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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, doesnt 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 Vioxx® or 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 inishes
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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