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elevated lactic acid levels
Aug 25, 2000

Dear Doctors,

I recently was told that I have elevated lactic acid levels and should when I am more stable change some of my medications. I am going on an extended trip to Holland, four months and will not be able to switch until I return. My question is, is there anything I can do in the mean time to help my lactic acid levels to not increase? He mentioned Co-Q 10, riboflavin and L-Carnitine but no ammounts or wether all three need to be done simultaneously. Any help would be greatly appreciatied. Thank you, Todd Meszaros

Response from Dr. Henry

The following doses are in common use in the community (not supported by firm data):

co-enzyme Q 30 mg BID

N-acetyl cysteine 500 mg BID (twice a day)

L-carnitine 500 mg once or twice a day

riboflavin (vitamin B2) 50-100 mg/day

if you are in any way symptomatic (nausea, vomiting, bloating) or have increased liver enzymes then I would be more worried. Repeating the lactic acid under optimal conditions (no exercise for 6-12 hours before hand) is also recommended. Good luck. Keith Henry, M.D.

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