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I have found that most of the CHF cases that come to me are on a triad of medications. I do not stop the meds but start to reduce the drugs based on the hierarchy of priority for survival. Usually I put them on card plus 1 to 3 bid , gemmotherapy hawthorn 3 to 5 drops bid, colostrum 500 mg/ 25 lbs Sid , common Juniper gemmo 3 to 5 drops sis for six weeks then weekly for detoxing and supporting the heart and kidneys ( liver is the mother of the heart and the kidney is the controller of the heart) and a simillimum. I also recommend Cardioplus (Standard Process) at a dose of 1 to 3 tablets twice per day for nutritional support of the heart.
Once they have been on this regiment for a week and I see improvement we begin to titrate the Lasix until they do not need it or we establish a lower dose. I then consider which drug is the most toxic an do the same. I have used this protocol in cardiomyopathy as well and have had good results. This goes for hypertrophic cardio myopathy cases as well.