I use Stevia to sweeten the ACV

by Michael
(Birmingham, Alabama)

I take a teaspoon of ACV twice a day, morning and evening. I mix it with two packets of Stevia and about 3/4 cup of water. It actually tastes pretty good.

So far (about four months) I haven't even had a twinge of gout. I also watch what I eat and keep the meats to a minimum (about 4 oz per day), no seafood, and no alcohol of any kind. My blood pressure and cholesterol are normal.

My doctor agrees with using ACV and says it's good for helping several maladies. We have a good relationship and he actually listens to his patients, something rare in a doctor nowadays.

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Feb 25, 2015
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A little more info ACV FOR GOUT. . .
by: Michael

Rest assured, ACV is not the only thing I am taking for my gout. I also take Allopurinol daily. I have a good relationship with my doctor and my pharmacist (she's my daughter), and my major in college was biology. I understand the chemistry and the physiology of the prescriptions and supplements I take. Gout is not the only problem I have and I have to be careful about what I take.

Hippocrates, the father of Western medicine, said it best, "Let food be thy medicine and medicine be thy food."

Jan 20, 2015
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Side effects of ACV
by: Peter

Consuming apple cider vinegar in food amounts is LIKELY SAFE. Apple cider vinegar is POSSIBLY SAFE for most adults when used short-term for medical purposes.

In some cases, consuming a lot of apple cider vinegar might not be safe. Consuming 8 ounces of apple cider vinegar per day, long-term might lead to problems such as low potassium. There has been one report of a person who developed low potassium levels and weak bones (osteoporosis) after taking 250 mL apple cider vinegar daily for 6 years. In another report, a woman who had an apple cider vinegar tablet lodged in her throat for 30 minutes developed tenderness and pain in her voice box and difficulty swallowing for 6 months following the incident. This was thought to be due to the acid content of the tablet.
Special Precautions & Warnings:
Pregnancy and breast-feeding: Not enough is known about the safety of using apple cider vinegar as medicine during pregnancy and breast-feeding. Stay on the safe side, and don’t use it.

Diabetes: Apple cider vinegar might lower blood sugar levels in people with diabetes. Therefore, blood sugar levels need to be monitored closely. Dose adjustments may be necessary for diabetes medications that are taken.

I think you can see where im going with this?

regards

Peter

Jan 20, 2015
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Pt 2 of side effects of Cimetidine
by: Peter

Endocrine

Endocrine side effects have included gynecomastia, occurring in 0.3% to 1% of patients treated for nonhypersecretory conditions for 1 month or longer. In patients treated for pathologic hypersecretory conditions, this occurred in about 4% of cases. In the majority of cases, however, hormone levels remain in the normal range. In addition, galactorrhea, impotence, and transient alopecia as well as a case of possible cimetidine-induced hypoparathyroidism have been reported.[Ref]

A large population-based cohort study involving 81,535 men evaluated the risk of gynecomastia associated with cimetidine, ranitidine, misoprostol, and omeprazole. Overall, 37,202 men received cimetidine. Gynecomastia developed in 86 men treated with cimetidine. The relative risk of gynecomastia during cimetidine treatment compared to a control population not treated with cimetidine was 7.2. Use of daily doses of 1000 mg or more was associated with a relative risk of 43.5.

Luteinizing hormone (LH), follicle-stimulating hormone (FSH), serum prolactin, testosterone, and estradiol levels are usually within the normal range in patients who develop gynecomastia or breast tenderness while on cimetidine. However, decreases in serum testosterone and increases in LH and estradiol as well as increases in serum prolactin have been reported on occasion.

Severe hypocalcemia was reported in an elderly woman treated with cimetidine postoperatively. There was some evidence in this case to support a possible cimetidine-induced reduction in parathyroid hormone with subsequent hypocalcemia. More study is needed to confirm this.[Ref]

Cardiovascular

In a study involving medical ICU patients requiring invasive blood pressure monitoring for circulatory instability or with a need for repeated arterial blood gas draws, an average decrease of 14 mmHg in systolic and 9 mmHg in diastolic pressure was noted in 74% (50/68) of patients following administration of cimetidine 200 mg IV over 3 minutes. In 13% of patients, systolic pressure decreased by more than 30 mmHg.

Most cardiovascular side effects are noted following rapid intravenous administration. While administration by slow infusion appears to reduce the incidence of such effects, serious cardiovascular events, including sinus arrest, have been reported with continuous intravenous infusions as well as oral administration.[Ref]

Cardiovascular side effects have been rarely reported. These are usually associated with rapid intravenous administration. Tachycardia, bradycardia, hypotension, QT interval prolongation, premature ventricular contractions, junctional rhythm, AV block, and sinus arrest have been reported with H2 receptor antagonist.[Ref]

Hematologic

Hematologic side effects have rarely included leukopenia, eosinophilia, neutropenia, thrombocytopenia, agranulocytosis, and aplastic anemia. The manufacturer also reports extremely rare cases of autoimmune hemolytic anemia.[Ref]

Rare cases of irreversible or fatal blood dyscrasias have been reported in the literature. While rare, hematologic abnormalities should be considered in patients treated with cimetidine who develop fever, chills, sore throat, easy bruising, and other signs or symptoms suggestive of a blood dyscrasia.[Ref]

Hepatic

Hepatic side effects have included elevations in liver function tests and hepatitis of both cholestatic and mixed cholestatic-hepatocellular types. Some presentations of cimetidine-induced hepatitis have features suggestive of a hypersensitivity response.[Ref]

Overall, serious hepatotoxicity due to cimetidine is rare. Bridging hepatic necrosis, centrilobular hepatic necrosis, and intrahepatic cholestasis have been noted on biopsy in cases of cimetidine-induced hepatitis. In some cases, liver toxicity has been associated with fever, rash, and eosinophilia, suggesting a hypersensitivity etiology.

Cimetidine-induced hepatitis in a patient with a history of famotidine-induced hepatitis has been reported in at least one case. Extreme caution is recommended when initiating cimetidine therapy in a patient with a history of other H2-antagonist-induced hepatotoxicity.

Liver injury, with fatal outcome, has been reported with the use of other H2 receptor antagonists.[Ref]

Renal

Renal side effects have included elevations in serum creatinine. However, such elevations are generally due to competitive inhibition of tubular secretion of creatinine rather than a result of impaired glomerular filtration or renal toxicity. Rare cases of acute renal failure and interstitial nephritis have been reported.[Ref]

Elevations in serum creatinine by as much as 20% are reported during cimetidine therapy. Cimetidine is thought to competitively inhibit the secretion of creatinine by the renal proximal tubules resulting in a reduction in creatinine clearance. Creatinine does not appear to affect cimetidine transport, except at very high concentrations.

Overt renal toxicity, such as renal failure and interstitial nephritis, is rare. In some cases, cimetidine-induced renal toxicity has been attributed to a delayed-type hypersensitivity.[Ref]

Gastrointestinal

Gastrointestinal side effects have been reported rarely. These have included diarrhea (1%) which is generally mild although severe cases have been reported, nausea/vomiting (0.6%), constipation (0.2%), dry mouth, and taste changes. In addition, cases of parotitis, phytobezoars, and pancreatitis have been reported.[Ref]

Dermatologic

Dermatologic side effects have included mild rash as well as severe dry skin (xerosis), seborrheic dermatitis, erythema annular centrifugum, erythema multiforme, Stevens-Johnson syndrome, exfoliative dermatitis, and toxic epidermal necrolysis. Reversible alopecia has also been reported rarely.[Ref]

Antiandrogen and sebum-inhibitory effects are proposed mechanisms by which cimetidine causes severe xerosis and asteatotic dermatitis.[Ref]

Musculoskeletal

Musculoskeletal side effects have rarely included arthralgias, inflammatory arthritis, gout-like arthritis, and myalgias. The manufacturer reports rare cases of polymyositis although causality is unknown.[Ref]

Immunologic

Immunologic side effects have included a case of exacerbation of cutaneous systemic lupus erythematosus and cimetidine-induced cutaneous vasculitis. Strongyloidiasis hyperinfection has been reported rarely in immunocompromised patients.[Ref]

Hypersensitivity

Hypersensitivity side effects have included urticaria, pruritus, fever, angioedema, and anaphylaxis. In addition, a case of drug fever in association with leukocytosis and abdominal pain has also been reported. Vasculitis has been reported. It resolved on discontinuation of the drug.[Ref]

Jan 20, 2015
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response to Placebo from Godwin re ACV and Gout
by: Peter

Godwin, I understand your comments on ACV, and that you suffer from Gout.
But to say that ACV isnt beneficial for gout treatment is close minded.It certainly has worked for me and thousands of other gout sufferers.
Im not saying it is without detrimental side effects such as Gut problems, teeth enamel problems and possible interaction with other medicines that may cause a medical issue. It is far safer than taking a Medicine. Especially long term use ( provided you have spoken to your doctor about using ACV )
If it didnt work for you and Cimetidine worked then that is great. And I am also not saying if ACV didnt work then consider Cimetidine.For an acute sufferer any medicine that helps is great BUT.

But lets look at the side effects.

Applies to cimetidine: compounding powder, intravenous solution, oral liquid, oral tablet

Nervous system

Nervous system side effects have included headache (up to 3.5%), dizziness (1%), and somnolence (1%). Severe mental status changes, including depression, agitation, disorientation, confusion, delirium, unsteadiness, slurred speech, lethargy, hallucinations, and coma, while uncommon, have been reported frequently in the literature. Other nervous system effects reported are extrapyramidal symptoms, cerebellar syndrome with encephalopathy, and paresthesias. Critical illness, advanced age, renal, and/or liver disease appear to be associated with an increased risk for central nervous system toxicity.[Ref]

The mechanism by which cimetidine induces mental status changes is not well established but appears to involve increased serum concentrations of cimetidine and, possibly, cimetidine sulfoxide. Advanced age has been implicated in many case reports of mental status changes, however, the pharmacokinetics of cimetidine correlate more closely with renal function, making renal dysfunction associated with advanced age a more likely risk factor than age itself. In addition, enhanced cimetidine penetration of the blood brain barrier has been demonstrated in patients with liver disease. Onset of symptoms have usually developed within 2 to 3 days of start of therapy, but may be delayed. Following discontinuation of cimetidine, mental status usually normalizes over several days.[Ref]

Psychiatric

Psychiatric side effects may accompany other signs and symptoms of neurologic toxicity such as unsteadiness, slurred speech, and lethargy. Age, renal dysfunction, and/or liver disease may be predisposing factors in these cases.

Psychiatric side effects in the form of severe depression, suicidal ideation, paranoia, and frank psychosis have also been reported in otherwise healthy patients.[Ref]

Psychiatric side effects have included depression, paranoia, agitation, mania, hallucinations, psychosis, and loss of libido. These side effects may be accompanied by other signs and symptoms of neurologic toxicity. Critical illness, advanced age, renal, and/or liver disease appear to be associated with an increased risk for central nervous system toxicity, including psychiatric disturbances.

End of Part 1

Jan 12, 2015
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acv does work for gout
by: edward hayned

My dad now 89 fell down stairs and bumped his elbow plus other damage in bed after Hosp couldn't walk hardley move arm cause of gout attack on elbow. First time in his life to have gout. Took acv honey water boom gout gone in 7 days up walking after two serving and felt 100 better. Also recently he got bad flu life treating went to hosp got steroids and antibiotics up and out 4 hrs later acv help s meds work 1000 percent better with acv. Many other benefits also.

Jan 12, 2015
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Placebo
by: Godwin Symons

Michael. I read your comment with interest, as with all posts here. In your case I advise you to be careful not to rely too heavily on ACV. It is not really beneficial in treating gout. Your other actions are probably more beneficial than ACV. Following is a submission I made a few years ago, it covers a gout event. Excuise some of the typo errors. From Mr Godwin Symons

By Mr Godwin Symons
(Johannesburg South Africa)
I suffer with severe gout if untreated.

Believe me. I have spent tens of thousands of $ on normal medical treatments as well as almost all of the natural remedies.

The natural remedies are a guaranteed "PSEUDO" treatment, "NONE OF THEM WORK!". It is however possible that in cases of minor gout attacks, some of these natural remedies possibly can alleviate the pain only.

The diet factor is also an interesting phenomenon. The more I read about what diet is good and what is not, the more conflict and contradiction I find. When put in practice the so called correct diet, in many instances, the gout worsens in all of the symptoms. If "podagra" was really a disease of excesses "Kings Disease" then judging by the United States population, being a nation of extreme excess, the greater majority of those citizens should theoretically suffer from the ravages of "podagra". This reinforces my suspicions that very little is in fact known about "podagra" except a suspicion that it is caused by a uric acid build up in the blood.....! More like it is a genetic condition hence the reason it affects only a small percentage of the population.

A persons pain thresh hold is also a requirement in considering what treatment or pain killers to administer. In my case, I have an exceptionally high pain thresh hold. When/if pain treatment becomes necessary, I have to use an extremely strong painkiller with fast action.

One day I popped into a pharmacy to get some treatment for a gout attack. The pharmacist recommended that I take a course of Cimetidine 400mg maximum daily dosage. I thought that as I have willingly tried many other treatments in the past, "give it a go". Within a period of 72 hours my gout had completely cleared and I have used this treatment many times since then over the last several years. Every time, using this medication, I have had total and almost immediate success and relief. Cimetidine is an H2 blocker. Well it makes sense that it could also block the production of uric acid. At the time of writing this I was with family in Bulgaria and was struck with a particularly debilitating gout attack to my right foot. Bulgaria does not sell cimetidine at all. Went onto a course of cortizone, it helped but as the course completed, the gout flared up again about 2.5cm from the first attack. Nothing much else to do except wait to my return and start treatment with cimitedine again.

CONCLUSION: It is probably worth a gout sufferer trying to take cimitedine as a treatment, The side-effects and special precautions are minimal and could produce astounding results.

Good luck to all of you gout sufferers, my heart and sympathieze are with you.

From Godwin Symons. (South Africa)

_--------

Follow up email :
Just to let you know that I could not take the pain and difficulty in walking any longer. This morning I went to a professor of rheumatology specialist. He gave me an injection of some kind of long acting steroid +/_ a three month action in the foot, near the front part of the ankle. It has somewhat alleviated the pain and swelling. To be quite honest. I am totally against such strong forms of treatment for this kind of condition. The long term side-effects are what terrify me. Anyway, it works. I have a bit of relief.

Jan 12, 2015
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ACV Sweetened with Stevia to fight gout
by: Peter

Hi Michael,

That is good news all around.
I would certainly make sure you are cleaning your teeth after every ACV portion as ACV can eat your tooth enamel.
Please keep letting us know of your gout fighting progress.

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I use Stevia to sweeten the ACV

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