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If you would, please. Maybe I can figure something to do with it.

Regards

Re: Questionnaire

Sorry, I haven't been online much lately as I've been feeling worse than my

usual " not so good " . BP and pulse have been up slightly and I feel

absolutely exhausted. Nothing has changed as far a diet and meds, so I

don't have a clue as to what is going on. Electrolytes and other blood work

is OK. I had to cut down to 2 days per week at work and I am barely

making it through the day when I do work. Enough complaining though, I'm

still here ;-)

Dr. Grim, I can take the questionnaire from the study we did, make a

template out of it in Word format and upload it to the site. People could

download it to their own computer, fill in their own personal info and

upload it back to the group site. Would that work?

a

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The DASH improves glucose control so carbs should not be a problem. But

simplest way to document this in yourself is to DASH rigidly (14 day trial in

the book) and see what happens to glucose, cholest, BP and peeing at night.

I am going to upload a 24 hr voiding diary to help folks evaluate their problem

and think we should ask all with suspected PA to do one. No one has ever done

this before and would be another contribution we can make to the literature.

Basically what we need is an hourly diary that lists fluid intake (cups say)

time of voiding, measured amount (cups say) and any other problems such as

incontinence, or not feeling urge to void.

Some get quite a spike in BP when their bladder gets full and they need to go.

So those with spiking BP might try to measeure BP before and after peeing.

Clarence E. Grim, BS, MS, MD

Specializing in Difficult High Blood Pressure and recent evolutionary forces on

high blood pressure in population's today.

On Wednesday, June 10, 2009, at 08:17AM, " Bindner " <mikeybdc@...>

wrote:

>If your LDL is high and the HDL is low, it may be time to add good fats to your

diet and limit carbs.

>I do a low carb diet with a K of 3.5 and I'm not a mess - uncomfortable at

times to be sure - and I am sick and tired of peeing all night since it messes

with my cortisol, which makes weight loss hard - however detra test and cotton

chewing test showed normal cortisol - whic means no Cushings disease.

>Is there a Carb Addicted version of DASH?  If not, I can't do it, since I won't

add diabetes to my list of symptoms if I can avoid it.  The PA already has me be

hypoglycemic and a diet where all the carb aren't in a reward meal won't help

me.

>Hopefully I have a mass in one gland so that I can go off meds and eat more

normally.

>

>Assuming I can ever save enough duckets to be off work for the surgery and

recovery.

>

>

>

>

>

> Bindner

>

>

>

>> >> >

>> >> >

>> >> >From: Clarence Grim <lowerbp2mac (DOT) com>

>> >> >Subject: [hyperaldosteronism ] (unknown)

>> >> > " hyperaldosteronism @groups. com "

>> >> <hyperaldosteronism >

>> >> >Received: Monday, June 8, 2009, 1:07 AM

>> >> >

>> >> >

>> >> >

>> >> >

>> >> >Would like to have someone to volunteer to

>> keep a

>> >> >Running tab of

>> >> >New members and ex or can we we up a newbies

>> database

>> >> that would allow

>> >> >a newbie to enter their own info and update it

>> as

>> >> events develop.?

>> >> >

>> >> >Tiped sad Send form mi

>> >> >iPhone ;-)

>> >> >

>> >> >May your pressure be low!

>> >> >

>> >> >CE Grim MD

>> >> >Specializing in Difficult

>> >> >Hypertension

>> >> >

>> >> >

>> >> >

>> >> >Make your browsing faster, safer, and easier

>> with the

>> >> new Internet Explorer® 8. Optimized for

>> Get it Now

>> >> for Free!

>> >> >color: #1E66AE; font-weight: bold; }

>> div#ygrp-mlmsg

>> >> #ygrp-msg p a span.yshortcuts { font-family:

>> Verdana;

>> >> font-size: 10px; font-weight: normal; } #ygrp-msg

>> p a {

>> >> font-family: Verdana; font-size: 10px; }

>> #ygrp-mlmsg a {

>> >> color: #1E66AE; } div.attach-table div div a {

>> >> text-decoration: none; } div.attach-table { width:

>> 400px; }

>> >> -->

>> >> >

>> >> >

>> >> >

>> >>

>> >>

>> >> ------------ --------- --------- ------

>> >>

>> >>

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Not DASHing but will try it. What is the name of the book that you suggested?

I have tried many of the online DASH recipes but felt no difference. I don't

cook with salt, use herbs for seasoning, and have cooked like this for over a

decade. Didn't think DASH was different from what I am already doing but I will

take a second look and try it again. I have low HDL with normal LDL. Any further

suggestions? (What are good fats to add to my diet? I've been told that only

exercise and red wine can raise the low HDL). Please advise!

---------------------------------------------------------------------

> >> >> >

> >> >> >

> >> >> >From: Clarence Grim <lowerbp2mac (DOT) com>

> >> >> >Subject: [hyperaldosteronism ] (unknown)

> >> >> > " hyperaldosteronism @groups. com "

> >> >> <hyperaldosteronism >

> >> >> >Received: Monday, June 8, 2009, 1:07 AM

> >> >> >

> >> >> >

> >> >> >

> >> >> >

> >> >> >Would like to have someone to volunteer to

> >> keep a

> >> >> >Running tab of

> >> >> >New members and ex or can we we up a newbies

> >> database

> >> >> that would allow

> >> >> >a newbie to enter their own info and update it

> >> as

> >> >> events develop.?

> >> >> >

> >> >> >Tiped sad Send form mi

> >> >> >iPhone ;-)

> >> >> >

> >> >> >May your pressure be low!

> >> >> >

> >> >> >CE Grim MD

> >> >> >Specializing in Difficult

> >> >> >Hypertension

> >> >> >

> >> >> >

> >> >> >

> >> >> >Make your browsing faster, safer, and easier

> >> with the

> >> >> new Internet Explorer® 8. Optimized for

> >> Get it Now

> >> >> for Free!

> >> >> >color: #1E66AE; font-weight: bold; }

> >> div#ygrp-mlmsg

> >> >> #ygrp-msg p a span.yshortcuts { font-family:

> >> Verdana;

> >> >> font-size: 10px; font-weight: normal; } #ygrp-msg

> >> p a {

> >> >> font-family: Verdana; font-size: 10px; }

> >> #ygrp-mlmsg a {

> >> >> color: #1E66AE; } div.attach-table div div a {

> >> >> text-decoration: none; } div.attach-table { width:

> >> 400px; }

> >> >> -->

> >> >> >

> >> >> >

> >> >> >

> >> >>

> >> >>

> >> >> ------------ --------- --------- ------

> >> >>

> >> >>

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Olive oil and "good fats" - and even bad fats - with low carbs will raise good cholestorol and lower triglycerides.

Bindner

Web Directory (links to my sites and blogs):

http://www.geocities.com/mikeybdc/index.html

http://mikeybdc.blogspot.com

From: kappi98 <kappi98a@...>Subject: Re: Questionnairehyperaldosteronism Date: Wednesday, June 10, 2009, 9:03 PM

Not DASHing but will try it. What is the name of the book that you suggested? I have tried many of the online DASH recipes but felt no difference. I don't cook with salt, use herbs for seasoning, and have cooked like this for over a decade. Didn't think DASH was different from what I am already doing but I will take a second look and try it again. I have low HDL with normal LDL. Any further suggestions? (What are good fats to add to my diet? I've been told that only exercise and red wine can raise the low HDL). Please advise!------------ --------- --------- --------- --------- --------- -> >> >> >> >> >> >> >> >> >From: Clarence Grim <lowerbp2mac (DOT) com>> >> >> >Subject: [hyperaldosteronism ] (unknown)> >> >> >"hyperaldosteronism @groups. com"> >> >> <hyperaldosteronism >> >> >> >Received: Monday, June 8, 2009, 1:07 AM> >> >> >> >> >> >> >> >> >> >> >> >> >> >> >Would like to have someone to volunteer to> >> keep a> >> >> >Running tab of> >> >> >New members and ex or can we we up a newbies> >> database> >> >> that would allow > >> >> >a newbie to enter

their own info and update it> >> as> >> >> events develop.?> >> >> >> >> >> >Tiped sad Send form mi> >> >> >iPhone ;-)> >> >> >> >> >> >May your pressure be low!> >> >> >> >> >> >CE Grim MD> >> >> >Specializing in Difficult> >> >> >Hypertension> >> >> >> >> >> >> >> >> >> >> >> >Make your browsing faster, safer, and easier> >> with the> >> >> new Internet Explorer® 8. Optimized for > >> Get it Now> >> >> for Free! > >> >> >color: #1E66AE; font-weight: bold; }> >> div#ygrp-mlmsg> >> >> #ygrp-msg p a span.yshortcuts {

font-family:> >> Verdana;> >> >> font-size: 10px; font-weight: normal; } #ygrp-msg> >> p a {> >> >> font-family: Verdana; font-size: 10px; }> >> #ygrp-mlmsg a {> >> >> color: #1E66AE; } div.attach-table div div a {> >> >> text-decoration: none; } div.attach-table { width:> >> 400px; }> >> >> --> > >> >> >> >> >> >> >> >> >> >> >> > >> >> > >> >> ------------ --------- --------- ------> >> >> > >> >>

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When you set calories for the weight you want with the DASH your weight will go

to where you want it. The beauty of the DASH is that one did not have to lose

weight to get the BP effect. Indeed the study adjusted calories often to keep

weight constant so that a BP, cholesterol, glucose effect was not due to weight

changes. Losing wt will help some folks BP even more.

I have had patients lose 70 lbs on DASH, but big surpise they were eating lots

of calories before the started DASHing.

The reason DASH has " low protein " is that a normal human intake of protein was

likely low for eons. There is also some old evidence that a high protein diet

will damage the kidneys.

The design of the DASH pulled together all the nutritional factors that had some

data to suggest they might effect BP. No nutrition hocus-pocus.

There is no doubt that weight loss occurs when metabolism increases. The best

example is hyperthyroidism.

The issue is how else can you increase metabolism. Best way is to exercise more.

Clarence E. Grim, BS, MS, MD

Specializing in Difficult High Blood Pressure and recent evolutionary forces on

high blood pressure in population's today.

On Thursday, June 11, 2009, at 08:23AM, " Bindner " <mikeybdc@...>

wrote:

>Then I'll be a 300 pound man with lower blood pressure.

>I suspect that recent weight gain does have to do with PA, but I need a good

low salt AND low carb diet.

>DASH has rather low protein amounts - is it because with high protein comes

high sodium or because it was done by dieticians who believe that you can lower

your weight by raising your metabolism?

>It's academic for me until I find out whether I have a mass that can be

removed.  If they can cut it out and my bp normalizes I will be the happiest

former hypertensive on earth.

>

>

>

>

>

>

> Bindner

>Web Directory (links to my sites and blogs):

>http://www.geocities.com/mikeybdc/index.html

>http://mikeybdc.blogspot.com

>

>

>>

>>

>>From: kappi98 <kappi98amsn (DOT) com>

>>Subject: [hyperaldosteronism ] Re: Questionnaire

>>hyperaldosteronism

>>Date: Wednesday, June 10, 2009, 9:03 PM

>>

>>

>>

>>

>>

>>

>>

>>

>>Not DASHing but will try it. What is the name of the book that you suggested?

I have tried many of the online DASH recipes but felt no difference. I don't

cook with salt, use herbs for seasoning, and have cooked like this for over a

decade. Didn't think DASH was different from what I am already doing but I will

take a second look and try it again. I have low HDL with normal LDL. Any further

suggestions? (What are good fats to add to my diet? I've been told that only

exercise and red wine can raise the low HDL). Please advise!

>>----------- - --------- --------- --------- --------- --------- -

>>

>>> >> >> >

>>> >> >> >

>>> >> >> >From: Clarence Grim <lowerbp2mac (DOT) com>

>>> >> >> >Subject: [hyperaldosteronism ] (unknown)

>>> >> >> > " hyperaldosteronism @groups. com "

>>> >> >> <hyperaldosteronism >

>>> >> >> >Received: Monday, June 8, 2009, 1:07 AM

>>> >> >> >

>>> >> >> >

>>> >> >> >

>>> >> >> >

>>> >> >> >Would like to have someone to volunteer to

>>> >> keep a

>>> >> >> >Running tab of

>>> >> >> >New members and ex or can we we up a newbies

>>> >> database

>>> >> >> that would allow

>>> >> >> >a newbie to enter their own info and update it

>>> >> as

>>> >> >> events develop.?

>>> >> >> >

>>> >> >> >Tiped sad Send form mi

>>> >> >> >iPhone ;-)

>>> >> >> >

>>> >> >> >May your pressure be low!

>>> >> >> >

>>> >> >> >CE Grim MD

>>> >> >> >Specializing in Difficult

>>> >> >> >Hypertension

>>> >> >> >

>>> >> >> >

>>> >> >> >

>>> >> >> >Make your browsing faster, safer, and easier

>>> >> with the

>>> >> >> new Internet Explorer® 8. Optimized for

>>> >> Get it Now

>>> >> >> for Free!

>>> >> >> >color: #1E66AE; font-weight: bold; }

>>> >> div#ygrp-mlmsg

>>> >> >> #ygrp-msg p a span.yshortcuts { font-family:

>>> >> Verdana;

>>> >> >> font-size: 10px; font-weight: normal; } #ygrp-msg

>>> >> p a {

>>> >> >> font-family: Verdana; font-size: 10px; }

>>> >> #ygrp-mlmsg a {

>>> >> >> color: #1E66AE; } div.attach-table div div a {

>>> >> >> text-decoration: none; } div.attach-table { width:

>>> >> 400px; }

>>> >> >> -->

>>> >> >> >

>>> >> >> >

>>> >> >> >

>>> >> >>

>>> >> >>

>>> >> >> ------------ --------- --------- ------

>>> >> >>

>>> >> >>

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Maybe what we could have folks do is to enter a number in the same

place they enter their " name " . So if I entered one today as Grimlin

and had some data to update then enter new data with the name Grimlin

2 etc. Or better yet add date to the name using format yymmdd

So Grimlin 090610 would be today and Grimlin 101225 would be

Christmas '10. This way of using the date as a number has the

advantage that is is an always increasing number and one can sort on

that to put things in order.

Clarence E. Grim, BS, MS, MD

Specializing in Difficult High Blood Pressure and recent evolutionary

forces on high blood pressure in population's today.

On Wednesday, June 10, 2009, at 07:55AM, " a Hall "

<shahall@...> wrote:

>

> The form can't be modified in any way once anyone has responded to

> it so I can't add date. So it can't be updated, that's what I meant

> before. The only other option that I can think of is what I said

> before. Upload a blank template to the site for members to

> download and fill out on their computer then upload their data back

> to the site. That could be modified, changed and added to anytime

> they want to upload a new one.

>

> I know Toprol makes you tired but since I've been on it for over 2

> years I don't think it's just now kicking in. My cardiologist

> wants me to stay on it since I had LVH, he feels it's " heart

> protective " , or some such thing. I did try weaning down to 25 mg

> about a year ago and my heart rate went above 100.

Your LVH is due to the PA and HTN (too much aldo and too much salt).

I would not use it just for heart protection unless it is needed to

keep the BP down. The rate may go up esp for a month or so. But if

you are tired I would talk to him about tapering off and seeing what

happens.

>

> Lipitor - my cholesterol and lipids are always high, my LDL is high

> and my HDL is low. Same for my Dad.

You must have familial hyperlipidemia and may need to be on more than

one drug. This is important to know as all other family members must

be tested and Rx started early to prevent others to getting into the

same problems you and others are having.

You may need to see a real lipid specialist for this to get it under

control. U of Mich must have several.

>

> Plavix & ASA - I had two stents put in my legs almost 3 years ago.

> Yes, I was very young for this. As the doctor said, " I do this on

> 80 year olds, not 55 year olds " . My mother and two of her sisters

> had carotid endarterectomies in their 50's and my father had an MI

> and by-pass in his 50's. I have a great family HX.

>

> Omeprazole is generic prilosec. The Plavix gives me heartburn, I

> started taking it when I started the Plavix.

>

> a

>

>

>

>>>>>

>>>>>

>>>>> From: Clarence Grim <lowerbp2mac (DOT) com>

>>>>> Subject: [hyperaldosteronism ] (unknown)

>>>>> " hyperaldosteronism @groups. com "

>>>> <hyperaldosteronism>

>>>>> Received: Monday, June 8, 2009, 1:07 AM

>>>>>

>>>>>

>>>>>

>>>>>

>>>>> Would like to have someone to volunteer to

>> keep a

>>>>> Running tab of

>>>>> New members and ex or can we we up a newbies

>> database

>>>> that would allow

>>>>> a newbie to enter their own info and update it

>> as

>>>> events develop.?

>>>>>

>>>>> Tiped sad Send form mi

>>>>> iPhone ;-)

>>>>>

>>>>> May your pressure be low!

>>>>>

>>>>> CE Grim MD

>>>>> Specializing in Difficult

>>>>> Hypertension

>>>>>

>>>>>

>>>>>

>>>>> Make your browsing faster, safer, and easier

>> with the

>>>> new Internet Explorer® 8. Optimized for

>> Get it Now

>>>> for Free!

>>>>> color: #1E66AE; font-weight: bold; }

>> div#ygrp-mlmsg

>>>> #ygrp-msg p a span.yshortcuts { font-family:

>> Verdana;

>>>> font-size: 10px; font-weight: normal; } #ygrp-msg

>> p a {

>>>> font-family: Verdana; font-size: 10px; }

>> #ygrp-mlmsg a {

>>>> color: #1E66AE; } div.attach-table div div a {

>>>> text-decoration: none; } div.attach-table { width:

>> 400px; }

>>>> -->

>>>>>

>>>>>

>>>>>

>>>>

>>>>

>>>> ------------------------------------

>>>>

>>>>

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