Guest guest Posted July 20, 2006 Report Share Posted July 20, 2006 In a message dated 7/20/06 8:21:19 PM, meling333@... writes: Hi Dr. Grim Stopped taking atenolol for a week and was not yet on spiro for Aldo and Renin test. Aldo 55.3 H Upright 4.0-31.0 Renin 0.5 " 0.5-4.0 You have primary aldosteronism of one type or another. ¬¬¬¬¬¬¬¬¬¬¬¬¬¬¬¬¬¬¬¬¬¬¬¬¬¬¬¬¬¬ DHEA 8.1 H 1.0-4.5 Dont know or do this test much. Not useful in PA. Testost 41 H 8-35 Would consider this normal Cortisol free 24hr urine 23.5 <45.0 You dont have Cushing's Syndrome. Creatinine 24 hr urine 1454 700-1600 You did not lose much of your urine during the 24 hr urine collection---if any. Calcium urine 4275 H 800-1500 This is a high urine calcium but don't usually do this test. Urine sodium and potassium is more important. Why was this done? Have you had kidney stones or have a blood calcium problem? What do you think? Thanks again for pointing me in the right direction dr. Grim. ita 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. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted July 20, 2006 Report Share Posted July 20, 2006 In a message dated 7/20/06 9:11:51 PM, val@... writes: Hi ita, Having had hyperparathyroidism, I would suggest you get checked for it. It is characterized by high blood calcium and high parathyroid hormone (PTH). It can cause hypertension and the hypertension may be alleviated by surgical removal of the offending parathyroid tumor. Our old data suggested that removing an parathyroid problem rarely helped BP and it still has not been properly studied IMHO. 104. Ganguly A, Weinberger MH, Passmore JM, Caras JA, Khairi RM, Grim CE, Edmonson J, and ston CC. The renin-angiotensin-aldosterone system and hypertension in primary hyperparathyroidism. Metabolism 1982;31:595-600. My BP was running 210/120 just before I had surgery, and I was on HCTZ, BB and ACE inhibitor. Now I just take HCTZ and avoid salt like the plague. My guess is that it is the low salt and the HCTZ that is lowering the BP not having the parathyroid tuor removed. My aldosterone/renin ratio has suggested HA, but BP normalizes if I avoid T3 thyroid hormone (even with very low T3 blood levels). and salt is helping this as well. Dr. Grim, you wrote (7/1/06) "Low K diet or low blood K can cause BG to look like DM, esp in PA." This rang a thousand bells for me. A couple of times about a year+ ago, my BG was high when I was having low K episodes, swelling, heart flutters, etc. This was during the times I tried to take T3 (in addition to T4). For some reason, T3 drops my K way low. Sounds like PA to me. Some are very sen to T3 and will get periodic paralysis from it. Val 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. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted July 20, 2006 Report Share Posted July 20, 2006 Hi ita, Having had hyperparathyroidism, I would suggest you get checked for it. It is characterized by high blood calcium and high parathyroid hormone (PTH). It can cause hypertension and the hypertension may be alleviated by surgical removal of the offending parathyroid tumor. My BP was running 210/120 just before I had surgery, and I was on HCTZ, BB and ACE inhibitor. Now I just take HCTZ and avoid salt like the plague. My aldosterone/renin ratio has suggested HA, but BP normalizes if I avoid T3 thyroid hormone (even with very low T3 blood levels). Dr. Grim, you wrote (7/1/06) "Low K diet or low blood K can cause BG to look like DM, esp in PA." This rang a thousand bells for me. A couple of times about a year+ ago, my BG was high when I was having low K episodes, swelling, heart flutters, etc. This was during the times I tried to take T3 (in addition to T4). For some reason, T3 drops my K way low. Val -----Original Message-----From: hyperaldosteronism [mailto:hyperaldosteronism ]On Behalf Of meling333 Calcium urine 4275 H 800-1500 What do you think? Thanks again for pointing me in the right direction dr. Grim. ita .. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted July 20, 2006 Report Share Posted July 20, 2006 Actually, my BP normalized (120/75) from surgery (1999) until 2001. That's when I tried to add T3 since my T3 is so low. It shot BP up and I retained water horribly. Now, I realize that K had to have been low. That's when I went back on HCTZ. Ran the T3 trial three more times with the same result each time. It took several months each time to normalize after each T3 trial. I've been pretty good now for several months and will try to taper the HCTZ. T3 will just have to stay low. Val -----Original Message-----From: hyperaldosteronism [mailto:hyperaldosteronism ]On Behalf Of lowerbp2@... In a message dated 7/20/06 9:11:51 PM, val@... writes: Hi ita,Having had hyperparathyroidism, I would suggest you get checked for it. It is characterized by high blood calcium and high parathyroid hormone (PTH). It can cause hypertension and the hypertension may be alleviated by surgical removal of the offending parathyroid tumor. Our old data suggested that removing an parathyroid problem rarely helped BP and it still has not been properly studied IMHO.104. Ganguly A, Weinberger MH, Passmore JM, Caras JA, Khairi RM, Grim CE, Edmonson J, and ston CC. The renin-angiotensin-aldosterone system and hypertension in primary hyperparathyroidism. Metabolism 1982;31:595-600. My BP was running 210/120 just before I had surgery, and I was on HCTZ, BB and ACE inhibitor. Now I just take HCTZ and avoid salt like the plague.My guess is that it is the low salt and the HCTZ that is lowering the BP not having the parathyroid tuor removed. My aldosterone/renin ratio has suggested HA, but BP normalizes if I avoid T3 thyroid hormone (even with very low T3 blood levels).and salt is helping this as well. Dr. Grim, you wrote (7/1/06) "Low K diet or low blood K can cause BG to look like DM, esp in PA." This rang a thousand bells for me. A couple of times about a year+ ago, my BG was high when I was having low K episodes, swelling, heart flutters, etc. This was during the times I tried to take T3 (in addition to T4). For some reason, T3 drops my K way low.Sounds like PA to me.Some are very sen to T3 and will get periodic paralysis from it. Val .. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted July 21, 2006 Report Share Posted July 21, 2006 In a message dated 7/20/06 10:22:09 PM, val@... writes: Actually, my BP normalized (120/75) from surgery (1999) until 2001. I would like to see blood pressure records properly done for up to a year before the surgery and then for a year after to see if it really go better-and what treatment you were on and if your diet changed in after the surgery. Hate to be a stickler for details but this is needed to decide if the better BP is due to few inaccurate BPs before the surgery esp in the Hospital with a machine, if Meds changed then most bets are off and if diet changed that my also be the cause of the lower BP. I am from Missouri: showme don't snow me ;-) 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. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted July 23, 2006 Report Share Posted July 23, 2006 Hi Val Have you ever tried the T3 in Armour It worked well for me in the past. T4 synthroid at 50mcg realy shot up my bp and swellling which was a awfull experience. I am taking only 3/4 of a 25mcg synthroid pill now and hope to go back to Armour when I get this mess sorted out.The T3 in Armour is much more gentle and long winded. I tried the synthetic t3 cytomel and didnt care for it. ita > > Actually, my BP normalized (120/75) from surgery (1999) until 2001. That's > when I tried to add T3 since my T3 is so low. It shot BP up and I retained > water horribly. Now, I realize that K had to have been low. That's when I > went back on HCTZ. Ran the T3 trial three more times with the same result > each time. It took several months each time to normalize after each T3 > trial. I've been pretty good now for several months and will try to taper > the HCTZ. T3 will just have to stay low. > > Val Quote Link to comment Share on other sites More sharing options...
Guest guest Posted July 23, 2006 Report Share Posted July 23, 2006 Armour is what always sends me over the edge. First, I start retaining fluid and the BP skyrockets. Potassium gets low. I havent' had the nerve to try Cytomel. I'm doing pretty well right now. My T3 is always low. Somehow, T3 is connected to something but I haven't figured out the relationship. Val -----Original Message-----From: hyperaldosteronism [mailto:hyperaldosteronism ]On Behalf Of meling333 Hi ValHave you ever tried the T3 in Armour It worked well for me in the past. T4 synthroid at 50mcg realy shot up my bp and swellling which was a awfull experience. I am taking only 3/4 of a 25mcg synthroid pill now and hope to go back to Armour when I get this mess sorted out.The T3 in Armour is much more gentle and long winded. I tried the synthetic t3 cytomel and didnt care for it. ita>> Actually, my BP normalized (120/75) from surgery (1999) until 2001. That's> when I tried to add T3 since my T3 is so low. It shot BP up and I retained> water horribly. Now, I realize that K had to have been low. That's when I> went back on HCTZ. Ran the T3 trial three more times with the same result> each time. It took several months each time to normalize after each T3> trial. I've been pretty good now for several months and will try to taper> the HCTZ. T3 will just have to stay low.> .. Quote Link to comment Share on other sites More sharing options...
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