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Peter, I have a friend that I wrote about in CR 73 < She gets closely spaced PAC's when exercising at her top-end, if she eats more than 60g/carbs a day. It sounds like your experience mirrors hers. As to the cramps, do you or have you tried supplementing with magnesium? That usually helps my friends with that issue. You can also put a concentrated Epsom Salt (magnesium sulfby GeorgeN - AFIBBERS FORUM
Ron, Pat was successfully ablated in Bordeaux around 2005 or 06. With all his heroic attempts, stellar medical knowledge and research, he was not able to control his afib without an ablation. I believe he has not had issue since. Georgeby GeorgeN - AFIBBERS FORUM
Chuck, Early in my afib career, an EP said he could do a cardioversion, but was not sure he had an effective program to keep me in NSR afterward. He thought the risks of daily flec weren't warranted in my case (though I now use it PIP and have for 8 1/2 years). PIP flec ended up being used to convert that 2 1/2 month episode, so electro-cardioversion wasn't needed. I also startedby GeorgeN - AFIBBERS FORUM
As I've posted elsewhere, for me, the vagal aspects of of afib are a second order issue: < < If I get the electrolyte minerals right, the ANS is not a precipitating factor for afib for me. As I describe in these links, an increase in Calcium intake created an imbalance that upset many years of excellent afib remission and control using mainly magnesium, potassium, taurine with the vby GeorgeN - AFIBBERS FORUM
Hi Jackie, Moore doesn't say no salt, but on p 240 of his book, he says he thinks there is evidence that 2,300 mg/day is too much and then goes on to quote some diets with 50-300 mg/day and implies that 100-300 would be just fine. The point here is that these low levels may not work well for someone in ketosis. Especially someone who is also an athlete. On most days, I probably get 1,00by GeorgeN - AFIBBERS FORUM
Shannon, Well said! Georgeby GeorgeN - AFIBBERS FORUM
I noticed I'd not done a very good job of proofreading my first response above. " If the sodium relative to potassium drops too low, the body starts excreting a lot of potassium (*note I've changed this & made an error the first time I wrote it as sodium), too." "you need to purposefully add 2-3 grams of sodium to your daily intake" (I'd originally wby GeorgeN - AFIBBERS FORUM
Ron, Actually that was a slip on my part, I was thinking potassium and wrote sodium. They do make a sodium Cardy Meter, but I'm not aware of any correlations. It might provide useful information testing saliva and perhaps urine, since we're talking about sodium and potassium excretion. In John's case, he'd have to be his own control, testing before changing his dietby GeorgeN - AFIBBERS FORUM
John, If you have the resources, a Cardymeter might be a very good tool to watch your sodium level. I'm guessing you won't have a problem at 100g/day. Most of the sources I've read say you need to be under 50g or at most 60g/day for ketosis to happen. The issue is insulin. You won't get your insulin low enough if you aren't at these levels. The low carb guby GeorgeN - AFIBBERS FORUM
Barb, To actually be ketotic, it is generally said you need to be 50g/day carbs or less. I'm sure there is individual variability. That being said, there is most likely benefit to reducing carbs without being ketotic. Here are some steps you could consider: 1. eliminate all sugar of any kind (not a trivial exercise if you use prepared food). 2. go from "white" carbs tby GeorgeN - AFIBBERS FORUM
Hans, Of course you are correct. I did not go back and review the source, only Jackie's post. Thanks! Georgeby GeorgeN - AFIBBERS FORUM
Tom, Great report. Keep it up! NSR to you!! Georgeby GeorgeN - AFIBBERS FORUM
Lance, In the thread you cited, Jackie quoted Erling: "Mike - in the post titled From UW to WW with love it says to use 3600 mg powder (about a teaspoon) per 2 liters concentrate.instead of 6 tbs MoM: < " If you don't have a scale, I'd start with the teaspoon measure per two liters. It may vary depending upon the density of the actual powder you purchase. If youby GeorgeN - AFIBBERS FORUM
Barb, I recall a study on children with inoperable brain cancer done in '96. They put them on a very low carb diet and as I recall, their outcomes were much better than expected. I've also read of test tube studies where the ketones were toxic to cancer cells. And, more from memory - ketones use a different pathway for metabolism than the standard insulin pathways. Cancer celby GeorgeN - AFIBBERS FORUM
Barb, I've been doing this for around 5 years. As a vegan, I was very active and fit - I used to run a 13 mile race that started at 6,200' and topped out around 14,200'. However I carried the excess weight from playing American football in college. When I started this low carb high fat diet, I dropped about 35 pounds, to about what I am today 6' 0" 175#'s, a Bby GeorgeN - AFIBBERS FORUM
John, There certainly are many general health benefits to getting down to 100g/day carbs, you just won't be in ketosis. Yes, my girlfriend is vegan. We pretty much fix different meals and eat together. I'm fixing her dinner tomorrow night, it will be a bit carby for me, but not bad. Spaghetti squash lasagna and cauliflower mash. Good luck!by GeorgeN - AFIBBERS FORUM
Liz, Thank you. While the diet may be very unusual from our perspective, it isn't as wild as you might think and seems to be a pretty healthy diet. The quinoa is a complete protein and has a relatively low glycemic load and index. Quinoa also has many other nutrients. The mushroom are very low glycemic load and index. The coca has a lot of oils and minerals and acts as a mild stiby GeorgeN - AFIBBERS FORUM
Liz, Thank you for the sarcastic post. Serously, it sounds like a traditional peasant diet to me. I'm sure the guy also has some genetic advantage that all his dead peers did not. Unfortunately the popularity of quinoa in the first world has increased prices at home such that it has become too expensive for many Bolivians. < Genetics plays a large role in all of this. Databy GeorgeN - AFIBBERS FORUM
John, Here is one resource: < Dr. Attia has formed a non-profit to answer many of the questions associated with the standard dietary advice. I believe he said he's raised $40 mil and is trying to raise $150 mil for this venture. There is alot of info on his blog and in his video interviews. It is an excellent resource. There are other docs who've investigated this. Most doby GeorgeN - AFIBBERS FORUM
Hans, I agree. George John, I'll look into it. Thanks! Georgeby GeorgeN - AFIBBERS FORUM
Hans, A quick summary - as I've posted before < , I had very good afib remission for 7 1/2 years. Then my stress level increased dramatically because of the ending of my long term marriage. My afib became more frequent. I attributed this to the divorce stress. Then it became very frequent - at one point I was getting it every night and terminating with PIP flec. At this point I gotby GeorgeN - AFIBBERS FORUM
Jackie, Yes AGEs are a huge issue with aging... Speaking of kidneys. If someone has reduced kidney function, the standard advice is to eat a low protein diet as that is easier for compromised kidneys. I've read rodent studies and also seen anecdotal human reports where putting the rodent or human with kidney issues on a very low carb and adequate (not high) protein diet reversed theby GeorgeN - AFIBBERS FORUM
Liz, My fat is mostly saturated - ghee (organic clarified butter from grass fed cows) and organic coconut oil are the most common, and of course the fat from my meat (and I choose fatty rather than lean portions, generally from grass fed animals). I have no qualms with your approach. From data I've seen there is a benefit to reducing carbs and it is a continuous rather than a stepwiseby GeorgeN - AFIBBERS FORUM
Liz, Of course, I'm well aware & I'm my own control... Using control in a different sense, if your reference is to my afib, I consider the results excellent. After an initial 2 1/2 month afib episode, I had about 7 1/2 years of very good control (after initiating my supplement program), about 10 episodes during that time, most lasting an hour. Then about a year of poorer conby GeorgeN - AFIBBERS FORUM
Hi Tom, My diet for the last 5 or so years has generally been < 50 g carbs a day. I almost never eat any grains, legumes or starches. I have maintained keto-adaptation. The diet is mostly lots of non-starchy veggies, fat (mostly saturated) and some meat. It works out to be about 75-80% fat, 15% protein and 5-10% carbs. I also supplement with 2 g/day of potassium as citrate and another 2by GeorgeN - AFIBBERS FORUM
Bowel tolerance is very individual. I have a very high tolerance - 2 to 3 grams/day. At one time, PeggyM had a tolerance in the 100-200 mg range. As I recall, she started taking the probiotic, Saccharomyces boulardii, and her tolerance increased. I've found that changes in dose act very quickly. If the 500 is your problem, dropping back to 300 should quickly solve your problem (liby GeorgeN - AFIBBERS FORUM
Rob, Glad your procedure appears to be a great success! Georgeby GeorgeN - AFIBBERS FORUM
Robert, Welcome and best wishes! It is hard to fathom that the CC refused to renew Dr. N's contract a few years ago. Talk about cutting off your nose to spite your face!!! Georgeby GeorgeN - AFIBBERS FORUM
Shannon, What a wonderful report and great news for you!!! Also kudos to you for preparing such thorough and detailed reports on what I assume is your iPhone!!! Georgeby GeorgeN - AFIBBERS FORUM
Denver, The issue is one of silent afib. There have been a number of studies showing this to be an issue with ablatees and these have been reported here over the years. Obviously an ECG strip that is clean only proves you are in NSR at that moment. If you can identify NSR with your fingers on yours radial pulse, you could sample a couple of times a day and be confident of no silent afib.by GeorgeN - AFIBBERS FORUM