Re: Left Adenoma, Medication, Test Results

[Guest guest]

Excellent Max. Ever thought about doing an iPhone app for this?I have some ideas on an ideal app.Wonder if folks might not understand a bell shaped plot?My 2010 medical condition and test results Left adenoma:Spirono 100 mg/dGood but sounds to me like you need more.Indapamide 2.5 mg/dShould not be needed if you are DASHing well.Amlodipine 10 mg/dUsually not needed once DASH and spiro has kicked in.Ramipril 5 mg/dWill not work in PA ususally. See my Evolution article.Metformin 1000 mg/dFrequently good K control will correct DM in PA as it is due to effects of low K on insulin release. So DM will "go away". Ask if you still need this.Pravastatin 40 mg/dFenofibrate 67 mg/dDASHing to the max will prob minimize the need for these two.K.Cl 120 mEq/dWhoa. This is a pile of K. You must be eating a pile of salt to need this much. and or you need more spiro or inspra. CE Grim MDFollowing charts display 95% confident that at least 90% of the test results/readings lie below values on the horizontal axis. Systolic BP:Example: nearly 97% systolic bp readings are below 120 mmHg: Diastolic BP:Example: about 98% diastolic bp readings are below 70 mmHg: Serum Potassium (K):Example: about 55% tests results of Serum K are below 4.4 mmol/L: Serum Creatinine: 8-hr Fasting Plasma Glucose: CHOL/HDL Ratio: Max.

[Guest guest]

Hello Dr. Grim, Thanks a lot for your most useful comments. DASH: it appears that I have to live without DASHing due to extreme lack of interest in paying much time on food preparation. The only point I try to control is low sodium in whatever I eat and minimize adding sea salt to diet.Have your team do at least a spot urine for Na and K and creatinine. Given your weight and age we can calculate your intake or better yet to do 24 hr urine for Na, K and creatinine.Should be more K than salt in your urine if you are DASHing. (Low sodium DASH). K.Cl: My dose went up to 180 mEq/d while on Spiro 25mg/d and just recently after Spiro is 100mg/d my K.Cl reduced to 120 mEq/d. For a year I totally quitted using adding any salt to food but it appeared that there was not much difference in BP lowering. Might be I was producing too much Aldos. But you said that without salt, Aldos cannot lower serum K.Man: iPhone app: I've noticed that statistical distributions of my BP and other test results, especially when limited number of test results are avilable, do not follow a perfect normal distribution but rather are left or right skewed and hence more sophisticated probability distributions had to be used for accurate and realistic results. Creating an iPhone app that perhaps runs on a central server is a great idea and a young computer programmer with normal BP seems to be a best candidate...although s/he might develop high BP afterwards! Max. Excellent Max. Ever thought about doing an iPhone app for this?I have some ideas on an ideal app.Wonder if folks might not understand a bell shaped plot?My 2010 medical condition and test results Left adenoma:Spirono 100 mg/dGood but sounds to me like you need more.Indapamide 2.5 mg/dShould not be needed if you are DASHing well.Amlodipine 10 mg/dUsually not needed once DASH and spiro has kicked in.Ramipril 5 mg/dWill not work in PA ususally. See my Evolution article.Metformin 1000 mg/dFrequently good K control will correct DM in PA as it is due to effects of low K on insulin release. So DM will "go away". Ask if you still need this.Pravastatin 40 mg/dFenofibrate 67 mg/dDASHing to the max will prob minimize the need for these two.K.Cl 120 mEq/dWhoa. This is a pile of K. You must be eating a pile of salt to need this much. and or you need more spiro or inspra. CE Grim MDFollowing charts display 95% confident that at least 90% of the test results/readings lie below values on the horizontal axis. Systolic BP:Example: nearly 97% systolic bp readings are below 120 mmHg: Diastolic BP:Example: about 98% diastolic bp readings are below 70 mmHg: Serum Potassium (K):Example: about 55% tests results of Serum K are below 4.4 mmol/L: Serum Creatinine: 8-hr Fasting Plasma Glucose: CHOL/HDL Ratio: Max.__._,

[Guest guest]

I am moving to the opinon that if our goal is to get BP to goal then measuring Na and K is a better guide than alb/creat ratio. Dr. Kempner reached this conclusion in about 1942 (Rice diet Dr.).Thanks a lot Dr. Grim for your recommendations and I'll ask my doc for urine Na & K tests on my next visit. Urine crea is done once every 3 months together with microalbumin and alb/crea ratio =0.3 < 2.0 reported as normal. I'm 61 and 194 lbs. uK and uNa will be reported as soon I get the lab results. Max.Have your team do at least a spot urine for Na and K and creatinine. Given your weight and age we can calculate your intake or better yet to do 24 hr urine for Na, K and creatinine.Should be more K than salt in your urine if you are DASHing. (Low sodium DASH).

[Guest guest]

there is no other way to document one is DASHing. Well if BP goes down in 2 -4 week we can assume it but if not then really need to check. One can do the Cl sticks at some to look at the Na.CE Grim MDHi Dr. Grim, After I was diagnosed with PA at the university hospital by a specialist, my family physician confessed that he had no clue about PA and was always surprised to see my low low serum K. I take monthly serum K, Na, Cl, CO2, CREA, but never had any urine 24-hr uK, uNa, ... and I would like to ask my doc to add these ones to my regular tests as you specify. I really appreciate your precious recommendations. Max.I am moving to the opinon that if our goal is to get BP to goal then measuring Na and K is a better guide than alb/creat ratio. Dr. Kempner reached this conclusion in about 1942 (Rice diet Dr.).