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Medical Forum / Diseases and Disorders / Prostate Cancer / June 2006

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Not cancer, but relevant to those with hypertension

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I.P. Freely - 06 Jun 2006 05:24 GMT
Just because of our age, many of us have some degree of hypertension. We
know our first step in reducing high blood pressure is reducing our salt
intake, in case we're sensitive to it. So we hide the salt shaker and go
cold turkey, knowing that we'll fuhgheddaboutit within a few weeks and
not miss the salt.

Caveats:
1. BP is not often sensitive to salt.
2. Ya gotta have SOME salt on such things as meat, potatoes, tomatoes,
etc. if you want to taste them.
3. Most packaged food comes with salt in it, often huge quantities, so
A. It's tough to avoid, but at least
B. That lets us skip the salt shaker altogether and still get the salt
we NEED.

So we just stop buying salt, let our taste adapt, and we've improved our
 health, right?

Guess again. The salt in commercial foods is not supplemented with
iodine (saves them a penny a truckload, I suppose), so our thyroids are
sacrificed in the HOPES less salt may lower our BP. For many, the iodine
loss is more threatening than the excess salt was, as table salt is our
best source of necessary iodine. In fact, it MAY be excess iodine, not
excess potassium chloride, that can exacerbate hypertension.

Just like most PC treatments, salt also seems to be even more
controversial than we knew.

I.P.
Glassman - 07 Jun 2006 03:50 GMT
> Just because of our age, many of us have some degree of hypertension. We
> know our first step in reducing high blood pressure is reducing our salt
> intake, in case we're sensitive to it. So we hide the salt shaker and go
> cold turkey, knowing that we'll fuhgheddaboutit within a few weeks and
> not miss the salt.

  I stopped using table salt many many years ago due to borderline high BP
issues.  I bought this salt substitute called NO-SALT. It's loaded with
potassium, which is another thing many of us lack. Seems to me that there's
plenty of salt in what I eat, but the iodine issue may be a valid one. Foods
high in iodine are milk, yogurt, eggs, strawberries.

Signature

JK Sinrod
www.sinrodstudios.com
www.MyConeyIslandMemories.com

I.P. Freely - 07 Jun 2006 04:31 GMT
>    I stopped using table salt many many years ago due to borderline high BP
> issues.  I bought this salt substitute called NO-SALT. It's loaded with
> potassium, which is another thing many of us lack.

That's what I thought, too, until I learned that potassium chloride --
"No-Salt" and the potassium component of Lite Salt -- offers very low
bioavailability. i.e., it just passes through.

So we're between rocks and hard places, AGAIN.
Seems the more we know about nutrition, the worse off we are.

I.P.
Beverley - 07 Jun 2006 14:05 GMT
I use Morton's Lite salt and have for a million years. When I was dx'd with
mild hypertension they said to pull the salt from my diet. It's impossible
to remove all the salt from one's diet but I cut it way down and then had
problems because I'd lowered my salt intake too much. What I sprinkle on my
food is not a problem as I really am not a big salt user and never have
been. It's what is hidden in processed foods and in restaurant foods.
Seafood is an excellent source of iodine, except I can't eat it. So table
salt is my main routine source of iodine.

It's important to read the labels on foods. Lite and low-fat foods are not
always better choices. Often they remove the fat from foods and add sugars
to compensate for taste. It's been said for ages that we should shop the
grocery store's perimeter and stay out of the isles. That's because the
perimeter usually is where we find the meats, fresh vegetables and dairy
products. The processed foods are in the isles.

It's the processed foods that tend to foul our diets and thus our health. We
have more available to us today then ever before yet our diets are the worst
ever in history. Just about every fast food joint and chain restaurant has a
web site. Go to them and read what your favorite foods contain. It's scary!

I was raised on Adele Davis's nutrition and as a young woman did everything
I could to feed my family healthy foods, including home grown vegetables.
Then I started working and the kids flew the nest .... fast and easy was
important. Now, I'm back to doing more things from scratch. I'm not saying I
don't cheat and buy some processed foods; I just try to do it less often and
I read the label very carefully.

Cheese is one of the foods that varies  greatly. The first indicator is
whether it is real cheese or a cheese food. It is labeled usually right on
the front of the package. Cheese food is a milk and oil product, and is not
real cheese. The other thing is fruit juices. Fruit drink contains something
like 10% juice and the rest is water and other additives. So look for the
100% fruit juice with no sugar added. Okay cranberry juice has to have some
sugar/sweetener added or we'd never be able to drink it.

Just be aware of your food choices. BTW, they are changing the food pyramid
again. (Remember that pyramid thing from school?) I ignore it. LOL  I don't
think we have to limit ourselves to carrots and bark but most everyone could
stand some revision of their diets. That doesn't mean we can never have
something scrumptious and totally bad for us it just means we need to keep
those things in perspective and consider them as an occasional treat.

Unfortunately it took cancer to make many folks look at what they are
eating. There are no what ifs; we've seen vegetarians and vegans who have
PC. There's more to cancer than our diets but diet does affect our general
health. Eat well and keep fit. It's not a 100% guarantee but it seems to
help.

Just my two cents.
Bev

> >    I stopped using table salt many many years ago due to borderline high BP
> > issues.  I bought this salt substitute called NO-SALT. It's loaded with
[quoted text clipped - 8 lines]
>
> I.P.
Glassman - 08 Jun 2006 00:24 GMT
> >    I stopped using table salt many many years ago due to borderline high BP
> > issues.  I bought this salt substitute called NO-SALT. It's loaded with
[quoted text clipped - 8 lines]
>
> I.P.

 Eat lots of red meat! Seriously though, I think you need to take Vitamin C
to absorb the potassium. There's an entire world out there of complimentary
items that may only work well together. It's a symbiotic world and it's
amazing how little our docs know about it. My wife is a RNP and is
constantly telling me what to take, and what not to take with things.... of
course I usually ignore her.

Signature

JK Sinrod
www.sinrodstudios.com
www.MyConeyIslandMemories.com

I.P. Freely - 10 Jun 2006 06:57 GMT
>>>    I stopped using table salt many many years ago due to borderline high
> BP
[quoted text clipped - 15 lines]
> constantly telling me what to take, and what not to take with things.... of
> course I usually ignore her.

She's right, but at what point do we quit chasing complementary and
contraindicated chains of foods and just go back to the basics . . .
however one defines THAT? It's much like wallowing in cancer research:
at some point it's time to spend more time living and less time
wallowing, 'cause much of it means squat in the big picture.

I.P.
Glassman - 11 Jun 2006 05:13 GMT
> >>>    I stopped using table salt many many years ago due to borderline high
> > BP
[quoted text clipped - 23 lines]
>
> I.P.

     I'm shocked to hear you say this, because we've been down this road
before you and I.  I'm the guy that says screw it and eat bacon and whipped
cream and live it up, while you're usually the other guy that reads and
analyzes everything, and then makes decisions based on mortality tables.

Signature

JK Sinrod
www.sinrodstudios.com
www.MyConeyIslandMemories.com

I.P. Freely - 11 Jun 2006 06:41 GMT
>> She's right, but at what point do we quit chasing complementary and
>> contraindicated chains of foods and just go back to the basics . . .
>> however one defines THAT? It's much like wallowing in cancer research:
>> at some point it's time to spend more time living and less time
>> wallowing, 'cause much of it means squat in the big picture.

>       I'm shocked to hear you say this, because we've been down this road
> before you and I.  I'm the guy that says screw it and eat bacon and whipped
> cream and live it up, while you're usually the other guy that reads and
> analyzes everything, and then makes decisions based on mortality tables.

You read (or I depict) me correctly only so far. Once I start
encountering unresolvable contradictions, or contradictions that are
resolvable but only at a cost that outweighs their impact, I tend to
throw in the towel and call it good enough. Thus the cold turkey
abolishment of certain highly offensive foods (to avoid temptation) yet
oblivion to less obvious issues such as using citrus fruits to help
assimilate potassium chloride; it's probably worth the effort, but so
are a hundred similar "rules" I just ain't got time to study. And I
don't consciously consult mortality tables except as one more piece of
data in a decision, such as by how much a PC tx may extend my life in
return for its downsides.

Certainly occasional bacon or ribs or donuts isn't going to hurt anyone,
but my way lets me make the decision just once -- in about the mid-80s
-- and never have to make it again, rather than having to think about it
 every time I'm offered them. I save that dilemma for desserts when I
eat out, as I prefer desserts to bacon any day.

I'm guessing all my eating guidelines and rules will go out the window
when my cancer gets terminal. Harmful foods -- whether sat fats to me or
 carbs to you -- take decades to do us in; there's no point in
burdening the process of dying with dietary considerations.

I.P.
Tom Cular - 08 Jun 2006 00:29 GMT
>>    I stopped using table salt many many years ago due to borderline high
>> BP
[quoted text clipped - 9 lines]
>
> I.P.

You're right on target with that form of potassium chloride passing through
without being absorbed. One can overdose on potassium chloride that's well
absorbed, that's why it's only available by prescription (brand names; K DUR
or KLOR CON). Potassium chloride is a necessary supplement for folks who are
taking a diuretic like Lasix as part of their hypertension treatment.

Just about the time I was sleeping through the night, I had a bypass and
they put me on Lasix twice a day for a while to control fluid buildup. It
works, you can't hold water long enough to absorb any! Just as they advise
that Cardura and Flomax should be taken in the evening, if you take a
diuretic once a day, take it in the morning, preferably after you finish any
commute you may have.

Tom
You smiled, you spoke, and I believed - 12 Jun 2006 17:30 GMT
> Just because of our age, many of us have some degree of hypertension. We
> know our first step in reducing high blood pressure is reducing our salt
[quoted text clipped - 25 lines]
>
> I.P.

As a chemist, I find it difficult to believe that Potassium Chloride, in
lite salt is not bioavailable. Your body needs Potassium and Sodium
ions, and will easily take them wherever they can be found.

Too much Potassium can kill you, it is, after all, used in executions to
stop the heart.

As to processed food, Iodine can cause discoloration.  Note that in home
canning, non-iodized salt is specified.

I have used Lite salt as a sodium substitute, it has a slightly more
metallic taste that table salt.  I also use herbal mixtures, ie Mrs
Dash, also.

In Summer, I make up a exercise drink, using tea, ice, lemon juice, 1-2
teaspoons lite salt, and one tablespoon sugar per 2 liter.

It works real well for long bicycle rides.

j.
I.P. Freely - 12 Jun 2006 19:44 GMT
> As a chemist, I find it difficult to believe that Potassium Chloride, in
> lite salt is not bioavailable.

I've not done extensive reading on it, but my source was one of the
authoritative health newsletters I subscribe to. I'd be happy to be
proved wrong, as I sometimes get muscle cramps after too much exercise.

I.P.
You smiled, you spoke, and I believed - 13 Jun 2006 15:50 GMT
>> As a chemist, I find it difficult to believe that Potassium Chloride,
>> in lite salt is not bioavailable.
[quoted text clipped - 4 lines]
>
> I.P.

Try the mixture I use, I routinely ride for 2-4 hours in hot sun, with
no cramping.

you can adjust the levels of lite salt to your taste.

I find that a too sweet solution not palatable during long rides, hence
the lemon juice.

j.
I.P. Freely - 13 Jun 2006 17:26 GMT
> Try the mixture I use, I routinely ride for 2-4 hours in hot sun, with
> no cramping.
[quoted text clipped - 3 lines]
> I find that a too sweet solution not palatable during long rides, hence
> the lemon juice.

I drink and eat a wide variety of foods and sports drinks throughout my
active days, and usually have no problems. But after a memorable day of
 windsurfing, which is a very intense, dynamic, and incessant leg
workout of 6-10 hours, one hamstring sometimes cramps severely at night.

We're told to eat bananas for potassium, but it takes 10 a day to
fulfill ORDINARY potassium needs; you and I need  more. Your solution --
hee hee -- sounds more palatable and practical.

Now, how we balance that with blood pressure and iodine requirements
remains to be seen, but my thigh gets my attention before my BP does.

I.P.
 
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