Case study: old man can’t walk

Some time ago, a childhood friend of mine sent me this message:

I want to help this man. He has a problem with his tendons in both legs. In the morning, he can’ t stand up. Can you recommend some minerals and vitamins? Maybe some exercises that can help? Your advice is important.

oldMan

The old man that can’t walk from the pain in his legs.

That’s all he wrote. So, I replied:

How can I give any advice? I don’t know anything about him. I help/treat people with a complete eating and drinking programme. Vitamins and mineral supplements are only used as adjuncts to correct deficiencies. So, before saying anything, I need to know some basic things:

How old is he? What work does he do or did? How long has this problem been developing for? Does he drink water and how much? What does he drink? What does he eat every day? Does he have other complaints? How is his digestion? How is his skin (any rashes or dry skin or eczema)? What kind of other problems has he had in his life? And anything else about this health that could be useful?

Here’s what I got back:

  • How old is he? What work does he do or did?  He’s 81. He was a manager.
  • How long has this problem been developing for?  The problem started when he was around 65. It has gotten much worse in the past 2 years.
  • Does he drink water and how much?  He drinks little water, 0.5 litres a day.
  • What does he eat every day?  He eats meat, potatoes, tomatoes, some cheese, and a lot of bread.
  • Does he have other complaints?  Heart, kidneys.
  • How is his digestion?  He has problems going to the bathroom every day. He goes once every three days.
  • How is his skin (any rashes or dry skin or eczema)? His skin is fine.
His doctor told him to exercise, but he can’t even stand up or move properly.

With this info, I was able to get a better idea, and did my analysis of the situation.  This is what I replied:

Here is my diagnosis:
This man has been chronically dehydrated for most of his life. Being chronically dehydrated is one of the most health-damaging situation we can be in, but because it is not acute, the consequences are manifested over long periods of time. 
The lack of water first leads to a deterioration of the digestive system and digestive function: of the stomach (poor digestion and ulcers), and of the intestines (damaging of the lining, ulcers, and leaky gut), constipation and from it toxins and pathogenic bacteria going back from the colon into the bloodstream. 
Second, it leads to deterioration of the kidneys and the nephrons (little filters in the kidneys), because the only way to get the acids out of the blood is to dilute them in water, but if there is a lack of water, then the kidneys do everything they can to keep this water, because water is more important to keep than to get rid of acid. Therefore, not only do the kidneys get destroyed little by little, but the body accumulates the uric acid everywhere in the soft tissues, starting in the joints, and then in the tendons, ligaments and muscles. This leads to incredible stiffness, pain, and eventually to not being able to move.
Third, because our diet is usually rich in calcium but very poor in magnesium, everyone tends to be over-calcified and to accumulate calcium everywhere in the blood vessels, soft tissues of the joints, and in the muscles. This is made much worse by over-acidification and chronic dehydration. Calcification also leads to stiffness, pain, and eventually, to not being able to move properly.
Therefore, the most important things to do in order or priority are the following:
  1. Drink a lot more water (at least 3 litres per day), on an empty stomach (at least 20 minutes before eating), and making sure it is alkaline water (high pH 9-10).
  2. Take baths with 2 cups (500 g) of sodium bicarbonate and 1 cup of magnesium chloride (or magnesium sulphate). The bicarbonate and magnesium will be absorbed into the body through the skin, and will dissolve uric acid and calcium deposits throughout the body. 
  3. Drink juice of green vegetables to remove acid buildup in the body, and clean out the intestines.
  4. Take supplements of magnesium (the best form is L-Threonate, because it is bound to fat and is 100% absorbed) in order to help remove build-up of calcium.
  5. Take supplements of vitamins A-D-K2 (I recommend DaVinci’s combo supplement because of the high concentration of K2), as these are the most important fat-soluble vitamins, and K2 is the only nutrient that can effectively de-calcify blood vessels and soft tissues.
  6. Take supplements of vitamin C and collagen to help rebuild the cartilage and heal the damaged soft tissues, especially the blood vessels and the joints. It is essential to take whole-food vitamin C, and high quality collagen.
  7. Stop eating sugar, bread, cheese, yogurt, and eat basically very big salads and fatty meats like lamb, veal and porc (only outdoor-living animals).
Good luck, and make sure to let me know how things evolve. If you don’t understand something, just ask.

 

Three weeks later, I got his note from him:

Today I called the old man’s wife. She told to me that since yesterday he has no pain, and can move his arms and legs a lot better.  He drinks more than 2 litres of water per day, eats and takes the supplements as you prescribed. His grandson translated your message for him. I am very impressed. Thank you so much for you help. Your method works.

It’s a nice feel-good story, isn’t it? Here’s the thing, though. How many millions of people do you think are in the same situation as the one in which this man was? Suffering like he did, for decades growing older, stiffer, less mobile, and in more pain, until the end, which by that point comes as a relief from this difficult and painful life. And from what? Dehydration. Simple dehydration. Long-standing, chronic dehydration.

How much water do you drink each day? What’s the pH of the water you drink? How much salt do you eat each day? How much bread and potatoes do you eat? How is your digestion? How often do you go to the bathroom, and how is the wipe? Such simple things, so crucial to health.
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Updated recommendations for magnesium supplementation

Daily magnesium supplementation is definitely more than a no-brainer, it is really very important, and this, for everyone. I hope that I managed to convey just how important it really is in Why you should start taking magnesium today, Treating arthritis Ias well as in At the heart of heart disease. In terms of supplementation, however, I would like to refine my recommendations.

Nigari, or magnesium chloride, is excellent because it is inexpensive and easily absorbed. I continue to stand by this, and also continue to use it very regularly. However, I now only use it trans-dermally (on the skin), and recommend you do the same. The reason for this is very simple. Taking it internally, is fine, but because absorption goes through the digestive system, the most that will be absorbed is estimated at 25%, and the rest will be eliminated.

And how will it be eliminated? Well, naturally, through the stools. And I, after using a 2% nigari-water solution orally for supplementation for several months (even with some breaks as recommended by proponents of this manner of magnesium supplementation), found that my colon gradually became more and more irritated (which could be felt when passing stools and wiping). When I would stop supplementation for a few days, the irritation would go down; when I started again, it would come back. Therefore, after a couple of times checking this, it became clear that it was indeed oral supplementation with magnesium chloride that was the cause of the irritation in the colon.

But why even bother taking magnesium chloride orally when it is far better absorbed through the skin? Magnesium oil (20-30% nigari-water solution) that you must leave on for 30 minutes, works great, but the most pleasant is definitely a 30 minute bath spiked with a cup of nigari flakes. This is without a doubt the most effective and most agreeable way to supplement, while ensuring maximum absorption by the body of the magnesium ions so importantly needed by cells in tissues throughout the body.

Having said that, I recognise that having baths every day is time consuming, only really tempting when the weather is cool, and also wasteful in terms of water usage. Therefore, we don’t have baths when it is hot, and should restrict it to a max of three times per week in the cold season, using the least amount of water, and having really short showers on the days in between in order to keep water consumption as reasonable as we can. In the end, magnesium oil is far more environmentally friendly, because it works all year around and does not result in accrued water consumption.

As an aside relating to hot water usage and energy efficiency, because heat loss is always directly proportional to the difference in temperature between ‘inside’ and ‘outside’ , we should set the temperature on our hot water heater to the minimum useable temperature. This minimise heat loss, and consequently, energy consumption for water heating.  I have determined that temperature to be 41-42 C. These temperatures are also perfect to wash the dishes, wash your hands or face, shower, and also to run a bath that is hot (but not too hot) when you get in, and after 25-30 minutes is still hot enough for you to feel comfortable in the water without any hint of feeling cold, but not too hot such that you can’t stand it any longer, or be sweating for half an hour after you’ve gotten out. (Actually, 40 C is perfect for a shower, dishes, hands and face, etc, we need 1 or 2 degrees more for a bath due to heat losses into the tub and air.)

Naturally, the exact ideal hot water temperature is a personal thing that depends on many factors, surely most importantly on body composition and especially basal body temperature, which in turn depends on metabolism. In my case, basal body temperature is as low as can be, since my metabolism runs almost exclusively on fat, and you’ll remember that fat burns cool while carbs and protein burn hot. Anyway, you need to experiment a little, but I’m pretty sure that you will find your ideal hot water temperature between 40 and 43 C.

Because magnesium is water soluble and used up as it is needed every day throughout the day, it is necessary to supply the body with it on a daily basis. Naturally, eating foods rich in magnesium is essential (almonds and greens are the best), this is typically not enough, and oral supplementation is quick and easy. Fortunately, the perfect magnesium supplement is now available. This is ReMag, designed and marketed by Dr. Carolyn Dean (the doctor who wrote The Magnesium Miracle), and who guarantees that it’s 100% absorbed by the cells because it is in a form that is small enough to pass through the 400-500 pico metre sized ion channels that regulate mineral absorption and excretion through cell walls, and therefore, that none of it is eliminated through the digestive system as are most forms of magnesium supplements. (You can read her e-book about it here, and watch this recent video on Mercola’s site.)

So, these are my updates recommendations for magnesium supplementation:

  1. Magnesium oil on the skin for a couple of months to quickly replenish cellular magnesium levels,
  2. Bath with 1-2 cup of nigari flakes, once or twice a week, and
  3. L-Threonate (liposomal) or ReMag (pico sized) taken orally.

This is really important for everyone, but crucial for any person suffering from any kind of illness or disease condition whatsoever.

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Why you should start taking magnesium today

Because magnesium is maybe the most important mineral for plant and animal life on Earth. Because magnesium is certainly one of the essential minerals most deficient in our food. And because we are all magnesium deficient.

Magnesium was the key element in the evolution of plant life on Earth as it is the heart, the central ion of chlorophyll—the plant’s photosynthesising lifeblood. I was amazed when I learnt that chlorophyll and haemoglobin have identical molecular structures, only that chlorophyll has magnesium at its heart, while haemoglobin has iron. This does indeed seem amazing at first, but upon reflection, it seems quite natural, as we can be pretty sure that this is not an evolutionary coincidence since simple cellular life came first, then plant life—obviously dependent on the simplest forms of life, and then animal life—which is completely dependent on plant life.

The human body is about 70% water by weight, with about 2/3 inside our cells and 1/3 outside; the dry weight of a 70 kg person is about 20 kg. So we can say that the rest of our weight is various arrangements of naturally occurring elements. But of the 92 naturally occurring elements, a mere 7 of them make up 99% of the body’s total mineral content. These essential macrominerals are, in order of abundance: calcium, phosphorus, potassium, sulphur, sodium, magnesium, and chloride (chlorine gas dissolved in water).

Calcium is the most abundant and it must be in balance primarily with phosphorus for proper physiological function, but also with magnesium. Phosphorus is the second most abundant, and, present in every cell of the body, it plays a role in almost every chemical reaction. Potassium and sodium work together in their most notable function to transport nutrients into cells and metabolic waste out of them. And hence, potassium is the most abundant element inside the cell, in the intracellular fluid, while sodium is the most abundant element outside, in the extracellular fluid. Sodium is also the primary element on which rely the kidneys for regulating the amount of water in the blood and bodily fluids in general. Chloride works with its siblings potassium and sodium in their role as fluid and acid-base regulators, but it is also the essential element in hydrochloric acid secreted in the stomach to break down proteins into amino acids. Sulphur is necessary for the formation of hair, nails, cartilage and tissue. It is needed for metabolism and a healthy nervous system, plus it aids bile secretion in the liver.

Why so important?

Among these 7 macrominerals, however, magnesium is king. It is second most abundant element inside cells after potassium, and even though it totals only around 25 g in the average 70 kg human body, (more than half of it stored in bones and teeth, and the rest in muscle and soft tissues), it plays a role akin to that of a conductor in regulating the absorption and excretion of many of its sibling macrominerals, both in the intestines and in our cells. Of the multitude of functions it plays, magnesium is involved as a necessary co-factor on which more than 300 essential metabolic enzymatic reactions depend; it is crucially needed for structural function of proteins, nucleic acids and mitochodria; it regulates production, transport, storage and utilisation of energy in cells; it regulates DNA and RNA synthesis, cell growth and cell reproduction; and it regulates nerve function throughout the body.

But certainly most noteworthy, and indeed very important for the vast majority of us magnesium-deficient humans, is that magnesium is what allows muscles to relax: every single muscle cell in our body depends on magnesium to release a contraction instigated by calcium, magnesium’s antagonist brother. Going further, only magnesium can inhibit calcium-induced cell death: only magnesium regulates entry, and can thus prevent calcium from flooding a cell to trigger apoptosis (programmed cell death). It is for these two reasons that magnesium is so much more important than calcium. Sadly, we are as over-calcified—caked stiff with calcium from the inside out—as we are magnesium deficient. And that’s bad news because the more over-calcified the body grows, the more magnesium deficient it becomes. In addition, as important as it is to optimise vitamin D status, it is now clear that this cannot be done without at the same time optimising magnesium status (1).

And in practical terms, what does this mean for you? It means that most modern diseases and conditions are either a direct consequence of or severally aggravated by magnesium deficiency. It means that of all the heart attacks and strokes that claim the lives of most people in industrialised countries, it’s estimated that more than half are caused by magnesium-deficiency. It means that hypertension, poor circulation, water retention, osteoporosis, kidney stones and kidney disease are all caused or severely aggravated by magnesium deficiency. It means that arterial plaque buildup (atherosclerosis), arterial wall thickening and stiffening (arteriosclerosis), cardiac arrhythmia and palpitations, headaches and migraines, anxiety, irritability, insomnia and depression are all caused or severely aggravated by magnesisum deficiency. It means that from the seemingly most benign, occasional involuntary twitching of the eye, or the cramp in your foot, calf or hamstring that just seems to you as a brief nuisance unworthy of attention, to the cardiac arrest or stroke caused by a prolonged spasm of a coronary or cerebral artery that can claim your life in a few instants or leave you paralysed and debilitated for the rest of your life, to chronic anxiety, occasional panic attacks, recurring depression, bipolar or schizophrenic disorders, all of these health problems and hundreds more are caused or severely aggravated by magnesium deficiency. Insulin resistance, metabolic syndrome, and diabetes are also intimately related to magnesium deficiency as it is this mineral that allows insulin to transfer its cargo of glucose from the bloodstream into the cell.

Like many other realities of our world in the realm of medical sciences and treatment of disease, that this can be so—that we can be in such a dire situation of global magnesium deficiency—is truly mind-boggling given the ease with which it can be both prevented and remedied. But for this one as well as so many other such logic-defying realities in today’s medical and health sciences, ignorance is the major hurdle, but the power of the politics of profits cannot be underestimated, and should not be ignored or overlooked.

Why so magnesium-deficient?

Very unfortunately for us, agriculture is not, and to a great extent, never has been as it should rightly be—feeding and enriching the soils and the land, while at the same time producing from it, foods with the perfect balance of minerals, vitamins and phytonutrients in an amazing and unique positive balance process, ultimately based on a remarkably efficient harnessing of the Sun’s energy by the grass and soil. Instead we have an agricultural system that globally pollutes the waters with toxic runoffs, depletes the soils with chemical herbicides, pesticides and Nitrogen-Phosphorus-Potassium or NPK fertilisers, all of which help to slowly but surely sterilise the earth’s surface.

Now, to give you a sense of the scale of the problem of soil mineral content depletion, as far back as 1936, a hearing was held in the 74th US Senate Congress where the following statement was made:

“Do you know that most of us today are suffering from certain dangerous diet deficiencies which cannot be remedied until depleted soils from which our food comes are brought into proper balance? The alarming fact is that foods now being raised on millions of acres of land that no longer contain enough of certain minerals are starving us—no matter how much of them we eat. Our physical wellbeing is more directly dependent upon the minerals we take into our systems than upon the calories or vitamins or upon the precise proportions of starch, protein or carbohydrates we consume (my italics). Laboratory tests prove that the fruits, the vegetables, the grains, the eggs, and even the milk and the meats of today are not what they were a few generations ago. No man today can eat enough fruits and vegetables to supply his stomach with the mineral salts he requires for perfect health.”

And you can be sure that the situation has gotten worse since then—much, much worse. Just to illustrate the point, all chemicals, whether they are those found in fertilisers, in herbicides or in pesticides, contribute to magnesium wasting. Pollutants in the air that fall back down in the form of acid rain waste magnesium stores because it is simultaneously a potent acid buffer and the most water-soluble of the macrominerals. Therefore, it is also the most affected by acid rain and runoffs saturated with agricultural chemicals.

To make matters worse, any processing of a food in its natural form, will most effectively deplete its magnesium content. Here again this is due to magnesium’s super water solubility. Such that with every step of processing, more magnesium is lost from the already magnesium deficient food. The result is that all processed foods are basically devoid of it. Fluoride, the reactive industrial by-product and poison that is put into many municipal drinking waters under the false pretence that it is good for the teeth, seeks out minerals like magnesium, and by binding to them makes it impossible for the body to absorb or use. (This is just one of the many, well researched and well documented negative effects of water fluoridation. See the Fluoride Action Network for plenty more details.)

And the last straw in this magnesium-depleting scenario is our own evermore stressful lifestyle. Always more stress: stress related to the economic situation in our country; stress related to the stability of “The Market”; stress related to the economic stability of our company; stress related to the security of our own job; stress related to our professional and therefore social status; stress related to worries about our kids’ wellbeing, happiness, social development, about their future; stress related to all those deadlines we have to meet, and to those that we set ourselves for our personal projects that somehow always slip to the bottom of the pile of books sitting collecting dust next to your bed; stress about how to save money for hard times, and about where we will go on our next holiday; and on and on and on. Incredible but true: the more time passes, the more technological advances are made, the more stuff we are able to make and use and buy, the more stress there seems to be in our lives.

And what does stress have to do with magnesium? Very simply: stress depletes magnesium and magnesium deficiency magnifies stress. How do we know this? By doing a simple experiment where adrenaline is introduced in the bloodstream intravenously, and seeing the levels of magnesium drop immediately, together with those of calcium, potassium and sodium. Stop the adrenaline and they start to make their way back up, but unfortunately, is takes magnesium the longest to recover to physiological concentrations. But the fact is that every time we feel any kind of stress, adrenaline triggers our fight-or-flight response, in which the heart starts pumping, digestion is stopped as blood is diverted from the digestive system to the arms and legs, blood also thickens by the release of clotting factors to prevent excessive blood loss in case we get injured, glycogen stores are released from the liver to be made available as glucose for immediate energy use in the heart, lungs and muscles, and yes, all of these processes are intensely magnesium-dependent, and at the same time, intensely magnesium-depleting.

In short, almost all soils on agricultural land everywhere are magnesium deficient, some totally depleted, others just greatly depleted. All foods grown in these soils are inevitably also magnesium deficient, and in some cases even more due to the excess potassium in the chemical fertilisers that prevent the plant from taking up magnesium. All processing of food further depletes magnesium, and our crazy and sickly addiction to stress delivers yet another blow—a final blow. We—all of us—really are magnesium deficient. And many of us severely so. For this reason we all need magnesium supplementation. And the sooner we start, the better off we’ll be. If you want to know how magnesium deficient you are, order an RBC Mg test (red blood cells hold about 40% of the body stores of Mg): the lab’s reference range can be anywhere from 3.5 to 7, but you want to be at 6.5 mg/dL.

Remarkably easy, extremely safe and incredibly inexpensive

There are several forms of magnesium supplements. Magnesium chloride is the most  completely ionised (with a stability constant of 0), and therefore the most easily absorbable in its ionic form by our cells. This also means that it is super hydrophilic (water-loving) and dissolves instantly when in contact with even a drop of water, so it needs to be kept very dry in a well-sealed bag or container. All the better for us, it also turns out to be very inexpensive (about 6 euros/kg) in the form of white, brittle flakes called Nigari, which is used to make tofu.

To drink your magnesium, dissolve 20 g (4 teaspoons, and 10 cents worth!) in a 1 litre bottle or 30 g (6 teaspoons) in a 1.5 litre bottle. (This makes a 2% solution of magnesium chloride.) Take 50 ml on an empty stomach when you get up in the morning, and again at bedtime. You can dilute this in as much water as you want because it is the total quantity of magnesium that counts, not the concentration of the solution that you drink. At first or when you feel you need more (stressful day, weakness, cold coming on), you should take another 50 ml in the late afternoon when the body is most in need of it. This will supply 360 mg if you take it three times, and 240 mg if you take it twice per day (magnesium chloride is 12% magnesium by weight. Dissolving 20 g in 1 litre gives 2.4 g of ionic magnesium, and dividing this litre in twenty 50 ml doses yields 120 mg per dose. Therefore 3 doses gives 360 mg and 2 doses gives 240 mg).

To absorb your magnesium through the skin, dissolve 20 g in 80 ml of water. (This gives a 20% solution of magnesium chloride—ten times more concentrated than the drinking solution.) Naturally, you can dissolve more magnesium chloride in more water, keeping the same proportions, and storing the solution in a spray bottle. With just 6 sprays on each arm and leg as well as on 6 on your chest and back, you can take up as much as 600 mg of magnesium every day. This is a much more effective way to absorb magnesium because instead of going through the digestive system from which as little as 25% up to 75% of the magnesium will be absorbed depending on many factors but primarily the state of health of your digestive system, which in most of us is appalling, almost all the magnesium is absorbed through the skin and into the bloodstream in about 30 minutes. We use both methods at home.

Finally, supplementing with magnesium is extremely safe for the simple reason that it is extremely water soluble: it binds so tightly to water that the magnesium ion forms a hydration shell around itself resulting in a radius 400 times larger than in its dehydrated form. This is unlike any of its macromineral siblings. And for this reason, it is also excessively easy for the body to excrete any excess magnesium either through the urine or in the stools. Therefore, there is virtually no chances of overdosing on magnesium, and no possible negative side effects.

So please, for your own good, for the good of your sons and daughters, husband or wife, ageing mother and father, buy some Nigari at your local natural food store, and start magnesium supplementation for all of them. And for the good of your friends and colleagues, tell them about it and send them this article if they need convincing. (In France, Spain and probably other European countries, we find the Celnat brand 1 kg bag of Nigari. I’ve bought is at Bio-coop stores in Paris, and at Eco-centro in Madrid)

Conclusion: Main points to remember

  1. We are all magnesium-deficient, and many of us, dangerously so. This is due to the severe lack of magnesium in soils everywhere and therefore in the foods we eat, due to the fact that processing of whole foods strips most if not all the magnesium that is present in the unprocessed food, due to the fact that our diet is excessively rich in calcium that must be balanced with magnesium in order not to accumulate in our tissues and stiffen everything from our organs to our arteries and to our brain, and finally due to the excessive stress that we all know to be the most remarkable feature of our modern lifestyle.
  2. Magnesium is absolutely essential for relaxing muscle cells including—and maybe most importantly—the endothelial cells that line our blood vessels. Stiff blood vessels cause high blood pressure. This puts great stress on the kidneys and causes a chain of negative consequences that mould into a vicious cycle in kidney deterioration that eventually leads to failure. In addition, stiff blood vessels causes them to suffer much greater damage, especially at bifurcations where the arteries split into finer and finer arterioles. This damage leads to the buildup of plaque, and then to cardiovascular disease, heart attack,s strokes, Alzheimer’s and dementia.
  3. We all need magnesium supplementation, and fortunately it is easy, cheap and safe because Nigari is an inexpensive, food grade magnesium chloride salt easy to buy in natural food stores, and because magnesium’s ultra water solubility makes it very easy for the body to excrete in the urine and eliminations, which guarantees that that it cannot accumulate excessively. On the other hand, this also means that it takes several months to replenish intra-cellular magnesium levels, and that we need to take it daily.