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Medical Forum / Diseases and Disorders / Hepatitis / April 2006

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Ribavirin and fat intake

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Puckertoe - 15 Apr 2006 02:58 GMT
I've heard that fat intake with your Riba dosage can increase absorption. Is
this true? If so what kind of fat would be good to have? Mike fat? Sugar?
Captain Crunch?

Does anyone have fat intake with their Reba?

-Puckertoe
greyhackles - 15 Apr 2006 03:22 GMT
>I've heard that fat intake with your Riba dosage can increase absorption. Is
>this true? If so what kind of fat would be good to have? Mike fat? Sugar?
[quoted text clipped - 3 lines]
>
>-Puckertoe

Along with doing every shot at the same time every week in the same room with
the same gear, this was tantamount to religion for me: every friggin' handful
of Riba went down with some high-fat content food. Even when food was the very
*last* thing on my mind.

Peanut butter became my friend of last resort.
I ate a lot of peanut butter 8-|

If you read the product literature that accompanies Ribavirin, you'll see the
uptake improves 60-70% when taken with high fat foods.
It should be a Must Do thing with every hepper on therapy.

What kind? Geeze, never thought about it, just figured fat was fat.
But I do know that sugar isn't fat - as much as we may enjoy both -
Captain Crunch isn't going to do the trick.

And does Mike know you're thinking about eating his fat? ;-)

Cheers

/greyhackles
elmoemerson@webtv.net - 15 Apr 2006 15:16 GMT


And does Mike know you're thinking about eating his fat? ;-)
Cheers
/greyhackles  
///////////
ahahahahahahah!!

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

http://community.webtv.net/elmoemerson/TheFamilyAlbum
Michael Arends - 15 Apr 2006 17:40 GMT
Smiling Wickedly,  greyhackles answered:

>> I've heard that fat intake with your Riba dosage can increase absorption. Is
>> this true? If so what kind of fat would be good to have? Mike fat? Sugar?
[quoted text clipped - 25 lines]
>
> /greyhackles

Hey, you can have ALL you want.  LOL!

when I was doing TX, if nothing else was available, I'd just east like a
big tablespoon or 3, of Real Butter.  Yuk.

Signature

*..· ´¨¨))
    ¸.·´ .·´¨¨))
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                            «.·°·. Michael .·°·-:¦:-

Cactus Jammies - 15 Apr 2006 19:36 GMT
"Michael Arends" <mlarends@NODAMNSPAMearthlink.net> wrote >
> when I was doing TX, if nothing else was available, I'd just east like a
> big tablespoon or 3, of Real Butter.  Yuk.

I had variations in my pre-drug fat menu:  I went from a chunk of cheddar
cheese, to chocolate soy milk, to dried smoked Spanish Chorizo to olive oil
in a shot glass.  with a dash of Balsamic.    Gobble it down, wait ten
minutes then a-riba, a-riba, a-riba

cactus jammies---------------------------------
flifla - 16 Apr 2006 00:22 GMT
I eat Cadbury chocolate with mine. Yeah any fat'll do whole milk is
mostly fat.
dortski - 16 Apr 2006 00:46 GMT
> I eat Cadbury chocolate with mine. Yeah any fat'll do whole milk is
> mostly fat.

Hey flifla...was wondering where and how you were. So how goes it kiddo?

dort
flifla - 16 Apr 2006 19:11 GMT
Thanks for asking Dort! Well, I am home now on leave unpaid until
UnumProvident approves me for short term disability (however long that
is) and taking it easy. Every week I have a new side and this week it's
splitting headaches. How come some people breeze through tx and others
have a hard time? It hasn't been easy for me at times
dortski - 16 Apr 2006 19:59 GMT
> Thanks for asking Dort! Well, I am home now on leave unpaid until
> UnumProvident approves me for short term disability (however long that
> is) and taking it easy. Every week I have a new side and this week it's
> splitting headaches. How come some people breeze through tx and others
> have a hard time? It hasn't been easy for me at times

Sorry to hear you are having a rough go of it. It does seem as if a new
annoyance pops up every week. Now that you are off and able to take it easy
you should do better. I hope you hear from Unum soon, having that on the
back of you mind can't be helping! Did you get the paper work filled out at
least? If so, it shouldn't take too long. Mine hasn't kicked in yet, because
I have an a-hole gastro. I had to go through my primary care doc and he said
it may take him a week to get to it. Meanwhile I am trying to get well and
going broke.If it ain't one thing it's another! I remember those splitting
headaches...the only thing that helps was laying in a dark room with ice
packs on my head...lol. Take care kiddo....

dort
flifla - 17 Apr 2006 02:25 GMT
Tee hee thanks..yes my gastro filled out the forms no problem. She is
very nice.
dortski - 15 Apr 2006 03:25 GMT
> I've heard that fat intake with your Riba dosage can increase absorption. Is
> this true? If so what kind of fat would be good to have? Mike fat? Sugar?
[quoted text clipped - 3 lines]
>
> -Puckertoe

Hey Puck....yes it's been mentioned here in several post that fat help with
absorption of riba. What kind depends on you. If you have cholesterol issues
you may want to choose healthy fats. I took mine with whole milk or a slice
of toast with extra cruchy peanut butter.

dort
elmoemerson@webtv.net - 15 Apr 2006 15:18 GMT

Re: Ribavirin and fat intake  

Group: alt.support.hepatitis-c Date: Sat, Apr 15, 2006, 2:25am (CDT+5)
From: dwilde1@austin.rr.com (dortski)
"Puckertoe" <matthew@dontspamme.puckertoe.com> wrote in message
news:1240kn9h6i3o61@corp.supernews.com...
I've heard that fat intake with your Riba dosage can increase
absorption. Is this true? If so what kind of fat would be good to have?
Mike fat? Sugar? Captain Crunch?
Does anyone have fat intake with their Reba?
-Puckertoe
Hey Puck....yes it's been mentioned here in several post that fat help
with absorption of riba. What kind depends on you. If you have
cholesterol issues you may want to choose healthy fats. I took mine with
whole milk or a slice of toast with extra cruchy peanut butter.
dort
//////////
ooooohhh!  x-tra crunch peanut bugger.
yummmmmm
elmo

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

http://community.webtv.net/elmoemerson/TheFamilyAlbum
elmoemerson@webtv.net - 15 Apr 2006 15:14 GMT

Ribavirin and fat intake  

Group: alt.support.hepatitis-c Date: Fri, Apr 14, 2006, 7:01pm (CDT-2)
From: matthew@dontspamme.puckertoe.com (Puckertoe)
I've heard that fat intake with your Riba dosage can increase
absorption. Is this true? If so what kind of fat would be good to have?
Mike fat? Sugar? Captain Crunch?
Does anyone have fat intake with their Reba?
-Puckertoe
///////////
If you don't eat something with fat in it when you take your riba,
approximately 40% of the riba will NOT be absorbed.  Whole milk is
good....so is peanut butter.  It doesn't really matter whether it's
animal or plant fats...as long as you get some.  
elmo

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

http://community.webtv.net/elmoemerson/TheFamilyAlbum
ChefX - 15 Apr 2006 18:38 GMT
> I've heard that fat intake with your Riba dosage can increase absorption. Is
> this true? If so what kind of fat would be good to have? Mike fat? Sugar?
[quoted text clipped - 3 lines]
>
> -Puckertoe

The info I have is that taking riba w/fat increases the absorbtion of
the riba. Here are some tips for healthy fat intake....

Stay away from "saturated" fat, (animal fats, whole dairy products,
shortening/Lard).
Good sources of "monounsaturated" fat are, any vegetable fats like
olives,seeds,nuts and unprocessed nut butters, avacodos are excellent
sources of veg fat.

Also look out for "transfatty acids" any product that contains
"hydrogenated or partially hydrogenated oil" contains TFA's. You want to
stay away from them they are the worst for you....

Hope that helps.....ChefX
Russ - 16 Apr 2006 00:56 GMT
About all I could handle in the morning was a can of Slimfast blended with a
banana, something to swallow the morning pills with...

Signature

Russ
http://www.tannersacre.com

> I've heard that fat intake with your Riba dosage can increase absorption.
> Is this true? If so what kind of fat would be good to have? Mike fat?
[quoted text clipped - 3 lines]
>
> -Puckertoe
Burke Gilman - 17 Apr 2006 21:53 GMT
I've been on a fat-restricted, lowered calorie diet since before I
started treatment, which commenced almost four weeks ago. To ensure my
fat intake contains high-quality essential fatty acids, I've been
taking a couple tablespoons of flaxseed oil daily.

Now that I've learned ribavirin uptake is probably increased when the
drug is ingested with fats, I plan to take my flaxseed oil when I
administer the ribavirin, in order to maximize serum ribavirin levels.

If urticaria becomes a problem exacerbated by increased serum ribavirin
levels, I plan to reach for Benadryl and see how that works out.
dortski - 18 Apr 2006 04:27 GMT
> I've been on a fat-restricted, lowered calorie diet since before I
> started treatment, which commenced almost four weeks ago. To ensure my
[quoted text clipped - 7 lines]
> If urticaria becomes a problem exacerbated by increased serum ribavirin
> levels, I plan to reach for Benadryl and see how that works out.

Well that sounds good to me! I suspect only Greyhackles and a select few
will understand that last sentence. I sure didn't, but if Benadyl helps
it...well that sounds good too!

You sound like you've got it aced! Keep it up!

dort
greyhackles - 19 Apr 2006 02:55 GMT
>> I've been on a fat-restricted, lowered calorie diet since before I
>> started treatment, which commenced almost four weeks ago. To ensure my
[quoted text clipped - 15 lines]
>
>dort

Urticaria is a $5 word meaning "hives". Not to trivialize it - there are many
causes of hives, including unknown causes (so to speak - it's one of the most
poorly root-caused symptoms out there) and hives can appear by degree from
barely noticeable to freakishly livid. At the core, they're all caused by the
same : fluid leaking out of the blood stream and pooling within tissue.

I had a wicked attack of urticaria on Memorial Day weekend in 1999 - two days
after I left one company for a new job starting the day after Memorial Day).
It was alarmingly similar to a heart attack, except the wicked hives made me
look quite unearthly, so I got yet another ride in an ambulance to an e-room.

After pumping me full of nitro just in case, the doctors said the ekg and
blood chemistry ruled out a heart attack (but put me on the damned tread mill
the next day to confirm) and they attributed the entire event it to
stress/anxiety/etc. To this day I suspect it more likely had something to do
with HCV.

Since that weekend I take histamine agonists (hydroxazine hcl and cimetidine)
daily. I haven't had another hive attack since '99 (but then I haven't seen
any elephants around, either ;-) With the SVR, I'm interested in seeing if I
can some time in the near future try to taper off these drugs as they aren't
without some side effects of their own.

Anyway (wordy bugger tonite, eh? ;-) I also didn't have any hives while on the
daily 1400mg of Riba for 48 weeks. Whether that's attributable to being on the
maintenance drugs, or simply that Riba doesn't aggravate an urticaria-prone
condition, or just dumb luck, I cannot say.

Cheers

/greyhackles
dortski - 19 Apr 2006 03:54 GMT
> >> I've been on a fat-restricted, lowered calorie diet since before I
> >> started treatment, which commenced almost four weeks ago. To ensure my
[quoted text clipped - 47 lines]
>
> /greyhackles

I like you being wordy...you sound happy! You've been that smart guy of a
few words, for so long, it's nice to see the wordy happy Grey. You're even
getting your happy hair back!

That's interesting about the panic attack. That's how I found out I had HCV.
Major panic attack, had an ekg done, came back as abnormal and nothing was
ever done to investigate why. You have the ekg done, and blood work come
back normal and they slap you on that damn treadmill...go figure.

I was wondering about this low cholesterol thing and HCV. At the time I
found out I had the antibodies for HCV, I found out my cholesterol was real
bad. So ya think I might end up having that heart attack now that I am off
meds and clear?...lol!!

Seriously, it's good to hear from you and to get to know you a little
better. Thanks for sharing all the wonderful information and clarifying a
bunch of technical mumbo jumbo for me and now the little bit of history. For
the longest time I always pictured you as this stoic wizard....lol!

dort
Burke Gilman - 19 Apr 2006 04:17 GMT
Umm.. hydroxazine hcl and cimetidine... those would be histamine
antagonists (rather than agonists), wouldn't they?

Btw, congrats on the SVR.

-- BG in Seattle
greyhackles - 20 Apr 2006 02:05 GMT
>Umm.. hydroxazine hcl and cimetidine... those would be histamine
>antagonists (rather than agonists), wouldn't they?

Rats!
Yes, of course you are correct, I totally dumb-thumbed it.
I hate it when I do that! ;-)

>Btw, congrats on the SVR.
>
>-- BG in Seattle

Thanks very much. In a few more days I might be able to get comfortable with
the concept :-)

Cheers. Now go kick that virus square in the nuts!

/greyhackles
john - 19 Apr 2006 13:46 GMT
Hi Puckertoe,
I was told to eat cheese and peanut butter and anything fatty i could
with reba..........happy weight gain......john
john - 19 Apr 2006 14:27 GMT
I've heard that fat intake with your Riba dosage can increase
absorption. Is
this true? If so what kind of fat would be good to have? Mike fat?
Sugar?
Captain Crunch?

Does anyone have fat intake with their Reba?

-Puckertoe

Hi Puckertoe,
I was told to eat cheese and peanut butter and anything fatty i could
with reba..........happy weight gain......john
john - 19 Apr 2006 14:30 GMT
I've heard that fat intake with your Riba dosage can increase
absorption. Is
this true? If so what kind of fat would be good to have? Mike fat?
Sugar?
Captain Crunch?

Does anyone have fat intake with their Reba?

-Puckertoe

Hi Puckertoe,
I was told to eat cheese and peanut butter and anything fatty i could
with reba..........happy weight gain......john
 
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