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  6. <blockquote>
  7. <h2>
  8. <span style="color: #222222"><span style="font-family: Helvetica"><span><strong>When energy fails:
  9. Edema, heart failure, hypertension, sarcopenia, etc.&nbsp;</strong></span></span></span>
  10. </h2>
  11. </blockquote>
  12. <blockquote></blockquote>
  13. <blockquote>
  14. <span style="color: #222222"><span style="font-family: Helvetica"><span>More than 100 years ago the idea of
  15. a morphogenetic field was proposed by A.G. Gurwitsch, as a way to explain the orderly movements
  16. of cells in embryos and growing tissues, and to understand the principles that cause cells to
  17. change appropriately when their location in the organism changes. For 30 years, the concept
  18. guided research in embryology, but also led to important discoveries in the biology of cancer,
  19. aging, wound repair, and other important areas. But by the late 1940s, a more abstract approach
  20. to biology, based on the gene doctrine of Mendel and Weismann, took charge of academic and
  21. governmental biological research. This ideology at first said that organisms are determined by
  22. unchanging units of inheritance, "genes," and later when genes were found to be susceptible to
  23. mutation, the changes were said to be always random. The Central Dogma of the ideology was that
  24. any meaningful, adaptive changes that occur in an organism can't influence the genes. For many
  25. years, adaptive changes were said to be nothing but changes in the size or function of existing
  26. cells, because the cells of the major organs of the body were supposed to be created before
  27. birth, or in infancy.&nbsp;</span></span></span>
  28. </blockquote>
  29. <blockquote></blockquote>
  30. <blockquote>
  31. <span style="color: #222222"><span style="font-family: Helvetica"><span>Besides the purely ideological
  32. commitment to the theory of genes, there were other influences that contributed to the culture
  33. of Molecular Biology. People learned histology from slides or pictures made by killing,
  34. hardening, dehydrating, and slicing parts of organisms. Biochemists studied the chemistry of
  35. life mainly by grinding cells or tissues, and extracting water soluble materials to study the
  36. actions of enzymes on various materials. These unrealistic artifacts filled the textbooks and
  37. the minds of generations of biologists and physicians. The culture of molecular biology used
  38. these artifacts to create theories of embryology and physiology, and holistic ideas such as the
  39. developmental field were disregarded.</span></span></span>
  40. </blockquote>
  41. <blockquote></blockquote>
  42. <blockquote>
  43. <span style="color: #222222"><span style="font-family: Helvetica"><span>The mental image of a living
  44. organism that has been created by that culture is simply wrong. The concept of a developmental
  45. field is essential for understanding embryology, because things that exist on a scale bigger
  46. than molecules and cells govern the functions of the molecules and cells, and the principles of
  47. embryology don't arbitrarily stop operating at birth, but can be seen to continue operating
  48. during maturity and aging. The interactions of cells with their environment are different at
  49. different stages of life, but there are commonalities that are extremely important.</span></span
  50. ></span>
  51. </blockquote>
  52. <blockquote></blockquote>
  53. <blockquote>
  54. <span style="color: #222222"><span style="font-family: Helvetica"><span>The processes that govern the
  55. pregnant woman's blood circulation, in sustaining the development of a fetus, are very similar
  56. to the processes that govern anyone's blood circulation, providing for the maintenance and
  57. renewal of all the body's organs. The common problems of pregnancy involving the circulatory
  58. system can provide insights into the problems of the various organs that have been the focus of
  59. the medical specialties, and to some basic medical issues, including aging, obesity, and
  60. inflammation.</span></span></span>
  61. </blockquote>
  62. <blockquote></blockquote>
  63. <blockquote>
  64. <span style="color: #222222"><span style="font-family: Helvetica"><span>The development of a fertilized egg
  65. into an embryo consumes energy at a very high rate, and the way the embryo develops depends on a
  66. continuously adequate supply of oxygen and sugar, and other nutrients. The intense flow of
  67. energy through each stage of a developing structure shapes the following stage. The necessary
  68. energy and materials are provided abundantly by the mother's blood. When the development has
  69. advanced far enough to make life possible outside the uterus, energy will be used more slowly,
  70. for growth, maintenance, and renewal of tissues.&nbsp;</span></span></span>
  71. </blockquote>
  72. <blockquote></blockquote>
  73. <blockquote>
  74. <span style="color: #222222"><span style="font-family: Helvetica"><span>Failure to renew cells and tissues
  75. leads to the loss of function and substance. Bones and muscles get weaker and smaller with
  76. aging. Diminished bone substance, osteopenia, is paralleled, at roughly the same rate, by the
  77. progressive loss of muscle mass, sarcopenia (or myopenia). The structure of aging tissue
  78. changes, with collagen tending to fill the spaces left by the disappearing cells. It's also
  79. common for fat cells to increase, as muscle cells disappear.</span></span></span>
  80. </blockquote>
  81. <blockquote></blockquote>
  82. <blockquote>
  83. <span style="color: #222222"><span style="font-family: Helvetica"><span>When conditions are ideal, as during
  84. healthy development in the uterus, tissue damage is corrected by the multiplication of cells to
  85. replace any that were lost. But when conditions are less perfect, injuries are imperfectly
  86. repaired, usually with highly collagenous scar tissue bridging the area that was destroyed.
  87. During this imperfect repair, there is inflammation, which apparently exists to the extent that
  88. the substances needed for regeneration are lacking. For example, when oxygen is lacking, lactic
  89. acid is likely to be produced, along with increases of pro-inflammatory regulators such as
  90. histamine and serotonin, leading to the loss of many important proteins and functions, and the
  91. over-production of collagen instead.</span></span></span>
  92. </blockquote>
  93. <blockquote></blockquote>
  94. <blockquote>
  95. <span style="color: #222222"><span style="font-family: Helvetica"><span>Since cellular renewal of tissues,
  96. in a healthy individual, is a constant process, we can think of the metabolic rate of a healthy
  97. adult as just what is needed to sustain this constant, limited sort of regeneration, but not
  98. quite intense enough to produce scarless healing of a wound (without special
  99. intervention).</span></span></span>
  100. </blockquote>
  101. <blockquote></blockquote>
  102. <blockquote>
  103. <span style="color: #222222"><span style="font-family: Helvetica"><span>If something reduces the systemic
  104. ability to produce energy, there will be a gap between the available energy and the energy
  105. needed for the constant turnover of cells in each tissue and organ, and a generalized
  106. inflammation will develop. The replacement of cells will be slowed, and the organism will
  107. mobilize the processes used for producing scar tissue, producing an excess of collagen, filling
  108. the spaces left by the lost cells.</span></span></span>
  109. </blockquote>
  110. <blockquote></blockquote>
  111. <blockquote>
  112. <span style="color: #222222"><span style="font-family: Helvetica"><span>We are susceptible to many things
  113. that interfere with energy production---the substitution of iron for copper in the respiratory
  114. enzyme, the absorption of endotoxin, the accumulation of PUFA, a deficiency of thyroid hormone,
  115. the formation of increased amounts of nitric oxide, serotonin, and histamine, etc. Different
  116. environments will condition the way the defensive mechanisms of inflammation are
  117. produced.&nbsp;</span></span></span>
  118. </blockquote>
  119. <blockquote></blockquote>
  120. <blockquote>
  121. <span style="color: #222222"><span style="font-family: Helvetica"><span>Toxemia of pregnancy, or
  122. preeclampsia, is a state of generalized inflammation, and some of the causes and remedies are
  123. known. Despite the predominance of crazy genetic theories of preeclampsia in 20th century
  124. medical literature, there was clear evidence (reviewed by Tom Brewer, Douglas Shanklin, and Jay
  125. Hodin) that it was caused by malnutrition, and that it could be cured by adequate protein, salt,
  126. and calcium.&nbsp;&nbsp;&nbsp;</span></span></span>
  127. </blockquote>
  128. <blockquote></blockquote>
  129. <blockquote>
  130. <span style="color: #222222"><span style="font-family: Helvetica"><span>The old medical practice of
  131. restricting salt intake during pregnancy was an important factor in causing it, so it's
  132. interesting to look at the effects of salt restriction as a treatment for hypertension.</span
  133. ></span></span>
  134. </blockquote>
  135. <blockquote></blockquote>
  136. <blockquote>
  137. <span style="color: #222222"><span style="font-family: Helvetica"><span>The pregnant woman's blood volume
  138. expands, to permit the supply of energy to match the needs of the embryo. If the blood volume
  139. doesn't increase, or if it decreases, as in pregnancy toxemia, her blood pressure will increase.
  140. Typically, the decrease of blood volume is accompanied by an increase in the extracellular
  141. fluid, edema, resulting from leakage of fluid through the walls of the capillaries, and albumin
  142. appears in the urine as it leaks through the capillaries in the kidneys. The amount of blood
  143. pumped by the heart, however, is increased in toxemia (Hamilton, 1952), showing that the
  144. increased blood pressure is at least partially compensating for the smaller volume of
  145. blood.&nbsp;</span></span></span>
  146. </blockquote>
  147. <blockquote></blockquote>
  148. <blockquote>
  149. <span style="color: #222222"><span style="font-family: Helvetica"><span>A similar situation,&nbsp;<strong
  150. >reduced blood volume and edema, can be seen (Tarazi, 1976) in "essential hypertension," the
  151. "unexplained" hi</strong>gh blood pressure that occurs more often with increasing age and
  152. obesity. At the beginning of "essential hypertension," the amount of blood pumped is usually
  153. greater than normal.</span></span></span>
  154. </blockquote>
  155. <blockquote></blockquote>
  156. <blockquote>
  157. <span style="color: #222222"><span style="font-family: Helvetica"><span>In both situations, preeclampsia and
  158. essential hypertension, there is an increased amount of aldosterone, an adrenal steroid which
  159. allows the kidneys to retain sodium, and to lose potassium and ammonium instead. A restriction
  160. of salt in the diet causes more aldosterone to be produced, and increased salt in the diet
  161. causes aldosterone to decrease. One effect of aldosterone is to increase the production of a
  162. substance called vascular endothelial growth factor, VEGF, or vascular permeability factor,
  163. which causes capillaries to become leaky, and causes new blood vessels to grow.</span></span
  164. ></span>
  165. </blockquote>
  166. <blockquote></blockquote>
  167. <blockquote>
  168. <span style="color: #222222"><span style="font-family: Helvetica"><span>While&nbsp;<strong>increased salt in
  169. the diet tends to lower both aldosterone and VEGF, reducing the leakiness of blood
  170. vessels,&nbsp;</strong>sodium also has a direct effect that tends to prevent the leakage of
  171. water and albumin out of the blood vessels, helping to maintain the blood volume which is needed
  172. to perfuse the kidneys, preventing them from producing signals to increase blood pressure and
  173. aldosterone. There is a large amount of albumin in the blood serum, and sodium ions associate
  174. with the negative electrical charges on the albumin molecule. This association causes the
  175. complex of albumin and sodium to attract a large amount of water, that is to exert osmotic or
  176. oncotic pressure. This oncotic pressure causes any excess extracellular water to be attracted
  177. into the blood vessels, preventing edema while maintaining the blood volume. When there is too
  178. little sodium, the albumin molecule itself easily leaves the blood stream along with the
  179. water.</span></span></span>
  180. </blockquote>
  181. <blockquote></blockquote>
  182. <blockquote>
  183. <span style="color: #222222"><span style="font-family: Helvetica"><span>Instead of considering the
  184. significance of sodium's effects on albumin, aldosterone, and VEGF, textbooks have often talked
  185. about the factors that "pump" sodium, and factors that specifically regulate the movement of
  186. water. Experiments in which an excess of aldosterone is combined with a high salt intake produce
  187. increased blood pressure, and--by invoking various genes--salt is said to cause hypertension in
  188. certain people. This reasoning is hardly different from the reasoning of the drug companies in
  189. the 1950s who said that since women with toxemia have hypertension and edema, they should be
  190. treated with a diuretic and a low salt diet, to eliminate water and to reduce blood
  191. pressure.</span></span></span>
  192. </blockquote>
  193. <blockquote></blockquote>
  194. <blockquote>
  195. <span style="color: #222222"><span style="font-family: Helvetica"><span>The physiological loss of sodium
  196. occurs when energy metabolism fails, as in<strong>diabetes, hypothyroidism, hyperestrogenism,
  197. and starvation.&nbsp;</strong>What these conditions have in common is an increased level of
  198. free fatty acids in the blood. Increased free fatty acids impair the use of glucose. The
  199. consumption of carbohydrate, like an increase of thyroid hormone, insulin, or progesterone,
  200. increases the retention of sodium; fructose is the most effective carbohydrate (Rebello, et al.,
  201. 1983).&nbsp;</span></span></span>
  202. </blockquote>
  203. <blockquote></blockquote>
  204. <blockquote>
  205. <span style="color: #222222"><span style="font-family: Helvetica"><span>The loss of sodium is often
  206. accompanied by the retention of water, reducing the osmotic pressure of the body fluids. The
  207. leakiness of blood vessels allows the extracellular fluid volume to increase, as understood in
  208. the standard definition of edema. However, when this fluid is hypo-osmotic, it will enter cells,
  209. causing them to swell. Cell swelling excites cells (Ayus, et al., 2008; Baxter, et al., 1991),
  210. and can kill them if they are unable to produce enough energy to restore their original volume,
  211. by measures including the excretion of amino acids and potassium.&nbsp; Both low sodium
  212. (hyponatremia) and low osmotic pressure stimulate the adrenergic nervous system.</span></span
  213. ></span>
  214. </blockquote>
  215. <blockquote></blockquote>
  216. <blockquote>
  217. <span style="color: #222222"><span style="font-family: Helvetica"><span>The increase of adrenalin,f caused
  218. by a deficiency of sodium, is one of the factors that can increase blood pressure; if the
  219. tissues's glycogen stores are depleted, the adrenalin will mobilize free fatty acids from the
  220. tissues, which tends to inhibit energy production from glucose, and to increase leakiness. After
  221. I had read Tom Brewer's work on preventing or curing preeclampsia with added salt, I realized
  222. that the premenstrual syndrome involved some of the features of preeclampsia (edema, insomnia,
  223. cramps, hypertension, salt craving), so I suggested to a friend that she might try salting her
  224. food to taste, instead of trying to restrict salt to "prevent edema." She immediately noticed
  225. that it prevented her monthly edema problem. For several years, all the women who tried it had
  226. similarly good results, and often mentioned that their sleep improved. I mentioned this to
  227. several people with sleep problems, and regardless of age, their sleep improved when they ate as
  228. much salt as they wanted. Around that time, several studies had shown that salt restriction
  229. increases adrenalin, and one study showed that most old people on a low sodium diet suffered
  230. from insomnia, and had unusually high adrenalin. When they ate a normal amount of salt, their
  231. adrenalin was normalized, and they slept better.</span></span></span>
  232. </blockquote>
  233. <blockquote></blockquote>
  234. <blockquote>
  235. <span style="color: #222222"><span style="font-family: Helvetica"><span>It's very common for physicians who
  236. are aware of progesterone's "anti-aldosterone" activity to think that both estrogen and
  237. progesterone are responsible for the increased risk of sodium loss in women, especially during
  238. pregnancy, but Hans Selye demonstrated that progesterone will normalize sodium retention even
  239. when there is no aldosterone at all, following removal of the adrenal glands. It is estrogen
  240. which is responsible for the dangerous loss of sodium.&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;</span
  241. ></span></span>
  242. </blockquote>
  243. <blockquote></blockquote>
  244. <blockquote>
  245. <span style="color: #222222"><span style="font-family: Helvetica"><span>The ratio of estrogen to
  246. progesterone--regardless of age or gender--is an important factor in regulating minerals and
  247. water, cell energy metabolism, and blood pressure. The ratios of many other regulatory
  248. substances (including serotonin/dopamine, glucagon/insulin, and
  249. aldosterone/cortisol+progesterone) vary according to the quality of the individual's level of
  250. adaptation to the environment. Improving the environment can shift the ratio in the direction of
  251. restoration, rather than mere survival.</span></span></span>
  252. </blockquote>
  253. <blockquote></blockquote>
  254. <blockquote>
  255. <span style="color: #222222"><span style="font-family: Helvetica"><span>Gershom Zajicek and his colleagues
  256. have demonstrated an organized renewal of tissues, in which new cells are born with the division
  257. of stem cells, and "stream" away from their origin as they mature, and finally are shed or
  258. dissolved. A few studies have demonstrated a similar kind of migration of new cells in the brain
  259. (Eriksson, et al., 1998; Gould, et al., 1999), a process which differs by the absence of
  260. systematic dissolution of mature brain cells. While Zajicek has demonstrated the conversion of
  261. one kind of cell, such as a pancreatic ductal epithelial or acinar cell into insulin-secreting
  262. beta cells, other researchers have shown that after injury to the pancreas beta cells can be
  263. formed from glucagon-secreting alpha cells, as well as from other beta cells.&nbsp;</span></span
  264. ></span>
  265. </blockquote>
  266. <blockquote></blockquote>
  267. <blockquote>
  268. <span style="color: #222222"><span style="font-family: Helvetica"><span>Stress, increasing the need for
  269. energy, increases the formation of cortisol and free fatty acids when glucose isn't available,
  270. and those--while they provide alternative sources of energy--interfere with the ability to
  271. produce energy from glucose. Free fatty acids and cortisol can cause the insulin-secreting beta
  272. cells to die. Glucose, and insulin which allows glucose to be used for energy production, while
  273. it lowers the formation of free fatty acids, promotes the regeneration of the beta-cells.
  274. Although several research groups have demonstrated the important role of glucose in regeneration
  275. of the pancreas, and many other groups have demonstrated the destructive effect of free fatty
  276. acids on the beta cells, the mainstream medical culture still claims that "sugar causes
  277. diabetes."</span></span></span>
  278. </blockquote>
  279. <blockquote></blockquote>
  280. <blockquote>
  281. <span style="color: #222222"><span style="font-family: Helvetica"><span>In the adrenal glands, renewing
  282. cells stream from the capsule on the surface of the gland toward the center of the gland. The
  283. first cells to be produced in a regenerating gland are those that produce aldosterone, the next
  284. in the stream are the cortisol producing cells, and the last to be formed are the cells that
  285. produce the sex hormones, the androgens including DHEA, and progesterone. In aging, after the
  286. age of thirty, the renewal slows, but the dissolution of the sex hormone zone continues, so the
  287. proportion shifts, increasing the ratio of the aldosterone and cortisol producing cells to the
  288. layer that produces the protective androgens and progesterone (Parker, et al., 1997).</span
  289. ></span></span>
  290. </blockquote>
  291. <blockquote></blockquote>
  292. <blockquote>
  293. <span style="color: #222222"><span style="font-family: Helvetica"><span>Even before aldosterone was
  294. identified, progesterone's role in regulating the salts, water, and energy metabolism was known,
  295. and after the functions of aldosterone were identified, progesterone was found to protect
  296. against its harmful effects, as it protects against an excess of cortisol, estrogen, or the
  297. androgens. New anti-aldosterone drugs are available that are effective for treating hypertension
  298. and heart failure, and their similarity to progesterone is recognized.</span></span></span>
  299. </blockquote>
  300. <blockquote></blockquote>
  301. <blockquote>
  302. <span style="color: #222222"><span style="font-family: Helvetica"><span>While stress typically causes the
  303. adrenal glands to produce cortisol, extreme stress, as described by Hans Selye, damages the
  304. adrenal cortex, and can cause the cells to die, leading to the death of the animal. There is
  305. evidence that it is the breakdown of unsaturated fatty acids that causes damage to the adrenal
  306. cortex in extreme stress. Although many factors influence the production of the adrenal
  307. steroids, arachidonic acid, even without being converted to prostaglandins, is an important
  308. activator of aldosterone synthesis. Adrenalin, produced in response to a lack of glucose,
  309. liberates free fatty acids from the tissues, so when the tissues contain large amounts of the
  310. polyunsaturated fatty acids, the production of aldosterone will be greater than it would be
  311. otherwise.&nbsp;</span></span></span>
  312. </blockquote>
  313. <blockquote></blockquote>
  314. <blockquote>
  315. <span style="color: #222222"><span style="font-family: Helvetica"><span>The continuing accumulation of
  316. polyunsaturated fats in the tissues is undoubtedly important in the changing relationship
  317. between the pancreas and the adrenal glands in aging. Aspirin, which is antilipolytic,
  318. decreasing the release of free fatty acids, as well as inhibiting their conversion to
  319. prostaglandins, lowers the production of stress-induced aldosterone, and helps to lower blood
  320. pressure, if it's taken in the evening, to prevent the increase of free fatty acids during the
  321. night. Aspirin increases insulin sensitivity. A low salt diet increases the free fatty acids,
  322. leading to insulin resistance, increasing free fatty acids in the blood, and contributing to
  323. atherosclerosis (Prada, et al., 2000; Mrnka, et al., 2000; Catanozi, et al., 2003; Garg, et al.,
  324. 2011).</span></span></span>
  325. </blockquote>
  326. <blockquote></blockquote>
  327. <blockquote>
  328. <span style="color: #222222"><span style="font-family: Helvetica"><span>The same factors that support or
  329. interfere with cellular renewal in the pancreas and adrenal glands have similar effects in the
  330. bones, skin, skeletal and heart muscle, nervous system, liver, and other organs. In every case,
  331. the local circulation of blood is influenced by both local and systemic factors. The loss of
  332. control over the water in the body is the result of energy failure, and hypertension is one of
  333. the adaptations that helps to preserve or restore energy production.&nbsp;</span></span></span>
  334. </blockquote>
  335. <blockquote></blockquote>
  336. <blockquote>
  337. <span style="color: #222222"><span style="font-family: Helvetica"><span>Lowering inflammation and the
  338. associated excess of free fatty acids in the blood, and improving the ability to oxidize
  339. glucose, will lower blood pressure while improving tissue renewal, but lowering blood pressure
  340. without improving energy production and use will create new problems or intensify existing
  341. problems. After 40 years the medical profession quietly retreated from their catastrophic
  342. approach to pregnancy toxemia, but in the more general problem of essential hypertension, the
  343. mistaken ideology is being preserved, even as less harmful treatments are introduced. That
  344. ideology prevents a comprehensive and rational approach to the problems of stress and
  345. aging.</span></span></span>
  346. </blockquote>
  347. <blockquote></blockquote>
  348. <blockquote>
  349. <span style="color: #222222">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;
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  352. </blockquote>
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