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Oedema - How To Overcome Fluid Retention


Date: 01/03/04
 
Oedema is a condition that causes too much fluid (mainly water) to accumulate in your body. Any tissue or organ can be affected, particularly the hands, feet and around the eyes and sufferers experience debilitating swelling. The following natural remedies can bring effective relief from oedema symptoms...

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Imagine if your ankles persistently ached due to painful swelling that greatly restricted your movements. Now imagine having to contend with swollen fingers and eyelids too. This type of debilitating swelling is experienced by sufferers of oedema - a condition that causes too much fluid (mainly water) to accumulate in your body. Any tissue or organ can be affected, particularly the hands, feet and around the eyes. It's your kidneys' job to eliminate excess fluids from your body in your urine. If they fail to do this properly then fluid can soon build up in your tissues and result in swelling.

Risk factors include prolonged periods spent sitting or standing (the pressure of fluid in the legs from doing either pushes it into the surrounding tissues), high blood pressure (abnormal pressure in the blood capillaries can result in the abnormal exchange of fluids to and from the tissues), heart failure (when the heart can't pump blood round fast enough to clear fluid from the tissues), or kidney problems (which can cause large amounts of protein to be lost in the urine and cause fluid to accumulate in the tissues).

You can check whether you have oedema using a simple test. Press with your thumb on the lower part of your shin for 2 to 3 seconds. Then stop pressing and gently feel with your fingers over that area. If you notice a small hole like a dent where your thumb was pressing then this is a sign of oedema and a sluggish circulation. If you think you might have the condition then see your doctor for further tests.

If you're diagnosed with oedema your doctor may prescribe one of the following diuretic drugs that stimulate your kidneys to increase urinary water output: bendrofluazide, frusemide, indapamide or bumetanide. However they can cause a range of unpleasant side effects including low blood pressure, dizziness, tinnitus, impotence, stomach upset and nausea. Fortunately there are several natural diuretics that are just as effective as prescription-only drugs in some cases but without the side effects.

Oedema: Natural remedies that help your body eliminate excess fluid and reduce swelling

The following remedies can bring effective relief from oedema symptoms. As with all natural remedies it may be the case that you have to try a few different treatments before you find one that works for you. It's important that you consult your doctor before deciding to take any of the supplements listed, especially if you're already taking medication, in order to prevent any possible contraindications.

Dandelion (Taraxacum) extracts are renowned for their excellent diuretic action, which have been extensively studied. In fact, some of these studies date back as far as 30 years or more and traditional healers have been prescribing dandelion extract for thousands of years (Planta Med 1974, 26(3):212-217). Dandelion root has also been used to help treat high blood pressure (a risk factor for oedema) - its water-eliminating ability reduces the water content in the blood, which helps lower blood pressure. This is exactly how other prescription-only water tablets work. For example, the commonly prescribed drug bendrofluazide reduces blood pressure by increasing water elimination from the kidneys. However it can cause nausea, vomiting, stomach upset and can worsen diabetes. This in contrast to dandelion, which has been found to actually improve diabetes. The recommended dose is 500mg taken up to 8 times a day. Or you can drink it in tea form - aim to have at least two cups a day.
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Nettle leaf (Urtica dioica). The humble stinging nettle is credited with having many medicinal properties, including an ability to help combat water retention and oedema. Whereas the leaf of the plant is effective against oedema, the root is used for prostate problems. The two should not be confused, as the root contains natural plant chemicals that influence male hormones, whereas the leaves contain active ingredients that help oedema -- particularly silica which is a diuretic.
In an animal study conducted by researchers from the Faculty of Sciences, University of Mohammed Premier in Morocco, nettle leaf extracts were compared with the prescription drug frusemide (a powerful diuretic). The researchers found that the nettle leaf extract increased diuresis (elimination of water from the kidneys) by 84 per cent whereas frusemide increased it by 85 per cent. The researchers also found that the nettle leaf extract decreased blood pressure by acting directly on the arteries (J Ethnopharmacol 2000, 73(1-2):95-100).

While the diuresis effect between the two treatments was very similar, it's important to be aware that frusemide can cause side effects like abnormal heart rhythm, dizziness, confusion, nausea, digestive problems, gout and muscle pain. While nettle leaf can also cause side effects, these are far milder, such as stomach upset or a skin rash - both of which soon improve after stopping the treatment for a few days. Nettle leaf is available in tea form and can be drunk daily.

Follow These Simple Tips To Ward Off Oedema

Put your feet up! To improve your circulation try to put your feet up at regular intervals throughout the day and rotate your ankles frequently to prevent fluid build-up in your legs. Wearing support stockings can also help.

Cut down on the amount of salt in your diet and eat more potassium-rich foods. The fluid regulating action of the kidneys is based on the dual pumping action of sodium and potassium. Sodium draws water into the body and potassium helps excrete it. So to reduce water retention limit your salt intake and eat more potassium-rich foods, such as leafy green vegetables, citrus fruit and sunflower seeds.

Add fresh parsley to your meals... it's a natural diuretic that helps cleanse your blood and stimulates the movement of toxins through your kidneys. In fact most salad vegetables exert a diuretic action, celery in particular.

Drink plenty of water - up to 2 litres a day. Although many people think that if they're accumulating fluid in their bodies then a sensible solution is to drink less, this isn't the case. Drinking water does not make you retain fluid but it does promote proper kidney functioning - this is vital as your kidneys excrete excess water from your body. However, avoid tea and coffee, which have a dehydrating effect and can cause fluid retention.
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Comments

David Popham Posted 03/06/2008

Some examples of potassium-rich foods would, I think, be useful here. Thank you for a wonderfully useful site :-)

geoff-hull Posted 11/06/2008

yes, i agree. a list of good foods would be helpful

Donna Posted 13/06/2008

Here's a list of potassium rich foods: All Bran Apricots ready-to-eat Baked Potato + skin Banana Black treacle Bombay Mix Bran Flakes Bran Wheat Crispbread Currants Dried mixed fruit Figs Gammon lean Muesli low salt Nuts average (unsalted) Oven chips Papadums Pilchards Plantain boiled Potato Crisps Raisin Splitz Raisins Roast Potatoes Sardines Seeds average Soya beans boiled Soya flour Sultana Bran Sultanas Tomato Puree Veal Weetos Wheatgerm Wholemeal Pasta

Natia Posted 14/06/2008

a very useful site,indeed.

connie Posted 18/06/2008

I'm very new to this site, thank you and I will be here alot. I need the advice

sean Posted 22/07/2008

This article seems to be very useful, thanks!

Terry Posted 29/07/2008

Although very interesting it is confusing, it tells you to drink Nettle tea then tells you not to drink tea? I currently drink Green tea so am I doing wrong as this is supposed to help blood vessels?

Emma Posted 29/07/2008

The advice against drinking tea and coffee is due to the caffine element which is dehydrating to the body. Look for de-caffinated green tea to avoid water retention but enable you to continue to enjoy green tea.

Kaz Posted 30/07/2008

Very interesting and useful site. Thank you, it has really helped. Currently sitting here now with my foot up and drinking loads of water..........:-)

Gulag Posted 03/08/2008

Am currently on high blood presure medicine which is working well. However one side effect is significant oedema in feet, lower legs, hands and sometimes face. My ankles have started to display an orange mottled rash as well. Is this dangerous? Should I try a herbal extract?

atkinson20@btinternet.com Posted 14/09/2008

very helpful site. thanks

Harold66 Posted 24/09/2008

Oedema and so much fluid that it leaks through the skin of the calves, which have been afflicted with cellulitis for seven years or so. On rising from the horizontal,fluid runs into the legs and it feels as if the skin is too small for the contents. Puddles form on the floor.

Harold66 Posted 24/09/2008

So much water fills the calves that the skin feels as if it will burst when rising from the horizontal. Puddles on floor. Cellulitis

Faz Posted 02/10/2008

Tea confusion. Even more confused with regards to Terry and Emma's points. Can someone please calrify this, a BBC page recommends the following: However, if you want to try a mild natural diuretic, asparagus, parsley, celery and dandelion leaves all have this effect, as does something much more mundane - the caffeine in coffee and tea. http://www.bbc.co.uk/health/ask_the_doctor/periodsbloated.shtml

0000 Posted 05/10/2008

informative

Sara Posted 28/10/2008

Great advice! I am trying dandelion root tea as a gentle diuretic, not having really bad oedema, but enough to make me uncomortable and put weight on the scales!

Sheryl Posted 07/11/2008

I have just started having trouble with fluid retention. Never had anything like this in my life and all of a sudden my legs, body and even eyelids are swollen. I am trying to find the reason why this has just started happening. Would love to hear other opinions and stories.

Anysie Posted 31/12/2008

Very useful, thank you

Elize Posted 19/01/2009

Sheryl you should have an allergy test done. When I eat wheat, sugar, etc I suffer like mad with fluid retention. Avoid mentioned foods for 3 weeks and you will feel and see the improvement!

judy Posted 26/01/2009

I have put 5 stone on in 6 mths all fluid. I can hardly function: belly, legs, hands, ankles and face; my doctors given up, says its fluid but no idea as how to help me. I'm desperate for help, tried all diuretics mentioned. Anyone out there with some advice?

angela  Posted 27/01/2009

I have a kidney transplant which is failing and that is why I am retaining water, I am on furesimide, up to 5 a day - if neseccery but I beleive it can effect the kidney. I am going to try the dandelion, I hope that doesn't effect the kidney.

Lawrence Posted 30/01/2009

male 132kgs weight 8.5' height. Out of propotion upper torso very fat waist 60" lower half thin thighs 23".and legs. walking/balancing difficult. Eating just one moderate meal daily. Is this odema ?

Jel Posted 02/02/2009

Can you explain a postmortem result of 'deeply congested lungs and oedematous'. Thanks

KEN Posted 08/02/2009

Rather much the same as Lawrence posted 30/01/2009. 130 kg, carry all my weight around waist and upper torso, lower portion of body rather toned, but huge amount off fluid creating swollen ankles and hands...

maz Posted 08/02/2009

My mother is taking 100 mgs furusemide a day is this dangerous? She has very swollen ankles and kidney failure.

sudha Posted 15/02/2009

Very interesting to know about potassium rich foods. I think it will work perfectly and it's healty too.

sudha Posted 15/02/2009

Thanks for explaining this simple way to come out from fluid retention through potassium rich foods.

Eavan Posted 17/02/2009

I suffer from desparate fluid retention, only when I fly, short or long haul, doesn't seem to make a difference. The day after a 2 hour flight I swell so much that I can't wear shoes or rings. I get a desparate feeling of heaviness in my neck, had to attend a doctor and spent 2 days in bed, medication he gave me caused drowsiness and he was concerned about my flight home (it was a 5 day trip).. Is this serious?? Should I worry?

Avril Galp Posted 23/02/2009

I tried a multi mineral with alfalfa for oedema and it works like a charm. Alfalfa is the answer. It's a great diuretic. Even the sprouts would help. Avril - Cape Town South Africa

Pat Posted 02/03/2009

Fluid gathers in my body - especially legs, all day and then I am up all night - to the bathroom every hour, sometimes every half hour during the night to relieve myself. Anyone help please

Rosy Posted 04/03/2009

I wake up in the morning and my body is normal by 10 am I have swollen adomen, fingers, legs and ankles. Anyone whose exprience the same symptoms tell me what they did to overcome this.

motherblue Posted 08/03/2009

Can anyone suggest natural/herbal remedies for fighting a severe fungal infection which started in the lungs? The sufferer has all the symptoms : fever, wheezing, short breath, mucus which wouldn't 'come out' and which is constantly blocking the airway, and now, swelling of limbs and other body parts (because the arrogant doctors refuse to diagnose or recognise the exsistance of a fungal infection). The sufferer is sick of swallowing the wrong antibiotics which fail to help (all for treating bacteria...). this ongoing condition is detrimental to the sufferer who wishes to find the right cure for this debilitating problem rather than waste energy on fighting with doctors who lack the knowledge to diagnose fungus because they wish to make one believe it is too rare to happen. can you please help, urgently ? also, any comments, from those of you who'd experienced this problem, would be greatly appreciated.

Helen Posted 10/03/2009

This is for Judy - I had this problem back in 2003. Put on weight fast. In the end the problem was found to be Endometriosis which was mainly affecting my bowel more than anything else. It was found elsewhere too, but mostly on the bladder. As well as the fluid retention and really bad bloating in my abdomen I had bad constipation for ages, until I had the laproscopy to check for Endometriosis and they found it and removed it, then all of a sudden, my bowels worked way better again, brilliant in fact, started having regular bowel movements again, no more irritable bowel syndrome, no more irritated bladder, and best of the all the bloating completely disapeared. I lost weight. I had more energy. If I were you, I would be looking at the bowel as a key to your problem, and also - Hormones. A lack of progesterone can cause bad fluid retention. I did get the problems back eventually but that was only because the Endometriosis came back and my hormones were all messed up on top of it. Thats why my bloating gets so bad. Because I have the Endometriosis and the hormonal imbalance on top of it. Think of you problem as most likely a combination of things. I do know, that progesterone cream (natural) completely resolves my problem. It just goes away like magic. That could be because of my hormone imbalance or simply because the progesterone is calming down the Endometriosis. So, look at hormones, and your gut. Hope this helps.

Camila Posted 11/03/2009

I am recently suffering from oedema as my feet are swelling terribly and my calves feel like pins and needles when the swelling happens. My blood pressure was high recently and I have a stronger tablet Lisinopril 10mg. I have also been suffering from Rhemathiod athritis since 3 yrs old and have seen a homepath most of my life. I can control my athritis as I am taking athrochoice and multifoce alkaline powder. I also take a combination of Omega 3 &6. Please tell me if I can take the Nettle or Dandelion leaves for the water retention. I am at my wits end with the high blood pressure not being normal recently and the swelling of the feet. Thank you to all.

Benita Fernandes Posted 23/03/2009

Good information. Thank you.

Derek Posted 27/03/2009

To Motherblue Buy Echinacea (Echinaforce) in drop form from say Lloyds chemist aprox £8 a bottle lasts months. Add 15 drops to your favourite cold drink 3 times a day it kills infections of head throat and lung by building up your own bodies defences (Naturally.) Doctors Antibiotics kill your own defences and leave you open to other infections...

Derek Atkins Posted 27/03/2009

To Harold66 I killed cellulite in my mums legs by getting egyptian geranium oil and sweet almond oil from health shop: Get a empty bottle and put x20 5ml spoons of sweet almond oil to 4 x5ml spoons of Egyptian Geranium oil put lid on and shake bottle then rub gently into legs especially where skin is hard. This must be done every day. My mums legs took 3 weeks to cure. The skin will change from red blotchy looking to pink if used correctly

Bind Posted 31/03/2009

Wow this was very helpfyul to me and a friend .. I have used natural things as much as possible but this is great. Thank you for the info and I will be checking out this site regularly. Thanks again.

Chhaya S Chaudhry Posted 03/04/2009

Very lucid and well presented

manjula Posted 07/04/2009

Hi, I am currently working in a place where I am on my feet standing all day. In the morning my shoes fit me fine and ankles look fine. By 5 o'clock my shoes are tight and ankles look swollen. It is not pitted oedema...just a fattening up within 12 hours! I am 23 years old and aware that things like pitting oedema occur when older etc but I would be grateful if anyone could suggest things I could change in my day/diet/exercise that would stop this happening. By the time I come home from work and it is time to go out at night my ankles look awful!

kim from Birmingham Posted 11/04/2009

Many thanks for easy understandable information, thanks for caring about others. WELL DONE!!!!

Pat from London Posted 13/04/2009

I've just developed oedema of the ankles and feet (the right is worse than the left). My ankles in particular are very stiff and sore, I get a feeling like pins sticking in my feet and calves and I can't get my normal shoes on, so I have to wear slip-ons. I don't stand or sit for too long and even keeping my feet above my head doesn't work very well. Due to a back problem, I can't get to my doctor's surgery at the moment, so I wonder if anyone knows a remedy that really works?

jenny Posted 26/04/2009

Would someone please tell me where I can get multiforce alkaline powder and athrochoice from...I read about it but all the web sites I've looked on are American... Thank you.

Ron Hill Posted 09/05/2009

I have just been discharged from hospital treating a foot ulcer but since have developed oedema in my right leg and ankle,I have high blood pressure and take a mild water tablet 2.5mg.I have been offered no other treatment and can only wear one pair of shoes as I also have type 2 diabetes (diet controlled). My right foot swells up from the ankle to my knee.Can anyone help

hazel Posted 15/05/2009

My 81 year old dad had a hip replacement almost a year ago and now has very bad fluid retention. He is on the usual doctors diuretics, does anybody know if massage or circulation boosters (electronic types) can help ?

Veronica Posted 17/05/2009

It was after the birth of my two children that I had the problem with fluid retention. The diareticts that have been prescribed do help but I still have a massive problem. This has had a massive inpact on my life, always in trousers, even in the hot summers, so as to hide those awful ankles and legs. All the doctors want to do is prescribe tablets, so I have found all your tips very useful. I know coffee is not good but when you drink it black it does really help. Good luck to all of you. I really wish I could tell you a remedy.

stella Posted 28/05/2009

Just seeking advice and found it all very useful as I have seen what tablets have done to cause side affects. So this is brilliant.

Karen  Posted 02/06/2009

I have had very bad fluid retention since just before my 17th birthday, at the time I was a size 10, I still remember the first day it happened, having seen both an NHS referral and a private referral, I have been told, it's just something I have to live with because Im a woman! As I've got older and put on more weight, the condition has worsened, but obviously the first thing a GP says is lose weight. I honestly believe my condition coincided with me taking the contraceptive pill, but I do know that certain foods do aggravate it - certainly sugar and unrefined carbs like white bread. If I stick to a protein rich diet with fruit and veg, my oedema is not half as bad. I currently take 2 x 40mg furosimide a day, but my advice to people is do not rely on the tablets. I only take mine during the summer months, when its particularly bad, being on diuretics permantly is not advisable. I also think its connected to my underactive thyroid and slow metabolism. Whenever I was on slimming pills, it sped up my metabolism and also solved my fluid retention (or it supressed my appetite and therefore I didnt eat the sugar!) Thanks for the great advice on this site. I will certainly try some of the things.

Gill Posted 03/06/2009

Like Karen I suffer with extremely bad fluid retention all year round but particularly worse in the summer months or when in a room that is hot. I take water tablets but do not find any relief so considering stopping these as I get cramps with them. I have lost 3 stone over the past 18 months and this has not given me any relief whatsoever, I drink plenty of water and also at the time when I was 17 was only a size 10 so I am not sure that weight has any influence on water retention. I have a well balanced diet. I will certainly try some of the things suggested on the site, does anyone really have anything that has worked where oedema is particularly chronic.

olu oyahanye Posted 15/06/2009

I had hepatitis sometimes ago. Now I am suffering from oedema. What can I do ? Or what can I take? Is there no remedy for this, please ?

Sue H Posted 16/06/2009

Like Veronica my water retention (in my ankles)started after having my two children. Which makes me think it's a hormonal proplem. Also I having suspected for a while that eating a lot of sugar certainly doesn't help. I have been to the doctor and said all this but he just said that I would still get swelling if I walked on my hands! I am going to definately try a no sugar diet.

FridayGirl Posted 17/06/2009

Useful site, thank you. I also suffer water retention particularly in ankles. I had DVT many years ago, kept asking doctor why ankes swelled especially in hot weather, the reason is that the vein has stretched in the leg and that causes the swelling. Have lost 2 stone recently and that really has helped. I drink green tea and eat plenty of fruit and veg that has also helped and walk 2 miles a day (a friends dog). Good luck all.

dr. shubham puri Posted 28/06/2009

Good information! I liked the herbs suggested .

maria Posted 29/06/2009

Just started with swollen ankles and calves. I saw my doctor and he put me on frusimide and told me I have water retention. I just read your articles on this page and I must say at least now I know what to avoid. Thanks

Maggie Posted 30/06/2009

Well it's good to know I'm not alone as for 32 years I have had swollen feet and ankles they are so bad that I would never wear any thing but jeans, my doctor said as my father and his sisters had the same problem it was a genetic fault, tried frusamide but it didn't stop the swelling just made me pass lots of water . I will be trying some of the advice thank you.

Pauline Posted 01/07/2009

I have been taking tablets for water retention for the last 6 weeks and have lost 4 stone in weight, has anybody else experienced this sort of weight loss.

Hanney Posted 02/07/2009

Thankyou for all this information, extremely useful. I had swelling of my face and eyes, feeling very tired and cold. I saw my doctor and she said it was a thyroid problem, and now I am feeling less tired and have more energy.

Val Sinclair Posted 04/07/2009

Just started to suffer this last week with swollen ankles, this site looks as though it has good advice.

tracey Posted 07/07/2009

Hi, I have fybromyalgia and I suffer badly from fluid retention. Sometimes it's so bad I feel like I am 100 yrs old as I can hardly walk. My calf muscles and ankles and soles of my feet are so tight and sore. I have been taking a herbal tablet from boots, which has helped a little but going to my GP on Wednesday to see what they say. I can't go on like this for much longer, the pain is incredible..... any other tips would be appreciated. Thanks for a great site....

Beverley Posted 12/07/2009

Thanks to Karen comments posted on 2/06/09. Regarding fluid retention, mine are are very bad during the summer time, even though I am on blood pressure tablets bendroflurozie, which lowers blood pressure at the same times it increases fluid retention. Currently I am taking 40mg furosimide to eliminate excess fluid.

I went to the hospital last week and was told all my organs are in good working condition -symptoms I suffers from is known as Independent Edema and I was told by the doctor at Kings college Hospital, basically there is no treatment.

Alpna Posted 26/07/2009

I have found some very useful info here - thanks to everyone who has posted. I am 36 and have a physical disability, am confined to a wheelchair, cannot weight bear. I had a fall 13 weeks ago and fractured both knees (not good as I have Osteoporosis anyway). But over the past 8 weeks I have noticed weight has gone on my stomach, thighs, legs, ankles and feet. Well I don't know if it is all fat, I have been told by my Orthopaedic Consultant that on my feet ankles and lower legs it is fluid that has gone on. But he couldn't explain why my thighs and stomach had gone bigger. It seems that no professional can help me or tell me whats causing what. Can anyone out there please suggest anything. I'm not keen on taking prescribed tablets that have side effects, as I've had enough of side effects from painkillers, at the moment I am taking buprenorphine transdermal patches to help with the pain in my knees but the side effects are awful.

sufferer Posted 07/08/2009

HRI - Water Balance tablets, Dandelion are good. Tried these this week, marked improvement, but have a long way to go. People: if you go to the gym, try the sauna to help you sweat some of that water out. I find it helps me. Just a thought.

tracy Posted 12/08/2009

Hopping in water.Swimming. Aqua aerobics. Anything in water will help with pain. Something to do with the water pressure forcing the water out of you! It really does help and you get some relief the day after aswell. No side effects so worth a go.

legs on the wall Posted 16/08/2009

I used to have swollen kegs after flying, then happened to have a shiatsu not long after flying one time. The shiatsu person showed me how to put my bottom against the wall, (you can use a pillow underneath you for support), then put my legs up against wall. About ten or twenty minutes depending on how bad, I felt the fluid drain down my legs, like magic. A mechanical solution, that worked well for me. Quite amazing. The effects of gravity! Works every time for me.

abigail Posted 23/08/2009

some really brilliant advice here, i've just completed chemo and radiotheraphy, and have noticed massive fluid build up round my stomach, i will try the echinacea drops, as i think natural medicine a much safer bet.

Steph Posted 04/09/2009

Very good site, I am currently on chemo for a brain tumour and feeling great but have recently had problems with swollen feet and ankles. It is not painful but unsightly and I am keen to try some of the remedies.

Martha Posted 13/10/2009

I have a genetic disease called Venous Insufficiency Disease. It has caused great and painful swelling in my feet, ankles, calves and now has gone into the tissues of my knees which causes the insides of my knees to rub together as I walk. There is a lot of pitting everywhere. I know I have oedema and am now up to 160 mg of fluid pills which does nothing. Walking is like walking on two absessed teeth it is that painful. I elevate my legs, I try to move around as much as possible but nothing seems to get the fluid out. My doctor of many years told me to get a 'lap band' surgery - cause I put on alot of weight due to Graves Disease and I had to have my thyroid removed. My metabolism is now stable but the disease damaged my eye and leg tissues. I am now on the search for anyone who has the same circulation disease that I have and IF you have found that 'miracle' cure. My mother and her two sisters both had the disease and they ended up in wheel chairs for life which is what is predicted for me. I am fighting with everything I have to stop that from happening to me. I am very interested now in diuretic foods and am starting a journey into that. I pray to God it will work. Is there anyone out here who has answers or advise? Is your journey and struggle the same as mine and would you like a 'pen pal' for support. Please let me know. I will help you and together we can go on to help thousands of others. God Bless

angelfire4xx Posted 20/10/2009

There is a diuretic diet available on Linda Lazarides' website. She has written the book about it.



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