STROKE
3rd leading cause of death in US
within 5 yrs of stroke 24% of women and 42% of men will experience a secondary stroke
TIA = no permanent damage, temporary ischemia
35% of pts who have TIAs will go on to have a stroke
**85% of strokes are ischemic
**usudt excessive clotting, risk factors: high Fe, Mg def, low EFAs, sticky plts
hemorrhagic are 15% of strokes but 30% of stroke deaths
usudt HTN or weak BVs or both
FACTORS IN BLOOD TURBULENCE
a-fib, irreg HR, atherosclerosis, murmurs
meds incl OCPs, hormones, sedentary
thick blood (high HCT, PLT)
RISKS
lack of exercise
nutrit def
*For Extra credit answer this:
Why do people in US have less stroke deaths per 100,000 people than Okinawans?
LABS
CV panel: measure chol, HDL, LDL, fibrinogen, LPa, CRP, %transferrin sat, ferritin
Exatest to measure intracellular levels of potassium and magnesium (esp for HTN)
heavy metals: lead, mercury, arsenic, cadmium
sonoclot coagulation and PLT function analyzer (SIENCO.COM)(he wants NCNM to get this)
FOOD TX
garlic, onions
ginger
omega 3 oils
curry
tumeric
use potassium salts instead of sodium salts
(calorie restriction is #1 tx for extending lifespan)
avoid sat fats and oxidized fats as they stim inflam and promote clotting
(refers to The Great Cholesterol Con, animal sources worst and feeding matters, coconut oil considered good now, he thinks plant sat fat is fine)
ASPIRIN
as anti-PLT drug
coumadin common anticoag
PREVENTION
decr clotting time, decr stickiness of plts
decr BP, enhance BV integrity, decr infalm
ENZYMES
lumbrokinase (boluoke) 2-6caps/day
https://www.researchednutritionals.com/store/item.cfm?code=CBD202
(DrM says works better than natto to decr PLT stickiness)
nattokinase (CVR, allergy res, pure encap)
IV NUTRIENTS
(pts with A-fib will revert to A-fib if nutrient def not corrected)
magnesium is calcium channel blocker and decr PLT agg
give to post stroke pts, careful w/ amounts and speed of admin
IV drip ev 5 days or so
VIT E
to enhance integrity of BV walls and decr PLT agg
enhances utilization of O2 by heart
1600 IU to decr PLT agg
PHYSICAL THERAPY
essential to re-establish cnxns in brain post stroke
acupx with electrical stim
movement, rocking chair, stationary bike, swimming, keep legs elevated, move everything
EPSOM SALT BATH
not much mg absorbed thru skin but prob some
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HYPERTENSION
asx in 95%
linear relationship of age to BP in US (not in Okinawa)
pulse pressure widens
"essential" HTN is 92-94% of all, idiopathic? or diet, lifestyle, stress.
over 67 million in US have HTN
75 million have pre-HTN
half pop of US has "not good" BP
**for each 5 pts over 80 diastolic, risk of MI death incr 30%
same incr for 10pt incr in systolic
"high normal BP is a problem"
found almost exclusively in developed countries
HTN 2x more in blacks
SALT
average American gets 5.5 grams Na/day, only need 300mg
salt cravings: trained early in life, like pica it's not a useful craving
how does salt help adrenal function?
Na to K ratio should be 2:1 but is usu 8:1
RISKS
stroke, MI, cerebral hemorrhage, renal failure
DIAGNOSIS
2x readings 3x days
esp pay attention to diastolic
males with high sys (>159mmHg) and normal dias have 2.5x more mort than sys <130
dangling feet changes BP readings
arm even with heart
POTASSIUM
want 8-10 grams/day
read book: the high BP solution
FIBER
average American 12gm/day
35-50gm per day is recommended
paleo 100-150gm/day
SUGAR
blood sugar goes up, so does BP
sucrose also a risk (Sweet & Dangerous, Yutkin)
FOOD SENSITIVITIES
diastolic may incr by 18 pts after consuming food allergen
(Victory of Diabetes by Philpott)
consider sensitivity to caffeine, GMOs, corn, alcohol even tiny amounts
3 week trial, go off suspect food, no cheating, 6 weeks is more diagnostic
GMOs may incr CA, can cause food sensitivities
pulse testing for allergies, Dr Coca
http://www.vitaminlady.com/Articles/CocaPulseTest.asp
HYPO OR HYPERTHYROIDISM
both can cause HTN
EFA DEFICIENCY
PGE1 from omega 6 fa's directly affects BP
http://www.bodybio.com/
can get test to see what fas are in your membranes
$350-400 per specimen
OBESITY
CA/MG DEFICIENCY
often together
XENOBIOTICS
cadmium, lead, etc
acid rain incr lead, cadmium, aluminum
pre-eclamptic women have more cadmium
lead levels prev thought save now known assoc with incr BP
VIT E TOXICITY
Wilfred Schutz discovered some pts hypersensitive
vit oft comes from soybeans
synthetic is not from soy
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BISPHENOL A
in all cans except Eden brand
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COPPER DEF assoc with aortic aneurisms
give zinc also if taking longterm
ZINC DEFICIENCY
follicular hyperkeratosis (also seen with vit A, low efas, hypothyroid)
thyroid mobilizes zinc stores, vit A stored in liver, beta carotene stored in skin
((people without gallbladders will have low vitamin A))
white spots on fingernails, cracked cuticles, chronic inflam
hypothyroid
if supp zinc w/o copper then get cholesterol problems
weak immune system, chronic infx
poor wound healing
anosmia
cystic acne, eczema, most skin conditions
acrodermatitis enteropathica = chronic zinc def dt can't absorb, genetic
NUTRIENTS FOR CT
manganese
silica
copper
vitamin C
boron
WILLIAM PHILPOT
Victory over Diabetes