
Originally Posted by
Lemonada8
Ok, i think i see where you are coming from now.
Clen will only elicit a partial sympathetic response (via beta 2 receptors) which is primarily vasodilation in the arterioles. Arterioles are the main place for TPR ( total peripheral resistance) regulation and control flow to the capillaries. These receptors differ in density depending on what the tissue is; Arteries going to Muscle for instance, has lots of B2 receptors to increase the blood flow to the muscles when needed; The arteries leading to the Gut are primarily lined with Alpha 1 receptors (which will vasoconstrict) when needed, yet there are still some beta 2 receptors in the Gut which will vasodilate.
When the sympathetic system is activated, both alphas and betas are 'hit'; which result in the typical effects of the sympathetic response of increased blood flow to the muscles and decreased flow to the gut and increased HR and contractility.
However, when only a selective receptor is hit; the other sympathetic effects dont occur via that drug. So in this case, clen is a beta 2 agonist which will vasodilate the arterioles. This dilation decreases the resisitance drastically very similar to how you get increased blood flow to the muscles with exercise (but the body doesnt secrete beta2 selective activators, so the other receptors will be 'hit'). Also, with resistance; it follows Poiseuille’s law ( basically saying that Resistance=1/Radius^4) so any minor change in the radius size of the arteriole has a drastic change in resistance, that combined with the opening of capillary beds (in parallel fashion) will result in a large drop in resistance.
The corresponding vasoconstriction will not occur by clens actions at all, being that vasoconstriction occurs via Alpha1.
The increase in BP and HR is due to a sympathetic response to the immediate drop in TPR ( which is sensed as a drop in perfusion, so the body responds). that is what causes the inital increase in BP, then chronically the increased BP is due to the increased fluid retention ( because of the increased area for the blood to go). The body cant stay in a constant state of sympatetic response to the decrease in perfusion, which is where the fluid retention comes in to increase the circulating blood volume. This is also shown to be accurate due to the massive urination following clen use ( the excess fluid isnt needed anymore because the chronic vasodilation has stopped, decreasing the area for blood to go, increasing the TPR; which is then excreted by the kidneys)
There is also the constriction of veins (alpha1) which increases the circulating blood volume ( ~70% is just chillin in the veins) initially to help cover the fluid needs acutely: another part of the sympathetic response.
Then there is the bit about the 2nd messanger system i said earlier, about how Alpha1 and Beta2 send their message in the cell; well with a higher number of beta2 receptors in the muscle ( which can hold ALOT of blood), the vasodilation is more pronounced there. In the mesenteric arteries where alpha1 predominates, the sympathetic effect on Alpha1 will vasoconstrict those arteries much more than they were ever dilated with Clen hitting Beta2.
The attempt of vasoconstriction done by the sympathetics in the muscles is much more futile (with beta2 being predominate over alpha1).
Does that make more sense?