Re: Newbie would like some information

September 22, 2003

I was on 30 mg./day, (20 mg./am and 10 mg./pm). for 7 to 8 months at the

time of the testing. My new endocrinologist has been removing me slowly

from all of the hydrocortisone and is going to retest to see if I even need

it anymore. How long should one be completely off of hydrocortisone prior

to testing for aldosterone and renin?

Thanks,

Debbie

>From: lowerbp2@...

>Reply-hyperaldosteronism

>hyperaldosteronism

>Subject: Re: Re: Newbie would like some information

>Date: Mon, 22 Sep 2003 14:10:30 EDT

>

>If you had GRA then the hydrocortisone may have lowered the Aldo into the

>normal range and increased the renin. How much were you on and for how

>long.

>

>In a message dated 9/21/03 8:51:08 PM, debbie284@... writes:

>

> > I have had a Aldosterone, serum done. the result was 9 ng/dL and the

> > ranges

> > were:

> > 8-10 AM Upright: 3 - 35 ng/dL Supine: 2 - 9 ng/dL

> >

> > Since I had just had an MRA prior to this blood test, I had been laying

>down

> > for about 30 minutes. But I did get up to walk to the lab for the test

>at 8

> > AM. So I am not sure which result you would go by.

> >

> > I also had a Renin, direct run on the same day and the result for that

>was

> > 10 micro u/ml.

> >

> > So I guess Primary Aldosteronism is ruled out. Would hydrocortisone

> > interfere with this test?

> >

> > I am going to try another nephrologist since the last one had no answers

>for

> > me.

> >

> > Thanks for the help.

> >

> > Debbie

> >

> > >From: lowerbp2@...

> > >Reply-hyperaldosteronism

> > >hyperaldosteronism

> > >Subject: Re: Re: Newbie would like some

>information

> > >Date: Sun, 21 Sep 2003 17:40:24 EDT

> > >

> > >In a message dated 9/20/03 11:37:48 AM, debbie284@... writes:

> > >

> > > > They all make me very weak and sickly within a few days, to the

>point I

> > > > cannot get out of bed. The diuretic work a little the first couple

>of

> > >days,

> > > > then stop. Some of the other symptoms: headaches, very swollen (my

> > >husband

> > > > says if someone stuck me with a pin I would pop,) very tired,

>increased

> > >back

> > > > pain, severe depression, increased sweating, nausea, irritated and

>neck

> > >and

> > > > shoulder pain. Shortly after stopping the medication, I would get

> > >better.

> > > > I would then try taking it again and the symptoms would return.

> > > >

> > >

> > >This most likely thing is your Kis dropping low. Have you ben tested

>for

> > >primary alodsteronism? and what were the results. Again the DASH is

>not

> > >only

> > >low sodium but high K which should help. Recommend you do the 14 day

>DASH

> > >challange and see what happens.

> > >

> > >May your pressure be low!

> > >

> > >CE Grim, BS (Chem/Math), MS (Biochem), MD.

> > >Professor of Medicine and Epidemiology

> > >Board Certified in Internal Medicine, Geriatrics and Hypertension

> > >Published over 230 research papers, chapters and reviews in the area of

> > >high

> > >blood pressure: epidemiology, history, endocrinology, genetics and

> > >physiology.

> > >

> >

> > _________________________________________________________________

> > High-speed Internet access as low as $29.95/month (depending on the

>local

> > service providers in your area). Click here. https://broadband.msn.com

> >

September 22, 2003

This is what was on the lab report:

Direct renin results of less than 5 micro u/ml suggest sodium/volume

mediated hypertension, which generally responds favorably to diuretics or to

aldosterone antagonists, calcium channel blockers or alpha adrenergic

blockers.

Primary aldosteronism is unlikely if renin is greater than 5 micro u/ml.

Renovascular hypertension is unlikely if renin is less than 13 micro u/ml.

These interpretations apply only to adults with established hypertension.

Medications such as diuretics and ace inhibitors, increase renin levels.

I hope that is the information you were looking for.

Debbie

>From: lowerbp2@...

>Reply-hyperaldosteronism

>hyperaldosteronism

>Subject: Re: Re: Newbie would like some information

>Date: Mon, 22 Sep 2003 14:08:43 EDT

>

>In a message dated 9/21/03 8:51:08 PM, debbie284@... writes:

>

> > I have had a Aldosterone, serum done. the result was 9 ng/dL and the

> > ranges

> > were:

> > 8-10 AM Upright: 3 - 35 ng/dL Supine: 2 - 9 ng/dL

> >

> > Since I had just had an MRA prior to this blood test, I had been laying

>down

> > for about 30 minutes. But I did get up to walk to the lab for the test

>at 8

> > AM. So I am not sure which result you would go by.

> >

> > I also had a Renin, direct run on the same day and the result for that

>was

> > 10 micro u/ml.

> >

>

>Need to know what is normal for the renin.

>

>May your pressure be low!

>

>CE Grim, BS (Chem/Math), MS (Biochem), MD.

>Professor of Medicine and Epidemiology

>Board Certified in Internal Medicine, Geriatrics and Hypertension

>Published over 230 research papers, chapters and reviews in the area of

>high

>blood pressure: epidemiology, history, endocrinology, genetics and

>physiology.

>

_________________________________________________________________

Get MSN 8 Dial-up Internet Service FREE for one month. Limited time offer--

sign up now! http://join.msn.com/?page=dept/dialup

September 22, 2003

Debbie,

Have you had a cortisol run? Do you have a orangish-tan? What were

you taking hydrocortisone for? W.

> I was on 30 mg./day, (20 mg./am and 10 mg./pm). for 7 to 8 months

at the

> time of the testing. My new endocrinologist has been removing me

slowly

> from all of the hydrocortisone and is going to retest to see if I

even need

> it anymore. How long should one be completely off of

hydrocortisone prior

> to testing for aldosterone and renin?

>

> Thanks,

>

> Debbie

>

> >From: lowerbp2@a...

> >Reply-hyperaldosteronism

> >hyperaldosteronism

> >Subject: Re: Re: Newbie would like some

information

> >Date: Mon, 22 Sep 2003 14:10:30 EDT

> >

> >If you had GRA then the hydrocortisone may have lowered the Aldo

into the

> >normal range and increased the renin. How much were you on and

for how

> >long.

> >

> >In a message dated 9/21/03 8:51:08 PM, debbie284@h... writes:

> >

> > > I have had a Aldosterone, serum done. the result was 9 ng/dL

and the

> > > ranges

> > > were:

> > > 8-10 AM Upright: 3 - 35 ng/dL Supine: 2 - 9 ng/dL

> > >

> > > Since I had just had an MRA prior to this blood test, I had

been laying

> >down

> > > for about 30 minutes. But I did get up to walk to the lab for

the test

> >at 8

> > > AM. So I am not sure which result you would go by.

> > >

> > > I also had a Renin, direct run on the same day and the result

for that

> >was

> > > 10 micro u/ml.

> > >

> > > So I guess Primary Aldosteronism is ruled out. Would

hydrocortisone

> > > interfere with this test?

> > >

> > > I am going to try another nephrologist since the last one had

no answers

> >for

> > > me.

> > >

> > > Thanks for the help.

> > >

> > > Debbie

> > >

> > > >From: lowerbp2@a...

> > > >Reply-hyperaldosteronism

> > > >hyperaldosteronism

> > > >Subject: Re: Re: Newbie would like some

> >information

> > > >Date: Sun, 21 Sep 2003 17:40:24 EDT

> > > >

> > > >In a message dated 9/20/03 11:37:48 AM, debbie284@h... writes:

> > > >

> > > > > They all make me very weak and sickly within a few days, to

the

> >point I

> > > > > cannot get out of bed. The diuretic work a little the

first couple

> >of

> > > >days,

> > > > > then stop. Some of the other symptoms: headaches, very

swollen (my

> > > >husband

> > > > > says if someone stuck me with a pin I would pop,) very

tired,

> >increased

> > > >back

> > > > > pain, severe depression, increased sweating, nausea,

irritated and

> >neck

> > > >and

> > > > > shoulder pain. Shortly after stopping the medication, I

would get

> > > >better.

> > > > > I would then try taking it again and the symptoms would

return.

> > > > >

> > > >

> > > >This most likely thing is your Kis dropping low. Have you

ben tested

> >for

> > > >primary alodsteronism? and what were the results. Again the

DASH is

> >not

> > > >only

> > > >low sodium but high K which should help. Recommend you do the

14 day

> >DASH

> > > >challange and see what happens.

> > > >

> > > >May your pressure be low!

> > > >

> > > >CE Grim, BS (Chem/Math), MS (Biochem), MD.

> > > >Professor of Medicine and Epidemiology

> > > >Board Certified in Internal Medicine, Geriatrics and

Hypertension

> > > >Published over 230 research papers, chapters and reviews in

the area of

> > > >high

> > > >blood pressure: epidemiology, history, endocrinology, genetics

and

> > > >physiology.

> > > >

> > >

_________________________________________________________________

> > > High-speed Internet access as low as $29.95/month (depending on

the

> >local

> > > service providers in your area). Click here.

https://broadband.msn.com

> > >

September 22, 2003

Yes, cortisone will push your ACTH down if the pituitary is working. If it is not it will not increase as the cortisone is withdrawn.

May your pressure be low!

CE Grim, BS (Chem/Math), MS (Biochem), MD.

Professor of Medicine and Epidemiology

Board Certified in Internal Medicine, Geriatrics and Hypertension

Published over 230 research papers, chapters and reviews in the area of high blood pressure: epidemiology, history, endocrinology, genetics and physiology.

September 22, 2003

Yes, I was on hydrocortisone at the time of testing. I am sorry but

I do not know what GRA is. How long would I have to stop the

hydrocortisone prior to re-testing?

Thank you for the information.

Debbie

> Yes this is exactly what is needed. The 10 value would seem to

exclude PA

> unless you were on meds and I think you said you were on

hydrocortisone. If

> you had GRA this may have returned your tests to normal.

>

> May your pressure be low!

>

> CE Grim, BS (Chem/Math), MS (Biochem), MD.

> Professor of Medicine and Epidemiology

> Board Certified in Internal Medicine, Geriatrics and Hypertension

> Published over 230 research papers, chapters and reviews in the

area of high

> blood pressure: epidemiology, history, endocrinology, genetics and

physiology.

September 22, 2003

I was given the hydrocortisone because sometimes my blood pressure

would drop when I stood up. Also I had just had pituitary surgery

about 11 months earlier and was still experiencing extreme fatigue.

The fatigue has never gone away, in fact in some ways it is worse.

Debbie

> > > I was on 30 mg./day, (20 mg./am and 10 mg./pm). for 7 to 8

months

> > at the

> > > time of the testing. My new endocrinologist has been removing

me

> > slowly

> > > from all of the hydrocortisone and is going to retest to see

if I

> > even need

> > > it anymore. How long should one be completely off of

> > hydrocortisone prior

> > > to testing for aldosterone and renin?

> > >

> > > Thanks,

> > >

> > > Debbie

> >

>

> This is a normal replacement amount and you should be off of it

for at least

> a month before retesting. Why was it being given?

>

> May your pressure be low!

>

> CE Grim, BS (Chem/Math), MS (Biochem), MD.

> Professor of Medicine and Epidemiology

> Board Certified in Internal Medicine, Geriatrics and Hypertension

> Published over 230 research papers, chapters and reviews in the

area of high

> blood pressure: epidemiology, history, endocrinology, genetics and

physiology.

September 22, 2003

Yes I have had my cortisol levels run just a few months ago while on

hydrocortisone and they were low. However my new endo is taking me

off of the hydrocortisone and is going to test to see if I still

need it. No I do not have an orangish-tan. However, my knuckles

and elbows are dark, my scars are dark and I do have spots of

hyperpigmentation.

Debbie

> > I was on 30 mg./day, (20 mg./am and 10 mg./pm). for 7 to 8

months

> at the

> > time of the testing. My new endocrinologist has been removing

me

> slowly

> > from all of the hydrocortisone and is going to retest to see if

I

> even need

> > it anymore. How long should one be completely off of

> hydrocortisone prior

> > to testing for aldosterone and renin?

> >

> > Thanks,

> >

> > Debbie

> >

> > >From: lowerbp2@a...

> > >Reply-hyperaldosteronism

> > >hyperaldosteronism

> > >Subject: Re: Re: Newbie would like some

> information

> > >Date: Mon, 22 Sep 2003 14:10:30 EDT

> > >

> > >If you had GRA then the hydrocortisone may have lowered the

Aldo

> into the

> > >normal range and increased the renin. How much were you on

and

> for how

> > >long.

> > >

> > >In a message dated 9/21/03 8:51:08 PM, debbie284@h... writes:

> > >

> > > > I have had a Aldosterone, serum done. the result was 9

ng/dL

> and the

> > > > ranges

> > > > were:

> > > > 8-10 AM Upright: 3 - 35 ng/dL Supine: 2 - 9

ng/dL

> > > >

> > > > Since I had just had an MRA prior to this blood test, I had

> been laying

> > >down

> > > > for about 30 minutes. But I did get up to walk to the lab

for

> the test

> > >at 8

> > > > AM. So I am not sure which result you would go by.

> > > >

> > > > I also had a Renin, direct run on the same day and the

result

> for that

> > >was

> > > > 10 micro u/ml.

> > > >

> > > > So I guess Primary Aldosteronism is ruled out. Would

> hydrocortisone

> > > > interfere with this test?

> > > >

> > > > I am going to try another nephrologist since the last one

had

> no answers

> > >for

> > > > me.

> > > >

> > > > Thanks for the help.

> > > >

> > > > Debbie

> > > >

> > > > >From: lowerbp2@a...

> > > > >Reply-hyperaldosteronism

> > > > >hyperaldosteronism

> > > > >Subject: Re: Re: Newbie would like

some

> > >information

> > > > >Date: Sun, 21 Sep 2003 17:40:24 EDT

> > > > >

> > > > >In a message dated 9/20/03 11:37:48 AM, debbie284@h...

writes:

> > > > >

> > > > > > They all make me very weak and sickly within a few days,

to

> the

> > >point I

> > > > > > cannot get out of bed. The diuretic work a little the

> first couple

> > >of

> > > > >days,

> > > > > > then stop. Some of the other symptoms: headaches, very

> swollen (my

> > > > >husband

> > > > > > says if someone stuck me with a pin I would pop,) very

> tired,

> > >increased

> > > > >back

> > > > > > pain, severe depression, increased sweating, nausea,

> irritated and

> > >neck

> > > > >and

> > > > > > shoulder pain. Shortly after stopping the medication, I

> would get

> > > > >better.

> > > > > > I would then try taking it again and the symptoms would

> return.

> > > > > >

> > > > >

> > > > >This most likely thing is your Kis dropping low. Have you

> ben tested

> > >for

> > > > >primary alodsteronism? and what were the results. Again

the

> DASH is

> > >not

> > > > >only

> > > > >low sodium but high K which should help. Recommend you do

the

> 14 day

> > >DASH

> > > > >challange and see what happens.

> > > > >

> > > > >May your pressure be low!

> > > > >

> > > > >CE Grim, BS (Chem/Math), MS (Biochem), MD.

> > > > >Professor of Medicine and Epidemiology

> > > > >Board Certified in Internal Medicine, Geriatrics and

> Hypertension

> > > > >Published over 230 research papers, chapters and reviews in

> the area of

> > > > >high

> > > > >blood pressure: epidemiology, history, endocrinology,

genetics

> and

> > > > >physiology.

> > > > >

> > > >

> _________________________________________________________________

> > > > High-speed Internet access as low as $29.95/month (depending

on

> the

> > >local

> > > > service providers in your area). Click here.

> https://broadband.msn.com

> > > >

September 22, 2003

I had a LH/FSH secreting pituitary tumor. It was removed 2 years

ago.

They tested my ACTH levels last month while on hydrocortisone, and

it was <5, with the normal range being <70. I will be re-tested

next month.

Debbie

>

> In a message dated 9/22/03 5:27:20 PM, debbie284@h... writes:

>

> > I was given the hydrocortisone because sometimes my blood

pressure

> > would drop when I stood up. Also I had just had pituitary

surgery

> > about 11 months earlier and was still experiencing extreme

fatigue.

> > The fatigue has never gone away, in fact in some ways it is

worse.

> >

> > Debbie

> >

>

> Ah now it is becoming clearer. They are worried if you still

make ACTH from

> the pituitary. What was the pituitary problem?

>

> May your pressure be low!

>

> CE Grim, BS (Chem/Math), MS (Biochem), MD.

> Professor of Medicine and Epidemiology

> Board Certified in Internal Medicine, Geriatrics and Hypertension

> Published over 230 research papers, chapters and reviews in the

area of high

> blood pressure: epidemiology, history, endocrinology, genetics and

physiology.

September 22, 2003

Thank you for all of the information.

Debbie

> Yes, cortisone will push your ACTH down if the pituitary is

working. If it

> is not it will not increase as the cortisone is withdrawn.

>

> May your pressure be low!

>

> CE Grim, BS (Chem/Math), MS (Biochem), MD.

> Professor of Medicine and Epidemiology

> Board Certified in Internal Medicine, Geriatrics and Hypertension

> Published over 230 research papers, chapters and reviews in the

area of high

> blood pressure: epidemiology, history, endocrinology, genetics and

physiology.

September 23, 2003

Debbie,

Have you been tested for s disease? You have all the

symptoms. Droppiing BP, Dark areas of hyperpigmentation, low

cortisol, nausea, depression. It is imparitive that you have a

thourough check done for it. I would also seriously discuss any kind

of diretic with your doctor. People with s disease are salt

wasters. Which means their body cannot maintain salt levels on their

own. By forcing water from their system it dehydrates them. This

can be fatal to somone with addisons. What indication do you have

that you have hyperaldostronism. I have not read anything that

appears to be that only what appears to be s disease. Also

hydrocortisone does not have any mineralcorticoid in it which means

that it should not affect yor aldostrone level. Hydrocortisone has

only glucocorticoid action. It simulates cortisone. There are Two

main reasons to have adrenal insufficiency ( s). One is

because there is a problem with the adrenal itself. The part that

makes the cortisol. The other problem deals with the pituitary gland

and its inablility to make the appropriate amount of ACTH. Without

ACTH your adrenal glands cannot make cortsiol. It can also be

triggered when somone is given too much cortsione for one reason or

another. Sometimes these patients can be weaned off and their

adrenals can be " reawakened " or so I have been told. I hestiate to

say you need a new endo. But as an endo he should have noticed and

put all the signs together. s is quite rare though and many

doctors will never have a s patient. They must rely on recall

from med school. Just please be careful whatever your problem is you

need a good, caring, and intelligent doctor to help you through. If

this is s and you quit your cortisone it can kill you.

W.

> > > I was on 30 mg./day, (20 mg./am and 10 mg./pm). for 7 to 8

> months

> > at the

> > > time of the testing. My new endocrinologist has been removing

> me

> > slowly

> > > from all of the hydrocortisone and is going to retest to see if

> I

> > even need

> > > it anymore. How long should one be completely off of

> > hydrocortisone prior

> > > to testing for aldosterone and renin?

> > >

> > > Thanks,

> > >

> > > Debbie

> > >

> > > >From: lowerbp2@a...

> > > >Reply-hyperaldosteronism

> > > >hyperaldosteronism

> > > >Subject: Re: Re: Newbie would like some

> > information

> > > >Date: Mon, 22 Sep 2003 14:10:30 EDT

> > > >

> > > >If you had GRA then the hydrocortisone may have lowered the

> Aldo

> > into the

> > > >normal range and increased the renin. How much were you on

> and

> > for how

> > > >long.

> > > >

> > > >In a message dated 9/21/03 8:51:08 PM, debbie284@h... writes:

> > > >

> > > > > I have had a Aldosterone, serum done. the result was 9

> ng/dL

> > and the

> > > > > ranges

> > > > > were:

> > > > > 8-10 AM Upright: 3 - 35 ng/dL Supine: 2 - 9

> ng/dL

> > > > >

> > > > > Since I had just had an MRA prior to this blood test, I had

> > been laying

> > > >down

> > > > > for about 30 minutes. But I did get up to walk to the lab

> for

> > the test

> > > >at 8

> > > > > AM. So I am not sure which result you would go by.

> > > > >

> > > > > I also had a Renin, direct run on the same day and the

> result

> > for that

> > > >was

> > > > > 10 micro u/ml.

> > > > >

> > > > > So I guess Primary Aldosteronism is ruled out. Would

> > hydrocortisone

> > > > > interfere with this test?

> > > > >

> > > > > I am going to try another nephrologist since the last one

> had

> > no answers

> > > >for

> > > > > me.

> > > > >

> > > > > Thanks for the help.

> > > > >

> > > > > Debbie

> > > > >

> > > > > >From: lowerbp2@a...

> > > > > >Reply-hyperaldosteronism

> > > > > >hyperaldosteronism

> > > > > >Subject: Re: Re: Newbie would like

> some

> > > >information

> > > > > >Date: Sun, 21 Sep 2003 17:40:24 EDT

> > > > > >

> > > > > >In a message dated 9/20/03 11:37:48 AM, debbie284@h...

> writes:

> > > > > >

> > > > > > > They all make me very weak and sickly within a few

days,

> to

> > the

> > > >point I

> > > > > > > cannot get out of bed. The diuretic work a little the

> > first couple

> > > >of

> > > > > >days,

> > > > > > > then stop. Some of the other symptoms: headaches, very

> > swollen (my

> > > > > >husband

> > > > > > > says if someone stuck me with a pin I would pop,) very

> > tired,

> > > >increased

> > > > > >back

> > > > > > > pain, severe depression, increased sweating, nausea,

> > irritated and

> > > >neck

> > > > > >and

> > > > > > > shoulder pain. Shortly after stopping the medication,

I

> > would get

> > > > > >better.

> > > > > > > I would then try taking it again and the symptoms would

> > return.

> > > > > > >

> > > > > >

> > > > > >This most likely thing is your Kis dropping low. Have

you

> > ben tested

> > > >for

> > > > > >primary alodsteronism? and what were the results. Again

> the

> > DASH is

> > > >not

> > > > > >only

> > > > > >low sodium but high K which should help. Recommend you do

> the

> > 14 day

> > > >DASH

> > > > > >challange and see what happens.

> > > > > >

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

> > > > > >

> > > > > >CE Grim, BS (Chem/Math), MS (Biochem), MD.

> > > > > >Professor of Medicine and Epidemiology

> > > > > >Board Certified in Internal Medicine, Geriatrics and

> > Hypertension

> > > > > >Published over 230 research papers, chapters and reviews

in

> > the area of

> > > > > >high

> > > > > >blood pressure: epidemiology, history, endocrinology,

> genetics

> > and

> > > > > >physiology.

> > > > > >

> > > > >

> > _________________________________________________________________

> > > > > High-speed Internet access as low as $29.95/month

(depending

> on

> > the

> > > >local

> > > > > service providers in your area). Click here.

> > https://broadband.msn.com

> > > > >

September 23, 2003

Not in the UK when you have to travel 200 miles to get home over country

roads! Sorry but you practice in the US and can only speak for conditions

in the area where you live and work. You have no idea of the conditions

that exist in other parts of the world.

I live in the wilds of Scotland. The nearest road is a mile from my house.

The nearest shop is 6 miles away. the nearest supermarket is 24 miles away.

the nearest railway station is 26 miles away. After heavy rain the only way

to get around is by kayak.........

Accidents are taken to hospital by helicopter.

Helen

Original Message:

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

From: lowerbp2@...

Date: Mon, 22 Sep 2003 14:02:41 EDT

hyperaldosteronism

Subject: Re: Newbie would like some information

In a message dated 9/22/03 3:34:19 AM, Helen@...

writes:

> y tests were done 10 months ago in the UK.

>

> I was in hospital a full week following surgery (laproscopic) and had to

go

> home by ambulance. The district nurse came in every day for 6 weeks and I

> was not allowed to leave the house during that time.

>

> Helen

>

Most laps are out in a day or two unless they take both adrenals.

May your pressure be low!

CE Grim, BS (Chem/Math), MS (Biochem), MD.

Professor of Medicine and Epidemiology

Board Certified in Internal Medicine, Geriatrics and Hypertension

Published over 230 research papers, chapters and reviews in the area of

high

blood pressure: epidemiology, history, endocrinology, genetics and

physiology.

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

mail2web - Check your email from the web at

http://mail2web.com/ .

September 23, 2003

Dear ,

Thank you for your information. I suppose the reason why doctors do

not feel it is 's is that I have high blood pressure spikes

that come and go quickly and sometimes lasting days, weeks and

months; and on a whole my blood pressure is not considered low. The

other reason is I have gained an enormous amount of weight, which I

believe is almost all fluid retention. I have been diagnosed with

oliguria also which causes me a GREAT deal of discomfort. I am

constantly sweating too, I could sweat sitting on a block of ice.

Since my pituitary surgery I have been to seven endos, not that

these were bad doctors, but they clearly did not have enough time to

take with me. The latest endo is willing to take a little more time

and after a couple of visits, he has sent me for a sleep study and

slowly taking me off the hydrocortisone to run further tests.

Thank you again, I am open to any help.

Debbie

> > > > I was on 30 mg./day, (20 mg./am and 10 mg./pm). for 7 to 8

> > months

> > > at the

> > > > time of the testing. My new endocrinologist has been

removing

> > me

> > > slowly

> > > > from all of the hydrocortisone and is going to retest to see

if

> > I

> > > even need

> > > > it anymore. How long should one be completely off of

> > > hydrocortisone prior

> > > > to testing for aldosterone and renin?

> > > >

> > > > Thanks,

> > > >

> > > > Debbie

> > > >

> > > > >From: lowerbp2@a...

> > > > >Reply-hyperaldosteronism

> > > > >hyperaldosteronism

> > > > >Subject: Re: Re: Newbie would like

some

> > > information

> > > > >Date: Mon, 22 Sep 2003 14:10:30 EDT

> > > > >

> > > > >If you had GRA then the hydrocortisone may have lowered the

> > Aldo

> > > into the

> > > > >normal range and increased the renin. How much were you

on

> > and

> > > for how

> > > > >long.

> > > > >

> > > > >In a message dated 9/21/03 8:51:08 PM, debbie284@h...

writes:

> > > > >

> > > > > > I have had a Aldosterone, serum done. the result was 9

> > ng/dL

> > > and the

> > > > > > ranges

> > > > > > were:

> > > > > > 8-10 AM Upright: 3 - 35 ng/dL Supine: 2 - 9

> > ng/dL

> > > > > >

> > > > > > Since I had just had an MRA prior to this blood test, I

had

> > > been laying

> > > > >down

> > > > > > for about 30 minutes. But I did get up to walk to the

lab

> > for

> > > the test

> > > > >at 8

> > > > > > AM. So I am not sure which result you would go by.

> > > > > >

> > > > > > I also had a Renin, direct run on the same day and the

> > result

> > > for that

> > > > >was

> > > > > > 10 micro u/ml.

> > > > > >

> > > > > > So I guess Primary Aldosteronism is ruled out. Would

> > > hydrocortisone

> > > > > > interfere with this test?

> > > > > >

> > > > > > I am going to try another nephrologist since the last

one

> > had

> > > no answers

> > > > >for

> > > > > > me.

> > > > > >

> > > > > > Thanks for the help.

> > > > > >

> > > > > > Debbie

> > > > > >

> > > > > > >From: lowerbp2@a...

> > > > > > >Reply-hyperaldosteronism

> > > > > > >hyperaldosteronism

> > > > > > >Subject: Re: Re: Newbie would like

> > some

> > > > >information

> > > > > > >Date: Sun, 21 Sep 2003 17:40:24 EDT

> > > > > > >

> > > > > > >In a message dated 9/20/03 11:37:48 AM, debbie284@h...

> > writes:

> > > > > > >

> > > > > > > > They all make me very weak and sickly within a few

> days,

> > to

> > > the

> > > > >point I

> > > > > > > > cannot get out of bed. The diuretic work a little

the

> > > first couple

> > > > >of

> > > > > > >days,

> > > > > > > > then stop. Some of the other symptoms: headaches,

very

> > > swollen (my

> > > > > > >husband

> > > > > > > > says if someone stuck me with a pin I would pop,)

very

> > > tired,

> > > > >increased

> > > > > > >back

> > > > > > > > pain, severe depression, increased sweating, nausea,

> > > irritated and

> > > > >neck

> > > > > > >and

> > > > > > > > shoulder pain. Shortly after stopping the

medication,

> I

> > > would get

> > > > > > >better.

> > > > > > > > I would then try taking it again and the symptoms

would

> > > return.

> > > > > > > >

> > > > > > >

> > > > > > >This most likely thing is your Kis dropping low. Have

> you

> > > ben tested

> > > > >for

> > > > > > >primary alodsteronism? and what were the results.

Again

> > the

> > > DASH is

> > > > >not

> > > > > > >only

> > > > > > >low sodium but high K which should help. Recommend you

do

> > the

> > > 14 day

> > > > >DASH

> > > > > > >challange and see what happens.

> > > > > > >

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

> > > > > > >

> > > > > > >CE Grim, BS (Chem/Math), MS (Biochem), MD.

> > > > > > >Professor of Medicine and Epidemiology

> > > > > > >Board Certified in Internal Medicine, Geriatrics and

> > > Hypertension

> > > > > > >Published over 230 research papers, chapters and

reviews

> in

> > > the area of

> > > > > > >high

> > > > > > >blood pressure: epidemiology, history, endocrinology,

> > genetics

> > > and

> > > > > > >physiology.

> > > > > > >

> > > > > >

> > >

_________________________________________________________________

> > > > > > High-speed Internet access as low as $29.95/month

> (depending

> > on

> > > the

> > > > >local

> > > > > > service providers in your area). Click here.

> > > https://broadband.msn.com

> > > > > >

September 23, 2003

Ok,

I read about olguria. How advanced is the kidney disease? It is

referenceing the beginning stages of kidney disease is it not?

Kidney disease alone can cause all the symptoms you describe. That

is somthing I know nothing about other than you should find a good

nephrologist to treat the kidney diesase. Scratch everything I said

about addisons. I wish you well. W.

> > > > > I was on 30 mg./day, (20 mg./am and 10 mg./pm). for 7 to 8

> > > months

> > > > at the

> > > > > time of the testing. My new endocrinologist has been

> removing

> > > me

> > > > slowly

> > > > > from all of the hydrocortisone and is going to retest to

see

> if

> > > I

> > > > even need

> > > > > it anymore. How long should one be completely off of

> > > > hydrocortisone prior

> > > > > to testing for aldosterone and renin?

> > > > >

> > > > > Thanks,

> > > > >

> > > > > Debbie

> > > > >

> > > > > >From: lowerbp2@a...

> > > > > >Reply-hyperaldosteronism

> > > > > >hyperaldosteronism

> > > > > >Subject: Re: Re: Newbie would like

> some

> > > > information

> > > > > >Date: Mon, 22 Sep 2003 14:10:30 EDT

> > > > > >

> > > > > >If you had GRA then the hydrocortisone may have lowered

the

> > > Aldo

> > > > into the

> > > > > >normal range and increased the renin. How much were you

> on

> > > and

> > > > for how

> > > > > >long.

> > > > > >

> > > > > >In a message dated 9/21/03 8:51:08 PM, debbie284@h...

> writes:

> > > > > >

> > > > > > > I have had a Aldosterone, serum done. the result was 9

> > > ng/dL

> > > > and the

> > > > > > > ranges

> > > > > > > were:

> > > > > > > 8-10 AM Upright: 3 - 35 ng/dL Supine: 2 -

9

> > > ng/dL

> > > > > > >

> > > > > > > Since I had just had an MRA prior to this blood test, I

> had

> > > > been laying

> > > > > >down

> > > > > > > for about 30 minutes. But I did get up to walk to the

> lab

> > > for

> > > > the test

> > > > > >at 8

> > > > > > > AM. So I am not sure which result you would go by.

> > > > > > >

> > > > > > > I also had a Renin, direct run on the same day and the

> > > result

> > > > for that

> > > > > >was

> > > > > > > 10 micro u/ml.

> > > > > > >

> > > > > > > So I guess Primary Aldosteronism is ruled out. Would

> > > > hydrocortisone

> > > > > > > interfere with this test?

> > > > > > >

> > > > > > > I am going to try another nephrologist since the last

> one

> > > had

> > > > no answers

> > > > > >for

> > > > > > > me.

> > > > > > >

> > > > > > > Thanks for the help.

> > > > > > >

> > > > > > > Debbie

> > > > > > >

> > > > > > > >From: lowerbp2@a...

> > > > > > > >Reply-hyperaldosteronism

> > > > > > > >hyperaldosteronism

> > > > > > > >Subject: Re: Re: Newbie would

like

> > > some

> > > > > >information

> > > > > > > >Date: Sun, 21 Sep 2003 17:40:24 EDT

> > > > > > > >

> > > > > > > >In a message dated 9/20/03 11:37:48 AM, debbie284@h...

> > > writes:

> > > > > > > >

> > > > > > > > > They all make me very weak and sickly within a few

> > days,

> > > to

> > > > the

> > > > > >point I

> > > > > > > > > cannot get out of bed. The diuretic work a little

> the

> > > > first couple

> > > > > >of

> > > > > > > >days,

> > > > > > > > > then stop. Some of the other symptoms: headaches,

> very

> > > > swollen (my

> > > > > > > >husband

> > > > > > > > > says if someone stuck me with a pin I would pop,)

> very

> > > > tired,

> > > > > >increased

> > > > > > > >back

> > > > > > > > > pain, severe depression, increased sweating,

nausea,

> > > > irritated and

> > > > > >neck

> > > > > > > >and

> > > > > > > > > shoulder pain. Shortly after stopping the

> medication,

> > I

> > > > would get

> > > > > > > >better.

> > > > > > > > > I would then try taking it again and the symptoms

> would

> > > > return.

> > > > > > > > >

> > > > > > > >

> > > > > > > >This most likely thing is your Kis dropping low.

Have

> > you

> > > > ben tested

> > > > > >for

> > > > > > > >primary alodsteronism? and what were the results.

> Again

> > > the

> > > > DASH is

> > > > > >not

> > > > > > > >only

> > > > > > > >low sodium but high K which should help. Recommend you

> do

> > > the

> > > > 14 day

> > > > > >DASH

> > > > > > > >challange and see what happens.

> > > > > > > >

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

> > > > > > > >

> > > > > > > >CE Grim, BS (Chem/Math), MS (Biochem), MD.

> > > > > > > >Professor of Medicine and Epidemiology

> > > > > > > >Board Certified in Internal Medicine, Geriatrics and

> > > > Hypertension

> > > > > > > >Published over 230 research papers, chapters and

> reviews

> > in

> > > > the area of

> > > > > > > >high

> > > > > > > >blood pressure: epidemiology, history, endocrinology,

> > > genetics

> > > > and

> > > > > > > >physiology.

> > > > > > > >

> > > > > > >

> > > >

> _________________________________________________________________

> > > > > > > High-speed Internet access as low as $29.95/month

> > (depending

> > > on

> > > > the

> > > > > >local

> > > > > > > service providers in your area). Click here.

> > > > https://broadband.msn.com

> > > > > > >

September 25, 2003

Dear ,

According to my doctor I do not have kidney disease. He was trying

to find out what was causing the oliguria.

Debbie

> > > > > > I was on 30 mg./day, (20 mg./am and 10 mg./pm). for 7 to

8

> > > > months

> > > > > at the

> > > > > > time of the testing. My new endocrinologist has been

> > removing

> > > > me

> > > > > slowly

> > > > > > from all of the hydrocortisone and is going to retest to

> see

> > if

> > > > I

> > > > > even need

> > > > > > it anymore. How long should one be completely off of

> > > > > hydrocortisone prior

> > > > > > to testing for aldosterone and renin?

> > > > > >

> > > > > > Thanks,

> > > > > >

> > > > > > Debbie

> > > > > >

> > > > > > >From: lowerbp2@a...

> > > > > > >Reply-hyperaldosteronism

> > > > > > >hyperaldosteronism

> > > > > > >Subject: Re: Re: Newbie would like

> > some

> > > > > information

> > > > > > >Date: Mon, 22 Sep 2003 14:10:30 EDT

> > > > > > >

> > > > > > >If you had GRA then the hydrocortisone may have lowered

> the

> > > > Aldo

> > > > > into the

> > > > > > >normal range and increased the renin. How much were

you

> > on

> > > > and

> > > > > for how

> > > > > > >long.

> > > > > > >

> > > > > > >In a message dated 9/21/03 8:51:08 PM, debbie284@h...

> > writes:

> > > > > > >

> > > > > > > > I have had a Aldosterone, serum done. the result

was 9

> > > > ng/dL

> > > > > and the

> > > > > > > > ranges

> > > > > > > > were:

> > > > > > > > 8-10 AM Upright: 3 - 35 ng/dL Supine:

2 -

> 9

> > > > ng/dL

> > > > > > > >

> > > > > > > > Since I had just had an MRA prior to this blood

test, I

> > had

> > > > > been laying

> > > > > > >down

> > > > > > > > for about 30 minutes. But I did get up to walk to

the

> > lab

> > > > for

> > > > > the test

> > > > > > >at 8

> > > > > > > > AM. So I am not sure which result you would go by.

> > > > > > > >

> > > > > > > > I also had a Renin, direct run on the same day and

the

> > > > result

> > > > > for that

> > > > > > >was

> > > > > > > > 10 micro u/ml.

> > > > > > > >

> > > > > > > > So I guess Primary Aldosteronism is ruled out.

Would

> > > > > hydrocortisone

> > > > > > > > interfere with this test?

> > > > > > > >

> > > > > > > > I am going to try another nephrologist since the

last

> > one

> > > > had

> > > > > no answers

> > > > > > >for

> > > > > > > > me.

> > > > > > > >

> > > > > > > > Thanks for the help.

> > > > > > > >

> > > > > > > > Debbie

> > > > > > > >

> > > > > > > > >From: lowerbp2@a...

> > > > > > > > >Reply-hyperaldosteronism

> > > > > > > > >hyperaldosteronism

> > > > > > > > >Subject: Re: Re: Newbie would

> like

> > > > some

> > > > > > >information

> > > > > > > > >Date: Sun, 21 Sep 2003 17:40:24 EDT

> > > > > > > > >

> > > > > > > > >In a message dated 9/20/03 11:37:48 AM,

debbie284@h...

> > > > writes:

> > > > > > > > >

> > > > > > > > > > They all make me very weak and sickly within a

few

> > > days,

> > > > to

> > > > > the

> > > > > > >point I

> > > > > > > > > > cannot get out of bed. The diuretic work a

little

> > the

> > > > > first couple

> > > > > > >of

> > > > > > > > >days,

> > > > > > > > > > then stop. Some of the other symptoms:

headaches,

> > very

> > > > > swollen (my

> > > > > > > > >husband

> > > > > > > > > > says if someone stuck me with a pin I would

pop,)

> > very

> > > > > tired,

> > > > > > >increased

> > > > > > > > >back

> > > > > > > > > > pain, severe depression, increased sweating,

> nausea,

> > > > > irritated and

> > > > > > >neck

> > > > > > > > >and

> > > > > > > > > > shoulder pain. Shortly after stopping the

> > medication,

> > > I

> > > > > would get

> > > > > > > > >better.

> > > > > > > > > > I would then try taking it again and the

symptoms

> > would

> > > > > return.

> > > > > > > > > >

> > > > > > > > >

> > > > > > > > >This most likely thing is your Kis dropping low.

> Have

> > > you

> > > > > ben tested

> > > > > > >for

> > > > > > > > >primary alodsteronism? and what were the results.

> > Again

> > > > the

> > > > > DASH is

> > > > > > >not

> > > > > > > > >only

> > > > > > > > >low sodium but high K which should help. Recommend

you

> > do

> > > > the

> > > > > 14 day

> > > > > > >DASH

> > > > > > > > >challange and see what happens.

> > > > > > > > >

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

> > > > > > > > >

> > > > > > > > >CE Grim, BS (Chem/Math), MS (Biochem), MD.

> > > > > > > > >Professor of Medicine and Epidemiology

> > > > > > > > >Board Certified in Internal Medicine, Geriatrics

and

> > > > > Hypertension

> > > > > > > > >Published over 230 research papers, chapters and

> > reviews

> > > in

> > > > > the area of

> > > > > > > > >high

> > > > > > > > >blood pressure: epidemiology, history,

endocrinology,

> > > > genetics

> > > > > and

> > > > > > > > >physiology.

> > > > > > > > >

> > > > > > > >

> > > > >

> > _________________________________________________________________

> > > > > > > > High-speed Internet access as low as $29.95/month

> > > (depending

> > > > on

> > > > > the

> > > > > > >local

> > > > > > > > service providers in your area). Click here.

> > > > > https://broadband.msn.com

> > > > > > > >

September 25, 2003

Sorry, When I looked it up on web md that is what it said. Open

mouth, insert foot. W.

> > > > > > > I was on 30 mg./day, (20 mg./am and 10 mg./pm). for 7

to

> 8

> > > > > months

> > > > > > at the

> > > > > > > time of the testing. My new endocrinologist has been

> > > removing

> > > > > me

> > > > > > slowly

> > > > > > > from all of the hydrocortisone and is going to retest

to

> > see

> > > if

> > > > > I

> > > > > > even need

> > > > > > > it anymore. How long should one be completely off of

> > > > > > hydrocortisone prior

> > > > > > > to testing for aldosterone and renin?

> > > > > > >

> > > > > > > Thanks,

> > > > > > >

> > > > > > > Debbie

> > > > > > >

> > > > > > > >From: lowerbp2@a...

> > > > > > > >Reply-hyperaldosteronism

> > > > > > > >hyperaldosteronism

> > > > > > > >Subject: Re: Re: Newbie would

like

> > > some

> > > > > > information

> > > > > > > >Date: Mon, 22 Sep 2003 14:10:30 EDT

> > > > > > > >

> > > > > > > >If you had GRA then the hydrocortisone may have

lowered

> > the

> > > > > Aldo

> > > > > > into the

> > > > > > > >normal range and increased the renin. How much were

> you

> > > on

> > > > > and

> > > > > > for how

> > > > > > > >long.

> > > > > > > >

> > > > > > > >In a message dated 9/21/03 8:51:08 PM, debbie284@h...

> > > writes:

> > > > > > > >

> > > > > > > > > I have had a Aldosterone, serum done. the result

> was 9

> > > > > ng/dL

> > > > > > and the

> > > > > > > > > ranges

> > > > > > > > > were:

> > > > > > > > > 8-10 AM Upright: 3 - 35 ng/dL Supine:

> 2 -

> > 9

> > > > > ng/dL

> > > > > > > > >

> > > > > > > > > Since I had just had an MRA prior to this blood

> test, I

> > > had

> > > > > > been laying

> > > > > > > >down

> > > > > > > > > for about 30 minutes. But I did get up to walk to

> the

> > > lab

> > > > > for

> > > > > > the test

> > > > > > > >at 8

> > > > > > > > > AM. So I am not sure which result you would go by.

> > > > > > > > >

> > > > > > > > > I also had a Renin, direct run on the same day and

> the

> > > > > result

> > > > > > for that

> > > > > > > >was

> > > > > > > > > 10 micro u/ml.

> > > > > > > > >

> > > > > > > > > So I guess Primary Aldosteronism is ruled out.

> Would

> > > > > > hydrocortisone

> > > > > > > > > interfere with this test?

> > > > > > > > >

> > > > > > > > > I am going to try another nephrologist since the

> last

> > > one

> > > > > had

> > > > > > no answers

> > > > > > > >for

> > > > > > > > > me.

> > > > > > > > >

> > > > > > > > > Thanks for the help.

> > > > > > > > >

> > > > > > > > > Debbie

> > > > > > > > >

> > > > > > > > > >From: lowerbp2@a...

> > > > > > > > > >Reply-hyperaldosteronism

> > > > > > > > > >hyperaldosteronism

> > > > > > > > > >Subject: Re: Re: Newbie would

> > like

> > > > > some

> > > > > > > >information

> > > > > > > > > >Date: Sun, 21 Sep 2003 17:40:24 EDT

> > > > > > > > > >

> > > > > > > > > >In a message dated 9/20/03 11:37:48 AM,

> debbie284@h...

> > > > > writes:

> > > > > > > > > >

> > > > > > > > > > > They all make me very weak and sickly within a

> few

> > > > days,

> > > > > to

> > > > > > the

> > > > > > > >point I

> > > > > > > > > > > cannot get out of bed. The diuretic work a

> little

> > > the

> > > > > > first couple

> > > > > > > >of

> > > > > > > > > >days,

> > > > > > > > > > > then stop. Some of the other symptoms:

> headaches,

> > > very

> > > > > > swollen (my

> > > > > > > > > >husband

> > > > > > > > > > > says if someone stuck me with a pin I would

> pop,)

> > > very

> > > > > > tired,

> > > > > > > >increased

> > > > > > > > > >back

> > > > > > > > > > > pain, severe depression, increased sweating,

> > nausea,

> > > > > > irritated and

> > > > > > > >neck

> > > > > > > > > >and

> > > > > > > > > > > shoulder pain. Shortly after stopping the

> > > medication,

> > > > I

> > > > > > would get

> > > > > > > > > >better.

> > > > > > > > > > > I would then try taking it again and the

> symptoms

> > > would

> > > > > > return.

> > > > > > > > > > >

> > > > > > > > > >

> > > > > > > > > >This most likely thing is your Kis dropping low.

> > Have

> > > > you

> > > > > > ben tested

> > > > > > > >for

> > > > > > > > > >primary alodsteronism? and what were the

results.

> > > Again

> > > > > the

> > > > > > DASH is

> > > > > > > >not

> > > > > > > > > >only

> > > > > > > > > >low sodium but high K which should help. Recommend

> you

> > > do

> > > > > the

> > > > > > 14 day

> > > > > > > >DASH

> > > > > > > > > >challange and see what happens.

> > > > > > > > > >

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

> > > > > > > > > >

> > > > > > > > > >CE Grim, BS (Chem/Math), MS (Biochem), MD.

> > > > > > > > > >Professor of Medicine and Epidemiology

> > > > > > > > > >Board Certified in Internal Medicine, Geriatrics

> and

> > > > > > Hypertension

> > > > > > > > > >Published over 230 research papers, chapters and

> > > reviews

> > > > in

> > > > > > the area of

> > > > > > > > > >high

> > > > > > > > > >blood pressure: epidemiology, history,

> endocrinology,

> > > > > genetics

> > > > > > and

> > > > > > > > > >physiology.

> > > > > > > > > >

> > > > > > > > >

> > > > > >

> > >

_________________________________________________________________

> > > > > > > > > High-speed Internet access as low as $29.95/month

> > > > (depending

> > > > > on

> > > > > > the

> > > > > > > >local

> > > > > > > > > service providers in your area). Click here.

> > > > > > https://broadband.msn.com

> > > > > > > > >

September 25, 2003

Dear ,

Please do not apologize. I am a firm believer in networking when it

comes to illnesses. It was exactly that networking, with help from

above that I was able to be diagnosed with my pituitary tumor. Plus

it is nice to know there are caring people out there. So thank you

for your concern.

Debbie

> > > > > > > > I was on 30 mg./day, (20 mg./am and 10 mg./pm). for

7

> to

> > 8

> > > > > > months

> > > > > > > at the

> > > > > > > > time of the testing. My new endocrinologist has

been

> > > > removing

> > > > > > me

> > > > > > > slowly

> > > > > > > > from all of the hydrocortisone and is going to

retest

> to

> > > see

> > > > if

> > > > > > I

> > > > > > > even need

> > > > > > > > it anymore. How long should one be completely off

of

> > > > > > > hydrocortisone prior

> > > > > > > > to testing for aldosterone and renin?

> > > > > > > >

> > > > > > > > Thanks,

> > > > > > > >

> > > > > > > > Debbie

> > > > > > > >

> > > > > > > > >From: lowerbp2@a...

> > > > > > > > >Reply-hyperaldosteronism

> > > > > > > > >hyperaldosteronism

> > > > > > > > >Subject: Re: Re: Newbie would

> like

> > > > some

> > > > > > > information

> > > > > > > > >Date: Mon, 22 Sep 2003 14:10:30 EDT

> > > > > > > > >

> > > > > > > > >If you had GRA then the hydrocortisone may have

> lowered

> > > the

> > > > > > Aldo

> > > > > > > into the

> > > > > > > > >normal range and increased the renin. How much

were

> > you

> > > > on

> > > > > > and

> > > > > > > for how

> > > > > > > > >long.

> > > > > > > > >

> > > > > > > > >In a message dated 9/21/03 8:51:08 PM,

debbie284@h...

> > > > writes:

> > > > > > > > >

> > > > > > > > > > I have had a Aldosterone, serum done. the

result

> > was 9

> > > > > > ng/dL

> > > > > > > and the

> > > > > > > > > > ranges

> > > > > > > > > > were:

> > > > > > > > > > 8-10 AM Upright: 3 - 35 ng/dL

Supine:

> > 2 -

> > > 9

> > > > > > ng/dL

> > > > > > > > > >

> > > > > > > > > > Since I had just had an MRA prior to this blood

> > test, I

> > > > had

> > > > > > > been laying

> > > > > > > > >down

> > > > > > > > > > for about 30 minutes. But I did get up to walk

to

> > the

> > > > lab

> > > > > > for

> > > > > > > the test

> > > > > > > > >at 8

> > > > > > > > > > AM. So I am not sure which result you would go

by.

> > > > > > > > > >

> > > > > > > > > > I also had a Renin, direct run on the same day

and

> > the

> > > > > > result

> > > > > > > for that

> > > > > > > > >was

> > > > > > > > > > 10 micro u/ml.

> > > > > > > > > >

> > > > > > > > > > So I guess Primary Aldosteronism is ruled out.

> > Would

> > > > > > > hydrocortisone

> > > > > > > > > > interfere with this test?

> > > > > > > > > >

> > > > > > > > > > I am going to try another nephrologist since the

> > last

> > > > one

> > > > > > had

> > > > > > > no answers

> > > > > > > > >for

> > > > > > > > > > me.

> > > > > > > > > >

> > > > > > > > > > Thanks for the help.

> > > > > > > > > >

> > > > > > > > > > Debbie

> > > > > > > > > >

> > > > > > > > > > >From: lowerbp2@a...

> > > > > > > > > > >Reply-hyperaldosteronism

> > > > > > > > > > >hyperaldosteronism

> > > > > > > > > > >Subject: Re: Re: Newbie

would

> > > like

> > > > > > some

> > > > > > > > >information

> > > > > > > > > > >Date: Sun, 21 Sep 2003 17:40:24 EDT

> > > > > > > > > > >

> > > > > > > > > > >In a message dated 9/20/03 11:37:48 AM,

> > debbie284@h...

> > > > > > writes:

> > > > > > > > > > >

> > > > > > > > > > > > They all make me very weak and sickly within

a

> > few

> > > > > days,

> > > > > > to

> > > > > > > the

> > > > > > > > >point I

> > > > > > > > > > > > cannot get out of bed. The diuretic work a

> > little

> > > > the

> > > > > > > first couple

> > > > > > > > >of

> > > > > > > > > > >days,

> > > > > > > > > > > > then stop. Some of the other symptoms:

> > headaches,

> > > > very

> > > > > > > swollen (my

> > > > > > > > > > >husband

> > > > > > > > > > > > says if someone stuck me with a pin I would

> > pop,)

> > > > very

> > > > > > > tired,

> > > > > > > > >increased

> > > > > > > > > > >back

> > > > > > > > > > > > pain, severe depression, increased sweating,

> > > nausea,

> > > > > > > irritated and

> > > > > > > > >neck

> > > > > > > > > > >and

> > > > > > > > > > > > shoulder pain. Shortly after stopping the

> > > > medication,

> > > > > I

> > > > > > > would get

> > > > > > > > > > >better.

> > > > > > > > > > > > I would then try taking it again and the

> > symptoms

> > > > would

> > > > > > > return.

> > > > > > > > > > > >

> > > > > > > > > > >

> > > > > > > > > > >This most likely thing is your Kis dropping

low.

> > > Have

> > > > > you

> > > > > > > ben tested

> > > > > > > > >for

> > > > > > > > > > >primary alodsteronism? and what were the

> results.

> > > > Again

> > > > > > the

> > > > > > > DASH is

> > > > > > > > >not

> > > > > > > > > > >only

> > > > > > > > > > >low sodium but high K which should help.

Recommend

> > you

> > > > do

> > > > > > the

> > > > > > > 14 day

> > > > > > > > >DASH

> > > > > > > > > > >challange and see what happens.

> > > > > > > > > > >

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

> > > > > > > > > > >

> > > > > > > > > > >CE Grim, BS (Chem/Math), MS (Biochem), MD.

> > > > > > > > > > >Professor of Medicine and Epidemiology

> > > > > > > > > > >Board Certified in Internal Medicine,

Geriatrics

> > and

> > > > > > > Hypertension

> > > > > > > > > > >Published over 230 research papers, chapters

and

> > > > reviews

> > > > > in

> > > > > > > the area of

> > > > > > > > > > >high

> > > > > > > > > > >blood pressure: epidemiology, history,

> > endocrinology,

> > > > > > genetics

> > > > > > > and

> > > > > > > > > > >physiology.

> > > > > > > > > > >

> > > > > > > > > >

> > > > > > >

> > > >

> _________________________________________________________________

> > > > > > > > > > High-speed Internet access as low as

$29.95/month

> > > > > (depending

> > > > > > on

> > > > > > > the

> > > > > > > > >local

> > > > > > > > > > service providers in your area). Click here.

> > > > > > > https://broadband.msn.com

> > > > > > > > > >

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