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