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In a message dated 7/13/06 7:38:28 PM, frand.2@... writes:

As a result,

I can only stay on my feet about an hour max and then I have to sit

for a few hours. I am retired and want to be out and about and on my

feet all day but end up sitting in front of the TV most of the time.

One of first questions is how much weight do your feet have to carry around?

May your pressure be low!

C.E. Grim, B.S., M.S., M.D.

Specializing in Difficult to Control High Blood Pressure

and the Physiology and History of Survival During

Hard Times and Heart Disease today.

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Dr. Grim,

Weight has nothing to do with it. It started when I suddenly gained

17 lbs in 33 days. I tried telling doctors that they were firey red

on the bottom when I stand on them for a few minutes and it fels like

they are inflamed. One told me I didn't have an inflammation. Later

a neurologist insisted it was diabetic neuropathy even though I don't

have diabetes. He told me that he couldn't find anything else wrong

with me so he assumed it was diabetic neuropathy. He asked me to

describe the pain and it was like being interrogated by a DA in a

murder trial. He would not let me use the word " inflammation " and

said I was using too many big words and he couldn't understand them.

My mind immediately started flashing " IDIOT IDIOT IDIOT " . He asked

if the pain was always the same and would not let me tell him that

they got worse when I took certain drugs, including the favorite drug

to treat diabetic neuropathy. I have told the diabetic neuropathy

theory to every endo I have seen since then (6) and they all say it

is something else but they don't have any ideas what. Also not one

of them has suggested that it is my weight. They hurt when I have

not been on them for hours. They sometimes start hurting so bad

during the night that it wakes me up.

When I went for my 1st accupuncture treatment, the accupucturist

understood right away and asked if they were hot. I told him they

weren't but he felt them and said they were. Later I realized that

the reason they don't feel hot to me is that they are numb on the

bottom. Many times I have put my hand on them and they are very

hot. After the first accu. treatment they are not nearly as hot as

they were before.

Fran

>

>

> In a message dated 7/13/06 7:38:28 PM, frand.2@... writes:

>

>

> > As a result,

> > I can only stay on my feet about an hour max and then I have to

sit

> > for a few hours. I am retired and want to be out and about and on

my

> > feet all day but end up sitting in front of the TV most of the

time.

> >

>

> One of first questions is how much weight do your feet have to

carry around?

>

>

>

> May your pressure be low!

>

> C.E. Grim, B.S., M.S., M.D.

> Specializing in Difficult to Control High Blood Pressure

> and the Physiology and History of Survival During

> Hard Times and Heart Disease today.

>

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In a message dated 7/15/06 6:31:37 PM, frand.2@... writes:

Dr. Grim,

Weight has nothing to do with it. It started when I suddenly gained

17 lbs in 33 days. I tried telling doctors that they were firey red

on the bottom when I stand on them for a few minutes and it fels like

they are inflamed. One told me I didn't have an inflammation.

17 lbs is the same as carrying round 4 x 17 = 68 sticks of butter in your backpack. This will increase strain on joints and feet pains.

Later

a neurologist insisted it was diabetic neuropathy even though I don't

have diabetes. He told me that he couldn't find anything else wrong

with me so he assumed it was diabetic neuropathy.

It has been reported that DM neuropathy (and retinopathy) can preceed the onset of frank diabetes. Have you ever had a GTT? Any FH of DM?

He asked me to

describe the pain and it was like being interrogated by a DA in a

murder trial.

Good this means he was really trying to understand the nature of the pain.

He would not let me use the word "inflammation" and

said I was using too many big words and he couldn't understand them.

This has nothing to do with describing pain.

My mind immediately started flashing "IDIOT IDIOT IDIOT". He asked

if the pain was always the same and would not let me tell him that

they got worse when I took certain drugs, including the favorite drug

to treat diabetic neuropathy. I have told the diabetic neuropathy

theory to every endo I have seen since then (6) and they all say it

is something else but they don't have any ideas what. Also not one

of them has suggested that it is my weight. They hurt when I have

not been on them for hours. They sometimes start hurting so bad

during the night that it wakes me up.

Sound like you need a nerve biopsy to see what the problem is. Was this ever done?

Sounds like it could be plantar fasciitis.

When I went for my 1st accupuncture treatment, the accupucturist

understood right away and asked if they were hot. I told him they

weren't but he felt them and said they were. Later I realized that

the reason they don't feel hot to me is that they are numb on the

bottom. Many times I have put my hand on them and they are very

hot. After the first accu. treatment they are not nearly as hot as

they were before.

Good keep us updated on the long term effects of this form of treatment.

What did he think was causing the pain?

Fran

May your pressure be low!

C.E. Grim, B.S., M.S., M.D.

Specializing in Difficult to Control High Blood Pressure

and the Physiology and History of Survival During

Hard Times and Heart Disease today.

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Dr. Grim

The neurologist had already made up his mind as to the diagnosis of

diabetic neuropathy before he asked those questions. If he was

trying to understand the nature of the pain, he would have let me

answer in my own words. It is very hard for a patient to describe

pain to a doctor. Someone needs to invent a way for the doctor to

connect his body to the patients so he would know exactly how the

pain feels. I did have plantar fasciitis at the same time it started

and that is what I thought. While cortisone shots did help the pf,

they did not help the pain in the front of my feet. One interesting

thing was that when they started hurting, I was taking Procardia.

One of the side affects of Proc is paresthesia. I looked that up and

it described exactly what I was feeling. After a few more months, my

feet started swelling so bad, my shoes wouldn't fit. My Dr put

switched me to Zestril and after about 2 or 3 weeks my feet felt

completly normal, no pain or numbness. However my bp started going

up. It seemed to me that every time my dr increased the dose, my bp

went higher. I told him this and he said that we just hadn't gotten

to the right dose and he increased it again to 40 mg. About a week

later, I went to the ER with bp 235/115 or something like that so he

put me back on Procardia. The pain and numbness came back and I have

had it ever since even after being off of Proc for 4 years. Because

my feet are red and very hot on the bottom the best way I can

describe it to a dr is that it feels like an inflammation. When I am

on them for too long (which is only about an hour or even less) the

balls or my feet swell on the bottom. Neurontin makes them worse.

My dr also tried Vicoden and I took 1/2 tab to try it out. At first

they felt real good but then after a couple of hours they got much

worse and stayed that way for a couple of days. It isn't any

particular type of drug, and I have even had that problem with some

brands of vitamins.

As for the plantar fasciitis, I had problems with it for about 2 1/2

years before my bp started going up, first in one foot and finally

got that stopped and then it came back in both feet. I tried

orthotics but they made it much worse. I don't remember when I got

rid of it, but I wonder if magnesium had anything to do with it. Now

that I take it twice a day, I don't have any problems. However if I

skip it for a day, my heels start to hurt a little bit. After I get

back on my reg dose, it goes away.

Fran

>

>

> In a message dated 7/15/06 6:31:37 PM, frand.2@... writes:

>

>

> > Dr. Grim,

> >

> > Weight has nothing to do with it. It started when I suddenly

gained

> > 17 lbs in 33 days. I tried telling doctors that they were firey

red

> > on the bottom when I stand on them for a few minutes and it fels

like

> > they are inflamed. One told me I didn't have an inflammation.

> >

> 17 lbs is the same as carrying round 4 x 17 = 68 sticks of butter

in your

> backpack. This will increase strain on joints and feet pains.

> > Later

> > a neurologist insisted it was diabetic neuropathy even though I

don't

> > have diabetes. He told me that he couldn't find anything else

wrong

> > with me so he assumed it was diabetic neuropathy.

> >

> It has been reported that DM neuropathy (and retinopathy) can

preceed the

> onset of frank diabetes. Have you ever had a GTT? Any FH of DM?

>

> > He asked me to

> > describe the pain and it was like being interrogated by a DA in a

> > murder trial.

> >

>

> Good this means he was really trying to understand the nature of

the pain.

>

>

> > He would not let me use the word " inflammation " and

> > said I was using too many big words and he couldn't understand

them.

> >

> This has nothing to do with describing pain.

>

> > My mind immediately started flashing " IDIOT IDIOT IDIOT " . He asked

> > if the pain was always the same and would not let me tell him that

> > they got worse when I took certain drugs, including the favorite

drug

> > to treat diabetic neuropathy. I have told the diabetic neuropathy

> > theory to every endo I have seen since then (6) and they all say

it

> > is something else but they don't have any ideas what. Also not one

> > of them has suggested that it is my weight. They hurt when I have

> > not been on them for hours. They sometimes start hurting so bad

> > during the night that it wakes me up.

> >

> Sound like you need a nerve biopsy to see what the problem is. Was

this ever

> done?

>

> Sounds like it could be plantar fasciitis.

> >

> > When I went for my 1st accupuncture treatment, the accupucturist

> > understood right away and asked if they were hot. I told him they

> > weren't but he felt them and said they were. Later I realized that

> > the reason they don't feel hot to me is that they are numb on the

> > bottom. Many times I have put my hand on them and they are very

> > hot. After the first accu. treatment they are not nearly as hot as

> > they were before.

> >

>

> Good keep us updated on the long term effects of this form of

treatment.

>

> What did he think was causing the pain?

> >

> > Fran

> >

>

>

>

>

>

> May your pressure be low!

>

> C.E. Grim, B.S., M.S., M.D.

> Specializing in Difficult to Control High Blood Pressure

> and the Physiology and History of Survival During

> Hard Times and Heart Disease today.

>

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In a message dated 7/16/06 10:00:18 PM, frand.2@... writes:

Dr. Grim

The neurologist had already made up his mind as to the diagnosis of

diabetic neuropathy before he asked those questions. If he was

trying to understand the nature of the pain, he would have let me

answer in my own words. It is very hard for a patient to describe

pain to a doctor.

or to anyone else so they understand what you are feeling.

Someone needs to invent a way for the doctor to

connect his body to the patients so he would know exactly how the

pain feels. I did have plantar fasciitis at the same time it started

and that is what I thought. While cortisone shots did help the pf,

they did not help the pain in the front of my feet. One interesting

thing was that when they started hurting, I was taking Procardia.

One of the side affects of Proc is paresthesia. I looked that up and

it described exactly what I was feeling. After a few more months, my

feet started swelling so bad, my shoes wouldn't fit.

Classic side effect of CCBs.

My Dr put

switched me to Zestril and after about 2 or 3 weeks my feet felt

completly normal, no pain or numbness. However my bp started going

up. It seemed to me that every time my dr increased the dose, my bp

went higher.

Zestril will not work in PA. See my article.

I told him this and he said that we just hadn't gotten

to the right dose and he increased it again to 40 mg. About a week

later, I went to the ER with bp 235/115 or something like that so he

put me back on Procardia. The pain and numbness came back and I have

had it ever since even after being off of Proc for 4 years. Because

my feet are red and very hot on the bottom the best way I can

describe it to a dr is that it feels like an inflammation. When I am

on them for too long (which is only about an hour or even less) the

balls or my feet swell on the bottom. Neurontin makes them worse.

Did the same for my motherinlaw and costs a fortune.

My dr also tried Vicoden and I took 1/2 tab to try it out. At first

they felt real good but then after a couple of hours they got much

worse and stayed that way for a couple of days. It isn't any

particular type of drug, and I have even had that problem with some

brands of vitamins.

As for the plantar fasciitis, I had problems with it for about 2 1/2

years before my bp started going up, first in one foot and finally

got that stopped and then it came back in both feet. I tried

orthotics but they made it much worse. I don't remember when I got

rid of it, but I wonder if magnesium had anything to do with it. Now

that I take it twice a day, I don't have any problems. However if I

skip it for a day, my heels start to hurt a little bit. After I get

back on my reg dose, it goes away.

I would keep up the Mg if it seems to be helping. Mine went away when I lost 60 lbs.

Fran

>

>

> In a message dated 7/15/06 6:31:37 PM, frand.2@... writes:

>

>

> > Dr. Grim,

> >

> > Weight has nothing to do with it. It started when I suddenly

gained

> > 17 lbs in 33 days. I tried telling doctors that they were firey

red

> > on the bottom when I stand on them for a few minutes and it fels

like

> > they are inflamed. One told me I didn't have an inflammation.

> >

> 17 lbs is the same as carrying round 4 x 17 = 68 sticks of butter

in your

> backpack. This will increase strain on joints and feet pains.

> > Later

> > a neurologist insisted it was diabetic neuropathy even though I

don't

> > have diabetes. He told me that he couldn't find anything else

wrong

> > with me so he assumed it was diabetic neuropathy.

> >

> It has been reported that DM neuropathy (and retinopathy) can

preceed the

> onset of frank diabetes. Have you ever had a GTT? Any FH of DM?

>

> > He asked me to

> > describe the pain and it was like being interrogated by a DA in a

> > murder trial.

> >

>

> Good this means he was really trying to understand the nature of

the pain.

>

>

> > He would not let me use the word "inflammation" and

> > said I was using too many big words and he couldn't understand

them.

> >

> This has nothing to do with describing pain.

>

> > My mind immediately started flashing "IDIOT IDIOT IDIOT". He asked

> > if the pain was always the same and would not let me tell him that

> > they got worse when I took certain drugs, including the favorite

drug

> > to treat diabetic neuropathy. I have told the diabetic neuropathy

> > theory to every endo I have seen since then (6) and they all say

it

> > is something else but they don't have any ideas what. Also not one

> > of them has suggested that it is my weight. They hurt when I have

> > not been on them for hours. They sometimes start hurting so bad

> > during the night that it wakes me up.

> >

> Sound like you need a nerve biopsy to see what the problem is. Was

this ever

> done?

>

> Sounds like it could be plantar fasciitis.

> >

> > When I went for my 1st accupuncture treatment, the accupucturist

> > understood right away and asked if they were hot. I told him they

> > weren't but he felt them and said they were. Later I realized that

> > the reason they don't feel hot to me is that they are numb on the

> > bottom. Many times I have put my hand on them and they are very

> > hot. After the first accu. treatment they are not nearly as hot as

> > they were before.

> >

>

> Good keep us updated on the long term effects of this form of

treatment.

>

> What did he think was causing the pain?

> >

> > Fran

> >

>

>

>

>

>

> May your pressure be low!

>

> C.E. Grim, B.S., M.S., M.D.

> Specializing in Difficult to Control High Blood Pressure

> and the Physiology and History of Survival During

> Hard Times and Heart Disease today.

>

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May your pressure be low!

C.E. Grim, B.S., M.S., M.D.

Specializing in Difficult to Control High Blood Pressure

and the Physiology and History of Survival During

Hard Times and Heart Disease today.

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Guest guest

> Classic side effect of CCBs.

Dr. Grim, I am given CCB as part of my long term maintenace

medications. Are these really that effective in PA? Now that I am off

Lasix, my gout episodes are less and far in between. In fact, I had

only one gout attack since end of May till now.

What are the classic effects of CCBs with PA sufferrers?

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In a message dated 7/18/06 2:38:13 AM, bayabas76@... writes:

Dr. Grim, I am given CCB as part of my long term maintenace

medications. Are these really that effective in PA? Now that I am off

Lasix, my gout episodes are less and far in between. In fact, I had

only one gout attack since end of May till now.

What are the classic effects of CCBs with PA sufferrers?

Never been well studied. We might expect more edema(swelling of the feet but no one has ever tabulated this information. The most useless drugs are those that block the RAAS which is very suppressed by the aldosterone effect on salt retention.

Review my article.

May your pressure be low!

C.E. Grim, B.S., M.S., M.D.

Specializing in Difficult to Control High Blood Pressure

and the Physiology and History of Survival During

Hard Times and Heart Disease today.

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  • 1 month later...

Dear Wanda,

That amount of potassium by supplementation would be for people who are on

diuretics, which deplete potassium.

Best of Health!

Dr. Saul Pressman

Re: The Heart

Hi Saul,

When you suggest 500 mg. potassium, are suggesting that in supplements

or from food? The reason I'm wondering is because I've always heard

only 99 mg. potassium is suggested, and was wondering if taking the 500

mg. had any adverse effect. Heard of a woman who put herself in the

hospital from taking too much potassium, but didn't hear how much she

took. I would assume more people are defficient in at as that seems to

be the first thing they do to you when you enter a hospital. Hook you

up to a potassium drip. Am wonder if one really can get too much of

it???

Gail

-- In oxyplus , " Saul Pressman " <saul@...> wrote:

>

> Minerals :

>

> - Potassium gluconate : 500 mg/day

>

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The 99mg limit to daily potassium supplementation was done as a knee jerk

reaction by the FDA or some other government agency in much the same way as they

withdrew Tryptophan. Instead of sanctioning the company that produced the bad

batch, the banned the substance. Same logic as the guy who killed the goose

that layed the golden egg to cut it open to find the eggs - in reverse of

course. Sorry strange analogy but, somewhere in my mind, it works!!! :-)

BTW. Some of the Scandinavian countries had a huge decrease in disease when they

allowed the use of potassium based salt to replace sodium based salt. Much more

than 99 mg in most peoples diet, I believe.

Best wishes and much love, Ken

Ken Gullan

Institute for Research Integration (IRI), San Diego, CA 92106-2424

IRI is a 501C(3) non-profit corporation established to help children with

developmental difficulties.

To contact me off-list use kengullan@... or call 619-222-1104

Re: The Heart

Hi Saul,

When you suggest 500 mg. potassium, are suggesting that in supplements

or from food? The reason I'm wondering is because I've always heard

only 99 mg. potassium is suggested, and was wondering if taking the 500

mg. had any adverse effect. Heard of a woman who put herself in the

hospital from taking too much potassium, but didn't hear how much she

took. I would assume more people are defficient in at as that seems to

be the first thing they do to you when you enter a hospital. Hook you

up to a potassium drip. Am wonder if one really can get too much of

it???

Gail

-- In oxyplus , " Saul Pressman " <saul@...> wrote:

>

> Minerals :

>

> - Potassium gluconate : 500 mg/day

>

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  • 11 months later...
Guest guest

,

I have had a lot of trouble with low potassium from time to time,I just got

off pred. last November after 7 straight years and I'm sorry to say,it doesn't

help with the moon face and edema at least not in my case. I do take a

suppliment twice a day now since my last visit to the resort two weeks ago where

I received potassium by IV for two days,3 bags.I still have the moon face,which

I am now a little grateful for,at least the wrinkles aren't quite as

prevalent!lol. Sorry,maybe in your case it will be different.

Elly

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17:46

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Guest guest

,

I have had a lot of trouble with low potassium from time to time,I just got

off pred. last November after 7 straight years and I'm sorry to say,it doesn't

help with the moon face and edema at least not in my case. I do take a

suppliment twice a day now since my last visit to the resort two weeks ago where

I received potassium by IV for two days,3 bags.I still have the moon face,which

I am now a little grateful for,at least the wrinkles aren't quite as

prevalent!lol. Sorry,maybe in your case it will be different.

Elly

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Checked by AVG Free Edition.

Version: 7.5.476 / Virus Database: 269.11.4/935 - Release Date: 03/08/2007

17:46

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Guest guest

,

I have had a lot of trouble with low potassium from time to time,I just got

off pred. last November after 7 straight years and I'm sorry to say,it doesn't

help with the moon face and edema at least not in my case. I do take a

suppliment twice a day now since my last visit to the resort two weeks ago where

I received potassium by IV for two days,3 bags.I still have the moon face,which

I am now a little grateful for,at least the wrinkles aren't quite as

prevalent!lol. Sorry,maybe in your case it will be different.

Elly

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17:46

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Guest guest

:

Yes, in my case it helps with the water retention and with muscle cramp....

building muscle? it does require exercise and high protein diet....

That's all.

I hope it helps you.

Tip: Bananas are high on potassium.

Good luck!

escribió: Does anybody know if

taking potassium supplements whilst on the Pred, helps

reduce Edema (water retention – moon face etc)?

Does it also help when trying to build muscle?

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Guest guest

:

Yes, in my case it helps with the water retention and with muscle cramp....

building muscle? it does require exercise and high protein diet....

That's all.

I hope it helps you.

Tip: Bananas are high on potassium.

Good luck!

escribió: Does anybody know if

taking potassium supplements whilst on the Pred, helps

reduce Edema (water retention – moon face etc)?

Does it also help when trying to build muscle?

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17:46

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Guest guest

:

Yes, in my case it helps with the water retention and with muscle cramp....

building muscle? it does require exercise and high protein diet....

That's all.

I hope it helps you.

Tip: Bananas are high on potassium.

Good luck!

escribió: Does anybody know if

taking potassium supplements whilst on the Pred, helps

reduce Edema (water retention – moon face etc)?

Does it also help when trying to build muscle?

No virus found in this outgoing message.

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Version: 7.5.476 / Virus Database: 269.11.4/935 - Release Date: 03/08/2007

17:46

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  • 1 year later...
Guest guest

Your symptoms are classic for what many have reported here with early and

advanced PA.

Please try to get all of your blood K results going back as far a you can.

You have PA until proven otherwise IMHO.

Keep us posted.

First you need a PA and PRA with a 24 hr urine for Na, K, aldosterone, cortisol

and catecholamines.

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 Saturday, May 30, 2009, at 07:57PM, " joyce jensen " <joycejensen45@...>

wrote:

>My potassium last year was 3.8.  I didn't get the latest results yet.  I take

160 mg of Diovan.  Today my BP is 131/81.  It often goes up to 165/90.  I have

had two episodes of chest pains in the last five years that I went to urgent

care for.  During these episodes by bp is as high as 200/100 and my heart rate

is up too.  On both occassions, I was given a treadmill stress test and they

found no abnormalities.   I have had more of these episodes that I was able to

ignore.  Once you admit that you have chest pain, everything takes on a life of

its own. These seem to be stress related in retrospect.

> 

> I also get palpitations episodically.  I've told Dr that it feels like the toy

that you squeeze and its eyes pop out.   He said he knew the toy but didn't know

the feeling.  I did wear a holter monitor for 24 hours and they said they found

an arrythmia that wasn't dangerous.  The palpitations are very troubling but

they are fleeting and episodic  I also get muscle cramps in my feet and

sometimes in my calves. 

> 

> I also get episodes of " kidney " pain that feels like a kidney infection. 

That's how they found the adenoma they were looking for kidney stones because I

also get a few RBCs in my urine.

> 

>In the past year and a half I have gained about 10 pounds in spite of pretty

healthy eating.  This is heavier than I have ever been.  And the weight doesn't

budge with increased activity or portion control.

> 

> 

>I have  read your article and have started really eliminating any added salt

from my diet.  I eat very few processed foods. I expect to have the rest of my

lab results next week sometime.  

>

>

>>Are there any numbers that show how likely an adenoma is to result in PA? 

That is, what percentage of people with adenomas have PA?   Should we expect to

find PA with an adenoma?  The recent CT results report a 2.5 X2.7 cm benign

appearing adenoma.  When it was first found in 1997 my recollection is that it

was about 2 X 2 cm. At that time it was chalked off as having nothing to do with

my vague, neurotic symptoms such as low back ache and episodic general unwell

feelings etc. Is the ARR definitive?  I'm still waiting for my ARR and other lab

results. The new endo that I consulted sent the ARR blood to the University of

Washington for test.

>>

>>

>>

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HiOkay, I've got up this morning looking forward to starting diet.I've had one slice of whole wheat bread, tiny amount of low salt marg (bread 0.27g sodium) 1 bananaI cup of tea with 0 fat milkStarted feeling very anxious, sick, irritable, belly bloatedHad a cup of black tea thought perhaps its the milk (I normally have problems with milk).Was okay after 20 mins...Then thought I'd have a black decafe coffee ( 0.1g sodium)with one teaspoon of black strap mollassess:Now clenching teeth, anxious, nausea heart is racing, face is worse on right side...I suppose I need to give it a couple of days if I am retaining potassium? Thank youMaybe it will take a day or so to start to adjust?Its just this reaction was straight after having mollassess .Is there a period of feeling worse before you get better?! Sorry if I am jumping the gun to quickly?Sent using BlackBerry® from OrangeFrom: Farah Rahbar <farahbar@...>Date: Fri, 26 Feb 2010 23:44:42 -0800<hyperaldosteronism >Subject: Dr. Grim a question for you on low cortisol Dr. Grim:I've been feeling quite exhausted lately. I thought that perhaps I have hypothyroid in added to my PA.As it turns out my cortisol is rather quite low, meaning 2.1(normal according to the lab is 4.0 - 22.0) - I am currently on 75mgs Aldactone for the past 4 yrs and 1000 vitamind D (for the past yr)the reason I went to the doctor is because  in the past month suddenly been experiencing a lot of exhaustion and fatigue and sudden weight gain. Today I looked at low cortisol symptoms on mayo clinic site that pretty much it appears thats what I have -all of the  following symptoms- which I am pasting from mayo clinic's symptoms for low cortisol :Muscle weakness and fatigue, my muscles are hurting so much, I was blaming it on low K but its not the caseWeight loss and decreased appetite - (except I have gained weight tremendously suddenly from 115 lbs to 123 in just a month)Low blood pressure, even fainting (my bp has been under 120/80 consistently, feeling very tired, exhausted)Salt craving (I have to search my cupboards for salty things or craving bread  which I usually dont eat)Low blood sugar (hypoglycemia), my 2 hour test was 89 after drinking the syrup so that not badNausea, diarrhea or vomiting (been feeling nausea off and on)Muscle or joint pains (a lot of it, lots and lots)Irritability - thats me latelyDepression - feeling rather depressed lately off and onAcute adrenal failure (addisonian crisis)Sometimes, however, the signs and symptoms of 's disease may appear suddenly. In acute adrenal failure (addisonian crisis), the signs and symptoms may also include:Pain in your lower back, abdomen or legs - no back pain but some abdomen and leg painSevere vomiting and diarrhea, leading to dehydration NOLow blood pressureLoss of consciousness - NOHigh potassium (hyperkalemia) - My current K is rather higher than its ever been but still within range 4.7 (reference range is 3.5 - 5.3)In fact due to all these symptoms and weight gain I was sure that my thyroid was acting up but according to the lab results my thyroid is quite within normal range - TSH, 2.03(reference range 0.40 - 4.50), Thyroxine Free .9 (reference range 0.8-1.8) surprisingly my cortisol is quite low at 2.1 taken at 8.30 am(normal for this time should be 4.0-22). I thought us PA people usually have higher cortisol!!ACTH is 6 (normal range 6-40), I had to take one Dex pill at 11:00 pm the night before taking the blood test No adrenalectomy as I've been diagnosed with hyperplasia.I am yet to see my endo next week to discuss the lab result.Does anyone else have same kind of symptoms and PA all together? this is my first experience with it after taking Aldactone for the past 4 years. could this mean that one of my adrenal glands may be failing or not functioning? I appreciate any suggestions.Thank You,Farah

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HiOkay, I've got up this morning looking forward to starting diet.I've had one slice of whole wheat bread, tiny amount of low salt marg (bread 0.27g sodium) 1 bananaI cup of tea with 0 fat milkStarted feeling very anxious, sick, irritable, belly bloatedHad a cup of black tea thought perhaps its the milk (I normally have problems with milk).Was okay after 20 mins...Then thought I'd have a black decafe coffee ( 0.1g sodium)with one teaspoon of black strap mollassess:Now clenching teeth, anxious, nausea heart is racing, face is worse on right side...I suppose I need to give it a couple of days if I am retaining potassium? Thank youMaybe it will take a day or so to start to adjust?Its just this reaction was straight after having mollassess .Is there a period of feeling worse before you get better?! Sorry if I am jumping the gun to quickly?Sent using BlackBerry® from OrangeFrom: Farah Rahbar <farahbar@...>Date: Fri, 26 Feb 2010 23:44:42 -0800<hyperaldosteronism >Subject: Dr. Grim a question for you on low cortisol Dr. Grim:I've been feeling quite exhausted lately. I thought that perhaps I have hypothyroid in added to my PA.As it turns out my cortisol is rather quite low, meaning 2.1(normal according to the lab is 4.0 - 22.0) - I am currently on 75mgs Aldactone for the past 4 yrs and 1000 vitamind D (for the past yr)the reason I went to the doctor is because  in the past month suddenly been experiencing a lot of exhaustion and fatigue and sudden weight gain. Today I looked at low cortisol symptoms on mayo clinic site that pretty much it appears thats what I have -all of the  following symptoms- which I am pasting from mayo clinic's symptoms for low cortisol :Muscle weakness and fatigue, my muscles are hurting so much, I was blaming it on low K but its not the caseWeight loss and decreased appetite - (except I have gained weight tremendously suddenly from 115 lbs to 123 in just a month)Low blood pressure, even fainting (my bp has been under 120/80 consistently, feeling very tired, exhausted)Salt craving (I have to search my cupboards for salty things or craving bread  which I usually dont eat)Low blood sugar (hypoglycemia), my 2 hour test was 89 after drinking the syrup so that not badNausea, diarrhea or vomiting (been feeling nausea off and on)Muscle or joint pains (a lot of it, lots and lots)Irritability - thats me latelyDepression - feeling rather depressed lately off and onAcute adrenal failure (addisonian crisis)Sometimes, however, the signs and symptoms of 's disease may appear suddenly. In acute adrenal failure (addisonian crisis), the signs and symptoms may also include:Pain in your lower back, abdomen or legs - no back pain but some abdomen and leg painSevere vomiting and diarrhea, leading to dehydration NOLow blood pressureLoss of consciousness - NOHigh potassium (hyperkalemia) - My current K is rather higher than its ever been but still within range 4.7 (reference range is 3.5 - 5.3)In fact due to all these symptoms and weight gain I was sure that my thyroid was acting up but according to the lab results my thyroid is quite within normal range - TSH, 2.03(reference range 0.40 - 4.50), Thyroxine Free .9 (reference range 0.8-1.8) surprisingly my cortisol is quite low at 2.1 taken at 8.30 am(normal for this time should be 4.0-22). I thought us PA people usually have higher cortisol!!ACTH is 6 (normal range 6-40), I had to take one Dex pill at 11:00 pm the night before taking the blood test No adrenalectomy as I've been diagnosed with hyperplasia.I am yet to see my endo next week to discuss the lab result.Does anyone else have same kind of symptoms and PA all together? this is my first experience with it after taking Aldactone for the past 4 years. could this mean that one of my adrenal glands may be failing or not functioning? I appreciate any suggestions.Thank You,Farah

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HiOkay, I've got up this morning looking forward to starting diet.I've had one slice of whole wheat bread, tiny amount of low salt marg (bread 0.27g sodium) 1 bananaI cup of tea with 0 fat milkStarted feeling very anxious, sick, irritable, belly bloatedHad a cup of black tea thought perhaps its the milk (I normally have problems with milk).Was okay after 20 mins...Then thought I'd have a black decafe coffee ( 0.1g sodium)with one teaspoon of black strap mollassess:Now clenching teeth, anxious, nausea heart is racing, face is worse on right side...I suppose I need to give it a couple of days if I am retaining potassium? Thank youMaybe it will take a day or so to start to adjust?Its just this reaction was straight after having mollassess .Is there a period of feeling worse before you get better?! Sorry if I am jumping the gun to quickly?Sent using BlackBerry® from OrangeFrom: Farah Rahbar <farahbar@...>Date: Fri, 26 Feb 2010 23:44:42 -0800<hyperaldosteronism >Subject: Dr. Grim a question for you on low cortisol Dr. Grim:I've been feeling quite exhausted lately. I thought that perhaps I have hypothyroid in added to my PA.As it turns out my cortisol is rather quite low, meaning 2.1(normal according to the lab is 4.0 - 22.0) - I am currently on 75mgs Aldactone for the past 4 yrs and 1000 vitamind D (for the past yr)the reason I went to the doctor is because  in the past month suddenly been experiencing a lot of exhaustion and fatigue and sudden weight gain. Today I looked at low cortisol symptoms on mayo clinic site that pretty much it appears thats what I have -all of the  following symptoms- which I am pasting from mayo clinic's symptoms for low cortisol :Muscle weakness and fatigue, my muscles are hurting so much, I was blaming it on low K but its not the caseWeight loss and decreased appetite - (except I have gained weight tremendously suddenly from 115 lbs to 123 in just a month)Low blood pressure, even fainting (my bp has been under 120/80 consistently, feeling very tired, exhausted)Salt craving (I have to search my cupboards for salty things or craving bread  which I usually dont eat)Low blood sugar (hypoglycemia), my 2 hour test was 89 after drinking the syrup so that not badNausea, diarrhea or vomiting (been feeling nausea off and on)Muscle or joint pains (a lot of it, lots and lots)Irritability - thats me latelyDepression - feeling rather depressed lately off and onAcute adrenal failure (addisonian crisis)Sometimes, however, the signs and symptoms of 's disease may appear suddenly. In acute adrenal failure (addisonian crisis), the signs and symptoms may also include:Pain in your lower back, abdomen or legs - no back pain but some abdomen and leg painSevere vomiting and diarrhea, leading to dehydration NOLow blood pressureLoss of consciousness - NOHigh potassium (hyperkalemia) - My current K is rather higher than its ever been but still within range 4.7 (reference range is 3.5 - 5.3)In fact due to all these symptoms and weight gain I was sure that my thyroid was acting up but according to the lab results my thyroid is quite within normal range - TSH, 2.03(reference range 0.40 - 4.50), Thyroxine Free .9 (reference range 0.8-1.8) surprisingly my cortisol is quite low at 2.1 taken at 8.30 am(normal for this time should be 4.0-22). I thought us PA people usually have higher cortisol!!ACTH is 6 (normal range 6-40), I had to take one Dex pill at 11:00 pm the night before taking the blood test No adrenalectomy as I've been diagnosed with hyperplasia.I am yet to see my endo next week to discuss the lab result.Does anyone else have same kind of symptoms and PA all together? this is my first experience with it after taking Aldactone for the past 4 years. could this mean that one of my adrenal glands may be failing or not functioning? I appreciate any suggestions.Thank You,Farah

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Unless I maybe had too much sodium yesterday ..and then eating a little amount on top todayIs causing me problems...Praps this will balance out? My belly is swollen, eyes puffy, legs swollen (jeans are tight), belly swollen...Sent using BlackBerry® from OrangeFrom: moseleymand@...Date: Sat, 27 Feb 2010 09:04:53 +0000<hyperaldosteronism >Subject: Re: potassium

HiOkay, I've got up this morning looking forward to starting diet.I've had one slice of whole wheat bread, tiny amount of low salt marg (bread 0.27g sodium) 1 bananaI cup of tea with 0 fat milkStarted feeling very anxious, sick, irritable, belly bloatedHad a cup of black tea thought perhaps its the milk (I normally have problems with milk).Was okay after 20 mins...Then thought I'd have a black decafe coffee ( 0.1g sodium)with one teaspoon of black strap mollassess:Now clenching teeth, anxious, nausea heart is racing, face is worse on right side...I suppose I need to give it a couple of days if I am retaining potassium? Thank youMaybe it will take a day or so to start to adjust?Its just this reaction was straight after having mollassess .Is there a period of feeling worse before you get better?! Sorry if I am jumping the gun to quickly?Sent using BlackBerry® from OrangeFrom: Farah Rahbar <farahbargmail>Date: Fri, 26 Feb 2010 23:44:42 -0800<hyperaldosteronism >Subject: Dr. Grim a question for you on low cortisol Dr. Grim:I've been feeling quite exhausted lately. I thought that perhaps I have hypothyroid in added to my PA.As it turns out my cortisol is rather quite low, meaning 2.1(normal according to the lab is 4.0 - 22.0) - I am currently on 75mgs Aldactone for the past 4 yrs and 1000 vitamind D (for the past yr)the reason I went to the doctor is because  in the past month suddenly been experiencing a lot of exhaustion and fatigue and sudden weight gain. Today I looked at low cortisol symptoms on mayo clinic site that pretty much it appears thats what I have -all of the  following symptoms- which I am pasting from mayo clinic's symptoms for low cortisol :Muscle weakness and fatigue, my muscles are hurting so much, I was blaming it on low K but its not the caseWeight loss and decreased appetite - (except I have gained weight tremendously suddenly from 115 lbs to 123 in just a month)Low blood pressure, even fainting (my bp has been under 120/80 consistently, feeling very tired, exhausted)Salt craving (I have to search my cupboards for salty things or craving bread  which I usually dont eat)Low blood sugar (hypoglycemia), my 2 hour test was 89 after drinking the syrup so that not badNausea, diarrhea or vomiting (been feeling nausea off and on)Muscle or joint pains (a lot of it, lots and lots)Irritability - thats me latelyDepression - feeling rather depressed lately off and onAcute adrenal failure (addisonian crisis)Sometimes, however, the signs and symptoms of 's disease may appear suddenly. In acute adrenal failure (addisonian crisis), the signs and symptoms may also include:Pain in your lower back, abdomen or legs - no back pain but some abdomen and leg painSevere vomiting and diarrhea, leading to dehydration NOLow blood pressureLoss of consciousness - NOHigh potassium (hyperkalemia) - My current K is rather higher than its ever been but still within range 4.7 (reference range is 3.5 - 5.3)In fact due to all these symptoms and weight gain I was sure that my thyroid was acting up but according to the lab results my thyroid is quite within normal range - TSH, 2.03(reference range 0.40 - 4.50), Thyroxine Free .9 (reference range 0.8-1.8) surprisingly my cortisol is quite low at 2.1 taken at 8.30 am(normal for this time should be 4.0-22). I thought us PA people usually have higher cortisol!!ACTH is 6 (normal range 6-40), I had to take one Dex pill at 11:00 pm the night before taking the blood test No adrenalectomy as I've been diagnosed with hyperplasia.I am yet to see my endo next week to discuss the lab result.Does anyone else have same kind of symptoms and PA all together? this is my first experience with it after taking Aldactone for the past 4 years. could this mean that one of my adrenal glands may be failing or not functioning? I appreciate any suggestions.Thank You,Farah

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Unless I maybe had too much sodium yesterday ..and then eating a little amount on top todayIs causing me problems...Praps this will balance out? My belly is swollen, eyes puffy, legs swollen (jeans are tight), belly swollen...Sent using BlackBerry® from OrangeFrom: moseleymand@...Date: Sat, 27 Feb 2010 09:04:53 +0000<hyperaldosteronism >Subject: Re: potassium

HiOkay, I've got up this morning looking forward to starting diet.I've had one slice of whole wheat bread, tiny amount of low salt marg (bread 0.27g sodium) 1 bananaI cup of tea with 0 fat milkStarted feeling very anxious, sick, irritable, belly bloatedHad a cup of black tea thought perhaps its the milk (I normally have problems with milk).Was okay after 20 mins...Then thought I'd have a black decafe coffee ( 0.1g sodium)with one teaspoon of black strap mollassess:Now clenching teeth, anxious, nausea heart is racing, face is worse on right side...I suppose I need to give it a couple of days if I am retaining potassium? Thank youMaybe it will take a day or so to start to adjust?Its just this reaction was straight after having mollassess .Is there a period of feeling worse before you get better?! Sorry if I am jumping the gun to quickly?Sent using BlackBerry® from OrangeFrom: Farah Rahbar <farahbargmail>Date: Fri, 26 Feb 2010 23:44:42 -0800<hyperaldosteronism >Subject: Dr. Grim a question for you on low cortisol Dr. Grim:I've been feeling quite exhausted lately. I thought that perhaps I have hypothyroid in added to my PA.As it turns out my cortisol is rather quite low, meaning 2.1(normal according to the lab is 4.0 - 22.0) - I am currently on 75mgs Aldactone for the past 4 yrs and 1000 vitamind D (for the past yr)the reason I went to the doctor is because  in the past month suddenly been experiencing a lot of exhaustion and fatigue and sudden weight gain. Today I looked at low cortisol symptoms on mayo clinic site that pretty much it appears thats what I have -all of the  following symptoms- which I am pasting from mayo clinic's symptoms for low cortisol :Muscle weakness and fatigue, my muscles are hurting so much, I was blaming it on low K but its not the caseWeight loss and decreased appetite - (except I have gained weight tremendously suddenly from 115 lbs to 123 in just a month)Low blood pressure, even fainting (my bp has been under 120/80 consistently, feeling very tired, exhausted)Salt craving (I have to search my cupboards for salty things or craving bread  which I usually dont eat)Low blood sugar (hypoglycemia), my 2 hour test was 89 after drinking the syrup so that not badNausea, diarrhea or vomiting (been feeling nausea off and on)Muscle or joint pains (a lot of it, lots and lots)Irritability - thats me latelyDepression - feeling rather depressed lately off and onAcute adrenal failure (addisonian crisis)Sometimes, however, the signs and symptoms of 's disease may appear suddenly. In acute adrenal failure (addisonian crisis), the signs and symptoms may also include:Pain in your lower back, abdomen or legs - no back pain but some abdomen and leg painSevere vomiting and diarrhea, leading to dehydration NOLow blood pressureLoss of consciousness - NOHigh potassium (hyperkalemia) - My current K is rather higher than its ever been but still within range 4.7 (reference range is 3.5 - 5.3)In fact due to all these symptoms and weight gain I was sure that my thyroid was acting up but according to the lab results my thyroid is quite within normal range - TSH, 2.03(reference range 0.40 - 4.50), Thyroxine Free .9 (reference range 0.8-1.8) surprisingly my cortisol is quite low at 2.1 taken at 8.30 am(normal for this time should be 4.0-22). I thought us PA people usually have higher cortisol!!ACTH is 6 (normal range 6-40), I had to take one Dex pill at 11:00 pm the night before taking the blood test No adrenalectomy as I've been diagnosed with hyperplasia.I am yet to see my endo next week to discuss the lab result.Does anyone else have same kind of symptoms and PA all together? this is my first experience with it after taking Aldactone for the past 4 years. could this mean that one of my adrenal glands may be failing or not functioning? I appreciate any suggestions.Thank You,Farah

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Unless I maybe had too much sodium yesterday ..and then eating a little amount on top todayIs causing me problems...Praps this will balance out? My belly is swollen, eyes puffy, legs swollen (jeans are tight), belly swollen...Sent using BlackBerry® from OrangeFrom: moseleymand@...Date: Sat, 27 Feb 2010 09:04:53 +0000<hyperaldosteronism >Subject: Re: potassium

HiOkay, I've got up this morning looking forward to starting diet.I've had one slice of whole wheat bread, tiny amount of low salt marg (bread 0.27g sodium) 1 bananaI cup of tea with 0 fat milkStarted feeling very anxious, sick, irritable, belly bloatedHad a cup of black tea thought perhaps its the milk (I normally have problems with milk).Was okay after 20 mins...Then thought I'd have a black decafe coffee ( 0.1g sodium)with one teaspoon of black strap mollassess:Now clenching teeth, anxious, nausea heart is racing, face is worse on right side...I suppose I need to give it a couple of days if I am retaining potassium? Thank youMaybe it will take a day or so to start to adjust?Its just this reaction was straight after having mollassess .Is there a period of feeling worse before you get better?! Sorry if I am jumping the gun to quickly?Sent using BlackBerry® from OrangeFrom: Farah Rahbar <farahbargmail>Date: Fri, 26 Feb 2010 23:44:42 -0800<hyperaldosteronism >Subject: Dr. Grim a question for you on low cortisol Dr. Grim:I've been feeling quite exhausted lately. I thought that perhaps I have hypothyroid in added to my PA.As it turns out my cortisol is rather quite low, meaning 2.1(normal according to the lab is 4.0 - 22.0) - I am currently on 75mgs Aldactone for the past 4 yrs and 1000 vitamind D (for the past yr)the reason I went to the doctor is because  in the past month suddenly been experiencing a lot of exhaustion and fatigue and sudden weight gain. Today I looked at low cortisol symptoms on mayo clinic site that pretty much it appears thats what I have -all of the  following symptoms- which I am pasting from mayo clinic's symptoms for low cortisol :Muscle weakness and fatigue, my muscles are hurting so much, I was blaming it on low K but its not the caseWeight loss and decreased appetite - (except I have gained weight tremendously suddenly from 115 lbs to 123 in just a month)Low blood pressure, even fainting (my bp has been under 120/80 consistently, feeling very tired, exhausted)Salt craving (I have to search my cupboards for salty things or craving bread  which I usually dont eat)Low blood sugar (hypoglycemia), my 2 hour test was 89 after drinking the syrup so that not badNausea, diarrhea or vomiting (been feeling nausea off and on)Muscle or joint pains (a lot of it, lots and lots)Irritability - thats me latelyDepression - feeling rather depressed lately off and onAcute adrenal failure (addisonian crisis)Sometimes, however, the signs and symptoms of 's disease may appear suddenly. In acute adrenal failure (addisonian crisis), the signs and symptoms may also include:Pain in your lower back, abdomen or legs - no back pain but some abdomen and leg painSevere vomiting and diarrhea, leading to dehydration NOLow blood pressureLoss of consciousness - NOHigh potassium (hyperkalemia) - My current K is rather higher than its ever been but still within range 4.7 (reference range is 3.5 - 5.3)In fact due to all these symptoms and weight gain I was sure that my thyroid was acting up but according to the lab results my thyroid is quite within normal range - TSH, 2.03(reference range 0.40 - 4.50), Thyroxine Free .9 (reference range 0.8-1.8) surprisingly my cortisol is quite low at 2.1 taken at 8.30 am(normal for this time should be 4.0-22). I thought us PA people usually have higher cortisol!!ACTH is 6 (normal range 6-40), I had to take one Dex pill at 11:00 pm the night before taking the blood test No adrenalectomy as I've been diagnosed with hyperplasia.I am yet to see my endo next week to discuss the lab result.Does anyone else have same kind of symptoms and PA all together? this is my first experience with it after taking Aldactone for the past 4 years. could this mean that one of my adrenal glands may be failing or not functioning? I appreciate any suggestions.Thank You,Farah

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