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Randall, You might try ginger before bed, especially when, "I can feel it coming, only real option is to try to stay awake all night.." There are some posts here on its use if you search on them. If you have a hard time finding them, let me know & I'll search them out. I used organic ginger powder (spice) and would take a tsp before bed. I started out taking a tablespooby GeorgeN - AFIBBERS FORUM
Shannon, Very well said! Georgeby GeorgeN - AFIBBERS FORUM
Hi Karen, In my opinion, it would be well worth your while for the extra 45 minutes for a consult. My cousin lives in the area. Five or six years ago, he told me he'd been to another EP in the area. From what he said, I thought he was getting poor advice. I strongly suggested a second opinion from Pinski. He was very grateful he did and had nothing but good things to say about him (aby GeorgeN - AFIBBERS FORUM
Karen, In your part of the world, I'd suggest seeing Sergio Pinski < at the Weston Cleveland Clinic. He was trained by Andrea Natale quite a few years ago and is one of the very gifted EP's. He would be on my short list. I'm sure others here would agree. Georgeby GeorgeN - AFIBBERS FORUM
John, With regard to mag, the late Dr. Herbert C. Mansmann (who spent the later part of his life as a mag researcher) talks about it a bit here: < In my case, I started supplementing about 9 years ago and my tolerance has increased since. I started out at 800 mg/day, which was not bowel tolerance. I've been doing the low carb, high fat diet for about 5 years and really pushed the boby GeorgeN - AFIBBERS FORUM
Sam, If you generally have low insulin levels - the primary way would be a diet with less than 50-60 grams carbs/day - the low insulin signals the kidney to dump sodium (higher levels of insulin the reverse). You indicate eating a very "clean" diet and perhaps this could also lead to low insulin levels. I know the advice for people eating less than 50-60 g carbs is to supplementby GeorgeN - AFIBBERS FORUM
Hi Jackie, Thanks for your comments. Even though I was physically active all day, my mag requirements dropped significantly when all the daily stresses were out of the picture. If it is not obvious to everybody, I had absolutely no contact with anybody, except my paddle mates when I was on the river. Therefore the "normal" daily stress is obviously much higher than the physicaby GeorgeN - AFIBBERS FORUM
This summer I went on a 13 day paddle trip on the Colorado River in the Grand Canyon. Fecal waste must be packed out, so the outfitters provide an ammunition can (nicknamed the "groover" for obvious reasons from the days before they'd fit a toilet seat on the can) in camp for this purpose. If you have to go during the day, they gave you a setup that was equivalent to a newspaperby GeorgeN - AFIBBERS FORUM
Sam, Low blood volume may be an issue. See this post: < Georgeby GeorgeN - AFIBBERS FORUM
Chuck, You might want to read Hans' report, which includes Shannon's experience at the end: < Georgeby GeorgeN - AFIBBERS FORUM
Diane, Thanks for posting this. A takeaway for afibbers is high blood pressure predicts fibrosis. More fibrosis predicts worse ablation outcome. Therefore an afibber with high blood pressure would do well to work hard on lowering it. My preference would be non-drug approaches as suggested by Richard Moore in "The High Blood Pressure Solution." Moore also says on p 270-27by GeorgeN - AFIBBERS FORUM
Barb, Congratulations! Best wishes for you! Georgeby GeorgeN - AFIBBERS FORUM
Lance, Sircus talks about some carbonated waters having bicarbonate in them. Perhaps that is the benefit??? Georgeby GeorgeN - AFIBBERS FORUM
Lisa, I've found that exhaling completely and then holding my breath as long as possible to increase CO2 levels will usually stop hiccups. Georgeby GeorgeN - AFIBBERS FORUM
Barb, Great news! Shannon, Thanks for the report and the great encouragement and support to Barb. Georgeby GeorgeN - AFIBBERS FORUM
Barb, NSR to you! Georgeby GeorgeN - AFIBBERS FORUM
Here is a link to Drs. Austin & Westman's paper on high fat low carb (HFLC) diet and GERD: < If you click on "look inside" you can read more without paying. The interesting part to me is that the measured pH decreased on the HFLC diet and GERD symptoms also reduced. This seems counter to the idea of lowering the pH (making it more acidic) as suggested by the addition of aby GeorgeN - AFIBBERS FORUM
Over the 9+ years I've been paying attention here, a number of lone afibbers have reported putting their afib in remission by fixing their acid reflux. Some used PPI meds (proton pump inhibitors) to lower acid, the "natural" approach suggests taking HCl with meals to increase acid (the theory being the person doesn't have enough acid and therefor the food backs up in the stoby GeorgeN - AFIBBERS FORUM
John, Being me, I'd probably push the K+ and Na+ even higher. When you successfully adapt (and I think you will), please post and let everyone know what it took. We need more information from keto-adapting afibbers! My girlfriend is vegan, so my challenge is coming up with "convergence" meals (the alternative is two different main courses, this works but isn't as eleby GeorgeN - AFIBBERS FORUM
Shannon, Thank you again! I know that my 2 1/2 month episode forever puts me in the persistent category. That was 9 years ago and I've not given any of the subsequent episodes a chance to be paroxysmal as I've terminated all with PIP flec, usually in an hour or two. I'm sure if/when I go in for an ablation, more work will be required. My short list of ablation EP'by GeorgeN - AFIBBERS FORUM
John, I personally only have low blood sugar issues at night when I deviate from my HFLC diet and eat too many carbs in the evening. Otherwise, in the keto-adapted state, I never have low blood sugar and can fast for a day or two without any pain or suffering. In your shoes I'd probably try the 2g/day of salt they suggest (if what you're doing isn't working, try something dby GeorgeN - AFIBBERS FORUM
Chuck, I'm persistent, as I had one 2.5 month episode in 2004, terminated by PIP flecainide (I'm sure I'd take more work if I ever got ablated). Subsequently I have fortunately been able to control the afib with supplements. I have terminated every afib episode since with PIP flecainide, not wanting to take any chances. These usually terminate in an hour or two. I had extremby GeorgeN - AFIBBERS FORUM
Hi Shannon, A great post! Thank you for the detailed information. One question, was your low emptying velocity due to ablation work or present before they ever started mucking around with your heart? Thanks! Georgeby GeorgeN - AFIBBERS FORUM
Shannon, Excellent and very important information! Thanks! Georgeby GeorgeN - AFIBBERS FORUM
Jackie, QuoteEarlier in another post, you mentioned Magnesium malate. The malic acid in that form does wonders for sore muscles as well. I take mag in various forms. Dimagnesium malate in the Albion patented form makes up the largest share. I get it in bulk powdered form from an equine supplier. I like powders as I don't have to deal with the fillers in the tablets. Georgeby GeorgeN - AFIBBERS FORUM
Hans, If you are reading this, adding a summary of Shannon's last experience and warning would be a great addendum to your ECV research report. Georgeby GeorgeN - AFIBBERS FORUM
Liz, I don't think everyone should follow what I do, but I do think it is important to report so people can get an idea what is possible. Certainly there is enough biological variability that what works for me won't necessarily work for you or anyone else. When I started trying to figure out an afib remission strategy nine years ago. I searched everywhere, from anecdotal reportby GeorgeN - AFIBBERS FORUM
Hi Tom, QuoteMy experience mirrors yours. Unfortunately, even limited exercise now causes an aftermath problem, which occurs following along a typical inflammation peak curve. I've been having some luck taking a full aspirin (as an anti-inflammatory) just before exercise and during the 2-3 day aftermath. Since I've done that, I've not had afib, although there is definitely stillby GeorgeN - AFIBBERS FORUM
Liz, For years, this lab rat has taken a couple of grams of K as citrate and a couple of grams of K as bicarbonate (plus food) daily with no deleterious effect... Normal kidneys will excrete excess potassium. Abnormal kidneys are a problem. Dr. Moore addresses this well in his book. < If you click on "look inside" and search on extrarenal you'll be directed to p 316 aby GeorgeN - AFIBBERS FORUM
Peter, Sorry, I hadn't read carefully your post where you said you were at you Mg limit. The topical approach may be a way around that. Georgeby GeorgeN - AFIBBERS FORUM