CHRONIC FATIGUE SYNDROME
In early 1997, some of the patients at the Johns Hopkins University Medical Center Chronic Fatigue Syndrome (C.F.S.) studies in Bal-
timore reported good results in becoming more functional using the electrolyte replacement drink known then as “Gookinaid E.R.G.”*
Karen DeBusk, R.N., the director of the study at Johns Hopkins, requested a supply of Gookinaid™ for use in evaluating its effectiveness
in relieving the malaise, fatigue and lassitude that characterizes C.F.S. Results were so dramatic that Gookinaid was recommended as a
supplement to drug therapy for the syndrome, as well as for other dehydration and electrolyte imbalance conditions, including: other neu-
rological or hormonal induced electrolyte imbalance syndromes, and for patients who have had a portion of their digestive tract removed,
limiting the return of uids and electrolytes to the system.
Chronic fatigue syndrome is characterized by the gradual onset of extreme fatigue in otherwise healthy and active individuals to the ex-
tent that they may become almost completely dysfunctional. When strenuous activity (or what becomes strenuous for these individuals) is
attempted, the individual often experiences vertigo and dizziness in addition to the extreme fatigue, and may even “black out”. Subjects
are found to have low electrolyte and uid levels and accompanying hypotonicity (low blood pressure). Low electrolyte and uid levels are
the major factors in fatigue, often as much as 70% of normal, and the hypotonicity contributes to the vertigo and blacking out, just as one
experiences when rising quickly to a standing position from lying or sitting down. In individuals with C.F.S., the autonomic nervous system
is sending “mixed” signals to the endocrine system causing the body to lose more electrolytes, especially sodium and potassium, in the
urine than normal. This causes greater uid loss along with the electrolytes resulting in lowered blood volume and low blood pressure.
Therapy with experimental drugs to readjust the hormonal signals to help maintain normal electrolyte levels and reduce diuresis supported
by oral uid and electrolyte replacement has been very effective in helping the C.F.S. individuals resume more normally functional lives.
The only electrolyte replacement drink found to be really effective in maintaining electrolyte and uid levels is VITALYTE™.
(A synopsis of personal communications and preliminary reports on the Johns Hopkins University Medical Center Chronic Fatigue Syn-
drome studies.) VITALYTE is so effective because it contains the same proportions of potassium and sodium and the same concentration
of glucose as blood so that it’s absorbed directly from the stomach into circulation. It increases blood volume without diluting the blood;
this means that there isn’t an excess of water for the kidneys to have to eliminate, and less water is lost in urine as happens when you are
drinking plain water. Solutions with an excess of sodium, help to retain water but, in the tissues, not in circulation. Excess sodium has to
be excreted, ultimately causing more uid loss and the loss of your own potassium in keeping up with the sodium losses.
Among the several causes of chronic hypotension (low blood pressure), dehydration and the resultant low blood volume ranks as the
most common and most treatable. In most cases, you can increase your blood volume and blood pressure by drinking more uids during
the day and before meals. However, drinking just water may result in serious losses of electrolytes unless they are replaced adequately in
the diet, or by taking supplements. Another problem in drinking plain water is that the water in an empty or nearly empty stomach takes a
long time to be absorbed. If the drinking was prompted by thirst, the thirst reex which is activated in the hypothalamus in response to an
increase in blood osmolality (the concentration of the blood) due to loss of the uid component, will still be making you feel thirsty because
the water hasn’t yet diluted the blood throughout the system enough. If you continue drinking water until you feel heavy or bloated, there
will be enough hydrostatic pressure in the stomach to force the water into the blood, diluting the blood. Circulation next takes the blood
to the kidneys where they remove the excess water and pass it on to the bladder. You are still thirsty and now you have to urinate, los-
ing vital electrolytes in the urin e. One solution is to have food in the stomach before drinking water; another is to drink diluted vegetable
juices, or even diluted fruit juices and sports drinks. Diluting these drinks is recommended because at their usual concentrations, they will
pull water from the blood into the stomach to dilute them until they are the right concentration (isotonic) for absorption. This pulls even
more uid from your circulation, further decreasing blood pressure; this is why you usually feel lethargic after a meal, and may feel more
vertigo than usual when you stand up.
Researchers and medical staff at clinics for hypotension, including those for chronic fatigue syndrome and neurological mediated hy-
potension at Johns Hopkins University Medical Center, The Cheney Clinic and the Universal Life Center, have found that the most ef-
fective means of replacing circulatory uid and electrolytes to increase blood volume and relieve hypotension is by drinking one to three
quarts of VITALYTE each day. This electrolyte replacement drink contains just the right proportions of electrolytes, especially potas-
sium, sodium, calcium and magnesium, and glucose at the correct concentration to very quickly and effectively increase blood volume
to normal ... and you won’t keep going to the bathroom to urinate! On the other hand, if you were dehydrated, once your blood volume is
up to normal, and you are now sufciently rehydrated, additional VITALYTE will reduce the concentration of the urine to normal. Drinking
a quart of VITALYTE each day will make a great difference for you ... but, don’t take my word for it; nd out for yourself!
CHRONIC FATIGUE SYNDROME & HYPERTENSION.
By: Bill Gookin, No. 15 in a series of occasional reports on wellness and dehydration
* For 40 years athletes have known us as Gookinaid, but we are not just a drink for athletes.
Now the world knows us as Vitalyte™, a drink for everyone. Same fast, effective formula...band new name!
**This article is the opinion, advice and testimonial of the author and your results may vary. If you have a medical
condition involving dehydration or electrolyte imbalance, you should consult a physician before following this advice.
***Documentation on le.