Low normal Aldosterone, Low Renin, and Low Cortisol

[Guest guest]

Last year I tested cortisol (AM/PM) and got low but normal results with

blood serum testing but quite low for each of a 4 sample saliva test

through out the day using two different labs (saliva collected the same

day within minutes of each other for both labs).

Just received the blood results on Renin and Aldosterone testing and

obviously I don't have hyperaldosteronism from these results but I

haven't been able to find a " diagnosis " for low cortisol (or very low

normal cortisol), low renin, and very low normal aldosterone.

Test took place early morning when Aldosterone is near the peak of it's

diurnal rhythm.

Renin, Plasma 0.52

range for Upright 1.31 - 3.95

range for Supine 0.15 - 2.33

I need to talk to my cario doctor from whom I requested this blood work

but I had them fax the results today to me and she had underlined the

Supine and marked OK when in fact this was a sitting test. Obviously,

the Renin is low. This means?

Aldosterone 7.4

range for Upright 4.0 - 31

range for Supine 1.0 - 16

Again, this was a " sitting " test - blood draw.

I had to go off an ACE inhibitor blood pressure drug for two weeks

before the test since this lowers aldosterone so who know what it is

normally when I'm on the drug. In any case, I'm near the low end of

their lab reference range.

Any Ideas?

I know there's a drug for bringing up Aldosterone and I'm thinking I

should have a trial of that but any other suggestions? I'm currently

taking hydrocortisone for low cortisol.

Most afternoons, I get quite tired in the 4-6 pm time range and if I

continue to do things, I'll be all right but if I sit down and rest, I

dose off fitfully while my blood pressure and heart rate will increase

and I'll get a heart pounding effect, heart rate will increase from a

normal sitting rate of high 70s during most of the rest of the day to a

mid 90 range. Heart rate will not come down from here unless I take

some additional non-timed release toprol. Again, if I don't give into

the overwhelming since of tiredness and keep active this doesn't happen.

Moving around keeps ones aldosterone higher and I wonder if this is

related.

I also would get the heart pounding effect without the increase in blood

pressure when I wake up in the morning about half the time, but cortisol

replacement has eliminated this problem most of the time.

What should I approach my cardio about?

--

Steve - dudescholar4@...

Take World's Smallest Political Quiz at

http://www.theadvocates.org/quiz.html

" If a thousand old beliefs were ruined on our march

to truth we must still march on. " --Stopford