I am not a veterinarian, nor do I have any formal training in any medical field. The information presented here is not meant to replace your vet's advice or prescribed medications, but only to suggest additional options to explore, based on your dog's condition.

Phosphate Binders It's important to control phosphorus levels for dogs with kidney disease. The goal is to maintain blood phosphorus levels below 4. This can be done by restricting phosphorus in the diet, and by adding calcium to the diet at ratios as high as 3: If your dog's phosphorus levels remain above the normal values after one month with a reduced phosphorus diet, or above the target level after two months, you should begin using phosphate binders.

A reduced phosphorus diet is needed when creatinine is above 2. I would not feed a high-phosphorus diet to any dog with elevated creatinine, but you could feed a standard non-prescription commercial diet with relatively low phosphorus levels less than 1. Phosphate binders should always be given with meals, to help bind the phosphorus in each meal.

Phosphate binders commonly use calcium carbonate, citrate, or acetate or aluminum hydroxide. Note that calcium citrate and other forms of citrate may enhance uptake of aluminum hydroxide, though in most cases this doesn't seem to be a problem in dogs.

Calcium can be used as a phosphorus binder, but only if ionized calcium levels in the blood are normal and not elevated hypercalcemia. The most effective calcium binder is calcium acetate Phoslo , available by prescription only in the U. More information about calcium: One large eggshell makes about one teaspoon of ground eggshell, and contains about 5, mg calcium carbonate, which yields 2, mg elemental calcium per teaspoon. You can dry eggshells after washing them out, then grind them in a coffee grinder.

Other forms of calcium are also fine to use, such as calcium lactate and calcium citrate. Animal Essentials Seaweed Calcium available at Amazon contains just 1. It also supplies magnesium and iodine, which is good. Never use bone meal, dicalcium phosphate, or other calcium supplements that also include high amounts of phosphorus. Do NOT use antacids that also include magnesium, such as Mylanta.

If you feed a homemade diet: As you restrict the amount of phosphorus in the diet more and more as kidney disease progresses, this amount of calcium should provide a ratio that ranges between 2: If you know how to calculate the amount of calcium and phosphorus in the diet that you're feeding, then use a ratio of about 3: When blood phosphorus levels are elevated despite dietary phosphorus restriction, additional calcium or aluminum-based binders are added.

This amount is in addition to the 1, mg of calcium per pound of food that is added to the diet for balance, if you are feeding a homemade diet. If phosphorus values remain high when using calcium-based binders, you should switch to aluminum-based binders.

Ask your vet for more information. When phosphorus levels in the blood are 8. What potential side effects? Can this damage any organs etc Chloe My question is what is the most mg of the xanax bars are safe to take in a day? Other words can she overdose on taking a total of 2 R xanax bars?

She took six 1 mg Xanax and 15 oxycodone in an hour time span. Her death was ruled accidental, but it really sounds like suicide to me. The autopsy revealed no pills or capsules in her stomach. Did she snort or inject the meds? I am beside myself trying to figure this out. Thanks for your help. Feeling very low today. How much would kill a patient of my size? Should I be worried? Will that kill her?

I am scared to death. I found out through one of his friends about this. Take him into the ER, just to be sure that your son is okay. I have had 4 seizures in my life because of trying to stop cold turkey. It is very hard to stay away from these pills. But recently have almost cost me my life. I have been clean for a month now but the withdrawals are the worst.

Never really take more than two mgs in a night. So I took another 2mg bar about 2 and a half hours ago and barely feel anything. Could an empty vs full stomach at the time of consumption affect this? A few names of doc in Cockeysville area that would help me do this would be greatly appreciated Tish 4: Can I take one upon rising at 7: I should be ok?

Does taking 20 mg of alorazolam per day lead to addiction and how much time it takes to get addicted to alprazolam. I could not function. Spent 7yrs in therapy and a monthly psychiatrist that gave meds 2 me. Drs thought you can only have 1 panic attack a time. I was having multiple attacks.

I finished high school, went to college and. I went on klonopin months to see if I had panic. It ended in the psych hospital. I have NOT built up a tolerance. Ask this question not to be safe but to intentionally overdose and die.

So without anyone feeling guilty by helping someone else please tell me how many Xanax and how much alcohol are lethal when combined.

I have been on this regimen for about 3 years. Well, this morning I got distracted by my kids, phone calls, etc, etc and I remember thinking I needed to take my 7: And oddly enough, my hr feels a little faster than normal. Does this put me at risk for an overdose?? Should I be contacting my dr?? After the death of my son i started taking more. I really want to think clear and not depend but i cant do it by myself.

I threw them all and i almost die of a seizure now am consider epileptic. I live in Miami. I have Medicaid and Molina Insurance. But am beggining to hate xanax cze when i try to quit withdrawls are horrible. She used to take 12 bars a day. She is nervous to tell the Dr. Can you tell me if this is harming the baby and her? Any other information you have on high dose xanax and pregnancy would be helpful.

Not watching for help just want it to all end. Would honestly like to know how much is too much!!! Also snorting xanax does not increase OD risk, in fact the opposite is true. I am sorry but it drives me absolutely nuts when someone who has no clue at all about a subject writes an article or whatever.. For the love of god. You should be ashamed of yourself…. Trust me, taking that amount will not kill you, only make you sleep too long and wake up disoriented.

Mixed with muscle relaxers only made me more comfortable, no other effects. We should talk as we both want the same thing…. Does having no memory a sign of an OD?

Im taking klonopin as well but habent taken since yesterdaysr at 9pm Should i just take that instead of a full bar or break the nar in half. Dont want to cross benzos anf have bad reaction. But dont want to withdrawal as well scott 7: At first I thought it was just attention she seeked but now I think she is serious.

I found a slip of paper of methods to die and one she has already started to put into motion. She wrote she plans on beingalone whether it be a hotel or as she states under the heavens,moon and stars. Some times when she feels depression strong she takes more. She always does this when im not around because she knows I hate pills. I see her side affects strong tonight and after asking her, she tells me she took 5 1mg pills at once. Do I need to be worried? As in, call for help?!

Will it be harmful to take another 1 mg in just those occasions. Not a daily situation. Vomiting may not help eliminate toxic effects, so I suggest you call the Poison Control Center at My insurance will not pay for it. Why there is no free mental health clinics anymore. I need to use candles every time they cut my lights.

Living in New York is the most horrible thing a person like me could go through. New York is not for poor people to live in. I found him in his room passed out by a box of beer. He has not responed to me online in 3 days and the beer receipt says it was bought 3 days ago.

I have checked his phone he has missed work. He wont wake up. I dont know what to do K That was his starting dose. I am more anxious due to things out of my control. I had to have an ovary removed, and intestines put back in place, and I am in a legal battle over the welfare of my daughter.

She was physically assaulted at school and nothing was done. Long story short I called DHS to help me or point me in the direction to help my daughter. I took an extra 2mg today with my afternoon dose. Am I building a resistance to the drug?

Going to walmart makes me freak out. Any help would be great. I am getting very worried about him. He has not been thinking right. He broke up with his girlfriend for no reason and has just been acting very differently. I dont know what to do anymore to help and convince him to stop.

He looked like he was drunk, however, blood tests did not show any alcohol. It did show marijuana use and an ingredient in Xanax. Should I bring him back to the hospital or is this what happens if too many pills are taken?

U all make me laugh …….. With the intention of killing myself, yet here I am, alive, yay….. I thought this for sure would kill me, but obvoiusly not. I want to die. They begin with peaches which are. Those are the lowest doses prescribed. I grabbed my pack of Marlboro edges and went downstairs out front of my apartment to have a cigg and then I was going to call it a night. As I said, fate intervened, and I happened to come across a bottle of 1mg alprazolam green footballs; LUCKILY there were only 12 left in the bottle because I took 4 immediately in my sudden excitement.

Now I drink a 6 pack of labatt ice 16floz cans a day and also take 30 mg temazepam and mg trazodone nightly, along with probly a gram or 2 of marijuana a day.

Now after I took the 4 green footballs by the time I reached my apartment 5 minutes later I was already feeling slightly dizzy, I let one of the 4 pills sublingually dissolve. At this point I packed a bowl, smoked, and I remember feeling incredibly awake and I could talk about general relativity and time dilation and the twin paradox and gravitational red shift endlessly all the while feeling better and better by the second.

The last thing I remember is snorting 1 of the xanax, popping the rest, and taking my 30mg temazepam and mg trazodone. Apparently I jumped out my window 3 times just seemingly having the time of my life; I live on the 3rd floor.

I pissed in my refrigerator. I broke all my jars of pickles i guess i kept saying fuck the pickles. I broke my couch i guess i purposefully spent a good half hour trying to rearrange my apartment and when i got frustrated that i couldnt decide how i wanted things organized i totally disassembled my couch beyond reassembly. If it wernt for my dude I honestly dunno what may have happened. He stayed there until I passed out at about 5am.

I went over to my dudes house later that night and he told me about everything that happened. The scariest part is, as I read all the other experiences above from the passed 3 years or more, I begin to fully understand how lucky I am to be alive.

Addiction is an illness often overlooked or mischaracterized as a disease that is totally beyond our control. Maybe anxiety is the physical manifestation of what it feels like to face our fears, and maybe that feeling should be welcomed because without emotional discomfort then how would we know when we truly have reached happiness?

Tried giving him water but it fell down his shirt. Would he have died had we not called an ambulance? He had all the symptoms.

Is there a reason why my body reject this surya 5: Do I need to supply my family member with the prescribed dose without causing other personal issues? My daughter was dumb for listening to her but glad she came and told me. Thank you Angelina 6: I have taken up to 5 mg of xanax before without issues. I have also taken mg with alcohol, no issue either. Today I took 7mg and drank a bottle of wine large 1.

I am very drowsy and am hesitant to fall asleep. It is now late Ruesday morning and I am still incredibly sleep all the time. No other noticeable effects, just wondering how long I can expect to feel this way. No lectures on the abuse, please. It will absolutely not happen again. I have used 6 mg Xanax since and used 12 mg of clonazepam for 10 years. I am 33 years old. The doctor went on pension and the new doctor stopped prescribed any more Benzodiazepine, whitout no step down.

The new doctor has a no Benzodiazepine policy. Wow I feel like iam in a bubble with panic attacks and shaking aswell as my temperature in me is changing all the time. My nerves is in the roof. I have thought reporting the new doctor to the government.

I have to travel to the Netherlands to get a prescription. I only use 1 2mg rivotril when iam in a panic attacks and shaking. The Xanax have completely changed my way to think.

The doctor has no empathy that I consult a doctor in Netherlands. I think doctors use face policy too much and I would have liked to send how they will manage if they had my problem.

It was doctors how started this medicine. Last week I went to hospital with grand mal attack. The hospital sad I had to go to my doctor to step down on medication. Is it wrong that I use maybe 2mg clonazepam when I literally feel that iam dying.??

How long will this iam gonna die feeling go away? It was my first time doing illegal drugs. I unstand this could be a potential overdose. Spitting the yellow in half which made 1mg. So totaling 4 mg in all. Concerned is that an overdose???? I was still tremeling. Scard to sleep if I go. Please inform me truthfully! Anyway didnt post yesterday. So I have upped the 5htp too mg mid afternoon and bed time.

Still not sure if 5HTP actually having any affect — what effect t is it supposed to be anyway? I have had some symptoms of what could be withdrawal over the last few days.

Some tinnitus, some peculiar buzzy headed feelings, also nervousness and agitation, irritability, and sort of tic-like reactions — nose twitches. Some of this will just be noticing it because I am monitoring myself. The buzzy headed feeling is familiar from coming offing Effexor as I mentioned above — but nowhere near as intense — I think it was much more zappy withdrawing from the Effexor.

When I say minor — it feels minor to me ATM- to you it may be different. This is Day 20 — so out of interest I calculated the probable blood serum levels of the major metabolites of the Prozac.

Fluoxetine — days. That gives a range of around Thanks for the calm. Nothing there — inner ear infection — labyrinthitis, anxiety etc. I still get this and its a bit more intense at the moment, but am sort of used to it — tends to happen when I am sat in the chair at work — I actually had an episode a few minutes it probably is tension or similar with me and the withdrawal is just making me tense enough to exacerbate it.

TJ Nelson Thanks for all your sharing! Maybe Kristi can tune in more about the delay in vision when turning your head. As far as your comment earlier, when weaning off of antidepressants 5-HTP can help you feel less of the withdrawal symptoms and start to allow your brain to actually produce more serotonin.

You should feel more relief when taking it and less pain. Further down the line, it will give you more feelings of security, self-esteem, etc. Day 23 off Prozac projected drug blood serum remaining Slept for 10 hours on Friday night — not straight through — rather fitfully. In general my sleep is a mess. Felt pretty rough all day. Didnt eat well either. Eating is a bit of a mess too. Generally my head buzziness was present for a lot of the day Tried 50mg Now Foods L-Trytophan empty stomach during the day as an alternative to 5Htp.

If any of these aminos are making a difference — its not an immediate effect. I think maybe the head-buzziness was lessened by the Tryptophan. At the moment I am not really concerned about this — although I will keep an eye on it. Summarizing the above and other factors. I need to start helping myself more and not expecting the aminos to be an instant cure all. Whoa hang on a minute!

I think I will need to write myself a daily check card and get a bit OCD on my ass for a while. Honestly, amazing nutrition is the foundation. After a long time of experimenting and researching, I found the foods that promote well-being and eliminated the ones that caused inflammation, allergies, and depletion of nutrients and neurotransmitters. Motivation has dropped noticeably. Another update in a few days. TJ Nelson Your a trooper: Day 37 free from Prozac Blood Serum levels should be between 2.

Or to put it another way — given I wasnt too busy — then either I was better or I was not. I think that it is important to point out that I would most probably stop posting if I was better. I also work away from home during the week. I had been really argumentative for a week or two as mentioned in previous posts before my post of Day 26 2 days after my last post I got so upset and resentful about an argument I burst into tears and felt awful gloom — I felt awful both for myself and my family.

I felt so ashamed of myself for behaving like a spoilt child. There were some hangover effect, but I thought I recovered from it. A feeling of head buzzin I associate with the Prozac withdrawal is still present. Work was ok during the week — but I was staying up really late just messing with my guitar and almost afraid to go bed.

Then on Friday 2 days ago it happened again- this time it was at the office — I had not thought something through properly which should have been evident from reading a document a few weeks before. He pointed out the issue -not in a harsh way, but irritated nonetheless — due to our joint work load stress. Thats was it — internally I was getting really angry and justify myself and blame anyone but me — but luckily it was on a conference call — and I didnt — but I didnt say much afyter that — I was seething with resentment — for my own mistake!!!!

When I finally accepted to myself and my colleague that I had been lax — then I mentally collapsed into feeling like a complete failure — the gloom set in. I was near to tears. Anxiety was rearing its head — it wa awful. I planned a few days before to stay away from home — because I was feeling under the weather like Ive got a cold mild flu — on and off — but probably a mixture of that and the withdrawal. I slept in on Saturday to try and recover my sleep debt. Like that really works when you are sleeping 5 hours a night and getting stressed out.

Then I was up late — through my inability to get myself to bed and messing about then another issue last night — I didnt go to bed til 7 am UK Time — juts messing about with a new guitar purchase and the fact they I didnt get up late til the day before. I even tried Magnesium Calm a few hours before — possible mistake.

All this while a mass injection in the botty department was occurring — this is not untypical when having anxiety attacks at times in the past — just that this felt more extreme. I felt completly shamed by this and I get flash back as on occassionss such as the above — it is that awful gloomy feeling of failure and shame all rolled in to one. Perhaps it was warranted that I needed to be talked to about my behavior — but the way it was done seems to have left a festering wound whioch I have as of yet been unable to deal with.

Just had a conversation with my wife and says my daughter is still unwell — she s had abug and fatigue for a couple weeks — and I started feeling the gloom within me! Whats that about — this is over empathising. My routine is a complete mess, I am not doing anything about helping myself I know of lots of ways of trying to deal with it too many that I cant choose is my excuse — its feels a bit like buying soap powder — I am just not doing it — dummmmmmmmmmmm or what!

Those with extensive damage are going to tolerate far less than those who have little damage. THAT is where the difference lies, in the extent of damage. Pork is NOT good.

People eat burgers and swear they are perfectly safe and get sick the next day after eating grapes, which are wonderfully safe, full of anti inflammatory phytonutrients polyphenols and they blame the grapes. They give up grapes, good safe food and keep eating the red meat which is the real problem. Like I said you got to do what you got to do but if you sincerely want to feel better and avoid more damage then change your diet. It really is simple. What do you suppose could happen if you have another acute attack?

Is eating your favorite foods worth it? Most foods are NOT your friends Rob. The thought of another AP attack is scary. As I said in my first or second msg. When I read your blog, it made more sense to me than anything I had seen before. I have been putting pen to paper to use your guidelines to design something that provides about calories a day.

At that level my weight had stabilized a few months back but it was still full of stuff that was not good. I have to overlay your guidelines onto a whole new shopping list at the supermarket and create a daily meal plan that gives 2 or 3 alternatives for each major meal and then good healthy snacks.

What can happen is the next insulin dose ends up combining with the previous dose and it can drop your BS dramatically. I might have 80 carbs worth of insulin stored or 8 units combined and going to work on my last meal or snack which was only 30 carbs. Rob Yep I understand you have a balancing act with the insulin issue.

I usually only have one or two meals a day. I snack on organic veggie juice, bananas, kiwi and apples etc. I eat safe proteins egg whites, beans, lentils, fish, skinless chicken, some skinless turkey , veggies and whole fruits.

I never juice fruits. HG, I found the Grape Seed extract you mentioned and will order it iine. In the meantime, I found some at CVS and bought 50 capsules of mg. I also bought Tumeric and was about to buy Curcumin but held off. I started with the Grapeseed. Is that a resonae strategy or do you have any other suggestions about introducing new supplements or food items. Rob Starting one at a time is fine Rob. Grape seed is the one to start with.

Start out with small doses and work up until you see improvement. Then increase some more until you see the results you want. Read it all Robert but there is no need to be grateful. It is good to vent. Sometimes it even helps. I would guess that with your amount of damage you will likely encounter problems the rest of your life unless God steps in and completely heals you.

I think you are right about diet being key. I would also add the supplements grape seed extract, curcumin and vit C along with ibuprofen or aspirin to help relieve inflammation. Ibuprofen only for pain flairs and to help resolve the inflammation initially. Then aspirin daily to control the inflammation along with grape seed, curcumin and C. Since you are insulin dependant fasting is most likely not a good idea.

I have to admit I am NOT knowledgable when it comes to diabetes. I have only basic knowledge. That would only spike your blood sugar because juicing fruits only creates a juice full of sugar.

Instead, small amounts of organic veggie juice should be safe. Veggies contain sugar as well but not in the amounts that fruits contain. From what I understand proteins skinless white meat chicken, turkey and white meat fish complex carbs raw veggies, legumes like beans, peas, lentils seem to be a diabetics friend and help stabilize blood sugar.

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