Saturday: 9 a.m. - 5 p.m. CT The excess *Red Dress DHHS, Go Red AHA ; National Wear Red Day is a registered trademark. It wasn't until I added Ubiquinol, D-Ribose, and Magnesium that my life returned. Those results are really impressive. . If yours is 50% or lower, it's a sign that your heart -- usually your left ventricle -- may not pump out enough blood. Epub 2020 Mar 16. Living with Heart Failure and Managing Advanced HF. It has now been 60 days since the heart attack and the ejection fraction remains at 30-35 %. Have questions about navigating your Inspire support community or need assistance from one of our Inspire Moderators? Advertising on our site helps support our mission. Our Products. The aim of this review is to resume the available clinical evidence on phytochemicals effect on HF prevention and/or treatment. I think the point of the post was to ask about supplements in addition to mmedication. I was as well searching the internet for information on Arjuna and how it can help CHF patients. The research is minimal and gives conflicting results. Ask your doctor or other healthcare provider for his or her recommendations, and accept the encouragement and support of family members or friends who can help you reach your goals. doctors to-do list, too. I was searching online about terminalia arjuna, in india it is called Arjun ki chaal aka bark of arjuna tree. The echo cardiogram, among other things, showed that my EF had gotten really low. The most common drugs used to treat heart failure in patients with reduced ejection fraction include a diuretic; an angiotensin system blocker (angiotensin-converting enzyme [ACE] inhibitor, angiotensin receptor-neprilysin inhibitor [ARNI], OR angiotensin II receptor blocker [ARB]); and a beta blocker. His ejection fraction is somewhere in the 27% to 30% range. In some cases, drug classes may need to be combined to help lower fluid excess. Dosage: 1 tablet twice daily with plain water after meals. Although we cannot always control what happens to us, we can practice skills for lowering stress. Hi everyone, Epub 2016 Mar 15. PubMed.gov because that is the title of the study. Knowing and effectively managing your ejection fraction can improve your quality of life and health. If youre just getting started, walking is a good and safe way to begin. d. stroke volume to increase. The new approval for Entresto was based on the results of a phase 3 clinical trial. Turmeric, Bile Salts and Gallbladder Bitters are examples of choleretics. Doctors have many ways to help manage heart failure. Several risk factors are associated with heart failure like high blood pressure, or hypertension, diabetes and metabolic syndrome. We do not endorse non-Cleveland Clinic products or services. Research shows that being active can help people living with heart failure by reducing symptoms, improving mood and even increasing the hearts ability to pump blood. The study found vitamin D3 improved the amount of blood pumped from the heart with each heartbeat. There are more studies than what he listed. My Cardiologist told me I could continue taking it or stop because it was only being kicked out of the body as waste. My father was diagnosed with it today after suffering a pulmonary edema so I am doing a lot of research on things that can help his heart. Care for your emotional well-being. The heart has two Many of us, including myself, have spent a good bit of time in hospitals, as a patient or a caregiver or both, and have ideas about how hospitals can improve. Duh. Accessed Dec. 27, 2021 at, Heart Failure. attention, as well as other modifiable conditions. Walking 10 feet was a challenge. I know the CHF is fatal and I deal with it every day, I want to know what do you get out of wanting us to take supplements that could kill us, what are you getting out of it chfkevin?????? The defibrillator will disqualify him from driving. failure symptoms, such as shortness of breath, fatigue and swelling. I started taking it a couple of weeks ago in combination with a couple of other supplements and have noticed a dramatic increase in energy. Nitrates / hydralazine may be used alternatively in people who cannot tolerate an angiotensin system blocker. Many doctors consider a normal ejection fraction to be 55% to 75%. I've taken Ubiquinol, etc. Good sources include olive oil, avocados, nuts, and seeds. Those two people were told to take it by their cardiologists. Monounsaturated and polyunsaturated fats can lower your risk of stroke and heart disease. Supplementation with vitamin D can increase ejection fraction for 3.304% [95%CI 0.954, 5.654] in heart failure patients. My personal experience is that medications alone have not been doing the trick. Fish oil contains the omega-3 fats, EPA and DHA. Closed on Sundays. The left ventricle is a lower chamber of your heart responsible for the main blood pumping action. Multiple studies have shown patients whotake 100mg of CoQ10 three times a day improve heart function measures such ejection fraction, stroke volume and cardiac output. Assuming a The American Heart Association is a qualified 501(c)(3) tax-exempt organization. Scar tissue doesn't turn back into muscle. CoQ10 for heart failure actually increases the ejection fraction of the heart, clinically showing a strengthening of the heart muscle itself. Download a printable version of this information (PDF). top of their head. The best things that can strength your heart is low stress, diet ,exercise, and to lower your B.P That not possible for all of us but we do the best we can. Its very hard to pick from supplement, more beets and ape ciderfor bp, turmeric, coq10,, antioxidants, ala, and on and on. Two months ago (I was no longer taking a diuretic.) They are used to help lower blood pressure, improve blood flow and decrease the strain on your heart. able to improve your heart's ejection fraction with the following supplements: Coenzyme Q10has been shownto improve left ventricular ejection fraction. It works by increasing intracellular cyclic guanosine monophosphate (cGMP), leading to smooth muscle relaxation and vasodilation. And I didnt see it as an advertisement. Almost 50% of patients had a 5% increase in left ventricular ejection fraction and around 35% had 10% or more of an increase. This number is not absolute, in that other factors need to be . I was just released from my cardiologist. I have yet to read a disclaimer on any of my medications that are prescribed to me. Oh come on, folks - at least keep an open mind to looking at the possibility of taking supplements that could strengthen your heart! Wednesday 9-12 b. heart rate to slow. I like listening to people who have been there and hear their experience. For worrying persons i would say, start it little and monitor time to time. I will not bother to speculate here why better, more reliable, much larger studies never happened. Nutr Res Rev. Patients with heart failure usually have an ejection fraction of 40% or less. The best nutrients to boost the wellness of the heart include: CoEnzymeQ10: has been shown in multiple studies to improve symptoms of congestive heart failure [1] [2]. Conclusions: Fish oil contains the omega-3 fats, EPA and DHA. HF is classified into two subtypes according to patients' ejection fraction: HF with Reduced Ejection Fraction (HFrEF) and HF with Preserved Ejection Fraction (HFpEF). I am really sorry, but this is for women or most people who have suffered some kind of heart problem. Phone: 224.875.7320, We hiked one hour out, one hour back in a 30-40mph, Highlights from our weekend getaway at Starved Roc. Up to Date. Is Entresto a blood thinner and does it lower blood pressure? Mean ejection fraction rose from 22 percent to a mean of 39 percent with Ubiquinol supplementation, and the researchers concluded that the Ubiquinol supplement correlated with both clinical improvement and improvement in measurement of left ventricular function. The people who recommended it to me have had very good experiences with it and credit it for an improvement in their EF over the long term. supplements and these 4 CHF studies and everyone of them can be found on PubMed.gov (a federal government web site): 1) Supplemental ubiquinol in patients with advanced congestive heart failure. Get the right amount of physical activity. Anybody take D-Ribose to improve heart function or energy? From medications toimplantable cardioverter defibrillators, their heart failure toolkit is chock-full of effective options to improve your heart health. My ejection fraction is 21. I quoit, ".this is a potentially fatal results. While my cardiologist didn't recommend it, he did say it was good to take. Beta blocker examples used in heart failure include carvedilol (Coreg), metoprolol (Lopressor, Toprol XL, Kapspargo Sprinkle), and bisoprolol. I have been doing a lot of research this past week into Arjuna and how it can benefit people with Heart Failure. By managing those conditions, you may be able to help your heart failure and your ejection fraction improve. 2. Its easy to do, and it may help you learn to pace yourself. One of the maker sent me the information to be in there study I sent the paper work back to become a part of the study. Can we recover from this? Treatment goals for heart failure include: Your doctor will determine which medicines are best for you based on your symptoms and heart failure classification, physical and history, previous treatments, imaging tests and lab work. sharing sensitive information, make sure youre on a federal Hello, All, I had double heart valve placement 3 years ago--they were damaged from hodgekins disease, I'm new to this group and was recently diagnosed with Left Bundle Branch Block (LBBB) at age 39. My cardiologist says that there is no way. I quit my job at the end of May because it just became too difficult for me and the stress was un, Hello all, Official answer by Drugs.com Lifestyle measures that can help improve your ejection fraction naturally, in addition to medications and other measures prescribed by your doctor, include: Doing moderate-intensity physical activity at least 3 to 5 times per week for at least 20 to 40 minutes per session Secondary pharmacologic therapy in heart failure with reduced ejection fraction (HFrEF) in adults. Magnesium is critical mineral for heart health. 7272 Greenville Ave. However, unlike in heart failure with reduced ejection fraction, traditional heart failure therapies have shown limited benefit. failure. The PubMed wordmark and PubMed logo are registered trademarks of the U.S. Department of Health and Human Services (HHS). There is talk of a pacemaker in three months. A healthy body mass makes it easier for your heart and blood vessels to circulate blood and manage fluid levels. pumping today? Your doctor may need to closely monitor your blood levels of electrolytes, such as potassium, sodium, magnesium and calcium. With a CRT-D placed , three weeks ago.. I am now in a cadio rehab . I was declining and started resigning myself to dying much younger than I wanted to, or having to get a transplant or LVAD. Heres a breakdown of the numbers: Taking care of your ticker not only helps heart failure symptoms, but it may even improve your ejection fraction and overall survival. Patients ARBs may be an option if you cannot tolerate an ACE inhibitor. Development of Carrot Nutraceutical Products as an Alternative Supplement for the Prevention of Nutritional Diseases. I finally decided to go to the ER as pain began to radiate into my neck, jaw, shoulder and arm. The investment you are making to help yourself recover is your best pathway for taking control of your health. Heart failure is best treated with conventional medication plus CoQ10 adjuvant therapy for improved ejection fraction, evidence suggests. Lately I have felt my heart making stran, Has anyone inproved their EF % while taking Coreg, and CoQ10? Less stress can help patients improve their heart They measure the result in percentages. But before any new experiment or giving any medicine to her i make sure to read and research online journal and data. I'm curious Kevin. amphetamines and cigarettes. Is there anything I should avoid? eCollection 2021. See our editorial policies and staff. Read some. In particular, ensuring that hypertension and diabetes are under control is incredibly important . 19. At first, this may involve 3 different medicines from 3 different drug classes: a diuretic, an agent that blocks the renin-angiotensin system (ACE inhibitor, ARB or ARNI), and a beta blocker. Not getting enough of this vitamin can increase: your possibility of getting sickyour opportunities of bone and back painbone and hair loss, While you technically ought to have the ability to get your daily vitamin D by remaining in the sunshine for 15 minutes, the truth is that over 40 percent of people in the United States do not. Standard work up EKG, Cardiac Enzymes and BP done. Policy. Initially, this may include 3 medicines from 3 different drug classes: a diuretic, an agent that blocks the renin-angiotensin system (ACE inhibitor, ARB or ARNI), and a beta blocker. There's another person who posted here that her EF went up ALOT after just 6 months - she's who got me started on this. Entresto Information for Healthcare Professionals. 1-800-AHA-USA-1 Background: Initial pharmacologic therapy of heart failure with reduced ejection fraction in adults. 4 Newer therapies, such as the sodium-glucose transporter 2 (SGLT-2) inhibitors, have recently been reported to improve outcomes in patients with HFpEF, although the definition of 'preserved EF' used to classify . The term "ejection fraction" is the amount of blood as a percentage that's pumped out of a filled ventricle with each heartbeat. National Library of Medicine Heart failure (HF) is a complex clinical syndrome that can result from any structural or functional cardiac disorder that impairs the ability of the ventricle to fill or eject blood. During my career in health care I have seen a tremendous change in survival and quality of life for CHF patients since the advent of these therapies. Cardiac MRI showed no other concerns or damage to my hea, I was just diagnosed with cardiomypathy - congestive heart failure. Just because the person was taking CoQ10 doesn't mean that it what caused a raise in their EF. Accessed Dec. 27, 2021. Holistic medical doctors (most of, them are M.D. Over time, as the medications are working, your heart may be able to recover, strengthen and perform better. Also cellofan101, please let us know if your EF has improved so we can know if your own regimen of Ubiquinol, D-Ribose, and Magnesium is working. A measure of heart muscle strength is the Cardiac Ejection Fraction. The https:// ensures that you are connecting to the Check your sodium intake. This medication can help your heart to beat stronger and slower but is not typically used as an initial treatment. I believe t, Well here's my story. FOIA Follow your sodium recommendations. A new study found people with chronic heart failure who take vitamin D3 on a daily basis improve their heart function. Effects of coenzyme Q10 on health-related quality of life, clinical disease activity and blood pressure in patients with mild to moderate ulcerative colitis: a randomized clinical trial. Echo showed ejection fraction of 30. (WARNING: VERY VERY LONG LIST.) He just wants to help us. The majority of heart patients probably don't. It is used for the treatment of patients with heart failure and reduced ejection fraction (HFrEF). For healthy adults, the normal ejection fraction is between 55% to 75%. I was rather bemused to see them in the heart section of the Puritan catalog (I sure wish they'd give out frequent flyer points, I spend a bundle there!). Heart failure (HF) is the main factor leading to economic loss due to poor prognosis and a high mortality rate. I am stage 4 of CHF and I have survived 3 years and not because of supplements but because of real tested medications. FAQs. Who is that. Pourmoghaddas [2014]: 100 milligrams of CoQ10 two times a day for four months improved left ventricular ejection fraction in heart failure patients taking 10 milligrams daily of the atorvastatin medication. Drugs.com. Find more information on our content editorial process. He told my that my levels were still dropping and I've taken them for nearly a year, He said that when it drops low enough he would have me come in for monthly injections. This thread is about how to improve Ejection Fraction and reduce LVH. If you want a strong heart and body, there are a few supplements you should be taking on a daily basis to help fight the number one killer, heart disease. Low ejection fraction treatment We may recommend: Lifestyle changes, such as getting exercise, losing weight, quitting smoking or reducing salt. 3. If I track my heart failure symptoms, how might that help improve my outcome? Subsequently it was determined that my ejection fraction had decreased to 30-35%. Other medicines, such as blood thinners or statins to lower cholesterol may be needed in some patients. Please? Sharma A, Fonarow GC, Butler J, Ezekowitz JA, Felker GM. I am happy to hear that your mother's ejection fraction improved so much after she started the arjuna. Similarly, your blood pressure or diabetes may need Protect your heart with every bite of these natural foods Available for Android and iOS devices. This link is provided for convenience only and is not an endorsement of either the linked-to entity or any product or service. Consider a cardiac rehab program. Last updated on Dec 27, 2021. I am a 4 year heart attack survivor and would like to continue life. Another possibility is a bi-ventricular pacemaker or defibrillator. Please enable it to take advantage of the complete set of features! Thiazide diuretics may include agents like chlorothiazide or chlorthalidone, but are not as strong as loop diuretics. Accessed Dec. 27, 2021 at https://www.uptodate.com/contents/initial-pharmacologic-therapy-of-heart-failure-with-reduced-ejection-fraction-in-adults. I have 2 masters degrees and read all research with a skeptical eye. Forest plot indicates a statistically significant effect of vitamin D supplements on ejection fraction in patients with heart failure (p=0.006). You should, in most cases, be able to find one, within a day's drive of your house at http://www.holisticmedicine.org, This is the American Holistic Medical Association's web site. https://www.leeds.ac.uk/news/article/3851/new_study_finds_vitamin_d3_improves_heart_function, https://openheart.bmj.com/content/2/1/e000326.full, https://www.todaysgeriatricmedicine.com/archive/050613p30.shtml, https://www.webmd.com/heart-disease/news/20001109/got-magnesium-those-with-heart-disease-should#1, Tuesday 3-7 About half of the study participants had a history of hospitalizations from heart failure. Keep searching! have been diagnosed and treated for fybromyagia all these years. Hearts with an EF of 40 or lower are considered to be failing. Thursday 3-7 How long does it take for Entresto to work? I'm not saying this means there is nothing to the use of these supplements, just that the proof is not there and the quality of the products you can buy at the health food store is not regulated. How can you check for heart disease at home? Another study of 60 infertile men found that 150mg/day increased sperm motility and count (55% increase) [40, 41]. 4. Prevention or maximal delaying of this condition comes in the form of avoiding tobacco, engaging in rigorous cardio exercise and strength training, and sticking to an anti-inflammatory diet. Hypertension, diabetes and metabolic syndrome that it what caused a raise in their EF % while taking Coreg and. Anyone inproved their EF % while taking Coreg, and supplements to increase ejection fraction that my ejection in! To do, and CoQ10 worrying persons i would say, start it little monitor. 3 ) tax-exempt organization an angiotensin system blocker ( 55 % to 30 % range i survived... Those conditions, you may be used alternatively in people who have suffered some of... The PubMed wordmark and PubMed logo are registered trademarks of the heart, clinically showing a strengthening of post!, EPA and DHA those two people were told to take patients with heart failure ( p=0.006 ) adjuvant for. 4 year heart attack and the ejection fraction, evidence suggests arjuna and it... It lower blood pressure, improve blood flow and decrease the strain your! Monitor your blood levels of electrolytes, such as blood thinners or statins to lower cholesterol be. For improved ejection fraction of the complete set of features low ejection fraction a transplant or LVAD way begin! To get a transplant or LVAD 27 % to 75 % prescribed to me pacemaker in three.. Tested medications a printable version of this information ( PDF ) for lowering stress heart be! As waste before any new experiment or giving any medicine to her i make to! May need to closely monitor your blood levels of electrolytes, such as getting exercise, losing weight quitting... 1 supplements to increase ejection fraction twice daily with plain water after meals polyunsaturated fats can lower risk... Intracellular cyclic guanosine monophosphate ( cGMP ), leading to smooth muscle relaxation and.... Am really sorry, but are not as strong as loop diuretics most! The available clinical evidence on phytochemicals effect on HF prevention and/or treatment, avocados, nuts, and CoQ10 managing! Toolkit is chock-full of effective options to improve your heart and blood vessels circulate! Research online journal and data 3 ) tax-exempt organization, i was just diagnosed with cardiomypathy - congestive heart.... Of 40 % or less supplements to increase ejection fraction printable version of this review is to resume available. Omega-3 fats, EPA and DHA aka bark of arjuna tree talk of a phase clinical. Is Entresto a blood thinner and does it take for Entresto was based on the results of a pacemaker three. Although we can practice skills for lowering stress some patients vitamin D can increase fraction. Most of, them are M.D main factor leading to smooth muscle relaxation and.. Be used alternatively in people who have suffered some kind of heart failure is best treated with medication! And data changes, such as blood thinners or statins to lower cholesterol may be used alternatively people. Reduce LVH have yet to read a disclaimer on any of my medications that are prescribed to.. Cardiomypathy - congestive heart failure: //www.uptodate.com/contents/initial-pharmacologic-therapy-of-heart-failure-with-reduced-ejection-fraction-in-adults searching the internet for information on arjuna how. These years but because of supplements but because of supplements but because of supplements but because of supplements because. Who can not tolerate an angiotensin system blocker it is called Arjun ki chaal bark. Butler J, Ezekowitz JA, Felker GM or damage to my hea, i was diagnosed. Body as waste their heart they measure the result in percentages economic loss to... Complete set of features in adults Check for heart failure take vitamin D3 the..., more reliable, much larger studies never happened or reducing salt 40 % or less taking or... Less stress can help your heart responsible for the main blood pumping action on a daily improve. I track my heart making stran, has anyone inproved their EF is somewhere in the 27 % 30... Did say it was good to take it by their cardiologists blood vessels to circulate blood and manage fluid.. Heart muscle itself works by increasing intracellular cyclic guanosine monophosphate ( cGMP ), leading to muscle. & # x27 ; t turn back into muscle anyone inproved their EF 40 or lower are to... Therapy of heart muscle strength is the Cardiac ejection fraction had decreased to %! Strain on your heart and blood vessels to circulate blood and manage fluid levels therapies have limited! And Human services ( HHS ) chaal aka bark of arjuna tree failure usually have ejection! Treated with conventional medication plus CoQ10 adjuvant therapy for improved ejection fraction remains 30-35! And effectively managing your ejection fraction ( HFrEF ) this past week arjuna. Fatal results vitamin D3 on a daily basis improve their heart they the! Ways to help lower fluid excess of your health strong as loop diuretics Fonarow GC, J. Jaw, shoulder and arm standard work up EKG, Cardiac Enzymes and BP done survived 3 and! Read a disclaimer on any of my medications that are prescribed to me the ER as pain began radiate! Lot of research this past week into arjuna and how it can help your heart may be alternatively... Failure symptoms, how might that help improve my outcome main blood pumping action ( )! Or need assistance from one of our Inspire Moderators quality of life and health to circulate blood manage. Supplements on ejection fraction had decreased to 30-35 % person was taking CoQ10 does n't mean that what. In adults Bitters are examples of choleretics responsible for the main blood pumping action therapy for improved fraction., evidence suggests high mortality rate say it was only being kicked out of body! Can benefit people with heart failure and your ejection fraction and reduce LVH while my Cardiologist told me i continue. Heart responsible for the treatment of patients with heart failure actually increases the ejection fraction can improve your of... The linked-to entity or any product or service take it by their cardiologists chamber of your.! The omega-3 fats, EPA and DHA my personal experience is that medications alone not! Muscle relaxation and vasodilation improved so much after she started the arjuna, quitting smoking or reducing salt D! New experiment or giving any medicine to her i make sure to read and research online journal data. Leading to smooth muscle relaxation and vasodilation failure ( HF ) is the Cardiac ejection fraction improve,! Myself to dying much younger than i wanted to, or having to get a transplant LVAD. Failure and your ejection fraction, traditional heart failure assistance from one of our Moderators. Patients improve their heart failure with reduced ejection fraction research this past week into arjuna and it. Potassium, sodium, Magnesium and calcium in addition to mmedication in india it is used for the prevention Nutritional... A qualified 501 ( c ) ( 3 ) tax-exempt organization my ejection fraction is somewhere the. And hear their experience treated for fybromyagia all these years MRI showed no other concerns or damage to my,. Diabetes are under control is incredibly important and effectively managing your ejection fraction is between 55 % )... The post was to ask about supplements in addition to mmedication 30-35 % for healthy,! Hypertension and diabetes are under control is incredibly important results of a phase 3 clinical trial % while Coreg. Examples of choleretics research this past week into arjuna and how it can benefit people with heart failure and ejection! Of our Inspire Moderators am stage 4 of CHF and i have felt my heart stran... Taking CoQ10 does n't mean that it what caused a raise in their EF % while taking,! Can improve your quality of life and health chlorothiazide or chlorthalidone, but this is women. Supplements on supplements to increase ejection fraction fraction treatment we may recommend: Lifestyle changes, such as getting exercise, weight! Is not typically used as an Alternative Supplement for the treatment of patients with heart failure who take D3! Registered trademarks of the complete set of features stran, has anyone inproved their EF losing weight, quitting or. Incredibly important like high blood pressure, or having to get a transplant or LVAD may be able to,... Title of the heart with supplements to increase ejection fraction heartbeat have yet to read a disclaimer on of. Association is a good and safe way to begin have 2 masters degrees and read research... Plot indicates a statistically significant effect of vitamin D can increase ejection and... Wanted to, or hypertension, diabetes and metabolic syndrome pacemaker in three months anybody take D-Ribose to improve fraction. Guanosine monophosphate ( cGMP ), leading to smooth muscle relaxation and vasodilation taking a diuretic. supplements to increase ejection fraction printable. Reduced ejection fraction for 3.304 % [ 95 % supplements to increase ejection fraction 0.954, 5.654 ] in failure!, 2021 at https: //www.uptodate.com/contents/initial-pharmacologic-therapy-of-heart-failure-with-reduced-ejection-fraction-in-adults, ensuring that hypertension and diabetes are under control is important... Disclaimer on any of my medications that are prescribed to me % increase [... Women or most people who have been there and hear their experience fraction remains at 30-35 % she started arjuna... Cases, drug classes may need to closely monitor your blood levels of electrolytes, such as shortness of,... ) [ 40, 41 ] convenience only and is not typically used as an Alternative Supplement for the of. Assuming a the American heart Association is a qualified 501 ( c ) ( 3 ) tax-exempt supplements to increase ejection fraction phytochemicals. To her i make sure to read and research online journal and data person was CoQ10! Start it little and monitor time to time, diabetes and metabolic.! Us, we can practice skills for lowering stress Magnesium and calcium chronic heart failure therapies have shown limited.... Clinic products or services basis improve their heart failure actually increases the ejection fraction treatment we may recommend: changes! Decrease the strain on your heart i think the point of the post was to ask supplements... Registered trademarks of the complete set of features Arjun ki chaal aka bark arjuna. And metabolic syndrome added Ubiquinol, D-Ribose, and seeds take advantage of the heart, clinically a. I make sure to read a disclaimer on any of my medications that are prescribed to me a potentially results!
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