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Re: RE: PREVIOUS TEST RESULTS

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Yes I do such individual detailed health care counseling and advice on an individual basis. My fee for unlimited email access to my experise for you and your health care team is $500 per year.Please let me know if you are interested in such detailed help. Otherwise do not upload 20 pagesAfter all you are paying your health care team for this and they know you better. CE Grim MDOn Jan 15, 2010, at 6:33 AM, Mandy Moseley wrote:Hi, Iam having a problem uploading a new post on the forum I keep getting kicked out! I think its this awful PC Iam trying to use...so ive replied to an email sorry if its causes confusion..:) Ive included some test results below, which Ive cut out of a document i have put together showing all test results and the fluctuations etc. For now I have included what i think you have mentioned as being part of what would be tested for PA. Potassium etc... The document is about 20 pages as it contains comments from some one who was trying to help me and some of my own. I wasnt sure if I could add it to the files section? Or maybe i could email it if any one would be interested, I thought it may give a bigger picture and hopefully some clues. Kidney Tests (ALL tested nonfasting)12th Jan’09 *4.00pm nonfasting Sodium....................144 (135-145) *goodPotassium.................3.7 (3.5-5.1) *far TOO LOW only 12% in range Urea..........................4.8 (1.7-8.3) *OKCreatinine..................46 (49-92) *deficienteGFR.......................>90 *excellentCommentsPotassium optimal is ~75% which is 4.7 for your Lab Range.Your level is only 12% in range?Creatinine deficient!!!!Incomplete testing wheres Chloride & Bicarbonate? Wasnt ANY followup done regarding Creatinine?8th June’09 *10.50am non fastingSodium ...................144 (136-146) *goodPotassium.................4.1 (3.5-5.1) *low only 37% in rangeChloride..................108 (98-106) *slightly elevatedCreatinine.................43 (44-80) *deficientCommentsPotassium again suboptimal at 37% in range.Creatinine is deficient AGAIN.With your symptoms I suspect this is related to muscle wasting.Again only incomplete testing has been done wheres Urea, eGFR, Bicarbonate?Should have been followed up with Urine testing Calcium & Phosphate (ALL tested nonfasting)Calcium optimal is ~midrange. Corrected Calcium & Ionised Calcium are better tests that Serum Calcium.12th Jan’09 *4.00pm nonfastingCalcium....................2.25 (2.15-2.55) *20% in range LOWPhosphate.................1.28 (0.87-1.45) *71% in range OKCommentsCalcium looks low.As Albumin not tested can’t calculate Corrected Calcium8th June'09 *10.50am non fastingCalcium.....................2.39 (2.15-2.65) *48% in rangeCorrected Calcium....2.21 (2.15-2.65) *12% in range LOWCommentsYour CORRECTED Calcium is far too low & certainly NOT high???So I have no idea what Doc means by high Calcium?Maxiofacial Doctor advised me calcium was flagged red and high, so i dont know why these are low. Also, Androstendione the male hormone, it had been ordered by mistake by this department. I was told they were going to test parathyroid but never received any results for that. Note Calcium can be affected in Pancreatitis. You need to get copies of ALL tests done.If Calcium is either HIGH or LOW needs URGENT investigation. Need Vit D (25-OHD), PTH (Parathyroid Hormone), Corrected & ionised Calcium, Phosphate, ALP tested 6th Oct’08 UCLH NHS Endocrine *nonfasting/time tested?Plasma Osmolality ....294 (285-295) *near top of rangeCommentsOsmolity is a measure of concentration of particles in solution.calculated 2 x (Sodium + Potassium) + Glucose + Urea.High normal/elevated in dehydration, ketoacidosis, diabetes insipidus, elevated CalciumWell, I'm definitely am either dehydrated or retaining water8th June '09 *10.50am nonfastingPlasma Osmolality .....294 (275-295) *near top of rangeUrine Osmolality......236 (50-1200) *16% in rangeCommentsPlasma result is same as last time tested.Osmolality is a measure of concentration of particles in solution.calculated 2 x (Sodium + Potassium) + Glucose + Urea.Plasma Osmolality may be high normal/elevated in dehydration, ketoacidosis, diabetes insipidus (low Vassoppressin/ADH) or elevated Calcium.NEVER tested Aldo & Renin, ADH despite symptoms (dehydration, thirst, edema, frequent urination, nocturnal urination, dizziness, headaches, spasm, weakness), results (Oslmolality, high Calcium) results suggesting problems with dehydration/body fluid balance. Note with Pancreatitis can have high Calcium, dehydration, ketoacidosis, diabetes insipidusThanks ever so much for litsening :)hyperaldosteronism From: moseleymandhotmail (DOT) co.ukDate: Thu, 14 Jan 2010 14:07:19 +0000Subject: RE: Re: Hi, Iam neww and looking for advice, Iam waiting to be admitted for testing Thanks again :) Okay, I will call them but he had mentioned a few things. parathyroid was mentioned aswell due to the spasms i told him I ve been cutting out the salt and how its made such a difference. He said he wants me to be tested observered on and off the diet as theres such a big tie to my diet. So i think they are looking at other things food induced cushings, parathyroid and aldosterone.. Ive been getting really bad headaches aswell. Today just to see what happens now im starting to understand PA I decided to eat and see if i get the same symptoms.. I had a bacon sandwich :my ears are ringning so loud iam deaf, my face is very pale, eyes have gone very dark, i feel very very anxious, jaw pressure, my neck looks ever so tight, i feel tiered, been crying, can feel water retention in my legs belly swollen, my face is wonky and i feel really cold.. Silly of me i suppose but just wanted to write down exactly how iam feeling. Ive been for a to the loo to pee about 7 timeshyperaldosteronism From: lowerbp2macDate: Wed, 13 Jan 2010 13:34:48 -0600Subject: Re: Re: Hi, Iam neww and looking for advice, Iam waiting to be admitted for testing Call and ask them what they want. Different places do it differently. To really Dx PA it is best so to do this on a low salt diet-very low. But most don't do this because people do not reduce their salt enough.CEOn Jan 12, 2010, at 3:38 PM, Mandy Moseley wrote:Thankyou, Iam due to go into Barts within the next 3 weeks, will me cutting out the salt affect my testing? Forgive me if you have alredy explained this, Iam still trying to read as much as I can to understand how it all works. Mandyhyperaldosteronism From: lowerbp2macDate: Tue, 12 Jan 2010 13:56:39 -0600Subject: Re: Re: Hi, Iam neww and looking for advice, Iam waiting to be admitted for testing No see my diagram in article. When aldo is given one retains sodium for about 3 days, Na retention suppresses renin and aldo but if adrenal cannot suppress aldo enough (suppressible adrenal also low because of say a tumor that makes more aldo than adrenals did) then once BP rises ENa increases to balance intake but at the expense of a higher pressure. So in steady state ENa = Intake of Na same for K. In aldo more Na in higher BP to get Na outOn Jan 12, 2010, at 7:25 AM, Francis Bill wrote:Maybe I am not understanding PA and urinary sodium. I thought it you have PA then this made urinary sodium low. >> Mandy, I cut my sodium to 800 mg/d. I was very careful to record every bite> and keep good records with FitDay. At Mayo Clinic, urinary sodium was too> low to measure so I was doing a good job at cutting sodium. Even with that,> my BP was still too high and I wasn't feeling any better. I do have excess> aldo and low renin, but that isn't the whole story for me. While others on> this list get on spiro or Inspra and move on with their lives, I was getting> sicker. That's when I started looking elsewhere> > Your right side in spasm or weak is a concern. Where is your blood> pressure? Do you check it at home? When I first started, I checked mine> 4x/d, averaged that and then kept a 7-day moving average. I found my> pressure highest at 5 p.m. so check it only at that time, now. I still use> a moving average so a single day's blip isn't a concern. > > Val> > From: hyperaldosteronism > [mailto:hyperaldosteronism ] On Behalf Of Mandy Moseley> Hi valerie,> > Iam sorry to hear you ve been having a bad time with this and hope you> continue to improve:)> > I know you cant diagnose me just latley ive taken out the salt and noticed> such an improvement in some symptoms along with low potassium and high> sodium it points to cons syndrome but also cushings..> > Ive never had aldosterone & renin tested, pituitary scan, ACTH etc these are> going to be done hopefully when i go into st barts in a couple of weeks.> They want to observe me on and off this diet and also test due to such> flutuations in results, which do seem to tie in to my diet. > > Endo has aknowleged i have candidas but first time tried to blame it on an> operation id had 4 years ago for a big cyst in my groin and lots of> antibiotics..but i had symptoms prior to that and another doctor i saw after> suggested taht its definatley a hormone problem.> > She said i ahve all the symptoms of cushings but i dont look it ( i do> sometimes but again I think iam holding off this progressing with the stupid> diet i have to do ..a bit like diabetes or even conns it can be improved by> diet and ive stumbled across this with a homeopath if i hadnt i think i> would may be of had a stroke by now or something quite serious..ive had a> seizure..and my right side is in a spasm or weak..> > Barts is in london its the top hospital in the country, specialises in> cushings i didnt see teh Proffessor grossman..> > The endo i saw said i dont have a thyroid problem and i dont need a> pituiatry scan??? Every one ive talked to and even a couple of specialists> at other hospitals have said i do have a low thyroid...and one of them said> i could have pituitary problem...unless he thinks i may be hypopituitaty and> wont need a scan for that..god knows..:(> > At least iam going in, i will be cuffing myself to my bed and wont be> leaving until i have answers..> > thanks val> mand>Do you have a story that started on Hotmail? Tell us nowDo you have a story that started on Hotmail? Tell us nowWe want to hear all your funny, exciting and crazy Hotmail stories. Tell us now

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