Re: Re: The problem with TSH test is so called normal range

[Guest guest]

AMEN

On Sat Feb 26th, 2011 1:32 PM CST Francis Bill SUSPECTED PA wrote:

>Not only listening but looking.

>

>

>>

>> >what is listed on this sheet as normal results is so different than the

>> >results my doctors office is now using

>> >their range for normal is 0.30 to 5.0 for tsh

>> >Consider in the last year my have ranged from 0.04 through 45.9 and that

>> >was why on varying amounts of thryoid drugs. I hit both ends of the

>> >spectrum, from hypo to hyperthroid.

>> >

>> >my antibodies are always off the chart

>> >

>> >> Normal Results

>> >>

>> >> Normal values are 0.4 - 4.0 mIU/L.

>> >>

>> >> However, those without signs or symptoms of an underactive thyroid who

have

>> >> a TSH value over 2.0 mIU/L but normal T4 levels may develop hypothyroidism

>> >> in the future. This is called subclinical hypothyroidism (mildly

underactive

>> >> thyroid) or early-stage hypothyroidism. Anyone with a TSH value above this

>> >> level should be followed very closely by a doctor.

>> >>

>> >> If you are being treated for a thyroid disorder, your TSH level should be

>> >> between 0.5 and 3.0 mIU/L.

>> >>

>> >> Normal value ranges may vary slightly among different laboratories. Talk

to

>> >> your doctor about the meaning of your specific test results.

>> >> What Abnormal Results Mean

>> >>

>> >> Greater than normal levels may indicate:

>> >>

>> >> - Congenital

hypothyroidism<http://www.nlm.nih.gov/medlineplus/ency/article/001193.htm>(creti\

nism)

>> >> - Exposure to mice (lab workers or veterinarians)

>> >> - Primary hypothyroidism

>> >> - Thyroid hormone resistance

>> >> - TSH-dependent hyperthyroidism

>> >>

>> >> Lower than normal levels may be due to:

>> >>

>> >> - Hyperthyroidism

>> >> - TSH deficiency

>> >> - Use of certain medications (including dopamine agonists,

>> >> glucocorticoids, somatostatin analogues, and bexarotene)

>> >>

>> >> Risks

>> >>

>> >> Veins and arteries vary in size from one patient to another and from one

>> >> side of the body to the other. Obtaining a blood sample from some people

may

>> >> be more difficult than from others.

>> >>

>> >> Other risks associated wit having blood drawn are slight but may include:

>> >>

>> >> - Excessive bleeding

>> >> - Fainting or feeling light-headed

>> >> - Hematoma (blood accumulating under the skin)

>> >> - Infection (a slight risk any time the skin is broken)

>> >>

>> >> Alternative Names

>> >>

>> >> Thyrotropin; Thyroid stimulating hormone

>> >> References

>> >>

>> >> AACE Thyroid Task Force. American Association of Clinical Endocrinologists

>> >> medical guidelines for clinical practice for the evaluation and treatment

of

>> >> hyperthyroidism and hypothyroidism. *Endocr Pract*. 2002;8(6):457-469.

>> >>

>> >> Brent GA, Larsen PR, Davies TF. Hypothyroidism and Thyroiditis. In:

>> >> Kronenberg HM, Melmed S, Polonsky KS, Larsen PR, eds. * Textbook

>> >> of Endocrinology*. 11th ed. Philadelphia, Pa: Saunders Elsevier; 2008:chap

>> >> 12.

>> >> Update Date: 4/19/2010

>> >>

>> >> Updated by: Ari S. Eckman, MD, Division of Endocrinology and Metabolism,

>> >> s Hopkins School of Medicine, Baltimore, MD. Review provided by

VeriMed

>> >> Healthcare Network. Also reviewed by Zieve, MD, MHA, Medical

Director,

>> >> A.D.A.M., Inc.

>> >> Browse the

Encyclopedia<http://www.nlm.nih.gov/medlineplus/encyclopedia.html>

>> >>

>> >> MedlinePlus Topics

>> >>

>> >> - Thyroid

Diseases<http://www.nlm.nih.gov/medlineplus/thyroiddiseases.html>

>> >>

>> >> Images

>> >> [image: Endocrine glands]Endocrine

glands<http://www.nlm.nih.gov/medlineplus/ency/imagepages/1093.htm>

>> >> [image: Pituitary and TSH]Pituitary and

TSH<http://www.nlm.nih.gov/medlineplus/ency/imagepages/9971.htm>

>> >>

>> >> Read More

>> >>

>> >> - Hyperthyroidism <http://../article/000356.htm>

>> >>

>> >> [image: A.D.A.M Quality Logo]

>> >>

>> >> A.D.A.M., Inc. is accredited by URAC, also known as the American

>> >> Accreditation HealthCare Commission (www.urac.org). URAC's accreditation

>> >> program is an independent audit to verify that A.D.A.M. follows rigorous

>> >> standards of quality and accountability. A.D.A.M. is among the first to

>> >> achieve this important distinction for online health information and

>> >> services. Learn more about A.D.A.M.'s editorial policy, editorial

processand privacy

>> >> policy. A.D.A.M. is also a founding member of Hi-Ethics and subscribes to

>> >> the principles of the Health on the Net Foundation (www.hon.ch).

>> >>

>> >> The information provided herein should not be used during any medical

>> >> emergency or for the diagnosis or treatment of any medical condition. A

>> >> licensed physician should be consulted for diagnosis and treatment of any

>> >> and all medical conditions. Call 911 for all medical emergencies. Links to

>> >> other sites are provided for information only -- they do not constitute

>> >> endorsements of those other sites. Copyright 1997-2011, A.D.A.M., Inc. Any

>> >> duplication or distribution of the information contained herein is

strictly

>> >> prohibited.

>> >> [image: A.D.A.M Logo]

>> >>

>> >> Mobile version <http://m.medlineplus.gov/>Get email

updates<http://www.nlm.nih.gov/medlineplus/listserv.html>Subscribe

>> >> to RSS <http://www.nlm.nih.gov/medlineplus/rss.html>Follow us on

Twitter<http://twitter.com/medlineplus4you>

>> >>

>> >> Disclaimers

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<http://www.nlm.nih.gov/medlineplus/privacy.html>Accessibility<http://www.nlm.ni\

h.gov/medlineplus/accessibility.html>Quality

>> >> Guidelines <http://www.nlm.nih.gov/medlineplus/criteria.html>

>> >> U.S. National Library of Medicine <http://www.nlm.nih.gov/>8600 Rockville

>> >> Pike, Bethesda, MD 20894U.S. Department of Health and Human

Services<http://www.hhs.gov/>National

>> >> Institutes of Health <http://www.nih.gov/>

>> >> Page last updated: 25 January 2011

>> >>

>> >>

>> >>

>>

>

>

[Guest guest]

Remember these values are still somewhat mysterious to science. SYMPTOMS? I

would bring it up if they are there.

On Sat Feb 26th, 2011 1:59 PM CST Francis Bill SUSPECTED PA wrote:

>I am posting some of my thryoid tests. As you can see they are so called

normal. However after reading a TSH value over 2.0 mIU/L but normal T4 levels

may develop hypothyroidism they may not be so normal.

>

>My free T4 is right at the end of the low side.

>

>

>SERUM TSH T4,Fre

>Ref range low .35 .6

>Ref range hi 5.5 1.6

>g/dL

>------ ------

>01/04/2009 2.80

>01/08/2008 2.21

>06/23/2007 1.45

>08/04/2006 2.34 0.6

>11/16/2005 1.27

>08/29/2005 1.55

>

>

>> >>

>> >> >what is listed on this sheet as normal results is so different than the

>> >> >results my doctors office is now using

>> >> >their range for normal is 0.30 to 5.0 for tsh

>> >> >Consider in the last year my have ranged from 0.04 through 45.9 and that

>> >> >was why on varying amounts of thryoid drugs. I hit both ends of the

>> >> >spectrum, from hypo to hyperthroid.

>> >> >

>> >> >my antibodies are always off the chart

>> >> >

>> >> >> Normal Results

>> >> >>

>> >> >> Normal values are 0.4 - 4.0 mIU/L.

>> >> >>

>> >> >> However, those without signs or symptoms of an underactive thyroid who

have

>> >> >> a TSH value over 2.0 mIU/L but normal T4 levels may develop

hypothyroidism

>> >> >> in the future. This is called subclinical hypothyroidism (mildly

underactive

>> >> >> thyroid) or early-stage hypothyroidism. Anyone with a TSH value above

this

>> >> >> level should be followed very closely by a doctor.

>> >> >>

>> >> >> If you are being treated for a thyroid disorder, your TSH level should

be

>> >> >> between 0.5 and 3.0 mIU/L.

>> >> >>

>> >> >> Normal value ranges may vary slightly among different laboratories.

Talk to

>> >> >> your doctor about the meaning of your specific test results.

>> >> >> What Abnormal Results Mean

>> >> >>

>> >> >> Greater than normal levels may indicate:

>> >> >>

>> >> >> - Congenital

hypothyroidism<http://www.nlm.nih.gov/medlineplus/ency/article/001193.htm>(creti\

nism)

>> >> >> - Exposure to mice (lab workers or veterinarians)

>> >> >> - Primary hypothyroidism

>> >> >> - Thyroid hormone resistance

>> >> >> - TSH-dependent hyperthyroidism

>> >> >>

>> >> >> Lower than normal levels may be due to:

>> >> >>

>> >> >> - Hyperthyroidism

>> >> >> - TSH deficiency

>> >> >> - Use of certain medications (including dopamine agonists,

>> >> >> glucocorticoids, somatostatin analogues, and bexarotene)

>> >> >>

>> >> >> Risks

>> >> >>

>> >> >> Veins and arteries vary in size from one patient to another and from

one

>> >> >> side of the body to the other. Obtaining a blood sample from some

people may

>> >> >> be more difficult than from others.

>> >> >>

>> >> >> Other risks associated wit having blood drawn are slight but may

include:

>> >> >>

>> >> >> - Excessive bleeding

>> >> >> - Fainting or feeling light-headed

>> >> >> - Hematoma (blood accumulating under the skin)

>> >> >> - Infection (a slight risk any time the skin is broken)

>> >> >>

>> >> >> Alternative Names

>> >> >>

>> >> >> Thyrotropin; Thyroid stimulating hormone

>> >> >> References

>> >> >>

>> >> >> AACE Thyroid Task Force. American Association of Clinical

Endocrinologists

>> >> >> medical guidelines for clinical practice for the evaluation and

treatment of

>> >> >> hyperthyroidism and hypothyroidism. *Endocr Pract*. 2002;8(6):457-469.

>> >> >>

>> >> >> Brent GA, Larsen PR, Davies TF. Hypothyroidism and Thyroiditis. In:

>> >> >> Kronenberg HM, Melmed S, Polonsky KS, Larsen PR, eds. *

Textbook

>> >> >> of Endocrinology*. 11th ed. Philadelphia, Pa: Saunders Elsevier;

2008:chap

>> >> >> 12.

>> >> >> Update Date: 4/19/2010

>> >> >>

>> >> >> Updated by: Ari S. Eckman, MD, Division of Endocrinology and

Metabolism,

>> >> >> s Hopkins School of Medicine, Baltimore, MD. Review provided by

VeriMed

>> >> >> Healthcare Network. Also reviewed by Zieve, MD, MHA, Medical

Director,

>> >> >> A.D.A.M., Inc.

>> >> >> Browse the

Encyclopedia<http://www.nlm.nih.gov/medlineplus/encyclopedia.html>

>> >> >>

>> >> >> MedlinePlus Topics

>> >> >>

>> >> >> - Thyroid

Diseases<http://www.nlm.nih.gov/medlineplus/thyroiddiseases.html>

>> >> >>

>> >> >> Images

>> >> >> [image: Endocrine glands]Endocrine

glands<http://www.nlm.nih.gov/medlineplus/ency/imagepages/1093.htm>

>> >> >> [image: Pituitary and TSH]Pituitary and

TSH<http://www.nlm.nih.gov/medlineplus/ency/imagepages/9971.htm>

>> >> >>

>> >> >> Read More

>> >> >>

>> >> >> - Hyperthyroidism <http://../article/000356.htm>

>> >> >>

>> >> >> [image: A.D.A.M Quality Logo]

>> >> >>

>> >> >> A.D.A.M., Inc. is accredited by URAC, also known as the American

>> >> >> Accreditation HealthCare Commission (www.urac.org). URAC's

accreditation

>> >> >> program is an independent audit to verify that A.D.A.M. follows

rigorous

>> >> >> standards of quality and accountability. A.D.A.M. is among the first to

>> >> >> achieve this important distinction for online health information and

>> >> >> services. Learn more about A.D.A.M.'s editorial policy, editorial

processand privacy

>> >> >> policy. A.D.A.M. is also a founding member of Hi-Ethics and subscribes

to

>> >> >> the principles of the Health on the Net Foundation (www.hon.ch).

>> >> >>

>> >> >> The information provided herein should not be used during any medical

>> >> >> emergency or for the diagnosis or treatment of any medical condition. A

>> >> >> licensed physician should be consulted for diagnosis and treatment of

any

>> >> >> and all medical conditions. Call 911 for all medical emergencies. Links

to

>> >> >> other sites are provided for information only -- they do not constitute

>> >> >> endorsements of those other sites. Copyright 1997-2011, A.D.A.M., Inc.

Any

>> >> >> duplication or distribution of the information contained herein is

strictly

>> >> >> prohibited.

>> >> >> [image: A.D.A.M Logo]

>> >> >>

>> >> >> Mobile version <http://m.medlineplus.gov/>Get email

updates<http://www.nlm.nih.gov/medlineplus/listserv.html>Subscribe

>> >> >> to RSS <http://www.nlm.nih.gov/medlineplus/rss.html>Follow us on

Twitter<http://twitter.com/medlineplus4you>

>> >> >>

>> >> >> Disclaimers

<http://www.nlm.nih.gov/medlineplus/disclaimers.html>Copyright<http://www.nlm.ni\

h.gov/medlineplus/copyright.html>

>> >> >> Privacy

<http://www.nlm.nih.gov/medlineplus/privacy.html>Accessibility<http://www.nlm.ni\

h.gov/medlineplus/accessibility.html>Quality

>> >> >> Guidelines <http://www.nlm.nih.gov/medlineplus/criteria.html>

>> >> >> U.S. National Library of Medicine <http://www.nlm.nih.gov/>8600

Rockville

>> >> >> Pike, Bethesda, MD 20894U.S. Department of Health and Human

Services<http://www.hhs.gov/>National

>> >> >> Institutes of Health <http://www.nih.gov/>

>> >> >> Page last updated: 25 January 2011

>> >> >>

>> >> >>

>> >> >>

>> >>

>> >

>> >

>>

>

>

[Guest guest]

Lyme,

especially given your history.

Val

From: hyperaldosteronism

[mailto:hyperaldosteronism ] On Behalf Of Francis Bill

SUSPECTED PA

My SX High blood pressure fulid retention

Dizziness Fatigue Tachycardia shortness of breath brain fog

>

> Remember these values are still somewhat mysterious to science. SYMPTOMS?

I would bring it up if they are there.

>

[Guest guest]

Hyper can cause systolic HTN not asDiastolicTiped sad Send form miiPhone ;-)May your pressure be low!CE Grim MDSpecializing in DifficultHypertension

My thyroid PANEL which included TSH, t3, ft3, t4 ft4, and antibodies was coming back normal before the symptoms stopped. but with hyper i KNEW the moment symptoms were gone. most agree now that thyroid labs have some lag time

On Sat Feb 26th, 2011 2:30 PM CST Francis Bill SUSPECTED PA wrote:

>Have some family history of thryoid problems.

>

>

>> > >> >>

>> > >> >> >what is listed on this sheet as normal results is so different than the

>> > >> >> >results my doctors office is now using

>> > >> >> >their range for normal is 0.30 to 5.0 for tsh

>> > >> >> >Consider in the last year my have ranged from 0.04 through 45.9 and that

>> > >> >> >was why on varying amounts of thryoid drugs. I hit both ends of the

>> > >> >> >spectrum, from hypo to hyperthroid.

>> > >> >> >

>> > >> >> >my antibodies are always off the chart

>> > >> >> >

>> > >> >> >> Normal Results

>> > >> >> >>

>> > >> >> >> Normal values are 0.4 - 4.0 mIU/L.

>> > >> >> >>

>> > >> >> >> However, those without signs or symptoms of an underactive thyroid who have

>> > >> >> >> a TSH value over 2.0 mIU/L but normal T4 levels may develop hypothyroidism

>> > >> >> >> in the future. This is called subclinical hypothyroidism (mildly underactive

>> > >> >> >> thyroid) or early-stage hypothyroidism. Anyone with a TSH value above this

>> > >> >> >> level should be followed very closely by a doctor.

>> > >> >> >>

>> > >> >> >> If you are being treated for a thyroid disorder, your TSH level should be

>> > >> >> >> between 0.5 and 3.0 mIU/L.

>> > >> >> >>

>> > >> >> >> Normal value ranges may vary slightly among different laboratories. Talk to

>> > >> >> >> your doctor about the meaning of your specific test results.

>> > >> >> >> What Abnormal Results Mean

>> > >> >> >>

>> > >> >> >> Greater than normal levels may indicate:

>> > >> >> >>

>> > >> >> >> - Congenital hypothyroidism<http://www.nlm.nih.gov/medlineplus/ency/article/001193.htm>(cretinism)

>> > >> >> >> - Exposure to mice (lab workers or veterinarians)

>> > >> >> >> - Primary hypothyroidism

>> > >> >> >> - Thyroid hormone resistance

>> > >> >> >> - TSH-dependent hyperthyroidism

>> > >> >> >>

>> > >> >> >> Lower than normal levels may be due to:

>> > >> >> >>

>> > >> >> >> - Hyperthyroidism

>> > >> >> >> - TSH deficiency

>> > >> >> >> - Use of certain medications (including dopamine agonists,

>> > >> >> >> glucocorticoids, somatostatin analogues, and bexarotene)

>> > >> >> >>

>> > >> >> >> Risks

>> > >> >> >>

>> > >> >> >> Veins and arteries vary in size from one patient to another and from one

>> > >> >> >> side of the body to the other. Obtaining a blood sample from some people may

>> > >> >> >> be more difficult than from others.

>> > >> >> >>

>> > >> >> >> Other risks associated wit having blood drawn are slight but may include:

>> > >> >> >>

>> > >> >> >> - Excessive bleeding

>> > >> >> >> - Fainting or feeling light-headed

>> > >> >> >> - Hematoma (blood accumulating under the skin)

>> > >> >> >> - Infection (a slight risk any time the skin is broken)

>> > >> >> >>

>> > >> >> >> Alternative Names

>> > >> >> >>

>> > >> >> >> Thyrotropin; Thyroid stimulating hormone

>> > >> >> >> References

>> > >> >> >>

>> > >> >> >> AACE Thyroid Task Force. American Association of Clinical Endocrinologists

>> > >> >> >> medical guidelines for clinical practice for the evaluation and treatment of

>> > >> >> >> hyperthyroidism and hypothyroidism. *Endocr Pract*. 2002;8(6):457-469.

>> > >> >> >>

>> > >> >> >> Brent GA, Larsen PR, Davies TF. Hypothyroidism and Thyroiditis. In:

>> > >> >> >> Kronenberg HM, Melmed S, Polonsky KS, Larsen PR, eds. * Textbook

>> > >> >> >> of Endocrinology*. 11th ed. Philadelphia, Pa: Saunders Elsevier; 2008:chap

>> > >> >> >> 12.

>> > >> >> >> Update Date: 4/19/2010

>> > >> >> >>

>> > >> >> >> Updated by: Ari S. Eckman, MD, Division of Endocrinology and Metabolism,

>> > >> >> >> s Hopkins School of Medicine, Baltimore, MD. Review provided by VeriMed

>> > >> >> >> Healthcare Network. Also reviewed by Zieve, MD, MHA, Medical Director,

>> > >> >> >> A.D.A.M., Inc.

>> > >> >> >> Browse the Encyclopedia<http://www.nlm.nih.gov/medlineplus/encyclopedia.html>

>> > >> >> >>

>> > >> >> >> MedlinePlus Topics

>> > >> >> >>

>> > >> >> >> - Thyroid Diseases<http://www.nlm.nih.gov/medlineplus/thyroiddiseases.html>

>> > >> >> >>

>> > >> >> >> Images

>> > >> >> >> [image: Endocrine glands]Endocrine glands<http://www.nlm.nih.gov/medlineplus/ency/imagepages/1093.htm>

>> > >> >> >> [image: Pituitary and TSH]Pituitary and TSH<http://www.nlm.nih.gov/medlineplus/ency/imagepages/9971.htm>

>> > >> >> >>

>> > >> >> >> Read More

>> > >> >> >>

>> > >> >> >> - Hyperthyroidism <http://../article/000356.htm>

>> > >> >> >>

>> > >> >> >> [image: A.D.A.M Quality Logo]

>> > >> >> >>

>> > >> >> >> A.D.A.M., Inc. is accredited by URAC, also known as the American

>> > >> >> >> Accreditation HealthCare Commission (www.urac.org). URAC's accreditation

>> > >> >> >> program is an independent audit to verify that A.D.A.M. follows rigorous

>> > >> >> >> standards of quality and accountability. A.D.A.M. is among the first to

>> > >> >> >> achieve this important distinction for online health information and

>> > >> >> >> services. Learn more about A.D.A.M.'s editorial policy, editorial processand privacy

>> > >> >> >> policy. A.D.A.M. is also a founding member of Hi-Ethics and subscribes to

>> > >> >> >> the principles of the Health on the Net Foundation (www.hon.ch).

>> > >> >> >>

>> > >> >> >> The information provided herein should not be used during any medical

>> > >> >> >> emergency or for the diagnosis or treatment of any medical condition. A

>> > >> >> >> licensed physician should be consulted for diagnosis and treatment of any

>> > >> >> >> and all medical conditions. Call 911 for all medical emergencies. Links to

>> > >> >> >> other sites are provided for information only -- they do not constitute

>> > >> >> >> endorsements of those other sites. Copyright 1997-2011, A.D.A.M., Inc. Any

>> > >> >> >> duplication or distribution of the information contained herein is strictly

>> > >> >> >> prohibited.

>> > >> >> >> [image: A.D.A.M Logo]

>> > >> >> >>

>> > >> >> >> Mobile version <http://m.medlineplus.gov/>Get email updates<http://www.nlm.nih.gov/medlineplus/listserv.html>Subscribe

>> > >> >> >> to RSS <http://www.nlm.nih.gov/medlineplus/rss.html>Follow us on Twitter<http://twitter.com/medlineplus4you>

>> > >> >> >>

>> > >> >> >> Disclaimers <http://www.nlm.nih.gov/medlineplus/disclaimers.html>Copyright<http://www.nlm.nih.gov/medlineplus/copyright.html>

>> > >> >> >> Privacy <http://www.nlm.nih.gov/medlineplus/privacy.html>Accessibility<http://www.nlm.nih.gov/medlineplus/accessibility.html>Quality

>> > >> >> >> Guidelines <http://www.nlm.nih.gov/medlineplus/criteria.html>

>> > >> >> >> U.S. National Library of Medicine <http://www.nlm.nih.gov/>8600 Rockville

>> > >> >> >> Pike, Bethesda, MD 20894U.S. Department of Health and Human Services<http://www.hhs.gov/>National

>> > >> >> >> Institutes of Health <http://www.nih.gov/>

>> > >> >> >> Page last updated: 25 January 2011

>> > >> >> >>

>> > >> >> >>

>> > >> >> >>

>> > >> >>

>> > >> >

>> > >> >

>> > >>

>> > >

>> > >

>> >

>>

>

>

[Guest guest]

But we also have pa

>Hyper can cause systolic HTN not as

>

>Diastolic

>

>Tiped sad Send form mi

>iPhone ;-)

>

>May your pressure be low!

>

>CE Grim MD

>Specializing in Difficult

>Hypertension

>

>

>

>> My thyroid PANEL which included TSH, t3, ft3, t4 ft4, and antibodies was

coming back normal before the symptoms stopped. but with hyper i KNEW the moment

symptoms were gone. most agree now that thyroid labs have some lag time

>>

>> On Sat Feb 26th, 2011 2:30 PM CST Francis Bill SUSPECTED PA wrote:

>>

>> >Have some family history of thryoid problems.

>> >

>> >

>> >> > >> >>

>> >> > >> >> >what is listed on this sheet as normal results is so different

than the

>> >> > >> >> >results my doctors office is now using

>> >> > >> >> >their range for normal is 0.30 to 5.0 for tsh

>> >> > >> >> >Consider in the last year my have ranged from 0.04 through 45.9

and that

>> >> > >> >> >was why on varying amounts of thryoid drugs. I hit both ends of

the

>> >> > >> >> >spectrum, from hypo to hyperthroid.

>> >> > >> >> >

>> >> > >> >> >my antibodies are always off the chart

>> >> > >> >> >

>> >> > >> >> >> Normal Results

>> >> > >> >> >>

>> >> > >> >> >> Normal values are 0.4 - 4.0 mIU/L.

>> >> > >> >> >>

>> >> > >> >> >> However, those without signs or symptoms of an underactive

thyroid who have

>> >> > >> >> >> a TSH value over 2.0 mIU/L but normal T4 levels may develop

hypothyroidism

>> >> > >> >> >> in the future. This is called subclinical hypothyroidism

(mildly underactive

>> >> > >> >> >> thyroid) or early-stage hypothyroidism. Anyone with a TSH value

above this

>> >> > >> >> >> level should be followed very closely by a doctor.

>> >> > >> >> >>

>> >> > >> >> >> If you are being treated for a thyroid disorder, your TSH level

should be

>> >> > >> >> >> between 0.5 and 3.0 mIU/L.

>> >> > >> >> >>

>> >> > >> >> >> Normal value ranges may vary slightly among different

laboratories. Talk to

>> >> > >> >> >> your doctor about the meaning of your specific test results.

>> >> > >> >> >> What Abnormal Results Mean

>> >> > >> >> >>

>> >> > >> >> >> Greater than normal levels may indicate:

>> >> > >> >> >>

>> >> > >> >> >> - Congenital

hypothyroidism<http://www.nlm.nih.gov/medlineplus/ency/article/001193.htm>(creti\

nism)

>> >> > >> >> >> - Exposure to mice (lab workers or veterinarians)

>> >> > >> >> >> - Primary hypothyroidism

>> >> > >> >> >> - Thyroid hormone resistance

>> >> > >> >> >> - TSH-dependent hyperthyroidism

>> >> > >> >> >>

>> >> > >> >> >> Lower than normal levels may be due to:

>> >> > >> >> >>

>> >> > >> >> >> - Hyperthyroidism

>> >> > >> >> >> - TSH deficiency

>> >> > >> >> >> - Use of certain medications (including dopamine agonists,

>> >> > >> >> >> glucocorticoids, somatostatin analogues, and bexarotene)

>> >> > >> >> >>

>> >> > >> >> >> Risks

>> >> > >> >> >>

>> >> > >> >> >> Veins and arteries vary in size from one patient to another and

from one

>> >> > >> >> >> side of the body to the other. Obtaining a blood sample from

some people may

>> >> > >> >> >> be more difficult than from others.

>> >> > >> >> >>

>> >> > >> >> >> Other risks associated wit having blood drawn are slight but

may include:

>> >> > >> >> >>

>> >> > >> >> >> - Excessive bleeding

>> >> > >> >> >> - Fainting or feeling light-headed

>> >> > >> >> >> - Hematoma (blood accumulating under the skin)

>> >> > >> >> >> - Infection (a slight risk any time the skin is broken)

>> >> > >> >> >>

>> >> > >> >> >> Alternative Names

>> >> > >> >> >>

>> >> > >> >> >> Thyrotropin; Thyroid stimulating hormone

>> >> > >> >> >> References

>> >> > >> >> >>

>> >> > >> >> >> AACE Thyroid Task Force. American Association of Clinical

Endocrinologists

>> >> > >> >> >> medical guidelines for clinical practice for the evaluation and

treatment of

>> >> > >> >> >> hyperthyroidism and hypothyroidism. *Endocr Pract*.

2002;8(6):457-469.

>> >> > >> >> >>

>> >> > >> >> >> Brent GA, Larsen PR, Davies TF. Hypothyroidism and Thyroiditis.

In:

>> >> > >> >> >> Kronenberg HM, Melmed S, Polonsky KS, Larsen PR, eds. *

Textbook

>> >> > >> >> >> of Endocrinology*. 11th ed. Philadelphia, Pa: Saunders

Elsevier; 2008:chap

>> >> > >> >> >> 12.

>> >> > >> >> >> Update Date: 4/19/2010

>> >> > >> >> >>

>> >> > >> >> >> Updated by: Ari S. Eckman, MD, Division of Endocrinology and

Metabolism,

>> >> > >> >> >> s Hopkins School of Medicine, Baltimore, MD. Review

provided by VeriMed

>> >> > >> >> >> Healthcare Network. Also reviewed by Zieve, MD, MHA,

Medical Director,

>> >> > >> >> >> A.D.A.M., Inc.

>> >> > >> >> >> Browse the

Encyclopedia<http://www.nlm.nih.gov/medlineplus/encyclopedia.html>

>> >> > >> >> >>

>> >> > >> >> >> MedlinePlus Topics

>> >> > >> >> >>

>> >> > >> >> >> - Thyroid

Diseases<http://www.nlm.nih.gov/medlineplus/thyroiddiseases.html>

>> >> > >> >> >>

>> >> > >> >> >> Images

>> >> > >> >> >> [image: Endocrine glands]Endocrine

glands<http://www.nlm.nih.gov/medlineplus/ency/imagepages/1093.htm>

>> >> > >> >> >> [image: Pituitary and TSH]Pituitary and

TSH<http://www.nlm.nih.gov/medlineplus/ency/imagepages/9971.htm>

>> >> > >> >> >>

>> >> > >> >> >> Read More

>> >> > >> >> >>

>> >> > >> >> >> - Hyperthyroidism <http://../article/000356.htm>

>> >> > >> >> >>

>> >> > >> >> >> [image: A.D.A.M Quality Logo]

>> >> > >> >> >>

>> >> > >> >> >> A.D.A.M., Inc. is accredited by URAC, also known as the

American

>> >> > >> >> >> Accreditation HealthCare Commission (www.urac.org). URAC's

accreditation

>> >> > >> >> >> program is an independent audit to verify that A.D.A.M. follows

rigorous

>> >> > >> >> >> standards of quality and accountability. A.D.A.M. is among the

first to

>> >> > >> >> >> achieve this important distinction for online health

information and

>> >> > >> >> >> services. Learn more about A.D.A.M.'s editorial policy,

editorial processand privacy

>> >> > >> >> >> policy. A.D.A.M. is also a founding member of Hi-Ethics and

subscribes to

>> >> > >> >> >> the principles of the Health on the Net Foundation

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medical

>> >> > >> >> >> emergency or for the diagnosis or treatment of any medical

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>> >> > >> >> >> licensed physician should be consulted for diagnosis and

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>> >> > >> >> >> and all medical conditions. Call 911 for all medical

emergencies. Links to

>> >> > >> >> >> other sites are provided for information only -- they do not

constitute

>> >> > >> >> >> endorsements of those other sites. Copyright 1997-2011,

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>> >> > >> >> >> prohibited.

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>> >> > >> >> >>

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>> >> > >> >> >> U.S. National Library of Medicine <http://www.nlm.nih.gov/>8600

Rockville

>> >> > >> >> >> Pike, Bethesda, MD 20894U.S. Department of Health and Human

Services<http://www.hhs.gov/>National

>> >> > >> >> >> Institutes of Health <http://www.nih.gov/>

>> >> > >> >> >> Page last updated: 25 January 2011

>> >> > >> >> >>

>> >> > >> >> >>

>> >> > >> >> >>

>> >> > >> >>

>> >> > >> >

>> >> > >> >

>> >> > >>

>> >> > >

>> >> > >

>> >> >

>> >>

>> >

>> >

>>

>>

[Guest guest]

At least it is something to consider. i lost 12lbs in about 3 months with hyper

and had noticed my normally slow heart rate always way over 100. that and

INCREDIBLE insomnia and my heart at nite beat so hard in my chest i would have

to sit up! I already had PA (the low K

and critically high BP) but it hadnt been diagnosed yet.

On Sun Feb 27th, 2011 8:00 AM CST Francis Bill SUSPECTED PA wrote:

>Weight gain of about 30#. But some of this I think is from not being as active

as before SX all started. Over the past few months have lost about 7#

>

>

>> >>

>> >> Remember these values are still somewhat mysterious to science. SYMPTOMS?

>> >I would bring it up if they are there.

>> >>

>> >

>> >

>>

>

>

[Guest guest]

I had two weeks with mostly very low bp 90/55. Couldn't get up much at all. Now today I am having very high bp 170/101 and I took a second dose of verapamil today with no lowering of bpTomorrow I'm going to call my primary care and ask for labsAldo and renin and thyroid. I've looked up thyroid symptoms and a lot fit. Especially odd is the low body temp and loss of eyebrows. My hair is thinning too. I have had my thyroid checked before and was told it was normal but then I was on tamoxifen and it gives false negatives. So fingers crossed I'll get a dr to listen and get to the bottom of this. I'm really appreciating the knowledge here. Thanks everyone! JaNelle Gottlieb

But we also have pa

>Hyper can cause systolic HTN not as

>

>Diastolic

>

>Tiped sad Send form mi

>iPhone ;-)

>

>May your pressure be low!

>

>CE Grim MD

>Specializing in Difficult

>Hypertension

>

>

>

>> My thyroid PANEL which included TSH, t3, ft3, t4 ft4, and antibodies was coming back normal before the symptoms stopped. but with hyper i KNEW the moment symptoms were gone. most agree now that thyroid labs have some lag time

>>

>> On Sat Feb 26th, 2011 2:30 PM CST Francis Bill SUSPECTED PA wrote:

>>

>> >Have some family history of thryoid problems.

>> >

>> >

>> >> > >> >>

>> >> > >> >> >what is listed on this sheet as normal results is so different than the

>> >> > >> >> >results my doctors office is now using

>> >> > >> >> >their range for normal is 0.30 to 5.0 for tsh

>> >> > >> >> >Consider in the last year my have ranged from 0.04 through 45.9 and that

>> >> > >> >> >was why on varying amounts of thryoid drugs. I hit both ends of the

>> >> > >> >> >spectrum, from hypo to hyperthroid.

>> >> > >> >> >

>> >> > >> >> >my antibodies are always off the chart

>> >> > >> >> >

>> >> > >> >> >> Normal Results

>> >> > >> >> >>

>> >> > >> >> >> Normal values are 0.4 - 4.0 mIU/L.

>> >> > >> >> >>

>> >> > >> >> >> However, those without signs or symptoms of an underactive thyroid who have

>> >> > >> >> >> a TSH value over 2.0 mIU/L but normal T4 levels may develop hypothyroidism

>> >> > >> >> >> in the future. This is called subclinical hypothyroidism (mildly underactive

>> >> > >> >> >> thyroid) or early-stage hypothyroidism. Anyone with a TSH value above this

>> >> > >> >> >> level should be followed very closely by a doctor.

>> >> > >> >> >>

>> >> > >> >> >> If you are being treated for a thyroid disorder, your TSH level should be

>> >> > >> >> >> between 0.5 and 3.0 mIU/L.

>> >> > >> >> >>

>> >> > >> >> >> Normal value ranges may vary slightly among different laboratories. Talk to

>> >> > >> >> >> your doctor about the meaning of your specific test results.

>> >> > >> >> >> What Abnormal Results Mean

>> >> > >> >> >>

>> >> > >> >> >> Greater than normal levels may indicate:

>> >> > >> >> >>

>> >> > >> >> >> - Congenital hypothyroidism<http://www.nlm.nih.gov/medlineplus/ency/article/001193.htm>(cretinism)

>> >> > >> >> >> - Exposure to mice (lab workers or veterinarians)

>> >> > >> >> >> - Primary hypothyroidism

>> >> > >> >> >> - Thyroid hormone resistance

>> >> > >> >> >> - TSH-dependent hyperthyroidism

>> >> > >> >> >>

>> >> > >> >> >> Lower than normal levels may be due to:

>> >> > >> >> >>

>> >> > >> >> >> - Hyperthyroidism

>> >> > >> >> >> - TSH deficiency

>> >> > >> >> >> - Use of certain medications (including dopamine agonists,

>> >> > >> >> >> glucocorticoids, somatostatin analogues, and bexarotene)

>> >> > >> >> >>

>> >> > >> >> >> Risks

>> >> > >> >> >>

>> >> > >> >> >> Veins and arteries vary in size from one patient to another and from one

>> >> > >> >> >> side of the body to the other. Obtaining a blood sample from some people may

>> >> > >> >> >> be more difficult than from others.

>> >> > >> >> >>

>> >> > >> >> >> Other risks associated wit having blood drawn are slight but may include:

>> >> > >> >> >>

>> >> > >> >> >> - Excessive bleeding

>> >> > >> >> >> - Fainting or feeling light-headed

>> >> > >> >> >> - Hematoma (blood accumulating under the skin)

>> >> > >> >> >> - Infection (a slight risk any time the skin is broken)

>> >> > >> >> >>

>> >> > >> >> >> Alternative Names

>> >> > >> >> >>

>> >> > >> >> >> Thyrotropin; Thyroid stimulating hormone

>> >> > >> >> >> References

>> >> > >> >> >>

>> >> > >> >> >> AACE Thyroid Task Force. American Association of Clinical Endocrinologists

>> >> > >> >> >> medical guidelines for clinical practice for the evaluation and treatment of

>> >> > >> >> >> hyperthyroidism and hypothyroidism. *Endocr Pract*. 2002;8(6):457-469.

>> >> > >> >> >>

>> >> > >> >> >> Brent GA, Larsen PR, Davies TF. Hypothyroidism and Thyroiditis. In:

>> >> > >> >> >> Kronenberg HM, Melmed S, Polonsky KS, Larsen PR, eds. * Textbook

>> >> > >> >> >> of Endocrinology*. 11th ed. Philadelphia, Pa: Saunders Elsevier; 2008:chap

>> >> > >> >> >> 12.

>> >> > >> >> >> Update Date: 4/19/2010

>> >> > >> >> >>

>> >> > >> >> >> Updated by: Ari S. Eckman, MD, Division of Endocrinology and Metabolism,

>> >> > >> >> >> s Hopkins School of Medicine, Baltimore, MD. Review provided by VeriMed

>> >> > >> >> >> Healthcare Network. Also reviewed by Zieve, MD, MHA, Medical Director,

>> >> > >> >> >> A.D.A.M., Inc.

>> >> > >> >> >> Browse the Encyclopedia<http://www.nlm.nih.gov/medlineplus/encyclopedia.html>

>> >> > >> >> >>

>> >> > >> >> >> MedlinePlus Topics

>> >> > >> >> >>

>> >> > >> >> >> - Thyroid Diseases<http://www.nlm.nih.gov/medlineplus/thyroiddiseases.html>

>> >> > >> >> >>

>> >> > >> >> >> Images

>> >> > >> >> >> [image: Endocrine glands]Endocrine glands<http://www.nlm.nih.gov/medlineplus/ency/imagepages/1093.htm>

>> >> > >> >> >> [image: Pituitary and TSH]Pituitary and TSH<http://www.nlm.nih.gov/medlineplus/ency/imagepages/9971.htm>

>> >> > >> >> >>

>> >> > >> >> >> Read More

>> >> > >> >> >>

>> >> > >> >> >> - Hyperthyroidism <http://../article/000356.htm>

>> >> > >> >> >>

>> >> > >> >> >> [image: A.D.A.M Quality Logo]

>> >> > >> >> >>

>> >> > >> >> >> A.D.A.M., Inc. is accredited by URAC, also known as the American

>> >> > >> >> >> Accreditation HealthCare Commission (www.urac.org). URAC's accreditation

>> >> > >> >> >> program is an independent audit to verify that A.D.A.M. follows rigorous

>> >> > >> >> >> standards of quality and accountability. A.D.A.M. is among the first to

>> >> > >> >> >> achieve this important distinction for online health information and

>> >> > >> >> >> services. Learn more about A.D.A.M.'s editorial policy, editorial processand privacy

>> >> > >> >> >> policy. A.D.A.M. is also a founding member of Hi-Ethics and subscribes to

>> >> > >> >> >> the principles of the Health on the Net Foundation (www.hon.ch).

>> >> > >> >> >>

>> >> > >> >> >> The information provided herein should not be used during any medical

>> >> > >> >> >> emergency or for the diagnosis or treatment of any medical condition. A

>> >> > >> >> >> licensed physician should be consulted for diagnosis and treatment of any

>> >> > >> >> >> and all medical conditions. Call 911 for all medical emergencies. Links to

>> >> > >> >> >> other sites are provided for information only -- they do not constitute

>> >> > >> >> >> endorsements of those other sites. Copyright 1997-2011, A.D.A.M., Inc. Any

>> >> > >> >> >> duplication or distribution of the information contained herein is strictly

>> >> > >> >> >> prohibited.

>> >> > >> >> >> [image: A.D.A.M Logo]

>> >> > >> >> >>

>> >> > >> >> >> Mobile version <http://m.medlineplus.gov/>Get email updates<http://www.nlm.nih.gov/medlineplus/listserv.html>Subscribe

>> >> > >> >> >> to RSS <http://www.nlm.nih.gov/medlineplus/rss.html>Follow us on Twitter<http://twitter.com/medlineplus4you>

>> >> > >> >> >>

>> >> > >> >> >> Disclaimers <http://www.nlm.nih.gov/medlineplus/disclaimers.html>Copyright<http://www.nlm.nih.gov/medlineplus/copyright.html>

>> >> > >> >> >> Privacy <http://www.nlm.nih.gov/medlineplus/privacy.html>Accessibility<http://www.nlm.nih.gov/medlineplus/accessibility.html>Quality

>> >> > >> >> >> Guidelines <http://www.nlm.nih.gov/medlineplus/criteria.html>

>> >> > >> >> >> U.S. National Library of Medicine <http://www.nlm.nih.gov/>8600 Rockville

>> >> > >> >> >> Pike, Bethesda, MD 20894U.S. Department of Health and Human Services<http://www.hhs.gov/>National

>> >> > >> >> >> Institutes of Health <http://www.nih.gov/>

>> >> > >> >> >> Page last updated: 25 January 2011

>> >> > >> >> >>

>> >> > >> >> >>

>> >> > >> >> >>

>> >> > >> >>

>> >> > >> >

>> >> > >> >

>> >> > >>

>> >> > >

>> >> > >

>> >> >

>> >>

>> >

>> >

>>

>>

[Guest guest]

I posted some research that indicated CCBs like Amlodipine actually block

Aldos by doing something to the calcium channels of adrenal glands.

Amlodipine was most effective bp lowering my bp before Spiro and still I use

it with Spiro. Dr. Grim confirmed this 1st and I found published paper on it

too. BUT mostly was about Amlodipine.

Max.

61M L adenoma by NP59 scan. High aldos not low renin. med combo

#75={Spiro=100, Amlo=10, Indap=2.5, Ramip=5, Metf=1000, Prav=40, Feno=67,

K.cl=120 mEq}

|

|Verapamil is a calcium channel blocker. I know from my own

|experience that CCBs do not lower my BP, they actually *raise*

|it. I feel like I've read an article that said this was often

|the case with PA patients - Dr. Grim, have you observed this?

|

|

|>

|> I had two weeks with mostly very low bp 90/55. Couldn't get

|up much at

|> all. Now today I am having very high bp 170/101 and I took a second

|> dose of verapamil today with no lowering of bp Tomorrow I'm

|going to call my primary care and ask for labs Aldo and renin

|and thyroid.

|> I've looked up thyroid symptoms and a lot fit.

|> Especially odd is the low body temp and loss of eyebrows.

|My hair is thinning too. I have had my thyroid checked before

|and was told it was normal but then I was on tamoxifen and it

|gives false negatives. So fingers crossed I'll get a dr to

|listen and get to the bottom of this.

|> I'm really appreciating the knowledge here. Thanks everyone!

|> JaNelle Gottlieb

[Guest guest]

Why tamoxifen? List all drugs you are on.Need your on sentence summary so I can tell you apart from the other 500 we have here.CE Grim MDI had two weeks with mostly very low bp 90/55. Couldn't get up much at all. Now today I am having very high bp 170/101 and I took a second dose of verapamil today with no lowering of bpTomorrow I'm going to call my primary care and ask for labsAldo and renin and thyroid. I've looked up thyroid symptoms and a lot fit. Especially odd is the low body temp and loss of eyebrows. My hair is thinning too. I have had my thyroid checked before and was told it was normal but then I was on tamoxifen and it gives false negatives. So fingers crossed I'll get a dr to listen and get to the bottom of this. I'm really appreciating the knowledge here. Thanks everyone! JaNelle Gottlieb But we also have pa>Hyper can cause systolic HTN not as>>Diastolic>>Tiped sad Send form mi>iPhone ;-)>>May your pressure be low!>>CE Grim MD>Specializing in Difficult>Hypertension>>>>> My thyroid PANEL which included TSH, t3, ft3, t4 ft4, and antibodies was coming back normal before the symptoms stopped. but with hyper i KNEW the moment symptoms were gone. most agree now that thyroid labs have some lag time>> >> On Sat Feb 26th, 2011 2:30 PM CST Francis Bill SUSPECTED PA wrote:>> >> >Have some family history of thryoid problems.>> >>> >>> >> > >> >> >> >> > >> >> >what is listed on this sheet as normal results is so different than the>> >> > >> >> >results my doctors office is now using>> >> > >> >> >their range for normal is 0.30 to 5.0 for tsh>> >> > >> >> >Consider in the last year my have ranged from 0.04 through 45.9 and that>> >> > >> >> >was why on varying amounts of thryoid drugs. I hit both ends of the>> >> > >> >> >spectrum, from hypo to hyperthroid.>> >> > >> >> >>> >> > >> >> >my antibodies are always off the chart>> >> > >> >> >>> >> > >> >> >> Normal Results>> >> > >> >> >>>> >> > >> >> >> Normal values are 0.4 - 4.0 mIU/L.>> >> > >> >> >>>> >> > >> >> >> However, those without signs or symptoms of an underactive thyroid who have>> >> > >> >> >> a TSH value over 2.0 mIU/L but normal T4 levels may develop hypothyroidism>> >> > >> >> >> in the future. This is called subclinical hypothyroidism (mildly underactive>> >> > >> >> >> thyroid) or early-stage hypothyroidism. Anyone with a TSH value above this>> >> > >> >> >> level should be followed very closely by a doctor.>> >> > >> >> >>>> >> > >> >> >> If you are being treated for a thyroid disorder, your TSH level should be>> >> > >> >> >> between 0.5 and 3.0 mIU/L.>> >> > >> >> >>>> >> > >> >> >> Normal value ranges may vary slightly among different laboratories. Talk to>> >> > >> >> >> your doctor about the meaning of your specific test results.>> >> > >> >> >> What Abnormal Results Mean>> >> > >> >> >>>> >> > >> >> >> Greater than normal levels may indicate:>> >> > >> >> >>>> >> > >> >> >> - Congenital hypothyroidism<http://www.nlm.nih.gov/medlineplus/ency/article/001193.htm>(cretinism)>> >> > >> >> >> - Exposure to mice (lab workers or veterinarians)>> >> > >> >> >> - Primary hypothyroidism>> >> > >> >> >> - Thyroid hormone resistance>> >> > >> >> >> - TSH-dependent hyperthyroidism>> >> > >> >> >>>> >> > >> >> >> Lower than normal levels may be due to:>> >> > >> >> >>>> >> > >> >> >> - Hyperthyroidism>> >> > >> >> >> - TSH deficiency>> >> > >> >> >> - Use of certain medications (including dopamine agonists,>> >> > >> >> >> glucocorticoids, somatostatin analogues, and bexarotene)>> >> > >> >> >>>> >> > >> >> >> Risks>> >> > >> >> >>>> >> > >> >> >> Veins and arteries vary in size from one patient to another and from one>> >> > >> >> >> side of the body to the other. Obtaining a blood sample from some people may>> >> > >> >> >> be more difficult than from others.>> >> > >> >> >>>> >> > >> >> >> Other risks associated wit having blood drawn are slight but may include:>> >> > >> >> >>>> >> > >> >> >> - Excessive bleeding>> >> > >> >> >> - Fainting or feeling light-headed>> >> > >> >> >> - Hematoma (blood accumulating under the skin)>> >> > >> >> >> - Infection (a slight risk any time the skin is broken)>> >> > >> >> >>>> >> > >> >> >> Alternative Names>> >> > >> >> >>>> >> > >> >> >> Thyrotropin; Thyroid stimulating hormone>> >> > >> >> >> References>> >> > >> >> >>>> >> > >> >> >> AACE Thyroid Task Force. American Association of Clinical Endocrinologists>> >> > >> >> >> medical guidelines for clinical practice for the evaluation and treatment of>> >> > >> >> >> hyperthyroidism and hypothyroidism. *Endocr Pract*. 2002;8(6):457-469.>> >> > >> >> >>>> >> > >> >> >> Brent GA, Larsen PR, Davies TF. Hypothyroidism and Thyroiditis. In:>> >> > >> >> >> Kronenberg HM, Melmed S, Polonsky KS, Larsen PR, eds. * Textbook>> >> > >> >> >> of Endocrinology*. 11th ed. Philadelphia, Pa: Saunders Elsevier; 2008:chap>> >> > >> >> >> 12.>> >> > >> >> >> Update Date: 4/19/2010>> >> > >> >> >>>> >> > >> >> >> Updated by: Ari S. Eckman, MD, Division of Endocrinology and Metabolism,>> >> > >> >> >> s Hopkins School of Medicine, Baltimore, MD. Review provided by VeriMed>> >> > >> >> >> Healthcare Network. Also reviewed by Zieve, MD, MHA, Medical Director,>> >> > >> >> >> A.D.A.M., Inc.>> >> > >> >> >> Browse the Encyclopedia<http://www.nlm.nih.gov/medlineplus/encyclopedia.html>>> >> > >> >> >>>> >> > >> >> >> MedlinePlus Topics>> >> > >> >> >>>> >> > >> >> >> - Thyroid Diseases<http://www.nlm.nih.gov/medlineplus/thyroiddiseases.html>>> >> > >> >> >>>> >> > >> >> >> Images>> >> > >> >> >> [image: Endocrine glands]Endocrine glands<http://www.nlm.nih.gov/medlineplus/ency/imagepages/1093.htm>>> >> > >> >> >> [image: Pituitary and TSH]Pituitary and TSH<http://www.nlm.nih.gov/medlineplus/ency/imagepages/9971.htm>>> >> > >> >> >>>> >> > >> >> >> Read More>> >> > >> >> >>>> >> > >> >> >> - Hyperthyroidism <http://../article/000356.htm>>> >> > >> >> >>>> >> > >> >> >> [image: A.D.A.M Quality Logo]>> >> > >> >> >>>> >> > >> >> >> A.D.A.M., Inc. is accredited by URAC, also known as the American>> >> > >> >> >> Accreditation HealthCare Commission (www.urac.org). URAC's accreditation>> >> > >> >> >> program is an independent audit to verify that A.D.A.M. follows rigorous>> >> > >> >> >> standards of quality and accountability. A.D.A.M. is among the first to>> >> > >> >> >> achieve this important distinction for online health information and>> >> > >> >> >> services. Learn more about A.D.A.M.'s editorial policy, editorial processand privacy>> >> > >> >> >> policy. A.D.A.M. is also a founding member of Hi-Ethics and subscribes to>> >> > >> >> >> the principles of the Health on the Net Foundation (www.hon.ch).>> >> > >> >> >>>> >> > >> >> >> The information provided herein should not be used during any medical>> >> > >> >> >> emergency or for the diagnosis or treatment of any medical condition. A>> >> > >> >> >> licensed physician should be consulted for diagnosis and treatment of any>> >> > >> >> >> and all medical conditions. Call 911 for all medical emergencies. Links to>> >> > >> >> >> other sites are provided for information only -- they do not constitute>> >> > >> >> >> endorsements of those other sites. Copyright 1997-2011, A.D.A.M., Inc. Any>> >> > >> >> >> duplication or distribution of the information contained herein is strictly>> >> > >> >> >> prohibited.>> >> > >> >> >> [image: A.D.A.M Logo]>> >> > >> >> >>>> >> > >> >> >> Mobile version <http://m.medlineplus.gov/>Get email updates<http://www.nlm.nih.gov/medlineplus/listserv.html>Subscribe>> >> > >> >> >> to RSS <http://www.nlm.nih.gov/medlineplus/rss.html>Follow us on Twitter<http://twitter.com/medlineplus4you>>> >> > >> >> >>>> >> > >> >> >> Disclaimers <http://www.nlm.nih.gov/medlineplus/disclaimers.html>Copyright<http://www.nlm.nih.gov/medlineplus/copyright.html>>> >> > >> >> >> Privacy <http://www.nlm.nih.gov/medlineplus/privacy.html>Accessibility<http://www.nlm.nih.gov/medlineplus/accessibility.html>Quality>> >> > >> >> >> Guidelines <http://www.nlm.nih.gov/medlineplus/criteria.html>>> >> > >> >> >> U.S. National Library of Medicine <http://www.nlm.nih.gov/>8600 Rockville>> >> > >> >> >> Pike, Bethesda, MD 20894U.S. Department of Health and Human Services<http://www.hhs.gov/>National>> >> > >> >> >> Institutes of Health <http://www.nih.gov/>>> >> > >> >> >> Page last updated: 25 January 2011>> >> > >> >> >>>> >> > >> >> >> >> >> > >> >> >>>> >> > >> >>>> >> > >> >>> >> > >> >>> >> > >>>> >> > >>> >> > >>> >> >>> >>>> >>> >>> >>

[Guest guest]

They do not seem to work well but why not just DASH and use spiro or inspra?CE Grim MDVerapamil is a calcium channel blocker. I know from my own experience that CCBs do not lower my BP, they actually *raise* it. I feel like I've read an article that said this was often the case with PA patients - Dr. Grim, have you observed this?> > >> >> > >> >> > > >> >> > >> >> >what is listed on this sheet as normal results is so different than the> > >> >> > >> >> >results my doctors office is now using> > >> >> > >> >> >their range for normal is 0.30 to 5.0 for tsh> > >> >> > >> >> >Consider in the last year my have ranged from 0.04 through 45.9 and that> > >> >> > >> >> >was why on varying amounts of thryoid drugs. I hit both ends of the> > >> >> > >> >> >spectrum, from hypo to hyperthroid.> > >> >> > >> >> >> > >> >> > >> >> >my antibodies are always off the chart> > >> >> > >> >> >> > >> >> > >> >> >> Normal Results> > >> >> > >> >> >>> > >> >> > >> >> >> Normal values are 0.4 - 4.0 mIU/L.> > >> >> > >> >> >>> > >> >> > >> >> >> However, those without signs or symptoms of an underactive thyroid who have> > >> >> > >> >> >> a TSH value over 2.0 mIU/L but normal T4 levels may develop hypothyroidism> > >> >> > >> >> >> in the future. This is called subclinical hypothyroidism (mildly underactive> > >> >> > >> >> >> thyroid) or early-stage hypothyroidism. Anyone with a TSH value above this> > >> >> > >> >> >> level should be followed very closely by a doctor.> > >> >> > >> >> >>> > >> >> > >> >> >> If you are being treated for a thyroid disorder, your TSH level should be> > >> >> > >> >> >> between 0.5 and 3.0 mIU/L.> > >> >> > >> >> >>> > >> >> > >> >> >> Normal value ranges may vary slightly among different laboratories. Talk to> > >> >> > >> >> >> your doctor about the meaning of your specific test results.> > >> >> > >> >> >> What Abnormal Results Mean> > >> >> > >> >> >>> > >> >> > >> >> >> Greater than normal levels may indicate:> > >> >> > >> >> >>> > >> >> > >> >> >> - Congenital hypothyroidism<http://www.nlm.nih.gov/medlineplus/ency/article/001193.htm>(cretinism)> > >> >> > >> >> >> - Exposure to mice (lab workers or veterinarians)> > >> >> > >> >> >> - Primary hypothyroidism> > >> >> > >> >> >> - Thyroid hormone resistance> > >> >> > >> >> >> - TSH-dependent hyperthyroidism> > >> >> > >> >> >>> > >> >> > >> >> >> Lower than normal levels may be due to:> > >> >> > >> >> >>> > >> >> > >> >> >> - Hyperthyroidism> > >> >> > >> >> >> - TSH deficiency> > >> >> > >> >> >> - Use of certain medications (including dopamine agonists,> > >> >> > >> >> >> glucocorticoids, somatostatin analogues, and bexarotene)> > >> >> > >> >> >>> > >> >> > >> >> >> Risks> > >> >> > >> >> >>> > >> >> > >> >> >> Veins and arteries vary in size from one patient to another and from one> > >> >> > >> >> >> side of the body to the other. Obtaining a blood sample from some people may> > >> >> > >> >> >> be more difficult than from others.> > >> >> > >> >> >>> > >> >> > >> >> >> Other risks associated wit having blood drawn are slight but may include:> > >> >> > >> >> >>> > >> >> > >> >> >> - Excessive bleeding> > >> >> > >> >> >> - Fainting or feeling light-headed> > >> >> > >> >> >> - Hematoma (blood accumulating under the skin)> > >> >> > >> >> >> - Infection (a slight risk any time the skin is broken)> > >> >> > >> >> >>> > >> >> > >> >> >> Alternative Names> > >> >> > >> >> >>> > >> >> > >> >> >> Thyrotropin; Thyroid stimulating hormone> > >> >> > >> >> >> References> > >> >> > >> >> >>> > >> >> > >> >> >> AACE Thyroid Task Force. American Association of Clinical Endocrinologists> > >> >> > >> >> >> medical guidelines for clinical practice for the evaluation and treatment of> > >> >> > >> >> >> hyperthyroidism and hypothyroidism. *Endocr Pract*. 2002;8(6):457-469.> > >> >> > >> >> >>> > >> >> > >> >> >> Brent GA, Larsen PR, Davies TF. Hypothyroidism and Thyroiditis. In:> > >> >> > >> >> >> Kronenberg HM, Melmed S, Polonsky KS, Larsen PR, eds. * Textbook> > >> >> > >> >> >> of Endocrinology*. 11th ed. Philadelphia, Pa: Saunders Elsevier; 2008:chap> > >> >> > >> >> >> 12.> > >> >> > >> >> >> Update Date: 4/19/2010> > >> >> > >> >> >>> > >> >> > >> >> >> Updated by: Ari S. Eckman, MD, Division of Endocrinology and Metabolism,> > >> >> > >> >> >> s Hopkins School of Medicine, Baltimore, MD. Review provided by VeriMed> > >> >> > >> >> >> Healthcare Network. Also reviewed by Zieve, MD, MHA, Medical Director,> > >> >> > >> >> >> A.D.A.M., Inc.> > >> >> > >> >> >> Browse the Encyclopedia<http://www.nlm.nih.gov/medlineplus/encyclopedia.html>> > >> >> > >> >> >>> > >> >> > >> >> >> MedlinePlus Topics> > >> >> > >> >> >>> > >> >> > >> >> >> - Thyroid Diseases<http://www.nlm.nih.gov/medlineplus/thyroiddiseases.html>> > >> >> > >> >> >>> > >> >> > >> >> >> Images> > >> >> > >> >> >> [image: Endocrine glands]Endocrine glands<http://www.nlm.nih.gov/medlineplus/ency/imagepages/1093.htm>> > >> >> > >> >> >> [image: Pituitary and TSH]Pituitary and TSH<http://www.nlm.nih.gov/medlineplus/ency/imagepages/9971.htm>> > >> >> > >> >> >>> > >> >> > >> >> >> Read More> > >> >> > >> >> >>> > >> >> > >> >> >> - Hyperthyroidism <http://../article/000356.htm>> > >> >> > >> >> >>> > >> >> > >> >> >> [image: A.D.A.M Quality Logo]> > >> >> > >> >> >>> > >> >> > >> >> >> A.D.A.M., Inc. is accredited by URAC, also known as the American> > >> >> > >> >> >> Accreditation HealthCare Commission (www.urac.org). URAC's accreditation> > >> >> > >> >> >> program is an independent audit to verify that A.D.A.M. follows rigorous> > >> >> > >> >> >> standards of quality and accountability. A.D.A.M. is among the first to> > >> >> > >> >> >> achieve this important distinction for online health information and> > >> >> > >> >> >> services. Learn more about A.D.A.M.'s editorial policy, editorial processand privacy> > >> >> > >> >> >> policy. A.D.A.M. is also a founding member of Hi-Ethics and subscribes to> > >> >> > >> >> >> the principles of the Health on the Net Foundation (www.hon.ch).> > >> >> > >> >> >>> > >> >> > >> >> >> The information provided herein should not be used during any medical> > >> >> > >> >> >> emergency or for the diagnosis or treatment of any medical condition. A> > >> >> > >> >> >> licensed physician should be consulted for diagnosis and treatment of any> > >> >> > >> >> >> and all medical conditions. Call 911 for all medical emergencies. Links to> > >> >> > >> >> >> other sites are provided for information only -- they do not constitute> > >> >> > >> >> >> endorsements of those other sites. Copyright 1997-2011, A.D.A.M., Inc. Any> > >> >> > >> >> >> duplication or distribution of the information contained herein is strictly> > >> >> > >> >> >> prohibited.> > >> >> > >> >> >> [image: A.D.A.M Logo]> > >> >> > >> >> >>> > >> >> > >> >> >> Mobile version <http://m.medlineplus.gov/>Get email updates<http://www.nlm.nih.gov/medlineplus/listserv.html>Subscribe> > >> >> > >> >> >> to RSS <http://www.nlm.nih.gov/medlineplus/rss.html>Follow us on Twitter<http://twitter.com/medlineplus4you>> > >> >> > >> >> >>> > >> >> > >> >> >> Disclaimers <http://www.nlm.nih.gov/medlineplus/disclaimers.html>Copyright<http://www.nlm.nih.gov/medlineplus/copyright.html>> > >> >> > >> >> >> Privacy <http://www.nlm.nih.gov/medlineplus/privacy.html>Accessibility<http://www.nlm.nih.gov/medlineplus/accessibility.html>Quality> > >> >> > >> >> >> Guidelines <http://www.nlm.nih.gov/medlineplus/criteria.html>> > >> >> > >> >> >> U.S. National Library of Medicine <http://www.nlm.nih.gov/>8600 Rockville> > >> >> > >> >> >> Pike, Bethesda, MD 20894U.S. Department of Health and Human Services<http://www.hhs.gov/>National> > >> >> > >> >> >> Institutes of Health <http://www.nih.gov/>> > >> >> > >> >> >> Page last updated: 25 January 2011> > >> >> > >> >> >>> > >> >> > >> >> >> > > >> >> > >> >> >>> > >> >> > >> >>> > >> >> > >> >> > >> >> > >> >> > >> >> > >>> > >> >> > >> > >> >> > >> > >> >> >> > >> >>> > >> >> > >> >> > >> > > >> > > > >>

[Guest guest]

They do not seem to work well but why not just DASH and use spiro or inspra?CE Grim MDVerapamil is a calcium channel blocker. I know from my own experience that CCBs do not lower my BP, they actually *raise* it. I feel like I've read an article that said this was often the case with PA patients - Dr. Grim, have you observed this?> > >> >> > >> >> > > >> >> > >> >> >what is listed on this sheet as normal results is so different than the> > >> >> > >> >> >results my doctors office is now using> > >> >> > >> >> >their range for normal is 0.30 to 5.0 for tsh> > >> >> > >> >> >Consider in the last year my have ranged from 0.04 through 45.9 and that> > >> >> > >> >> >was why on varying amounts of thryoid drugs. I hit both ends of the> > >> >> > >> >> >spectrum, from hypo to hyperthroid.> > >> >> > >> >> >> > >> >> > >> >> >my antibodies are always off the chart> > >> >> > >> >> >> > >> >> > >> >> >> Normal Results> > >> >> > >> >> >>> > >> >> > >> >> >> Normal values are 0.4 - 4.0 mIU/L.> > >> >> > >> >> >>> > >> >> > >> >> >> However, those without signs or symptoms of an underactive thyroid who have> > >> >> > >> >> >> a TSH value over 2.0 mIU/L but normal T4 levels may develop hypothyroidism> > >> >> > >> >> >> in the future. This is called subclinical hypothyroidism (mildly underactive> > >> >> > >> >> >> thyroid) or early-stage hypothyroidism. Anyone with a TSH value above this> > >> >> > >> >> >> level should be followed very closely by a doctor.> > >> >> > >> >> >>> > >> >> > >> >> >> If you are being treated for a thyroid disorder, your TSH level should be> > >> >> > >> >> >> between 0.5 and 3.0 mIU/L.> > >> >> > >> >> >>> > >> >> > >> >> >> Normal value ranges may vary slightly among different laboratories. Talk to> > >> >> > >> >> >> your doctor about the meaning of your specific test results.> > >> >> > >> >> >> What Abnormal Results Mean> > >> >> > >> >> >>> > >> >> > >> >> >> Greater than normal levels may indicate:> > >> >> > >> >> >>> > >> >> > >> >> >> - Congenital hypothyroidism<http://www.nlm.nih.gov/medlineplus/ency/article/001193.htm>(cretinism)> > >> >> > >> >> >> - Exposure to mice (lab workers or veterinarians)> > >> >> > >> >> >> - Primary hypothyroidism> > >> >> > >> >> >> - Thyroid hormone resistance> > >> >> > >> >> >> - TSH-dependent hyperthyroidism> > >> >> > >> >> >>> > >> >> > >> >> >> Lower than normal levels may be due to:> > >> >> > >> >> >>> > >> >> > >> >> >> - Hyperthyroidism> > >> >> > >> >> >> - TSH deficiency> > >> >> > >> >> >> - Use of certain medications (including dopamine agonists,> > >> >> > >> >> >> glucocorticoids, somatostatin analogues, and bexarotene)> > >> >> > >> >> >>> > >> >> > >> >> >> Risks> > >> >> > >> >> >>> > >> >> > >> >> >> Veins and arteries vary in size from one patient to another and from one> > >> >> > >> >> >> side of the body to the other. Obtaining a blood sample from some people may> > >> >> > >> >> >> be more difficult than from others.> > >> >> > >> >> >>> > >> >> > >> >> >> Other risks associated wit having blood drawn are slight but may include:> > >> >> > >> >> >>> > >> >> > >> >> >> - Excessive bleeding> > >> >> > >> >> >> - Fainting or feeling light-headed> > >> >> > >> >> >> - Hematoma (blood accumulating under the skin)> > >> >> > >> >> >> - Infection (a slight risk any time the skin is broken)> > >> >> > >> >> >>> > >> >> > >> >> >> Alternative Names> > >> >> > >> >> >>> > >> >> > >> >> >> Thyrotropin; Thyroid stimulating hormone> > >> >> > >> >> >> References> > >> >> > >> >> >>> > >> >> > >> >> >> AACE Thyroid Task Force. American Association of Clinical Endocrinologists> > >> >> > >> >> >> medical guidelines for clinical practice for the evaluation and treatment of> > >> >> > >> >> >> hyperthyroidism and hypothyroidism. *Endocr Pract*. 2002;8(6):457-469.> > >> >> > >> >> >>> > >> >> > >> >> >> Brent GA, Larsen PR, Davies TF. Hypothyroidism and Thyroiditis. In:> > >> >> > >> >> >> Kronenberg HM, Melmed S, Polonsky KS, Larsen PR, eds. * Textbook> > >> >> > >> >> >> of Endocrinology*. 11th ed. Philadelphia, Pa: Saunders Elsevier; 2008:chap> > >> >> > >> >> >> 12.> > >> >> > >> >> >> Update Date: 4/19/2010> > >> >> > >> >> >>> > >> >> > >> >> >> Updated by: Ari S. Eckman, MD, Division of Endocrinology and Metabolism,> > >> >> > >> >> >> s Hopkins School of Medicine, Baltimore, MD. Review provided by VeriMed> > >> >> > >> >> >> Healthcare Network. Also reviewed by Zieve, MD, MHA, Medical Director,> > >> >> > >> >> >> A.D.A.M., Inc.> > >> >> > >> >> >> Browse the Encyclopedia<http://www.nlm.nih.gov/medlineplus/encyclopedia.html>> > >> >> > >> >> >>> > >> >> > >> >> >> MedlinePlus Topics> > >> >> > >> >> >>> > >> >> > >> >> >> - Thyroid Diseases<http://www.nlm.nih.gov/medlineplus/thyroiddiseases.html>> > >> >> > >> >> >>> > >> >> > >> >> >> Images> > >> >> > >> >> >> [image: Endocrine glands]Endocrine glands<http://www.nlm.nih.gov/medlineplus/ency/imagepages/1093.htm>> > >> >> > >> >> >> [image: Pituitary and TSH]Pituitary and TSH<http://www.nlm.nih.gov/medlineplus/ency/imagepages/9971.htm>> > >> >> > >> >> >>> > >> >> > >> >> >> Read More> > >> >> > >> >> >>> > >> >> > >> >> >> - Hyperthyroidism <http://../article/000356.htm>> > >> >> > >> >> >>> > >> >> > >> >> >> [image: A.D.A.M Quality Logo]> > >> >> > >> >> >>> > >> >> > >> >> >> A.D.A.M., Inc. is accredited by URAC, also known as the American> > >> >> > >> >> >> Accreditation HealthCare Commission (www.urac.org). URAC's accreditation> > >> >> > >> >> >> program is an independent audit to verify that A.D.A.M. follows rigorous> > >> >> > >> >> >> standards of quality and accountability. A.D.A.M. is among the first to> > >> >> > >> >> >> achieve this important distinction for online health information and> > >> >> > >> >> >> services. Learn more about A.D.A.M.'s editorial policy, editorial processand privacy> > >> >> > >> >> >> policy. A.D.A.M. is also a founding member of Hi-Ethics and subscribes to> > >> >> > >> >> >> the principles of the Health on the Net Foundation (www.hon.ch).> > >> >> > >> >> >>> > >> >> > >> >> >> The information provided herein should not be used during any medical> > >> >> > >> >> >> emergency or for the diagnosis or treatment of any medical condition. A> > >> >> > >> >> >> licensed physician should be consulted for diagnosis and treatment of any> > >> >> > >> >> >> and all medical conditions. Call 911 for all medical emergencies. Links to> > >> >> > >> >> >> other sites are provided for information only -- they do not constitute> > >> >> > >> >> >> endorsements of those other sites. Copyright 1997-2011, A.D.A.M., Inc. Any> > >> >> > >> >> >> duplication or distribution of the information contained herein is strictly> > >> >> > >> >> >> prohibited.> > >> >> > >> >> >> [image: A.D.A.M Logo]> > >> >> > >> >> >>> > >> >> > >> >> >> Mobile version <http://m.medlineplus.gov/>Get email updates<http://www.nlm.nih.gov/medlineplus/listserv.html>Subscribe> > >> >> > >> >> >> to RSS <http://www.nlm.nih.gov/medlineplus/rss.html>Follow us on Twitter<http://twitter.com/medlineplus4you>> > >> >> > >> >> >>> > >> >> > >> >> >> Disclaimers <http://www.nlm.nih.gov/medlineplus/disclaimers.html>Copyright<http://www.nlm.nih.gov/medlineplus/copyright.html>> > >> >> > >> >> >> Privacy <http://www.nlm.nih.gov/medlineplus/privacy.html>Accessibility<http://www.nlm.nih.gov/medlineplus/accessibility.html>Quality> > >> >> > >> >> >> Guidelines <http://www.nlm.nih.gov/medlineplus/criteria.html>> > >> >> > >> >> >> U.S. National Library of Medicine <http://www.nlm.nih.gov/>8600 Rockville> > >> >> > >> >> >> Pike, Bethesda, MD 20894U.S. Department of Health and Human Services<http://www.hhs.gov/>National> > >> >> > >> >> >> Institutes of Health <http://www.nih.gov/>> > >> >> > >> >> >> Page last updated: 25 January 2011> > >> >> > >> >> >>> > >> >> > >> >> >> > > >> >> > >> >> >>> > >> >> > >> >>> > >> >> > >> >> > >> >> > >> >> > >> >> > >>> > >> >> > >> > >> >> > >> > >> >> >> > >> >>> > >> >> > >> >> > >> > > >> > > > >>

[Guest guest]

I don't have an endo Dr in Houston yet. Waiting to hear back from one. So for now I need my primary care dr to Rx me. Since I am 5 years post adrenalectomy I need to run all the LAbs again

They do not seem to work well but why not just DASH and use spiro or inspra?CE Grim MDVerapamil is a calcium channel blocker. I know from my own experience that CCBs do not lower my BP, they actually *raise* it. I feel like I've read an article that said this was often the case with PA patients - Dr. Grim, have you observed this?> > >> >> > >> >> > > >> >> > >> >> >what is listed on this sheet as normal results is so different than the> > >> >> > >> >> >results my doctors office is now using> > >> >> > >> >> >their range for normal is 0.30 to 5.0 for tsh> > >> >> > >> >> >Consider in the last year my have ranged from 0.04 through 45.9 and that> > >> >> > >> >> >was why on varying amounts of thryoid drugs. I hit both ends of the> > >> >> > >> >> >spectrum, from hypo to hyperthroid.> > >> >> > >> >> >> > >> >> > >> >> >my antibodies are always off the chart> > >> >> > >> >> >> > >> >> > >> >> >> Normal Results> > >> >> > >> >> >>> > >> >> > >> >> >> Normal values are 0.4 - 4.0 mIU/L.> > >> >> > >> >> >>> > >> >> > >> >> >> However, those without signs or symptoms of an underactive thyroid who have> > >> >> > >> >> >> a TSH value over 2.0 mIU/L but normal T4 levels may develop hypothyroidism> > >> >> > >> >> >> in the future. This is called subclinical hypothyroidism (mildly underactive> > >> >> > >> >> >> thyroid) or early-stage hypothyroidism. Anyone with a TSH value above this> > >> >> > >> >> >> level should be followed very closely by a doctor.> > >> >> > >> >> >>> > >> >> > >> >> >> If you are being treated for a thyroid disorder, your TSH level should be> > >> >> > >> >> >> between 0.5 and 3.0 mIU/L.> > >> >> > >> >> >>> > >> >> > >> >> >> Normal value ranges may vary slightly among different laboratories. Talk to> > >> >> > >> >> >> your doctor about the meaning of your specific test results.> > >> >> > >> >> >> What Abnormal Results Mean> > >> >> > >> >> >>> > >> >> > >> >> >> Greater than normal levels may indicate:> > >> >> > >> >> >>> > >> >> > >> >> >> - Congenital hypothyroidism<http://www.nlm.nih.gov/medlineplus/ency/article/001193.htm>(cretinism)> > >> >> > >> >> >> - Exposure to mice (lab workers or veterinarians)> > >> >> > >> >> >> - Primary hypothyroidism> > >> >> > >> >> >> - Thyroid hormone resistance> > >> >> > >> >> >> - TSH-dependent hyperthyroidism> > >> >> > >> >> >>> > >> >> > >> >> >> Lower than normal levels may be due to:> > >> >> > >> >> >>> > >> >> > >> >> >> - Hyperthyroidism> > >> >> > >> >> >> - TSH deficiency> > >> >> > >> >> >> - Use of certain medications (including dopamine agonists,> > >> >> > >> >> >> glucocorticoids, somatostatin analogues, and bexarotene)> > >> >> > >> >> >>> > >> >> > >> >> >> Risks> > >> >> > >> >> >>> > >> >> > >> >> >> Veins and arteries vary in size from one patient to another and from one> > >> >> > >> >> >> side of the body to the other. Obtaining a blood sample from some people may> > >> >> > >> >> >> be more difficult than from others.> > >> >> > >> >> >>> > >> >> > >> >> >> Other risks associated wit having blood drawn are slight but may include:> > >> >> > >> >> >>> > >> >> > >> >> >> - Excessive bleeding> > >> >> > >> >> >> - Fainting or feeling light-headed> > >> >> > >> >> >> - Hematoma (blood accumulating under the skin)> > >> >> > >> >> >> - Infection (a slight risk any time the skin is broken)> > >> >> > >> >> >>> > >> >> > >> >> >> Alternative Names> > >> >> > >> >> >>> > >> >> > >> >> >> Thyrotropin; Thyroid stimulating hormone> > >> >> > >> >> >> References> > >> >> > >> >> >>> > >> >> > >> >> >> AACE Thyroid Task Force. American Association of Clinical Endocrinologists> > >> >> > >> >> >> medical guidelines for clinical practice for the evaluation and treatment of> > >> >> > >> >> >> hyperthyroidism and hypothyroidism. *Endocr Pract*. 2002;8(6):457-469.> > >> >> > >> >> >>> > >> >> > >> >> >> Brent GA, Larsen PR, Davies TF. Hypothyroidism and Thyroiditis. In:> > >> >> > >> >> >> Kronenberg HM, Melmed S, Polonsky KS, Larsen PR, eds. * Textbook> > >> >> > >> >> >> of Endocrinology*. 11th ed. Philadelphia, Pa: Saunders Elsevier; 2008:chap> > >> >> > >> >> >> 12.> > >> >> > >> >> >> Update Date: 4/19/2010> > >> >> > >> >> >>> > >> >> > >> >> >> Updated by: Ari S. Eckman, MD, Division of Endocrinology and Metabolism,> > >> >> > >> >> >> s Hopkins School of Medicine, Baltimore, MD. Review provided by VeriMed> > >> >> > >> >> >> Healthcare Network. Also reviewed by Zieve, MD, MHA, Medical Director,> > >> >> > >> >> >> A.D.A.M., Inc.> > >> >> > >> >> >> Browse the Encyclopedia<http://www.nlm.nih.gov/medlineplus/encyclopedia.html>> > >> >> > >> >> >>> > >> >> > >> >> >> MedlinePlus Topics> > >> >> > >> >> >>> > >> >> > >> >> >> - Thyroid Diseases<http://www.nlm.nih.gov/medlineplus/thyroiddiseases.html>> > >> >> > >> >> >>> > >> >> > >> >> >> Images> > >> >> > >> >> >> [image: Endocrine glands]Endocrine glands<http://www.nlm.nih.gov/medlineplus/ency/imagepages/1093.htm>> > >> >> > >> >> >> [image: Pituitary and TSH]Pituitary and TSH<http://www.nlm.nih.gov/medlineplus/ency/imagepages/9971.htm>> > >> >> > >> >> >>> > >> >> > >> >> >> Read More> > >> >> > >> >> >>> > >> >> > >> >> >> - Hyperthyroidism <http://../article/000356.htm>> > >> >> > >> >> >>> > >> >> > >> >> >> [image: A.D.A.M Quality Logo]> > >> >> > >> >> >>> > >> >> > >> >> >> A.D.A.M., Inc. is accredited by URAC, also known as the American> > >> >> > >> >> >> Accreditation HealthCare Commission (www.urac.org). URAC's accreditation> > >> >> > >> >> >> program is an independent audit to verify that A.D.A.M. follows rigorous> > >> >> > >> >> >> standards of quality and accountability. A.D.A.M. is among the first to> > >> >> > >> >> >> achieve this important distinction for online health information and> > >> >> > >> >> >> services. Learn more about A.D.A.M.'s editorial policy, editorial processand privacy> > >> >> > >> >> >> policy. A.D.A.M. is also a founding member of Hi-Ethics and subscribes to> > >> >> > >> >> >> the principles of the Health on the Net Foundation (www.hon.ch).> > >> >> > >> >> >>> > >> >> > >> >> >> The information provided herein should not be used during any medical> > >> >> > >> >> >> emergency or for the diagnosis or treatment of any medical condition. A> > >> >> > >> >> >> licensed physician should be consulted for diagnosis and treatment of any> > >> >> > >> >> >> and all medical conditions. Call 911 for all medical emergencies. Links to> > >> >> > >> >> >> other sites are provided for information only -- they do not constitute> > >> >> > >> >> >> endorsements of those other sites. Copyright 1997-2011, A.D.A.M., Inc. Any> > >> >> > >> >> >> duplication or distribution of the information contained herein is strictly> > >> >> > >> >> >> prohibited.> > >> >> > >> >> >> [image: A.D.A.M Logo]> > >> >> > >> >> >>> > >> >> > >> >> >> Mobile version <http://m.medlineplus.gov/>Get email updates<http://www.nlm.nih.gov/medlineplus/listserv.html>Subscribe> > >> >> > >> >> >> to RSS <http://www.nlm.nih.gov/medlineplus/rss.html>Follow us on Twitter<http://twitter.com/medlineplus4you>> > >> >> > >> >> >>> > >> >> > >> >> >> Disclaimers <http://www.nlm.nih.gov/medlineplus/disclaimers.html>Copyright<http://www.nlm.nih.gov/medlineplus/copyright.html>> > >> >> > >> >> >> Privacy <http://www.nlm.nih.gov/medlineplus/privacy.html>Accessibility<http://www.nlm.nih.gov/medlineplus/accessibility.html>Quality> > >> >> > >> >> >> Guidelines <http://www.nlm.nih.gov/medlineplus/criteria.html>> > >> >> > >> >> >> U.S. National Library of Medicine <http://www.nlm.nih.gov/>8600 Rockville> > >> >> > >> >> >> Pike, Bethesda, MD 20894U.S. Department of Health and Human Services<http://www.hhs.gov/>National> > >> >> > >> >> >> Institutes of Health <http://www.nih.gov/>> > >> >> > >> >> >> Page last updated: 25 January 2011> > >> >> > >> >> >>> > >> >> > >> >> >> > > >> >> > >> >> >>> > >> >> > >> >>> > >> >> > >> >> > >> >> > >> >> > >> >> > >>> > >> >> > >> > >> >> > >> > >> >> >> > >> >>> > >> >> > >> >> > >> > > >> > > > >>

[Guest guest]

See number 7 below so they do it right and off drugs.CE Grim MD Welcome to the exciting world of Hyperaldosteronism! You are in the right place! I am Dr. CE Grim a retired Professor of Medicine and Endocrinology. I have a long standing interest is Primary Aldosteronism since medical school days when I saw my first patient with Primary Aldosteronism in 1963. I trained with Dr. Jerome W. Conn in Endocrinology and Metabolism 1969-70 and have published over 240 papers and book chapters in most areas of the discipline of High Blood Pressure. My CV is in our files for details. The goal of our group is to teach you and your health care team about the ins and outs of the causes, diagnosis and control of the many forms of hyperaldosteronism. The steps below will introduce you into the fascinating world of high blood pressure, salt (sodium(Na) chloride (Cl) or NaCL) and potassium (K) and the role of the adrenal hormone aldosterone in health and disease. Doing these in sequence will save you time and effort in getting up to speed in taking control of you health and educating your own health care team. While we can’t make you into a doctor we will make you into a pretty good BP doctor-a skill that you will have for life and you can transfer to the rest of your family who will likely have high blood pressure eventually-if they live long enough. 1. A brief history of Primary Aldosteronsim and why it is so common today in drug resistant high blood pressure. Read my article in our files on the evolution of PA (Evolution_of_PA-Grim.pdf ) and take to all members of health care team. Tell us what stage you believe you are in. This is a brief review of most causes of hyperaldosteronism, high blood pressure, low potassium (K). READING THIS WILL SAVE YOU TIME AND MONEY. By taking it to your health care team they will not treat their other patients in the future as badly as they may have treated you in the past. 2. Read about other patients with hyperaldosteronism (Conn’s syndrome). Read our Conn's stories in our files and then give us your own in as much detail as you can. Dr. Conn was the first to describe this disease process and the syndrome is named after him. The first patient is described in my review article.To see others' stories, on the Hyperaldosteronism home page, go to Files/Conn’s Stories. You'll find instructions in "A - How to put your story here.doc " First send us your story in an email and they we may have questions and suggestions before you upload it to our files. 3. DASH to lower your BP. Your and my tax dollars funded the most important series of studies on how to improve blood pressure, blood sugar, blood lipids and make your heart smaller: The DASH Eating Plan to control high blood pressure due to hyperaldosteronism and most others with high blood pressure. This will reduce your need for medications and in many will get your BP and K to goal without meds.. Get the DASH diet book by T. et al, (http://www.amazon.com/DASH-Diet-Hypertension--/dp/0743202953) read it and use it: ~$8 in paperback at your local bookstore or online. If they don’t have it ask them to order it for you. You can also get the hardback larger print version as well at Amazon. Learning to eat the DASH way will play a major role in your road to good BP and K control and, in many of our folks here, will revolutionize your life. See http://en.wikipedia.org/wiki/DASH_diet for an overview and more details. In the book go to chapter 9 and do the 14 day challenge. Tell your Dr you are doing this as your BP may plummet if you are on other meds. Measure your BP every day and post to us. or go to http://www.nhlbi.nih.gov/health/public/heart/hbp/dash/new_dash.pdf download this 64 page booklet free and do the Week on the DASH Diet for 2 weeks. If you are on BP meds be prepared for a large fall in BP (20/10 mm Hg or more) and let your Dr. know you are doing this. And/Or go to (but costs money monthly) DASH Diet for Health Program (http://www.dashforhealth.com/pages/public/tour.php)The DASH Diet for Health Program is designed to help you improve your eating and exercise habits. Twice each week they will provide you with information on our website about food, food preparation, eating out, losing weight, getting fit and much more. In addition to providing new information each week on the website, they create a web page specially for you where you can track progress in areas such as your weight, blood pressure, and exercise. I strongly recommend you get this book by .... and read it. 4. Measure your BP: Measure your BP daily so you can see if it is getting better. If you are taking meds be sure to tell your health care team you are doing this as your BP may plummet to normal quickly. We recommend you use a device you listen to and will help you learn how to do this. If this is not something you want to do we can teach a significant other how to do it. See sharedcareinc.com or email to sharedcare@... to order a video on how to do this. If you already have one we will teach you how to teach your health care team how to validate your device. Your life and health depends on accurate BP measurements. Go to the amricanheart.org and download the Guidelines for Human Blood Pressure Measurement. Insist that your health care team do BP the AHA way. Never trust your life to an automatic BP machine unless you know it is accurate on YOU. 5. Genetics and your BP: If you have a twin be sure to let us know. Go to familyhistory.hhs.gov and do your detailed family medical history (FHx or FH) so we can review with you to help diagnosis (Dx) and treat (Rx) familial causes of high blood pressure and heart disease. If BP runs in your family you may save lives in your family by checking their BP yourself. 6. How to DX and treat PA: Go to our file/Conn's Articles of Note/Medications/Bravo spir 1973.pdf and read this article and take to your health care team. It is old but still one of the best in the medical management of PA. Note one with PA whose BP and K normalized with low Na, High K diet and only 25 mg of spiro. DX: Also see our file from the Endocrine Society Guidelines on PA. 7. Dr. Grim's Perfect Primary Aldosteronism Blood and Urine Testing to diagnose PA in one day. 1. Eat a regular to high salt diet for 2 weeks.2. No BP meds in last 4-12 weeks depending on meds.3. Collect 24 hr urine for Na, K and creatinine and aldosterone. Do not lose a drop of this liquid gold. It is impossible to interpret the renin and aldo without this.4. The morning you finish the 24 hr urine have fasting blood drawn for renin, aldo and K using our guidelines to get an accurate K (http://groups.yahoo.com/group/hyperaldosteronism/files/Investigating%20elevated%20potassium%20values..txt) Try to get this done about 4 hours after you have been out of bed.5. Send us the results with the normal values for your lab.6. If you ever have a salt (saline) infusion test for PA be certain to ask them to measure how much you pee during the 4 hours of the infusion. If it is 1-1.5 liter of urine it strongly suggests that you may have PA. If more tha 1.5 L you almost certainly have PA. I helped perfect this test and have probably done more saline infusions than anyone in the world. 8. Become a participant in our PA Registry and contribute to our large database on PA: If you have been Dxed with PA already and are on Rx or have had surgery please go to http://www.kwiksurveys.com/online-survey.php?surveyID=HIJIO_f2685379 and complete our survey with as much information as you know. If there is some information you don't know ask us and we will help. If you need to update this as you journey thru the diagnostic/treatment process you can add another entry but label it as Nameyymmdd. For example today 6/12/09 for me would be Grim090612. This ever increasing number will allow us and you to sort your multiple entries into a dated order. 9. Learn the language: If you are new to medical lingo then download the acroyms from http://health.groups.yahoo.com/group/bloodpressureline/message/2918610. Salt and high blood pressure: To learn the state of the science of salt and blood pressure please spend some time looking at http://www.worldactiononsalt.com/evidence/treatment_trials.htm11. Become a HBP expert consumer: Expect that it will take at least several weeks to get all this digested and to learn the new language of high blood pressure health care. As most doctors and nurses in practice have had very little training in high blood pressure you must become an expert yourself. For example most have never had anyone listen with them with a double stethoscope to verify that they can hear BP sounds. We cannot make you a doctor but we will make you a pretty good BP doctor. Read our consumer's guide to an accurate blood pressure.12. How High Blood Pressure should be managed: Go to nih.gov and download and read the Joint National Commission (JNC) Report 7 to get an overview on current guidelines. I ask all my secretaries to read this so they can communicate the importance of high blood pressure to my patients. JNC 8 will be out soon.Then: get (and study) the Hypertension Primer from americanheart.org 4th addition. I coauthored the chapter on BP measurement. You can also get this for about $6 from Amazon.com. This is the most up-to-date compendium of what is known about high blood pressure and what every Dr. should know when they graduate from Medical School. Every chapter is only 2-3 pages. Read one chapter every week-night and you will finish it in about a year. I am working on a reading guide for lay people for the Primer. Stay tuned. If you don't like it take it to your health care team so they will know what every medical student today should know.13. Ask us questions: Ask any questions about high blood pressure you want answered. That is what we are here for. We have had this site for 10 years and over 30,000 emails are searchable. This is the largest collection of communications about Conn's Syndrome in the World. 14. One-on-one Consulting: I can provide individual consulting if you do not want to go public. If you want individual one-on-one consulting for you and your Doctor contract me directly at lowerbp2@....15: Abbreviations of common use in aldo speak include: AME apparent mineralocorticoid excess AVS adrenal vein sampling BB beta blockers CCB calcium channel blockers Dx diagnosis FHx family history GRE glucocorticoid remedial aldosteronism LNaV8 low sodium V8 juice. MCB mineralocorticoid blocker also called AB aldosterone blocker. MHx medical history Rx treatment SHx social history UNaKCr urinary sodium, potassium, creatinine May your pressure be low!Clarence E. Grim BS, MS, MD, FACP, FACC, FAHA Council for High Blood Pressure Research. Board Certified in Internal Medicine, Geriatrics, and High Blood Pressure by the American Society of Hypertension. Retired Faculty/Professor of Medicine (U of MO, Indiana, UCLA/DREW, Medical College of Wisconsin in Nephrology, Endocrinology, Cardiology, and Epidemiology. Specializing in Primary Aldosteronism and Difficult to Control High Blood Pressure. I don't have an endo Dr in Houston yet. Waiting to hear back from one. So for now I need my primary care dr to Rx me. Since I am 5 years post adrenalectomy I need to run all the LAbs again They do not seem to work well but why not just DASH and use spiro or inspra?CE Grim MDVerapamil is a calcium channel blocker. I know from my own experience that CCBs do not lower my BP, they actually *raise* it. I feel like I've read an article that said this was often the case with PA patients - Dr. Grim, have you observed this?> > >> >> > >> >> > > >> >> > >> >> >what is listed on this sheet as normal results is so different than the> > >> >> > >> >> >results my doctors office is now using> > >> >> > >> >> >their range for normal is 0.30 to 5.0 for tsh> > >> >> > >> >> >Consider in the last year my have ranged from 0.04 through 45.9 and that> > >> >> > >> >> >was why on varying amounts of thryoid drugs. I hit both ends of the> > >> >> > >> >> >spectrum, from hypo to hyperthroid.> > >> >> > >> >> >> > >> >> > >> >> >my antibodies are always off the chart> > >> >> > >> >> >> > >> >> > >> >> >> Normal Results> > >> >> > >> >> >>> > >> >> > >> >> >> Normal values are 0.4 - 4.0 mIU/L.> > >> >> > >> >> >>> > >> >> > >> >> >> However, those without signs or symptoms of an underactive thyroid who have> > >> >> > >> >> >> a TSH value over 2.0 mIU/L but normal T4 levels may develop hypothyroidism> > >> >> > >> >> >> in the future. This is called subclinical hypothyroidism (mildly underactive> > >> >> > >> >> >> thyroid) or early-stage hypothyroidism. Anyone with a TSH value above this> > >> >> > >> >> >> level should be followed very closely by a doctor.> > >> >> > >> >> >>> > >> >> > >> >> >> If you are being treated for a thyroid disorder, your TSH level should be> > >> >> > >> >> >> between 0.5 and 3.0 mIU/L.> > >> >> > >> >> >>> > >> >> > >> >> >> Normal value ranges may vary slightly among different laboratories. Talk to> > >> >> > >> >> >> your doctor about the meaning of your specific test results.> > >> >> > >> >> >> What Abnormal Results Mean> > >> >> > >> >> >>> > >> >> > >> >> >> Greater than normal levels may indicate:> > >> >> > >> >> >>> > >> >> > >> >> >> - Congenital hypothyroidism<http://www.nlm.nih.gov/medlineplus/ency/article/001193.htm>(cretinism)> > >> >> > >> >> >> - Exposure to mice (lab workers or veterinarians)> > >> >> > >> >> >> - Primary hypothyroidism> > >> >> > >> >> >> - Thyroid hormone resistance> > >> >> > >> >> >> - TSH-dependent hyperthyroidism> > >> >> > >> >> >>> > >> >> > >> >> >> Lower than normal levels may be due to:> > >> >> > >> >> >>> > >> >> > >> >> >> - Hyperthyroidism> > >> >> > >> >> >> - TSH deficiency> > >> >> > >> >> >> - Use of certain medications (including dopamine agonists,> > >> >> > >> >> >> glucocorticoids, somatostatin analogues, and bexarotene)> > >> >> > >> >> >>> > >> >> > >> >> >> Risks> > >> >> > >> >> >>> > >> >> > >> >> >> Veins and arteries vary in size from one patient to another and from one> > >> >> > >> >> >> side of the body to the other. Obtaining a blood sample from some people may> > >> >> > >> >> >> be more difficult than from others.> > >> >> > >> >> >>> > >> >> > >> >> >> Other risks associated wit having blood drawn are slight but may include:> > >> >> > >> >> >>> > >> >> > >> >> >> - Excessive bleeding> > >> >> > >> >> >> - Fainting or feeling light-headed> > >> >> > >> >> >> - Hematoma (blood accumulating under the skin)> > >> >> > >> >> >> - Infection (a slight risk any time the skin is broken)> > >> >> > >> >> >>> > >> >> > >> >> >> Alternative Names> > >> >> > >> >> >>> > >> >> > >> >> >> Thyrotropin; Thyroid stimulating hormone> > >> >> > >> >> >> References> > >> >> > >> >> >>> > >> >> > >> >> >> AACE Thyroid Task Force. American Association of Clinical Endocrinologists> > >> >> > >> >> >> medical guidelines for clinical practice for the evaluation and treatment of> > >> >> > >> >> >> hyperthyroidism and hypothyroidism. *Endocr Pract*. 2002;8(6):457-469.> > >> >> > >> >> >>> > >> >> > >> >> >> Brent GA, Larsen PR, Davies TF. Hypothyroidism and Thyroiditis. In:> > >> >> > >> >> >> Kronenberg HM, Melmed S, Polonsky KS, Larsen PR, eds. * Textbook> > >> >> > >> >> >> of Endocrinology*. 11th ed. Philadelphia, Pa: Saunders Elsevier; 2008:chap> > >> >> > >> >> >> 12.> > >> >> > >> >> >> Update Date: 4/19/2010> > >> >> > >> >> >>> > >> >> > >> >> >> Updated by: Ari S. Eckman, MD, Division of Endocrinology and Metabolism,> > >> >> > >> >> >> s Hopkins School of Medicine, Baltimore, MD. Review provided by VeriMed> > >> >> > >> >> >> Healthcare Network. Also reviewed by Zieve, MD, MHA, Medical Director,> > >> >> > >> >> >> A.D.A.M., Inc.> > >> >> > >> >> >> Browse the Encyclopedia<http://www.nlm.nih.gov/medlineplus/encyclopedia.html>> > >> >> > >> >> >>> > >> >> > >> >> >> MedlinePlus Topics> > >> >> > >> >> >>> > >> >> > >> >> >> - Thyroid Diseases<http://www.nlm.nih.gov/medlineplus/thyroiddiseases.html>> > >> >> > >> >> >>> > >> >> > >> >> >> Images> > >> >> > >> >> >> [image: Endocrine glands]Endocrine glands<http://www.nlm.nih.gov/medlineplus/ency/imagepages/1093.htm>> > >> >> > >> >> >> [image: Pituitary and TSH]Pituitary and TSH<http://www.nlm.nih.gov/medlineplus/ency/imagepages/9971.htm>> > >> >> > >> >> >>> > >> >> > >> >> >> Read More> > >> >> > >> >> >>> > >> >> > >> >> >> - Hyperthyroidism <http://../article/000356.htm>> > >> >> > >> >> >>> > >> >> > >> >> >> [image: A.D.A.M Quality Logo]> > >> >> > >> >> >>> > >> >> > >> >> >> A.D.A.M., Inc. is accredited by URAC, also known as the American> > >> >> > >> >> >> Accreditation HealthCare Commission (www.urac.org). URAC's accreditation> > >> >> > >> >> >> program is an independent audit to verify that A.D.A.M. follows rigorous> > >> >> > >> >> >> standards of quality and accountability. A.D.A.M. is among the first to> > >> >> > >> >> >> achieve this important distinction for online health information and> > >> >> > >> >> >> services. Learn more about A.D.A.M.'s editorial policy, editorial processand privacy> > >> >> > >> >> >> policy. A.D.A.M. is also a founding member of Hi-Ethics and subscribes to> > >> >> > >> >> >> the principles of the Health on the Net Foundation (www.hon.ch).> > >> >> > >> >> >>> > >> >> > >> >> >> The information provided herein should not be used during any medical> > >> >> > >> >> >> emergency or for the diagnosis or treatment of any medical condition. A> > >> >> > >> >> >> licensed physician should be consulted for diagnosis and treatment of any> > >> >> > >> >> >> and all medical conditions. Call 911 for all medical emergencies. Links to> > >> >> > >> >> >> other sites are provided for information only -- they do not constitute> > >> >> > >> >> >> endorsements of those other sites. Copyright 1997-2011, A.D.A.M., Inc. Any> > >> >> > >> >> >> duplication or distribution of the information contained herein is strictly> > >> >> > >> >> >> prohibited.> > >> >> > >> >> >> [image: A.D.A.M Logo]> > >> >> > >> >> >>> > >> >> > >> >> >> Mobile version <http://m.medlineplus.gov/>Get email updates<http://www.nlm.nih.gov/medlineplus/listserv.html>Subscribe> > >> >> > >> >> >> to RSS <http://www.nlm.nih.gov/medlineplus/rss.html>Follow us on Twitter<http://twitter.com/medlineplus4you>> > >> >> > >> >> >>> > >> >> > >> >> >> Disclaimers <http://www.nlm.nih.gov/medlineplus/disclaimers.html>Copyright<http://www.nlm.nih.gov/medlineplus/copyright.html>> > >> >> > >> >> >> Privacy <http://www.nlm.nih.gov/medlineplus/privacy.html>Accessibility<http://www.nlm.nih.gov/medlineplus/accessibility.html>Quality> > >> >> > >> >> >> Guidelines <http://www.nlm.nih.gov/medlineplus/criteria.html>> > >> >> > >> >> >> U.S. National Library of Medicine <http://www.nlm.nih.gov/>8600 Rockville> > >> >> > >> >> >> Pike, Bethesda, MD 20894U.S. Department of Health and Human Services<http://www.hhs.gov/>National> > >> >> > >> >> >> Institutes of Health <http://www.nih.gov/>> > >> >> > >> >> >> Page last updated: 25 January 2011> > >> >> > >> >> >>> > >> >> > >> >> >> > > >> >> > >> >> >>> > >> >> > >> >>> > >> >> > >> >> > >> >> > >> >> > >> >> > >>> > >> >> > >> > >> >> > >> > >> >> >> > >> >>> > >> >> > >> >> > >> > > >> > > > >>

[Guest guest]

Same here!! I have tried to be tactful, do not want to come off as one of "those patients" or a know-it-all, and have tried strongly suggesting it, straight out asking, and so on but they refuse and they want it done soon so I just do it. It is kind of like driving with my wife. If she says "weren't you supposed to turn there?" over and over when I know exactly where I am going I will just turn and let her find out it was the wrong instead of arguing with her. That's how it is, I just go do it. I have had them test my 24 urine sodium, catecholamines, etc, always on clonodine, metorprolol, and lisinopril - when I was on them - but since the spiro, they checked my renin and aldo ON spiro, against my protestations. But he'd already diagnosed the PA so maybe he forgot to tell mne something. My Endo, he is a bit different, like he lectured me after

the cardiologist put me on the spiro for not telling him about my blood pressure problems, when I had 170/134ish in his (the endo's) office on the first visit and HE sent me to the cardiologist. What do you say when they do stuff like that? Just take it. But give him credit he is up to speed on Conn's, secondary BP issues, and said he was familiar with Dr Grimms work and the DASH diet etc (I'd already joined this list and learned more about DASH from you all so I was already in the early stages of DASHing when we discussed the Conn's and I was already seeing him for hyperthyroidism.) So I think I am ok hands if I can handle his quirkiness (he will look at you asking a question, but when he talks he looks away from you and if you didn't know or accept others personalities, this likely really bothers some people). But he still is good and is definitely trying. Explains things very well. He always forgets I am a PA-C so he gets a little

simplistic in his explanations but God knows a referesher never hurts. Heaven knows I have my quirks too, and like all men I have hereditary buttheads disease for which only a good patient wife can cure. So I will take quirkiness over apathy.Another good example of testing...... when I was in the hospital (9/10) when they were concerned about a pheochromocytoma and they came in, did a kidney ultrasound and - they still are suspicious for the pheo as norepi is markedly high on the metanepherines which likely says it is "extrarenal" anyway, and also due my still periodic symptoms (maybe hidden salt somewhere I am not checking well enough - I am trying Dr G, but I like my fresh veggies and not much of a V8 guy!). But during my stay for severe HTN, this was just days before i saw the cardiologist and a pa diagnosis, they came in, did a bedside ultrasound and the

doc said I did not have a pheo based on the ultrasound. I knew that was not the test for it and asked for an abdominal MRI or CT at least, but she restated the u/s was normal and I didn't want to argue as I was already losing. I am scheduled to go look for it, and the adrenals better, but I have just had so many scans with dye lately, that I asked to put a few months between the CT's and the MIGB scan to try and protect my kidneys somewhat. But geeeeeezzzz..........even the potassium is usually done wrong...It is so hard being perfect like us. ExhaustingSubject: Re: The problem with TSH test is so called normal rangeTo:

hyperaldosteronism Date: Tuesday, March 1, 2011, 8:07 AM

Don't be surprised when they tell you the meds don't matter. Have tried 3 times to get tested off meds.

> >>> > > >> >> > >> >>

> >>> > > >> >> > >> >> >what is listed on this sheet as normal results

> >>> is so different than the

> >>> > > >> >> > >> >> >results my doctors office is now using

> >>> > > >> >> > >> >> >their range for normal is 0.30 to 5.0 for tsh

> >>> > > >> >> > >> >> >Consider in the last year my have ranged from

> >>> 0.04 through 45.9 and that

> >>> > > >> >> > >> >> >was why on varying amounts of thryoid drugs. I

> >>> hit both ends of the

> >>> > > >> >> > >> >> >spectrum, from hypo to hyperthroid.

> >>> > > >> >> > >> >> >

> >>> > > >> >> > >> >> >my antibodies are always off the chart

> >>> > > >> >> > >> >> >

> >>> > > >> >> > >> >> >> Normal Results

> >>> > > >> >> > >> >> >>

> >>> > > >> >> > >> >> >> Normal values are 0.4 - 4.0 mIU/L.

> >>> > > >> >> > >> >> >>

> >>> > > >> >> > >> >> >> However, those without signs or symptoms of

> >>> an underactive thyroid who have

> >>> > > >> >> > >> >> >> a TSH value over 2.0 mIU/L but normal T4

> >>> levels may develop hypothyroidism

> >>> > > >> >> > >> >> >> in the future. This is called subclinical

> >>> hypothyroidism (mildly underactive

> >>> > > >> >> > >> >> >> thyroid) or early-stage hypothyroidism.

> >>> Anyone with a TSH value above this

> >>> > > >> >> > >> >> >> level should be followed very closely by a

> >>> doctor.

> >>> > > >> >> > >> >> >>

> >>> > > >> >> > >> >> >> If you are being treated for a thyroid

> >>> disorder, your TSH level should be

> >>> > > >> >> > >> >> >> between 0.5 and 3.0 mIU/L.

> >>> > > >> >> > >> >> >>

> >>> > > >> >> > >> >> >> Normal value ranges may vary slightly among

> >>> different laboratories. Talk to

> >>> > > >> >> > >> >> >> your doctor about the meaning of your

> >>> specific test results.

> >>> > > >> >> > >> >> >> What Abnormal Results Mean

> >>> > > >> >> > >> >> >>

> >>> > > >> >> > >> >> >> Greater than normal levels may indicate:

> >>> > > >> >> > >> >> >>

> >>> > > >> >> > >> >> >> - Congenital hypothyroidism<http://www.nlm.nih.gov/medlineplus/ency/article/001193.htm

> >>> >(cretinism)

> >>> > > >> >> > >> >> >> - Exposure to mice (lab workers or

> >>> veterinarians)

> >>> > > >> >> > >> >> >> - Primary hypothyroidism

> >>> > > >> >> > >> >> >> - Thyroid hormone resistance

> >>> > > >> >> > >> >> >> - TSH-dependent hyperthyroidism

> >>> > > >> >> > >> >> >>

> >>> > > >> >> > >> >> >> Lower than normal levels may be due to:

> >>> > > >> >> > >> >> >>

> >>> > > >> >> > >> >> >> - Hyperthyroidism

> >>> > > >> >> > >> >> >> - TSH deficiency

> >>> > > >> >> > >> >> >> - Use of certain medications (including

> >>> dopamine agonists,

> >>> > > >> >> > >> >> >> glucocorticoids, somatostatin analogues, and

> >>> bexarotene)

> >>> > > >> >> > >> >> >>

> >>> > > >> >> > >> >> >> Risks

> >>> > > >> >> > >> >> >>

> >>> > > >> >> > >> >> >> Veins and arteries vary in size from one

> >>> patient to another and from one

> >>> > > >> >> > >> >> >> side of the body to the other. Obtaining a

> >>> blood sample from some people may

> >>> > > >> >> > >> >> >> be more difficult than from others.

> >>> > > >> >> > >> >> >>

> >>> > > >> >> > >> >> >> Other risks associated wit having blood drawn

> >>> are slight but may include:

> >>> > > >> >> > >> >> >>

> >>> > > >> >> > >> >> >> - Excessive bleeding

> >>> > > >> >> > >> >> >> - Fainting or feeling light-headed

> >>> > > >> >> > >> >> >> - Hematoma (blood accumulating under the skin)

> >>> > > >> >> > >> >> >> - Infection (a slight risk any time the skin

> >>> is broken)

> >>> > > >> >> > >> >> >>

> >>> > > >> >> > >> >> >> Alternative Names

> >>> > > >> >> > >> >> >>

> >>> > > >> >> > >> >> >> Thyrotropin; Thyroid stimulating hormone

> >>> > > >> >> > >> >> >> References

> >>> > > >> >> > >> >> >>

> >>> > > >> >> > >> >> >> AACE Thyroid Task Force. American Association

> >>> of Clinical Endocrinologists

> >>> > > >> >> > >> >> >> medical guidelines for clinical practice for

> >>> the evaluation and treatment of

> >>> > > >> >> > >> >> >> hyperthyroidism and hypothyroidism. *Endocr

> >>> Pract*. 2002;8(6):457-469.

> >>> > > >> >> > >> >> >>

> >>> > > >> >> > >> >> >> Brent GA, Larsen PR, Davies TF.

> >>> Hypothyroidism and Thyroiditis. In:

> >>> > > >> >> > >> >> >> Kronenberg HM, Melmed S, Polonsky KS, Larsen

> >>> PR, eds. * Textbook

> >>> > > >> >> > >> >> >> of Endocrinology*. 11th ed. Philadelphia, Pa:

> >>> Saunders Elsevier; 2008:chap

> >>> > > >> >> > >> >> >> 12.

> >>> > > >> >> > >> >> >> Update Date: 4/19/2010

> >>> > > >> >> > >> >> >>

> >>> > > >> >> > >> >> >> Updated by: Ari S. Eckman, MD, Division of

> >>> Endocrinology and Metabolism,

> >>> > > >> >> > >> >> >> s Hopkins School of Medicine, Baltimore,

> >>> MD. Review provided by VeriMed

> >>> > > >> >> > >> >> >> Healthcare Network. Also reviewed by

> >>> Zieve, MD, MHA, Medical Director,

> >>> > > >> >> > >> >> >> A.D.A.M., Inc.

> >>> > > >> >> > >> >> >> Browse the Encyclopedia<http://www.nlm.nih.gov/medlineplus/encyclopedia.html

> >>> >

> >>> > > >> >> > >> >> >>

> >>> > > >> >> > >> >> >> MedlinePlus Topics

> >>> > > >> >> > >> >> >>

> >>> > > >> >> > >> >> >> - Thyroid Diseases<http://www.nlm.nih.gov/medlineplus/thyroiddiseases.html

> >>> >

> >>> > > >> >> > >> >> >>

> >>> > > >> >> > >> >> >> Images

> >>> > > >> >> > >> >> >> [image: Endocrine glands]Endocrine glands<http://www.nlm.nih.gov/medlineplus/ency/imagepages/1093.htm

> >>> >

> >>> > > >> >> > >> >> >> [image: Pituitary and TSH]Pituitary and TSH<http://www.nlm.nih.gov/medlineplus/ency/imagepages/9971.htm

> >>> >

> >>> > > >> >> > >> >> >>

> >>> > > >> >> > >> >> >> Read More

> >>> > > >> >> > >> >> >>

> >>> > > >> >> > >> >> >> - Hyperthyroidism <http://../article/

> >>> 000356.htm>

> >>> > > >> >> > >> >> >>

> >>> > > >> >> > >> >> >> [image: A.D.A.M Quality Logo]

> >>> > > >> >> > >> >> >>

> >>> > > >> >> > >> >> >> A.D.A.M., Inc. is accredited by URAC, also

> >>> known as the American

> >>> > > >> >> > >> >> >> Accreditation HealthCare Commission (www.urac.org

> >>> ). URAC's accreditation

> >>> > > >> >> > >> >> >> program is an independent audit to verify

> >>> that A.D.A.M. follows rigorous

> >>> > > >> >> > >> >> >> standards of quality and accountability.

> >>> A.D.A.M. is among the first to

> >>> > > >> >> > >> >> >> achieve this important distinction for online

> >>> health information and

> >>> > > >> >> > >> >> >> services. Learn more about A.D.A.M.'s

> >>> editorial policy, editorial processand privacy

> >>> > > >> >> > >> >> >> policy. A.D.A.M. is also a founding member of

> >>> Hi-Ethics and subscribes to

> >>> > > >> >> > >> >> >> the principles of the Health on the Net

> >>> Foundation (www.hon.ch).

> >>> > > >> >> > >> >> >>

> >>> > > >> >> > >> >> >> The information provided herein should not be

> >>> used during any medical

> >>> > > >> >> > >> >> >> emergency or for the diagnosis or treatment

> >>> of any medical condition. A

> >>> > > >> >> > >> >> >> licensed physician should be consulted for

> >>> diagnosis and treatment of any

> >>> > > >> >> > >> >> >> and all medical conditions. Call 911 for all

> >>> medical emergencies. Links to

> >>> > > >> >> > >> >> >> other sites are provided for information only

> >>> -- they do not constitute

> >>> > > >> >> > >> >> >> endorsements of those other sites. Copyright

> >>> 1997-2011, A.D.A.M., Inc. Any

> >>> > > >> >> > >> >> >> duplication or distribution of the

> >>> information contained herein is strictly

> >>> > > >> >> > >> >> >> prohibited.

> >>> > > >> >> > >> >> >> [image: A.D.A.M Logo]

> >>> > > >> >> > >> >> >>

> >>> > > >> >> > >> >> >> Mobile version <http://m.medlineplus.gov/>Get

> >>> email updates<http://www.nlm.nih.gov/medlineplus/

> >>> listserv.html>Subscribe

> >>> > > >> >> > >> >> >> to RSS <http://www.nlm.nih.gov/medlineplus/rss.html

> >>> >Follow us on Twitter<http://twitter.com/medlineplus4you>

> >>> > > >> >> > >> >> >>

> >>> > > >> >> > >> >> >> Disclaimers <http://www.nlm.nih.gov/medlineplus/disclaimers.html

> >>> >Copyright<http://www.nlm.nih.gov/medlineplus/copyright.html>

> >>> > > >> >> > >> >> >> Privacy <http://www.nlm.nih.gov/medlineplus/privacy.html

> >>> >Accessibility<http://www.nlm.nih.gov/medlineplus/

> >>> accessibility.html>Quality

> >>> > > >> >> > >> >> >> Guidelines <http://www.nlm.nih.gov/medlineplus/criteria.html

> >>> >

> >>> > > >> >> > >> >> >> U.S. National Library of Medicine <http://www.nlm.nih.gov/

> >>> >8600 Rockville

> >>> > > >> >> > >> >> >> Pike, Bethesda, MD 20894U.S. Department of

> >>> Health and Human Services<http://www.hhs.gov/>National

> >>> > > >> >> > >> >> >> Institutes of Health <http://www.nih.gov/>

> >>> > > >> >> > >> >> >> Page last updated: 25 January 2011

> >>> > > >> >> > >> >> >>

> >>> > > >> >> > >> >> >>

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[Guest guest]

I can confirm it from my experience. Both of them - CCBs and BBs SIGNIFICANTLY increased my BP in an hour after taking. When I had 220/120 and called my nephrologist and asked him what to do, he said "Increase the dosage twice." I am happy that I didn't believe in him or God and had enough brain to find Dr. Grim. Thank you, thank you, thank you.

Natalia Kamneva 66 Russian F

with 1.5 cm adrenal adenoma, HTN and low renin , low aldosteron and high

cortisol, K=3.4; diabetic.

To: hyperaldosteronism Sent: Sun, February 27, 2011 11:08:05 PMSubject: Re: The problem with TSH test is so called normal range

Verapamil is a calcium channel blocker. I know from my own experience that CCBs do not lower my BP, they actually *raise* it. I feel like I've read an article that said this was often the case with PA patients - Dr. Grim, have you observed this?

> > >> >> > >> >>

> > >> >> > >> >> >what is listed on this sheet as normal results is so different than the

> > >> >> > >> >> >results my doctors office is now using

> > >> >> > >> >> >their range for normal is 0.30 to 5.0 for tsh

> > >> >> > >> >> >Consider in the last year my have ranged from 0.04 through 45.9 and that

> > >> >> > >> >> >was why on varying amounts of thryoid drugs. I hit both ends of the

> > >> >> > >> >> >spectrum, from hypo to hyperthroid.

> > >> >> > >> >> >

> > >> >> > >> >> >my antibodies are always off the chart

> > >> >> > >> >> >

> > >> >> > >> >> >> Normal Results

> > >> >> > >> >> >>

> > >> >> > >> >> >> Normal values are 0.4 - 4.0 mIU/L.

> > >> >> > >> >> >>

> > >> >> > >> >> >> However, those without signs or symptoms of an underactive thyroid who have

> > >> >> > >> >> >> a TSH value over 2.0 mIU/L but normal T4 levels may develop hypothyroidism

> > >> >> > >> >> >> in the future. This is called subclinical hypothyroidism (mildly underactive

> > >> >> > >> >> >> thyroid) or early-stage hypothyroidism. Anyone with a TSH value above this

> > >> >> > >> >> >> level should be followed very closely by a doctor.

> > >> >> > >> >> >>

> > >> >> > >> >> >> If you are being treated for a thyroid disorder, your TSH level should be

> > >> >> > >> >> >> between 0.5 and 3.0 mIU/L.

> > >> >> > >> >> >>

> > >> >> > >> >> >> Normal value ranges may vary slightly among different laboratories. Talk to

> > >> >> > >> >> >> your doctor about the meaning of your specific test results.

> > >> >> > >> >> >> What Abnormal Results Mean

> > >> >> > >> >> >>

> > >> >> > >> >> >> Greater than normal levels may indicate:

> > >> >> > >> >> >>

> > >> >> > >> >> >> - Congenital hypothyroidism<http://www.nlm.nih.gov/medlineplus/ency/article/001193.htm>(cretinism)

> > >> >> > >> >> >> - Exposure to mice (lab workers or veterinarians)

> > >> >> > >> >> >> - Primary hypothyroidism

> > >> >> > >> >> >> - Thyroid hormone resistance

> > >> >> > >> >> >> - TSH-dependent hyperthyroidism

> > >> >> > >> >> >>

> > >> >> > >> >> >> Lower than normal levels may be due to:

> > >> >> > >> >> >>

> > >> >> > >> >> >> - Hyperthyroidism

> > >> >> > >> >> >> - TSH deficiency

> > >> >> > >> >> >> - Use of certain medications (including dopamine agonists,

> > >> >> > >> >> >> glucocorticoids, somatostatin analogues, and bexarotene)

> > >> >> > >> >> >>

> > >> >> > >> >> >> Risks

> > >> >> > >> >> >>

> > >> >> > >> >> >> Veins and arteries vary in size from one patient to another and from one

> > >> >> > >> >> >> side of the body to the other. Obtaining a blood sample from some people may

> > >> >> > >> >> >> be more difficult than from others.

> > >> >> > >> >> >>

> > >> >> > >> >> >> Other risks associated wit having blood drawn are slight but may include:

> > >> >> > >> >> >>

> > >> >> > >> >> >> - Excessive bleeding

> > >> >> > >> >> >> - Fainting or feeling light-headed

> > >> >> > >> >> >> - Hematoma (blood accumulating under the skin)

> > >> >> > >> >> >> - Infection (a slight risk any time the skin is broken)

> > >> >> > >> >> >>

> > >> >> > >> >> >> Alternative Names

> > >> >> > >> >> >>

> > >> >> > >> >> >> Thyrotropin; Thyroid stimulating hormone

> > >> >> > >> >> >> References

> > >> >> > >> >> >>

> > >> >> > >> >> >> AACE Thyroid Task Force. American Association of Clinical Endocrinologists

> > >> >> > >> >> >> medical guidelines for clinical practice for the evaluation and treatment of

> > >> >> > >> >> >> hyperthyroidism and hypothyroidism. *Endocr Pract*. 2002;8(6):457-469.

> > >> >> > >> >> >>

> > >> >> > >> >> >> Brent GA, Larsen PR, Davies TF. Hypothyroidism and Thyroiditis. In:

> > >> >> > >> >> >> Kronenberg HM, Melmed S, Polonsky KS, Larsen PR, eds. * Textbook

> > >> >> > >> >> >> of Endocrinology*. 11th ed. Philadelphia, Pa: Saunders Elsevier; 2008:chap

> > >> >> > >> >> >> 12.

> > >> >> > >> >> >> Update Date: 4/19/2010

> > >> >> > >> >> >>

> > >> >> > >> >> >> Updated by: Ari S. Eckman, MD, Division of Endocrinology and Metabolism,

> > >> >> > >> >> >> s Hopkins School of Medicine, Baltimore, MD. Review provided by VeriMed

> > >> >> > >> >> >> Healthcare Network. Also reviewed by Zieve, MD, MHA, Medical Director,

> > >> >> > >> >> >> A.D.A.M., Inc.

> > >> >> > >> >> >> Browse the Encyclopedia<http://www.nlm.nih.gov/medlineplus/encyclopedia.html>

> > >> >> > >> >> >>

> > >> >> > >> >> >> MedlinePlus Topics

> > >> >> > >> >> >>

> > >> >> > >> >> >> - Thyroid Diseases<http://www.nlm.nih.gov/medlineplus/thyroiddiseases.html>

> > >> >> > >> >> >>

> > >> >> > >> >> >> Images

> > >> >> > >> >> >> [image: Endocrine glands]Endocrine glands<http://www.nlm.nih.gov/medlineplus/ency/imagepages/1093.htm>

> > >> >> > >> >> >> [image: Pituitary and TSH]Pituitary and TSH<http://www.nlm.nih.gov/medlineplus/ency/imagepages/9971.htm>

> > >> >> > >> >> >>

> > >> >> > >> >> >> Read More

> > >> >> > >> >> >>

> > >> >> > >> >> >> - Hyperthyroidism <http://../article/000356.htm>

> > >> >> > >> >> >>

> > >> >> > >> >> >> [image: A.D.A.M Quality Logo]

> > >> >> > >> >> >>

> > >> >> > >> >> >> A.D.A.M., Inc. is accredited by URAC, also known as the American

> > >> >> > >> >> >> Accreditation HealthCare Commission (www.urac.org). URAC's accreditation

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> > >> >> > >> >> >> standards of quality and accountability. A.D.A.M. is among the first to

> > >> >> > >> >> >> achieve this important distinction for online health information and

> > >> >> > >> >> >> services. Learn more about A.D.A.M.'s editorial policy, editorial processand privacy

> > >> >> > >> >> >> policy. A.D.A.M. is also a founding member of Hi-Ethics and subscribes to

> > >> >> > >> >> >> the principles of the Health on the Net Foundation (www.hon.ch).

> > >> >> > >> >> >>

> > >> >> > >> >> >> The information provided herein should not be used during any medical

> > >> >> > >> >> >> emergency or for the diagnosis or treatment of any medical condition. A

> > >> >> > >> >> >> licensed physician should be consulted for diagnosis and treatment of any

> > >> >> > >> >> >> and all medical conditions. Call 911 for all medical emergencies. Links to

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> > >> >> > >> >> >> to RSS <http://www.nlm.nih.gov/medlineplus/rss.html>Follow us on Twitter<http://twitter.com/medlineplus4you>

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> > >> >> > >> >> >> Disclaimers <http://www.nlm.nih.gov/medlineplus/disclaimers.html>Copyright<http://www.nlm.nih.gov/medlineplus/copyright.html>

> > >> >> > >> >> >> Privacy <http://www.nlm.nih.gov/medlineplus/privacy.html>Accessibility<http://www.nlm.nih.gov/medlineplus/accessibility.html>Quality

> > >> >> > >> >> >> Guidelines <http://www.nlm.nih.gov/medlineplus/criteria.html>

> > >> >> > >> >> >> U.S. National Library of Medicine <http://www.nlm.nih.gov/>8600 Rockville

> > >> >> > >> >> >> Pike, Bethesda, MD 20894U.S. Department of Health and Human Services<http://www.hhs.gov/>National

> > >> >> > >> >> >> Institutes of Health <http://www.nih.gov/>

> > >> >> > >> >> >> Page last updated: 25 January 2011

> > >> >> > >> >> >>

> > >> >> > >> >> >>

> > >> >> > >> >> >>

> > >> >> > >> >>

> > >> >> > >> >

> > >> >> > >> >

> > >> >> > >>

> > >> >> > >

> > >> >> > >

> > >> >> >

> > >> >>

> > >> >

> > >> >

> > >>

> > >>

> >

> >

>

[Guest guest]

Natalia,

Can't you do something about your K? can you elevate it to around K=4.5? I get myriad of spasms with K<3.8.

Max.

61M L adenoma by NP59 scan. High aldos not low renin. med combo #75={Spiro=100, Amlo=10, Indap=2.5, Ramip=5, Metf=1000, Prav=40, Feno=67, K.cl=120 mEq}{sideEffects: gynecodynia, dry legs skin}{K=4.6}

I can confirm it from my experience. Both of them - CCBs and BBs SIGNIFICANTLY increased my BP in an hour after taking. When I had 220/120 and called my nephrologist and asked him what to do, he said "Increase the dosage twice." I am happy that I didn't believe in him or God and had enough brain to find Dr. Grim. Thank you, thank you, thank you.

Natalia Kamneva 66 Russian F with 1.5 cm adrenal adenoma, HTN and low renin , low aldosteron and high cortisol, K=3.4; diabetic.

[Guest guest]

The body defends very strongly against K going up too high. In normals hi K stimulates aldo production to dump K. Tiped sad Send form miiPhone ;-)May your pressure be low!CE Grim MDSpecializing in DifficultHypertension

Natalia,

Can't you do something about your K? can you elevate it to around K=4.5? I get myriad of spasms with K<3.8.

Max.

61M L adenoma by NP59 scan. High aldos not low renin. med combo #75={Spiro=100, Amlo=10, Indap=2.5, Ramip=5, Metf=1000, Prav=40, Feno=67, K.cl=120 mEq}{sideEffects: gynecodynia, dry legs skin}{K=4.6}

I can confirm it from my experience. Both of them - CCBs and BBs SIGNIFICANTLY increased my BP in an hour after taking. When I had 220/120 and called my nephrologist and asked him what to do, he said "Increase the dosage twice." I am happy that I didn't believe in him or God and had enough brain to find Dr. Grim. Thank you, thank you, thank you.

Natalia Kamneva 66 Russian F with 1.5 cm adrenal adenoma, HTN and low renin , low aldosteron and high cortisol, K=3.4; diabetic.

[Guest guest]

I drink V8 and eat 3-4 sticks of salary every day and other vegetables and banana. I have cramps not very often, then I take the French medication called "De Cramp". It contains Potassium and Magnesium and somehow Arnica.(???) It helps me for several days ususally. In a couple of weeks I will visit my PCP and ask him about 24 urine and/or blood test to check my K, Na, creatinine, as Dr. Grim recommends.

Best regards,

Natalia

To: hyperaldosteronism Sent: Tue, March 1, 2011 3:06:32 PMSubject: RE: Re: The problem with TSH test is so called normal range

Natalia,

Can't you do something about your K? can you elevate it to around K=4.5? I get myriad of spasms with K<3.8.

Max.

61M L adenoma by NP59 scan. High aldos not low renin. med combo #75={Spiro=100, Amlo=10, Indap=2.5, Ramip=5, Metf=1000, Prav=40, Feno=67, K.cl=120 mEq}{sideEffects: gynecodynia, dry legs skin}{K=4.6}

I can confirm it from my experience. Both of them - CCBs and BBs SIGNIFICANTLY increased my BP in an hour after taking. When I had 220/120 and called my nephrologist and asked him what to do, he said "Increase the dosage twice." I am happy that I didn't believe in him or God and had enough brain to find Dr. Grim. Thank you, thank you, thank you.

Natalia Kamneva 66 Russian F with 1.5 cm adrenal adenoma, HTN and low renin , low aldosteron and high cortisol, K=3.4; diabetic.

[Guest guest]

Hope it is low Na V-8.CE Grim MDI drink V8 and eat 3-4 sticks of salary every day and other vegetables and banana. I have cramps not very often, then I take the French medication called "De Cramp". It contains Potassium and Magnesium and somehow Arnica.(???) It helps me for several days ususally. In a couple of weeks I will visit my PCP and ask him about 24 urine and/or blood test to check my K, Na, creatinine, as Dr. Grim recommends. Best regards, NataliaTo: hyperaldosteronism Sent: Tue, March 1, 2011 3:06:32 PMSubject: RE: Re: The problem with TSH test is so called normal range Natalia, Can't you do something about your K? can you elevate it to around K=4.5? I get myriad of spasms with K<3.8. Max.61M L adenoma by NP59 scan. High aldos not low renin. med combo #75={Spiro=100, Amlo=10, Indap=2.5, Ramip=5, Metf=1000, Prav=40, Feno=67, K.cl=120 mEq}{sideEffects: gynecodynia, dry legs skin}{K=4.6}I can confirm it from my experience. Both of them - CCBs and BBs SIGNIFICANTLY increased my BP in an hour after taking. When I had 220/120 and called my nephrologist and asked him what to do, he said "Increase the dosage twice." I am happy that I didn't believe in him or God and had enough brain to find Dr. Grim. Thank you, thank you, thank you.Natalia Kamneva 66 Russian F with 1.5 cm adrenal adenoma, HTN and low renin , low aldosteron and high cortisol, K=3.4; diabetic.