Re: New here, not yet diagnosed, being tested

[Guest guest]

U have Conn's. Read My art on the evol of PA AND TAKE TO ur endo. Remind that I trained with Conn. Tiped sad Send form miiPhone ;-)May your pressure be low!CE Grim MDSpecializing in DifficultHypertensionOn Oct 2, 2009, at 3:50 PM, creeksidegina <creeksidegina@...> wrote:

Hi I'm new here. I just completed a 24 hour cortisol urine test this morning, I also had lab work yesterday to check for indicators of Conn's, 's and Cushing's, however when I was at the Endo she and I agreed that my symptoms most indicated conn's. I have been going through this for 10 years. I was diagnosed with Hashimoto's thyroid 8 years ago and premature ovarian failure. My symptoms of heart palps at night, muscle twitching, fatigue, inability to exercise without getting wiped out have been attributed to those 2 diseases, yet when I tried to take even the smallest amount of thyroid or female hormones I ended up with adrenaline rushes and spiking blood pressure. I have gone to the hospital 3 times in the last 8 years with heart palaps that ended up being from low postassium, the last trip was in February of this year and my postassium was 2.9, there are plenty of other times that I know I should have gone but didn't. My bp has gone up and down, it was

always very low and my moms is very low, mine used to run 90's over 70's. I'm very small. My 2 questions are 1. is it common for the blood pressure and potassium to go up and down with Conn's or do they usually stay high and low consistantly? I can have bp of 140/89 one day and 101/68 the next for no apparent reason and most times my potassium is normal. 2. Is it common in Conn's for people to have a bad reaction to thyroid medicine? I can't take even the smallest dose without racing heart and what I call night time adreanline rushes. I've been dealing with this for so long that I am hoping to come to a diagnosis.

Thanks!

[Guest guest]

Welcome . I hope

that 24 hour urine includes aldosterone, potassium and sodium in addition to

cortisol, etc.

We have one other member who has difficulty taking thyroid

(ita). She totally gave up on

estrogen. I take T4 thyroid but was

not able to take any T3 until I got on spiro. My reasoning is that T3 decreases

potassium. My FT3 is always

borderline low which, according to my research, is not good in the case of a

heart event.

Val

From: hyperaldosteronism

[mailto:hyperaldosteronism ] On Behalf Of creeksidegina

Sent: Friday, October 02, 2009 4:50 PM

hyperaldosteronism

Subject: New here, not yet diagnosed, being tested

Hi I'm new here. I just completed a 24 hour

cortisol urine test this morning, I also had lab work yesterday to check for

indicators of Conn's, 's and Cushing's, however when I was at the Endo

she and I agreed that my symptoms most indicated conn's. I have been going

through this for 10 years. I was diagnosed with Hashimoto's thyroid 8 years ago

and premature ovarian failure. My symptoms of heart palps at night, muscle

twitching, fatigue, inability to exercise without getting wiped out have been

attributed to those 2 diseases, yet when I tried to take even the smallest

amount of thyroid or female hormones I ended up with adrenaline rushes and

spiking blood pressure. I have gone to the hospital 3 times in the last 8 years

with heart palaps that ended up being from low postassium, the last trip was in

February of this year and my postassium was 2.9, there are plenty of other

times that I know I should have gone but didn't. My bp has gone up and down, it

was always very low and my moms is very low, mine used to run 90's over 70's.

I'm very small. My 2 questions are 1. is it common for the blood pressure and

potassium to go up and down with Conn's or do they usually stay high and low

consistantly? I can have bp of 140/89 one day and 101/68 the next for no

apparent reason and most times my potassium is normal. 2. Is it common in

Conn's for people to have a bad reaction to thyroid medicine? I can't take even

the smallest dose without racing heart and what I call night time adreanline

rushes. I've been dealing with this for so long that I am hoping to come to a

diagnosis.

Thanks!

[Guest guest]

I think your fluctuating BP and K are likely the result of

fluctuating sodium ingestion. Do

you count the mg of sodium you eat?

Has anyone instructed you on that?

Val

From: hyperaldosteronism

[mailto:hyperaldosteronism ] On Behalf Of Clarence Grim

U

have Conn's. Read My art on the evol of PA AND TAKE TO ur endo. Remind

that I trained with Conn.

On Oct 2, 2009, at 3:50 PM, creeksidegina <creeksidegina@...> wrote:

Hi I'm new here. I just completed a 24 hour

cortisol urine test this morning, I also had lab work yesterday to check for

indicators of Conn's, 's and Cushing's, however when I was at the Endo

she and I agreed that my symptoms most indicated conn's. I have been going

through this for 10 years. I was diagnosed with Hashimoto's thyroid 8 years ago

and premature ovarian failure. My symptoms of heart palps at night, muscle

twitching, fatigue, inability to exercise without getting wiped out have been

attributed to those 2 diseases, yet when I tried to take even the smallest

amount of thyroid or female hormones I ended up with adrenaline rushes and

spiking blood pressure. I have gone to the hospital 3 times in the last 8 years

with heart palaps that ended up being from low postassium, the last trip was in

February of this year and my postassium was 2.9, there are plenty of other

times that I know I should have gone but didn't. My bp has gone up and down, it

was always very low and my moms is very low, mine used to run 90's over 70's.

I'm very small. My 2 questions are 1. is it common for the blood pressure and

potassium to go up and down with Conn's or do they usually stay high and low

consistantly? I can have bp of 140/89 one day and 101/68 the next for no apparent

reason and most times my potassium is normal. 2. Is it common in Conn's for

people to have a bad reaction to thyroid medicine? I can't take even the

smallest dose without racing heart and what I call night time adreanline

rushes. I've been dealing with this for so long that I am hoping to come to a

diagnosis.

Thanks!

[Guest guest]

Thank you for your response. I am so new to this. 4 days really. All of my

symptoms except the low potassium have been attributed to the thyroid disease.

No one ever really commented on the potassium they just gave me potassium in the

hospital and let me go. This is the first endo that has even suggested Conn's.

>

> Hi I'm new here. I just completed a 24 hour cortisol urine test this

> morning, I also had lab work yesterday to check for indicators of Conn's,

> 's and Cushing's, however when I was at the Endo she and I agreed

> that my symptoms most indicated conn's. I have been going through this for

> 10 years. I was diagnosed with Hashimoto's thyroid 8 years ago and premature

> ovarian failure. My symptoms of heart palps at night, muscle twitching,

> fatigue, inability to exercise without getting wiped out have been

> attributed to those 2 diseases, yet when I tried to take even the smallest

> amount of thyroid or female hormones I ended up with adrenaline rushes and

> spiking blood pressure. I have gone to the hospital 3 times in the last 8

> years with heart palaps that ended up being from low postassium, the last

> trip was in February of this year and my postassium was 2.9, there are

> plenty of other times that I know I should have gone but didn't. My bp has

> gone up and down, it was always very low and my moms is very low, mine used

> to run 90's over 70's. I'm very small. My 2 questions are 1. is it common

> for the blood pressure and potassium to go up and down with Conn's or do

> they usually stay high and low consistantly? I can have bp of 140/89 one day

> and 101/68 the next for no apparent reason and most times my potassium is

> normal. 2. Is it common in Conn's for people to have a bad reaction to

> thyroid medicine? I can't take even the smallest dose without racing heart

> and what I call night time adreanline rushes. I've been dealing with this

> for so long that I am hoping to come to a diagnosis.

>

> Thanks!

>

>

>

[Guest guest]

How did other endos explain low K? Excess T?Take my article to all who missed u so they don't miss the many others in their practice. Tiped sad Send form miiPhone ;-)May your pressure be low!CE Grim MDSpecializing in DifficultHypertensionOn Oct 3, 2009, at 3:25 PM, creeksidegina <creeksidegina@...> wrote:

Thank you for your response. I am so new to this. 4 days really. All of my symptoms except the low potassium have been attributed to the thyroid disease. No one ever really commented on the potassium they just gave me potassium in the hospital and let me go. This is the first endo that has even suggested Conn's.

>

> Hi I'm new here. I just completed a 24 hour cortisol urine test this

> morning, I also had lab work yesterday to check for indicators of Conn's,

> 's and Cushing's, however when I was at the Endo she and I agreed

> that my symptoms most indicated conn's. I have been going through this for

> 10 years. I was diagnosed with Hashimoto's thyroid 8 years ago and premature

> ovarian failure. My symptoms of heart palps at night, muscle twitching,

> fatigue, inability to exercise without getting wiped out have been

> attributed to those 2 diseases, yet when I tried to take even the smallest

> amount of thyroid or female hormones I ended up with adrenaline rushes and

> spiking blood pressure. I have gone to the hospital 3 times in the last 8

> years with heart palaps that ended up being from low postassium, the last

> trip was in February of this year and my postassium was 2.9, there are

> plenty of other times that I know I should have gone but didn't. My bp has

> gone up and down, it was always very low and my moms is very low, mine used

> to run 90's over 70's. I'm very small. My 2 questions are 1. is it common

> for the blood pressure and potassium to go up and down with Conn's or do

> they usually stay high and low consistantly? I can have bp of 140/89 one day

> and 101/68 the next for no apparent reason and most times my potassium is

> normal. 2. Is it common in Conn's for people to have a bad reaction to

> thyroid medicine? I can't take even the smallest dose without racing heart

> and what I call night time adreanline rushes. I've been dealing with this

> for so long that I am hoping to come to a diagnosis.

>

> Thanks!

>

>

>

[Guest guest]

While this is good advice and I plan to take it to my doctor next week. I am not

sure it will do much good. Unless you can supply information as to where he can

read it other then the Internet he isn't likely to put much stock in it. He

isn't much of one to believe what is on the Internet. After all he has done the

blood tests and to him they don't show I have Conn's.

> > >

> > > Hi I'm new here. I just completed a 24 hour cortisol urine test this

> > > morning, I also had lab work yesterday to check for indicators of

> > Conn's,

> > > 's and Cushing's, however when I was at the Endo she and I

> > agreed

> > > that my symptoms most indicated conn's. I have been going through

> > this for

> > > 10 years. I was diagnosed with Hashimoto's thyroid 8 years ago and

> > premature

> > > ovarian failure. My symptoms of heart palps at night, muscle

> > twitching,

> > > fatigue, inability to exercise without getting wiped out have been

> > > attributed to those 2 diseases, yet when I tried to take even the

> > smallest

> > > amount of thyroid or female hormones I ended up with adrenaline

> > rushes and

> > > spiking blood pressure. I have gone to the hospital 3 times in the

> > last 8

> > > years with heart palaps that ended up being from low postassium,

> > the last

> > > trip was in February of this year and my postassium was 2.9, there

> > are

> > > plenty of other times that I know I should have gone but didn't.

> > My bp has

> > > gone up and down, it was always very low and my moms is very low,

> > mine used

> > > to run 90's over 70's. I'm very small. My 2 questions are 1. is it

> > common

> > > for the blood pressure and potassium to go up and down with Conn's

> > or do

> > > they usually stay high and low consistantly? I can have bp of

> > 140/89 one day

> > > and 101/68 the next for no apparent reason and most times my

> > potassium is

> > > normal. 2. Is it common in Conn's for people to have a bad

> > reaction to

> > > thyroid medicine? I can't take even the smallest dose without

> > racing heart

> > > and what I call night time adreanline rushes. I've been dealing

> > with this

> > > for so long that I am hoping to come to a diagnosis.

> > >

> > > Thanks!

> > >

> > >

> > >

> >

> >

>

[Guest guest]

The article is not from the "internet" but peer reviewed journal. Remind him of that. I can send him my other 50 articles on PA I have written. Take him the Endo Guidelines. Also not from the internet. He might want to review the most recent chapter in on's Textbook of Internal Medicine or heaven forbid the New England J of Med review by Young in last year or so.

I am happy to correspond with him as well. 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 Sunday, October 04, 2009, at 11:43AM, "Francis Bill" <georgewbill@...> wrote:

>

While this is good advice and I plan to take it to my doctor next week. I am not sure it will do much good. Unless you can supply information as to where he can read it other then the Internet he isn't likely to put much stock in it. He isn't much of one to believe what is on the Internet. After all he has done the blood tests and to him they don't show I have Conn's.

> > >

> > > Hi I'm new here. I just completed a 24 hour cortisol urine test this

> > > morning, I also had lab work yesterday to check for indicators of

> > Conn's,

> > > 's and Cushing's, however when I was at the Endo she and I

> > agreed

> > > that my symptoms most indicated conn's. I have been going through

> > this for

> > > 10 years. I was diagnosed with Hashimoto's thyroid 8 years ago and

> > premature

> > > ovarian failure. My symptoms of heart palps at night, muscle

> > twitching,

> > > fatigue, inability to exercise without getting wiped out have been

> > > attributed to those 2 diseases, yet when I tried to take even the

> > smallest

> > > amount of thyroid or female hormones I ended up with adrenaline

> > rushes and

> > > spiking blood pressure. I have gone to the hospital 3 times in the

> > last 8

> > > years with heart palaps that ended up being from low postassium,

> > the last

> > > trip was in February of this year and my postassium was 2.9, there

> > are

> > > plenty of other times that I know I should have gone but didn't.

> > My bp has

> > > gone up and down, it was always very low and my moms is very low,

> > mine used

> > > to run 90's over 70's. I'm very small. My 2 questions are 1. is it

> > common

> > > for the blood pressure and potassium to go up and down with Conn's

> > or do

> > > they usually stay high and low consistantly? I can have bp of

> > 140/89 one day

> > > and 101/68 the next for no apparent reason and most times my

> > potassium is

> > > normal. 2. Is it common in Conn's for people to have a bad

> > reaction to

> > > thyroid medicine? I can't take even the smallest dose without

> > racing heart

> > > and what I call night time adreanline rushes. I've been dealing

> > with this

> > > for so long that I am hoping to come to a diagnosis.

> > >

> > > Thanks!

> > >

> > >

> > >

> >

> >

>

[Guest guest]

Dr. Grim's paper is from a Medical Journal. It is not simply an internet article.

I would have suspisions of a doctor that does not use the internet to find papers. Google is very good for searching referreed journal articles. If he doesn't think these are useful tools, you may need to find a new doctor.

Bindner

Web Directory (links to my sites and blogs):

http://www.geocities.com/mikeybdc/index.html

http://mikeybdc.blogspot.com

From: Francis Bill <georgewbill@...>Subject: Re: New here, not yet diagnosed, being testedhyperaldosteronism Date: Sunday, October 4, 2009, 12:43 PM

While this is good advice and I plan to take it to my doctor next week. I am not sure it will do much good. Unless you can supply information as to where he can read it other then the Internet he isn't likely to put much stock in it. He isn't much of one to believe what is on the Internet. After all he has done the blood tests and to him they don't show I have Conn's. > > >> > > Hi I'm new here. I just completed a 24 hour cortisol urine test this> > > morning, I also had lab work yesterday to check for indicators of > > Conn's,> > > 's and Cushing's, however when I was at the Endo she and I > > agreed> > > that my symptoms most indicated conn's. I have been going through > > this for> > > 10 years. I was diagnosed with Hashimoto's thyroid 8 years ago and > > premature> > > ovarian failure. My symptoms of heart palps at night, muscle > > twitching,> > > fatigue, inability to exercise without getting wiped out have been> > > attributed to those 2 diseases, yet when I tried to take even the > > smallest> > > amount of thyroid or female hormones I ended up with adrenaline > > rushes and> > > spiking

blood pressure. I have gone to the hospital 3 times in the > > last 8> > > years with heart palaps that ended up being from low postassium, > > the last> > > trip was in February of this year and my postassium was 2.9, there > > are> > > plenty of other times that I know I should have gone but didn't. > > My bp has> > > gone up and down, it was always very low and my moms is very low, > > mine used> > > to run 90's over 70's. I'm very small. My 2 questions are 1. is it > > common> > > for the blood pressure and potassium to go up and down with Conn's > > or do> > > they usually stay high and low consistantly? I can have bp of > > 140/89 one day> > > and 101/68 the next for no apparent reason and most times my > > potassium is> > > normal. 2. Is it

common in Conn's for people to have a bad > > reaction to> > > thyroid medicine? I can't take even the smallest dose without > > racing heart> > > and what I call night time adreanline rushes. I've been dealing > > with this> > > for so long that I am hoping to come to a diagnosis.> > >> > > Thanks!> > >> > > > > >> >> >>

[Guest guest]

I was planing on taking him the Endo guidelines as well and the AHA article on

BB. If I had access to you other 50 articles I would bring them as well. My

doctor is simi retired. He should have the time to read them.

> >

>

[Guest guest]

What is important is that your BP is controlled. If not, you will have more LVH. Is it controlled?

Val

From: hyperaldosteronism

[mailto:hyperaldosteronism ] On Behalf Of Francis Bill

While this is good advice and I plan to take it to my doctor

next week. I am not sure it will do much good. Unless you can supply

information as to where he can read it other then the Internet he isn't likely

to put much stock in it. He isn't much of one to believe what is on the

Internet. After all he has done the blood tests and to him they don't show I

have Conn's.

[Guest guest]

I think my CV is in our files with all 200 + publications. Ior just do a pubmed on Grim CE and select the ones you think he might be interested in and print out abstracts for him. May your pressure be low!Clarence E. Grim, BS, MS, MDSpecializing in Primary Aldosteronism the most common cause of "Difficult/Drug Resistant High Blood Pressure". Other research interests focus on the interactions of recent evolutionary forces on the body's ability to handle salt and the effect of dietary salt on blood pressure in populations today.Listed in Best Doctors of America 2009. On Oct 4, 2009, at 8:25 PM, Francis Bill wrote: I was planing on taking him the Endo guidelines as well and the AHA article on BB. If I had access to you other 50 articles I would bring them as well. My doctor is simi retired. He should have the time to read them. > > >

[Guest guest]

I'd wait and see what the ARR comes back as. You can have a scan and it could

nothing if you have adrenal hyperplasia yet you could still have Conn's. On the

other hand, a bump that shows on a scan doesn't necessarily mean it's doing

anything.

Good luck,

a

> From: creeksidegina <creeksidegina@...>

> Subject: Re: New here, not yet diagnosed, being tested

> hyperaldosteronism

> Date: Monday, October 5, 2009, 1:37 PM

> Thank you. I am a little concerned.

> My doctor sent me an email saying that my TPO antibodies are

> extremely high, but although my TSH is normal a cortisol

> test says normal also which rules out 's (we knew it

> wasn't addisions) She says she is awaiting the other adrenal

> tests but believes that the symptoms are coming from my

> thyroid! Doesn't explain the low potassium! The tests she is

> waiting for was a 24 hour urine for adrenaline and an

> Aldesterone/Renin. My worry is that the Aldesterone/Renin

> will be normal and she'll want to throw me back on thyroid

> meds without doing a scan of my adrenal glands. How can I

> get her to do a scan (if the tests are normal) without

> sounding like a hypochondriact? I guess I am just so used to

> this I am already thinking the worst, which for me would be

> the normal result of the Aldesterone/Renin. Sound weird?

>

>

> > > >

> > > > Hi I'm new here. I just completed a 24 hour

> cortisol urine test this

> > > > morning, I also had lab work yesterday to

> check for indicators of 

> > > Conn's,

> > > > 's and Cushing's, however when I was

> at the Endo she and I 

> > > agreed

> > > > that my symptoms most indicated conn's. I

> have been going through 

> > > this for

> > > > 10 years. I was diagnosed with Hashimoto's

> thyroid 8 years ago and 

> > > premature

> > > > ovarian failure. My symptoms of heart palps

> at night, muscle 

> > > twitching,

> > > > fatigue, inability to exercise without

> getting wiped out have been

> > > > attributed to those 2 diseases, yet when I

> tried to take even the 

> > > smallest

> > > > amount of thyroid or female hormones I ended

> up with adrenaline 

> > > rushes and

> > > > spiking blood pressure. I have gone to the

> hospital 3 times in the 

> > > last 8

> > > > years with heart palaps that ended up being

> from low postassium, 

> > > the last

> > > > trip was in February of this year and my

> postassium was 2.9, there 

> > > are

> > > > plenty of other times that I know I should

> have gone but didn't. 

> > > My bp has

> > > > gone up and down, it was always very low and

> my moms is very low, 

> > > mine used

> > > > to run 90's over 70's. I'm very small. My 2

> questions are 1. is it 

> > > common

> > > > for the blood pressure and potassium to go

> up and down with Conn's 

> > > or do

> > > > they usually stay high and low consistantly?

> I can have bp of 

> > > 140/89 one day

> > > > and 101/68 the next for no apparent reason

> and most times my 

> > > potassium is

> > > > normal. 2. Is it common in Conn's for people

> to have a bad 

> > > reaction to

> > > > thyroid medicine? I can't take even the

> smallest dose without 

> > > racing heart

> > > > and what I call night time adreanline

> rushes. I've been dealing 

> > > with this

> > > > for so long that I am hoping to come to a

> diagnosis.

> > > >

> > > > Thanks!

> > > >

> > > >

> > > >

> > >

> > >

> >

>

>

>

>

> ------------------------------------

>

>

[Guest guest]

I am pretty sick with a TSH of 4 or 4.5. Your antibodies are slowly destroying

your thyroid. That, however.

doesn't cause low K. It is very

possible to have excess aldo and normal cortisol.

Val

From: hyperaldosteronism

[mailto:hyperaldosteronism ] On Behalf Of creeksidegina

My TSH was 4 I don't know if she manages any PA, however I

never heard of Conn's, it was here that brought up the connection with the low

potassium. It just sounds to me like because the blood cortisol was normal, she

is expecting the rest of the adrenal tests to be normal too and then will

attribute it to the Hashi's. I will print the paper. Thank you.

[Guest guest]

The lab range that the VA here uses has the TSH range from .35 to 5.5. So TSH of

4.5 would still be with there range. My last test was 2.8 There T4 range is .6

to 1.6 the one test thay did on me it was .6

>

> I am pretty sick with a TSH of 4 or 4.5. Your antibodies are slowly

> destroying your thyroid. That, however. doesn't cause low K. It is very

> possible to have excess aldo and normal cortisol.

>

> Val

>

> From: hyperaldosteronism

> [mailto:hyperaldosteronism ] On Behalf Of creeksidegina

>

>

> My TSH was 4 I don't know if she manages any PA, however I never heard of

> Conn's, it was here that brought up the connection with the low potassium.

> It just sounds to me like because the blood cortisol was normal, she is

> expecting the rest of the adrenal tests to be normal too and then will

> attribute it to the Hashi's. I will print the paper. Thank you.

>

[Guest guest]

The American Society of Endocrinologists lowered the max TSH

level to 3.00 about 3 - 4 years ago.

The society that the lab biologists belong to lowered it to 2.5 about a

year before that. I wonder when

labs are going to get with it.

Val

From: hyperaldosteronism

[mailto:hyperaldosteronism ] On Behalf Of Francis Bill

The lab range that the VA here uses has the TSH range from

..35 to 5.5. So TSH of 4.5 would still be with there range. My last test was 2.8

There T4 range is .6 to 1.6 the one test thay did on me it was .6

>

> I am pretty sick with a TSH of 4 or 4.5. Your antibodies are slowly

> destroying your thyroid. That, however. doesn't cause low K. It is very

> possible to have excess aldo and normal cortisol.

..

[Guest guest]

It is possible that men and women differ in TSH but dont now if it has been looked at carefully. May your pressure be low!Clarence E. Grim, BS, MS, MDSpecializing in Primary Aldosteronism the most common cause of "Difficult/Drug Resistant High Blood Pressure". Other research interests focus on the interactions of recent evolutionary forces on the body's ability to handle salt and the effect of dietary salt on blood pressure in populations today.Listed in Best Doctors of America 2009. On Oct 6, 2009, at 6:32 PM, Francis Bill wrote: The lab range that the VA here uses has the TSH range from .35 to 5.5. So TSH of 4.5 would still be with there range. My last test was 2.8 There T4 range is .6 to 1.6 the one test thay did on me it was .6 > > I am pretty sick with a TSH of 4 or 4.5. Your antibodies are slowly > destroying your thyroid. That, however. doesn't cause low K. It is very > possible to have excess aldo and normal cortisol. > > Val > > From: hyperaldosteronism > [mailto:hyperaldosteronism ] On Behalf Of creeksidegina > > > My TSH was 4 I don't know if she manages any PA, however I never heard of > Conn's, it was here that brought up the connection with the low potassium. > It just sounds to me like because the blood cortisol was normal, she is > expecting the rest of the adrenal tests to be normal too and then will > attribute it to the Hashi's. I will print the paper. Thank you. >

[Guest guest]

Makes more sense to titrate to how you feel assuming you can tell 4 from 3.5 from 2.5. My guess is that most can't tell. May your pressure be low!Clarence E. Grim, BS, MS, MDSpecializing in Primary Aldosteronism the most common cause of "Difficult/Drug Resistant High Blood Pressure". Other research interests focus on the interactions of recent evolutionary forces on the body's ability to handle salt and the effect of dietary salt on blood pressure in populations today.Listed in Best Doctors of America 2009. On Oct 6, 2009, at 11:32 PM, Valarie wrote: The American Society of Endocrinologists lowered the max TSH level to 3.00 about 3 - 4 years ago. The society that the lab biologists belong to lowered it to 2.5 about a year before that. I wonder when labs are going to get with it. Val From: hyperaldosteronism [mailto:hyperaldosteronism ] On Behalf Of Francis Bill The lab range that the VA here uses has the TSH range from .35 to 5.5. So TSH of 4.5 would still be with there range. My last test was 2.8 There T4 range is .6 to 1.6 the one test thay did on me it was .6 > > I am pretty sick with a TSH of 4 or 4.5. Your antibodies are slowly > destroying your thyroid. That, however. doesn't cause low K. It is very > possible to have excess aldo and normal cortisol. .

[Guest guest]

Due you think that with a TSH of 2.8 and a T4 of .6 could indicate a thyroid

problem?

> > >

> > > I am pretty sick with a TSH of 4 or 4.5. Your antibodies are slowly

> > > destroying your thyroid. That, however. doesn't cause low K. It

> > is very

> > > possible to have excess aldo and normal cortisol.

> >

> >

> > .

> >

> >

> >

> >

> >

> >

>

[Guest guest]

Tell me what the normals are for that lab. May your pressure be low!Clarence E. Grim, BS, MS, MDSpecializing in Primary Aldosteronism the most common cause of "Difficult/Drug Resistant High Blood Pressure". Other research interests focus on the interactions of recent evolutionary forces on the body's ability to handle salt and the effect of dietary salt on blood pressure in populations today.Listed in Best Doctors of America 2009. On Oct 7, 2009, at 9:16 AM, Francis Bill wrote: Due you think that with a TSH of 2.8 and a T4 of .6 could indicate a thyroid problem? > > > > > > I am pretty sick with a TSH of 4 or 4.5. Your antibodies are slowly > > > destroying your thyroid. That, however. doesn't cause low K. It > > is very > > > possible to have excess aldo and normal cortisol. > > > > > > . > > > > > > > > > > > > >

[Guest guest]

TSH range .35 to 5.5. So TSH of 4.5 T4 range is .6 to 1.6 I know my TSH is mid

range for the lab. But if the The American Society of Endocrinologists lowered

the max TSH level to 3.00 about 3 - 4 years ago. The lab may not have updated to

this. Since the T4 was only done once and was at the bottom of the range maybe

they should retest it.

> > > > >

> > > > > I am pretty sick with a TSH of 4 or 4.5. Your antibodies are

> > slowly

> > > > > destroying your thyroid. That, however. doesn't cause low K. It

> > > > is very

> > > > > possible to have excess aldo and normal cortisol.

> > > >

> > > >

> > > > .

> > > >

> > > >

> > > >

> > > >

> > > >

> > > >

> > >

> >

> >

>

[Guest guest]

Went to my VA doctor today. It is quite clear that he knows nothing about Conn's

and doesn't want any part of Dr Gimm's information on it. I tried to get him to

retest me off the meds. He said that there is no point to it, even if new tests

showed Conn's the only way to treat it is to control B/P and K nothing about

blocking the aldosterone. He says he is already doing this. He said the risk for

surgery isn't worth it. He is sorry that I feel bad but he has done all that he

knows how to do.

As I am writing this I received a call from my Dr about the PRA ratio test that

they did. Says when they do a PAR ratio tests there is no reason to stop meds as

it doesn't make any difference in the PRA ratio. This is not what it says on the

Quest Lab site this is who the VA uses.

From quest lab site

Aldosterone (LC/MS/MS)/Plasma Renin Activity Ratio

CPT Code(s): 82088, 84244

Preferred Specimen(s)

4 mL (1 mL minimum) plasma from EDTA (lavender-top) tube transferred into

plastic vial. Submit frozen. Avoid refrigerated temperatures. Patient should

refrain from taking medications, preferably 3 weeks prior to draw. Patient

should be ambulatory for 30 minutes prior to draw. Patient should be on a

moderate sodium diet during collection. This test was developed and its

performance characteristics determined by Quest Diagnostics Nichols Institute.

It has not been cleared or approved by the U.S. Food and Drug Administration.

The FDA has determined that such clearance or approval is not necessary.

Performance characteristics refer to the analytical performance of the test.

My doctor also told me since I had already see the VA Endocrinologist and he

found nothing wrong. There Endocrinologist is a five minute wonder. He sees you

for five minutes and you wonder why. Here is his report and my k readings up to

the time I saw him.

> > > >

> > > > Hi I'm new here. I just completed a 24 hour cortisol urine test this

> > > > morning, I also had lab work yesterday to check for indicators of

> > > Conn's,

> > > > 's and Cushing's, however when I was at the Endo she and I

> > > agreed

> > > > that my symptoms most indicated conn's. I have been going through

> > > this for

> > > > 10 years. I was diagnosed with Hashimoto's thyroid 8 years ago and

> > > premature

> > > > ovarian failure. My symptoms of heart palps at night, muscle

> > > twitching,

> > > > fatigue, inability to exercise without getting wiped out have been

> > > > attributed to those 2 diseases, yet when I tried to take even the

> > > smallest

> > > > amount of thyroid or female hormones I ended up with adrenaline

> > > rushes and

> > > > spiking blood pressure. I have gone to the hospital 3 times in the

> > > last 8

> > > > years with heart palaps that ended up being from low postassium,

> > > the last

> > > > trip was in February of this year and my postassium was 2.9, there

> > > are

> > > > plenty of other times that I know I should have gone but didn't.

> > > My bp has

> > > > gone up and down, it was always very low and my moms is very low,

> > > mine used

> > > > to run 90's over 70's. I'm very small. My 2 questions are 1. is it

> > > common

> > > > for the blood pressure and potassium to go up and down with Conn's

> > > or do

> > > > they usually stay high and low consistantly? I can have bp of

> > > 140/89 one day

> > > > and 101/68 the next for no apparent reason and most times my

> > > potassium is

> > > > normal. 2. Is it common in Conn's for people to have a bad

> > > reaction to

> > > > thyroid medicine? I can't take even the smallest dose without

> > > racing heart

> > > > and what I call night time adreanline rushes. I've been dealing

> > > with this

> > > > for so long that I am hoping to come to a diagnosis.

> > > >

> > > > Thanks!

> > > >

> > > >

> > > >

> > >

> > >

> >

>

[Guest guest]

While at the VA today they took blood to check K and other things. they took 3

tubes of blood never took the tourniquet off until almost done with the last

tube.

> > > > >

> > > > > Hi I'm new here. I just completed a 24 hour cortisol urine test this

> > > > > morning, I also had lab work yesterday to check for indicators of

> > > > Conn's,

> > > > > 's and Cushing's, however when I was at the Endo she and I

> > > > agreed

> > > > > that my symptoms most indicated conn's. I have been going through

> > > > this for

> > > > > 10 years. I was diagnosed with Hashimoto's thyroid 8 years ago and

> > > > premature

> > > > > ovarian failure. My symptoms of heart palps at night, muscle

> > > > twitching,

> > > > > fatigue, inability to exercise without getting wiped out have been

> > > > > attributed to those 2 diseases, yet when I tried to take even the

> > > > smallest

> > > > > amount of thyroid or female hormones I ended up with adrenaline

> > > > rushes and

> > > > > spiking blood pressure. I have gone to the hospital 3 times in the

> > > > last 8

> > > > > years with heart palaps that ended up being from low postassium,

> > > > the last

> > > > > trip was in February of this year and my postassium was 2.9, there

> > > > are

> > > > > plenty of other times that I know I should have gone but didn't.

> > > > My bp has

> > > > > gone up and down, it was always very low and my moms is very low,

> > > > mine used

> > > > > to run 90's over 70's. I'm very small. My 2 questions are 1. is it

> > > > common

> > > > > for the blood pressure and potassium to go up and down with Conn's

> > > > or do

> > > > > they usually stay high and low consistantly? I can have bp of

> > > > 140/89 one day

> > > > > and 101/68 the next for no apparent reason and most times my

> > > > potassium is

> > > > > normal. 2. Is it common in Conn's for people to have a bad

> > > > reaction to

> > > > > thyroid medicine? I can't take even the smallest dose without

> > > > racing heart

> > > > > and what I call night time adreanline rushes. I've been dealing

> > > > with this

> > > > > for so long that I am hoping to come to a diagnosis.

> > > > >

> > > > > Thanks!

> > > > >

> > > > >

> > > > >

> > > >

> > > >

> > >

> >

>

[Guest guest]

I would complain to the Medical Director at the VA. Send him my article and your story. My article in NOT on the internet it is published in a peer reviewed journal. Please send my your story in as much detail as possible and we will edit it. 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 Friday, October 09, 2009, at 05:30PM, "Francis Bill" <georgewbill@...> wrote:

>

Went to my VA doctor today. It is quite clear that he knows nothing about Conn's and doesn't want any part of Dr Gimm's information on it. I tried to get him to retest me off the meds. He said that there is no point to it, even if new tests showed Conn's the only way to treat it is to control B/P and K nothing about blocking the aldosterone. He says he is already doing this. He said the risk for surgery isn't worth it. He is sorry that I feel bad but he has done all that he knows how to do.

As I am writing this I received a call from my Dr about the PRA ratio test that they did. Says when they do a PAR ratio tests there is no reason to stop meds as it doesn't make any difference in the PRA ratio. This is not what it says on the Quest Lab site this is who the VA uses.

From quest lab site

Aldosterone (LC/MS/MS)/Plasma Renin Activity Ratio

CPT Code(s): 82088, 84244

Preferred Specimen(s)

4 mL (1 mL minimum) plasma from EDTA (lavender-top) tube transferred into plastic vial. Submit frozen. Avoid refrigerated temperatures. Patient should refrain from taking medications, preferably 3 weeks prior to draw. Patient should be ambulatory for 30 minutes prior to draw. Patient should be on a moderate sodium diet during collection. This test was developed and its performance characteristics determined by Quest Diagnostics Nichols Institute. It has not been cleared or approved by the U.S. Food and Drug Administration. The FDA has determined that such clearance or approval is not necessary. Performance characteristics refer to the analytical performance of the test.

My doctor also told me since I had already see the VA Endocrinologist and he found nothing wrong. There Endocrinologist is a five minute wonder. He sees you for five minutes and you wonder why. Here is his report and my k readings up to the time I saw him.

> > > >

> > > > Hi I'm new here. I just completed a 24 hour cortisol urine test this

> > > > morning, I also had lab work yesterday to check for indicators of

> > > Conn's,

> > > > 's and Cushing's, however when I was at the Endo she and I

> > > agreed

> > > > that my symptoms most indicated conn's. I have been going through

> > > this for

> > > > 10 years. I was diagnosed with Hashimoto's thyroid 8 years ago and

> > > premature

> > > > ovarian failure. My symptoms of heart palps at night, muscle

> > > twitching,

> > > > fatigue, inability to exercise without getting wiped out have been

> > > > attributed to those 2 diseases, yet when I tried to take even the

> > > smallest

> > > > amount of thyroid or female hormones I ended up with adrenaline

> > > rushes and

> > > > spiking blood pressure. I have gone to the hospital 3 times in the

> > > last 8

> > > > years with heart palaps that ended up being from low postassium,

> > > the last

> > > > trip was in February of this year and my postassium was 2.9, there

> > > are

> > > > plenty of other times that I know I should have gone but didn't.

> > > My bp has

> > > > gone up and down, it was always very low and my moms is very low,

> > > mine used

> > > > to run 90's over 70's. I'm very small. My 2 questions are 1. is it

> > > common

> > > > for the blood pressure and potassium to go up and down with Conn's

> > > or do

> > > > they usually stay high and low consistantly? I can have bp of

> > > 140/89 one day

> > > > and 101/68 the next for no apparent reason and most times my

> > > potassium is

> > > > normal. 2. Is it common in Conn's for people to have a bad

> > > reaction to

> > > > thyroid medicine? I can't take even the smallest dose without

> > > racing heart

> > > > and what I call night time adreanline rushes. I've been dealing

> > > with this

> > > > for so long that I am hoping to come to a diagnosis.

> > > >

> > > > Thanks!

> > > >

> > > >

> > > >

> > >

> > >

> >

>

[Guest guest]

Your K will likely show higher than it is.

Val

From: hyperaldosteronism

[mailto:hyperaldosteronism ] On Behalf Of Francis Bill

While at the VA today they took blood to check

K and other things. they took 3 tubes of blood never took the tourniquet off

until almost done with the last tube.

[Guest guest]

If you have PA, is is imperative that you block aldosterone and

eat very low salt. Do you have a

choice other than VA?

Val

From: hyperaldosteronism

[mailto:hyperaldosteronism ] On Behalf Of Francis Bill

Went to my VA doctor today. It is quite clear that he knows

nothing about Conn's and doesn't want any part of Dr Gimm's information on it.

I tried to get him to retest me off the meds. He said that there is no point to

it, even if new tests showed Conn's the only way to treat it is to control B/P

and K nothing about blocking the aldosterone. He says he is already doing this.

He said the risk for surgery isn't worth it. He is sorry that I feel bad but he

has done all that he knows how to do.

As I am writing this I received a call from my Dr about the PRA ratio test that

they did. Says when they do a PAR ratio tests there is no reason to stop meds

as it doesn't make any difference in the PRA ratio. This is not what it says on

the Quest Lab site this is who the VA uses.

From quest lab site

Aldosterone (LC/MS/MS)/Plasma Renin Activity Ratio

CPT Code(s): 82088, 84244

Preferred Specimen(s)

4 mL (1 mL minimum) plasma from EDTA (lavender-top) tube transferred into

plastic vial. Submit frozen. Avoid refrigerated temperatures. Patient should

refrain from taking medications, preferably 3 weeks prior to draw. Patient

should be ambulatory for 30 minutes prior to draw. Patient should be on a

moderate sodium diet during collection. This test was developed and its

performance characteristics determined by Quest Diagnostics Nichols Institute.

It has not been cleared or approved by the U.S. Food and Drug Administration.

The FDA has determined that such clearance or approval is not necessary.

Performance characteristics refer to the analytical performance of the test.

My doctor also told me since I had already see the VA Endocrinologist and he

found nothing wrong. There Endocrinologist is a five minute wonder. He sees you

for five minutes and you wonder why. Here is his report and my k readings up to

the time I saw him.