RE: spiro

[Guest guest]

Oh. I am on low salt diet, never been big on salt. I need to google DASH.

Re: spiro

But he eats a lot more a

Salt as I recall.

May your pressure be low!

CE Grim MS, MD

Specializing in Difficult

Hypertension

> Take more, enjoy the life!

>

> Max.

>

> |@Max, 120meq sure does seem like alot. The most I've ever taken is 20.

> |

>

>

[Guest guest]

You need to get the book. Did u not read our Intro? Much more time cost effective to follow our advice than google. Are u a cyberchondriac?May your pressure be low!CE Grim MS, MDSpecializing in DifficultHypertension

Oh. I am on low salt diet, never been big on salt. I need to google DASH.

Re: spiro

But he eats a lot more a

Salt as I recall.

May your pressure be low!

CE Grim MS, MD

Specializing in Difficult

Hypertension

> Take more, enjoy the life!

>

> Max.

>

> |@Max, 120meq sure does seem like alot. The most I've ever taken is 20.

> |

>

>

[Guest guest]

10 years ago when my doc warned about salt I was so scared of salt that I totally gave up adding any salt to food for 6 or 7 years but then gradually I discovered that my body forced me to take some salt and gradually I relaxed my own restricting salt intake but kept my salt consumption to minimum. However, at time I noticed that salt craving takes me to fridge for  a piece of pickles and I learned that salt cannot be lower than some rational level otherwise body naturally forces me to take more. And finally recent study published that indicates lowering salt would elevate CHOL and TRIG levels. Max.62M L adenoma by NP59 scan. High aldos not low renin. med combo #76={Spiro=100, Amlo=10, Indap=2.5, Ramip=5, Metf=1000, Crestor=20, Feno=67, K.Cl=120 mEq}{K=4.7}{not DASHing but low-salt diet, heat intolerance, insulin resistance} And a lot of salt as I recall. ;-) May your pressure be low! CE Grim MS, MDSpecializing in DifficultHypertension Spiro=100 mg/dKCl = 120 mEq/dMax.||So does anyone here take are took potassium suppl with spiro?||

[Guest guest]

Lol... I'm trying NOT to be.

Re: spiro

>

> But he eats a lot more a

> Salt as I recall.

>

> May your pressure be low!

>

> CE Grim MS, MD

> Specializing in Difficult

> Hypertension

>

>

>

> > Take more, enjoy the life!

> >

> > Max.

> >

> > |@Max, 120meq sure does seem like alot. The most I've ever taken is 20.

[Guest guest]

Well that is not what the rice diet does so it is not just the salt ur what else u are eating. If you have not visited Ricediet.com I can recommend it. May your pressure be low!CE Grim MS, MDSpecializing in DifficultHypertension

10 years ago when my doc warned about salt I was so scared of salt that I totally gave up adding any salt to food for 6 or 7 years but then gradually I discovered that my body forced me to take some salt and gradually I relaxed my own restricting salt intake but kept my salt consumption to minimum. However, at time I noticed that salt craving takes me to fridge for a piece of pickles and I learned that salt cannot be lower than some rational level otherwise body naturally forces me to take more. And finally recent study published that indicates lowering salt would elevate CHOL and TRIG levels. Max.62M L adenoma by NP59 scan. High aldos not low renin. med combo #76={Spiro=100, Amlo=10, Indap=2.5, Ramip=5, Metf=1000, Crestor=20, Feno=67, K.Cl=120 mEq}{K=4.7}{not DASHing but low-salt diet, heat intolerance, insulin resistance} And a lot of salt as I recall. ;-) May your pressure be low! CE Grim MS, MDSpecializing in DifficultHypertension Spiro=100 mg/dKCl = 120 mEq/dMax.||So does anyone here take are took potassium suppl with spiro?||

[Guest guest]

You bet your life!May your pressure be low!CE Grim MS, MDSpecializing in DifficultHypertension

Lol... I'm trying NOT to be.

Re: spiro

>

> But he eats a lot more a

> Salt as I recall.

>

> May your pressure be low!

>

> CE Grim MS, MD

> Specializing in Difficult

> Hypertension

>

>

>

> > Take more, enjoy the life!

> >

> > Max.

> >

> > |@Max, 120meq sure does seem like alot. The most I've ever taken is 20.

[Guest guest]

Eplerenone belongs to the same potassium-sparing diuretics group or MCB as spiro.Usually it's still expensive. I am lucky, with my insurance it's only $5 a month no matter a dosage. Check your insurance. Natalia To: hyperaldosteronism Sent: Friday, November 18, 2011 7:05 PMSubject: Re: spiro

@Max, 120meq sure does seem like alot. The most I've ever taken is 20.

@ Natalia, Is Eplerehon an expensive medicine and is it a diuretic?

RE: spiro

Spiro=100 mg/d

KCl = 120 mEq/d

Max.

|

|So does anyone here take are took potassium suppl with spiro?

|

|

[Guest guest]

So, Max, what do you think now, how much sodium is optimal for you? My guess is that there is some optimum and it's probably somewhere between 1500 and 2000 mg :-) Natalia To: hyperaldosteronism Sent: Friday, November 18, 2011 10:08 PMSubject: RE: spiro

10 years ago when my doc warned about salt I was so scared of salt that I totally gave up adding any salt to food for 6 or 7 years but then gradually I discovered that my body forced me to take some salt and gradually I relaxed my own restricting salt intake but kept my salt consumption to minimum. However, at time I noticed that salt craving takes me to fridge for a piece of pickles and I learned that salt cannot be lower than some rational level otherwise body naturally forces me to take more. And finally recent study published that indicates lowering salt would elevate CHOL and TRIG levels. Max.62M L adenoma by NP59 scan. High aldos not low renin. med combo #76={Spiro=100, Amlo=10, Indap=2.5, Ramip=5, Metf=1000, Crestor=20, Feno=67, K.Cl=120 mEq}{K=4.7}{not DASHing but low-salt diet, heat intolerance, insulin resistance} And a lot of salt as I recall. ;-) May your pressure be low! CE Grim MS, MDSpecializing in DifficultHypertension Spiro=100 mg/dKCl = 120 mEq/dMax.||So does anyone here take are took potassium suppl with

spiro?||

[Guest guest]

Natalia, I am lazier than what you think to count my salt daily intake…but then I listened to a famous psychologist on radio speaking of OCD and laughing at those who waste their life in measuring daily calories and food measurements…and that gave me the necessary good excuse to just add minimum amount of salt such that I do not crave for salt…so when I crave for salt I know that I have not taken enough salt…and consequently, I don’t mind to add to my K sup if needed especially before bed time if I take a snack then I also drink 25 mEq K-citrate sup otherwise during sleep I get nasal inflammation preventing breathing smoothly and I realize that my K/Na ratio has been low that day and I try to adjust it the following day. Summary: I keep my salt to minimum just slightly above salt craving level and keep K/Na ratio such that at night I can breathe…and this gives me normal daily BP too with Spiro=100 mg! …of course without calculations (don’t tell this to Dr. Grim!) Max.62M L adenoma by NP59 scan. High aldos not low renin. med combo #76={Spiro=100, Amlo=10, Indap=2.5, Ramip=5, Metf=1000, Crestor=20, Feno=67, K.Cl=120 mEq}{K=4.7}{not DASHing but low-salt diet, heat intolerance, insulin resistance} So, Max, what do you think now, how much sodium is optimal for you? My guess is that there is some optimum and it's probably somewhere between 1500 and 2000 mg :-) Natalia

[Guest guest]

So are potassium sparing diuretics the only meds used to treat hyperaldo?

Re: spiro

Eplerenon 100 mg;

K supplements - very occasionally.

Natalia

 

________________________________

To: hyperaldosteronism@yah

[Guest guest]

Need to watch video to understand what they are saying.

> >

> > From what I've been researching online, ppl with hyperaldo can take anywhere

from 100-400mg of spiro a day..... WOW! That just seems like alot to be on a

diuretic especially if it depletes your potassium. How can a person take so much

spiro and feel well and if it depletes your potassium how much potassium supp

would be needed. Just curious in case the dr's decide to increase my spiro

dosage.

> >

>

[Guest guest]

adifferentme It isn't any potassium-sparing meds. It is spironolactone or Inspra. They block the effects of excess aldosterone coupled with excess sodium ingestion. Others do not. If the effect of high aldosterone is not blocked, you risk left ventricular thickening among other ailments. Val From: hyperaldosteronism [mailto:hyperaldosteronism ] On Behalf Of adifferentme@...So are potassium sparing diuretics the only meds used to treat hyperaldo?

[Guest guest]

Got it!

RE: spiro

adifferentme

It isn't any potassium-sparing meds. It is spironolactone or Inspra. They

block the effects of excess aldosterone coupled with excess sodium

ingestion. Others do not. If the effect of high aldosterone is not

blocked, you risk left ventricular thickening among other ailments.

Val

From: hyperaldosteronism

[mailto:hyperaldosteronism ] On Behalf Of

adifferentme@...

So are potassium sparing diuretics the only meds used to treat hyperaldo?

[Guest guest]

My old dr. was trying to put me back on triamterene but I found another dr.

Wasn't feeling like he knew what he was doing with this.

RE: spiro

adifferentme

It isn't any potassium-sparing meds. It is spironolactone or Inspra. They

block the effects of excess aldosterone coupled with excess sodium

ingestion. Others do not. If the effect of high aldosterone is not

blocked, you risk left ventricular thickening among other ailments.

Val

From: hyperaldosteronism

[mailto:hyperaldosteronism ] On Behalf Of

adifferentme@...

So are potassium sparing diuretics the only meds used to treat hyperaldo?

[Guest guest]

Everyone is different. For some more than 250 mg Na gets them into trouble May your pressure be low!CE Grim MS, MDSpecializing in DifficultHypertension

So, Max, what do you think now, how much sodium is optimal for you? My guess is that there is some optimum and it's probably somewhere between 1500 and 2000 mg :-) Natalia To: hyperaldosteronism Sent: Friday, November 18, 2011 10:08 PMSubject: RE: spiro

10 years ago when my doc warned about salt I was so scared of salt that I totally gave up adding any salt to food for 6 or 7 years but then gradually I discovered that my body forced me to take some salt and gradually I relaxed my own restricting salt intake but kept my salt consumption to minimum. However, at time I noticed that salt craving takes me to fridge for a piece of pickles and I learned that salt cannot be lower than some rational level otherwise body naturally forces me to take more. And finally recent study published that indicates lowering salt would elevate CHOL and TRIG levels. Max.62M L adenoma by NP59 scan. High aldos not low renin. med combo #76={Spiro=100, Amlo=10, Indap=2.5, Ramip=5, Metf=1000, Crestor=20, Feno=67, K.Cl=120 mEq}{K=4.7}{not DASHing but low-salt diet, heat intolerance, insulin resistance} And a lot of salt as I recall. ;-) May your pressure be low! CE Grim MS, MDSpecializing in DifficultHypertension Spiro=100 mg/dKCl = 120 mEq/dMax.||So does anyone here take are took potassium suppl with

spiro?||

[Guest guest]

120 K is a lot some get GI PROBKEMS FROM that much. May your pressure be low!CE Grim MS, MDSpecializing in DifficultHypertension

Natalia, I am lazier than what you think to count my salt daily intake…but then I listened to a famous psychologist on radio speaking of OCD and laughing at those who waste their life in measuring daily calories and food measurements…and that gave me the necessary good excuse to just add minimum amount of salt such that I do not crave for salt…so when I crave for salt I know that I have not taken enough salt…and consequently, I don’t mind to add to my K sup if needed especially before bed time if I take a snack then I also drink 25 mEq K-citrate sup otherwise during sleep I get nasal inflammation preventing breathing smoothly and I realize that my K/Na ratio has been low that day and I try to adjust it the following day. Summary: I keep my salt to minimum just slightly above salt craving level and keep K/Na ratio such that at night I can breathe…and this gives me normal daily BP too with Spiro=100 mg! …of course without calculations (don’t tell this to Dr. Grim!) Max.62M L adenoma by NP59 scan. High aldos not low renin. med combo #76={Spiro=100, Amlo=10, Indap=2.5, Ramip=5, Metf=1000, Crestor=20, Feno=67, K.Cl=120 mEq}{K=4.7}{not DASHing but low-salt diet, heat intolerance, insulin resistance} So, Max, what do you think now, how much sodium is optimal for you? My guess is that there is some optimum and it's probably somewhere between 1500 and 2000 mg :-) Natalia

[Guest guest]

No. Read my evolution. Art. May your pressure be low!CE Grim MS, MDSpecializing in DifficultHypertension

So are potassium sparing diuretics the only meds used to treat hyperaldo?

Re: spiro

Eplerenon 100 mg;

K supplements - very occasionally.

Natalia

________________________________

To: hyperaldosteronism@yah

[Guest guest]

Thanks Dr. Grim for the info. I take my 120 mEq KCl as follows:40 mEq with breakfast60 mEq with lunch+dinner20 mEq 2 hrs before bed with a small snack I am hoping that the food I am taking with KCl would help preventing GI future problems. I remember I used to take 40 mEq 1 hr before bedtime and then I could not sleep due to upset stomach and had to get up and take 1 or 2 Tums pills. Consequently I decided to reduce bedtime KCl to 20 mEq and additionally added some kind of alkaline snack like some yogurt or apple juice etc and make sure I take them 2 hrs before bedtime and since then upset stomach during sleep stopped. I also found out if at bedtime instead of KCL I take K-citrate it would be better against upset stomach at sleep. But I am not yet sure about long-term GI problems I may develop in future. Max.62M L adenoma by NP59 scan. High aldos not low renin. med combo #76={Spiro=100, Amlo=10, Indap=2.5, Ramip=5, Metf=1000, Crestor=20, Feno=67, K.Cl=120 mEq}{K=4.7}{not DASHing but low-salt diet, heat intolerance, insulin resistance} 120 K is a lot some get GI PROBKEMS FROM that much. May your pressure be low! CE Grim MS, MDSpecializing in DifficultHypertension Natalia, I am lazier than what you think to count my salt daily intake…but then I listened to a famous psychologist on radio speaking of OCD and laughing at those who waste their life in measuring daily calories and food measurements…and that gave me the necessary good excuse to just add minimum amount of salt such that I do not crave for salt…so when I crave for salt I know that I have not taken enough salt…and consequently, I don’t mind to add to my K sup if needed especially before bed time if I take a snack then I also drink 25 mEq K-citrate sup otherwise during sleep I get nasal inflammation preventing breathing smoothly and I realize that my K/Na ratio has been low that day and I try to adjust it the following day. Summary: I keep my salt to minimum just slightly above salt craving level and keep K/Na ratio such that at night I can breathe…and this gives me normal daily BP too with Spiro=100 mg! …of course without calculations (don’t tell this to Dr. Grim!) Max.62M L adenoma by NP59 scan. High aldos not low renin. med combo #76={Spiro=100, Amlo=10, Indap=2.5, Ramip=5, Metf=1000, Crestor=20, Feno=67, K.Cl=120 mEq}{K=4.7}{not DASHing but low-salt diet, heat intolerance, insulin resistance}

[Guest guest]

How Can u tell if your dr is a ht expert. 1. Bp was taken in both arms at first visit and then uses highest arm. 2. He asked if u eat licorice?3. He asked how many times u get up to pee. 4. Listened to your belly in a very quiet room and presses hard and listened under each lower rib. May your pressure be low!CE Grim MS, MDSpecializing in DifficultHypertension

My old dr. was trying to put me back on triamterene but I found another dr. Wasn't feeling like he knew what he was doing with this.

RE: spiro

adifferentme

It isn't any potassium-sparing meds. It is spironolactone or Inspra. They

block the effects of excess aldosterone coupled with excess sodium

ingestion. Others do not. If the effect of high aldosterone is not

blocked, you risk left ventricular thickening among other ailments.

Val

From: hyperaldosteronism

[mailto:hyperaldosteronism ] On Behalf Of

adifferentme@...

So are potassium sparing diuretics the only meds used to treat hyperaldo?

[Guest guest]

Wow! I have had one doctor who took bp in both arms, but took the lowest arm (rt arm was 158/102, left was 138/96). Out of all the specialists and Drs I've seen, none have done any of those steps. This is worrisome to me! :-X27 y/o , 115

lb at 5'6, female with 4+ year history of hypertension (Avg 135/95). Taken off all bp meds because of resistance to them. Currently awaiting a second opinion consult with Dr McGuffin Jr. at Renal Associates of Montgomery AL. First Aldo level taken this past June was 88 ng/dl. Taken again in July and was down to 18.8 ng/dl. The most recent aldo level was 42 ng/dl. K- 4.5, NA- 138, renin- 0.65. No known underlying illnesses other than a mild aortic murmur. Symptoms - shortness of breath, heart palpitations, nocturia 2+ times per night, fatigue/weakness. To: "hyperaldosteronism " <hyperaldosteronism > Sent: Saturday, November 19, 2011 11:59 AM Subject: Re: spiro

How Can u tell if your dr is a ht expert. 1. Bp was taken in both arms at first visit and then uses highest arm. 2. He asked if u eat licorice?3. He asked how many times u get up to pee. 4. Listened to your belly in a very quiet room and presses hard and listened under each lower rib. May your pressure be low!CE Grim MS, MDSpecializing in DifficultHypertensionOn Nov 19, 2011, at 11:24, "adifferentme@..."

wrote:

My old dr. was trying to put me back on triamterene but I found another dr. Wasn't feeling like he knew what he was doing with this.

RE: spiro

adifferentme

It isn't any potassium-sparing meds. It is spironolactone or Inspra. They

block the effects of excess aldosterone coupled with excess sodium

ingestion. Others do not. If the effect of high aldosterone is not

blocked, you risk left ventricular thickening among other ailments.

Val

From: hyperaldosteronism

[mailto:hyperaldosteronism ] On Behalf Of

adifferentme@...

So are potassium sparing diuretics the only meds used to treat hyperaldo?

[Guest guest]

To me too. I've never even had any Dr check my bp in both arms. I'm lucky if

they take time to actually not rush out of the room.

RE: spiro

>

>adifferentme

>

>It isn't any potassium-sparing meds. It is spironolactone or Inspra. They

>block the effects of excess aldosterone coupled with excess sodium

>ingestion. Others do not. If the effect of high aldosterone is not

>blocked, you risk left ventricular thickening among other ailments.

>

>Val

>

>From: hyperaldosteronism

>[mailto:hyperaldosteronism ] On Behalf Of

>adifferentme@...

>

>So are potassium sparing diuretics the only meds used to treat hyperaldo?

>

>

[Guest guest]

Doc's policy these days is as far as the patient is breathing s/he is ok!

And GP docs hate numbers!

Max.

|

|To me too. I've never even had any Dr check my bp in both arms. I'm lucky

if

|they take time to actually not rush out of the room.

|

|

[Guest guest]

Don't get me started on how the wrong cuff is often used if you have bigger

arms.

Especially in hospital.

RE: spiro

Doc's policy these days is as far as the patient is breathing s/he is ok!

And GP docs hate numbers!

Max.

|

|To me too. I've never even had any Dr check my bp in both arms. I'm lucky

if

|they take time to actually not rush out of the room.

|

|

[Guest guest]

Suspect none claimed to be a specialist. And they skipped the day correct BP WAS taught in school. May your pressure be low!CE Grim MS, MDSpecializing in DifficultHypertension

Wow! I have had one doctor who took bp in both arms, but took the lowest arm (rt arm was 158/102, left was 138/96). Out of all the specialists and Drs I've seen, none have done any of those steps. This is worrisome to me! :-X27 y/o , 115

lb at 5'6, female with 4+ year history of hypertension (Avg 135/95). Taken off all bp meds because of resistance to them. Currently awaiting a second opinion consult with Dr McGuffin Jr. at Renal Associates of Montgomery AL. First Aldo level taken this past June was 88 ng/dl. Taken again in July and was down to 18.8 ng/dl. The most recent aldo level was 42 ng/dl. K- 4.5, NA- 138, renin- 0.65. No known underlying illnesses other than a mild aortic murmur. Symptoms - shortness of breath, heart palpitations, nocturia 2+ times per night, fatigue/weakness. To: "hyperaldosteronism " <hyperaldosteronism > Sent: Saturday, November 19, 2011 11:59 AM Subject: Re: spiro

How Can u tell if your dr is a ht expert. 1. Bp was taken in both arms at first visit and then uses highest arm. 2. He asked if u eat licorice?3. He asked how many times u get up to pee. 4. Listened to your belly in a very quiet room and presses hard and listened under each lower rib. May your pressure be low!CE Grim MS, MDSpecializing in DifficultHypertensionOn Nov 19, 2011, at 11:24, "adifferentme@..."

wrote:

My old dr. was trying to put me back on triamterene but I found another dr. Wasn't feeling like he knew what he was doing with this.

RE: spiro

adifferentme

It isn't any potassium-sparing meds. It is spironolactone or Inspra. They

block the effects of excess aldosterone coupled with excess sodium

ingestion. Others do not. If the effect of high aldosterone is not

blocked, you risk left ventricular thickening among other ailments.

Val

From: hyperaldosteronism

[mailto:hyperaldosteronism ] On Behalf Of

adifferentme@...

So are potassium sparing diuretics the only meds used to treat hyperaldo?

[Guest guest]

Max,There are two new thoughts in your posting.1. How did you figure out the connection between nasal inflammation and K/Na ratio? Only intuitively or you had done some research on it? Do you have cramps when you have low K or your nasal inflammation is the main symptom of low K? Do you start to feel badly when your K is low? 2. About salt craving and the amount of salt that we eat. Likely you are right. I noticed the same thing. Now, when I cook everything by myself and put a little bit of salt, my craving is getting much better. Also, it might be that we are getting used to small amount of salt, you don't think so? I am also lazy and I didn't count my

salt daily either, but I approximate that. I know that I have to eat about 500 mg with every main meal and I try not to exceed this amount every time. My snacks are usually fruit, vegetables and Swiss cheese, that don't contain much sodium.Many thanks, very interesting.Natalia To: hyperaldosteronism Sent: Saturday, November 19, 2011 12:44

AMSubject: RE: spiro

Natalia, I am lazier than what you think to count my salt daily intake…but then I listened to a famous psychologist on radio speaking of OCD and laughing at those who waste their life in measuring daily calories and food measurements…and that gave me the necessary good excuse to just add minimum amount of salt such that I do not crave for salt…so when I crave for salt I know that I have not taken enough salt…and consequently, I don’t mind to add to my K sup if needed especially before bed time if I take a snack then I also drink 25 mEq K-citrate sup otherwise during sleep I get nasal inflammation preventing breathing smoothly and I

realize that my K/Na ratio has been low that day and I try to adjust it the following day. Summary: I keep my salt to minimum just slightly above salt craving level and keep K/Na ratio such that at night I can breathe…and this gives me normal daily BP too with Spiro=100 mg! …of course without calculations (don’t tell this to Dr. Grim!) Max.62M L adenoma by NP59 scan. High aldos not low renin. med combo

#76={Spiro=100, Amlo=10, Indap=2.5, Ramip=5, Metf=1000, Crestor=20, Feno=67, K.Cl=120 mEq}{K=4.7}{not DASHing but low-salt diet, heat intolerance, insulin resistance} So, Max, what do you think now, how much sodium is optimal for you? My guess is that there is some optimum and it's probably somewhere between 1500 and 2000 mg :-) Natalia