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Oxidisable substrate deficiency

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" It is well recognised that fatigue can arise from a deficiency of oxidisable

substrate. In the case of glucose,short chain fatty acids and amino acids, this

will occur with starvation, malabsorption or hypoglycaemia. In the case of

oxygen, fatigue can result from respiratory failure, such as chronic obstructive

airways disease or

anaemia. Heart failure can cause fatigue because the low cardiac output produces

a failure to supply both oxygen and oxidisable substrate. "

My glucose runs a little high (110), SFCAs will be checked again in the

digestive stool analysis I'm finishing up, my last NutrEval showed I was short

of certain amino acids (glycine and taurine I augment now, can't remember the

3rd), have sleep apnea and use a CPAP, no COPD, no anemia, just did stress test

and ECHO cardiogram last week and get results next Monday.

Last to do - evaluate malabsorption or hypoglycemia. Appt. with new gastro made.

Isn't this fun?!

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