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Lactic Acidosis Chf

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This is a compilation of data and a review of lactic acidosis, the most common mechanism of chronic disease. Know it backwards and forwards with your eyes closed. I made this video as a refresher. It answers how vegans and keto people can both have good results. I need to keep things in perspective and mention that vegans account for 0.5% of the population and vegetarians are 3.5%. On YouTube, vegans have a very big presence. Please like, share and subscribe to my YouTube page to get notifications whenever I post a new video! You have already taken the first step to better your health by watching my video! Next, I recommend that you join our Long Distance Patient Program so that you can get diet modification and supplement recommendations designed specifically for you by me or one of my fellow practitioners in our Ann Arbor, Michigan office. You have to be a patient of our office in order to receive supplements, per our distribution agreement with the producer of the Standard Process brand supplements. Becoming a Long Distance Patient as outlined below allows you that access. In order to be part of our online patient program, you would purchase an annual membership for $200. This m

What To Know About Lactic Acidosis

Lactic acidosis occurs when the body produces too much lactic acid and cannot metabolize it quickly enough. The condition can be a medical emergency. The onset of lactic acidosis might be rapid and occur within minutes or hours, or gradual, happening over a period of days. The best way to treat lactic acidosis is to find out what has caused it. Untreated lactic acidosis can result in severe and life-threatening complications. In some instances, these can escalate rapidly. It is not necessarily a medical emergency when caused by over-exercising. The prognosis for lactic acidosis will depend on its underlying cause. A blood test is used to diagnose the condition. Lactic acidosis symptoms that may indicate a medical emergency include a rapid heart rate and disorientaiton. Typically, symptoms of lactic acidosis do not stand out as distinct on their own but can be indicative of a variety of health issues. However, some symptoms known to occur in lactic acidosis indicate a medical emergency. shallow, rapid, or other breathing problems Lactic acidosis can occur in people whose kidneys are unable to get rid of excess acid. Even when not related to just a kidney condition, some peoples bod Continue reading >>

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Popular Questions

  1. wordsmithe

    So I just came back from the doctor and her jaw literally dropped when she saw my cholesterol levels.
    My hdl was 90, but my LDL was 372. She told me to stop ketoing immediately and start taking cholesterol pills.
    Has anyone had such a high cholesterol level? If so, did you guys take medication?
    EDIT I've been reading a lot about high LDL levels and low TG levels and how there are different types of lipids in our blood. I'm not going to take the medication at this point and take a VAP test to see what kind of lipids are in my bloodstream.
    Also, I think it would be helpful to post some basic information.
    25 male 72 KG (159 lbs) 173 cm (5'9) Keto for six months Usual macros 45/45/10
    Keto helped me lose fat and gain muscle. I've been grateful for having keto guide me to a healthier lifestyle, but I'm willing to give it up if my heart is at risk.

  2. gogge

    Some people have issues with saturated fat, dietary cholesterol, or keto.
    Thomas Dayspring talks about a similar case (but with confirmed high LDL particle count) in one of his articles, I posted this in another thread:
    Some people react badly to saturated fat and dietary cholesterol (hyperresponders, longer post), they can probably still do keto (depends on how sensitive they are) just don't overdo the coconut oil, butter (eat more olive/avocado/canola oil instead) and cut down on eggs.
    Others might do better on just general non-ketogenic low carb, check out this article from Thomas Dayspring (a lipidologist referenced by Peter Attia and Gary Taubes) with a case very similar to yours (formatted for readability):
    “I started eating paleo/low-carb (with dairy) in Apr 2011. I should add that my diet has never been ultra low-carb -- just lower-carb than most people. My last blood test before going paleo was in Nov 2010 and my past numbers have always been similar:”
    Total cholesterol = 196
    LDL-C =105
    HDL-C = 75
    TG = 78 (all in mg/dL)
    TSH = 2.15
    “I lost 30 pounds in about 3 months and have kept it off ever since. Today I weigh 124 and maintain my weight easily eating this way, even though I am menopausal.”
    The lipid panel was repeated on the new diet:
    TC = 323
    LDL-C = 230
    HDL-C 83
    TG 49 (all in mg/dL)
    Total LDL-P = 2643 nmol/L (99 th percentile population cut point)
    TG/HDL-C = 0.59 (poor man’s marker of insulin sensitivity) Under 2.0 is excellent
    Not great changes, very high LDL cholesterol similar to your reaction, and this likely also means very high LDL particle count.
    Here's what they did:
    The dietary advice was to cut back on saturated fat and use more MUFA and PUFA without increasing carbs. After doing just that for a few months the patient reports:
    “The only modifications I've made because of my high lipids are eating steel cut oats regularly, adding chia seeds to my diet, and eating apples regularly (to increase fiber levels); cutting out most dairy; and watching my saturated fat intake a little more closely--all aimed at getting my high LDL-P down.” Weight has remained stable.
    Here are the follow up labs:
    TC = 178
    LDL-C = 92 (was 230)
    HDL-C = 82
    TG = 21
    Non-HDL-C = 96 (all inmg/dL)
    Total LDL-P: 948 nmol/L (recall it was grossly elevated at 2643) < 1000 nmol/L (20 th percentile population cut point) is desirable
    Small LDL-P: < 90 nmol/L (normal)
    LDL Size: 21.4 nm (quite large)
    CRP was near 0.
    Thomas Dayspring, "Lipidaholics Anonymous Case 291 Can losing weight worsen lipids?"
    The article is a very long read, but it's also absolutely excellent at explaining why some people can react badly and what to really look for in a lipid test, and what to do about it when things look bad.

  3. wordsmithe

    Thanks for the extensive response. Im definitely going to take some time today to do more reading and research. Im still 50/50 on taking the medication, but I do feel better knowing otbers have had similar reactions from keto.

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https://www.facebook.com/drinkhealthy... - Do you want to learn how to get rid of lactic acid as an athlete, and start recovering quicker with more energy? Learn how to reduce lactic acid symptoms and increase your performance. Getting rid of lactic acid may be easier than you have imagined. Many professional athletes know the importance of eliminating lactic acid so they can recover quicker and perform at an optimal level. Start flushing out that lactic acid today! Many people suffer from lactic acidosis symptoms and are rigorously searching for a lactic acid treatment. More and more athletes are searching for solutions on how to get rid of lactic acid. In this video you will learn what a professional football player from the Seattle Seahawks is using to eliminate lactic acid after his workouts, practices, and NFL games. Learn how to make lactic acid a symptom of the past. Begin your journey to faster recovery today. See what the pro's are using to reduce lactic acid, recover quicker, and have more energy. Uncertain of what lactic is? Here is the definition https://en.wikipedia.org/wiki/Lactic_... Contact me for more information on getting rid of lactic acid FB: http://www.faceboo

Lactic Acidosis | Md Nexus

Cohen-Woods Classification of Lactic Acidosis Type A: due to decreased perfusion or oxygenation However, these may cause type A lactic acidosis in some cases Type B2: due to medication or intoxication Type B3: due to inborn error of metabolism Mitochondrial Encephalomyopathy + Lactic Acidosis + Stroke-Like Episodes (MELAS) Tumors May Benefit from Acidosis: acidic microenvironment is critical for tumorigenesis, angiogenesis, and metastasis Physiology: decreased lactate clearance (with severe liver metastases)+ increased glycolytic activity of tumor (Warburg Effect) + tissue tumor hypoxia Treatment: bicarbonate administration may increase lactic acid production Tumor Lysis Syndrome (see Tumor Lysis Syndrome , [[Tumor Lysis Syndrome]]) Anaphylaxis (see Anaphylaxis , [[Anaphylaxis]]) Physiology: decreased oxygen delivery to tissues + epinephrine-induced 2-adrenergic receptor stimulation Congestive Heart Failure (CHF)/Cardiogenic Shock (see Congestive Heart Failure , [[Congestive Heart Failure]] and Cardiogenic Shock , [[Cardiogenic Shock]]): common etiology of lactic acidosis Physiology: decreased oxygen delivery to tissues + epinephrine-induced 2-adrenergic receptor stimulation Hemor Continue reading >>

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Popular Questions

  1. Miss_Mielle

    I'm new to Keto, 33 days in, also new to Reddit. My appetite has decreased by the week, and have to remind myself to eat at this point. My stomach will growl eventually, but I drink a gallon of water a day, so the majority of the time my stomach has water in it which I'm sure decreases the hungry feeling. I've used MFP to log my food for a long time, and every day since I started Keto, but more and more not only do I not meet the calories it gives, but I don't hit 1200 either. I'm down 13 lbs from my starting weight even though I was eating WAY more carbs when I started than I do now (started at 100g and tapered down. I average 30-40 right now). Since obviously fat loss is the goal, and I'm trying to lose 113 lbs, Does it matter how many calories I eat or whether or not I eat at all?

  2. bidnow

    Yes, calories matter. But hormones matter more. Eat low carb and low calorie and you will lose weight. Pretty simple.

  3. JuneStrawberries

    Calories do matter.
    Hit your protein macro every day. Limit carbs and use fat as a lever to keep your deficit to about 20%.
    If you eat too little, you will effectively be crash dieting - not good!

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Lactate And Lactate Clearance In Acute Cardiac Care Patients

Lactate and lactate clearance in acute cardiac care patients Azienda Ospedaliero-Universitaria Careggi, Florence, Italy Paola Attan, Intensive Cardiac Care Unit, Heart and Vessel Department, Viale Morgagni 85, 50134 Florence, Italy. Email: [email protected]_aloap Received 2012 Feb 16; Accepted 2012 May 19. Copyright The European Society of Cardiology 2012 This article has been cited by other articles in PMC. Hyperlactataemia is commonly used as a diagnostic and prognostic tool in intensive care settings. Recent studies documented that serial lactate measurements over time (or lactate clearance), may be clinically more reliable than lactate absolute value for risk stratification in different pathological conditions. While the negative prognostic role of hyperlactataemia in several critical ill diseases (such as sepsis and trauma) is well established, data in patients with acute cardiac conditions (i.e. acute coronary syndromes) are scarce and controversial. The present paper provides an overview of the current available evidence on the clinical role of lactic acid levels and lactate clearance in acute cardiac settings (acute coronary syndromes, cardiogenic shock, cardiac surgery), foc Continue reading >>

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  1. teamzissous

    I made a post a little while back about having consistent bladder and or kidney pains whenever I was in ketosis. It took a while to correlate the pain with low carb (originally thought I may have a hernia, even a doctor thought so and ordered a CT scan, found nothing and gave up on me)
    One redditor (THANK YOU SoftwareMaven) suggested an acidic urine pH. After charting my pain and testing my urine with rapid response urinalysis strips I found that my urine was much too acidic, and it correlated with the pain.
    Apparently ketones tend to make your urine more acidic and you HAVE to balance out your protein/meat intake with alkalizing vegetables (fruits really help too) I've been following the PRAL food lists in order to help keep my urine more alkaline.
    It was also suggested that I try adding some baking soda (sodium bicarbonate) to some water if I was eating a particularly acidic forming meal, and IT WORKS!
    There are also some supplementary benefits of baking soda according to examine.com, it has the same benefits of supplementing with beta alanine (reduces muscle burn when taken 60-90 min before a workout) They also note that a study has shown it has no significant effect on your blood pressure, good to know.
    note: I make a point to drink a TON of water, but it is not sufficient to balance out my urine pH.
    TL;DR Thank you SoftwareMaven! Ketosis can make your urine too acidic causing kidney/bladder pain. Eat more alkalizing vegetables (and/or fruit). Also drinking baking soda and water with your acidic forming meal can also keep your pee balanced.

  2. emag

    It's interesting that acidic foods like lemon juice, orange juice, tomatoes, and vinegar all exert a base effect...

  3. happee

    What about coffee? It's pretty acidic, would it exert a base effect as well?

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