you regularly take a host of dietary supplements, there are some important adjustments you'll need to make prior to any surgical procedure that requires anesthesia. As Dr. Spreen told us in a previous alert , high levels of vitamin C can complicate the anesthesia process. Here's how Dr. Spreen explains the interaction: "The specifics of vitamin C apply to the mega-vitamin takers. Very high doses of C over time cause the body to 'awaken' dormant enzyme systems that more fully utilize high doses of the nutrient. If you take low doses, the body shuts these pathways down for your benefit. If it didn't it would too rapidly empty the body's 'C pipeline' and you'd be constantly deficient. "For those people I tell them to TAPER the C over time, reaching nearly zero just before surgery (not weeks before). This is because such high doses are good enough detoxifiers that more anesthetic drugs may be necessary for the anesthesiologist to keep you under. BUT, the absolute INSTANT you tolerate oral intake, you jack the C back up to heroic levels." In one of the commentaries I found on the immunonutrients report that appeared in the British Medical Journal, osteopathic physician Dr. Joseph Mercola stated his opinion that herbal supplements should be discontinued prior to surgery, noting that some of these supplements are powerful enough to function like drugs. I asked Dr. Spreen about the herbal issue, and he agreed with Dr. Mercola...to a point. "Yes, herbs are like drugs. The simple reason is that no drug companies design their drugs using mere brilliance. Pharmaceutical developers get their ideas from herbal effects, then try to alter the molecule enough to patent the thing (and cause all sorts of toxic side effects), hoping it'll still do what the herb did, without killing you first. "The developers are good, however, at picking good herbs. Proscar is an excellent example. It is a derivative of the herb Serenoa repens (saw palmetto), which does work against benign enlargement of the prostate (better than Proscar), and with no side effects. Of course, the drug company will admit neither detail. "As to when, and whether, to quit an herb, the situation is much the same as with prescription drugs. You should seek advice from someone educated in the agent's effects to know whether to stop it and when (or whether to increase it and how much!). I'd certainly never stop my saw palmetto weeks before surgery (or the day before, or ever)." Returning to the subject of non-herbal supplements, Dr. Spreen had this final note: "Surgery is a major stress, and for that you want the maximum dose of nutrients for the body to choose from for the repair function. Vitamin C, and probably NAC should be discontinued (my sister-in-law required half-again as much medication to put her under as she was pumping the vitamin C heavily as 'insurance'...the anesthesiologist even commented on it). "However, the instant I could hold something down I'd be right back at them (and tons of other supplements) full force - C, A, E, B-complex, NAC, alpha lipoic acid, milk thistle extract, zinc, essential fatty acids, and others." In addition to dietary supplements, any over-the-counter medications need to be scrutinized before surgery as well - especially aspirin. Most patients are advised that aspirin therapy for heart health should be discontinued well before surgery to minimize bleeding. And even though it might be a good idea to stop aspirin therapy altogether (see the alert "Wonder Goes Under"), evidence shows that coronary bypass surgery patients may want to talk with their doctors about aspirin use after surgery. In a 2002 New England Journal of Medicine study that examined more than 5,000 coronary bypass patients, the use of aspirin immediately after surgery was associated with a 48 percent reduction in ischemic complications and a 50 percent reduction in the incidence of stroke. The current rule of thumb is to avoid aspirin for the first 24 hours after bypass surgery because aspirin increases the risk of bleeding. However, in an editorial accompanying the study, Dr. Eric J. Topol of the Cleveland Clinic Foundation called the findings "powerful." Based on the study, Dr. Topol believes aspirin should be given within the first six hours after surgery.

5 Comments:

At 7:18 PM, Blogger oakleyses said...

replica watches, polo ralph lauren, tiffany and co, gucci handbags, louis vuitton, air max, louboutin pas cher, ray ban sunglasses, nike free run, jordan shoes, longchamp outlet, louis vuitton outlet, louis vuitton outlet, nike roshe, louis vuitton outlet, longchamp outlet, oakley sunglasses, nike air max, tiffany jewelry, longchamp pas cher, oakley sunglasses, prada outlet, ray ban sunglasses, tory burch outlet, sac longchamp pas cher, ugg boots, longchamp outlet, replica watches, polo ralph lauren outlet online, burberry pas cher, cheap oakley sunglasses, jordan pas cher, polo outlet, nike air max, ray ban sunglasses, christian louboutin, louis vuitton, michael kors pas cher, oakley sunglasses, nike outlet, christian louboutin shoes, prada handbags, nike free, christian louboutin outlet, christian louboutin uk, chanel handbags, oakley sunglasses wholesale, kate spade outlet, uggs on sale

 
At 7:19 PM, Blogger oakleyses said...

timberland pas cher, hollister pas cher, nike free uk, coach outlet store online, true religion outlet, nike tn, hogan outlet, abercrombie and fitch uk, sac vanessa bruno, michael kors outlet, guess pas cher, oakley pas cher, true religion outlet, ray ban uk, nike air max uk, coach purses, vans pas cher, ray ban pas cher, nike roshe run uk, nike air force, true religion outlet, nike blazer pas cher, lululemon canada, north face, burberry outlet, ralph lauren uk, michael kors outlet online, nike air max, uggs outlet, coach outlet, sac hermes, replica handbags, new balance, uggs outlet, michael kors outlet online, true religion jeans, michael kors, michael kors outlet, polo lacoste, converse pas cher, burberry handbags, michael kors outlet online, michael kors, hollister uk, north face uk, kate spade, michael kors outlet online, mulberry uk, nike air max uk

 
At 7:20 PM, Blogger oakleyses said...

lancel, vans outlet, nike air max, giuseppe zanotti outlet, nike roshe run, abercrombie and fitch, bottega veneta, ghd hair, vans, baseball bats, ferragamo shoes, instyler, oakley, north face outlet, mac cosmetics, new balance shoes, timberland boots, gucci, longchamp uk, louboutin, ralph lauren, insanity workout, nfl jerseys, iphone cases, nike huaraches, soccer shoes, herve leger, reebok outlet, hermes belt, lululemon, valentino shoes, converse outlet, wedding dresses, p90x workout, soccer jerseys, mcm handbags, asics running shoes, beats by dre, chi flat iron, babyliss, hollister, mont blanc pens, ray ban, nike trainers uk, hollister clothing, north face outlet, hollister, celine handbags, jimmy choo outlet, nike air max

 
At 7:21 PM, Blogger oakleyses said...

juicy couture outlet, juicy couture outlet, swarovski, moncler, karen millen uk, louis vuitton, canada goose, wedding dresses, moncler outlet, canada goose uk, canada goose, ugg, ugg,uggs,uggs canada, louis vuitton, coach outlet, supra shoes, moncler uk, canada goose outlet, links of london, pandora jewelry, pandora charms, swarovski crystal, louis vuitton, moncler, ugg pas cher, replica watches, montre pas cher, hollister, louis vuitton, moncler, marc jacobs, toms shoes, canada goose, ugg uk, louis vuitton, moncler outlet, doudoune moncler, canada goose outlet, pandora jewelry, thomas sabo, canada goose outlet, moncler, canada goose jackets, pandora uk, ugg,ugg australia,ugg italia

 
At 3:51 AM, Blogger Mie Helal said...



Finally I've found something which helped me. Thank you
https://3kary.com/property-status/villas-for-rent/
https://3kary.com/property-status/villas-for-rent/
https://3kary.com/property-status/villas-for-sale/
https://3kary.com/property-type/villas/



 

Post a Comment

<< Home

Site Feed