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Case Study:  why exercises induced his panic attack - the neuroimmune responses to exercise-induced stress, and how to avoid it.
Reader: 5/24/2008>Hey Dr. lin. I would like to thank you again for everything you have done for me. I have another problem  :) . Ok after i exercise (generally when i lift weights) but occasionally, exercise in general; well after i get done working out within an hour i feel myself starting to almost get a panic attack. I feel like i am going to freak out and i dont know what it is. I really dont want to stop exercising, but if i have to to stop this i will. I notice after i eat after i exercise it gets better. I dont know if its low sugar, carbohydrates, protein,fat or salt in my body or what.I would like to get your input on this. My friends say they experience this to. Is it something im not taking in my body prior to exercise, during exercise, or after it?? Please let me know if you have any incite on this matter. Thank you again Dr. Lin 
Dr. Lin: 5/25/2008>This is a very dangerous condition for water intoxification and cardio arrest.
Your post-exercise panic attack and anxiety results from excessive exercise-induced norepinephrine release when your serotonin and GABA nervous control goes low , when your glucagon level over-shot due to insufficient glucose or carbohydrates to burn, or when you are near in a water intoxification state by drinking too much pure water without salt and minerals. It also indicates your cortisol, epeinephrine and polactin level are very high. Norepinephrine and epinephrine can trigger both proinflammatory and anti-inflammatory cytokines and kinases in the immune system via the stimulation of the alpha- and beta-adrenergic receptors.  Binding of norepinephrine and epinephrine in the adrenergic receptors activates the inflammatory protein kinases A and C, which in turn, phosphorylate other intracellular enzymes and then ultimately alternate the immune cellular function. Although moderate increase in norepinephrne and epinephrine results in increase in the concentration of lymphocytes in the bloodstream for immune enhancement, excessive norepinephrine induces more proinflammatory effects than anti-inflammatory ones, leading to excessive prostaglandin E2 production to set your brain and body on fire - over-heating, immune disorder and inflammatory responses.
You should have a super-high protein diet without carbohydrate intake and should frequently rehydrate your body with drinks containing carbohydrate, salt and minerals to maintain electrolytes balance in the nervous system and insulin-glucogan balance in the bloodstream, so that you have a faster recovery.
Don't exercise in a high temperature environment or under intense heat. Your skin's neuroimmunological and neuroendocrine responses to heat and high temperature will release stress hormones norepinephrine and epinephrine, even without exercises.
By the way, don't exercises too hard, racing your heart beyond its capacity.
A low impact  or moderate exercise can do something good for you. Limit your exercise during to 80-90 minutes or before your hypothalamus and adrenal function fire up excessive dopamine-norepinephrine conversion - when your heart is pounding crazily.
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