Sunday, January 27, 2019

Buck Mountain Glucosamine Sulfate for Animals

Glucosamine therapy for the treatment of osteoarthritis

Background
Osteoarthritis (OA) is the most common form of arthritis and is often associated with significant disability and a deterioration in quality of life.



Buck Mountain Glucosamine Sulfate for Animals
Buck Mountain Glucosamine Sulfate for Animals




Goals
To review all randomized controlled trials (RCTs) that evaluate the effectiveness and toxicity of glucosamine in OA.

Search methods
We searched MEDLINE, PREMEDLINE, EMBASE, AMED, ACP Journal Club, DARE, CDSR and in the CCTR. Charts were also written to the subject experts and hand searches were made of the reference lists of the identified RCTs and the relevant review articles. All searches were updated in January 2005.

Selection criteria
The relevant studies fulfilled the following criteria: 1) Randomized clinical trials (RCTs) that evaluated the effectiveness and safety of glucosamine in OA, 2) Comparative and placebo-controlled studies were eligible, 3) Single and double studies were eligible blind.

Obtaining and analyzing the data
The summary of the data was carried out independently by two researchers and the results were compared according to the degree of agreement. The Gotzsche method and a validated tool (Jadad 1996) were used to qualify the quality of the RCTs. Continuous outcome measures were combined using standardized mean differences (SMD) as the measure of effect size. The dichotomous outcome measures were combined using the relative risk ratios (RR).

Main results
The analysis limited to eight studies with adequate concealment of allocation failed to demonstrate the benefit of glucosamine for pain and function according to the WOMAC. Overall, the 20 RCTs analyzed found that glucosamine outperformed placebo with an improvement of 28% (change from baseline) in pain (SMD -0.61, 95% CI -0.95, -0). , 28) and 21% (change with respect to the initial value) in the function using the Lequesne index (SMD -0.51, 95% CI -0.96, -0.05). However, the results are not positive in a uniform way and the reasons have not yet been explained. The results of pain, function and rigidity according to the WOMAC did not reach statistical significance.

In the 10 RCTs in which the Rotta preparation of glucosamine was compared with placebo, glucosamine was found to be superior for pain (SMD -1.31, 95% CI -1.99, -0.64) and the function with the Lequesne index (DME -0.51, 95% CI -0.96, -0.05). The combined results for pain (SMD -0.15, 95% CI -0.35, 0.05) and function with the WOMAC index (SMD 0.03, 95% CI -0.18; 0.25) in those RCTs in which a non-Rotta preparation of glucosamine was compared with placebo did not reach statistical significance. In the four RCTs in which the Rotta preparation of glucosamine was compared with an NSAID, glucosamine was superior in two and equivalent in two. Two RCTs using the Rotta preparation showed that glucosamine was able to reduce the radiological progression of knee OA over a period of three years (SMD 0.24, 95% CI 0.04, 0.43).

Glucosamine was as safe as placebo in terms of the number of subjects who reported adverse reactions (RR = 0.97, 95% CI 0.88, 1.08).

Glucosamine 1500 and Chondroitin 1200 240 Capsules

Glucosamine - The natural remedy for joint pain

Arthrosis occurs when the cartilage of the joint is damaged. The function of the cartilage is to act as a buffer between the joints, but when this is impaired one bone rubs against another producing discomfort, inflammation and difficulty of movement. That's where glucosamine comes in.

Until now, the only pain relief was a treatment with anti-inflammatory drugs (for example, Brufen, Orudis) or the injection of steroids (such as cortisone). But this only camouflages the symptoms and temporarily relieves the pain, although the deterioration of connective tissue continues to occur.



Glucosamine 1500 and Chondroitin 1200 240 Capsules
Glucosamine 1500 and Chondroitin 1200 240 Capsules




In addition, the dose of the drug should be increased at the same rate that the discomfort increases, leading to a spiral with no exit. This causes more problems since the drugs have harmful side effects. In addition to that they can cause a faster progress of osteoarthritis.

Throughout the years the only solution lies in implanting, through an operation, an artificial joint. But even this does not solve the problem, since they have a limited life and, over time, need to be replaced again.
What is glucosamine?

  •     Glucosamine is an amino-sugar that is produced in our own body . The substances needed to produce it are taken by the body through the food we eat.
  •     This amino-sugar can be found in synovial fluid, connective tissue and cartilage.
  •     It is very important for joint joints to move without pain.
  •     It also regulates the structure of cartilage in combination with chondroitin.

How does glucosamine work?

For the cartilaginous tissue to be healthy, three requirements must be met

  • Sufficient water for hydration and conservation
  • Proteoglycans, to link them with water
  • Collagen , to keep the proteoglycans in the correct position

Proteoglycans act like a rope that wraps collagen. They are very important because they can store several times their own weight in water, lubricating the collagen.

If the cartilage is damaged the filaments of the cord weaken and cause "leaks" to the outside. This causes the collagen to lose its strength and the proteoglycans to float and stop being subject, so the cartilaginous tissue can not cushion the blows and cracks completely.

Glucosamine is an important component of proteoglycans, which love water. In addition to its function to favor the synthesis of proteoglycans, its mere presence is an important stimulus for the cells that produce proteoglycans. In fact, glucosamine is a key factor in determining the amount of proteoglycans that cells produce.

It has been shown that glucosamine accelerates the production of proteoglycans and collagen and normalizes the metabolism of cartilage tissue, preventing it from deteriorating.

Due to the effects of glucosamine on cartilage, it can help the body repair damaged cartilage damage and strengthen natural healing mechanisms.

Glucosamine in addition to stimulating the generation of cartilage also helps reduce discomfort and inflammation .

Cases in which glucosamine is recommended

  •     When sports activities are carried out regularly
  •     Preventive against osteoarthritis
  •     When you have low back or chronic back pain
  •     When you have persistent discomfort in your joints
  •     Preventive in cases of incipient or advanced osteoarthrosis

Sources of glucosamine
Currently there are very few foods that contain glucosamine . The few cases in which the human body can obtain natural glucosamine is eating lobsters, shrimp, crabs or clams, but in most cases the substance is not in the crustacean itself, but in its outer layer. For this reason, taking a glucosamine dietary supplement is the best alternative.
Allergy to seafood

Since most of the glucosamine comes from seafood (some manufacturers offer glucosamine corn), you should consult your doctor before starting the glucosamine treatment. If glucosamine comes from pure shellfish, it is theoretically possible that people who are allergic to shellfish can not take glucosamine.

People with shellfish allergies react to the proteins contained in this type of food. Glucosamine is obtained from chitin , a carbohydrate of seafood, so it is recommended to supervise a doctor before taking glucosamine in those people with shellfish allergy.
The official recommendation is, however, that people who are allergic to shellfish should avoid glucosamine.
Vegetable Glucosamine suitable for vegans and vegetarians

We have already seen how the natural sources of glucosamine are very scarce and mostly come from bones or exoskeleton of crustaceans. However, food supplements of vegetable glucosamine have been developed, suitable for vegans and vegetarians.
Vegetable glucosamine contains a high concentration of glucosamine hydrochloride. This resulting substance is differentiated from others by the high amount of purity that contains its glucosamine and that contributes to the organism.

This vegetable product comes from or part of the corn, an element that the process converts into dextrose. This is fermented as a step prior to the extraction phase. The result is a hydrolysis process that gives rise to the vegetable glucosamine, which, as we have seen previously, reaches 98% purity.

Glucosamine for osteoarthritis

In principle in conventional medicine there were very few medications for the treatment of osteoarthritis.

Then came the NSAIDs or NSAIDs - non-steroidal anti-inflammatory drugs . These new components became widely used and are currently among the most popular drugs such as aspirin, ibuprofen and naproxen sodium.

  •     Although they work very well to treat the pain of osteoarthritis they present, nevertheless, some very serious side effects if they are taken for a period of time longer than necessary.
  •     Among these side effects can occur from bleeding from the stomach, collapse of the lower digestive tract or liver failure.
  •     At that time it was not known that osteoarthritis could be worsened by the administration of NSAIDs or NSAIDS. NSAIDs acted as the first generation of drugs against COX-2, by blocking an enzyme called COX-1.
  •     This was the reason, in part, why the painkiller was used to slow pain receptors like COX-1. But unfortunately, COX-1 is a non-specific molecule.
  •     On the other hand, it also affects other body systems, such as blood clotting and digestion. Therefore, those who take aspirin, ibuprofen or naproxen daily are more likely to suffer stomach discomfort, or suffer contusions, due to the diluted degree of blood as the body is being attacked in these aspects, (along with the discomfort or the inflammation).

Drugs

Subsequently, COX-2 inhibitors appeared, the drugs that they supposedly considered "more selective". These are generally drugs that need a prescription (and cost much more than NSAIDs, over-the-counter). Brands such as Vioxx and Celebrex quickly reached "fame" among the most prescribed medications.

However, this has now changed due to the potentially dangerous side effects of COX-2, its high price and the inability to produce other effects than those of masking the pain of arthrosis, without further ado. For this reason, for more than twenty years in the United States and a large part of Europe (Germany, Italy, Portugal and Spain) research is continuing on glucosamine and its effectiveness in the fight against osteoarthritis in humans and animals.

Regeneration

Glucosamine regenerates the cartilaginous tissue, tendons and other connective tissues of the body and acts as a block building these materials and inhibiting enzymes that destroy cartilage, in particular acts against osteoarthritis. When the body is not adequately supplied with glucosamine it can develop osteoarthritis. This degenerative disease that affects millions of people around the world, is characterized by a collapse of "shock" in the joints, especially those where the body weight rests: hip or knee.

It works naturally, preventing the destruction of the cartilage tissue and calming the discomfort of the joints, swelling and loss of mobility. On the other hand, glucosamine has no harmful side effects, such as those produced by NSAIDs or COX-2 drugs. And all this, not to mention the fact that glucosamine is much cheaper (about a dollar per day), and that it has a totally natural origin.

Glucosamine can not cure your osteoarthritis, but it can soothe pain in a very positive way. The effects of glucosamine act from the inside, moisturizing and protecting the joints in a warm way and curing them, instead of camouflaging the discomfort, as occurs with NSAIDs and COX-2, so although the effects of glucosaminesean slower ones are much more effective and positive than those of medications.

On the other hand, in addition to relieving the discomfort, it also protects the joints from further damage, preventing injuries from occurring in the future. It has been proven that many NSAID drugs can actually damage the joints and cause a worsening of osteoarthritis due to the degeneration of the joints, contrary to what happens with glucosamine, which acts by protecting them.
Recommendation
If you need immediate pain relief, you can take glucosamine can along with traditional NSAIDs (aspirin, ibuprofen, etc.) With this the pain temporarily calms down. But glucosamine in addition to reducing discomfort, also strengthens cartilage. Keep in mind that 1000mg of glucosamine per day is sufficient, as has been proven in most clinical trials.

Many people also find that chondroitin and MSM have good effects against the discomfort of arthritis .

When you are ready to use a product, carefully compare its ingredients, to see its actual composition and the percentage of glucosamine used.

Combination of glucosamine and chondroitin

Natural dietary supplements have given excellent results in recent years. To the extent that, in many cases, they can prevent deterioration caused by osteoarthrosis. And even favor a cartilaginous reconstruction .

These natural supplements include a combination of glucosamine with chondroitin sulfate. They are substances that are formed in small amounts naturally in our body through the food we eat .

It is one of the basic constituents of the tendons, cartilages and ligaments, and also guarantees its regeneration and restoration.

In addition, glucosamine regulates the synovial fluid that the body needs so that joint joints move without any limitation. This is why it is especially important for athletes , in whom the tension of the joints is particularly high.

With age the glucosamine production of our body decreases , so it is necessary to take an additional glucosamine supplement to keep the joints healthy.

Recommended dose of glucosamine and administration of the intake

The recommended daily dose of glucosamine is approximately 1000mg.

This dose is achieved by taking a dietary supplement. It can be administered in one shot or in three shots throughout the day. It should be taken before meals with plenty of water.

If glucosamine has been administered for therapeutic purposes you should take it for six months.

If you take a glucosamine supplement for the first time on a daily basis, you may notice its positive effects after one to three months.

Side effects of glucosamine

Glucosamine is a dietary supplement that has no side effects and in which the harmful effects caused by COX-2 and NSAID medications, such as ibuprofen or aspirin, do not occur. What else should you know? Do you have other side effects that you should know about?

Is glucosamine completely safe?

In general, glucosamine is a very safe substance . It has been studied clinically since the 80s, so people take it with full security for more than twenty years. If you are taking glucosamine you should have some information in mind.

Glucosamine and diabetes

The levels of insulin can fluctuate with glucosamine (hydrochloric acid or sulfate), especially in the case of diabetics. Glucosamine is technically a carbohydrate (a sugar), but the body can not convert glucosamine to glucose . Therefore, glucosamine does not provide any additional direct source of glucose.

In diabetic patients there are many factors that can lead to a change in the blood values ​​and, therefore, it is very important to consult the doctor before starting the glucosamine treatment. You must be very careful in monitoring your blood glucose levels while you are taking glucosamine. Try to read the latest information about glucosamine for diabetics.

Glucosamine in pregnant and lactating women

Glucosamine overdose

Extremely high amounts of glucosamine (a multiple of the daily dose) can cause digestive problems that result in loose stools, diarrhea or nausea. Glucosamine should not be taken with food , however it is convenient to mix it with a drink .

Glucosamine, a success story

With the exception of the previous warnings, glucosamine has a long history and is considered very safe, unlike what happens with NSAIDs or COX-2 drugs, which have a long history of long-term toxicity, known to researchers.

You should keep in mind that each aspirin leaflet contains a warning that it only provides temporary (not permanent) relief of osteoarthritis pain. Also, COX-2 inhibitors, such as Celebrex, Vioxx, NSAIDs and COX-2 have harmful side effects and only disguise the damage. On the contrary, glucosamine is not a foreign substance to the organism, but totally natural and as such it is found in the joints.

When you stop taking NSAIDs or COX-2 inhibitors, the pain returns quickly. The explanation is that the discomfort has always been there, but your brain does not perceive it because of the effects of the medication.

In contrast, glucosamine provides persistent effects. Even if you stop taking it, you will remain protected for a certain period of time. Taking a daily dose of glucosamine is the best way to reduce, as much as possible, joint problems and keep them protected. Glucosamine is much more effective if you take it continuously for a long period of time.

Be sure to read the glucosamine product guide, where you can find a review of the glucosamine products available in the market, divided into 9 different categories regarding their price, quality and format. You can see which are the best available products and how each one is classified.

Clinical research on glucosamine

The results of the most recent clinical trials have concluded that glucosamine and chondroitin are better than analgesics.

There is growing interest in finding out how to overcome the limitations caused by living with osteoarthritis, especially as two of the most important medications prescribed for treatment (Vioxx and Bextra) were withdrawn from the market. Two important clinical studies have shown that glucosamine and chondroitin sulfate are more effective than conventional analgesics.


Expert opinion on glucosamine

1. Glucosamine relieves the pain of osteoarthritis

Researchers at the University of Creighton, Nebraska, used glucosamine to calm symptoms in osteoarthritis. In their studies they also found that glucosamine has an inhibitory effect on the development of this disease.

2. Glucosamine stops cartilage destruction

A long-term study by Belgian professor Jean-Yves Regnister confirmed that consumption of glucosamine blocks the damage of cartilage cells. At the same time, the study verified the effects it has on the regeneration of new cartilage.

3. Glucosamine inhibits inflammation

Laut Sven-David Mueller Nortmann proved that one of the effects of glucosamine is that it acts to prevent the release of enzymes that destroy cartilage, it also calms joint inflammation.

4. Remedy for joint pain and back

Other studies have shown that glucosamine has a calming effect on joint pain and back pain. This amino-sugar was found especially useful as prevention in athletes or in overweight people to avoid increasing the tension of their joints.


Glucosamine data

  •     It has been used alone or in combination with chondroitin for the treatment of osteoarthrosis. Osteoarthrosis is the leading cause of disability among the elderly. Osteoarthrosis is associated with joint cartilage disease, which causes a change in the structure of the joints.
  •     It is an amino acid, which is derived from glucose and glutamine and is produced in the body naturally.
  •     It is one of the main components of glycosaminoglycans, hyaluronic acid and proteoglycans. This is essential for the formation of cartilaginous tissue.
  •     Dietary supplement used for the treatment of osteoarthrosis, back and joint discomfort and glaucoma. Most studies on glucosamine have been performed on patients with osteoarthrosis of the knee.
  •     Fish and seafood are the main source of glucosamine, although elaborated glucosamine is also available.

Benefits of taking glucosamine

 Joint Care
Glucosamine, Chondroitin, MSM, Collagen and Vitamin B12. Liquid format, easy to take. With concentrated fruit juices!

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  •     It is used for the synthesis of glycoproteins, glycolipids and glycosaminoglycans (also called mucopolysaccharides.) These compounds, which contain carbohydrates, are found in tendons, ligaments, cartilage, synovial fluid, mucous membranes; as well as in the structures of the eye, blood vessels and heart valves.
  •     It can reduce catabolic activity by inhibiting the synthesis of proteolytic enzymes and other substances that contribute to damaging the interior of cartilage tissue.
  •     Inhibits collagenase enzymes that destroy cartilage. It can have a positive effect on the cartilage cells. It can prevent the degradation of the structure of the cartilaginous tissue
  •     Glucosamine also has slightly anti-inflammatory effects.

Contraindications of glucosamine?

  •     It is very well tolerated. In a study conducted over three years with a daily intake of 1000 mg of glucosamine, no serious side effects were observed.
  •     Glucosamine hydrochloride was used safely in studies conducted for 24 weeks, in which the most common side effect were mild digestive problems.
  •     People with allergies to shellfish should avoid taking glucosamine supplements derived from seafood, and instead should take vegetarian supplements of glucosamine.
  •     There was concern about the effect on insulin levels and blood sugar levels. The tests that were carried out in healthy people, obese with type 2 diabetes, showed that there was no effect on the levels of hemoglobin A1C or glucose after taking nutritional supplements of glucosamine for 3 months.
  •     There was concern that glucosamine could increase cholesterol levels and blood pressure. However, no adverse effect on cholesterol levels or blood pressure has been detected in those who have been taking glucosamine dietary supplements for three years.

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Glucosamine therapy for the treatment of osteoarthritis

glucosamine therapy for the treatment of osteoarthritis
To answer this question, the scientists found and analyzed 20 research studies. The studies evaluated more than 2,500 people with osteoarthritis of the knee or hip. Most studies lasted two to three months. People received glucosamine (in tablets or injection) or were part of another group receiving a pill or a fake injection or a nonsteroidal anti-inflammatory drug (NSAID) to assess which was more effective. This Cochrane Review offers the best evidence that exists today.



pr2 Muscle and Joint Recovery Capsules - Glucosamine, MSM, BCAA's
pr2 Muscle and Joint Recovery Capsules - Glucosamine, MSM, BCAA's





What is osteoarthritis and glucosamine?
Osteoarthritis (OA) is one of the most common forms of arthritis and can affect the hands, hips, shoulders and knees. In OA, the cartilage that protects the end of the bones is broken, causing pain and inflammation. Pharmacological and non-pharmacological treatments are used to relieve pain and inflammation. Glucosamine can be found naturally in the body and is one of the fundamental substances of cartilage. It is believed that glucosamine supplementation decreases destruction and increases cartilage synthesis and reduces inflammation. But there is a discussion about its effects.


How well does glucosamine work?
Pain: High-quality studies showed that the pain improved to the same extent when people received glucosamine or fake tablets. If all studies are analyzed (including low-quality studies and previous studies), then glucosamine improves pain to a greater extent than fake tablets.
The pain improved 13 more points on a scale of 0 to 100 with glucosamine than with the fake tablets.


Function: High-quality studies showed that glucosamine improved pain to a greater extent than fake tablets when measured by one type of scale, but improved to the same extent as fake tablets when measured with another scale. This result is the same when all the studies are analyzed (including the low quality studies and the previous ones).

Studies evaluating only the Rotta brand of glucosamine (including low-quality and previous studies) showed that glucosamine improved pain to a greater extent than fake tablets. Glucosamine improved function to a greater extent than fake tablets when measured by one type of scale but improved to the same extent as fake tablets when measured by another type of scale.

What security do you have?
The number of people who received glucosamine and had side effects was almost equal to the number of people who received fake tablets. Side effects included mainly upset stomach and other joint pains.


What conclusion can be established?
In a previous Cochrane review it was shown that glucosamine administered for six weeks reduces pain and improves function (physical capacity) in people with osteoarthritis.


Compared to the previous review, this review that analyzes the newer studies and more high-quality studies shows that there is "platinum" level evidence that pain does not improve greatly when glucosamine is administered for two to three months . According to the scale used to measure the function (physical capacity), the function may not improve completely or to a large extent.

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Glucosamine and chondroitin sulfate

The information contained on this page should not replace the recommendations and indications provided by your doctor. Glucosamine and chondroitin are nutritional supplements and as such are not subject to the same strict regulations required for over-the-counter and nonprescription drugs. Therefore, if you decide to take any supplement, you will do so on your own. Check with your doctor before trying these supplements. Make sure that the cause of the pain is osteoarthritis . Do not interrupt or reduce the dose of prescription medications you are currently taking until you see the doctor.



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Member's Mark Triple Strength Glucosamine Chondroitin 340 Count. Body from Glucose and The Amino Acid




What are glucosamine and chondroitin sulfate?

    This supplement may contain glucosamine in the form of N-acetyl glucosamine or sulfate salts or hydrochloride, and chondroitin as chondroitin sulfate. Both are substances that occur naturally in the body, present in the cartilage and that help to maintain their elasticity, lubricating the joints.

Glucosamine:

  •     Glucosamine is an aminosaccharide that plays an important role in the formation and repair of cartilage.
  •     Glucosamine, as a supplement, is extracted from crustaceans (such as lobsters, shrimp or crabs).

Chondroitin sulfate:

  •     Chondroitin sulfate is part of a large protein molecule (proteoglycan) that provides elasticity to cartilage.
  •     Chondroitin sulfate is extracted, in most cases, from the cartilage of the cattle trachea, but in Japan it is also extracted from shark cartilage. Like glucosamine, it can be synthesized in the laboratory.

What are these supplements used for?

  •     These supplements have been used to treat osteoarthritis (OA) in horses and dogs for many years.
  •     In Europe, glucosamine and chondroitin sulfate have been used to treat OA in humans since 1980.
  •     It is important to remember that these supplements have not been well studied as treatment for other forms of arthritis or associated diseases, such as rheumatoid arthritis (RA) or gout , or to treat other causes of pain, such as stress fractures.

What studies have been done?

  •     A small study conducted in 2012 showed improvement in symptoms when using glucosamine together with an NSAID, and a minor, but significant relief with glucosamine alone.
  •     In 2015, a couple of studies were conducted on the use of glucosamine and chondroitin for the management of knee pain associated with OA. In the first, the effectiveness and safety of the supplement was compared with that of celecoxib (medicine marketed as Celebrex ). It was found that the supplement in question showed comparable efficacy to the drug in reducing pain, stiffness, functional limitations and joint inflammation after prolonged use for six months. (ARD Online First, Jan 14, 2015. Ann Rheum Dis doi: 10.1136 / annrheumdis-2014-206792 )
  •     The most recent study, published in March 2015, which also analyzed the effectiveness of the supplement in patients with knee OA , gave less encouraging results. According to the researchers, the supplement was not shown to significantly relieve symptoms or modify the progression of OA. ( Effects of Glucosamine and Chondroitin Supplementation on Knee Osteoarthritis, Arthritis and Rheumatology, March 2015 ).

What do these supplements do?


  •     In studies conducted mainly in Europe, some people with mild to moderate OA who took glucosamine or chondroitin sulfate showed some relief of pain and a better functioning of the joint. However, the research findings in the US are not consistent, since contradictory results have been observed.

What characteristics should the supplement have?

  •     Glucosamine comes in various forms, the most common being glucosamine sulfate and glucosamine hydrochloride. Although both have the same efficacy, most studies used the sulfate salt.
  •     Shark cartilage products contain chondroitin sulfate, but the quantity and quality of it is not consistent.
  •     Since dietary supplements are not strictly regulated, the quality and content can vary widely.

Some suggestions for choosing quality products are:

  •     Select a product manufactured by a large and respectable company that can take responsibility.
  •     Read the labels of the products carefully to make sure that the list of ingredients makes sense.
  •     Ask for recommendations to your doctor or pharmacist.
  •     If you are allergic to shellfish or have an excellent diet of animal products, look for vegetarian / vegan formulas.

How are these supplements taken?

  •     If you decide to try these supplements, experts recommend taking the amount used in most clinical studies:
  •         Glucosamine: capsules, tablets, liquid or powder, 1,500 mg (milligrams) per day.
  •         Chondroitin: capsules, tablets and powder, 800 to 1,200 mg per day divided into two to four doses.
  •     If this dose relieves the symptoms, you can decrease the amount gradually after the first few months.
  •     It may take a month before you notice any improvement.
  •     It is generally recommended to ingest glucosamine and chondroitin sulfate together, although it is not known for sure if the combination has a better effect than the individual use of each substance.
  •     You should plan your intake of the supplements along with the medications you currently take for 6 to 8 weeks. If the pain goes down, ask your doctor if you should decrease or stop the other medications for a period of time, to check if any changes in pain and stiffness levels are made.
  •     If after four to six months you do not notice any change in symptoms, the supplements probably will not provide any relief. Some people may experience partial relief using the supplements, but they may need to continue taking medications for complete relief.

Do these supplements have side effects?

    Both glucosamine and chondroitin sulfate can have the following adverse effects:
  •         Increase in intestinal gas
  •         Stomach ache
  •         Softer stools
    More studies should be done to confirm the safety and efficacy of the supplements. See your doctor if you notice any new or unusual symptoms when taking these supplements.

Precautions

    Children, pregnant women and women who may become pregnant should not take these supplements. These substances were not studied enough to determine the effects they could have on a developing fetus or a child.

People who have the conditions listed below should be cautious with these supplements:

Glucosamine:

  •     Diabetes, since glucosamine is an aminosugar, dietetics must control blood sugar levels more frequently when taking these supplements.
  •     Individuals on anticoagulants such as warfarin ( Coumadin ) in combination with glucosamine hydrochloride with or without chondroitin should refrain from taking the supplement.
  •     Allergy to seafood, if you are allergic, consult your doctor before you start taking glucosamine. In most cases, allergies are caused by the proteins found in seafood, not by chitin, the carbohydrate from which glucosamine is extracted.
  •     Glaucoma, a new study suggests that people with this disorder or with intraocular hypertension may worsen eye pressure if they take glucosamine. Other side effects are increased triglycerides and cholesterol.

Chondroitin sulfate:

  •     This supplement may include components with structure similar to heparin, an anticoagulant drug, so ingesting it together with an NSAID, such as aspirin, could increase the risk of bleeding. In this case it is advisable to take the prothrombin time and coagulation more frequently.
  •     Certain tablets may contain high levels of manganese (Mn), which could cause long-term nervous system poisoning (if it exceeds 11 mg Mn / day). In addition, since chondroitin comes from cattle, there is the remote possibility of contamination associated with mad cow disease.
  •     If you are allergic to sulfonamides, avoid it, or start with small doses of chondroitin and be alert for side effects. Other effects are diarrhea or constipation.

Considerations:

  •     The American College of Rheumatology, in its most recent recommendations for the initial treatment of OA (2012) does not recommend glucosamine or chondroitin to patients with osteoarthritis. Glucosamine and chondroitin alone or together do not always work for everyone. However, those who decide to try these supplements and benefit from them do not have to suspend them. Taking them for the long term seems to be safe.
  •     Note that studies of the supplement have been done in patients with knee pain associated with OA, so it can not assume the validity of its use in other joints of the body or for other types of arthritis.
  •     Discrepancies in the effectiveness of chondroitin can also be generated from variations in the doses and quality of the supplements. The content of chondroitin tends to vary quite a lot between different brands. The same can be said about glucosamine supplements. Talk to your doctor or pharmacist about which brand to choose from any of these products, or combination thereof.

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Glucosamine and arthritis

    Clinically fundamental: As a short-term intervention, oral and intramuscular glucosamine is associated with pain relief and symptomatic in patients with arthritis. Glucosamine appears to be similar in efficacy to NSAIDs, but long-term interventions are needed to establish the efficacy and adverse effects.



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Joint Support Formula - Glucosamine Chondroitin, Turmeric, MSM & Boswellia - Complete Joint Relief Supplement for Men & Women (60 Veggie Capsules)




Glucosamine is a treatment that does not require a prescription and is available to relieve pain and symptoms related to arthritis.

Systematic review
Moore RA. Glucosamine and arthritis. Bandolier 46; 1998

    Outcome variables: pain, swelling, days elapsed until improvement, response to treatment

The inclusion criteria were controlled and randomized clinical trials of oral or intramuscular glucosamine as a treatment for arthritis; comparisons with placebo or active treatment. We summarized the findings of the original articles, and where possible, we calculated the relative benefits and numbers needed to treat with 95% confidence intervals using the response rates for the active and placebo groups on variables related to pain.

Findings
All included studies evaluated oral and / or intramuscular glucosamine in patients with arthritis for up to eight weeks. Six studies were double blind, and two were not masked. The studies included patients with osteoarthritis or gonarthrosis. Oral doses of glucosamine were 1.5 g / day, and intramuscular doses of 400 mg twice to three times a week.

Dichotomous data were obtained to calculate the relative benefits and numbers needed to treat. The types of variables that could be obtained varied between the studies, and included pain assessment, symptomatic relief, response to treatment. These variables were taken between 3 and 8 weeks
.
Placebo-controlled trials
Five trials demonstrated significant beneficial effects of glucosamine versus placebo. Three of them presented a significant relative benefit, and a global number needed to treat 5.0 (3.5 to 8.9) for short-term pain reduction benefits compared to placebo.

Controlled trials with active treatment


Three studies compared glucosamine with NSAIDs. Two trials compared 1.2 g / day of ibuprofen with oral glucosamine in 239 patients, and found no significant differences. The third study compared intramuscular glucosamine with intramuscular phenylbutazone, but did not show significant results.

Adverse effects
Few adverse effects or dropouts from these studies were found. They tended to occur less frequently in patients with glucosamine than in those in the NSAID group. A large non-masked study with 1208 patients taking oral glucosamine at a dose of 1.5 g / day for 13 to 99 days presented 28 patients who discontinued treatment due to adverse effects. The adverse effects that were found in more than 1% of the patients were epigastric pain / discomfort, heartburn, diarrhea, and nausea.

Thursday, January 24, 2019

SANIFLO SANIACCESS 3 UPFLUSH MACERATOR PUMP + ROUND TOILET KIT, WHITE FINISH

Will rusty bolts in my toilet tank cause a leak?

The toilet tank in a toilet is like the engine of a car. The tank uses the water inside to feed the waste and other materials into the container below. The tanks are secured in the location on the back of the cup by means of tank bolts. Because these tank bolts are in such proximity to the water, they can sometimes oxidize and cause leaks.



SANIFLO SANIACCESS 3 UPFLUSH MACERATOR PUMP + ROUND TOILET KIT, WHITE FINISH
SANIFLO SANIACCESS 3 UPFLUSH MACERATOR PUMP + ROUND TOILET KIT, WHITE FINISH




Hygienic operation

Toilets work by flushing a certain amount of water through the toilet bowl to carry the waste inside. Before the discharge, the water is carried out inside the toilet tank, which is located above the bowl. Pressing down the discharge handle opens a flap inside the tank, and the force of gravity makes the water through the opening of the fin and into the container. The holes drilled inside the bowl rim create a whirling movement, which helps to power the objects inside the bowl.

The placement of the tank

The toilet tank sits on top of the back of the cup. The reservoir is usually based on a series of ridges in the container that holds it firmly in place. A couple --- --- sometimes more than toilet tank bolts are inserted through the bottom of the tank and through the back of the bowl. Rubber washers on top of the bolts hold the bolts in place and also seal the bolt holes. Nuts and washers keep the bolts in place underneath.

Rusty screws

Over time, the rubber washers on the top of the screws may begin to decline. This is especially true if you use certain additives in the tank, such as deodorants or cleaning products, and leave the tank to sit for a period. As the water evaporates in the tanks, the level of concentration of chlorine in the tank strengthens, which works to dissolve the rubber. Once the rubber dissolves, the water in the tank will begin to oxidize the screws and work its output from the tank.

The repair of rusty screws

Rusted screws should be replaced as soon as possible to help prevent a leak before it starts. Before repairing the tank, empty first. Close the water supply to the wall under the tank and pull the chain. Release the tank supply hose. Use a wrench or pliers to remove the nuts from the rusted tank bolts. If you can not remove the nut with tools, cut the nuts on the end of the bolt with a hacksaw. Protect the tank while it is working by covering it with adhesive tape.

KOHLER K-4197-96 Wellworth Round-Front Bowl, Biscuit

There is leakage of water from the toilet tank to the floor

A leaking toilet tank can become a wet disaster. The toilet tank has water in the reserve to pull the chain. Water flows from the supply line on your wall in the tank. Over time, the screws and gasket that hold the filtration tank can perform or loosen. Tightening the screws or replacing the rubber gasket can solve your problem. If the leak is not fixed by these solutions, the tank may have a crack. In this case, the tank itself will have to be replaced.



KOHLER K-4197-96 Wellworth Round-Front Bowl, Biscuit
KOHLER K-4197-96 Wellworth Round-Front Bowl, Biscuit




Instructions

1 Try to move the tank back and forth. If the tank jiggles, a simple tightening of the screws located on the bottom of the tank can solve the problem. After tightening the screws, pull the chain to check for leaks. If there is a leak they remain, replacing the board can fix the problem.

2 Close the water in the supply line from the wall by turning the stopcock to the right.

3 Pull the chain and hold the push button until all the water has drained from the toilet bowl.

4 Remove the supply line from the toilet tank with channel locking pliers by turning the toilet line connection bolt to the left. Place a towel under the line to collect the remaining water.

5 Loosen the nuts on each side of the bottom of the toilet tank. Carefully lift the tank out of the cup and put it on its side.

6 Remove the rubber gasket located at the bottom of the tank. Use a spatula or utility if the joint does not come off easily. Wipe toilet residue with a towel.

7 Apply a sealant to the reservoir around the opening. Fit the new rubber gasket over the opening; Be careful to align the board with the opening. Allow the joint sealant to dry for five to 10 minutes.

8 Set the tank back on the toilet. Tighten the screws located on the bottom of the tank.

9 Reconnect the toilet supply line and convert the water again by turning the valve counterclockwise.

10 Check for leaks. Wipe any remaining water from the floor with a towel.

Tips and warnings

  •     Take the old board with you to the hardware store so you can buy the correct replacement size.

Kohler K-4067-NY Bancroft Comfort Height Elongated Bowl, Dune

How to seal a toilet tank

If the accumulation of water is observed on the back of the toilet bowl, check the coupling of the inlet tube on the bottom of the tank to ensure there are no leaks. Wrap a strip of toilet paper around the joint; If the paper peels dry, the rubber seal between the container and the container is damaged and must be replaced. Even though it takes some heavy work, replacing the rubber gasket is quite easy, as long as you have the correct spare parts.



Kohler K-4067-NY Bancroft Comfort Height Elongated Bowl, Dune
Kohler K-4067-NY Bancroft Comfort Height Elongated Bowl, Dune




Instructions

1 Close the closing of the water supply valve to the toilet tank and pull the chain. Remove the lid from the reservoir and sponge out any remaining water in the bottom of the tank.

2 Undo the joint that connects the flexible hose of the shut-off valve to the base of the tank with an adjustable wrench. Lift the rubber washer into the joint with a fine screwdriver. If the washing machine is hard and brittle, unscrew the assembly from the other end of the compression and replace the entire hose at the same time as you have the opportunity.

3 Locate the two large slotted head screws on each side of the flap valve on the bottom of the tank. These screws connect the tank to the toilet bowl. Insert a large flat-blade screwdriver into one of the slots to prevent the screw from turning. Undo the nut on the bottom of the vessel flange with an adjustable wrench. Repeat this procedure and remove the second connection bolt.

4 Swing the toilet tank side to side to break the seal. Lift the container out of the container and place it face down on a thick towel next to the toilet. Take off the old rubber gasket from the socket. Scrape off any dirt that surrounds the outlet and the coupling flange on the toilet bowl with a spatula and a rag.

5 Take the old seal to the hardware store to make sure you buy the right size replacement. Also, purchase a new kit-tank to bolt cup, a flexible spare water supply pipe, and some silicone plumber's grease while you're there.

6 Coat both sides of the rubber-tank replacement to the cup seal with a thin layer of silicone grease plumber. Place the seal on the outlet of the tank with the upper conical part. Move the tank on the right side up. Place steel washers from the replacement kit on the new tank bolts to the bowl, followed by the fiber washers. Insert the screws through the holes in the bottom of the tank.

7 Lower the tank onto the cup. Make sure that the rubber-to-cup gasket fits perfectly in your recess-assignment dates, while slotting the bolts that fix into their respective holes in the flange bowl. Place fiber washers followed by steel washers through the bolts under the cup and thread the nuts until they are in hand tight; all washers are included in the bolt-to-cup replacement kit.

8 Place the head of a large screwdriver in the slots of the tank bolts from inside the tank to prevent them from turning. Tighten each nut alternately in half a turn with the adjustable wrench. Keep tightening each nut in turn to compress the rubber-tank washer to the cup. Do not over tighten the nuts when forcing the key after a firm resistance is felt.

9 Screw the fitting onto the end of the flexible water line on the compression stop valve. Tighten firmly with the adjustable wrench. Connect the end of the tank to the water supply line and tighten firmly with the adjustable wrench.

10 Pour a liter of water into the tank and check the connection bolts and rubber gasket for leaks. Tighten each bolt to connect another quarter turn if necessary. Open the shutoff valve of the water supply. Rinse and refill the tank two or three times to make sure there are no leaks during the washing action. Replace the toilet tank lid to complete the installation.

Tips and warnings

  •     Wear latex gloves while working on a toilet.

Mansfield 135WHT 135010007 White Elong Toilet Bowl

How to connect a toilet tank to a Bowl

Installing a new toilet or replacing a larger toilet is not difficult. Be careful when handling the toilet bowl and the toilet tank. Porcelain is relatively easy to chip during handling. A maintenance staff do it yourself can install the toilet tank over the toilet bowl in a few minutes and without much difficulty.



Mansfield 135WHT 135010007 White Elong Toilet Bowl
Mansfield 135WHT 135010007 White Elong Toilet Bowl




Instructions

1 Place the tank cushion washer over the toilet bowl.

2 Place the two thick rubber washers in the tank where the bolts pass through them to tighten the tank to the bowl.

3 Support the tank in the container carefully so that you do not splinter the porcelain. Align the two holes that the screws will go through by tightening the tank with the corresponding holes in the toilet bowl.

4 Place a washer on a bolt and slide it through one of the holes in the task. Repeat this step for the other side.

5 Place the other washer on the end of one of the bolt under the rim of the toilet bowl. Hand tighten the nuts on the bolts.

6 Place a 2-foot level on the top of the toilet tank to verify that it is level. Tighten the nuts and screws carefully with a flat-head screwdriver and an adjustable wrench. This compress the thick rubber washer between the tank and the container. They alternate between the two nuts and bolts while checking that the tank remains level.

Tips and warnings

  •     Most toilets come with the assembly load value and the waste gasket is already fixed in the tank. If they are not, it is easier to install them before the tank joins the bowl.
  •     Do not tighten the screws that hold the tank. This can break the toilet.

KOHLER K-4325-L-0 Kingston(TM) Wall-Mounted 1.6 or 1.28 GPF Flushometer Valve Toilet Bowl with Top Inlet and Bedpan Lugs, Without Seat, White White

What is the purpose of isolating a tank from the toilet?

Hygienic insulation kits provide a solution for sweat toilet cisterns, which occur in areas with high heat and humidity in the summer months. Sweating toilets can cause significant damage to a house, including the structure, causing water damage and allowing the formation of mold and deteriorate materials, including floor joists and drywall.



KOHLER K-4325-L-0 Kingston(TM) Wall-Mounted 1.6 or 1.28 GPF Flushometer Valve Toilet Bowl with Top Inlet and Bedpan Lugs, Without Seat, White White
KOHLER K-4325-L-0 Kingston(TM) Wall-Mounted 1.6 or 1.28 GPF Flushometer Valve Toilet Bowl with Top Inlet and Bedpan Lugs, Without Seat, White White




The sweat tank of the toilet

A toilet tank usually contains cold water, which is in the tank until the handle of the toilet is pressed, the opening of the valve in the bottom of the toilet and letting the water out of the tank and into the tank. container. Then the waste is thrown down the drain. When the weather heats up and the humidity level rises, hot and humid air condenses when the toilet tank comes into contact. The condensation on the outside of the tank, or the drops of sweat, accumulate until they run out on the sides of the tank and fall on the floor below.

Water damage

A toilet tank will sweat a certain amount of water during a day, depending on the humidity levels inside the bathroom. As water drips on the bathroom floor, water collects or pools around the base of the toilet. This water can damage and discolor the finish of the bathroom floor. Water can also seep into the subfloor where it will damage the floor joists, cause mold growth and ruin the roof and lights below.

Isolation

Toilet tank isolation kits maintain a sweat toilet, providing a layer of insulation between the water in the tank and the walls of the tank. Trim the insulation pieces to fit along the different sides of the inside of the tank. The insulation keeps the walls of the tank from becoming so cold since the insulation keeps the cold water cooling down the walls of the tank. Adhesive that comes with the insulation kit keeps the insulation pieces from coming loose.

other changes

There are other solutions to a toilet tank sweating. You can place a cover on the outside of the toilet, which will help keep water running on the sides of the tank. The operation of a dehumidifier in the house will dry in the air, which will keep the condensation from accumulating in the toilet tank. An anti-sweat valve will introduce hot water into the water supply in the toilet. While the addition of an excess of hot water in the tank or container of a toilet will result in the formation of odorless cracks, an anti-odor valve will introduce enough so that the tank will not be cold enough that condensation will form. Some antisudor valves allow the user to adjust the amount of hot water in the tank or even shut off the hot water supply outside in cold weather.

Danze DC013230BC Orrington Elongated Toilet Bowl with Soft Close Seat, Biscuit (Bowl Only)

Can a toilet tank be occupied by a water supply by gravity?

One of the ways in which water is supplied through pipes for drinking, cooking and cleaning is through a system of gravity, which is an ancient system that has been in use since humanity began to take advantage of water. One of the many accessories that a gravity water supply can be connected to a toilet, which can use water by gravity to fill the toilet tank.



Danze DC013230BC Orrington Elongated Toilet Bowl with Soft Close Seat, Biscuit (Bowl Only)
Danze DC013230BC Orrington Elongated Toilet Bowl with Soft Close Seat, Biscuit (Bowl Only)




Water supplies by gravity

gravity water systems, as the name implies, use the force of gravity to maintain water pressure along a pipe network instead of a pressurized water system that uses a pump or other hydraulic means to maintain the Water moving through the pipe network. Gravity water supply maintains a water reservoir stored higher than the pipe network to maintain this pressure. An example of this type of systems are the visible water towers on top of residential buildings and other structures.

Hygienic operation

Toilets pulled into the water from the pipe network through a plumbing fixture is called a toilet tank fill valve. A mobile float connected to the filling valve rises and falls on top of the water in the measuring tank that is filled. When the water reaches the proper level in the reservoir, the float signals the filling valve to shut off the water supply. After the tank is emptied, the float sinks again, indicating the fill valve to open and refill the tank.

Tap water for the toilet

Gravity water supply pipes connect to the bathroom by running through any floors or intermediate walls. If feeding through a wall, notches are cut into the wall studs so that the pipes sit inside the wall space, and drywall can be placed on top of the wall studs uniformly. In some countries, water pipes to the toilet bowl run along the outside of the walls.

Connecting the Gravity supply pipe

Crown the end of the water supply line by gravity with a water supply valve, which will allow you to cut the water supply for the bathroom without having to interrupt the water supply for the rest of the house. Wrap the inlet on the bottom of the toilet fill valve with plumber's tape, and do the same with the outlet of the water supply valve. Connect a flexible tube between the two by screwing the couplings into the inlet and the thread outlet.