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Cox-II Inhibitors –Why They "Work" and
Also Why They Can Potentially be Fatal
In an earlier day and age when old time folk remedies and Ford Model T cars
were abundant, pain relievers were severely lacking. If you were lucky, perhaps
you got some whiskey to dull the pain. Then aspirin (salicylic acid) came around.
Things were thought to be great. Now people had a drug that could mask their
pain so they could more or less minimize joint pains. For a while, this worked
very well. Then reports started coming back of stomach bleeding, gastrointestinal
damage, blood thinning, kidney problems and a whole host of other problems.
This is due to the "shotgun" way that NSAIDS operate. Now we know
better. According to a review article published in the New England Journal
of Medicine, “anti-inflammatory drugs (prescription and over-the-counter
[NSAIDS and COX-2 drugs], which include Advil®, Motrin®, Aleve®,
Ordus®, Aspirin, and over 20 others) alone cause over 16,500 deaths and
over 103,000 hospitalizations per year in the US.”16,500 deaths from
aspirin, per year? Makes you wonder about that each and every time you take
one, doesn't it?
Why are NSAIDs sometimes Fatal?
There are several reasons for the fatalities of NSAIDS. Let’s first start
with the early generation NSAIDS. The early NSAIDS (non steroidal anti-inflammatory
drugs) worked a little bit on both COX pathways, COX-1 and COX-2. Both of these
pathways regulate (in part) inflammation. The NSAIDS highly target the inhibition
of COX-1 (an enzyme called cyclooxygenase) and largely ignore COX-2. This means
they work to mask pain but they have other unintended side effects because
COX-1 controls certain functions of the stomach, kidney, and platelets. The
COX-1 enzyme (that NSAIDS block) is present in most parts of the body, which
is why when you inhibit COX-1 you have these other "unintended" side
effects, like stomach bleeding, ulcers and other effects that can over time
lead to very serious conditions like heart attacks or strokes - or even death.
With NSAIDS, you are offsetting several body systems at once instead of really
targeting the one body system responsible for inflammation. Think of COX-1
as a shotgun approach whereas COX-2 in “theory”is much more of
a targeted attack. The problem is what else happens when you initiate that
targeted attack and how the body naturally responds.
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Along Came "Better" COX-2
Drugs
The development of COX-2 drugs was a breakthrough for the pharmaceutical industry.
Now they had the ability to patent and market newer drugs such as
Celebrex® and joint pain drugs quickly rose to become some of the best
drug sellers of all time. (They still are). In theory, the targeted effects
of COX-2 inhibition would solve all of the problems of NSAIDS. All of the benefits
of COX-1 without the nasty side effects. Their only purported downside is they
are very expensive, $200 or more a MONTH in some cases. Compare this to $30
for other more effective therapies such as glucosamine. What many doctors do
not tell you or simply gloss over is that other downsides of COX-2 include
the risk of sudden heart attack, stroke or blood clots, without preexisting
coronary heart disease. That's right, otherwise healthy individuals. COX-2
drugs work great for relieving pain but they can and do kill people on a regular
basis. Many doctors are wising up to the disastrous side effects of these drugs
and have stopped prescribing them. Other, less informed doctors simply hear
what drug reps tell them to prescribe for certain conditions and they dole
out drugs based on what they “should”be giving out. Fortunately
many doctors are wising up and realizing that COX-2 inhibitors have a cause
and effect method of action, and this action is what proves to be fatal in
many people who take COX-2 drugs.
Checks and Balances - Unbalanced!
The body has thousands of systems of checks and balances, designed to prevent
extremes or unbalances. Just think of how many systems are working right
now to maintain your body with optimal levels of water, oxygen, glucose and
many more chemicals on a second by second basis. The COX-2 pathway operates
in much the same way. When you inhibit COX-2 enzymes, you mask inflammation
and pain, bypassing the COX-1 side effects. Pretty good so far, right? The
only downside is COX-2 is in a way like COX-1. COX-2 also mediates BLOOD
CLOTTING. This is where COX-2 can be fatal. When you get a cut or experience
minor trauma you sever blood vessels (from small capillaries in the skin
all the way to a small tears in the largest blood vessel of them all, your
aorta). This bleeding cannot go on without being stopped or you would eventually
bleed to death. The body (within seconds) releases a clotting agent that
binds blood together and causes a clot to form. This clotting agent stops
the initial blood flow and “plugs the hole." About 2 to 3 minutes
later, the body is able to start a process that stops this blood clotting.
Both of these processes are started at the same time but the first one finishes
within seconds and the second one takes 2 to 3 minutes. The second 2 to 3
minute process is what is called a rate limiting process. This process is
what STOPS the blood from clotting so that once the damage has been patched,
the clotting can stop. COX-2 disrupts this process, allowing clotting to
continue far past when it should. As you can imagine, clotting inside the
body can be fatal. Get a clot in your heart and you have a heart attack.
Get one in your brain and you have a stroke. But did we mention that COX-2
drugs really do work great for covering up joint pain! And to be sure, not
everybody is going to experience trauma to their blood vessels on a regular
basis (this is why COX-2 drugs are still on the market), but as we age and
as a result of simply living, small imperfections become more and more probable,
as plaque and small clots form and the blood vessels become less elastic
and more prone to tearing. Fortunately, newer technologies have been discovered
but remain somewhat unknown, mainly because it cannot be patented and thus
- there is little profit for big pharmeceutical companies. Enter glucosamine.
How does Glucosamine Work?
Glucosamine works in an entirely new way, and it has nothing to do with COX-1
or COX-2. Glucosamine works at the most basic level, so basic that the body
makes it already in small amounts. For this reason it cannot be patented
(try patenting testosterone). The only problem is that as the body ages,
the body’s ability to manufacture glucosamine starts to ebb as years
of wear and tear starts to overcome the body’s ability to heal. Cartilage
then begins to break down, bone spurs develop, and joints cannot absorb common
daily shocks. If left unchecked, this can lead to joint replacements, immobility
or excruciating pain. By taking a high quality liquid glucosamine supplement
such as Flexicose, one can start to reduce soreness, discomfort and promote
healthy cartilage. Flexicose’s unique formula of glucosamine, chondroitin
(long chains of glucosamine), MSM and 10 other synergistic ingredients combine
to offer you one of the most effective glucosamine products on the market
today.
Start Promoting Healthy Cartilage
Again - Naturally
Glucosamine is the major building block of healthy cartilage, and Flexicose
works to supply the body with the level of glucosamine it needs to do its job
effectively when debilitating joint stiffness prevents that. Because decades
of wear and tear cannot be eased overnight, Flexicose takes 2 –3 weeks
to take effect, so do not become discouraged if results are not immediate.
Take your daily dose of Flexicose for one month and give it a fair review.
If need be, you may continue taking NSAIDS while you wean yourself off, and
you will notice that you likely will be able to take less and less NSAIDS until
one day you only have to take Flexicose. You have 30 days to return Flexicose,
no questions asked, so give Flexicose a fair period to do its job. Remember,
with Flexicose you are not simply covering up your joint discomfort, you are
getting to the root of the problem. Not only does Flexicose work so well, Flexicose
has none of the side effects of the horrible COX-1 or COX-2 drugs, which is
probably the most important thing of all. Order
Flexicose, the liquid joint complex now and get free shipping anywhere
in the U.S. Your joints will truly thank you. Flexicose is also highly effective
for pets as well. More information
for Flexicose for pets can be found here.
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