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Medical Forum / Diseases and Disorders / Hepatitis / July 2004

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Lunch, Brain Fog, and Fatigue

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Susie Quill - 22 Jul 2004 11:16 GMT
At lunch yesterday, one of my co-workers.....a nurse and mother of three,
watched me trying to eat for a while.  Then while laughing, she scooted over
and told me she'd had lots of practice helping her own kids cut their food
and she could help me too.  I had been sitting their having trouble cutting
up my meat and being so spacey that I was having trouble getting my hands
around the stupid plastic knife and fork.   I thought I was being so quiet
and unnoticeable.  She knew I was having an "interferon" moment.
I'm still laughin about it the next day.  It wouldn't have been that funny
except that it was hamburger steak.  Who has trouble cutting up hamburger
steak past the age of five?
Apparently , folkes done in by interferon and ribavarin may have this
experience.  LOL.
SusieQ  :  )
Waterspider - 22 Jul 2004 16:33 GMT
> At lunch yesterday, one of my co-workers.....a nurse and mother of three,
> watched me trying to eat for a while.  Then while laughing, she scooted over
[quoted text clipped - 6 lines]
> except that it was hamburger steak.  Who has trouble cutting up hamburger
> steak past the age of five?

Hi Susie,

Your fog & fatigue are maybe being intensified by your diet, i.e. hamburger.
Although protein is important in your diet, red meat and especially
hamburger because of its high fat content is the worst choice you could
make. Try broiled chicken and fish instead of hamburger and its ilk. Eat
lots of fresh fruit and vegetables. Scrap coffee and black tea, drink green
tea. Lots of water. Do some research on nutrition & the liver.

I've noticed your posts over the past months and you're intelligent, funny
and seem to be an all-round good person who doesn't deserve to suffer any
more than necessary with the Evil Drugs. I wish you all the best!

Waterspider
HoofPrints - 22 Jul 2004 20:09 GMT
Haven't you heard of ground sirloin. The fat content is far less than
regular hamburger?
I am with heppiechick on her saying, Poor nutrition is better than no
nutrition".
hoof

> > At lunch yesterday, one of my co-workers.....a nurse and mother of three,
> > watched me trying to eat for a while.  Then while laughing, she scooted
[quoted text clipped - 23 lines]
>
> Waterspider

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Thomas Wagner - 22 Jul 2004 20:38 GMT
>Your fog & fatigue are maybe being intensified by your diet, i.e. hamburger.
>Although protein is important in your diet, red meat and especially
>hamburger because of its high fat content is the worst choice you could
>make. Try broiled chicken and fish instead of hamburger and its ilk. Eat
>lots of fresh fruit and vegetables. Scrap coffee and black tea, drink green
>tea. Lots of water. Do some research on nutrition & the liver.

SOME people are negatively affected by fat or high protein during
treatment - but definitely not all. Fog and fatigue are normal side
effects of interferon and ribavirin, and usually can't be significantly
influenced by diet. Enjoying a nice steak dinner might help more to lift
the mood and battle fatigue than all "sensible" food.

As for coffee... you probably missed the recent study results that
showed coffee to have a significant protective effect on the liver. It's
somewhat different during treatment, but the general recommendation
against coffee or black tea is bogus. People who are used to caffeine
are NOT dehydrated by drinking it (the drink itself contains enough
liquid to offset any dehydrating effects). Green tea contains caffeine
as well, and most people I know can't stand the taste. Especially with
treatment, it's a lot better to drink lots of something that tastes good
than to force yourself to drink a bit of crappy colored water with
marginal health effects.

From Medline:

Caffeine, body fluid-electrolyte balance, and exercise performance
Armstrong LE, Departments of Kinesiology, Nutritional Sciences, and
Physiology & Neurobiology, University of Connecticut [...]

Recreational enthusiasts and athletes often are advised to abstain from
consuming caffeinated beverages (CB). The dual purposes of this review
are to (a) critique controlled investigations regarding the effects of
caffeine on dehydration and exercise performance, and (b) ascertain
whether abstaining from CB is scientifically and physiologically
justifiable. The literature indicates that caffeine consumption
stimulates a mild diuresis similar to water, but there is no evidence of
a fluid-electrolyte imbalance that is detrimental to exercise
performance or health. Investigations comparing caffeine (100-680 mg) to
water or placebo seldom found a statistical difference in urine volume.
In the 10 studies reviewed, consumption of a CB resulted in 0-84%
retention of the initial volume ingested, whereas consumption of water
resulted in 0-81% retention. Further, tolerance to caffeine reduces the
likelihood that a detrimental fluid-electrolyte imbalance will occur.
The scientific literature suggests that athletes and recreational
enthusiasts will not incur detrimental fluid-electrolyte imbalances if
they consume CB in moderation and eat a typical U.S. diet. Sedentary
members of the general public should be a less risk than athletes
because their fluid losses via sweating are smaller.

Thomas
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Keith - 22 Jul 2004 21:05 GMT
Thomas,
Can you point me to the original article?   I searched for stuff like
this last week and got nowhere.  Tried medline today and same.
Obviously you get water from coffee and caffeinated drinks.  My doc
swears this is impossible.  If it was impossible, I'd be dead, never
having drunk a glass of water in my life before treatment.
Keith

>>Your fog & fatigue are maybe being intensified by your diet, i.e. hamburger.
>>Although protein is important in your diet, red meat and especially
[quoted text clipped - 47 lines]
>
>Thomas
Thomas Wagner - 23 Jul 2004 02:09 GMT
>Thomas,
>Can you point me to the original article?   I searched for stuff like
>this last week and got nowhere.  Tried medline today and same.
>Obviously you get water from coffee and caffeinated drinks.  My doc
>swears this is impossible.  If it was impossible, I'd be dead, never
>having drunk a glass of water in my life before treatment.

It's fascinating how health myths sustain themselves among supposedly
intelligent people like doctors and nurses. Caffeine dehydrates, period.
No one actually tries to think this through (it isn't very logical once
you start to think about it) or check the literature. After all,
everybody knows it, so it must be true.

I got to the original article through a search, so the URL won't be
valid for you. I did a boolean Medline search for "caffeine AND
dehydration", and it was the third article I got. There's another study
a bit further down:  

"The effect of caffeinated, non-caffeinated, caloric and non-caloric
beverages on hydration (Oct. 2000)
[...] CONCLUSIONS: This preliminary study found no significant
differences in the effect of various combinations of beverages on
hydration status of healthy adult males. Advising people to disregard
caffeinated beverages as part of the daily fluid intake is not
substantiated by the results of this study. [...]"

"Caffeine and exercise: metabolism, endurance and performance (2001)
[...] There is no evidence that caffeine ingestion before exercise leads
to dehydration, ion imbalance, or any other adverse effects. [...]"

Thomas
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starwars - 23 Jul 2004 06:32 GMT
> It's fascinating how health myths sustain themselves among supposedly
> intelligent people like doctors and nurses. Caffeine dehydrates, period.
> No one actually tries to think this through (it isn't very logical once
> you start to think about it) or check the literature. After all,
> everybody knows it, so it must be true.

How many *years* were *you* propogating that particular *myth* yourself Thomas?

*snigger*

> I got to the original article through a search, so the URL won't be
> valid for you. I did a boolean Medline search for "caffeine AND
> dehydration", and it was the third article I got.

Hell, that explains it. You *invariably post the *second* article you find.

*snigger*
Waterspider - 23 Jul 2004 16:21 GMT
"Thomas Wagner" <tomw@capecod.com> wrote >
<snippage>
> [...] CONCLUSIONS: This preliminary study found no significant
> differences in the effect of various combinations of beverages on
> hydration status of healthy adult males.

Healthy adult males and those with hep c do not have the same nutritional
requirements, and they have a number of differences in what they should and
should not consume.

WS
Thomas Wagner - 24 Jul 2004 03:48 GMT
>Healthy adult males and those with hep c do not have the same nutritional
>requirements, and they have a number of differences in what they should and
>should not consume.

The nutritional requirements for both groups, at least as far as
hydration is concerned, are equivalent. HCV does not impair renal
function. There also are no special dietary requirements for those with
Hep C who don't suffer from severe liver damage (cirrhosis) other than
avoiding certain liver-toxic drugs, supplements, and herbs. Coffee is
not among those, on the contrary.

Thomas
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starwars - 24 Jul 2004 06:01 GMT
> The nutritional requirements for both groups, at least as far as
> hydration is concerned, are equivalent. HCV does not impair renal
> function. There also are no special dietary requirements for those with
> Hep C who don't suffer from severe liver damage (cirrhosis) other than
> avoiding certain liver-toxic drugs, supplements, and herbs. Coffee is
> not among those, on the contrary.

Despite the fact that *you* sustained the myth that it was for many years.

*snigger*
starwars - 23 Jul 2004 06:33 GMT
> As for coffee... you probably missed the recent study results that
> showed coffee to have a significant protective effect on the liver. It's
[quoted text clipped - 6 lines]
> than to force yourself to drink a bit of crappy colored water with
> marginal health effects.

In other words *Stoopid* You were posting *crap advise* for all that time, but
you don't have the *balls* to admit you were wrong, you just change your tune
*again* ???

*snigger* And you think nobody noticed?

Hell, you're the laughing stock of the year *Monkey Boi*
Waterspider - 23 Jul 2004 16:17 GMT
> >Your fog & fatigue are maybe being intensified by your diet, i.e. hamburger.
> >Although protein is important in your diet, red meat and especially
[quoted text clipped - 7 lines]
> effects of interferon and ribavirin, and usually can't be significantly
> influenced by diet.

I agree, Thomas, thus the "maybe" in my statement.

Enjoying a nice steak dinner might help more to lift
> the mood and battle fatigue than all "sensible" food.

With a nice bottle of chardonnay too? That would sure lift my mood...

> As for coffee... you probably missed the recent study results that
> showed coffee to have a significant protective effect on the liver. It's
> somewhat different during treatment, but the general recommendation
> against coffee or black tea is bogus. People who are used to caffeine
> are NOT dehydrated by drinking it (the drink itself contains enough
> liquid to offset any dehydrating effects).

You're right, this is the first I've heard of caffeine not causing
dehydration.

Green tea contains caffeine
> as well, and most people I know can't stand the taste.

Well, here's one who really enjoys it and would like to point out that the
caffeine content is far less than that of coffee and black tea.

Especially with
> treatment, it's a lot better to drink lots of something that tastes good
> than to force yourself to drink a bit of

Yeah! Bring on the wine!

crappy colored water

IYHO

> marginal health effects.

You may have missed a couple of studies on this one.

> From Medline:

<some gentle snippage>
> Recreational enthusiasts and athletes often are advised to abstain from
> consuming caffeinated beverages (CB). The dual purposes of this review
[quoted text clipped - 9 lines]
> retention of the initial volume ingested, whereas consumption of water
> resulted in 0-81% retention.

Links to the 10 studies?

Further, tolerance to caffeine reduces the
> likelihood that a detrimental fluid-electrolyte imbalance will occur.
> The scientific literature suggests that athletes and recreational
> enthusiasts will not incur detrimental fluid-electrolyte imbalances if
> they consume CB in moderation and eat a typical U.S. diet.

I don't think a "typical US diet" is recommended for people with liver
disease either.

Sedentary
> members of the general public should be a less risk than athletes
> because their fluid losses via sweating are smaller.

What about people with hep C? Sorry, Thomas, I'm not buying into this one
until I see more (hard) evidence.

Good to see you, though, and debate a point of fact with you. Hope you're
doing well,

Waterspider
Thomas Wagner - 24 Jul 2004 04:13 GMT
>I agree, Thomas, thus the "maybe" in my statement.

A maybe followed immediately by ".. is the worst choice you could make".
In my experience, the body tells you pretty clearly what it wants and
doesn't want during treatment. Sometimes just the thought of a steak
made me nauseous, other days it made my mouth water. The most important
point during treatment is eating anything at all, no matter whether it's
considered "good" or "bad" food. If it's cheeseburger exclusively each
and every day, I'd get concerned, too. But that's pretty unlikely to
happen (again, just in my experience).

>Enjoying a nice steak dinner might help more to lift
>> the mood and battle fatigue than all "sensible" food.
>
>With a nice bottle of chardonnay too? That would sure lift my mood...

Oh please, not that discussion again. You're clear, you can go ahead and
have a bottle. Drinking during treatment is pure idiocy, however.

>You're right, this is the first I've heard of caffeine not causing
>dehydration.

I've seen it mentioned a few times.

>Well, here's one who really enjoys it and would like to point out that the
>caffeine content is far less than that of coffee and black tea.

Yes, that's true (about the same as a glass of Coke).
As for taste - some people enjoy the strangest things... ;-) I tried a
number of green teas, and one was actually bearable (a green
Darjeeling). None came even close to being enjoyable. But that's just
me. My point was that it is really irrelevant what kind of NON-ALCOHOLIC
beverage you drink as long as you DO drink. Lots of sugary sodas or
juices aren't great because of the empty calories, but still better than
dehydration.

>>crappy colored water
>
>IYHO

He he, IMAO indeed.

>> marginal health effects.
>
>You may have missed a couple of studies on this one.

Not really - but the effects are really marginal unless you drink lots
and lots over decades. The positive effects of coffee on the liver are
actually a lot clearer than the effects of green tea.

>Links to the 10 studies?

How about you look for a link to a study that actually showed
dehydration caused by coffee?

>I don't think a "typical US diet" is recommended for people with liver
>disease either.

A typical US diet isn't just hamburger and fries. Give people some
credit.

>What about people with hep C? Sorry, Thomas, I'm not buying into this one
>until I see more (hard) evidence.

Well, it would be nice to see some evidence for the recommendation to
stop caffeine consumption during treatment. There doesn't seem to be
even one study examining the effects. It's just that everybody knows
that coffee dehydrates, so it must be true...

>Good to see you, though, and debate a point of fact with you. Hope you're
>doing well,

Ah, I've always enjoyed debating with you, I've learned a lot in the
process. It's good to have you back.

Thomas
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starwars - 24 Jul 2004 06:01 GMT
> >With a nice bottle of chardonnay too? That would sure lift my mood...
>
> Oh please, not that discussion again. You're clear, you can go ahead and
> have a bottle. Drinking during treatment is pure idiocy, however.

Like you told us drinking *coffee* was pure idiocy too, but now you've changed
your mind.

*snigger*

> Lots of sugary sodas or
> juices aren't great because of the empty calories, but still better than
> dehydration.

*snigger*

> Not really - but the effects are really marginal unless you drink lots
> and lots over decades. The positive effects of coffee on the liver are
> actually a lot clearer than the effects of green tea.

You have the results of some studies to back this up or is this just something
your *pretty red shirt* came up with?

> A typical US diet isn't just hamburger and fries. Give people some
> credit.

How can you describe anything as "typical" in a country that covers several
time zones and has climates regions varying from hot and arrid to wet and humid
and everything else in between. What a *stoopid* you are Thomas.

> Well, it would be nice to see some evidence for the recommendation to
> stop caffeine consumption during treatment. There doesn't seem to be
> even one study examining the effects. It's just that everybody knows
> that coffee dehydrates, so it must be true...

Everybody knows that you wear a *pretty red shirt* too, and everybody *but*
*you* certainly knows that the liver is a gland.

*snigger*

> Ah, I've always enjoyed debating with you, I've learned a lot in the
> process.

Yes, like you learned a lot about *coffee* because you were debating with
Robin, but you don't give her the credit do you?
Paul2 - 24 Jul 2004 16:26 GMT
Starwars, you know what?
You're just plain downright arrogant and rude. But that wont phase you will
it?
Most self-centered egotistical people see others remarks about them as
jealousy.

But I will say this, with a stalker like you on a site I'm not sure I'd be
willing to make this a regular stop.

You take away from the healing process all in the effort to come across as
smug and intelligent.
By your acts of self promotion you only come across as the first.

You sir(or ma'am)are as transparent as glass.
Maybe you should have been breastfed longer, I dunno, but you sure act like
something is missing in your make-up...

Let it go starwars, who do you think you're fooling?

Paul2

> > >With a nice bottle of chardonnay too? That would sure lift my mood...
> >
[quoted text clipped - 41 lines]
> Yes, like you learned a lot about *coffee* because you were debating with
> Robin, but you don't give her the credit do you?
Thomas Wagner - 24 Jul 2004 16:41 GMT
>Starwars, you know what?
>You're just plain downright arrogant and rude. But that wont phase you will
>it?
>Most self-centered egotistical people see others remarks about them as
>jealousy.

Unfortunately, you've hit the nail on the head.

>But I will say this, with a stalker like you on a site I'm not sure I'd be
>willing to make this a regular stop.

You shouldn't let the terrorists win. Simply add him to your killfile,
that will work wonders for your peace of mind.

>You take away from the healing process all in the effort to come across as
>smug and intelligent.
>By your acts of self promotion you only come across as the first.

He'll never realize that as long as some people (like Robin and Hoof)
still defend and support his behavior, citing old grievances none of the
current regulars were involved in.

>You sir(or ma'am)are as transparent as glass.
>Maybe you should have been breastfed longer, I dunno, but you sure act like
>something is missing in your make-up...
>
>Let it go starwars, who do you think you're fooling?

He doesn't think, that's the problem.

Thomas
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starwars - 24 Jul 2004 20:26 GMT
> You shouldn't let the terrorists win. Simply add him to your killfile,
> that will work wonders for your peace of mind.

Yes, and don't forget to mention it loud and often. *snigger*

> He'll never realize that as long as some people (like Robin and Hoof)
> still defend and support his behavior, citing old grievances none of the
> current regulars were involved in.

*snigger* You seem confused again Thomas.

But maybe you have Maryem and Ham in your killfile too?

*snigger*

> He doesn't think, that's the problem.

I think it is someone who had his photograph done in a *pretty red shirt* who
doesn't think.
Paul - 24 Jul 2004 18:15 GMT
On Sat, 24 Jul 2004 15:26:22 GMT, "Paul2"
<cantdojustcant@home.maybesometime>, in message ID
<ycvMc.1765$03a.1751@news04.bloor.is.net.cable.rogers.com>, in the
newsgroup alt.support.hepatitis-c wrote:

>Starwars, you know what?
>You're just plain downright arrogant and rude. But that wont phase you will
[quoted text clipped - 4 lines]
>But I will say this, with a stalker like you on a site I'm not sure I'd be
>willing to make this a regular stop.

By quoting him/her, you give them an audience.  Ignore the trolls.
They only want a response and any response will do.
If you need to know how to use a kill filter, there should be info in
your software's help files.
Signature

Paul

Use the reply by email facility in your
newsreader to send email

starwars - 24 Jul 2004 21:57 GMT
> If you need to know how to use a kill filter, there should be info in
> your software's help files.
> --
> Nancy Boi

Hey tell you what, to make things easier *We* will refer to *you* as
*Nancy-Boi*

Now Nancy-Boi, tell him how easy it is.
You just right-click and then click kill-file.
Then you make at least one post a week saying how you have the "trolls"
killfiled and how they don't affect you.

*snigger*
starwars - 24 Jul 2004 21:27 GMT
> Starwars, you know what?
> You're just *blah blah blah*

You know what?

Thomas could have apologised a year ago but he refused.

Instead he left in a sulk and then returned because he *never learns*

Now please stop your *whining*

You've gone and got teardrops all over my keyboard.
Thomas Wagner - 24 Jul 2004 16:33 GMT
>Like you told us drinking *coffee* was pure idiocy too, but now you've changed
>your mind.

I didn't. Cite the post where I stated that coffee was bad for the
liver.

>How can you describe anything as "typical" in a country that covers several
>time zones and has climates regions varying from hot and arrid to wet and humid
>and everything else in between. What a *stoopid* you are Thomas.

I didn't call anything typical, the study I cited did.

>Everybody knows that you wear a *pretty red shirt* too, and everybody *but*
>*you* certainly knows that the liver is a gland.

Cite the post where I stated that it wasn't.

>Yes, like you learned a lot about *coffee* because you were debating with
>Robin, but you don't give her the credit do you?

I didn't debate coffee with Robin, I debated alcohol. You obviously have
me confused with someone else.

I clean up my killfile, and there you are, being a moron, as usual.
Can't get your facts straight, can't keep people apart, trying to show
off as sooper-smart and instead showing all the world what an idiot you
are. snigger indeed...

Back into the killfile you go.
Thomas
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starwars - 24 Jul 2004 21:12 GMT
> I clean up my killfile, and there you are,

To imagine that should should choose this very time to clean up your killfile?
*snigger*

> Back into the killfile you go.

Oh goody. I made the kill-file again.

*snigger*
elmoemerson@webtv.net - 24 Jul 2004 22:47 GMT
With a nice bottle of chardonnay too? That would sure lift my mood...
Oh please, not that discussion again. You're clear, you can go ahead and
have a bottle. Drinking during treatment is pure idiocy, however.
Like you told us drinking *coffee* was pure idiocy too, but now you've
changed your mind.
*snigger*
Lots of sugary sodas or
juices aren't great because of the empty calories, but still better than
dehydration.
*snigger*
Not really - but the effects are really marginal unless you drink lots
and lots over decades. The positive effects of coffee on the liver are
actually a lot clearer than the effects of green tea.
You have the results of some studies to back this up or is this just
something your *pretty red shirt* came up with?
A typical US diet isn't just hamburger and fries. Give people some
credit.
How can you describe anything as "typical" in a country that covers
several time zones and has climates regions varying from hot and arrid
to wet and humid and everything else in between. What a *stoopid* you
are Thomas.
Well, it would be nice to see some evidence for the recommendation to
stop caffeine consumption during treatment. There doesn't seem to be
even one study examining the effects. It's just that everybody knows
that coffee dehydrates, so it must be true...
Everybody knows that you wear a *pretty red shirt* too, and everybody
*but* *you* certainly knows that the liver is a gland.
*snigger*
Ah, I've always enjoyed debating with you, I've learned a lot in the
process.
Yes, like you learned a lot about *coffee* because you were debating
with Robin, but you don't give her the credit do you?
///////////
You should run and hide, Starwars.  Your posts make you look totally
stooopid and angry.  Bossy took a crap and it landed on your forehead.
That makes you a pieface. Elmo

http://community.webtv.net/elmoemerson/DocElmosHepFile
starwars - 25 Jul 2004 08:06 GMT
> You should run and hide, Starwars.  Your posts make you look totally
> stooopid and angry.

You mean I should announce how I am going to leave this newsgroup because
somebody said something I didn't like?

I wonder who does things like that?

Let me think now and make a list:

Elmo
Lana
Elmo
Thomas
Elmo

Yaknow that didn't take too much thinking at all.

How is Loretta, by the way?

*snigger*
elmoemerson@webtv.net - 25 Jul 2004 13:52 GMT

Re: Lunch, Brain Fog, and Fatigue  

Group: alt.support.hepatitis-c Date: Sun, Jul 25, 2004, 9:06am (CDT+7)
From: nobody@tatooine.homelinux.net (starwars)
In article <18267-4102D8E3-7@storefull-3251.bay.webtv.net>
elmoemerson@webtv.net wrote:
You should run and hide, Starwars. Your posts make you look totally
stooopid and angry.
You mean I should announce how I am going to leave this newsgroup
because somebody said something I didn't like?
I wonder who does things like that?
Let me think now and make a list:
Elmo
Lana
Elmo
Thomas
Elmo
Yaknow that didn't take too much thinking at all.
How is Loretta, by the way?
*snigger*
//////////////
You've got it wrong, sh.t-for-brains.  I only left TWICE.  ahahahahahaha
You talking about Lotitta?  I ain't heard from her in about 6 months or
so.  How about you?
'snigger, snigger'

http://community.webtv.net/elmoemerson/DocElmosHepFile
Waterspider - 25 Jul 2004 05:10 GMT
> >I agree, Thomas, thus the "maybe" in my statement.
> A maybe followed immediately by

... is still a maybe.

The most important
> point during treatment is eating anything at all, no matter whether it's
> considered "good" or "bad" food.

Well, yes, one shouldn't starve themselves to death, but assuming that one
had somewhat of an appetite left, baked chicken breast is certainly a better
choice than pan-fried steak.

> >Enjoying a nice steak dinner might help more to lift
> >> the mood and battle fatigue than all "sensible" food.
> >With a nice bottle of chardonnay too? That would sure lift my mood...
> Oh please, not that discussion again. You're clear, you can go ahead and
> have a bottle. Drinking during treatment is pure idiocy, however.

I know. And it would be pure idiocy for me to resume drinking even though my
treatment was successful because I have liver damage (as do most people who
have had hep c for a couple or few decades before treatment). Yes, I also
realize that treatment does, in some cases, allow the liver to regenerate
itself to lesser levels of fibrosis, but I'm pretty sure that I'm not back
at 0 and I sure ain't going in for another biopsy!

> >You're right, this is the first I've heard of caffeine not causing
> >dehydration.
> I've seen it mentioned a few times.

I've seen coloidal silver mentioned a few times too.

> >Well, here's one who really enjoys it and would like to point out that the
> >caffeine content is far less than that of coffee and black tea.
> Yes, that's true (about the same as a glass of Coke).

A small glass of Coke. You have to give me that one.

> As for taste - some people enjoy the strangest things... ;-) I tried a
> number of green teas, and one was actually bearable (a green
[quoted text clipped - 3 lines]
> juices aren't great because of the empty calories, but still better than
> dehydration.

So you over-reacted again. I never meant that drinking nothing was better
than drinking coffee.

> >>crappy colored water
> >IYHO
> He he, IMAO indeed.

I'm sure it's an acquired taste (like smoking). When I was a teenager, the
local hangout was a Chinese restaurant, and old Henry Mark would give us
green tea when we skipped school. Guess it's my "comfort food."

> >> marginal health effects.
> >You may have missed a couple of studies on this one.
> Not really - but the effects are really marginal unless you drink lots
> and lots over decades.

Well then you're sure looking at different studies than the ones I've seen.

The positive effects of coffee on the liver are
> actually a lot clearer than the effects of green tea.

Clearer?

> >Links to the 10 studies?
> How about you look for a link to a study that actually showed
> dehydration caused by coffee?

You show me yours and I'll show you mine.

> >I don't think a "typical US diet" is recommended for people with liver
> >disease either.
> A typical US diet isn't just hamburger and fries. Give people some
> credit.

According to studies I've read, the only credit people get for a typical
North American diet is for being lazy.

> >What about people with hep C? Sorry, Thomas, I'm not buying into this one
> >until I see more (hard) evidence.
> Well, it would be nice to see some evidence for the recommendation to
> stop caffeine consumption during treatment. There doesn't seem to be
> even one study examining the effects. It's just that everybody knows
> that coffee dehydrates, so it must be true...

About those studies you mentioned...

> >Good to see you, though, and debate a point of fact with you. Hope you're
> >doing well,
> Ah, I've always enjoyed debating with you, I've learned a lot in the
> process. It's good to have you back.

It's good to have some spare time, and it's too bloody hot to be out in the
garden! Take care,

Waterspider
Thomas Wagner - 25 Jul 2004 17:46 GMT
>Well, yes, one shouldn't starve themselves to death, but assuming that one
>had somewhat of an appetite left, baked chicken breast is certainly a better
>choice than pan-fried steak.

Life's too short and the effects of an occasional pan-fried steak are
too marginal to always worry about which food is good for you. You have
health nuts dying with 40 and folks like my grandpa who smoked, never
exercised, and had frequent steak dinners (with butter on top) living to
be 90 in excellent health. Not that I'm advocating throwing all
nutritional advice out of the window, but just taking it less serious.
Things you think you know can be very wrong - just check the latest
studies proving that low-carb high-fat/protein diets actually work and
don't make people sick. The same is true for all the diet advice for
Heppers - nearly all claim that coffee is bad for the liver, with ZERO
evidence. I have the sneaking suspicion that it's the puritanical
tradition that something that tastes good and elevates your mood just
must be bad for you.

>I know. And it would be pure idiocy for me to resume drinking even though my
>treatment was successful because I have liver damage (as do most people who
>have had hep c for a couple or few decades before treatment). Yes, I also
>realize that treatment does, in some cases, allow the liver to regenerate
>itself to lesser levels of fibrosis, but I'm pretty sure that I'm not back
>at 0 and I sure ain't going in for another biopsy!

I'm not taking up drinking for similar reasons - and also because I
don't really need alcohol in my life. I didn't have a drop since age 16,
why start now? I don't see the attraction. But that's a very personal
decision.

>I've seen coloidal silver mentioned a few times too.

In reference to studies? I don't think so.

>So you over-reacted again. I never meant that drinking nothing was better
>than drinking coffee.

Nah, that's a misunderstanding. Didn't mean to imply that.

>Clearer?

Yes, indeed: "Increased coffee consumption was strongly and
independently associated with decreased GGT activity among males [...]
Intake of green tea, another popular source of caffeine in Japan, did
not materially influence the liver enzyme levels." From: "Coffee
consumption and decreased serum gamma-glutamyltransferase and
aminotransferase activities among male alcohol drinkers" (1998)

The recently published studies by the NIH, from Norway, and from the
Netherlands, all show clear positive effects of coffee (and in general
caffeine) consumption on the prevention of cirrhosis. The NIH study
included people with Hep B and C.

>You show me yours and I'll show you mine.

Oh, come on. That's a pretty lame cop-out. I've posted pointers to three
different studies saying the same thing - coffee doesn't dehydrate.
Where is the study showing it does? I haven't seen it. Have you?

To cite one of the authors of the NIH study on coffee: "There is
surprisingly little evidence-based information on the influence of diet
and nutrition on the course and severity of chronic liver disease."
(James Everhart, M.D., Ph.D.)

Thomas
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Susie Quill - 22 Jul 2004 21:04 GMT
Waterspider,
Thanks for the suggestions.  I have fibromyalgia in addition to the HCV.
So, I never get a good nights sleep anyway.  So I'm always tired and spacey
to some extent and have been for about 10 years.  Only now it is worse
because of treatment.

I don't eat that much red meat actually. However, on week-ends I'm too sick
to eat much of anything.  During the week, I try to get a couple meals with
protein.  I'm a registered dietitian with a masters in nutrition.  I only
eat two or three meals a week, usually, with any red meat in them. My iron
level is fine.   My cholesterol and blood pressure are all good.  I'm just
spaced out from lack of deep sleep and the interferon.  I thought the
simplicity of what happened was terribly funny though.  Gotta laugh.

SusieQ

> > At lunch yesterday, one of my co-workers.....a nurse and mother of three,
> > watched me trying to eat for a while.  Then while laughing, she scooted
[quoted text clipped - 23 lines]
>
> Waterspider
Russ - 23 Jul 2004 05:15 GMT
while on treatment I didn't have much appetite for meat. Milk and cereal was
big at my house!

Signature

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Remove "NOSPAM" for replies.

> Waterspider,
> Thanks for the suggestions.  I have fibromyalgia in addition to the HCV.
[quoted text clipped - 51 lines]
> http://www.newsfeeds.com - The #1 Newsgroup Service in the World!
> -----==  Over 100,000 Newsgroups - 19 Different Servers! =-----
Susie Quill - 23 Jul 2004 09:15 GMT
Right now, Yogurt, Peanut Butter, and Low Fat cheese are my main staples at
home. They don't require cooking.   Maybe scrambled eggs once a week.
I try to round it out with some other foods at work.

People just get too carried away sometimes with eating so called "healthy"
foods.  A person can include anything they want in their diet on occasion.
However, some folkes go to the extreme.   I have patients that never eat a
fruit or vegetable.  They eat meat, such as spam,  and rice.....and are
dying like flies from heart disease and uncontrolled diabetes.   At the
other extreme, there are people that never eat certain things because they
are considered "bad" foods and they are obsessive about what they eat.
Either extreme is unhealthy.  They even have a name for the "healthy" foods
fanatics, but can't think of it right now.  It is starting to get more
attention.

I think during treatment that one needs to get sufficient protein and
calories and eat what you can tolerate. Also, work in fruits and vegetables
as much as possible.   Multiple vitamin isn't a bad idea either.
I don't have any strong feelings about coffee.  I can't tolerate caffeine so
quit drinking it years ago.  However, yes, a person does get free fluid
(water) from coffee.  It is a diuretic, but you always get a percentage of
free fluid from any liquid.  When I calculate the fluid a patient is
getting, I have to calculate in the amount of water they are getting plus
the fluid that is in various liquids, such as Ensure if that is what they
are on.   A person does need to drink plain old water daily though.  It is
just good for the body.
SusieQ

> while on treatment I didn't have much appetite for meat. Milk and cereal was
> big at my house!
[quoted text clipped - 60 lines]
> > http://www.newsfeeds.com - The #1 Newsgroup Service in the World!
> > -----==  Over 100,000 Newsgroups - 19 Different Servers! =-----
Waterspider - 23 Jul 2004 16:28 GMT
> Waterspider,
> Thanks for the suggestions.  I have fibromyalgia in addition to the HCV.

Yup, me too and lots more of us. It appear that HCV can cause FM.

> So, I never get a good nights sleep anyway.  So I'm always tired and spacey
> to some extent and have been for about 10 years.  Only now it is worse
> because of treatment.

I started taking the generic equivalent of Gravol to make me drowsy when I
was on treatment, but after a few months of that I caved and got a
prescription for sleeping pills. After I finished tx I discontinued the
pills and although I have occasional sleeping problems it's not a big
problem anymore.

> I don't eat that much red meat actually. However, on week-ends I'm too sick
> to eat much of anything.  During the week, I try to get a couple meals with
[quoted text clipped - 3 lines]
> spaced out from lack of deep sleep and the interferon.  I thought the
> simplicity of what happened was terribly funny though.  Gotta laugh.

It was funny! Picturing anyone with a plastic knife and fork is funny to
begin with; adding tx to the story makes it even better. Personally, I think
chronic clumsiness is an undocumented by serious side-effect of tx.

Waterspider
Paul - 23 Jul 2004 17:24 GMT
On Fri, 23 Jul 2004 08:28:06 -0700, "Waterspider"
<waterspider@spamshine.net>, in message ID
<10g2bqpc42g0cac@corp.supernews.com>, in the newsgroup
alt.support.hepatitis-c wrote:

>It was funny! Picturing anyone with a plastic knife and fork is funny to
>begin with; adding tx to the story makes it even better. Personally, I think
>chronic clumsiness is an undocumented by serious side-effect of tx.

Just a thought.  I haven't tried spaghetti yet on tx.  Maybe I better
wait till I've finished.
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Waterspider - 24 Jul 2004 03:40 GMT
> On Fri, 23 Jul 2004 08:28:06 -0700, "Waterspider"
> <waterspider@spamshine.net>, in message ID
[quoted text clipped - 8 lines]
> wait till I've finished.
> Paul

Nah, live a little, play a little, have some fun... eat it with a plastic
spoon, forkless and knifeless. Use jello instead of spagetti sauce. Have a
friend over to take pictures.
<g>
Waterspider
Paul - 24 Jul 2004 06:22 GMT
On Fri, 23 Jul 2004 19:40:24 -0700, "Waterspider"
<waterspider@spamshine.net>, in message ID
<10g3j7btopfnddb@corp.supernews.com>, in the newsgroup
alt.support.hepatitis-c wrote:

>Nah, live a little, play a little, have some fun... eat it with a plastic
>spoon, forkless and knifeless. Use jello instead of spagetti sauce. Have a
>friend over to take pictures.
><g>

If I do, maybe I'll post them on the net  :-)
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elmoemerson@webtv.net - 24 Jul 2004 22:40 GMT

Re: Lunch, Brain Fog, and Fatigue  

Group: alt.support.hepatitis-c Date: Fri, Jul 23, 2004, 4:24pm (CDT+5)
From: dontspamme@westgreen.freeserve.co.uk (Paul)
On Fri, 23 Jul 2004 08:28:06 -0700, "Waterspider"
<waterspider@spamshine.net>, in message ID
<10g2bqpc42g0cac@corp.supernews.com>, in the newsgroup
alt.support.hepatitis-c wrote:
It was funny! Picturing anyone with a plastic knife and fork is funny to
begin with; adding tx to the story makes it even better. Personally, I
think chronic clumsiness is an undocumented by serious side-effect of
tx.
Just a thought. I haven't tried spaghetti yet on tx. Maybe I better wait
till I've finished.
Signature

Paul
????????
That's why they invented ZITI.  :-)
Elmo  

http://community.webtv.net/elmoemerson/DocElmosHepFile

Gordo Mondragon - 31 Jul 2004 00:44 GMT
"Waterspider" <waterspider@spamshine.net> wrote in message news:>
> Your fog & fatigue are maybe being intensified by your diet, i.e. hamburger.
> Although protein is important in your diet, red meat and especially
> hamburger because of its high fat content is the worst choice you could
> make. Try broiled chicken and fish instead of hamburger and its ilk. Eat
> lots of fresh fruit and vegetables. Scrap coffee and black tea, drink green
> tea. Lots of water. Do some research on nutrition & the liver.

Even before I got Hep C, I had twice the caloric requirements of
anyone I knew.  If I didn't eat a fair amount of fat I'd die.  I also
feel a lot better eating a meat/fat/vege diet with low sugars and
simple starches.  Now, I'm getting compliments on my visible ab
muscles which I couldn't care less about (get Hep and get cut up!) and
I can't seem to put on more weight.  So the idea of eating lean meats
is just not going to work for me.

I just eat a lot of everything including veges from the garden.  I
figure it balances out.

Gordo
elmoemerson@webtv.net - 23 Jul 2004 13:40 GMT
That a way, Suzie.  If you can't find those moments humorous, treatment
can be a miserable drudgery.  Stay on the 'sunny side' and you'll be
just fine.  :-)
Elmo

http://community.webtv.net/elmoemerson/DocElmosHepFile
 
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