Guest guest Posted June 8, 2012 Report Share Posted June 8, 2012 The study protocol that and I are in is not the only study protocol for endocrine issues. In fact, the last time I was there for two weeks, my roommate came in under our protocol, but within a couple of days, they determined that she no longer qualified due to labs that confirmed her aldosterone levels did not meet protocol guidelines. In her case, she did not have high aldo, even though she has a rather large adenoma on one side...they brought in Dr. Merke (might be spelling her name wrong) and she is like Dr. Stratakis, in charge of a whole other set of studies; one of which she fit into. She has CAH, which is a congenital form of adrenal hyperplasia and her symptoms are more of an underfunctioning adrenal rather than over producing adrenals. And more Cushing than those of us with mild cushing issues...so if you don't qualify under the protocol that and I did, then go to NIH search the studies and try the other's based on their parameters. Also, in terms of future knowledge about taking one adrenal and disease of the other one, I know there is literature online about that. Dr. Grim has said that little tumors are what grow into bigger ones...so those of us with little adenomas on both are pretty sure to have bilateral disease even if they could lateralize it now to do an adrenalectomy. Many people with unilateral adenomas have gotten relief that I know of, but just wanted to mention that Pub Med, Mayo, the Italians and the Japanese who study and publish lots on this adrenal stuff, have studied some long term folks..., Francis, Study Circle...can you send the links? I have a couple of questions: 1 )what is the etiology of ideopathic hyperaldosteronism, hyperplasia, etc? and 2) does either Epler or Spiro cause weight gain, long term? Is one better than the other as far as that's concerned? Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 8, 2012 Report Share Posted June 8, 2012 Forgot to mention that in searching for the long term effects of spiro or epler, I found studies that found remission of micronodular adenomas, so quite possibly, and hopefully, my little adenomas won't grow into bigger ones....when I take my meds, I visualize them gone! Since I've been on them, my lipids are back in range, they took me off my lipid meds. My BP is beautiful. I'm still tired, but what I have to deal with when I dare to take two weeks off, is to blame for that. I don't even remember whether or not I updated since my last NIH stay, but if not, that's why. I had no idea that my cardiac issues were actually adrenal issues, and that is so cool! One MCB pill for 3 lipid ones. Also, my thyroid med is half what it used to be. I go back in a year for follow up, in the meantime, I know about as much as they do about what is going on with my adrenals and kidneys. Another interesting sidenote, when I got home, one of my patient's had been diagnosed with pancreatic cancer, stage 4. She had no symptoms, and apparently no one does until late in the game. We are lucky, in that we have clear markers of things amiss. Also, those abdominal MRI's we get might just be the screen for stuff on those other parts not normally screened. > > The study protocol that and I are in is not the only study protocol for endocrine issues. In fact, the last time I was there for two weeks, my roommate came in under our protocol, but within a couple of days, they determined that she no longer qualified due to labs that confirmed her aldosterone levels did not meet protocol guidelines. In her case, she did not have high aldo, even though she has a rather large adenoma on one side...they brought in Dr. Merke (might be spelling her name wrong) and she is like Dr. Stratakis, in charge of a whole other set of studies; one of which she fit into. She has CAH, which is a congenital form of adrenal hyperplasia and her symptoms are more of an underfunctioning adrenal rather than over producing adrenals. And more Cushing than those of us with mild cushing issues...so if you don't qualify under the protocol that and I did, then go to NIH search the studies and try the other's based on their parameters. > > Also, in terms of future knowledge about taking one adrenal and disease of the other one, I know there is literature online about that. Dr. Grim has said that little tumors are what grow into bigger ones...so those of us with little adenomas on both are pretty sure to have bilateral disease even if they could lateralize it now to do an adrenalectomy. Many people with unilateral adenomas have gotten relief that I know of, but just wanted to mention that Pub Med, Mayo, the Italians and the Japanese who study and publish lots on this adrenal stuff, have studied some long term folks..., Francis, Study Circle...can you send the links? > > I have a couple of questions: 1 )what is the etiology of ideopathic hyperaldosteronism, hyperplasia, etc? and 2) does either Epler or Spiro cause weight gain, long term? Is one better than the other as far as that's concerned? > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 8, 2012 Report Share Posted June 8, 2012 Forgot to mention that in searching for the long term effects of spiro or epler, I found studies that found remission of micronodular adenomas, so quite possibly, and hopefully, my little adenomas won't grow into bigger ones....when I take my meds, I visualize them gone! Since I've been on them, my lipids are back in range, they took me off my lipid meds. My BP is beautiful. I'm still tired, but what I have to deal with when I dare to take two weeks off, is to blame for that. I don't even remember whether or not I updated since my last NIH stay, but if not, that's why. I had no idea that my cardiac issues were actually adrenal issues, and that is so cool! One MCB pill for 3 lipid ones. Also, my thyroid med is half what it used to be. I go back in a year for follow up, in the meantime, I know about as much as they do about what is going on with my adrenals and kidneys. Another interesting sidenote, when I got home, one of my patient's had been diagnosed with pancreatic cancer, stage 4. She had no symptoms, and apparently no one does until late in the game. We are lucky, in that we have clear markers of things amiss. Also, those abdominal MRI's we get might just be the screen for stuff on those other parts not normally screened. > > The study protocol that and I are in is not the only study protocol for endocrine issues. In fact, the last time I was there for two weeks, my roommate came in under our protocol, but within a couple of days, they determined that she no longer qualified due to labs that confirmed her aldosterone levels did not meet protocol guidelines. In her case, she did not have high aldo, even though she has a rather large adenoma on one side...they brought in Dr. Merke (might be spelling her name wrong) and she is like Dr. Stratakis, in charge of a whole other set of studies; one of which she fit into. She has CAH, which is a congenital form of adrenal hyperplasia and her symptoms are more of an underfunctioning adrenal rather than over producing adrenals. And more Cushing than those of us with mild cushing issues...so if you don't qualify under the protocol that and I did, then go to NIH search the studies and try the other's based on their parameters. > > Also, in terms of future knowledge about taking one adrenal and disease of the other one, I know there is literature online about that. Dr. Grim has said that little tumors are what grow into bigger ones...so those of us with little adenomas on both are pretty sure to have bilateral disease even if they could lateralize it now to do an adrenalectomy. Many people with unilateral adenomas have gotten relief that I know of, but just wanted to mention that Pub Med, Mayo, the Italians and the Japanese who study and publish lots on this adrenal stuff, have studied some long term folks..., Francis, Study Circle...can you send the links? > > I have a couple of questions: 1 )what is the etiology of ideopathic hyperaldosteronism, hyperplasia, etc? and 2) does either Epler or Spiro cause weight gain, long term? Is one better than the other as far as that's concerned? > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 8, 2012 Report Share Posted June 8, 2012 No good data so we need your story and u need to fill in your data inour data base. May your pressure be low!CE Grim MS, MDSpecializing in DifficultHypertensionOn Jun 8, 2012, at 20:14, maggiekat7 <ljurkovic@...> wrote: The study protocol that and I are in is not the only study protocol for endocrine issues. In fact, the last time I was there for two weeks, my roommate came in under our protocol, but within a couple of days, they determined that she no longer qualified due to labs that confirmed her aldosterone levels did not meet protocol guidelines. In her case, she did not have high aldo, even though she has a rather large adenoma on one side...they brought in Dr. Merke (might be spelling her name wrong) and she is like Dr. Stratakis, in charge of a whole other set of studies; one of which she fit into. She has CAH, which is a congenital form of adrenal hyperplasia and her symptoms are more of an underfunctioning adrenal rather than over producing adrenals. And more Cushing than those of us with mild cushing issues...so if you don't qualify under the protocol that and I did, then go to NIH search the studies and try the other's based on their parameters. Also, in terms of future knowledge about taking one adrenal and disease of the other one, I know there is literature online about that. Dr. Grim has said that little tumors are what grow into bigger ones...so those of us with little adenomas on both are pretty sure to have bilateral disease even if they could lateralize it now to do an adrenalectomy. Many people with unilateral adenomas have gotten relief that I know of, but just wanted to mention that Pub Med, Mayo, the Italians and the Japanese who study and publish lots on this adrenal stuff, have studied some long term folks..., Francis, Study Circle...can you send the links? I have a couple of questions: 1 )what is the etiology of ideopathic hyperaldosteronism, hyperplasia, etc? and 2) does either Epler or Spiro cause weight gain, long term? Is one better than the other as far as that's concerned? Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 8, 2012 Report Share Posted June 8, 2012 The etiology of idiopathic is idiopathic. Which is Greek for we don't know what the hell it is. May your pressure be low!CE Grim MS, MDSpecializing in DifficultHypertensionOn Jun 8, 2012, at 20:12, maggiekat7 <ljurkovic@...> wrote: The study protocol that and I are in is not the only study protocol for endocrine issues. In fact, the last time I was there for two weeks, my roommate came in under our protocol, but within a couple of days, they determined that she no longer qualified due to labs that confirmed her aldosterone levels did not meet protocol guidelines. In her case, she did not have high aldo, even though she has a rather large adenoma on one side...they brought in Dr. Merke (might be spelling her name wrong) and she is like Dr. Stratakis, in charge of a whole other set of studies; one of which she fit into. She has CAH, which is a congenital form of adrenal hyperplasia and her symptoms are more of an underfunctioning adrenal rather than over producing adrenals. And more Cushing than those of us with mild cushing issues...so if you don't qualify under the protocol that and I did, then go to NIH search the studies and try the other's based on their parameters. Also, in terms of future knowledge about taking one adrenal and disease of the other one, I know there is literature online about that. Dr. Grim has said that little tumors are what grow into bigger ones...so those of us with little adenomas on both are pretty sure to have bilateral disease even if they could lateralize it now to do an adrenalectomy. Many people with unilateral adenomas have gotten relief that I know of, but just wanted to mention that Pub Med, Mayo, the Italians and the Japanese who study and publish lots on this adrenal stuff, have studied some long term folks..., Francis, Study Circle...can you send the links? I have a couple of questions: 1 )what is the etiology of ideopathic hyperaldosteronism, hyperplasia, etc? and 2) does either Epler or Spiro cause weight gain, long term? Is one better than the other as far as that's concerned? Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 8, 2012 Report Share Posted June 8, 2012 Are u also DASHING?May your pressure be low!CE Grim MS, MDSpecializing in DifficultHypertensionOn Jun 8, 2012, at 20:32, maggiekat7 <ljurkovic@...> wrote: Forgot to mention that in searching for the long term effects of spiro or epler, I found studies that found remission of micronodular adenomas, so quite possibly, and hopefully, my little adenomas won't grow into bigger ones....when I take my meds, I visualize them gone! Since I've been on them, my lipids are back in range, they took me off my lipid meds. My BP is beautiful. I'm still tired, but what I have to deal with when I dare to take two weeks off, is to blame for that. I don't even remember whether or not I updated since my last NIH stay, but if not, that's why. I had no idea that my cardiac issues were actually adrenal issues, and that is so cool! One MCB pill for 3 lipid ones. Also, my thyroid med is half what it used to be. I go back in a year for follow up, in the meantime, I know about as much as they do about what is going on with my adrenals and kidneys. Another interesting sidenote, when I got home, one of my patient's had been diagnosed with pancreatic cancer, stage 4. She had no symptoms, and apparently no one does until late in the game. We are lucky, in that we have clear markers of things amiss. Also, those abdominal MRI's we get might just be the screen for stuff on those other parts not normally screened. > > The study protocol that and I are in is not the only study protocol for endocrine issues. In fact, the last time I was there for two weeks, my roommate came in under our protocol, but within a couple of days, they determined that she no longer qualified due to labs that confirmed her aldosterone levels did not meet protocol guidelines. In her case, she did not have high aldo, even though she has a rather large adenoma on one side...they brought in Dr. Merke (might be spelling her name wrong) and she is like Dr. Stratakis, in charge of a whole other set of studies; one of which she fit into. She has CAH, which is a congenital form of adrenal hyperplasia and her symptoms are more of an underfunctioning adrenal rather than over producing adrenals. And more Cushing than those of us with mild cushing issues...so if you don't qualify under the protocol that and I did, then go to NIH search the studies and try the other's based on their parameters. > > Also, in terms of future knowledge about taking one adrenal and disease of the other one, I know there is literature online about that. Dr. Grim has said that little tumors are what grow into bigger ones...so those of us with little adenomas on both are pretty sure to have bilateral disease even if they could lateralize it now to do an adrenalectomy. Many people with unilateral adenomas have gotten relief that I know of, but just wanted to mention that Pub Med, Mayo, the Italians and the Japanese who study and publish lots on this adrenal stuff, have studied some long term folks..., Francis, Study Circle...can you send the links? > > I have a couple of questions: 1 )what is the etiology of ideopathic hyperaldosteronism, hyperplasia, etc? and 2) does either Epler or Spiro cause weight gain, long term? Is one better than the other as far as that's concerned? > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 8, 2012 Report Share Posted June 8, 2012 I guess I missed it but can you tell us what your meds are? Val From: hyperaldosteronism [mailto:hyperaldosteronism ] On Behalf Of maggiekat7 Forgot to mention that in searching for the long term effects of spiro or epler, I found studies that found remission of micronodular adenomas, so quite possibly, and hopefully, my little adenomas won't grow into bigger ones....when I take my meds, I visualize them gone!Since I've been on them, my lipids are back in range, they took me off my lipid meds. My BP is beautiful. I'm still tired, but what I have to deal with when I dare to take two weeks off, is to blame for that. I don't even remember whether or not I updated since my last NIH stay, but if not, that's why. I had no idea that my cardiac issues were actually adrenal issues, and that is so cool! One MCB pill for 3 lipid ones. Also, my thyroid med is half what it used to be. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 9, 2012 Report Share Posted June 9, 2012 I don't know that this answers your question but here is a new study comparing IHA with APA: http://www.biomed.cas.cz/physiolres/pdf/prepress/932335.pdf " Have main types of primary aldosteronism different phenotype? " > > > The study protocol that and I are in is not the only study protocol for endocrine issues. In fact, the last time I was there for two weeks, my roommate came in under our protocol, but within a couple of days, they determined that she no longer qualified due to labs that confirmed her aldosterone levels did not meet protocol guidelines. In her case, she did not have high aldo, even though she has a rather large adenoma on one side...they brought in Dr. Merke (might be spelling her name wrong) and she is like Dr. Stratakis, in charge of a whole other set of studies; one of which she fit into. She has CAH, which is a congenital form of adrenal hyperplasia and her symptoms are more of an underfunctioning adrenal rather than over producing adrenals. And more Cushing than those of us with mild cushing issues...so if you don't qualify under the protocol that and I did, then go to NIH search the studies and try the other's based on their parameters. > > > > Also, in terms of future knowledge about taking one adrenal and disease of the other one, I know there is literature online about that. Dr. Grim has said that little tumors are what grow into bigger ones...so those of us with little adenomas on both are pretty sure to have bilateral disease even if they could lateralize it now to do an adrenalectomy. Many people with unilateral adenomas have gotten relief that I know of, but just wanted to mention that Pub Med, Mayo, the Italians and the Japanese who study and publish lots on this adrenal stuff, have studied some long term folks..., Francis, Study Circle...can you send the links? > > > > I have a couple of questions: 1 )what is the etiology of ideopathic hyperaldosteronism, hyperplasia, etc? and 2) does either Epler or Spiro cause weight gain, long term? Is one better than the other as far as that's concerned? > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 9, 2012 Report Share Posted June 9, 2012 no duh! (and by the way, I am half greek as well as fluent in speaking it)...however, I was asking if any of your vast knowledge and research has yielded any insight into why people idiopathically get HA? Thought that maybe we could also idiopathically ditch it too. Just because it's called that doesn't mean no one has made any advances...but then, what the hell do I know? > > > The study protocol that and I are in is not the only study protocol for endocrine issues. In fact, the last time I was there for two weeks, my roommate came in under our protocol, but within a couple of days, they determined that she no longer qualified due to labs that confirmed her aldosterone levels did not meet protocol guidelines. In her case, she did not have high aldo, even though she has a rather large adenoma on one side...they brought in Dr. Merke (might be spelling her name wrong) and she is like Dr. Stratakis, in charge of a whole other set of studies; one of which she fit into. She has CAH, which is a congenital form of adrenal hyperplasia and her symptoms are more of an underfunctioning adrenal rather than over producing adrenals. And more Cushing than those of us with mild cushing issues...so if you don't qualify under the protocol that and I did, then go to NIH search the studies and try the other's based on their parameters. > > > > Also, in terms of future knowledge about taking one adrenal and disease of the other one, I know there is literature online about that. Dr. Grim has said that little tumors are what grow into bigger ones...so those of us with little adenomas on both are pretty sure to have bilateral disease even if they could lateralize it now to do an adrenalectomy. Many people with unilateral adenomas have gotten relief that I know of, but just wanted to mention that Pub Med, Mayo, the Italians and the Japanese who study and publish lots on this adrenal stuff, have studied some long term folks..., Francis, Study Circle...can you send the links? > > > > I have a couple of questions: 1 )what is the etiology of ideopathic hyperaldosteronism, hyperplasia, etc? and 2) does either Epler or Spiro cause weight gain, long term? Is one better than the other as far as that's concerned? > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 9, 2012 Report Share Posted June 9, 2012 Thanks , try therapistlocater.net and look for those with a designation of Clinical Fellow. Check their bio and make sure they know trauma, ptsd issues... There's a lot of AAMFT Clinical fellows that specialize in ptsd. If you find a good therapist, they should be networked with good psychiatrists. > > > > > The study protocol that and I are in is not the only study protocol for endocrine issues. In fact, the last time I was there for two weeks, my roommate came in under our protocol, but within a couple of days, they determined that she no longer qualified due to labs that confirmed her aldosterone levels did not meet protocol guidelines. In her case, she did not have high aldo, even though she has a rather large adenoma on one side...they brought in Dr. Merke (might be spelling her name wrong) and she is like Dr. Stratakis, in charge of a whole other set of studies; one of which she fit into. She has CAH, which is a congenital form of adrenal hyperplasia and her symptoms are more of an underfunctioning adrenal rather than over producing adrenals. And more Cushing than those of us with mild cushing issues...so if you don't qualify under the protocol that and I did, then go to NIH search the studies and try the other's based on their parameters. > > > > > > Also, in terms of future knowledge about taking one adrenal and disease of the other one, I know there is literature online about that. Dr. Grim has said that little tumors are what grow into bigger ones...so those of us with little adenomas on both are pretty sure to have bilateral disease even if they could lateralize it now to do an adrenalectomy. Many people with unilateral adenomas have gotten relief that I know of, but just wanted to mention that Pub Med, Mayo, the Italians and the Japanese who study and publish lots on this adrenal stuff, have studied some long term folks..., Francis, Study Circle...can you send the links? > > > > > > I have a couple of questions: 1 )what is the etiology of ideopathic hyperaldosteronism, hyperplasia, etc? and 2) does either Epler or Spiro cause weight gain, long term? Is one better than the other as far as that's concerned? > > > > > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 9, 2012 Report Share Posted June 9, 2012 Also, are they doing genotype and phenotype testing on us as part of this study/protocol? Because, if so, I have all my records and no genetic or phenotype info is in it...? Obviously idiopathic is gonna come down to some kind of cause, whether genetic or whatever, I am reading an interesting book on the adrenaline system by an integrative doc. I am system's oriented and find this way of looking at the RAS system in relation to the neuro system and others is pretty enlightening and a bit confusing, at the same time. Maybe daunting is a better discription. And a very interesting experience has been assembling all of my medical records for as far back as I can possibly get them. I am reading diagnoses I never was told I have. Reading about issues in procedure reports and labs that I should have been aware of but was not told about. Stuff that would have made a huge difference in a lot of my health, childbearing, and self care choices. I wish I had done this all along, and now recommend highly that everyone, get copies of all your healthcare records. Keep a record, get copies of all discs, procedure reports, labs, consults, office notes and vital signs. Read them, look at the flags in the labs, look at when your vitals went wild, or just creeped up, and women, get your gyno records! If you are diagnosed with Asherman's Syndrome, google Asherman's and read about it, please! > > > > > > > The study protocol that and I are in is not the only study protocol for endocrine issues. In fact, the last time I was there for two weeks, my roommate came in under our protocol, but within a couple of days, they determined that she no longer qualified due to labs that confirmed her aldosterone levels did not meet protocol guidelines. In her case, she did not have high aldo, even though she has a rather large adenoma on one side...they brought in Dr. Merke (might be spelling her name wrong) and she is like Dr. Stratakis, in charge of a whole other set of studies; one of which she fit into. She has CAH, which is a congenital form of adrenal hyperplasia and her symptoms are more of an underfunctioning adrenal rather than over producing adrenals. And more Cushing than those of us with mild cushing issues...so if you don't qualify under the protocol that and I did, then go to NIH search the studies and try the other's based on their parameters. > > > > > > > > Also, in terms of future knowledge about taking one adrenal and disease of the other one, I know there is literature online about that. Dr. Grim has said that little tumors are what grow into bigger ones...so those of us with little adenomas on both are pretty sure to have bilateral disease even if they could lateralize it now to do an adrenalectomy. Many people with unilateral adenomas have gotten relief that I know of, but just wanted to mention that Pub Med, Mayo, the Italians and the Japanese who study and publish lots on this adrenal stuff, have studied some long term folks..., Francis, Study Circle...can you send the links? > > > > > > > > I have a couple of questions: 1 )what is the etiology of ideopathic hyperaldosteronism, hyperplasia, etc? and 2) does either Epler or Spiro cause weight gain, long term? Is one better than the other as far as that's concerned? > > > > > > > > > > > > > > Quote Link to comment Share on other sites More sharing options...
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