Home' The River Weekly News : RWN 080715 Contents 23
THE RIVER - AUGUST 7, 2015
Can Affect Blood
Pressure And POTS
by Suzy Cohen, RPh
POTS is one of the
articles on my entire
website. POTS is
the acronym for
can make you feel dizzy and lightheaded
when you first stand up. It’s really com-
mon and it’s much more complex than
I’ve described here. I have more news for
A study published in The FASEB
Journal highlights why certain medica-
tions that block acetylcholine breakdown
are often extremely helpful for POTS
This new study closely examined cho-
line which feeds your cell membranes
and connective tissue. The scientists
researched “fibroblasts” cells which they
extracted from POTS patients who were
deficient in choline. Interestingly, these
patients were also deficient in betaine
which is an amino acid and a methyl
donor sold as a dietary supplement.
Anyway, the scientists looked at choline
transport and cell membrane health as
well as mitochondrial function in their
tissue samples and compared them to
healthy cells from patients without POTS.
Before I tell you the ending, let me
first tell you what choline is. It’s a nutrient
found in foods like beef liver, eggs and
milk and it can be made in the liver. It’s
critical to making membranes and “wrap-
pers” for all your cells so it’s important
for connective tissue and blood vessels.
Choline is helpful for making your nerve
cells talk to each other properly. It is
needed for acetylcholine production;
acetylcholine is a neurotransmitter best
known for supporting memory.
The study ties up the fact that choline
deficiency is bad for a POTS patient.
The researchers found that choline
deficient cells all had disrupted cell mem-
branes! That means they can’t communi-
The protein carrier used to transport
choline around the cells was two to three
times lower in POTS fibroblasts and the
ability to utilize choline was decreased
by a whopping 60 percent! Choline
deficiency hurts your mitochondria, too,
and leads to poor oxygen consumption.
Basically, your cells can’t breathe, can’t
make energy and can’t talk to each other.
They also noticed poor blood sugar con-
trol and impaired electrical activity within
the mitochondria. Taken together, this
means a ton of cellular trouble.
It’s the first study of its kind to show
that people with POTS have a break-
down in cell membrane integrity. I’ve said
this for many years, and I’ll say it again:
It’s all about your cell membrane! The
research proved when choline was sup-
plied to the POTS cells, healthy function
returned. There are millions of people
struggling with POTS.
The POTS research certainly suggests
that choline is a major player. Choline-
rich foods include egg yolks and beef
liver. We live in an egg-yolk phobic soci-
ety and not many people are much into
beef liver either. Methylation difficulties
which most people have also contributes
to POTS. You can read more about
methylation and POTS at my website
where I will post the longer version of this
In the meantime, ask your physician
if choline is right for you. It’s sold every-
where but remember, just because a study
is positive doesn’t mean it’s right for you
so have an intelligent discussion about
this with your doctor.
This information is not intended
to treat, cure or diagnose your condi-
tion. Suzy Cohen is the author of The
24-Hour Pharmacist and is a registered
pharmacist. To contact her, visit www.
Mom And Me
by Lizzie and Pryce
Lizzie and Pryce answer your ques-
tions and give advice about aging
concerns from a two-generational
perspective. A mother and daughter
team, Lizzie is a retired RN and health
educator, and Pryce is a licensed psycho-
therapist in private practice who special-
izes in the care of elders and people with
Dear Mom & Me,
My husband and I are getting to the
stage where we must make some major
changes in our housing.
My son and daughter-in-law have
taken us to see a number of retirement
complexes in our area. My husband
wants to go, but I do not.
He is convinced that we will be robbed
blind and does not want our privacy
invaded if we have daily help coming in.
I think we should stay in our own home,
have help come in and let them take
whatever they want. All of our good stuff
will have been removed and be gone
anyway. What advice do you have?
Both of you raise good concerns about
moving versus staying home. It shows
that moving into a community or staying
home is an important decision, a decision
that should not be rushed and needs to
be researched completely to make the
most informed choice. Know the reasons
why your husband wants to move and
you want to stay. Explore how the needs
can be met in a community versus home,
at what cost and at what risks. Also,
please do not be swayed into a decision
by people who have an interest in your
choice. You make the choice when and if
you are ready.
I have observed that partially due to
the economy, many people are choosing
to stay in their own homes rather than
move to a complex. In order to meet this
need, care giving agencies have been
formed who will visit the home and then
leave. I am sure that if you inquire, you
will find that they are bonded. Privately
arranged care plans may have some
thievery but there are many or most who
are honest, decent people.
We are all exposed to dishonest
people every day of our lives, but most
people are honest.
Lizzie and Pryce’s email address is
NATURAL INJECTION THERAPY
• Back Pain
• Meniscal Tears
• Joint Instability • Sports Injuries
• Labral Tears
Regenerative Medicine Clinics
9738 Commerce Center Ct.
Fort Myers, FL 33908
Make an appointment today!
YOU NEED A TREATMENT AS POWERFUL AND STRONG AS YOU WANT TO BE.
The Florida Department of Health
in Lee County is asking all parents
of students entering seventh grade
to update their children’s immunizations
now before the rush. Public schools start
in Lee County August 24.
“Taking care of these important immu-
nizations now will ensure everyone gets
to enjoy the first day of seventh grade as
they should,” said Kim Wester, immuniza-
tions manager for DOH-Lee. “We also
recommend meningitis and HPV vaccines
when they get their seventh grade Tdap
booster to prevent devastating and unnec-
essary illnesses in the future.”
All students entering seventh grade
must have a Tdap booster before attend-
ing classes. Students not properly immu-
nized by the first day of classes will be
sent home. See your private provider,
or come to DOH-Lee for vaccines or to
update a child’s shot record.
All vaccines for children 18 years old
and younger are free, and administered
without appointments from 8 a.m. to
3:30 p.m. Monday through Thursday
and 1 to 3:30 p.m. Friday at DOH-Lee,
3920 Michigan Avenue in Fort Myers.
Parents must bring their child’s immuniza-
Beginning August 10, the immuniza-
tion clinic will open an hour earlier at
7 a.m. and remain open to 3:30 p.m.
Monday through Friday. The extended
hours will end at 3:30 p.m. Monday,
Avoid long lines, and make sure your
child has everything needed to start
school on time by getting required immu-
nizations now. Limited appointments are
available by calling 461-6100.
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