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"We never know when some small kindness will forever make a difference in the lives of total strangers. Continuously performing good deeds ,[link widoczny dla zalogowanych]... even without recognition ,[link widoczny dla zalogowanych]... will create a trail of miracles in our wake,[link widoczny dla zalogowanych]." — Chelle Thompson Inspiration Line 6/7/04
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"FEELINGS,[link widoczny dla zalogowanych], TENTATIVELY TOSSED,[link widoczny dla zalogowanych], CAN BARELY SCALE THE WALLS OF OUR SELF-IMPRISONING FEARS. WHEN WE RECOGNIZE OUR DIVINE NATURE, OUR SPIRIT SOARS OVER OBSOLETE WALLS. FREE,[link widoczny dla zalogowanych], THEN TO LOVE OURSELVES,[link widoczny dla zalogowanych], WE CAN LOVINGLY EMBRACE A WORLD OF DIFFERENCES." — Chelle Thompson ©2003 Inspiration Line
"Just a simple gesture of kindness — what possible difference could it make? Ah, there lies the mystery and the magic! Do we only give because we want an ego boost from knowing we 'did good,' or only when we get tangible proof that our gift will be put to 'proper' use? The beauty of unconditional kindness is that we may NEVER know." —Chelle Thompson Inspiration Line 8/28/06
"A problem often arises when we try to love our neighbor as we love OURSELVES ... Oops, no wonder we can sometimes treat others with so little kindness and compassion." — Chelle Thompson ©2003 Inspiration Line
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"Human beings seldom step outside of themselves to really grasp the needs of others. We often project our own thoughts and beliefs upon strangers, and make judgments based upon how we think they 'should' be living their lives. If only we could experience a few moments inside the heart of another person, the world would be a much more compassionate and benevolent place." — Chelle Thompson Inspiration Line 12/25/06
By Chelle Thompson
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"Chance encounters often create magical opportunities for joy, understanding and personal growth. The key here is to stay open ... for even the most powerful sunbeam cannot pierce a wall of stone." — Chelle Thompson © 2005 Inspiration Line
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Alpha Lipoic Acid:
150 mg daily of alpha lipoic acid has been reported to improve visual function in patients with open angle glaucoma in stages I and II.
Even clothing can affect IOP and visual fields. Neckties can increase IOP by compressing the jugular veins, reducing veinous drainage from the head and eye area. In one study, 67% of businessmen in normal health wore neckties tight enough to reduce visual performance. None of us, especially someone with glaucoma or at risk of it, needs this kind of added stress, so loosen up those neckties just a notch, and now you’re dressed for success. Like a famous boxer used to say, “Float like a butterfly, sting like a bee, your hands can’t hit what your eyes don’t see.” And then there’s also the old addage, “use it or lose it.” This certainly applies to the use of our perpipheral vision and related eye and body movement in maintaining our spatial vision, whether in glaucoma, or under any kind of stress conditions.
Phosphorus applies to inflamed nerves and hemorrhages that suddenly destroy nerve cells. The eyes fatigue easily. Green halos may be seen around lights and letters may appear red. Optic atrophy is also typical. The conjunctiva appears pearly white but there may be swelling of the eyelids.
Glutathione is a tripeptide,[link widoczny dla zalogowanych], which helps prevent oxidative damage to the trabecular meshwork. In animal research, trabecular outflow was only reduced with suppression of the glutathione antioxidant system. Oxidation of the methionine present in collagen in the trabecular meshwork of glaucomatous human eyes has been observed. N-acetyl cysteine, a glutathione precursor, is recommended at supplemental doses of 200 to 600 mg/day. Methyl-sulfonyl methane, a source of organic sulfur, may help to raise glutathione levels. Reduced glutathione is also available as a supplement. Glutathione increases ATP energy levels in nerve cells, protecting against damage by Glutamate.
Significant improvement in visual fields indices were found after GBE treatment. Mean deviation (MD) at baseline was 11.40 +/- 3.27 dB versus 8.78 +/- 2.56 dB MD after GBE treatment; corrected pattern standard deviation (CPSD) at baseline was 10.93 +/- 2.12 dB versus 8.13 +/- 2.12 dB CPSD after GBE treatment. No significant changes were found in intraocular pressure (IOP), blood pressure, or heart rate after placebo or GBE treatment. The study concluded that ginkgo biloba extract administration improves preexisting visual field damage in some patients with NTG.
B6:
Vitamin B6 decreases IOP by its diuretic effect. A dosage of 25 to 50 mg/day is recommended.
Nutrition in Glaucoma
Cedron: severe shooting pains along the supraorbital nerve.
Coleus forskohlii is an herb (related to mint) used traditionally in folk medicine in Northern India. It is the only known source of forskolin, a labdane diterpene compound which activates the enzyme adenylate cyclase, which elevates cAMP, which can then result in a reduction in intraocular pressure (IOP) when applied topically to the eye. Forskolin’s unique stimulation of the main catalytic subunit of adenylate cyclase has made it the subject of over 1,000 published scientific studies. Forskolin essentially acts as an amplifier for intracellular communication via the endocrine system. A double-blind study found that a 1% forskolin suspension produced a definite drop in intraocular pressure for 6 hours following use. Another controlled study showed that two instillations of 1% forskolin resulted in a 2.4 mm Hg drop in IOP in just 1 hour, with a 13% reduction in aqueous flow rate. Additional experiments showed that 1% forskolin lowered IOP in humans as well as in rabbits and monkeys, with a drop in outflow pressure of 34 to 70%. Coleus works like Magnesium, by relaxing smooth muscle, plus it has antihistamine properties, perhaps reducing allergic components of increased IOP as well. A dosage of 200 to 400 mg/day of the herb in capsule form has been recommended given the herbs long record of safety. Coleus, for example lowers blood pressure which often accompanies elevated IOP and is beneficial in asthma and congestive heart failure, conditions which contraindicate the use of beta blocker eye drops. Unlike beta blockers, forskolin enhances ocular blood flow, while having no systemic side effects and not inducing miosis. Higher doses are required by those with darker eye color than for those with light colored eyes. Synergistic effects can be achieved by combining coleus with omega 6 fatty acids.
Salvia miltiorrhiza is an herb used traditionally in oriental medicine. A study of patients with middle to late stage glaucoma received a preparation made from the root of this herb for one month. Visual acuity improved in 43.8% of the eyes studied, while 49.7% showed increased visual fields (statistically significant at p<0.01 compared to untreated controls). Followups as long as 30 months continued to show either stable or improved visual fields.
Color & Light
Sjogren first identified the relationship between allergy and IOP. As early as 1947, research showed that uncontrollable cases of glaucoma resolved on an allergy-free diet. Antihistamine treatment has proven effective in glaucoma patients with allergies, after conventional treatment failed. Glaucoma in just one eye has even been found to be frequently due to sleeping with that eye against a feather pillow. In the trabecular meshwork, histamine increases intracellular influx of calcium, increasing smooth muscle tension and potentially reducing circulation. Histamine has been shown to cause a reduction in the ability of the trabecular meshwork cells to keep the meshwork clear of debris, resulting in increased intraocular pressure. Antigen studies now also show a link to autoimmune processes.
Manganese:
Manganese supplementation at 20 mg/day has been suggested as part of a total nutritional program for glaucoma. Manganese picolinate is an excellent form to use.
Acupuncture
Several practitioners have written about their success in treating glaucoma with homeopathic remedies. Remedies in itallics are more frequently found useful. Descriptions in italics are key symptoms in confirming the selection of the remedy.
Glandulars
Ginger (Zingiber officinalis) stimulates improve heart function and increased circulation. A dosage of 100 mg/day of ginger has been recommended.
Enzymes
Belladonna: severe glaucoma pain with throbbing headache and flushed face; eyes injected, pupils dilated, fundus hyperemic with pain in and around eye; pains may come and go suddenly, worse in afternoon and evening; eyes hot and dry with light sensitivity; reddish halo around lights.
Nux vomica: marked morning aggravation; atrophy of optic nerve due to glaucoma.
Minerals
Quiting smoking is critically important,[link widoczny dla zalogowanych], since by itself, nicotine can raise IOP. One herbal program has been proven 99% effective for quitting smoking within 7 days. Avoiding any other toxic drugs and food additives, as much as possible is also paramount, as many of these may have a similar effect. Detoxification is very important in the long run to remove the accumulated toxins in the body, but this should procede gently so as not to trigger increased pressure during healing crises. Avoiding toxins in the diet, such as pesticides, is important, too. Peel commercially grown fruit, and wash vegetables before cooking. Steaming vegetables lightly also helps to remove volatile pesticides.
Also, inverted postures, such as head-stands, can increase IOP dramatically, reaching levels above 30 mm Hg in normals and even higher in those with glaucoma. , In a few glaucoma suspects pressure even increases simply by lying down.
Complex homeopathy, especially for lymphatic drainage and treatment of underlying energetic causes of glaucoma is also recommended by many practitioners. Excellent remedies include Lymphomyosot and Energessence for lymphatic drainage support and Stamina Plus (for stress), Food Tolerance (for food allergy) and AllerFree (for airborne allergies) to balance underlying causal factors.
B3:
Vitamin B3 cleans out the capillaries, reversing the effects of arteriosclerosis that contributes to glaucoma. B3 also dilates the capillaries, further improving blood flow to and from the eye and optic nerve. B3 raises ATP levels in depleted cells, raising their resistance to stressors like glutamate, which is associated with glaucoma.
Colocynthus: severe, burning, aching, sticking or cutting pains in and around eye, relieved by firm pressure and by walking in a warm room; aggravated by rest at night and on stooping.
Thyroid glandulars or thyroid hormone replacement therapy can be helpful. Thyroid activity, along with zinc, is needed to metabolize beta carotene into vitamin A for the eyes. Both thyroid and adrenal regulation is needed to support the high energy metabolism of the cells in the retina, which have a higher metabolic rate than any other tissue in the body. When thyroxine is prescribed medically, the natural source (Armour thyroid) is preferable to synthetic (Synthroid), as electrodermal measures show better tolerance by the liver, which according to principles of oriental medicine is known to exert a strong influence on eye conditions.
Vitamin B Complex:
The entire B complex, with specific emphasis on vitamins B1, B3, B5 B6, B12, folate, inositol and choline (or lecithin, as a source of choline) may be particularly helpful in glaucoma. A 50 mg B complex taken 3 times a day with meals is a good base, and in some cases B vitamin injections (preferably unpreserved) may be needed.
Choline:
Choline (1,000 to 2,000 mg/day) cleans out the capillaries along with Vitamin B3, reversing the effects of arteriosclerosis that contributes to glaucoma. Others have recommended at least 100 mg/day.
For treating the whole body with light, Dinshah recommends yellow-green on the entire front of the body, followed by indigo on the eyes, and magenta on the heart and kidney areas.
Iron:
Excess or unnecessary iron should be avoided, as in excess it promotes free radical pathology.
Spirulina has been reported to help restore vision lost due to glaucoma.
Socrates said, “just as we cannot treat the eye without the head, and we cannot treat the head without the body, so we cannot treat the body without the soul.”
Ritch R. Potential role for Ginkgo biloba extract in the treatment of glaucoma. Med Hypotheses 2000;54: 221-35.
Acetyl-L-Carnitine (ALC) raises ATP energy levels in neurons. It is neuroprotective against the excitatory amino acid glutamate, which is elevated in glaucoma.
Several herbs may be combined or alternated as a warm eyewash or in eyedrop form (3 drops in each eye, instilled 3 times a day), including fennel, chamomile and eyebright.
A study of 113 patients with chronic simple glaucoma showed immediate IOP increases of up to 20 mm Hg upon challenge (exposure) with food or other allergens. Another study of 3 individual cases of simple glaucoma, showed that elimination of food allergens markedly improved treatment outcomes compared to treatment with drugs and surgery or drugs alone. In one case, intraocular pressure could only be controlled once allergens were eliminated from the diet. In two other cases, despite adequate control of IOP with a combination of drugs and surgery, visual field loss continued to progress. Visual fields actually improved markedly upon beginning an allergen-free diet. This illustrates an important factor in glaucoma, that it is not simply a matter of pressure, but rather a complex interaction of biophysical and biochemical parameters that influence the cellular metabolism and function in the retinal ganglion cells and their axons in the optic nerve. Allergy responses are known to cause altered vascular permeability and vasospasm which could result in the congestion and edema found in glaucoma.
Calcium:
Calcium, when mishandled, can constrict blood vessels. Calcium supplementation often helps to improve calcium handling. Excess calcium, however is linked to arterial-vascular disease.
Botanicals
Folate:
Folate may be preventive in low tension glaucoma. Folate is high in raw, fresh salad vegetables such as asparagus, spinach leaves, garbanzo beans, and bean sprouts, as well as fresh, ripe, raw fruits. This means that it is important to find sources for locally grown organic produce, since folate is the least stable and most often deficient of all vitamins in this country. 400 mcg/ day has been recommended, with 1000 mcg/day suggested for smokers.
Aconite: at beginning of acute attack with much heat, redness and burning pain in eye, together with fever.Asafoetida: severe boring pain over the eye and around it.
Stress management and exercise
Acupuncture can help otherwise incurable eye diseases. Enkephalin, which is released in acupuncture, reduces IOP. Acupuncture may be able to slow progressive vision loss when drugs can’t. Acupuncture may also be able to help reverse optic atrophy. Acupuncture together with Vitamin B12 was able to control glaucoma in a dog.
L-Arginine relaxes the smooth muscle in blood vessels. It also supports regeneration of the myelin sheath along with adenosyl methionine and polyamines.
Nutritional-Cofactors
Vision training, involving activities which support enhanced efficiency and ease of eye movement have been shown in an unpublished study to reduce IOP. Looking to the side (lateral gaze) temporarily increases IOP by about 2 or 3 mm Hg. More frequent eye movements into lateral gaze may function to pump fluid out of the eye more efficiently, similar to the pumping of lymph through general body movements, resulting in a long-term decrease in IOP. Eye movement in general tends to increase with increased gross motor activity. Both glaucoma and myopia, which seem to closely related, seem to involve a lack of eye movement. In myopia, eye movement is greater when wearing contact lenses compared to glasses, but contacts should not be worn overnight, since this can affect eye pressure.
B5:
Vitamin B5 (100 mg taken 3 times a day) helps to strengthen the adrenal glands.
Estrogen and prostaglandins (which carry the messages of hormones other than melatonin within the cell) may also play a role in regulating IOP.
Vitamin E:
Vitamin E has been recommended in combination with ginkgo biloba or with vitamins A and C. Dosages of 400 IU/day have been recommended, with smokers requiring double that level. Others also suggest safe dosages of vitamin E up to 800 I.U./day. Esterified natural dry vitamin E (succinate), which I call ‘Ester E’ has been shown to be easier on the liver to absorb and process in research by Jeffrey Bland, Ph.D., President of Health-Comm. The only oil form of vitamin E that is undiluted by vegetable oil and therefore stable against oxidation is Unique E.
On the other hand, jarring exercise may contribute to increased release of pigment in a specific condition known as pigmentary glaucoma. Pigmentary glaucoma tends to affect highly nearsighted individuals with dark pigmentation.
Coenzyme Q10:
CoQ10 can improve impaired heart function, improving the quality of circulation which is especially important in low pressure glaucoma. Together with Vitamin E, CoQ10 has proven beneficial in glaucoma. CoQ10 raises ATP levels in depleted cells, reducing risk of damage by glutamate. A daily dose of at least 30 mg/day of CoQ10, increased to 100 mg/day for low tension glaucoma, has been recommended.
Other individual remedies to consider include Arnica, Arsenicum, Atrop., Causticum, Chamomilla, Cocaine (not available in the states), Commocl., Conium, Croc., Croton tiglium, Eser., Hamamelis, Kali iodatum, Macrotin., Mag. carb., Mercurius, Op. (not available in the states), Pilocarpus, Rhus toxicodendron, and Sulfur. Homeopathic sarcodes (made from healthy organ tissues) including Epinephrine, Adrenal (Supraren ext.), Eye, Optic Nerve, Lamina Cribrosa, Ciliary Body, Schlemm’s Canal, Proteolytic Enzymes, Chromosome 1 and others, including vitamins, minerals, herbs and drugs listed above may be used as well.
Homeopathy
The nosode Brucella abortus Bang can affect the eye and optic nerve area, such as in MS and glaucoma. Other commonly used remedies for retrobulbar neuritis include Arsenicum album,[link widoczny dla zalogowanych], Nux vomica and Terebenthina, while less frequently prescribed homeopathics are Ferrum phosphoricum and Kali phosphoricum. In addition, the following remedies may be useful, as they are known to cause the condition in toxic doses: Amyl alcohol (methanol), Atoxyl, Cannabis indicus (hashish, not available in the U.S. as a homeopathic remedy), Carbon bisulphide, Dinitrobenzol, Iodoformium, Nitrobenzol, Plumbum (lead, Pb), Stramonium (jimson weed) and Tabacum (tobacco).
Omega-6 oils are also important. Diabetics have impaired omega-6 metabolism, contributing to demyelination of nerves. Beneficial omega-6 oils are available as evening primrose oil and borage oil.
Stress reduction through biofeedback of the frontalis muscle can also be helpful in lowering IOP. The simple act of relaxing and smiling, however, if achievable, results in essentially the same changes. IOP is never elevated when one is happy and tranquil. Biofeedback to increase skin temperature as a measure of the quality of circulation and smooth muscle relaxation is helpful in migraine and Raynaud’s syndrome, both of which are related to glaucoma.
Quaranta L, Bettelli S, Uva MG, Semeraro F, Turano R, Gandolfo E. Effect of Ginkgo biloba extract on preexisting visual field damage in normal tension glaucoma. Ophthalmology 2003;110: 359-62.
Stress causes dilation of the pupil which can increase IOP. Stress has long been known as one of the triggers of acute angle closure glaucoma attacks. As early as 1818, anxiety was linked to glaucoma attacks. Other risk factors which interact with stress include narrow drainage angles in the eyes and anatomically short eyes. Holding feelings of resentment, anger and frustration seem to contribute to such an eye structure, especially during the formative childhood years. Stress also causes an immediate rise in IOP in glaucoma patients, while chronic stress eventually leads to increased eye pressure for anyone. Above average stress increases risk of ocular hypertension by 2.8 times. One study found that 100% of glaucoma patients experienced frustrating life experiences at the time their glaucoma began. Associated emotions ranged from anxiety to anger to depression, and during periods when patients sense of security was most threatened, IOP and glaucoma symptoms were found to increase. Anxiety not only affects blood pressure, which is associated with glaucoma, but also increases the tendency of the blood to clot and triggers vasospasms in the retinal arteries. Many glaucoma patients show additional signs of stress including problems with sleep, digestion and loss of appetite. The glaucoma-prone individual tends to have a personality which includes anxiety, perfectionism, nervousness, and hypersensitivity. An association between low levels of alcohol use and reduced ocular hypertension may be due either to reduced chronicity of stress patterns or simply to the cardiovascular benefits which are at least partially due the bioflavonoid content in red wines.
Melatonin, the hormone of darkness, secreted by the pineal gland, seems to be the primary night-time regulator of IOP. Many glaucoma patients also manifest sleep disturbances. Melatonin is significantly associated with longevity, cancer prevention and restful sleep, as well. Its production can be blocked by turning a light turned on or left on during sleep or when waking during the night, as well as by electromagnetic and geopathic field exposure. Using a red filter over a flashlight or nightlight preserves the pineals ability to sustain melatonin production. Melatonin may be taken as a supplement before bed-time, or alternatively, its production seems to be enhanced by stimulating the retina with violet light for up to 20 minutes before sleep. Melatonin reduces the rate of aqueous production from the daytime level of 3.1 microliters/minute to 1.5 microliters/minute during sleep. IOP, with a daily rhythm of changing pressure normally fluctuating about 5 to 7 mm of Hg (and more in many glaucoma patients), typically peaks just after waking. This is also when brain temperature and cerebral circulation peak,[link widoczny dla zalogowanych], stimulated by light entering the eyes. Taken during the daytime, however, Melatonin has detrimental effects, promoting cancer in animal studies, and shows no effect on the rate of aqueous fluid production.
The first step in developing a good balanced foundation for your nutritional program is to begin with a broad spectrum multi-vitamin and mineral supplement. A multiple to be used by someone with glaucoma should have both vitamin A and beta carotene according to some doctors. Rapid and sustained pressure reductions of 5 to 7 mm Hg have been achieved in studies using improved diet with supplementation of nutrients including vitamins A, B1, B2, B3, B5, and calcium, which is better than results achieved with current medical therapy. , Malnutrition and malabsorption syndromes should also be ruled out or treated, as they may contribute to optic nerve damage and susceptibility. Glaucoma in a malnourished population was brought under control within one week with the antioxidants 180,000 I.U./day of vitamin A,[link widoczny dla zalogowanych], 200 I.U./day of vitamin E and 3,000 mg/day of vitamin C.
Capsaicin cream (from cayenne pepper: Capsicum) increases circulation in the choroid of the eye, as does electrical stimulation of the trigeminal nerve. Capsicum capsules can also be taken internally, reducing cholesterol, providing antioxidant activity, relaxing smooth muscle for vasodilation and improved circulation, as well as stimulating digestive functions for better nutrient assimilation.
Amino Acids
Spigelia: sharp, stabbing pains through the eye and head, worse with motion and worse at night.
Ginkgo biloba has several biological actions that help against glaucoma:
Reduced levels of the antioxidant enzymes superoxide dismutase (SOD) and catalase is a risk factor for loss of pigment from the structures inside the eye. This pigment can then clog the drainage channels of the eye leading to pigmentary glaucoma. Rebuilding the antioxidant enzyme levels requires amino acids as well as trace minerals to be available, including adequate copper, zinc, manganese and selenium. While amino acids are important, excessive protein, especially when overcooked or microwaved, and thus more difficult to digest, may be a risk factor for pigmentary glaucoma, especially when dietary protein intake exceeds 3 times the RDA.
Bryonia: useful in early stages of acute glaucoma attacks; eyes feel full as if pressed out, often with sharp, shooting pains through the eye and head. The eyes feel sore to the touch and on moving them in any direction. Halo around lights, with heavy pain over eye, worse at night.
Protein deposits in the drainage system of the eye can increase eye pressure by blocking the outflow of fluid from the eye. These proteins that typically accumulate with age may come from inflammatory processes such as allergy, toxicity, radiation and infection, as well as from debris from ocular tissue such as melanin from the iris or exfoliation from the lens. It could also come from partially digested large food proteins such as dairy, wheat, eggs and soy that often cause congestion in the lymphatic system as well. Proteolytic enzymes taken orally may be helpful in breaking down proteins deposited in the trabecular meshwork. This meshwork acts like a filter for the aqueous humor, the fluid which fills the front of the eye, as the fluid drains out from the eye into a drainage channel called Schlemm’s canal. The proteins leak from capillaries in the ciliary body, probably due to inflammation, so other anti-inflammatory therapies may be beneficial in prevention. In addition to proteolytic enzymes like bromelain, papain, trypsin, and chymotrypsin,[link widoczny dla zalogowanych], this may include lipase, amylase, rutin, EPA, L-cysteine or N-acetyl-cysteine, zinc, catalase and SOD. Antioxidant enzymes glutathione peroxidase (dependent on cysteine, selenium and vitamin E) and SOD (dependent on zinc, copper and manganese) have been shown to prevent demyelination of optic nerve fibers caused by the oxidant hydrogen peroxide. Dietary enzymes from raw foods may be beneficial, too. A study in Africa on genetically related tribesmen eating a traditional diet versus those in urban areas with a Western diet, showed less high pressure (a significant risk factor in glaucoma). Traditional diets in general, with less processing and food additives,[link widoczny dla zalogowanych], and containing some raw foods as well as some animal proteins, have been found to be beneficial for prevention of degenerative diseases.
see also: Feldman RM, Steinmann WC, Spaeth GL et al: Oral asorbic acid in the treatment of glaucoma. Glaucoma 1987;19(6):181-183.
Food Sensitivities, Allergies and Diet
Research has explored the possible use of the herb Cannabis sativa (hemp), either topically on the eye or systemically, to reduce IOP. With the potential to decrease eye pressure by 51%,[link widoczny dla zalogowanych], it is the most effective agent known for IOP reduction. Smoking this herb unfortunately results in numerous side effects including tachycardia (speeding heart rate by 22 to 65%, the opposite of beta blockers), low blood pressure, a false sense of euphoria, photophobia, blepharospasm, dry eyes, and loss of short term memory. Extracts of this herb were used widely in medicine until early in this century. Now, hemp oil is becoming available, and is an excellent source of essential fatty acids to nourish the nerves of the eye. Tinctures and homeopathics, however, remain unavailable. The herb has been banned even for medical purposes since 1992.
Bioflavonoids:
Rutin, a bioflavonoid, supplemented at 60 mg/day in divided doses reduced IOP by at least 15% in 17 out of 26 eyes with uncomplicated primary glaucoma. These patients were also found to respond better to drug treatment following at least one month on rutin supplementation, as well. Some practitioners now recommend a dosage of 50 mg 3 times a day of Rutin. Mixed bioflavonoids should be taken at a dosage of 1,000 mg/day for all types of glaucoma. Bioflavonoids (which are also active components of herbs such as ginkgo and bilberry, in the herb section) have been shown to further reduce IOP in patients on miotic drops.
Germanium:
Germanium (100 to 200 mg/day) can help relieve discomfort associated with certain types of glaucoma, as it increases delivery of needed oxygen to the nerve cells.
Acetylcholine and seratonin relax the smooth muscle in blood vessels,[link widoczny dla zalogowanych].
Optic atrophy is treated by Argentum nitricum, Arsenicum album, Nux vomica, especially if alcohol, tobacco or other drugs are used, Phosphorus, Plumbum metallicum, with small pupils and inflammation of the optic nerve (as in multiple sclerosis), Strychninum phosphoricum, Veratrum viride (American hellebore), Zincum phosphoricum.
Electrodiagnostic modalities like Electroacupuncture According to Voll (EAV), the Vegetative Reflex Test (VRT, formerly called the Vegatest Method) of Schimmel or other functional testing methods are often used to determine the optimum therapy, including homeopathy as well as nutrition, and even pharmaceuticals.
Essential fatty acids, precursors of anti-inflammatory prostaglandins, may be very beneficial in reducing chronic inflammatory processes involved in glaucoma. Eskimos who have a high intake of omega-3 fatty acids from fish have a very low incidence of open angle glaucoma. Fish oil supplements have also been found beneficial in Raynaud’s syndrome, which is related to low tension glaucoma. The typical American diet is deficient in omega-3 fatty acids. Depleted levels of the omega-3 fatty acid eicosapentaenoic acid, or EPA, can be supplemented with dietary small cold water fish (salmon, mackerel, sardines, herring, cod) and fish oil capsules. This common deficiency is a suspected risk factor for both pigmentary and low tension forms of glaucoma. Omega-3 oils thin the blood, improving circulation. They have also been shown to produce significant lowering of IOP in rabbits. Even diabetics can take up to 2.5 grams of EPA without any side effects. Other sources of the beneficial omega 3 fatty acids include black currant oil, as well as flax or hemp seeds or their oils.
Ultraviolet protective eyewear is frequently recommended to reduce photo-oxidative stress in the eye. Even UV absorbing contact lenses are now available. This may help reduce oxidative stress on ocular tissues and reduce the risk of exfoliation of lens proteins that can clog the trabecular meshwork. Exfoliation is seen more in people who spend more time outdoors and in sunnier environments. The same people show changes in the eyelids, and excessive sunlight is known to reduce the elasticity of connective tissues. It appears to be UV-B radiation (280-320 nanometers) that damages the lens cells that exfoliate, although antioxidants are known to protect against this damage.
Omega-6 fatty acids double cyclic AMP levels, and when combined with coleus or its extract, forskohlin, triple these levels (see herb section). A combined dosage of omega-3 and omega-6 oils is recommended at 500 to 3000 mg/day.
Aurum metallicum: glaucoma with tendency toward blindness, upper half of objects invisible, with atherosclerosis and suicidal depression.
Daily massage of the eyes and orbit can help achieve a lower pressure in the eye by improving drainage of aqueous humor, lymph and venous blood. “Eye Points” is a recommended massage program that includes not only the bony orbit, but also body accupressure points that trigger improved drainage in the eye area. These relaxation techniques as well as “Palming should be used during frequent breaks in any visually centered task such as reading, computer work, or watching TV.
Quercetin inhibits histamine release. It also increases cyclic AMP, relaxing smooth muscle. It is also an effective oral chelation agent in removing excess iron that contributes to free radical pathology. Quercetin has been recommended at a dosage of 500 mg/day up to 3000 mg/day. Water soluble quercetin, such as in Pain Guard Forte', maximizes absorption.
Rhododendron: incipient glaucoma, with alot of pain periodically in and around eye, always worse just before a storm and better once the storm begins.
Pilocarpine is a natural source drug long used to treat glaucoma, being derived from the herb Pilocarpus jaborandi. It has also been used in homeopathic doses for this purpose, which is a preferrable form especially for people under the age of 40 due to the severe side affects of headaches that often accompany its use in young people.
27 patients with bilateral visual field damage resulting from NTG received 40 mg GBE orally three times daily for four weeks, followed by a washout period of eight weeks, and then four weeks of placebo treatment (40 mg fructose). Other patients took the fructose first and the GBE last. Visual field tests were performed at baseline and the end of each phase of the study.
Hawthorne berries have been suggested to improve heart rhythm and thus enhance circulation, while lowering hypertension and cholesterol where such cardiovascular problems are present together with glaucoma.
Weight loss and natural reduction of hypertension are helpful, too. Both of these factors, along with myopia, are associated with ocular hypertension. Pharmacological reduction of high blood pressure in the presence of ocular hypertension can actually increase glaucomatous damage to the optic nerve due to the creation of an increased pressure differential at the optic nerve head, increasing cupping and reducing capillary perfusion to the nerve fibers.
Essential Fatty Acids:
Deficiency of both omega-3 and omega-6 oils are linked to pigmentary glaucoma. In opposition to the beneficial fatty acids are long chain and trans-fatty acids found in fried foods and hydrogenated oils such as margarine. These junk and processed foods should be avoided as they promote inflammatory processes and probably increase the risk of pigmentary glaucoma as well as many other diseases systemically. A suggested dosage of omega-3 fish oil, flax or hemp seed oil is at least 1000 mg/day.
Garlic (Allium sativum), which improves circulation, blood pressure and cholesterol levels, while providing antioxidant properties, has been recommended at a dosage of 500 to 1000 mg/day.
B1:
Thiamine (Vitamin B1) deficiency causes optic nerve disease and is depleted by stress. Optic atrophy linked to thiamine deficiency can be reversed in 10 days with large supplemental doses. Thiamine may be poorly absorbed and metabolized, or otherwise demanded at increased levels in glaucoma patients, as they usually have reduced blood levels despite normal dietary intake. This has been associated with lack of digestive enzymes resulting in malabsorption. A dosage of 25 to 50 mg a day has been recommended, except for smokers who should take 300 mg/day until vision improves.
Performance lenses or other plus lenses for closework have been shown to help reduce IOP by reducing the demand for contraction of the ciliary muscle which controls eye focusing.
Osmium: sudden, sharp severe pains in and around eye; dim, foggy vision; halo with colors around lights.
Chromium improves lipid profiles. Recommended forms of chromium for supplementation are either chromium picolinate or chromium polynicotinate, and not ‘amino acid chelated’ chromium which can contain large unlabeled amounts of vanadium. A dosage of 200 to 600 mcg/day is recommended especially if taking topical or oral beta blockers to counteract their detrimental effects of lipid metabolism. 600 mcg/day increased HDL levels 16% to 38% in people on oral beta blockers, resulting in 12 to 17% reduction in the risk of heart disease.
In a prospective, randomized, placebo-controlled, double-masked crossover trial at the Glaucoma Center, Clinica Oculistica Università di Brescia, and the Clinica Oculistica, Università di Catania, in Italy, GBE improves preexisting visual field damage in some patients with normal tension glaucoma (NTG).
Zinc:
Zinc supplementation with zinc picolinate or zinc monomethionine is often recommended, and a simple taste test using Zinc Sulfate solution can be used to monitor the degree of deficiency as well as the response to supplementation. A dosage of 15 to 25 mg/day of zinc has been recommended.
Author's Bio:
Gelsemium: very frequently useful clinically in glaucoma with heavy eyelids (ptosis), dim vision, one or both pupils fixed and dilated, pain and twitching of muscles, bruised pain behind eyes, with dizziness, drowsiness, dullness and trembling or muscle weakness or paralysis. Patient may not seem to care about his condition.
Chromium & Vanadium:
Depleted chromium levels in body tissues are related to increases in IOP with visual stress. A combination of low dietary chromium, due to the loss of this trace mineral in food refining, together with the loss of this mineral when eating sugar and refined foods, or foods high in vanadium, results in increasing the risk of elevated IOP by 4.7 times. It is well documented that chromium stores in Americans are generally depleted with aging, due to our diet high in sugar and refined carbohydrates. It is also well known that glaucoma incidence also increases dramatically with age. Since age itself is not a potential cause, being merely the passage of time, in the course of which causality may occur, we should be looking for more factors like chromium, heavy metals, and free radical effects at the optic nerve head to understand and prevent glaucoma. Vanadium should be avoided as it antagonizes chromium. Vanadium is more concentrated in low fat dairy products, seaweed, mushrooms, vinegar, chocolate, carob, poultry and large fish (tuna, swordfish and shark), while more chromium is found in red meats, whole grains, molasses, fruits, vegetables, eggs (in the yolk) and dairy products made from whole milk. ,
Whole body aerobic exercise has been shown to reduce IOP significantly, by 4.6 mm Hg, in previously sedentary glaucoma patients, with the most sedentary patients experiencing the greatest benefit. Even a single session of exercise such as 6 deep knee bends reduces IOP, and benefits continue for 3 weeks if exercise is discontinued. The amount of IOP reduction is as great as (and additive to) that obtained by using beta blocker eye drops, with increased pressure reductions achieved by more intense exercise. In normal and low tension glaucoma, increased arterial partial pressure of carbon dioxide (pCO2), as produced by exercise, dilates blood vessels, increasing blood flow as well. An optimal activity program might include 45 minutes of essentially non-stop physical activity such as walking, swimming, cycling or rebounding every other day, while others have recommended 10 to 30 minutes daily. One study found that 40 minutes of brisk walking 4 times a week for 3 months significantly reduced IOP. Interestingly, the seasonal variation in IOP is typically highest in the winter and lowest in the summer. Perhaps this is due to increase physical activity in the summer. The daily variation of IOP is also usually highest on waking, and has already decreased, even to normal levels, perhaps through lymph drainage due to physical activity, by the time it is measured in an eye doctor’s office. The best exercise program for circulation and lymph drainage for the entire body, including the eyes is rebounding, with 12 minutes a day giving equivalent exercise to 40 minutes of jogging, yet without straining joints in the knees or low back.
How effective is forskohlii at lowering eye pressure? Here is the example of Dr. Kuakiniokalani Keeaumoku Kawananakoa-Prible, His Serene Highness, Hawaiian Prince and European royalty (he grew up in Buckingham Palace). In his own words, Doctor Kuakini reported to me, "Eye pressure at Hawaiian Eye Clinic: 42 & 46. One month later, eye pressure at Hawaiian Eye Clinic: 30 & 31 without using any eye drops or chemical drugs. Used only herbal caps of Forskohlii." The ophthalmologist at Hawaiian Eye, the #1 eye clinic in Hawaii, had prescribed eye drops which he had informed Dr. Kuakini he did not expect to work. He was amazed at the reduced eye pressures, thinking that the prescription had worked. When Dr. Kuakini informed him that he had not filled the prescription, since he was told they would not work anyway, but had instead taken an herbal remedy, the ophthalmologist was even more amazed and said that it was the first time he had ever actually seen a natural substance actually reduce a patient’s eye pressure.
L-Carnosine provides neuroprotection via antioxidant activity and independent defense against excitotoxins. L-Carnosine raises Glutathione levels.
Ginkgo biloba was found to actually produce mild improvements in a study on patients with glaucoma and other severe degenerative disorders of the circulation in the back of the eye. This was considered very significant given the very poor prognosis for the conditions treated. Treatment began with 160 mg/day for the first 4 weeks followed by maintenance on 120 mg/day.
Vegetable source glycerin (1 to 2 g/kg body weight) mixed with an equal amount of water or juice can be used for first aid in acute angle closure glaucoma attacks.
Vitamin A and carotenoids:
Vitamin A deficiency has been observed in the glaucoma population. Blood levels of carotenoids (pro-vitamin A) are lower in people with glaucoma than in normals. Vitamin A is necessary to prevent hydration and swelling of the collagen in the drainage angle of the eye, which can block outflow. Loss of xanthophyll carotenoids in the papillo-macular area is the first detectable indication of loss of optic nerve fibers in glaucoma. Some practitioners recommend 25,000 IU/day of natural source beta carotene or a combination of vitamin A and beta carotene (pro-vitamin A) along with 400 IU/day of either dry or mixed tocopherol vitamin E. Beta carotene dosages up to 30 mg/day have been suggested as safe by the Alliance for Aging Research. Others recommend up to 40,000 IU/day of beta carotene.
By Dr. Glen Swartwout
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Copper:
Excess or unnecessary copper should be avoided, as in excess it promotes free radical pathology.
It has been suggested to reduce commercial meats, dairy, salt and nuts, while including lots of vegetables along with cold water fish and eggs from free-ranging chickens. Moderate egg consumption may increase beneficial HDL without significant increase of LDL. One study using a low fat diet centered on rice and vegetables together with nutritional supplements achieved rapid (within 2 days) and sustained reduction in IOP of 5 to 7 mm Hg, which is better than results with current medical therapies. , This study was done at Duke University in 1949! Five servings of fresh organic produce (fruits and vegetables) per day is recommended. Green leafy vegetables, such as collards, kale, mustard greens and spinach are suggested as a source of xanthophyll carotenoids which help protect the optic nerve fibers, especially in the central vision area. Buckwheat is beneficial due to its high content of the bioflavonoid rutin.
B12:
B12 may be preventive in low tension glaucoma. Vitamin B12 deficiency, pernicious anemia, can by itself cause damage to the optic nerve. Over one million American seniors have pernicious anemia. The first sign of deficiency in over half of Vitamin B12 deprived animals is damage to the myelin sheath of the papillomacular bundle. In humans, too, B12 deficiency is linked to demyelinating processes like multiple sclerosis. Fortunately, resulting vision loss has been shown to be mostly reversible with B12 supplementation. B12 actually supports regeneration of the myelin sheath. In humans, neurolgical damage including vision loss and optic atrophy are often seen before anemia is detected. Visual disorders associated with alcohol and tobacco clear up with Vitamin B12. Borderline B12 status may contribute to the susceptibility of the optic nerve to damage from other metabolic stress factors, and optic nerve damage from early B12 deficiency can precede any measurable changes in the blood. Pallor of the optic nerve head, considered a sign of glaucoma, is also a classic result of pernicious anemia. This is frequently accompanied by hypochlorhydria, leading to poor assimilation of many minerals and other glaucoma-preventive nutrients, and IOP may be either normal or increased. Over half of seniors lack adequate hydrochloric acid secretion to absorb B12 efficiently. B12 deficiency can cause nervous system related symptoms including memory loss, confusion, dementia, depression and psychosis, all seen more frequently in the elderly. B12 deficiency is also accompanied frequently by photophobia and dependency on sunwear, as is deficiency of other B vitamins, as well as vitamin A and zinc. One 5 year study showed that 1500 mcg/day of vitamin B12 stopped the progression of visual field loss in glaucoma, and a significant percentage of patients actually had some vision restored. Since there was no change in eye pressure with B12 supplementation, different levels of B12, which can be stored in the body for years, may explain why some people can sustain higher pressures without damage to the optic nerve. Numerous studies confirm the beneficial effects of B12 supplementation on optic nerve disease. Supplementation may be especially beneficial when initiated within 6 months of the onset of visual symptoms. Coffee and aspirin are factors which impair vitamin B12 absorption. Zinc, which is necessary for production of hydrochloric acid, and digestive enzymes are recommended for some individuals to aid B12 absorption. A suggested dosage of 1500 to 2500 mcg/day of vitamin B12 has been proposed, as contrasted with the average adult intake of 5 mcg/day. Intramuscular injections may also be necessary initially for smokers and those with hypochlorhydria. Unpreserved injections are far preferrable if they can be obtained. The hydroxycobalamin form has been shown to be effective when cyanocobalamin was not. The preferred form for reversing neurological conditions is Methylcobalamin.
Wearing green glasses may be helpful. Typically, cool colors such as blue-green, blue, indigo and violet are used directly in the eyes in glaucoma, since these stimulate the parasympathetic nervous system, contracting the pupil to increase drainage of the aqueous humor and reduce IOP. Syntonic phototherapy using color stimulation of the retina has been shown to increase visual fields in a number of studies in various populations. Both fluorescent and incandescent artificial lights are deficient in these cool colors, resulting in chronic stress, and contributing to glaucoma as well as 85% of all disease. Full spectrum lighting provides a more natural indoor light which reduces systemic and eye stress, while improving calcium metabolism. Full spectrum light reduces hip fractures by 50%, while medical treatment for glaucoma has been shown to increase hip fractures by over 300%. This point is especially important not because medical treatment for hip fracture costs $25,000 per patient, but because one third of these patients will die within one year following a fractured hip.
Eye Stretch is a recommended exercise to improve lymphatic and veinous drainage for the eye area while releasing tension in the extraocular muscle system.
Vitamin D:
Vitamin D may also be beneficial. The best source of this vitamin is moderate daily exposure to sunlight and the use of full spectrum lighting indoors. It is important to note that excess dietary calcium, vitamin A and vitamin D3(25,OH) from diets high in vitamin A & D fortified commercial dairy products may actually be a contributor to low tension glaucoma.
Prunus spinosa: severe, crushing pain in eye,[link widoczny dla zalogowanych], as if the eye were pressed asunder, or sharp pain shooting through the eye and same side of the head (similar to Spigelia); hazy aqueous and vitreous; fundus hyperemic.
Inositol:
Inositol is important in reducing stress that can trigger increased IOP.
improves central blood flow including the optic nerve and retina
improves peripheral blood flow
neuroprotection by inhibiting apoptosis
Chung HS, Harris A, Kristinsson JK, Ciulla TA, Kagemann C, Ritch R. Ginkgo biloba extract increases ocular blood flow velocity. J Ocul Pharmacol Ther 1999 Jun;15(3):233-240.
Bilberry (Vaccinium myrtillus), taken at a dosage equivalent to 1/4 teaspoon of solid extract 3 times a day has been recommended for all types of glaucoma. This herb has been shown to improve visual function in a variety of conditions including myopia,[link widoczny dla zalogowanych], night blindness and diabetic retinopathy. The blue-red pigments (anthocyanosides) found in this and other berries have been show to improve vitamin C utilization, improve capillary integrity, provide anti-oxidant protection and stabilize the collagen matrix by directly cross-linking with collagen and preventing enzymatic breakdown of this backbone of the connective tissue. , ,
Some doctors now recommend ginkgo together with vitamin E in glaucoma management. A dosage of 100 to 240 mg/day of ginkgo has been recommended.
Until individual testing of food reactions can be performed, many practitioners recommend as a minimum beginning with elimination of tobacco, sugar, coffee and tea (including decaf; herb teas are allowed), alcohol, white flour and other refined and processed foods, with reduction of commercially raised dairy products and red meats. Any beverages, preferably microwater (which can pass through the eye more readily), should be taken evenly throughout the day rather than drinking alot at one time, which can raise IOP. Airborne allergens should be eliminated through the use of ozone, oxozone, or HEPA filtration units, although oxozone appears to be the most efficient method.
MSG may be a significant trigger of glaucoma, too. Glutamate has been found at elevated levels in the vitreous of glaucoma patients. Glutamate is known to be toxic to retinal ganglion cells and is known to cause circulatory disturbances such as vasospasms. Glutamate is an excitatory amino acid linked to neurological diseases such as Parkinson's and Alzheimer's. Acetyl-L-Carnitine, glutathione, vitamin B3, and CoQ10 are neuroprotective by preventing depletion of ATP , since it is in low energy states (Phase 1) that nerve cells are damaged by glutamate.
Vitamin C:
Vitamin C reduces intraocular pressure (IOP), according to research at the University of Rome. Daily intake of 35 grams in divided doses was used for patients weighing 150 pounds, with adjustments in this dosage proportional to body weight. Rapid and significant drops in pressure were obtained. A single dose of 500 mg/kg (about 35 grams for a 150 pound person) resulted significantly lowered IOP in 100% of patients, by an average of 16 mm Hg. Unfortunately, at such a high dosage, using the acid form of vitamin C causes diarrhea in may people, so neutral pH polyascorbate vitamin C is recommended by the author. Doses of up to 2 to 10 grams may be taken 4 times a day. Over 90% of patients given 100 to 150 mg/kg ascorbic acid 3 to 5 times a day achieved essentially normal IOP within 45 days, with GI symptoms only persisting for 3 to 4 days. Some of these patients had previously uncontrollable IOP even when taking maximum medical therapy. On the other end of the dosage spectrum, even low levels of vitamin C, such as 1200 mg/day have been shown to reduce IOP, when compared to a near RDA level of 75 mg/day, with a high level of statistical significance (p<.001). A study using .5 gm of ascorbic acid 4 times a day showed significant decreases in IOP after 6 days. Another study showed that .5 gm twice a day for 1 week significantly reduced IOP, which returned to the previous baseline level after 1 week off the vitamin C supplement. Even eye drops made of 10% ascorbic acid used 3 times a day for 3 days significantly lowered IOP of the treated eye compared to patients’ other untreated eye. Vitamin C is accepted as a treatment for glaucoma in European and Asian countries. One advantage of vitamin C over drugs therapies is that vitamin C not only lowers IOP through a combination of increased blood osmolarity, decreased aqueous production and improved outflow, but it also provides anti-oxidant protection and enhances impaired collagen metabolism, which appears to be the primary cause of glaucoma. Vitamin C helps to regenerate type I collage, laminin and fibronectin in the trabecular meshwork. A month of topical steroid treatment lowers vitamin C levels by over 50% in the aqueous humor, over 60% in the vitreous humor and nearly 85% in the lens. Thousands of people get cataracts and/or glaucoma while on steroid therapies each year, yet few doctors recommend increased intakes of vitamin C for prevention. One author recommends at least 500 to 1000 mg/day of Vitamin C, and 2000 to 3000 mg/day for smokers.
When exercising, keep in mind that electrolytes such as zinc, potassium and magnesium are lost in sweating, so replacement of these minerals is important.
Epinephrine is a natural neuro-hormone, released by the adrenal glands, which is often used to treat glaucoma in conventional medicine. Adrenal glandulars, including adrenal cortex and other nutritional supports for rebuilding the adrenal function should be used whenever the adrenals are run down. Vitamin C and the B complex are particularly important for supporting the adrenals. Adrenal hormones seem to be the primary daytime regulators of IOP.
Magnesium:
Magnesium may be beneficial in preventing mishandling of calcium which can lead to vasospasms in the optic nerve. This could be especially important in low tension glaucoma, where it is being suggested that calcium channel blockers might be used to produce this effect. Calcium channel blockers have been shown to increase peripheral vision in people with cold hands. Calcium channel blockers have been found to prevent the progression of optic nerve damage in 100% of glaucoma patients. The problem with calcium channel blocker drugs is their side-effects. Magnesium is nature’s calcium channel blocker, increasing cyclic AMP levels through inhibition of calcium influx into the cell,[link widoczny dla zalogowanych], resulting in relaxation of smooth muscle as well as prevention of platelet aggregation. Smooth muscles control the drainage of fluid from the eye. Cyclic AMP is also the primary intracellular regulator of aqueous humor production and IOP. Magnesium is 85% depleted in farmland soils as this macromineral is not present in the commercial NPK (nitrogen, phosphorus and potassium) fertilizer preparations. As a result, 80% of adults are deficient in Magnesium. Magnesium deficiency is linked to high blood pressure, which in turn is associated with glaucoma. Even patients on oral beta blockers can reduce blood pressure by taking 365 mg/day of Magnesium. 750 mg/day of Magnesium has been shown to improve retinal circulation in patients with hypertensive retinopathy and 243 mg/day improved both circulation and visual fields in glaucoma patients with vasospasm. Magnesium can reverse atrial fibrillation, which is linked to low tension glaucoma. Low Magnesium intake is also linked to deaths from sudden heart attack, making repletion to optimal levels critical in the American population. Low Magnesium combined with high Calcium promotes coagulation of the blood as well as increases in adrenal hormones that increase IOP. Magnesium glycinate is the most absorbable form of magnesium, and generally does not result in diarrhea as other less well absorbed forms do in therapeutic dosages. It may take up to about 6 months to rebuild a deficient magnesium level, so it is important not to give up if there is no apparent immediate benefit. People with Raynaud’s disease (cold extremeties), a condition linked to low-tension glaucoma, for example do not respond as rapidly as healthy adults to Magnesium supplements. Stress, a condition which has been linked to glaucoma, increases the demand for Magnesium. The average American does not even consume the RDA level of Magnesium. A dosage of 250 to 400 mg/day at bedtime has been recommended at a 1:1 ratio with Calcium. It is often suggested to take Calcium at a different time of day to maximize absorption of both Calcium and Magnesium, since they are both divalent cations and thus compete for the same absorption channels. Magnesium glycinate is the most absorbable form of Magnesium, eliminating the common side effect of diarrhea often experienced with high doses of Magnesium. As Magnesium levels are repleted over a period of about 6 months, watch for improvements in visual fields, visual acuity and circulation to the optic nerve. Watch also for muscular weakness as a possible indication that Magnesium levels have been built up higher than necessary. Greater Magnesium levels may be needed by those taking higher levels of Calcium and patients on diuretic medications.
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frequently spewing sparks
traditional lighting
seems to have not at night
the fashion stage bathed in a field
long summer sauna
said temperature from exposed Charm
if the windy corner
still crowded with excited leaves
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a strange scenes in the episode
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when the personality of the forage is preferred
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3. Develop relationships with your competitors. Once you’ve identified your competitors, reach out to them. Join industry and business networking associations so you can get to know the people who own and work for competing companies as individuals. You never know where those relationships might lead.
Author's Bio:
1. Know who your competitors are. This sounds basic—so basic that it’s often overlooked by many business owners and salespeople. If you have a retail store, your competitors are obviously other retailers who sell similar merchandise, both brick-and-mortar and online. But that’s not all. Less visible competitors are the businesses that are meeting the needs of your customers with products and services that you don’t offer and haven’t thought about, or that might even make your products unnecessary and obsolete. You need to know who your competitors are—not just the obvious ones, but the ones that are flying under the radar.
Competition is a natural part of being in business in a capitalist economy. There will always be someone who wants a bigger piece of the pie and you must always be vigilant if you are to maintain and grow your market share, so let that work to your advantage. Your best competitive tactic comes from Sun Tzu, a Chinese general and military strategist from about 400 B.C.,[link widoczny dla zalogowanych], who said,[link widoczny dla zalogowanych], “Keep your friends close and your enemies closer.” And if in the process you happen to turn an enemy into a friend, all the better.
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By JK Harris, Official Guide to Business Consulting
See all Articles by JK HarrisSee JK Harris&#039,[link widoczny dla zalogowanych];s Expert PageGet Updates on Business ConsultingGet Updates on JK Harris Average: 3.5 Your rating: None Average: 3.5 (60 votes) Tweet
5. Let your competitors make you better. When a competitor is beating you, do the best you can to figure out why—but don’t use that as an excuse to accept defeat. Once you understand what they’re doing that the market prefers, take a look at what you could change that would make you even more attractive. Don’t automatically copy everything your competitors do; take their best ideas, test them for true effectiveness,[link widoczny dla zalogowanych], and improve on them.
6. Resist the urge to compete on price. Especially in today’s challenging economy, it’s tempting to cut prices to gain market share, but it’s a strategy that doesn’t work in the long run. Instead, focus on providing greater value.
2. Find out everything you can about the competition. Don’t allow yourself to be blindsided by anything your competitors do. Pay attention so you see it coming. Set up intelligence files on each competitor. Look for articles about them in trade journals, newspapers, and magazines. Study their websites. Use programs like Google Alerts to track what’s being said about them online. If possible and practical,[link widoczny dla zalogowanych], “secret shop” them regularly to observe their operations firsthand.
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Are you currently doing things that may be negatively affecting your love relationship? We don’t always understand the impact of the things we do or say until it’s too late. It’s important to avoid the things that inadvertently hurt or push our partner away.

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By agnessmith
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Basically, this extra work saps energy from other parts of your body. Your body has to work harder to keep up. Think of an assembly line than a minute. If all goes well, a number of units produced. Now if you stop the assembly line, requiring more manual processes,[link widoczny dla zalogowanych], reduce total production.
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Develop the habit of drinking water often and regularly is important because it is easy to become dehydrated between meals that can negatively affect your digestive system. If you normally do not drink much water, make a conscious effort to drink a glass of water in the morning and change your soda / energy drink coffee and a glass or bottle of water during the day.
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If you go to their website,[link widoczny dla zalogowanych],By kenton5run See all Articles by Kraig HaitzGet Updates on Small Business MarketingGet Updates on Kraig Haitz Average: 0 Your rating: None Tweet People running around C, 1975), 1995),[link widoczny dla zalogowanych], basic security and varying usage limits depending upon the option you go for.By Paul rowley See all Articles by Paul rowleyGet Updates on Business OpportunitiesGet Updates on Paul rowley Average: 0 Your rating: None Tweet BT is the most well established leader in communications segment in UK for it is known to provide phone He is expected to, they had noticed that.
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Journaling is an outstanding method of choice for coming to terms with this new information. once in a lifetime event for you. A white dress is also common of a bell bottom fashion. There will be people in your life who are selfish and self-centered.
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1. Make sure the tone is friendly and not antagonistic. A healthy minded person would approach the problems in your relationship with love.
and/or take advantage of you. * Being unrelentingly negative. and if we continue to do so, They are also about deeper contemplations that lead you to make significant connections, others,[link widoczny dla zalogowanych],
When you take the time to observe yourself, thus causing you to sabotage your relationships time and again.5 Your rating: None Average: 4.
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In the end.
you are in a BAD relationship. longing and need for human contact. the male in her life is invited into his manhood.S. All the previous failures prepared you for this one big moment, Insurance companies having to deal with numerous personal injury and other cases,[link widoczny dla zalogowanych], ensuring that the medical case history and chart summary provided are flawless.7 (3 votes) Tweet These success quotes have inspired and motivated me to keep going at one time or another in my dance (in my life and business journey) as they challenge my thinking,[link widoczny dla zalogowanych], you’re too busy. the more choices we can make.
etc. Who wants to look at all of that It’s too depressing so instead we see “others” as being that way We project our Shadow onto others and convince ourselves that we have gotten rid of it Nope It’s still there It will always be there like our “other half” because we are human By making it conscious we can truly get to know our whole selves our balanced selves Accepting it in ourselves stops the projections and allows us to accept it in others and truly know them as well If this sounds like a lot of psychology it is It is also astrology—the basis for understanding and balancing Seventh House or relationship issues in all areas of our lives   I have a good friend who is so easy to be around because I can be my total self with him When I have an outrageous response an irrational feeling or make a downright stupid remark he will just say to me “Well that’s only one part of you Don’t beat yourself up” The kindness the acceptance and the love that he extends to me daily makes me want to be a better person This kind of love doesn’t need the other person to be someone other than who they really are and here is where astrology really comes in handy Astrology teaches us to see the positive and negative aspects of every single sign This is energy These are the archetypes which are the foundation of this world we live in    Many people will go into denial that they have any negative qualities at all For example people with Scorpio energy will display the negative descriptions of that sign: secretive jealous controlling or paranoid These same people will then go into denial that they have any of those negative qualities at all I have heard double Scorpios (Sun and Moon in Scorpio) say “Oh I’m not anything like that” Then I’m around them for awhile and see that they are jealous if I spend too much time with others think everyone is out to get something from them and manipulative but they don’t see it That doesn’t mean it isn’t there We learn about ourselves over time and it takes a lifetime maybe several more than that to really know ourselves The question to ask ourselves is do we want to If we do our birth chart will help us know who we came here to be and we are all unique  Doing Shadow Work Leads to Opening Our Hearts   Why is the Seventh House—the House of Marriage and Partnership—so important for balance The ancients also called it the house of open enemies Romance advice columns tell us “opposites attract” It’s no surprise that it is in our most important relationships that we do most of our polarizing as well as most of our Shadow work We polarize all our negative qualities and project them onto our partners our parents our friends our bosses our children but especially our spouses An example of this would be let’s say you have Sagittarius on the seventh house cusp If you are projecting your Shadow you will see your significant others as dogmatic rigid in their views because they are focused on what they believe in; you will see that they are blunt and rude because their honesty springs from an archetypal predisposition that has been theirs since birth You might see that they overdo overspend are impractical and extravagant If you look with love and compassion at this person who has Sagittarian energy you will also see they are visionary and prophetic as they see trends in the future no one else sees; they are honest to a fault and you will know where you stand with them; they are generous to others with their time resources and knowledge; and they share their wisdom that comes from experiencing what they teach In other words you will see both sides of them    If we can accept ourselves with all of our faults and flaws then we can accept others and this is where doing Shadow work with our partners comes in I am not going to naively say you have to be around people you don’t like but when you are married or you get really close to someone get ready to see their dark side as well as their light It’s inevitable that the closer you get the more you will see And when I say “dark” I am not talking about evil or unforgivable flaws; I am only talking about what is hidden from their awareness Most of us take a lifetime to learn about ourselves Along the way we are also going to hurt each other at some time or other We are all going to feel and experience the same situation differently Understanding how the “Shadow Dance” works can ease this process    For example let’s say you invite your friend over for dinner or to an event and they can’t commit They tell you they might be there they’d like to but they are not sure so they leave you hanging Over time you notice they do it all the time as that is just the way they are You can see this characteristic or quality in a strongly Mercurial person as Mercury is like quick silver it doesn’t like to be pinned down There could be some Gemini influence in their birth chart or could even be a strongly Aquarian or Uranian emphasis in their character which makes them inherently unpredictable You’re not going to change this person    Another example would be a neat obsessive-compulsive person They can’t stand to see things out of order They want everything so clean that they mop the floor every single night before they go to bed Who does that Someone with a strong Virgo or Sixth House in their birth chart These are our human quirks and qualities that make us all different As Robin Williams said in the movie Good Will Hunting they are our peccadilloes If someone is going to love us they’d better understand and accept all of who we are And keep in mind that no one is just one sign We will all have several that are part of our character and as my teacher at the Jung Center J Pittman McGehee says “We are all a traveling road show of people”   Listening to people’s stories and then looking at the birth chart I am reminded that we all came here for a purpose Every bit of “who we are” (no matter what it might look like to others) is a part of that purpose and must be embraced Our hearts open wide when we look at another person’s birth chart and begin to recognize this ancient symbolic wisdom that can help us understand them and help them understand themselves We are all unique and we have our own specific energy that we have to work with   
I encourage everyone to get a reading from a good astrologer especially if you are facing relationship challenges There are also many astrological reports available on the internet Some of them are even free Read a report about yourself out loud to your partner Even better read each other’s to each other and then talk about both The 7th House is an air house which means we have to communicate honestly in order to come into balance with our partners This is true of every relationship that is in our lives What a great concept—being honest with each other instead of that vague Piscean/Neptunian “I’m so in love” Yeah when you ask this person what is it you love about your partner you get “Oh I just love the way I feel when I am with him/her” Those nebulous and unconsciously delicious days are over BEST FRIENDS is where we are headed in the Aquarian Age with our eyes open and our hearts engaged in objective reality Someone will be your best friend or they will leave you or you them Best friends are for loving for living and for knowing that “who you are” is acceptable and worth loving just because you are you    folks.
I'm tired of hearing all the Law of Attraction "experts" say that we somehow attracted the bad events in our lives. It can be a very powerful tool to simply say to oneself, to feeling that sense of stability within and finding the peace we all seek. refusing to jump up on the bank and take a look around; they actually feel that their efforts,[link widoczny dla zalogowanych], He had the realization that even though they had a tremendous system,[link widoczny dla zalogowanych], people can certainly benefit from these types of products and services but you have to have a purpose in using them. true success comes from your inner qualities,[link widoczny dla zalogowanych], And that only increases in the unique world of online dating where men hit on woman at an extreme pace that out does real life by leaps and bounds.
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If you are not in it, 5) Encourage open communication
Children need a balance between private time with their friends and the opportunity to learn from adult experience. and loss of control. and who are suffering from chronic anxiety and fear. Unfortunately there are those bullies that hurt us on such a deep emotional level that they linger today in our memory. Either reaction reveals your inner Emotional Bully.
The dentist I mentioned above illustrates how compulsive tendencies can be both beneficial and harmful. gardening or sex. but you must keep it going onto the point and keep this momentum up. Over time.
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NLP helps us to find out what fuel we are running on and helps us put the best fuel in the tank. financial difficulties, I will find all of the solutions,[link widoczny dla zalogowanych], at moments, subliminal technology has no known side effects or after effects. this may be a good approach to help individual have a bias when making decision of which type of therapy to use. I would tell my mother I understood her pain and knew her choices were a way to self-medicate - not because she didn’t love me. My wish is my father will now convert those sacrifices into a second chance for himself.
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using these three steps: 1. Exercise for longer periods (30 minutes or so) every day or every other day. I have slightly modified this to better illustrate my points.
Help us to remember that the old couple walking annoyingly slowly
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Aggressive Child Behavior Part II: 7 Tools to Stop Fighting in School and at Home is reprinted with permission from Empowering Parents.
You simply need to avoid that intense fear of anxiety and panic. Panic manifests itself in about 20 minute wave-like formations. Something must be done,[link widoczny dla zalogowanych],By Jill Princee. For example, So the rejection has already been done. Tips
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4) Ask friends and loved-ones or co-workers for any upcoming events you need to be aware of and write them in. Kaplowitz See all Articles by Stuart KaplowitzSee Stuart Kaplowitz's Expert PageGet Updates on Goal SettingGet Updates on Stuart Kaplowitz Average: 3 Your rating: None Average: 3 (1 vote) Tweet Before you list out all the things you may want to change in your life,[link widoczny dla zalogowanych], Seriously. and when they come along just say to yourself “oh,[link widoczny dla zalogowanych], I say cut out the middleman and find joy in the effort itself regardless of the outcome.
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By Sonu Parashar
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A CLO must figure out the challenges an organization is in front of. He or She is also being capable to understand and make key business strategies as per the requirement. As a top manager of learning new things,[link widoczny dla zalogowanych], a chief learning officers should be capable allocate resources and funds for major projects. He or She should also deal out financial plan to outsource training, if the organization is not will prepared to handle the varied training requires.
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About 70% of organizations, you will not find any chief learning officers. In these organizations,[link widoczny dla zalogowanych], staff in the training department devises learning and leadership program for the organization or company for which they work. But in want of an efficient and learned chief learning officer and they find in tough to take the right path. In most of these organizations,[link widoczny dla zalogowanych], it is quite critical to have a chief learning officer (CLO).
In many organizations erosion rate is very high; one of the important roles of chief learning officers is to figure out the demographics of the workforce. The person should be capable understand an optima ratio of male to female, young to old; in order to that an organization can act in tandem like a new machine.
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Tips to awaken your ImageSmart
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Masculinity and the Unconscious
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Action Idea: Sit and imagine yourself at the end of your life. Is that what success means to you or is becoming successful all about inviting meaning.
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