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Kidney Stone Prevention

Out of every l0,000 hospital admissions, up to 2l are admitted for kidney stones. Flashback to my intern year and the ER. Big guy, 6'5" pacing in agony. Gave him Morphine. Still pacing. Nurse did not want me to give him more morphine. It is four a.m.; (04:00) in hospital time. Only time I gave an actual military order to give more morphine. This is equivalent to natural childbirth. In my limited experience, men are not real great with pain, better at other stuff. We need to prevent this from EVER happening again. Here goes.


You should know that asparagus, even though it contains oxalic acid, contains a substance that can break up oxalate crystals, the most common type of kidney stones. Study after study demonstrates those who formed kidney stones had low amounts of magnesium, and ate large meals consisting of animal protein at dinnertime and late evening.


Additively, too little potassium, common in refined food diets, too much salt, and not enough fruits and vegetables make the urine too alkaline, eventually causing minerals to precipitate into stones. Also be aware, most sodas (even diet) contain phosphoric acid, a component of some stones.


MAGNESIUM, remember that mineral. Magnesium has a calcium channel blocking effect, as studies show calcium oxalate stones in the kidney and other parts of the urinary tract are reduced by adequate magnesium. We learn in MD/DO training that calcium and magnesium should be in a 2/1 ratio. If you are a stone former, the ratio of magnesium and calcium in solution should be four to one, respectively. Numerous studies have found that 500 mg of magnesium decreased the kidney stone recurrence rate by 90 percent.


B6, also known as pyridoxine hydrochloride, is essential to the amino acid glycine. Without B6, glycine creates oxalic acid, which creates more kidney stones. Remember please, no B vitamin can be taken in isolation as it shall produce a deficiency in all the other B vitamins. So back up your B6 with a high quality B complex which contains all the B vitamins.


And since you already thinking that Vitamin C forms kidney stones, please know that the prestigious Journal of Urology said not true.


If you want to avoid stones, nothing is better than water. Urine should be clear, not milky, dark, or stinky. Please know the B complex vitamins shall make your urine a chartreuse color. That is OK. Add lemon juice, which cuts down on uric acid, which can also contribute to stones.


Bottom line - water with lemon juice, Magnesium 200 mg twice daily, and B6 l00 mg daily backed by a high quality B Complex. FYI, some think P5P, Pyridoxal 5 Phosphate, what B6 converts to, is better. The jury is still out on this one, but personally, there is something to this. Biochemically, my patients are always treated as far down the biochemical path we can go.


Dance, laugh, take your supplements. And drink water. By the time you are thirsty you are at least two quarts low. Water is like food and sex, the more you have, the more you want. If you are not thirsty, you are dehydrated.



 

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