Re: Results of Renin activity and Aldosterone

[Guest guest]

Contgrats you have PA as I think I suggested early on. Spiro and DASH recommended.ACEs make renin and aldo go up because the block the conversion of AI to AII and/or lower BP. AII lower renin. As renin goes up it can still overcome ACE and more AII kicks adrenal aldo production.Recall that normally I charge $500/yr for this sort of detailed consultation. Guess you can send me what you think this has been worth or not.CE Grim MDOn Mar 6, 2010, at 12:31 PM, Vicki wrote:Hi Dr. Grim and members of this wonderful board! I finally got my results back from my lab work that I had done earlier in the week. These were the second set of results that I have had as I was on an ace inhibitor when I had the first labs done. I will give you the results of both labs. Feb. 2, 2010aldosterone urine 28 ref range 2 - 21aldosterone serum 45.9 ref range upright 4.0-31.0renin 1.86 ref range upright 1.31-3.95March 3, 2010Renin 0.27 ref range upright 1.31-3.95aldosterone serum 27.8 upright 4.0-31.0So, my aldosterone went down as well as my renin. If I am calculating the ratio correctly, it was 24.67 on Feb 2 and on March 3 it was 102.96 So what does this all mean? Why would my aldosterone go down?Any insight would be appreciated! Vicki

[Guest guest]

Isn't it funny that people actually WANT this diagnoses? I guess we all just want to feel better and its nice to know that there is a light at the end of the tunnel. Yes, you can bet your bippy that I want to enjoy life again and enjoy my two little kids. I am tired of being tired! 6 years was too long! I am scheduled for a 4 hour salt test next week and I will let you know how that goes. Your site has a plethora of information! Wonderful for patients like me but would even be better for the doctors that are taking care of us! Your consultation has been worth a lot to me! Feel free to send a bill! Thanks again! You are the most helpful Big Bad Wolf I know! From: Clarence Grim <lowerbp2@...>hyperaldosteronism Sent: Sat, March 6, 2010 2:22:06 PMSubject: Re: Results of Renin activity and Aldosterone

Contgrats you have PA as I think I suggested early on. Spiro and DASH recommended.ACEs make renin and aldo go up because the block the conversion of AI to AII and/or lower BP. AII lower renin. As renin goes up it can still overcome ACE and more AII kicks adrenal aldo production.Recall that normally I charge $500/yr for this sort of detailed consultation. Guess you can send me what you think this has been worth or not.CE Grim MDOn Mar 6, 2010, at 12:31 PM, Vicki wrote:Hi Dr. Grim and members of this wonderful board! I finally got my results back from my lab work that I had done earlier in the week. These were the second set of results that I have had as I was on an ace inhibitor when I had the first labs done. I will give you the results of both labs. Feb. 2, 2010aldosterone urine 28 ref range 2 - 21aldosterone serum 45.9 ref range upright 4.0-31.0renin 1.86 ref range upright 1.31-3.95March 3, 2010Renin 0.27 ref range upright 1.31-3.95aldosterone serum 27.8 upright 4.0-31.0So, my aldosterone went down as well as my renin. If I am calculating the ratio correctly, it was 24.67 on Feb 2 and on March 3 it was

102.96 So what does this all mean? Why would my aldosterone go down?Any insight would be appreciated! Vicki

[Guest guest]

Also, I am very surprised that going off of the ace inhibitor lowered my renin so much! Sent from my iPodOn Mar 6, 2010, at 2:22 PM, Clarence Grim <lowerbp2@...> wrote:

Contgrats you have PA as I think I suggested early on. Spiro and DASH recommended.ACEs make renin and aldo go up because the block the conversion of AI to AII and/or lower BP. AII lower renin. As renin goes up it can still overcome ACE and more AII kicks adrenal aldo production.Recall that normally I charge $500/yr for this sort of detailed consultation. Guess you can send me what you think this has been worth or not.CE Grim MDOn Mar 6, 2010, at 12:31 PM, Vicki wrote:Hi Dr. Grim and members of this wonderful board! I finally got my results back from my lab work that I had done earlier in the week. These were the second set of results that I have had as I was on an ace inhibitor when I had the first labs done. I will give you the results of both labs. Feb. 2, 2010aldosterone urine 28 ref range 2 - 21aldosterone serum 45.9 ref range upright 4.0-31.0renin 1.86 ref range upright 1.31-3.95March 3, 2010Renin 0.27 ref range upright 1.31-3.95aldosterone serum 27.8 upright 4.0-31.0So, my aldosterone went down as well as my renin. If I am calculating the ratio correctly, it was 24.67 on Feb 2 and on

March 3 it was 102.96 So what does this all mean? Why would my aldosterone go down?Any insight would be appreciated! Vicki

[Guest guest]

This shows why being tested on meds end up as a false negative test result.

Dr Grim's fee can be a bargan if your doctor will work with him. If I thought

that my doctor would work with him I would gladly pay his fee.

>

> Hi Dr. Grim and members of this wonderful board!

> I finally got my results back from my lab work that I had done earlier in the

week. These were the second set of results that I have had as I was on an ace

inhibitor when I had the first labs done. I will give you the results of both

labs.

>

> Feb. 2, 2010

> aldosterone urine 28 ref range 2 - 21

> aldosterone serum 45.9 ref range upright 4.0-31.0

> renin 1.86 ref range upright 1.31-3.95

>

> March 3, 2010

> Renin 0.27 ref range upright 1.31-3.95

> aldosterone serum 27.8 upright 4.0-31.0

>

> So, my aldosterone went down as well as my renin. If I am calculating the

ratio correctly, it was 24.67 on Feb 2 and on March 3 it was 102.96

>

> So what does this all mean? Why would my aldosterone go down?

> Any insight would be appreciated!

>

> Vicki

>

[Guest guest]

This shows why being tested on meds end up as a false negative test result.

Dr Grim's fee can be a bargan if your doctor will work with him. If I thought

that my doctor would work with him I would gladly pay his fee.

>

> Hi Dr. Grim and members of this wonderful board!

> I finally got my results back from my lab work that I had done earlier in the

week. These were the second set of results that I have had as I was on an ace

inhibitor when I had the first labs done. I will give you the results of both

labs.

>

> Feb. 2, 2010

> aldosterone urine 28 ref range 2 - 21

> aldosterone serum 45.9 ref range upright 4.0-31.0

> renin 1.86 ref range upright 1.31-3.95

>

> March 3, 2010

> Renin 0.27 ref range upright 1.31-3.95

> aldosterone serum 27.8 upright 4.0-31.0

>

> So, my aldosterone went down as well as my renin. If I am calculating the

ratio correctly, it was 24.67 on Feb 2 and on March 3 it was 102.96

>

> So what does this all mean? Why would my aldosterone go down?

> Any insight would be appreciated!

>

> Vicki

>

[Guest guest]

SOME have used the failure to increase renin on ACE as a test of PA. I has now fallen by the waysde.CE Grim MDOn Mar 6, 2010, at 3:12 PM, Vicki Ritchie wrote:Also, I am very surprised that going off of the ace inhibitor lowered my renin so much! Sent from my iPodOn Mar 6, 2010, at 2:22 PM, Clarence Grim <lowerbp2mac> wrote: Contgrats you have PA as I think I suggested early on. Spiro and DASH recommended.ACEs make renin and aldo go up because the block the conversion of AI to AII and/or lower BP. AII lower renin. As renin goes up it can still overcome ACE and more AII kicks adrenal aldo production.Recall that normally I charge $500/yr for this sort of detailed consultation. Guess you can send me what you think this has been worth or not.CE Grim MDOn Mar 6, 2010, at 12:31 PM, Vicki wrote:Hi Dr. Grim and members of this wonderful board! I finally got my results back from my lab work that I had done earlier in the week. These were the second set of results that I have had as I was on an ace inhibitor when I had the first labs done. I will give you the results of both labs. Feb. 2, 2010aldosterone urine 28 ref range 2 - 21aldosterone serum 45.9 ref range upright 4.0-31.0renin 1.86 ref range upright 1.31-3.95March 3, 2010Renin 0.27 ref range upright 1.31-3.95aldosterone serum 27.8 upright 4.0-31.0So, my aldosterone went down as well as my renin. If I am calculating the ratio correctly, it was 24.67 on Feb 2 and on March 3 it was 102.96 So what does this all mean? Why would my aldosterone go down?Any insight would be appreciated! Vicki

[Guest guest]

SOME have used the failure to increase renin on ACE as a test of PA. I has now fallen by the waysde.CE Grim MDOn Mar 6, 2010, at 3:12 PM, Vicki Ritchie wrote:Also, I am very surprised that going off of the ace inhibitor lowered my renin so much! Sent from my iPodOn Mar 6, 2010, at 2:22 PM, Clarence Grim <lowerbp2mac> wrote: Contgrats you have PA as I think I suggested early on. Spiro and DASH recommended.ACEs make renin and aldo go up because the block the conversion of AI to AII and/or lower BP. AII lower renin. As renin goes up it can still overcome ACE and more AII kicks adrenal aldo production.Recall that normally I charge $500/yr for this sort of detailed consultation. Guess you can send me what you think this has been worth or not.CE Grim MDOn Mar 6, 2010, at 12:31 PM, Vicki wrote:Hi Dr. Grim and members of this wonderful board! I finally got my results back from my lab work that I had done earlier in the week. These were the second set of results that I have had as I was on an ace inhibitor when I had the first labs done. I will give you the results of both labs. Feb. 2, 2010aldosterone urine 28 ref range 2 - 21aldosterone serum 45.9 ref range upright 4.0-31.0renin 1.86 ref range upright 1.31-3.95March 3, 2010Renin 0.27 ref range upright 1.31-3.95aldosterone serum 27.8 upright 4.0-31.0So, my aldosterone went down as well as my renin. If I am calculating the ratio correctly, it was 24.67 on Feb 2 and on March 3 it was 102.96 So what does this all mean? Why would my aldosterone go down?Any insight would be appreciated! Vicki

[Guest guest]

It was not going off the ACE it was the salt retained again.CE Grim MDOn Mar 6, 2010, at 3:12 PM, Vicki Ritchie wrote:Also, I am very surprised that going off of the ace inhibitor lowered my renin so much! Sent from my iPodOn Mar 6, 2010, at 2:22 PM, Clarence Grim <lowerbp2mac> wrote: Contgrats you have PA as I think I suggested early on. Spiro and DASH recommended.ACEs make renin and aldo go up because the block the conversion of AI to AII and/or lower BP. AII lower renin. As renin goes up it can still overcome ACE and more AII kicks adrenal aldo production.Recall that normally I charge $500/yr for this sort of detailed consultation. Guess you can send me what you think this has been worth or not.CE Grim MDOn Mar 6, 2010, at 12:31 PM, Vicki wrote:Hi Dr. Grim and members of this wonderful board! I finally got my results back from my lab work that I had done earlier in the week. These were the second set of results that I have had as I was on an ace inhibitor when I had the first labs done. I will give you the results of both labs. Feb. 2, 2010aldosterone urine 28 ref range 2 - 21aldosterone serum 45.9 ref range upright 4.0-31.0renin 1.86 ref range upright 1.31-3.95March 3, 2010Renin 0.27 ref range upright 1.31-3.95aldosterone serum 27.8 upright 4.0-31.0So, my aldosterone went down as well as my renin. If I am calculating the ratio correctly, it was 24.67 on Feb 2 and on March 3 it was 102.96 So what does this all mean? Why would my aldosterone go down?Any insight would be appreciated! Vicki

[Guest guest]

Since some meds work be removeing salts from your system what happens when you

DASH? when I read about how furosemide works it tell me that it works by

removing salts. Since K is a salt it also removes it as well.

If you dash to reduce the salt wouldn'd there be a risk to reduce it to much

while taking furosemide. Wouldn't you also have to eat more k as well.

I also take triamterene this removes some salts but reduces the loss of

potassium. I would take this to mean that it still removes some K.

> >>

> >>> Hi Dr. Grim and members of this wonderful board!

> >>> I finally got my results back from my lab work that I had done

> >>> earlier in the week. These were the second set of results that I

> >>> have had as I was on an ace inhibitor when I had the first labs

> >>> done. I will give you the results of both labs.

> >>>

> >>> Feb. 2, 2010

> >>> aldosterone urine 28 ref range 2 - 21

> >>> aldosterone serum 45.9 ref range upright 4.0-31.0

> >>> renin 1.86 ref range upright 1.31-3.95

> >>>

> >>> March 3, 2010

> >>> Renin 0.27 ref range upright 1.31-3.95

> >>> aldosterone serum 27.8 upright 4.0-31.0

> >>>

> >>> So, my aldosterone went down as well as my renin. If I am

> >>> calculating the ratio correctly, it was 24.67 on Feb 2 and on

> >>> March 3 it was 102.96

> >>>

> >>> So what does this all mean? Why would my aldosterone go down?

> >>> Any insight would be appreciated!

> >>>

> >>> Vicki

> >>>

> >>>

> >>

> >>

> >

> >

> >

>

[Guest guest]

Since some meds work be removeing salts from your system what happens when you

DASH? when I read about how furosemide works it tell me that it works by

removing salts. Since K is a salt it also removes it as well.

If you dash to reduce the salt wouldn'd there be a risk to reduce it to much

while taking furosemide. Wouldn't you also have to eat more k as well.

I also take triamterene this removes some salts but reduces the loss of

potassium. I would take this to mean that it still removes some K.

> >>

> >>> Hi Dr. Grim and members of this wonderful board!

> >>> I finally got my results back from my lab work that I had done

> >>> earlier in the week. These were the second set of results that I

> >>> have had as I was on an ace inhibitor when I had the first labs

> >>> done. I will give you the results of both labs.

> >>>

> >>> Feb. 2, 2010

> >>> aldosterone urine 28 ref range 2 - 21

> >>> aldosterone serum 45.9 ref range upright 4.0-31.0

> >>> renin 1.86 ref range upright 1.31-3.95

> >>>

> >>> March 3, 2010

> >>> Renin 0.27 ref range upright 1.31-3.95

> >>> aldosterone serum 27.8 upright 4.0-31.0

> >>>

> >>> So, my aldosterone went down as well as my renin. If I am

> >>> calculating the ratio correctly, it was 24.67 on Feb 2 and on

> >>> March 3 it was 102.96

> >>>

> >>> So what does this all mean? Why would my aldosterone go down?

> >>> Any insight would be appreciated!

> >>>

> >>> Vicki

> >>>

> >>>

> >>

> >>

> >

> >

> >

>

[Guest guest]

There's no way you would ever recoup your hourly rate for the work you do here. Thanks for your clinical management of this forum. SueFrom: Clarence Grim <lowerbp2@...>hyperaldosteronism Sent: Sun, 7 March, 2010 8:22:06 AMSubject: Re: Results of Renin activity and

Aldosterone

Contgrats you have PA as I think I suggested early on. Spiro and DASH recommended.ACEs make renin and aldo go up because the block the conversion of AI to AII and/or lower BP. AII lower renin. As renin goes up it can still overcome ACE and more AII kicks adrenal aldo production.Recall that normally I charge $500/yr for this sort of detailed consultation. Guess you can send me what you think this has been worth or not.CE Grim MDOn Mar 6, 2010, at 12:31 PM, Vicki wrote:Hi Dr. Grim and members of this wonderful board! I finally got my results back from my lab work that I had done earlier in the week. These were the second set of results that I have had as I was on an ace inhibitor when I had the first labs done. I will give you the results of both labs. Feb. 2, 2010aldosterone urine 28 ref range 2 - 21aldosterone serum 45.9 ref range upright 4.0-31.0renin 1.86 ref range upright 1.31-3.95March 3, 2010Renin 0.27 ref range upright 1.31-3.95aldosterone serum 27.8 upright 4.0-31.0So, my aldosterone went down as well as my renin. If I am calculating the ratio correctly, it was 24.67 on Feb 2 and on March 3 it was

102.96 So what does this all mean? Why would my aldosterone go down?Any insight would be appreciated! Vicki

[Guest guest]

There's no way you would ever recoup your hourly rate for the work you do here. Thanks for your clinical management of this forum. SueFrom: Clarence Grim <lowerbp2@...>hyperaldosteronism Sent: Sun, 7 March, 2010 8:22:06 AMSubject: Re: Results of Renin activity and

Aldosterone

Contgrats you have PA as I think I suggested early on. Spiro and DASH recommended.ACEs make renin and aldo go up because the block the conversion of AI to AII and/or lower BP. AII lower renin. As renin goes up it can still overcome ACE and more AII kicks adrenal aldo production.Recall that normally I charge $500/yr for this sort of detailed consultation. Guess you can send me what you think this has been worth or not.CE Grim MDOn Mar 6, 2010, at 12:31 PM, Vicki wrote:Hi Dr. Grim and members of this wonderful board! I finally got my results back from my lab work that I had done earlier in the week. These were the second set of results that I have had as I was on an ace inhibitor when I had the first labs done. I will give you the results of both labs. Feb. 2, 2010aldosterone urine 28 ref range 2 - 21aldosterone serum 45.9 ref range upright 4.0-31.0renin 1.86 ref range upright 1.31-3.95March 3, 2010Renin 0.27 ref range upright 1.31-3.95aldosterone serum 27.8 upright 4.0-31.0So, my aldosterone went down as well as my renin. If I am calculating the ratio correctly, it was 24.67 on Feb 2 and on March 3 it was

102.96 So what does this all mean? Why would my aldosterone go down?Any insight would be appreciated! Vicki

[Guest guest]

Really? Just one or two hours a day? I would have thought much more! Sue is so right! Thanks from me also! Sent from my iPodOn Mar 7, 2010, at 12:51 PM, Clarence Grim <lowerbp2@...> wrote:

Well let's see. I do say an hour a day. @ $100 an hr $36500. So if each paid $100 a year or ~30 cents a day that would be fabtastic. I may actually spend 2+ hr a day. So half is for the dun and education I get. Tiped sad Send form miiPhone ;-)May your pressure be low!CE Grim MDSpecializing in DifficultHypertensionOn Mar 7, 2010, at 11:50 AM, marysue hopper <marysuehopper (DOT) co.nz> wrote:

There's no way you would ever recoup your hourly rate for the work you do here. Thanks for your clinical management of this forum. SueFrom: Clarence Grim <lowerbp2mac>hyperaldosteronism Sent: Sun, 7 March, 2010 8:22:06 AMSubject: Re: Results of Renin activity and

Aldosterone

Contgrats you have PA as I think I suggested early on. Spiro and DASH recommended.ACEs make renin and aldo go up because the block the conversion of AI to AII and/or lower BP. AII lower renin. As renin goes up it can still overcome ACE and more AII kicks adrenal aldo production.Recall that normally I charge $500/yr for this sort of detailed consultation. Guess you can send me what you think this has been worth or not.CE Grim MDOn Mar 6, 2010, at 12:31 PM, Vicki wrote:Hi Dr. Grim and members of this wonderful board! I finally got my results back from my lab work that I had done earlier in the week. These were the second set of results that I have had as I was on an ace inhibitor when I had the first labs done. I will give you the results of both labs. Feb. 2, 2010aldosterone urine 28 ref range 2 - 21aldosterone serum 45.9 ref range upright 4.0-31.0renin 1.86 ref range upright 1.31-3.95March 3, 2010Renin 0.27 ref range upright 1.31-3.95aldosterone serum 27.8 upright 4.0-31.0So, my aldosterone went down as well as my renin. If I am calculating the ratio correctly, it was 24.67 on Feb 2 and on March 3 it was

102.96 So what does this all mean? Why would my aldosterone go down?Any insight would be appreciated! Vicki

[Guest guest]

Really? Just one or two hours a day? I would have thought much more! Sue is so right! Thanks from me also! Sent from my iPodOn Mar 7, 2010, at 12:51 PM, Clarence Grim <lowerbp2@...> wrote:

Well let's see. I do say an hour a day. @ $100 an hr $36500. So if each paid $100 a year or ~30 cents a day that would be fabtastic. I may actually spend 2+ hr a day. So half is for the dun and education I get. Tiped sad Send form miiPhone ;-)May your pressure be low!CE Grim MDSpecializing in DifficultHypertensionOn Mar 7, 2010, at 11:50 AM, marysue hopper <marysuehopper (DOT) co.nz> wrote:

There's no way you would ever recoup your hourly rate for the work you do here. Thanks for your clinical management of this forum. SueFrom: Clarence Grim <lowerbp2mac>hyperaldosteronism Sent: Sun, 7 March, 2010 8:22:06 AMSubject: Re: Results of Renin activity and

Aldosterone

Contgrats you have PA as I think I suggested early on. Spiro and DASH recommended.ACEs make renin and aldo go up because the block the conversion of AI to AII and/or lower BP. AII lower renin. As renin goes up it can still overcome ACE and more AII kicks adrenal aldo production.Recall that normally I charge $500/yr for this sort of detailed consultation. Guess you can send me what you think this has been worth or not.CE Grim MDOn Mar 6, 2010, at 12:31 PM, Vicki wrote:Hi Dr. Grim and members of this wonderful board! I finally got my results back from my lab work that I had done earlier in the week. These were the second set of results that I have had as I was on an ace inhibitor when I had the first labs done. I will give you the results of both labs. Feb. 2, 2010aldosterone urine 28 ref range 2 - 21aldosterone serum 45.9 ref range upright 4.0-31.0renin 1.86 ref range upright 1.31-3.95March 3, 2010Renin 0.27 ref range upright 1.31-3.95aldosterone serum 27.8 upright 4.0-31.0So, my aldosterone went down as well as my renin. If I am calculating the ratio correctly, it was 24.67 on Feb 2 and on March 3 it was

102.96 So what does this all mean? Why would my aldosterone go down?Any insight would be appreciated! Vicki

[Guest guest]

Dr. Grim:This is such a good idea. You can have a website that requires membership. To be a member you pay $60 for 6 months, or $100 for one year.FarahOn Sun, Mar 7, 2010 at 9:51 AM, Clarence Grim <lowerbp2@...> wrote:

 

Well let's see. I do say an  hour  a day. @ $100 an hr $36500. So if each paid   $100 a year or ~30 cents a day that woDr.uld be fabtastic. I may actually spend 2+ hr a day. So half is for the dun and education I get.   

Tiped sad Send form miiPhone ;-)May your pressure be low!CE Grim MDSpecializing in DifficultHypertension

On Mar 7, 2010, at 11:50 AM, marysue hopper <marysuehopper@...> wrote:

 

There's no way you would ever recoup your hourly rate for the work you do here.  Thanks for your clinical management of this forum.

Sue

From: Clarence Grim <lowerbp2@...>hyperaldosteronism

Sent: Sun, 7 March, 2010 8:22:06 AMSubject: Re: Results of Renin activity and

Aldosterone

 

Contgrats you have PA as I think I suggested early on.  Spiro and DASH recommended.ACEs make renin and aldo go up because the block the conversion of AI to AII and/or lower BP.  AII lower renin.  As renin goes up it can still overcome ACE and more AII kicks adrenal aldo production.

Recall that normally I charge $500/yr for this sort of detailed consultation.  Guess you can send me what you think this has been worth or not.CE Grim MD

On Mar 6, 2010, at 12:31 PM, Vicki wrote:

Hi Dr. Grim and members of this wonderful board! I finally got my results back from my lab work that I had done earlier in the week. These were the second set of results that I have had as I was on an ace inhibitor when I had the first labs done. I will give you the results of both labs. 

Feb. 2, 2010aldosterone urine 28 ref range 2 - 21aldosterone serum 45.9 ref range upright 4.0-31.0renin 1.86 ref range upright 1.31-3.95March 3, 2010Renin 0.27 ref range upright 1.31-3.95aldosterone serum 27.8 upright 4.0-31.0

So, my aldosterone went down as well as my renin. If I am calculating the ratio correctly, it was 24.67 on Feb 2 and on March 3 it was

102.96 So what does this all mean? Why would my aldosterone go down?Any insight would be appreciated! Vicki

 

[Guest guest]

Dr. Grim:This is such a good idea. You can have a website that requires membership. To be a member you pay $60 for 6 months, or $100 for one year.FarahOn Sun, Mar 7, 2010 at 9:51 AM, Clarence Grim <lowerbp2@...> wrote:

 

Well let's see. I do say an  hour  a day. @ $100 an hr $36500. So if each paid   $100 a year or ~30 cents a day that woDr.uld be fabtastic. I may actually spend 2+ hr a day. So half is for the dun and education I get.   

Tiped sad Send form miiPhone ;-)May your pressure be low!CE Grim MDSpecializing in DifficultHypertension

On Mar 7, 2010, at 11:50 AM, marysue hopper <marysuehopper@...> wrote:

 

There's no way you would ever recoup your hourly rate for the work you do here.  Thanks for your clinical management of this forum.

Sue

From: Clarence Grim <lowerbp2@...>hyperaldosteronism

Sent: Sun, 7 March, 2010 8:22:06 AMSubject: Re: Results of Renin activity and

Aldosterone

 

Contgrats you have PA as I think I suggested early on.  Spiro and DASH recommended.ACEs make renin and aldo go up because the block the conversion of AI to AII and/or lower BP.  AII lower renin.  As renin goes up it can still overcome ACE and more AII kicks adrenal aldo production.

Recall that normally I charge $500/yr for this sort of detailed consultation.  Guess you can send me what you think this has been worth or not.CE Grim MD

On Mar 6, 2010, at 12:31 PM, Vicki wrote:

Hi Dr. Grim and members of this wonderful board! I finally got my results back from my lab work that I had done earlier in the week. These were the second set of results that I have had as I was on an ace inhibitor when I had the first labs done. I will give you the results of both labs. 

Feb. 2, 2010aldosterone urine 28 ref range 2 - 21aldosterone serum 45.9 ref range upright 4.0-31.0renin 1.86 ref range upright 1.31-3.95March 3, 2010Renin 0.27 ref range upright 1.31-3.95aldosterone serum 27.8 upright 4.0-31.0

So, my aldosterone went down as well as my renin. If I am calculating the ratio correctly, it was 24.67 on Feb 2 and on March 3 it was

102.96 So what does this all mean? Why would my aldosterone go down?Any insight would be appreciated! Vicki

 

[Guest guest]

Thanks will see how we can do this. Tiped sad Send form miiPhone ;-)May your pressure be low!CE Grim MDSpecializing in DifficultHypertensionOn Mar 7, 2010, at 1:15 PM, Farah Rahbar <farahbar@...> wrote:

Dr. Grim:This is such a good idea. You can have a website that requires membership. To be a member you pay $60 for 6 months, or $100 for one year.FarahOn Sun, Mar 7, 2010 at 9:51 AM, Clarence Grim <lowerbp2mac> wrote:

Well let's see. I do say an hour a day. @ $100 an hr $36500. So if each paid $100 a year or ~30 cents a day that woDr.uld be fabtastic. I may actually spend 2+ hr a day. So half is for the dun and education I get.

Tiped sad Send form miiPhone ;-)May your pressure be low!CE Grim MDSpecializing in DifficultHypertension

On Mar 7, 2010, at 11:50 AM, marysue hopper <marysuehopper (DOT) co.nz> wrote:

There's no way you would ever recoup your hourly rate for the work you do here. Thanks for your clinical management of this forum.

Sue

From: Clarence Grim <lowerbp2mac>hyperaldosteronism

Sent: Sun, 7 March, 2010 8:22:06 AMSubject: Re: Results of Renin activity and

Aldosterone

Contgrats you have PA as I think I suggested early on. Spiro and DASH recommended.ACEs make renin and aldo go up because the block the conversion of AI to AII and/or lower BP. AII lower renin. As renin goes up it can still overcome ACE and more AII kicks adrenal aldo production.

Recall that normally I charge $500/yr for this sort of detailed consultation. Guess you can send me what you think this has been worth or not.CE Grim MD

On Mar 6, 2010, at 12:31 PM, Vicki wrote:

Hi Dr. Grim and members of this wonderful board! I finally got my results back from my lab work that I had done earlier in the week. These were the second set of results that I have had as I was on an ace inhibitor when I had the first labs done. I will give you the results of both labs.

Feb. 2, 2010aldosterone urine 28 ref range 2 - 21aldosterone serum 45.9 ref range upright 4.0-31.0renin 1.86 ref range upright 1.31-3.95March 3, 2010Renin 0.27 ref range upright 1.31-3.95aldosterone serum 27.8 upright 4.0-31.0

So, my aldosterone went down as well as my renin. If I am calculating the ratio correctly, it was 24.67 on Feb 2 and on March 3 it was

102.96 So what does this all mean? Why would my aldosterone go down?Any insight would be appreciated! Vicki

[Guest guest]

Thanks will see how we can do this. Tiped sad Send form miiPhone ;-)May your pressure be low!CE Grim MDSpecializing in DifficultHypertensionOn Mar 7, 2010, at 1:15 PM, Farah Rahbar <farahbar@...> wrote:

Dr. Grim:This is such a good idea. You can have a website that requires membership. To be a member you pay $60 for 6 months, or $100 for one year.FarahOn Sun, Mar 7, 2010 at 9:51 AM, Clarence Grim <lowerbp2mac> wrote:

Well let's see. I do say an hour a day. @ $100 an hr $36500. So if each paid $100 a year or ~30 cents a day that woDr.uld be fabtastic. I may actually spend 2+ hr a day. So half is for the dun and education I get.

Tiped sad Send form miiPhone ;-)May your pressure be low!CE Grim MDSpecializing in DifficultHypertension

On Mar 7, 2010, at 11:50 AM, marysue hopper <marysuehopper (DOT) co.nz> wrote:

There's no way you would ever recoup your hourly rate for the work you do here. Thanks for your clinical management of this forum.

Sue

From: Clarence Grim <lowerbp2mac>hyperaldosteronism

Sent: Sun, 7 March, 2010 8:22:06 AMSubject: Re: Results of Renin activity and

Aldosterone

Contgrats you have PA as I think I suggested early on. Spiro and DASH recommended.ACEs make renin and aldo go up because the block the conversion of AI to AII and/or lower BP. AII lower renin. As renin goes up it can still overcome ACE and more AII kicks adrenal aldo production.

Recall that normally I charge $500/yr for this sort of detailed consultation. Guess you can send me what you think this has been worth or not.CE Grim MD

On Mar 6, 2010, at 12:31 PM, Vicki wrote:

Hi Dr. Grim and members of this wonderful board! I finally got my results back from my lab work that I had done earlier in the week. These were the second set of results that I have had as I was on an ace inhibitor when I had the first labs done. I will give you the results of both labs.

Feb. 2, 2010aldosterone urine 28 ref range 2 - 21aldosterone serum 45.9 ref range upright 4.0-31.0renin 1.86 ref range upright 1.31-3.95March 3, 2010Renin 0.27 ref range upright 1.31-3.95aldosterone serum 27.8 upright 4.0-31.0

So, my aldosterone went down as well as my renin. If I am calculating the ratio correctly, it was 24.67 on Feb 2 and on March 3 it was

102.96 So what does this all mean? Why would my aldosterone go down?Any insight would be appreciated! Vicki

[Guest guest]

I would be in for this, also. Surely there must be some sort of software

template for such a forum that could be used. Using my Microsoft Mail in box is

quite chaotic and If I'm away for a few days, it's difficult to catch up. I've

1247 unread messages at various times since I joined and you never know whether

there will be a golden nugget in there.

I would like to see;

1)A search facility for the threads.

2)The abilty to move posts which hijacked threads to a new subject of their own,

so when you ask a question it doesn't disappear in amongst an unrelated question

by another member.

3)Each thread reading down the page with a minimum of computer generated guff,

in between.

4)A guest could view for example selected resources and the latest messages (say

the last week) and invited to join after that.

5) I'm fine with the suggested fees to have such an authority as Dr Grim on our

side. Something like $10 per month might give you a life changing piece of

information to share with your carers, or at least keep reminding you of the

importance of keeping the salt devil at bay.

6) Perhaps there's an opportunity for someone to help with the administration

for the messages to save Dr Grim's time and a free sub or some other facility

extended to them also.

Overall a great idea.

moving hijacked threads to a new

> >>

> >>> Hi Dr. Grim and members of this wonderful board!

> >>> I finally got my results back from my lab work that I had done

> >>> earlier in the week. These were the second set of results that I

> >>> have had as I was on an ace inhibitor when I had the first labs

> >>> done. I will give you the results of both labs.

> >>>

> >>> Feb. 2, 2010

> >>> aldosterone urine 28 ref range 2 - 21

> >>> aldosterone serum 45.9 ref range upright 4.0-31.0

> >>> renin 1.86 ref range upright 1.31-3.95

> >>>

> >>> March 3, 2010

> >>> Renin 0.27 ref range upright 1.31-3.95

> >>> aldosterone serum 27.8 upright 4.0-31.0

> >>>

> >>> So, my aldosterone went down as well as my renin. If I am

> >>> calculating the ratio correctly, it was 24.67 on Feb 2 and on

> >>> March 3 it was 102.96

> >>>

> >>> So what does this all mean? Why would my aldosterone go down?

> >>> Any insight would be appreciated!

> >>>

> >>> Vicki

> >>>

> >>>

> >>

> >>

> >>

> >

> >

> >

>

[Guest guest]

I would be in for this, also. Surely there must be some sort of software

template for such a forum that could be used. Using my Microsoft Mail in box is

quite chaotic and If I'm away for a few days, it's difficult to catch up. I've

1247 unread messages at various times since I joined and you never know whether

there will be a golden nugget in there.

I would like to see;

1)A search facility for the threads.

2)The abilty to move posts which hijacked threads to a new subject of their own,

so when you ask a question it doesn't disappear in amongst an unrelated question

by another member.

3)Each thread reading down the page with a minimum of computer generated guff,

in between.

4)A guest could view for example selected resources and the latest messages (say

the last week) and invited to join after that.

5) I'm fine with the suggested fees to have such an authority as Dr Grim on our

side. Something like $10 per month might give you a life changing piece of

information to share with your carers, or at least keep reminding you of the

importance of keeping the salt devil at bay.

6) Perhaps there's an opportunity for someone to help with the administration

for the messages to save Dr Grim's time and a free sub or some other facility

extended to them also.

Overall a great idea.

moving hijacked threads to a new

> >>

> >>> Hi Dr. Grim and members of this wonderful board!

> >>> I finally got my results back from my lab work that I had done

> >>> earlier in the week. These were the second set of results that I

> >>> have had as I was on an ace inhibitor when I had the first labs

> >>> done. I will give you the results of both labs.

> >>>

> >>> Feb. 2, 2010

> >>> aldosterone urine 28 ref range 2 - 21

> >>> aldosterone serum 45.9 ref range upright 4.0-31.0

> >>> renin 1.86 ref range upright 1.31-3.95

> >>>

> >>> March 3, 2010

> >>> Renin 0.27 ref range upright 1.31-3.95

> >>> aldosterone serum 27.8 upright 4.0-31.0

> >>>

> >>> So, my aldosterone went down as well as my renin. If I am

> >>> calculating the ratio correctly, it was 24.67 on Feb 2 and on

> >>> March 3 it was 102.96

> >>>

> >>> So what does this all mean? Why would my aldosterone go down?

> >>> Any insight would be appreciated!

> >>>

> >>> Vicki

> >>>

> >>>

> >>

> >>

> >>

> >

> >

> >

>

[Guest guest]

And before anyone else points it out, I am sorry for hijacking the original

subject of " Re: Results of Renin activity and Aldosterone " !

> > >>

> > >>> Hi Dr. Grim and members of this wonderful board!

> > >>> I finally got my results back from my lab work that I had done

> > >>> earlier in the week. These were the second set of results that I

> > >>> have had as I was on an ace inhibitor when I had the first labs

> > >>> done. I will give you the results of both labs.

> > >>>

> > >>> Feb. 2, 2010

> > >>> aldosterone urine 28 ref range 2 - 21

> > >>> aldosterone serum 45.9 ref range upright 4.0-31.0

> > >>> renin 1.86 ref range upright 1.31-3.95

> > >>>

> > >>> March 3, 2010

> > >>> Renin 0.27 ref range upright 1.31-3.95

> > >>> aldosterone serum 27.8 upright 4.0-31.0

> > >>>

> > >>> So, my aldosterone went down as well as my renin. If I am

> > >>> calculating the ratio correctly, it was 24.67 on Feb 2 and on

> > >>> March 3 it was 102.96

> > >>>

> > >>> So what does this all mean? Why would my aldosterone go down?

> > >>> Any insight would be appreciated!

> > >>>

> > >>> Vicki

> > >>>

> > >>>

> > >>

> > >>

> > >>

> > >

> > >

> > >

> >

>

[Guest guest]

And before anyone else points it out, I am sorry for hijacking the original

subject of " Re: Results of Renin activity and Aldosterone " !

> > >>

> > >>> Hi Dr. Grim and members of this wonderful board!

> > >>> I finally got my results back from my lab work that I had done

> > >>> earlier in the week. These were the second set of results that I

> > >>> have had as I was on an ace inhibitor when I had the first labs

> > >>> done. I will give you the results of both labs.

> > >>>

> > >>> Feb. 2, 2010

> > >>> aldosterone urine 28 ref range 2 - 21

> > >>> aldosterone serum 45.9 ref range upright 4.0-31.0

> > >>> renin 1.86 ref range upright 1.31-3.95

> > >>>

> > >>> March 3, 2010

> > >>> Renin 0.27 ref range upright 1.31-3.95

> > >>> aldosterone serum 27.8 upright 4.0-31.0

> > >>>

> > >>> So, my aldosterone went down as well as my renin. If I am

> > >>> calculating the ratio correctly, it was 24.67 on Feb 2 and on

> > >>> March 3 it was 102.96

> > >>>

> > >>> So what does this all mean? Why would my aldosterone go down?

> > >>> Any insight would be appreciated!

> > >>>

> > >>> Vicki

> > >>>

> > >>>

> > >>

> > >>

> > >>

> > >

> > >

> > >

> >

>

[Guest guest]

Well it's faster if I am not on my IPhone Tiped sad Send form miiPhone ;-)May your pressure be low!CE Grim MDSpecializing in DifficultHypertensionOn Mar 7, 2010, at 12:57 PM, Vicki Ritchie <vritchie147@...> wrote:

Really? Just one or two hours a day? I would have thought much more! Sue is so right! Thanks from me also! Sent from my iPodOn Mar 7, 2010, at 12:51 PM, Clarence Grim <lowerbp2mac> wrote:

Well let's see. I do say an hour a day. @ $100 an hr $36500. So if each paid $100 a year or ~30 cents a day that would be fabtastic. I may actually spend 2+ hr a day. So half is for the dun and education I get. Tiped sad Send form miiPhone ;-)May your pressure be low!CE Grim MDSpecializing in DifficultHypertensionOn Mar 7, 2010, at 11:50 AM, marysue hopper <marysuehopper (DOT) co.nz> wrote:

There's no way you would ever recoup your hourly rate for the work you do here. Thanks for your clinical management of this forum. SueFrom: Clarence Grim <lowerbp2mac>hyperaldosteronism Sent: Sun, 7 March, 2010 8:22:06 AMSubject: Re: Results of Renin activity and

Aldosterone

Contgrats you have PA as I think I suggested early on. Spiro and DASH recommended.ACEs make renin and aldo go up because the block the conversion of AI to AII and/or lower BP. AII lower renin. As renin goes up it can still overcome ACE and more AII kicks adrenal aldo production.Recall that normally I charge $500/yr for this sort of detailed consultation. Guess you can send me what you think this has been worth or not.CE Grim MDOn Mar 6, 2010, at 12:31 PM, Vicki wrote:Hi Dr. Grim and members of this wonderful board! I finally got my results back from my lab work that I had done earlier in the week. These were the second set of results that I have had as I was on an ace inhibitor when I had the first labs done. I will give you the results of both labs. Feb. 2, 2010aldosterone urine 28 ref range 2 - 21aldosterone serum 45.9 ref range upright 4.0-31.0renin 1.86 ref range upright 1.31-3.95March 3, 2010Renin 0.27 ref range upright 1.31-3.95aldosterone serum 27.8 upright 4.0-31.0So, my aldosterone went down as well as my renin. If I am calculating the ratio correctly, it was 24.67 on Feb 2 and on March 3 it was

102.96 So what does this all mean? Why would my aldosterone go down?Any insight would be appreciated! Vicki

[Guest guest]

Well it's faster if I am not on my IPhone Tiped sad Send form miiPhone ;-)May your pressure be low!CE Grim MDSpecializing in DifficultHypertensionOn Mar 7, 2010, at 12:57 PM, Vicki Ritchie <vritchie147@...> wrote:

Really? Just one or two hours a day? I would have thought much more! Sue is so right! Thanks from me also! Sent from my iPodOn Mar 7, 2010, at 12:51 PM, Clarence Grim <lowerbp2mac> wrote:

Well let's see. I do say an hour a day. @ $100 an hr $36500. So if each paid $100 a year or ~30 cents a day that would be fabtastic. I may actually spend 2+ hr a day. So half is for the dun and education I get. Tiped sad Send form miiPhone ;-)May your pressure be low!CE Grim MDSpecializing in DifficultHypertensionOn Mar 7, 2010, at 11:50 AM, marysue hopper <marysuehopper (DOT) co.nz> wrote:

There's no way you would ever recoup your hourly rate for the work you do here. Thanks for your clinical management of this forum. SueFrom: Clarence Grim <lowerbp2mac>hyperaldosteronism Sent: Sun, 7 March, 2010 8:22:06 AMSubject: Re: Results of Renin activity and

Aldosterone

Contgrats you have PA as I think I suggested early on. Spiro and DASH recommended.ACEs make renin and aldo go up because the block the conversion of AI to AII and/or lower BP. AII lower renin. As renin goes up it can still overcome ACE and more AII kicks adrenal aldo production.Recall that normally I charge $500/yr for this sort of detailed consultation. Guess you can send me what you think this has been worth or not.CE Grim MDOn Mar 6, 2010, at 12:31 PM, Vicki wrote:Hi Dr. Grim and members of this wonderful board! I finally got my results back from my lab work that I had done earlier in the week. These were the second set of results that I have had as I was on an ace inhibitor when I had the first labs done. I will give you the results of both labs. Feb. 2, 2010aldosterone urine 28 ref range 2 - 21aldosterone serum 45.9 ref range upright 4.0-31.0renin 1.86 ref range upright 1.31-3.95March 3, 2010Renin 0.27 ref range upright 1.31-3.95aldosterone serum 27.8 upright 4.0-31.0So, my aldosterone went down as well as my renin. If I am calculating the ratio correctly, it was 24.67 on Feb 2 and on March 3 it was

102.96 So what does this all mean? Why would my aldosterone go down?Any insight would be appreciated! Vicki

[Guest guest]

I think its a great idea as the work you do is amazing and valuable to so many.Its also helping you to educate GP's, Endo's to suspect PA and how to test for it and make them realise just how under diagnosed PA is!The problem with paying is the people who aren't diagnosed with PA may not be able to afford it! I read about PA (before coming on here) but doubted it due to my BP fluctuations. Now, I know its a big possibility I could have this and how my diet could of been masking what I have. Thanks to Dr.Grim I wouldn't have joined as I can't afford it due to not working as been so ill.People that have been living with PA for 5-10 years have probably spent thousands trying to get better and may be sceptical about paying without having the chance to find out if it is a possibility first.That would be a shame as the more people come forward the more can be done to improve GPs and specialists knowledge about PA and how common it may be. Also, to monitor the after effects of PA, which many here have talked about, living with one adrenal gland/ adrenal fatigue. The more people who take part the better I would have thought!I will of course be sending you a cheque and a bottle of champagne when I'm better, if I have PA :)Sent using BlackBerry® from OrangeFrom: Clarence Grim <lowerbp2@...>Date: Sun, 07 Mar 2010 14:19:22 -0500hyperaldosteronism <hyperaldosteronism >Subject: Re: Results of Renin activity and Aldosterone Thanks will see how we can do this. Tiped sad Send form miiPhone ;-)May your pressure be low!CE Grim MDSpecializing in DifficultHypertensionOn Mar 7, 2010, at 1:15 PM, Farah Rahbar <farahbargmail> wrote: Dr. Grim:This is such a good idea. You can have a website that requires membership. To be a member you pay $60 for 6 months, or $100 for one year.FarahOn Sun, Mar 7, 2010 at 9:51 AM, Clarence Grim <lowerbp2mac> wrote: Well let's see. I do say an hour a day. @ $100 an hr $36500. So if each paid $100 a year or ~30 cents a day that woDr.uld be fabtastic. I may actually spend 2+ hr a day. So half is for the dun and education I get. Tiped sad Send form miiPhone ;-)May your pressure be low!CE Grim MDSpecializing in DifficultHypertensionOn Mar 7, 2010, at 11:50 AM, marysue hopper <marysuehopper (DOT) co.nz> wrote: There's no way you would ever recoup your hourly rate for the work you do here. Thanks for your clinical management of this forum. SueFrom: Clarence Grim <lowerbp2mac>hyperaldosteronism Sent: Sun, 7 March, 2010 8:22:06 AMSubject: Re: Results of Renin activity andAldosterone Contgrats you have PA as I think I suggested early on. Spiro and DASH recommended.ACEs make renin and aldo go up because the block the conversion of AI to AII and/or lower BP. AII lower renin. As renin goes up it can still overcome ACE and more AII kicks adrenal aldo production.Recall that normally I charge $500/yr for this sort of detailed consultation. Guess you can send me what you think this has been worth or not.CE Grim MDOn Mar 6, 2010, at 12:31 PM, Vicki wrote:Hi Dr. Grim and members of this wonderful board! I finally got my results back from my lab work that I had done earlier in the week. These were the second set of results that I have had as I was on an ace inhibitor when I had the first labs done. I will give you the results of both labs. Feb. 2, 2010aldosterone urine 28 ref range 2 - 21aldosterone serum 45.9 ref range upright 4.0-31.0renin 1.86 ref range upright 1.31-3.95March 3, 2010Renin 0.27 ref range upright 1.31-3.95aldosterone serum 27.8 upright 4.0-31.0So, my aldosterone went down as well as my renin. If I am calculating the ratio correctly, it was 24.67 on Feb 2 and on March 3 it was102.96 So what does this all mean? Why would my aldosterone go down?Any insight would be appreciated! Vicki