Chapter 2692: 2594.2495 Pomelo Juice (Alliance Assertion Lin Min Extra Chapter 5)

2594.2495 Pomelo Juice (Alliance Assertion Lin Min Extra Chapter 5)

Buying autumn vegetables is the only vigorous exercise Zheng Ren can think of that someone the age of Director Kong's lover could do.

Elderly people are all willing to store autumn vegetables, which seems directly linked to the scarcity of supplies decades ago.

If they don't store enough autumn vegetables in autumn, the whole family will have nothing good to eat in winter. Not to mention the vegetables easily available now; they don't even have potatoes or cabbage—how miserable it would be.

Zheng Ren looked hopefully at Director Kong's lover, but received an answer that disappointed him.

Director Kong's lover shook her head and managed a smile, saying, "Xiao Zheng, what era is this? Nobody stores autumn vegetables anymore."

"Yeah, the supermarket is right downstairs—you can buy whatever you want." Director Kong said, "In recent years we still stored a little, but if we stored too much it was wasted; in the end it's still better to just buy from the supermarket."

Zheng Ren frowned in thought; it wasn't sudden massive activity causing rhabdomyolysis, so what else could have triggered it?

"Boss, what are you thinking about?" Su Yun whispered from behind Zheng Ren.

Zheng Ren slowly shook his head, indicating he had not yet made a diagnosis.

The causes of rhabdomyolysis are extremely complex; overseas researchers have identified over 190 etiologies, with more than 40 being hereditary. However, the most common cause is overexertion—so what should we do?

Director Kong's lover was diagnosed with rhabdomyolysis accompanied by acute kidney failure; treatment requires going to the hospital, avoiding triggers, and then treating the acute kidney failure.

Regardless, we should first go to the hospital for dialysis; finding the cause isn't the priority—symptomatic treatment is urgent.

"Besides limb soreness, have you felt anything else abnormal lately?" Zheng Ren asked, then pondered what excuse to use to take Director Kong's lover to the 912 department.

"I have a slight cough and don't want to eat." Director Kong's lover whispered.

……

Zheng Ren obviously found this explanation impossible to accept; trying to push and guide Director Kong's lover to say what he needed was incredibly difficult.

When talking about food, Zheng Ren began to suspect that some food might have triggered an allergic reaction leading to rhabdomyolysis.

"Sister‑in‑law, what unusual foods have you been eating lately?"

"Fruit, the pomelo juice is sitting over there." Su Yun said from behind.

Pomelo… Zheng Ren froze for a moment, then quickly re‑examined Director Kong's lover's system panel, and suddenly realized.

"Sister‑in‑law, you're really meticulous with your food—you even juice the pomelo." Su Yun chuckled as she continued.

"Ah, never mind." Director Kong said, "I don't know who told her about the body's acid‑alkali balance theory, claiming an acidic physique easily leads to cancer and illness. I've advised her many times, but she won't listen to a word."

"It's been proven medically." Director Kong's lover argued, "Eating alkaline foods is good for the body."

"That's been debunked long ago—you still won't believe it. How long has it been since you ate meat? You crave it so much your eyes turn blue." Director Kong sighed.

"Sister‑in‑law, you…" Zheng Ren walked to the other side of the bed, picked up the cup, and held it under his nose to smell.

That action was a bit strange; no matter how, he was in Director Kong's home, even in the bedroom, moving things around indiscriminately—it seemed improper.

"What do you want to ask?" Su Yun asked in surprise.

"Sister‑in‑law, do you have high blood lipids?"

"Yeah, at this age, not having high blood pressure or high lipids makes you embarrassed to greet people when you go out." Director Kong said.

"What medicine are you taking?" Zheng Ren asked in a low voice.

"Lipitor." Director Kong said, "Any problem?"

"Uh… I'm thinking the Lipitor caused the rhabdomyolysis." Zheng Ren let out a breath and said, "Director, call 120 and send him to nephrology for dialysis."

Director Kong and his lover were stunned; Director Kong whispered, "Boss Zheng, I've been taking Lipitor for years."

"Do you eat pomelo every year?" Zheng Ren asked, holding the cup.

They both shook their heads.

"Pomelo contains furanocoumarin compounds; this active substance is an inhibitor of the body's primary drug‑metabolizing enzyme, rapidly raising the blood concentration of statin drugs in a short time, doubling the amount entering the bloodstream and inhibiting the drug's breakdown and metabolism."

"Before it was fine, but now it's a problem."

Seeing Director Kong still dazed, Zheng Ren set the cup aside, picked up his phone, and while dialing asked, "Sister‑in‑law, how's your urination these days? Any swelling in your lower legs?"

Director Kong immediately began checking his lover's feet.

There was swelling, not severe; pressing hard left a pit.

Really kidney failure? Director Kong froze.

"Boss, how did you figure that out?" Su Yun asked, seeing Director Kong's lover's feet swollen and not understanding.

Zheng Ren gave a wry smile, wondering if he could still say he had deduced it by reverse‑engineering the system panel.

"120? I'm…" he said, glancing at Director Kong and handing over the phone.

"You reminded me." Zheng Ren tossed the pot to Su Yun, "Pomelo juice plus muscle soreness made me recall the warning in the Lipitor label."

"During treatment, diffuse muscle pain, tenderness, or weakness—especially when accompanied by general malaise or fever?" Su Yun asked.

"Yeah, eating pomelo together with Lipitor is problematic."

"You just said it's not an issue—how did you figure it out?" Su Yun didn't quite grasp Zheng Ren's reasoning, but as long as the problem could be solved, he had nothing to add.

Seeing Director Kong finish the 120 emergency call, Zheng Ren took the phone and said, "Sister‑in‑law, don't worry, it's a minor issue."

"Xiao Zheng, what's wrong with me?" Upon hearing the 120 emergency call, Director Kong's lover felt a bit dazed.

Zheng Ren saw there was still time and that Director Kong's lover was very worried, so he patiently explained.

"Simply put, pomelo contains a substance called furanocoumarin that inhibits a liver enzyme responsible for drug metabolism, thereby affecting the statins processed by that enzyme and hindering their breakdown."

"Not rigorous." Su Yun said, "It doesn't affect the metabolism of all statins, right?"

"Simvastatin, lovastatin, and atorvastatin are metabolized via this enzyme, whereas others like fluvastatin, pravastatin, pitavastatin, and rosuvastatin are not, so they aren't affected by pomelo." Zheng Ren glanced at Su Yun and added.

"No way—my friend also eats pomelo and takes Lipitor just like me." Director Kong's lover said.