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D-ribose is a specialized form of sugar that acts as an energy source for the heart and other muscles.  These muscles function through the production of ATP, adenosine triphosphate, the body’s critical metabolic potentiator.   Without ATP, activities cease and muscles weaken.

Over the last several years, we have initiated D-ribose supplementation for all patients with cardiac conditions.  Reports from several cardiologists and cardiac surgeons indicate that D-ribose enhances cardiac function in patients with congestive hear failure.  It is also prescribed to patients about to undergo cardiac surgery, and greatly improves survival rate after surgery.

Congestive heart failure (CHF) is the primary cause of hospitalization in older people, and a major cause of death.  It occurs after heart attacks due to blocked coronary arteries, prolonged high blood pressure, and as a primary disorder of heart muscle, termed cardiomyopathy.  All forms of congestive heart failure are appropriate for treatment with D-ribose, and they respond.  Many patients have experienced improved energy and exercise tolerance after starting therapy with D-ribose.

One cardiac surgeon prescribes D-ribose for all patients on whom he performs bypass surgery.  He reports improved survival, and more rapid post-operative recovery.  He generally treats bypass candidates with D-ribose for 7-10 days prior to surgery.

The usual dose of D-ribose is 15 grams per day, taken in three divided doses as a powder dissolved in juice or water.  Although it is a sugar, D-ribose does not cause glucose elevations, and may safely be taken by diabetics.

We have also had success treating muscle inflammatory conditions with D-ribose, including fibromyalgia and chronic fatigue syndrome.  Patients have reported great improvements in pain, weakness, and exercise tolerance.  Requirements for medications to relieve pain and inflammation decrease, along with the side effects of those drugs.

D-ribose enhances the effect of other supplements used for muscle inflammation.  These other nutrients are omega 3 fatty acids, 1500-3000 mg/day, L-carnitine, 500-1000 mg/day, and magnesium 400-800 mg/day.  Relief can occur in 2-4 weeks, sometimes sooner.

A pharmaceutical grade, prowdered D-ribose supplement is available in our supplement store. Please call 949-600-5100 to order.

Allan Sosin, MD

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