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123 Days PF And I Think I know Why (Read 445346 times)
Batch
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Re: 123 Days PF And I Think I know Why
Reply #1975 - Aug 11th, 2014 at 11:38am
 
Hey Andy,

Great question.  Unfortunately I don't have a clear answer and the rationale for taking one over the other is mixed in some cases.  The real experts on this topic say taking the organic salts of magnesium, i.e. magnesium citrate, magnesium malate and magnesium glycinate are less likely to result in osmotic diarrhea... 

For reference, an organic compound contains carbon atoms as opposed to inorganic salts containing chloride and oxide.

I switched from magnesium citrate to the Nature Made brand of magnesium oxide in  a liquid gel cap form, (400 mg), a couple years ago, and haven't had any problems unless I take two of them on an empty stomach.

My rationale for switching to the Nature Made brand was the USP logo on nearly all Nature Made products, (Independent testing for purity and strength) and cost. 

Although magnesium oxide has a low absorption rate and it's most frequently associated with osmotic diarrhea, each tablet has a higher concentration of elemental magnesium.   The trick is finding the right dose and when best to take it.  I take it along with the rest of the anti-inflammatory regimen immediately following the largest meal of the day.

Henry Lahore, the vitamin D3 Jedi Master who runs the vitaminDwiki web site has an excellent page on the topic of magnesium supplements.  See:

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Hope this helps and my answer isn't too confusing.

Take care,

V/R, Batch
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« Last Edit: Aug 11th, 2014 at 1:56pm by Batch »  

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Re: 123 Days PF And I Think I know Why
Reply #1976 - Aug 12th, 2014 at 6:42am
 
Hi Andy,
             im having the same issues !!!
I'm swapped to the one you mentioned the triple one, but unfortunately made no difference !
ive dropped down to a 225mg mag citrate and for the last few days, well, so far so good   lol
It seems when ever I try to take 400mg of what ever brand,  I get a reaction !
there's 50 mg in the multi we take, plus the 225 citrate I take, so that's 275 total mg's.  As I mentioned in a previous post, im going to try and do the rest in diet, It was interesting to find out, that for every 100 gramms of banana, there's 29 odd mg's of magnesium content ! So because im a two a day banana guy ! plus there's other foods which have good magnesium content, Im going to stick with the multi and the 220 mg tablet and get the rest from diet. other foods are brown rice, advocado, dark chocklate, beans and lentils,   with diet, it doesn't seem to effect me as such !
   Hope that batch agree's with my theory ??????

colin
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Re: 123 Days PF And I Think I know Why
Reply #1977 - Aug 12th, 2014 at 11:03am
 
Hi
As of yesterday I have returned the “backup”  O2 tanks (3 tanks of
15 Lt. @ 200 bar) and if things go as they are going now, the O2 tank
in the living room will go to the storage room for “just in case” situation,
Will have 2 tanks at home – its more for the psychological effect, and not as a (must) necessity.
The quantity of aborting meds is down to 12 packs (24 portions) of Triptan shots, 10 Zomig nasal,
the way it looks now some of the “equipment” will run past the expiration date!
It’s not that I don’t have an episode once in a while (< 1 @week),
yes I do, but it’s not something worth mentioning…. 
I think Pete offered us all a comprehensive alternative to eliminate the suffering,
and the constant dependency on strong medication and bulky equipment (o2)
for a fraction of the cost of all the above (Triptans / O2 and preventive medication).
I will soon see my treating doc’s (neurologist and pain specialist) and try to convince them
to start and see Petes treatment as a very good alternative to the standard protocol treatments,
and from my last telcon. with them they seem very open and interested….

I can (mostly) pursue my passion – Flying / Paragliding without any second thought or worry
I might get an episode when in the air…
and I love that freedom and piece when alone at (≥) 2000 meters (≥6560 ft.)
with only the sound of the wind around me…..

Pete the gift you gave me (and all of us) is just simply extraordinary,
I’m thankful to you from the bottom of my heart!!!


Michael
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Re: 123 Days PF And I Think I know Why
Reply #1978 - Aug 12th, 2014 at 11:25am
 
Funny how you describe the "psychological" factor of keeping a couple of oxygen tanks Michael. I'm 4 years pain free and still can't stand the thought of parting with my E tanks I keep stored in the garage! Great to hear you've tamed the beast.

Joe
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Mike NZ
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Re: 123 Days PF And I Think I know Why
Reply #1979 - Aug 12th, 2014 at 4:01pm
 
Guiseppi wrote on Aug 12th, 2014 at 11:25am:
Funny how you describe the "psychological" factor of keeping a couple of oxygen tanks Michael. I'm 4 years pain free and still can't stand the thought of parting with my E tanks I keep stored in the garage! Great to hear you've tamed the beast.


Just over 2.5 years since my last CH, but I've still got the cylinders waiting, ready. Although the regulator and mask are now sitting in a draw nearby so they don't get covered in dust.

I've thought several times about returning them, but haven't yet, just in case...
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Re: 123 Days PF And I Think I know Why
Reply #1980 - Aug 12th, 2014 at 10:25pm
 
Batch & Colin,
Thanks so much for the feedback. Very helpful in determining which Mag to get. Also good to read these recent success stories. PF days to all!!

-Andy
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« Last Edit: Aug 12th, 2014 at 10:26pm by TheAndyT »  

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Re: 123 Days PF And I Think I know Why
Reply #1981 - Aug 13th, 2014 at 8:02am
 
The funny part in this entire “o2 cylinders” escapade is:
At a very low pain level (a year ago)  I would most likely
just try to ignore or “suffer” through and hope it does not evolve
into a full blown episode, or just use the O2 for a few minutes,
and have it (mostly) over with!

Now, what was a very low pain level (a year ago) seems to me as a “painful” event,
and I get somewhat tense  -  the (left on hand) O2 cylinder seems as an anchor –
or somehow a safety / refuge point!
I know pain is relative, individual and subjective.

I try always to relativize the episode, and yet I need some “familiar” and established “rituals”,
seems these past few years ( about 9 years) made me, in this respect,
a very methodic / disciplined  and careful person – “scared”.

It will need some time, if the situation stays as it is, to overcome the “scars”
this malady bestowed on me…..

The passage seems promising  and it is said that time heals all wounds
The O2 tank will go, and all the meds will go to…   the sooner the better

Michael
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Re: 123 Days PF And I Think I know Why
Reply #1982 - Aug 13th, 2014 at 10:20am
 
wildhaus wrote on Aug 13th, 2014 at 8:02am:
I try always to relativize the episode, and yet I need some “familiar” and established “rituals”,
seems these past few years ( about 9 years) made me, in this respect, a very methodic / disciplined  and careful person – “scared”.



It will need some time, if the situation stays as it is, to overcome the “scars”
this malady bestowed on me…..


Michael, you have summed up how I feel. 26 months and counting since I have used my O2 (THANK YOU BATCH). I may never be ready to return my two M-60 tanks....well, maybe one of them which is half-full.  31 years of CH without a preventative med I can tolerate has made me very jaded. But this anti-inflammatory regimen is slowly changing my attitude, which is good, since in most other aspects, I'm an optimist.

Being methodical and disciplined regarding CH is so ingrained for me now, I can't even imagine not being that way.  Funny how CH pain teaches through negative reinforcement. Wink


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Re: 123 Days PF And I Think I know Why
Reply #1983 - Aug 14th, 2014 at 12:32pm
 
Colin,

There's a few things about your magnesium problems to consider...  400 mg/day is the universally accepted daily requirement from all sources, dietary + supplements.  That said, if  225 mg/day is keeping you essentially pain free, and you're not experiencing any hand or leg cramps, your magnesium intake may be sufficient.

However, if you are still getting hits, consider taking 200 mg magnesium in the morning with breakfast and 200 mg after the evening meal.  Splitting the dose by 12 hours should help avoid osmotic diarrhea.

Take care,

V/R, Batch
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Re: 123 Days PF And I Think I know Why
Reply #1984 - Aug 14th, 2014 at 12:51pm
 
Regarding the requirement to maintain a bailout supply of oxygen when the anti-inflammatory regimen is working so well to prevent CH...  I've still got mine...

Granted it's welder's O2... and I do weld/braze or do some cutting with oxy-actylene...  I also use it when I pull one of my annual Delta-Sierra moves and stop taking the entire regimen to test my 25(OH)D reserves... 

The CH beast is still there waiting and eager to jump ugly when my 25(OH)D reserves drop to the tipping point...  7-8 days w/o vitamin D3 and the rest of the regimen.

When that happens, as Michael said, a mild hit that would have been a tolerable a few years ago becomes very frightening...  even when I knew it would happen.  That's when my M60 "roadie" that I keep in the laundry room and refill from the welder's O2 cylinder comes in very handy...

Take care,

V/R, Batch
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Re: 123 Days PF And I Think I know Why
Reply #1985 - Aug 15th, 2014 at 2:42am
 
Thanks Batch,  hadn't thought of that.
   just come off my first real cycle in over a year !
titrated up for a couple of weeks of d3 but it didn't stop it.
I was having 3-4 hits a day, but nothing over kip 6.
red bull squashed them most of the time, but those blessed 1.00 am hits got my sleep pattern all mucked up, so popped a 50 mg imigran at about 11.00pm before bed for the last week of it and I slept thru the nite like a baby.
kept a diary this time, lasted for 15 days, then just disappeared.  will visit the doctors next week and get my levels tested, I'm sure there up, probably around 250 nmol.
might try and maintain the level there, rather than 210 where I was.
I'll try that idea of splitting the magnesium dose with one in the morning and one at nite and see if that helps, I was sort of thinking that a 225 tablet and the rest in diet was the only way I could definitely get that 400 mg per day level.  I also have only been getting my calcium from the multi ( 200mg) as I thought my diet was sufficient, but I might take a 200mg of calcium as well.
Over all though, while it's not a welcome thing to go into cycle, the intensity was about half of my last true cycle, in January 2013, I started taking the regime about June 2013.  I got off verapamil in the beginning of may this year, so ive changed a few things I suppose !  don't want to go back on verapamil either as I have low-ish blood pressure, ( 120 / 78  tested last week ) or should I say, when I take verapamil, it seems to drop dramatically.
so, out of cycle now,  Grin  and i'll keep a higher d3 level than before and i'll see what happens when the beast returns.
regards
colin
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Re: 123 Days PF And I Think I know Why
Reply #1986 - Aug 15th, 2014 at 12:42pm
 
Colin,

Thanks for the feedback...  Do keep us posted on splitting the daily magnesium intake by 12 hours.

Take care,

V/R, Batch
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Re: 123 Days PF And I Think I know Why
Reply #1987 - Aug 16th, 2014 at 3:57am
 
Well spoke to soon !
  been 1 week since I thought my cycle finished, then BAM,
1-5 and 7 am last night !  only kip 3-4 and red bull nailed them, but cant figure what and why !
any ways, started the magnesium split this morning batch, only got 225mg tablets on hand, but will try and get some 200mg ones Monday,  i'll let you know if I tolerate them.

cheers
colin
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Re: 123 Days PF And I Think I know Why
Reply #1988 - Aug 16th, 2014 at 1:00pm
 
Hey Colin,

Thanks for the update...  There's nothing wrong with a total of 450 to 500 mg/day supplemental magnesium as long as things don't get to fluid. 

There's also nothing wrong with taking a 50,000 IU loading dose to see if it stops the rogue hits.  Knowing your actual 25(OH)D serum concentration would help.

Vitamin A (retinol) is an essential part of the anti-inflammatory regimen as it supports genetic expression.  Isomers of retinoic acid (RA) act as hormones to affect gene expression and thereby influence numerous physiological processes.

Accordingly, you also might want to read through the Supplemental Facts label on your multi-vitamin to make sure you're getting enough vitamin A (retinol) each day.  It should read something like the following:

"Vitamin A 2,500 I.U. 50% as Beta Carotene - 40%"

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Your local chemist/pharmacist should be able to find you some vitamin A with listed RAE (retinol activity equivalents).  You're looking for 3000 IU/day.  If they only have vitamin A (RAE) at 10,000 IU, take one every 3 days.

Hope this helps.

Take care,

V/R, Batch
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Re: 123 Days PF And I Think I know Why
Reply #1989 - Aug 16th, 2014 at 6:02pm
 
Quote:
will visit the doctors next week and get my levels tested, I'm sure there up, probably around 250 nmol.
That would be equivalent to 100 ng/ml

Quote:
The human body is usually unable to achieve 25(OH)D levels above 100 ng/ml on UVB exposure alone3. There are no studies to date to suggest that 25(OH)D levels over 100 ng/ml are beneficial, so the Vitamin D Council believes that the upper limit should be set at 100 ng/ml.

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Dr Stasha Gominak warns against levels above 80 ng/ml. She has observed that it causes decline in her patients' sleep, which she believes is essential for preventing headache and neurological conditions:
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Personally, I would decrease vitamin D AND make extra-sure that I was getting all necessary cofactors that regulate Vitamin D.
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Re: 123 Days PF And I Think I know Why
Reply #1990 - Aug 16th, 2014 at 10:52pm
 
Hi batch,  my supplement source of vit A is currently from the Kirkland mature multi, the same as you take,  are you suggesting to maybe add to that, is that sufficient !
Im going to get tested next week, so it will be interesting.
but I am going to concentrate on the supplements, by as mentioned the splitting of the magnesium tablest ( so far so good ) plus I am going to re start taking calcium, as I was getting 220 mg in the kirland muti and thought I had a high general calcium intake. I did read that if you are taking higher doses od vit d that your calcium intake should be up around 1000-1200 mg daily ?
Feisty, as batch has recently posted, that some of us need to get our levels up to 250 nmol ( 100ng) to achieve a pain free status. some here that have gone pain free do so easily, but some of us have to go that high. Its trial and error, otherwise everyone, not just the 60 % of those on the regime would go pain free. It is well short of intoxication levels, and at 80ng ( 200 nmol ) I was not pain free, but titrating up from that level earlier this year in January, killed the shadows off.  The big problem feisty is that what we are doing, there are not only any studies to say vit d levels above 100 ng ( 250 nmol ) have any benefits as you say, but there are also no studies to say that keeping the levels at 80 ng ( 200 nmol ) do any good either, there are no official papers or studies to confirm any thing that we are doing. Dr Gominak's lectures were great and I watched them with interest, but I must point out, that at no point did she mention cluster headaches ! her main reference was sleep, now I believe that their is a link, but while my D levels were at her recommended level of 80 ng ( 200 nmol ) and I had completed a course of the recommended B plus its called down under, I still got hits.
It seems I fall into the bracket that the regime dramatically reduces its intensity, and maybe regularity, But its extremely hard as an episodic to know exactly when im supposed to get cycles. Last year, every 3 months I felt symptoms of a cycle, but they didn't really break through, in other words, light shadows, with sinus type sensations with heat flushing, But it seemed that the D3 regime was keeping it at bay, the January episode was different, much heavier shadows, but titrating up totally killed it off. last month, heavy shadows returned for a whole month and titrating up for 2 weeks didn't kill it off, then 28th of july I went into full blown cycle, but the intensity was much much less than my last full on cycle, January 2013. I would rate it at about 50 % better ( average kip 5 ).
Some where amongst all this, there is an answer ! im positive of that, whether it be the actual vit d levels or its supplements, I don't know,  but I do know one thing, and that is that everyone reacts differently, otherwise everyone would be pain free ! so its just a case of tweeking everything to find that balance to get you pain free.
similarly, I don't believe that everyone will go pain free at 80 ng ( 200 nmol ) as dr Gominak states,  or by being at or over 100 ng ( 250 nmol )  its just not that simple.....
The only difference for me has been I went off verapamil 3 months ago, to be stand alone on the regime, maybe I need to be on both to achieve a pain free state, who knows, but I'm certainly tweeking things around to try and get to that point !  I sure do envy the "60" percenters  on the regime that go pain free, its sounds like a good club to be in   Grin   and one I intend on joining very soon    Wink
regards
colin
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Re: 123 Days PF And I Think I know Why
Reply #1991 - Aug 17th, 2014 at 3:02pm
 
Thanks for your reply Colin. It's really great that you have a solid understanding of the risks and benefits of this regime. Smiley Living with pain and conventional medications have their risks too so I understand your choice to cautiously "titrate".

Quote:
I am going to concentrate on the supplements, by as mentioned the splitting of the magnesium tablest ( so far so good )
This is not a low cost supplement but it's a really great formulation that is taken mixed in a liquid that would be a good option for those who want to split, etc. It's available at health food stores near me that have large supplement departments:

Natural Vitality, Natural Calm
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Quote:
It seems I fall into the bracket that the regime dramatically reduces its intensity, and maybe regularity, But its extremely hard as an episodic to know exactly when im supposed to get cycles. Last year, every 3 months I felt symptoms of a cycle, but they didn't really break through, in other words, light shadows, with sinus type sensations with heat flushing,
I hear you on this. Dh's CH seems to be tapering and we don't know if it's the end of the episode or the D3. And like you, he has experienced a cycle that was mostly shadows (last fall). It was confusing because he didn't really realize that he was in cycle.
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Re: 123 Days PF And I Think I know Why
Reply #1992 - Aug 17th, 2014 at 3:34pm
 
Well, here's an update of my dh's results so far. His cycle started June 24, approx 8 weeks ago. He's never had a cycle in the summer (usually October), that has lasted this long (usually 3-4 weeks), or been this bad (2-3 attacks per night much of the cycle, some very long attacks).

Dh started Batch's Anti-Inflammatory Regimen 28 days ago (except it has been lacking boron, which was not available locally or included in the multi I purchased. dh was taking honey as a source of boron but he will start a boron supplement as soon at it arrives). Based on Batch's advice, dh did an accelerated loading schedule in the first two weeks. He has taken a total of 580,000 IU of D3 within the 28 days.

When he started the Regimen, dh was getting 2-3 attacks per night and they were pretty brutal. After 14 days of the Regimen, dh's attacks dropped down to one per night. On day 21, he had a single pain-free night. Then within the last week, the attacks have been one per night, and milder, with pain-free nights on days 26 & 27 (last two nights Smiley ). At this point, it's possible that dh's cycle is ending naturally, but the pattern of CH intensity seems to correspond with the pattern of D3 loading.

It's day 28 so dh did the 25(OH)D blood test that we will mail into GrassrootsHealth. When we receive the results we will fill in Batch's survey.

I am really hoping that it's the Regimen that is contributing to the pain reduction so that we have a long-term prevention solution. Thank you Batch for the work that you have done on this.

There are so many reasons to take the Anti-Inflammatory Regimen other than CH, so I and my children (modified) are taking it as well.
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Re: 123 Days PF And I Think I know Why
Reply #1993 - Aug 17th, 2014 at 3:52pm
 
Colin, Feisty,

Interesting posts.  Let's start with the optimum serum concentration of 25(OH)D...  I agree with Dr. Gominak that 70 to 80 ng/mL, (175 to 200 nmol/L) is a good target range...  That said, the cluster headache syndrome has much higher pain levels than the migraineurs she treats... and by inference, higher levels of neurogenic inflammation.

Moreover, we have a good number of chronic CH'ers who report they need to keep their 25(OH)D above 100 ng/mL, (250 nmol/L) to achieve adequate CH prevention. 

Among them are a handful of chronic CH'ers, refractory to other Rx preventatives, who need to maintain their 25(OH)D around 150 ng/mL, (375 nmol/L) under a physician's supervision to stay pain free.  No comments about sleep problems from them...  On the contrary, they all report enjoying pain free sleep.

Regarding studies of people maintaining 25(OH)D serum concentrations above 100 ng/mL...  There are at least two...

Both studies dealt with RRMS patients.  In one study, they maintained their serum 25(OH)D over 100 ng/mL for three months peaking at 164 ng/mL, (410 nmol/L) with no ill effects and a significant reduction in MS outbreaks. 

Their total serum calcium stayed well withing the normal reference range and there PTH was at the low end of its normal reference range as expected.  See 2009CMSC_Symposium15_Burton.pdf for details. 

Regarding the vitamin A (retinol).  I've been taking the Kirkland brand Mature Mult with no problems for well over a year so I'm assuming it provides sufficient vitamin A (retinol) to support the essential genetic expression activity associated with vitamin D3. 

That said, there have been a few CH'ers who didn't go completely pain free until they took some additional vitamin A (retinol), usually the vitamin A&D formulation from Puritan's Pride.

Hope this helps.

Take care,

V/R, Batch
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Re: 123 Days PF And I Think I know Why
Reply #1994 - Aug 17th, 2014 at 4:40pm
 
Very useful information Batch - thank you. You're confirming other things that I've read about optimum serum concentration of 25(OH)D - that higher levels may be needed for therapeutic benefit than for general health.

I hope that the medical community embraces the Regimen as a treatment for CH so that medical testing and supervision becomes widely available when higher levels of supplementation are needed. It's so strange to me that dh was prescribed dangerous narcotic pain medications for CH when he was living in the US (that didn't even work), but not offered oxygen or supplements. I'm glad to read that some CH sufferers are getting medical supervision for higher dosing levels, but I'm not optimistic that our "minimalist" health care system here in Canada would provide that  Undecided. The policy in this province is to NOT pay for 25(OH)D testing even if a doctor orders the test - many Canadian sufferers would have to pay approx. $240/yr to have testing every 3 months just to monitor their 25(OH)D levels.

Well worth it if the Regimen proves to be effective, of course. And much cheaper than oxygen which we don't have coverage for from private insurance or government funded health care.
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Re: 123 Days PF And I Think I know Why
Reply #1995 - Aug 18th, 2014 at 12:59am
 
Thanks batch for your comments,
  well, Im game to try anything !   LOL
So can you clarify something for me. the kirklands mature  is 2500iu and states its 50 % of daily intake requirement,
is this the retinol form ? or the beta-carotene form
from what im reading, the suggested daily intake for over 51 male varies depending on what type it is,
for example,  900 mcg RAE is equivalent to 3000 iu if its derived from retinol
but 900 mcg RAE is also equivalent to 6000iu from beta-carotene from supplements.
reading on its different from food intake too.
So I guess im asking whats the safe level for A, and if I keep going with the kirklands, ( 2500iu) depending on its form, what extra can I take ?
we have a new vitamin shop opened up the road, not for my general regime items, but im sure I could get an additional vit A from them to try.
apologies for the continual questions batch, im just figuring with exact info, if it works for me, it will be easy to note and specifically pass it on for reference.
thanks in advance
colin
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Re: 123 Days PF And I Think I know Why
Reply #1996 - Aug 18th, 2014 at 2:11pm
 
Not Batch but...

Quote:
the kirklands mature  is 2500iu and states its 50 % of daily intake requirement,
is this the retinol form ? or the beta-carotene form

Kirkland Mature Multi has:
Vitamin A 2,500 I.U. as Beta Carotene
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Quote:
So I guess im asking whats the safe level for A
There is no agreement on this from my reading. But here's a summary of one line of thinking:

Quote:
excess vitamin A only causes problems against a backdrop of vitamin D deficiency. In his excellent article Vitamin A on Trial: Does Vitamin A Cause Osteoporosis, researcher Chris Masterjohn summarizes evidence demonstrating that vitamin D decreases the toxicity of and increases the dietary requirement for vitamin A. Studies show that supplementing with vitamin D radically increases the toxicity threshold of vitamin A. In a hypothetical 160 lb. person, vitamin D supplementation increases the toxicity threshold of vitamin A to more than 200,000 IU/d. You’d have to eat 22 ounces of beef liver or take 5 TBS of high vitamin [cod liver oil] each day to get this amount. Not likely!

To meet vitamin A needs (assuming you’re not up for eating organ meats), I recommend taking high vitamin cod liver oil (CLO) to provide a dose of 10-15,000 IU per day.

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Re: 123 Days PF And I Think I know Why
Reply #1997 - Aug 18th, 2014 at 3:06pm
 
Hey Colin,

Good questions.  I don't have all the answers... but I suspect the RDA for vitamin A is conservatively low.  Like vitamin D3 there haven't been any studies done to determine toxic doses as that would be unethical. 

Also like vitamin D3, the Tolerable Upper Intake Level (UL): maximum daily intake of vitamin A (retinol) unlikely to cause adverse health effects was probably influenced by clinical observations of obvious overdoses that resulted in a toxic response.

In talking with several physicians, endocrinologists and reading a lot of vitamin A related articles...  the basic rule on supplementing with vitamin A (retinol) is "A little vitamin A is good and too much isn't."  The trick is placing a value on how much vitamin A (retinol) is enough and how much is too much.

To that end, I've found the following link very helpful:

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It points out that the Institute of Medicine has stated that vitamin A is safe at the No Observed Adverse Effect Level (NOAEL) of 10,000 IU and safe below the Lowest Observed Adverse Effect Level (LOAEL), which is 21,600 IU.

Although it's very safe to stick with the published RDA of 900 mcg (3,000 IU) for men and 700 mcg (2,333 IU) for women,  a daily intake of 10,000 IU vitamin A (retinol) also appears quite safe.

The above link also points to the requirement for considerably larger loading doses of vitamin A (retinol) if a vitamin A (retinol) deficiency exists.

Regarding how much vitamin A Retinol Activity Equivalents (RAE) are contained in the Kirkland brand of Mature Multi...  if 50% is listed as carotene... I'm assuming the other 50% is retinol. 

Like vitamin D3, retinol is lipophilic... It likes fats... so it tends to have a longer half-life.  As such, taking 10,000 IU of vitamin A (retinol) every other day should more than supplement the ammount available in the Mature Multi.

Finally, as a rule, and with the exception of vitamin D3 dosing which is clearly higher than the IOM recommends for an RDA at 400 IU/day, I've kept the other supplement dosing in the anti-inflammatory regimen at or below RDA. 

I've done this to limit possible controversies over taking this regimen.

Hope this helps answer your questions.

Take care,

V/R, Batch
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Re: 123 Days PF And I Think I know Why
Reply #1998 - Aug 18th, 2014 at 3:15pm
 
Batch wrote on Aug 18th, 2014 at 3:06pm:
Regarding how much vitamin A Retinol Activity Equivalents (RAE) are contained in the Kirkland brand of Mature Multi...  if 50% is listed as carotene... I'm assuming the other 50% is retinol. 
I think the listing on that site is confusing - I believe the 50% for Vitamin A refers to the "% daily value", not the % "as carotene". I'm assuming it's 100% "as carotene".
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Re: 123 Days PF And I Think I know Why
Reply #1999 - Aug 18th, 2014 at 7:54pm
 
Doh!  I'm the one with a degree in chemistry... and organic chemistry was my strong suit...  I should have explained my earlier comments more carefully.

Vitamin A can come in different forms often referred to as "retinoids" and "carotenoids"...  The retinoids can come as an acid, (retinoic acid), an aldehyde, (retinaldehyde) or as a and ester such as (retinyl palmitate) or (retinyl acetate).  The most common carotenoid is beta carotene.

Part of the confusion with Mature Multi appears to be due to different formulations in different countries.

Here in the US, the vitamin A (retinoid) content of Mature Multi is listed as an acetate.  The Supplemental Facts label indicates 2500 IU vitamin A, of which 40% is in the form of beta carotene, a provitamin.  The total daily value is 50%.

As I indicated earlier, this much retinyl acetate in the Mature Multi is working just fine for me...  Taking more, up to 10,000 IU/day, won't hurt and may help make the difference for some CH'ers between klingon shadows and being totally CH pain free.

'Hope this clears up the confusion.

Take care,

V/R, Batch
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