A low blood count pulse oximeter reading is cause for concern. A normal pulse oximeter reading does not tell us anything. The study looks at the excess of carbon dioxide found in tissue of many people before, during, and after exercise, and asks the question whether there is not enough oxygen in the lungs and blood hemoglobin to eliminate excess carbon dioxide. The use of supplemental oxygen appears to be indicated even when the pulse oximeter gives an entirely normal reading.
Consumer oxygen works to release excess carbon dioxide trapped in tissue because the blood oxygen is not sufficient to do the cleaning function one wished it would do. With the aging of the population, many people do not exercise enough to gather the waste carbon dioxide generated by muscles and tissue. With the dramatic increase in people who are overweight and even obese, there is increased need for supplemental oxygen availability at the sites where people exercise. Only modest amounts of supplemental oxygen are needed to have an effect.
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Recreational oxygen has been available for a while, but only recently has there been a basic understanding of the value: eliminating excess carbon dioxide in the body. Build-ups of carbon dioxide come from the muscles. Recognition of the ability of to get rid of this excess has been enough to validate the value of supplemental oxygen.
Excess carbon dioxide is not good for people. It would not be excess if normal breathing or even heavy breathing was able to rid the body of the build-up of carbon dioxide, but any extra weight is enough to create excess in the tissues. The muscles and cells work all the time, giving off carbon dioxide, and most people have an excess.
Exercise oxygen equipment is positioned to help regular non-diseased people and athletes achieve performance recovery after exercise. Supplemental oxygen permits longer periods of exercise and supports faster return to exercise after a rest interval. Supplemental oxygen along with exercise appears to help with tissue repair by eliminating excess carbon dioxide. For older people, supplemental oxygen appears to help with fighting inflammation and improving mental acuity: Supplemental oxygen is:
- dissolved in plasma, already 2% oxygen;
- bound to hemoglobin in red blood cells, as it drops below 98% oxygen.
Breathing supplemental oxygen adds more oxygen to the body even when the hemoglobin is already apparently saturated according to pulse oximeter readings. If the oxygen fully saturates the hemoglobin it increases the concentration of dissolved oxygen in plasma, creating the ability to eliminate excess carbon dioxide.
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Muscles and fat create excess carbon dioxide in people with obesity, in elite athletes, in people who are aging. The value of exercise is that it helps the blood pick up excess carbon dioxide that must be expelled from the body. Supplemental oxygen is useful in stimulating this process even in the absence of disease. Athletes and firemen use supplemental oxygen to eliminate excess carbon dioxide. Soon ordinary people exercising will use supplemental oxygen for this process as well. This will happen even in people who apparently have hemoglobin sufficiently saturated with oxygen.
The value of supplemental oxygen is not to saturate the hemoglobin more, it is already saturated in most cases, the value is to stimulate release of excess carbon dioxide.
Exercise oxygen equipment is useful for improving personal performance and endurance during workouts. It gives athletes competitive advantage in sporting events. Supplemental oxygen is not banned because the oxygen has significant health benefits that cannot reasonably be taken away by sports governing bodies.
The condition called hypoventilation during the day is a condition of obesity that is possible to address with supplemental oxygen even in the presence of fully oxygenated blood. Obese people are not moving enough air in and out of the lungs to clear the carbon dioxide from the body. The problem exists to a lesser extent in people with less fat, people without any lung disease, just overweight or obese.
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