CONGESTIVE HEART FAILURE W/ HYPER TENSION AND DIABETES Hypertension and diabetes are known causes of congestive heart failure. Enhanced RBC aggregation (clumping together of red blood cells) has been found to be a cause of hypertension. This aggregation causes an increase in blood viscosity (stickiness or resistance of movement due to molecules attaching to each other), and impairs the micro circulation. The body offsets the aggregation by increasing cardiac output � blood pressure. Downside to this offset is elevated blood pressure. Some causes of enhanced RBC aggregation are: Stress � which causes an increase in blood fibrinogen levels which cause RBC aggregation, which increases blood viscosity. RBC aggregate only when they are cross-linked by long fibrinogen molecules. Hypoxia � (low oxygen levels) could be caused by sleep apnea and/or SMOKING. Diabetes - diabetics are found to have RBCs that are stiff and can�t fold or change shape to get through the small capillaries. Heart has to beat harder to push them through. It has been found that hypertension, itself, is not the disease. There are factors that cause it. One of those is diastolic dysfunction (dysfunction of the relaxation phase of the cardiac cycle). A great deal of cellular energy (ATP) is required for this function. Diastolic dysfunction has been found to be one of the earliest manifestations of heart failure. One of the most beneficial therapies for this is CO Q10 (which increases ATP levels). The heart muscle has the highest level of CO Q10 in the body. These levels start to naturally decrease at age 25-30. Statin drugs cause diastolic dysfunction by depleting CO Q10. People with diastolic dysfunction have been found to have major limitations in the ability to increase cardiac output. A way of helping to increase this would be exercise. However, exercise needs to be taken very slowly. In most cases, the heart rate and blood pressure are already elevated, and to raise them more could be detrimental. Exercise slowly, working up to tolerance. Be sure to take pulse and BP before and after exercise. CO Q10 will help build up exercise tolerance by increasing oxygenation and helping the heart to beat stronger instead of faster. CO Q10 replacement results in clinical improvement, in lowering elevated BP, improving diastolic dysfunction, decreasing myocardial thickness, and normalizing systolic function. In some cases, it has been found that people have been able to come off hypertensive drugs after 3-4 months, when taken in conjunction with exercise, dietary changes and other supplemental additions, decreasing stress and stopping smoking. Any cessation of medial drugs, however, should not be attempted without close monitoring by a physician. It has to be done gradually to avoid rapid or sudden drop in BP. Since studies show that hypertension plays a big role in congestive heart failure, the best adjunctive therapy would be to address the underlying causes of the hypertension. If you can get rid of that, then you should be able to keep the congestive heart failure in check. Once there is damage to the heart like that, I don�t believe it will totally regenerate. So, you will have to be very diligent with your lifestyle and diet. The above information is for educational purposes only. It is not meant to diagnose or treat any disease. Specific recommendations are as follows � but � be sure to read attached papers to go into more detail. CHANGE DIET/REDUCE WEIGHT � this is necessary not only for hypertension, but for diabetes. The best diet to follow is a diet with NO GRAIN whatsoever. The carbohydrates in the grains dramatically affect the insulin balance in the body. This in turn, cascades into many malfunctions. Elevated insulin levels program the body to store carbohydrates as fat instead of using them for energy. This is the primary cause of obesity. It is also the cause of diabetes. The body becomes insensitive to insulin. It is also best to limit all carbs for a period of about a month to initiate the switch in metabolism. This means cutting out fruit, potatoes, carrots, corn. Dairy should also be eliminated. It is a highly allergenic food and can promote inflammatory reactions in the body. After a month or so, you can slowly add in a few almonds, walnut, pumpkin seeds, sunflower seeds. Then, gradually add in very small amounts of blueberries, raspberries, or cherries. These particular fruits are very high in proanthocyanidins, which are very good for your heart and are good antioxidants. They also have a lower glycemic level. The best way to eat is have good proteins ( preferably organic, free range meat and poultry if possible- if it�s not possible, then just do what you can) and vegetables. Good lean red meat � only occasionally, if you�re not a blood type O. If you are an O, then you can eat red meat more often. Chicken and turkey are also good, as is salmon and other fish. Shell fish is not a good choice. Eggs are good to eat, and I strongly recommend free range in this case. It�s best to stay away from as many of the hormones, pesticides, and steroids as you can. I know it seems a hard thing to do, but, it really isn�t. Drink lots of water. Drink no diet sodas, aspartame is very toxic. Watch coffee. Try not to drink more than 1-2 cups, if that. Try herbal tea. Eat good protein at every meal. DO NOT worry about cutting out or eating low fat anything. Your body needs the good fat that comes naturally with the food. If it is taken in naturally with the food it is found in, then there will be no problems. STOP SMOKING � this will take care of the problem of HYPOXIA, which causes the RBC aggregation. Another way to work on the HYPOXIA problem is to get a watch that can chime on the hour. Set it, and every time it goes off, take 5-10 deep diaphragmatic breaths. This is done by inhaling deeply and slowly to a count of 4, through your nose, and � as you inhale, push out your abdomen. Be sure not to raise your shoulders. This way of breathing pulls your diaphragm down and gets the oxygen deeper into your lungs. Exhale slowly through your mouth to a count of 4. Do this 5-10 times every time your watch chimes. After a while you don�t need to do it so often, but, it is good at first. EXERCISE- walking is very good, but, as mentioned, start very slowly � all the while taking CO Q10 to help increase your endurance. The above information is for educational purposes only. It is not meant to diagnose or treat any illness. BENEFICIAL SUPPLEMENTS � A GOOD MULTI � no iron � basis for any nutritional program CO Q 10 � 100mg, 3 times a day. HOWEVER, start with 1 a day for 3-4 days, then go to 2 a day for 3-4 days, working up to 3 a day. All the while taking your blood pressure. This is if you are on hypertensive medication. It is best not to add too much too quickly, while taking medication. LECITHIN GRANULES � 1 T. Can just pop in your mouth. Found to be beneficial for emulsifying lipids in the blood and maintaining fluidity in the system. GARLIC � either eat a clove or two a day fresh, or get a deodorized capsule. Best if taking capsules to take 2-3 with each meal. This has been found to be very good for hypertension. It is somewhat a blood thinner, so this can help alleviate the RBC aggregation. If on prescription blood thinner or aspirin, you may want to try to decrease them or just not take the garlic. Don�t want to create a risk of bleeding or having internal hemorrhage. Best to also take this in lower amounts, increasing to the amount recommended. Too much all at once can cause intestinal distress. CARLSON FISH OIL � Take 1-2 T. a day. As usual, start small and work up. This has been found to be very good for hypertension and congestive heart failure. There is more information on this in the following papers. CALCIUM/MAGNESIUM � 2000mg cal./1000mg.mag. Found to be very beneficial in regulating heart function. Best to use either calcium citrate or hydroxyapatite. Take in divided doses and best to take with meals. Be sure you get some sunshine every day in order to facilitate the production of vitamin D which is important for the absorption of calcium. POTASSIUM � a very good way to take this would be to take 1 or 2 pkts of Emergen-C. This contains trace minerals and 200mg. of potassium which is very, very beneficial in heart function. Check to make sure your doctor hasn�t prescribed potassium for you already, though. I wouldn�t take prescription K and Emergen-C. This also contains 1000mg of vitamin C which is good for everyone. DIGESTIVE ENZYMES � 1-2 with each meal. If you are blood type O get one with no HCL, if any other blood type, get one with HCL. These are very important in the digestion and assimilation of all nutrients and supplements. Enzymes are also the catalyst of all metabolic activity in the body. Nothing functions without them, and they are depleted very quickly. The body doesn�t have an unlimited amount of them. When born, you have a set amount, if you continually use them by eating a poor diet, then the body doesn�t have enough to take care of the metabolic processes or running the body. The above information is for educational purposes only. It is not meant to diagnose or treat any illness. HAWTHORNE � this is the premier herbal heart tonic. It helps strengthen the heart muscle so it can pump stronger without raising the BP. It has been found to be very good in congestive heart failure. If using caps, use 1-2 three times a day. If using liquid, use a dropperful twice a day. The preceding information is for educational purposes only. It is not meant to diagnose or treat any illness. The information was derived from numerous sources � among them : Eat Right 4 Your Type- D�Adamo Live Right 4 Your Type- D�Adamo Disease Prevention and Treatment � Life Extension Foundation Nutritional Healing � Balch and Balch PDR for Nutritional Supplements PDR for Herbal Medicine