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Beer and blood pressure/cholesterol meds - feedback appreciated

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A"my grandpa drank a gallon of Wild Turkey every day, ate 64 ounces of prime rib for lunch, never exercised a day in his life, smoked five cigars before noon, and had sex with Thai hookers he picked up in Bangkok bars for 60 years and he died at the age of 95 in an accident when he was skydiving."
- We must have been in the same unit in the Army!

To the original post - I wouldn't give up on your doctor. But I would try to have a 2-way conversation with him. What I mean is, sometimes that is harder than it seems - we get information that catches us off guard, or we aren't really able to process the implications of what is thrown at us in the office. Then when we are driving home we think, "I shoulda said... or asked..." Then we get home and the wife says, "What did he say when you asked him..." -oh we forgot that one too. etc.

I'd schedule an appointment to get back in and discuss these things:
1. Over the counter cholesterol meds. Specifically red yeast rice and slow-release niacin. It is possible you can improve your numbers without the potential side effects of the heavy hitting pharms. But discuss it with your doc before you go that route. And if you do, you have to be diligent. For whatever reason it is harder to remember to take a pill 2/day when you are just buying it in Wallyworld and you don't actually see the effects.
2. Specific diet changes that aren't totally earth shattering but can really help. Cutting red meat sounds drastic, but doable without much mental effort. I know. Cutting eggs and other high "bad chol. foods, cutting processed starches and sugars (as previously mentioned). Sodas, white bread, white pastass - they should be outta the question, period.
3. Easing into a realistic exercise program. I know you said you don't have time. But in most cases, we all do have time just don't want to make the effort to get started. Funny thing is, as soon as we do, we wonder what took us so long because every aspect of our lives improves.
4. Easing back on the number of beers. 4/day, especially if they are home brews/craft beers, then more on weekends is even more than me! I'm not at all suggesting you quit (although a 2-week "beer cleanse" would not hurt, if for nothing else just to make sure you CAN. [If not, that might reveal a more serious issue.]).

Circling back around, I'd include your doc on these ideas. I am a test case too. My recent blood work was not good, and I can say with honesty that I exercise more than most, and eat better than most. My BP has been slightly high all my adult life but has actually been better lately. But I am a LDL cholesterol making machine. PLUS, the doc did something called a lipid genome series or somesuch, and suggested that I won't respond (probably) to pharms. So that leaves me with more strict diet rules, more exercise, etc. The single good point on that lipid genome thingy was that "moderate alcohol" will help reduce the plaque building cholesterol, so while I try to keep it to 2 or less during the week and maybe one weekend day with bender-like stupidity, I don't have to quit. But when the doc said, "You are going to be that guy that everyone said was 'so healthy' and next thing you know it, you're going to die, very very young." I was waiting for the punch line. No such luck.

It's been a month since I've ramped up the diet/exercise, and have been taking red yeast rice plus slow release niacin very regularly. Another month and I'll see where I stand. For what it's worth, I feel better, think a little more clearly, sleep better, and therefore don't regret trying to improve without pharms. But I take my doctor's advice seriously, and I suggest you do to.

-and don't argue with people on internet boards!!! It will only make your BP get worse. take it all with a (single) grain of salt.

Good luck,
Brett
 
Rev2010 said:
So, my reason for posting is to see who here might be on blood pressure or cholesterol meds and continuing their routine drinking without any serious adverse side effects. I am really hoping to just get some feedback here and I will say it again - I am not meaning any info provided to be of advice that supersedes doctor/pharmacological information. I am merely looking for real world beer drinkers that unfortunately have to take these medications and their experiences with them. Thank you!

Rev.

Anything you ingest gets filtered in the liver. All medications get filtered, all liquids, all solids. With that said, most cholesterol meds tend to stay in your system longer and as a result your liver will contain these meds. How they come out and all the processes involved we won't discuss since i'm not a dr. However, drinking in moderation can build toxins in the liver on its own, add on top the meds and over time can reduce liver function. Cerosis of the liver is ultimately a death sentence. Instead of worrying about your med/alcohol intake and how they affected others you may want to look at yoir over all intake and decide if drinking and possibly shortening your life span are acceptable risks.
 
- We must have been in the same unit in the Army!

To the original post - I wouldn't give up on your doctor. But I would try to have a 2-way conversation with him. What I mean is, sometimes that is harder than it seems - we get information that catches us off guard, or we aren't really able to process the implications of what is thrown at us in the office. Then when we are driving home we think, "I shoulda said... or asked..." Then we get home and the wife says, "What did he say when you asked him..." -oh we forgot that one too. etc.

I'd schedule an appointment to get back in and discuss these things:
1. Over the counter cholesterol meds. Specifically red yeast rice and slow-release niacin. It is possible you can improve your numbers without the potential side effects of the heavy hitting pharms. But discuss it with your doc before you go that route. And if you do, you have to be diligent. For whatever reason it is harder to remember to take a pill 2/day when you are just buying it in Wallyworld and you don't actually see the effects.
2. Specific diet changes that aren't totally earth shattering but can really help. Cutting red meat sounds drastic, but doable without much mental effort. I know. Cutting eggs and other high "bad chol. foods, cutting processed starches and sugars (as previously mentioned). Sodas, white bread, white pastass - they should be outta the question, period.
3. Easing into a realistic exercise program. I know you said you don't have time. But in most cases, we all do have time just don't want to make the effort to get started. Funny thing is, as soon as we do, we wonder what took us so long because every aspect of our lives improves.
4. Easing back on the number of beers. 4/day, especially if they are home brews/craft beers, then more on weekends is even more than me! I'm not at all suggesting you quit (although a 2-week "beer cleanse" would not hurt, if for nothing else just to make sure you CAN. [If not, that might reveal a more serious issue.]).

Circling back around, I'd include your doc on these ideas. I am a test case too. My recent blood work was not good, and I can say with honesty that I exercise more than most, and eat better than most. My BP has been slightly high all my adult life but has actually been better lately. But I am a LDL cholesterol making machine. PLUS, the doc did something called a lipid genome series or somesuch, and suggested that I won't respond (probably) to pharms. So that leaves me with more strict diet rules, more exercise, etc. The single good point on that lipid genome thingy was that "moderate alcohol" will help reduce the plaque building cholesterol, so while I try to keep it to 2 or less during the week and maybe one weekend day with bender-like stupidity, I don't have to quit. But when the doc said, "You are going to be that guy that everyone said was 'so healthy' and next thing you know it, you're going to die, very very young." I was waiting for the punch line. No such luck.

It's been a month since I've ramped up the diet/exercise, and have been taking red yeast rice plus slow release niacin very regularly. Another month and I'll see where I stand. For what it's worth, I feel better, think a little more clearly, sleep better, and therefore don't regret trying to improve without pharms. But I take my doctor's advice seriously, and I suggest you do to.

-and don't argue with people on internet boards!!! It will only make your BP get worse. take it all with a (single) grain of salt.

Good luck,
Brett

THIS + 1,000,000,000!!!! :mug:

Thank you for taking the time to write this Brett. If I had more patience today, I should have done something similar.

Regarding #1, I recently started taking red yeast rice myself (I'm not only a doc, I'm a patient too!) after hearing MANY of my colleagues report good results within their patient populations. Yes, it's somewhat anecdotal and not based on a formal, double-blind, randomized, clinical trial, but it's solid evidence based medicine. It's cheap and has virtually no side-effect profile, so at worst you're taking two capsules a day that cost a few pennies. You can get RYR anywhere... Wallyworld, Amazon, CVS, etc. etc.

Regarding #2, 3, 4. Great advice.

"But when the doc said, "You are going to be that guy that everyone said was 'so healthy' and next thing you know it, you're going to die, very very young." I was waiting for the punch line. No such luck."

I've said this (or something similar) to dozens of patients over the years. And even worse, this is exactly the scenario that happened to my own grandfather. He was super healthy, played basketball everyday, ate tons of red meat, drank beer by the gallon, your typical 60's Man - a real Mid-West Cold Warrior. He hadn't needed to go to the doctor in years. Then one day, he came home from playing a long game of hoops, met his two year old grandchild at the door, lifted me up over his head, and dropped me while the MI killed him on the spot. He was 45. (two years later my 23 year old single mom enrolled in medical school. TMI, sorry.)
 
Look at the OP of this thread. He got advice from a doctor that he didn't like. He has excuses for not exercising, and refuses to cut back on the alcohol. So instead of sitting down and having a serious look at his behavior, he comes here seeking validation of his lifestyle from others.

WTH is your damn problem dude??? Where did I say I am ignoring my doctor or not trusting him? I said he said drinking in moderation on pills such as BP and Cholesterol are OK whereas most of the pharmacological information says otherwise. I never said I was unhappy with what he said, and as a matter of fact I only mentioned BP pills which he said are fine to drink when taking. Please learn to read better instead of coming in here, talking about Thai hookers, and taking pot shots at me. That's the problem with the internet, people skim through threads and don't properly read them but instead interpret them for what they hear in their own heads.

Read my first post again. I never said ANYWHERE that I am "seeking validation of his lifestyle from others." Where are you getting this crap from??? And why does it bother you so damn much that someone is asking for feedback/experiences from others taking these meds??? Seems more logical to me to speak with people that have been on them for some time then to simply put on blinders and go only by a pamphlet. I really don't know what your problem is.


Rev.
 
I have no advice on the medication. I only have anecdotal story.

My BP was just in the borderline area and my cholesterol was also JUST borderline. But due to family history my doctor said he wanted to try putting me on meds. I refused. Instead I promised to start getting more exercise and eating better (eating less carbs and more meat and especially more veggies (I don't care for most fruit).

I kept putting it off due to various excuses like no time, don't feel like it, etc. My numbers never got better.

Then I got a recumbent exercise bike and started riding it. I started staying away from carbs and basically doing the caveman diet. If anything, my beer intake went up, although we're still talking 1-2 a day on weekdays.

Next visit my numbers very very much improved and I lost weight (not really keeping track of calories, but I know I was eating fewer) and felt better on top. (EDIT: I mean on top of every other benefit. I did not mean On Top as in intercourse. Although for full disclosure I am nearly ALWAYS on top. Or at least a bit to the side. I'm rambling...)

Now I know you said you can't (or won't) change your drinking habits, but that's your choice. Alcohol is really only good for you in moderate amounts. What is moderate for you isn't based on what you think is moderate or appropriate in your mind, but for your personal body chemistry. The doctor is only telling you what studies have shown for the average person.

I haven't seen anyone here saying the meds and alcohol are a problem as far as they know, but several have warned against plain drinking too much every day. It sounds like you already know the risks for that and have made the choice to enjoy the life you live. To that I salute you. You have obviously made peace with your future demise. Not very many do.

Bottom line is that you only ask for anecdotal evidence, and that makes this thread worth less than a truckload of dead rats in a tampon factory! There really is no point for this thread as far as I can see except for some people to give unwanted advice, and others stories that relate to your situation in a meaningless way. But perhaps after reading enough of them you something might change in you. You might decide to try cutting back the amount of beer you drink just a little, or trying a different diet, or getting some relaxation therapy (believe it or not, nearly EVERYONE can benefit from this. A LOT of people have no idea how constantly stressed they are and how awful it is for your body and mind.)

At any rate, good luck and good life.
 
Being a drinker my entire adult (18) life, also smoked from 13 till 60, so I know I'm screwed. I did quit smoking (will be 5 years in Sept.) my doctor said I should quit drinking. He's right, I know he's right. But, I'm happy, don't take any medication (other than beer) don't get s**t faced, and don't feel sick. I'm relatively active, not over weight, ride my motorcycle a few times a month (risky behavior). And except for the occasional aches and pains here and there feel fine. I've been single since my divorce 35 years ago, no Thai hookers, but roughly 40 women "friends" (gave that up 5 years ago too). So I have , and have had, a pretty full life. So, I've weighed the pros, and the cons, and.... I think I'll have a beer! I do have some non medical anecdotal advice for the OP (and others) and trust me, I'm not a doctor. Stress kills, remove the stress and no matter how long you live, you will have a happier life! :mug:
 
Thanks Homercidal. I do have an exercise bike still and used to use it. I may try to get at least 20 minutes a day in on it. I have changed my eating habits dramatically. I cut out all fried foods, all foods high in saturated fats and cholesterol etc. I don't eat eggs, only egg whites, I use only fat free milk, etc. I also eat a lot more vegetables and grilled fish now (always been a sushi lover as well) and was taking Omega-3 fish oil pills as well as natural cholesterol lowering Plant Stanol based pills. I did this for 1 month or a little more and took a second blood test... would you believe my LDL went UP!?? It was very disheartening and completely baffling. My doc agrees my high cholesterol appears to be genetic.

BTW, just since it was questioned in a past post or two - I'm a tall slim guy (6' 2" at 203lbs). Pretty active I would say, just got back from vacation where I did a lot of swimming. I work in IT and carry computer equipment around all the time, though there is a lot of sitting in a chair. I had gotten up to 214lbs and that's when I said "This has to stop" and started eating healthier/dieting.

Rev.
 
Rev2010 said:
he said drinking in moderation on pills such as BP and Cholesterol are OK whereas most of the pharmacological information says otherwise.

Rev.

Pharma trials take a large population of people and some react different then others. Their warnings are going to be a lot harsher then your dr since they are the ones who get the class action law suits if you die.
 
I'll only tell you what worked for me to get my bad cholesterol down (not medical advice). My Tri's were high, 234, six months down to 174 (my HDL went up and my LDL went down but I don't remember what it's at). I cut out all meat (except for seafoods) and milk based products (cheese, milk, etc.). I eat soy based products, nuts, some fruit, mostly green vegetables (leafy ones, not sweet ones), almost no bread/pasta (unless rice). I don't have many sweets, if at all (not a huge fan anyways). I lost a little bit of weight but it was mostly my cholesterol that was affected (I don't exercise like I should). And actually my beer intake has gone up a couple more bottles a month. I don't take any meds and high cholesterol runs in my family (and my Czech roots).
 
Did some research on red yeast rice - sounds like the US has stripped all the effective stuff from the over the counter pills. I wonder if big pharma had anything to do with that, since it could cut in on their profits if something over the counter works like their prescription stuff?

http://www.medicinenet.com/red_yeast_rice_and_cholesterol/article.htm

I'm on Lipator now, and would love a more natural alternative.
 
- sounds like the US has stripped all the effective stuff from the over the counter pills

Huh... That's interesting. Not exactly encouraging tho.

I buy mine at a little herbal shop around the corner. The brand is "solaray," the owner did tell me that RYR has a lot of variability across brands. I bought his recommendation but to be honest didn't put much stock into his comment about brands because I figured even the little guy has profit bias. (I don't know why I took that negative stance - I buy my home brew supplies through a 'little guy' down the same street and trust his product advice without question. And beer is WAY more important than potentially life saving medicine!)

Anyhow, the bottle I'm looking at says "non-irradiated, citrinin-free, 600mg" and has a few sentences about the quality/purity/effectiveness. It's a little more expensive, comes to about a buck a day.

If the OP doesn't mind I will report in another 30 days on my own numbers (don't mean to hijack his thread). That will be 2 full months. Bear in mind, I've been exercising more and eating better but like I said I started out in pretty good shape. 6-2, 185. Since ramping up the exercise I've lost 4 pounds but I don't see that as any measure. I run 4-5 miles/day and/or do either a P90X workout or a crossfit-style workout 6 days a week. The seventh I kayak and fish or something else more leisure-like. I don't smoke. I adjusted my diet in the ways I suggested to the original OP, plus I forgot to mention dairy - a smidge of low-fat milk in my coffee and maybe a sprinkle of some kind of hard cheese on my egg-white omlet. Honestly, if this doesn't do something to my numbers, I don't know the next step. Move to Tibet and become a monk? Or at least Belgium so I can still brew...
 
If the OP doesn't mind I will report in another 30 days on my own numbers (don't mean to hijack his thread).

I don't mind at all! And you're not hijacking here, this thread was just meant to discuss this issue and what people have done or are doing. As I mentioned, my cholesterol appears to be of the genetic variety. Changing my diet, losing weight, taking plant stanol pills and Omega 3 made no difference. Well, it did... my overall cholesterol number went down, but I think that's mostly because my triglycerides went from 250 or something like that down to 70, which is ideal. My HDL stayed the same but somehow, and I have no idea how, my LDL went up close to 10 points :confused: And I didn't eat anything bad the night before or anything like that. It was rather disheartening I must say. Some nights I would just have a plain can of white tuna in water (drained). I switched to eating grilled salmon more often, cut out all fried foods and foods heavy in saturated fats etc. Only thing I can wonder is maybe the cholesterol boost came from my body burning my own fat since I was losing weight? I dunno. Anyhow, please do report back. A natural option is something I would always prefer if it's possible.


Rev.
 
The first 2 things that come to mind are Hydrogenated Oils, and Vitamin K, make sure neither are in your diet. Hydrogenated oils are everywhere, so odds are your diet needs to be completely changed, if you need recipes let me know. Vitamin K is what the liver naturally produces, but for some reason it is in the cheaper vitamins for the past 8 or so years. It makes you drunk quick and nasty hangovers.

I would also suggest to not drink in excess, add oatmeal to your diet, even if it is the literal definition of add.

Best of Luck.
 
I tried for years to keep my high cholesterol down...it was about 240 when I was 36 years old. I exercised, ate very well (seems like I ate cardboard all the time) but nothing made much of a difference and my doc told me it was hereditary and there's only so much that can be done short of exchanging DNA. So, I got on meds for it. No high BP thank goodness. But, he told me just to drink lite beer in moderation........NOT! I exercise 5 days a week but basically cardio and light weights. My numbers with meds are where they should be but I don't drink each day, maybe 2 nights a week and lightly.
But, I jam every now and then and slam some down but I compensate for that by more exercise the next day. Everyone is different and only you, with your doctors advice, can make the right decision.
 
this whole cut sugars and eat real butter, meats, etc. is getting rid of hydrogenated oils.
Correlation vs. Causation
 
and i refuse to believe that, my entire family has high BP, obese, etc. NOT ME, I eat right, I excersize, I'm 6'3" and still wear 36 waist jeans at 30 years of age, so never give in.
 
and i refuse to believe that, my entire family has high BP, obese, etc. NOT ME, I eat right, I excersize, I'm 6'3" and still wear 36 waist jeans at 30 years of age, so never give in.

I'm 38, 6' 2" and I still wear size 36 as well. I used to be even thinner though, many called it unhealthy skinny. I'm glad I'm not that slim anymore, I honestly do feel I look way better at a normal weight. But now I'm looking to get under 200 and I'm very close.

One thing I don't consume often is high fructose corn syrup. I don't drink soda, and I don't really eat swing things - which is interesting since as a kid I was crazy about candy and sugar. I figure since I drink beer frequently and it contains sugars that may be why I no longer care for sweets?, who knows.


Rev.
 
Straight from facts and comparisons, a popular drug facts resource for pharmacists. This is for simvastatin, a common entry level drug for high cholesterol. "simvastatin is contraindicated for heavy users of alcohol or history of liver disease." take that as you will, but my opinion is 4 beers isn't heavy. Hopefully that's concise and helpful
 
This is for simvastatin, a common entry level drug for high cholesterol. "simvastatin is contraindicated for heavy users of alcohol or history of liver disease."

Yeah pretty much ever statin drug I've seen advises against alcohol consumption since they work in the liver. There are some other cholesterol lowering drugs however that work in different ways rather than in the liver. Will have to speak with my doctor about those options.


Rev.
 
Straight from facts and comparisons, a popular drug facts resource for pharmacists. This is for simvastatin, a common entry level drug for high cholesterol. "simvastatin is contraindicated for heavy users of alcohol or history of liver disease." take that as you will, but my opinion is 4 beers isn't heavy. Hopefully that's concise and helpful

Again, this is just anecdotal evidence but my doctor told me that anything more than 20 beers a week (every day) is considered heavy. I don't consider that heavy either but when my doctor says it is, I believe her! I take Simvastatin (for chol) Lisinopril (for BP, plus it's a diuretic) and Allopurinol to reduce uric acid (gout). I can tell you that for the first 4-6 weeks I felt "funny" a lot. My heart would flutter and beat irregularly and I would often just have a weird fluttery-pressure-pain in my chest but my doc said that was somewhat normal and that it would go away after 4-6 weeks, which it did. Since then I no longer have those feelings but at first, it really sucked.
 
Rev2010 said:
I don't mind at all! And you're not hijacking here, this thread was just meant to discuss this issue and what people have done or are doing. As I mentioned, my cholesterol appears to be of the genetic variety. Changing my diet, losing weight, taking plant stanol pills and Omega 3 made no difference. Well, it did... my overall cholesterol number went down, but I think that's mostly because my triglycerides went from 250 or something like that down to 70, which is ideal. My HDL stayed the same but somehow, and I have no idea how, my LDL went up close to 10 points :confused: And I didn't eat anything bad the night before or anything like that. It was rather disheartening I must say. Some nights I would just have a plain can of white tuna in water (drained). I switched to eating grilled salmon more often, cut out all fried foods and foods heavy in saturated fats etc. Only thing I can wonder is maybe the cholesterol boost came from my body burning my own fat since I was losing weight? I dunno. Anyhow, please do report back. A natural option is something I would always prefer if it's possible.

Rev.

Rev, if you were overweight to begin with, in the short term some numbers will rise, it takes the body time to adjust to a new diet. Best i can say is not to give up on the changes and see 3mos, 6mos and 9mos down the road what your numbers are like. Cholesterol problems may be genetic for you but you can;t tell anything in 1-3 mos about where your levels will be later.
 
Cholesterol problems may be genetic for you but you can;t tell anything in 1-3 mos about where your levels will be later.

Yeah I was thinking the same thing. I don't recall if it was in this thread or if I read it somewhere else but somewhere I'd read you need to give it at least 3 months of positive change before you go and check for the results. Except for my recent one week vacation I've been sticking to the healthier diet and weight loss. My weight never went beyond 214 lbs, that is when I said it has to stop, so I've never been large by any degree but that number is still considered overweight by health/medical standards. Heck, even at my current 205 it's still considered overweight.

I'm going to keep at the natural method first for cholesterol and check back in a few months. I will however fill my blood pressure prescription and start on that. Thanks again.


Rev.
 
Rev2010 said:
Heck, even at my current 205 it's still considered overweight.
Rev.

Book textbook weight for someone my height at 6' is 177lbs which would be extremely skinny for me.
 
textbook weight for someone my height at 6' is 177lbs which would be extremely skinny for me.

So true. I find a lot of the numbers are really a bit silly. I'd have to lose 10 lbs more to be at the maximum recommended weight for my age and height. Boy, I think if I lost 10 more pounds I'd be doing great, not in a situation where I would need to lose another 15lbs to be considered ideal. While I don't want to go as low as 180 my personal preference right now is between 185-190 but I would simply be happy to get under 200, which will happen soon.


Rev.
 
Rev, you and I are in very similar boats.
I went to the dr about 3 months ago and had some blood tests done as I hadn't been the dr in years. (unemployed, lack of insurance, etc.).
I weighed in at 219 for that visit and am 6'3" tall also.
My total cholesterol came up from those tests at 293.
So, I've changed my diet entirely, I only eat fish and chicken, no eggs, light cheese (and very little of it) skim milk, whole grains, etc. I basically feel like I eat twigs and berries at this point!
So, in the past three months I've lost over 20lbs just from changing diet alone. "Great" I'm thinking!
Until I went to get my tests done last week for my dr visit on Monday.
My total cholesterol was up at 313 this time!
I just went back today for a second lipid panel since I have a hard time believing it.


However, I think there was something mentioned above that is true.
When you lose weight, your body burns its fat stores, which in fact increase your cholesterol until you level out.
So, I'm going on Monday and will be talking to the Dr. about this. I do drink... much like your habit of 3-4 a night. Sometimes more, sometimes less, sometimes none. Just depends.
I'll let you know what I find out, but in the meantime, think about the whole burning of the fat stores thing. It could just be that.
 
Krazydave - thanks so much for your post!! Of course it's not good to hear you having the same issue, but it gives me some hope and I hope the logic is correct. As mentioned, I'm going to keep at it and check again in a few months. Hopefully things will have changed. Please keep me up to date man ;-)


Rev.
 
Krazydave - thanks so much for your post!! Of course it's not good to hear you having the same issue, but it gives me some hope and I hope the logic is correct. As mentioned, I'm going to keep at it and check again in a few months. Hopefully things will have changed. Please keep me up to date man ;-)


Rev.

Yeah, no. That logic is not correct. I'm sorry if the advice given in this thread by evrose rubs you the wrong way, but it's good advice. Most drugs, especially those that function and/or are metabolized in the liver list drinking as a no-no. Some of them they're just being overly cautious. Some of them they are not screwing around. The problem is that the US public does not want to hear what they are being told. Don't take Tylenol or statins with alcohol? Psssh, what do those people know anyway? Take 1-2 every 6 hours? Well, I am in a lot of pain so I'll take 6.

What you're doing is bad for you. Potentially very bad. If you don't care still, then more power to you. Just don't try to sue someone when your liver shuts down.
 

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