which to step down first.

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If one has PA the I would stop ACES first -not likely doing anything, then same for BB and then finally CCB and document if the pt was DASHing with a urine collection. Is there any advanage to the order in stopping the drugs. Since he is on a BB CCB and ACE isn't there some interaction between them? > > > > > > > > > >> > > > > > > > > > My doctor just called with the results of last week's > > > > aldosterone suppresion test/oral sodium loading test. As expected, > > > > my aldo was off the charts high, both serum and urine. (I can post > > > > numbers when I have a hard copy in front of me, if anyone is > > > > interested.) The interesting thing my doctor observed was that I did > > > > not excrete a lot of sodium - he believes it's because my diet is > > > > very low sodium. (I believe it's still trapped in my body in the > > > > form of the extra 2 pounds I've been carrying around since the test!)> > > > > > > > > >> > > > > > > > > > This gives me the go-ahead for AVS, or, interestingly, > > > > he said I could skip the AVS and have the adrenalectomy. I want to > > > > be good and certain that the culprit is my left adrenal before > > > > surgery, so I think I'm going through with the AVS first. I'm aware > > > > of the high risk of inconclusive results, and the risks of the > > > > procedure in general.> > > > > > > > > >> > > > > > > > > > This brings up two questions: how common is it to skip > > > > the AVS entirely? I only heard of that recently from another member > > > > here; I had been under the impression that standard protocol was AVS > > > > before surgery.> > > > > > > > > >> > > > > > > > > > And, long shot I know, but - anybody here have their AVS > > > > done at UCLA? Or anywhere in the greater Los Angeles area? If you > > > > have an interventional radiologist in the area that you'd recommend, > > > > please let me know. Thanks!> > > > > > > > > >> > > > > > > > > >> > > > > > > > > > - 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 meds currently > > > > except 20MEQ K 2x/day; low sodium, fructose- and grain-free diet> > > > > > > > > >> > > > > > > > >> > > > > > > >> > > > > > >> > > > > >> > > > >> > > >> > > >> > > >> > >> > > >>