Should
you Replace your Daily Aspirin with Arginine?
On the advice of
their physicians, millions of Americans, encouraged by massive
advertising and the apparent government stamp of approval,
are taking an aspirin a day to keep a heart attack away. Is
this the best advice orthodox medicine has to offer? An explosion
of recent research, stemming from the 1998 Nobel Prize in
medicine, now strongly supports the idea that there are better;
safer and more effective alternatives t aspirin for preventing
heart attacks and extending life.
The recent research into Nitric Oxide (NO), a short-lived
free radical that the human body can create out of arginine,
an essential amino acid, lead not only to the prescription
impotence drug Viagra, but also to the finding that arginine,
like aspirin and many other substances, can act as a very
potent blood anticoagulant. Thus arginine, like aspirin and
other substances, may prevent Myocardial Infarction (MI) AKA
heart attack.
L-Arginine, an
amino acid, is essential to our diet and required for life,
has no known toxicity. Arginine has been shown to stimulate
the body¡¯s production of Human Growth Hormone (HGH) by the
pituitary gland, probable by blocking the secretion of HGH
inhibitor somatostatin. It increases the body¡¯s ability to
produce Nitric Oxide when needed, and restores sexual function
in impotent men. Studies have shown that oral arginine boosts
immunity, fights cancer, promotes healing, protects and detoxifies
the liver, improves thymus function, enhances male fertility
and is the precursor of the non-essential amino acid ornithine.
Aspirin on the
other hand is not always safe and there no studies that show
taking plain aspirin extends life. Linus Pauling pointed out
in 1986 that ¡°Aspirin, like other salicylates, has property
that in concentrated solution can attack and dissolve tissues.
An aspirin in the stomach may attach to the stomach wall and
cause a bleeding ulcer.¡± A recent report from the Boston
University school of Medicine confirms that aspirin can irritate
the stomach lining, sometimes causing severe upper gastrointinal
bleeding and, in rare instances, death.
The Aspirin Trials
Given the potentially serious health concerns surrounding
aspirin, why is this substance being heralded as a miracle
drug in the fight against heart disease and worthy of the
U.S. Government¡¯s stamp of approval? One reason is that aspirin
is readily available over-the-counter; another reason is that
one of aspirin¡¯s many properties is the inhibition of platelet
clumping. Less clumping might mean fewer blood clots resulting
in fewer heart attacks. Medical correspondent Wayne Martin
writing in the Townsend Letter explains the Platelet Adhesiveness
Index (PAI) test:
?At the National Heart Hospital in London circa 1970, they
were using a test for platelet adhesion and the result were
stated as PAI, platelet Adhesiveness index. In this test a
blood sample was taken and a platelet count was made. Then
a second blood sample was taken and this time the blood was
passed over glass beads. If half the platelets stuck to the
beads, PAI was 50. Patients who had survived a heart attack
would have PAI of 50 and hence were considered to be at risk
of death from a second heart attack. Young women who never
suffer from Myocardial Infarction (MI) have PAI of 20 yet
they will have proper blood clots in wounds.?
At the National
Heart Hospital, in the years 1960 to 1965, they did a PAI
test on every patient to come to this hospital and they never
found a single patient with PAI less than 40. They felt anyone
with a PAI of less than 40 was not going to have a heart attack.
Put another way, they felt that the great problem about MI
was one of blood clots in coronary arteries.
The idea of testing
for PAI never came to the USA.
Because aspirin
will reduce blood clotting, clinical trials were launched
to find out whether aspirin may benefit heart patients. These
trials have mixed results, none showing longer life; but two
recent studies concluded that aspirin is a ¡°life saver¡±
because it cut down the number of non-fatal heart attacks,
especially second heart attacks in the aspirin group.
Wayne Martin¡¯s
interpretation of these trials:
In 1980 cardiologists resurrected platelets and blood clots
as a cause of Myocardial Infarction (MI) deaths- and told
everyone over 40 to take aspirin to prevent having a heart
attack. One factor in the prevention of MI is the Adhesiveness
of platelets as the greater the adhesion of platelets the
greater the chance of having a coronary blood clot.
Then came a series of trials on aspirin for the prevention
of MI. There were in the 1970s two trials in England that
were failures. No benefit or very slight benefit was found
for aspirin in the prevention of MI. This was followed by
a much larger US government-financed trial in the USA and
reported in 1980. This trial was an abject failure with much
bleeding of the stomach due to aspirin and no benefit at all
in the prevention of MI.
Doctors felt that
the case could be made for aspirin if only doctors were the
subjects. A trial in England among doctors was again a failure,
however a larger trial among doctors in the USA was hailed
as a great success. In this American trial, non-fatal heart
attacks were reduced by 40 %. The bad news however, was that
fatal heart attacks were not reduced and moreover overall
survival was not increased. Nonetheless as the result of this
trial, it was suggested or even demanded that all men over
40 should be taking aspirin.
There was something
a bit different about this trial among doctors in the USA.
Bufferin was used and Bufferin contains both aspirin and some
magnesium. Magnesium is greatly beneficial to the heart. It
reduces platelet adhesion, is a vasodilator and is a potent
antiarrhythmic agent.
The authors of
The Arginine Solution, Robert Fried, Ph.D. and Woodson Merrell,
MD, summarize the aspirin research this way:
?The results of the physician study, which were public\shed
in 1997 in The New England Journal of Medicine, concluded
that a daily aspirin does indeed have a significant impact
on heart health, lowering the risk of heart disease and heart
arracks. Other researchers have also shown that aspirin can
slash the risk of a second heart attack in patients who have
already suffered a first heart attack. And because unchecked
platelet clumping has also been implicated as one cause for
chronic high blood pressure, aspirin and other anticoagulants
may help in the treatment of hypertension as well.?
?Unfortunately,
many of these anticoagulant drugs, aspirin included, can have
pernicious side effects for many patients, side effects that
can range from serious stomach bleeding to kidney damage.
Indeed, further analysis of the same landmark physician study
itself sound that those doctors in a control group who received
a placebo instead of aspirin had the same overall incidence
of death as those who received the aspirin.?
Surprisingly, Fried
and Merrell question the validity of the claim that aspirin
takers enjoy such a comparative reduction of heart disease
and heart attacks:
?Well it turns out that physicians on aspirin increased their
odds of another, often fatal condition: hemorrhagic stroke,
that is, unchecked bleeding into the brain. This kind of stroke
is a prime example of where you need some protective blood
clotting, but the anticoagulants have turned of the capacity
to do so?.
There Are Many
Alternatives to Aspirin
Although aspirin apparently reduces the incidence of blood
clots that lead to heart attack, much safer substances are
known that work equally well or better:
?There are all kinds of things other than aspirin that reduce
PAI, one of which is the drug dipyridamole. Here mention will
be made of the European Stroke Prevention Study. About 90%
of strokes are thrombotic strokes, blood clots in blood vessels
in the brain. This trial had as subject¡¯s patients who had
an indication of a stroke. First aspirin alone was with little
or no benefit. Then dipyridamole was added to treatment, 300
mg a day and the results were outstanding. Stroke deaths were
reduced by 50%, heart attack deaths by 35% and cancer deaths
by 25%.?
There are many
things that reduce PAI better than aspirin. Vitamin E at 400
iu a day will, as will Vitamin B6 at over 40 mg a day. There
was an editorial in the Lancet a few years ago on how anti-thrombic
is vitamin B6 at over 40 Mg. So is fish oil. This is the omega-3
fatty acid that we have been hearing so much about of late.
Then recently, from the University of Wisconsin, comes a report
that purple grape juice at 10 oz. a day will reduce PAI better
than aspirin. It has been suggested that gamma linolenic acid
in evening primrose oil reduce PAI better than anything else.
Also the oils of onion and garlic will reduce PAI. Ground
ginger also is greatly effective in reducing PAI and like
aspirin, it will reduce pain. It is highly anti-inflammatory.
It is a sad state of affairs that doctors in the USA have
gotten most men over 40 taking aspirin while not setting up
a test to see if it is in fact reducing PAI.
Arginine Derived
NO Mediates Platelet Adhesiveness
One of the great discoveries stemming from the recent NO research
is that the amino acid arginine may share an ability to prevent
blood clots with aspirin, without any known risks. Scientists
now think that NO derived from arginine regulates whether
or not blood platelets clump together. If platelets were always
clumping, the entire circulatory system would grind to a sludgy
halt. Whenever a blood vessel suffers an injury, platelets
clump together blocking blood from seeping out of the artery
until the damage can be repaired. Clumps or clots that block
coronary arteries can cause a heart attack. Something has
to trigger clumping when it¡¯s called for, while inhibiting
it when there is no need. It turns out that a number of blood-borne
chemicals are released when an injury occurs that can alter
electrical charges, and these chemicals determine whether
or not platelets will repel or attract. According to Fried
and Merrill, nature¡¯s elegant solution for regulating whether
platelet¡¯s clump relies on the free radical Nitric Oxide
(NO) made available in the body from arginine.
?The good news is that researchers have found another ¡°blood
thinning¡± approach that is equally effective in controlling
platelet aggregation, but without the side effects of conventional
anticoagulants from aspirin to leech saliva. This discovery
came after Drs. M. W. Radomski, R. M. J. Palmer and Salvador
Monacada learned that platelets themselves contain their own
form of the enzyme nitric oxide synthase, which lets them
create NO from arginine.?
Researchers now
say that supplemental arginine can help the hypertensive patient¡¯s
remaining undamaged endothelial cells produce additional NO
to keep arteries open and to prevent platelets from clumping
and sticking to vessel walls. In 1994, researchers at the
Hanover Medical School in Germany reported that intravenous
arginine resulted in a 33 percent decrease in platelet aggregation-very
impressive results. Moreover, the researchers concluded that
arginine inhibits platelet aggregation specifically ¡°by enhancing
nitric oxide formation.¡±
In Theory, Aspirin
may Aggravate Atherosclerosis
According to the Linus Pauling/Matthias Rath Unified Theory
of cardiovascular disease, the primary cause of heart disease
is a vitamin C deficiency. This deficiency leads to an inability
to manufacture sufficient collagen, which causes blood vessel
weakness and instability. Collagen is a basic animal protein
that provides structural integrity analogous to the function
of cellulose in plants. Blood vessel instability from a lack
of collagen leads to lesions or wounds in the arterial wall,
especially where blood pressure is high and mechanical stresses
are great. Plaque forms as a healing response to these wounds.
It has long been
known that taking aspirin increases one¡¯s requirement for
vitamin C. Vitamin C molecules are used up detoxifying the
body, so taking aspirin may lead to lower blood and tissue
levels of vitamin C. According to Irwin Stone in 1976:
Certain drugs,
such as aspirin, cortisone, and other anti-inflammatory agents,
and cinchophen, are known to provoke ulcers and gastric hemorrhage.
This is especially the case when a deficiency of ascorbic
acid (vitamin C) is present. In animal experiments, the administration
of ascorbic acid alone with the toxic drug reduced the incidence
of peptic ulcer and gastric hemorrhage to such an extent that
it prompted one author (Aron) to suggest, ¡°Therefore it would
seem judicious in human therapeutics to include ascorbic acid
in every prescription for an anti-inflammatory drug¡±.
Aspirin¡¯s ability
to dissolve human tissues would seem to make this substance
contraindicated in atherosclerotic patients. If Pauling and
Rath are correct and the lack of vitamin C causes heart disease,
and if aspirin can cause blood vessel lesions, and finally,
if the body uses its vitamin C stores to ¡°fight¡¯ the toxic
effects of aspirin, then taking aspirin may be the last thing
a heart patient should do.
Arginine may be
the Best Alternative
Most authorities now accept the proposition that heart attack
is not generally a problem of arterial occlusion; rather MI
is a problem of blockage. The problem with occlusion is that
blockages are more likely in arteries narrowed by atherosclerosis.
When platelet adhesiveness increases, the risk of heart attack
rises. Nitric Oxide causes arteries to dilate and blood pressure
to drop. Interestingly, the research shows that atherosclerosis
interferes with the ability of endothelial cells to make NO,
so clotting is more likely when atherosclerotic plaque is
present. If a blood clot is the reason for the blockage, thinning
the blood with an antieoagulating agent may be of significant
value. The discovery that NO derived from arginine regulates
blood coagulation at the platelet level is important. Arginine
has been shown to have the same anti-clotting ability as aspirin,
but not continuously, only when needed, i.e., when chemicals
associated with injury are released into the blood stream.
Aspirin¡¯s health risk is that this substance may unconditionally
prevent blood coagulation, even when clotting is called for,
e.g., to prevent a stroke. Furthermore, aspirin¡¯s known characteristic
of dissolving tissue may not be limited to the stomach. If
aspirin causes arterial lesions, then it would be a contributing
factor in atherosclerosis.
The Final Word
from Linus Pauling
While rethinking your daily aspirin, please consider these
remarks made by the late chemist and medical researcher Linus
Pauling writing in HOW TO LIVE LONGERAND FEEL BETTER:
?It is drugs, especially the analgesics and antipyretics
such as aspirin, that are responsible for most of the five
thousand deaths by poisoning that occur each year in the United
States. Of that mournful total about twenty-five hundred are
children. About four hundred of these children die each year
of poisoning by aspirin (acetylsalicylic acid) and some other
salicylate. Aspirin and similar drugs are sold openly, without
prescription. They are considered to be exceptionally safe
substances. The fatal dose is 0.4 to 0.5 gm per kilogram body
weight: that is 5 to 10 gm for a child 20 to 30 g for an adult.?
?Aspirin has been
in use as a nonprescription drug, sold casually over the counter,
for more than a century before the physiological basic of
its pain killing and fever-reducing action was discovered
in 1971. Then it was found that aspirin acts upon a central
hormonal control system in the body. If it were now coming
on to the market from a pharmaceutical laboratory, it would
be surely placed under the constraint of prescription.?
?Some people show
a severe sensitivity to aspirin, such that a decrease in circulation
of the blood and difficulty in breathing follow the ingestion
of 0.3 g to 1 g (one to three tablets).?
?The symptoms
of mild aspirin poisoning are burning pain in the mouth, throat
and abdomen. Difficult in breathing, lethargy, vomiting, ringing
in the ears, and dizziness. More severe poisoning leads to
delirium, fever, sweating, incoordination, coma, convulsions,
cyanosis (blueness of the skin), failure of kidney function,
respiratory failure, and death.?
?Aspirin, like
other salicylates, has the property than in concentrated solution
it can attack and dissolve tissues. An aspirin in the stomach
may attach the stomach wall and cause the development of a
bleeding ulcer.?
?The U.S. Centers
for Disease Control have reported that if children and teenagers
suffering from influenza or chicken pox are given aspirin
they have a fifteen to twenty-five times greater chance of
developing Reye¡¯s syndrome, and acute encelphalopathy and
fatty degeneration of the viscera, causing death in about
40 percent of the patients.?
Should you decide,
in consultation with your physician, to replace your daily
aspirin with 3-6 grams of oral arginine, you may notice some
other interesting effects as well. One effect in particular
may negate the need for men to spend upwards of $10 on a Viagra
pill.
References
Klatz, Robert et. al., Grow Young with HGH, (1998)
Pauling, Linus, How to Live Longer and Feel Better (1986)
Fried & Merrell, The Arginine Solution (1999)
Kelly et al, The Lancet, 348 (1996)
Martin, Wayne, Townsend Letter (1998)
Stone, I. The Healing Factor: Vitamin C Against Disease (1976)
|