Re: Hyperaldo Review for Dr. Grim - Urgent

October 16, 2009

Just doing a review of my PAC results obtained from blood drawn at a Lab in

Jamaica. The test was in fact sent to a Lab in the US. The blood was taken

with me sitting down for 5 mins after driving to the Lab. The results showed

Aldostorone serum was 18.6 ng/dL. This result from the LAB in the US was shown

as Abnormal (high) but the wrong reference range was used. They used the Adult

supine(lying) reference range of 1 - 16 ng/dL.

But my blood was taken when I was sitting so they should have used the Adult

upright reference range of 4 - 31 ng/dL.

This would have meant that my PAC was normal. Does this mean that I don't have

PA.

I also got a Renin Activity of 0.45 ng/mL/hr

From my calculations My ARR = 18.6/0.45 = 41.33

Just a recap. My BP was about 245/145 before taking 3 meds that dropped it to

145/95. I have since removed one of those meds in favor of Aldactone (25mg

twice daily) which lowers it to 130/88.

> > > > >

> > > > > If you want the offender removed, your only choice is AVS. So

> > not

> > > > have

> > > > > surgery without AVS. You have to be off aldactone for six weeks

> > > > prior.

> > > > >

> > > > > Val

> > > > >

> > > > > From: hyperaldosteronism

> > > > > [mailto:hyperaldosteronism ] On Behalf Of

> > > > bryanfjohnson

> > > > >

> > > > > Havent't been back to the doctor as yet. Do you think I should

> > do

> > > > the AVS to

> > > > > confirm if the left is overproducing? I'm not too sure if it is

> > > > done in

> > > > > Jamaica. If confirming that it is, I would opt for the operation

> > > > to remove

> > > > > that left gland than live on these drugs for the rest of my

> > life.

> > > > >

> > > >

> > >

> >

>

October 16, 2009

with a ration like that and given that Aldactone works, its a safe bet you have PA.

Bindner

Web Directory (links to my sites and blogs):

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

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From: <bryanfjohnson@...>Subject: Re: Hyperaldo Review for Dr. Grim - Urgenthyperaldosteronism Date: Friday, October 16, 2009, 4:11 PM

Just doing a review of my PAC results obtained from blood drawn at a Lab in Jamaica. The test was in fact sent to a Lab in the US. The blood was taken with me sitting down for 5 mins after driving to the Lab. The results showed Aldostorone serum was 18.6 ng/dL. This result from the LAB in the US was shown as Abnormal (high) but the wrong reference range was used. They used the Adult supine(lying) reference range of 1 - 16 ng/dL.But my blood was taken when I was sitting so they should have used the Adult upright reference range of 4 - 31 ng/dL.This would have meant that my PAC was normal. Does this mean that I don't have PA.I also got a Renin Activity of 0.45 ng/mL/hr From my calculations My ARR = 18.6/0.45 = 41.33Just a recap. My BP was about 245/145 before taking 3 meds that dropped it to 145/95. I have since removed one of those meds in favor of Aldactone (25mg twice daily) which lowers it to

130/88.> > > > >> > > > > If you want the offender removed, your only choice is AVS. So > > not> > > > have> > > > > surgery without AVS. You have to be off aldactone for six weeks> > > > prior.> > > > >> > > > > Val> > > > >> > > > > From: hyperaldosteronism> > > >

> [mailto:hyperaldosteronism] On Behalf Of> > > > bryanfjohnson> > > > >> > > > >> > > > > Havent't been back to the doctor as yet. Do you think I should > > do> > > > the AVS to> > > > > confirm if the left is overproducing? I'm not too sure if it is> > > > done in> > > > > Jamaica. If confirming that it is, I would opt for the operation> > > > to remove> > > > > that left gland than live on these drugs for the rest of my > > life.> > > > >> > > >> > > >> > >> >>

>>

October 16, 2009

Its not so much the absolutely levels of aldo and renin. It is the relationship. You have low renin and not low

aldo. Your ARR is over 40. You have PA.

Val

From: hyperaldosteronism

[mailto:hyperaldosteronism ] On Behalf Of

Just doing a review of my PAC results obtained from blood drawn at a Lab in

Jamaica. The test was in fact sent to a Lab in the US. The blood was taken with

me sitting down for 5 mins after driving to the Lab. The results showed

Aldostorone serum was 18.6 ng/dL. This result from the LAB in the US was shown

as Abnormal (high) but the wrong reference range was used. They used the Adult

supine(lying) reference range of 1 - 16 ng/dL.

But my blood was taken when I was sitting so they should have used the Adult upright

reference range of 4 - 31 ng/dL.

This would have meant that my PAC was normal. Does this mean that I don't have

PA.

I also got a Renin Activity of 0.45 ng/mL/hr

From my calculations My ARR = 18.6/0.45 = 41.33

Just a recap. My BP was about 245/145 before taking 3 meds that dropped it to

145/95. I have since removed one of those meds in favor of Aldactone (25mg

twice daily) which lowers it to 130/88.

October 16, 2009

As your renin is very low and your aldo is not you have early PA IMHO. Read my article again. CE Grim MDOn Oct 16, 2009, at 3:30 PM, Valarie wrote: Its not so much the absolutely levels of aldo and renin. It is the relationship. You have low renin and not low aldo. Your ARR is over 40. You have PA. Val From: hyperaldosteronism [mailto:hyperaldosteronism ] On Behalf Of Just doing a review of my PAC results obtained from blood drawn at a Lab in Jamaica. The test was in fact sent to a Lab in the US. The blood was taken with me sitting down for 5 mins after driving to the Lab. The results showed Aldostorone serum was 18.6 ng/dL. This result from the LAB in the US was shown as Abnormal (high) but the wrong reference range was used. They used the Adult supine(lying) reference range of 1 - 16 ng/dL. But my blood was taken when I was sitting so they should have used the Adult upright reference range of 4 - 31 ng/dL. This would have meant that my PAC was normal. Does this mean that I don't have PA. I also got a Renin Activity of 0.45 ng/mL/hr From my calculations My ARR = 18.6/0.45 = 41.33 Just a recap. My BP was about 245/145 before taking 3 meds that dropped it to 145/95. I have since removed one of those meds in favor of Aldactone (25mg twice daily) which lowers it to 130/88.

October 16, 2009

Are you saying that it doesn't matter if the blood was taken when I was standing

or sitting. It's the ARR that counts.

>

> >

> > Its not so much the absolutely levels of aldo and renin. It is the

> > relationship. You have low renin and not low aldo. Your ARR is

> > over 40. You have PA.

> >

> > Val

> >

> > From: hyperaldosteronism

> > [mailto:hyperaldosteronism ] On Behalf Of

> >

> > Just doing a review of my PAC results obtained from blood drawn at

> > a Lab in Jamaica. The test was in fact sent to a Lab in the US. The

> > blood was taken with me sitting down for 5 mins after driving to

> > the Lab. The results showed Aldostorone serum was 18.6 ng/dL. This

> > result from the LAB in the US was shown as Abnormal (high) but the

> > wrong reference range was used. They used the Adult supine(lying)

> > reference range of 1 - 16 ng/dL.

> >

> > But my blood was taken when I was sitting so they should have used

> > the Adult upright reference range of 4 - 31 ng/dL.

> >

> > This would have meant that my PAC was normal. Does this mean that I

> > don't have PA.

> >

> > I also got a Renin Activity of 0.45 ng/mL/hr

> >

> > From my calculations My ARR = 18.6/0.45 = 41.33

> >

> > Just a recap. My BP was about 245/145 before taking 3 meds that

> > dropped it to 145/95. I have since removed one of those meds in

> > favor of Aldactone (25mg twice daily) which lowers it to 130/88.

> >

>

October 16, 2009

Again Low renin, not low aldo, BP normalized by spiro = PA of any kind and there are several. Read my article again.CE Grim MDOn Oct 16, 2009, at 3:11 PM, wrote: Just doing a review of my PAC results obtained from blood drawn at a Lab in Jamaica. The test was in fact sent to a Lab in the US. The blood was taken with me sitting down for 5 mins after driving to the Lab. The results showed Aldostorone serum was 18.6 ng/dL. This result from the LAB in the US was shown as Abnormal (high) but the wrong reference range was used. They used the Adult supine(lying) reference range of 1 - 16 ng/dL. But my blood was taken when I was sitting so they should have used the Adult upright reference range of 4 - 31 ng/dL. This would have meant that my PAC was normal. Does this mean that I don't have PA. I also got a Renin Activity of 0.45 ng/mL/hr From my calculations My ARR = 18.6/0.45 = 41.33 Just a recap. My BP was about 245/145 before taking 3 meds that dropped it to 145/95. I have since removed one of those meds in favor of Aldactone (25mg twice daily) which lowers it to 130/88. > > > > > > > > > > If you want the offender removed, your only choice is AVS. So > > not > > > > have > > > > > surgery without AVS. You have to be off aldactone for six weeks > > > > prior. > > > > > > > > > > Val > > > > > > > > > > From: hyperaldosteronism > > > > > [mailto:hyperaldosteronism ] On Behalf Of > > > > bryanfjohnson > > > > > > > > > > > > > > > Havent't been back to the doctor as yet. Do you think I should > > do > > > > the AVS to > > > > > confirm if the left is overproducing? I'm not too sure if it is > > > > done in > > > > > Jamaica. If confirming that it is, I would opt for the operation > > > > to remove > > > > > that left gland than live on these drugs for the rest of my > > life. > > > > > > > > > > > > > > > > > > > > >

October 16, 2009

Yes.CE Grim MDOn Oct 16, 2009, at 4:01 PM, wrote: Are you saying that it doesn't matter if the blood was taken when I was standing or sitting. It's the ARR that counts. > > > > > Its not so much the absolutely levels of aldo and renin. It is the > > relationship. You have low renin and not low aldo. Your ARR is > > over 40. You have PA. > > > > > > > > Val > > > > > > > > From: hyperaldosteronism > > [mailto:hyperaldosteronism ] On Behalf Of > > > > Just doing a review of my PAC results obtained from blood drawn at > > a Lab in Jamaica. The test was in fact sent to a Lab in the US. The > > blood was taken with me sitting down for 5 mins after driving to > > the Lab. The results showed Aldostorone serum was 18.6 ng/dL. This > > result from the LAB in the US was shown as Abnormal (high) but the > > wrong reference range was used. They used the Adult supine(lying) > > reference range of 1 - 16 ng/dL. > > > > But my blood was taken when I was sitting so they should have used > > the Adult upright reference range of 4 - 31 ng/dL. > > > > This would have meant that my PAC was normal. Does this mean that I > > don't have PA. > > > > I also got a Renin Activity of 0.45 ng/mL/hr > > > > From my calculations My ARR = 18.6/0.45 = 41.33 > > > > Just a recap. My BP was about 245/145 before taking 3 meds that > > dropped it to 145/95. I have since removed one of those meds in > > favor of Aldactone (25mg twice daily) which lowers it to 130/88. > > > > > > >

October 16, 2009

Thanks for the confirmation Dr Grim. I've read in a study where they are using

CT guided Percutaneous Acid Injection Therapy to destroy adrenal adenomas.

Basically an injection of aceitic acid into the tumor. Required one or two

injection to destroy the adenoma. Is this being used now? Also thanks to

you, Mike and Val for a speedy response to my urgent questions. You are all

doing a wonderful job to get the information out there to the people who really

need it. Keep up the good work.

> > >

> > > >

> > > > Its not so much the absolutely levels of aldo and renin. It is the

> > > > relationship. You have low renin and not low aldo. Your ARR is

> > > > over 40. You have PA.

> > > >

> > > > Val

> > > >

> > > > From: hyperaldosteronism

> > > > [mailto:hyperaldosteronism ] On Behalf Of

> > > >

> > > > Just doing a review of my PAC results obtained from blood drawn at

> > > > a Lab in Jamaica. The test was in fact sent to a Lab in the US.

> > The

> > > > blood was taken with me sitting down for 5 mins after driving to

> > > > the Lab. The results showed Aldostorone serum was 18.6 ng/dL. This

> > > > result from the LAB in the US was shown as Abnormal (high) but the

> > > > wrong reference range was used. They used the Adult supine(lying)

> > > > reference range of 1 - 16 ng/dL.

> > > >

> > > > But my blood was taken when I was sitting so they should have used

> > > > the Adult upright reference range of 4 - 31 ng/dL.

> > > >

> > > > This would have meant that my PAC was normal. Does this mean

> > that I

> > > > don't have PA.

> > > >

> > > > I also got a Renin Activity of 0.45 ng/mL/hr

> > > >

> > > > From my calculations My ARR = 18.6/0.45 = 41.33

> > > >

> > > > Just a recap. My BP was about 245/145 before taking 3 meds that

> > > > dropped it to 145/95. I have since removed one of those meds in

> > > > favor of Aldactone (25mg twice daily) which lowers it to 130/88.

> > > >

> > >

> >

>

October 16, 2009

Where can we find out more about the Percutaneous Acid injections ? Lori

From: <bryanfjohnson@...>hyperaldosteronism Sent: Fri, October 16, 2009 6:53:58 PMSubject: Re: Hyperaldo Review for Dr. Grim - Urgent

Thanks for the confirmation Dr Grim. I've read in a study where they are using CT guided Percutaneous Acid Injection Therapy to destroy adrenal adenomas. Basically an injection of aceitic acid into the tumor. Required one or two injection to destroy the adenoma. Is this being used now? Also thanks to you, Mike and Val for a speedy response to my urgent questions. You are all doing a wonderful job to get the information out there to the people who really need it. Keep up the good work.> > >> > > >> > > > Its not so much the absolutely levels of aldo and renin. It is the> > > > relationship. You have low renin and not low aldo. Your ARR is> > > > over 40. You have PA.> > > >> > > >> > > >> > > > Val> > > >>

> > >> > > >> > > > From: hyperaldosteronism> > > > [mailto:hyperaldosteronism] On Behalf Of > > > >> > > > Just doing a review of my PAC results obtained from blood drawn at> > > > a Lab in Jamaica. The test was in fact sent to a Lab in the US. > > The> > > > blood was taken with me sitting down for 5 mins after driving to> > > > the Lab. The results showed Aldostorone serum was 18.6 ng/dL. This> > > > result from the LAB in the US was shown as Abnormal (high) but the>

> > > wrong reference range was used. They used the Adult supine(lying)> > > > reference range of 1 - 16 ng/dL.> > > >> > > > But my blood was taken when I was sitting so they should have used> > > > the Adult upright reference range of 4 - 31 ng/dL.> > > >> > > > This would have meant that my PAC was normal. Does this mean > > that I> > > > don't have PA.> > > >> > > > I also got a Renin Activity of 0.45 ng/mL/hr> > > >> > > > From my calculations My ARR = 18.6/0.45 = 41.33> > > >> > > > Just a recap. My BP was about 245/145 before taking 3 meds that> > > > dropped it to 145/95. I have since removed one of those meds in> > > > favor of Aldactone (25mg twice daily) which lowers it to 130/88.>

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

October 16, 2009

If you read more about Acid Injection Therapy I think you will find it is only

done in Japan. I belive is is still in trial stages. Not yet acceped in the US.

If works as they say would make treatment safer. Also doesn't destroy the

adrenal glands. I think in the US there is concorn that the acid may do more

harm then good.

> > > >

> > > > >

> > > > > Its not so much the absolutely levels of aldo and renin. It is the

> > > > > relationship. You have low renin and not low aldo. Your ARR is

> > > > > over 40. You have PA.

> > > > >

> > > > > Val

> > > > >

> > > > > From: hyperaldosteronism

> > > > > [mailto:hyperaldosteronism ] On Behalf Of

> > > > >

> > > > > Just doing a review of my PAC results obtained from blood drawn at

> > > > > a Lab in Jamaica. The test was in fact sent to a Lab in the US.

> > > The

> > > > > blood was taken with me sitting down for 5 mins after driving to

> > > > > the Lab. The results showed Aldostorone serum was 18.6 ng/dL. This

> > > > > result from the LAB in the US was shown as Abnormal (high) but the

> > > > > wrong reference range was used. They used the Adult supine(lying)

> > > > > reference range of 1 - 16 ng/dL.

> > > > >

> > > > > But my blood was taken when I was sitting so they should have used

> > > > > the Adult upright reference range of 4 - 31 ng/dL.

> > > > >

> > > > > This would have meant that my PAC was normal. Does this mean

> > > that I

> > > > > don't have PA.

> > > > >

> > > > > I also got a Renin Activity of 0.45 ng/mL/hr

> > > > >

> > > > > From my calculations My ARR = 18.6/0.45 = 41.33

> > > > >

> > > > > Just a recap. My BP was about 245/145 before taking 3 meds that

> > > > > dropped it to 145/95. I have since removed one of those meds in

> > > > > favor of Aldactone (25mg twice daily) which lowers it to 130/88.

> > > > >

> > > >

> > >

> >

>

October 16, 2009

read this study http://jcem.endojournals.org/cgi/content/full/88/12/5814

> > > >

> > > > >

> > > > > Its not so much the absolutely levels of aldo and renin. It is the

> > > > > relationship. You have low renin and not low aldo. Your ARR is

> > > > > over 40. You have PA.

> > > > >

> > > > > Val

> > > > >

> > > > > From: hyperaldosteronism

> > > > > [mailto:hyperaldosteronism] On Behalf Of

> > > > >

> > > > > Just doing a review of my PAC results obtained from blood drawn at

> > > > > a Lab in Jamaica. The test was in fact sent to a Lab in the US.

> > > The

> > > > > blood was taken with me sitting down for 5 mins after driving to

> > > > > the Lab. The results showed Aldostorone serum was 18.6 ng/dL. This

> > > > > result from the LAB in the US was shown as Abnormal (high) but the

> > > > > wrong reference range was used. They used the Adult supine(lying)

> > > > > reference range of 1 - 16 ng/dL.

> > > > >

> > > > > But my blood was taken when I was sitting so they should have used

> > > > > the Adult upright reference range of 4 - 31 ng/dL.

> > > > >

> > > > > This would have meant that my PAC was normal. Does this mean

> > > that I

> > > > > don't have PA.

> > > > >

> > > > > I also got a Renin Activity of 0.45 ng/mL/hr

> > > > >

> > > > > From my calculations My ARR = 18.6/0.45 = 41.33

> > > > >

> > > > > Just a recap. My BP was about 245/145 before taking 3 meds that

> > > > > dropped it to 145/95. I have since removed one of those meds in

> > > > > favor of Aldactone (25mg twice daily) which lowers it to 130/88.

> > > > >

> > > >

> > >

> >

>

October 16, 2009

I would not be the first to have that done. 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 16, 2009, at 6:53 PM, wrote: Thanks for the confirmation Dr Grim. I've read in a study where they are using CT guided Percutaneous Acid Injection Therapy to destroy adrenal adenomas. Basically an injection of aceitic acid into the tumor. Required one or two injection to destroy the adenoma. Is this being used now? Also thanks to you, Mike and Val for a speedy response to my urgent questions. You are all doing a wonderful job to get the information out there to the people who really need it. Keep up the good work. > > > > > > > > > > > Its not so much the absolutely levels of aldo and renin. It is the > > > > relationship. You have low renin and not low aldo. Your ARR is > > > > over 40. You have PA. > > > > > > > > > > > > > > > > Val > > > > > > > > > > > > > > > > From: hyperaldosteronism > > > > [mailto:hyperaldosteronism ] On Behalf Of > > > > > > > > Just doing a review of my PAC results obtained from blood drawn at > > > > a Lab in Jamaica. The test was in fact sent to a Lab in the US. > > The > > > > blood was taken with me sitting down for 5 mins after driving to > > > > the Lab. The results showed Aldostorone serum was 18.6 ng/dL. This > > > > result from the LAB in the US was shown as Abnormal (high) but the > > > > wrong reference range was used. They used the Adult supine(lying) > > > > reference range of 1 - 16 ng/dL. > > > > > > > > But my blood was taken when I was sitting so they should have used > > > > the Adult upright reference range of 4 - 31 ng/dL. > > > > > > > > This would have meant that my PAC was normal. Does this mean > > that I > > > > don't have PA. > > > > > > > > I also got a Renin Activity of 0.45 ng/mL/hr > > > > > > > > From my calculations My ARR = 18.6/0.45 = 41.33 > > > > > > > > Just a recap. My BP was about 245/145 before taking 3 meds that > > > > dropped it to 145/95. I have since removed one of those meds in > > > > favor of Aldactone (25mg twice daily) which lowers it to 130/88. > > > > > > > > > > > > > > > > > > > >

October 17, 2009

So your aldo is 10 (mid nomral?) but your renin is very low(?). Again if the system is working then the aldo should be low too.Howsomeever your are doing good and I would let this sit. You have almost convinced me to begin an exercise program. I know I am slow! 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 17, 2009, at 10:21 AM, jwwright wrote: Thanks, Dr Grim, I was wondering how a Dr would diagnose PA with what has been said here. Cannot be the ratio alone. My aldo was 10, eg. And I am sure verapamil lowers renin to dump the sodium, and that is an undocumented feature that causes dehydration. There have been several "features" like an AV 1 block, low heart rate (46), and a Dr will call that bradycardia. Meds cause some rise in liver enzymes. Dehydration messes up the calculated GFR. If we're not careful we end up thinking we're sick. And I think gym exercise is lowering my requirement for CCB by maybe 20%. I do that 3 x at least, additional exercises at home. I'm growing muscle at 73yo. Regards Re: Re: Hyperaldo Review for Dr. Grim - Urgent Again Low renin, not low aldo, BP normalized by spiro = PA of any kind and there are several. Read my article again. CE Grim MD On Oct 16, 2009, at 3:11 PM, wrote: Just doing a review of my PAC results obtained from blood drawn at a Lab in Jamaica. The test was in fact sent to a Lab in the US. The blood was taken with me sitting down for 5 mins after driving to the Lab. The results showed Aldostorone serum was 18.6 ng/dL. This result from the LAB in the US was shown as Abnormal (high) but the wrong reference range was used. They used the Adult supine(lying) reference range of 1 - 16 ng/dL. But my blood was taken when I was sitting so they should have used the Adult upright reference range of 4 - 31 ng/dL. This would have meant that my PAC was normal. Does this mean that I don't have PA. I also got a Renin Activity of 0.45 ng/mL/hr From my calculations My ARR = 18.6/0.45 = 41.33 Just a recap. My BP was about 245/145 before taking 3 meds that dropped it to 145/95. I have since removed one of those meds in favor of Aldactone (25mg twice daily) which lowers it to 130/88.

October 17, 2009

Thanks, Dr Grim, I was wondering how a Dr would diagnose PA with what has

been said here.

Cannot be the ratio alone.

My aldo was 10, eg.

And I am sure verapamil lowers renin to dump the sodium, and that is an

undocumented feature that causes dehydration. There have been several

" features " like an AV 1 block, low heart rate (46), and a Dr will call that

bradycardia. Meds cause some rise in liver enzymes. Dehydration messes up

the calculated GFR.

If we're not careful we end up thinking we're sick.

And I think gym exercise is lowering my requirement for CCB by maybe 20%. I

do that 3 x at least, additional exercises at home.

I'm growing muscle at 73yo.

Regards

Re: Re: Hyperaldo Review for Dr. Grim - Urgent

Again Low renin, not low aldo, BP normalized by spiro = PA of any kind and

there are several.

Read my article again.

CE Grim MD

On Oct 16, 2009, at 3:11 PM, wrote:

Just doing a review of my PAC results obtained from blood drawn at a Lab in

Jamaica. The test was in fact sent to a Lab in the US. The blood was taken

with me sitting down for 5 mins after driving to the Lab. The results showed

Aldostorone serum was 18.6 ng/dL. This result from the LAB in the US was

shown as Abnormal (high) but the wrong reference range was used. They used

the Adult supine(lying) reference range of 1 - 16 ng/dL.

But my blood was taken when I was sitting so they should have used the Adult

upright reference range of 4 - 31 ng/dL.

This would have meant that my PAC was normal. Does this mean that I don't

have PA.

I also got a Renin Activity of 0.45 ng/mL/hr

From my calculations My ARR = 18.6/0.45 = 41.33

Just a recap. My BP was about 245/145 before taking 3 meds that dropped it

to 145/95. I have since removed one of those meds in favor of Aldactone

(25mg twice daily) which lowers it to 130/88.

October 17, 2009

Aldo 10, renin 0.2. Only measured once - my internist at the time was sure I didn't have PA. The only thing I have is occasionally my BP goes low and makes my back hurt. I tracked that to an arthritic joint maybe a pinched nerve.

Take a ketoprofen - goes away.

I resisted doing a lot of exercise for a long time, like 9 yrs.

I now think, eventually, if you live and can do it, you will be better off if you do some kind of weights, and some aerobic. I like the rbike because it's safe, it's strengthens the legs and I hear it does away with osteo, and I regard osteo as very important if you intend to live to 100.

The ONE problem thing the CRers have is osteo, even at young like 42 age.

I've had no report the running prevents it or cures it, and that by fitness "gurus".

I do a complete set of weights as I see it, and I add more as I find one little muscle that's not challenged, here and there.

Shoulder muscles are complex, many little guys pulling every which way.

I know others have their preferences like yoga, but I like being able to lift my 190 # son off the ground. I have the same build just shorter, so my BMI looks larger. It's not I'm just too short.

When I started I could lift 260# in the rower. Now I can lift 300# at bench, not to chest, just off the bench.

Back, abdominal, leg lift, leg press, arm press, leg curl, straddle in and out are 150# exercise levels. That's 9 1/2 months. I don't look like a bodybuilder yet, just well formed muscles. I'm working on the scwartznegger part (ha).

I believe the muscle building raises growth hormone and IGF-1 similar to that in a younger person.

Get with it and you can start an exercise studio which, IMO, is a lot better than selling a "health spa" based on diet. Shouldn't take near as much money to start and you can hire PhD trainers for sports therapy.

There are MANY that need physical therapy, including almost everyone riding a Wal-mart ecart.

I've seen recovering cripples.

I see new people coming in every day.

Regards

Re: Re: Hyperaldo Review for Dr. Grim - UrgentAgain Low renin, not low aldo, BP normalized by spiro = PA of any kind andthere are several.Read my article again.CE Grim MDOn Oct 16, 2009, at 3:11 PM, wrote:Just doing a review of my PAC results obtained from blood drawn at a Lab inJamaica. The test was in fact sent to a Lab in the US. The blood was takenwith me sitting down for 5 mins after driving to the Lab. The results showedAldostorone serum was 18.6 ng/dL. This result from the LAB in the US wasshown as Abnormal (high) but the wrong reference range was used. They usedthe Adult supine(lying) reference range of 1 - 16 ng/dL.But my blood was taken when I was sitting so they should have used the Adultupright reference range of 4 - 31 ng/dL.This would have meant that my PAC was normal. Does this mean that I don'thave PA.I also got a Renin Activity of 0.45 ng/mL/hrFrom my calculations My ARR = 18.6/0.45 = 41.33Just a recap. My BP was about 245/145 before taking 3 meds that dropped itto 145/95. I have since removed one of those meds in favor of Aldactone(25mg twice daily) which lowers it to 130/88.

__________ NOD32 4389 (20090902) Information __________This message was checked by NOD32 antivirus system.http://www.eset.com

October 17, 2009

Oh, the aldo range is upright 8 -10 am <=28,

up 4 - 6 pm <= 21,

supine 8am-10am 3 - 16

mine was 10 range <=28

renin was 0.2 range 0.65 - 5.0.

BTW, potassium was 4.1 range 3.5 - 5.3.

Lowest K since 1992 is 4.1, hi 5.5, avg 4.6.

Regards

Re: Re: Hyperaldo Review for Dr. Grim - UrgentAgain Low renin, not low aldo, BP normalized by spiro = PA of any kind andthere are several.Read my article again.CE Grim MDOn Oct 16, 2009, at 3:11 PM, wrote:Just doing a review of my PAC results obtained from blood drawn at a Lab inJamaica. The test was in fact sent to a Lab in the US. The blood was takenwith me sitting down for 5 mins after driving to the Lab. The results showedAldostorone serum was 18.6 ng/dL. This result from the LAB in the US wasshown as Abnormal (high) but the wrong reference range was used. They usedthe Adult supine(lying) reference range of 1 - 16 ng/dL.But my blood was taken when I was sitting so they should have used the Adultupright reference range of 4 - 31 ng/dL.This would have meant that my PAC was normal. Does this mean that I don'thave PA.I also got a Renin Activity of 0.45 ng/mL/hrFrom my calculations My ARR = 18.6/0.45 = 41.33Just a recap. My BP was about 245/145 before taking 3 meds that dropped itto 145/95. I have since removed one of those meds in favor of Aldactone(25mg twice daily) which lowers it to 130/88.

__________ NOD32 4389 (20090902) Information __________This message was checked by NOD32 antivirus system.http://www.eset.com

October 17, 2009

Some require both a high ratio and an aldo above XX. Usually 13 but you are close. So in IMHO you have very early PA. But you are controlled by DASHing or a modification of that so no reason to pursue IMHO. 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 17, 2009, at 6:49 PM, Bindner wrote: Your internist should read the guidelines. Your ratio is 50, you have PA Bindner Web Directory (links to my sites and blogs): http://www.geocities.com/mikeybdc/index.html http://mikeybdc.blogspot.com Just doing a review of my PAC results obtained from blood drawn at a Lab inJamaica. The test was in fact sent to a Lab in the US. The blood was takenwith me sitting down for 5 mins after driving to the Lab. The results showedAldostorone serum was 18.6 ng/dL. This result from the LAB in the US wasshown as Abnormal (high) but the wrong reference range was used. They usedthe Adult supine(lying) reference range of 1 - 16 ng/dL.But my blood was taken when I was sitting so they should have used the Adultupright reference range of 4 - 31 ng/dL.This would have meant that my PAC was normal. Does this mean that I don'thave PA.I also got a Renin Activity of 0.45 ng/mL/hrFrom my calculations My ARR = 18.6/0.45 = 41.33Just a recap. My BP was about 245/145 before taking 3 meds that dropped itto 145/95. I have since removed one of those meds in favor of Aldactone(25mg twice daily) which lowers it to 130/88. __________ NOD32 4389 (20090902) Information __________This message was checked by NOD32 antivirus system.http://www.eset. com

October 18, 2009

If you feel OK then for you there probably no need to do any more tests. What

they can learn from CT and MRI is if the tumor is big enough to see they can

make a good guess as to if it is cancerous or not. Can't be ruled out 100% If a

tumor is seen and is below 4 CM and doesn't look like cancer they will want to

do A CT or MRI 6 months later to see how fast in is growing. If it size is still

about the same they will want to do A CT or MIR a year later. IF still the same

size They may want to do a CT or MRI after a few years.

If tumer is over 4 CM thay may what to do a biopsy and if it 6 cm they should do

one. If CT or MRI show growth They will also want to do a biopsy.

Since others are saying your sceerning test shows PA then your next test should

be a aldosterone suppression test. If this shows you have PA then medicare

should pay for A CT or MRI.

>

> Just doing a review of my PAC results obtained from blood

drawn at a Lab in

> Jamaica. The test was in fact sent to a Lab in the US. The

blood was taken

> with me sitting down for 5 mins after driving to the Lab. The

results showed

> Aldostorone serum was 18.6 ng/dL. This result from the LAB in

the US was

> shown as Abnormal (high) but the wrong reference range was

used. They used

> the Adult supine(lying) reference range of 1 - 16 ng/dL.

>

> But my blood was taken when I was sitting so they should have

used the Adult

> upright reference range of 4 - 31 ng/dL.

>

> This would have meant that my PAC was normal. Does this mean

that I don't

> have PA.

>

> I also got a Renin Activity of 0.45 ng/mL/hr

>

> From my calculations My ARR = 18.6/0.45 = 41.33

>

> Just a recap. My BP was about 245/145 before taking 3 meds

that dropped it

> to 145/95. I have since removed one of those meds in favor of

Aldactone

> (25mg twice daily) which lowers it to 130/88.

>

> __________ NOD32 4389 (20090902) Information __________

>

> This message was checked by NOD32 antivirus system.

> http://www.eset. com

>

> __________ NOD32 4389 (20090902) Information __________

>

> This message was checked by NOD32 antivirus system.

> http://www.eset.com

>

October 18, 2009

I'm wondering where you got this information from? I was told there was no need

to re-check aldo or do repeat CT or MRI unless I noticed a change in my

condition. Personally I love his attitude. If he's doing well and feels well

why rock the boat and spend time and money on unnecessary tests? If you do

enough tests you'll eventually find something wrong.

a

> From: Francis Bill <georgewbill@...>

> Subject: Re: Hyperaldo Review for Dr. Grim - Urgent

> hyperaldosteronism

> Date: Sunday, October 18, 2009, 10:58 AM

> If you feel OK then for you there

> probably no need to do any more tests. What they can learn

> from CT and MRI is if the tumor is big enough to see they

> can make a good guess as to if it is cancerous or not. Can't

> be ruled out 100% If a tumor is seen and is below 4 CM and

> doesn't look like cancer they will want to do A CT or MRI 6

> months later to see how fast in is growing. If it size is

> still about the same they will want to do A CT or MIR a year

> later. IF still the same size They may want to do a CT or

> MRI after a few years.

>

> If tumer is over 4 CM thay may what to do a biopsy and if

> it 6 cm they should do one. If CT or MRI show growth They

> will also want to do a biopsy.

>

> Since others are saying your sceerning test shows PA then

> your next test should be a aldosterone suppression test. If

> this shows you have PA then medicare should pay for A CT or

> MRI.

>

> >

> Just doing a review of my PAC results

> obtained from blood drawn at a Lab in

> >

> Jamaica. The test was in fact sent to a

> Lab in the US. The blood was taken

> >

> with me sitting down for 5 mins after

> driving to the Lab. The results showed

> >

> Aldostorone serum was 18.6 ng/dL. This

> result from the LAB in the US was

> >

> shown as Abnormal (high) but the wrong

> reference range was used. They used

> >

> the Adult supine(lying) reference range of

> 1 - 16 ng/dL.

> >

> But my blood was taken when I was sitting

> so they should have used the Adult

> >

> upright reference range of 4 - 31 ng/dL.

> >

> This would have meant that my PAC was

> normal. Does this mean that I don't

> >

> have PA.

> >

> I also got a Renin Activity of 0.45

> ng/mL/hr

> >

> From my calculations My ARR = 18.6/0.45 =

> 41.33

> >

> Just a recap. My BP was about 245/145

> before taking 3 meds that dropped it

> >

> to 145/95. I have since removed one of

> those meds in favor of Aldactone

> >

> (25mg twice daily) which lowers it to

> 130/88.

> >

> __________ NOD32 4389 (20090902)

> Information __________

> >

> This message was checked by NOD32

> antivirus system.

> >

> http://www.eset. com

> >

> > __________ NOD32 4389 (20090902)

> Information __________

> >

> > This message was checked by NOD32

> antivirus system.

> > http://www.eset.com

> >

>

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

>

October 18, 2009

This information comes from many places. Some from own CT scans reports. Maybe

DR Grim will have more to say about it. Since there general guide lines not all

may do them.

> > >

> > Just doing a review of my PAC results

> > obtained from blood drawn at a Lab in

> > >

> > Jamaica. The test was in fact sent to a

> > Lab in the US. The blood was taken

> > >

> > with me sitting down for 5 mins after

> > driving to the Lab. The results showed

> > >

> > Aldostorone serum was 18.6 ng/dL. This

> > result from the LAB in the US was

> > >

> > shown as Abnormal (high) but the wrong

> > reference range was used. They used

> > >

> > the Adult supine(lying) reference range of

> > 1 - 16 ng/dL.

> > >

> > But my blood was taken when I was sitting

> > so they should have used the Adult

> > >

> > upright reference range of 4 - 31 ng/dL.

> > >

> > This would have meant that my PAC was

> > normal. Does this mean that I don't

> > >

> > have PA.

> > >

> > I also got a Renin Activity of 0.45

> > ng/mL/hr

> > >

> > From my calculations My ARR = 18.6/0.45 =

> > 41.33

> > >

> > Just a recap. My BP was about 245/145

> > before taking 3 meds that dropped it

> > >

> > to 145/95. I have since removed one of

> > those meds in favor of Aldactone

> > >

> > (25mg twice daily) which lowers it to

> > 130/88.

> > >

> > __________ NOD32 4389 (20090902)

> > Information __________

> > >

> > This message was checked by NOD32

> > antivirus system.

> > >

> > http://www.eset. com

> > >

> > > __________ NOD32 4389 (20090902)

> > Information __________

> > >

> > > This message was checked by NOD32

> > antivirus system.

> > > http://www.eset.com

> > >

> >

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

> >

October 18, 2009

What are the advantages in tumor removal (surgery right?) versus risk? And side effects, etc?

How likely is Medicare going to pay for the MRI to begin with, when a person has no symptoms other than treatable HTN?

Talking about a series of expensive tests/surgery. I am reminded of the high PSA thing which leads to a biopsy, when the cause is only BPH and that treatable with meds.

To me, the real thing is how likely is the tumor cancerous?

I recall it was aid not likely?

I saw a lecture on what testing Medicare will pay for now and routine testing is lessening.

A summation is, if you can't guess right, they don't pay for it. Like the bone scan - it "fortunately" came out showing osteopenia. Since the Dr ordered it, she was on the hook for 250$. MRI's last I heard are much higher.

Plus the fact that hospitals are like going to the dentist. My bro and other olders say stay out of hospitals, unless you wake up there.

I can tell you I'm going to dance my arse off before going there.

The worst BP I wake up with is 145/81 full bladder.

Maybe it's the coffee?

Anyway I question the 0.2 renin. I just doubt any lab can measure room temperature that close.

Regards

Re: Re: Hyperaldo Review for Dr. Grim - Urgent

Some require both a high ratio and an aldo above XX. Usually 13 but you are close. So in IMHO you have very early PA.

But you are controlled by DASHing or a modification of that so no reason to pursue IMHO.

May your pressure be low!

Clarence E. Grim, BS, MS, MD

Specializing 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 17, 2009, at 6:49 PM, Bindner wrote:

Your internist should read the guidelines. Your ratio is 50, you have PA

Bindner

Web Directory (links to my sites and blogs):

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

http://mikeybdc.blogspot.com

Just doing a review of my PAC results obtained from blood drawn at a Lab inJamaica. The test was in fact sent to a Lab in the US. The blood was takenwith me sitting down for 5 mins after driving to the Lab. The results showedAldostorone serum was 18.6 ng/dL. This result from the LAB in the US wasshown as Abnormal (high) but the wrong reference range was used. They usedthe Adult supine(lying) reference range of 1 - 16 ng/dL.But my blood was taken when I was sitting so they should have used the Adultupright reference range of 4 - 31 ng/dL.This would have meant that my PAC was normal. Does this mean that I don'thave PA.I also got a Renin Activity of 0.45 ng/mL/hrFrom my calculations My ARR = 18.6/0.45 = 41.33Just a recap. My BP was about 245/145 before taking 3 meds that dropped itto 145/95. I have since removed one of those meds in favor of Aldactone(25mg twice daily) which lowers it to 130/88.

__________ NOD32 4389 (20090902) Information __________This message was checked by NOD32 antivirus system.http://www.eset. com

__________ NOD32 4389 (20090902) Information __________This message was checked by NOD32 antivirus system.http://www.eset.com

October 18, 2009

Again if you are doing well sit tight. 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 18, 2009, at 11:24 AM, jwwright wrote: What are the advantages in tumor removal (surgery right?) versus risk? And side effects, etc? How likely is Medicare going to pay for the MRI to begin with, when a person has no symptoms other than treatable HTN? Talking about a series of expensive tests/surgery. I am reminded of the high PSA thing which leads to a biopsy, when the cause is only BPH and that treatable with meds. To me, the real thing is how likely is the tumor cancerous? I recall it was aid not likely? I saw a lecture on what testing Medicare will pay for now and routine testing is lessening. A summation is, if you can't guess right, they don't pay for it. Like the bone scan - it "fortunately" came out showing osteopenia. Since the Dr ordered it, she was on the hook for 250$. MRI's last I heard are much higher. Plus the fact that hospitals are like going to the dentist. My bro and other olders say stay out of hospitals, unless you wake up there. I can tell you I'm going to dance my arse off before going there. The worst BP I wake up with is 145/81 full bladder. Maybe it's the coffee? Anyway I question the 0.2 renin. I just doubt any lab can measure room temperature that close. Regards Re: Re: Hyperaldo Review for Dr. Grim - Urgent Some require both a high ratio and an aldo above XX. Usually 13 but you are close. So in IMHO you have very early PA. But you are controlled by DASHing or a modification of that so no reason to pursue IMHO. 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 17, 2009, at 6:49 PM, Bindner wrote: Your internist should read the guidelines. Your ratio is 50, you have PA Bindner Web Directory (links to my sites and blogs): http://www.geocities.com/mikeybdc/index.html http://mikeybdc.blogspot.com Just doing a review of my PAC results obtained from blood drawn at a Lab inJamaica. The test was in fact sent to a Lab in the US. The blood was takenwith me sitting down for 5 mins after driving to the Lab. The results showedAldostorone serum was 18.6 ng/dL. This result from the LAB in the US wasshown as Abnormal (high) but the wrong reference range was used. They usedthe Adult supine(lying) reference range of 1 - 16 ng/dL.But my blood was taken when I was sitting so they should have used the Adultupright reference range of 4 - 31 ng/dL.This would have meant that my PAC was normal. Does this mean that I don'thave PA.I also got a Renin Activity of 0.45 ng/mL/hrFrom my calculations My ARR = 18.6/0.45 = 41.33Just a recap. My BP was about 245/145 before taking 3 meds that dropped itto 145/95. I have since removed one of those meds in favor of Aldactone(25mg twice daily) which lowers it to 130/88. __________ NOD32 4389 (20090902) Information __________This message was checked by NOD32 antivirus system.http://www.eset. com__________ NOD32 4389 (20090902) Information __________This message was checked by NOD32 antivirus system.http://www.eset.com

October 18, 2009

Don't rock the boat. 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 18, 2009, at 9:58 AM, Francis Bill wrote: If you feel OK then for you there probably no need to do any more tests. What they can learn from CT and MRI is if the tumor is big enough to see they can make a good guess as to if it is cancerous or not. Can't be ruled out 100% If a tumor is seen and is below 4 CM and doesn't look like cancer they will want to do A CT or MRI 6 months later to see how fast in is growing. If it size is still about the same they will want to do A CT or MIR a year later. IF still the same size They may want to do a CT or MRI after a few years. If tumer is over 4 CM thay may what to do a biopsy and if it 6 cm they should do one. If CT or MRI show growth They will also want to do a biopsy. Since others are saying your sceerning test shows PA then your next test should be a aldosterone suppression test. If this shows you have PA then medicare should pay for A CT or MRI. > > Just doing a review of my PAC results obtained from blood drawn at a Lab in > Jamaica. The test was in fact sent to a Lab in the US. The blood was taken > with me sitting down for 5 mins after driving to the Lab. The results showed > Aldostorone serum was 18.6 ng/dL. This result from the LAB in the US was > shown as Abnormal (high) but the wrong reference range was used. They used > the Adult supine(lying) reference range of 1 - 16 ng/dL. > > But my blood was taken when I was sitting so they should have used the Adult > upright reference range of 4 - 31 ng/dL. > > This would have meant that my PAC was normal. Does this mean that I don't > have PA. > > I also got a Renin Activity of 0.45 ng/mL/hr > > From my calculations My ARR = 18.6/0.45 = 41.33 > > Just a recap. My BP was about 245/145 before taking 3 meds that dropped it > to 145/95. I have since removed one of those meds in favor of Aldactone > (25mg twice daily) which lowers it to 130/88. > > > > > > > __________ NOD32 4389 (20090902) Information __________ > > This message was checked by NOD32 antivirus system. > http://www.eset. com > > > > > > > > > > __________ NOD32 4389 (20090902) Information __________ > > This message was checked by NOD32 antivirus system. > http://www.eset.com >

October 18, 2009

Recommend following my advice. No reason to followup unless things change. 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 18, 2009, at 10:18 AM, a Hall wrote: I'm wondering where you got this information from? I was told there was no need to re-check aldo or do repeat CT or MRI unless I noticed a change in my condition. Personally I love his attitude. If he's doing well and feels well why rock the boat and spend time and money on unnecessary tests? If you do enough tests you'll eventually find something wrong. a > From: Francis Bill <georgewbill > > Subject: Re: Hyperaldo Review for Dr. Grim - Urgent > hyperaldosteronism > Date: Sunday, October 18, 2009, 10:58 AM > If you feel OK then for you there > probably no need to do any more tests. What they can learn > from CT and MRI is if the tumor is big enough to see they > can make a good guess as to if it is cancerous or not. Can't > be ruled out 100% If a tumor is seen and is below 4 CM and > doesn't look like cancer they will want to do A CT or MRI 6 > months later to see how fast in is growing. If it size is > still about the same they will want to do A CT or MIR a year > later. IF still the same size They may want to do a CT or > MRI after a few years. > > If tumer is over 4 CM thay may what to do a biopsy and if > it 6 cm they should do one. If CT or MRI show growth They > will also want to do a biopsy. > > Since others are saying your sceerning test shows PA then > your next test should be a aldosterone suppression test. If > this shows you have PA then medicare should pay for A CT or > MRI. > > > > > > > Just doing a review of my PAC results > obtained from blood drawn at a Lab in > > > Jamaica. The test was in fact sent to a > Lab in the US. The blood was taken > > > with me sitting down for 5 mins after > driving to the Lab. The results showed > > > Aldostorone serum was 18.6 ng/dL. This > result from the LAB in the US was > > > shown as Abnormal (high) but the wrong > reference range was used. They used > > > the Adult supine(lying) reference range of > 1 - 16 ng/dL. > > > > > But my blood was taken when I was sitting > so they should have used the Adult > > > upright reference range of 4 - 31 ng/dL. > > > > > This would have meant that my PAC was > normal. Does this mean that I don't > > > have PA. > > > > > I also got a Renin Activity of 0.45 > ng/mL/hr > > > > > From my calculations My ARR = 18.6/0.45 = > 41.33 > > > > > Just a recap. My BP was about 245/145 > before taking 3 meds that dropped it > > > to 145/95. I have since removed one of > those meds in favor of Aldactone > > > (25mg twice daily) which lowers it to > 130/88. > > > > > > > > > > > > > > > __________ NOD32 4389 (20090902) > Information __________ > > > > > This message was checked by NOD32 > antivirus system. > > > http://www.eset. com > > > > > > > > > > > > > > > > > > > > __________ NOD32 4389 (20090902) > Information __________ > > > > This message was checked by NOD32 > antivirus system. > > http://www.eset.com > > > > > > > ------------------------------------ > >

October 18, 2009

Sit tight! 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 18, 2009, at 10:48 AM, Francis Bill wrote: This information comes from many places. Some from own CT scans reports. Maybe DR Grim will have more to say about it. Since there general guide lines not all may do them. > > > > > > > > Just doing a review of my PAC results > > obtained from blood drawn at a Lab in > > > > > Jamaica. The test was in fact sent to a > > Lab in the US. The blood was taken > > > > > with me sitting down for 5 mins after > > driving to the Lab. The results showed > > > > > Aldostorone serum was 18.6 ng/dL. This > > result from the LAB in the US was > > > > > shown as Abnormal (high) but the wrong > > reference range was used. They used > > > > > the Adult supine(lying) reference range of > > 1 - 16 ng/dL. > > > > > > > > But my blood was taken when I was sitting > > so they should have used the Adult > > > > > upright reference range of 4 - 31 ng/dL. > > > > > > > > This would have meant that my PAC was > > normal. Does this mean that I don't > > > > > have PA. > > > > > > > > I also got a Renin Activity of 0.45 > > ng/mL/hr > > > > > > > > From my calculations My ARR = 18.6/0.45 = > > 41.33 > > > > > > > > Just a recap. My BP was about 245/145 > > before taking 3 meds that dropped it > > > > > to 145/95. I have since removed one of > > those meds in favor of Aldactone > > > > > (25mg twice daily) which lowers it to > > 130/88. > > > > > > > > > > > > > > > > > > > > > > > __________ NOD32 4389 (20090902) > > Information __________ > > > > > > > > This message was checked by NOD32 > > antivirus system. > > > > > http://www.eset. com > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > __________ NOD32 4389 (20090902) > > Information __________ > > > > > > This message was checked by NOD32 > > antivirus system. > > > http://www.eset.com > > > > > > > > > > > > > ------------------------------------ > > > >

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