Guest guest Posted October 18, 2009 Report Share Posted October 18, 2009 Tomorrow is my day too. Lucky day to ya... Again, I'm getting up at 6:45-7:00-getting the kids off to school. They recommend that I remain upright, seated or standing for 2 hours. Getting tested at 9 ish, I'm going to be seated, relaxing for a minimun of 15 minutes then they take the blood test. I've been on normal sodium and supplementing my potassium. I'm on verapamil for pressure.. (I see the most recent article on this...) I think they recommend morning typically. Voila, 2-4 weeks later for me and I'll know if I go endo or move onto nephro next. TTFN Good luck Chantal > > Having the aldo/renin blood test tomorrow, just wondering if it would make a difference in the time of day to get the most accurate results. I am going to hold off on taking my toprol until after the blood draw anyway. > Bridget > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 18, 2009 Report Share Posted October 18, 2009 What time were you told to show up? I think most norms are for before 10 a.m. Val From: hyperaldosteronism [mailto:hyperaldosteronism ] On Behalf Of bridget Having the aldo/renin blood test tomorrow, just wondering if it would make a difference in the time of day to get the most accurate results. I am going to hold off on taking my toprol until after the blood draw anyway. Bridget Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 18, 2009 Report Share Posted October 18, 2009 Depends on how their normals were done.Assume they gave you the details. But you know what assume means. On Oct 18, 2009, at 8:39 PM, bridget wrote: Having the aldo/renin blood test tomorrow, just wondering if it would make a difference in the time of day to get the most accurate results. I am going to hold off on taking my toprol until after the blood draw anyway. Bridget Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 18, 2009 Report Share Posted October 18, 2009 You will want to go to someone who is a HTN expert and deals with PA for a long time.On Oct 18, 2009, at 8:46 PM, Chantal wrote: Tomorrow is my day too. Lucky day to ya... Again, I'm getting up at 6:45-7:00-getting the kids off to school. They recommend that I remain upright, seated or standing for 2 hours. Getting tested at 9 ish, I'm going to be seated, relaxing for a minimun of 15 minutes then they take the blood test. I've been on normal sodium and supplementing my potassium. I'm on verapamil for pressure.. (I see the most recent article on this...) I think they recommend morning typically. Voila, 2-4 weeks later for me and I'll know if I go endo or move onto nephro next. TTFN Good luck Chantal > > Having the aldo/renin blood test tomorrow, just wondering if it would make a difference in the time of day to get the most accurate results. I am going to hold off on taking my toprol until after the blood draw anyway. > Bridget > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 21, 2011 Report Share Posted December 21, 2011 Expecting Nuclear Fall-out is what you should expect Sue. Do not take any thyroid hormone replacement on tomorrow morning before you have your blood drawn - this will give a flawed result. However, because you are taking thyroid hormone supplements, your TSH will be suppressed and your free T3 (if they test it) will likely be in the upper third of the reference range, as probably your free T4 will too - so your GP will tell you again that you are not hypothyroid. If this was me, I would tell him that you expected such results because you are being treated with thyroid hormone replacement, and that had he listened to you earlier, instead of turning a deaf ear, you would have told him that following on a private consultation where it was found you WERE suffering with symptoms of hypothyroidism, you were started on whatever thyroid hormone replacement at that time that Dr Peatfield recommended. Tell him that because the NHS insist on diagnosing hypothyroidism through the results of thyroid function tests ONLY and who take no account of symptoms, signs or family history, that you were left with no other option but to do this, and that it is because of this, that your TSH is normal, because your pituitary gland recognises there is sufficient thyroid hormone in the blood, and therefore has no need to secrete any TSH to tell the thyroid to start secreting more thyroid hormone. I would tell him that had it not been for you going private and getting the thyroid hormone replacement your body was screaming out for, that you would be suffering dreadfully under the NHS and that there are Internet thyroid forums full of members who are being denied a diagnosis and treatment because their doctors keep insisting they don't have a problem, because the continue to use blood test results only. Like the boy scouts motto - be prepared Sue. If he goes mad - so be it. He has a choice, either to listen to you and prescribe what Dr Peatfield recommended (as hypothyroid treatment is needed for the rest of your life, or he can try to make you stop telling you all sorts of scary stories such as you will suffer Atrial fibrillation or osteoporosis and have terrible heart problems if you continue. You are looking after yourself at the moment, and although it would be good to have your GP take on this responsibility, if he refuses, then you will have to carry on as you are now. Keep up the good fight. Ask your GP tomorrow to also test your iron, transferrin saturation%, ferritin, B12, D3, magnesium, folate, copper and zinc and if he says there is no connection between those and low thyroid, then quote the following references to show him that there is. Low iron/ferritin: Iron deficiency is shown to significantly reduce T4 to T3 conversion, increase reverse T3 levels, and block the thermogenic (metabolism boosting) properties of thyroid hormone (1-4). Thus, iron deficiency, as indicated by an iron saturation below 25 or a ferritin below 70, will result in diminished intracellular T3 levels. Additionally, T4 should not be considered adequate thyroid replacement if iron deficiency is present (1-4)). 1. Dillman E, Gale C, Green W, et al. Hypothermia in iron deficiency due to altered triiodithyroidine metabolism. Regulatory, Integrative and Comparative Physiology 1980;239(5):377-R381. 2. SM, PE, Lukaski HC. In vitro hepatic thyroid hormone deiodination in iron-deficient rats: effect of dietary fat. Life Sci 1993;53(8):603-9. 3. Zimmermann MB, Köhrle J. The Impact of Iron and Selenium Deficiencies on Iodine and Thyroid Metabolism: Biochemistry and Relevance to Public Health. Thyroid 2002;12(10): 867-78. 4. Beard J, tobin B, Green W. Evidence for Thyroid Hormone Deficiency in Iron-Deficient Anemic Rats. J. Nutr. 1989;119:772-778. Low vitamin B12: http://www.ncbi.nlm.nih.gov/pubmed/18655403 Low vitamin D3: http://www.eje-online.org/cgi/content/abstract/113/3/329 and http://www.goodhormonehealth.com/VitaminD.pdf Low magnesium: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC292768/pdf/jcinvest00264-0105.pdf Low folate: http://www.clinchem.org/cgi/content/full/47/9/1738 and http://www.liebertonline.com/doi/abs/10.1089/thy.1999.9.1163 Low copper http://www.ithyroid.com/copper.htm http://www.drlwilson.com/articles/copper_toxicity_syndrome.htm http://www.ithyroid.com/copper.htm http://www.rjpbcs.com/pdf/2011_2(2)/68.pdf http://ajplegacy.physiology.org/content/171/3/652.extract Low zinc:http://www.istanbul.edu.tr/ffdbiyo/current4/07%20Iham%20AM%C4%B0R.pdf and http://articles.webraydian.com/article1648-Role_of_Zinc_and_Copper_in_Effective_Thyroid_Function.html Luv - Sheila I have a fasting blood test in the morning and Dr has also said he will test for thyroid (I guess this will be TSH only as that is what they appear to do at the surgery) and B12. GP does not know that I self treat. Expecting nuclear fall-out when he sees the results. It has on my notes screen right at the top in large letters " autoimmune Thyroiditis " and he asked if I was prescribed anything. I said not at the moment. He looked at last TSH 3 yrs ago and said that I was not hypo(!). I told him I went private and was diagnosed as most definitely hypo, and was about to say that I self treat under supervision from Dr P, when he cut me off and said that I was not hypo according to their results. This will be interesting. How have others approached their GPs with regard to this? Sue x Quote Link to comment Share on other sites More sharing options...
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