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you know recently um i was sitting down on a table  and i was looking over and i noticed someone um  

someone’s right ankle was completely swollen okay  the foot was swollen the lower leg was swollen but  

the left foot wasn’t swollen and i was very very  tempted to go up to her and start asking questions  

because typically what happens when your  right ankle or foot is swollen you have edema  

that’s usually a liver problem cirrhosis of the  liver and i looked down and to see if there was  

a protruded belly like called ascites and there  wasn’t that it was it was definitely a belly but  

it wasn’t protruded now that’s not the only way to  diagnose the liver but it was just one indication  

if there’s advanced liver problems but sometimes  i get into trouble because i tend to want to  

evaluate the person and figure things out when  they might not want to be evaluated but based  

on where someone is holding fluid edema wise you  can tell a lot about what’s going on in the body  

so if the right ankle and foot is more swollen  think liver if the left foot and ankle is swollen  

think more heart if both of the ankles and feet  are swollen think more of a blood sugar situation  

like diabetes now there’s many other reasons  why you might have edema it could be you have  

something called chronic venous insufficiency or  you have lymphedema or you have a kidney problem  

or even you have an advanced lung problem but  the most common reasons for edema in your ankles  

is going to be usually in the area of blood  sugar issues like diabetes or pre-diabetes  

or you’re just low in potassium and you’re  very high in sodium i remember in practice  

i would just simply have people either juice  some greens or take some potassium and all  

this fluid would just come right out the next day  so potassium is very very important and it just  

tells you that they’re just not consuming enough  greens they’re just doing heavy salt and i don’t  

actually recommend cutting down your salt i just  recommend increasing your potassium by consuming  

more greens like a really large salad every single  day would be great now let’s talk about diabetes  

but what happens when you’re diabetic is you get  destruction of your vascular system especially in  

the capillaries so all the blood that comes  through your arteries it comes down to the  

capillaries it has to then go through this little  exchange process then you have the lymphatic  

system which handles the excess fluid and comes  back around and if your circulation is damaged  

from high levels of sugar you’re not going to get  this exchange it’s going to back up into fluids  

and you’re going to just hold a lot of fluids in  your feet and your ankles and this is actually  

a pretty big problem because think about what’s  happening to your heart it’s having to work  

really really hard and so when someone has edema  in the ankles it gives you a good prediction  

of what’s going to happen down the road and so  unfortunately when people go to the doctor for  

edema they give them a diuretic they’re treating  this symptom the symptom is not the problem  

it just tells you there’s a problem  there and just by getting rid of fluid  

you never you never change the diet you never get  the potassium in there you don’t correct the blood  

sugars and unfortunately when you suppress  the symptom you’re hiding the symptom and  

you’re lowering the awareness that the problem is  still there because you’re taking these diuretics  

every day and you’re just getting rid of the  fluid and you’re thinking oh yeah i’m fine so  

if you’re watching this right now and you  have swelling in the ankles or the feet  

definitely start asking questions start to  investigate an underlying cause if you’re on  

medications definitely also find out the root of  this problem and start to correct it so you don’t  

end up down the road with a bigger problem hey  before you go if you’re benefiting from any of my  

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