Re: Re: 42 yo woman runner who has had aldo 52 and renin 3.3 normal bp

September 23, 2010

Are there any conditions in Primary or secondary hyperaldosteronism where spironolactone would make the condition worse? For example, edematous disorders, renal artery stenosis, heart failure, cirrhoSis, nephrotic syndrome, pseudohypoaldosteronism type 2, bartter or gitelman's syndrome, tumor, hyperplasia.

>

> Yes review my article. But your renin does not seem low but need normal values for that lab.

>

> Tiped sad Send form mi

> iPhone ;-)

>

> May your pressure be low!

>

> CE Grim MD

> Specializing in Difficult

> Hypertension

>

> > Is it possible to have primary hyperaldosteronism and NOT have high blood pressure?

> >

> > Sent from my iPad

> >

> >>

> >> Excellent. How do you like the iPad. There is a new BP app for it but I don't have one--an iPad.

> >>

> >> It tracks BP.

> >>

> >>>

> >>> Sent from my iPad

> >>>

> >>>>

> >>>> Why was the aldo done in the first place?

> >>>

> >>> After I stopped nursing my third child I started having "hormonal" issues. So I went to see a ND and he ran a 24 hour urine test to see what sex hormones were doing. Test included estrogens, progesterone, all the androgens, thyroid, and aldosterone. That's when the high aldosterone was picked up. That was two years ago. The dr ignored those results because he said the high aldosterone didn't make sense. The urine test showed low estrogen , androgens,and low t4. Progesterone was high along with the aldosterone. He started treating the thyroid and sex hormones.

> >>>

> >>> My "hormonal" issues have not resolved so we are still looking for answers. I knew that my thyroid issue could cause low aldosterone and I was having low aldosterone symptoms so we had those test run again.Only this time through blood. What I thought was going to be low came back high! So the search for answers continues.

> >>>>

> >>>> CE Grim MD

> >>>>

> >>>>>

> >>>>> The renin was 3.3

> >>>>>

> >>>>> Sent from my iPad

> >>>>>

> >>>>>>

> >>>>>> Not if you are running unless you do not replace the salt.

> >>>>>>

> >>>>>> Still need to verify renin numbers. 3.3 or 33?

> >>>>>>

> >>>>>> One needs renin and aldo and 24 hr urine to test.

> >>>>>>

> >>>>>>>

> >>>>>>> Is it possible that I am salt wasting?

> >>>>>>>

> >>>>>>> Sent from my iPad

> >>>>>>>

> >>>>>>>>

> >>>>>>>> I read 3.3 on first message. Was it 33 or 3.3?

> >>>>>>>>

> >>>>>>>>>

> >>>>>>>>> I do have a renin lab it is on the lower part of the first message.

> >>>>>>>>>

> >>>>>>>>> Renin 33. (non ambulatory 0.8-2.5, ambulatory 1.5-5 .2)

> >>>>>>>>>

> >>>>>>>>> My ND is trying to lower it with spironolactone, however, I want to explore this more to know "why" it's high.

> >>>>>>>>>

> >>>>>>>>> Sent from my iPad

> >>>>>>>>>

> >>>>>>>>>>

> >>>>>>>>>> You need a renin level and your ND should be able to lower it. Can also do a 24 hr urine 4 Na K and creat. If you are really in a low na diet that may be controlling the BP.

> >>>>>>>>>>

> >>>>>>>>>> Tiped sad Send form mi

> >>>>>>>>>> iPhone ;-)

> >>>>>>>>>>

> >>>>>>>>>> May your pressure be low!

> >>>>>>>>>>

> >>>>>>>>>> CE Grim MD

> >>>>>>>>>> Specializing in Difficult

> >>>>>>>>>> Hypertension

> >>>>>>>>>>

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

> >>>>>>>>>>> Hi everyone, just joined today. Thanks to all of you for this support!

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

> >>>>>>>>>>> I tested high for aldosterone two years ago through a urine test. My ND at the time was not concerned, he thought it was due to the fact that I was a runner. I also thought that made since and was also following a low salt diet. So we ignored it.

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

> >>>>>>>>>>> I am treAting a thyroid issue, thyroid hormone resistance, and through recent blood work tested high for aldosterone again. This time I decided not to ignore it!

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

> >>>>>>>>>>> I do not have a high blood pressure. It runs pretty normal to low. I don't have issues with potassium. This is all Very confusing as to why I have high aldosterone.

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

> >>>>>>>>>>> I am trying to get into a endocrinologist but will take about three months. I need some education and advise on where to start.

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

> >>>>>>>>>>> I don't even know if this is primary or secondary.

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

> >>>>>>>>>>> My only real "health" issue, that I know about, has been hair loss. This was one reason for exploring the thyroid but I am wondering if it has been the aldosterone all along. Maybe the aldosterone is what's causing my thyroid issues.

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

> >>>>>>>>>>> Any comments or advice would be greatly appreciated.

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

> >>>>>>>>>>> My labs:

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

> >>>>>>>>>>> 9/26/2008

> >>>>>>>>>>> Aldosterone (urine)

> >>>>>>>>>>> High 54.3. (normal diet 6-25, low salt 17-44, high salt0-6)

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

> >>>>>>>>>>> Other adrenal hormones were fine at that time. Cortisol was pretty middle of the road. *Progesterone however was really high too. I can post if necessary.

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

> >>>>>>>>>>> Rbc potassium 7/14/2010

> >>>>>>>>>>> 97. (90-111)

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

> >>>>>>>>>>> Blood aldosterone 7/18/2010

> >>>>>>>>>>> 52.0. (1-16)

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

> >>>>>>>>>>> Blood aldosterone/renin 6/30/2010

> >>>>>>>>>>> Aldosterone 49. (1-16)

> >>>>>>>>>>> Renin. 3.3. (random ambulatory 0.8-2.5, non ambulatory 1.5-5.2)

> >>>>>>>>>>> I was sitting, fasting, taking two hours after waking before/around 8am

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

> >>>>>>>>>>> Aldosterone renin ratio = 15

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

> >>>>>>>>>>> Sodium. 138. (135-145)

> >>>>>>>>>>> Potassium. 4.5. (3.5-5.3)

> >>>>>>>>>>> Chloride. 106. (98-109)

> >>>>>>>>>>> Co2. 23. (22-31)

> >>>>>>>>>>> Anion gap. 9. (5-16)

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

> >>>>>>>>>>> Saliva cortisol 5/23/2010

> >>>>>>>>>>> 7am. 3.7. (3.7-9.5)

> >>>>>>>>>>> 11am. 1.6. (1.2-3.0)

> >>>>>>>>>>> 5pm. 1.3. (0.6-1.9)

> >>>>>>>>>>> 9pm. 0.5. (0.4-1.0)

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

> >>>>>>>>>>> Rbc magnesium 5/26/2010

> >>>>>>>>>>> 4.2. (4.0-6.4)

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

> >>>>>>>>>>> Lot of test!!!!

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

> >>>>>>>>>>> Thanks again for your kind support! Suzanne

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

> >>>>>>>>>>

> >>>>>>>>>

> >>>>>>>>

> >>>>>>>

> >>>>>>

> >>>>>

> >>>>

> >>>

> >>

> >

>

September 23, 2010

I have looked at articles, links, and message on the support group page. I'm not sure I know which article you are referring to?

> >>>>>>>>>>

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

> >>>>>>>>>>> Hi everyone, just joined today. Thanks to all of you for this support!

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

> >>>>>>>>>>> I tested high for aldosterone two years ago through a urine test. My ND at the time was not concerned, he thought it was due to the fact that I was a runner. I also thought that made since and was also following a low salt diet. So we ignored it.

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

> >>>>>>>>>>> I am treAting a thyroid issue, thyroid hormone resistance, and through recent blood work tested high for aldosterone again. This time I decided not to ignore it!

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

> >>>>>>>>>>> I do not have a high blood pressure. It runs pretty normal to low. I don't have issues with potassium. This is all Very confusing as to why I have high aldosterone.

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

> >>>>>>>>>>> I am trying to get into a endocrinologist but will take about three months. I need some education and advise on where to start.

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

> >>>>>>>>>>> I don't even know if this is primary or secondary.

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

> >>>>>>>>>>> My only real "health" issue, that I know about, has been hair loss. This was one reason for exploring the thyroid but I am wondering if it has been the aldosterone all along. Maybe the aldosterone is what's causing my thyroid issues.

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

> >>>>>>>>>>> Any comments or advice would be greatly appreciated.

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

> >>>>>>>>>>> My labs:

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

> >>>>>>>>>>> 9/26/2008

> >>>>>>>>>>> Aldosterone (urine)

> >>>>>>>>>>> High 54.3. (normal diet 6-25, low salt 17-44, high salt0-6)

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

> >>>>>>>>>>> Other adrenal hormones were fine at that time. Cortisol was pretty middle of the road. *Progesterone however was really high too. I can post if necessary.

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

> >>>>>>>>>>> Rbc potassium 7/14/2010

> >>>>>>>>>>> 97. (90-111)

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

> >>>>>>>>>>> Blood aldosterone 7/18/2010

> >>>>>>>>>>> 52.0. (1-16)

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

> >>>>>>>>>>> Blood aldosterone/renin 6/30/2010

> >>>>>>>>>>> Aldosterone 49. (1-16)

> >>>>>>>>>>> Renin. 3.3. (random ambulatory 0.8-2.5, non ambulatory 1.5-5.2)

> >>>>>>>>>>> I was sitting, fasting, taking two hours after waking before/around 8am

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

> >>>>>>>>>>> Aldosterone renin ratio = 15

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

> >>>>>>>>>>> Sodium. 138. (135-145)

> >>>>>>>>>>> Potassium. 4.5. (3.5-5.3)

> >>>>>>>>>>> Chloride. 106. (98-109)

> >>>>>>>>>>> Co2. 23. (22-31)

> >>>>>>>>>>> Anion gap. 9. (5-16)

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

> >>>>>>>>>>> Saliva cortisol 5/23/2010

> >>>>>>>>>>> 7am. 3.7. (3.7-9.5)

> >>>>>>>>>>> 11am. 1.6. (1.2-3.0)

> >>>>>>>>>>> 5pm. 1.3. (0.6-1.9)

> >>>>>>>>>>> 9pm. 0.5. (0.4-1.0)

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

> >>>>>>>>>>> Rbc magnesium 5/26/2010

> >>>>>>>>>>> 4.2. (4.0-6.4)

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

> >>>>>>>>>>> Lot of test!!!!

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

> >>>>>>>>>>> Thanks again for your kind support! Suzanne

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

> >>>>>>>>>>

> >>>>>>>>>

> >>>>>>>>

> >>>>>>>

> >>>>>>

> >>>>>

> >>>>

> >>>

> >>

> >

>

September 23, 2010

Renin. 3.3Non ambulatory 1.5-5.2Ambulatory. 0.8-2.5I was sitting for the draw. Would I be ambulatory or non ambulatory?

>

> Yes review my article. But your renin does not seem low but need normal values for that lab.

>

> Tiped sad Send form mi

> iPhone ;-)

>

> May your pressure be low!

>

> CE Grim MD

> Specializing in Difficult

> Hypertension

>

> > Is it possible to have primary hyperaldosteronism and NOT have high blood pressure?

> >

> > Sent from my iPad

> >

> >>

> >> Excellent. How do you like the iPad. There is a new BP app for it but I don't have one--an iPad.

> >>

> >> It tracks BP.

> >>

> >>>

> >>> Sent from my iPad

> >>>

> >>>>

> >>>> Why was the aldo done in the first place?

> >>>

> >>> After I stopped nursing my third child I started having "hormonal" issues. So I went to see a ND and he ran a 24 hour urine test to see what sex hormones were doing. Test included estrogens, progesterone, all the androgens, thyroid, and aldosterone. That's when the high aldosterone was picked up. That was two years ago. The dr ignored those results because he said the high aldosterone didn't make sense. The urine test showed low estrogen , androgens,and low t4. Progesterone was high along with the aldosterone. He started treating the thyroid and sex hormones.

> >>>

> >>> My "hormonal" issues have not resolved so we are still looking for answers. I knew that my thyroid issue could cause low aldosterone and I was having low aldosterone symptoms so we had those test run again.Only this time through blood. What I thought was going to be low came back high! So the search for answers continues.

> >>>>

> >>>> CE Grim MD

> >>>>

> >>>>>

> >>>>> The renin was 3.3

> >>>>>

> >>>>> Sent from my iPad

> >>>>>

> >>>>>>

> >>>>>> Not if you are running unless you do not replace the salt.

> >>>>>>

> >>>>>> Still need to verify renin numbers. 3.3 or 33?

> >>>>>>

> >>>>>> One needs renin and aldo and 24 hr urine to test.

> >>>>>>

> >>>>>>>

> >>>>>>> Is it possible that I am salt wasting?

> >>>>>>>

> >>>>>>> Sent from my iPad

> >>>>>>>

> >>>>>>>>

> >>>>>>>> I read 3.3 on first message. Was it 33 or 3.3?

> >>>>>>>>

> >>>>>>>>>

> >>>>>>>>> I do have a renin lab it is on the lower part of the first message.

> >>>>>>>>>

> >>>>>>>>> Renin 33. (non ambulatory 0.8-2.5, ambulatory 1.5-5 .2)

> >>>>>>>>>

> >>>>>>>>> My ND is trying to lower it with spironolactone, however, I want to explore this more to know "why" it's high.

> >>>>>>>>>

> >>>>>>>>> Sent from my iPad

> >>>>>>>>>

> >>>>>>>>>>

> >>>>>>>>>> You need a renin level and your ND should be able to lower it. Can also do a 24 hr urine 4 Na K and creat. If you are really in a low na diet that may be controlling the BP.

> >>>>>>>>>>

> >>>>>>>>>> Tiped sad Send form mi

> >>>>>>>>>> iPhone ;-)

> >>>>>>>>>>

> >>>>>>>>>> May your pressure be low!

> >>>>>>>>>>

> >>>>>>>>>> CE Grim MD

> >>>>>>>>>> Specializing in Difficult

> >>>>>>>>>> Hypertension

> >>>>>>>>>>

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

> >>>>>>>>>>> Hi everyone, just joined today. Thanks to all of you for this support!

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

> >>>>>>>>>>> I tested high for aldosterone two years ago through a urine test. My ND at the time was not concerned, he thought it was due to the fact that I was a runner. I also thought that made since and was also following a low salt diet. So we ignored it.

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

> >>>>>>>>>>> I am treAting a thyroid issue, thyroid hormone resistance, and through recent blood work tested high for aldosterone again. This time I decided not to ignore it!

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

> >>>>>>>>>>> I do not have a high blood pressure. It runs pretty normal to low. I don't have issues with potassium. This is all Very confusing as to why I have high aldosterone.

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

> >>>>>>>>>>> I am trying to get into a endocrinologist but will take about three months. I need some education and advise on where to start.

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

> >>>>>>>>>>> I don't even know if this is primary or secondary.

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

> >>>>>>>>>>> My only real "health" issue, that I know about, has been hair loss. This was one reason for exploring the thyroid but I am wondering if it has been the aldosterone all along. Maybe the aldosterone is what's causing my thyroid issues.

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

> >>>>>>>>>>> Any comments or advice would be greatly appreciated.

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

> >>>>>>>>>>> My labs:

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

> >>>>>>>>>>> 9/26/2008

> >>>>>>>>>>> Aldosterone (urine)

> >>>>>>>>>>> High 54.3. (normal diet 6-25, low salt 17-44, high salt0-6)

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

> >>>>>>>>>>> Other adrenal hormones were fine at that time. Cortisol was pretty middle of the road. *Progesterone however was really high too. I can post if necessary.

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

> >>>>>>>>>>> Rbc potassium 7/14/2010

> >>>>>>>>>>> 97. (90-111)

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

> >>>>>>>>>>> Blood aldosterone 7/18/2010

> >>>>>>>>>>> 52.0. (1-16)

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

> >>>>>>>>>>> Blood aldosterone/renin 6/30/2010

> >>>>>>>>>>> Aldosterone 49. (1-16)

> >>>>>>>>>>> Renin. 3.3. (random ambulatory 0.8-2.5, non ambulatory 1.5-5.2)

> >>>>>>>>>>> I was sitting, fasting, taking two hours after waking before/around 8am

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

> >>>>>>>>>>> Aldosterone renin ratio = 15

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

> >>>>>>>>>>> Sodium. 138. (135-145)

> >>>>>>>>>>> Potassium. 4.5. (3.5-5.3)

> >>>>>>>>>>> Chloride. 106. (98-109)

> >>>>>>>>>>> Co2. 23. (22-31)

> >>>>>>>>>>> Anion gap. 9. (5-16)

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

> >>>>>>>>>>> Saliva cortisol 5/23/2010

> >>>>>>>>>>> 7am. 3.7. (3.7-9.5)

> >>>>>>>>>>> 11am. 1.6. (1.2-3.0)

> >>>>>>>>>>> 5pm. 1.3. (0.6-1.9)

> >>>>>>>>>>> 9pm. 0.5. (0.4-1.0)

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

> >>>>>>>>>>> Rbc magnesium 5/26/2010

> >>>>>>>>>>> 4.2. (4.0-6.4)

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

> >>>>>>>>>>> Lot of test!!!!

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

> >>>>>>>>>>> Thanks again for your kind support! Suzanne

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

> >>>>>>>>>>

> >>>>>>>>>

> >>>>>>>>

> >>>>>>>

> >>>>>>

> >>>>>

> >>>>

> >>>

> >>

> >

>

September 23, 2010

Not been well studied that I know of. Most should get better would be my guess. Spiro is often used in these disorders. Tiped sad Send form miiPhone ;-)May your pressure be low!CE Grim MDSpecializing in DifficultHypertension

Are there any conditions in Primary or secondary hyperaldosteronism where spironolactone would make the condition worse? For example, edematous disorders, renal artery stenosis, heart failure, cirrhoSis, nephrotic syndrome, pseudohypoaldosteronism type 2, bartter or gitelman's syndrome, tumor, hyperplasia.

>

> Yes review my article. But your renin does not seem low but need normal values for that lab.

>

> Tiped sad Send form mi

> iPhone ;-)

>

> May your pressure be low!

>

> CE Grim MD

> Specializing in Difficult

> Hypertension

>

> > Is it possible to have primary hyperaldosteronism and NOT have high blood pressure?

> >

> > Sent from my iPad

> >

> >>

> >> Excellent. How do you like the iPad. There is a new BP app for it but I don't have one--an iPad.

> >>

> >> It tracks BP.

> >>

> >>>

> >>> Sent from my iPad

> >>>

> >>>>

> >>>> Why was the aldo done in the first place?

> >>>

> >>> After I stopped nursing my third child I started having "hormonal" issues. So I went to see a ND and he ran a 24 hour urine test to see what sex hormones were doing. Test included estrogens, progesterone, all the androgens, thyroid, and aldosterone. That's when the high aldosterone was picked up. That was two years ago. The dr ignored those results because he said the high aldosterone didn't make sense. The urine test showed low estrogen , androgens,and low t4. Progesterone was high along with the aldosterone. He started treating the thyroid and sex hormones.

> >>>

> >>> My "hormonal" issues have not resolved so we are still looking for answers. I knew that my thyroid issue could cause low aldosterone and I was having low aldosterone symptoms so we had those test run again.Only this time through blood. What I thought was going to be low came back high! So the search for answers continues.

> >>>>

> >>>> CE Grim MD

> >>>>

> >>>>>

> >>>>> The renin was 3.3

> >>>>>

> >>>>> Sent from my iPad

> >>>>>

> >>>>>>

> >>>>>> Not if you are running unless you do not replace the salt.

> >>>>>>

> >>>>>> Still need to verify renin numbers. 3.3 or 33?

> >>>>>>

> >>>>>> One needs renin and aldo and 24 hr urine to test.

> >>>>>>

> >>>>>>>

> >>>>>>> Is it possible that I am salt wasting?

> >>>>>>>

> >>>>>>> Sent from my iPad

> >>>>>>>

> >>>>>>>>

> >>>>>>>> I read 3.3 on first message. Was it 33 or 3.3?

> >>>>>>>>

> >>>>>>>>>

> >>>>>>>>> I do have a renin lab it is on the lower part of the first message.

> >>>>>>>>>

> >>>>>>>>> Renin 33. (non ambulatory 0.8-2.5, ambulatory 1.5-5 .2)

> >>>>>>>>>

> >>>>>>>>> My ND is trying to lower it with spironolactone, however, I want to explore this more to know "why" it's high.

> >>>>>>>>>

> >>>>>>>>> Sent from my iPad

> >>>>>>>>>

> >>>>>>>>>>

> >>>>>>>>>> You need a renin level and your ND should be able to lower it. Can also do a 24 hr urine 4 Na K and creat. If you are really in a low na diet that may be controlling the BP.

> >>>>>>>>>>

> >>>>>>>>>> Tiped sad Send form mi

> >>>>>>>>>> iPhone ;-)

> >>>>>>>>>>

> >>>>>>>>>> May your pressure be low!

> >>>>>>>>>>

> >>>>>>>>>> CE Grim MD

> >>>>>>>>>> Specializing in Difficult

> >>>>>>>>>> Hypertension

> >>>>>>>>>>

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

> >>>>>>>>>>> Hi everyone, just joined today. Thanks to all of you for this support!

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

> >>>>>>>>>>> I tested high for aldosterone two years ago through a urine test. My ND at the time was not concerned, he thought it was due to the fact that I was a runner. I also thought that made since and was also following a low salt diet. So we ignored it.

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

> >>>>>>>>>>> I am treAting a thyroid issue, thyroid hormone resistance, and through recent blood work tested high for aldosterone again. This time I decided not to ignore it!

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

> >>>>>>>>>>> I do not have a high blood pressure. It runs pretty normal to low. I don't have issues with potassium. This is all Very confusing as to why I have high aldosterone.

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

> >>>>>>>>>>> I am trying to get into a endocrinologist but will take about three months. I need some education and advise on where to start.

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

> >>>>>>>>>>> I don't even know if this is primary or secondary.

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

> >>>>>>>>>>> My only real "health" issue, that I know about, has been hair loss. This was one reason for exploring the thyroid but I am wondering if it has been the aldosterone all along. Maybe the aldosterone is what's causing my thyroid issues.

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

> >>>>>>>>>>> Any comments or advice would be greatly appreciated.

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

> >>>>>>>>>>> My labs:

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

> >>>>>>>>>>> 9/26/2008

> >>>>>>>>>>> Aldosterone (urine)

> >>>>>>>>>>> High 54.3. (normal diet 6-25, low salt 17-44, high salt0-6)

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

> >>>>>>>>>>> Other adrenal hormones were fine at that time. Cortisol was pretty middle of the road. *Progesterone however was really high too. I can post if necessary.

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

> >>>>>>>>>>> Rbc potassium 7/14/2010

> >>>>>>>>>>> 97. (90-111)

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

> >>>>>>>>>>> Blood aldosterone 7/18/2010

> >>>>>>>>>>> 52.0. (1-16)

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

> >>>>>>>>>>> Blood aldosterone/renin 6/30/2010

> >>>>>>>>>>> Aldosterone 49. (1-16)

> >>>>>>>>>>> Renin. 3.3. (random ambulatory 0.8-2.5, non ambulatory 1.5-5.2)

> >>>>>>>>>>> I was sitting, fasting, taking two hours after waking before/around 8am

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

> >>>>>>>>>>> Aldosterone renin ratio = 15

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

> >>>>>>>>>>> Sodium. 138. (135-145)

> >>>>>>>>>>> Potassium. 4.5. (3.5-5.3)

> >>>>>>>>>>> Chloride. 106. (98-109)

> >>>>>>>>>>> Co2. 23. (22-31)

> >>>>>>>>>>> Anion gap. 9. (5-16)

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

> >>>>>>>>>>> Saliva cortisol 5/23/2010

> >>>>>>>>>>> 7am. 3.7. (3.7-9.5)

> >>>>>>>>>>> 11am. 1.6. (1.2-3.0)

> >>>>>>>>>>> 5pm. 1.3. (0.6-1.9)

> >>>>>>>>>>> 9pm. 0.5. (0.4-1.0)

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

> >>>>>>>>>>> Rbc magnesium 5/26/2010

> >>>>>>>>>>> 4.2. (4.0-6.4)

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

> >>>>>>>>>>> Lot of test!!!!

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

> >>>>>>>>>>> Thanks again for your kind support! Suzanne

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

> >>>>>>>>>>

> >>>>>>>>>

> >>>>>>>>

> >>>>>>>

> >>>>>>

> >>>>>

> >>>>

> >>>

> >>

> >

>

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September 23, 2010

AmbWhat meds and diet and time of day and menstrual cycle details. Tiped sad Send form miiPhone ;-)May your pressure be low!CE Grim MDSpecializing in DifficultHypertension

Renin. 3.3Non ambulatory 1.5-5.2Ambulatory. 0.8-2.5I was sitting for the draw. Would I be ambulatory or non ambulatory?

>

> Yes review my article. But your renin does not seem low but need normal values for that lab.

>

> Tiped sad Send form mi

> iPhone ;-)

>

> May your pressure be low!

>

> CE Grim MD

> Specializing in Difficult

> Hypertension

>

> > Is it possible to have primary hyperaldosteronism and NOT have high blood pressure?

> >

> > Sent from my iPad

> >

> >>

> >> Excellent. How do you like the iPad. There is a new BP app for it but I don't have one--an iPad.

> >>

> >> It tracks BP.

> >>

> >>>

> >>> Sent from my iPad

> >>>

> >>>>

> >>>> Why was the aldo done in the first place?

> >>>

> >>> After I stopped nursing my third child I started having "hormonal" issues. So I went to see a ND and he ran a 24 hour urine test to see what sex hormones were doing. Test included estrogens, progesterone, all the androgens, thyroid, and aldosterone. That's when the high aldosterone was picked up. That was two years ago. The dr ignored those results because he said the high aldosterone didn't make sense. The urine test showed low estrogen , androgens,and low t4. Progesterone was high along with the aldosterone. He started treating the thyroid and sex hormones.

> >>>

> >>> My "hormonal" issues have not resolved so we are still looking for answers. I knew that my thyroid issue could cause low aldosterone and I was having low aldosterone symptoms so we had those test run again.Only this time through blood. What I thought was going to be low came back high! So the search for answers continues.

> >>>>

> >>>> CE Grim MD

> >>>>

> >>>>>

> >>>>> The renin was 3.3

> >>>>>

> >>>>> Sent from my iPad

> >>>>>

> >>>>>>

> >>>>>> Not if you are running unless you do not replace the salt.

> >>>>>>

> >>>>>> Still need to verify renin numbers. 3.3 or 33?

> >>>>>>

> >>>>>> One needs renin and aldo and 24 hr urine to test.

> >>>>>>

> >>>>>>>

> >>>>>>> Is it possible that I am salt wasting?

> >>>>>>>

> >>>>>>> Sent from my iPad

> >>>>>>>

> >>>>>>>>

> >>>>>>>> I read 3.3 on first message. Was it 33 or 3.3?

> >>>>>>>>

> >>>>>>>>>

> >>>>>>>>> I do have a renin lab it is on the lower part of the first message.

> >>>>>>>>>

> >>>>>>>>> Renin 33. (non ambulatory 0.8-2.5, ambulatory 1.5-5 .2)

> >>>>>>>>>

> >>>>>>>>> My ND is trying to lower it with spironolactone, however, I want to explore this more to know "why" it's high.

> >>>>>>>>>

> >>>>>>>>> Sent from my iPad

> >>>>>>>>>

> >>>>>>>>>>

> >>>>>>>>>> You need a renin level and your ND should be able to lower it. Can also do a 24 hr urine 4 Na K and creat. If you are really in a low na diet that may be controlling the BP.

> >>>>>>>>>>

> >>>>>>>>>> Tiped sad Send form mi

> >>>>>>>>>> iPhone ;-)

> >>>>>>>>>>

> >>>>>>>>>> May your pressure be low!

> >>>>>>>>>>

> >>>>>>>>>> CE Grim MD

> >>>>>>>>>> Specializing in Difficult

> >>>>>>>>>> Hypertension

> >>>>>>>>>>

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

> >>>>>>>>>>> Hi everyone, just joined today. Thanks to all of you for this support!

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

> >>>>>>>>>>> I tested high for aldosterone two years ago through a urine test. My ND at the time was not concerned, he thought it was due to the fact that I was a runner. I also thought that made since and was also following a low salt diet. So we ignored it.

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

> >>>>>>>>>>> I am treAting a thyroid issue, thyroid hormone resistance, and through recent blood work tested high for aldosterone again. This time I decided not to ignore it!

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

> >>>>>>>>>>> I do not have a high blood pressure. It runs pretty normal to low. I don't have issues with potassium. This is all Very confusing as to why I have high aldosterone.

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

> >>>>>>>>>>> I am trying to get into a endocrinologist but will take about three months. I need some education and advise on where to start.

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

> >>>>>>>>>>> I don't even know if this is primary or secondary.

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

> >>>>>>>>>>> My only real "health" issue, that I know about, has been hair loss. This was one reason for exploring the thyroid but I am wondering if it has been the aldosterone all along. Maybe the aldosterone is what's causing my thyroid issues.

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

> >>>>>>>>>>> Any comments or advice would be greatly appreciated.

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

> >>>>>>>>>>> My labs:

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

> >>>>>>>>>>> 9/26/2008

> >>>>>>>>>>> Aldosterone (urine)

> >>>>>>>>>>> High 54.3. (normal diet 6-25, low salt 17-44, high salt0-6)

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

> >>>>>>>>>>> Other adrenal hormones were fine at that time. Cortisol was pretty middle of the road. *Progesterone however was really high too. I can post if necessary.

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

> >>>>>>>>>>> Rbc potassium 7/14/2010

> >>>>>>>>>>> 97. (90-111)

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

> >>>>>>>>>>> Blood aldosterone 7/18/2010

> >>>>>>>>>>> 52.0. (1-16)

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

> >>>>>>>>>>> Blood aldosterone/renin 6/30/2010

> >>>>>>>>>>> Aldosterone 49. (1-16)

> >>>>>>>>>>> Renin. 3.3. (random ambulatory 0.8-2.5, non ambulatory 1.5-5.2)

> >>>>>>>>>>> I was sitting, fasting, taking two hours after waking before/around 8am

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

> >>>>>>>>>>> Aldosterone renin ratio = 15

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

> >>>>>>>>>>> Sodium. 138. (135-145)

> >>>>>>>>>>> Potassium. 4.5. (3.5-5.3)

> >>>>>>>>>>> Chloride. 106. (98-109)

> >>>>>>>>>>> Co2. 23. (22-31)

> >>>>>>>>>>> Anion gap. 9. (5-16)

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

> >>>>>>>>>>> Saliva cortisol 5/23/2010

> >>>>>>>>>>> 7am. 3.7. (3.7-9.5)

> >>>>>>>>>>> 11am. 1.6. (1.2-3.0)

> >>>>>>>>>>> 5pm. 1.3. (0.6-1.9)

> >>>>>>>>>>> 9pm. 0.5. (0.4-1.0)

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

> >>>>>>>>>>> Rbc magnesium 5/26/2010

> >>>>>>>>>>> 4.2. (4.0-6.4)

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

> >>>>>>>>>>> Lot of test!!!!

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

> >>>>>>>>>>> Thanks again for your kind support! Suzanne

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

> >>>>>>>>>>

> >>>>>>>>>

> >>>>>>>>

> >>>>>>>

> >>>>>>

> >>>>>

> >>>>

> >>>

> >>

> >

>

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September 23, 2010

I am getting very concerned with my situation. I cannot get in to see a doctor until late October. My labs just don't make sense and I can't figure out if I have primary or secondary hyperaldosteronism. The conditions that lead to secondary seem very scary for someone my age. I don't think I fit into primary due to rennin level and no hypertension.Sent from my iPad

Not been well studied that I know of. Most should get better would be my guess. Spiro is often used in these disorders. Tiped sad Send form miiPhone ;-)May your pressure be low!CE Grim MDSpecializing in DifficultHypertension

Are there any conditions in Primary or secondary hyperaldosteronism where spironolactone would make the condition worse? For example, edematous disorders, renal artery stenosis, heart failure, cirrhoSis, nephrotic syndrome, pseudohypoaldosteronism type 2, bartter or gitelman's syndrome, tumor, hyperplasia.

>

> Yes review my article. But your renin does not seem low but need normal values for that lab.

>

> Tiped sad Send form mi

> iPhone ;-)

>

> May your pressure be low!

>

> CE Grim MD

> Specializing in Difficult

> Hypertension

>

> > Is it possible to have primary hyperaldosteronism and NOT have high blood pressure?

> >

> > Sent from my iPad

> >

> >>

> >> Excellent. How do you like the iPad. There is a new BP app for it but I don't have one--an iPad.

> >>

> >> It tracks BP.

> >>

> >>>

> >>> Sent from my iPad

> >>>

> >>>>

> >>>> Why was the aldo done in the first place?

> >>>

> >>> After I stopped nursing my third child I started having "hormonal" issues. So I went to see a ND and he ran a 24 hour urine test to see what sex hormones were doing. Test included estrogens, progesterone, all the androgens, thyroid, and aldosterone. That's when the high aldosterone was picked up. That was two years ago. The dr ignored those results because he said the high aldosterone didn't make sense. The urine test showed low estrogen , androgens,and low t4. Progesterone was high along with the aldosterone. He started treating the thyroid and sex hormones.

> >>>

> >>> My "hormonal" issues have not resolved so we are still looking for answers. I knew that my thyroid issue could cause low aldosterone and I was having low aldosterone symptoms so we had those test run again.Only this time through blood. What I thought was going to be low came back high! So the search for answers continues.

> >>>>

> >>>> CE Grim MD

> >>>>

> >>>>>

> >>>>> The renin was 3.3

> >>>>>

> >>>>> Sent from my iPad

> >>>>>

> >>>>>>

> >>>>>> Not if you are running unless you do not replace the salt.

> >>>>>>

> >>>>>> Still need to verify renin numbers. 3.3 or 33?

> >>>>>>

> >>>>>> One needs renin and aldo and 24 hr urine to test.

> >>>>>>

> >>>>>>>

> >>>>>>> Is it possible that I am salt wasting?

> >>>>>>>

> >>>>>>> Sent from my iPad

> >>>>>>>

> >>>>>>>>

> >>>>>>>> I read 3.3 on first message. Was it 33 or 3.3?

> >>>>>>>>

> >>>>>>>>>

> >>>>>>>>> I do have a renin lab it is on the lower part of the first message.

> >>>>>>>>>

> >>>>>>>>> Renin 33. (non ambulatory 0.8-2.5, ambulatory 1.5-5 .2)

> >>>>>>>>>

> >>>>>>>>> My ND is trying to lower it with spironolactone, however, I want to explore this more to know "why" it's high.

> >>>>>>>>>

> >>>>>>>>> Sent from my iPad

> >>>>>>>>>

> >>>>>>>>>>

> >>>>>>>>>> You need a renin level and your ND should be able to lower it. Can also do a 24 hr urine 4 Na K and creat. If you are really in a low na diet that may be controlling the BP.

> >>>>>>>>>>

> >>>>>>>>>> Tiped sad Send form mi

> >>>>>>>>>> iPhone ;-)

> >>>>>>>>>>

> >>>>>>>>>> May your pressure be low!

> >>>>>>>>>>

> >>>>>>>>>> CE Grim MD

> >>>>>>>>>> Specializing in Difficult

> >>>>>>>>>> Hypertension

> >>>>>>>>>>

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

> >>>>>>>>>>> Hi everyone, just joined today. Thanks to all of you for this support!

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

> >>>>>>>>>>> I tested high for aldosterone two years ago through a urine test. My ND at the time was not concerned, he thought it was due to the fact that I was a runner. I also thought that made since and was also following a low salt diet. So we ignored it.

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

> >>>>>>>>>>> I am treAting a thyroid issue, thyroid hormone resistance, and through recent blood work tested high for aldosterone again. This time I decided not to ignore it!

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

> >>>>>>>>>>> I do not have a high blood pressure. It runs pretty normal to low. I don't have issues with potassium. This is all Very confusing as to why I have high aldosterone.

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

> >>>>>>>>>>> I am trying to get into a endocrinologist but will take about three months. I need some education and advise on where to start.

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

> >>>>>>>>>>> I don't even know if this is primary or secondary.

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

> >>>>>>>>>>> My only real "health" issue, that I know about, has been hair loss. This was one reason for exploring the thyroid but I am wondering if it has been the aldosterone all along. Maybe the aldosterone is what's causing my thyroid issues.

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

> >>>>>>>>>>> Any comments or advice would be greatly appreciated.

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

> >>>>>>>>>>> My labs:

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

> >>>>>>>>>>> 9/26/2008

> >>>>>>>>>>> Aldosterone (urine)

> >>>>>>>>>>> High 54.3. (normal diet 6-25, low salt 17-44, high salt0-6)

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

> >>>>>>>>>>> Other adrenal hormones were fine at that time. Cortisol was pretty middle of the road. *Progesterone however was really high too. I can post if necessary.

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

> >>>>>>>>>>> Rbc potassium 7/14/2010

> >>>>>>>>>>> 97. (90-111)

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

> >>>>>>>>>>> Blood aldosterone 7/18/2010

> >>>>>>>>>>> 52.0. (1-16)

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

> >>>>>>>>>>> Blood aldosterone/renin 6/30/2010

> >>>>>>>>>>> Aldosterone 49. (1-16)

> >>>>>>>>>>> Renin. 3.3. (random ambulatory 0.8-2.5, non ambulatory 1.5-5.2)

> >>>>>>>>>>> I was sitting, fasting, taking two hours after waking before/around 8am

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

> >>>>>>>>>>> Aldosterone renin ratio = 15

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

> >>>>>>>>>>> Sodium. 138. (135-145)

> >>>>>>>>>>> Potassium. 4.5. (3.5-5.3)

> >>>>>>>>>>> Chloride. 106. (98-109)

> >>>>>>>>>>> Co2. 23. (22-31)

> >>>>>>>>>>> Anion gap. 9. (5-16)

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

> >>>>>>>>>>> Saliva cortisol 5/23/2010

> >>>>>>>>>>> 7am. 3.7. (3.7-9.5)

> >>>>>>>>>>> 11am. 1.6. (1.2-3.0)

> >>>>>>>>>>> 5pm. 1.3. (0.6-1.9)

> >>>>>>>>>>> 9pm. 0.5. (0.4-1.0)

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

> >>>>>>>>>>> Rbc magnesium 5/26/2010

> >>>>>>>>>>> 4.2. (4.0-6.4)

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

> >>>>>>>>>>> Lot of test!!!!

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

> >>>>>>>>>>> Thanks again for your kind support! Suzanne

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

> >>>>>>>>>>

> >>>>>>>>>

> >>>>>>>>

> >>>>>>>

> >>>>>>

> >>>>>

> >>>>

> >>>

> >>

> >

>

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(6)

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September 23, 2010

My guess is the non amb amb is mixed up. Should be higher amb. Tiped sad Send form miiPhone ;-)May your pressure be low!CE Grim MDSpecializing in DifficultHypertension

Renin. 3.3Non ambulatory 1.5-5.2Ambulatory. 0.8-2.5I was sitting for the draw. Would I be ambulatory or non ambulatory?

>

> Yes review my article. But your renin does not seem low but need normal values for that lab.

>

> Tiped sad Send form mi

> iPhone ;-)

>

> May your pressure be low!

>

> CE Grim MD

> Specializing in Difficult

> Hypertension

>

> > Is it possible to have primary hyperaldosteronism and NOT have high blood pressure?

> >

> > Sent from my iPad

> >

> >>

> >> Excellent. How do you like the iPad. There is a new BP app for it but I don't have one--an iPad.

> >>

> >> It tracks BP.

> >>

> >>>

> >>> Sent from my iPad

> >>>

> >>>>

> >>>> Why was the aldo done in the first place?

> >>>

> >>> After I stopped nursing my third child I started having "hormonal" issues. So I went to see a ND and he ran a 24 hour urine test to see what sex hormones were doing. Test included estrogens, progesterone, all the androgens, thyroid, and aldosterone. That's when the high aldosterone was picked up. That was two years ago. The dr ignored those results because he said the high aldosterone didn't make sense. The urine test showed low estrogen , androgens,and low t4. Progesterone was high along with the aldosterone. He started treating the thyroid and sex hormones.

> >>>

> >>> My "hormonal" issues have not resolved so we are still looking for answers. I knew that my thyroid issue could cause low aldosterone and I was having low aldosterone symptoms so we had those test run again.Only this time through blood. What I thought was going to be low came back high! So the search for answers continues.

> >>>>

> >>>> CE Grim MD

> >>>>

> >>>>>

> >>>>> The renin was 3.3

> >>>>>

> >>>>> Sent from my iPad

> >>>>>

> >>>>>>

> >>>>>> Not if you are running unless you do not replace the salt.

> >>>>>>

> >>>>>> Still need to verify renin numbers. 3.3 or 33?

> >>>>>>

> >>>>>> One needs renin and aldo and 24 hr urine to test.

> >>>>>>

> >>>>>>>

> >>>>>>> Is it possible that I am salt wasting?

> >>>>>>>

> >>>>>>> Sent from my iPad

> >>>>>>>

> >>>>>>>>

> >>>>>>>> I read 3.3 on first message. Was it 33 or 3.3?

> >>>>>>>>

> >>>>>>>>>

> >>>>>>>>> I do have a renin lab it is on the lower part of the first message.

> >>>>>>>>>

> >>>>>>>>> Renin 33. (non ambulatory 0.8-2.5, ambulatory 1.5-5 .2)

> >>>>>>>>>

> >>>>>>>>> My ND is trying to lower it with spironolactone, however, I want to explore this more to know "why" it's high.

> >>>>>>>>>

> >>>>>>>>> Sent from my iPad

> >>>>>>>>>

> >>>>>>>>>>

> >>>>>>>>>> You need a renin level and your ND should be able to lower it. Can also do a 24 hr urine 4 Na K and creat. If you are really in a low na diet that may be controlling the BP.

> >>>>>>>>>>

> >>>>>>>>>> Tiped sad Send form mi

> >>>>>>>>>> iPhone ;-)

> >>>>>>>>>>

> >>>>>>>>>> May your pressure be low!

> >>>>>>>>>>

> >>>>>>>>>> CE Grim MD

> >>>>>>>>>> Specializing in Difficult

> >>>>>>>>>> Hypertension

> >>>>>>>>>>

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

> >>>>>>>>>>> Hi everyone, just joined today. Thanks to all of you for this support!

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

> >>>>>>>>>>> I tested high for aldosterone two years ago through a urine test. My ND at the time was not concerned, he thought it was due to the fact that I was a runner. I also thought that made since and was also following a low salt diet. So we ignored it.

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

> >>>>>>>>>>> I am treAting a thyroid issue, thyroid hormone resistance, and through recent blood work tested high for aldosterone again. This time I decided not to ignore it!

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

> >>>>>>>>>>> I do not have a high blood pressure. It runs pretty normal to low. I don't have issues with potassium. This is all Very confusing as to why I have high aldosterone.

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

> >>>>>>>>>>> I am trying to get into a endocrinologist but will take about three months. I need some education and advise on where to start.

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

> >>>>>>>>>>> I don't even know if this is primary or secondary.

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

> >>>>>>>>>>> My only real "health" issue, that I know about, has been hair loss. This was one reason for exploring the thyroid but I am wondering if it has been the aldosterone all along. Maybe the aldosterone is what's causing my thyroid issues.

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

> >>>>>>>>>>> Any comments or advice would be greatly appreciated.

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

> >>>>>>>>>>> My labs:

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

> >>>>>>>>>>> 9/26/2008

> >>>>>>>>>>> Aldosterone (urine)

> >>>>>>>>>>> High 54.3. (normal diet 6-25, low salt 17-44, high salt0-6)

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

> >>>>>>>>>>> Other adrenal hormones were fine at that time. Cortisol was pretty middle of the road. *Progesterone however was really high too. I can post if necessary.

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

> >>>>>>>>>>> Rbc potassium 7/14/2010

> >>>>>>>>>>> 97. (90-111)

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

> >>>>>>>>>>> Blood aldosterone 7/18/2010

> >>>>>>>>>>> 52.0. (1-16)

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

> >>>>>>>>>>> Blood aldosterone/renin 6/30/2010

> >>>>>>>>>>> Aldosterone 49. (1-16)

> >>>>>>>>>>> Renin. 3.3. (random ambulatory 0.8-2.5, non ambulatory 1.5-5.2)

> >>>>>>>>>>> I was sitting, fasting, taking two hours after waking before/around 8am

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

> >>>>>>>>>>> Aldosterone renin ratio = 15

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

> >>>>>>>>>>> Sodium. 138. (135-145)

> >>>>>>>>>>> Potassium. 4.5. (3.5-5.3)

> >>>>>>>>>>> Chloride. 106. (98-109)

> >>>>>>>>>>> Co2. 23. (22-31)

> >>>>>>>>>>> Anion gap. 9. (5-16)

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

> >>>>>>>>>>> Saliva cortisol 5/23/2010

> >>>>>>>>>>> 7am. 3.7. (3.7-9.5)

> >>>>>>>>>>> 11am. 1.6. (1.2-3.0)

> >>>>>>>>>>> 5pm. 1.3. (0.6-1.9)

> >>>>>>>>>>> 9pm. 0.5. (0.4-1.0)

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

> >>>>>>>>>>> Rbc magnesium 5/26/2010

> >>>>>>>>>>> 4.2. (4.0-6.4)

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

> >>>>>>>>>>> Lot of test!!!!

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

> >>>>>>>>>>> Thanks again for your kind support! Suzanne

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

> >>>>>>>>>>

> >>>>>>>>>

> >>>>>>>>

> >>>>>>>

> >>>>>>

> >>>>>

> >>>>

> >>>

> >>

> >

>

Reply to sender |

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(9)

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September 23, 2010

T3 cytomel, only med at that time. Tested day four of menstrual cycle. Salt fasted for about 40 hours. Blood draw was at 8amDiet is pretty clean, organic meats,veggies,fruits and gluten free grains.Sent from my iPad

AmbWhat meds and diet and time of day and menstrual cycle details. Tiped sad Send form miiPhone ;-)May your pressure be low!CE Grim MDSpecializing in DifficultHypertension

Renin. 3.3Non ambulatory 1.5-5.2Ambulatory. 0.8-2.5I was sitting for the draw. Would I be ambulatory or non ambulatory?

>

> Yes review my article. But your renin does not seem low but need normal values for that lab.

>

> Tiped sad Send form mi

> iPhone ;-)

>

> May your pressure be low!

>

> CE Grim MD

> Specializing in Difficult

> Hypertension

>

> > Is it possible to have primary hyperaldosteronism and NOT have high blood pressure?

> >

> > Sent from my iPad

> >

> >>

> >> Excellent. How do you like the iPad. There is a new BP app for it but I don't have one--an iPad.

> >>

> >> It tracks BP.

> >>

> >>>

> >>> Sent from my iPad

> >>>

> >>>>

> >>>> Why was the aldo done in the first place?

> >>>

> >>> After I stopped nursing my third child I started having "hormonal" issues. So I went to see a ND and he ran a 24 hour urine test to see what sex hormones were doing. Test included estrogens, progesterone, all the androgens, thyroid, and aldosterone. That's when the high aldosterone was picked up. That was two years ago. The dr ignored those results because he said the high aldosterone didn't make sense. The urine test showed low estrogen , androgens,and low t4. Progesterone was high along with the aldosterone. He started treating the thyroid and sex hormones.

> >>>

> >>> My "hormonal" issues have not resolved so we are still looking for answers. I knew that my thyroid issue could cause low aldosterone and I was having low aldosterone symptoms so we had those test run again.Only this time through blood. What I thought was going to be low came back high! So the search for answers continues.

> >>>>

> >>>> CE Grim MD

> >>>>

> >>>>>

> >>>>> The renin was 3.3

> >>>>>

> >>>>> Sent from my iPad

> >>>>>

> >>>>>>

> >>>>>> Not if you are running unless you do not replace the salt.

> >>>>>>

> >>>>>> Still need to verify renin numbers. 3.3 or 33?

> >>>>>>

> >>>>>> One needs renin and aldo and 24 hr urine to test.

> >>>>>>

> >>>>>>>

> >>>>>>> Is it possible that I am salt wasting?

> >>>>>>>

> >>>>>>> Sent from my iPad

> >>>>>>>

> >>>>>>>>

> >>>>>>>> I read 3.3 on first message. Was it 33 or 3.3?

> >>>>>>>>

> >>>>>>>>>

> >>>>>>>>> I do have a renin lab it is on the lower part of the first message.

> >>>>>>>>>

> >>>>>>>>> Renin 33. (non ambulatory 0.8-2.5, ambulatory 1.5-5 .2)

> >>>>>>>>>

> >>>>>>>>> My ND is trying to lower it with spironolactone, however, I want to explore this more to know "why" it's high.

> >>>>>>>>>

> >>>>>>>>> Sent from my iPad

> >>>>>>>>>

> >>>>>>>>>>

> >>>>>>>>>> You need a renin level and your ND should be able to lower it. Can also do a 24 hr urine 4 Na K and creat. If you are really in a low na diet that may be controlling the BP.

> >>>>>>>>>>

> >>>>>>>>>> Tiped sad Send form mi

> >>>>>>>>>> iPhone ;-)

> >>>>>>>>>>

> >>>>>>>>>> May your pressure be low!

> >>>>>>>>>>

> >>>>>>>>>> CE Grim MD

> >>>>>>>>>> Specializing in Difficult

> >>>>>>>>>> Hypertension

> >>>>>>>>>>

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

> >>>>>>>>>>> Hi everyone, just joined today. Thanks to all of you for this support!

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

> >>>>>>>>>>> I tested high for aldosterone two years ago through a urine test. My ND at the time was not concerned, he thought it was due to the fact that I was a runner. I also thought that made since and was also following a low salt diet. So we ignored it.

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

> >>>>>>>>>>> I am treAting a thyroid issue, thyroid hormone resistance, and through recent blood work tested high for aldosterone again. This time I decided not to ignore it!

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

> >>>>>>>>>>> I do not have a high blood pressure. It runs pretty normal to low. I don't have issues with potassium. This is all Very confusing as to why I have high aldosterone.

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

> >>>>>>>>>>> I am trying to get into a endocrinologist but will take about three months. I need some education and advise on where to start.

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

> >>>>>>>>>>> I don't even know if this is primary or secondary.

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

> >>>>>>>>>>> My only real "health" issue, that I know about, has been hair loss. This was one reason for exploring the thyroid but I am wondering if it has been the aldosterone all along. Maybe the aldosterone is what's causing my thyroid issues.

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

> >>>>>>>>>>> Any comments or advice would be greatly appreciated.

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

> >>>>>>>>>>> My labs:

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

> >>>>>>>>>>> 9/26/2008

> >>>>>>>>>>> Aldosterone (urine)

> >>>>>>>>>>> High 54.3. (normal diet 6-25, low salt 17-44, high salt0-6)

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

> >>>>>>>>>>> Other adrenal hormones were fine at that time. Cortisol was pretty middle of the road. *Progesterone however was really high too. I can post if necessary.

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

> >>>>>>>>>>> Rbc potassium 7/14/2010

> >>>>>>>>>>> 97. (90-111)

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

> >>>>>>>>>>> Blood aldosterone 7/18/2010

> >>>>>>>>>>> 52.0. (1-16)

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

> >>>>>>>>>>> Blood aldosterone/renin 6/30/2010

> >>>>>>>>>>> Aldosterone 49. (1-16)

> >>>>>>>>>>> Renin. 3.3. (random ambulatory 0.8-2.5, non ambulatory 1.5-5.2)

> >>>>>>>>>>> I was sitting, fasting, taking two hours after waking before/around 8am

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

> >>>>>>>>>>> Aldosterone renin ratio = 15

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

> >>>>>>>>>>> Sodium. 138. (135-145)

> >>>>>>>>>>> Potassium. 4.5. (3.5-5.3)

> >>>>>>>>>>> Chloride. 106. (98-109)

> >>>>>>>>>>> Co2. 23. (22-31)

> >>>>>>>>>>> Anion gap. 9. (5-16)

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

> >>>>>>>>>>> Saliva cortisol 5/23/2010

> >>>>>>>>>>> 7am. 3.7. (3.7-9.5)

> >>>>>>>>>>> 11am. 1.6. (1.2-3.0)

> >>>>>>>>>>> 5pm. 1.3. (0.6-1.9)

> >>>>>>>>>>> 9pm. 0.5. (0.4-1.0)

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

> >>>>>>>>>>> Rbc magnesium 5/26/2010

> >>>>>>>>>>> 4.2. (4.0-6.4)

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

> >>>>>>>>>>> Lot of test!!!!

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

> >>>>>>>>>>> Thanks again for your kind support! Suzanne

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

> >>>>>>>>>>

> >>>>>>>>>

> >>>>>>>>

> >>>>>>>

> >>>>>>

> >>>>>

> >>>>

> >>>

> >>

> >

>

Reply to sender |

Reply to group |

Reply via web post |

Start a New Topic

Messages in this topic

(9)

Recent Activity:

New Members

9

New Links

1

September 23, 2010

Do you mean the ranges/values are mixed up?Sent from my iPad

My guess is the non amb amb is mixed up. Should be higher amb. Tiped sad Send form miiPhone ;-)May your pressure be low!CE Grim MDSpecializing in DifficultHypertension

Renin. 3.3Non ambulatory 1.5-5.2Ambulatory. 0.8-2.5I was sitting for the draw. Would I be ambulatory or non ambulatory?

>

> Yes review my article. But your renin does not seem low but need normal values for that lab.

>

> Tiped sad Send form mi

> iPhone ;-)

>

> May your pressure be low!

>

> CE Grim MD

> Specializing in Difficult

> Hypertension

>

> > Is it possible to have primary hyperaldosteronism and NOT have high blood pressure?

> >

> > Sent from my iPad

> >

> >>

> >> Excellent. How do you like the iPad. There is a new BP app for it but I don't have one--an iPad.

> >>

> >> It tracks BP.

> >>

> >>>

> >>> Sent from my iPad

> >>>

> >>>>

> >>>> Why was the aldo done in the first place?

> >>>

> >>> After I stopped nursing my third child I started having "hormonal" issues. So I went to see a ND and he ran a 24 hour urine test to see what sex hormones were doing. Test included estrogens, progesterone, all the androgens, thyroid, and aldosterone. That's when the high aldosterone was picked up. That was two years ago. The dr ignored those results because he said the high aldosterone didn't make sense. The urine test showed low estrogen , androgens,and low t4. Progesterone was high along with the aldosterone. He started treating the thyroid and sex hormones.

> >>>

> >>> My "hormonal" issues have not resolved so we are still looking for answers. I knew that my thyroid issue could cause low aldosterone and I was having low aldosterone symptoms so we had those test run again.Only this time through blood. What I thought was going to be low came back high! So the search for answers continues.

> >>>>

> >>>> CE Grim MD

> >>>>

> >>>>>

> >>>>> The renin was 3.3

> >>>>>

> >>>>> Sent from my iPad

> >>>>>

> >>>>>>

> >>>>>> Not if you are running unless you do not replace the salt.

> >>>>>>

> >>>>>> Still need to verify renin numbers. 3.3 or 33?

> >>>>>>

> >>>>>> One needs renin and aldo and 24 hr urine to test.

> >>>>>>

> >>>>>>>

> >>>>>>> Is it possible that I am salt wasting?

> >>>>>>>

> >>>>>>> Sent from my iPad

> >>>>>>>

> >>>>>>>>

> >>>>>>>> I read 3.3 on first message. Was it 33 or 3.3?

> >>>>>>>>

> >>>>>>>>>

> >>>>>>>>> I do have a renin lab it is on the lower part of the first message.

> >>>>>>>>>

> >>>>>>>>> Renin 33. (non ambulatory 0.8-2.5, ambulatory 1.5-5 .2)

> >>>>>>>>>

> >>>>>>>>> My ND is trying to lower it with spironolactone, however, I want to explore this more to know "why" it's high.

> >>>>>>>>>

> >>>>>>>>> Sent from my iPad

> >>>>>>>>>

> >>>>>>>>>>

> >>>>>>>>>> You need a renin level and your ND should be able to lower it. Can also do a 24 hr urine 4 Na K and creat. If you are really in a low na diet that may be controlling the BP.

> >>>>>>>>>>

> >>>>>>>>>> Tiped sad Send form mi

> >>>>>>>>>> iPhone ;-)

> >>>>>>>>>>

> >>>>>>>>>> May your pressure be low!

> >>>>>>>>>>

> >>>>>>>>>> CE Grim MD

> >>>>>>>>>> Specializing in Difficult

> >>>>>>>>>> Hypertension

> >>>>>>>>>>

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

> >>>>>>>>>>> Hi everyone, just joined today. Thanks to all of you for this support!

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

> >>>>>>>>>>> I tested high for aldosterone two years ago through a urine test. My ND at the time was not concerned, he thought it was due to the fact that I was a runner. I also thought that made since and was also following a low salt diet. So we ignored it.

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

> >>>>>>>>>>> I am treAting a thyroid issue, thyroid hormone resistance, and through recent blood work tested high for aldosterone again. This time I decided not to ignore it!

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

> >>>>>>>>>>> I do not have a high blood pressure. It runs pretty normal to low. I don't have issues with potassium. This is all Very confusing as to why I have high aldosterone.

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

> >>>>>>>>>>> I am trying to get into a endocrinologist but will take about three months. I need some education and advise on where to start.

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

> >>>>>>>>>>> I don't even know if this is primary or secondary.

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

> >>>>>>>>>>> My only real "health" issue, that I know about, has been hair loss. This was one reason for exploring the thyroid but I am wondering if it has been the aldosterone all along. Maybe the aldosterone is what's causing my thyroid issues.

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

> >>>>>>>>>>> Any comments or advice would be greatly appreciated.

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

> >>>>>>>>>>> My labs:

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

> >>>>>>>>>>> 9/26/2008

> >>>>>>>>>>> Aldosterone (urine)

> >>>>>>>>>>> High 54.3. (normal diet 6-25, low salt 17-44, high salt0-6)

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

> >>>>>>>>>>> Other adrenal hormones were fine at that time. Cortisol was pretty middle of the road. *Progesterone however was really high too. I can post if necessary.

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

> >>>>>>>>>>> Rbc potassium 7/14/2010

> >>>>>>>>>>> 97. (90-111)

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

> >>>>>>>>>>> Blood aldosterone 7/18/2010

> >>>>>>>>>>> 52.0. (1-16)

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

> >>>>>>>>>>> Blood aldosterone/renin 6/30/2010

> >>>>>>>>>>> Aldosterone 49. (1-16)

> >>>>>>>>>>> Renin. 3.3. (random ambulatory 0.8-2.5, non ambulatory 1.5-5.2)

> >>>>>>>>>>> I was sitting, fasting, taking two hours after waking before/around 8am

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

> >>>>>>>>>>> Aldosterone renin ratio = 15

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

> >>>>>>>>>>> Sodium. 138. (135-145)

> >>>>>>>>>>> Potassium. 4.5. (3.5-5.3)

> >>>>>>>>>>> Chloride. 106. (98-109)

> >>>>>>>>>>> Co2. 23. (22-31)

> >>>>>>>>>>> Anion gap. 9. (5-16)

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

> >>>>>>>>>>> Saliva cortisol 5/23/2010

> >>>>>>>>>>> 7am. 3.7. (3.7-9.5)

> >>>>>>>>>>> 11am. 1.6. (1.2-3.0)

> >>>>>>>>>>> 5pm. 1.3. (0.6-1.9)

> >>>>>>>>>>> 9pm. 0.5. (0.4-1.0)

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

> >>>>>>>>>>> Rbc magnesium 5/26/2010

> >>>>>>>>>>> 4.2. (4.0-6.4)

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

> >>>>>>>>>>> Lot of test!!!!

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

> >>>>>>>>>>> Thanks again for your kind support! Suzanne

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

> >>>>>>>>>>

> >>>>>>>>>

> >>>>>>>>

> >>>>>>>

> >>>>>>

> >>>>>

> >>>>

> >>>

> >>

> >

>

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(9)

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1

September 23, 2010

Luckly I have a friend who is a general surgeon and got me an appointment with an inertnist tomorrow. Is there anything I should know to be best prepared? I will have all labs with me. Are there questions I should make sure to ask or test I should ask for?DSent from my iPad

My guess is the non amb amb is mixed up. Should be higher amb. Tiped sad Send form miiPhone ;-)May your pressure be low!CE Grim MDSpecializing in DifficultHypertension

Renin. 3.3Non ambulatory 1.5-5.2Ambulatory. 0.8-2.5I was sitting for the draw. Would I be ambulatory or non ambulatory?

>

> Yes review my article. But your renin does not seem low but need normal values for that lab.

>

> Tiped sad Send form mi

> iPhone ;-)

>

> May your pressure be low!

>

> CE Grim MD

> Specializing in Difficult

> Hypertension

>

> > Is it possible to have primary hyperaldosteronism and NOT have high blood pressure?

> >

> > Sent from my iPad

> >

> >>

> >> Excellent. How do you like the iPad. There is a new BP app for it but I don't have one--an iPad.

> >>

> >> It tracks BP.

> >>

> >>>

> >>> Sent from my iPad

> >>>

> >>>>

> >>>> Why was the aldo done in the first place?

> >>>

> >>> After I stopped nursing my third child I started having "hormonal" issues. So I went to see a ND and he ran a 24 hour urine test to see what sex hormones were doing. Test included estrogens, progesterone, all the androgens, thyroid, and aldosterone. That's when the high aldosterone was picked up. That was two years ago. The dr ignored those results because he said the high aldosterone didn't make sense. The urine test showed low estrogen , androgens,and low t4. Progesterone was high along with the aldosterone. He started treating the thyroid and sex hormones.

> >>>

> >>> My "hormonal" issues have not resolved so we are still looking for answers. I knew that my thyroid issue could cause low aldosterone and I was having low aldosterone symptoms so we had those test run again.Only this time through blood. What I thought was going to be low came back high! So the search for answers continues.

> >>>>

> >>>> CE Grim MD

> >>>>

> >>>>>

> >>>>> The renin was 3.3

> >>>>>

> >>>>> Sent from my iPad

> >>>>>

> >>>>>>

> >>>>>> Not if you are running unless you do not replace the salt.

> >>>>>>

> >>>>>> Still need to verify renin numbers. 3.3 or 33?

> >>>>>>

> >>>>>> One needs renin and aldo and 24 hr urine to test.

> >>>>>>

> >>>>>>>

> >>>>>>> Is it possible that I am salt wasting?

> >>>>>>>

> >>>>>>> Sent from my iPad

> >>>>>>>

> >>>>>>>>

> >>>>>>>> I read 3.3 on first message. Was it 33 or 3.3?

> >>>>>>>>

> >>>>>>>>>

> >>>>>>>>> I do have a renin lab it is on the lower part of the first message.

> >>>>>>>>>

> >>>>>>>>> Renin 33. (non ambulatory 0.8-2.5, ambulatory 1.5-5 .2)

> >>>>>>>>>

> >>>>>>>>> My ND is trying to lower it with spironolactone, however, I want to explore this more to know "why" it's high.

> >>>>>>>>>

> >>>>>>>>> Sent from my iPad

> >>>>>>>>>

> >>>>>>>>>>

> >>>>>>>>>> You need a renin level and your ND should be able to lower it. Can also do a 24 hr urine 4 Na K and creat. If you are really in a low na diet that may be controlling the BP.

> >>>>>>>>>>

> >>>>>>>>>> Tiped sad Send form mi

> >>>>>>>>>> iPhone ;-)

> >>>>>>>>>>

> >>>>>>>>>> May your pressure be low!

> >>>>>>>>>>

> >>>>>>>>>> CE Grim MD

> >>>>>>>>>> Specializing in Difficult

> >>>>>>>>>> Hypertension

> >>>>>>>>>>

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

> >>>>>>>>>>> Hi everyone, just joined today. Thanks to all of you for this support!

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

> >>>>>>>>>>> I tested high for aldosterone two years ago through a urine test. My ND at the time was not concerned, he thought it was due to the fact that I was a runner. I also thought that made since and was also following a low salt diet. So we ignored it.

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

> >>>>>>>>>>> I am treAting a thyroid issue, thyroid hormone resistance, and through recent blood work tested high for aldosterone again. This time I decided not to ignore it!

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

> >>>>>>>>>>> I do not have a high blood pressure. It runs pretty normal to low. I don't have issues with potassium. This is all Very confusing as to why I have high aldosterone.

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

> >>>>>>>>>>> I am trying to get into a endocrinologist but will take about three months. I need some education and advise on where to start.

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

> >>>>>>>>>>> I don't even know if this is primary or secondary.

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

> >>>>>>>>>>> My only real "health" issue, that I know about, has been hair loss. This was one reason for exploring the thyroid but I am wondering if it has been the aldosterone all along. Maybe the aldosterone is what's causing my thyroid issues.

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

> >>>>>>>>>>> Any comments or advice would be greatly appreciated.

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

> >>>>>>>>>>> My labs:

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

> >>>>>>>>>>> 9/26/2008

> >>>>>>>>>>> Aldosterone (urine)

> >>>>>>>>>>> High 54.3. (normal diet 6-25, low salt 17-44, high salt0-6)

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

> >>>>>>>>>>> Other adrenal hormones were fine at that time. Cortisol was pretty middle of the road. *Progesterone however was really high too. I can post if necessary.

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

> >>>>>>>>>>> Rbc potassium 7/14/2010

> >>>>>>>>>>> 97. (90-111)

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

> >>>>>>>>>>> Blood aldosterone 7/18/2010

> >>>>>>>>>>> 52.0. (1-16)

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

> >>>>>>>>>>> Blood aldosterone/renin 6/30/2010

> >>>>>>>>>>> Aldosterone 49. (1-16)

> >>>>>>>>>>> Renin. 3.3. (random ambulatory 0.8-2.5, non ambulatory 1.5-5.2)

> >>>>>>>>>>> I was sitting, fasting, taking two hours after waking before/around 8am

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

> >>>>>>>>>>> Aldosterone renin ratio = 15

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

> >>>>>>>>>>> Sodium. 138. (135-145)

> >>>>>>>>>>> Potassium. 4.5. (3.5-5.3)

> >>>>>>>>>>> Chloride. 106. (98-109)

> >>>>>>>>>>> Co2. 23. (22-31)

> >>>>>>>>>>> Anion gap. 9. (5-16)

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

> >>>>>>>>>>> Saliva cortisol 5/23/2010

> >>>>>>>>>>> 7am. 3.7. (3.7-9.5)

> >>>>>>>>>>> 11am. 1.6. (1.2-3.0)

> >>>>>>>>>>> 5pm. 1.3. (0.6-1.9)

> >>>>>>>>>>> 9pm. 0.5. (0.4-1.0)

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

> >>>>>>>>>>> Rbc magnesium 5/26/2010

> >>>>>>>>>>> 4.2. (4.0-6.4)

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

> >>>>>>>>>>> Lot of test!!!!

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

> >>>>>>>>>>> Thanks again for your kind support! Suzanne

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

> >>>>>>>>>>

> >>>>>>>>>

> >>>>>>>>

> >>>>>>>

> >>>>>>

> >>>>>

> >>>>

> >>>

> >>

> >

>

Reply to sender |

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Messages in this topic

(9)

Recent Activity:

New Members

9

New Links

1

September 23, 2010

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

Do you mean the ranges/values are mixed up?Sent from my iPad

My guess is the non amb amb is mixed up. Should be higher amb. Tiped sad Send form miiPhone ;-)May your pressure be low!CE Grim MDSpecializing in DifficultHypertension

Renin. 3.3Non ambulatory 1.5-5.2Ambulatory. 0.8-2.5I was sitting for the draw. Would I be ambulatory or non ambulatory?

>

> Yes review my article. But your renin does not seem low but need normal values for that lab.

>

> Tiped sad Send form mi

> iPhone ;-)

>

> May your pressure be low!

>

> CE Grim MD

> Specializing in Difficult

> Hypertension

>

> > Is it possible to have primary hyperaldosteronism and NOT have high blood pressure?

> >

> > Sent from my iPad

> >

> >>

> >> Excellent. How do you like the iPad. There is a new BP app for it but I don't have one--an iPad.

> >>

> >> It tracks BP.

> >>

> >>>

> >>> Sent from my iPad

> >>>

> >>>>

> >>>> Why was the aldo done in the first place?

> >>>

> >>> After I stopped nursing my third child I started having "hormonal" issues. So I went to see a ND and he ran a 24 hour urine test to see what sex hormones were doing. Test included estrogens, progesterone, all the androgens, thyroid, and aldosterone. That's when the high aldosterone was picked up. That was two years ago. The dr ignored those results because he said the high aldosterone didn't make sense. The urine test showed low estrogen , androgens,and low t4. Progesterone was high along with the aldosterone. He started treating the thyroid and sex hormones.

> >>>

> >>> My "hormonal" issues have not resolved so we are still looking for answers. I knew that my thyroid issue could cause low aldosterone and I was having low aldosterone symptoms so we had those test run again.Only this time through blood. What I thought was going to be low came back high! So the search for answers continues.

> >>>>

> >>>> CE Grim MD

> >>>>

> >>>>>

> >>>>> The renin was 3.3

> >>>>>

> >>>>> Sent from my iPad

> >>>>>

> >>>>>>

> >>>>>> Not if you are running unless you do not replace the salt.

> >>>>>>

> >>>>>> Still need to verify renin numbers. 3.3 or 33?

> >>>>>>

> >>>>>> One needs renin and aldo and 24 hr urine to test.

> >>>>>>

> >>>>>>>

> >>>>>>> Is it possible that I am salt wasting?

> >>>>>>>

> >>>>>>> Sent from my iPad

> >>>>>>>

> >>>>>>>>

> >>>>>>>> I read 3.3 on first message. Was it 33 or 3.3?

> >>>>>>>>

> >>>>>>>>>

> >>>>>>>>> I do have a renin lab it is on the lower part of the first message.

> >>>>>>>>>

> >>>>>>>>> Renin 33. (non ambulatory 0.8-2.5, ambulatory 1.5-5 .2)

> >>>>>>>>>

> >>>>>>>>> My ND is trying to lower it with spironolactone, however, I want to explore this more to know "why" it's high.

> >>>>>>>>>

> >>>>>>>>> Sent from my iPad

> >>>>>>>>>

> >>>>>>>>>>

> >>>>>>>>>> You need a renin level and your ND should be able to lower it. Can also do a 24 hr urine 4 Na K and creat. If you are really in a low na diet that may be controlling the BP.

> >>>>>>>>>>

> >>>>>>>>>> Tiped sad Send form mi

> >>>>>>>>>> iPhone ;-)

> >>>>>>>>>>

> >>>>>>>>>> May your pressure be low!

> >>>>>>>>>>

> >>>>>>>>>> CE Grim MD

> >>>>>>>>>> Specializing in Difficult

> >>>>>>>>>> Hypertension

> >>>>>>>>>>

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

> >>>>>>>>>>> Hi everyone, just joined today. Thanks to all of you for this support!

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

> >>>>>>>>>>> I tested high for aldosterone two years ago through a urine test. My ND at the time was not concerned, he thought it was due to the fact that I was a runner. I also thought that made since and was also following a low salt diet. So we ignored it.

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

> >>>>>>>>>>> I am treAting a thyroid issue, thyroid hormone resistance, and through recent blood work tested high for aldosterone again. This time I decided not to ignore it!

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

> >>>>>>>>>>> I do not have a high blood pressure. It runs pretty normal to low. I don't have issues with potassium. This is all Very confusing as to why I have high aldosterone.

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

> >>>>>>>>>>> I am trying to get into a endocrinologist but will take about three months. I need some education and advise on where to start.

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

> >>>>>>>>>>> I don't even know if this is primary or secondary.

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

> >>>>>>>>>>> My only real "health" issue, that I know about, has been hair loss. This was one reason for exploring the thyroid but I am wondering if it has been the aldosterone all along. Maybe the aldosterone is what's causing my thyroid issues.

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

> >>>>>>>>>>> Any comments or advice would be greatly appreciated.

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

> >>>>>>>>>>> My labs:

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

> >>>>>>>>>>> 9/26/2008

> >>>>>>>>>>> Aldosterone (urine)

> >>>>>>>>>>> High 54.3. (normal diet 6-25, low salt 17-44, high salt0-6)

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

> >>>>>>>>>>> Other adrenal hormones were fine at that time. Cortisol was pretty middle of the road. *Progesterone however was really high too. I can post if necessary.

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

> >>>>>>>>>>> Rbc potassium 7/14/2010

> >>>>>>>>>>> 97. (90-111)

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

> >>>>>>>>>>> Blood aldosterone 7/18/2010

> >>>>>>>>>>> 52.0. (1-16)

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

> >>>>>>>>>>> Blood aldosterone/renin 6/30/2010

> >>>>>>>>>>> Aldosterone 49. (1-16)

> >>>>>>>>>>> Renin. 3.3. (random ambulatory 0.8-2.5, non ambulatory 1.5-5.2)

> >>>>>>>>>>> I was sitting, fasting, taking two hours after waking before/around 8am

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

> >>>>>>>>>>> Aldosterone renin ratio = 15

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

> >>>>>>>>>>> Sodium. 138. (135-145)

> >>>>>>>>>>> Potassium. 4.5. (3.5-5.3)

> >>>>>>>>>>> Chloride. 106. (98-109)

> >>>>>>>>>>> Co2. 23. (22-31)

> >>>>>>>>>>> Anion gap. 9. (5-16)

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

> >>>>>>>>>>> Saliva cortisol 5/23/2010

> >>>>>>>>>>> 7am. 3.7. (3.7-9.5)

> >>>>>>>>>>> 11am. 1.6. (1.2-3.0)

> >>>>>>>>>>> 5pm. 1.3. (0.6-1.9)

> >>>>>>>>>>> 9pm. 0.5. (0.4-1.0)

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

> >>>>>>>>>>> Rbc magnesium 5/26/2010

> >>>>>>>>>>> 4.2. (4.0-6.4)

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

> >>>>>>>>>>> Lot of test!!!!

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

> >>>>>>>>>>> Thanks again for your kind support! Suzanne

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

> >>>>>>>>>>

> >>>>>>>>>

> >>>>>>>>

> >>>>>>>

> >>>>>>

> >>>>>

> >>>>

> >>>

> >>

> >

>

Reply to sender |

Reply to group |

Reply via web post |

Start a New Topic

Messages in this topic

(9)

Recent Activity:

New Members

9

September 23, 2010

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

Do you mean the ranges/values are mixed up?Sent from my iPad

My guess is the non amb amb is mixed up. Should be higher amb. Tiped sad Send form miiPhone ;-)May your pressure be low!CE Grim MDSpecializing in DifficultHypertension

Renin. 3.3Non ambulatory 1.5-5.2Ambulatory. 0.8-2.5I was sitting for the draw. Would I be ambulatory or non ambulatory?

>

> Yes review my article. But your renin does not seem low but need normal values for that lab.

>

> Tiped sad Send form mi

> iPhone ;-)

>

> May your pressure be low!

>

> CE Grim MD

> Specializing in Difficult

> Hypertension

>

> > Is it possible to have primary hyperaldosteronism and NOT have high blood pressure?

> >

> > Sent from my iPad

> >

> >>

> >> Excellent. How do you like the iPad. There is a new BP app for it but I don't have one--an iPad.

> >>

> >> It tracks BP.

> >>

> >>>

> >>> Sent from my iPad

> >>>

> >>>>

> >>>> Why was the aldo done in the first place?

> >>>

> >>> After I stopped nursing my third child I started having "hormonal" issues. So I went to see a ND and he ran a 24 hour urine test to see what sex hormones were doing. Test included estrogens, progesterone, all the androgens, thyroid, and aldosterone. That's when the high aldosterone was picked up. That was two years ago. The dr ignored those results because he said the high aldosterone didn't make sense. The urine test showed low estrogen , androgens,and low t4. Progesterone was high along with the aldosterone. He started treating the thyroid and sex hormones.

> >>>

> >>> My "hormonal" issues have not resolved so we are still looking for answers. I knew that my thyroid issue could cause low aldosterone and I was having low aldosterone symptoms so we had those test run again.Only this time through blood. What I thought was going to be low came back high! So the search for answers continues.

> >>>>

> >>>> CE Grim MD

> >>>>

> >>>>>

> >>>>> The renin was 3.3

> >>>>>

> >>>>> Sent from my iPad

> >>>>>

> >>>>>>

> >>>>>> Not if you are running unless you do not replace the salt.

> >>>>>>

> >>>>>> Still need to verify renin numbers. 3.3 or 33?

> >>>>>>

> >>>>>> One needs renin and aldo and 24 hr urine to test.

> >>>>>>

> >>>>>>>

> >>>>>>> Is it possible that I am salt wasting?

> >>>>>>>

> >>>>>>> Sent from my iPad

> >>>>>>>

> >>>>>>>>

> >>>>>>>> I read 3.3 on first message. Was it 33 or 3.3?

> >>>>>>>>

> >>>>>>>>>

> >>>>>>>>> I do have a renin lab it is on the lower part of the first message.

> >>>>>>>>>

> >>>>>>>>> Renin 33. (non ambulatory 0.8-2.5, ambulatory 1.5-5 .2)

> >>>>>>>>>

> >>>>>>>>> My ND is trying to lower it with spironolactone, however, I want to explore this more to know "why" it's high.

> >>>>>>>>>

> >>>>>>>>> Sent from my iPad

> >>>>>>>>>

> >>>>>>>>>>

> >>>>>>>>>> You need a renin level and your ND should be able to lower it. Can also do a 24 hr urine 4 Na K and creat. If you are really in a low na diet that may be controlling the BP.

> >>>>>>>>>>

> >>>>>>>>>> Tiped sad Send form mi

> >>>>>>>>>> iPhone ;-)

> >>>>>>>>>>

> >>>>>>>>>> May your pressure be low!

> >>>>>>>>>>

> >>>>>>>>>> CE Grim MD

> >>>>>>>>>> Specializing in Difficult

> >>>>>>>>>> Hypertension

> >>>>>>>>>>

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

> >>>>>>>>>>> Hi everyone, just joined today. Thanks to all of you for this support!

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

> >>>>>>>>>>> I tested high for aldosterone two years ago through a urine test. My ND at the time was not concerned, he thought it was due to the fact that I was a runner. I also thought that made since and was also following a low salt diet. So we ignored it.

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

> >>>>>>>>>>> I am treAting a thyroid issue, thyroid hormone resistance, and through recent blood work tested high for aldosterone again. This time I decided not to ignore it!

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

> >>>>>>>>>>> I do not have a high blood pressure. It runs pretty normal to low. I don't have issues with potassium. This is all Very confusing as to why I have high aldosterone.

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

> >>>>>>>>>>> I am trying to get into a endocrinologist but will take about three months. I need some education and advise on where to start.

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

> >>>>>>>>>>> I don't even know if this is primary or secondary.

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

> >>>>>>>>>>> My only real "health" issue, that I know about, has been hair loss. This was one reason for exploring the thyroid but I am wondering if it has been the aldosterone all along. Maybe the aldosterone is what's causing my thyroid issues.

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

> >>>>>>>>>>> Any comments or advice would be greatly appreciated.

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

> >>>>>>>>>>> My labs:

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

> >>>>>>>>>>> 9/26/2008

> >>>>>>>>>>> Aldosterone (urine)

> >>>>>>>>>>> High 54.3. (normal diet 6-25, low salt 17-44, high salt0-6)

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

> >>>>>>>>>>> Other adrenal hormones were fine at that time. Cortisol was pretty middle of the road. *Progesterone however was really high too. I can post if necessary.

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

> >>>>>>>>>>> Rbc potassium 7/14/2010

> >>>>>>>>>>> 97. (90-111)

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

> >>>>>>>>>>> Blood aldosterone 7/18/2010

> >>>>>>>>>>> 52.0. (1-16)

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

> >>>>>>>>>>> Blood aldosterone/renin 6/30/2010

> >>>>>>>>>>> Aldosterone 49. (1-16)

> >>>>>>>>>>> Renin. 3.3. (random ambulatory 0.8-2.5, non ambulatory 1.5-5.2)

> >>>>>>>>>>> I was sitting, fasting, taking two hours after waking before/around 8am

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

> >>>>>>>>>>> Aldosterone renin ratio = 15

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

> >>>>>>>>>>> Sodium. 138. (135-145)

> >>>>>>>>>>> Potassium. 4.5. (3.5-5.3)

> >>>>>>>>>>> Chloride. 106. (98-109)

> >>>>>>>>>>> Co2. 23. (22-31)

> >>>>>>>>>>> Anion gap. 9. (5-16)

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

> >>>>>>>>>>> Saliva cortisol 5/23/2010

> >>>>>>>>>>> 7am. 3.7. (3.7-9.5)

> >>>>>>>>>>> 11am. 1.6. (1.2-3.0)

> >>>>>>>>>>> 5pm. 1.3. (0.6-1.9)

> >>>>>>>>>>> 9pm. 0.5. (0.4-1.0)

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

> >>>>>>>>>>> Rbc magnesium 5/26/2010

> >>>>>>>>>>> 4.2. (4.0-6.4)

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

> >>>>>>>>>>> Lot of test!!!!

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

> >>>>>>>>>>> Thanks again for your kind support! Suzanne

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

> >>>>>>>>>>

> >>>>>>>>>

> >>>>>>>>

> >>>>>>>

> >>>>>>

> >>>>>

> >>>>

> >>>

> >>

> >

>

Reply to sender |

Reply to group |

Reply via web post |

Start a New Topic

Messages in this topic

(9)

Recent Activity:

New Members

9

September 23, 2010

But how much Na and K a day. DASH goal is 1500 mg Na and 4000 KTiped sad Send form miiPhone ;-)May your pressure be low!CE Grim MDSpecializing in DifficultHypertension

T3 cytomel, only med at that time. Tested day four of menstrual cycle. Salt fasted for about 40 hours. Blood draw was at 8amDiet is pretty clean, organic meats,veggies,fruits and gluten free grains.Sent from my iPad

AmbWhat meds and diet and time of day and menstrual cycle details. Tiped sad Send form miiPhone ;-)May your pressure be low!CE Grim MDSpecializing in DifficultHypertension

Renin. 3.3Non ambulatory 1.5-5.2Ambulatory. 0.8-2.5I was sitting for the draw. Would I be ambulatory or non ambulatory?

>

> Yes review my article. But your renin does not seem low but need normal values for that lab.

>

> Tiped sad Send form mi

> iPhone ;-)

>

> May your pressure be low!

>

> CE Grim MD

> Specializing in Difficult

> Hypertension

>

> > Is it possible to have primary hyperaldosteronism and NOT have high blood pressure?

> >

> > Sent from my iPad

> >

> >>

> >> Excellent. How do you like the iPad. There is a new BP app for it but I don't have one--an iPad.

> >>

> >> It tracks BP.

> >>

> >>>

> >>> Sent from my iPad

> >>>

> >>>>

> >>>> Why was the aldo done in the first place?

> >>>

> >>> After I stopped nursing my third child I started having "hormonal" issues. So I went to see a ND and he ran a 24 hour urine test to see what sex hormones were doing. Test included estrogens, progesterone, all the androgens, thyroid, and aldosterone. That's when the high aldosterone was picked up. That was two years ago. The dr ignored those results because he said the high aldosterone didn't make sense. The urine test showed low estrogen , androgens,and low t4. Progesterone was high along with the aldosterone. He started treating the thyroid and sex hormones.

> >>>

> >>> My "hormonal" issues have not resolved so we are still looking for answers. I knew that my thyroid issue could cause low aldosterone and I was having low aldosterone symptoms so we had those test run again.Only this time through blood. What I thought was going to be low came back high! So the search for answers continues.

> >>>>

> >>>> CE Grim MD

> >>>>

> >>>>>

> >>>>> The renin was 3.3

> >>>>>

> >>>>> Sent from my iPad

> >>>>>

> >>>>>>

> >>>>>> Not if you are running unless you do not replace the salt.

> >>>>>>

> >>>>>> Still need to verify renin numbers. 3.3 or 33?

> >>>>>>

> >>>>>> One needs renin and aldo and 24 hr urine to test.

> >>>>>>

> >>>>>>>

> >>>>>>> Is it possible that I am salt wasting?

> >>>>>>>

> >>>>>>> Sent from my iPad

> >>>>>>>

> >>>>>>>>

> >>>>>>>> I read 3.3 on first message. Was it 33 or 3.3?

> >>>>>>>>

> >>>>>>>>>

> >>>>>>>>> I do have a renin lab it is on the lower part of the first message.

> >>>>>>>>>

> >>>>>>>>> Renin 33. (non ambulatory 0.8-2.5, ambulatory 1.5-5 .2)

> >>>>>>>>>

> >>>>>>>>> My ND is trying to lower it with spironolactone, however, I want to explore this more to know "why" it's high.

> >>>>>>>>>

> >>>>>>>>> Sent from my iPad

> >>>>>>>>>

> >>>>>>>>>>

> >>>>>>>>>> You need a renin level and your ND should be able to lower it. Can also do a 24 hr urine 4 Na K and creat. If you are really in a low na diet that may be controlling the BP.

> >>>>>>>>>>

> >>>>>>>>>> Tiped sad Send form mi

> >>>>>>>>>> iPhone ;-)

> >>>>>>>>>>

> >>>>>>>>>> May your pressure be low!

> >>>>>>>>>>

> >>>>>>>>>> CE Grim MD

> >>>>>>>>>> Specializing in Difficult

> >>>>>>>>>> Hypertension

> >>>>>>>>>>

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

> >>>>>>>>>>> Hi everyone, just joined today. Thanks to all of you for this support!

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

> >>>>>>>>>>> I tested high for aldosterone two years ago through a urine test. My ND at the time was not concerned, he thought it was due to the fact that I was a runner. I also thought that made since and was also following a low salt diet. So we ignored it.

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

> >>>>>>>>>>> I am treAting a thyroid issue, thyroid hormone resistance, and through recent blood work tested high for aldosterone again. This time I decided not to ignore it!

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

> >>>>>>>>>>> I do not have a high blood pressure. It runs pretty normal to low. I don't have issues with potassium. This is all Very confusing as to why I have high aldosterone.

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

> >>>>>>>>>>> I am trying to get into a endocrinologist but will take about three months. I need some education and advise on where to start.

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

> >>>>>>>>>>> I don't even know if this is primary or secondary.

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

> >>>>>>>>>>> My only real "health" issue, that I know about, has been hair loss. This was one reason for exploring the thyroid but I am wondering if it has been the aldosterone all along. Maybe the aldosterone is what's causing my thyroid issues.

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

> >>>>>>>>>>> Any comments or advice would be greatly appreciated.

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

> >>>>>>>>>>> My labs:

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

> >>>>>>>>>>> 9/26/2008

> >>>>>>>>>>> Aldosterone (urine)

> >>>>>>>>>>> High 54.3. (normal diet 6-25, low salt 17-44, high salt0-6)

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

> >>>>>>>>>>> Other adrenal hormones were fine at that time. Cortisol was pretty middle of the road. *Progesterone however was really high too. I can post if necessary.

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

> >>>>>>>>>>> Rbc potassium 7/14/2010

> >>>>>>>>>>> 97. (90-111)

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

> >>>>>>>>>>> Blood aldosterone 7/18/2010

> >>>>>>>>>>> 52.0. (1-16)

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

> >>>>>>>>>>> Blood aldosterone/renin 6/30/2010

> >>>>>>>>>>> Aldosterone 49. (1-16)

> >>>>>>>>>>> Renin. 3.3. (random ambulatory 0.8-2.5, non ambulatory 1.5-5.2)

> >>>>>>>>>>> I was sitting, fasting, taking two hours after waking before/around 8am

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

> >>>>>>>>>>> Aldosterone renin ratio = 15

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

> >>>>>>>>>>> Sodium. 138. (135-145)

> >>>>>>>>>>> Potassium. 4.5. (3.5-5.3)

> >>>>>>>>>>> Chloride. 106. (98-109)

> >>>>>>>>>>> Co2. 23. (22-31)

> >>>>>>>>>>> Anion gap. 9. (5-16)

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

> >>>>>>>>>>> Saliva cortisol 5/23/2010

> >>>>>>>>>>> 7am. 3.7. (3.7-9.5)

> >>>>>>>>>>> 11am. 1.6. (1.2-3.0)

> >>>>>>>>>>> 5pm. 1.3. (0.6-1.9)

> >>>>>>>>>>> 9pm. 0.5. (0.4-1.0)

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

> >>>>>>>>>>> Rbc magnesium 5/26/2010

> >>>>>>>>>>> 4.2. (4.0-6.4)

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

> >>>>>>>>>>> Lot of test!!!!

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

> >>>>>>>>>>> Thanks again for your kind support! Suzanne

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

> >>>>>>>>>>

> >>>>>>>>>

> >>>>>>>>

> >>>>>>>

> >>>>>>

> >>>>>

> >>>>

> >>>

> >>

> >

>

Reply to sender |

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Start a New Topic

Messages in this topic

(9)

Recent Activity:

September 23, 2010

I don't know about na or k. I think I was supplementing 10meq of potassium around this time. Was not worried at the time with na. Never had trouble with bp so never really thought about salt other than knowing not to use table salt. I use Celtic sea salt. I didn't take any supplements the day I tested or use salt for a day or two. What do you think, is this looking like primary or secondary hyperaldosteronism? If secondary, what should I be looking at for the cause?Sent from my iPad

But how much Na and K a day. DASH goal is 1500 mg Na and 4000 KTiped sad Send form miiPhone ;-)May your pressure be low!CE Grim MDSpecializing in DifficultHypertension

T3 cytomel, only med at that time. Tested day four of menstrual cycle. Salt fasted for about 40 hours. Blood draw was at 8amDiet is pretty clean, organic meats,veggies,fruits and gluten free grains.Sent from my iPad

AmbWhat meds and diet and time of day and menstrual cycle details. Tiped sad Send form miiPhone ;-)May your pressure be low!CE Grim MDSpecializing in DifficultHypertension

Renin. 3.3Non ambulatory 1.5-5.2Ambulatory. 0.8-2.5I was sitting for the draw. Would I be ambulatory or non ambulatory?

>

> Yes review my article. But your renin does not seem low but need normal values for that lab.

>

> Tiped sad Send form mi

> iPhone ;-)

>

> May your pressure be low!

>

> CE Grim MD

> Specializing in Difficult

> Hypertension

>

> > Is it possible to have primary hyperaldosteronism and NOT have high blood pressure?

> >

> > Sent from my iPad

> >

> >>

> >> Excellent. How do you like the iPad. There is a new BP app for it but I don't have one--an iPad.

> >>

> >> It tracks BP.

> >>

> >>>

> >>> Sent from my iPad

> >>>

> >>>>

> >>>> Why was the aldo done in the first place?

> >>>

> >>> After I stopped nursing my third child I started having "hormonal" issues. So I went to see a ND and he ran a 24 hour urine test to see what sex hormones were doing. Test included estrogens, progesterone, all the androgens, thyroid, and aldosterone. That's when the high aldosterone was picked up. That was two years ago. The dr ignored those results because he said the high aldosterone didn't make sense. The urine test showed low estrogen , androgens,and low t4. Progesterone was high along with the aldosterone. He started treating the thyroid and sex hormones.

> >>>

> >>> My "hormonal" issues have not resolved so we are still looking for answers. I knew that my thyroid issue could cause low aldosterone and I was having low aldosterone symptoms so we had those test run again.Only this time through blood. What I thought was going to be low came back high! So the search for answers continues.

> >>>>

> >>>> CE Grim MD

> >>>>

> >>>>>

> >>>>> The renin was 3.3

> >>>>>

> >>>>> Sent from my iPad

> >>>>>

> >>>>>>

> >>>>>> Not if you are running unless you do not replace the salt.

> >>>>>>

> >>>>>> Still need to verify renin numbers. 3.3 or 33?

> >>>>>>

> >>>>>> One needs renin and aldo and 24 hr urine to test.

> >>>>>>

> >>>>>>>

> >>>>>>> Is it possible that I am salt wasting?

> >>>>>>>

> >>>>>>> Sent from my iPad

> >>>>>>>

> >>>>>>>>

> >>>>>>>> I read 3.3 on first message. Was it 33 or 3.3?

> >>>>>>>>

> >>>>>>>>>

> >>>>>>>>> I do have a renin lab it is on the lower part of the first message.

> >>>>>>>>>

> >>>>>>>>> Renin 33. (non ambulatory 0.8-2.5, ambulatory 1.5-5 .2)

> >>>>>>>>>

> >>>>>>>>> My ND is trying to lower it with spironolactone, however, I want to explore this more to know "why" it's high.

> >>>>>>>>>

> >>>>>>>>> Sent from my iPad

> >>>>>>>>>

> >>>>>>>>>>

> >>>>>>>>>> You need a renin level and your ND should be able to lower it. Can also do a 24 hr urine 4 Na K and creat. If you are really in a low na diet that may be controlling the BP.

> >>>>>>>>>>

> >>>>>>>>>> Tiped sad Send form mi

> >>>>>>>>>> iPhone ;-)

> >>>>>>>>>>

> >>>>>>>>>> May your pressure be low!

> >>>>>>>>>>

> >>>>>>>>>> CE Grim MD

> >>>>>>>>>> Specializing in Difficult

> >>>>>>>>>> Hypertension

> >>>>>>>>>>

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

> >>>>>>>>>>> Hi everyone, just joined today. Thanks to all of you for this support!

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

> >>>>>>>>>>> I tested high for aldosterone two years ago through a urine test. My ND at the time was not concerned, he thought it was due to the fact that I was a runner. I also thought that made since and was also following a low salt diet. So we ignored it.

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

> >>>>>>>>>>> I am treAting a thyroid issue, thyroid hormone resistance, and through recent blood work tested high for aldosterone again. This time I decided not to ignore it!

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

> >>>>>>>>>>> I do not have a high blood pressure. It runs pretty normal to low. I don't have issues with potassium. This is all Very confusing as to why I have high aldosterone.

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

> >>>>>>>>>>> I am trying to get into a endocrinologist but will take about three months. I need some education and advise on where to start.

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

> >>>>>>>>>>> I don't even know if this is primary or secondary.

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

> >>>>>>>>>>> My only real "health" issue, that I know about, has been hair loss. This was one reason for exploring the thyroid but I am wondering if it has been the aldosterone all along. Maybe the aldosterone is what's causing my thyroid issues.

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

> >>>>>>>>>>> Any comments or advice would be greatly appreciated.

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

> >>>>>>>>>>> My labs:

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

> >>>>>>>>>>> 9/26/2008

> >>>>>>>>>>> Aldosterone (urine)

> >>>>>>>>>>> High 54.3. (normal diet 6-25, low salt 17-44, high salt0-6)

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

> >>>>>>>>>>> Other adrenal hormones were fine at that time. Cortisol was pretty middle of the road. *Progesterone however was really high too. I can post if necessary.

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

> >>>>>>>>>>> Rbc potassium 7/14/2010

> >>>>>>>>>>> 97. (90-111)

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

> >>>>>>>>>>> Blood aldosterone 7/18/2010

> >>>>>>>>>>> 52.0. (1-16)

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

> >>>>>>>>>>> Blood aldosterone/renin 6/30/2010

> >>>>>>>>>>> Aldosterone 49. (1-16)

> >>>>>>>>>>> Renin. 3.3. (random ambulatory 0.8-2.5, non ambulatory 1.5-5.2)

> >>>>>>>>>>> I was sitting, fasting, taking two hours after waking before/around 8am

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

> >>>>>>>>>>> Aldosterone renin ratio = 15

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

> >>>>>>>>>>> Sodium. 138. (135-145)

> >>>>>>>>>>> Potassium. 4.5. (3.5-5.3)

> >>>>>>>>>>> Chloride. 106. (98-109)

> >>>>>>>>>>> Co2. 23. (22-31)

> >>>>>>>>>>> Anion gap. 9. (5-16)

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

> >>>>>>>>>>> Saliva cortisol 5/23/2010

> >>>>>>>>>>> 7am. 3.7. (3.7-9.5)

> >>>>>>>>>>> 11am. 1.6. (1.2-3.0)

> >>>>>>>>>>> 5pm. 1.3. (0.6-1.9)

> >>>>>>>>>>> 9pm. 0.5. (0.4-1.0)

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

> >>>>>>>>>>> Rbc magnesium 5/26/2010

> >>>>>>>>>>> 4.2. (4.0-6.4)

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

> >>>>>>>>>>> Lot of test!!!!

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

> >>>>>>>>>>> Thanks again for your kind support! Suzanne

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

> >>>>>>>>>>

> >>>>>>>>>

> >>>>>>>>

> >>>>>>>

> >>>>>>

> >>>>>

> >>>>

> >>>

> >>

> >

>

Reply to sender |

Reply to group |

Reply via web post |

Start a New Topic

Messages in this topic

(9)

Recent Activity:

September 23, 2010

Killer salt is salt even CelticTiped sad Send form miiPhone ;-)May your pressure be low!CE Grim MDSpecializing in DifficultHypertension

I don't know about na or k. I think I was supplementing 10meq of potassium around this time. Was not worried at the time with na. Never had trouble with bp so never really thought about salt other than knowing not to use table salt. I use Celtic sea salt. I didn't take any supplements the day I tested or use salt for a day or two. What do you think, is this looking like primary or secondary hyperaldosteronism? If secondary, what should I be looking at for the cause?Sent from my iPad

But how much Na and K a day. DASH goal is 1500 mg Na and 4000 KTiped sad Send form miiPhone ;-)May your pressure be low!CE Grim MDSpecializing in DifficultHypertension

T3 cytomel, only med at that time. Tested day four of menstrual cycle. Salt fasted for about 40 hours. Blood draw was at 8amDiet is pretty clean, organic meats,veggies,fruits and gluten free grains.Sent from my iPad

AmbWhat meds and diet and time of day and menstrual cycle details. Tiped sad Send form miiPhone ;-)May your pressure be low!CE Grim MDSpecializing in DifficultHypertension

Renin. 3.3Non ambulatory 1.5-5.2Ambulatory. 0.8-2.5I was sitting for the draw. Would I be ambulatory or non ambulatory?

>

> Yes review my article. But your renin does not seem low but need normal values for that lab.

>

> Tiped sad Send form mi

> iPhone ;-)

>

> May your pressure be low!

>

> CE Grim MD

> Specializing in Difficult

> Hypertension

>

> > Is it possible to have primary hyperaldosteronism and NOT have high blood pressure?

> >

> > Sent from my iPad

> >

> >>

> >> Excellent. How do you like the iPad. There is a new BP app for it but I don't have one--an iPad.

> >>

> >> It tracks BP.

> >>

> >>>

> >>> Sent from my iPad

> >>>

> >>>>

> >>>> Why was the aldo done in the first place?

> >>>

> >>> After I stopped nursing my third child I started having "hormonal" issues. So I went to see a ND and he ran a 24 hour urine test to see what sex hormones were doing. Test included estrogens, progesterone, all the androgens, thyroid, and aldosterone. That's when the high aldosterone was picked up. That was two years ago. The dr ignored those results because he said the high aldosterone didn't make sense. The urine test showed low estrogen , androgens,and low t4. Progesterone was high along with the aldosterone. He started treating the thyroid and sex hormones.

> >>>

> >>> My "hormonal" issues have not resolved so we are still looking for answers. I knew that my thyroid issue could cause low aldosterone and I was having low aldosterone symptoms so we had those test run again.Only this time through blood. What I thought was going to be low came back high! So the search for answers continues.

> >>>>

> >>>> CE Grim MD

> >>>>

> >>>>>

> >>>>> The renin was 3.3

> >>>>>

> >>>>> Sent from my iPad

> >>>>>

> >>>>>>

> >>>>>> Not if you are running unless you do not replace the salt.

> >>>>>>

> >>>>>> Still need to verify renin numbers. 3.3 or 33?

> >>>>>>

> >>>>>> One needs renin and aldo and 24 hr urine to test.

> >>>>>>

> >>>>>>>

> >>>>>>> Is it possible that I am salt wasting?

> >>>>>>>

> >>>>>>> Sent from my iPad

> >>>>>>>

> >>>>>>>>

> >>>>>>>> I read 3.3 on first message. Was it 33 or 3.3?

> >>>>>>>>

> >>>>>>>>>

> >>>>>>>>> I do have a renin lab it is on the lower part of the first message.

> >>>>>>>>>

> >>>>>>>>> Renin 33. (non ambulatory 0.8-2.5, ambulatory 1.5-5 .2)

> >>>>>>>>>

> >>>>>>>>> My ND is trying to lower it with spironolactone, however, I want to explore this more to know "why" it's high.

> >>>>>>>>>

> >>>>>>>>> Sent from my iPad

> >>>>>>>>>

> >>>>>>>>>>

> >>>>>>>>>> You need a renin level and your ND should be able to lower it. Can also do a 24 hr urine 4 Na K and creat. If you are really in a low na diet that may be controlling the BP.

> >>>>>>>>>>

> >>>>>>>>>> Tiped sad Send form mi

> >>>>>>>>>> iPhone ;-)

> >>>>>>>>>>

> >>>>>>>>>> May your pressure be low!

> >>>>>>>>>>

> >>>>>>>>>> CE Grim MD

> >>>>>>>>>> Specializing in Difficult

> >>>>>>>>>> Hypertension

> >>>>>>>>>>

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

> >>>>>>>>>>> Hi everyone, just joined today. Thanks to all of you for this support!

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

> >>>>>>>>>>> I tested high for aldosterone two years ago through a urine test. My ND at the time was not concerned, he thought it was due to the fact that I was a runner. I also thought that made since and was also following a low salt diet. So we ignored it.

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

> >>>>>>>>>>> I am treAting a thyroid issue, thyroid hormone resistance, and through recent blood work tested high for aldosterone again. This time I decided not to ignore it!

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

> >>>>>>>>>>> I do not have a high blood pressure. It runs pretty normal to low. I don't have issues with potassium. This is all Very confusing as to why I have high aldosterone.

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

> >>>>>>>>>>> I am trying to get into a endocrinologist but will take about three months. I need some education and advise on where to start.

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

> >>>>>>>>>>> I don't even know if this is primary or secondary.

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

> >>>>>>>>>>> My only real "health" issue, that I know about, has been hair loss. This was one reason for exploring the thyroid but I am wondering if it has been the aldosterone all along. Maybe the aldosterone is what's causing my thyroid issues.

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

> >>>>>>>>>>> Any comments or advice would be greatly appreciated.

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

> >>>>>>>>>>> My labs:

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

> >>>>>>>>>>> 9/26/2008

> >>>>>>>>>>> Aldosterone (urine)

> >>>>>>>>>>> High 54.3. (normal diet 6-25, low salt 17-44, high salt0-6)

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

> >>>>>>>>>>> Other adrenal hormones were fine at that time. Cortisol was pretty middle of the road. *Progesterone however was really high too. I can post if necessary.

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

> >>>>>>>>>>> Rbc potassium 7/14/2010

> >>>>>>>>>>> 97. (90-111)

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

> >>>>>>>>>>> Blood aldosterone 7/18/2010

> >>>>>>>>>>> 52.0. (1-16)

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

> >>>>>>>>>>> Blood aldosterone/renin 6/30/2010

> >>>>>>>>>>> Aldosterone 49. (1-16)

> >>>>>>>>>>> Renin. 3.3. (random ambulatory 0.8-2.5, non ambulatory 1.5-5.2)

> >>>>>>>>>>> I was sitting, fasting, taking two hours after waking before/around 8am

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

> >>>>>>>>>>> Aldosterone renin ratio = 15

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

> >>>>>>>>>>> Sodium. 138. (135-145)

> >>>>>>>>>>> Potassium. 4.5. (3.5-5.3)

> >>>>>>>>>>> Chloride. 106. (98-109)

> >>>>>>>>>>> Co2. 23. (22-31)

> >>>>>>>>>>> Anion gap. 9. (5-16)

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

> >>>>>>>>>>> Saliva cortisol 5/23/2010

> >>>>>>>>>>> 7am. 3.7. (3.7-9.5)

> >>>>>>>>>>> 11am. 1.6. (1.2-3.0)

> >>>>>>>>>>> 5pm. 1.3. (0.6-1.9)

> >>>>>>>>>>> 9pm. 0.5. (0.4-1.0)

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

> >>>>>>>>>>> Rbc magnesium 5/26/2010

> >>>>>>>>>>> 4.2. (4.0-6.4)

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

> >>>>>>>>>>> Lot of test!!!!

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

> >>>>>>>>>>> Thanks again for your kind support! Suzanne

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

> >>>>>>>>>>

> >>>>>>>>>

> >>>>>>>>

> >>>>>>>

> >>>>>>

> >>>>>

> >>>>

> >>>

> >>

> >

>

Reply to sender |

September 23, 2010

I can't read his mind the drsTiped sad Send form miiPhone ;-)May your pressure be low!CE Grim MDSpecializing in DifficultHypertension

I don't know about na or k. I think I was supplementing 10meq of potassium around this time. Was not worried at the time with na. Never had trouble with bp so never really thought about salt other than knowing not to use table salt. I use Celtic sea salt. I didn't take any supplements the day I tested or use salt for a day or two. What do you think, is this looking like primary or secondary hyperaldosteronism? If secondary, what should I be looking at for the cause?Sent from my iPad

But how much Na and K a day. DASH goal is 1500 mg Na and 4000 KTiped sad Send form miiPhone ;-)May your pressure be low!CE Grim MDSpecializing in DifficultHypertension

T3 cytomel, only med at that time. Tested day four of menstrual cycle. Salt fasted for about 40 hours. Blood draw was at 8amDiet is pretty clean, organic meats,veggies,fruits and gluten free grains.Sent from my iPad

AmbWhat meds and diet and time of day and menstrual cycle details. Tiped sad Send form miiPhone ;-)May your pressure be low!CE Grim MDSpecializing in DifficultHypertension

Renin. 3.3Non ambulatory 1.5-5.2Ambulatory. 0.8-2.5I was sitting for the draw. Would I be ambulatory or non ambulatory?

>

> Yes review my article. But your renin does not seem low but need normal values for that lab.

>

> Tiped sad Send form mi

> iPhone ;-)

>

> May your pressure be low!

>

> CE Grim MD

> Specializing in Difficult

> Hypertension

>

> > Is it possible to have primary hyperaldosteronism and NOT have high blood pressure?

> >

> > Sent from my iPad

> >

> >>

> >> Excellent. How do you like the iPad. There is a new BP app for it but I don't have one--an iPad.

> >>

> >> It tracks BP.

> >>

> >>>

> >>> Sent from my iPad

> >>>

> >>>>

> >>>> Why was the aldo done in the first place?

> >>>

> >>> After I stopped nursing my third child I started having "hormonal" issues. So I went to see a ND and he ran a 24 hour urine test to see what sex hormones were doing. Test included estrogens, progesterone, all the androgens, thyroid, and aldosterone. That's when the high aldosterone was picked up. That was two years ago. The dr ignored those results because he said the high aldosterone didn't make sense. The urine test showed low estrogen , androgens,and low t4. Progesterone was high along with the aldosterone. He started treating the thyroid and sex hormones.

> >>>

> >>> My "hormonal" issues have not resolved so we are still looking for answers. I knew that my thyroid issue could cause low aldosterone and I was having low aldosterone symptoms so we had those test run again.Only this time through blood. What I thought was going to be low came back high! So the search for answers continues.

> >>>>

> >>>> CE Grim MD

> >>>>

> >>>>>

> >>>>> The renin was 3.3

> >>>>>

> >>>>> Sent from my iPad

> >>>>>

> >>>>>>

> >>>>>> Not if you are running unless you do not replace the salt.

> >>>>>>

> >>>>>> Still need to verify renin numbers. 3.3 or 33?

> >>>>>>

> >>>>>> One needs renin and aldo and 24 hr urine to test.

> >>>>>>

> >>>>>>>

> >>>>>>> Is it possible that I am salt wasting?

> >>>>>>>

> >>>>>>> Sent from my iPad

> >>>>>>>

> >>>>>>>>

> >>>>>>>> I read 3.3 on first message. Was it 33 or 3.3?

> >>>>>>>>

> >>>>>>>>>

> >>>>>>>>> I do have a renin lab it is on the lower part of the first message.

> >>>>>>>>>

> >>>>>>>>> Renin 33. (non ambulatory 0.8-2.5, ambulatory 1.5-5 .2)

> >>>>>>>>>

> >>>>>>>>> My ND is trying to lower it with spironolactone, however, I want to explore this more to know "why" it's high.

> >>>>>>>>>

> >>>>>>>>> Sent from my iPad

> >>>>>>>>>

> >>>>>>>>>>

> >>>>>>>>>> You need a renin level and your ND should be able to lower it. Can also do a 24 hr urine 4 Na K and creat. If you are really in a low na diet that may be controlling the BP.

> >>>>>>>>>>

> >>>>>>>>>> Tiped sad Send form mi

> >>>>>>>>>> iPhone ;-)

> >>>>>>>>>>

> >>>>>>>>>> May your pressure be low!

> >>>>>>>>>>

> >>>>>>>>>> CE Grim MD

> >>>>>>>>>> Specializing in Difficult

> >>>>>>>>>> Hypertension

> >>>>>>>>>>

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

> >>>>>>>>>>> Hi everyone, just joined today. Thanks to all of you for this support!

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

> >>>>>>>>>>> I tested high for aldosterone two years ago through a urine test. My ND at the time was not concerned, he thought it was due to the fact that I was a runner. I also thought that made since and was also following a low salt diet. So we ignored it.

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

> >>>>>>>>>>> I am treAting a thyroid issue, thyroid hormone resistance, and through recent blood work tested high for aldosterone again. This time I decided not to ignore it!

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

> >>>>>>>>>>> I do not have a high blood pressure. It runs pretty normal to low. I don't have issues with potassium. This is all Very confusing as to why I have high aldosterone.

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

> >>>>>>>>>>> I am trying to get into a endocrinologist but will take about three months. I need some education and advise on where to start.

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

> >>>>>>>>>>> I don't even know if this is primary or secondary.

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

> >>>>>>>>>>> My only real "health" issue, that I know about, has been hair loss. This was one reason for exploring the thyroid but I am wondering if it has been the aldosterone all along. Maybe the aldosterone is what's causing my thyroid issues.

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

> >>>>>>>>>>> Any comments or advice would be greatly appreciated.

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

> >>>>>>>>>>> My labs:

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

> >>>>>>>>>>> 9/26/2008

> >>>>>>>>>>> Aldosterone (urine)

> >>>>>>>>>>> High 54.3. (normal diet 6-25, low salt 17-44, high salt0-6)

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

> >>>>>>>>>>> Other adrenal hormones were fine at that time. Cortisol was pretty middle of the road. *Progesterone however was really high too. I can post if necessary.

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

> >>>>>>>>>>> Rbc potassium 7/14/2010

> >>>>>>>>>>> 97. (90-111)

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

> >>>>>>>>>>> Blood aldosterone 7/18/2010

> >>>>>>>>>>> 52.0. (1-16)

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

> >>>>>>>>>>> Blood aldosterone/renin 6/30/2010

> >>>>>>>>>>> Aldosterone 49. (1-16)

> >>>>>>>>>>> Renin. 3.3. (random ambulatory 0.8-2.5, non ambulatory 1.5-5.2)

> >>>>>>>>>>> I was sitting, fasting, taking two hours after waking before/around 8am

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

> >>>>>>>>>>> Aldosterone renin ratio = 15

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

> >>>>>>>>>>> Sodium. 138. (135-145)

> >>>>>>>>>>> Potassium. 4.5. (3.5-5.3)

> >>>>>>>>>>> Chloride. 106. (98-109)

> >>>>>>>>>>> Co2. 23. (22-31)

> >>>>>>>>>>> Anion gap. 9. (5-16)

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

> >>>>>>>>>>> Saliva cortisol 5/23/2010

> >>>>>>>>>>> 7am. 3.7. (3.7-9.5)

> >>>>>>>>>>> 11am. 1.6. (1.2-3.0)

> >>>>>>>>>>> 5pm. 1.3. (0.6-1.9)

> >>>>>>>>>>> 9pm. 0.5. (0.4-1.0)

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

> >>>>>>>>>>> Rbc magnesium 5/26/2010

> >>>>>>>>>>> 4.2. (4.0-6.4)

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

> >>>>>>>>>>> Lot of test!!!!

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

> >>>>>>>>>>> Thanks again for your kind support! Suzanne

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

> >>>>>>>>>>

> >>>>>>>>>

> >>>>>>>>

> >>>>>>>

> >>>>>>

> >>>>>

> >>>>

> >>>

> >>

> >

>

Reply to sender |

Reply to group |

Reply via web post |

Start a New Topic

Messages in this topic

(9)

Recent Activity:

September 23, 2010

Don't know the details of your history. Tiped sad Send form miiPhone ;-)May your pressure be low!CE Grim MDSpecializing in DifficultHypertension

Luckly I have a friend who is a general surgeon and got me an appointment with an inertnist tomorrow. Is there anything I should know to be best prepared? I will have all labs with me. Are there questions I should make sure to ask or test I should ask for?DSent from my iPad

My guess is the non amb amb is mixed up. Should be higher amb. Tiped sad Send form miiPhone ;-)May your pressure be low!CE Grim MDSpecializing in DifficultHypertension

Renin. 3.3Non ambulatory 1.5-5.2Ambulatory. 0.8-2.5I was sitting for the draw. Would I be ambulatory or non ambulatory?

>

> Yes review my article. But your renin does not seem low but need normal values for that lab.

>

> Tiped sad Send form mi

> iPhone ;-)

>

> May your pressure be low!

>

> CE Grim MD

> Specializing in Difficult

> Hypertension

>

> > Is it possible to have primary hyperaldosteronism and NOT have high blood pressure?

> >

> > Sent from my iPad

> >

> >>

> >> Excellent. How do you like the iPad. There is a new BP app for it but I don't have one--an iPad.

> >>

> >> It tracks BP.

> >>

> >>>

> >>> Sent from my iPad

> >>>

> >>>>

> >>>> Why was the aldo done in the first place?

> >>>

> >>> After I stopped nursing my third child I started having "hormonal" issues. So I went to see a ND and he ran a 24 hour urine test to see what sex hormones were doing. Test included estrogens, progesterone, all the androgens, thyroid, and aldosterone. That's when the high aldosterone was picked up. That was two years ago. The dr ignored those results because he said the high aldosterone didn't make sense. The urine test showed low estrogen , androgens,and low t4. Progesterone was high along with the aldosterone. He started treating the thyroid and sex hormones.

> >>>

> >>> My "hormonal" issues have not resolved so we are still looking for answers. I knew that my thyroid issue could cause low aldosterone and I was having low aldosterone symptoms so we had those test run again.Only this time through blood. What I thought was going to be low came back high! So the search for answers continues.

> >>>>

> >>>> CE Grim MD

> >>>>

> >>>>>

> >>>>> The renin was 3.3

> >>>>>

> >>>>> Sent from my iPad

> >>>>>

> >>>>>>

> >>>>>> Not if you are running unless you do not replace the salt.

> >>>>>>

> >>>>>> Still need to verify renin numbers. 3.3 or 33?

> >>>>>>

> >>>>>> One needs renin and aldo and 24 hr urine to test.

> >>>>>>

> >>>>>>>

> >>>>>>> Is it possible that I am salt wasting?

> >>>>>>>

> >>>>>>> Sent from my iPad

> >>>>>>>

> >>>>>>>>

> >>>>>>>> I read 3.3 on first message. Was it 33 or 3.3?

> >>>>>>>>

> >>>>>>>>>

> >>>>>>>>> I do have a renin lab it is on the lower part of the first message.

> >>>>>>>>>

> >>>>>>>>> Renin 33. (non ambulatory 0.8-2.5, ambulatory 1.5-5 .2)

> >>>>>>>>>

> >>>>>>>>> My ND is trying to lower it with spironolactone, however, I want to explore this more to know "why" it's high.

> >>>>>>>>>

> >>>>>>>>> Sent from my iPad

> >>>>>>>>>

> >>>>>>>>>>

> >>>>>>>>>> You need a renin level and your ND should be able to lower it. Can also do a 24 hr urine 4 Na K and creat. If you are really in a low na diet that may be controlling the BP.

> >>>>>>>>>>

> >>>>>>>>>> Tiped sad Send form mi

> >>>>>>>>>> iPhone ;-)

> >>>>>>>>>>

> >>>>>>>>>> May your pressure be low!

> >>>>>>>>>>

> >>>>>>>>>> CE Grim MD

> >>>>>>>>>> Specializing in Difficult

> >>>>>>>>>> Hypertension

> >>>>>>>>>>

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

> >>>>>>>>>>> Hi everyone, just joined today. Thanks to all of you for this support!

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

> >>>>>>>>>>> I tested high for aldosterone two years ago through a urine test. My ND at the time was not concerned, he thought it was due to the fact that I was a runner. I also thought that made since and was also following a low salt diet. So we ignored it.

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

> >>>>>>>>>>> I am treAting a thyroid issue, thyroid hormone resistance, and through recent blood work tested high for aldosterone again. This time I decided not to ignore it!

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

> >>>>>>>>>>> I do not have a high blood pressure. It runs pretty normal to low. I don't have issues with potassium. This is all Very confusing as to why I have high aldosterone.

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

> >>>>>>>>>>> I am trying to get into a endocrinologist but will take about three months. I need some education and advise on where to start.

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

> >>>>>>>>>>> I don't even know if this is primary or secondary.

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

> >>>>>>>>>>> My only real "health" issue, that I know about, has been hair loss. This was one reason for exploring the thyroid but I am wondering if it has been the aldosterone all along. Maybe the aldosterone is what's causing my thyroid issues.

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

> >>>>>>>>>>> Any comments or advice would be greatly appreciated.

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

> >>>>>>>>>>> My labs:

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

> >>>>>>>>>>> 9/26/2008

> >>>>>>>>>>> Aldosterone (urine)

> >>>>>>>>>>> High 54.3. (normal diet 6-25, low salt 17-44, high salt0-6)

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

> >>>>>>>>>>> Other adrenal hormones were fine at that time. Cortisol was pretty middle of the road. *Progesterone however was really high too. I can post if necessary.

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

> >>>>>>>>>>> Rbc potassium 7/14/2010

> >>>>>>>>>>> 97. (90-111)

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

> >>>>>>>>>>> Blood aldosterone 7/18/2010

> >>>>>>>>>>> 52.0. (1-16)

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

> >>>>>>>>>>> Blood aldosterone/renin 6/30/2010

> >>>>>>>>>>> Aldosterone 49. (1-16)

> >>>>>>>>>>> Renin. 3.3. (random ambulatory 0.8-2.5, non ambulatory 1.5-5.2)

> >>>>>>>>>>> I was sitting, fasting, taking two hours after waking before/around 8am

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

> >>>>>>>>>>> Aldosterone renin ratio = 15

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

> >>>>>>>>>>> Sodium. 138. (135-145)

> >>>>>>>>>>> Potassium. 4.5. (3.5-5.3)

> >>>>>>>>>>> Chloride. 106. (98-109)

> >>>>>>>>>>> Co2. 23. (22-31)

> >>>>>>>>>>> Anion gap. 9. (5-16)

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

> >>>>>>>>>>> Saliva cortisol 5/23/2010

> >>>>>>>>>>> 7am. 3.7. (3.7-9.5)

> >>>>>>>>>>> 11am. 1.6. (1.2-3.0)

> >>>>>>>>>>> 5pm. 1.3. (0.6-1.9)

> >>>>>>>>>>> 9pm. 0.5. (0.4-1.0)

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

> >>>>>>>>>>> Rbc magnesium 5/26/2010

> >>>>>>>>>>> 4.2. (4.0-6.4)

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

> >>>>>>>>>>> Lot of test!!!!

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

> >>>>>>>>>>> Thanks again for your kind support! Suzanne

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

> >>>>>>>>>>

> >>>>>>>>>

> >>>>>>>>

> >>>>>>>

> >>>>>>

> >>>>>

> >>>>

> >>>

> >>

> >

>

Reply to sender |

Reply to group |

Reply via web post |

Start a New Topic

Messages in this topic

(9)

Recent Activity:

September 23, 2010

Is salt bad even if you have low to normal bp? Don't we need some salt?Sent from my iPad

Killer salt is salt even CelticTiped sad Send form miiPhone ;-)May your pressure be low!CE Grim MDSpecializing in DifficultHypertension

I don't know about na or k. I think I was supplementing 10meq of potassium around this time. Was not worried at the time with na. Never had trouble with bp so never really thought about salt other than knowing not to use table salt. I use Celtic sea salt. I didn't take any supplements the day I tested or use salt for a day or two. What do you think, is this looking like primary or secondary hyperaldosteronism? If secondary, what should I be looking at for the cause?Sent from my iPad

But how much Na and K a day. DASH goal is 1500 mg Na and 4000 KTiped sad Send form miiPhone ;-)May your pressure be low!CE Grim MDSpecializing in DifficultHypertension

T3 cytomel, only med at that time. Tested day four of menstrual cycle. Salt fasted for about 40 hours. Blood draw was at 8amDiet is pretty clean, organic meats,veggies,fruits and gluten free grains.Sent from my iPad

AmbWhat meds and diet and time of day and menstrual cycle details. Tiped sad Send form miiPhone ;-)May your pressure be low!CE Grim MDSpecializing in DifficultHypertension

Renin. 3.3Non ambulatory 1.5-5.2Ambulatory. 0.8-2.5I was sitting for the draw. Would I be ambulatory or non ambulatory?

>

> Yes review my article. But your renin does not seem low but need normal values for that lab.

>

> Tiped sad Send form mi

> iPhone ;-)

>

> May your pressure be low!

>

> CE Grim MD

> Specializing in Difficult

> Hypertension

>

> > Is it possible to have primary hyperaldosteronism and NOT have high blood pressure?

> >

> > Sent from my iPad

> >

> >>

> >> Excellent. How do you like the iPad. There is a new BP app for it but I don't have one--an iPad.

> >>

> >> It tracks BP.

> >>

> >>>

> >>> Sent from my iPad

> >>>

> >>>>

> >>>> Why was the aldo done in the first place?

> >>>

> >>> After I stopped nursing my third child I started having "hormonal" issues. So I went to see a ND and he ran a 24 hour urine test to see what sex hormones were doing. Test included estrogens, progesterone, all the androgens, thyroid, and aldosterone. That's when the high aldosterone was picked up. That was two years ago. The dr ignored those results because he said the high aldosterone didn't make sense. The urine test showed low estrogen , androgens,and low t4. Progesterone was high along with the aldosterone. He started treating the thyroid and sex hormones.

> >>>

> >>> My "hormonal" issues have not resolved so we are still looking for answers. I knew that my thyroid issue could cause low aldosterone and I was having low aldosterone symptoms so we had those test run again.Only this time through blood. What I thought was going to be low came back high! So the search for answers continues.

> >>>>

> >>>> CE Grim MD

> >>>>

> >>>>>

> >>>>> The renin was 3.3

> >>>>>

> >>>>> Sent from my iPad

> >>>>>

> >>>>>>

> >>>>>> Not if you are running unless you do not replace the salt.

> >>>>>>

> >>>>>> Still need to verify renin numbers. 3.3 or 33?

> >>>>>>

> >>>>>> One needs renin and aldo and 24 hr urine to test.

> >>>>>>

> >>>>>>>

> >>>>>>> Is it possible that I am salt wasting?

> >>>>>>>

> >>>>>>> Sent from my iPad

> >>>>>>>

> >>>>>>>>

> >>>>>>>> I read 3.3 on first message. Was it 33 or 3.3?

> >>>>>>>>

> >>>>>>>>>

> >>>>>>>>> I do have a renin lab it is on the lower part of the first message.

> >>>>>>>>>

> >>>>>>>>> Renin 33. (non ambulatory 0.8-2.5, ambulatory 1.5-5 .2)

> >>>>>>>>>

> >>>>>>>>> My ND is trying to lower it with spironolactone, however, I want to explore this more to know "why" it's high.

> >>>>>>>>>

> >>>>>>>>> Sent from my iPad

> >>>>>>>>>

> >>>>>>>>>>

> >>>>>>>>>> You need a renin level and your ND should be able to lower it. Can also do a 24 hr urine 4 Na K and creat. If you are really in a low na diet that may be controlling the BP.

> >>>>>>>>>>

> >>>>>>>>>> Tiped sad Send form mi

> >>>>>>>>>> iPhone ;-)

> >>>>>>>>>>

> >>>>>>>>>> May your pressure be low!

> >>>>>>>>>>

> >>>>>>>>>> CE Grim MD

> >>>>>>>>>> Specializing in Difficult

> >>>>>>>>>> Hypertension

> >>>>>>>>>>

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

> >>>>>>>>>>> Hi everyone, just joined today. Thanks to all of you for this support!

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

> >>>>>>>>>>> I tested high for aldosterone two years ago through a urine test. My ND at the time was not concerned, he thought it was due to the fact that I was a runner. I also thought that made since and was also following a low salt diet. So we ignored it.

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

> >>>>>>>>>>> I am treAting a thyroid issue, thyroid hormone resistance, and through recent blood work tested high for aldosterone again. This time I decided not to ignore it!

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

> >>>>>>>>>>> I do not have a high blood pressure. It runs pretty normal to low. I don't have issues with potassium. This is all Very confusing as to why I have high aldosterone.

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

> >>>>>>>>>>> I am trying to get into a endocrinologist but will take about three months. I need some education and advise on where to start.

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

> >>>>>>>>>>> I don't even know if this is primary or secondary.

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

> >>>>>>>>>>> My only real "health" issue, that I know about, has been hair loss. This was one reason for exploring the thyroid but I am wondering if it has been the aldosterone all along. Maybe the aldosterone is what's causing my thyroid issues.

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

> >>>>>>>>>>> Any comments or advice would be greatly appreciated.

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

> >>>>>>>>>>> My labs:

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

> >>>>>>>>>>> 9/26/2008

> >>>>>>>>>>> Aldosterone (urine)

> >>>>>>>>>>> High 54.3. (normal diet 6-25, low salt 17-44, high salt0-6)

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

> >>>>>>>>>>> Other adrenal hormones were fine at that time. Cortisol was pretty middle of the road. *Progesterone however was really high too. I can post if necessary.

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

> >>>>>>>>>>> Rbc potassium 7/14/2010

> >>>>>>>>>>> 97. (90-111)

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

> >>>>>>>>>>> Blood aldosterone 7/18/2010

> >>>>>>>>>>> 52.0. (1-16)

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

> >>>>>>>>>>> Blood aldosterone/renin 6/30/2010

> >>>>>>>>>>> Aldosterone 49. (1-16)

> >>>>>>>>>>> Renin. 3.3. (random ambulatory 0.8-2.5, non ambulatory 1.5-5.2)

> >>>>>>>>>>> I was sitting, fasting, taking two hours after waking before/around 8am

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

> >>>>>>>>>>> Aldosterone renin ratio = 15

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

> >>>>>>>>>>> Sodium. 138. (135-145)

> >>>>>>>>>>> Potassium. 4.5. (3.5-5.3)

> >>>>>>>>>>> Chloride. 106. (98-109)

> >>>>>>>>>>> Co2. 23. (22-31)

> >>>>>>>>>>> Anion gap. 9. (5-16)

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

> >>>>>>>>>>> Saliva cortisol 5/23/2010

> >>>>>>>>>>> 7am. 3.7. (3.7-9.5)

> >>>>>>>>>>> 11am. 1.6. (1.2-3.0)

> >>>>>>>>>>> 5pm. 1.3. (0.6-1.9)

> >>>>>>>>>>> 9pm. 0.5. (0.4-1.0)

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

> >>>>>>>>>>> Rbc magnesium 5/26/2010

> >>>>>>>>>>> 4.2. (4.0-6.4)

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

> >>>>>>>>>>> Lot of test!!!!

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

> >>>>>>>>>>> Thanks again for your kind support! Suzanne

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

> >>>>>>>>>>

> >>>>>>>>>

> >>>>>>>>

> >>>>>>>

> >>>>>>

> >>>>>

> >>>>

> >>>

> >>

> >

>

Reply to sender |

September 23, 2010

I don't have a dr right now...waiting. Wondering what your opionion is?Sent from my iPad

I can't read his mind the drsTiped sad Send form miiPhone ;-)May your pressure be low!CE Grim MDSpecializing in DifficultHypertension

I don't know about na or k. I think I was supplementing 10meq of potassium around this time. Was not worried at the time with na. Never had trouble with bp so never really thought about salt other than knowing not to use table salt. I use Celtic sea salt. I didn't take any supplements the day I tested or use salt for a day or two. What do you think, is this looking like primary or secondary hyperaldosteronism? If secondary, what should I be looking at for the cause?Sent from my iPad

But how much Na and K a day. DASH goal is 1500 mg Na and 4000 KTiped sad Send form miiPhone ;-)May your pressure be low!CE Grim MDSpecializing in DifficultHypertension

T3 cytomel, only med at that time. Tested day four of menstrual cycle. Salt fasted for about 40 hours. Blood draw was at 8amDiet is pretty clean, organic meats,veggies,fruits and gluten free grains.Sent from my iPad

AmbWhat meds and diet and time of day and menstrual cycle details. Tiped sad Send form miiPhone ;-)May your pressure be low!CE Grim MDSpecializing in DifficultHypertension

Renin. 3.3Non ambulatory 1.5-5.2Ambulatory. 0.8-2.5I was sitting for the draw. Would I be ambulatory or non ambulatory?

>

> Yes review my article. But your renin does not seem low but need normal values for that lab.

>

> Tiped sad Send form mi

> iPhone ;-)

>

> May your pressure be low!

>

> CE Grim MD

> Specializing in Difficult

> Hypertension

>

> > Is it possible to have primary hyperaldosteronism and NOT have high blood pressure?

> >

> > Sent from my iPad

> >

> >>

> >> Excellent. How do you like the iPad. There is a new BP app for it but I don't have one--an iPad.

> >>

> >> It tracks BP.

> >>

> >>>

> >>> Sent from my iPad

> >>>

> >>>>

> >>>> Why was the aldo done in the first place?

> >>>

> >>> After I stopped nursing my third child I started having "hormonal" issues. So I went to see a ND and he ran a 24 hour urine test to see what sex hormones were doing. Test included estrogens, progesterone, all the androgens, thyroid, and aldosterone. That's when the high aldosterone was picked up. That was two years ago. The dr ignored those results because he said the high aldosterone didn't make sense. The urine test showed low estrogen , androgens,and low t4. Progesterone was high along with the aldosterone. He started treating the thyroid and sex hormones.

> >>>

> >>> My "hormonal" issues have not resolved so we are still looking for answers. I knew that my thyroid issue could cause low aldosterone and I was having low aldosterone symptoms so we had those test run again.Only this time through blood. What I thought was going to be low came back high! So the search for answers continues.

> >>>>

> >>>> CE Grim MD

> >>>>

> >>>>>

> >>>>> The renin was 3.3

> >>>>>

> >>>>> Sent from my iPad

> >>>>>

> >>>>>>

> >>>>>> Not if you are running unless you do not replace the salt.

> >>>>>>

> >>>>>> Still need to verify renin numbers. 3.3 or 33?

> >>>>>>

> >>>>>> One needs renin and aldo and 24 hr urine to test.

> >>>>>>

> >>>>>>>

> >>>>>>> Is it possible that I am salt wasting?

> >>>>>>>

> >>>>>>> Sent from my iPad

> >>>>>>>

> >>>>>>>>

> >>>>>>>> I read 3.3 on first message. Was it 33 or 3.3?

> >>>>>>>>

> >>>>>>>>>

> >>>>>>>>> I do have a renin lab it is on the lower part of the first message.

> >>>>>>>>>

> >>>>>>>>> Renin 33. (non ambulatory 0.8-2.5, ambulatory 1.5-5 .2)

> >>>>>>>>>

> >>>>>>>>> My ND is trying to lower it with spironolactone, however, I want to explore this more to know "why" it's high.

> >>>>>>>>>

> >>>>>>>>> Sent from my iPad

> >>>>>>>>>

> >>>>>>>>>>

> >>>>>>>>>> You need a renin level and your ND should be able to lower it. Can also do a 24 hr urine 4 Na K and creat. If you are really in a low na diet that may be controlling the BP.

> >>>>>>>>>>

> >>>>>>>>>> Tiped sad Send form mi

> >>>>>>>>>> iPhone ;-)

> >>>>>>>>>>

> >>>>>>>>>> May your pressure be low!

> >>>>>>>>>>

> >>>>>>>>>> CE Grim MD

> >>>>>>>>>> Specializing in Difficult

> >>>>>>>>>> Hypertension

> >>>>>>>>>>

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

> >>>>>>>>>>> Hi everyone, just joined today. Thanks to all of you for this support!

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

> >>>>>>>>>>> I tested high for aldosterone two years ago through a urine test. My ND at the time was not concerned, he thought it was due to the fact that I was a runner. I also thought that made since and was also following a low salt diet. So we ignored it.

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

> >>>>>>>>>>> I am treAting a thyroid issue, thyroid hormone resistance, and through recent blood work tested high for aldosterone again. This time I decided not to ignore it!

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

> >>>>>>>>>>> I do not have a high blood pressure. It runs pretty normal to low. I don't have issues with potassium. This is all Very confusing as to why I have high aldosterone.

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

> >>>>>>>>>>> I am trying to get into a endocrinologist but will take about three months. I need some education and advise on where to start.

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

> >>>>>>>>>>> I don't even know if this is primary or secondary.

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

> >>>>>>>>>>> My only real "health" issue, that I know about, has been hair loss. This was one reason for exploring the thyroid but I am wondering if it has been the aldosterone all along. Maybe the aldosterone is what's causing my thyroid issues.

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

> >>>>>>>>>>> Any comments or advice would be greatly appreciated.

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

> >>>>>>>>>>> My labs:

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

> >>>>>>>>>>> 9/26/2008

> >>>>>>>>>>> Aldosterone (urine)

> >>>>>>>>>>> High 54.3. (normal diet 6-25, low salt 17-44, high salt0-6)

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

> >>>>>>>>>>> Other adrenal hormones were fine at that time. Cortisol was pretty middle of the road. *Progesterone however was really high too. I can post if necessary.

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

> >>>>>>>>>>> Rbc potassium 7/14/2010

> >>>>>>>>>>> 97. (90-111)

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

> >>>>>>>>>>> Blood aldosterone 7/18/2010

> >>>>>>>>>>> 52.0. (1-16)

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

> >>>>>>>>>>> Blood aldosterone/renin 6/30/2010

> >>>>>>>>>>> Aldosterone 49. (1-16)

> >>>>>>>>>>> Renin. 3.3. (random ambulatory 0.8-2.5, non ambulatory 1.5-5.2)

> >>>>>>>>>>> I was sitting, fasting, taking two hours after waking before/around 8am

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

> >>>>>>>>>>> Aldosterone renin ratio = 15

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

> >>>>>>>>>>> Sodium. 138. (135-145)

> >>>>>>>>>>> Potassium. 4.5. (3.5-5.3)

> >>>>>>>>>>> Chloride. 106. (98-109)

> >>>>>>>>>>> Co2. 23. (22-31)

> >>>>>>>>>>> Anion gap. 9. (5-16)

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

> >>>>>>>>>>> Saliva cortisol 5/23/2010

> >>>>>>>>>>> 7am. 3.7. (3.7-9.5)

> >>>>>>>>>>> 11am. 1.6. (1.2-3.0)

> >>>>>>>>>>> 5pm. 1.3. (0.6-1.9)

> >>>>>>>>>>> 9pm. 0.5. (0.4-1.0)

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

> >>>>>>>>>>> Rbc magnesium 5/26/2010

> >>>>>>>>>>> 4.2. (4.0-6.4)

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

> >>>>>>>>>>> Lot of test!!!!

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

> >>>>>>>>>>> Thanks again for your kind support! Suzanne

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

> >>>>>>>>>>

> >>>>>>>>>

> >>>>>>>>

> >>>>>>>

> >>>>>>

> >>>>>

> >>>>

> >>>

> >>

> >

>

Reply to sender |

Reply to group |

Reply via web post |

Start a New Topic

Messages in this topic

(9)

Recent Activity:

September 23, 2010

High aldosteroneHigh reninLow sodiumNormal potassiumNormal blood pressureSent from my iPad

Don't know the details of your history. Tiped sad Send form miiPhone ;-)May your pressure be low!CE Grim MDSpecializing in DifficultHypertension

Luckly I have a friend who is a general surgeon and got me an appointment with an inertnist tomorrow. Is there anything I should know to be best prepared? I will have all labs with me. Are there questions I should make sure to ask or test I should ask for?DSent from my iPad

My guess is the non amb amb is mixed up. Should be higher amb. Tiped sad Send form miiPhone ;-)May your pressure be low!CE Grim MDSpecializing in DifficultHypertension

Renin. 3.3Non ambulatory 1.5-5.2Ambulatory. 0.8-2.5I was sitting for the draw. Would I be ambulatory or non ambulatory?

>

> Yes review my article. But your renin does not seem low but need normal values for that lab.

>

> Tiped sad Send form mi

> iPhone ;-)

>

> May your pressure be low!

>

> CE Grim MD

> Specializing in Difficult

> Hypertension

>

> > Is it possible to have primary hyperaldosteronism and NOT have high blood pressure?

> >

> > Sent from my iPad

> >

> >>

> >> Excellent. How do you like the iPad. There is a new BP app for it but I don't have one--an iPad.

> >>

> >> It tracks BP.

> >>

> >>>

> >>> Sent from my iPad

> >>>

> >>>>

> >>>> Why was the aldo done in the first place?

> >>>

> >>> After I stopped nursing my third child I started having "hormonal" issues. So I went to see a ND and he ran a 24 hour urine test to see what sex hormones were doing. Test included estrogens, progesterone, all the androgens, thyroid, and aldosterone. That's when the high aldosterone was picked up. That was two years ago. The dr ignored those results because he said the high aldosterone didn't make sense. The urine test showed low estrogen , androgens,and low t4. Progesterone was high along with the aldosterone. He started treating the thyroid and sex hormones.

> >>>

> >>> My "hormonal" issues have not resolved so we are still looking for answers. I knew that my thyroid issue could cause low aldosterone and I was having low aldosterone symptoms so we had those test run again.Only this time through blood. What I thought was going to be low came back high! So the search for answers continues.

> >>>>

> >>>> CE Grim MD

> >>>>

> >>>>>

> >>>>> The renin was 3.3

> >>>>>

> >>>>> Sent from my iPad

> >>>>>

> >>>>>>

> >>>>>> Not if you are running unless you do not replace the salt.

> >>>>>>

> >>>>>> Still need to verify renin numbers. 3.3 or 33?

> >>>>>>

> >>>>>> One needs renin and aldo and 24 hr urine to test.

> >>>>>>

> >>>>>>>

> >>>>>>> Is it possible that I am salt wasting?

> >>>>>>>

> >>>>>>> Sent from my iPad

> >>>>>>>

> >>>>>>>>

> >>>>>>>> I read 3.3 on first message. Was it 33 or 3.3?

> >>>>>>>>

> >>>>>>>>>

> >>>>>>>>> I do have a renin lab it is on the lower part of the first message.

> >>>>>>>>>

> >>>>>>>>> Renin 33. (non ambulatory 0.8-2.5, ambulatory 1.5-5 .2)

> >>>>>>>>>

> >>>>>>>>> My ND is trying to lower it with spironolactone, however, I want to explore this more to know "why" it's high.

> >>>>>>>>>

> >>>>>>>>> Sent from my iPad

> >>>>>>>>>

> >>>>>>>>>>

> >>>>>>>>>> You need a renin level and your ND should be able to lower it. Can also do a 24 hr urine 4 Na K and creat. If you are really in a low na diet that may be controlling the BP.

> >>>>>>>>>>

> >>>>>>>>>> Tiped sad Send form mi

> >>>>>>>>>> iPhone ;-)

> >>>>>>>>>>

> >>>>>>>>>> May your pressure be low!

> >>>>>>>>>>

> >>>>>>>>>> CE Grim MD

> >>>>>>>>>> Specializing in Difficult

> >>>>>>>>>> Hypertension

> >>>>>>>>>>

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

> >>>>>>>>>>> Hi everyone, just joined today. Thanks to all of you for this support!

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

> >>>>>>>>>>> I tested high for aldosterone two years ago through a urine test. My ND at the time was not concerned, he thought it was due to the fact that I was a runner. I also thought that made since and was also following a low salt diet. So we ignored it.

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

> >>>>>>>>>>> I am treAting a thyroid issue, thyroid hormone resistance, and through recent blood work tested high for aldosterone again. This time I decided not to ignore it!

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

> >>>>>>>>>>> I do not have a high blood pressure. It runs pretty normal to low. I don't have issues with potassium. This is all Very confusing as to why I have high aldosterone.

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

> >>>>>>>>>>> I am trying to get into a endocrinologist but will take about three months. I need some education and advise on where to start.

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

> >>>>>>>>>>> I don't even know if this is primary or secondary.

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

> >>>>>>>>>>> My only real "health" issue, that I know about, has been hair loss. This was one reason for exploring the thyroid but I am wondering if it has been the aldosterone all along. Maybe the aldosterone is what's causing my thyroid issues.

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

> >>>>>>>>>>> Any comments or advice would be greatly appreciated.

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

> >>>>>>>>>>> My labs:

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

> >>>>>>>>>>> 9/26/2008

> >>>>>>>>>>> Aldosterone (urine)

> >>>>>>>>>>> High 54.3. (normal diet 6-25, low salt 17-44, high salt0-6)

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

> >>>>>>>>>>> Other adrenal hormones were fine at that time. Cortisol was pretty middle of the road. *Progesterone however was really high too. I can post if necessary.

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

> >>>>>>>>>>> Rbc potassium 7/14/2010

> >>>>>>>>>>> 97. (90-111)

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

> >>>>>>>>>>> Blood aldosterone 7/18/2010

> >>>>>>>>>>> 52.0. (1-16)

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

> >>>>>>>>>>> Blood aldosterone/renin 6/30/2010

> >>>>>>>>>>> Aldosterone 49. (1-16)

> >>>>>>>>>>> Renin. 3.3. (random ambulatory 0.8-2.5, non ambulatory 1.5-5.2)

> >>>>>>>>>>> I was sitting, fasting, taking two hours after waking before/around 8am

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

> >>>>>>>>>>> Aldosterone renin ratio = 15

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

> >>>>>>>>>>> Sodium. 138. (135-145)

> >>>>>>>>>>> Potassium. 4.5. (3.5-5.3)

> >>>>>>>>>>> Chloride. 106. (98-109)

> >>>>>>>>>>> Co2. 23. (22-31)

> >>>>>>>>>>> Anion gap. 9. (5-16)

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

> >>>>>>>>>>> Saliva cortisol 5/23/2010

> >>>>>>>>>>> 7am. 3.7. (3.7-9.5)

> >>>>>>>>>>> 11am. 1.6. (1.2-3.0)

> >>>>>>>>>>> 5pm. 1.3. (0.6-1.9)

> >>>>>>>>>>> 9pm. 0.5. (0.4-1.0)

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

> >>>>>>>>>>> Rbc magnesium 5/26/2010

> >>>>>>>>>>> 4.2. (4.0-6.4)

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

> >>>>>>>>>>> Lot of test!!!!

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

> >>>>>>>>>>> Thanks again for your kind support! Suzanne

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

> >>>>>>>>>>

> >>>>>>>>>

> >>>>>>>>

> >>>>>>>

> >>>>>>

> >>>>>

> >>>>

> >>>

> >>

> >

>

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Recent Activity:

September 23, 2010

We need enuff to keep Bp from being too low say below 80 but no more. Tiped sad Send form miiPhone ;-)May your pressure be low!CE Grim MDSpecializing in DifficultHypertension

Is salt bad even if you have low to normal bp? Don't we need some salt?Sent from my iPad

Killer salt is salt even CelticTiped sad Send form miiPhone ;-)May your pressure be low!CE Grim MDSpecializing in DifficultHypertension

I don't know about na or k. I think I was supplementing 10meq of potassium around this time. Was not worried at the time with na. Never had trouble with bp so never really thought about salt other than knowing not to use table salt. I use Celtic sea salt. I didn't take any supplements the day I tested or use salt for a day or two. What do you think, is this looking like primary or secondary hyperaldosteronism? If secondary, what should I be looking at for the cause?Sent from my iPad

But how much Na and K a day. DASH goal is 1500 mg Na and 4000 KTiped sad Send form miiPhone ;-)May your pressure be low!CE Grim MDSpecializing in DifficultHypertension

T3 cytomel, only med at that time. Tested day four of menstrual cycle. Salt fasted for about 40 hours. Blood draw was at 8amDiet is pretty clean, organic meats,veggies,fruits and gluten free grains.Sent from my iPad

AmbWhat meds and diet and time of day and menstrual cycle details. Tiped sad Send form miiPhone ;-)May your pressure be low!CE Grim MDSpecializing in DifficultHypertension

Renin. 3.3Non ambulatory 1.5-5.2Ambulatory. 0.8-2.5I was sitting for the draw. Would I be ambulatory or non ambulatory?

>

> Yes review my article. But your renin does not seem low but need normal values for that lab.

>

> Tiped sad Send form mi

> iPhone ;-)

>

> May your pressure be low!

>

> CE Grim MD

> Specializing in Difficult

> Hypertension

>

> > Is it possible to have primary hyperaldosteronism and NOT have high blood pressure?

> >

> > Sent from my iPad

> >

> >>

> >> Excellent. How do you like the iPad. There is a new BP app for it but I don't have one--an iPad.

> >>

> >> It tracks BP.

> >>

> >>>

> >>> Sent from my iPad

> >>>

> >>>>

> >>>> Why was the aldo done in the first place?

> >>>

> >>> After I stopped nursing my third child I started having "hormonal" issues. So I went to see a ND and he ran a 24 hour urine test to see what sex hormones were doing. Test included estrogens, progesterone, all the androgens, thyroid, and aldosterone. That's when the high aldosterone was picked up. That was two years ago. The dr ignored those results because he said the high aldosterone didn't make sense. The urine test showed low estrogen , androgens,and low t4. Progesterone was high along with the aldosterone. He started treating the thyroid and sex hormones.

> >>>

> >>> My "hormonal" issues have not resolved so we are still looking for answers. I knew that my thyroid issue could cause low aldosterone and I was having low aldosterone symptoms so we had those test run again.Only this time through blood. What I thought was going to be low came back high! So the search for answers continues.

> >>>>

> >>>> CE Grim MD

> >>>>

> >>>>>

> >>>>> The renin was 3.3

> >>>>>

> >>>>> Sent from my iPad

> >>>>>

> >>>>>>

> >>>>>> Not if you are running unless you do not replace the salt.

> >>>>>>

> >>>>>> Still need to verify renin numbers. 3.3 or 33?

> >>>>>>

> >>>>>> One needs renin and aldo and 24 hr urine to test.

> >>>>>>

> >>>>>>>

> >>>>>>> Is it possible that I am salt wasting?

> >>>>>>>

> >>>>>>> Sent from my iPad

> >>>>>>>

> >>>>>>>>

> >>>>>>>> I read 3.3 on first message. Was it 33 or 3.3?

> >>>>>>>>

> >>>>>>>>>

> >>>>>>>>> I do have a renin lab it is on the lower part of the first message.

> >>>>>>>>>

> >>>>>>>>> Renin 33. (non ambulatory 0.8-2.5, ambulatory 1.5-5 .2)

> >>>>>>>>>

> >>>>>>>>> My ND is trying to lower it with spironolactone, however, I want to explore this more to know "why" it's high.

> >>>>>>>>>

> >>>>>>>>> Sent from my iPad

> >>>>>>>>>

> >>>>>>>>>>

> >>>>>>>>>> You need a renin level and your ND should be able to lower it. Can also do a 24 hr urine 4 Na K and creat. If you are really in a low na diet that may be controlling the BP.

> >>>>>>>>>>

> >>>>>>>>>> Tiped sad Send form mi

> >>>>>>>>>> iPhone ;-)

> >>>>>>>>>>

> >>>>>>>>>> May your pressure be low!

> >>>>>>>>>>

> >>>>>>>>>> CE Grim MD

> >>>>>>>>>> Specializing in Difficult

> >>>>>>>>>> Hypertension

> >>>>>>>>>>

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

> >>>>>>>>>>> Hi everyone, just joined today. Thanks to all of you for this support!

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

> >>>>>>>>>>> I tested high for aldosterone two years ago through a urine test. My ND at the time was not concerned, he thought it was due to the fact that I was a runner. I also thought that made since and was also following a low salt diet. So we ignored it.

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

> >>>>>>>>>>> I am treAting a thyroid issue, thyroid hormone resistance, and through recent blood work tested high for aldosterone again. This time I decided not to ignore it!

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

> >>>>>>>>>>> I do not have a high blood pressure. It runs pretty normal to low. I don't have issues with potassium. This is all Very confusing as to why I have high aldosterone.

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

> >>>>>>>>>>> I am trying to get into a endocrinologist but will take about three months. I need some education and advise on where to start.

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

> >>>>>>>>>>> I don't even know if this is primary or secondary.

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

> >>>>>>>>>>> My only real "health" issue, that I know about, has been hair loss. This was one reason for exploring the thyroid but I am wondering if it has been the aldosterone all along. Maybe the aldosterone is what's causing my thyroid issues.

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

> >>>>>>>>>>> Any comments or advice would be greatly appreciated.

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

> >>>>>>>>>>> My labs:

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

> >>>>>>>>>>> 9/26/2008

> >>>>>>>>>>> Aldosterone (urine)

> >>>>>>>>>>> High 54.3. (normal diet 6-25, low salt 17-44, high salt0-6)

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

> >>>>>>>>>>> Other adrenal hormones were fine at that time. Cortisol was pretty middle of the road. *Progesterone however was really high too. I can post if necessary.

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

> >>>>>>>>>>> Rbc potassium 7/14/2010

> >>>>>>>>>>> 97. (90-111)

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

> >>>>>>>>>>> Blood aldosterone 7/18/2010

> >>>>>>>>>>> 52.0. (1-16)

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

> >>>>>>>>>>> Blood aldosterone/renin 6/30/2010

> >>>>>>>>>>> Aldosterone 49. (1-16)

> >>>>>>>>>>> Renin. 3.3. (random ambulatory 0.8-2.5, non ambulatory 1.5-5.2)

> >>>>>>>>>>> I was sitting, fasting, taking two hours after waking before/around 8am

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

> >>>>>>>>>>> Aldosterone renin ratio = 15

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

> >>>>>>>>>>> Sodium. 138. (135-145)

> >>>>>>>>>>> Potassium. 4.5. (3.5-5.3)

> >>>>>>>>>>> Chloride. 106. (98-109)

> >>>>>>>>>>> Co2. 23. (22-31)

> >>>>>>>>>>> Anion gap. 9. (5-16)

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

> >>>>>>>>>>> Saliva cortisol 5/23/2010

> >>>>>>>>>>> 7am. 3.7. (3.7-9.5)

> >>>>>>>>>>> 11am. 1.6. (1.2-3.0)

> >>>>>>>>>>> 5pm. 1.3. (0.6-1.9)

> >>>>>>>>>>> 9pm. 0.5. (0.4-1.0)

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

> >>>>>>>>>>> Rbc magnesium 5/26/2010

> >>>>>>>>>>> 4.2. (4.0-6.4)

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

> >>>>>>>>>>> Lot of test!!!!

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

> >>>>>>>>>>> Thanks again for your kind support! Suzanne

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

September 23, 2010

Then I need your complete story. See our files for examples. I am available for individual consulting if u prefer. $500 gets you access to my expertise for a year and your dr as well. Tiped sad Send form miiPhone ;-)May your pressure be low!CE Grim MDSpecializing in DifficultHypertension

I don't have a dr right now...waiting. Wondering what your opionion is?Sent from my iPad

I can't read his mind the drsTiped sad Send form miiPhone ;-)May your pressure be low!CE Grim MDSpecializing in DifficultHypertension

I don't know about na or k. I think I was supplementing 10meq of potassium around this time. Was not worried at the time with na. Never had trouble with bp so never really thought about salt other than knowing not to use table salt. I use Celtic sea salt. I didn't take any supplements the day I tested or use salt for a day or two. What do you think, is this looking like primary or secondary hyperaldosteronism? If secondary, what should I be looking at for the cause?Sent from my iPad

But how much Na and K a day. DASH goal is 1500 mg Na and 4000 KTiped sad Send form miiPhone ;-)May your pressure be low!CE Grim MDSpecializing in DifficultHypertension

T3 cytomel, only med at that time. Tested day four of menstrual cycle. Salt fasted for about 40 hours. Blood draw was at 8amDiet is pretty clean, organic meats,veggies,fruits and gluten free grains.Sent from my iPad

AmbWhat meds and diet and time of day and menstrual cycle details. Tiped sad Send form miiPhone ;-)May your pressure be low!CE Grim MDSpecializing in DifficultHypertension

Renin. 3.3Non ambulatory 1.5-5.2Ambulatory. 0.8-2.5I was sitting for the draw. Would I be ambulatory or non ambulatory?

>

> Yes review my article. But your renin does not seem low but need normal values for that lab.

>

> Tiped sad Send form mi

> iPhone ;-)

>

> May your pressure be low!

>

> CE Grim MD

> Specializing in Difficult

> Hypertension

>

> > Is it possible to have primary hyperaldosteronism and NOT have high blood pressure?

> >

> > Sent from my iPad

> >

> >>

> >> Excellent. How do you like the iPad. There is a new BP app for it but I don't have one--an iPad.

> >>

> >> It tracks BP.

> >>

> >>>

> >>> Sent from my iPad

> >>>

> >>>>

> >>>> Why was the aldo done in the first place?

> >>>

> >>> After I stopped nursing my third child I started having "hormonal" issues. So I went to see a ND and he ran a 24 hour urine test to see what sex hormones were doing. Test included estrogens, progesterone, all the androgens, thyroid, and aldosterone. That's when the high aldosterone was picked up. That was two years ago. The dr ignored those results because he said the high aldosterone didn't make sense. The urine test showed low estrogen , androgens,and low t4. Progesterone was high along with the aldosterone. He started treating the thyroid and sex hormones.

> >>>

> >>> My "hormonal" issues have not resolved so we are still looking for answers. I knew that my thyroid issue could cause low aldosterone and I was having low aldosterone symptoms so we had those test run again.Only this time through blood. What I thought was going to be low came back high! So the search for answers continues.

> >>>>

> >>>> CE Grim MD

> >>>>

> >>>>>

> >>>>> The renin was 3.3

> >>>>>

> >>>>> Sent from my iPad

> >>>>>

> >>>>>>

> >>>>>> Not if you are running unless you do not replace the salt.

> >>>>>>

> >>>>>> Still need to verify renin numbers. 3.3 or 33?

> >>>>>>

> >>>>>> One needs renin and aldo and 24 hr urine to test.

> >>>>>>

> >>>>>>>

> >>>>>>> Is it possible that I am salt wasting?

> >>>>>>>

> >>>>>>> Sent from my iPad

> >>>>>>>

> >>>>>>>>

> >>>>>>>> I read 3.3 on first message. Was it 33 or 3.3?

> >>>>>>>>

> >>>>>>>>>

> >>>>>>>>> I do have a renin lab it is on the lower part of the first message.

> >>>>>>>>>

> >>>>>>>>> Renin 33. (non ambulatory 0.8-2.5, ambulatory 1.5-5 .2)

> >>>>>>>>>

> >>>>>>>>> My ND is trying to lower it with spironolactone, however, I want to explore this more to know "why" it's high.

> >>>>>>>>>

> >>>>>>>>> Sent from my iPad

> >>>>>>>>>

> >>>>>>>>>>

> >>>>>>>>>> You need a renin level and your ND should be able to lower it. Can also do a 24 hr urine 4 Na K and creat. If you are really in a low na diet that may be controlling the BP.

> >>>>>>>>>>

> >>>>>>>>>> Tiped sad Send form mi

> >>>>>>>>>> iPhone ;-)

> >>>>>>>>>>

> >>>>>>>>>> May your pressure be low!

> >>>>>>>>>>

> >>>>>>>>>> CE Grim MD

> >>>>>>>>>> Specializing in Difficult

> >>>>>>>>>> Hypertension

> >>>>>>>>>>

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

> >>>>>>>>>>> Hi everyone, just joined today. Thanks to all of you for this support!

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

> >>>>>>>>>>> I tested high for aldosterone two years ago through a urine test. My ND at the time was not concerned, he thought it was due to the fact that I was a runner. I also thought that made since and was also following a low salt diet. So we ignored it.

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

> >>>>>>>>>>> I am treAting a thyroid issue, thyroid hormone resistance, and through recent blood work tested high for aldosterone again. This time I decided not to ignore it!

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

> >>>>>>>>>>> I do not have a high blood pressure. It runs pretty normal to low. I don't have issues with potassium. This is all Very confusing as to why I have high aldosterone.

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

> >>>>>>>>>>> I am trying to get into a endocrinologist but will take about three months. I need some education and advise on where to start.

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

> >>>>>>>>>>> I don't even know if this is primary or secondary.

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

> >>>>>>>>>>> My only real "health" issue, that I know about, has been hair loss. This was one reason for exploring the thyroid but I am wondering if it has been the aldosterone all along. Maybe the aldosterone is what's causing my thyroid issues.

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

> >>>>>>>>>>> Any comments or advice would be greatly appreciated.

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

> >>>>>>>>>>> My labs:

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

> >>>>>>>>>>> 9/26/2008

> >>>>>>>>>>> Aldosterone (urine)

> >>>>>>>>>>> High 54.3. (normal diet 6-25, low salt 17-44, high salt0-6)

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

> >>>>>>>>>>> Other adrenal hormones were fine at that time. Cortisol was pretty middle of the road. *Progesterone however was really high too. I can post if necessary.

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

> >>>>>>>>>>> Rbc potassium 7/14/2010

> >>>>>>>>>>> 97. (90-111)

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

> >>>>>>>>>>> Blood aldosterone 7/18/2010

> >>>>>>>>>>> 52.0. (1-16)

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

> >>>>>>>>>>> Blood aldosterone/renin 6/30/2010

> >>>>>>>>>>> Aldosterone 49. (1-16)

> >>>>>>>>>>> Renin. 3.3. (random ambulatory 0.8-2.5, non ambulatory 1.5-5.2)

> >>>>>>>>>>> I was sitting, fasting, taking two hours after waking before/around 8am

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

> >>>>>>>>>>> Aldosterone renin ratio = 15

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

> >>>>>>>>>>> Sodium. 138. (135-145)

> >>>>>>>>>>> Potassium. 4.5. (3.5-5.3)

> >>>>>>>>>>> Chloride. 106. (98-109)

> >>>>>>>>>>> Co2. 23. (22-31)

> >>>>>>>>>>> Anion gap. 9. (5-16)

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

> >>>>>>>>>>> Saliva cortisol 5/23/2010

> >>>>>>>>>>> 7am. 3.7. (3.7-9.5)

> >>>>>>>>>>> 11am. 1.6. (1.2-3.0)

> >>>>>>>>>>> 5pm. 1.3. (0.6-1.9)

> >>>>>>>>>>> 9pm. 0.5. (0.4-1.0)

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

> >>>>>>>>>>> Rbc magnesium 5/26/2010

> >>>>>>>>>>> 4.2. (4.0-6.4)

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

> >>>>>>>>>>> Lot of test!!!!

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

> >>>>>>>>>>> Thanks again for your kind support! Suzanne

> >>>>>>>>>>

September 24, 2010

I am planning on running new labs: urine and blood. Checking Aldo, renin, sodium, potassium, creatine. How long should I be OFF spironolactone before running these test?Sent from my iPad