expired Posted by Bojjihuntindeals | Staff • Jan 6, 2024
Jan 6, 2024 7:01 AM
Item 1 of 4
Item 1 of 4
expired Posted by Bojjihuntindeals | Staff • Jan 6, 2024
Jan 6, 2024 7:01 AM
42-Ct Prevacid 24-hr Lansoprazole Delayed-Release Heartburn Capsules
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$14
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Heads up to anyone who is considering to use this or Prilosec or any other PPI; while these work like magic, long term use has nasty side effects, the most minor of which is calcium malabsorption and bone fractures. Stomach is acidic for good reason. Messing with digestive tract PH wreaks havoc on your body in multiple fronts. These shouldn't be used for more than a couple of months at a time. If your doctor tells you otherwise, get a better informed doctor!
If you're over 60, it may mean that you don't produce enough stomache acid. Most people think having heartburn means they have too much acid; but often, it means they don't have enough so they can't digest the food quickly enough. You can supplement with Betaine HCL to increase acid.
A quite common cause of Gerd/heartburn is stress. Try to manage stress/meditate/lower your workload/ make peace with difficult social/family contacts. It will do wonders to your heartburn.
You may have gastroparesis or slow stomach emptying plus a loose/torn sphincter, facilitating reflux.
There's no cure but you can manage by follwoing below tips:
-Wear comfortable clothes without tight belts,
-Sit right, don't slouch. Raise your head in bed.
-Lose belly fat. Strengthen your abs and back muscles.
- Make your meal portions smaller. Don't snack frequently. Limit sugar and carbs for gut health. Lower fat intake to speedup digestive movement. Don't eat a heavy meal at dinner; eat ateleast three hours before going to bed. Take atleast a 15 minute casual walk after each meal.
-Take digestive enzymes. Chew gum after meals for a few minutrs. Take probiotics. Take inner leaf aloe vera juice in your morning smoothie to help with healing your lining. Take Pepzin GI which is a special Zink supplement to help heal digestive lining. Have a real ginger chew after every meal to ease gastric emptying and aid in digestion.
-Take Gaviscon Advance chewable tablets from UK; you can buy on Amazon. The american version doesn't have enough of an important ingredient, Sodium Alginate. It helps keep down digestive juices. You should take it before going to bed or after meals if experiencing reflux.
- PPIs have aweful revound and withdrawal symptoms if taken for longer than a month or two. You should taper off, switching to H2 blockers at first. You can take a Pepcid a couple hours after meals and before bed. The ultimate goal is to maintain on a low dose of an H2 blocker or even become medication-free if possible.
-Take a Helicobacter Pylori test (usially done early on to rule out this cause of ulcers). The test can come back as False Negative depending on the type, so it's even worth repeating. If diagnosed, eliminating that alone will give you big relief.
-Do an endoscopy every couple of years.
-In some cases, PPIs are actually the best option having considered the true risks/bendits but for most people that isn't true. Even for some of those cases, alternative treatments are being considered/ proposed such as ondemand use of PPIs instead of blanket continuous use. You should do your homework well because most doctors won't. They're too busy/uninformed/tardy to care. As long as they can make you happy by relieving your immediate symptoms while covering their asses by following the guidelines, it's mission accomplished for them.
There are other procedures/drugs/supplements, but the above tips will solve/greatly improve the conditions of most people.
You can take this advice to tha bank. It's the result of years of researching reputable sources including medical journals, guidelines, and the advice of open-minded specialists and cutting-edge experts.
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Acid reflux/Gerd/... is a difficult disease despite being so common and deceptively simple. Before the discovery of H2 blockers (e.g.cimetidine/Zantac/Pepcid) there was no drug available to effectively reduce symptoms, except simple Antacids. When PPIs were diacovered, doctors thought they found the holy grail. PPIs are one of the most profitable drugs for big pharma considering the prevelance of the disease (more accurately syndrome!) And the seemingly low sode effects. But my issue os not about corporate greed. This is a health issue. It helps to start at the beginneing and ask yourself/your doctor a simple question; why do you have acid reflux? Most doctors have some neat and tidy BS template answers to this question. The better informed ones have a beeter understanding, but still no solution. The important point is, that the medication does not consoder the cause of your disease, but simply tries to eliminate an effect/symptom. Human organism is is a highly complex system tightly held in an awe-inspiring state of homeo-static balance. Using PPIs to treat Gerd is at best like performing brain surgery with a kitchn knife. Humans were evolved to have a highly acidic stomache that enabled them to survive periods of food scarcity and established them as the generalists that we are. The first immediate downstream effect of changing the stomach PH is wiping out culutres of benefitital bacteria on your gut and providing excellent breeding grounds for harmful bacteria the thrive in low acidity environments. Gut microbiom as you know is a hot topic of research nowadays.
I have tons to say about this but no time right now. I'll try to find you an objective source (i.e., a good review article) and write more about it later.
Pardon the excessive typos
I am keen on this, as an occasional GERD sufferer over the past 8 years or so and basically trying everything. I originally intended in this post to ask if there was a hierarchy of sorts about all the "-zoles" - omeprazole, esomeprazole, lansoprazole, pantoprazole, dexlansoprazole etc. I've even used, with some frustratingly random success, d-limonene.
Anyway, my story is basically that GERD and heartburn generally doesn't present as what most would consider heartburn but instead throat irritation, burping, indigestion. After having a particularly stubborn "flare" of it around May last year, I decided to see a GI (previously Dx by an ENT cause you know, my symptom was "throat lump" so ENT made sense). I'd previously tried esomeprazole, omeprazole and famotidine, with limited success so he originally wanted to try dexilant (dexlansoprazole) but insurance balked (and it was like $250/month) so he put me on pantoprazole 40mg in the AM. Maybe it worked? Eventually another 20mg in the PM (which he said was basically trying to duplicate the benefits of the dexilant being more of a constant 24 hr impact). EVENTUALLY I am now on 40mg in the AM, 20mg in the PM along with a famotidine. Ironically the addition of the famotidine seems to help even more.
The issue is that long-term HB/GERD starts to physically affect the esophagus so you can't expect to solve the heartburn and instantaneously feel 100% better, it will take time for your throat to heal (weeks to months). That means it's really difficult to tell if something is working (or making it worse).
Anyway, eventually had an upper endo (last week actually), not being "old" I am mostly concerned about not letting things get "bad" and then trying to fix them. The Dx? Esophagitis (well freaking duh), no Barrett's, no infection, no cancer. Also Gastritis (which is apparently way underdiagnosed because most of the time the symptoms are so benign that they only way to Dx is an endo). Also no h pylori, which apparently can cause HB/GERD symptoms [although reading into it, if people that are h pylori negative are still treated for it (PPI and antibiotics), there is a high degree of correlation with gastritis resolution).
Yeah this sounds like a rant, more just commiseration. Also, I briefly discussed long term PPI use and its correlation with dementia, and while their goal is temporary use of PPI, my Dr indicated that their own data contradicts "what you see on TV".
He falsified his research. So that RDU-90 could be approved and Devlin McGregor could give you... PREVACID.
He falsified his research. So that RDU-90 could be approved and Devlin McGregor could give you... PREVACID.
Well I happen to have both of my arms so.....
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my sister is a nurse and does the same thing (long term omeprezole). We have the same GP, she told him (I havent). He was like basically thats not good but I guess the alternative is worse, shrug. So I figured it was ok.
Didnt know about the calcium thing, recently I had blood work for my annual physical and I noticed my calcium was low. Doc didnt mention it, but I started taking vitamn D. So yeah, this could very well be why. Think I'm going to try to wean off, at least maybe couple months on couple off or something. no fractures or anything. just worried about that middle of the night choking attack. i'll just be diligent on the tums i guess.
Edit: My sister said stop reading that crap online. Omeprazole has been around forever and if you keep letting yourself have heartburn you'll get throat cancer so pick your poison lol. She said the doctor said omeprazole has been around along time and he never had a patient with issues attributed to it. none of this is medical advice do your own diligence lol.
the long-term side effects aren't something a GI doctor would even be aware of, bones breaking more easily or developing dementia isn't exactly something that a doctor would correlate on an unrelated visit for GERD or some similar stomach problem unless they were very familiar with PPIs
but unfortunately after trying everything there is no alternative. cutting fatty foods, doing keto, low acid diet, apple cider vinegar, multi-day fasting, FODMAP, nothing works except PPIs. Not eating anything makes the acid go away but after a meal it comes right back even after months of strict diet.
the alternative to PPIs is burning a hole in your throat
the long-term side effects aren't something a GI doctor would even be aware of, bones breaking more easily or developing dementia isn't exactly something that a doctor would correlate on an unrelated visit for GERD or some similar stomach problem unless they were very familiar with PPIs
but unfortunately after trying everything there is no alternative. cutting fatty foods, doing keto, low acid diet, apple cider vinegar, multi-day fasting, FODMAP, nothing works except PPIs. Not eating anything makes the acid go away but after a meal it comes right back even after months of strict diet.
the alternative to PPIs is burning a hole in your throat
Have you tried SFED or similar?
I basically consider this (GERD etc) something that's highly personalized and you have to figure out what works for you; not that Dr's are bad or don't care, but they have many patients and not every case can be a research project. I thought I had EE (eosiniphilic esophagitis) since I thought I saw a correlation with some of my symptoms and what I ate, almost like an allergy. The initial solution is easy, find what you're reacting to, so you eliminate groups of foods (happen to be the six most common allergies) and gradually add them back if you see resolution. The great thing is that you can do this at any time. Just a thought if there's nothing to lose.
I've been on omeprozal for 20ish years. I am talking 40mg 2x per day overdose of the stuff. I don't have a choice, the sphincter between the stomach and esophagus is gone due to a surgery when I was 14. So far I am still alive, have never broke a bone, I still pee, etc. Go to a doctor, let them weight the pros and cons of a medication...please stay away from any advice given on Internet forums (ironically mine as well)
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I've been on omeprozal for 20ish years. I am talking 40mg 2x per day overdose of the stuff. I don't have a choice, the sphincter between the stomach and esophagus is gone due to a surgery when I was 14. So far I am still alive, have never broke a bone, I still pee, etc. Go to a doctor, let them weight the pros and cons of a medication...please stay away from any advice given on Internet forums (ironically mine as well)
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