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Metabolic Acidosis In Sepsis Pathophysiology

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If you have a hard time feeling your pecs working when you bench press, THIS is for you. It's an excellent technique for forcing the pecs into a better position to contract when doing a bench press...and this will help you build a bigger chest faster! http://www.thebestchestexercises.com To use this technique, you'll need a bench and a single square Step riser/platform...(you'll likely have to raid the cardio section of your gym to find one of these). I got mine for dirt cheap at a garage sale and found it to be an extremely versatile piece of training equipment, beyond just doing stepping exercises. The elevation of the upper back forces the chest to expand due to the arch in the lower back. This helps get your shoulders back, which reduces their involvement in the press. (I also find that because my head is not pressing into the bench, the base of support is primarily the upper back, which tends to load the pecs a bit more effectively.) So essentially, instead of your chest being in a flat, pancake position (which can easily happen when pressing for more than 1 rep), your chest is puffed out and your pecs are in a MUCH better anatomical position to contract through the entire set. Famous bodybuilding trainer John Parrillo created a bench with this position in mind (chest forced to expand), called the Parrillo Arched Bench. This simple addition of the Step riser to a normal flat bench helps get you into that similar position for optimal chest development without needing to have the full bench (which is rare in gyms and can be hard to find). This exercise can also be done in the power rack using a barbell instead of dumbbells, though I do find dumbbells to be more effective for really feeling the pecs working on this exercise. You can also use this setup for dumbbell flyes for increased pec stretch and contraction. This is an excellent one to finish off your pecs, following the pressing. I like to hold the dumbbells at a 45 degree angle at the bottom...I find it much easier on my shoulder joints while still getting a great stretch at the bottom. You can keep the palms in a neutral position, if you prefer. This simple addition to your bench press will make a BIG difference in your pec development. Pull back on the heavy barbell training for a few weeks and put this one to work instead...you'll notice definite improvement in your pecs within a few short weeks! -------------------------------------------------------------------------- Want more training info like this? Make sure to subscribe to my YouTube channel and my Facebook page for more unique exercises and unconventional training methods: YouTube Channel http://www.youtube.com/subscription_c... Facebook http://www.facebook.com/nicknilssonma... Instagram https://www.instagram.com/nicknilsson1/ Websites http://www.fitstep.com http://www.madscientistofmuscle.com Nick Nilsson The Mad Scientist of Muscle -~-~~-~~~-~~-~- Want some killer bicep training? Watch: "Get Big Arms...Get a Raging Pump in Your Biceps With a Non-Stop Superset of Curls and Chins" https://www.youtube.com/watch?v=2X2Q9... -~-~~-~~~-~~-~-

Hemodynamic Consequences Of Severe Lactic Acidosis In Shock States: From Bench To Bedside

Hemodynamic consequences of severe lactic acidosis in shock states: from bench to bedside Kimmoun et al.; licensee BioMed Central.2015 The Erratum to this article has been published in Critical Care 2017 21:40 Lactic acidosis is a very common biological issue for shock patients. Experimental data clearly demonstrate that metabolic acidosis, including lactic acidosis, participates in the reduction of cardiac contractility and in the vascular hyporesponsiveness to vasopressors through various mechanisms. However, the contributions of each mechanism responsible for these deleterious effects have not been fully determined and their respective consequences on organ failure are still poorly defined, particularly in humans. Despite some convincing experimental data, no clinical trial has established the level at which pH becomes deleterious for hemodynamics. Consequently, the essential treatment for lactic acidosis in shock patients is to correct the cause. It is unknown, however, whether symptomatic pH correction is beneficial in shock patients. The latest Surviving Sepsis Campaign guidelines recommend against the use of buffer therapy with pH 7.15 and issue no recommendation for pH lev Continue reading >>

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  1. inhopesoflosing10

    I woke up this morning feeling sweaty and I could have sworn I smelled cat pee.
    Feeling a bit frightened that perhaps my cat had left me a surprise in my bedroom, I sniffed around but the smell followed me everywhere. That's when I gave myself a good sniff and voila, discovered that the odor was coming from me.
    Yay, I am "smelly cat" from Friends.
    Anywho, I was wondering if this is a sign of ketosis. I have heard that sweat and urine take on a fruity acetone odor, but I have never heard anyone describe it as cat pee before. Just a bit curious.
    Also, how do you manage to not um, reek when around other people? Body sprays and such are an obvious solution, but the way I am sweating....probably have to spray myself with half the bottle to cover up my litter box scent.
    On a positive note, I am feeling better. Have more energy and was able to jog last night. Only issue I had with jogging was that my stomach began to cramp. I am thinking that is possibly from dehydration so I am going to push more water and see if maybe my potassium levels are off.
    Hope everyone is having a great weekend!
    Sincerely,
    Stinky

  2. inhopesoflosing10

    Okay, now my pee smells like buttered popcorn. Maybe my sweat smelled like cat pee this morning because I had coffee way early in the morning with my breakfast before taking a nap.
    Perhaps the coffee seeped out through my sweat while I slept?
    Just scared me a bit. I read that it could be a sign of muscle being used as fuel due to carb intake being too low. I am not measuring the net carbs with the subtraction of the fiber grams, but measuring the grams of carbs as grams of carbs.
    The last two days my total daily carb intake has been extremely low, like 4% or lower.
    Wondering if I am eating too much protein and too little fat?
    According to ******.com my percentages are as follows:
    fat 63%, carbs 4%, protein 31% and fiber 5.2 grams
    That seems okay.
    Just don't want to make myself sick or so something dangerous. To top it all off I discovered that the Atkins book I ordered was the wrong one....so I put an order in for the DANDR which I am hoping will arrive here soon.
    Thank you all for reading

  3. Prodigy

    Try drinking more water. 8-10 8oz glasses a day should be fine. When in ketosis your body has to eliminate the ketones from the fat and you will smell different than normal. Your breath will smell bad as well...I just chew sugar free gum and brush several times a day. Once you are sufficiently hydrated the odors will be a lot better. Pick up the original Atkins book. It actually explains a lot of the science of this.

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To get mycotoxins out of your body, the best supplement is "Bind" from Systemic Formulas. It is an activated charcoal product. Here's a good anti-candida diet: http://www.myradiary.com/1214/candida.... 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 membership includes an initial 30 minute phone appointment with me or one of our practitioners. At that time, the practitioner will make a recommendation to you for diet modifications, supplements and the quantities that you should take. After the phone call, you are able to order supplements for a year, as needed, directly from our website and our app. We will then promptly ship the supplements out to you. Follow up phone calls with your practitioner are $125 for a 20 minute phone/SKYPE appointment. If you would like to move forward and take advantage of this opportunity, please call: (734) 302-7575 or email [email protected] to schedule your phone appointment, and make the $200 payment. You can reach us by phone Monday through Saturday 9am-5pm EST. To learn more about our office and clinical practice, go to: http://thenutritionalhealingcenter.com Since not everyone is fortunate enough to live within driving distance of Ann Arbor, Michigan, and many feel that an telephone/online consultation is not enough to meet their clinical needs, I am happy to offer you our Long Distance Patient Travel Package. The package is comprised of a series of appointments with myself or another practitioner that are time sensitive, and a time allowance of 48-72 hours in our beautiful city is required. Not only are your health issues of concern thoroughly evaluated, but you receive a comprehensive full body evaluation, two different computerized cardiac health tests, a great deal of teaching and health education, and leave with a program of diet modification and supplement support that the practitioner is confident will improve your health and quality of life. This program can initiate your relationship with our clinic, and be followed up with telephone/online consultations, or it can be incorporated into your already existing program with our clinic to further enhance the program you already have in place. The cost for the Long Distance Travel Package is $560 and includes everything mentioned above. We also have a relationship with a lovely landmark hotel conveniently located less than 2 miles from our office, that offers a reduced nightly rate to our patients. In the meantime, if you are truly interested in what we have to offer, please watch these 5 important videos of mine: https://www.youtube.com/playlist?list... If you find my info helpful, please visit my Patreon page. https://www.patreon.com/drdarrenschmi... We look forward to helping you feel your best! This statement has not been evaluated by the Food and Drug Administration. This product is not intended to diagnose, treat, cure or prevent any disease. UCC 1-308 without prejudice.

Causes Of Lactic Acidosis

INTRODUCTION AND DEFINITION Lactate levels greater than 2 mmol/L represent hyperlactatemia, whereas lactic acidosis is generally defined as a serum lactate concentration above 4 mmol/L. Lactic acidosis is the most common cause of metabolic acidosis in hospitalized patients. Although the acidosis is usually associated with an elevated anion gap, moderately increased lactate levels can be observed with a normal anion gap (especially if hypoalbuminemia exists and the anion gap is not appropriately corrected). When lactic acidosis exists as an isolated acid-base disturbance, the arterial pH is reduced. However, other coexisting disorders can raise the pH into the normal range or even generate an elevated pH. (See "Approach to the adult with metabolic acidosis", section on 'Assessment of the serum anion gap' and "Simple and mixed acid-base disorders".) Lactic acidosis occurs when lactic acid production exceeds lactic acid clearance. The increase in lactate production is usually caused by impaired tissue oxygenation, either from decreased oxygen delivery or a defect in mitochondrial oxygen utilization. (See "Approach to the adult with metabolic acidosis".) The pathophysiology and causes Continue reading >>

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  1. DCx

    night sweats

    i have been on an anabolic keto diet for about 2 months now. i eat mass fat and protein 5 days a week then carb up for two days during my off time.
    i have been experiencing horrible night sweating. i will wake up drenched. i often have to get out of bed and towel dry my head and flip or switch pillows.
    anyone else experience this? i googled night sweats and one of the most common causes is Hypoglycemia so is being in keto and having low blood glucose the cause?

  2. Paintball26

    I never really thought about looking it up
    It actually happened last night and it's happened a few times before, so I'd like some info if it's available

  3. sanan

    Originally Posted by DCx
    i have been on an anabolic keto diet for about 2 months now. i eat mass fat and protein 5 days a week then carb up for two days during my off time.
    i have been experiencing horrible night sweating. i will wake up drenched. i often have to get out of bed and towel dry my head and flip or switch pillows.
    anyone else experience this? i googled night sweats and one of the most common causes is Hypoglycemia so is being in keto and having low blood glucose the cause?

    too much fiber and/or calories can cause night sweating. might be the sodium increasing your heartrate as well. you may want check you diet on these.
    had this experience my self when I was on scivations "bulking for an endomorph" but went away when I changed diet.
    I start sweating myself when I eat a low carb meal over 600 calories

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Anion gap usmle - anion gap metabolic acidosis normal anion gap metabolic acidosis

Metabolic Acidosis: Pathophysiology, Diagnosis And Management: Management Of Metabolic Acidosis

Recommendations for the treatment of acute metabolic acidosis Gunnerson, K. J., Saul, M., He, S. & Kellum, J. Lactate versus non-lactate metabolic acidosis: a retrospective outcome evaluation of critically ill patients. Crit. Care Med. 10, R22-R32 (2006). Eustace, J. A., Astor, B., Muntner, P M., Ikizler, T. A. & Coresh, J. Prevalence of acidosis and inflammation and their association with low serum albumin in chronic kidney disease. Kidney Int. 65, 1031-1040 (2004). Kraut, J. A. & Kurtz, I. Metabolic acidosis of CKD: diagnosis, clinical characteristics, and treatment. Am. J. Kidney Dis. 45, 978-993 (2005). Kalantar-Zadeh, K., Mehrotra, R., Fouque, D. & Kopple, J. D. Metabolic acidosis and malnutrition-inflammation complex syndrome in chronic renal failure. Semin. Dial. 17, 455-465 (2004). Kraut, J. A. & Kurtz, I. Controversies in the treatment of acute metabolic acidosis. NephSAP 5, 1-9 (2006). Cohen, R. M., Feldman, G. M. & Fernandez, P C. The balance of acid base and charge in health and disease. Kidney Int. 52, 287-293 (1997). Rodriguez-Soriano, J. & Vallo, A. Renal tubular acidosis. Pediatr. Nephrol. 4, 268-275 (1990). Wagner, C. A., Devuyst, O., Bourgeois, S. & Mohebbi, N. R Continue reading >>

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  1. kickchickbecca

    can you go into starvation mode while on keto?

    Okay.. so ya'll can correct me if I'm wrong on this one..
    But when your body goes into starvation mode it's because you aren't fueling it enough.. not giving it enough energy..
    Well if your body is using fat for energy.. when you run out of fat that you're eating.. wouldn't your body just use the fat you already have instead of going to starvation mode?
    Or am I totally off..?

  2. Atavis

    Yes. Yes, you definately can go into starvation mode on keto.

  3. signature166

    Originally Posted by kickchickbecca
    Okay.. so ya'll can correct me if I'm wrong on this one..
    But when your body goes into starvation mode it's because you aren't fueling it enough.. not giving it enough energy..
    Well if your body is using fat for energy.. when you run out of fat that you're eating.. wouldn't your body just use the fat you already have instead of going to starvation mode?
    Or am I totally off..?

    Keto is similar to starvation mode in some interesting ways. Lyle writes about this in his book on the ketogenic diet.

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