19 Burst results for "ace inhibitor"
Reviewing Dapagliflozin For Chronic Kidney Disease With Dr. Jennifer N. Clements
"In the commentary wrote for i former ex. You reviewed the study entitled deputy flows in patients with chronic kidney disease which was published in the new england journal of medicine in late september. Two thousand and twenty. And while i think everyone in our audiences should read the paper for themselves. We provide a link to the paper on her. I former x website. But can you give us a brief synopsis of the study methods and results. The data stay k. D. trial was an international double blind placebo. Controlled trial conducted to assess the efficacy and safety of day Ten milligrams orly once-daily among participants with chronic kidney disease with or without type two diabetes to elaborate on chronic kidney disease participants had macro albumen urea and stage two through four kidney disease following one. To one random association each group received stable doses of either an ace inhibitor or arb for at least four weeks. The primary outcome was composite endpoint of a time to event analysis and included declined of gfr fifty percent in stage kidney disease and reno or cardiovascular death. There was a secondary composite outcome. In this included the primary outcome with cardiovascular death or hospitalization for heart failure when looking at baseline characteristics both groups were similar in terms of age females race. Gfr as far as cardiovascular disease and standard of care the gfr main was about forty three and a majority of these participants could be classified as stage three. B in addition thirty seven percent of these participants had cardiovascular disease and ninety eight percent. Did receive the ace inhibitor. Or a are now after three years dabba cliff flows and reduce the primary composite outcome by thirty nine percent with a benefit. Sharon individual outcomes of decline jeff for fifty percent in stage kidney disease and long-term dialysis as saying other trials with dabba gla flows in. There was a reduction of nine percent in the composite of cardiovascular endpoint of cardiovascular death or hospitalization for heart failure now discontinuation was low and similar between both groups. But it's important to look at some safety outcomes volume. Depletion was statistically higher with dabba in than placebo even though there was no statistically significant finding placebo group did have a higher percentage of participants experiencing a reno related adverse event than compared to flows in and lastly there was no cases of you. Glycemic kato acidosis among those. That received
How to enhance your immunity
"I've had four weeks of this Discussions Kobe nineteen and I was actually thinking of not going on the air today because everything I said is coming true and everything. I said in the first episode about strengthening strengthening. Your immune system is really what we have to do. That is our line of defense. I said four weeks ago and it's true today. It's going to be better than a vaccine. It's GonNa give us the ability to fight off the virus and if we do get it to make it less severe so what what. Where should we start there? I think number one. We have to realize that What we're being told is really good advice. Isolation distancing handwashing. They're all effective ways to avoid exposure to this virus and they are absolutely absolutely crucial to avoid a catastrophic overwhelming of our healthcare system. But there is this second powerful tool and that's strengthening our immune and body repair systems. Because if we do what the CDC tells us About distancing and washing we will The combination of the two increasing our immune system will buy ourselves some time until more is known about this virus and and how to treat it so are a strong. Immune system makes this virus and other infections milder in briefer it'll reduce the risk of these fatal monies that people have and and and these are currying in the older people ever average age of seventy eight point five years of age. Maybe we can create virtual ventilator. Maybe our illnesses will be milder and briefer. So we're going to be on an immunity mission today. You're not gonNA hear a lot about that from the CDC who world health or was Asian. You're not going to see it in the paper but it's really important really important to keep our immunity. We've had her immunity for thousands of years before the pharmaceutical companies came along. We we we lost people. Don't get me wrong. But the ones that survived with because they had a strong immune system. I was surprised to see the New York. Times actually came out with an article stating the eight immune boosting methods. They said Sleep Com. Yeah they said about meditation. Nutrition exercise reducing alcohol. Hydration are all vital to your health. Immunity what you eat drink breathe doing feel eat drink free. Do and feel all important to your immunity. Not Going to see a lot of articles about the vitamin D vitamin C. They WanNa say a myth. We'll talk more about that. You're not gonNA say anything about Colorado silver. We will talk more about that. So Ladies and gentlemen let me look at my list here and Gosh you know and don't forget to tell you. Please avoid ibuprofen. You think you have the flu or this. Cove virus. It is really badly. There are so many articles from especially France. Who has really dealt with this as showing that this guy be proven Can can make the covert virus deadly. Okay so I told you about that a month ago to I told you. Because that and the ace inhibitors bloodpressure tells if you take a lot of them and get the vitamin and get the virus. You could risk the death remember. I told you about low tension capoten phase attack Mono Perl. Okay they are ace two inhibitors and these. These articles were in the Lances Journal. The British medical journal Nature The Daily Mail. But you're not seeing a lot about it or you see people being Not Nonchalant about it but I tell you what and says and this virus or deadly. Okay so let me get that off the table before we move forward okay. So let's just talk a little bit about the history of goydos silver because I know I got a lot. Of flack on the show. I did with the feel safer about silver but you know what ladies and Gentlemen Two thousand three hundred years ago. Twenty Three Hundred Years Ago Alexander. The great surveying his battlefield. And guess what he was drinking water from Silver Urns. Why because he knew nothing about bacteria but he knew that silver containers had a seemingly miraculous way of keeping water fresh. That's been used for thousands of years where it's health benefits well. The people in the Middle Ages gave their children silver spoons to suck upon. Why because they knew it would prevent illnesses. It's legendary remember silver. Dagger was all night needed to vanquish evil and a lot of the history is falsified at one time. Silver was used by most healthcare practitioners as an antibiotic at an antiviral. Nothing worked better those days but the FDA started crusade against Silver Thirties nineteen thirties. Because it could not be patented and now. The pharmaceutical companies started making antibiotics in the vaccine industry partners. They WANNA be able to sell their stuff. You know. The Food and Drug Administration used to be called the bureau of Chemistry and it's real mission started out to protect the chemical industry
"ace inhibitor" Discussed on KTRH
"Don't. There are just too many groups issuing recommendations met has made things. More confusing says doctor Steven Nissen of the Cleveland Clinic. They'll blood pressure and cholesterol levels are important. Other factors play a role to including your age gender race. And whether you smoke or have diabetes assessing your overall risk of having a heart attack, or stroke is an important. First step experts recommend using the calculator from the American college of cardiology. It's online at tools dot ACC dot org slash A. S C, V D dash risk dash estimator. The ideal is a ten year risk that's less than seven point five percent. If your ten year risk is greater than ten percent. Or if your LDL your bad cholesterol level is over one ninety you should start a Staten. But if you risk is between seven point five and ten it can be worth trying lifestyle changes. I that means stopping smoking losing excess weight being active consuming a heart healthy diet, drinking alcohol in moderation only, and getting blood sugar levels under control. If that doesn't lower your risk enough after three to six months, then consider a stead, even if your LDL cholesterol, isn't elevated the same basic strategy. Applies to blood pressure, if it's moderately elevated one fifty to one sixty people sixty and older one forty to one fifty four others considered drugs, only if several months of diet and lifestyle changes weren't enough doctors used several different kinds of drugs to lower blood pressure. And for people with levels above one, fifty it can take a combination to control. The problem still it usually makes sense to start with the oldest safest and least. Expensive drug, a diary or water pill. If that doesn't work, you may need to switch to or add an ace inhibitor calcium channel blocker or other kinds.
"ace inhibitor" Discussed on News Radio 810 WGY
"We do sometimes find people, you know, we diagnose poor function of the of the left ventricle, which is the main pumping chamber, and we come across it. You know, rather, incidentally, perhaps they haven't avenue like cardiogram, and this and this studied further, and we find that the pump function of their heart is actually reduced and this may happen without a person developing symptoms. Of course, when the pump function is really severely reduced, then, you know, uniformly people will develop symptoms, but there is sort of intermediate range where a person may I be as him to Matic, and you know, the determinants of this. We think there are several things which may do this. We would always look to determine if someone had blocked arteries that being a common cause. But if if we determine if they don't have blocked arteries, and if they don't have valvular heart disease, you know, for example, a tight valve or narrow valve then we're considering things like a a post viral syndrome, potentially talks. And exposure things like that. So so you know, asymmetric left trickier dysfunction. We do see it. We see it in our practice. We probably have several furrows for this. You know a month? I would say, and this is something that patients would feel that their presenting symptoms like chest pain or shortness of breath. So interestingly people may have no symptoms at the time. This diagnosis is made. This may again be something that's found with an echocardiogram. I'm sorry. Incidentally, cardiogram or even an EKG, which then leads to an echocardiogram I'm in. So they may not have any symptoms at the time that this diagnosis is made. But when we find reduced LV Jackson fraction even at someone who's as symptomatic that isn't indication for treatment to avoid further deterioration of heart function. So we would start them medications, which for example might include a beta blocker or or an ace inhibitor related medications. Okay. So the good news is we can catch it. And then we can start treating which is awesome. What I found really fascinating about this. I'm a big technology guy was not only. Only the researchers that the artificial intelligence here were they able to find this identified in patients without symptoms, but it also had some unexpected accuracy in detecting individuals who are future risk of developing this disease. So we're getting the technology that's going to it's going to fight harder for us to live longer. It's we're living in a great time. Right now, if heart health news is important to you. You can sign up for our free weekly Email newsletter.
"ace inhibitor" Discussed on KTRH
"Don't there are just too many groups issuing recommendations and met has made things more confusing says doctor Steven Nissen of the Cleveland Clinic, blood pressure and cholesterol levels are important other factors play a role to including your age gender race. And whether you smoke or have diabetes assessing your overall risk of having a heart attack or stroke is an important first step experts recommend using the calculator from the American college of cardiology. It's online at tools dot ACC dot org slash A. S C V D dash risk. Dash estimator. The ideal is a ten year risk. That's less than seven point five. Five percent. If your ten year risk is greater than ten percent. Or if your LDL, your bad cholesterol level is over one ninety you should start a Staten. But if your risk is between seven point five and ten it can be worth trying lifestyle changes. I that means stopping smoking losing excess weight being active consuming, a heart healthy, diet drinking alcohol in moderation only and getting blood sugar levels under control if that doesn't lower your risk enough after three to six months, then consider a statin, even if your LDL cholesterol isn't elevated the same basic strategy applies to blood pressure if it's moderately elevated one fifty to one sixty for people sixty and older one forty to one fifty four others considered drugs, only, if several months of diet and lifestyle changes weren't enough. Doctors used several different kinds of drugs to lower blood pressure and for people with levels above one fifty it can take a combination to control the problem still. It usually makes sense to start with the oldest safest and least expensive drug a diabetic or water pill. If that doesn't work you may need to switch to or add an ace inhibitor calcium channel blocker or other kinds.
"ace inhibitor" Discussed on KDWN 720AM
"Genesis communications network for make this show happen Daniel who is working the dials Vic, thanks for tuning in. We really do create it. Don't forget to follow us on Twitter and Facebook that after Dahlia show, so the FDA is warning of common blood pressure medication shortage doodo recalls. So, you know, these allegations these ARB's, not all of them are just certain lots because of the N D E A and the N D M a byproduct that was made during the manufacturing process. Well, now because of the recalls the FDA is warning of a shortage of this class of drugs. These AARP's are the Angie attention to receptor blockers. Now, Val certain is one brand of these in the class. Commissioner. Dr Scott Gottlieb, thou sergeant products are in shortage. And we know that other types of products may fall into shortage soon. That's Dr Gotlib and FBI director evaluation research. Dr Janet woodcock said in a statement on Friday. So this warning comes as a growing list of the drugs that either have ten low certain herbs Arden heaven recalled because of this impurity. Now, this impurity this N D M A N D E A is a possible. Carcinogen in terms of studies in animals, we don't know its effect on humans yet. But it's an environmental contaminant that came in the manufacturing process. This had been discovered by European watchdog agency, and then FDA had found it when they started vested in the summer. So the FDA said, it's all going. Desiccation as determining impurities were generated in the manufacturing process and could have resulted from the reuse of materials such as solvents. So now are testing all a arby's and brand name of these medications, which aren't affected or like divan. Abba, pro coz are the those are the brand names those aren't affected and only appears to be generic the not all generics but generics. Made from certain plants at certain plants from certain companies. And so this all originated from China from he Shang who. Hi, her pharmaceuticals, and some of the ingredients imported from this company had unfortunate that affected other plants. So the FDA place the pharmaceutical company on an important on an import alert at the end of September, meaning all active pharmaceutical products and finished products made by the company is not going to be allowed to enter the US and the FDA made that decision after it inspected the facility revealing systemic problems of supervision that could have created the conditions for quality issues to arise. So somebody would out there looks and this is gonna work. No more. You will not be allowed to send your your stuff to our country for now. Now will you get sick? If you haven't taken this medication. We don't think so we think the amount was so miniscule, you know, I'm glad they found the impurities. And I'm glad they made it known and they're improving on it. But we really don't believe that this would. Systemic systematically, hurt anybody that's been taking it for so long. However, again, we ever really studied it. So now, you find a medication that works. These attitudes receptor blockers. It's managing your blood pressure. Pretty nicely. You're not having any side effects. And usually these AARP's are phenomenal. They have really low side effect risk profiles. I'll tell you have a company that possibly makes some that have the contaminant. So. Well, this hurts you probably not do we think it's toxic to humans. Yes. Because it's Thompson to animals, we're not going to be stupid. We're going to think it's toxic humans. So now people have been asking me if they should change, and what should they change too? So this is my concern whenever I gave somebody in a Rb it was because they failed on the other medications or they had side effects to and we've discussed at length the different blood pressure medications, you have the diabetics which make your any more decrease fluid. You have the betablockers that slow down the heart rate. So if you don't have an issue with fluid overload or a heart rate, those medications might not, you know, lower your blood pressure to the degree it needs to if you have high high blood pressure medication that relaxes the vessels. So if you have a stiffer pipe that the blood is going through higher pressure medication that relaxes. Those vessels those medications are really good for those people who just gradually, you know, their blood pressure just gets higher and higher and higher. And and it's it's it's a gradual right because the vessel is thickening. But for those of you that have spikes where you could be one twenty over seventy in the morning, and then one sixty over a hundred an hour later. That's me means it's your engine. Tencent rented system where you have cascade of events that happen. And unfortunately, irregularly it's supposed to happen if your kidneys notice lack of blood flow because you get shot or something. So it tries to raise your blood pressure to maintain for fusion in the body. But for some people that has these very weird jumps, and you know, peaks and spikes to their blood pressure. We think there's a problem with the adjutant Brennan system in some sort of enzyme cascade. So there's ways to block that cascade by an Angie attention. By an ace inhibitor that blocks an enzyme educates. Converting enzyme or the AARP the engine tencent two receptor blocker enzymes at block in different ways of this pathway. But the first one the ace inhibitor, they're inexpensive there an older medication. We've had him for a while. But a lot of people don't tolerate them because it makes them cough because of releases the Keinan, which is an in an inflammatory product that helps you know, it's part of your immune system. So these ace inhibitors like Zestril, or I'll do brand name I center, Pearl bonanza pill, capped Apprel these things. Well, unfortunately, make you call. They could make you cough. Also, we sometimes notice that without. So you can start on five milligrams ten milligrams and you're on twenty then you're on forty and you're like I've been on forty of Pearl is still not cutting it, well, probably because your body starts to outsmart it. So when I see that you fail an ace inhibitor I now or you're prone to coughing. I will go to the AARP's. So my air, they're not really my last resort. But when I go through the different medications for blood pressure. If I think you're eating a lot of salt in your routine in a lot of fluid. I'll probably give you die Rennick everything your heart rate is too high. And that's why your blood pressure is high. I'll give you a beta blocker to slow down our rate, if I think your blood pressure is an issue because you're vessels are too thick. I'll give you a calcium channel blocker. But if you have spiking issues, I'll give you an ace inhibitor. And if you have a problem with that, I'll give you an AARP and agitated receptor blocker. So the big problem that I'm seen with people calling in and having issues is. There. I again, and I want to call it a last resort. But after do seeing that this is what their blood pressure needs to be in control. Now, we have people wanting to go off of it. Because they don't know if they're lot is going to be, you know, be recalled soon because of the EA or the patients are like. Okay. Well, you know, maybe put me on the beta blocker. Well, if your heart rate is in the sixties or seventies, we can't lower your heart rate that much more without making you dizzy, if that's not why your blood pressure is high that beta blocker might not cut it. I love betablockers. I love adding them as an adjunct. But if that's not why your blood pressure spiking because it's not like, you know, you're raising your heart rate. All of a sudden, it's it's not going to be the best choice. Same thing with water pill. If you live in Las Vegas, Nevada, and you rarely hydrate and you were as dehydrated as you can be then that's a problem. You're not. You know, making you urinate, more isn't going to cut it. Same thing. With blood vessel thickness, if your blood vessels aren't very thick to begin with doing the calcium channel blocker may or may not help. So my suggestion is my suggestion is to talk to your doctor jobs are panicking trying to take you know. It's just not, you know. All right. I'm sorry about that. I'm having a little computer issue. All right. So blood touchy guy, something I think that's why I'm in shock. I actually taught you guys something. All right. One eight seven seven doc Dali one eight seven seven zero C L. I I let me see what what's next. I apologize guys revelled computer glitch right now. So what I can't deal is all I can tell you. Okay. For break. I was just at a family medicine conference, and as the Nevada Kennedy family physicians, and I'd take is about this every year. I go to these conferences, right? And you know, we doctors who are really the coolest cats in the country. All of a sudden were among each other. We're pretty cool. And yeah, we're like, oh my gosh. I mean, we there were some students. They're looking at us all parts tell okay, you guys are still darts. You know that? Now, they were good kids. Okay. Don't go right back. One eight seven seven valley. Many people believe they don't control their own destiny..
"ace inhibitor" Discussed on News Radio 920 AM
"Heart, book dot com. Couple of his books miracles stem cell heart repair hidden causes a heart attack and stroke. And of course, she was putting out the Christian wild stem cell and turmeric research report as well. And there's also a toll free number that I should give you it's one eight six six stem one two three very easy to remember one eight six six stem S T E M one two three Kristen before we go back to final calls in a very rapid the program faster than fast wanted to get your take on these new guidelines for blood pressure. What are they in? What does that mean? Well, let's see they've lowered it two hundred and twenty systolic over eighty diastolic. They figure that'll bring thirty million more people. Into the guidelines that normally would not be considered for a medication. Is it a trick to get more people Medicated? You never know. But from what I read and looked at the studies of various benefit in having lower blood pressure. I mean, what is border line one forty over ninety it used to be. That's what it was. Yeah. And now we're talking one twenty over eighty that's a pretty big drop. That's a big drop big drought. One twenty was almost perfect. Yeah. You know, the two two of the most popular Medicare patients, but sit appraisal has been found to cause lung cancer and the other one. A or b the other one has up I'll think of it in a minute. But that same problem. Jeez. So those are two of the most popular drugs are is that a new discovery about the license per Lindahl in lung cancer. I saw it about ten years ago. But this time, it's become more obvious. If you have if you've been taking the drug for five years, you've got a fourteen percent chance if you've been taking it for ten years. You have a thirty one percent chance. Of developing lung cancer. Crazy stuff. Okay. Let's go back to the calls are ready for some more. They're christian. I just took. I just had to go look at. I thought you fell off your chair or something? Joe in Monterey, California. Go ahead. Joseph starts in this the other. Okay. Okay. I George Joan Christian. I'm taking a I take a formula to Merrick silica water like Fiji water off all coconut oil and pinch of black pepper boiler in the pot. And I drink it down his cool enough to help detox the medals in my brain her you go. Can you shopper than attack? Joe? So it must be working for you. My chess game better. Hey, we have to play chess one day. Okay. I wouldn't play with yours nor he's too good. No. I'm not that good given handicap. Spot him. I don't know how do you spot? It. How do you handicap and chess? Well, I don't know. Yes. All right. Joe? Thanks, pay scale, you what did you think of his formula there? If it works for him. It sounds good anything that anything that shows an improvement is so wonderful cancer warnings unpopular ace inhibitors ace inhibitors, those are the two listener Pearl. And when I fell off my chair trying to find the note, I made you did fall off. I could tell. Hello certain those are it's so unfortunate because they're they are such popular drugs. Knowing you I'm trying to I'm going to remote view, you're sitting at your desk. New chair. You've got a glass of red wine next to you know, but I wouldn't mind. Next up. Let's go to Daniel in Virginia Beach Virginia. Hi, dan. Go ahead. Hi, thank you. I'll try to make sure it's free. I'm sixty eight and way back in seventy seven I fell asleep back home in PA. In my car, and.
"ace inhibitor" Discussed on WLAC
"Why? Three seventy two seventy two. Check yourself. One of the break talking with Robert talking about erectile dysfunction. Now, this is one of those topics that a lot of people a lot of guys just don't want to talk about. And the reality is that. There's so many men today that are dealing with it. I mean, he's becoming almost an epidemic in the country. And you go to see your all in talk to your primary care physicians as well. And you you will ask them in a lot of guys are coming out in dealing with. This guy's with prostate issues. Matter of fact, when the leading complications of prostate surgery is infamous and when guys start getting enlarged prostates conver- nine prosthetic have hurt your fear BPH when guys start getting that it becomes a Bill downhill slope for erections. So here's the deal. See Alison Viagra and this medications father called foster diaster ace inhibitors and the foster diocesan hitters can work. Very well. But there are some side effects to then that can be not so pleasant and can become a challenge. And really, I know Robert for you. You don't wanna be relying on a pill the rest of your life to make things. Happen. Am I right? That's true. You know? And it just gets to a point where there's gotta be a way you're thinking what used to work. Now, I'm fifty one and it's not working. So what's the deal? Yeah. Yeah. And you know, if you're eighty one I guess we always wanted to work and fifty one in eighty one. Yes. So are you married? Okay. Let me ask you this. When did it go from working to not was it all of a sudden? Or was it gradual? It was gradual. But it was. Remarried then. What happened? No, no, no, no. Is she pass away? You get a divorce. Semi cheat on each other. What happened? Anybody cheat? Just could make it work. Who said they couldn't make it work and walked away. Or her? How long ago was that? Seven years. I'm asking that is is not to dig to defend your personal life. But the reason I'm asking that is because reptile dysfunction has two main components. They can be physiological, and it can be psychological. There's a strong, psychological components usually about seventy thirty seventy psychological. Thirty percent physiological. And so usually if there's if there's an issue just just know that that that somehow some way there is an issue in that area. That's got to be worked on. And I don't I don't I'm not a counselor. I don't know what that is. That might be something you want to go talk with a pastor or counselor or someone that you trust and maybe start digging a little bit in there somehow, someway, okay, I'm slightly know that I'll give you some what research says can make things work better. But I'm just telling you as a friend that there is a component strong component to that any doctor that doesn't tell you that it they're mistaken, or they're not taking the time to tell you that they're just writing the prescription and moving on. It's big for for dysfunction. Let me take a quick example guys that work a lot. They can you'll see guys that come in. And they're in their forties and fifties in the clinical setting, and you send the gallon vacation like guys that work, really hard. A lot of hours. You send that gown vacation. I've seen so many times where physicians friends of mine had done that. And you know, the guy starts working again at the end of the vacation. Because the stress and he's away from a lot of the life issues that he's facing so stress plays a big role to now from a natural perspective. Several things are important number one. Have you been diagnosed with anything any any.
"ace inhibitor" Discussed on KDWN 720AM
"Eight in all twenty eight samples of products made with conventionally grown ups noting all but two of the twenty eight samples tested. They had levels of glide faucet above the benchmark of one hundred sixty parts per billion. I don't want any event in there. But I guess it's going to be in there. So apparently Quaker oatmeal squares breakfast cereal had the highest level the urbicide. So they advocacy group said it was nearly eighteen times higher than their quote children's health benchmark. Now. Quaker instant oatmeal, apples and cinnamon had it Quakers breakfast square soft baked bars peanut butter variety of Cheerios flavors like chocolate, apple and cinnamon and very berry among others. They say they were within. Acceptable limits. So those are the ones where it wasn't off the chart. These are the ones where Quaker instant oatmeal, apple curios, whatever they had acceptable limits now WG they say, but just because something is legal doesn't mean it's safe. And that's the key. What is an acceptable? Limit of glide Fossey's federal government standards for pesticides in food are often outdated. They claim and not based on the vegetables career science, the EPA standards for pesticides, another chemicals are also heavily influenced by lobbying from industry. So the findings come after the WTO announced in August that found trace amounts of the ingredient in all the two of the forty five samples of products made with conventionally grown, oats. Some of the included Quaker old-fashioned, oats and popular breakfast cereals, made by general mills like Cheerios and lucky charms. I love lucky charms. Why are we liked the marshmallows elected charms? So the World Health Organization two thousand fifteen report so the herbicides glossy around but along with insecticides malathion and diet Zayn on our quote, probably carcinogenic to humans. So what would you get that report? Well, it's probably carcinogenic to humans where the hell are people getting that? Well, we're they're getting man is if they have in a lab setting or with an animal been able to cause a cell to change they're gonna say, well, there could be carcinogenicity to humans there to be some carcinogenic component. And that's where you get probably was carcinogenic humans. It would say it's a known human carcinogen. But if they have a really been able to test it on humans, so they tested on rats. Or mice or in a lab setting. They'll say probably carcinogenic to humans. They said there was limited evidence of carcinogenicity in humans for non Hodgkin, lymphoma and prostate cancer. Now, limited evidence means researchers have determined that. There is a quote positive association between exposure to this guy, faucet and cancer. But other explanations for the cannot be ruled out. So remember yesterday, we talked about that case where blood pressure medication very common blood pressure. Medications may be linked to lung cancer. And that freaked a lot of people out and the story circulated. It's all over the news and ace inhibitors with the blood pressure medication that we're talking about an ace inhibitors are very common cap, the parole ram, apparel, real notice, Zestril, bonanza Pearl. These are any medicine the ill is an ace inhibitor, and he's ace inhibitors one of the most popular type of blood pressure medications because they're cheap because they work. So here's a study sane use of the popular blood pressure. Medication could put you at risk for lung cancer. Maybe it can we also have to take into account is one lung cancer is the most popular cancer. It's the most common cancer people. Get number two people who have high blood pressure. That's one of the most common medical issues. Afflicted people over one hundred billion people in the US if I blood pressure and the number three the most common medication used is the ace inhibitor. So when you have all these highly common. Hi, lee. Shall we say? I don't wanna use the word coincidence. But. You know, those the most common cancer this most common condition. That's the most common medication and whoa. Look. There's association between the medication cancer you have to go. Wait, a second is it because it's such a common medication. So that's that's the problem. We kind of have where you have somebody that let's say a lot of cereal. Well, a personal eats a lot as breakfast cereal may not be eating an egg white for Totta or having a rice cake, and some, you know, I don't know oats. I don't know some I wanna say oatmeal. But, you know, somebody having a high fiber breakfast, and a real healthy breakfast isn't usually the plan per person these crapload of breakfast cereal. So if somebody breakfast cereal has higher cancer is it the breakfast cereal. Or is it maybe because they just do a lot of things wrong. Two thousand seventeen the California office of environmental health hazard assessment announce that glide faucet would be added to the list of chemicals known to the state to cause cancer. So I remember California's law where if anything causes cancer could put somebody a risk they need to. They need to. Make a note to the public. But health professionals like calm down. It's okay. We need to research this more. I want everybody calm with this because we are exposed to chemicals and pesticides all the time. So freaking out about breakfast cereal is kind of a waste to energy because we're exposed all the time. Should we slowly started to decrease our exposure? Absolutely. Let's start getting rid of a lot of the plastic. Let's maybe stop stop loading up on perfume and makeup. And cologne. And deal in our fancy deodorants. Now, I love being around someone who smells, but I is a really healthy that we get out of a shower and using perfume, soap and then load ourselves up with chemicals before we exit the house. Then we breathe in a whole bunch of chemicals in our car. And then we have an air freshener in our car. And then we drink water out of our plastic water bottle, heat something up in the microwave or grab a breakfast sandwich. Or drink coffee. That's in a coffee Cup that's lined with that shiny stuff. And may have BPA in it. We are always exposed. Maybe we'll grab a banana and that bananas full pesticides. So yeah, we wanna make sure that whatever we are buying doesn't have extra stuff, but the environmental working group, which is one of my favorite consumer groups because they really do a lot. They are also kind of noisy in that. Well, this has this has this and my answer to them was will die. But on the flip side is kind of nice that they're making all of us, you know, aware so my recommendation to you was just trying to go fresh wash things off I like organic. But I think organic is too expensive to recommend at this time and to take everything with the greatest all to realize that we live in a society where we are constantly being bombarded. Constantly Viva by stuff. So. One eight seven seven one eight seven seven zero CD now when we come back. We're being told that there are not enough fruits and vegetables grown to feed the planet now for those of us that don't vegetables like, no biggie. But for some of us that are like, wait a second. I just listened to die. I'm going to start eating healthy. This is the bad.
"ace inhibitor" Discussed on KDWN 720AM
"In all twenty eight samples of products made with conventionally grown ups noting all but two of the twenty eight samples tested. They had levels of faucet above the benchmark of one hundred sixty parts per billion. I don't want any of it in there. But I guess it's going to be in there. So apparently Quaker oatmeal squares breakfast cereal had the highest level of the urbicide. So they advocacy group said it was nearly eighteen times higher than their quote children's health benchmark. Now. Quaker instant oatmeal, apples and cinnamon had it Quakers breakfast square, soft baked bars peanut butter variety of Cheerios flavors like chocolate, apple and cinnamon, and very very among others. They say they were within. Acceptable limits. So those are the ones where it wasn't off the chart. These are the ones where Quaker and said, oh meals apples, but Cheerios, whatever they had acceptable limits. WG they say, but just because something is legal doesn't mean it's safe. And that's the key. What is an acceptable? Limit of glide faucet, federal government standards for pesticides in food are often outdated. They claim and not based on the best all Kurt sites the standards for pesticides and other chemicals are also heavily influenced by lobbying from industry. So the findings come after the W T announced in August that it found trace amounts of the ingredient in all the two of the forty five samples of products made with conventionally grown, oats. Some of the items included Quaker, old-fashioned, oats and popular breakfast cereals, made by general mills like Cheerios and lucky charms. I love lucky charms. Why are we like marshmallows elected terms? So the World Health Organization in two thousand fifteen report. So the herbicides glide faucet around but along with insecticides, malathion and diet Zayn on our? Quote, probably carcinogenic to humans. So what would you get that report? Well, it's probably carcinogenic to humans were the hell are people getting that? While where they're getting man is if they have in a lab setting or with an animal been able to cause a cell to change they're gonna say, well, there could be carcinogenicity to humans there could be some carcinogenic component. And that's you probably. If it was carcinogenic if humans that would say, it's a known human carcinogen. But if they have a really been able to test it on humans, so they tested it on rats. Or mice or in a lab setting. They'll say probably carcinogenic to humans. They said there was limited evidence of carcinogenicity in humans for non Hodgkin, lymphoma and prostate cancer. Now, limited evidence means researchers have determined that. There was equal positive association between exposure to this guy falls, eight and cancer. But. Other explanations for the cannot be ruled out. So remember yesterday, we talked about that case where blood pressure medication very common blood pressure. Medications may be linked to lung cancer. And that freaked a lot of people out and the story circulating. It's all over the news and ace inhibitors with the blood pressure medication that we're talking about an ace inhibitor is very very common the payroll ram appeal, Pearl notice Zestril, bonanza Pearl these are any medicine the ill was an ace inhibitor. And these ace inhibitors is one of the most popular type of blood pressure medications because they're Keith because they work. So here's a study sane use of the popular blood pressure. Medication could point you have risk for lung cancer. Maybe a Cam, but we also have to take it to count is one. Lung cancer is the most popular cancer. It's the most common cancer people. Get number two people who have high blood pressure. That's one of the most common medical issues. Afflicted people over one hundred billion people in the US blood pressure. And then number three the most common medication. Use is the ace inhibitor. So when you have all these highly common. Hi, lee. Shall we say? I don't wanna use the word coincidence. But you know. This is the most common cancer is most common condition this the most common medication and whoa. That look there's association between the medication cancer you have to go. Wait, a second is it because it's such a common medication. So that's that's the problem. We kind of have where you have somebody that eats. Let's say a lot of cereal. Well, personally weeks a lot as breakfast cereal may not be eating an egg white for Totta or having a rice cake, and some, you know, I don't know oats. I don't know. I I want to say oatmeal. But, you know, somebody having a high fiber breakfast and a real healthy breakfast. Is it usually the plant person these crapload of breakfast hero? So if somebody that he's a credible. Breakfast cereal has a higher cancer. Is it the breakfast? Or is it maybe because they just do a lot of things wrong. Two thousand seventeen to California's office of environmental health hazard assessment, nounce that faucet would be added to the list of chemicals known to the state to cause cancer. So remember California's law where have anything causes cancer or could put somebody a risk? They need to they need to make a note to the public but health professionals like calm down. It's okay. We need to research this more. I want everybody come with this because we are exposed to chemicals and pesticides all the time. So freaking out about breakfast cereal is kind of a waste of energy because we're exposed all the time. Should we slowly start to decrease our exposure? Absolutely. Let's start getting rid of a lot of the plastic. Let's maybe stop stop loading up on perfume and makeup. And cologne. And deal and our fancy deodorants. Now, I love not being around someone who smells, but here's a really healthy that we get out of a shower and using perfume, soap and then load ourselves up with chemicals before we exit the house, and then we breathe in a whole bunch of chemicals in our car. And then we have an air freshener in our car. And then we drink water out of our plastic water bottle, heat something up in the microwave or grab a breakfast sandwich. Or drink coffee. That's in a coffee Cup that's lined with that shiny stuff. And may have BPA in it. We are always exposed. Maybe we'll grab a banana and that bananas full pesticides. So yeah, we wanna make sure that whatever we are buying doesn't have extra stuff, but the environmental working group, which is kind of one of my favorite consumer groups because they really do a lot. They are also kind of noisy in that. Well, this has this has this and my answer to them as well, da. But on the flip side is kind of nice if they're making all of us, you know, aware so my recommendation to you was just try to go fresh wash things off I like organic. But I think organic is too expensive to recommend at this time, and to take everything with a great assault of realize that we live in a society where we are constantly being bombarded. Constantly bombarded by stuff. So I, you know. One eight seven seven one eight seven seven zero CD now when we come back. We're being told that there are not enough fruits and vegetables grown to feed the planet. Now for those of us that don't eventually, no big. But for some of us that are like, wait a second. I just listened to the I'm going to start eating healthy. This is the bad news. And we have a little bit more information.
"ace inhibitor" Discussed on TechStuff
"You toss your phone in the trash. That is not a great plan and it can be against the law depending upon where you live. Many electronics have components in them that are not environmentally friendly, and they don't exactly biodegrade electronics might have toxic materials in them. In fact, most of them do stuff like lead or arsenic or mercury exposure to the elements would cause those chemicals possibly to Leach into the surrounding environment. And it ain't fantastic. So here's some examples of some of the stuff so lead toxicology can affect every organ system in our bodies lead can inhibit or mimic the actions of calcium and interact with proteins. The nervous system is particularly vulnerable and lead exposure can cause neurological damage. But typically in children, mercury is also nasty stuff. It's toxic to the nervous system. It's also toxic to the digestive system and the immune system. It can cause blindness. Muscle weakness, impaired movement and lots of other neurological effects. Arsenic is in a lot of electronics. That's a carcinogen that's associated with many different types of cancer. And it's also a neuro toxin. You've probably heard of arsenic and old lace? Yeah, popular poison among mystery novelists. It's popular because it's deadly stuff. Beryllium is another dangerous element that's in electron exposure to brilliant is typically pretty minimal for most of us, but you could have continued exposure due to maybe living near, for example, a recycling center. That's not doing a good job at containing the stuff that can lead to health problems ranging from skin diseases to what is called acute beryllium disease, which the symptoms are very similar to pneumonia. It can even lead, although this is pretty rare to lung cancer, then there's Brome naked flame retardants. This is actually a class of synthetic chemicals. They're designed to make. Stuff less flammable frequently. It tends to be incorporated directly into plastics. Some of them like PB d ez have been linked to numerous health risks, including memory and learning problems. Also thyroid disruption, reduced fertility, advanced puberty, and delayed mental and physical development. So we're talking serious consequences from some of the stuff that's inner electron IX. There's also the possibility that if you throw your tech away instead of it going to say a landfill, which is already pretty bad, they might go to an incinerator which could be even worse because then it gets thrown into a furnace and subjected to high heat. It can produce other pollutants. And those could all be released directly into the environment causing environmental harm and health hazards to the population nearby. Or maybe you take a different choice. Maybe you don't send it off to be reused or recycled. Maybe you don't throw it away. Maybe it just takes space in your home, but that's also not great. Sometimes it feels like it's the least bad situation, but you can find ways of have it, making sure your devices reused or recycled responsibly. I'll talk more about that just a second. But first, let's take a quick break to thank our sponsor..
"ace inhibitor" Discussed on News Radio 810 WGY
"The heart. Your heartbeat rhythm and can also help with the hype, you know, what's in there. But then every medication that falls into those categories, and I can see how for a lot of patients if a heart attack or heart disease is something new for you. When you're exposed to all of this. It's a lot. Yeah. It can be very overwhelming. It's almost like looking at the science chart the elements chart for the first time in high school and going. Wow. Who came up with all of this and your job is to kind of help navigate and make sense to all of this stuff. Yeah. I mean, even the names alone are impossible to say something. Yeah. Yeah. It it is a lot. So you know, after if you've never had an event and you have a heart attack after your heart attack. You're probably going to be on at least five medications and those medications that typically the five that you would get you. I'm to guess a blood pressure c you'd get a baby dose of aspirin. We talked about because you've had an event aspirin to decrease future events. Probably another type of blood thinner like super aspirin. There's there's a couple of them. Okay. A beta blocker potentially something called an ace inhibitor astatine, and there could be plus or minus others. You mentioned those are the categories because they recognize that. So when you talk about a beta blocker, and an ace inhibitor, I think for a lot of folks it goes right overhead, and we don't know. So this is actually part of that that consultation like what does an ace inhibitor do. And what does a beta blocker? Yeah. So, you know, when meeting with patients, those are names, basically on how the drug is working. So what the mechanism is. So when I meet with patients, you know, we can get fancy and talk about the mechanisms what's happening at a cellular level in your body. But also I like to break it down. So that patients understand why they're taking it. So yeah, what it's doing? But also why you're taking it why it's important these medications SP in the setting of for talking about heart attacks, they've been extensively studied we know that they decrease death from cardiovascular. Causes we know that they decrease the risk of recurrent heart attacks. So, you know, kind of going through that information so patients, not just the doctor told me to take it. I'm just gonna take. But understanding why it's so important why it's important to not miss. You know doses. And then talking about side effects, and what they can expect what's common. What's not common winter, call drug interactions? So we kind of break it break it down. I've for many patients that have listened listen medications because these are just your heart meds. And then you have every other doctor that you see that's probably prescribing other medications as well. So putting together even a list for patients. When do I take this medication? I get that question a lot. Do I have to take it at a particular time? Does it have to be spaced out from other medications? Should it be in the morning? Should it be in the evening? So putting together a table for a patient. You know, what the medication is when to take it how to take it. And why am I taking it and give to the patient to take home? So they can keep that organized one thing that you kind of for lack of a better term police is a term that we use called adherence, and you want to make sure that they are taking their medications. And and this is the whole part of building up the routine. Because the scary part is is you you hear a folks that in their studies that come out all the time of patients who don't fill up their prescriptions afterwards, and how that increases their risk of death or a a second heart attack people who start feeling fine and say, hey, I feel much better. Now, I I don't need to take this medicine anymore. I it should be okay. That these particular prescriptions or medicines that are prescribed to you. It's not like that Flintstone vitamin or the Nyquil that you took to get out of cold and flu season that these these are now important factors in in keeping you alive. Absolutely non adherence is kind of an epidemic. So not taking your prescription as prescribed. It's a real issue in the country leads to a lot of adverse hospitalizations. It's costly. So yeah, these are these medications that are on for a good reason. So it's important to understand what that reason is. And if there is an issue if you can't take that medication if you're having a bad reaction, if you have a concern, it's important to talk to your provider to see if there's an alternative or understand if you're not taking that medication. What riskier putting onto your onto yourself by skipping it? Right. And I remember going out to dinner with my grandmother and her talking about needing to take her heart else. You know, all the time. And literally pull out bottles of things that she needed to take and looking at them, and as a young person, I would look at the labels and realize that, you know, nowadays in the main question, I have here is the importance of keeping all of your prescriptions with one pharmacy because to me I was looking at these and going. Wow, you go all over town to get these medicines. Are they that rare to find? Yeah. We encourage patients to go to one pharmacy. Sometimes they have a local pharmacy and then a mail order pharmacy. But it is important to have all of your prescriptions in one place if possible because the pharmacist who's filling your prescriptions can see what you're taking. They can make sure that there's no interactions that they're safe to take together. There's no duplicate of therapy. So a lot of times one doctor may be giving you a as we talked about beta blocker, and your other doctor doesn't know that. And they're giving you a beta blocker. And then you take both in your blood pressure drops. And you wonder why you know, so so it if you can it's best to try to keep all of your prescriptions at one pharmacy. Gotcha. Now, let's say you have a question, and we were talking about this earlier this week. I'm like, oh, I can't wait to get on the radio and have this conversation. You know ordering drugs from Canada. It seems to be a very popular thing. People are paying these high these high prices here, and I even said you well, if it's the same thing, how could it be different? But it's not the same thing as it. We don't know and there's risk of. So the US does we the US spends more money on drug costs? I think I read that we pay like three times the med cost of other countries for the same medication. A lot of manufacturers produce the medication and then ship some to Canada ships them to the US. The the issue is that we don't necessarily if your order going online ordering a medication. We the US cannot regulate what that is. So it may be a counterfeit it might not be the actual medication. It might have. Less active ingredient active medication in it. It might have other harmful kind of additives in it. So because it's not being sold and produced or you know, being dispensed from the United States, the FDA cannot guarantee the regulation. I mean, essentially, it is a legal to to do so to order medications from another country. I'm a lot of the pharmacies. Online are not. Regulated or not enlisted with the United with our country. So. So I think my take home message would be if you're going to order online from pharmacy website, Goethe reliable pharmacies. The some of the big names. A pharmacies. But I would I would not order medications. Even though it may be. It may be, you know, cheap tractive because it's cheaper the other thing that I was reading and maybe this just a way to justify it. But in the US, we pay more for brand new medications that then when they turn generic they get cheaper and more for -able, whereas in other countries their pain, they're not getting the generics. As fast as the United States is. So like, you knew where I was going with this because I grew up in Arizona, very close to the Mexican border, and we would go into Mexico all the time. And that's where we would get all of our our prescriptions. My dad fluent in Spanish, and so he would go I remember going in and coming back to the US side with with our pills. And now after the conversation that we had had I'm like, oh, I wonder if I was really taken one hundred percent of what that that medication was penicillin usually. Obviously, I'm okay now, but folks are seeking cheaper alternatives lower price alternative. So you probably get this question a lot. What is the difference between a generic prescription in that brand name? So when a medication I comes to market, it's going to be brand name only. So the researching company the pharmaceutical companies spent a lot of money researching that medication developing at getting FDA approval bringing it to market ensure it's safe and effective. So that's costly that caused millions of dollars that whole process. So initially as its brand name, it has to be, you know, it's going to be costly now after a certain amount of time when the patent expires it can go to generic which makes it. Cheaper. So that loses kind of its fancy name. But it still has the same original compound. So we could be talking about something like aspirin, which now is a headache relieve, you know, when you look at the two labels at the pharmacy. There's the brand name aspirin. But now there's the the store brand version of that which is the generic in the surveys. Okay. So when talking about generics, and you know for I guess speaking more towards the prescription. So let's say you were on tour, which is a stat. In generic is a tour of astatine will now you can get the brand name Lipitor, which is going to be higher co pay than a tortoise Staten, which will be less of a copay. So the FDA still reviews generic medications that has to meet criteria to make sure it's active ingredients are pure and stable as the original drug. They have to make sure they're effective. They do all of the different studies looking at how it's broken down in your body, how it's eliminated the concentration FDA will go inspect the manufacturing plants. So there is still a lot of regulations in place for these generic medications the the place where they may differ is the inactive ingredients so some of the preservatives, the fillers or the dyes that are included in generic medications may differ from brand new. So this comes into play sometimes patients, they'll be on brand name the generic comes out. So the pharmacy automatically fills the generic and will start taking it and say, you know, I just I feel different. I feel like this isn't working, although it's the same medication. I can't take this generic. And so and so that could be why. So if we're talking about mom who had a heart attack. Now, I understand that she could be getting up to five different medications that are going to be prescribed to her what the differences between a generic or the brand name that the doctor is prescribing the importance of having one pharmacy to pick up all moms medicines app. Let's get to this other big question the side effects issue. How do you know when you are actually allergic or have a reaction or one of the side effect issues that is in that very long? Disclaimer that we tend to see in the television commercials through remember in the television commercials and even in the the information the pharmacy gives you less every single possible reaction that's been report. So it's important to look at. Well, what were the percentages? Are we talking twenty percent or like point one percent of patients? You mentioned. So the allergy versus a side effect is basically. An unwanted effect of of the medication. They can be different for every patient. They can differ depending on your age your.
"ace inhibitor" Discussed on BizTalk Radio
"Mean it was like really extremely the differences so and then the more i was taking the product i noticed that it started to go down and down in down so i don't know what's your blood pressure now ira well the swimming over seventy seven it had been men sixty downtown and again people like yourself everybody was really skeptical and then let me just sort of say the reason this works because there is a medical reason to it and if you go to the doctor for high blood pressure they will give you three or four kinds of medication the first they will give you as a diary in our drink high viscous is a diabetic except our high viscous retains potassium they will give you an ace inhibitor that's what the medication is in orange drink tomek greenwich us is an ace inhibitor they will give you a calcium channel blocker an orange drink magnesium there you go so we have really moore all the medications naturally drink and i think that's the medical reason it works so tell me now where you are with this project because as an entrepreneur this is an expensive undertaking to make a brand new to start a brand new category i i mean what what's the product called the website is one twenty life dot com why did you make one twenty one twenty.
"ace inhibitor" Discussed on KDWN 720AM
"An anti attention blocker an ace inhibitor or an aarp that stops that mechanism from causing blood pressure spikes those are very very good medications and so it depends on what you need we'll use those medications now what's a stroke if you don't control your blood pressure or if you're prone to getting clots you're gonna stop blood flow to the brain we've talked about that you have a schemic strokes which are most common and then you have hemorrhagic strokes eighty percent of all strokes are these it's like a class kind of like a heart attack except to the brain tissue plaques come from arteriosclerosis they could break off smaller vessels of the brain hemorrhagic strokes is where you're going to bleed in the brain so you lose blood flow to the brain seat belts in the brain tissue etc and so the signs of a stroke or pretty scary stuff sometimes the speech will be slurred the texting we'll come out very off if you're like what am i wife text me remember somebody diagnose a stroke in his wife because the texts were all garbled if you have weakness on one side of the body if he loses balance if you have numbness on said the body if you have vision issues headache facial droop so these are things that could be a a stroke so we need to treat it if you have an schemic stroke we're going to be giving you aspirin and probably tissue plasminogen activator we are going to want to remove and dissolve that clot immediately we surgically remove them sometimes will dilate the arteries bring blood flow to the brain but the hemorrhagic stroke however we gotta stop the bleat and then we have to improve flow to the brain we may bypass the vessel we may clog the agritourism with quarterly like in a vascular embolism asian of sorts of things but i mean we need to work quickly so you think somebody's having a stroke one the american stroke association uses the acronym called fast facial drooping arm weakness speech difficulty in time to call nine one one so if you guys remember fast for the face arm the speech time to call nine one one.
"ace inhibitor" Discussed on KQED Radio
"Blood pressure was one thirty nine over ninety they prescribed an ace inhibitor it worked much fewer headaches now that i'm retired much lower blood pressure went off the medication no more headaches of that type that's interesting to igf migraines so i might what its lots of my doctor about the two temer but itself like a lot of folks like temer may a needed makes a variety of lifestyle changes temer mentioned when she stopped working her blood pressure went down which i think is something she should discuss whether old boss and then be they're all these other factors that kid come into play in hypertension this is a complicated problem to solve it sure is and there's a lot of genetic basis for high blood pressure there and there's not one high blood pressure gene that how much sought people eat fx blood pressure in many people stress affects blood pressure in some people and not in others the foods they eat and can affect their blood pressure upper down and how they respond to stress can be affected migraines are somehow associated with blood pressure although it's not entirely clear and there are different different genetic they cease for these that's why there are so many blood pressure drugs on the market as well some people respond to the asem have better some people do well the just a diuretic which basically get some of the fluid out of your system other people have to use the betablocker drugs it's different for every person what's the sense that you get from the medical establishment of how people are doing with controlling their blood pressure clearly cardiovascular diseases the world's numberone killer so we may not be doing very well but it's also i think easier for people to think about popping a pill as opposed to joining a jam or walking around the block or buying more fruits and vegetables what's the sense you get from doctors about how their patients are doing while again this is something that's different for every person joshua but one big problem is that people don't take their pels high blood pressure doesn't causes symptom uh the the one person who set a message and said you know i had headaches but that's not the usual symptom usually you don't feel bad when you have high blood pressure and that's a problem with getting people to take their drugs they don't feel bad if they forget to take.
"ace inhibitor" Discussed on KQED Radio
"Blood pressure was one thirty nine over ninety be prescribed an ace inhibitor it worked much fewer headaches now that i'm retired much lower blood pressure went off the medication no more headaches of that type that's interesting to i'd get migraine so i might wanted sought to my doctor about the toot samra but it sounds like a lot of folks like temer may a need to makes a variety of lifestyle changes temer mentioned when she stopped working her blood pressure went down which i think is something she should discuss whether old boss and then be they're all these other factors that could come into play in need pretension this is a complicated problem to solve it sure ends and there's a lot of genetic basis for high blood pressure there there's not one high blood pressure gene how much sought people eat fx blood pressure in many people stress affects blood pressure in some people and not in others the food they eat and can affect their blood pressure upper down and how they respond to stress can be affected migraines are somehow associated with blood pressure although it's not entirely clear and they are different different genetic basi's for these that's why there are so many blood pressure drugs on the market as well some people respond to the ason have better some people do well with just a diuretic which basically get some of the fluid out if your system other people have to use the betablocker drugs it's different for every person what's the sense that you get from the medical establishment of how people are doing with controlling your blood pressure clearly cardiovascular diseases the world's numberone killer so we may not be doing very well but it's also i think easier for people to think about developing official as opposed to joining a germ or walking around the block or buying more fruits and vegetables what's the sense you get from doctors about how their patients are doing well again this is something that's different for every person joshua but one big problem is that people don't take their pels high blood pressure doesn't causes symptom uh the the one person who said a message and said you know i had headaches but that's not the usual symptom usually you don't feel bad when you have high blood pressure and that's a problem with getting people to take their drugs they don't feel bad if they forget to take.
"ace inhibitor" Discussed on NEJM This Week - Audio Summaries
"Among adolescents with type one diabetes rapid increases in albumin excretion during puberty preseed the development of micro albumen urea and macro albany area longterm risk factors for renal and cardiovascular disease the study evaluated the effects of ngo tents in converting enzyme ace inhibitors and statins in four thousand four hundred seven adolescent patients with high albumen to creatine ratios the primary outcome of the change in albumin excretion was not affected by ason hitter therapy statin therapy or the combination of the two the use of an ace inhibitor was associated with a lower incidence of micro albumen urea than the use of placebo in the context of negative findings for the primary outcome and statistical analysis plan this lower incidence was not considered significant statin use resulted in significant reductions in total low density lipoprotein annan highdensity lippo protein cholesterol levels in triglycerides levels and in the ratio of apolipoprotein b two apolipoprotein a one whereas neither drug head significant effects on karate kid intimate media thickness other cardiovascular markers the glimmer euler filtration rate war progression of retinopathy overall adherence to the drug regimen was 75 percent and serious adverse events were similar across the groups the use of an ace inhibitor and a staten did not change the albumen to create mean ratio over time effects of space flight on astronaut brain structure as indicated on mri by donald roberts from the medical university of south carolina charleston using mri these investigators compared images of 18 astronauts brains before and after missions of long duration involving stays on the international space station and of 16 astronauts brains before and after missions of short duration involving participation in the space shuttle program.
"ace inhibitor" Discussed on AFP: American Family Physician Podcast
"Right so some clues that you might be dealing with secondary hypertension include onset before thirty years of age indefinitely before puberty and acute rise in previously stable blood pressure readings and lastly severe or resistant hypertension defined as a blood pressure of greater than one eighty over one twenty or hypertension that persists despite three adequate antihypertensive the first thing to do is to look at a patients medication last so many medications like oral contraceptives and chemotherapy to agents supplements like licorice and alcohol can all caused an elevated blood pressure then focus on the most common causes of secondary hypertension across all eight ranges riina vascular hypertension kinney disease hyper aldostur doctrine is on an obstructive sleep apnea started saaf evan first up is reno vascular hypertension this is common in with atherosclerosis and young adults especially women it can also be caused by fiber a muscular displeasure think about it when you start a patient on an ace inhibitor or an ngo tents receptor blocker and they're creatine increases by fifty percent or if you here arenal brewery although frankly i don't think anyone ever actually hear this i who laughing of faith push because athens middle name is frank about got our listeners needed to know so there's nothing an evan doesn't do that's nandan frankly a k back to a serious topic here so it's controversial which diagnostic modalities best but the gold standard is and geography however doppler ultrasound is less expensive and noninvasive you could also consider capped approval renal isotope nuclear scan which has a fancy name and also a good sensitivity and specificity.
"ace inhibitor" Discussed on NEJM This Week - Audio Summaries
"Yet problems remain these methods are difficult expensive and not without risk jordan and colleagues report on a novel approach enzymatic destruction of preformed anti hla antibodies with the ijg degrading enzyme of streptococcus pya giannis i deaths although the result seem promising there are certainly concerns about the adverse events that may occur with a desk treatment of note the study did not include longterm follow up without doubt future randomized controlled trials that compare i deaths with other means of decreasing the levels of preformed antibodies and that follow the recipients longterm will be important my dasta in plus chemotherapy for acute myeloid leukemia with an f l t three mutation by richard stone from the danafarber cancer institute boston patients with acute myeloid leukemia a ml and in flt three mutation have poor outcomes my dasta in an oral multi targeted kind ace inhibitor is active in patients with an f l t three mutation in this study seven hundred and seventeen patients with acute myeloid leukemia and this mutation were randomly assigned to receive standard chemotherapy plus either my dostram or placebo rent position was stratified according to subtype of f l t three mutation overall survival was significantly longer in the my dasta in group than in the placebo group hazard ratio for death zero point seven eight as was event free survival hazard ratio for event or death zero point seven eight in both the primary analysis and and analysis in which data for patients who underwent transplantation were censored the benefit of my dasta ruin was consistent across all f l t three subtypes.