Re: Good food with low salt and new sodium question

April 22, 2011

The good news though is the key to all that is moderation (not the American style of moderation the "only ONE meal today was fast food ", but real moderation) and we need SOME sodium or where would our blood pressure be eventually (it wouldn't be), need some fat, need some protein, and definitely need some carbs. Unless we have a pre-existing condition or genetic predisposition to something where we have to abstain completely from something, then we can enjoy SOME things I guess so long as we control our desires. Anything it seems, really ANYTHING that is one extreme or another NEVER works. Ever. But I have a sodium question I do not know the answer too and others (Dr G?) may. I read on here some comments about DASH and the daily sodium levels and if we have 100 of sodium until

5pm then have 1000 at dinner we are still under but does that salt "load" like that overwhelm things at once? Seems intuitively that a large quantity at once could be as bad as cumulative. Anyone know for sure? I have stayed under the daily requirements but sometimes feel not so good if I have a single meal with a bigger sodium content even though I am under the limit.43male yo PA-C w/ PA

Looks like my wife subscribes to your ideas Hester. Very seldom does she make things that need to rise, she said we were too fat anyway! Most meals are from scratch and she never adds salt. Salt shakers are in the cupboard and never come out unless we have company. For fun I asked her where the box was and she didn't know! I found it way in the back of the pantry. It was a box my daughter brought home when she moved out of her 1st appartment when she was in college (2005 I think). It was absolutely full! At some point we bought a Mediterranean Salt Mill and then my wife found out that salt is salt - it is half full and has an exp. date of 08/24/08! By the way the Mrs. Dash's exp date is 04/10 and it is half full!We raised 3 children and they ate what we ate, they just learned to eat low salt and appear to practice it now.Thinking about that makes me wonder if my low salt is why my BP responded so well when I started Spiro. I say I'm

not DASHING but maybe I should look into it, I might be closer than I think! > > > > > > > >> > > > > > > > > I'm waiting to see a new endocrinologist next week as I've > > > > > > been very unhappy with the care I've received to date - including > > > > > > not bothering to check my aldo/renin results for 6 months. When they > > > > > > were done in

Oct

they were aldo- 620 pmol/l and renin 0.2pmol/hr > > > > > > (don't have the normal ranges for the lab yet).> > > > > > > > >> > > > > > > > > Currently I feel like I have flu, I seem to have episodes > > > > > > (that last weeks not days) where I feel much worse than others, now > > > > > > is a bad time. Everything aches, I am extremely dizzy, have a very > > > > > > bad headache that never goes (almost feels like my face is > > > > > > paralysed) and I am really weak. I've not managed to

leave

the house > > > > > > in 4 weeks apart from a hospital appt.> > > > > > > > >> > > > > > > > > Potassium levels checked several times and are normal.> > > > > > > > >> > > > > > > > > Can all this really be down to the PA? Am hoping to start > > > > > > spiro next week if new dr agrees.> > > > > > > > >> > > > > > > > > Fiona> > > > > > > > > 29 yr old female, high BP for 7 years, ongoing problems since > > > > > > birth of daughter 11 months ago. Aldo 660pmol, renin 0.2pmol/hf, > > > > > > waiting for saline suppression results. MRI found 1.6mm tumour on > > > > > > right adrenal gland, although it wasn't fatty. Potassium levels > > > > > > normal. On lercanidipine 10mg and bisoprolol 5mg x2 day.> > > > > > > > >> > > > > > > > >> > > > > > > >> > > > > > >> > > > > >> > > > > >> > > > > >> > > > >> > > > > > > >> > >> > > > > > Reply to sender | Reply to group | Reply via web post | Start a New Topic> > Messages in this topic (55)> > RECENT ACTIVITY: New Members 9>

April 22, 2011

Hmmm - self control. I just demonstrated how much i dont have. I grilled 1 pound of giant shimp and steamed a kettle of spiniach. Dipped into unsalted melted butter using Mrs Dash Garlic Herb as the only seasoning. Absolutely yummy...but prob too much salt in the shrimp. Would have been okay if i had not eaten all of them. They were so good I just couldnt stop myslef. I surrender...i have no self control. I will have to be in lockdown to stick to portion control i am afraid when somthing that yummy is within reach. LOL.

============================================================================45-Male-Caucasian, 5'9"- 230lbs, PA Diagnosed 2007 Suspected Hyperplasia-No tumors on CT - No AVS.Meds: 50mg Spiro, 25mg HCTZ, 40meg Potassium, 2400mg Calcium, 1000mg Magnesium, 100,000UI Vit D (weekly), 40mg OmeprazoleSide effects: Gynecomastia, stomach inflammationOther Diags: GERD, Hiatal Hernia, Metabolic Syndrome - PreDiabetic, Secondary Hyperparathyroidism caused by Renal calcium leak, Bone Cyct in left Femoral Head and Pelvis. Fibromyalgia

DASH: Not at this time, but cutting back on excess salt. No more bacon everyday. Using Mrs Dash instead of salt when ever possible.

To: hyperaldosteronism Sent: Friday, April 22, 2011 10:21 AMSubject: Re: Re: Good food with low salt and new sodium question

The good news though is the key to all that is moderation (not the American style of moderation the "only ONE meal today was fast food ", but real moderation) and we need SOME sodium or where would our blood pressure be eventually (it wouldn't be), need some fat, need some protein, and definitely need some carbs. Unless we have a pre-existing condition or genetic predisposition to something where we have to abstain completely from something, then we can enjoy SOME things I guess so long as we control our desires. Anything it seems, really ANYTHING that is one extreme or another NEVER works. Ever. But I have a sodium question I do not know the answer too and others (Dr G?) may. I read on here some comments about DASH and the daily sodium levels and if we have 100 of sodium until 5pm then have 1000 at dinner we are still under but does that salt "load" like

that overwhelm things at once? Seems intuitively that a large quantity at once could be as bad as cumulative. Anyone know for sure? I have stayed under the daily requirements but sometimes feel not so good if I have a single meal with a bigger sodium content even though I am under the limit.43male yo PA-C w/ PA

Looks like my wife subscribes to your ideas Hester. Very seldom does she make things that need to rise, she said we were too fat anyway! Most meals are from scratch and she never adds salt. Salt shakers are in the cupboard and never come out unless we have company. For fun I asked her where the box was and she didn't know! I found it way in the back of the pantry. It was a box my daughter brought home when she moved out of her 1st appartment when she was in college (2005 I think). It was absolutely full! At some point we bought a Mediterranean Salt Mill and then my wife found out that salt is salt - it is half full and has an exp. date of 08/24/08! By the way the Mrs. Dash's exp date is 04/10 and it is half full!We raised 3 children and they ate what we ate, they just learned to eat low salt and appear to practice it now.Thinking about that makes me wonder if my low salt is why my BP responded so well when I started Spiro. I say

I'm not DASHING but maybe I should look into it, I might be closer than I think! > > > > > > > >> > > > > > > > > I'm waiting to see a new endocrinologist next week as I've > > >

> > > been very unhappy with the care I've received to date - including > > > > > > not bothering to check my aldo/renin results for 6 months. When they > > > > > > were done in Oct they were aldo- 620 pmol/l and renin 0.2pmol/hr > > > > > > (don't have the normal ranges for the lab yet).> > > > > > > > >> > > > > > > > > Currently I feel like I have flu, I seem to have episodes > > > > > > (that last weeks not days) where I feel much worse than others, now > > > > > > is a bad time.

Everything aches, I am extremely dizzy, have a very > > > > > > bad headache that never goes (almost feels like my face is > > > > > > paralysed) and I am really weak. I've not managed to leave the house > > > > > > in 4 weeks apart from a hospital appt.> > > > > > > > >> > > > > > > > > Potassium levels checked several times and are normal.> > > > > > > > >> > > > > > > > > Can all this really be down to the PA? Am hoping to start > > > > > > spiro next week if new dr agrees.> > > > > >

> > >> > > > > > > > > Fiona> > > > > > > > > 29 yr old female, high BP for 7 years, ongoing problems since > > > > > > birth of daughter 11 months ago. Aldo 660pmol, renin 0.2pmol/hf, > > > > > > waiting for saline suppression results. MRI found 1.6mm tumour on > > > > > > right adrenal gland, although it wasn't fatty. Potassium levels > > > > > > normal. On lercanidipine 10mg and bisoprolol 5mg x2 day.> > > > > > > > >> > > > > > > > >> > > > > > > >> > >

> > > >> > > > > >> > > > > >> > > > > >> > > > >> > > > > > > >> > >> > > > > > Reply to sender | Reply to group | Reply via web post | Start a New Topic> > Messages in this topic (55)> > RECENT ACTIVITY: New Members 9>

April 22, 2011

The blood volume control system quickly dumps NA so that a single large sodium meal a day might permit one to eat more salt. It it the repeated salt ingestion all day that gets. Us in trouble. I have studied this carefully in sheep but not in man. If had a source of funding would love to study this in man. Tiped sad Send form miiPhone ;-)May your pressure be low!CE Grim MDSpecializing in DifficultHypertension

The good news though is the key to all that is moderation (not the American style of moderation the "only ONE meal today was fast food ", but real moderation) and we need SOME sodium or where would our blood pressure be eventually (it wouldn't be), need some fat, need some protein, and definitely need some carbs. Unless we have a pre-existing condition or genetic predisposition to something where we have to abstain completely from something, then we can enjoy SOME things I guess so long as we control our desires. Anything it seems, really ANYTHING that is one extreme or another NEVER works. Ever. But I have a sodium question I do not know the answer too and others (Dr G?) may. I read on here some comments about DASH and the daily sodium levels and if we have 100 of sodium until

5pm then have 1000 at dinner we are still under but does that salt "load" like that overwhelm things at once? Seems intuitively that a large quantity at once could be as bad as cumulative. Anyone know for sure? I have stayed under the daily requirements but sometimes feel not so good if I have a single meal with a bigger sodium content even though I am under the limit.43male yo PA-C w/ PA

Looks like my wife subscribes to your ideas Hester. Very seldom does she make things that need to rise, she said we were too fat anyway! Most meals are from scratch and she never adds salt. Salt shakers are in the cupboard and never come out unless we have company. For fun I asked her where the box was and she didn't know! I found it way in the back of the pantry. It was a box my daughter brought home when she moved out of her 1st appartment when she was in college (2005 I think). It was absolutely full! At some point we bought a Mediterranean Salt Mill and then my wife found out that salt is salt - it is half full and has an exp. date of 08/24/08! By the way the Mrs. Dash's exp date is 04/10 and it is half full!We raised 3 children and they ate what we ate, they just learned to eat low salt and appear to practice it now.Thinking about that makes me wonder if my low salt is why my BP responded so well when I started Spiro. I say I'm

not DASHING but maybe I should look into it, I might be closer than I think! > > > > > > > >> > > > > > > > > I'm waiting to see a new endocrinologist next week as I've > > > > > > been very unhappy with the care I've received to date - including > > > > > > not bothering to check my aldo/renin results for 6 months. When they > > > > > > were done in

Oct

they were aldo- 620 pmol/l and renin 0.2pmol/hr > > > > > > (don't have the normal ranges for the lab yet).> > > > > > > > >> > > > > > > > > Currently I feel like I have flu, I seem to have episodes > > > > > > (that last weeks not days) where I feel much worse than others, now > > > > > > is a bad time. Everything aches, I am extremely dizzy, have a very > > > > > > bad headache that never goes (almost feels like my face is > > > > > > paralysed) and I am really weak. I've not managed to

leave

the house > > > > > > in 4 weeks apart from a hospital appt.> > > > > > > > >> > > > > > > > > Potassium levels checked several times and are normal.> > > > > > > > >> > > > > > > > > Can all this really be down to the PA? Am hoping to start > > > > > > spiro next week if new dr agrees.> > > > > > > > >> > > > > > > > > Fiona> > > > > > > > > 29 yr old female, high BP for 7 years, ongoing problems since > > > > > > birth of daughter 11 months ago. Aldo 660pmol, renin 0.2pmol/hf, > > > > > > waiting for saline suppression results. MRI found 1.6mm tumour on > > > > > > right adrenal gland, although it wasn't fatty. Potassium levels > > > > > > normal. On lercanidipine 10mg and bisoprolol 5mg x2 day.> > > > > > > > >> > > > > > > > >> > > > > > > >> > > > > > >> > > > > >> > > > > >> > > > > >> > > > >> > > > > > > >> > >> > > > > > Reply to sender | Reply to group | Reply via web post | Start a New Topic> > Messages in this topic (55)> > RECENT ACTIVITY: New Members 9>

April 22, 2011

Nope, they were Raw. Since i grilled them I added no salt at all. I ate 13, so I just less salt than a single slice of Wheat Bread. Unreal. I could eat them every day, but they also fall into my low carb diet. I also bought a bunch of different fruit & berries today. Granny apples, plums, raspberries, blackberries, strawberries, kiwi... I love all that stuff, so maybe DASH wont be so bad after all. lol

============================================================================45-Male-Caucasian, 5'9"- 230lbs, PA Diagnosed 2007 Suspected Hyperplasia-No tumors on CT - No AVS.Meds: 50mg Spiro, 25mg HCTZ, 40meg Potassium, 2400mg Calcium, 1000mg Magnesium, 100,000UI Vit D (weekly), 40mg OmeprazoleSide effects: Gynecomastia, stomach inflammationOther Diags: GERD, Hiatal Hernia, Metabolic Syndrome - PreDiabetic, Secondary Hyperparathyroidism caused by Renal calcium leak, Bone Cyct in left Femoral Head and Pelvis. Fibromyalgia

DASH: Not at this time, but cutting back on excess salt. No more bacon everyday. Using Mrs Dash instead of salt when ever possible.

To: "hyperaldosteronism " <hyperaldosteronism >Sent: Friday, April 22, 2011 11:39 AMSubject: Re: Re: Good food with low salt and new sodium question

Just looked it up on loseit and 4 large shrimp. Fresh have only 49 Mg. So it will take 120 large shriMp to use up all your NA.

if you use one of the shrimp. Boil ppreppss that prob is loaded with salt. And the shrimp sauce.

But I am getting hungry Tiped sad Send form mi

iPhone ;-)

May your pressure be low!

CE Grim MD

Specializing in Difficult

Hypertension

Hmmm - self control. I just demonstrated how much i dont have. I grilled 1 pound of giant shimp and steamed a kettle of spiniach. Dipped into unsalted melted butter using Mrs Dash Garlic Herb as the only seasoning. Absolutely yummy...but prob too much salt in the shrimp. Would have been okay if i had not eaten all of them. They were so good I just couldnt stop myslef. I surrender...i have no self control. I will have to be in lockdown to stick to portion control i am afraid when somthing that yummy is within reach. LOL.

============================================================================45-Male-Caucasian, 5'9"- 230lbs, PA Diagnosed 2007 Suspected Hyperplasia-No tumors on CT - No AVS.Meds: 50mg Spiro, 25mg HCTZ, 40meg Potassium, 2400mg Calcium, 1000mg Magnesium, 100,000UI Vit D (weekly), 40mg OmeprazoleSide effects: Gynecomastia, stomach inflammationOther Diags: GERD, Hiatal Hernia, Metabolic Syndrome - PreDiabetic, Secondary Hyperparathyroidism caused by Renal calcium leak, Bone Cyct in left Femoral Head and Pelvis. Fibromyalgia

DASH: Not at this time, but cutting back on excess salt. No more bacon everyday. Using Mrs Dash instead of salt when ever possible.

To: hyperaldosteronism Sent: Friday, April 22, 2011 10:21 AMSubject: Re: Re: Good food with low salt and new sodium question

The good news though is the key to all that is moderation (not the American style of moderation the "only ONE meal today was fast food ", but real moderation) and we need SOME sodium or where would our blood pressure be eventually (it wouldn't be), need some fat, need some protein, and definitely need some carbs. Unless we have a pre-existing condition or genetic predisposition to something where we have to abstain completely from something, then we can enjoy SOME things I guess so long as we control our desires. Anything it seems, really ANYTHING that is one extreme or another NEVER works. Ever. But I have a sodium question I do not know the answer too and others (Dr G?) may. I read on here some comments about DASH and the daily sodium levels and if we have 100 of sodium until 5pm then have 1000 at dinner we are still under but does that salt "load" like

that overwhelm things at once? Seems intuitively that a large quantity at once could be as bad as cumulative. Anyone know for sure? I have stayed under the daily requirements but sometimes feel not so good if I have a single meal with a bigger sodium content even though I am under the limit.43male yo PA-C w/ PA

Looks like my wife subscribes to your ideas Hester. Very seldom does she make things that need to rise, she said we were too fat anyway! Most meals are from scratch and she never adds salt. Salt shakers are in the cupboard and never come out unless we have company. For fun I asked her where the box was and she didn't know! I found it way in the back of the pantry. It was a box my daughter brought home when she moved out of her 1st appartment when she was in college (2005 I think). It was absolutely full! At some point we bought a Mediterranean Salt Mill and then my wife found out that salt is salt - it is half full and has an exp. date of 08/24/08! By the way the Mrs. Dash's exp date is 04/10 and it is half full! We raised 3 children and they ate what we ate, they just learned to eat low salt and appear to practice it now. Thinking about that makes me wonder if my low salt is why my BP responded so well when I started Spiro. I say I'm not DASHING

but maybe I should look into it, I might be closer than I think! > > > > > > > I agree. Once you start to think low salt you can find alternatives. I recently heard of using romaine lettuce leaves instead of tortillas for burritos and tacos. We eat lots of beans which are great for potassium, but the tortillas are super high in sodium. I think this will work great when I don't want just a "bowl" of beans. Beans are so high in K that I think a crockpot with beans out to be prescribed like a medical device:) to people with PA. > > > > > > > > I would love to hear other people's recipes for good food that is low in salt. I use about 5 kinds of Mrs. Dash and do use lots of spices, but don't have any many recipes that are low salt. Any tried and true ones that you love? > > > > > > > > Thanks, > > > > > > > > 40 yo WF, 5 kids, Marine Corps wife > > > > > > > > From: oS <chuby@> > > > > To: hyperaldosteronism > > >

> Sent: Wed, April 20, 2011 2:10:21 PM > > > > Subject: Re: Can PA really make you this ill?! > > > > > > > > > > > > Ah yes of course DASH, of course I saw the Bravo Article, people could leave the medication just by dashing, it's amazing, and when they had all the salt they could eat they would take up to 600mg of spiro without effect. > > > > > > > > anyhow to the original poster please forget about the Dash book that's just a starting point, but your life has to change, start by removing all salt from your food, at the begining it is a bit shocking but with time and a bit of patience and some research you get to eat very good without any salt. > > > > > > > > lets see, now, I make my own bread with KCL ( salt suplement ) ,, I make my own V8 for instance as well, and I changed ground meat for textured soy protein ( high in potassium ) yesterday I had burgers LOW LOW sodium burgers with textured protein meat and no salt whatsoever some sodium on the buns and low sodium cheese. > > > > > > > > they where excelent ( and some low sodium ketchup ) > > > > > > > > Then we use a lot of spices right now so that helps with the flavor a lot, actually all my family changed to low sodium and since we discovered my condition on october we have not wasted a 1/4 pound bag of salt. > > > > > > > > we still have like 1/4 of the bag, now my daugther can't stand macdonalds or burgerking the food is just too salty. > > > > > > > > they like salty food like popcorn for instance but I make my own saltless popcorn, with kernels. > > > > > > > > oh and not only that

April 22, 2011

You are on your way. Tell ur health team as may need to step down other BP MEDS. Tiped sad Send form miiPhone ;-)May your pressure be low!CE Grim MDSpecializing in DifficultHypertension

Nope, they were Raw. Since i grilled them I added no salt at all. I ate 13, so I just less salt than a single slice of Wheat Bread. Unreal. I could eat them every day, but they also fall into my low carb diet. I also bought a bunch of different fruit & berries today. Granny apples, plums, raspberries, blackberries, strawberries, kiwi... I love all that stuff, so maybe DASH wont be so bad after all. lol

============================================================================45-Male-Caucasian, 5'9"- 230lbs, PA Diagnosed 2007 Suspected Hyperplasia-No tumors on CT - No AVS.Meds: 50mg Spiro, 25mg HCTZ, 40meg Potassium, 2400mg Calcium, 1000mg Magnesium, 100,000UI Vit D (weekly), 40mg OmeprazoleSide effects: Gynecomastia, stomach inflammationOther Diags: GERD, Hiatal Hernia, Metabolic Syndrome - PreDiabetic, Secondary Hyperparathyroidism caused by Renal calcium leak, Bone Cyct in left Femoral Head and Pelvis. Fibromyalgia

DASH: Not at this time, but cutting back on excess salt. No more bacon everyday. Using Mrs Dash instead of salt when ever possible.

To: "hyperaldosteronism " <hyperaldosteronism >Sent: Friday, April 22, 2011 11:39 AMSubject: Re: Re: Good food with low salt and new sodium question

Just looked it up on loseit and 4 large shrimp. Fresh have only 49 Mg. So it will take 120 large shriMp to use up all your NA.

if you use one of the shrimp. Boil ppreppss that prob is loaded with salt. And the shrimp sauce.

But I am getting hungry Tiped sad Send form mi

iPhone ;-)

May your pressure be low!

CE Grim MD

Specializing in Difficult

Hypertension

Hmmm - self control. I just demonstrated how much i dont have. I grilled 1 pound of giant shimp and steamed a kettle of spiniach. Dipped into unsalted melted butter using Mrs Dash Garlic Herb as the only seasoning. Absolutely yummy...but prob too much salt in the shrimp. Would have been okay if i had not eaten all of them. They were so good I just couldnt stop myslef. I surrender...i have no self control. I will have to be in lockdown to stick to portion control i am afraid when somthing that yummy is within reach. LOL.

============================================================================45-Male-Caucasian, 5'9"- 230lbs, PA Diagnosed 2007 Suspected Hyperplasia-No tumors on CT - No AVS.Meds: 50mg Spiro, 25mg HCTZ, 40meg Potassium, 2400mg Calcium, 1000mg Magnesium, 100,000UI Vit D (weekly), 40mg OmeprazoleSide effects: Gynecomastia, stomach inflammationOther Diags: GERD, Hiatal Hernia, Metabolic Syndrome - PreDiabetic, Secondary Hyperparathyroidism caused by Renal calcium leak, Bone Cyct in left Femoral Head and Pelvis. Fibromyalgia

DASH: Not at this time, but cutting back on excess salt. No more bacon everyday. Using Mrs Dash instead of salt when ever possible.

To: hyperaldosteronism Sent: Friday, April 22, 2011 10:21 AMSubject: Re: Re: Good food with low salt and new sodium question

The good news though is the key to all that is moderation (not the American style of moderation the "only ONE meal today was fast food ", but real moderation) and we need SOME sodium or where would our blood pressure be eventually (it wouldn't be), need some fat, need some protein, and definitely need some carbs. Unless we have a pre-existing condition or genetic predisposition to something where we have to abstain completely from something, then we can enjoy SOME things I guess so long as we control our desires. Anything it seems, really ANYTHING that is one extreme or another NEVER works. Ever. But I have a sodium question I do not know the answer too and others (Dr G?) may. I read on here some comments about DASH and the daily sodium levels and if we have 100 of sodium until 5pm then have 1000 at dinner we are still under but does that salt "load" like

that overwhelm things at once? Seems intuitively that a large quantity at once could be as bad as cumulative. Anyone know for sure? I have stayed under the daily requirements but sometimes feel not so good if I have a single meal with a bigger sodium content even though I am under the limit.43male yo PA-C w/ PA

Looks like my wife subscribes to your ideas Hester. Very seldom does she make things that need to rise, she said we were too fat anyway! Most meals are from scratch and she never adds salt. Salt shakers are in the cupboard and never come out unless we have company. For fun I asked her where the box was and she didn't know! I found it way in the back of the pantry. It was a box my daughter brought home when she moved out of her 1st appartment when she was in college (2005 I think). It was absolutely full! At some point we bought a Mediterranean Salt Mill and then my wife found out that salt is salt - it is half full and has an exp. date of 08/24/08! By the way the Mrs. Dash's exp date is 04/10 and it is half full! We raised 3 children and they ate what we ate, they just learned to eat low salt and appear to practice it now. Thinking about that makes me wonder if my low salt is why my BP responded so well when I started Spiro. I say I'm not DASHING

but maybe I should look into it, I might be closer than I think! > > > Isn't it easier just to look at ways of cooking that don't use salt at all rather than trying to find substitutes for old favourites? So use potatoes and rice as carbs instead of pasta or bread (or make your own). Then if you start with straight meat or fish and veg or fruit, I don't get how zero salt can be so challenging. You just don't add it. Virtually anything can be zero salt if you cook from scratch - casseroles, pies, meat with veg (and sauce), same for fish, veggie dishes. Really the only thing that is hard to make without sodium is things that need to rise (dough, cakes) and if everything

else in your diet is so low on salt, that shouldn't put you over the totals. > > > > Clearly this isn't complete dashing because then you have to boost the potassium part too but low sodium alone is really not hard unless I've missed a trick. > > > > H > > > > --- In

April 22, 2011

I began am watching my BP again. I dont see my doc for 2 weeks. I probably wont seriously Dash until after I see him. Then I plan to cut the HCTZ in 1/2 and maybe dump the Potassium suppl. Then just keep getting the potasium checked once a week or so to see how things are behaving. I have a formula that seems to work now as my average BP over last week has been 119/79 with a HR of 93bpm.

============================================================================45-Male-Caucasian, 5'9"- 230lbs, PA Diagnosed 2007 Suspected Hyperplasia-No tumors on CT - No AVS.Meds: 50mg Spiro, 25mg HCTZ, 40meg Potassium, 2400mg Calcium, 1000mg Magnesium, 100,000UI Vit D (weekly), 40mg OmeprazoleSide effects: Gynecomastia, stomach inflammationOther Diags: GERD, Hiatal Hernia, Metabolic Syndrome - PreDiabetic, Secondary Hyperparathyroidism caused by Renal calcium leak, Bone Cyct in left Femoral Head and Pelvis. Fibromyalgia

DASH: Not at this time, but cutting back on excess salt. No more bacon everyday. Using Mrs Dash instead of salt when ever possible.

To: "hyperaldosteronism " <hyperaldosteronism >Sent: Friday, April 22, 2011 12:01 PMSubject: Re: Re: Good food with low salt and new sodium question

You are on your way. Tell ur health team as may need to step down other BP MEDS.

Tiped sad Send form mi

iPhone ;-)

May your pressure be low!

CE Grim MD

Specializing in Difficult

Hypertension

Nope, they were Raw. Since i grilled them I added no salt at all. I ate 13, so I just less salt than a single slice of Wheat Bread. Unreal. I could eat them every day, but they also fall into my low carb diet. I also bought a bunch of different fruit & berries today. Granny apples, plums, raspberries, blackberries, strawberries, kiwi... I love all that stuff, so maybe DASH wont be so bad after all. lol

============================================================================45-Male-Caucasian, 5'9"- 230lbs, PA Diagnosed 2007 Suspected Hyperplasia-No tumors on CT - No AVS.Meds: 50mg Spiro, 25mg HCTZ, 40meg Potassium, 2400mg Calcium, 1000mg Magnesium, 100,000UI Vit D (weekly), 40mg OmeprazoleSide effects: Gynecomastia, stomach inflammationOther Diags: GERD, Hiatal Hernia, Metabolic Syndrome - PreDiabetic, Secondary Hyperparathyroidism caused by Renal calcium leak, Bone Cyct in left Femoral Head and Pelvis. Fibromyalgia

DASH: Not at this time, but cutting back on excess salt. No more bacon everyday. Using Mrs Dash instead of salt when ever possible.

To: "hyperaldosteronism " <hyperaldosteronism >Sent: Friday, April 22, 2011 11:39 AMSubject: Re: Re: Good food with low salt and

new sodium question

Just looked it up on loseit and 4 large shrimp. Fresh have only 49 Mg. So it will take 120 large shriMp to use up all your NA.

if you use one of the shrimp. Boil ppreppss that prob is loaded with salt. And the shrimp sauce.

But I am getting hungry Tiped sad Send form mi iPhone ;-)

May your pressure be low!

CE Grim MD

Specializing in Difficult

Hypertension

Hmmm - self control. I just demonstrated how much i dont have. I grilled 1 pound of giant shimp and steamed a kettle of spiniach. Dipped into unsalted melted butter using Mrs Dash Garlic Herb as the only seasoning. Absolutely yummy...but prob too much salt in the shrimp. Would have been okay if i had not eaten all of them. They were so good I just couldnt stop myslef. I surrender...i have no self control. I will have to be in lockdown to stick to portion control i am afraid when somthing that yummy is within reach. LOL.

============================================================================45-Male-Caucasian, 5'9"- 230lbs, PA Diagnosed 2007 Suspected Hyperplasia-No tumors on CT - No AVS.Meds: 50mg Spiro, 25mg HCTZ, 40meg Potassium, 2400mg Calcium, 1000mg Magnesium, 100,000UI Vit D (weekly), 40mg OmeprazoleSide effects: Gynecomastia, stomach inflammationOther Diags: GERD, Hiatal Hernia, Metabolic Syndrome - PreDiabetic, Secondary Hyperparathyroidism caused by Renal calcium leak, Bone Cyct in left Femoral Head and Pelvis. Fibromyalgia

DASH: Not at this time, but cutting back on excess salt. No more bacon everyday. Using Mrs Dash instead of salt when ever possible.

To: hyperaldosteronism Sent: Friday, April 22, 2011 10:21 AMSubject: Re: Re: Good food with low salt and new sodium question

The good news though is the key to all that is moderation (not the American style of moderation the "only ONE meal today was fast food ", but real moderation) and we need SOME sodium or where would our blood pressure be eventually (it wouldn't be), need some fat, need some protein, and definitely need some carbs. Unless we have a pre-existing condition or genetic predisposition to something where we have to abstain completely from something, then we can enjoy SOME things I guess so long as we control our desires. Anything it seems, really ANYTHING that is one extreme or another NEVER works. Ever. But I have a sodium question I do not know the answer too and others (Dr G?) may. I read on here some comments about DASH and the daily sodium levels and if we have 100 of sodium until 5pm then have 1000 at dinner we are still under but does that salt "load" like

that overwhelm things at once? Seems intuitively that a large quantity at once could be as bad as cumulative. Anyone know for sure? I have stayed under the daily requirements but sometimes feel not so good if I have a single meal with a bigger sodium content even though I am under the limit.43male yo PA-C w/ PA

Looks like my wife subscribes to your ideas Hester. Very seldom does she make things that need to rise, she said we were too fat anyway! Most meals are from scratch and she never adds salt. Salt shakers are in the cupboard and never come out unless we have company. For fun I asked her where the box was and she didn't know! I found it way in the back of the pantry. It was a box my daughter brought home when she moved out of her 1st appartment when she was in college (2005 I think). It was absolutely full! At some point we bought a Mediterranean Salt Mill and then my wife found out that salt is salt - it is half full and has an exp. date of 08/24/08! By the way the Mrs. Dash's exp date is 04/10 and it is half full! We raised 3 children and they ate what we ate, they just learned to eat low salt and appear to practice it now. Thinking about that makes me wonder if my low salt is why my BP responded so well when I started Spiro. I say I'm not DASHING

but maybe I should look into it, I might be closer than I think! > > > Isn't it easier just to look at ways of cooking that don't use salt at all rather than trying to find substitutes for old favourites? So use potatoes and rice as carbs instead of pasta or bread (or make your own). Then if you start with straight meat or fish and veg or fruit, I don't get how zero salt can be so challenging. You just don't add it. Virtually anything can be zero salt if you cook from scratch -

casseroles, pies, meat with veg (and sauce), same for fish, veggie dishes. Really the only thing that is hard to make without sodium is things that need to rise (dough, cakes) and if everything else in your diet is so low on salt, that shouldn't put you over the totals. > > > > Clearly this isn't complete dashing because then you have to boost the potassium part too but low sodium alone is really not hard unless I've missed a trick. > > > > H > > > > --- In

April 22, 2011

BP is one thing but what about your potassium? HCTZ for many of us threw the K down so far it was getting dangerous at times. And I say this speaking from my situation, and I realize we're all different, but now that I look back over the past few years it was, in my humble opinion, my potassium that was the big link in how I was immediately feeling. Tired, cramps, leg pain, headaches, brain fog and on and on with the symptoms. Unfortunately my potassium always being low just never put the red flag up for anyone. But now that it is near normal I feel so much better.A better diet and energy to exercise is helping, but if the potassium drops so do I. I bet the potassium being low in many of us - whatever the cause - often gets skipped over or not taken seriously and while we are looking for some other autoimmune disorder or answer for our

symptoms the low K seems to be too simple a cause for us the patient and the provider to think it is the "why" we are feeling like we do. Just a thought and caution.

Looks like my wife subscribes to your ideas Hester. Very seldom does she make things that need to rise, she said we were too fat anyway! Most meals are from scratch and she never adds salt. Salt shakers are in the cupboard and never come out unless we have company. For fun I asked her where the box was and she didn't know! I found it way in the back of the pantry. It was a box my daughter brought home when she moved out of her 1st appartment when she was in college (2005 I think). It was absolutely full! At some point we bought a Mediterranean Salt Mill and then my wife found out that salt is salt - it is half full and has an exp. date of 08/24/08! By the way the Mrs. Dash's exp date is 04/10 and it is half full! We raised 3 children and they ate what we ate, they just learned to eat low salt and appear to practice it now. Thinking about that makes me wonder if my low salt is why my BP responded so well when I started Spiro. I say I'm not DASHING

but maybe I should look into it, I might be closer than I think! > > > Isn't it easier just to look at ways of cooking that don't use salt at all rather than trying to find substitutes for old favourites? So use potatoes and rice as carbs instead of pasta or bread (or make your own). Then if you start with straight meat or fish and veg or fruit, I don't get how zero salt can be so challenging. You just don't add it. Virtually anything can be zero salt if you cook from scratch -

casseroles, pies, meat with veg (and sauce), same for fish, veggie dishes. Really the only thing that is hard to make without sodium is things that need to rise (dough, cakes) and if everything else in your diet is so low on salt, that shouldn't put you over the totals. > > > > Clearly this isn't complete dashing because then you have to boost the potassium part too but low sodium alone is really not hard unless I've missed a trick. > > > > H > > > > --- In

April 22, 2011

This is why I married up. Need a stronger mind to help me stay in check.

Looks like my wife subscribes to your ideas Hester. Very seldom does she make things that need to rise, she said we were too fat anyway! Most meals are from scratch and she never adds salt. Salt shakers are in the cupboard and never come out unless we have company. For fun I asked her where the box was and she didn't know! I found it way in the back of the pantry. It was a box my daughter brought home when she moved out of her 1st appartment when she was in college (2005 I think). It was absolutely full! At some point we bought a Mediterranean Salt Mill and then my wife found out that salt is salt - it is half full and has an exp. date of 08/24/08! By the way the Mrs. Dash's exp date is 04/10 and it is half full! We raised 3 children and they ate what we ate, they just learned to eat low salt and appear to practice it now. Thinking about that makes me wonder if my low salt is why my BP responded so well when I started Spiro. I say

I'm not DASHING but maybe I should look into it, I might be closer than I think! > > > > > > > > > > > > > > > > > I'm waiting to see a new endocrinologist next week as I've > > >

> > > been very unhappy with the care I've received to date - including > > > > > > not bothering to check my aldo/renin results for 6 months. When they > > > > > > were done in Oct they were aldo- 620 pmol/l and renin 0.2pmol/hr > > > > > > (don't have the normal ranges for the lab yet). > > > > > > > > > > > > > > > > > > Currently I feel like I have flu, I seem to have episodes > > > > > > (that last weeks not days) where I feel much worse than others, now > > > > > > is a bad time.

Everything aches, I am extremely dizzy, have a very > > > > > > bad headache that never goes (almost feels like my face is > > > > > > paralysed) and I am really weak. I've not managed to leave the house > > > > > > in 4 weeks apart from a hospital appt. > > > > > > > > > > > > > > > > > > Potassium levels checked several times and are normal. > > > > > > > > > > > > > > > > > > Can all this really be down to the PA? Am hoping to start > > > > > > spiro next week if new dr agrees. > > > > > >

> > > > > > > > > > > > Fiona > > > > > > > > > 29 yr old female, high BP for 7 years, ongoing problems since > > > > > > birth of daughter 11 months ago. Aldo 660pmol, renin 0.2pmol/hf, > > > > > > waiting for saline suppression results. MRI found 1.6mm tumour on > > > > > > right adrenal gland, although it wasn't fatty. Potassium levels > > > > > > normal. On lercanidipine 10mg and bisoprolol 5mg x2 day. > > > > > > > > > > > > > > > > > > > > > > > > > > > > >

> > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > Reply to sender | Reply to group | Reply via web post | Start a New Topic > > Messages in this topic (55) > > RECENT ACTIVITY: New Members 9 >

April 22, 2011

Before my diagnosis I was on linspiniprol/HTCZ for a while. My doc at the time

kept upping the dose to control BP. I ended up in the hospital with extremely

low K. It was under 2.0 at arrival, took IVs and supplements to correct.

Luckily, 5 days later I was out of the hospital and off of the HTCZ. I think it

depends on the person, but HTCZ can cause some pretty weird things to happen to

K, at least with me personally.

>Â > > Isn't it easier just to look at

ways of cooking that don't use salt at all rather than trying to find

substitutes for old favourites? So use potatoes and rice as carbs instead of

pasta or bread (or make your own). Then if you start with straight meat or fish

and veg or fruit, I don't get how zero salt can be so challenging. You just

don't add it. Virtually anything can

> be zero salt if you cook from scratch -

> casseroles, pies, meat with veg (and sauce), same for fish, veggie dishes.

Really the only thing that is hard to make without sodium is things that need to

rise (dough, cakes) and if everything else in your diet is so low on salt, that

shouldn't put you over the totals. > >Â > > Clearly this isn't complete dashing

because then you have to boost the potassium part too but low sodium alone is

really not hard unless I've missed a trick. > >Â > > H > >Â > > --- InÂ

>

April 22, 2011

I saw in your thumbnail that you have metabolic syndrome, type II diabetes etc.

in your diagnosis. My story was similar except I was insulin resistant and not

full diabetic yet. I weighed 240 lbs at 5'7 " . I bought the DASH book, went to

a nutritionist per the recommendation of my Endo, and started walking at least

45 minutes per day.

Due to being borderline diabetic, the dietitian limited carbs to 60g per meal

and up to 30g per snack. I was allowed to have 3 meals and 3 snacks per day as

long as I stayed within the carb range. DASH was recommended. I followed it

somewhat, but I was super strict to try to hit carbs right on the money (too low

is not good for weight loss either).

After 4 months of following this regimen, I dropped 40 lbs, lost the insulin

resistance, and did not end up being diagnosed as full diabetic. After adding

weight lifting, my good (HDL) cholesterol went from 26 to 43 (out of the

metabolic syndrome range).

I am telling you this because I can relate to what you are going through. If

you are skinny and in good condition, ignore this. If you are in the shape I

was in, start walking everyday, eat the proper amount of carbs (ask your Endo to

refer you to a nutritionist), and start DASHing.

I really think losing the weight helped the docs to diagnose me. After loosing

weight and still having resistant HTN and low K, the docs finally tested me for

PA. Before the weight loss I also had very low (under 150) testosterone. It is

now over 450 after adding exercise daily.

Good luck and I hope your medicines get adjusted the right way.

>Â > > Isn't it easier just to look at

ways of cooking that don't use salt at all rather than trying to find

substitutes for old favourites? So use potatoes and rice as carbs instead of

pasta or bread (or make your own). Then if you start with straight meat or fish

and veg or fruit, I don't get how zero salt can be so challenging. You just

don't add it. Virtually

> anything can be zero salt if you cook from scratch - casseroles, pies, meat

with veg (and sauce), same for fish, veggie dishes. Really the only thing that

is hard to make without sodium is things that need to rise (dough, cakes) and if

everything else in your diet is so low on salt, that shouldn't put you over the

totals. > >Â > > Clearly this isn't complete dashing because then you have to

boost the potassium part too but low sodium alone is really not hard unless I've

missed a trick. > >Â > > H > >Â > > --- InÂ

> >

>

April 22, 2011

How many calories per day were you eating? I am a programmer, so i dont do a ton of physical exercise.

============================================================================45-Male-Caucasian, 5'9"- 230lbs, PA Diagnosed 2007 Suspected Hyperplasia-No tumors on CT - No AVS.Meds: 50mg Spiro, 25mg HCTZ, 40meg Potassium, 2400mg Calcium, 1000mg Magnesium, 100,000UI Vit D (weekly), 40mg OmeprazoleSide effects: Gynecomastia, stomach inflammationOther Diags: GERD, Hiatal Hernia, Metabolic Syndrome - PreDiabetic, Secondary Hyperparathyroidism caused by Renal calcium leak, Bone Cyct in left Femoral Head and Pelvis. Fibromyalgia

DASH: Not at this time, but cutting back on excess salt. No more bacon everyday. Using Mrs Dash instead of salt when ever possible.

To: hyperaldosteronism Sent: Friday, April 22, 2011 3:30 PMSubject: Re: Re: Good food with low salt and new sodium question

I saw in your thumbnail that you have metabolic syndrome, type II diabetes etc. in your diagnosis. My story was similar except I was insulin resistant and not full diabetic yet. I weighed 240 lbs at 5'7". I bought the DASH book, went to a nutritionist per the recommendation of my Endo, and started walking at least 45 minutes per day.Due to being borderline diabetic, the dietitian limited carbs to 60g per meal and up to 30g per snack. I was allowed to have 3 meals and 3 snacks per day as long as I stayed within the carb range. DASH was recommended. I followed it somewhat, but I was super strict to try to hit carbs right on the money (too low is not good for weight loss either). After 4 months of following this regimen, I dropped 40 lbs, lost the insulin resistance, and did not end up being diagnosed as full diabetic. After adding weight lifting, my good (HDL) cholesterol went from 26 to 43 (out of the metabolic syndrome range).

I am telling you this because I can relate to what you are going through. If you are skinny and in good condition, ignore this. If you are in the shape I was in, start walking everyday, eat the proper amount of carbs (ask your Endo to refer you to a nutritionist), and start DASHing.I really think losing the weight helped the docs to diagnose me. After loosing weight and still having resistant HTN and low K, the docs finally tested me for PA. Before the weight loss I also had very low (under 150) testosterone. It is now over 450 after adding exercise daily. Good luck and I hope your medicines get adjusted the right way. >Ã‚ > > Isn't it easier just to look at ways of cooking that don't

use salt at all rather than trying to find substitutes for old favourites? So use potatoes and rice as carbs instead of pasta or bread (or make your own). Then if you start with straight meat or fish and veg or fruit, I don't get how zero salt can be so challenging. You just don't add it. Virtually> anything can be zero salt if you cook from scratch - casseroles, pies, meat with veg (and sauce), same for fish, veggie dishes. Really the only thing that is hard to make without sodium is things that need to rise (dough, cakes) and if everything else in your diet is so low on salt, that shouldn't put you over the totals. > >Ã‚ > > Clearly this isn't complete dashing because then you have to boost the potassium part too but low sodium alone is really not hard unless I've missed a trick. > >Ã‚ > > H > >Ã‚ > > --- InÃ‚ > >>

April 22, 2011

I didn't focus too much on calories. The dietitian told me to try to average

2200 calories during the week. Some days I went over 2200 and some days under

depending on hunger and the situation. The important thing was to never let

myself go under 1400. According to her going too low causes the body to stop

losing fat. You end up going into starvation mode, losing muscle, and other bad

things.

I focused on averaging 2200 per week. I didn't get upset when I messed up and

ate 3,500. It just meant I would have to be closer to 1400 in order to balance

out. If you focus on the long term, it is a lot easier. Some weeks I lost

zero, other weeks 3 lbs. It didn't matter to me. I knew that if I hit the 2200

average that eventually things would turn.

I started with just walking, but added weight training and eventually couch to

5k. Eating the vegetables and fruit helped a ton. I wasn't eating enough

potassium and as you know, with PA I was having a lot of trouble.

>Ã‚Â

> > Isn't it easier just to look at ways of cooking that don't use salt at all

rather than trying to find substitutes for old favourites? So use potatoes and

rice as carbs instead of pasta or bread (or make your own). Then if you start

with straight meat or fish and veg or fruit, I don't get how zero salt can be so

challenging. You just don't add it.

> Virtually

> >> anything can be zero salt if you cook from scratch - casseroles, pies, meat

with veg (and sauce), same for fish, veggie dishes. Really the only thing that

is hard to make without sodium is things that need to rise (dough, cakes) and if

everything else in your diet is so low on salt, that shouldn't put you over the

totals. > >Ã‚Â > > Clearly this isn't complete dashing because then you have to

boost the potassium part too but low sodium alone is really not hard unless I've

missed a trick. > >Ã‚Â > > H > >Ã‚Â > > --- InÃ‚Â

> >> >

> >>

> >

>

April 22, 2011

Also verify how long you should be on the 100,000 Vit D.CE Grim MDI began am watching my BP again. I dont see my doc for 2 weeks. I probably wont seriously Dash until after I see him. Then I plan to cut the HCTZ in 1/2 and maybe dump the Potassium suppl. Then just keep getting the potasium checked once a week or so to see how things are behaving. I have a formula that seems to work now as my average BP over last week has been 119/79 with a HR of 93bpm. ============================================================================45-Male-Caucasian, 5'9"- 230lbs, PA Diagnosed 2007 Suspected Hyperplasia-No tumors on CT - No AVS.Meds: 50mg Spiro, 25mg HCTZ, 40meg Potassium, 2400mg Calcium, 1000mg Magnesium, 100,000UI Vit D (weekly), 40mg OmeprazoleSide effects: Gynecomastia, stomach inflammationOther Diags: GERD, Hiatal Hernia, Metabolic Syndrome - PreDiabetic, Secondary Hyperparathyroidism caused by Renal calcium leak, Bone Cyct in left Femoral Head and Pelvis. FibromyalgiaDASH: Not at this time, but cutting back on excess salt. No more bacon everyday. Using Mrs Dash instead of salt when ever possible.To: "hyperaldosteronism " <hyperaldosteronism >Sent: Friday, April 22, 2011 12:01 PMSubject: Re: Re: Good food with low salt and new sodium question You are on your way. Tell ur health team as may need to step down other BP MEDS. Tiped sad Send form miiPhone ;-)May your pressure be low!CE Grim MDSpecializing in DifficultHypertension Nope, they were Raw. Since i grilled them I added no salt at all. I ate 13, so I just less salt than a single slice of Wheat Bread. Unreal. I could eat them every day, but they also fall into my low carb diet. I also bought a bunch of different fruit & berries today. Granny apples, plums, raspberries, blackberries, strawberries, kiwi... I love all that stuff, so maybe DASH wont be so bad after all. lol ============================================================================45-Male-Caucasian, 5'9"- 230lbs, PA Diagnosed 2007 Suspected Hyperplasia-No tumors on CT - No AVS.Meds: 50mg Spiro, 25mg HCTZ, 40meg Potassium, 2400mg Calcium, 1000mg Magnesium, 100,000UI Vit D (weekly), 40mg OmeprazoleSide effects: Gynecomastia, stomach inflammationOther Diags: GERD, Hiatal Hernia, Metabolic Syndrome - PreDiabetic, Secondary Hyperparathyroidism caused by Renal calcium leak, Bone Cyct in left Femoral Head and Pelvis. FibromyalgiaDASH: Not at this time, but cutting back on excess salt. No more bacon everyday. Using Mrs Dash instead of salt when ever possible.To: "hyperaldosteronism " <hyperaldosteronism >Sent: Friday, April 22, 2011 11:39 AMSubject: Re: Re: Good food with low salt and new sodium question Just looked it up on loseit and 4 large shrimp. Fresh have only 49 Mg. So it will take 120 large shriMp to use up all your NA. if you use one of the shrimp. Boil ppreppss that prob is loaded with salt. And the shrimp sauce. But I am getting hungry Tiped sad Send form miiPhone ;-)May your pressure be low!CE Grim MDSpecializing in DifficultHypertension Hmmm - self control. I just demonstrated how much i dont have. I grilled 1 pound of giant shimp and steamed a kettle of spiniach. Dipped into unsalted melted butter using Mrs Dash Garlic Herb as the only seasoning. Absolutely yummy...but prob too much salt in the shrimp. Would have been okay if i had not eaten all of them. They were so good I just couldnt stop myslef. I surrender...i have no self control. I will have to be in lockdown to stick to portion control i am afraid when somthing that yummy is within reach. LOL. ============================================================================45-Male-Caucasian, 5'9"- 230lbs, PA Diagnosed 2007 Suspected Hyperplasia-No tumors on CT - No AVS.Meds: 50mg Spiro, 25mg HCTZ, 40meg Potassium, 2400mg Calcium, 1000mg Magnesium, 100,000UI Vit D (weekly), 40mg OmeprazoleSide effects: Gynecomastia, stomach inflammationOther Diags: GERD, Hiatal Hernia, Metabolic Syndrome - PreDiabetic, Secondary Hyperparathyroidism caused by Renal calcium leak, Bone Cyct in left Femoral Head and Pelvis. FibromyalgiaDASH: Not at this time, but cutting back on excess salt. No more bacon everyday. Using Mrs Dash instead of salt when ever possible.To: hyperaldosteronism Sent: Friday, April 22, 2011 10:21 AMSubject: Re: Re: Good food with low salt and new sodium question The good news though is the key to all that is moderation (not the American style of moderation the "only ONE meal today was fast food ", but real moderation) and we need SOME sodium or where would our blood pressure be eventually (it wouldn't be), need some fat, need some protein, and definitely need some carbs. Unless we have a pre-existing condition or genetic predisposition to something where we have to abstain completely from something, then we can enjoy SOME things I guess so long as we control our desires. Anything it seems, really ANYTHING that is one extreme or another NEVER works. Ever. But I have a sodium question I do not know the answer too and others (Dr G?) may. I read on here some comments about DASH and the daily sodium levels and if we have 100 of sodium until 5pm then have 1000 at dinner we are still under but does that salt "load" like that overwhelm things at once? Seems intuitively that a large quantity at once could be as bad as cumulative. Anyone know for sure? I have stayed under the daily requirements but sometimes feel not so good if I have a single meal with a bigger sodium content even though I am under the limit.43male yo PA-C w/ PALooks like my wife subscribes to your ideas Hester. Very seldom does she make things that need to rise, she said we were too fat anyway! Most meals are from scratch and she never adds salt. Salt shakers are in the cupboard and never come out unless we have company. For fun I asked her where the box was and she didn't know! I found it way in the back of the pantry. It was a box my daughter brought home when she moved out of her 1st appartment when she was in college (2005 I think). It was absolutely full! At some point we bought a Mediterranean Salt Mill and then my wife found out that salt is salt - it is half full and has an exp. date of 08/24/08! By the way the Mrs. Dash's exp date is 04/10 and it is half full! We raised 3 children and they ate what we ate, they just learned to eat low salt and appear to practice it now. Thinking about that makes me wonder if my low salt is why my BP responded so well when I started Spiro. I say I'm not DASHING but maybe I should look into it, I might be closer than I think! > > > Isn't it easier just to look at ways of cooking that don't use salt at all rather than trying to find substitutes for old favourites? So use potatoes and rice as carbs instead of pasta or bread (or make your own). Then if you start with straight meat or fish and veg or fruit, I don't get how zero salt can be so challenging. You just don't add it. Virtually anything can be zero salt if you cook from scratch - casseroles, pies, meat with veg (and sauce), same for fish, veggie dishes. Really the only thing that is hard to make without sodium is things that need to rise (dough, cakes) and if everything else in your diet is so low on salt, that shouldn't put you over the totals. > > > > Clearly this isn't complete dashing because then you have to boost the potassium part too but low sodium alone is really not hard unless I've missed a trick. > > > > H > > > > --- In

April 22, 2011

Sweet. I had a RMR test dones once that came back around 2350 calories per day to maintain my weight doing nothing all day long. If I shoot for something similar to what you started at I should be about right.the 2000cal dash plan should be good place to start. It is intersting to know the effect of not eating enough carbs caused a weight loss stall.

============================================================================45-Male-Caucasian, 5'9"- 230lbs, PA Diagnosed 2007 Suspected Hyperplasia-No tumors on CT - No AVS.Meds: 50mg Spiro, 25mg HCTZ, 40meg Potassium, 2400mg Calcium, 1000mg Magnesium, 100,000UI Vit D (weekly), 40mg OmeprazoleSide effects: Gynecomastia, stomach inflammationOther Diags: GERD, Hiatal Hernia, Metabolic Syndrome - PreDiabetic, Secondary Hyperparathyroidism caused by Renal calcium leak, Bone Cyct in left Femoral Head and Pelvis. Fibromyalgia

DASH: Not at this time, but cutting back on excess salt. No more bacon everyday. Using Mrs Dash instead of salt when ever possible.

To: hyperaldosteronism Sent: Friday, April 22, 2011 4:29 PMSubject: Re: Re: Good food with low salt and new sodium question

I didn't focus too much on calories. The dietitian told me to try to average 2200 calories during the week. Some days I went over 2200 and some days under depending on hunger and the situation. The important thing was to never let myself go under 1400. According to her going too low causes the body to stop losing fat. You end up going into starvation mode, losing muscle, and other bad things. I focused on averaging 2200 per week. I didn't get upset when I messed up and ate 3,500. It just meant I would have to be closer to 1400 in order to balance out. If you focus on the long term, it is a lot easier. Some weeks I lost zero, other weeks 3 lbs. It didn't matter to me. I knew that if I hit the 2200 average that eventually things would turn.I started with just walking, but added weight training and eventually couch to 5k. Eating the vegetables and fruit helped a ton. I wasn't eating enough potassium and as you know, with PA I was having

a lot of trouble. >Ãƒâ€šÃ‚ > > Isn't it easier just to look at ways of cooking that don't use salt at all rather than trying to find substitutes for old favourites? So use potatoes and rice as carbs instead of pasta or bread (or make your own). Then if you start with straight meat or fish and veg or fruit, I don't get how zero salt can be so challenging. You just don't add it.> Virtually> >> anything can be zero salt if you cook from scratch - casseroles, pies, meat with veg (and sauce), same for fish, veggie

dishes. Really the only thing that is hard to make without sodium is things that need to rise (dough, cakes) and if everything else in your diet is so low on salt, that shouldn't put you over the totals. > >Ãƒâ€šÃ‚ > > Clearly this isn't complete dashing because then you have to boost the potassium part too but low sodium alone is really not hard unless I've missed a trick. > >Ãƒâ€šÃ‚ > > H > >Ãƒâ€šÃ‚ > > --- InÃƒâ€šÃ‚ > >> >> >>> >> >> >> >> >>

April 22, 2011

Most important thing to keep in mind. I went to a dietitian recommended by my

Endocrinologist at the time. I had regular check ups and the dietitian could

have changed carb and calorie intake if things were not working. My insurance

covered the dietitian because it was a referral from the Endo.

I highly recommend getting a trained professional to help determine the right

amount of calories and the right mix of targets (carbs, K, sodium, protein, fat,

etc). The right diet can vary quite a bit depending on current conditions and

health history. For example, the dietitian had me eat a certain mix of protein

and fat to promote higher testosterone. It was actually necessary for me to up

my fat % to increase testosterone. I found healthy ways to do this by including

almonds, walnuts, pistaccios. Oddly enough, we also found that consuming raw

onions on salad and burgers helped get my testosterone back on track. That was

a tip from the dietitian. It worked.

The dietitian most importantly gave me accountability. I tracked my food on

myfooddiary.com and gave my dietitian my log in info. I knew she could check in

on me, so I logged my food and ate better than I would have on my own.

>Ã‚Â

> > Isn't it easier just to look at ways of cooking that don't use salt at all

rather than trying to find substitutes for old favourites? So use potatoes and

rice as carbs instead of pasta or bread (or make your own). Then if you start

with straight meat or fish and veg or fruit, I don't get how zero salt can be so

challenging. You just don't add it.

> > Virtually

> > >> anything can be zero salt if you cook from scratch - casseroles, pies,

meat with veg (and sauce), same for fish, veggie dishes. Really the only thing

that is hard to make without sodium is things that need to rise (dough, cakes)

and if everything else in your diet is so low on salt, that shouldn't put you

over the totals. > >Ã‚Â > > Clearly this isn't complete dashing because then

you have to boost the potassium part too but low sodium alone is really not hard

unless I've missed a trick. > >Ã‚Â > > H > >Ã‚Â > > --- InÃ‚Â

> > >> >

> > >>

> > >

> >

>

April 22, 2011

The body doesn't like to not have energy. Your brain needs carbs. You need

carbs to work out and have energy to stay active. Everything started to kick

into high gear.

The carbs also help you not to get as hungry. If you balance your carbs

throughout the day it can help avoid sugar spikes or crashes which caused me to

feel like I was starving and eat like a competitive eater. Once I balanced

carbs to around even each meal, I started to not feel as hungry.

>Ãƒâ€šÃ‚Â > > Isn't it easier just to look at ways of

cooking that don't use salt at all rather than trying to find substitutes for

old favourites? So use potatoes and rice as carbs instead of pasta or bread (or

make your own). Then if you start with straight meat or fish and veg or fruit, I

don't get how zero salt can be

> so challenging. You just don't add it.

> >> Virtually

> >> >> anything can be zero salt if you cook from scratch - casseroles, pies,

meat with veg (and sauce), same for fish, veggie dishes. Really the only thing

that is hard to make without sodium is things that need to rise (dough, cakes)

and if everything else in your diet is so low on salt, that shouldn't put you

over the totals. > >Ãƒâ€šÃ‚Â > > Clearly this isn't complete dashing because

then you have to boost the potassium part too but low sodium alone is really not

hard unless I've missed a trick. > >Ãƒâ€šÃ‚Â > > H > >Ãƒâ€šÃ‚Â > > ---

InÃƒâ€šÃ‚Â

> >> >> >

> >> >>

> >> >

> >>

> >

>

April 22, 2011

It's the cost. If one is not diabetic there is likely no chance of seeing a nutritionist or getting insurance to cover it. Like all medical professionals whether holistic or not they don't come cheap - at least a good one doesn't. Same with personal trainer. Though I sure agree that if we can, having someone to help motivate us (should say keep us on track) in the the right direction can only help.Subject: Re: Good food with low salt and new sodium questionTo: hyperaldosteronism Date: Friday, April 22, 2011, 4:43 PM

Most important thing to keep in mind. I went to a dietitian recommended by my Endocrinologist at the time. I had regular check ups and the dietitian could have changed carb and calorie intake if things were not working. My insurance covered the dietitian because it was a referral from the Endo.

I highly recommend getting a trained professional to help determine the right amount of calories and the right mix of targets (carbs, K, sodium, protein, fat, etc). The right diet can vary quite a bit depending on current conditions and health history. For example, the dietitian had me eat a certain mix of protein and fat to promote higher testosterone. It was actually necessary for me to up my fat % to increase testosterone. I found healthy ways to do this by including almonds, walnuts, pistaccios. Oddly enough, we also found that consuming raw onions on salad and burgers helped get my testosterone back on track. That was a tip from the dietitian. It worked.

The dietitian most importantly gave me accountability. I tracked my food on myfooddiary.com and gave my dietitian my log in info. I knew she could check in on me, so I logged my food and ate better than I would have on my own.

>Ãƒâ€šÃ‚ > > Isn't it easier just to look at ways of cooking that

don't use salt at all rather than trying to find substitutes for old favourites? So use potatoes and rice as carbs instead of pasta or bread (or make your own). Then if you start with straight meat or fish and veg or fruit, I don't get how zero salt can be so challenging. You just don't add it.

> > Virtually

> > >> anything can be zero salt if you cook from scratch - casseroles, pies, meat with veg (and sauce), same for fish, veggie dishes. Really the only thing that is hard to make without sodium is things that need to rise (dough, cakes) and if everything else in your diet is so low on salt, that shouldn't put you over the totals. > >Ãƒâ€šÃ‚ > > Clearly this isn't complete dashing because then you have to boost the potassium part too but low sodium alone is really not hard unless I've missed a trick. > >Ãƒâ€šÃ‚ > > H > >Ãƒâ€šÃ‚ > > --- InÃƒâ€šÃ‚

> > >> >

> > >>

> > >

> >

>

April 22, 2011

Good point. The brain HAS to have oxygen AND glucose. People forget about the glucose, but it is essential. Though the more is not the merrier. Subject: Re: Good food with low salt and new sodium questionTo: hyperaldosteronism Date: Friday, April 22, 2011, 4:47 PM

The body doesn't like to not have energy. Your brain needs carbs. You need carbs to work out and have energy to stay active. Everything started to kick into high gear.

The carbs also help you not to get as hungry. If you balance your carbs throughout the day it can help avoid sugar spikes or crashes which caused me to feel like I was starving and eat like a competitive eater. Once I balanced carbs to around even each meal, I started to not feel as hungry.

>ÃƒÆ’Ã¢â‚¬Å¡Ãƒâ€šÃ‚ > > Isn't it easier just to look at ways of cooking that don't use salt at all rather than trying to find substitutes for old favourites? So use potatoes and rice as carbs instead of pasta or bread (or make your own). Then if you start with straight meat or fish and veg or fruit, I don't get how zero salt can be

> so challenging. You just don't add it.

> >> Virtually

> >> >> anything can be zero salt if you cook from scratch - casseroles, pies, meat with veg (and sauce), same for fish, veggie dishes. Really the only thing that is hard to make without sodium is things that need to rise (dough, cakes) and if everything else in your diet is so low on salt, that shouldn't put you over the totals. > >ÃƒÆ’Ã¢â‚¬Å¡Ãƒâ€šÃ‚ > > Clearly this isn't complete dashing because then you have to boost the potassium part too but low sodium alone is really not hard unless I've missed a trick. > >ÃƒÆ’Ã¢â‚¬Å¡Ãƒâ€šÃ‚ > > H > >ÃƒÆ’Ã¢â‚¬Å¡Ãƒâ€šÃ‚ > > --- InÃƒÆ’Ã¢â‚¬Å¡Ãƒâ€šÃ‚

> >> >> >

> >> >>

> >> >

> >>

> >

>

April 22, 2011

I nominate as everyones personal nutritionist from this point forward. LOL

============================================================================45-Male-Caucasian, 5'9"- 230lbs, PA Diagnosed 2007 Suspected Hyperplasia-No tumors on CT - No AVS.Meds: 50mg Spiro, 25mg HCTZ, 40meg Potassium, 2400mg Calcium, 1000mg Magnesium, 100,000UI Vit D (weekly), 40mg OmeprazoleSide effects: Gynecomastia, stomach inflammationOther Diags: GERD, Hiatal Hernia, Metabolic Syndrome - PreDiabetic, Secondary Hyperparathyroidism caused by Renal calcium leak, Bone Cyct in left Femoral Head and Pelvis. Fibromyalgia

DASH: Not at this time, but cutting back on excess salt. No more bacon everyday. Using Mrs Dash instead of salt when ever possible.

To: hyperaldosteronism Sent: Friday, April 22, 2011 4:49 PMSubject: Re: Re: Good food with low salt and new sodium question

It's the cost. If one is not diabetic there is likely no chance of seeing a nutritionist or getting insurance to cover it. Like all medical professionals whether holistic or not they don't come cheap - at least a good one doesn't. Same with personal trainer. Though I sure agree that if we can, having someone to help motivate us (should say keep us on track) in the the right direction can only help.

Subject: Re: Good food with low salt and new sodium questionTo: hyperaldosteronism Date: Friday, April 22, 2011, 4:43 PM

Most important thing to keep in mind. I went to a dietitian recommended by my Endocrinologist at the time. I had regular check ups and the dietitian could have changed carb and calorie intake if things were not working. My insurance covered the dietitian because it was a referral from the Endo. I highly recommend getting a trained professional to help determine the right amount of calories and the right mix of targets (carbs, K, sodium, protein, fat, etc). The right diet can vary quite a bit depending on current conditions and health history. For example, the dietitian had me eat a certain mix of protein and fat to promote higher testosterone. It was actually necessary for me to up my fat % to increase testosterone. I found healthy ways to do this by including almonds, walnuts, pistaccios. Oddly enough, we also found that consuming raw onions on salad and burgers helped get my testosterone back on track. That was a tip from the dietitian. It

worked.The dietitian most importantly gave me accountability. I tracked my food on myfooddiary.com and gave my dietitian my log in info. I knew she could check in on me, so I logged my food and ate better than I would have on my own. >Ãƒâ€šÃ‚ > > Isn't it easier just to look at ways of cooking that don't use salt at all rather than trying to find substitutes for old favourites? So use potatoes and rice as carbs instead of pasta or bread (or make your own). Then if you start with straight meat or fish and veg or fruit, I don't get how zero salt can be so challenging. You just don't add it.> > Virtually> > >> anything can be zero salt if you cook from scratch - casseroles, pies, meat with veg (and sauce), same for fish, veggie dishes. Really the only

thing that is hard to make without sodium is things that need to rise (dough, cakes) and if everything else in your diet is so low on salt, that shouldn't put you over the totals. > >Ãƒâ€šÃ‚ > > Clearly this isn't complete dashing because then you have to boost the potassium part too but low sodium alone is really not hard unless I've missed a trick. > >Ãƒâ€šÃ‚ > > H > >Ãƒâ€šÃ‚ > > --- InÃƒâ€šÃ‚ > > >> >> > >>> > >> > >> > >> > >> > >> >>

April 22, 2011

Not me.......I am having a hard enough time watching the salt! And chocolate. Love those Easter chocolates. If you had me coaching the diet this here group would be so big from all the new cases of PA caused under my watch.

Subject: Re: Good food with low salt and new sodium questionTo: hyperaldosteronism Date: Friday, April 22, 2011, 4:43 PM

Most important thing to keep in mind. I went to a dietitian recommended by my Endocrinologist at the time. I had regular check ups and the dietitian could have changed carb and calorie intake if things were not working. My insurance covered the dietitian because it was a referral from the Endo. I highly recommend getting a trained professional to help determine the right amount of calories and the right mix of targets (carbs, K, sodium, protein, fat, etc). The right diet can vary quite a bit depending on current conditions and health history. For example, the dietitian had me eat a certain mix of protein and fat to promote higher testosterone. It was actually necessary for me to up my fat % to increase testosterone. I found healthy ways to do this by including almonds, walnuts, pistaccios. Oddly enough, we also found that consuming raw onions on salad and burgers helped get my testosterone back on track. That was a tip from the dietitian. It

worked.The dietitian most importantly gave me accountability. I tracked my food on myfooddiary.com and gave my dietitian my log in info. I knew she could check in on me, so I logged my food and ate better than I would have on my own. >Ãƒâ€šÃ‚ > > Isn't it easier just to look at ways of cooking that don't use salt at all rather than trying to find substitutes for old favourites? So use potatoes and rice as carbs instead of pasta or bread (or make your own). Then if you start with straight meat or fish and veg or fruit, I don't get how zero salt can be so challenging. You just don't add it.> > Virtually> > >> anything can be zero salt if you cook from scratch - casseroles, pies, meat with veg (and sauce), same for fish, veggie dishes. Really the only

thing that is hard to make without sodium is things that need to rise (dough, cakes) and if everything else in your diet is so low on salt, that shouldn't put you over the totals. > >Ãƒâ€šÃ‚ > > Clearly this isn't complete dashing because then you have to boost the potassium part too but low sodium alone is really not hard unless I've missed a trick. > >Ãƒâ€šÃ‚ > > H > >Ãƒâ€šÃ‚ > > --- InÃƒâ€šÃ‚ > > >> >> > >>> > >> > >> > >> > >> > >> >>

April 22, 2011

I have Blue Cross Blue shield. A dietitian was covered as soon as I tested

glucose intolerant (175 on the 2 hour test). I was officially diagnosed

pre-diabetic. I called them and found out that I could have my Endo refer me to

a dietitian based on the prediabetic official diagnoses. It is worth calling

your insurance about.

>Ãƒâ€šÃ‚Â > > Isn't it easier just to look at ways of

cooking that don't use salt at all rather than trying to find substitutes for

old favourites? So use potatoes and rice as carbs instead of pasta or bread (or

make your own). Then if you start with straight meat or fish and veg or fruit, I

don't get how zero salt can

> be so challenging. You just don't add it.

>

> > > Virtually

>

> > > >> anything can be zero salt if you cook from scratch - casseroles, pies,

meat with veg (and sauce), same for fish, veggie dishes. Really the only thing

that is hard to make without sodium is things that need to rise (dough, cakes)

and if everything else in your diet is so low on salt, that shouldn't put you

over the totals. > >Ãƒâ€šÃ‚Â > > Clearly this isn't complete dashing because

then you have to boost the potassium part too but low sodium alone is really not

hard unless I've missed a trick. > >Ãƒâ€šÃ‚Â > > H > >Ãƒâ€šÃ‚Â > > ---

InÃƒâ€šÃ‚Â

>

> > > >> >

>

> > > >>

>

> > > >

>

> > > >

>

> > > >

>

> > > >

>

> > > >

>

> > >

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April 22, 2011

Explanations we have heard here:It is normal for K to go down as you get older.You are not eating enough KYou normally run a low KYou must be vomiting a lotYou must be taking diuretics but not telling us.You must be having diarrhea. BP is one thing but what about your potassium? HCTZ for many of us threw the K down so far it was getting dangerous at times. And I say this speaking from my situation, and I realize we're all different, but now that I look back over the past few years it was, in my humble opinion, my potassium that was the big link in how I was immediately feeling. Tired, cramps, leg pain, headaches, brain fog and on and on with the symptoms. Unfortunately my potassium always being low just never put the red flag up for anyone. But now that it is near normal I feel so much better.A better diet and energy to exercise is helping, but if the potassium drops so do I. I bet the potassium being low in many of us - whatever the cause - often gets skipped over or not taken seriously and while we are looking for some other autoimmune disorder or answer for our symptoms the low K seems to be too simple a cause for us the patient and the provider to think it is the "why" we are feeling like we do. Just a thought and caution. Looks like my wife subscribes to your ideas Hester. Very seldom does she make things that need to rise, she said we were too fat anyway! Most meals are from scratch and she never adds salt. Salt shakers are in the cupboard and never come out unless we have company. For fun I asked her where the box was and she didn't know! I found it way in the back of the pantry. It was a box my daughter brought home when she moved out of her 1st appartment when she was in college (2005 I think). It was absolutely full! At some point we bought a Mediterranean Salt Mill and then my wife found out that salt is salt - it is half full and has an exp. date of 08/24/08! By the way the Mrs. Dash's exp date is 04/10 and it is half full! We raised 3 children and they ate what we ate, they just learned to eat low salt and appear to practice it now. Thinking about that makes me wonder if my low salt is why my BP responded so well when I started Spiro. I say I'm not DASHING but maybe I should look into it, I might be closer than I think! > > > Isn't it easier just to look at ways of cooking that don't use salt at all rather than trying to find substitutes for old favourites? So use potatoes and rice as carbs instead of pasta or bread (or make your own). Then if you start with straight meat or fish and veg or fruit, I don't get how zero salt can be so challenging. You just don't add it. Virtually anything can be zero salt if you cook from scratch - casseroles, pies, meat with veg (and sauce), same for fish, veggie dishes. Really the only thing that is hard to make without sodium is things that need to rise (dough, cakes) and if everything else in your diet is so low on salt, that shouldn't put you over the totals. > > > > Clearly this isn't complete dashing because then you have to boost the potassium part too but low sodium alone is really not hard unless I've missed a trick. > > > > H > > > > --- In

April 22, 2011

As a Clinical Endocrinologist and having been trained in Endocrinology and Metabolism I can assure you that most of your success is lowering calories and salt. Carbs are really irrelevant if you DASH.Keep up the good work and put your story in the DASH success stories file. Keep up the good work. And spread the word.CE Grim MDI saw in your thumbnail that you have metabolic syndrome, type II diabetes etc. in your diagnosis. My story was similar except I was insulin resistant and not full diabetic yet. I weighed 240 lbs at 5'7". I bought the DASH book, went to a nutritionist per the recommendation of my Endo, and started walking at least 45 minutes per day.Due to being borderline diabetic, the dietitian limited carbs to 60g per meal and up to 30g per snack. I was allowed to have 3 meals and 3 snacks per day as long as I stayed within the carb range. DASH was recommended. I followed it somewhat, but I was super strict to try to hit carbs right on the money (too low is not good for weight loss either). After 4 months of following this regimen, I dropped 40 lbs, lost the insulin resistance, and did not end up being diagnosed as full diabetic. After adding weight lifting, my good (HDL) cholesterol went from 26 to 43 (out of the metabolic syndrome range). I am telling you this because I can relate to what you are going through. If you are skinny and in good condition, ignore this. If you are in the shape I was in, start walking everyday, eat the proper amount of carbs (ask your Endo to refer you to a nutritionist), and start DASHing.I really think losing the weight helped the docs to diagnose me. After loosing weight and still having resistant HTN and low K, the docs finally tested me for PA. Before the weight loss I also had very low (under 150) testosterone. It is now over 450 after adding exercise daily. Good luck and I hope your medicines get adjusted the right way. >Â > > Isn't it easier just to look at ways of cooking that don't use salt at all rather than trying to find substitutes for old favourites? So use potatoes and rice as carbs instead of pasta or bread (or make your own). Then if you start with straight meat or fish and veg or fruit, I don't get how zero salt can be so challenging. You just don't add it. Virtually> anything can be zero salt if you cook from scratch - casseroles, pies, meat with veg (and sauce), same for fish, veggie dishes. Really the only thing that is hard to make without sodium is things that need to rise (dough, cakes) and if everything else in your diet is so low on salt, that shouldn't put you over the totals. > >Â > > Clearly this isn't complete dashing because then you have to boost the potassium part too but low sodium alone is really not hard unless I've missed a trick. > >Â > > H > >Â > > --- InÂ > >>

April 22, 2011

Trust you have gotten and read the DASH Book and reviewed some of the 250+ articles in pubmed?You are on the right track.CE GrimMDI am not diabetic yet either, just insulin resistant. I am about the same weight and just a bit taller, so perhaps the same plan will work for me. I honestly simply cant stick to the lowcarb diet. Even though I lost weight doing it. The more I read about DASH I think I can handle that better. All it really leaves out is Salt..which there are so many spice alternatives for. I enjoy walking, just need to make it more of a habit. 60carbs a meal sounds like plenty when I am use to less 20. I love having apples as snacks. Do you count the fiber in the carb count, or is that "Net Carbs" like on a lowcarb diet. Example: apple has 25 carbs and 5 carbs fiber, then it counts as 20 carbs from my meal total.I really appreciate your sharing. I am struggling with the right course of action. To hear that it worked for you is music to my ears. ============================================================================45-Male-Caucasian, 5'9"- 230lbs, PA Diagnosed 2007 Suspected Hyperplasia-No tumors on CT - No AVS.Meds: 50mg Spiro, 25mg HCTZ, 40meg Potassium, 2400mg Calcium, 1000mg Magnesium, 100,000UI Vit D (weekly), 40mg OmeprazoleSide effects: Gynecomastia, stomach inflammationOther Diags: GERD, Hiatal Hernia, Metabolic Syndrome - PreDiabetic, Secondary Hyperparathyroidism caused by Renal calcium leak, Bone Cyct in left Femoral Head and Pelvis. FibromyalgiaDASH: Not at this time, but cutting back on excess salt. No more bacon everyday. Using Mrs Dash instead of salt when ever possible.To: hyperaldosteronism Sent: Friday, April 22, 2011 3:30 PMSubject: Re: Re: Good food with low salt and new sodium question I saw in your thumbnail that you have metabolic syndrome, type II diabetes etc. in your diagnosis. My story was similar except I was insulin resistant and not full diabetic yet. I weighed 240 lbs at 5'7". I bought the DASH book, went to a nutritionist per the recommendation of my Endo, and started walking at least 45 minutes per day.Due to being borderline diabetic, the dietitian limited carbs to 60g per meal and up to 30g per snack. I was allowed to have 3 meals and 3 snacks per day as long as I stayed within the carb range. DASH was recommended. I followed it somewhat, but I was super strict to try to hit carbs right on the money (too low is not good for weight loss either). After 4 months of following this regimen, I dropped 40 lbs, lost the insulin resistance, and did not end up being diagnosed as full diabetic. After adding weight lifting, my good (HDL) cholesterol went from 26 to 43 (out of the metabolic syndrome range). I am telling you this because I can relate to what you are going through. If you are skinny and in good condition, ignore this. If you are in the shape I was in, start walking everyday, eat the proper amount of carbs (ask your Endo to refer you to a nutritionist), and start DASHing.I really think losing the weight helped the docs to diagnose me. After loosing weight and still having resistant HTN and low K, the docs finally tested me for PA. Before the weight loss I also had very low (under 150) testosterone. It is now over 450 after adding exercise daily. Good luck and I hope your medicines get adjusted the right way. >Â > > Isn't it easier just to look at ways of cooking that don't use salt at all rather than trying to find substitutes for old favourites? So use potatoes and rice as carbs instead of pasta or bread (or make your own). Then if you start with straight meat or fish and veg or fruit, I don't get how zero salt can be so challenging. You just don't add it. Virtually> anything can be zero salt if you cook from scratch - casseroles, pies, meat with veg (and sauce), same for fish, veggie dishes. Really the only thing that is hard to make without sodium is things that need to rise (dough, cakes) and if everything else in your diet is so low on salt, that shouldn't put you over the totals. > >Â > > Clearly this isn't complete dashing because then you have to boost the potassium part too but low sodium alone is really not hard unless I've missed a trick. > >Â > > H > >Â > > --- InÂ > >>

April 22, 2011

And this is covered because Newt Gingrich's mother had diabetes. 4 x more with HTN but no nutria edu for them. We need a better lobby. And little evidence that those who are educated are heAlthier 5 years later. Tiped sad Send form miiPhone ;-)May your pressure be low!CE Grim MDSpecializing in DifficultHypertension

I have Blue Cross Blue shield. A dietitian was covered as soon as I tested glucose intolerant (175 on the 2 hour test). I was officially diagnosed pre-diabetic. I called them and found out that I could have my Endo refer me to a dietitian based on the prediabetic official diagnoses. It is worth calling your insurance about.

>ÃƒÆ’Ã¢â‚¬Å¡Ãƒâ€šÃ‚ > > Isn't it easier just to look at ways of cooking that don't use salt at all rather than trying to find substitutes for old favourites? So use potatoes and rice as carbs instead of pasta or bread (or make your own). Then if you start with straight meat or fish and veg or fruit, I don't get how zero salt can

> be so challenging. You just don't add it.

>

> > > Virtually

>

> > > >> anything can be zero salt if you cook from scratch - casseroles, pies, meat with veg (and sauce), same for fish, veggie dishes. Really the only thing that is hard to make without sodium is things that need to rise (dough, cakes) and if everything else in your diet is so low on salt, that shouldn't put you over the totals. > >ÃƒÆ’Ã¢â‚¬Å¡Ãƒâ€šÃ‚ > > Clearly this isn't complete dashing because then you have to boost the potassium part too but low sodium alone is really not hard unless I've missed a trick. > >ÃƒÆ’Ã¢â‚¬Å¡Ãƒâ€šÃ‚ > > H > >ÃƒÆ’Ã¢â‚¬Å¡Ãƒâ€šÃ‚ > > --- InÃƒÆ’Ã¢â‚¬Å¡Ãƒâ€šÃ‚

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