HEART FAILURE what next

Recommended by the NHS for my Heart Failure

Ramipril 3.73mg ACE inhibitor Relaxing blood vessels,

Combining Ramipril & Dapagliflozin requires caution due to an increased risk of hypotension (low blood pressure) and dehydration

Bisoprolol 2.5mg a beta-blocker, works by blocking the effects of hormones like adrenaline to slow the heart rate and lower blood pressure.

Dapagliflozin 10mg a SGLT2 inhibitor. Treats type 2 diabetes by forcing the kidneys to remove excess glucose through urine.

Furosemide 40mg Loop Diuretic. Treats fluid overload (oedema) and high blood pressure by inhibiting salt and water reabsorption in the kidneys.

Apixaban 10mg oral anticoagulant. Blood thinner.

Atorvastatin 20mg PCSK9 inhibitor. First-line oral statin that reduces cholesterol production.

Omeprazole 20mg Pump Inhibitor acid reduction.

Spironolactone 25mg heart failure, high blood pressure, PCOS potassium-sparing diuretic. 

So what do they do in Japan, China & India.

Japan Collaborative Cohort Study (JACC), suggests a strong, evidence-based approach to using Coenzyme Q10 (CoQ10), astaxanthin, and Vitamin B12 (along with B6/folate) to support cardiovascular function. In Japan, CoQ10 is considered a legitimate treatment for heart failure, while recent pilot studies have highlighted astaxanthin’s role in reducing cardiac oxidative stress.

Coenzyme Q10 (CoQ10) in Japan

CoQ10 was approved in Japan in 1974 for the treatment of congestive heart failure

Astaxanthin supplementation (12 mg/day) suppressed oxidative stress (lowered dROM levels) and improved heart function (ejection fraction) in patients with heart failure.

B vitamins (specifically folic acid and B12) were inversely associated with mortality from cardiovascular diseases.

B12/folate intake was linked to a lower risk of stroke and heart failure.

B12, alongside B6 and folate, break down homocysteine, which damages inner lining of arteries.

Vitamin D3 and K2 is considered a potent “dynamic duo” for cardiovascular health.

Magnesium linked to a lower risk of mortality from ischemic stroke and coronary heart disease.

Plays a key role in regulating blood pressure, crucial for preventing cardiovascular issues.

Omega-3s EPA and DHA intake reduce the risk of coronary heart disease, especially for those who are considered to be in a “higher risk population” such as those with higher blood triglyceride

Selenium is an essential mineral with antioxidant properties that help prevent atherosclerosis and maintain heart health. Improves blood rheological properties (fluidity). Heart Failure Risks: selenium deficiency is not uncommon in heart failure patients its deficiency is linked to higher 1-year mortality and readmission rates.

Zinc and vitamin C support your immune system, reducing the risk of several diseases like heart disease and stroke

Quercetin is a naturally occurring plant pigment and one of the most abundant dietary flavonoids, known for its potent antioxidant and anti-inflammatory properties.

Vit C 500mg + Zinc15mg      Vit D3 10000IU + K2 200mcg             CQ10 200mg                               Magnesium Elemental 150mg        Milti B Vits 75mg each           Vit B12 250ug               Folic Acid 400ug Astaxanthin 18mg            Selenium 200mcg    Omega 369 1000mg                  Quercetin 500mg