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- <h1></h1>
-
- <p></p>
- <blockquote>
- <h2>
- <span style="color: #222222"><span style="font-family: Helvetica"><span><strong>When energy fails:
- Edema, heart failure, hypertension, sarcopenia, etc. </strong></span></span></span>
- </h2>
- </blockquote>
- <blockquote></blockquote>
- <blockquote>
- <span style="color: #222222"><span style="font-family: Helvetica"><span>More than 100 years ago the idea of
- a morphogenetic field was proposed by A.G. Gurwitsch, as a way to explain the orderly movements
- of cells in embryos and growing tissues, and to understand the principles that cause cells to
- change appropriately when their location in the organism changes. For 30 years, the concept
- guided research in embryology, but also led to important discoveries in the biology of cancer,
- aging, wound repair, and other important areas. But by the late 1940s, a more abstract approach
- to biology, based on the gene doctrine of Mendel and Weismann, took charge of academic and
- governmental biological research. This ideology at first said that organisms are determined by
- unchanging units of inheritance, "genes," and later when genes were found to be susceptible to
- mutation, the changes were said to be always random. The Central Dogma of the ideology was that
- any meaningful, adaptive changes that occur in an organism can't influence the genes. For many
- years, adaptive changes were said to be nothing but changes in the size or function of existing
- cells, because the cells of the major organs of the body were supposed to be created before
- birth, or in infancy. </span></span></span>
- </blockquote>
- <blockquote></blockquote>
- <blockquote>
- <span style="color: #222222"><span style="font-family: Helvetica"><span>Besides the purely ideological
- commitment to the theory of genes, there were other influences that contributed to the culture
- of Molecular Biology. People learned histology from slides or pictures made by killing,
- hardening, dehydrating, and slicing parts of organisms. Biochemists studied the chemistry of
- life mainly by grinding cells or tissues, and extracting water soluble materials to study the
- actions of enzymes on various materials. These unrealistic artifacts filled the textbooks and
- the minds of generations of biologists and physicians. The culture of molecular biology used
- these artifacts to create theories of embryology and physiology, and holistic ideas such as the
- developmental field were disregarded.</span></span></span>
- </blockquote>
- <blockquote></blockquote>
- <blockquote>
- <span style="color: #222222"><span style="font-family: Helvetica"><span>The mental image of a living
- organism that has been created by that culture is simply wrong. The concept of a developmental
- field is essential for understanding embryology, because things that exist on a scale bigger
- than molecules and cells govern the functions of the molecules and cells, and the principles of
- embryology don't arbitrarily stop operating at birth, but can be seen to continue operating
- during maturity and aging. The interactions of cells with their environment are different at
- different stages of life, but there are commonalities that are extremely important.</span></span
- ></span>
- </blockquote>
- <blockquote></blockquote>
- <blockquote>
- <span style="color: #222222"><span style="font-family: Helvetica"><span>The processes that govern the
- pregnant woman's blood circulation, in sustaining the development of a fetus, are very similar
- to the processes that govern anyone's blood circulation, providing for the maintenance and
- renewal of all the body's organs. The common problems of pregnancy involving the circulatory
- system can provide insights into the problems of the various organs that have been the focus of
- the medical specialties, and to some basic medical issues, including aging, obesity, and
- inflammation.</span></span></span>
- </blockquote>
- <blockquote></blockquote>
- <blockquote>
- <span style="color: #222222"><span style="font-family: Helvetica"><span>The development of a fertilized egg
- into an embryo consumes energy at a very high rate, and the way the embryo develops depends on a
- continuously adequate supply of oxygen and sugar, and other nutrients. The intense flow of
- energy through each stage of a developing structure shapes the following stage. The necessary
- energy and materials are provided abundantly by the mother's blood. When the development has
- advanced far enough to make life possible outside the uterus, energy will be used more slowly,
- for growth, maintenance, and renewal of tissues. </span></span></span>
- </blockquote>
- <blockquote></blockquote>
- <blockquote>
- <span style="color: #222222"><span style="font-family: Helvetica"><span>Failure to renew cells and tissues
- leads to the loss of function and substance. Bones and muscles get weaker and smaller with
- aging. Diminished bone substance, osteopenia, is paralleled, at roughly the same rate, by the
- progressive loss of muscle mass, sarcopenia (or myopenia). The structure of aging tissue
- changes, with collagen tending to fill the spaces left by the disappearing cells. It's also
- common for fat cells to increase, as muscle cells disappear.</span></span></span>
- </blockquote>
- <blockquote></blockquote>
- <blockquote>
- <span style="color: #222222"><span style="font-family: Helvetica"><span>When conditions are ideal, as during
- healthy development in the uterus, tissue damage is corrected by the multiplication of cells to
- replace any that were lost. But when conditions are less perfect, injuries are imperfectly
- repaired, usually with highly collagenous scar tissue bridging the area that was destroyed.
- During this imperfect repair, there is inflammation, which apparently exists to the extent that
- the substances needed for regeneration are lacking. For example, when oxygen is lacking, lactic
- acid is likely to be produced, along with increases of pro-inflammatory regulators such as
- histamine and serotonin, leading to the loss of many important proteins and functions, and the
- over-production of collagen instead.</span></span></span>
- </blockquote>
- <blockquote></blockquote>
- <blockquote>
- <span style="color: #222222"><span style="font-family: Helvetica"><span>Since cellular renewal of tissues,
- in a healthy individual, is a constant process, we can think of the metabolic rate of a healthy
- adult as just what is needed to sustain this constant, limited sort of regeneration, but not
- quite intense enough to produce scarless healing of a wound (without special
- intervention).</span></span></span>
- </blockquote>
- <blockquote></blockquote>
- <blockquote>
- <span style="color: #222222"><span style="font-family: Helvetica"><span>If something reduces the systemic
- ability to produce energy, there will be a gap between the available energy and the energy
- needed for the constant turnover of cells in each tissue and organ, and a generalized
- inflammation will develop. The replacement of cells will be slowed, and the organism will
- mobilize the processes used for producing scar tissue, producing an excess of collagen, filling
- the spaces left by the lost cells.</span></span></span>
- </blockquote>
- <blockquote></blockquote>
- <blockquote>
- <span style="color: #222222"><span style="font-family: Helvetica"><span>We are susceptible to many things
- that interfere with energy production---the substitution of iron for copper in the respiratory
- enzyme, the absorption of endotoxin, the accumulation of PUFA, a deficiency of thyroid hormone,
- the formation of increased amounts of nitric oxide, serotonin, and histamine, etc. Different
- environments will condition the way the defensive mechanisms of inflammation are
- produced. </span></span></span>
- </blockquote>
- <blockquote></blockquote>
- <blockquote>
- <span style="color: #222222"><span style="font-family: Helvetica"><span>Toxemia of pregnancy, or
- preeclampsia, is a state of generalized inflammation, and some of the causes and remedies are
- known. Despite the predominance of crazy genetic theories of preeclampsia in 20th century
- medical literature, there was clear evidence (reviewed by Tom Brewer, Douglas Shanklin, and Jay
- Hodin) that it was caused by malnutrition, and that it could be cured by adequate protein, salt,
- and calcium. </span></span></span>
- </blockquote>
- <blockquote></blockquote>
- <blockquote>
- <span style="color: #222222"><span style="font-family: Helvetica"><span>The old medical practice of
- restricting salt intake during pregnancy was an important factor in causing it, so it's
- interesting to look at the effects of salt restriction as a treatment for hypertension.</span
- ></span></span>
- </blockquote>
- <blockquote></blockquote>
- <blockquote>
- <span style="color: #222222"><span style="font-family: Helvetica"><span>The pregnant woman's blood volume
- expands, to permit the supply of energy to match the needs of the embryo. If the blood volume
- doesn't increase, or if it decreases, as in pregnancy toxemia, her blood pressure will increase.
- Typically, the decrease of blood volume is accompanied by an increase in the extracellular
- fluid, edema, resulting from leakage of fluid through the walls of the capillaries, and albumin
- appears in the urine as it leaks through the capillaries in the kidneys. The amount of blood
- pumped by the heart, however, is increased in toxemia (Hamilton, 1952), showing that the
- increased blood pressure is at least partially compensating for the smaller volume of
- blood. </span></span></span>
- </blockquote>
- <blockquote></blockquote>
- <blockquote>
- <span style="color: #222222"><span style="font-family: Helvetica"><span>A similar situation, <strong
- >reduced blood volume and edema, can be seen (Tarazi, 1976) in "essential hypertension," the
- "unexplained" hi</strong>gh blood pressure that occurs more often with increasing age and
- obesity. At the beginning of "essential hypertension," the amount of blood pumped is usually
- greater than normal.</span></span></span>
- </blockquote>
- <blockquote></blockquote>
- <blockquote>
- <span style="color: #222222"><span style="font-family: Helvetica"><span>In both situations, preeclampsia and
- essential hypertension, there is an increased amount of aldosterone, an adrenal steroid which
- allows the kidneys to retain sodium, and to lose potassium and ammonium instead. A restriction
- of salt in the diet causes more aldosterone to be produced, and increased salt in the diet
- causes aldosterone to decrease. One effect of aldosterone is to increase the production of a
- substance called vascular endothelial growth factor, VEGF, or vascular permeability factor,
- which causes capillaries to become leaky, and causes new blood vessels to grow.</span></span
- ></span>
- </blockquote>
- <blockquote></blockquote>
- <blockquote>
- <span style="color: #222222"><span style="font-family: Helvetica"><span>While <strong>increased salt in
- the diet tends to lower both aldosterone and VEGF, reducing the leakiness of blood
- vessels, </strong>sodium also has a direct effect that tends to prevent the leakage of
- water and albumin out of the blood vessels, helping to maintain the blood volume which is needed
- to perfuse the kidneys, preventing them from producing signals to increase blood pressure and
- aldosterone. There is a large amount of albumin in the blood serum, and sodium ions associate
- with the negative electrical charges on the albumin molecule. This association causes the
- complex of albumin and sodium to attract a large amount of water, that is to exert osmotic or
- oncotic pressure. This oncotic pressure causes any excess extracellular water to be attracted
- into the blood vessels, preventing edema while maintaining the blood volume. When there is too
- little sodium, the albumin molecule itself easily leaves the blood stream along with the
- water.</span></span></span>
- </blockquote>
- <blockquote></blockquote>
- <blockquote>
- <span style="color: #222222"><span style="font-family: Helvetica"><span>Instead of considering the
- significance of sodium's effects on albumin, aldosterone, and VEGF, textbooks have often talked
- about the factors that "pump" sodium, and factors that specifically regulate the movement of
- water. Experiments in which an excess of aldosterone is combined with a high salt intake produce
- increased blood pressure, and--by invoking various genes--salt is said to cause hypertension in
- certain people. This reasoning is hardly different from the reasoning of the drug companies in
- the 1950s who said that since women with toxemia have hypertension and edema, they should be
- treated with a diuretic and a low salt diet, to eliminate water and to reduce blood
- pressure.</span></span></span>
- </blockquote>
- <blockquote></blockquote>
- <blockquote>
- <span style="color: #222222"><span style="font-family: Helvetica"><span>The physiological loss of sodium
- occurs when energy metabolism fails, as in<strong>diabetes, hypothyroidism, hyperestrogenism,
- and starvation. </strong>What these conditions have in common is an increased level of
- free fatty acids in the blood. Increased free fatty acids impair the use of glucose. The
- consumption of carbohydrate, like an increase of thyroid hormone, insulin, or progesterone,
- increases the retention of sodium; fructose is the most effective carbohydrate (Rebello, et al.,
- 1983). </span></span></span>
- </blockquote>
- <blockquote></blockquote>
- <blockquote>
- <span style="color: #222222"><span style="font-family: Helvetica"><span>The loss of sodium is often
- accompanied by the retention of water, reducing the osmotic pressure of the body fluids. The
- leakiness of blood vessels allows the extracellular fluid volume to increase, as understood in
- the standard definition of edema. However, when this fluid is hypo-osmotic, it will enter cells,
- causing them to swell. Cell swelling excites cells (Ayus, et al., 2008; Baxter, et al., 1991),
- and can kill them if they are unable to produce enough energy to restore their original volume,
- by measures including the excretion of amino acids and potassium. Both low sodium
- (hyponatremia) and low osmotic pressure stimulate the adrenergic nervous system.</span></span
- ></span>
- </blockquote>
- <blockquote></blockquote>
- <blockquote>
- <span style="color: #222222"><span style="font-family: Helvetica"><span>The increase of adrenalin,f caused
- by a deficiency of sodium, is one of the factors that can increase blood pressure; if the
- tissues's glycogen stores are depleted, the adrenalin will mobilize free fatty acids from the
- tissues, which tends to inhibit energy production from glucose, and to increase leakiness. After
- I had read Tom Brewer's work on preventing or curing preeclampsia with added salt, I realized
- that the premenstrual syndrome involved some of the features of preeclampsia (edema, insomnia,
- cramps, hypertension, salt craving), so I suggested to a friend that she might try salting her
- food to taste, instead of trying to restrict salt to "prevent edema." She immediately noticed
- that it prevented her monthly edema problem. For several years, all the women who tried it had
- similarly good results, and often mentioned that their sleep improved. I mentioned this to
- several people with sleep problems, and regardless of age, their sleep improved when they ate as
- much salt as they wanted. Around that time, several studies had shown that salt restriction
- increases adrenalin, and one study showed that most old people on a low sodium diet suffered
- from insomnia, and had unusually high adrenalin. When they ate a normal amount of salt, their
- adrenalin was normalized, and they slept better.</span></span></span>
- </blockquote>
- <blockquote></blockquote>
- <blockquote>
- <span style="color: #222222"><span style="font-family: Helvetica"><span>It's very common for physicians who
- are aware of progesterone's "anti-aldosterone" activity to think that both estrogen and
- progesterone are responsible for the increased risk of sodium loss in women, especially during
- pregnancy, but Hans Selye demonstrated that progesterone will normalize sodium retention even
- when there is no aldosterone at all, following removal of the adrenal glands. It is estrogen
- which is responsible for the dangerous loss of sodium. </span
- ></span></span>
- </blockquote>
- <blockquote></blockquote>
- <blockquote>
- <span style="color: #222222"><span style="font-family: Helvetica"><span>The ratio of estrogen to
- progesterone--regardless of age or gender--is an important factor in regulating minerals and
- water, cell energy metabolism, and blood pressure. The ratios of many other regulatory
- substances (including serotonin/dopamine, glucagon/insulin, and
- aldosterone/cortisol+progesterone) vary according to the quality of the individual's level of
- adaptation to the environment. Improving the environment can shift the ratio in the direction of
- restoration, rather than mere survival.</span></span></span>
- </blockquote>
- <blockquote></blockquote>
- <blockquote>
- <span style="color: #222222"><span style="font-family: Helvetica"><span>Gershom Zajicek and his colleagues
- have demonstrated an organized renewal of tissues, in which new cells are born with the division
- of stem cells, and "stream" away from their origin as they mature, and finally are shed or
- dissolved. A few studies have demonstrated a similar kind of migration of new cells in the brain
- (Eriksson, et al., 1998; Gould, et al., 1999), a process which differs by the absence of
- systematic dissolution of mature brain cells. While Zajicek has demonstrated the conversion of
- one kind of cell, such as a pancreatic ductal epithelial or acinar cell into insulin-secreting
- beta cells, other researchers have shown that after injury to the pancreas beta cells can be
- formed from glucagon-secreting alpha cells, as well as from other beta cells. </span></span
- ></span>
- </blockquote>
- <blockquote></blockquote>
- <blockquote>
- <span style="color: #222222"><span style="font-family: Helvetica"><span>Stress, increasing the need for
- energy, increases the formation of cortisol and free fatty acids when glucose isn't available,
- and those--while they provide alternative sources of energy--interfere with the ability to
- produce energy from glucose. Free fatty acids and cortisol can cause the insulin-secreting beta
- cells to die. Glucose, and insulin which allows glucose to be used for energy production, while
- it lowers the formation of free fatty acids, promotes the regeneration of the beta-cells.
- Although several research groups have demonstrated the important role of glucose in regeneration
- of the pancreas, and many other groups have demonstrated the destructive effect of free fatty
- acids on the beta cells, the mainstream medical culture still claims that "sugar causes
- diabetes."</span></span></span>
- </blockquote>
- <blockquote></blockquote>
- <blockquote>
- <span style="color: #222222"><span style="font-family: Helvetica"><span>In the adrenal glands, renewing
- cells stream from the capsule on the surface of the gland toward the center of the gland. The
- first cells to be produced in a regenerating gland are those that produce aldosterone, the next
- in the stream are the cortisol producing cells, and the last to be formed are the cells that
- produce the sex hormones, the androgens including DHEA, and progesterone. In aging, after the
- age of thirty, the renewal slows, but the dissolution of the sex hormone zone continues, so the
- proportion shifts, increasing the ratio of the aldosterone and cortisol producing cells to the
- layer that produces the protective androgens and progesterone (Parker, et al., 1997).</span
- ></span></span>
- </blockquote>
- <blockquote></blockquote>
- <blockquote>
- <span style="color: #222222"><span style="font-family: Helvetica"><span>Even before aldosterone was
- identified, progesterone's role in regulating the salts, water, and energy metabolism was known,
- and after the functions of aldosterone were identified, progesterone was found to protect
- against its harmful effects, as it protects against an excess of cortisol, estrogen, or the
- androgens. New anti-aldosterone drugs are available that are effective for treating hypertension
- and heart failure, and their similarity to progesterone is recognized.</span></span></span>
- </blockquote>
- <blockquote></blockquote>
- <blockquote>
- <span style="color: #222222"><span style="font-family: Helvetica"><span>While stress typically causes the
- adrenal glands to produce cortisol, extreme stress, as described by Hans Selye, damages the
- adrenal cortex, and can cause the cells to die, leading to the death of the animal. There is
- evidence that it is the breakdown of unsaturated fatty acids that causes damage to the adrenal
- cortex in extreme stress. Although many factors influence the production of the adrenal
- steroids, arachidonic acid, even without being converted to prostaglandins, is an important
- activator of aldosterone synthesis. Adrenalin, produced in response to a lack of glucose,
- liberates free fatty acids from the tissues, so when the tissues contain large amounts of the
- polyunsaturated fatty acids, the production of aldosterone will be greater than it would be
- otherwise. </span></span></span>
- </blockquote>
- <blockquote></blockquote>
- <blockquote>
- <span style="color: #222222"><span style="font-family: Helvetica"><span>The continuing accumulation of
- polyunsaturated fats in the tissues is undoubtedly important in the changing relationship
- between the pancreas and the adrenal glands in aging. Aspirin, which is antilipolytic,
- decreasing the release of free fatty acids, as well as inhibiting their conversion to
- prostaglandins, lowers the production of stress-induced aldosterone, and helps to lower blood
- pressure, if it's taken in the evening, to prevent the increase of free fatty acids during the
- night. Aspirin increases insulin sensitivity. A low salt diet increases the free fatty acids,
- leading to insulin resistance, increasing free fatty acids in the blood, and contributing to
- atherosclerosis (Prada, et al., 2000; Mrnka, et al., 2000; Catanozi, et al., 2003; Garg, et al.,
- 2011).</span></span></span>
- </blockquote>
- <blockquote></blockquote>
- <blockquote>
- <span style="color: #222222"><span style="font-family: Helvetica"><span>The same factors that support or
- interfere with cellular renewal in the pancreas and adrenal glands have similar effects in the
- bones, skin, skeletal and heart muscle, nervous system, liver, and other organs. In every case,
- the local circulation of blood is influenced by both local and systemic factors. The loss of
- control over the water in the body is the result of energy failure, and hypertension is one of
- the adaptations that helps to preserve or restore energy production. </span></span></span>
- </blockquote>
- <blockquote></blockquote>
- <blockquote>
- <span style="color: #222222"><span style="font-family: Helvetica"><span>Lowering inflammation and the
- associated excess of free fatty acids in the blood, and improving the ability to oxidize
- glucose, will lower blood pressure while improving tissue renewal, but lowering blood pressure
- without improving energy production and use will create new problems or intensify existing
- problems. After 40 years the medical profession quietly retreated from their catastrophic
- approach to pregnancy toxemia, but in the more general problem of essential hypertension, the
- mistaken ideology is being preserved, even as less harmful treatments are introduced. That
- ideology prevents a comprehensive and rational approach to the problems of stress and
- aging.</span></span></span>
- </blockquote>
- <blockquote></blockquote>
- <blockquote>
- <span style="color: #222222">
- <span style="font-family: Helvetica"><span><strong><h3>REFERENCES</h3></strong
- ></span></span></span>
- </blockquote>
- <blockquote></blockquote>
- <blockquote>
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- Jul;8(7):CR473-7. <strong>Effect of renin-angiotensin system activation by dietary sodium
- restriction and upright position on plasma leptin concentration in patients with essential
- hypertension. </strong>Adamczak M, Kokot F, Chudek J, Wiecek A.</span></span></span>
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- <blockquote>
- <span style="color: #222222"><span style="font-family: Helvetica"><span>Obesity (Silver Spring). 2006
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- ></span></span>
- </blockquote>
- <blockquote>
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- Mar;16(3):269-78. <strong>Alterations of GABA metabolism and seizure susceptibility in the
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- <span style="color: #222222"><span style="font-family: Helvetica"><span>Diabetes. 2012
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- α-cells. </strong>Chung CH, Hao E, Piran R, Keinan E, Levine F.</span></span></span>
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- <span style="color: #222222"><span style="font-family: Helvetica"><span>Eur Respir J Suppl. 2003
- Nov;46:33s-40s. <strong>Fluid homeostasis in chronic obstructive lung
- disease. </strong>de Leeuw PW, Dees A.</span></span></span>
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- <span style="color: #222222"><span style="font-family: Helvetica"><span>Trends Endocrinol Metab. 2011
- Jan;22(1):34-43. <strong>Beta-cell regeneration: the pancreatic intrinsic faculty.</strong
- > Desgraz R, Bonal C, Herrera PL.</span></span></span>
- </blockquote>
- <blockquote>
- <span style="color: #222222"><span style="font-family: Helvetica"><span>Am J Physiol. 1993 May;264(5 Pt
- 1):E730-4. <strong>Effect of sodium intake on insulin sensitivity.</strong>Donovan DS,
- Solomon CG, Seely EW, Williams GH, Simonson DC.</span></span></span>
- </blockquote>
- <blockquote>
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