Dallas Vein Specialists

Dallas Vein Specialists

Comments

New featured review on www.yellowpages.com
Dr. Whidden knows, and knows that he knows. A true professional.
https://bit.ly/3sCyGKs
New featured review on search.google.com
Dr. Whiddon is amazing and Im so grateful I found him. He and his team are professional and so nice and he cares about the results and patient satisfaction. I required extra treatments beyond the initial plan and he performed them at not additional cost, and assured me if after some more healing time I decided I needed more treatments that would be covered as well. Im so happy with my results, thank you!
https://bit.ly/2DP8UeP
Dallas Vein Specialists โ€“ take appropriate precautions in this time of the viral pandemic
A Disease of the Endothelium
Diet and Lifestyle Driving the Risks for COVID-19
How We Contract the Virus
Vaccine Hopes and Doubts
The Importance of SLEEP
Pre-existing Chronic Disease Puts COVID-19 Patients in Hospital
High Risk for COVID-19
COVID-19 Notes # 22

๐‡๐ข๐ ๐ก ๐‘๐ข๐ฌ๐ค ๐Ÿ๐ซ๐จ๐ฆ ๐‡๐ข๐ ๐ก ๐…๐ซ๐ฎ๐œ๐ญ๐จ๐ฌ๐ž ๐‚๐จ๐ซ๐ง ๐’๐ฒ๐ซ๐ฎ๐ฉ - ๐๐š๐ซ๐ญ ๐ˆ๐ˆ -- ๐‹๐ข๐ฏ๐ž๐ซ ๐ƒ๐š๐ฆ๐š๐ ๐ž

๐‡๐ข๐ ๐ก ๐…๐ซ๐ฎ๐œ๐ญ๐จ๐ฌ๐ž ๐‚๐จ๐ซ๐ง ๐’๐ฒ๐ซ๐ฎ๐ฉ (๐‡๐…๐‚๐’) became available about 40 years ago. It was cheap, available and easily transported. Processed foodstuffs had become labeled as โ€˜reduced fatโ€™, and instead of fat, food companies added sugar to make their products palatable. HFCS was and remains the easiest and cheapest additive for food companies to deliver this palatability. There is not one biochemical reaction in the human body that requires fructose, i.e. there is no need for fructose to be in our foods.

Fructose in small amounts, as found in fruit, is not a threat, but in high doses fructose is damaging to the body, especially the liver. Dr. Robert Lustig of UCSF, a pediatric neuroendocrinologist has been sounding the alarm for years about the dangers of consuming fructose in high amounts, think HFCS. He has written and talked extensively of the damage we are doing to ourselves and our children by our increasing consumption of HFCS. He believes that fructose is as bad as alcohol in causing the liver to store fat resulting in ๐Ÿ๐š๐ญ๐ญ๐ฒ ๐ฅ๐ข๐ฏ๐ž๐ซ ๐๐ข๐ฌ๐ž๐š๐ฌ๐ž, now alarmingly being increasingly seen in young children, and thus has detrimental effects beyond its calories in ways similar to ethanol (grain alcohol). Lustig has said, โ€œIndeed, the only distinction is that because fructose is not metabolized in the central nervous system, it does not exert the acute neuronal depression experienced by those imbibing ethanol. These metabolic and hedonic analogies argue that fructose should be thought of as โ€˜alcohol without the buzz!โ€™โ€

Fructose is not metabolized like glucose. As HFCS, fructose metabolites overwhelm the liverโ€™s capacity, which drives ๐ฅ๐ข๐ฉ๐จ๐ ๐ž๐ง๐ž๐ฌ๐ข๐ฌ(production of fats in the liver) and leads to ๐ก๐ž๐ฉ๐š๐ญ๐ข๐œ ๐ข๐ง๐ฌ๐ฎ๐ฅ๐ข๐ง ๐ซ๐ž๐ฌ๐ข๐ฌ๐ญ๐š๐ง๐œ๐ž, changes which cause chronic metabolic disease. (In the development of fatty liver, ๐ก๐ž๐ฉ๐š๐ญ๐ข๐œ ๐ฌ๐ญ๐ž๐š๐ญ๐จ๐ฌ๐ข๐ฌ, high fructose consumption again mimics high ethanol consumption. ๐‘ƒ๐‘Ž๐‘Ÿ๐‘Ž๐‘๐‘’๐‘™๐‘ ๐‘ข๐‘ : ๐‘‡โ„Ž๐‘’ ๐‘‘๐‘œ๐‘ ๐‘’ ๐‘‘๐‘’๐‘ก๐‘’๐‘Ÿ๐‘š๐‘–๐‘›๐‘’๐‘  ๐‘กโ„Ž๐‘’ ๐‘๐‘œ๐‘–๐‘ ๐‘œ๐‘›) The vicious cycle of hepatic insulin resistance, leading to increasing insulin secretion, leading to obesity, leading to worsening insulin resistance, finally leads to inadequate insulin secretion in relation to the degree of peripheral insulin resistance and ๐’•๐’š๐’‘๐’† 2 ๐’…๐’Š๐’‚๐’ƒ๐’†๐’•๐’†๐’”. All the while in the background fructose is driving changes in the brainโ€™s reward system undermining satiety with increased palatability and pushing for excessive consumption.

In summary of the prior Covid-19 and this one, # 22 and # 23,

๐‡๐…๐‚๐’ ๐ž๐Ÿ๐Ÿ๐ž๐œ๐ญ๐ฌ: ๐ก๐ฒ๐ฉ๐ž๐ซ๐ข๐ง๐ฌ๐ฎ๐ฅ๐ข๐ง๐ž๐ฆ๐ข๐š

๐จ๐ฑ๐ข๐๐š๐ญ๐ข๐ฏ๐ž ๐ฌ๐ญ๐ซ๐ž๐ฌ๐ฌ ๐ฐ๐ข๐ญ๐ก ๐ฉ๐ซ๐จ๐๐ฎ๐œ๐ญ๐ข๐จ๐ง ๐จ๐Ÿ ๐๐š๐ฆ๐š๐ ๐ข๐ง๐  ๐ซ๐š๐๐ข๐œ๐š๐ฅ๐ฌ (as in Covid-19)

๐Ÿ๐š๐ญ๐ญ๐ฒ ๐ฅ๐ข๐ฏ๐ž๐ซ (๐ก๐ž๐ฉ๐š๐ญ๐ข๐œ ๐ฌ๐ญ๐ž๐š๐ญ๐จ๐ฌ๐ข๐ฌ)

๐ข๐ง๐ฌ๐ฎ๐ฅ๐ข๐ง ๐ซ๐ž๐ฌ๐ข๐ฌ๐ญ๐š๐ง๐œ๐ž(a Covid-19 comorbidity risk)

๐ฉ๐š๐ง๐œ๐ซ๐ž๐š๐ญ๐ข๐œ ๐›๐ž๐ญ๐š ๐œ๐ž๐ฅ๐ฅ ๐ž๐ฑ๐ก๐š๐ฎ๐ฌ๐ญ๐ข๐จ๐ง (๐ซ๐ž๐๐ฎ๐œ๐ž๐ ๐ข๐ง๐ฌ๐ฎ๐ฅ๐ข๐ง ๐ฉ๐ซ๐จ๐๐ฎ๐œ๐ญ๐ข๐จ๐ง ๐ซ๐ž๐ฅ๐š๐ญ๐ข๐ฏ๐ž ๐ญ๐จ ๐ง๐ž๐ž๐)diabetes (a Covid-19 comorbidity risk)

๐จ๐›๐ž๐ฌ๐ข๐ญ๐ฒ (a Covid-19 comorbidity risk)

๐ž๐ฅ๐ž๐ฏ๐š๐ญ๐ž๐ ๐ญ๐ซ๐ข๐ ๐ฅ๐ฒ๐œ๐ž๐ซ๐ข๐๐ž๐ฌ, ๐ž๐ฅ๐ž๐ฏ๐š๐ญ๐ž๐ ๐‹๐ƒ๐‹ ๐š๐ง๐ ๐๐ž๐ฉ๐ซ๐ž๐ฌ๐ฌ๐ž๐ ๐‡๐ƒ๐‹ ๐œ๐ก๐จ๐ฅ๐ž๐ฌ๐ญ๐ž๐ซ๐จ๐ฅ ๐ฅ๐ž๐ฏ๐ž๐ฅ๐ฌ

๐ฆ๐ž๐ญ๐š๐›๐จ๐ฅ๐ข๐œ ๐ฌ๐ฒ๐ง๐๐ซ๐จ๐ฆ๐ž (a Covid-19 comorbidity risk)

So how do we avoid ๐‡๐…๐‚๐’ and all its detrimental effects? The simple answer is to begin to ๐‘๐„๐€๐ƒ ๐ˆ๐๐†๐‘๐„๐ƒ๐ˆ๐„๐๐“๐’ in anything we consider buying in food stores. Look for ๐ก๐ข๐ ๐ก ๐Ÿ๐ซ๐ฎ๐œ๐ญ๐จ๐ฌ๐ž ๐œ๐จ๐ซ๐ง ๐ฌ๐ฒ๐ซ๐ฎ๐ฉ (๐‡๐…๐‚๐’) or simply ๐œ๐จ๐ซ๐ง ๐ฌ๐ฒ๐ซ๐ฎ๐ฉ. Do not be tricked by big food companies and be aware that this additive may be listed under ๐จ๐ญ๐ก๐ž๐ซ ๐ง๐š๐ฆ๐ž๐ฌlisted below:

๐†๐ฅ๐ฎ๐œ๐จ๐ฌ๐ž-๐Ÿ๐ซ๐ฎ๐œ๐ญ๐จ๐ฌ๐ž

๐†๐ฅ๐ฎ๐œ๐จ๐ฌ๐ž-๐Ÿ๐ซ๐ฎ๐œ๐ญ๐จ๐ฌ๐ž ๐ฌ๐ฒ๐ซ๐ฎ๐ฉ

๐ˆ๐ฌ๐จ๐ ๐ฅ๐ฎ๐œ๐จ๐ฌ๐ž

๐…๐ซ๐ฎ๐œ๐ญ๐จ๐ฌ๐ž

๐๐š๐ญ๐ฎ๐ซ๐š๐ฅ ๐œ๐จ๐ซ๐ง ๐ฌ๐ฒ๐ซ๐ฎ๐ฉ

๐ˆ๐ฌ๐จ๐ฅ๐š๐ญ๐ž๐ ๐Ÿ๐ซ๐ฎ๐œ๐ญ๐จ๐ฌ๐ž

๐Œ๐š๐ข๐ณ๐ž ๐ฌ๐ฒ๐ซ๐ฎ๐ฉ

๐†๐ฅ๐ฎ๐œ๐จ๐ฌ๐ž/๐Ÿ๐ซ๐ฎ๐œ๐ญ๐จ๐ฌ๐ž ๐ฌ๐ฒ๐ซ๐ฎ๐ฉ

๐“๐š๐ฉ๐ข๐จ๐œ๐š ๐ฌ๐ฒ๐ซ๐ฎ๐ฉ

๐†๐ฅ๐ฎ๐œ๐จ๐ฌ๐ž ๐ฌ๐ฒ๐ซ๐ฎ๐ฉ

๐ƒ๐š๐ก๐ฅ๐ข๐š ๐ฌ๐ฒ๐ซ๐ฎ๐ฉ

๐…๐ซ๐ฎ๐ข๐ญ ๐Ÿ๐ซ๐ฎ๐œ๐ญ๐จ๐ฌ๐ž

๐‚๐ซ๐ฒ๐ฌ๐ญ๐š๐ฅ๐ฅ๐ข๐ง๐ž ๐Ÿ๐ซ๐ฎ๐œ๐ญ๐จ๐ฌ๐ž

Do not forget to check โ€œjuice cocktailsโ€, cereals, sodas, yogurt, salad dressings, granola/energy/nutrition bars, etc. You will be surprised by what you find.

Aesthetic phlebology using state-of-the-art treatments for Varicose Veins, Spider Veins and other Venous Disorders. Dr. Lonnie L. Whiddon is a vascular surgeon with more than 30 years experience.

Dr. Whiddon personally provides minimally-invasive vein treatment solutions, including Sclerotherapy and Laser Vein Removal, for Varicose veins, Spider veins, Leg veins, Veins on the face, Venous ulcers and more complex venous disorders.

Operating as usual

Timeline photos 03/31/2021

New featured review on www.yellowpages.com
Dr. Whidden knows, and knows that he knows. A true professional.
https://bit.ly/3sCyGKs

Timeline photos 01/30/2021

New featured review on search.google.com
Dr. Whiddon is amazing and Im so grateful I found him. He and his team are professional and so nice and he cares about the results and patient satisfaction. I required extra treatments beyond the initial plan and he performed them at not additional cost, and assured me if after some more healing time I decided I needed more treatments that would be covered as well. Im so happy with my results, thank you!
https://bit.ly/2DP8UeP

01/29/2021

dallasveinspecialists.com

Dallas Vein Specialists โ€“ take appropriate precautions in this time of the viral pandemic

dallasveinspecialists.com

Dallas Vein Specialists updated their business hours. 01/12/2021

Dallas Vein Specialists updated their business hours.

Dallas Vein Specialists updated their business hours.

A Disease of the Endothelium - Dallas Vein Specialists 08/31/2020

A Disease of the Endothelium - Dallas Vein Specialists

A Disease of the Endothelium

A Disease of the Endothelium - Dallas Vein Specialists More and more it seems that COVID-19 is a disease of the ENDOTHELIUM, the thin single layer of cells lining the inside of our arteries and veins. While the lung Read More

07/20/2020

dallasveinspecialists.com

Diet and Lifestyle Driving the Risks for COVID-19

dallasveinspecialists.com

How We Contract the Virus - Dallas Vein Specialists 07/20/2020

How We Contract the Virus - Dallas Vein Specialists

How We Contract the Virus

How We Contract the Virus - Dallas Vein Specialists AIRBORNE SOURCES A SNEEZE โ€“ releases about 30,000 droplets, traveling up to 200 miles per hour and may release as many as 200,000,000 (two hundred million) viral particles that are Read More

Vaccine Hopes and Doubts - Dallas Vein Specialists 07/20/2020

Vaccine Hopes and Doubts - Dallas Vein Specialists

Vaccine Hopes and Doubts

Vaccine Hopes and Doubts - Dallas Vein Specialists The genetic sequence of the COVID-19 virus (SARS COV 2) was first sequenced in laboratory in January of 2020. Since then huge efforts have been applied to progressing to a Read More

The Importance of SLEEP - Dallas Vein Specialists 07/17/2020

The Importance of SLEEP - Dallas Vein Specialists

The Importance of SLEEP

The Importance of SLEEP - Dallas Vein Specialists The Importance of Good Quality SLEEP In # 5 of this series of โ€˜COVID-19 Notesโ€™, on Diet and lifestyle, I discussed the importance of sleep to oneโ€™s healthy immunity status. Read More

Pre-existing Chronic Disease Puts COVID-19 Patients in Hospital - Dallas Vein Specialists 07/17/2020

Pre-existing Chronic Disease Puts COVID-19 Patients in Hospital - Dallas Vein Specialists

Pre-existing Chronic Disease Puts COVID-19 Patients in Hospital

Pre-existing Chronic Disease Puts COVID-19 Patients in Hospital - Dallas Vein Specialists A recent publication in the Journal of the American Medical Association detailed the pre-existing health of 5,700 patients who required in hospital care in the New York City area between Read More

High Risk for COVID-19 - Dallas Vein Specialists 07/07/2020

High Risk for COVID-19 - Dallas Vein Specialists

High Risk for COVID-19

High Risk for COVID-19 - Dallas Vein Specialists It is well recognized that pre-existing health conditions such as diabetes and heart disease put people at higher risk of COVID-19 complications and death. Advanced age also has been established Read More

06/30/2020

COVID-19 Notes # 22

๐‡๐ข๐ ๐ก ๐‘๐ข๐ฌ๐ค ๐Ÿ๐ซ๐จ๐ฆ ๐‡๐ข๐ ๐ก ๐…๐ซ๐ฎ๐œ๐ญ๐จ๐ฌ๐ž ๐‚๐จ๐ซ๐ง ๐’๐ฒ๐ซ๐ฎ๐ฉ - ๐๐š๐ซ๐ญ ๐ˆ๐ˆ -- ๐‹๐ข๐ฏ๐ž๐ซ ๐ƒ๐š๐ฆ๐š๐ ๐ž

๐‡๐ข๐ ๐ก ๐…๐ซ๐ฎ๐œ๐ญ๐จ๐ฌ๐ž ๐‚๐จ๐ซ๐ง ๐’๐ฒ๐ซ๐ฎ๐ฉ (๐‡๐…๐‚๐’) became available about 40 years ago. It was cheap, available and easily transported. Processed foodstuffs had become labeled as โ€˜reduced fatโ€™, and instead of fat, food companies added sugar to make their products palatable. HFCS was and remains the easiest and cheapest additive for food companies to deliver this palatability. There is not one biochemical reaction in the human body that requires fructose, i.e. there is no need for fructose to be in our foods.

Fructose in small amounts, as found in fruit, is not a threat, but in high doses fructose is damaging to the body, especially the liver. Dr. Robert Lustig of UCSF, a pediatric neuroendocrinologist has been sounding the alarm for years about the dangers of consuming fructose in high amounts, think HFCS. He has written and talked extensively of the damage we are doing to ourselves and our children by our increasing consumption of HFCS. He believes that fructose is as bad as alcohol in causing the liver to store fat resulting in ๐Ÿ๐š๐ญ๐ญ๐ฒ ๐ฅ๐ข๐ฏ๐ž๐ซ ๐๐ข๐ฌ๐ž๐š๐ฌ๐ž, now alarmingly being increasingly seen in young children, and thus has detrimental effects beyond its calories in ways similar to ethanol (grain alcohol). Lustig has said, โ€œIndeed, the only distinction is that because fructose is not metabolized in the central nervous system, it does not exert the acute neuronal depression experienced by those imbibing ethanol. These metabolic and hedonic analogies argue that fructose should be thought of as โ€˜alcohol without the buzz!โ€™โ€

Fructose is not metabolized like glucose. As HFCS, fructose metabolites overwhelm the liverโ€™s capacity, which drives ๐ฅ๐ข๐ฉ๐จ๐ ๐ž๐ง๐ž๐ฌ๐ข๐ฌ(production of fats in the liver) and leads to ๐ก๐ž๐ฉ๐š๐ญ๐ข๐œ ๐ข๐ง๐ฌ๐ฎ๐ฅ๐ข๐ง ๐ซ๐ž๐ฌ๐ข๐ฌ๐ญ๐š๐ง๐œ๐ž, changes which cause chronic metabolic disease. (In the development of fatty liver, ๐ก๐ž๐ฉ๐š๐ญ๐ข๐œ ๐ฌ๐ญ๐ž๐š๐ญ๐จ๐ฌ๐ข๐ฌ, high fructose consumption again mimics high ethanol consumption. ๐‘ƒ๐‘Ž๐‘Ÿ๐‘Ž๐‘๐‘’๐‘™๐‘ ๐‘ข๐‘ : ๐‘‡โ„Ž๐‘’ ๐‘‘๐‘œ๐‘ ๐‘’ ๐‘‘๐‘’๐‘ก๐‘’๐‘Ÿ๐‘š๐‘–๐‘›๐‘’๐‘  ๐‘กโ„Ž๐‘’ ๐‘๐‘œ๐‘–๐‘ ๐‘œ๐‘›) The vicious cycle of hepatic insulin resistance, leading to increasing insulin secretion, leading to obesity, leading to worsening insulin resistance, finally leads to inadequate insulin secretion in relation to the degree of peripheral insulin resistance and ๐’•๐’š๐’‘๐’† 2 ๐’…๐’Š๐’‚๐’ƒ๐’†๐’•๐’†๐’”. All the while in the background fructose is driving changes in the brainโ€™s reward system undermining satiety with increased palatability and pushing for excessive consumption.

In summary of the prior Covid-19 and this one, # 22 and # 23,

๐‡๐…๐‚๐’ ๐ž๐Ÿ๐Ÿ๐ž๐œ๐ญ๐ฌ: ๐ก๐ฒ๐ฉ๐ž๐ซ๐ข๐ง๐ฌ๐ฎ๐ฅ๐ข๐ง๐ž๐ฆ๐ข๐š

๐จ๐ฑ๐ข๐๐š๐ญ๐ข๐ฏ๐ž ๐ฌ๐ญ๐ซ๐ž๐ฌ๐ฌ ๐ฐ๐ข๐ญ๐ก ๐ฉ๐ซ๐จ๐๐ฎ๐œ๐ญ๐ข๐จ๐ง ๐จ๐Ÿ ๐๐š๐ฆ๐š๐ ๐ข๐ง๐  ๐ซ๐š๐๐ข๐œ๐š๐ฅ๐ฌ (as in Covid-19)

๐Ÿ๐š๐ญ๐ญ๐ฒ ๐ฅ๐ข๐ฏ๐ž๐ซ (๐ก๐ž๐ฉ๐š๐ญ๐ข๐œ ๐ฌ๐ญ๐ž๐š๐ญ๐จ๐ฌ๐ข๐ฌ)

๐ข๐ง๐ฌ๐ฎ๐ฅ๐ข๐ง ๐ซ๐ž๐ฌ๐ข๐ฌ๐ญ๐š๐ง๐œ๐ž(a Covid-19 comorbidity risk)

๐ฉ๐š๐ง๐œ๐ซ๐ž๐š๐ญ๐ข๐œ ๐›๐ž๐ญ๐š ๐œ๐ž๐ฅ๐ฅ ๐ž๐ฑ๐ก๐š๐ฎ๐ฌ๐ญ๐ข๐จ๐ง (๐ซ๐ž๐๐ฎ๐œ๐ž๐ ๐ข๐ง๐ฌ๐ฎ๐ฅ๐ข๐ง ๐ฉ๐ซ๐จ๐๐ฎ๐œ๐ญ๐ข๐จ๐ง ๐ซ๐ž๐ฅ๐š๐ญ๐ข๐ฏ๐ž ๐ญ๐จ ๐ง๐ž๐ž๐)diabetes (a Covid-19 comorbidity risk)

๐จ๐›๐ž๐ฌ๐ข๐ญ๐ฒ (a Covid-19 comorbidity risk)

๐ž๐ฅ๐ž๐ฏ๐š๐ญ๐ž๐ ๐ญ๐ซ๐ข๐ ๐ฅ๐ฒ๐œ๐ž๐ซ๐ข๐๐ž๐ฌ, ๐ž๐ฅ๐ž๐ฏ๐š๐ญ๐ž๐ ๐‹๐ƒ๐‹ ๐š๐ง๐ ๐๐ž๐ฉ๐ซ๐ž๐ฌ๐ฌ๐ž๐ ๐‡๐ƒ๐‹ ๐œ๐ก๐จ๐ฅ๐ž๐ฌ๐ญ๐ž๐ซ๐จ๐ฅ ๐ฅ๐ž๐ฏ๐ž๐ฅ๐ฌ

๐ฆ๐ž๐ญ๐š๐›๐จ๐ฅ๐ข๐œ ๐ฌ๐ฒ๐ง๐๐ซ๐จ๐ฆ๐ž (a Covid-19 comorbidity risk)

So how do we avoid ๐‡๐…๐‚๐’ and all its detrimental effects? The simple answer is to begin to ๐‘๐„๐€๐ƒ ๐ˆ๐๐†๐‘๐„๐ƒ๐ˆ๐„๐๐“๐’ in anything we consider buying in food stores. Look for ๐ก๐ข๐ ๐ก ๐Ÿ๐ซ๐ฎ๐œ๐ญ๐จ๐ฌ๐ž ๐œ๐จ๐ซ๐ง ๐ฌ๐ฒ๐ซ๐ฎ๐ฉ (๐‡๐…๐‚๐’) or simply ๐œ๐จ๐ซ๐ง ๐ฌ๐ฒ๐ซ๐ฎ๐ฉ. Do not be tricked by big food companies and be aware that this additive may be listed under ๐จ๐ญ๐ก๐ž๐ซ ๐ง๐š๐ฆ๐ž๐ฌlisted below:

๐†๐ฅ๐ฎ๐œ๐จ๐ฌ๐ž-๐Ÿ๐ซ๐ฎ๐œ๐ญ๐จ๐ฌ๐ž

๐†๐ฅ๐ฎ๐œ๐จ๐ฌ๐ž-๐Ÿ๐ซ๐ฎ๐œ๐ญ๐จ๐ฌ๐ž ๐ฌ๐ฒ๐ซ๐ฎ๐ฉ

๐ˆ๐ฌ๐จ๐ ๐ฅ๐ฎ๐œ๐จ๐ฌ๐ž

๐…๐ซ๐ฎ๐œ๐ญ๐จ๐ฌ๐ž

๐๐š๐ญ๐ฎ๐ซ๐š๐ฅ ๐œ๐จ๐ซ๐ง ๐ฌ๐ฒ๐ซ๐ฎ๐ฉ

๐ˆ๐ฌ๐จ๐ฅ๐š๐ญ๐ž๐ ๐Ÿ๐ซ๐ฎ๐œ๐ญ๐จ๐ฌ๐ž

๐Œ๐š๐ข๐ณ๐ž ๐ฌ๐ฒ๐ซ๐ฎ๐ฉ

๐†๐ฅ๐ฎ๐œ๐จ๐ฌ๐ž/๐Ÿ๐ซ๐ฎ๐œ๐ญ๐จ๐ฌ๐ž ๐ฌ๐ฒ๐ซ๐ฎ๐ฉ

๐“๐š๐ฉ๐ข๐จ๐œ๐š ๐ฌ๐ฒ๐ซ๐ฎ๐ฉ

๐†๐ฅ๐ฎ๐œ๐จ๐ฌ๐ž ๐ฌ๐ฒ๐ซ๐ฎ๐ฉ

๐ƒ๐š๐ก๐ฅ๐ข๐š ๐ฌ๐ฒ๐ซ๐ฎ๐ฉ

๐…๐ซ๐ฎ๐ข๐ญ ๐Ÿ๐ซ๐ฎ๐œ๐ญ๐จ๐ฌ๐ž

๐‚๐ซ๐ฒ๐ฌ๐ญ๐š๐ฅ๐ฅ๐ข๐ง๐ž ๐Ÿ๐ซ๐ฎ๐œ๐ญ๐จ๐ฌ๐ž

Do not forget to check โ€œjuice cocktailsโ€, cereals, sodas, yogurt, salad dressings, granola/energy/nutrition bars, etc. You will be surprised by what you find.

06/29/2020

COVID-19 Notes # 22

๐‡๐ข๐ ๐ก ๐‘๐ข๐ฌ๐ค ๐Ÿ๐ซ๐จ๐ฆ ๐‡๐ข๐ ๐ก ๐…๐ซ๐ฎ๐œ๐ญ๐จ๐ฌ๐ž ๐‚๐จ๐ซ๐ง ๐’๐ฒ๐ซ๐ฎ๐ฉ -- ๐๐š๐ซ๐ญ ๐ˆ

What would you do if you learned that an ingredient in most packaged foods and soft drinks enjoyed by both children and adults is degrading your health and making you more likely to be obese and have diabetes and in addition make you more susceptible to complications if you contract Covid-19? Well, if you are the โ€˜average Americanโ€™ you are eating ๐Ÿ๐Ÿ’.๐Ÿ•๐Ÿ– ๐ค๐  (๐Ÿ“๐Ÿ’.๐Ÿ“ ๐ฅ๐›๐ฌ) of this ingredient each year! That rate of consumption is higher than any other country in the world. And no one is speaking out about it, well, very few. I am referring to ๐‘ฏ๐‘ฐ๐‘ฎ๐‘ฏ ๐‘ญ๐‘น๐‘ผ๐‘ช๐‘ป๐‘ถ๐‘บ๐‘ฌ ๐‘ช๐‘ถ๐‘น๐‘ต ๐‘บ๐’€๐‘น๐‘ผ๐‘ท (๐‘ฏ๐‘ญ๐‘ช๐‘บ). America produces and consumes more of this toxic substance than any other country, and it is playing a major role in the exponential rise in obesity, prediabetes and diabetes in adults and children.

๐…๐ซ๐ฎ๐œ๐ญ๐จ๐ฌ๐ž is a naturally occurring substance found in many fruits and corn. When a molecule of ๐ ๐ฅ๐ฎ๐œ๐จ๐ฌ๐ž, derived from carbohydrates, combines with fructose, ๐ฌ๐ฎ๐œ๐ซ๐จ๐ฌ๐ž ๐จ๐ซ ๐ญ๐š๐›๐ฅ๐ž ๐ฌ๐ฎ๐ ๐š๐ซ is produced. Fructose derived from corn is made into a high concentration syrup (๐‡๐…๐‚๐’), which is a cheap sweetener used in the making of many foods. One only needs to read labels to see how many food items contain this sweetener. When we see how much worse this sweetener is for our bodies than either glucose or sucrose, the problem becomes obvious.

๐‡๐…๐‚๐’ consumption is growing exponentially, as is the increase in obesity, because fructose, a carbohydrate, has greater potential to cause obesity than either of the other 2 sugars, glucose and sucrose. Fructose in high concentrations (HFCS) complicates glucose metabolism, damages liver cells and causes changes in the lipid profile. Fructose increases insulin resistance and is now a recognized cause of pre-diabetes and diabetes. Fructose consumed in fruits does not have the impact seen with the concentrated HFCS, because the fiber in fruits promotes satiety and slows the absorption of the fructose. Fruit juice, on the other hand, lacks the fiber and allows more rapid absorption.

๐‡๐…๐‚๐’ has other harmful effects including changes seen in the first month of life where metabolic changes may endure the personโ€™s entire life. Children of mothers who consume fructose have been shown to have increased risk of high body weight, increased food intake, and increased insulin resistance. In animal studies, when rodents were fed fructose or sucrose with no difference in caloric intake in either group, the ones fed fructose gained more weight than those fed sucrose. The fructose fed rodents developed the pattern of abdominal fat accumulation and elevated triglyceride blood levels seen in the dangerous ๐ฆ๐ž๐ญ๐š๐›๐จ๐ฅ๐ข๐œ ๐ฌ๐ฒ๐ง๐๐ซ๐จ๐ฆ๐ž, a comorbidity in Covid-19 that is recognized to increase rates of complications and death.

๐‡๐…๐‚๐’ has been shown to have a strong systemic ๐ฉ๐ซ๐จ-๐ข๐ง๐Ÿ๐ฅ๐š๐ฆ๐ฆ๐š๐ญ๐จ๐ซ๐ฒ ๐ซ๐ž๐ฌ๐ฉ๐จ๐ง๐ฌ๐ž with an increase in circulating inflammation factors also seen in critically ill Covid-19 patients. These factors are implicated in the hyper-immune response (โ€˜cytokine stormโ€™) in the worst cases of Covid-19. In addition, HFCS impairs the antioxidant system that helps to keep in check the hyper-immune reaction that releases the damaging radicals that in Covid-19 is believed to cause the ARDS and vascular endothelial damage leading to vascular thrombosis and poor outcomes. This strong pro-inflammatory response results in ๐จ๐ฑ๐ข๐๐š๐ญ๐ข๐ฏ๐ž ๐ฌ๐ญ๐ซ๐ž๐ฌ๐ฌ and generates the release of some of the same damaging agents implicated in the hyper-immune response (โ€˜cytokine stormโ€™) seen in the worst cases of Covid-19.

Tomorrow, more on ๐‡๐ข๐ ๐ก ๐…๐ซ๐ฎ๐œ๐ญ๐จ๐ฌ๐ž ๐‚๐จ๐ซ๐ง ๐’๐ฒ๐ซ๐ฎ๐ฉ ๐š๐ง๐ ๐‹๐ข๐ฏ๐ž๐ซ ๐ƒ๐š๐ฆ๐š๐ ๐ž.

06/18/2020

COVID โ€“ 19 Notes # 21

๐‡๐ž๐ฅ๐ฉ ๐Ÿ๐จ๐ซ ๐’๐ข๐œ๐ค ๐‚๐จ๐ฏ๐ข๐ ๐๐š๐ญ๐ข๐ž๐ง๐ญ๐ฌ ๐›๐ฎ๐ญ ๐๐จ ๐’๐ข๐ฅ๐ฏ๐ž๐ซ ๐๐ฎ๐ฅ๐ฅ๐ž๐ญ

This week we heard about the Recovery Trial findings in the article, โ€œLow-cost dexamethasone reduces death by up to one-third in hospitalized patients with severe respiratory complications of COVID-19โ€. ๐ƒ๐ž๐ฑ๐š๐ฆ๐ž๐ญ๐ก๐š๐ฌ๐จ๐ง๐ž is a steroid that was approved for medical use in 1961. It is readily available and is relatively inexpensive. Steroids have been used in a wide range of illnesses that are linked to inflammation among other conditions. In spite of this the World Health Organization disparaged the use of steroids saying that steroid treatment of COVID-19 patients should only be used in clinical trials. Many treating physicians were influenced by this and reframed from using steroids even though the hyper-immune inflammatory response, so called โ€˜cytokine stormโ€™, they were seeing in sick hospitalized patients was the major contributor to mortality. But some physicians on the front line did use steroids and recognized the improvement in many seriously ill patients, many on ventilators. Dr. Paul Malik of Virginia is one such physician. He was impressed by his results and will probably publish his findings soon.

The study results released this week showed that in hospitalized patients needing oxygen therapy and given dexamethasone, the mortality was reduced 20% compared to a similar group not receiving dexamethasone. Put another way, 20 patients would need to be treated with dexamethasone in order to save one life {number needed to treat (NNT = 20)}. For patients on ventilators receiving dexamethasone, the reduction in mortality was 35% when compared to similar ventilator patients not treated with dexamethasone (NNT = 8 patients). By comparison the study of ๐‘๐ž๐ฆ๐๐ž๐ฌ๐ž๐ฏ๐ข๐ซ showed that 28 people would need to be treated in order to save one life (NNT = 28).

Now steroids will be used in more hospitalized COVID-19 patients, and another step in conquering this virus has been taken. This is no silver bullet, no cure. But it is progress.

06/08/2020

COVID โ€“ 19 Notes # 20

๐‡๐ฒ๐๐ซ๐จ๐ฑ๐ฒ๐œ๐ก๐ฅ๐จ๐ซ๐จ๐ช๐ฎ๐ข๐ง๐ž ๐“๐ซ๐ž๐š๐ญ๐ฆ๐ž๐ง๐ญ ๐ƒ๐š๐ญ๐š ๐š๐ง๐ ๐€ ๐’๐œ๐š๐ง๐๐š๐ฅ

In COVID-19 Notes, # 7 and # 16, I made the point that hydroxychloroquine and chloroquine must be given along with ๐™๐ˆ๐๐‚ in order for the intracellular activity to stop the replication of the virus. I also said that these combinations should be started ๐„๐€๐‘๐‹๐˜ before the viral replication creates an overwhelming burden and a hyper-immune response ensues. In ๐‘‡โ„Ž๐‘’ ๐ฟ๐‘Ž๐‘›๐‘๐‘’๐‘ก publication discussed below neither point was mentioned, and in fact Zinc was not listed as an agent administered. As you will read below the recent medical article that โ€˜put a nail in the coffinโ€™ of hydroxychloroquine for COVID-19 (SARS CoV-2) as one physician remarked, was terribly flawed and probably used fraudulent data. Please read on to fully understand the scandalous nature of this medical analysis, such that the authors of the article themselves rejected it after it was published.

On May 22 in the prestigious British medical journal, ๐‘‡โ„Ž๐‘’ ๐ฟ๐‘Ž๐‘›๐‘๐‘’๐‘ก, the findings of a multinational registry analysis of data from 671 hospitals on six continents composing more than 96,000 hospitalized patients treated with hydroxychloroquine or chloroquine with or without a macrolide (an antibiotic class that includes Azithromycin) and a control group that received none of these agents. The analysis was interpreted as follows, โ€œWe were unable to confirm a benefit of hydroxychloroquine or chloroquine, when used alone or with a macrolide, on in-hospital outcomes for COVID-19. Each of these drug regimens was associated with decreased in-hospital survival and an increased frequency of ventricular arrhythmias when used for treatment of COVID-19.โ€

Even though this was a retrospective study, it was hailed as the end of the controversy about these drugs for the treatment of the virus. The WHO stopped its planned prospective study of the drugs. Then doubts began when investigators, seeking more information about the little-known data collection company, Surgisphere, found discrepancies and raised questions about its data authenticity and honesty. This led the authors of the study to request the data base for their review, and when Surgisphere refused, the authors requested ๐‘‡โ„Ž๐‘’ ๐ฟ๐‘Ž๐‘›๐‘๐‘’๐‘ก retract the article, which was done.

Still many fine and reputable physicians on the front line who have treated hundreds, if not thousands, of COVID-19 patients persist in their claim of the excellent results with these agents (plus zinc) in all ages and with all comorbidities, some having large series without a single mortality. They testify to hydroxychloroquineโ€™s safety as well.

In time we will have more studies about the combination of hydroxychloroquine, azithromycin, and zinc. The hope is a large randomized prospective double-blind trial, designed well and honestly carried out, will give us definitive answers. In the meantime, there are some good studies, among then a believable French study, that show when the agents are given early with ZINC, bad outcomes are avoided and patients do well. Unfortunately, politics has had an impact on this issue, and alarms have been raised about the safety of hydroxychloroquine and chloroquine. These medications have been around for decades and millions of people have benefited from them. My son and I took chloroquine as an antimalarial while on extensive safaris in East Africa on several occasions. We, like many others, suffered no bad effects and were protected from malaria in areas where it was rampant.

05/27/2020

COVID-19 Notes # 19

๐“๐ก๐ž ๐ƒ๐ž๐š๐ ๐“๐ž๐š๐œ๐ก ๐ญ๐ก๐ž ๐‹๐ข๐ฏ๐ข๐ง๐ 

Over the door of autopsy rooms often seen in earlier days was the Latin inscription ๐‘€๐‘œ๐‘Ÿ๐‘ก๐‘ข๐‘– ๐‘ฃ๐‘–๐‘ฃ๐‘œ๐‘  ๐‘‘๐‘œ๐‘๐‘’๐‘›๐‘กโ€ฆ the dead teach the living.

On April 29 in ๐‚๐Ž๐•๐ˆ๐ƒ-๐Ÿ๐Ÿ— ๐๐จ๐ญ๐ž๐ฌ #๐Ÿ”, ๐‘‡โ„Ž๐‘Ÿ๐‘œ๐‘š๐‘๐‘œ๐‘ ๐‘–๐‘  ๐‘Ž๐‘›๐‘‘ ๐‘†๐‘ก๐‘Ÿ๐‘œ๐‘˜๐‘’๐‘  and on May 4, #๐Ÿ— ๐ด ๐ท๐‘–๐‘ ๐‘’๐‘Ž๐‘ ๐‘’ ๐‘œ๐‘“ ๐‘กโ„Ž๐‘’ ๐ธ๐‘›๐‘‘๐‘œ๐‘กโ„Ž๐‘’๐‘™๐‘–๐‘ข๐‘š, I wrote of the vasculature, i.e. the arteries and veins being affected by the virus at the endothelium, which is the single cell layer lining the inside of the arteries, veins and every capillary within the human body. ACE2 receptors on these endothelial cells were hypothesized to be the sites of attachment of the virus instigating a series of events leading to ๐Ž๐—๐ˆ๐ƒ๐€๐“๐ˆ๐•๐„ ๐’๐“๐‘๐„๐’๐’, which I explained was the โ€œproduction of excess damaging radicals within the endothelial cells, a situation where the system is out of balance leading to more dysfunction and thrombosisโ€.

Last week on May 21, the ๐๐ž๐ฐ ๐„๐ง๐ ๐ฅ๐š๐ง๐ ๐‰๐จ๐ฎ๐ซ๐ง๐š๐ฅ ๐จ๐Ÿ ๐Œ๐ž๐๐ข๐œ๐ข๐ง๐ž published the article ๐‘ƒ๐‘ข๐‘™๐‘š๐‘œ๐‘›๐‘Ž๐‘Ÿ๐‘ฆ ๐‘‰๐‘Ž๐‘ ๐‘๐‘ข๐‘™๐‘Ž๐‘Ÿ ๐ธ๐‘›๐‘‘๐‘œ๐‘กโ„Ž๐‘’๐‘™๐‘–๐‘Ž๐‘™๐‘–๐‘ก๐‘–๐‘ , ๐‘‡โ„Ž๐‘Ÿ๐‘œ๐‘š๐‘๐‘œ๐‘ ๐‘–๐‘ , ๐‘Ž๐‘›๐‘‘ ๐ด๐‘›๐‘”๐‘–๐‘œ๐‘”๐‘’๐‘›๐‘’๐‘ ๐‘–๐‘  in Covid-19 in which the lungs of 7 patients who died from SARS Cov-2 (COVID-19) were studied. Photo micrographs and electron micrographs were included in the paper. These pathology studies were compared to those of lungs of patients who died of influenza-associated respiratory failure. The article stated in addition to diffuse damage to the lung tissue (alveolae), โ€œThe lungs from patients with Covid-19 also showed distinctive vascular features, consisting of severe endothelial injury associated with the presence of intracellular virus and disrupted cell membranes. Histologic analysis of pulmonary vessels in patients with Covid-19 showed widespread thrombosis with microangiopathy. Alveolar capillary microthrombi were 9 times as prevalent in patients with Covid-19.โ€ Electron microscopy โ€œshowed ultrastructure damage to the endothelium, as well as the presence of intracellular SARS-CoV-2. The virus could also be identified in the extracellular space.โ€

The article stressed the following 3 pathologic findings in the lungs of COVID-19 patients:

1. Severe endothelial injury with intracellular SARS-CoV-2 virus

2. Widespread vascular thrombosis

3. New vessel growth attempts (angiogenesis)

These autopsy studies support the hypothesis that the hypoxia (low oxygen levels of the blood) of COVID-19 is in large part because of the clotting in the pulmonary arteries and in the small vessels responsible for the uptake of oxygen from the lung alveolae. In this regard the clinical findings have appeared as if the patient is suffering from high altitude sickness, which results from severe vasoconstriction of the pulmonary arteries from the low atmospheric oxygen concentration. Whereas in high altitude sickness, descending to lower altitude and increasing oxygen intake will often relieve the problem, in the ARDS of COVID-19 patients, the administration of oxygen offers little relief because of the diffuse thrombotic obstruction of the vasculature of the lungs preventing the uptake of the oxygen. This was not recognized only a few months ago, when mechanical ventilation was thought to be the primary treatment for the unresponsive severe hypoxia of many hospitalized COVID-19 patients. Now we know more and are beginning to piece it all together, as the COVID-19 patients who have died are teaching us.

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