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@East-Bound's personal recount of case: https://youtu.be/7BpymtR2vpA @East-Bound Interview: https://youtu.be/o15HCjtSkug @chubbyemu video on this case: https://youtu.be/ChPeG19qKUo @HemeReview Podcast version: https://anchor.fm/chubbyemu 2,4-Dinitrophenol (DNP) is a chemical that is not approved for weight loss in the United States. It is a classic case of efficacy, but without safety in the setting of weight loss. This setting of weight loss can be prone to chemical misuse, further exacerbating understanding in human systems. Christopher is one of 2 - 3 cases documented in literature to have survived an accident with DNP for weight loss. As of 2021, one organization has permission from the US FDA to investigate DNP in some neurodegenerative disorders. These are rare diseases with limited standards of care, therefore extenuating circumstances to find anything that could potentially improve patient outcomes. Tweet me: https://www.twitter.com/hemereview IG me: https://www.instagram.com/hemereview FB me: https://www.facebook.com/hemereview References: Role of dantrolene in dinitrophenol (DNP) : A continuing question? Am J Emerg Med. 2019 Jun;37(6):1216.e1-1216.e2. https://pubmed.ncbi.nlm.nih.gov/30948257/ 2,4-dinitrophenol (DNP): a weight loss agent with significant acute toxicity . J Med Toxicol. 2011 Sep;7(3):205-12. https://pubmed.ncbi.nlm.nih.gov/21739343/ Ambient temperature and mortality from unintentional . JAMA. 1998 Jun 10;279(22):1795-800. https://pubmed.ncbi.nlm.nih.gov/9628710/ Dinitrophenol as a Medicine. Cells. 2019 Mar; 8(3): 280. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6468406/ The Interaction of Highly Active Uncouplers With Mitochondria. Biochimica et Biophysica Acta, 639 (1981) 225-242. Beware the yellow slimming pill: fatal 2,4-dinitrophenol. BMJ Case Rep. 2016 Apr 4;2016. https://pubmed.ncbi.nlm.nih.gov/27045052/ Dantrolene is not the answer to 2,4-dinitrophenol poisoning: more heated debate. BMJ Case Rep. 2018 Dec 19;11(1):e225323. https://pubmed.ncbi.nlm.nih.gov/30573533/ The effect of 2,4-dinitrophenol on adipose-tissue metabolism. Biochem J. 1969 Feb;111(4):431-44. https://pubmed.ncbi.nlm.nih.gov/4388239/ The mechanism of uncoupling of oxidative phosphorylation by 2,4-dinitrophenol. J Biol Chem. 1967 Oct 25;242(20):4577-83. https://pubmed.ncbi.nlm.nih.gov/4964808/ MECHANISMS OF DINITROPHENOL TOXICITY. Simon E.W. Biological Reviews. Vol 28. (4). Nov 1953. Identification and Importance of Brown Adipose Tissue in Adult Humans. https://www.nejm.org/doi/full/10.1056/NEJMoa0810780 Mitochondrial uncoupling as a target for drug development for the treatment of obesity. Obes Rev. 2001 Nov;2(4):255-65. https://pubmed.ncbi.nlm.nih.gov/12119996/ LC-MS-MS analysis of 2,4-dinitrophenol and its phase I and II metabolites. J Ana Toxicol. Jan-Feb 2007;31(1):55-61. https://pubmed.ncbi.nlm.nih.gov/17389084/ Uncouplers of oxidative phosphorylation. Environ Health Perspect. 1990 Jul;87:213-8. https://pubmed.ncbi.nlm.nih.gov/2176586/ Texas Woman Charged with Selling Misbranded https://www.fda.gov/inspections-compliance-enforcement-and-criminal-investigations/press-releases/texas-woman-charged-selling-misbranded-drug
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If you are taking a GLP-1 inhibitors here's a few things to keep into consideration.
1: You have to watch your muscle mass. We use an inbody scan that measures this in detail. But we see a lot of people lose a ton of muscle mass and if you are older, it can almost be impossible to put it back on. So make sure you are watching this measurement as closely as possible me. You will have to eat way moreave protein than you think and do weight-bearing exercises so that you are minimizing any muscle loss.
2: You have to make sure gut motility is firing.
We use the probiotic complex from @just.ingredients and we also do neurological exercises with our patients to help the frontal cortex fire to the enteric nervous system of the intestinal tract.
For hormone replacement therapy, here are a few tips:
1: Assess the adrenal gland function. If the adrenal glands aren't functioning well, they can steal away reproductive hormones. That is a common mechanism that drives hormonal dysfunction. We have our patients use thep of Adrenal Complex from @just.ingredients
2: Assess methylation and liver detoxification. If this isn't functioning, you can have too high of estrogen and that can jack up a ton of people.
We want optimal amounts of estrogen but we don't want too high of estrogen.
3: Optimize gut function. If the gut is impaired or inflamed, an enzyme can break off bound estrogen and pump it back into circulation causing it to become toxic.
4: Use bio-identical hormones. If you are using synthetic hormones, it can cause a ton of inflammation, it can bind on to hormones Il receptors too strong, it can cause even more issues. Follow @palmavitaclinic for more info this. I hope this helps!
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