Another Post AVS Question

July 23, 2012

One of our folks here dam near died on way home from AVS due to low K.CE Grim MDOn Jul 23, 2012, at 11:15 AM, msmith_1928 wrote:

Sounds like a good guess to me, and really typical - I just don't understand facilities that don't monitor K in Conn's patients after procedures! At UCLA where I had my AVS's and surgery done, I was told that it was their protocol to not release a patient until their K came up to at least 3.8. In each case, AVS and surgery, they kept me on a K drip until they felt it was safe to release me.

> So what's everybody's guess---K levels plummeted because of the AVS? No one monitored it afterward--not immediately or anything.

July 23, 2012

Apparently the medical establishment doesn't think we really need our potassium........well I AM sure they don't need my sarcasm either, but oh well they won't die from sarcasm

Sounds like a good guess to me, and really typical - I just don't understand facilities that don't monitor K in Conn's patients after procedures! At UCLA where I had my AVS's and surgery done, I was told that it was their protocol to not release a patient until their K came up to at least 3.8. In each case, AVS and surgery, they kept me on a K drip until they felt it was safe to release me. > So what's everybody's guess---K levels plummeted because of the AVS? No one monitored it afterward--not immediately or anything.

July 24, 2012

Hi Dr. Grim and all,Regarding DASHing--what to do when DASHing is clearly recommended for someone who is trying to lower their BMI? I have been advised to try to raise mine, or at the very least not to let it get any lower. When stressed my tendency is to lose my appetite. Dealing with this ongoing health issue has raised my anxiety considerably and this has left me with no appetite, wrecked digestion and I hover barely above 100lbs at 5'1 now. My biggest issue with the DASH diet is I'm starving! I can't eat gluten (celiac disease runs in my family) and I'm trying to maintain/gain weight, not lose it. Any ideas of alternate diets out there that fit someone who isn't trying to lose weight while keeping sodium content down and K up?

Monika

July 24, 2012

I don't know anything about gluten, but a tall glass of chocolate milk and a

peanut butter and banana sandwich at night would likely help. You need the 2-3

servings of dairy. The peanut butter is protein that is needed and the banana

hits another serving of fruit and has some potassium. You can go low sodium on

the bread by getting Ezekiel Low Sodium Bread.

>

> Hi Dr. Grim and all,

> Regarding DASHing--what to do when DASHing is clearly recommended for someone

who is trying to lower their BMI? I have been advised to try to raise mine, or

at the very least not to let it get any lower. When stressed my tendency is to

lose my appetite. Dealing with this ongoing health issue has raised my anxiety

considerably and this has left me with no appetite, wrecked digestion and I

hover barely above 100lbs at 5'1 now. My biggest issue with the DASH diet is

I'm starving! I can't eat gluten (celiac disease runs in my family) and I'm

trying to maintain/gain weight, not lose it. Any ideas of alternate diets out

there that fit someone who isn't trying to lose weight while keeping sodium

content down and K up?

> Monika

>

July 24, 2012

Also, check out the video: " Supersize Me! "

| Re: Another Post AVS Question

|

|I don't know anything about gluten, but a tall glass of chocolate milk and

a

|peanut butter and banana sandwich at night would likely help. You need the

|2-3 servings of dairy. The peanut butter is protein that is needed and the

|banana hits another serving of fruit and has some potassium. You can go

low

|sodium on the bread by getting Ezekiel Low Sodium Bread.

|

|>

|> Hi Dr. Grim and all,

|> Regarding DASHing--what to do when DASHing is clearly recommended for

|> someone who is trying to lower their BMI? I have been advised to try

|> to raise mine, or at the very least not to let it get any lower. When

|> stressed my tendency is to lose my appetite. Dealing with this ongoing

|> health issue has raised my anxiety considerably and this has left me

|> with no appetite, wrecked digestion and I hover barely above 100lbs at

|> 5'1 now. My biggest issue with the DASH diet is I'm starving! I

|> can't eat gluten (celiac disease runs in my family) and I'm trying to

|> maintain/gain weight, not lose it. Any ideas of alternate diets out

|> there that fit someone who isn't trying to lose weight while keeping

|> sodium content down and K up? Monika

|>

|

|------------------------------------

|

July 24, 2012

Just increase calories using DASH should do it. But watch Na. Raising BMI is even harder than lowering it for some. Why does someone think it should go up?CE Grim MDOn Jul 24, 2012, at 1:22 PM, Monika Del Bosque wrote:

Hi Dr. Grim and all,Regarding DASHing--what to do when DASHing is clearly recommended for someone who is trying to lower their BMI? I have been advised to try to raise mine, or at the very least not to let it get any lower. When stressed my tendency is to lose my appetite. Dealing with this ongoing health issue has raised my anxiety considerably and this has left me with no appetite, wrecked digestion and I hover barely above 100lbs at 5'1 now. My biggest issue with the DASH diet is I'm starving! I can't eat gluten (celiac disease runs in my family) and I'm trying to maintain/gain weight, not lose it. Any ideas of alternate diets out there that fit someone who isn't trying to lose weight while keeping sodium content down and K up?

Monika

July 24, 2012

And just because you have FH of Gluten problems does not mean you need to avoid it. Have you been tested for a problem?CE Grim MDOn Jul 24, 2012, at 1:27 PM, crzylnebkr wrote:

I don't know anything about gluten, but a tall glass of chocolate milk and a peanut butter and banana sandwich at night would likely help. You need the 2-3 servings of dairy. The peanut butter is protein that is needed and the banana hits another serving of fruit and has some potassium. You can go low sodium on the bread by getting Ezekiel Low Sodium Bread.

>

> Hi Dr. Grim and all,

> Regarding DASHing--what to do when DASHing is clearly recommended for someone who is trying to lower their BMI? I have been advised to try to raise mine, or at the very least not to let it get any lower. When stressed my tendency is to lose my appetite. Dealing with this ongoing health issue has raised my anxiety considerably and this has left me with no appetite, wrecked digestion and I hover barely above 100lbs at 5'1 now. My biggest issue with the DASH diet is I'm starving! I can't eat gluten (celiac disease runs in my family) and I'm trying to maintain/gain weight, not lose it. Any ideas of alternate diets out there that fit someone who isn't trying to lose weight while keeping sodium content down and K up?

> Monika

>

July 24, 2012

Actually DASH is recommended for no weight change as the DASH studies held weight constant so BP effects would not be due to weight changes.One of the beauties of it is that you can test if you have diet sensitive BP in only 14 days and do not need to lose weight. Howsomever many will lose on DASH. Record in my pts so far was 70 lbs. CE Grim MD On Jul 24, 2012, at 1:22 PM, Monika Del Bosque wrote:

Hi Dr. Grim and all,Regarding DASHing--what to do when DASHing is clearly recommended for someone who is trying to lower their BMI? I have been advised to try to raise mine, or at the very least not to let it get any lower. When stressed my tendency is to lose my appetite. Dealing with this ongoing health issue has raised my anxiety considerably and this has left me with no appetite, wrecked digestion and I hover barely above 100lbs at 5'1 now. My biggest issue with the DASH diet is I'm starving! I can't eat gluten (celiac disease runs in my family) and I'm trying to maintain/gain weight, not lose it. Any ideas of alternate diets out there that fit someone who isn't trying to lose weight while keeping sodium content down and K up?

Monika

July 24, 2012

Monika, I'm celiac (with other food intolerances) too, and so are a few others

on this board. I know all celiacs are different in what we can tolerate - can

you eat gluten-free baked goods and cereal substitutes (I can't; in my case all

grains except for rice give me trouble)? Most are calorically dense, so that

might be your best bet. But check labels as these are processed foods, and as we

all know, processed foods tend to have a lot of hidden sodium.