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CCB, Spiro, K, Aldos

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The fall in Aldo is encouraging. Trust u R off all BP MEDS now?Tiped sad Send form miiPhone ;-)May your pressure be low!CE Grim MDSpecializing in DifficultHypertension

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No, I am still on meds. I was lucky I did not show up for my adrenalectomy because a whole lot of surgery patients of that period have been infected with HIV+HepC....HepC authorities say had been as bonus!

Max.

61M L adenoma by NP59 scan. High aldos not low renin. med combo #75={Spiro=100, Amlo=10, Indap=2.5, Ramip=5, Metf=1000, Prav=40, Feno=67, K.cl=120 mEq}{sideEffects: gynecodynia, dry legs skin}{K=4.5}{not DASHing but low-salt diet}

The fall in Aldo is encouraging. Trust u R off all BP MEDS now?Tiped sad Send form mi

iPhone ;-)

May your pressure be low!

CE Grim MD

Specializing in Difficult

Hypertension

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Ah a risk of surgery that is not considered but is not zero. Tiped sad Send form miiPhone ;-)May your pressure be low!CE Grim MDSpecializing in DifficultHypertension

No, I am still on meds. I was lucky I did not show up for my adrenalectomy because a whole lot of surgery patients of that period have been infected with HIV+HepC....HepC authorities say had been as bonus!

Max.

61M L adenoma by NP59 scan. High aldos not low renin. med combo #75={Spiro=100, Amlo=10, Indap=2.5, Ramip=5, Metf=1000, Prav=40, Feno=67, K.cl=120 mEq}{sideEffects: gynecodynia, dry legs skin}{K=4.5}{not DASHing but low-salt diet}

The fall in Aldo is encouraging. Trust u R off all BP MEDS now?Tiped sad Send form mi

iPhone ;-)

May your pressure be low!

CE Grim MD

Specializing in Difficult

Hypertension

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But Adx rarely need blood TX Tiped sad Send form miiPhone ;-)May your pressure be low!CE Grim MDSpecializing in DifficultHypertension

No, I am still on meds. I was lucky I did not show up for my adrenalectomy because a whole lot of surgery patients of that period have been infected with HIV+HepC....HepC authorities say had been as bonus!

Max.

61M L adenoma by NP59 scan. High aldos not low renin. med combo #75={Spiro=100, Amlo=10, Indap=2.5, Ramip=5, Metf=1000, Prav=40, Feno=67, K.cl=120 mEq}{sideEffects: gynecodynia, dry legs skin}{K=4.5}{not DASHing but low-salt diet}

The fall in Aldo is encouraging. Trust u R off all BP MEDS now?Tiped sad Send form mi

iPhone ;-)

May your pressure be low!

CE Grim MD

Specializing in Difficult

Hypertension

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Well if u. Follow PAs carefully u will. Find that ~50% will need BP. RX STILL. The response is you prob. Have both essential HTN and =PA and now that we have taken away the PA YOU still have essential stuff. I think this really means you had bilateral disease. Tiped sad Send form miiPhone ;-)May your pressure be low!CE Grim MDSpecializing in DifficultHypertension

Thanks for this comforting info. Now I feel more relaxed for next step.

Max.

61M L adenoma by NP59 scan. High aldos not low renin. med combo #75={Spiro=100, Amlo=10, Indap=2.5, Ramip=5, Metf=1000, Prav=40, Feno=67, K.cl=120 mEq}{sideEffects: gynecodynia, dry legs skin}{K=4.5}{not DASHing but low-salt diet}

But Adx rarely need blood TX Tiped sad Send form mi

iPhone ;-)

May your pressure be low!

CE Grim MD

Specializing in Difficult

Hypertension

No, I am still on meds. I was lucky I did not show up for my adrenalectomy because a whole lot of surgery patients of that period have been infected with HIV+HepC....HepC authorities say had been as bonus!

Max.

61M L adenoma by NP59 scan. High aldos not low renin. med combo #75={Spiro=100, Amlo=10, Indap=2.5, Ramip=5, Metf=1000, Prav=40, Feno=67, K.cl=120 mEq}{sideEffects: gynecodynia, dry legs skin}{K=4.5}{not DASHing but low-salt diet}

The fall in Aldo is encouraging. Trust u R off all BP MEDS now?Tiped sad Send form mi iPhone ;-)

May your pressure be low!

CE Grim MD

Specializing in Difficult

Hypertension

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Starting 1999, 1.5 mg Indap used to lower my BP such that I was dizzy at times needed lowering my head. Adding 10 mg ACE was enough in 2000....but then gradually no drug combo could control my BP until end of 2009 when diagnosed with PA...Spiro increased 25...50...75...100 and lowered my BP and then NP59 confirmed left adenoma. So what you suspect seems true: I started with essential HTN then PA came along....for such reasons I decided to give up adreanlectomy although it is paid by insurance!

Max.

61M L adenoma by NP59 scan. High aldos not low renin. med combo #75={Spiro=100, Amlo=10, Indap=2.5, Ramip=5, Metf=1000, Prav=40, Feno=67, K.cl=120 mEq}{sideEffects: gynecodynia, dry legs skin}{K=4.5}{not DASHing but low-salt diet}

Well if u. Follow PAs carefully u will. Find that ~50% will need BP. RX STILL. The response is you prob. Have both essential HTN and =

PA and now that we have taken away the PA YOU still have essential stuff. I think this really means you had bilateral disease. Tiped sad Send form mi

iPhone ;-)

May your pressure be low!

CE Grim MD

Specializing in Difficult

Hypertension

Thanks for this comforting info. Now I feel more relaxed for next step.

Max.

61M L adenoma by NP59 scan. High aldos not low renin. med combo #75={Spiro=100, Amlo=10, Indap=2.5, Ramip=5, Metf=1000, Prav=40, Feno=67, K.cl=120 mEq}{sideEffects: gynecodynia, dry legs skin}{K=4.5}{not DASHing but low-salt diet}

But Adx rarely need blood TX Tiped sad Send form mi iPhone ;-)

May your pressure be low!

CE Grim MD

Specializing in Difficult

Hypertension

No, I am still on meds. I was lucky I did not show up for my adrenalectomy because a whole lot of surgery patients of that period have been infected with HIV+HepC....HepC authorities say had been as bonus!

Max.

61M L adenoma by NP59 scan. High aldos not low renin. med combo #75={Spiro=100, Amlo=10, Indap=2.5, Ramip=5, Metf=1000, Prav=40, Feno=67, K.cl=120 mEq}{sideEffects: gynecodynia, dry legs skin}{K=4.5}{not DASHing but low-salt diet}

The fall in Aldo is encouraging. Trust u R off all BP MEDS now?Tiped sad Send form mi iPhone ;-)

May your pressure be low!

CE Grim MD

Specializing in Difficult

Hypertension

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Again if u read my evolution article again I suspect you have had PA all along. Do any others in your family have HTN?Tiped sad Send form miiPhone ;-)May your pressure be low!CE Grim MDSpecializing in DifficultHypertension

Starting 1999, 1.5 mg Indap used to lower my BP such that I was dizzy at times needed lowering my head. Adding 10 mg ACE was enough in 2000....but then gradually no drug combo could control my BP until end of 2009 when diagnosed with PA...Spiro increased 25...50...75...100 and lowered my BP and then NP59 confirmed left adenoma. So what you suspect seems true: I started with essential HTN then PA came along....for such reasons I decided to give up adreanlectomy although it is paid by insurance!

Max.

61M L adenoma by NP59 scan. High aldos not low renin. med combo #75={Spiro=100, Amlo=10, Indap=2.5, Ramip=5, Metf=1000, Prav=40, Feno=67, K.cl=120 mEq}{sideEffects: gynecodynia, dry legs skin}{K=4.5}{not DASHing but low-salt diet}

Well if u. Follow PAs carefully u will. Find that ~50% will need BP. RX STILL. The response is you prob. Have both essential HTN and =

PA and now that we have taken away the PA YOU still have essential stuff. I think this really means you had bilateral disease. Tiped sad Send form mi

iPhone ;-)

May your pressure be low!

CE Grim MD

Specializing in Difficult

Hypertension

Thanks for this comforting info. Now I feel more relaxed for next step.

Max.

61M L adenoma by NP59 scan. High aldos not low renin. med combo #75={Spiro=100, Amlo=10, Indap=2.5, Ramip=5, Metf=1000, Prav=40, Feno=67, K.cl=120 mEq}{sideEffects: gynecodynia, dry legs skin}{K=4.5}{not DASHing but low-salt diet}

But Adx rarely need blood TX Tiped sad Send form mi iPhone ;-)

May your pressure be low!

CE Grim MD

Specializing in Difficult

Hypertension

No, I am still on meds. I was lucky I did not show up for my adrenalectomy because a whole lot of surgery patients of that period have been infected with HIV+HepC....HepC authorities say had been as bonus!

Max.

61M L adenoma by NP59 scan. High aldos not low renin. med combo #75={Spiro=100, Amlo=10, Indap=2.5, Ramip=5, Metf=1000, Prav=40, Feno=67, K.cl=120 mEq}{sideEffects: gynecodynia, dry legs skin}{K=4.5}{not DASHing but low-salt diet}

The fall in Aldo is encouraging. Trust u R off all BP MEDS now?Tiped sad Send form mi iPhone ;-)

May your pressure be low!

CE Grim MD

Specializing in Difficult

Hypertension

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Other family member with HTN= mom...might be others too. Non-smoker, non-drinker parents and grandparents...except maternal grandma chain hubble bubble smoker!

Max.

61M L adenoma by NP59 scan. High aldos not low renin. med combo #75={Spiro=100, Amlo=10, Indap=2.5, Ramip=5, Metf=1000, Prav=40, Feno=67, K.cl=120 mEq}{sideEffects: gynecodynia, dry legs skin}{K=4.5}{not DASHing but low-salt diet}

Again if u read my evolution article again I suspect you have had PA all along. Do any others in your family have HTN?

Tiped sad Send form mi

iPhone ;-)

May your pressure be low!

CE Grim MD

Specializing in Difficult

Hypertension

Starting 1999, 1.5 mg Indap used to lower my BP such that I was dizzy at times needed lowering my head. Adding 10 mg ACE was enough in 2000....but then gradually no drug combo could control my BP until end of 2009 when diagnosed with PA...Spiro increased 25...50...75...100 and lowered my BP and then NP59 confirmed left adenoma. So what you suspect seems true: I started with essential HTN then PA came along....for such reasons I decided to give up adreanlectomy although it is paid by insurance!

Max.

61M L adenoma by NP59 scan. High aldos not low renin. med combo #75={Spiro=100, Amlo=10, Indap=2.5, Ramip=5, Metf=1000, Prav=40, Feno=67, K.cl=120 mEq}{sideEffects: gynecodynia, dry legs skin}{K=4.5}{not DASHing but low-salt diet}

Well if u. Follow PAs carefully u will. Find that ~50% will need BP. RX STILL. The response is you prob. Have both essential HTN and =

PA and now that we have taken away the PA YOU still have essential stuff. I think this really means you had bilateral disease. Tiped sad Send form mi iPhone ;-)

May your pressure be low!

CE Grim MD

Specializing in Difficult

Hypertension

Thanks for this comforting info. Now I feel more relaxed for next step.

Max.

61M L adenoma by NP59 scan. High aldos not low renin. med combo #75={Spiro=100, Amlo=10, Indap=2.5, Ramip=5, Metf=1000, Prav=40, Feno=67, K.cl=120 mEq}{sideEffects: gynecodynia, dry legs skin}{K=4.5}{not DASHing but low-salt diet}

But Adx rarely need blood TX Tiped sad Send form mi iPhone ;-)

May your pressure be low!

CE Grim MD

Specializing in Difficult

Hypertension

No, I am still on meds. I was lucky I did not show up for my adrenalectomy because a whole lot of surgery patients of that period have been infected with HIV+HepC....HepC authorities say had been as bonus!

Max.

61M L adenoma by NP59 scan. High aldos not low renin. med combo #75={Spiro=100, Amlo=10, Indap=2.5, Ramip=5, Metf=1000, Prav=40, Feno=67, K.cl=120 mEq}{sideEffects: gynecodynia, dry legs skin}{K=4.5}{not DASHing but low-salt diet}

The fall in Aldo is encouraging. Trust u R off all BP MEDS now?Tiped sad Send form mi iPhone ;-)

May your pressure be low!

CE Grim MD

Specializing in Difficult

Hypertension

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