Hydrochlorothiazide

We don't cover pharmacology.

Hydrochlorothiazide has seven syllables.

That's high, like high blood pressure.

Dro, like drone.

Thy gets the most emphasis.

See if you can hear that emphasis on all three of those syllables when I say it again.

Hydrochlorothiazide.

Hydrochlorothiazide.

And many doctors don't give you that heads up.

Next is chlorothiazide or hydrochlorothiazide, HCTZ or HCT.

These are marketed under multiple brand names.

There's probably 30 different brand names and combinations.

of medications that contain HCT or HCTZ.

It's without doubt, they raise your blood sugar in some people a little bit, in other people, a lot a bit.

The next is the corticosteroid drug class.

This is a frequent area of clinical inertia.

The vast majority of hypertensive patients are initially prescribed hydrochlorothiazide or HCTZ.

HCTZ is a perfectly acceptable mild diuretic for uncomplicated stage one hypertension.

However, its pharmacokinetic profile is relatively weak.

It has a short half life, meaning its fluid removing effects wear off before the 24 hour cycle is complete.

So the kidney starts reabsorbing fluid while the patient is sleeping.

Exactly.

For a patient facing the severe, relentless fluid retention of resistant hypertension, HCTZ is simply outgunned.

Even some of my patients take this.

It's hydrochlorothiazide or HCTZ or HCT.

And it's any of the thiazide diuretics.

And there's several different brand names and also several different genetics and generics in this drug class.

But look at your medication, and if it has the letters HCTZ or HCT, then you're taking a thiazide diuretic.

And it's absolutely true, they can raise your blood pressure, not your blood pressure, no, they can raise your blood sugar either a little bit or a lot a bit.

And so you really, if you're taking HCTZ, a thiazide diuretic, or any of the medications on this list, you need a glucometer so that you can check your blood sugars and make sure that they're not getting out of hand because it's absolutely true some people can take these medications and not have any problems but you don't know if you're one of those people unless you're checking your blood sugar and I've got another video on this channel about how to use a glucometer strategically to either watch your diabetes or to prevent yourself from ever becoming a diabetic so the thiazide diuretics sometimes are necessary sometimes you can't take anything else for blood pressure or for fluid issues that you may be taking it for but if it's possible go see your doctor and say hey can I not please take another diuretic besides HCTZ or one of the thiazides I heard it can raise my blood sugar and then you'll have that good open dialogue with your doctor as you guys talk meaningfully and thoughtfully together your medical health next is the decongestants okay Sudafed phenylephrine a lot of these different guys can raise your blood sugar and so if you're just gonna take them for two three four days because you got a cold or something that's probably fine it's probably not a big deal unless you're an uncontrolled diabetic and then it may raise your blood sugar to the danger point but if you're not a diabetic or if you are and it's well controlled you can probably take these for two or three days but just be more vigilant with checking that blood sugar with your glucometer because you really want to know is this raising your blood sugar or not now ladies are you ready for your bonus prescription medication conjugated estrogens any conjugated estrogen which basically means a fake estrogen that you take in the form of a pill absolutely proven without doubt to raise your blood sugar now for some women it'll raise it a little bit for other women it'll raise it a lot of it if you're taking a conjugated estrogen I recommend you have a glucometer and keep a closer eye on your blood sugar you can get a glucometer at the at the pharmacy without a prescription.

I actually, in my video on this channel about glucometer use, I've got a link off Amazon to a very, very cheap glucometer that you can get with very cheap supplies.

that can break down thiamine prematurely before your body has a chance to use it.

And then some medications, diuretics like loop diuretics like Lasix or thiazide diuretics like HCTZ, metformin for diabetes, prediabetes, metabolic syndrome, all three of those can cause you to be effectively vitamin B1 deficient, even though you may be getting enough in your diet.

And then one more thing, if you are not getting enough magnesium, That can make you effectively vitamin B1 deficient because you have to have adequate magnesium in order to utilize the vitamin B1 that you get in your diet.

So vitamin B1 is absolutely essential for nerve function, energy production, and brain health and so if you're deficient you're going to have those symptoms pork fish a few nuts the other things i talked about are going to be the best sources i'd much prefer you get your vitamin b1 from one of these food sources or several than to buy a vitamin b1 supplement and so all my carnivore brothers and sisters out there especially if you're on the lion diet Beef is not a great source of vitamin B1.