LiveO2 use frequently provokes blood oxygenation levels to deviate from what seems normal. These patterns often reflect issues with physiology that improve awareness of what is happening in the body.
The 99er Pattern
The unnaturally high PO2 usually occurs when blood cannot reach tissues due to endothelial capillary inflammation. The endothelial inflammation reduces below the passable diameter of a red blood cell (RBC). When this occurs, only plasma can flow through the capillaries, limiting energy production to anaerobic fueled by
glucose absent oxygen.
Explanation
The reduced capillary cross section causes RBCs to go around narrowed capillaries. RBCs that don’t pass through capillaries do not release oxygen much like a vehicle that cannot release a payload — it just remains full. This shows up as an unnaturally high starting PO2 and a tendency NOT to desaturate during hypoxic exertion challenge.
This pattern has been observed:
- Fibromyalgia / Chronic Fatigue
- Cancer patients after chemotherapy
For comparison a starting saturation level of about 97%, with
rapid desaturation to 87%, is normal (sea level).
This pattern contradicts the typical medical conclusion that a high
hemoglobin saturation indicates good tissue oxygenation. The medical
interpretation presumes, usually incorrectly, that oxygen can always
move from the RBC to tissue. By the time this saturation pattern,
99 – 100%, occurs when the person’s body has a large percentage of
under-oxygenated tissue.
The severity of systemic hypoxia is indicated by how long it takes
them to re-saturate after the inflammation is reversed. On the pulse
oximeter, how many minutes does it take them to saturate to 99% after
they reperfuse dip? The longer the time, the greater the accumulated
oxygen tissue debt.
The degree of systemic hypoxia is indicated by how long it takes the
person to re-saturate afterward (the amount of time the person spends
on oxygen with a low oxygen level).
The problem is that the oxygen bound to hemoglobin cannot dissociate
because it never passes through the capillaries where it can release
oxygen. In this case, unnaturally high hemoglobin saturation means
poor tissue oxygenation.
Resolution Pattern
The telltale for resolution of this pattern is a dramatic drop in
PO2 late in the session while on oxygen. Here is a model
for what happens:
- Capillary pulse pressure reaches the penetration threshold as
arterial blood pressure and hypoxia-induced vasodilation deliver
more pressure to capillary bed. This takes effort and some time.
It does not happen instantly, and takes 5 – 10 minutes of effort. - Endothelial cells switch back to normal metabolism and pump-out
sodium and quickly shrink back to normal size - Capillary opens to red blood cell passage and tissue reoxygenation begins
- PO2 drops as tissues absorb large amount of oxygen until
reperfusion is complete, usually in 2 – 4 minutes.
Started abnormally high 99% PO2 on start and then desaturated to 80% after hypoxic challenge about 9 minutes into the session. User remained at 80% PO2 for 2 minutes while breathing oxygen. Normal resaturation time is 5 seconds.
Typical Observation
The telltale for resolution of this pattern is a dramatic drop in PO2 late in the session while on oxygen. Here is a model for what happens:
- Capillary pulse pressure reaches the penetration threshold as arterial blood pressure and hypoxia-induced vasodilation deliver more pressure to the capillary bed. This takes effort and some time; it does not happen instantly, and takes 5 – 10 minutes of effort.
- Endothelial cells switch back to normal metabolism and pump out sodium and quickly shrink back to normal size
- Capillary opens to red blood cell passage and tissue re-oxygenation begins
- PO2 drops as tissues absorb large amounts of oxygen until re-perfusion is complete, usually in 2 – 4 minutes.
Pathological Hints
This is the typical chronic-fatigue pattern. It usually includes persistent muscle touch sensitivity from regional tissue acidosis. Over time this condition can progress to multiple local and systemic disease states:
- Hypoglycemia as under-oxygenated tissues use excessive glucose. If the liver fails to keep up with demand, then blood sugar falls to hypoglycemic levels and causes systemic fatigue.
- Gall bladder conditions include discomfort and gallstones. When the Cori Cycle depletes lactic acid reacts with bile in the gall bladder to precipitate solids which often form gallstones and cause discomfort.
- This author suggests that tissues that retain excess lactic acid for a long time become hypersensitive as with fibromyalgia.
See Fatigue Protocol for more information.
Protocol Suggestion
Recurrence
Normally this pattern only occurs once during early use. Re-perfusion is durable until conditions that caused endothelial inflammation recur.
LiveO2 Adaptive Contrast appears to be a requirement to provoke resaturation. It seems the reason for this is that reduced-oxygen air creates vasodilation and increases arterial pulse pressure, which maximizes pulse pressure at the capillary entrance. This re-perfusion effect has not been observed with LiveO2 Standard.
What to Expect
If you experienced this pattern, you will likely:
- Feel stronger and have increased endurance
- Reduced cravings for sweets and simple carbohydrates
- Reduced tendency for muscle soreness
- Greater strength in major muscles
- Reduced tendency for loose stools
- Improved fat digestion from improved bile availability
- Have an increased respiration rate at rest
The 100 Pattern
This occurs when a user observes a PO2 of 100%. This pattern reflects oxygen delivery to cells is inhibited due to one or more problems.
Explanations
Carbon Monoxide Poisoning
Carbon Monoxide binds to hemoglobin about 254x more strongly than Oxygen. CO causes blood to appear unnaturally red tricking the Pulse Oximeter to register inaccurately high.
Carbon Monoxide may be internally produced. So you may exhibit this absent exposure to environmental carbon monoxide.
LiveO2 enables the body to expedite release carbon monoxide but it requires longer-term training. Contact your trainer for advanced support.
Capillary Shunting
Capillary structures are based on a central thoroughfare channel that transports blood between the arterial and venous networks.
When the systemic network of capillaries is substantially blocked, blood cannot deliver oxygen to corresponding tissues.
When the capillary systems are substantially blocked this failure causes blood to return to the heart with oxygen instead of carbon dioxide. This causes the Pulse Oximeter to show unusually high saturation.
Individuals with this condition will normally exhibit:
- Unusually large desaturation events during early training sessions as oxygen surges restore capillary flow and cells consume large amounts of oxygen;
- Asymmetric pulse oximetry readings show tissues on left vs right opening up corresponding to areas with active and stale injuries. Right oximetry tends to dip more often than left due to high oxygen enabling surges of liver function. Left side dips tend correlate to oxygen restoration to injured tissues.
Instructions:
- Easy does it
- Continue to escalate training
- May take 3+ sessions to achieve desaturation
Initial Dipper Pattern On Oxygen
This pattern occurs when a user starts to exercise on oxygen. It normally reflects recovery from chronic but recoverable chronic oxygen deficiency where tissues have been in prolonged oxygen-deficient status.
Restoration of oxygen causes short-term elevated consumption which results in temporarily low pulse oximetry reading as tissues consume very large amounts of oxygen.
Pulse oximetry is often asymmetric. This means that pulse oximeters on the left and right-hand show substantially different numbers.