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Repairing the long-term damage from Accutane

 
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91
(@josephbuchignani)

Posted : 07/05/2013 2:53 pm

#1: "Department of Pediatrics, Faculty of Medicine, Cairo University"
Lol.
There is no need to go so far afield. Wikipedia has a nice roundup: http://en.wikipedia.org/wiki/Ursodiol
#2 "...compared to the control group in 28 mg/kg/day in primary sclerosing cholangitis"
So if you have PSC, don't take UDCA. Already noted. Derp.
#3 "In absence of biochemical response to 13-15mg/kg/day ursodeoxycholic acid, its use is associated with an incidence of 20% hepatocellular carcinoma in patients with primary biliary cirrhosis in 15 years.[6]"
And especially don't take it if it doesn't help you. Double derp.
#4 " toxic dose (28 mg/kg/day)"
This is unsupported, unless intended only to refer to those with PSC, in which case, misleading.
PSC includes extrahepatic blockage, PBC does not. UDCA helps for PBC but not for PSC. Ergo upstream malfunctions are better candidates for UDCA, as are partial/subclininical malfunctions, both of which applies to us.
Even the Egyptian paper admits that "UDCA does not affect long term survival" in PBC. If it were toxic, it would be killing them.
For its other startling claims, the Egyptian paper relies on in vitro, which amounts to worthless speculation.
Non-responders constituted 40% of PBC cases. In my view, non-response to UDCA strongly suggests a degree or type of cholestasis that contraindicates UDCA. You can easily and quickly tell whether you fall into the responder or non-responder category. It would be necessary to disaggregate the responder/non-responder survival data to determine whether UDCA positively impacts long-term survival for responders; however given the overall trend one would expect a curve where it is very helpful for the less-blocked and very harmful for the very-blocked - who are fucked anyway and require transplants.
The Egyptian paper states, "The likelihood of developing adverse effects was not predicted by UDCA ability to control liver enzymes...". It does not state that quality of life improvement failed to predict. This stands to reason, since UDCA can still affect liver levels even in livers damaged so severely that treatment is contraindicated.
UDCA is not for infants or PSC - but it IS for pregnant mothers and PBC. The PBC community is using it long term. They are our canary in the coalmine, and they are not dying off. So it is safe for us.
The scare bits of the Egyptian paper are balanced by ones such as this: "Hence UDCA is believed to have potential therapeutic application in cancer and anti-inflammatory diseases"
It is already 3% of the human bile pool. Nuff said.
Much of the scary stuff in the Egyptian paper is merely in vitro, which can always go either way. Bottom line, if it improves quality of life and you're subclinical on liver damage, it's very likely a net gain for you.
Here's a near identical paraphrase of my statement, for which Camaroz so wrongly excoriated me:
"UDCA increases bile flow. However, the mere increase of bile flow in obstructive cholestasis without resolution of the cause may worsen the disease course due to increased biliary pressure and leading to rupture..."
Wikipedia helpfully explains:
"The two basic distinctions are an obstructive type of cholestasis where there is a mechanical blockage in the duct system such as can occur from a gallstone or malignancy, and metabolic types of cholestasis which are disturbances in bile formation that can occur because of genetic defects or acquired as a side effect of many medications."
Contra Camaroz, who claimed that all cholestasis is obstructive, and therefore my distinction of "blocked bile ducts" was ignorant.
Obviously subclinincal Accutane liver damage falls under non-obstructive cholestasis.
The Egyptian paper is a biased anti-UDCA hack job. This is simply false: "Despite high hopes and tremendous expenditure, space and chance for UDCA to effect, it does not go beyond the slight improvement of surrogate markers [6-9]."
UDCA showed an effect not just on surrogate markers, but also
`
Improved immune function in PBC:
Optimal dose is 900 mg/d = 13.5 mg/kg /d. I'm about there after reducing my yogurt intake, with no loss in performance.
UDCA appears to increase canalicular (upstream) transport
Reaches peak 60 minutes after ingestion - exactly the ultra rapid response I reported. A second 3 hour peak also matches my experience.
The "no effect" USA study used a too-low dose of a crap formulation with 2/3's effectiveness. Other studies showed better effects.
The above link is the mother lode that should settle all debate. It supports what I've been contending - UDCA works well in Stage I and II PBC for responders, but is probably detrimental in later stages, which feature obstructive cholestasis.
What we should do is subscribe to this article and find out ALL the latest facts. The rest is behind a paywall. But I am satisfied based on what I've read there... very very satisfied. And I will let the University of Cairo have their extremist opinion. Mr. Igbo Kotb or whatever.
Bottom line, I will keep taking UDCA, but now I know that there doesn't seem to be much difference between 15 - 30 mg/kg/d, either in studies of liver damage or for my digestive personal experiments. The crucial thing is to get enough of the right formulation. I am taking pure, uncoated stuff, so I'm good.
Layman's summary:
Me: I'm going to brake to a gentle halt as I pull into this parking space.
Camaroz: IF YOU TAP THE BRAKES ON THE FREEWAY YOU WILL HYDROPLANE INTO A CONCRETE DIVIDER
Me: What are you talking about, dude. We are going 10 miles per hour.
Camaroz: LOOK OUT FOR THE ONCOMING SEMI! TURN INTO THE SKID!
Me: Dude, we are at Walmart. All the other cars are stationary.
Camaroz: 99% OF FATAL CAR ACCIDENTS INVOLVE THE USE OF BRAKES RIGHT BEFORE DEATH, YOU DOOMED FOOL
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MemberMember
26
(@camaroz28)

Posted : 07/05/2013 10:28 pm

@broccoli_breath:

Good sir, I know I was a little heavy-handed, when I defriended you rather unceremoniously, after what I am sure others deemed a small scuffle, precipitated by an ambiguous disambiguation attempt, not one iota helped by your brain fog exacerbated heart murmurings; but, you must appreciate, I was a little disenchanted with you at the time. You still occupy a small place in my heart, because bluntly put; no one does crazy like you. There are obviously some other contenders, but calling them contenders is generous enough given the true standing of the present/future hierarchizing. I hope that in time you can pry out the raven and vampire bat that live in your black heart.

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MemberMember
26
(@camaroz28)

Posted : 07/05/2013 11:11 pm

Loose heart = loose plan.

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MemberMember
85
(@and1)

Posted : 07/06/2013 4:13 am

I am slowly weaning off UDCA.

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MemberMember
85
(@and1)

Posted : 07/06/2013 10:39 am

@MovingOn

You missed your chance at the dramatic exit; my post at Panina was 99% legit.; I threw in a small slap at Areola. I know you are a little pissed I turned the sexism charges around; I was just joking.

Camaroz, what do you recommend everybody should try? I mean it seems you have a quite deep understanding of the biology or biochemistry, but I never see you recommending anything. I went through your posts and it seems that NAC, ALA, milk thistle worked for you for some time. Milk thistle is something you have to cycle you cannot take it constantly without it loosing effect. You also took these herbs from sensible health ( http://www.sensiblehealth.com/Journey-01.xhtml ). Do you reommend them, which ones, I have heard people on other forums talk about them before, so I am curious.

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MemberMember
85
(@and1)

Posted : 07/06/2013 4:54 pm

Detoxification process of the body to me is what seems most important in my recovery. Why did ALA, NAC and such stop working for Camaroz, I don't know, but I would guess that other nutrients that the body needed in the detox process were depleted by using high dose ALA, NAC. For instance you need to supplement with certain vitamine Bs when supplementing with ALA and NAC, this is for instance what Dr. Berkson always stress, but which I have also read elsewhere.

The phases of detoxification is something worth looking into. Zinc and UDCA are supposed to help phase I detox, they both helped me a lot. Should I boost phase I using other supplements? I don't know yet, am just starting to look into it and it seems worth looking into.

This lecture - the one that is translated - is a good intro and may give you a deeper understanding what is necessary to cure yourself. The other links are good as well. We should definitely get tested for our glutathion reserve and see whether it is depleted. This is one thing I took away from the lecture. The doc mentions that certain substances may have a halflife of more than 12 or 15 years, so these substances never really leave our body once they have entered. Mercury is probably such a substance. This is why substances like DMPS and DMSA were developed to excrete them from the body.

[Edited link out]

[Edited link out]

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MemberMember
85
(@and1)

Posted : 07/06/2013 5:45 pm

For you guys who are speaking Spanish, also check this video. This guy professor Eduard Rodriguez-Farre is great, this is the same guy who gave the lecture.

 

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MemberMember
26
(@camaroz28)

Posted : 07/06/2013 10:34 pm

Why did ALA, NAC and such stop working for Camaroz, I don't know,

Ha, that is easy. God is not playing with me anymore; he wants me upstairs ASAP. I have been tested and I have passed, evidently, although it doesn't seem that way to me. Tom said he will scatter my remains in a special portion of the garden; he said, I will assist him in growing pretty flowers.

 

 

@MovingOn

You missed your chance at the dramatic exit; my post at Panina was 99% legit.; I threw in a small slap at Areola. I know you are a little pissed I turned the sexism charges around; I was just joking.

Camaroz, what do you recommend everybody should try? I mean it seems you have a quite deep understanding of the biology or biochemistry, but I never see you recommending anything. I went through your posts and it seems that NAC, ALA, milk thistle worked for you for some time. Milk thistle is something you have to cycle you cannot take it constantly without it loosing effect. You also took these herbs from sensible health ( http://www.sensiblehealth.com/Journey-01.xhtml ). Do you reommend them, which ones, I have heard people on other forums talk about them before, so I am curious.

Well, I was just messing with MovingOn in the instance above. I was just trying to get her to impugn my despicable character, like she promised. My recommendations are research and the Virginia Woolf quote. I do not have a background in science and biochemistry; however, that doesnt mean I cant pick the shenanigans at work here very easily.

I can recommend the products from Sensible Health like the 4-pack, for example. My gastroenterologist said they were helping my liver labs despite my already excellent results, but they eventually turned on me (like most of the women I know). In the end, they no longer provided any respite from symptoms and my liver results nose-dived. My gastroenterologist said that he could not offer anything above what I had already tried. His son had been on Accutane (good experience), so he was initially very loathe entertaining me at all. Eventually, my irrepressible charm wore him down. I almost got a biopsy out of it.

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22
(@sasquire)

Posted : 07/07/2013 4:07 am

Yeah, me experience with Doctors when I mention Accutane has been outright hostile.

I also hate the experience of trying some new drug, only finding it's benefits fizzle out or never work at all.

In fact, the only thing that continues to work with me is Craze (Pre-workout supplement/stimulant for the gym).

Daaaaaamn that stuff makes me feel good. It's only meant to give you a small boost in mental focus to get more sets done but makes me feel like the Hulk. Surely not good for an already stressed adrenal gland, but if you stick to the recommended dosage and cycle off it when needed, I look forward too my next scoop like Christmas (works best when you push your body... eg exercise).

It really showed me what being awake means and returned that sense of 'drive' that I hadn't felt since my early teens. Only temporary for half a day but it was one of those wake up calls on my journey to discovering my problems. I'm meant to feel that good all the time. Naturally. Normally.

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and1, Gladiatoro, and1 and 3 people reacted
MemberMember
85
(@and1)

Posted : 07/09/2013 2:06 pm

has anyone done one of those? www.23andme.com

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MemberMember
91
(@josephbuchignani)

Posted : 07/09/2013 3:36 pm

Yes, I've done 23andme. increased risk factors for IBS, Crohn's, and ulcerative colitis.
Contra Chico Esposito's anti-vit-a theory, I've just had a massively positive response to Blue Ice Fermented Cod Liver Oil / grassfed Butter Oil blend. One pill was sufficient for 2 days of level 5 performance, a boost of one level.
At the same time, I also changed my eating protocol. Previously, I'd been drinking 1 cup of water with meals. This still led to overeating sometimes, which resulted in painful cramps and fatigue. Nowhere near a full attack, but minor and nagging, increasing the difficulty of life. And I still had to exercise willpower to avoid overeating, which meant constant semi hunger and risk of overeating during willpower depletion after major exertion at e.g. work.
My new eating protocol:
get 2 cups water
1 bowl shrimp
put back shrimp
get out yogurt
ladle 1 bowl yogurt. no need to skimp.
put yogurt back
eat yogurt
drink second cup water
As a result of these two changes, I haven't had a problem with overeating, willpower, or any sort of significant stomach or fatigue symptom in 48 hours. I've also enjoyed uncharacteristic energy and mood, despite a 13 total hour workday today, 10 of it spent teaching. The war with appetite, and the constant teetering between sapping hunger and punishing overeating, appears to be over.
I believe doubling the water intake during meals helped a little, but that only the Blue Ice can explain the vast majority of this outsized effect. I have tried drinking more water before, and my problems didn't vanish like this.
I don't really know why this works. Both oils are superfoods. I might suspect a vitamin K2 deficiency, which would be corrected by the butter oil.
Cod Liver Oil contains lots of Vit A and Vit D, so according to Chico's theory this should've put me down. I react at the 36 mark with cramps to an incompatible food, and 24 hrs or sooner for very incompatible foods. It's over 48 hours and nothing but net.
Ironically, I've had this supp for many months but was too afraid to try it, and too busy trying to fix my basic regimen. Also, I wasn't optimistic that it would do much, since krill oil / astaxanthin had accomplished little or nothing for me in an earlier trial. Although, at that point my basic regimen was less refined, so perhaps errors there masked the benefit.
I doubt it's a Vit D deficiency, since I get lots of sunshine daily.
I still feel strongly that I need to add an IBS friendly soluble fiber next, as a prebiotic to enhance probiotic effectiveness.
I am now searching for reasons K2 might supply an outsize effect. First link:
[Edited link out]
Fat soluble K2 is deficient in ulcerative colitis, IBS, Crohn's, Celiac, and for those with any problem with digesting fats in general. That's me. So I was probably deficient.
I don't think you need a lot of K2, and it doesn't cycle out fast. So that fits with a single pill producing a long-lasting 48 hour effect. It also fits with my slow gradual decline into a bed/toilet ridden invalid.
K2 is used for treatment in:
chronic liver disease - bingo
cystic fibrosis - autoimmune
IBD - bingo bingo
Good sources of K2 are pretty damn rare. I think healthy intestinal bacteria flora play a major role in its production. So it makes sense that I would be deficient, given my limited diet and poor intestinal flora.
Next link:
[Edited link out]
K2 deficiency linked to:
GI bleeding - seen that
antibiotics can cause vit k deficiencies - bingo
not eating vegetables a cause - guilty
Vit A and E can block - maybe Chico this is your real problem with Vit A?
I suspected I was vit K deficient because I'd read that plaque builds up on teeth in the absence of K2, and had that problem. It will be interesting to see if that goes away now.
This link is the mother lode for the benefits of a cod liver oil / butter oil combo:
[Edited link out]
There's a lot going on here. So I may not be able to isolate the cause. Synergistic superfood combo is close enough for me.
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and1, and1 and and1 reacted
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85
(@and1)

Posted : 07/09/2013 3:56 pm

Update:

I phased UDCA out. Also took a break from P & B shakes. I was taking the P&B shakes for maybe 4 weeks. Two times during that time I took two teaspoons of EPSOM, which I feel helped me a lot to "get the trash taken out". A german detox doctor recommends EPSOM in his book,I don't remember which part of the digestive system he recommends it for exactly, but he wrote something along the lines of EPSOM being the only way to effectively cleanse certain parts of the digestive system.

My skin is better than it has in years. Right now I am only taking Liv.52 as well as TMG and Silymarin. The last two I take together in powdered form, I take 4 to 5 g spread over the day. So far I have not really felt that I am off UDCA, I have only seen it in the toilet. Color has changed to greenish, but form is still good.

Waiting on vitamin B complex to arrive. Should give me a boost, I have used it before years ago, but did not consider it a long-term solution, that's why I discontinued using it at the time. As it turns out many vitamin Bs are essential when using ALA, TMG or NAC for detox, which I plan on doing and am in part already doing.

Blue ice is high on my list as well, it is the favorit supplement of a friend of mine with similar health problems. If it is working for Joseph it will likely work for me as well.

About food and water. I used to drink a lot when having a meal, but about 3 years ago I developed the habit to refrain from drinking anything at least half an hour before and after eating. Certainly has helped my digestion.

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Gladiatoro, sasquire, Gladiatoro and 3 people reacted
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157
(@chico-esposito)

Posted : 07/09/2013 6:20 pm

Retinol pushes the retinoic acid out of the receptors and back out into the circulation and cod liver oil has massive amounts of retinol in it. I strongly STRONGLY suggest you take UDCA and other liver protectors like milk thistle and NAC if your gonna go this route, that liver will be fried to a fricassee if you don't heed that warning. All that accutane coming out at once, 1000's of mg of retinoic acid, it'll clog up your glucuronidation pathway if you don't, so thats why the udca / tudca is important in this instance. Get some herbs for the kidneys or herbal kidney teas and drink lot's of that to take the strain off the kidneys. Even still your on your own on this one, your walking alone and i'm not following you into the breach, been there done that. But in fairness I didn't do it right, but it's some dangerous shit if your not careful.

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91
(@josephbuchignani)

Posted : 07/09/2013 7:14 pm

It seems to me that your reasoning is backwards, Chico.
If your theory is correct, then UDCA + Blue Ice is the only way to eliminate the vit A. A one day trial will suffice - no negative results will show that the Vit A is being circulated by the Blue Ice and flushed to stool by UDCA.
If however my suspicions are correct and your interpretation of the data is wrong, then Blue Ice will probably have a beneficial effect not seen by other vit-A bearing oils, due to its synergistic effects - the same pattern I observed for myself.
In that case, the problem was most likely hypersensitivity and malabsorption. In which case, taking it together with UDCA for a 1-day trial is again the safest way.
Note that TUDCA with coating is not a recommended or effective way to take UDCA for those with severe multi-faceted problems such as ours. It's 1/3 less bioavailable, and the coating can cause digestive issues that mask any benefit. The recommended dose is 1.5g/d of pure uncoated UDCA.
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22
(@sasquire)

Posted : 07/09/2013 8:18 pm

Finding it fascinating as each person tries different things and seeing the responses.

Does it also mean that retinol would be good during a detox phase (eg in getting any accutane moving, ready for flushing)?

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26
(@camaroz28)

Posted : 07/09/2013 10:07 pm

All that accutane coming out at once, 1000's of mg of retinoic acid, it'll clog up your glucuronidation pathway if you don't, so thats why the udca / tudca is important in this instance.

Yeah, that is why it takes an instance of sensitivity a few hours to settle. I guess if one were a woman and that were to happen when one was getting some grass-fed hiney, well then, a young lass would be in a pickle.

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26
(@camaroz28)

Posted : 07/10/2013 12:41 am

 

All that accutane coming out at once, 1000's of mg of retinoic acid, it'll clog up your glucuronidation pathway if you don't, so thats why the udca / tudca is important in this instance.

Yeah, that is why takes an instance of sensitivity a few hours to settle. I guess, if one were a woman and that were to happen when one was getting some grass-fed hiney, well then, a young lass would be in a pickle.

In the event, that there are any high-brow feminists out there, please note that the specificity pronouncements made in relation to the male hiney do not extend further.

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MemberMember
157
(@chico-esposito)

Posted : 07/10/2013 8:26 am

 

It seems to me that your reasoning is backwards, Chico.
If your theory is correct, then UDCA + Blue Ice is the only way to eliminate the vit A. A one day trial will suffice - no negative results will show that the Vit A is being circulated by the Blue Ice and flushed to stool by UDCA.
If however my suspicions are correct and your interpretation of the data is wrong, then Blue Ice will probably have a beneficial effect not seen by other vit-A bearing oils, due to its synergistic effects - the same pattern I observed for myself.
In that case, the problem was most likely hypersensitivity and malabsorption. In which case, taking it together with UDCA for a 1-day trial is again the safest way.
Note that TUDCA with coating is not a recommended or effective way to take UDCA for those with severe multi-faceted problems such as ours. It's 1/3 less bioavailable, and the coating can cause digestive issues that mask any benefit. The recommended dose is 1.5g/d of pure uncoated UDCA.

 

It seems to me that your reasoning is backwards, Chico.
If your theory is correct, then UDCA + Blue Ice is the only way to eliminate the vit A. A one day trial will suffice - no negative results will show that the Vit A is being circulated by the Blue Ice and flushed to stool by UDCA.
If however my suspicions are correct and your interpretation of the data is wrong, then Blue Ice will probably have a beneficial effect not seen by other vit-A bearing oils, due to its synergistic effects - the same pattern I observed for myself.
In that case, the problem was most likely hypersensitivity and malabsorption. In which case, taking it together with UDCA for a 1-day trial is again the safest way.
Note that TUDCA with coating is not a recommended or effective way to take UDCA for those with severe multi-faceted problems such as ours. It's 1/3 less bioavailable, and the coating can cause digestive issues that mask any benefit. The recommended dose is 1.5g/d of pure uncoated UDCA.

It takes more than one day to notice the side effects, it'll take around 1-2 weeks of constant use, the more retinol the more the effect. The dietary retinol goes into the body and is used in the vitamin A receptors, the accutane bound to the vitamin A receptors (because of the lack of other retinol sources) is then pushed back into the circulation / lymph.

Bodybuilders that take oral exogenous hormones like dianabol, take udca to protect their liver during that time. When their taking this stuff they have their natural testosterone plus this synthetic derivative testosterone circulating in their body at the same time, the glucuronidation pathway is what the body uses to remove fat soluble hormones and fat soluble vitamins. So if taken without udca it can cause cholestasis via shutting down the bile pathways in the liver, thats when steroid users get into big problems. Ironically accutane is removed in exactly the same way, so theoretically it can cause exactly the same thing to happen.

Blue ice contains 12,000iu in a teaspoon, i've noticed that 5,000iu is all the body needs for a full day, anything above that is overkill.

If your going to do this you NEED to be taking UDCA at at least 1 gram per day, you'll have to experiment finding the dose that's right for you it may be higher. Make sure your lymph is flowing via dry skin brushing or lymphatic massage, take kidney herbs to protect the kidneys, even still it's dangerous because it could potentially be a lot of retinoic acid flooding the body at once and will certainly cause symptoms of hypervitaminosis A, just be careful is all i'm saying.

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Gladiatoro, JosephBuchignani, Gladiatoro and 3 people reacted
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91
(@josephbuchignani)

Posted : 07/10/2013 9:23 am

Thanks very much, Chico, that was lucidly put.

I will extend my testing phase and keep your admonitions in mind. And I'll consider perhaps backing off on dose.

But for now I want to ramp up and see whether anything bad happens. Both food quantity and blue ice dosage. I have new limits and I want to find them.

Incidentally, I have strong evidence of K2 deficiency. Tooth plaque is decreasing substantially, my saliva tastes more "chalky", and my teeth feel sharper on the tongue. These are symptoms of K2's ability to efficiently distribute calcium.

Also, I had probably the most epicly perfect dump I've ever experienced, the full inverse of diarrhea. Any more and fiber will be an absolute requirement.

I'll be getting a full liver/hepatobiliary checkup, plus ultrasound shortly as well. May as well cover my bases.

Cod liver oil has a long history of use so I'm not terribly worried, but I don't want to screw with a damaged system either.

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MemberMember
157
(@chico-esposito)

Posted : 07/10/2013 9:47 am

Yeah, me experience with Doctors when I mention Accutane has been outright hostile.

I also hate the experience of trying some new drug, only finding it's benefits fizzle out or never work at all.

In fact, the only thing that continues to work with me is Craze (Pre-workout supplement/stimulant for the gym).

Daaaaaamn that stuff makes me feel good. It's only meant to give you a small boost in mental focus to get more sets done but makes me feel like the Hulk. Surely not good for an already stressed adrenal gland, but if you stick to the recommended dosage and cycle off it when needed, I look forward too my next scoop like Christmas (works best when you push your body... eg exercise).

It really showed me what being awake means and returned that sense of 'drive' that I hadn't felt since my early teens. Only temporary for half a day but it was one of those wake up calls on my journey to discovering my problems. I'm meant to feel that good all the time. Naturally. Normally.

Rob Riches a famous natural bodybuilder got banned the other day from a WADA tested show because N,alpha-diethyl-benzeneethanamine was found in Craze his pre workout, he's quite a big celebrity in the youtube bodybuilding world. It's meant to be a great pre workout though and thats a great testimonial. I don't mention accutane too doctors, it instantly puts them on the defensive.

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MemberMember
26
(@camaroz28)

Posted : 07/10/2013 9:53 am

Thanks very much, Chico, that was lucidly put.

Also, I had probably the most epicly perfect dump I've ever experienced, the full inverse of diarrhea. Any more and fiber will be an absolute requirement.

Yes, Mr. Geppetto, and you too have a way of elucidating things lucidly. Chico, what happens to the randy women with procreation on their minds? I hope we have a good plumber reading this.

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MemberMember
91
(@josephbuchignani)

Posted : 07/10/2013 3:11 pm

I see the castrato is tittering about my Paul Bunyan-esque logs. If he is afraid of a little TMI, I suggest he not haunt a thread dedicated to acne, ED and IBD.
Another research round, including heavy Weston Price foundation. I'm convinced CLO / butter oil is probably the #1 superfood, and broadly applicable to all health issues, and a must for long term use. Historically its been a foundation of some high performance groups, with martial, pediatric, and prophylactic applications.
Brand matters a great deal, and I'm taking the right one.
There is a historically-consistent hard upper limit on quantity per day. The recommended dose is about 5 pills per day. I doubled or trebled my dosage and experienced a slowdown tonight, so I think I've found my personal limit. I'll be backing off to one per day and reducing the yogurt intake as well.
Reason for the upper limit could be many things, not just vit A. It's strong stuff. There's really no need for an extreme dose. It's unlike UDCA, which appears to have no practical upper limit.
Hopefully with a dose of 1/d I can regain my intial lvl 5 vitality response. 24 hours should be enough to say. I'll sleep a bit more than my normal polyphasic schedule, try to eat less yogurt, and see what happens.
Slowdown could be related to overwork yesterday and a missed nap, but I highly doubt that's the sole cause. Anyway, the positive effect is certainly not scaling linearly with dose. That's good enough for me.
Always good to find one's upper limit. No sense leaving free health on the table.
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3
(@haileylyn95)

Posted : 07/10/2013 4:56 pm

I am an 18 year old girl. I am about to go into my 3rd month of Accutane. Aside from the horrible cracking and bleeding of my lips, muscle pain, and nosebleeds I have had some other really scary side effects. 6 days into the medication i started having numbness in my hands and feet. i was told that it was not a symptom of Accutane but did some research myself and found that it was. My doctor diagnosed me with pernicious anemia meaning that i no longer had the ability to effectively absorb B12 and that i can no longer produce red blood cells at a normal rate. I have had extreme numbing in my hands and feet and swelling supposedly caused by lack of oxygen to my veins so they couldn't pump the blood properly. Now they are saying that i may have neuropathy. No one seems to know what is going on with me and I'm still hearing from some that it isn't caused by the Accutane (although my doctor is starting to take my complaints more seriously), but i haven't ever had problems like this before. Is anyone else having these problems?

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26
(@camaroz28)

Posted : 07/10/2013 9:48 pm

Is anyone else having these problems?

Yes, neuropathy has been diagnosed in those who have taken DHT inhibitors. All of the high-brow diagnosticians here havent ascended to the lofty heights beyond life-long hypervitaminosis A and life-long, undiagnosable, drug-induced cholestasis. Isnt it unwelcoming for people with real problems to be greeted by that diatribe-espousing, skeletal hobo?

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22
(@sasquire)

Posted : 07/10/2013 10:16 pm

If they're leaning to neuropathy, I'd be hunting for my closest hyperbaric chamber. Would probably help with alot of the other side effects as well.

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