Genio
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WARNING
Everything mentioned in this thread is purely Theoretical, Consult with a Medical Profession before taking any action in regard's to your Health and Diuretic's, I am NOT Responsible for any Health Problem's that may occur.
WARNING
Everything mentioned in this thread is purely Theoretical, Consult with a Medical Profession before taking any action in regard's to your Health and Diuretic's, I am NOT Responsible for any Health Problem's that may occur.
Table of Introduction
1. How Furosemide Work's in Pathways
2. How Diuretic Adaptation Work's inside the Body and it's Effects.
3. How to Inhibit Diuretic Adaptation to the Fullest Potential
4. My Schedule and Effect's
1. How Furosemide Work's in Pathways
2. How Diuretic Adaptation Work's inside the Body and it's Effects.
3. How to Inhibit Diuretic Adaptation to the Fullest Potential
4. My Schedule and Effect's
1. How Furosemide Work's in Pathway's
Furosemide (Brand Name Lasix) is a Loop Diuretic that is used in the Medical Scene for Prevention of Fluid Retention, Edema, Heart Failure, and High Blood Pressure. a Loop Diuretic is differentiated from other Diuretic's due to it's effect on Excretion of all the Mineral's inside your Body, While other Diuretics can be used to Excrete only Sodium and Keep Potassium, Loop Diuretic's rids your body of all the Mineral's it contains over the span of 3-6 Hour's (in my experience).
Furosemide acts by inhibiting sodium reabsorption in the thick ascending limb of the loop of Henle within the nephron. This segment is characterized by the presence of the NKCC2 cotransporter, which normally mediates the reabsorption of sodium, potassium, and chloride ions from the tubular fluid back into the bloodstream.
Na+ + K+ + 2Cl- -----> Aggressive Reabsorption of Sodium
Furosemide work's to inhibit the NKCC2 Transporter by Binding to it in the Ascending Limb of the Henle Loop, and prevents Sodium from being Transported into the Blood-stream. Sodium, Potassium, and all other Mineral's are kept inside the Tubular Fluid.
The Existing Sodium and Potassium in the Bloodstream are Followed by Water and Bond Together, where they are Excreted through Urine (Which result's in an increase of Diuresis).
Lasix is regularly taken at dose's of 80-120MG, However I believe 40mg is Enough for Visible Result's.
Do not exceed Absorption of Lasix more than Twice per week.
Furosemide (Brand Name Lasix) is a Loop Diuretic that is used in the Medical Scene for Prevention of Fluid Retention, Edema, Heart Failure, and High Blood Pressure. a Loop Diuretic is differentiated from other Diuretic's due to it's effect on Excretion of all the Mineral's inside your Body, While other Diuretics can be used to Excrete only Sodium and Keep Potassium, Loop Diuretic's rids your body of all the Mineral's it contains over the span of 3-6 Hour's (in my experience).
Furosemide acts by inhibiting sodium reabsorption in the thick ascending limb of the loop of Henle within the nephron. This segment is characterized by the presence of the NKCC2 cotransporter, which normally mediates the reabsorption of sodium, potassium, and chloride ions from the tubular fluid back into the bloodstream.
Na+ + K+ + 2Cl- -----> Aggressive Reabsorption of Sodium
Furosemide work's to inhibit the NKCC2 Transporter by Binding to it in the Ascending Limb of the Henle Loop, and prevents Sodium from being Transported into the Blood-stream. Sodium, Potassium, and all other Mineral's are kept inside the Tubular Fluid.
The Existing Sodium and Potassium in the Bloodstream are Followed by Water and Bond Together, where they are Excreted through Urine (Which result's in an increase of Diuresis).
Lasix is regularly taken at dose's of 80-120MG, However I believe 40mg is Enough for Visible Result's.
Do not exceed Absorption of Lasix more than Twice per week.
2. How Diuretic Adaptation Work's Inside the Body and it's Effect's.
The Body hates losing fluid volume, Once Blood fluid drop's, the Body panic's, and activate's Renin-Angiotestin-Aldosterone-System (RAAS) and Anti-Diuretic Hormone (ADH-Vasopressin), Both of these Product's do their best to reduce Fluid loss.
Renin-Angiotestin-Aldosterone-System (RAAS)
This System is what induce's Diuretic Adaptation the Most.
Renin
Renin (Juxtaglomerular Cell) is an Enzyme released by the Kidney when the Kidney sense's Low Sodium, Renin Triggers Angiotestin I as a Precursor to Trigger Angiotestin II
Angiotestinogen ----> Angiotestin I Via Renin.
Angiotestin I
Angiotestin I is mostly an Inactive form of Angiotestin, It's main role is to Circulate in the Blood until it reaches the Lung's, Where Angiotestin-Converting Enzyme (ACE) convert's Angiotestin I to Angiotestin II.
Angiotestin I -----> Angiotestin II Via Angiotestin Converting Enzyme (ACE)
Angiotestin II
Angiotestin II Upregulates Vasoconstriction, Which directly increases Blood Pressure and counter-act's Furo's Effect by reducing the need of Fluid Excretion. Kidney perfusion pressure improve's, and the Body stop's excretion.
Angiotestin II ----> Blood Pressure via Upregulating Vasoconstriction.
Angiotestin II Additionally Activate's Aldosterone Release by the Adrenal Cortex (Zona Glomerulosa)
Angiotestin II -----> Aldosterone by Release of Adrenal Cortex
Aldosterone
Aldosterone is triggered by Angiotestin II and can occasionally be triggered by High Potassium Level's (Must read for Potassium Sparing Diuretic User's), Aldosterone directly increases Sodium Reabsorption by acting on the distal tubule and collecting duct, It act's on the ENaC Channel which allow's Sodium to enter the Kidney Cell's and be transported in the Blood System, Directly Countering Furo's Effect
Overtime, RAAS become's stronger due to Constant Use of Furosemide (and Potassium Sparring Diuretic's), and lead's Furosemide becoming Useless.
Anti-Diuretic Hormone (ADH)
ADH is a Hormone that work's by noticing when the Blood is too concentrated, it reabsorbs Water from Urine by Activating Aquaporin II Channel's, Water is then Transported into the Blood System, as if nothing ever happened.
The Body hates losing fluid volume, Once Blood fluid drop's, the Body panic's, and activate's Renin-Angiotestin-Aldosterone-System (RAAS) and Anti-Diuretic Hormone (ADH-Vasopressin), Both of these Product's do their best to reduce Fluid loss.
Renin-Angiotestin-Aldosterone-System (RAAS)
This System is what induce's Diuretic Adaptation the Most.
Renin
Renin (Juxtaglomerular Cell) is an Enzyme released by the Kidney when the Kidney sense's Low Sodium, Renin Triggers Angiotestin I as a Precursor to Trigger Angiotestin II
Angiotestinogen ----> Angiotestin I Via Renin.
Angiotestin I
Angiotestin I is mostly an Inactive form of Angiotestin, It's main role is to Circulate in the Blood until it reaches the Lung's, Where Angiotestin-Converting Enzyme (ACE) convert's Angiotestin I to Angiotestin II.
Angiotestin I -----> Angiotestin II Via Angiotestin Converting Enzyme (ACE)
Angiotestin II
Angiotestin II Upregulates Vasoconstriction, Which directly increases Blood Pressure and counter-act's Furo's Effect by reducing the need of Fluid Excretion. Kidney perfusion pressure improve's, and the Body stop's excretion.
Angiotestin II ----> Blood Pressure via Upregulating Vasoconstriction.
Angiotestin II Additionally Activate's Aldosterone Release by the Adrenal Cortex (Zona Glomerulosa)
Angiotestin II -----> Aldosterone by Release of Adrenal Cortex
Aldosterone
Aldosterone is triggered by Angiotestin II and can occasionally be triggered by High Potassium Level's (Must read for Potassium Sparing Diuretic User's), Aldosterone directly increases Sodium Reabsorption by acting on the distal tubule and collecting duct, It act's on the ENaC Channel which allow's Sodium to enter the Kidney Cell's and be transported in the Blood System, Directly Countering Furo's Effect
Overtime, RAAS become's stronger due to Constant Use of Furosemide (and Potassium Sparring Diuretic's), and lead's Furosemide becoming Useless.
Anti-Diuretic Hormone (ADH)
ADH is a Hormone that work's by noticing when the Blood is too concentrated, it reabsorbs Water from Urine by Activating Aquaporin II Channel's, Water is then Transported into the Blood System, as if nothing ever happened.
3. How to Inhibit Diuretic Adaptation
To Inhibit Diuretic Adaptation, We would have to Manipulate part's of the RAAS System and ADH, Specifically, the Part's which cause Reabsorption and Counter-acting Excretion.
Aldosterone Inhibitor's
By Inhibiting Aldosterone through Aldosterone Inhibitor's, Sodium cannot be Re-absorbed. This can be Achieved through Aldosterone Inhibitor's such as Eplerenone or Spirolactone. Inhibiting Aldosterone has good Heart benefit's, since Aldosterone is known for Tissue-Scarring. Risk's Include Gyno (Man-boob's) when taking Spironolactone since it isn't selective and reduce's AR Sensitivity, Eplerenone has no effect's on AR, Can still cause Gyno but risk is much lower.
Spironolactone can be taken 12.5 - 25mg daily, Eplerenone can be taken at 50-100mg daily.
Angiotestin-Conversion Enzyme Blocker's
Blocking ACE can be achieved through a Pharmaceutical known as Lisinoprol. Inhibiting ACE long-term can have Great Health Benefit's such as lowering Blood-Pressure and Slowing Kidney Disease Progression, Fainting/Dizziness can occur at time's. If any Health Problem's arise (Which I doubt will happen), You can stop taking it, and ACE can return in the span of a couple of day's.
I take 5mg of Lisinopril daily.
Thiazide Diuretic's
Thiazide Diuretics counter-act Sodium Re-Absorption after the Loop of Henle in the Distal Tubule, Meaning even after Lasix wears off, the Nephron cannot Reabsorb Sodium efficiently. Thiazide Diuretic's were made to be taken life-long, so Side-Effect's are low. They can reduce Kidney Stone's due to High Absorption of Calcium in the blood. I highly recommend Metolazone.
2.5mg of Metolazone every other-day is more than enough (Due to Effect on Potassium)
To Inhibit Diuretic Adaptation, We would have to Manipulate part's of the RAAS System and ADH, Specifically, the Part's which cause Reabsorption and Counter-acting Excretion.
Aldosterone Inhibitor's
By Inhibiting Aldosterone through Aldosterone Inhibitor's, Sodium cannot be Re-absorbed. This can be Achieved through Aldosterone Inhibitor's such as Eplerenone or Spirolactone. Inhibiting Aldosterone has good Heart benefit's, since Aldosterone is known for Tissue-Scarring. Risk's Include Gyno (Man-boob's) when taking Spironolactone since it isn't selective and reduce's AR Sensitivity, Eplerenone has no effect's on AR, Can still cause Gyno but risk is much lower.
Spironolactone can be taken 12.5 - 25mg daily, Eplerenone can be taken at 50-100mg daily.
Angiotestin-Conversion Enzyme Blocker's
Blocking ACE can be achieved through a Pharmaceutical known as Lisinoprol. Inhibiting ACE long-term can have Great Health Benefit's such as lowering Blood-Pressure and Slowing Kidney Disease Progression, Fainting/Dizziness can occur at time's. If any Health Problem's arise (Which I doubt will happen), You can stop taking it, and ACE can return in the span of a couple of day's.
I take 5mg of Lisinopril daily.
Thiazide Diuretic's
Thiazide Diuretics counter-act Sodium Re-Absorption after the Loop of Henle in the Distal Tubule, Meaning even after Lasix wears off, the Nephron cannot Reabsorb Sodium efficiently. Thiazide Diuretic's were made to be taken life-long, so Side-Effect's are low. They can reduce Kidney Stone's due to High Absorption of Calcium in the blood. I highly recommend Metolazone.
2.5mg of Metolazone every other-day is more than enough (Due to Effect on Potassium)
4. My Schedule and Effect's of Supplementing in Metolazone and Lisinopril.
I have been taking Lasix for over a year and a half so far, I haven't entered any Health Problem's, my EGFR is >100 and my Creatinine Level's were Ideal. But I realized I stopped looking as bloated as when I first took 40mg Lasix, Once I started supplementing Lisinopril and Metolazone Daily, I noticed great effect's with Aqualyx after two week's, I have never seen myself as debloated as then. I haven't really felt dizzy at all. I recommend keeping Potassium Low (Not zero) when on Lisinopril. Long-term both Compound's can be really beneficial to Health.
I have been taking Lasix for over a year and a half so far, I haven't entered any Health Problem's, my EGFR is >100 and my Creatinine Level's were Ideal. But I realized I stopped looking as bloated as when I first took 40mg Lasix, Once I started supplementing Lisinopril and Metolazone Daily, I noticed great effect's with Aqualyx after two week's, I have never seen myself as debloated as then. I haven't really felt dizzy at all. I recommend keeping Potassium Low (Not zero) when on Lisinopril. Long-term both Compound's can be really beneficial to Health.
If you have any Question's, feel free to ask and I will do my best to answer them down below
Please get Test's while on Diuretic's just to be safe, even if risk is low.
Praying for an Ascension for all of you.
Your's truly,
Genio.
Edit: I am planning to start on Eplerenone soon aswell, Just need to wait a bit or else my local pharmacy might report me (douchebags)
Please get Test's while on Diuretic's just to be safe, even if risk is low.
Praying for an Ascension for all of you.
Your's truly,
Genio.
Edit: I am planning to start on Eplerenone soon aswell, Just need to wait a bit or else my local pharmacy might report me (douchebags)
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