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Tham Lactic Acidosis

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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. msrsimpkin

    Well, I still wasn't sure if I was in Ketosis yet as I haven't noticed any of the signs. I read on here that the best place to get Ketostix is from Boots Pharmacy, so I popped along to Boots to pick some up.
    When I asked the woman at the Pharmacy counter she immediately looked concerned and asked if I was diabetic. I said No, so asked what they were for. So I told her they were for use while doing Atkins. I was told that they weren't allowed to sell them for that reason because they would be encouraging a very unhealthy and very dangerous way of loosing weight! -_-
    I tried a couple of different stores in the area, all with the same results and the same mini lecture and disapproving look! Until I'm the end I just lied and said they were for my sister in law (who does have diabetes). And still she was very reluctant to sell them to me.
    Okay, so I understand that if they genuinely think that Atkins is dangerous, they don't want to appear to be promoting it, but it's not like people aren't still going to follow Atkins just because you won't sell them some sticks to pee on!
    Sorry, rant over. Just wanted to share how stupid I thought it was!

  2. Wrinkly

    I'm almost sure that Boots has had to back down on their 'policy' before but don't bother with them msrsimpkin, I get mine from Amazon.

  3. MichelleT

    Boots in Bristol
    Think it was me that suggested Boots. I have bought them on 4 occasions from various Boots in Bristol, and never had the slightest problem, good job because I would have had something to say back if they had!! Yesterday I bought the Keto diastix because thats all they had, and still was sold them without a problem. How annoying that a shop assistant should be able to pass a judgement on something she/he probably knows nothing about!

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This is another in my how to series of making things. In this video I show you how to make a water ionization alkalization water unit using simple parts found around the house for around $20 to $30. I did this unit for my health, and to help me clean up 48 years of too many burgers and pizza, also to help me clean the fluoride and chlorine that many cities are putting into the public drinking water systems. I have been drinking the water I made in this unit for over a few weeks, with no harmful effects what so ever, I have however felt better, have more energy, and just a few days. After I started drinking my water I was able to cut my grass and still felt fine, where before I was dead, heck at one point I had to lay in my driveway to rest before I could get cleaned up. This video is intended for educational purposes only. So if you do decide to build one please do so at your own risk. The water made in this unit will result in a high PH ionized alkalized water which is said to balance the high acidic levels of your body. Note to date I do not own a digital ORP or PH level meter so I did the best I could with a chemical test unit I own. I advise anybody building one to purchase these items to get an accurate result of your water levels. Ok Ed, but what does PH and ORP mean? In simple terms PH = acid/alkaline balance = ionizing = O.R.P. (oxidation reduction potential) This is saying that when there are more H+ ions in water than OH- ions, it will read as acidic. When there are more OH- than H+, it's alkaline water. So acid or alkaline liquid is measured as pH, and pH is a measure of hydrogen ions (atoms).The more H+ in a liquid, the more 'acidic'. The more OH-, the more alkaline. What is a good level then? The fact is, most water ionizers will have an ORP reading of -300 to -600 at the 9.5 pH level most often used for drinking, but I have read that the body is not able to process anything over -350, and as the ORP goes to a stronger negative reading than -350 the body isn't able to process the excess. Drinking ionized water throughout the day, at any negative ORP level, gives the body a steady supply of antioxidants -- and minerals -- and hydration, so do not freak out if your water is at a -500 ORP. What is the reason then for drinking alkaline water? Some are reverse aging, more energy, there are too many to list, but the answer is out there on the internet please do the research. Lets just say our body is overloaded with acid type foods like burgers, beer, and soda, it needs help or it starts to rob bones and teeth, and yes, we actually erode our own skeleton to feed our acid habit. It can lead to gout which is painful I'll tell you what. Alkaline water helps to reduce the acid and help the body to balance, but reducing the burgers and beer should be the first step. Remember blood is 7.35 to 7.45 PH.

Efficient Extra- And Intracellular Alkalinization Improves Cardiovascular Functions In Severe Lactic Acidosis Induced By Hemorrhagic Shock | Anesthesiology | Asa Publications

Efficient Extra- and Intracellular Alkalinization Improves Cardiovascular Functions in Severe Lactic Acidosis Induced by Hemorrhagic Shock From the CHU Nancy, Service de Ranimation Mdicale Brabois, Pole Cardiovasculaire et Ranimation Mdicale, Hpital Brabois, Vandoeuvre les Nancy, France; Institut National de la Sant Et de la Recherche Mdicale (INSERM) U1116, Equipe 2, Facult de Mdecine, Vandoeuvre les Nancy, France; Universit de Lorraine, Nancy, France (A.K., N.D., and B.L.); INSERM U1116, Equipe 2, Facult de Mdecine, Vandoeuvre les Nancy, France; Universit de Lorraine, Nancy, France (N.S., K.I., and C.S.); and Critallographie, Rsonnance Magntique et Modlisation (CRM2), Unit Mdicale de Recherche (UMR), Centre National de la Recherche Scientifique (CNRS), Institut Jean Barriol, Facult des Sciences et Technologies, Vandoeuvre les Nancy, France; Universit de Lorraine, Nancy, France (J.-M.E. and S.L.). From the CHU Nancy, Service de Ranimation Mdicale Brabois, Pole Cardiovasculaire et Ranimation Mdicale, Hpital Brabois, Vandoeuvre les Nancy, France; Institut National de la Sant Et de la Recherche Mdicale (INSERM) U1116, Equipe 2, Facult de Mdecine, Vandoeuvre les Nancy, France; Univer Continue reading >>

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  1. Steve Rapaport

    Correlation isn't causation, so the question's presupposition of high blood sugar 'resulting' in diabetic coma is wrong. They both result from common causes.
    Diabetic coma (advanced diabetic ketoacidosis or DKA) is not the result of high blood sugar, but of low insulin and water levels. Low insulin levels lead to high blood sugar AND to ketoacidosis. Hence there's no minimum blood sugar level to watch for (though there may be for a given individual).
    The best way to avoid DKA is to keep insulin levels steady in the bloodstream, keep well hydrated, and keep small amounts of food in the system at all times.
    DKA is a result of the body demanding sugar for fuel, and being denied it through lack of insulin. The body burns fat instead, which produces ketone bodies as a byproduct. The ketones build up in blood, making it acid and highly concentrated. Concentrated blood sucks water out of cells by osmosis. Dehydration makes this worse. The ketones signal the liver that glucose is desperately needed, so it dumps stored glucose to help out, but in the absence of insulin this just makes things worse -- now the blood is full of ketones AND glucose, and even more highly concentrated. Both of these conditions will get worse until fast-acting insulin and missing electrolytes are added in carefully controlled doses, including a drip-feed for hydration and frequent recheck and adjustment of all those values.

  2. Suhail Malhotra

    First we must know that there are 2 types of diabetes.
    IDDM(insulin dependent diabetes mellitus) aka Type 1
    NIDDM( non insulin dependent diabetes mellitus) aka Type 2.
    Type 1 is due to loss of insulin secretion by pancreas as in destruction of pancreas.
    Type 2 is due to insulin resistance that is insulin secretion is ok but body cells don't respond to it.
    Now the comas in these two types are different to the extent that they are named differently.
    The coma of type 1 is called the DKA(diabetic ketoacidosis) and that of type 2 is HONK( hyperosmotic non ketotic coma) now known as HHS(hyperglycemic hyperosmolar state).
    DKA occurs in type 1 diabetes or situations simulating type 1 mechanism like when a patient forgets to take his dose of insulin or in states when patient is regular with insulin but the body needs more than normal as in cases of surgery or illness or pregnancy.
    Blood glucose ranges in DKA from 250 to 600 mg/dl( 13 to 33 mmol/l) with increased ketones in blood which being acidic drive the blood ph to acidic levels ( <7.3). Symptoms include vomiting,increased urination, increased thirst, abdominal pain,increased rate of respiration(Kussumaul breathing) and in the end coma.
    HONK or HHS is caused by type 2 diabetes or situations similar to it like relative insulin deficiency combined with inadequate fluid intake and often precipitated in patients with type2 DM and a concurrent illness.
    Blood glucose ranges from 600 to 1200 mg/dl (33 to 66 mmol/l). The blood ph is normal (>=7.3) as ketones are absent. Patient is lethargic with increased thirst and increased urination leading to coma.
    Symptoms absent in HONK are nausea, vomiting, abdominal pain and increased rate of respiration which were very much a part of DKA.

  3. Jae Won Joh

    If you are asking what blood sugar levels are commonly seen in diabetic coma[1], there is a very wide range. Patients naive to the condition typically present with blood glucoses around the 300s, while those with chronic poorly-managed diabetes can present with blood glucoses over 1000.
    [1] As Steve Rapaport already pointed out in his answer, the high glucose level is not, in and of itself, the problem.

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Metformin-associated Lactic Acidosis Following Intentional Overdose Successfully Treated With Tris-hydroxymethyl Aminomethane And Renal Replacement Therapy

Metformin-Associated Lactic Acidosis following Intentional Overdose Successfully Treated with Tris-Hydroxymethyl Aminomethane and Renal Replacement Therapy Ngan Lam ,1,2 Gurbir Sekhon ,3and Andrew A. House 1,3 1Division of Nephrology, Department of Medicine, Western University, London, ON, Canada N6A 3K7 2London Health Sciences Centre, Kidney Clinical Research Unit, Victoria Hospital, Westminster Tower 800 Commissioners Road East, London, ON, Canada N6A 4G5 3Department of Medicine, Western University, London, ON, Canada N6A 3K7 Received 19 February 2012; Accepted 6 May 2012 Academic Editors: Y.Fujigaki, D.Packham, A.Papagianni, and H.Schiffl Copyright 2012 Ngan Lam et al. This is an open access article distributed under the Creative Commons Attribution License , which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. A 43-year-old woman was brought to the hospital with severe metabolic acidosis (pH 6.56, bicarbonate 3 mmol/L, and lactate 18.4 mmol/L) and a serum creatinine of 162 mol/L with a serum potassium of 7.8 mmol/L. A delayed diagnosis of metformin-associated lactic acidosis was made, and she was treated wi Continue reading >>

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  1. obviousdscretion

    Just curious if any of the benefits of keto work if I'm eating high fat med protein but more than 20g carb/day?

  2. [deleted]

    I've been averaging about 60g carbs per day. Sometimes up to 80, sometimes as low as 20. In a month I've dropped 10 pounds (186 - 175) that wouldn't come off before even though I run and play soccer. Just switching to low carb, almost keto levels, has helped me lose weight and drop a pant size. You need to know your own body though, I've always known that carbs were my fastest way to put on weight, so cutting them back was a no brainer for me when I realized I wanted to lose weight.

  3. spanishgianni

    I did about 100 grams of carbs/day over a 4 month period. High fat. Lost 20 pounds, energy was good. And I got to eat so much fucking yogurt, I miss it so much...have to plan my day around a small bowl of Greek yogurt now, it's bullshit
    So yeah, weight loss and dairy are the benefits

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