Re: Cry for help -from abbie.. about new prescription of the Doctor

[Guest guest]

Dr. G- what if DASH and spiro only control BP but not all the other symptoms? like SOB, inability to exercise, anxiety, irritability, fatigue, muscle cramps, urination 13-15 times per day?

are you then thinking AVS is okay? I fall into this in between category......

just wondering what your opinion is

I value what you are saying and what I have learned from you greatly!!

thanks,

shannon m

M. Meredith, DPM, FACFAS195 Fore River Parkway, Suite 210Portland, ME 04102

[Guest guest]

DASH and spiro should control BP and K and symptoms related to low K.If not then you are not likely really DASHing. Ask your Dr. to collect a 24 hr urine for Na and K to see if you are DASHing.How much spiro? We go up to 400 per day as a test.Would also try Inspra.CE Grim MD Dr. G- what if DASH and spiro only control BP but not all the other symptoms? like SOB, inability to exercise, anxiety, irritability, fatigue, muscle cramps, urination 13-15 times per day? are you then thinking AVS is okay? I fall into this in between category......just wondering what your opinion is :)I value what you are saying and what I have learned from you greatly!!thanks,shannon m M. Meredith, DPM, FACFAS195 Fore River Parkway, Suite 210Portland, ME 04102

[Guest guest]

AVS should be reserved for those who have failed DASH and MCBs.CE Grim MDDr. G- what if DASH and spiro only control BP but not all the other symptoms? like SOB, inability to exercise, anxiety, irritability, fatigue, muscle cramps, urination 13-15 times per day? are you then thinking AVS is okay? I fall into this in between category......just wondering what your opinion is :)I value what you are saying and what I have learned from you greatly!!thanks,shannon m M. Meredith, DPM, FACFAS195 Fore River Parkway, Suite 210Portland, ME 04102

[Guest guest]

Or the Longer you are on DASH/Spiro the better your BP GETS. CE grim MD Tiped sad Send form miiPhone ;-)May your pressure be low!CE Grim MDSpecializing in DifficultHypertension

, I DASHED to the point where the amount of sodium in my

urine was too low to quantitate. I

still had BP about 155/90. 150 mg spiro brought my BP to goal. While DASHING and spiro dealt with the

BP, nothing else got better for me.

My "brittle" (your symptoms) continued unabated. Finally, I was diagnosed with Lyme and a

couple co-infections. With

treatment for those, I'm getting my life back. I honestly think that Lyme has seriously

distorted my endocrine picture for many years as I've had one endocrine issue

after another. I'm now on about 38

mg of spiro (75 mg Inspra). The

longer I am treated for Lyme, the better my BP gets.

Val

On

Jan 6, 2011, at 6:39 PM, ocnblu777@...

wrote:

Dr. G- what if DASH and

spiro only control BP but not all the other symptoms? like SOB, inability to

exercise, anxiety, irritability, fatigue, muscle cramps, urination 13-15 times

per day?

are you then thinking AVS is okay? I fall into this in

between category......

just wondering what your opinion is

I value what you are saying and what I have learned from you

greatly!!

thanks,

shannon m

M. Meredith, DPM, FACFAS

195 Fore River Parkway, Suite 210

Portland, ME 04102

[Guest guest]

I would suggest you were closer to Riceing than DASHing. And closer to what our ancestors ate. Tiped sad Send form miiPhone ;-)May your pressure be low!CE Grim MDSpecializing in DifficultHypertension

, I DASHED to the point where the amount of sodium in my

urine was too low to quantitate. I

still had BP about 155/90. 150 mg spiro brought my BP to goal. While DASHING and spiro dealt with the

BP, nothing else got better for me.

My "brittle" (your symptoms) continued unabated. Finally, I was diagnosed with Lyme and a

couple co-infections. With

treatment for those, I'm getting my life back. I honestly think that Lyme has seriously

distorted my endocrine picture for many years as I've had one endocrine issue

after another. I'm now on about 38

mg of spiro (75 mg Inspra). The

longer I am treated for Lyme, the better my BP gets.

Val

On

Jan 6, 2011, at 6:39 PM, ocnblu777@...

wrote:

Dr. G- what if DASH and

spiro only control BP but not all the other symptoms? like SOB, inability to

exercise, anxiety, irritability, fatigue, muscle cramps, urination 13-15 times

per day?

are you then thinking AVS is okay? I fall into this in

between category......

just wondering what your opinion is

I value what you are saying and what I have learned from you

greatly!!

thanks,

shannon m

M. Meredith, DPM, FACFAS

195 Fore River Parkway, Suite 210

Portland, ME 04102

[Guest guest]

I no longer avoid salt like I did.  At one point, I wouldn't eat a slice of bread

or a hamburger bun.  Staying at about 800

mg Na doesn't allow for that.  I still do

not over-indulge but I'm probably at around 1,500 mg/d.

Val

From: hyperaldosteronism

[mailto:hyperaldosteronism ] On Behalf Of Clarence Grim

Or

the Longer you are on DASH/Spiro the better your BP GETS.

, I DASHED to the point where the amount of sodium

in my urine was too low to quantitate. I still had BP about 155/90. 150

mg spiro brought my BP to goal. While DASHING and spiro dealt with the

BP, nothing else got better for me. My " brittle " (your

symptoms) continued unabated. Finally, I was diagnosed with Lyme and a

couple co-infections. With treatment for those, I'm getting my life

back. I honestly think that Lyme has seriously distorted my endocrine

picture for many years as I've had one endocrine issue after another. I'm

now on about 38 mg of spiro (75 mg Inspra). The longer I am treated for

Lyme, the better my BP gets.

Val

On

Jan 6, 2011, at 6:39 PM, ocnblu777@...

wrote:

Dr. G- what if DASH and spiro only

control BP but not all the other symptoms? like SOB, inability to exercise,

anxiety, irritability, fatigue, muscle cramps, urination 13-15 times per day?

are you then

thinking AVS is okay? I fall into this in between category......

just wondering

what your opinion is

I value what you

are saying and what I have learned from you greatly!!

thanks,

shannon m

[Guest guest]

Yeah, 800 mg/d of Na is hardly DASHing.  Even at that, I couldn't get below 155/90.

Val

From: hyperaldosteronism

[mailto:hyperaldosteronism ] On Behalf Of Clarence Grim

I

would suggest you were closer to Riceing than DASHing.

And

closer to what our ancestors ate.

Tiped sad Send form mi

iPhone

;-)

May

your pressure be low!

CE

Grim MD

Specializing

in Difficult

Hypertension

On Jan 7, 2011, at 5:10 PM, Valarie

wrote:

, I DASHED to the point where the amount of sodium

in my urine was too low to quantitate. I still had BP about 155/90. 150

mg spiro brought my BP to goal. While DASHING and spiro dealt with the

BP, nothing else got better for me. My " brittle " (your

symptoms) continued unabated. Finally, I was diagnosed with Lyme and a

couple co-infections. With treatment for those, I'm getting my life

back. I honestly think that Lyme has seriously distorted my endocrine

picture for many years as I've had one endocrine issue after another. I'm

now on about 38 mg of spiro (75 mg Inspra). The longer I am treated for

Lyme, the better my BP gets.

Val

On

Jan 6, 2011, at 6:39 PM, ocnblu777@...

wrote:

Dr. G- what if DASH and spiro only

control BP but not all the other symptoms? like SOB, inability to exercise,

anxiety, irritability, fatigue, muscle cramps, urination 13-15 times per day?

are you then

thinking AVS is okay? I fall into this in between category......

just wondering

what your opinion is

I value what you

are saying and what I have learned from you greatly!!

thanks,

shannon m

M. Meredith, DPM, FACFAS

195 Fore River Parkway, Suite 210

Portland, ME 04102

[Guest guest]

Excellent. As Dr.Kempner always said: The right amount of salt for you is that which keeps your BP at goal" paraphrase.CE Grim MDI no longer avoid salt like I did. At one point, I wouldn't eat a slice of bread or a hamburger bun. Staying at about 800 mg Na doesn't allow for that. I still do not over-indulge but I'm probably at around 1,500 mg/d. Val From: hyperaldosteronism [mailto:hyperaldosteronism ] On Behalf Of Clarence Grim Or the Longer you are on DASH/Spiro the better your BP GETS. , I DASHED to the point where the amount of sodium in my urine was too low to quantitate. I still had BP about 155/90. 150 mg spiro brought my BP to goal. While DASHING and spiro dealt with the BP, nothing else got better for me. My "brittle" (your symptoms) continued unabated. Finally, I was diagnosed with Lyme and a couple co-infections. With treatment for those, I'm getting my life back. I honestly think that Lyme has seriously distorted my endocrine picture for many years as I've had one endocrine issue after another. I'm now on about 38 mg of spiro (75 mg Inspra). The longer I am treated for Lyme, the better my BP gets.Val Dr. G- what if DASH and spiro only control BP but not all the other symptoms? like SOB, inability to exercise, anxiety, irritability, fatigue, muscle cramps, urination 13-15 times per day?are you then thinking AVS is okay? I fall into this in between category......just wondering what your opinion is :)I value what you are saying and what I have learned from you greatly!!thanks,shannon m

[Guest guest]

I am on 150 of spiro and 80 meq of K+ and that with DASHing seems to be helping

most of the time.....

I have to be careful of dehydration despite drinking over a gallon of water a

day.....

I bet you are right though, Dr. Grim, that I am cheating on the DASHing so I

finally ordered the book

I go to Boston in 5 weeks.....hopefully they can test me there....my doc here is

great but nervous about doing anything else with me right now since I am so

" brittle " and sensitive

> >

> >

> > Dr. G- what if DASH and spiro only control BP but not all the other

symptoms? like SOB, inability to exercise, anxiety, irritability, fatigue,

muscle cramps, urination 13-15 times per day?

> >

> >

> >

> > are you then thinking AVS is okay? I fall into this in between

category......

> >

> > just wondering what your opinion is

> >

> > I value what you are saying and what I have learned from you greatly!!

> >

> > thanks,

> >

> > shannon m

> >

> >

> >

> > M. Meredith, DPM, FACFAS

> > 195 Fore River Parkway, Suite 210

> > Portland, ME 04102

> >

> >

> >

> >

> >

> >

> >

>

[Guest guest]

Tellnus by what u mean by dehydration?Tiped sad Send form miiPhone ;-)May your pressure be low!CE Grim MDSpecializing in DifficultHypertension

I am on 150 of spiro and 80 meq of K+ and that with DASHing seems to be helping most of the time.....

I have to be careful of dehydration despite drinking over a gallon of water a day.....

I bet you are right though, Dr. Grim, that I am cheating on the DASHing so I finally ordered the book

I go to Boston in 5 weeks.....hopefully they can test me there....my doc here is great but nervous about doing anything else with me right now since I am so "brittle" and sensitive

> >

> >

> > Dr. G- what if DASH and spiro only control BP but not all the other symptoms? like SOB, inability to exercise, anxiety, irritability, fatigue, muscle cramps, urination 13-15 times per day?

> >

> >

> >

> > are you then thinking AVS is okay? I fall into this in between category......

> >

> > just wondering what your opinion is

> >

> > I value what you are saying and what I have learned from you greatly!!

> >

> > thanks,

> >

> > shannon m

> >

> >

> >

> > M. Meredith, DPM, FACFAS

> > 195 Fore River Parkway, Suite 210

> > Portland, ME 04102

> >

> >

> >

> >

> >

> >

> >

>

[Guest guest]

What is MCB? From abbieDr. G- what if DASH and spiro only control BP but not all the other symptoms? like SOB, inability to exercise, anxiety, irritability, fatigue, muscle cramps, urination 13-15 times per day? are you then thinking AVS is okay? I fall into this in between category......just wondering what your opinion is :)I value what you are saying and what I have learned from you greatly!!thanks,shannon m M. Meredith, DPM, FACFAS195 Fore River Parkway, Suite 210Portland, ME 04102

[Guest guest]

Mineralocorticoid blocker=MCB=spironolactone & eplerenone

>

> Dr. G- what if DASH and spiro only control BP but not all the other symptoms?

like SOB, inability to exercise, anxiety, irritability, fatigue, muscle cramps,

urination 13-15 times per day? are you then thinking AVS is okay?  I fall into

this in between category......just wondering what your opinion is  :)I value

what you are saying and what I have learned from you greatly!!thanks,shannon

m   M. Meredith, DPM, FACFAS

> 195 Fore River Parkway, Suite 210

> Portland, ME 04102

>

>

[Guest guest]

thanks for clearing it out.from abbieSubject: Re: Cry for help -from abbie.. about new prescription of the DoctorTo: hyperaldosteronism Date: Wednesday, 12 January, 2011, 7:57 AM

Mineralocorticoid blocker=MCB=spironolactone & eplerenone

>

> Dr. G- what if DASH and spiro only control BP but not all the other symptoms? like SOB, inability to exercise, anxiety, irritability, fatigue, muscle cramps, urination 13-15 times per day? are you then thinking AVS is okay? I fall into this in between category......just wondering what your opinion is :)I value what you are saying and what I have learned from you greatly!!thanks,shannon m  M. Meredith, DPM, FACFAS

> 195 Fore River Parkway, Suite 210

> Portland, ME 04102

>

>