Guest guest Posted April 16, 2011 Report Share Posted April 16, 2011 Before they dx'd the PA they tried HCTZ a few times (it's the first one recommended by the experts) and it would drop my K so far and fast that it wasn't a good option for me. Did nothing for my blood pressure anyway.Subject: DASH vs HCTZTo: hyperaldosteronism Date: Saturday, April 16, 2011, 6:30 PM So, if HCTZ basically gets rid of the excess salt, isnt that a easier way to go than trying to do DASH on am American diet? Of course one also would need to add a little magnesium and a bit more Potassium as they are lost with HCTZ. But, maybe my Mayo doc was right. Low salt diet is an option, but it is alot easier to just take the hydrochlorothiazide. The drug is cheap, right along with Spiro. I realize we all want to avoid meds, when possible. But, is it practical? Thoughts? Quote Link to comment Share on other sites More sharing options...
Guest guest Posted April 16, 2011 Report Share Posted April 16, 2011 Same here, and I was probably on it way longer than I should have been, considering it didn't help my HTN. Additionally, it raised my cholesterol, triglycerides and blood sugar. And interestingly, when I stopped taking HCTZ, I peed constantly and dropped almost 10 pounds within a few weeks - I actually think it was doing something that made me *retain* water! -msmith1928 45, female, 5'3 " , 120 lbs, 1cm left adrenal nodule, aldosterone 42.3, renin 0.5, potassium <2.9 (when not taking supplements); 25mg spiro caused gynecomastia; no HTN meds; current meds are 20MEQ K 2x/day, singulair 10mg, norethindrone .35mg, cyclobenzaprine 5-10mg when needed, fexofenadine 180mg when needed; low sodium, fructose- and grain-free diet > > > Subject: DASH vs HCTZ > To: hyperaldosteronism > Date: Saturday, April 16, 2011, 6:30 PM > > > > > > > > Â > > > > > > > > > > So, if HCTZ basically gets rid of the excess salt, isnt that a easier way to go than trying to do DASH on am American diet? Of course one also would need to add a little magnesium and a bit more Potassium as they are lost with HCTZ. But, maybe my Mayo doc was right. Low salt diet is an option, but it is alot easier to just take the hydrochlorothiazide. The drug is cheap, right along with Spiro. > > > > I realize we all want to avoid meds, when possible. But, is it practical? Thoughts? > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted April 16, 2011 Report Share Posted April 16, 2011 Same here, and I was probably on it way longer than I should have been, considering it didn't help my HTN. Additionally, it raised my cholesterol, triglycerides and blood sugar. And interestingly, when I stopped taking HCTZ, I peed constantly and dropped almost 10 pounds within a few weeks - I actually think it was doing something that made me *retain* water! -msmith1928 45, female, 5'3 " , 120 lbs, 1cm left adrenal nodule, aldosterone 42.3, renin 0.5, potassium <2.9 (when not taking supplements); 25mg spiro caused gynecomastia; no HTN meds; current meds are 20MEQ K 2x/day, singulair 10mg, norethindrone .35mg, cyclobenzaprine 5-10mg when needed, fexofenadine 180mg when needed; low sodium, fructose- and grain-free diet > > > Subject: DASH vs HCTZ > To: hyperaldosteronism > Date: Saturday, April 16, 2011, 6:30 PM > > > > > > > > Â > > > > > > > > > > So, if HCTZ basically gets rid of the excess salt, isnt that a easier way to go than trying to do DASH on am American diet? Of course one also would need to add a little magnesium and a bit more Potassium as they are lost with HCTZ. But, maybe my Mayo doc was right. Low salt diet is an option, but it is alot easier to just take the hydrochlorothiazide. The drug is cheap, right along with Spiro. > > > > I realize we all want to avoid meds, when possible. But, is it practical? Thoughts? > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted April 16, 2011 Report Share Posted April 16, 2011 Same here, and I was probably on it way longer than I should have been, considering it didn't help my HTN. Additionally, it raised my cholesterol, triglycerides and blood sugar. And interestingly, when I stopped taking HCTZ, I peed constantly and dropped almost 10 pounds within a few weeks - I actually think it was doing something that made me *retain* water! -msmith1928 45, female, 5'3 " , 120 lbs, 1cm left adrenal nodule, aldosterone 42.3, renin 0.5, potassium <2.9 (when not taking supplements); 25mg spiro caused gynecomastia; no HTN meds; current meds are 20MEQ K 2x/day, singulair 10mg, norethindrone .35mg, cyclobenzaprine 5-10mg when needed, fexofenadine 180mg when needed; low sodium, fructose- and grain-free diet > > > Subject: DASH vs HCTZ > To: hyperaldosteronism > Date: Saturday, April 16, 2011, 6:30 PM > > > > > > > > Â > > > > > > > > > > So, if HCTZ basically gets rid of the excess salt, isnt that a easier way to go than trying to do DASH on am American diet? Of course one also would need to add a little magnesium and a bit more Potassium as they are lost with HCTZ. But, maybe my Mayo doc was right. Low salt diet is an option, but it is alot easier to just take the hydrochlorothiazide. The drug is cheap, right along with Spiro. > > > > I realize we all want to avoid meds, when possible. But, is it practical? Thoughts? > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted April 16, 2011 Report Share Posted April 16, 2011 APOLOGIES for the multiple posts! Yahoo is possessed by a trickster today, apparently. > > > > From: Max <maxxtech@> > > Subject: DASH vs HCTZ > > To: hyperaldosteronism > > Date: Saturday, April 16, 2011, 6:30 PM > > > > > > > > > > > > > > > > Â > > > > > > > > > > > > > > > > > > > > So, if HCTZ basically gets rid of the excess salt, isnt that a easier way to go than trying to do DASH on am American diet? Of course one also would need to add a little magnesium and a bit more Potassium as they are lost with HCTZ. But, maybe my Mayo doc was right. Low salt diet is an option, but it is alot easier to just take the hydrochlorothiazide. The drug is cheap, right along with Spiro. > > > > > > > > I realize we all want to avoid meds, when possible. But, is it practical? Thoughts? > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted April 17, 2011 Report Share Posted April 17, 2011 It. Is called ALDO/salt. HTN. MOST. drugs thaat lower Bp some make u retain salt as well. Tiped sad Send form miiPhone ;-)May your pressure be low!CE Grim MDSpecializing in DifficultHypertension Same here, and I was probably on it way longer than I should have been, considering it didn't help my HTN. Additionally, it raised my cholesterol, triglycerides and blood sugar. And interestingly, when I stopped taking HCTZ, I peed constantly and dropped almost 10 pounds within a few weeks - I actually think it was doing something that made me *retain* water! -msmith1928 45, female, 5'3", 120 lbs, 1cm left adrenal nodule, aldosterone 42.3, renin 0.5, potassium <2.9 (when not taking supplements); 25mg spiro caused gynecomastia; no HTN meds; current meds are 20MEQ K 2x/day, singulair 10mg, norethindrone .35mg, cyclobenzaprine 5-10mg when needed, fexofenadine 180mg when needed; low sodium, fructose- and grain-free diet > > > Subject: DASH vs HCTZ > To: hyperaldosteronism > Date: Saturday, April 16, 2011, 6:30 PM > > > > > > > > Â > > > > > > > > > > So, if HCTZ basically gets rid of the excess salt, isnt that a easier way to go than trying to do DASH on am American diet? Of course one also would need to add a little magnesium and a bit more Potassium as they are lost with HCTZ. But, maybe my Mayo doc was right. Low salt diet is an option, but it is alot easier to just take the hydrochlorothiazide. The drug is cheap, right along with Spiro. > > > > I realize we all want to avoid meds, when possible. But, is it practical? Thoughts? > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted April 17, 2011 Report Share Posted April 17, 2011 Stop the HCTZ. Tiped sad Send form miiPhone ;-)May your pressure be low!CE Grim MDSpecializing in DifficultHypertension That happened to me too, initially. But then my endo added spiro and potassium supplements to balance that out. Within 6 mo the twitching had basically stopped and alot of my symptoms eased up. It has been stable now for over 2+ years. I just want to know if HCTZ basically accomplishes the same thing without the dietary restricitions. And if so, are there any good reasons not to consider it as an option to DASH? ============================================================================45-Male-Caucasian, 5'9"- 230lbs, PA Diagnosed 2007 Suspected Hyperplasia-No tumors on CT - No AVS.Meds: 50mg Spiro, 25mg HCTZ, 40meg Potassium, 1200mg Calcium, 800mg Magnesium, 100,000UI Vit D (weekly), 40mg OmeprazoleSide effects: GynecomastiaOther Diags: GERD, Hiatal Hernia, Metabolic Syndrome - PreDiabetic, Secondary Hyperparathyroidism caused by Renal calcium leak, Bone Cyct in left Femoral Head and Pelvis. Fibromyalgia To: hyperaldosteronism Sent: Saturday, April 16, 2011 8:03 PMSubject: Re: DASH vs HCTZ Before they dx'd the PA they tried HCTZ a few times (it's the first one recommended by the experts) and it would drop my K so far and fast that it wasn't a good option for me. Did nothing for my blood pressure anyway. Subject: DASH vs HCTZTo: hyperaldosteronism Date: Saturday, April 16, 2011, 6:30 PM So, if HCTZ basically gets rid of the excess salt, isnt that a easier way to go than trying to do DASH on am American diet? Of course one also would need to add a little magnesium and a bit more Potassium as they are lost with HCTZ. But, maybe my Mayo doc was right. Low salt diet is an option, but it is alot easier to just take the hydrochlorothiazide. The drug is cheap, right along with Spiro.I realize we all want to avoid meds, when possible. But, is it practical? Thoughts? Quote Link to comment Share on other sites More sharing options...
Guest guest Posted April 17, 2011 Report Share Posted April 17, 2011 The only thing HCTZ WILL DO is make u need to take more KTiped sad Send form miiPhone ;-)May your pressure be low!CE Grim MDSpecializing in DifficultHypertension That happened to me too, initially. But then my endo added spiro and potassium supplements to balance that out. Within 6 mo the twitching had basically stopped and alot of my symptoms eased up. It has been stable now for over 2+ years. I just want to know if HCTZ basically accomplishes the same thing without the dietary restricitions. And if so, are there any good reasons not to consider it as an option to DASH? ============================================================================45-Male-Caucasian, 5'9"- 230lbs, PA Diagnosed 2007 Suspected Hyperplasia-No tumors on CT - No AVS.Meds: 50mg Spiro, 25mg HCTZ, 40meg Potassium, 1200mg Calcium, 800mg Magnesium, 100,000UI Vit D (weekly), 40mg OmeprazoleSide effects: GynecomastiaOther Diags: GERD, Hiatal Hernia, Metabolic Syndrome - PreDiabetic, Secondary Hyperparathyroidism caused by Renal calcium leak, Bone Cyct in left Femoral Head and Pelvis. Fibromyalgia To: hyperaldosteronism Sent: Saturday, April 16, 2011 8:03 PMSubject: Re: DASH vs HCTZ Before they dx'd the PA they tried HCTZ a few times (it's the first one recommended by the experts) and it would drop my K so far and fast that it wasn't a good option for me. Did nothing for my blood pressure anyway. Subject: DASH vs HCTZTo: hyperaldosteronism Date: Saturday, April 16, 2011, 6:30 PM So, if HCTZ basically gets rid of the excess salt, isnt that a easier way to go than trying to do DASH on am American diet? Of course one also would need to add a little magnesium and a bit more Potassium as they are lost with HCTZ. But, maybe my Mayo doc was right. Low salt diet is an option, but it is alot easier to just take the hydrochlorothiazide. The drug is cheap, right along with Spiro.I realize we all want to avoid meds, when possible. But, is it practical? Thoughts? Quote Link to comment Share on other sites More sharing options...
Guest guest Posted April 17, 2011 Report Share Posted April 17, 2011 Yes, more K...but it also stimulates the kidney to dump the dietary salt, right? So while obviously NOT eating the salt to begin with would be preferred, does it not serve as a fair alternative for those who dont/cant/wont do DASH? ============================================================================45-Male-Caucasian, 5'9"- 230lbs, PA Diagnosed 2007 Suspected Hyperplasia-No tumors on CT - No AVS.Meds: 50mg Spiro, 25mg HCTZ, 40meg Potassium, 1200mg Calcium, 800mg Magnesium, 100,000UI Vit D (weekly), 40mg OmeprazoleSide effects: GynecomastiaOther Diags: GERD, Hiatal Hernia, Metabolic Syndrome - PreDiabetic, Secondary Hyperparathyroidism caused by Renal calcium leak, Bone Cyct in left Femoral Head and Pelvis. Fibromyalgia To: "hyperaldosteronism " <hyperaldosteronism >Sent: Sunday, April 17, 2011 12:09 PMSubject: Re: DASH vs HCTZ The only thing HCTZ WILL DO is make u need to take more KTiped sad Send form mi iPhone ;-) May your pressure be low! CE Grim MD Specializing in Difficult Hypertension That happened to me too, initially. But then my endo added spiro and potassium supplements to balance that out. Within 6 mo the twitching had basically stopped and alot of my symptoms eased up. It has been stable now for over 2+ years. I just want to know if HCTZ basically accomplishes the same thing without the dietary restricitions. And if so, are there any good reasons not to consider it as an option to DASH? ============================================================================45-Male-Caucasian, 5'9"- 230lbs, PA Diagnosed 2007 Suspected Hyperplasia-No tumors on CT - No AVS.Meds: 50mg Spiro, 25mg HCTZ, 40meg Potassium, 1200mg Calcium, 800mg Magnesium, 100,000UI Vit D (weekly), 40mg OmeprazoleSide effects: GynecomastiaOther Diags: GERD, Hiatal Hernia, Metabolic Syndrome - PreDiabetic, Secondary Hyperparathyroidism caused by Renal calcium leak, Bone Cyct in left Femoral Head and Pelvis. Fibromyalgia To: hyperaldosteronism Sent: Saturday, April 16, 2011 8:03 PMSubject: Re: DASH vs HCTZ Before they dx'd the PA they tried HCTZ a few times (it's the first one recommended by the experts) and it would drop my K so far and fast that it wasn't a good option for me. Did nothing for my blood pressure anyway. Subject: DASH vs HCTZTo: hyperaldosteronism Date: Saturday, April 16, 2011, 6:30 PM So, if HCTZ basically gets rid of the excess salt, isnt that a easier way to go than trying to do DASH on am American diet? Of course one also would need to add a little magnesium and a bit more Potassium as they are lost with HCTZ. But, maybe my Mayo doc was right. Low salt diet is an option, but it is alot easier to just take the hydrochlorothiazide. The drug is cheap, right along with Spiro.I realize we all want to avoid meds, when possible. But, is it practical? Thoughts? Quote Link to comment Share on other sites More sharing options...
Guest guest Posted April 17, 2011 Report Share Posted April 17, 2011 That is classic. Clue. To PA.Tiped sad Send form miiPhone ;-)May your pressure be low!CE Grim MDSpecializing in DifficultHypertension Before they dx'd the PA they tried HCTZ a few times (it's the first one recommended by the experts) and it would drop my K so far and fast that it wasn't a good option for me. Did nothing for my blood pressure anyway.Subject: DASH vs HCTZTo: hyperaldosteronism Date: Saturday, April 16, 2011, 6:30 PM So, if HCTZ basically gets rid of the excess salt, isnt that a easier way to go than trying to do DASH on am American diet? Of course one also would need to add a little magnesium and a bit more Potassium as they are lost with HCTZ. But, maybe my Mayo doc was right. Low salt diet is an option, but it is alot easier to just take the hydrochlorothiazide. The drug is cheap, right along with Spiro. I realize we all want to avoid meds, when possible. But, is it practical? Thoughts? Quote Link to comment Share on other sites More sharing options...
Guest guest Posted April 17, 2011 Report Share Posted April 17, 2011 The more salt you dump upstream the more there is for the Aldo to pump in down stream. When NA pumped in K goes into urine to maintain neutrality. So so you accentuneate the K loss. Tiped sad Send form miiPhone ;-)May your pressure be low!CE Grim MDSpecializing in DifficultHypertension Yes, more K...but it also stimulates the kidney to dump the dietary salt, right? So while obviously NOT eating the salt to begin with would be preferred, does it not serve as a fair alternative for those who dont/cant/wont do DASH? ============================================================================45-Male-Caucasian, 5'9"- 230lbs, PA Diagnosed 2007 Suspected Hyperplasia-No tumors on CT - No AVS.Meds: 50mg Spiro, 25mg HCTZ, 40meg Potassium, 1200mg Calcium, 800mg Magnesium, 100,000UI Vit D (weekly), 40mg OmeprazoleSide effects: GynecomastiaOther Diags: GERD, Hiatal Hernia, Metabolic Syndrome - PreDiabetic, Secondary Hyperparathyroidism caused by Renal calcium leak, Bone Cyct in left Femoral Head and Pelvis. Fibromyalgia To: "hyperaldosteronism " <hyperaldosteronism >Sent: Sunday, April 17, 2011 12:09 PMSubject: Re: DASH vs HCTZ The only thing HCTZ WILL DO is make u need to take more KTiped sad Send form mi iPhone ;-) May your pressure be low! CE Grim MD Specializing in Difficult Hypertension That happened to me too, initially. But then my endo added spiro and potassium supplements to balance that out. Within 6 mo the twitching had basically stopped and alot of my symptoms eased up. It has been stable now for over 2+ years. I just want to know if HCTZ basically accomplishes the same thing without the dietary restricitions. And if so, are there any good reasons not to consider it as an option to DASH? ============================================================================45-Male-Caucasian, 5'9"- 230lbs, PA Diagnosed 2007 Suspected Hyperplasia-No tumors on CT - No AVS.Meds: 50mg Spiro, 25mg HCTZ, 40meg Potassium, 1200mg Calcium, 800mg Magnesium, 100,000UI Vit D (weekly), 40mg OmeprazoleSide effects: GynecomastiaOther Diags: GERD, Hiatal Hernia, Metabolic Syndrome - PreDiabetic, Secondary Hyperparathyroidism caused by Renal calcium leak, Bone Cyct in left Femoral Head and Pelvis. Fibromyalgia To: hyperaldosteronism Sent: Saturday, April 16, 2011 8:03 PMSubject: Re: DASH vs HCTZ Before they dx'd the PA they tried HCTZ a few times (it's the first one recommended by the experts) and it would drop my K so far and fast that it wasn't a good option for me. Did nothing for my blood pressure anyway. Subject: DASH vs HCTZTo: hyperaldosteronism Date: Saturday, April 16, 2011, 6:30 PM So, if HCTZ basically gets rid of the excess salt, isnt that a easier way to go than trying to do DASH on am American diet? Of course one also would need to add a little magnesium and a bit more Potassium as they are lost with HCTZ. But, maybe my Mayo doc was right. Low salt diet is an option, but it is alot easier to just take the hydrochlorothiazide. The drug is cheap, right along with Spiro.I realize we all want to avoid meds, when possible. But, is it practical? Thoughts? Reply to sender | Reply to group | Reply via web post | Start a New Topic Messages in this topic (11) .. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted April 17, 2011 Report Share Posted April 17, 2011 Dr Grim - I guess I am still unclear on why HCTZ vs. DASH presents a risk...particularly in my case...as my tests all seem to be stable on the current MED regimen. Is there something I can read that connects all the dots in detail? I really want to understand this as well as any doctor I discuss Conn's with. What effects what, what balances what, how it all works at a 1000ft level so it makes clear sense to me. I am not interested in the organic chem level, but the overall seasaw of all al lthe different hormones and minerals play together. I know you say to do DASH and take Spirno, but I want to understand why, much better than i do now. So, when I stop the HCTZ what else do i need to change in my MEDS, based on what I show in my signature? Just drop the potassium off the list, or so i need to do anything else? I will discuss with my Endo on my next visit and blood/urine tests to get a baseline to work against. What specific tests should i request to collect the data you find most useful to track? ============================================================================45-Male-Caucasian, 5'9"- 230lbs, PA Diagnosed 2007 Suspected Hyperplasia-No tumors on CT - No AVS.Meds: 50mg Spiro, 25mg HCTZ, 40meg Potassium, 1200mg Calcium, 800mg Magnesium, 100,000UI Vit D (weekly), 40mg OmeprazoleSide effects: GynecomastiaOther Diags: GERD, Hiatal Hernia, Metabolic Syndrome - PreDiabetic, Secondary Hyperparathyroidism caused by Renal calcium leak, Bone Cyct in left Femoral Head and Pelvis. Fibromyalgia To: "hyperaldosteronism " <hyperaldosteronism >Sent: Sunday, April 17, 2011 1:36 PMSubject: Re: DASH vs HCTZ The more salt you dump upstream the more there is for the Aldo to pump in down stream. When NA pumped in K goes into urine to maintain neutrality. So so you accentuneate the K loss. Tiped sad Send form mi iPhone ;-) May your pressure be low! CE Grim MD Specializing in Difficult Hypertension Yes, more K...but it also stimulates the kidney to dump the dietary salt, right? So while obviously NOT eating the salt to begin with would be preferred, does it not serve as a fair alternative for those who dont/cant/wont do DASH? ============================================================================45-Male-Caucasian, 5'9"- 230lbs, PA Diagnosed 2007 Suspected Hyperplasia-No tumors on CT - No AVS.Meds: 50mg Spiro, 25mg HCTZ, 40meg Potassium, 1200mg Calcium, 800mg Magnesium, 100,000UI Vit D (weekly), 40mg OmeprazoleSide effects: GynecomastiaOther Diags: GERD, Hiatal Hernia, Metabolic Syndrome - PreDiabetic, Secondary Hyperparathyroidism caused by Renal calcium leak, Bone Cyct in left Femoral Head and Pelvis. Fibromyalgia To: "hyperaldosteronism " <hyperaldosteronism >Sent: Sunday, April 17, 2011 12:09 PMSubject: Re: DASH vs HCTZ The only thing HCTZ WILL DO is make u need to take more K Tiped sad Send form mi iPhone ;-) May your pressure be low! CE Grim MD Specializing in Difficult Hypertension That happened to me too, initially. But then my endo added spiro and potassium supplements to balance that out. Within 6 mo the twitching had basically stopped and alot of my symptoms eased up. It has been stable now for over 2+ years. I just want to know if HCTZ basically accomplishes the same thing without the dietary restricitions. And if so, are there any good reasons not to consider it as an option to DASH? ============================================================================45-Male-Caucasian, 5'9"- 230lbs, PA Diagnosed 2007 Suspected Hyperplasia-No tumors on CT - No AVS.Meds: 50mg Spiro, 25mg HCTZ, 40meg Potassium, 1200mg Calcium, 800mg Magnesium, 100,000UI Vit D (weekly), 40mg OmeprazoleSide effects: GynecomastiaOther Diags: GERD, Hiatal Hernia, Metabolic Syndrome - PreDiabetic, Secondary Hyperparathyroidism caused by Renal calcium leak, Bone Cyct in left Femoral Head and Pelvis. Fibromyalgia To: hyperaldosteronism Sent: Saturday, April 16, 2011 8:03 PMSubject: Re: DASH vs HCTZ Before they dx'd the PA they tried HCTZ a few times (it's the first one recommended by the experts) and it would drop my K so far and fast that it wasn't a good option for me. Did nothing for my blood pressure anyway. Subject: DASH vs HCTZTo: hyperaldosteronism Date: Saturday, April 16, 2011, 6:30 PM So, if HCTZ basically gets rid of the excess salt, isnt that a easier way to go than trying to do DASH on am American diet? Of course one also would need to add a little magnesium and a bit more Potassium as they are lost with HCTZ. But, maybe my Mayo doc was right. Low salt diet is an option, but it is alot easier to just take the hydrochlorothiazide. The drug is cheap, right along with Spiro. I realize we all want to avoid meds, when possible. But, is it practical? Thoughts? Reply to sender | Reply to group | Reply via web post | Start a New Topic Messages in this topic (11) .. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted April 17, 2011 Report Share Posted April 17, 2011 100,000. VIT D IS TOO MUCH. I WOULD THINK BTiped sad Send form miiPhone ;-)May your pressure be low!CE Grim MDSpecializing in DifficultHypertension Dr Grim - I guess I am still unclear on why HCTZ vs. DASH presents a risk...particularly in my case...as my tests all seem to be stable on the current MED regimen. Is there something I can read that connects all the dots in detail? I really want to understand this as well as any doctor I discuss Conn's with. What effects what, what balances what, how it all works at a 1000ft level so it makes clear sense to me. I am not interested in the organic chem level, but the overall seasaw of all al lthe different hormones and minerals play together. I know you say to do DASH and take Spirno, but I want to understand why, much better than i do now. So, when I stop the HCTZ what else do i need to change in my MEDS, based on what I show in my signature? Just drop the potassium off the list, or so i need to do anything else? I will discuss with my Endo on my next visit and blood/urine tests to get a baseline to work against. What specific tests should i request to collect the data you find most useful to track? ============================================================================45-Male-Caucasian, 5'9"- 230lbs, PA Diagnosed 2007 Suspected Hyperplasia-No tumors on CT - No AVS.Meds: 50mg Spiro, 25mg HCTZ, 40meg Potassium, 1200mg Calcium, 800mg Magnesium, 100,000UI Vit D (weekly), 40mg OmeprazoleSide effects: GynecomastiaOther Diags: GERD, Hiatal Hernia, Metabolic Syndrome - PreDiabetic, Secondary Hyperparathyroidism caused by Renal calcium leak, Bone Cyct in left Femoral Head and Pelvis. Fibromyalgia To: "hyperaldosteronism " <hyperaldosteronism >Sent: Sunday, April 17, 2011 1:36 PMSubject: Re: DASH vs HCTZ The more salt you dump upstream the more there is for the Aldo to pump in down stream. When NA pumped in K goes into urine to maintain neutrality. So so you accentuneate the K loss. Tiped sad Send form mi iPhone ;-) May your pressure be low! CE Grim MD Specializing in Difficult Hypertension Yes, more K...but it also stimulates the kidney to dump the dietary salt, right? So while obviously NOT eating the salt to begin with would be preferred, does it not serve as a fair alternative for those who dont/cant/wont do DASH? ============================================================================45-Male-Caucasian, 5'9"- 230lbs, PA Diagnosed 2007 Suspected Hyperplasia-No tumors on CT - No AVS.Meds: 50mg Spiro, 25mg HCTZ, 40meg Potassium, 1200mg Calcium, 800mg Magnesium, 100,000UI Vit D (weekly), 40mg OmeprazoleSide effects: GynecomastiaOther Diags: GERD, Hiatal Hernia, Metabolic Syndrome - PreDiabetic, Secondary Hyperparathyroidism caused by Renal calcium leak, Bone Cyct in left Femoral Head and Pelvis. Fibromyalgia To: "hyperaldosteronism " <hyperaldosteronism >Sent: Sunday, April 17, 2011 12:09 PMSubject: Re: DASH vs HCTZ The only thing HCTZ WILL DO is make u need to take more K Tiped sad Send form mi iPhone ;-) May your pressure be low! CE Grim MD Specializing in Difficult Hypertension That happened to me too, initially. But then my endo added spiro and potassium supplements to balance that out. Within 6 mo the twitching had basically stopped and alot of my symptoms eased up. It has been stable now for over 2+ years. I just want to know if HCTZ basically accomplishes the same thing without the dietary restricitions. And if so, are there any good reasons not to consider it as an option to DASH? ============================================================================45-Male-Caucasian, 5'9"- 230lbs, PA Diagnosed 2007 Suspected Hyperplasia-No tumors on CT - No AVS.Meds: 50mg Spiro, 25mg HCTZ, 40meg Potassium, 1200mg Calcium, 800mg Magnesium, 100,000UI Vit D (weekly), 40mg OmeprazoleSide effects: GynecomastiaOther Diags: GERD, Hiatal Hernia, Metabolic Syndrome - PreDiabetic, Secondary Hyperparathyroidism caused by Renal calcium leak, Bone Cyct in left Femoral Head and Pelvis. Fibromyalgia To: hyperaldosteronism Sent: Saturday, April 16, 2011 8:03 PMSubject: Re: DASH vs HCTZ Before they dx'd the PA they tried HCTZ a few times (it's the first one recommended by the experts) and it would drop my K so far and fast that it wasn't a good option for me. Did nothing for my blood pressure anyway. Subject: DASH vs HCTZTo: hyperaldosteronism Date: Saturday, April 16, 2011, 6:30 PM So, if HCTZ basically gets rid of the excess salt, isnt that a easier way to go than trying to do DASH on am American diet? Of course one also would need to add a little magnesium and a bit more Potassium as they are lost with HCTZ. But, maybe my Mayo doc was right. Low salt diet is an option, but it is alot easier to just take the hydrochlorothiazide. The drug is cheap, right along with Spiro. I realize we all want to avoid meds, when possible. But, is it practical? Thoughts? Reply to sender | Reply to group | Reply via web post | Start a New Topic Messages in this topic (11) .. Reply to sender | Reply to group | Reply via web post | Start a New Topic Messages in this topic (14) Recent Activity: Quote Link to comment Share on other sites More sharing options...
Guest guest Posted April 17, 2011 Report Share Posted April 17, 2011 You can prob stop HCTZ AND WILL need less or no K pills ESP is u do 4700 Mg K DASH. Tiped sad Send form miiPhone ;-)May your pressure be low!CE Grim MDSpecializing in DifficultHypertension Dr Grim - I guess I am still unclear on why HCTZ vs. DASH presents a risk...particularly in my case...as my tests all seem to be stable on the current MED regimen. Is there something I can read that connects all the dots in detail? I really want to understand this as well as any doctor I discuss Conn's with. What effects what, what balances what, how it all works at a 1000ft level so it makes clear sense to me. I am not interested in the organic chem level, but the overall seasaw of all al lthe different hormones and minerals play together. I know you say to do DASH and take Spirno, but I want to understand why, much better than i do now. So, when I stop the HCTZ what else do i need to change in my MEDS, based on what I show in my signature? Just drop the potassium off the list, or so i need to do anything else? I will discuss with my Endo on my next visit and blood/urine tests to get a baseline to work against. What specific tests should i request to collect the data you find most useful to track? ============================================================================45-Male-Caucasian, 5'9"- 230lbs, PA Diagnosed 2007 Suspected Hyperplasia-No tumors on CT - No AVS.Meds: 50mg Spiro, 25mg HCTZ, 40meg Potassium, 1200mg Calcium, 800mg Magnesium, 100,000UI Vit D (weekly), 40mg OmeprazoleSide effects: GynecomastiaOther Diags: GERD, Hiatal Hernia, Metabolic Syndrome - PreDiabetic, Secondary Hyperparathyroidism caused by Renal calcium leak, Bone Cyct in left Femoral Head and Pelvis. Fibromyalgia To: "hyperaldosteronism " <hyperaldosteronism >Sent: Sunday, April 17, 2011 1:36 PMSubject: Re: DASH vs HCTZ The more salt you dump upstream the more there is for the Aldo to pump in down stream. When NA pumped in K goes into urine to maintain neutrality. So so you accentuneate the K loss. Tiped sad Send form mi iPhone ;-) May your pressure be low! CE Grim MD Specializing in Difficult Hypertension Yes, more K...but it also stimulates the kidney to dump the dietary salt, right? So while obviously NOT eating the salt to begin with would be preferred, does it not serve as a fair alternative for those who dont/cant/wont do DASH? ============================================================================45-Male-Caucasian, 5'9"- 230lbs, PA Diagnosed 2007 Suspected Hyperplasia-No tumors on CT - No AVS.Meds: 50mg Spiro, 25mg HCTZ, 40meg Potassium, 1200mg Calcium, 800mg Magnesium, 100,000UI Vit D (weekly), 40mg OmeprazoleSide effects: GynecomastiaOther Diags: GERD, Hiatal Hernia, Metabolic Syndrome - PreDiabetic, Secondary Hyperparathyroidism caused by Renal calcium leak, Bone Cyct in left Femoral Head and Pelvis. Fibromyalgia To: "hyperaldosteronism " <hyperaldosteronism >Sent: Sunday, April 17, 2011 12:09 PMSubject: Re: DASH vs HCTZ The only thing HCTZ WILL DO is make u need to take more K Tiped sad Send form mi iPhone ;-) May your pressure be low! CE Grim MD Specializing in Difficult Hypertension That happened to me too, initially. But then my endo added spiro and potassium supplements to balance that out. Within 6 mo the twitching had basically stopped and alot of my symptoms eased up. It has been stable now for over 2+ years. I just want to know if HCTZ basically accomplishes the same thing without the dietary restricitions. And if so, are there any good reasons not to consider it as an option to DASH? ============================================================================45-Male-Caucasian, 5'9"- 230lbs, PA Diagnosed 2007 Suspected Hyperplasia-No tumors on CT - No AVS.Meds: 50mg Spiro, 25mg HCTZ, 40meg Potassium, 1200mg Calcium, 800mg Magnesium, 100,000UI Vit D (weekly), 40mg OmeprazoleSide effects: GynecomastiaOther Diags: GERD, Hiatal Hernia, Metabolic Syndrome - PreDiabetic, Secondary Hyperparathyroidism caused by Renal calcium leak, Bone Cyct in left Femoral Head and Pelvis. Fibromyalgia To: hyperaldosteronism Sent: Saturday, April 16, 2011 8:03 PMSubject: Re: DASH vs HCTZ Before they dx'd the PA they tried HCTZ a few times (it's the first one recommended by the experts) and it would drop my K so far and fast that it wasn't a good option for me. Did nothing for my blood pressure anyway. Subject: DASH vs HCTZTo: hyperaldosteronism Date: Saturday, April 16, 2011, 6:30 PM So, if HCTZ basically gets rid of the excess salt, isnt that a easier way to go than trying to do DASH on am American diet? Of course one also would need to add a little magnesium and a bit more Potassium as they are lost with HCTZ. But, maybe my Mayo doc was right. Low salt diet is an option, but it is alot easier to just take the hydrochlorothiazide. The drug is cheap, right along with Spiro. I realize we all want to avoid meds, when possible. But, is it practical? Thoughts? Reply to sender | Reply to group | Reply via web post | Start a New Topic Messages in this topic (11) .. Reply to sender | Reply to group | Reply via web post | Start a New Topic Messages in this topic (14) Recent Activity: Quote Link to comment Share on other sites More sharing options...
Guest guest Posted April 17, 2011 Report Share Posted April 17, 2011 Not IMHO Tiped sad Send form miiPhone ;-)May your pressure be low!CE Grim MDSpecializing in DifficultHypertension Yes, more K...but it also stimulates the kidney to dump the dietary salt, right? So while obviously NOT eating the salt to begin with would be preferred, does it not serve as a fair alternative for those who dont/cant/wont do DASH? ============================================================================45-Male-Caucasian, 5'9"- 230lbs, PA Diagnosed 2007 Suspected Hyperplasia-No tumors on CT - No AVS.Meds: 50mg Spiro, 25mg HCTZ, 40meg Potassium, 1200mg Calcium, 800mg Magnesium, 100,000UI Vit D (weekly), 40mg OmeprazoleSide effects: GynecomastiaOther Diags: GERD, Hiatal Hernia, Metabolic Syndrome - PreDiabetic, Secondary Hyperparathyroidism caused by Renal calcium leak, Bone Cyct in left Femoral Head and Pelvis. Fibromyalgia To: "hyperaldosteronism " <hyperaldosteronism >Sent: Sunday, April 17, 2011 12:09 PMSubject: Re: DASH vs HCTZ The only thing HCTZ WILL DO is make u need to take more KTiped sad Send form mi iPhone ;-) May your pressure be low! CE Grim MD Specializing in Difficult Hypertension That happened to me too, initially. But then my endo added spiro and potassium supplements to balance that out. Within 6 mo the twitching had basically stopped and alot of my symptoms eased up. It has been stable now for over 2+ years. I just want to know if HCTZ basically accomplishes the same thing without the dietary restricitions. And if so, are there any good reasons not to consider it as an option to DASH? ============================================================================45-Male-Caucasian, 5'9"- 230lbs, PA Diagnosed 2007 Suspected Hyperplasia-No tumors on CT - No AVS.Meds: 50mg Spiro, 25mg HCTZ, 40meg Potassium, 1200mg Calcium, 800mg Magnesium, 100,000UI Vit D (weekly), 40mg OmeprazoleSide effects: GynecomastiaOther Diags: GERD, Hiatal Hernia, Metabolic Syndrome - PreDiabetic, Secondary Hyperparathyroidism caused by Renal calcium leak, Bone Cyct in left Femoral Head and Pelvis. Fibromyalgia To: hyperaldosteronism Sent: Saturday, April 16, 2011 8:03 PMSubject: Re: DASH vs HCTZ Before they dx'd the PA they tried HCTZ a few times (it's the first one recommended by the experts) and it would drop my K so far and fast that it wasn't a good option for me. Did nothing for my blood pressure anyway. Subject: DASH vs HCTZTo: hyperaldosteronism Date: Saturday, April 16, 2011, 6:30 PM So, if HCTZ basically gets rid of the excess salt, isnt that a easier way to go than trying to do DASH on am American diet? Of course one also would need to add a little magnesium and a bit more Potassium as they are lost with HCTZ. But, maybe my Mayo doc was right. Low salt diet is an option, but it is alot easier to just take the hydrochlorothiazide. The drug is cheap, right along with Spiro.I realize we all want to avoid meds, when possible. But, is it practical? Thoughts? Reply to sender | Reply to group | Reply via web post | Start a New Topic Messages in this topic (11) .. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted April 17, 2011 Report Share Posted April 17, 2011 If u also like to tAke K and risk low K problems or ulcers then u can take HCTZTiped sad Send form miiPhone ;-)May your pressure be low!CE Grim MDSpecializing in DifficultHypertension So, if HCTZ basically gets rid of the excess salt, isnt that a easier way to go than trying to do DASH on am American diet? Of course one also would need to add a little magnesium and a bit more Potassium as they are lost with HCTZ. But, maybe my Mayo doc was right. Low salt diet is an option, but it is alot easier to just take the hydrochlorothiazide. The drug is cheap, right along with Spiro. I realize we all want to avoid meds, when possible. But, is it practical? Thoughts? Quote Link to comment Share on other sites More sharing options...
Guest guest Posted April 17, 2011 Report Share Posted April 17, 2011 DASH IS THE OPTION OF CHOICE. IMHO. As ned for meds is lowered so are risks of meds. Tiped sad Send form miiPhone ;-)May your pressure be low!CE Grim MDSpecializing in DifficultHypertension So, if HCTZ basically gets rid of the excess salt, isnt that a easier way to go than trying to do DASH on am American diet? Of course one also would need to add a little magnesium and a bit more Potassium as they are lost with HCTZ. But, maybe my Mayo doc was right. Low salt diet is an option, but it is alot easier to just take the hydrochlorothiazide. The drug is cheap, right along with Spiro. I realize we all want to avoid meds, when possible. But, is it practical? Thoughts? Quote Link to comment Share on other sites More sharing options...
Guest guest Posted April 17, 2011 Report Share Posted April 17, 2011 I have not seen all the replies but HCTZ lowered my K a LOT, I spent 1 day having like 20 PVCs per minute, I hated that. That day I gave up HCTZ and the PVCs stopped... I would never take that again :S > > So, if HCTZ basically gets rid of the excess salt, isnt that a easier way to go than trying to do DASH on am American diet? Of course one also would need to add a little magnesium and a bit more Potassium as they are lost with HCTZ. But, maybe my Mayo doc was right. Low salt diet is an option, but it is alot easier to just take the hydrochlorothiazide. The drug is cheap, right along with Spiro. > > I realize we all want to avoid meds, when possible. But, is it practical? Thoughts? > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted April 18, 2011 Report Share Posted April 18, 2011 Not an unusual story. As you will note. I don't recall but would hope that that was when your team suspected and tested you for PA?Also need to have you do a thumbnail so I can keep every one straight.Clarence E. Grim, BS, MS, MD Specializing in Primary Aldosteronism, Difficult High Blood Pressure and recent evolutionary forces on high blood pressure in populations today. I have not seen all the replies but HCTZ lowered my K a LOT, I spent 1 day having like 20 PVCs per minute, I hated that. That day I gave up HCTZ and the PVCs stopped... I would never take that again :S > > So, if HCTZ basically gets rid of the excess salt, isnt that a easier way to go than trying to do DASH on am American diet? Of course one also would need to add a little magnesium and a bit more Potassium as they are lost with HCTZ. But, maybe my Mayo doc was right. Low salt diet is an option, but it is alot easier to just take the hydrochlorothiazide. The drug is cheap, right along with Spiro. > > I realize we all want to avoid meds, when possible. But, is it practical? Thoughts? > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted April 20, 2011 Report Share Posted April 20, 2011 I initially took HCTZ for HTN and my BP was 120/80 in th am and 160/95 in the pm. The second time around - about two years later it made it worse in a matter of days.40 yo WF 5 kids, Marine Corps wife L adenoma producing aldo according to AVS, diagnosed 6/2007, DASH controlled BP under 120/80 To: "hyperaldosteronism " <hyperaldosteronism >Sent: Sun, April 17, 2011 1:08:24 PMSubject: Re: DASH vs HCTZ Stop the HCTZ. Tiped sad Send form miiPhone ;-)May your pressure be low!CE Grim MDSpecializing in DifficultHypertension That happened to me too, initially. But then my endo added spiro and potassium supplements to balance that out. Within 6 mo the twitching had basically stopped and alot of my symptoms eased up. It has been stable now for over 2+ years. I just want to know if HCTZ basically accomplishes the same thing without the dietary restricitions. And if so, are there any good reasons not to consider it as an option to DASH? ============================================================================45-Male-Caucasian, 5'9"- 230lbs, PA Diagnosed 2007 Suspected Hyperplasia-No tumors on CT - No AVS.Meds: 50mg Spiro, 25mg HCTZ, 40meg Potassium, 1200mg Calcium, 800mg Magnesium, 100,000UI Vit D (weekly), 40mg OmeprazoleSide effects: GynecomastiaOther Diags: GERD, Hiatal Hernia, Metabolic Syndrome - PreDiabetic, Secondary Hyperparathyroidism caused by Renal calcium leak, Bone Cyct in left Femoral Head and Pelvis. Fibromyalgia To: hyperaldosteronism Sent: Saturday, April 16, 2011 8:03 PMSubject: Re: DASH vs HCTZ Before they dx'd the PA they tried HCTZ a few times (it's the first one recommended by the experts) and it would drop my K so far and fast that it wasn't a good option for me. Did nothing for my blood pressure anyway. Subject: DASH vs HCTZTo: hyperaldosteronism Date: Saturday, April 16, 2011, 6:30 PM So, if HCTZ basically gets rid of the excess salt, isnt that a easier way to go than trying to do DASH on am American diet? Of course one also would need to add a little magnesium and a bit more Potassium as they are lost with HCTZ. But, maybe my Mayo doc was right. Low salt diet is an option, but it is alot easier to just take the hydrochlorothiazide. The drug is cheap, right along with Spiro.I realize we all want to avoid meds, when possible. But, is it practical? Thoughts? Quote Link to comment Share on other sites More sharing options...
Guest guest Posted April 20, 2011 Report Share Posted April 20, 2011 Must have been something else doing it. BP is steady with HCTZ. WHAT we were u taking?Tiped sad Send form miiPhone ;-)May your pressure be low!CE Grim MDSpecializing in DifficultHypertension I initially took HCTZ for HTN and my BP was 120/80 in th am and 160/95 in the pm. The second time around - about two years later it made it worse in a matter of days.40 yo WF 5 kids, Marine Corps wife L adenoma producing aldo according to AVS, diagnosed 6/2007, DASH controlled BP under 120/80 To: "hyperaldosteronism " <hyperaldosteronism >Sent: Sun, April 17, 2011 1:08:24 PMSubject: Re: DASH vs HCTZ Stop the HCTZ. Tiped sad Send form miiPhone ;-)May your pressure be low!CE Grim MDSpecializing in DifficultHypertension That happened to me too, initially. But then my endo added spiro and potassium supplements to balance that out. Within 6 mo the twitching had basically stopped and alot of my symptoms eased up. It has been stable now for over 2+ years. I just want to know if HCTZ basically accomplishes the same thing without the dietary restricitions. And if so, are there any good reasons not to consider it as an option to DASH? ============================================================================45-Male-Caucasian, 5'9"- 230lbs, PA Diagnosed 2007 Suspected Hyperplasia-No tumors on CT - No AVS.Meds: 50mg Spiro, 25mg HCTZ, 40meg Potassium, 1200mg Calcium, 800mg Magnesium, 100,000UI Vit D (weekly), 40mg OmeprazoleSide effects: GynecomastiaOther Diags: GERD, Hiatal Hernia, Metabolic Syndrome - PreDiabetic, Secondary Hyperparathyroidism caused by Renal calcium leak, Bone Cyct in left Femoral Head and Pelvis. Fibromyalgia To: hyperaldosteronism Sent: Saturday, April 16, 2011 8:03 PMSubject: Re: DASH vs HCTZ Before they dx'd the PA they tried HCTZ a few times (it's the first one recommended by the experts) and it would drop my K so far and fast that it wasn't a good option for me. Did nothing for my blood pressure anyway. Subject: DASH vs HCTZTo: hyperaldosteronism Date: Saturday, April 16, 2011, 6:30 PM So, if HCTZ basically gets rid of the excess salt, isnt that a easier way to go than trying to do DASH on am American diet? Of course one also would need to add a little magnesium and a bit more Potassium as they are lost with HCTZ. But, maybe my Mayo doc was right. Low salt diet is an option, but it is alot easier to just take the hydrochlorothiazide. The drug is cheap, right along with Spiro.I realize we all want to avoid meds, when possible. But, is it practical? Thoughts? Quote Link to comment Share on other sites More sharing options...
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