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Beta blocker

Feb 13, 2014 - 0 comments

After the last visit to the Dr in Switzerland when he tested my balance and sensitivity to a vibrating fork. I decided to put the beta blocker dosage back to half a tablet within a couple of days my balance improved though there is still some numbness on the soles of the feet. I'll go to the thermal bath today and see if the feeling of wearing socks has reduced. I've started try and get to a Ketogenic situation in regard of my diet if I can keep it up it should burn fat and reduce the pressure on the pancreas to produce insulin. This type of diet as also known to increase the particle size of the LDL cholesterol making them less likely to become embedded in the arterial wall. It also boosts the HDL. As part of the diet I've decided to stop drinking alcohol so that the glycogen and fat in the liver will be reduced. I know that the Statin I'm on can cause diabetes and the numbness in the legs but I was not taking it at the time my fasting blood glucose was seen to be high or during my recovery following the operation so I'll see if the Dr can come up with an other cause I think he suspects low vitamin B12 but I'd rather get rid of the Statin if it's the cause of a B12 reduction rather than use B12 to counter the effect.

Sudden weight loss

Feb 01, 2014 - 0 comments

I thought the scales must be broken but an other one confirmed it lost about 2 kg over night most likely because I didn't eat the whole day due to having to fill in a tax form. I will need to redo it so perhaps I'll lose a bit more. seriously though I've been reading up a lot more of the chemistry behind some of the more extreme diets (Paleo / High fat / high protein / Ketonic) and weighing up my options given that type two diabetes is also indicated from a fasting blood sample I had taken last summer and from one of the tests done when I was having the bypass. generally my fasting and post eating (2 hours) blood sugar are good but I think they could be improved further by preventing the release of insulin. To do this by diet you need to keep carbohydrate consumption down to a minimum because once the carbohydrate releases insulin it blocks the possibility of using fat as a fuel because it packs the fat into the liver and muscle tissue as glycogen. In the absence of insulin the fat is burnt (this has been demonstrated by radio carbon marking of fat molecules being found in subcutaneous lipid layers of carbohydrate eaters and in the breath of non carb eaters). Its been shown that this type of diet where the level of energy currently provided by carbohydrates is replaced by saturated fats and proteins with fibrous green vegetables. Enables the body to burn the excess fat as fuel and results in a raise in the level of  HDL.

Upper body excercise

Jan 27, 2014 - 0 comments

I haven't been able to enter new journal entries against the  actual days they occurred so here is an update of things so far.

Following the  by-pass operation I spent 3 weeks in a clinic in the mountains where they got me moving and exercising  on Nautilus machines. They gave me a 1200cal / day diet as I wanted to get my weight down further it worked and now I don't need the blood pressure tablets the Drs expect that I'll need them again but I'm determined to get my weight down further. The clinic at Gais have a number of Drs monitoring progress but they are still sticking to the tired low cholesterol mantra. They told me that after the operation I needed to reduce my already lower LDL cholesterol level to a quarter of its current value. When asked why I got no answer I have since found that some work was done to determine the risk of further heart problems based on the blood analysis panel. A correlation exists between the risk and the ratio of C reactive Protein and Total cholesterol. The workers used there results to divide patients into 4 risk categories (low/ medium / medium high / and high) Now I could see the rational behind their thinking, although it does not explain why they wanted the LDL down, lowering the cholesterol by three quarters should put the patient in the low risk category. When I asked about the C reactive protein level I was told that they were happy as long as it was less than 10. It seems to me that reducing both together would be wise and since C reactive protein is the marker for the level of inflammation in the body which allows Cholesterol to be pushed into the arterial wall. Also as Statins given to reduce Cholesterol also have an anti-inflammatory action the correlation between total cholesterol and risk may be a coincidence caused by the further reduction of C reactive protein in response to the Statin that may also account for the correlation being strongest with total cholesterol.not LDL alone.
Since coming out of the clinic I have been exercising two or three times a week on Nautilus machines from weeks 8 and 10  I started to exercise my upper body as the breastbone seems to be stable I'm using more repetitions rather than going for maximum weight over 12 reps. Yesterday I went Swimming in the thermal bath at Bad Neuheim I felt comfortable to I managed to do 6 x 50 meters. I'm still getting these annoying bouts of breathlessness I've called panic attacks but I'm not sure what they are yet. The only problem I noted was that the lower part of both legs and under the feet felt numb I've also noted that my balance is not as good as it was I'm suspecting a drug side effect affecting the nerves but I haven't found any thing yet.  

Cholesterol / Inflamation / Target levels

Dec 15, 2013 - 0 comments

Found some very interesting  information on why Cholesterol has been chosen as the thing to reduce to avoid coronary heart disease (CHD). It starts with a Dr kicking out data for countries that did not fit his hypothesis that saturated fats were responsible for CHD. The data for cholesterol being the cause of CHD also does not give a clear relationship between the level of LDL and incidence of CHD. I've asked the Drs  several times about where the Cholesterol / Lipid levels come from to be told as a result of tests. Today whilst surfing the internet f an answer I got it from the New York Times. The Committee which reviews and decides what the levels should be has decided to drop the whole idea of having target ranges for cholesterol in favour of prescribing statins to any one who meets the risk criteria for CHD. This seems to fit with the concept of Statins being anti-inflammatory as well as anti lipid.
In the article the committee admitted that the target ranges were not  arrived at scientifically and therefore had no validity. I think I'll take the Crestor for the time being until I'm happy that the level of inflammation is as low as possible.The level, of C reactive protein is just above the expected minimum I'll see what I need to eat to get it lower.
1) New York Times
http://www.nytimes.com/2013/11/13/health/new-guidelines-redefine-use-of-statins.html?pagewanted=2&_r=0  

2) Presentation on Cholesterol and Saturated fats

http://www.nytimes.com/2013/11/13/health/new-guidelines-redefine-use-of-statins.html?pagewanted=2&_r=0