24 hour urine results - oral salt loading

[Guest guest]

Hi Dr. Grim, as promised, here are my 24 hour urine results (with lab reference

ranges) after 3 days of oral sodium loading. Would appreciate any insights you

have to offer, thanks!

24 HR TV - 2650 (normal 600-1600)

24 HR NA - 133 (normal 40-220)

24 HR K - 120 (normal 25-125)

24 HR CREAT - 1.2 (normal 0.8-1.8)

URINE ALDO - 77.4 - not sure which range applies to salt loading so I'm

including them all - (<25MEQ - 17-44, 100-200MEQ 6-25, >200MEQ 0-6)

I was taking 6 grams of sodium per day during the test, if that helps.

CREATININE, URINE - MG/DL - 45 (no range given)

CREATININE, URINE - MG/DAY - 1192 (normal 700-1600)

And from a blood draw done that same morning:

K 3.2 (normal 3.5-5.1)

ALDOSTERONE, SERUM 28.5 (upright 4.0-31, supine <16.0 - pretty sure I was

supine)

RENIN 0.2 (upright 0.5-4.0, supine 0.2-1.6)

[Guest guest]

Forgot to include ths usual:

-msmith1928

45, female, 5'3 " , 120 lbs, 1cm left adrenal nodule, aldosterone 42.3, renin 0.5,

potassium <2.9 (when not taking supplements); 25mg spiro caused gynecomastia, no

HTN meds; other meds are 20MEQ K 2x/day, singulair 10mg, norethindrone .35mg,

and cyclobenzaprine 5mg as needed; low sodium, fructose- and grain-free diet

>

> Hi Dr. Grim, as promised, here are my 24 hour urine results (with lab

reference ranges) after 3 days of oral sodium loading. Would appreciate any

insights you have to offer, thanks!

>

> 24 HR TV - 2650 (normal 600-1600)

> 24 HR NA - 133 (normal 40-220)

> 24 HR K - 120 (normal 25-125)

> 24 HR CREAT - 1.2 (normal 0.8-1.8)

>

> URINE ALDO - 77.4 - not sure which range applies to salt loading so I'm

including them all - (<25MEQ - 17-44, 100-200MEQ 6-25, >200MEQ 0-6)

>

> I was taking 6 grams of sodium per day during the test, if that helps.

>

> CREATININE, URINE - MG/DL - 45 (no range given)

> CREATININE, URINE - MG/DAY - 1192 (normal 700-1600)

>

> And from a blood draw done that same morning:

> K 3.2 (normal 3.5-5.1)

> ALDOSTERONE, SERUM 28.5 (upright 4.0-31, supine <16.0 - pretty sure I was

supine)

> RENIN 0.2 (upright 0.5-4.0, supine 0.2-1.6)

>

[Guest guest]

Your were eating lots of K. Tiped sad Send form miiPhone ;-)May your pressure be low!CE Grim MDSpecializing in DifficultHypertension

Hi Dr. Grim, as promised, here are my 24 hour urine results (with lab reference ranges) after 3 days of oral sodium loading. Would appreciate any insights you have to offer, thanks!

24 HR TV - 2650 (normal 600-1600)

24 HR NA - 133 (normal 40-220)

24 HR K - 120 (normal 25-125)

24 HR CREAT - 1.2 (normal 0.8-1.8)

URINE ALDO - 77.4 - not sure which range applies to salt loading so I'm including them all - (<25MEQ - 17-44, 100-200MEQ 6-25, >200MEQ 0-6)

I was taking 6 grams of sodium per day during the test, if that helps.

CREATININE, URINE - MG/DL - 45 (no range given)

CREATININE, URINE - MG/DAY - 1192 (normal 700-1600)

And from a blood draw done that same morning:

K 3.2 (normal 3.5-5.1)

ALDOSTERONE, SERUM 28.5 (upright 4.0-31, supine <16.0 - pretty sure I was supine)

RENIN 0.2 (upright 0.5-4.0, supine 0.2-1.6)

[Guest guest]

You mean, I was *taking* lots of K 60MEQ per day, to be exact.

On a rare day when I actually eat 3 meals, I barely get 2500mg of K. During the

salt loading I was pretty nauseated and hardly ate a thing except eggs, spinach,

and avocado.

>

> > Hi Dr. Grim, as promised, here are my 24 hour urine results (with lab

reference ranges) after 3 days of oral sodium loading. Would appreciate any

insights you have to offer, thanks!

> >

> > 24 HR TV - 2650 (normal 600-1600)

> > 24 HR NA - 133 (normal 40-220)

> > 24 HR K - 120 (normal 25-125)

> > 24 HR CREAT - 1.2 (normal 0.8-1.8)

> >

> > URINE ALDO - 77.4 - not sure which range applies to salt loading so I'm

including them all - (<25MEQ - 17-44, 100-200MEQ 6-25, >200MEQ 0-6)

> >

> > I was taking 6 grams of sodium per day during the test, if that helps.

> >

> > CREATININE, URINE - MG/DL - 45 (no range given)

> > CREATININE, URINE - MG/DAY - 1192 (normal 700-1600)

> >

> > And from a blood draw done that same morning:

> > K 3.2 (normal 3.5-5.1)

> > ALDOSTERONE, SERUM 28.5 (upright 4.0-31, supine <16.0 - pretty sure I was

supine)

> > RENIN 0.2 (upright 0.5-4.0, supine 0.2-1.6)

> >

> >

>

[Guest guest]

Your U Aldo is very high. Tiped sad Send form miiPhone ;-)May your pressure be low!CE Grim MDSpecializing in DifficultHypertension

Hi Dr. Grim, as promised, here are my 24 hour urine results (with lab reference ranges) after 3 days of oral sodium loading. Would appreciate any insights you have to offer, thanks!

24 HR TV - 2650 (normal 600-1600)

24 HR NA - 133 (normal 40-220)

24 HR K - 120 (normal 25-125)

24 HR CREAT - 1.2 (normal 0.8-1.8)

URINE ALDO - 77.4 - not sure which range applies to salt loading so I'm including them all - (<25MEQ - 17-44, 100-200MEQ 6-25, >200MEQ 0-6)

I was taking 6 grams of sodium per day during the test, if that helps.

CREATININE, URINE - MG/DL - 45 (no range given)

CREATININE, URINE - MG/DAY - 1192 (normal 700-1600)

And from a blood draw done that same morning:

K 3.2 (normal 3.5-5.1)

ALDOSTERONE, SERUM 28.5 (upright 4.0-31, supine <16.0 - pretty sure I was supine)

RENIN 0.2 (upright 0.5-4.0, supine 0.2-1.6)

[Guest guest]

Thanks Dr. Grim. I think the standard is 6-12g per day for oral salt loading?

Since I already eat very low sodium my doctor wanted to start conservatively so

he went with 6g/day. Even going that low, I had a couple of 165/110 BP readings,

something that never happens on my normal diet.

> > >

> > > Hi Dr. Grim, as promised, here are my 24 hour urine results (with lab

reference ranges) after 3 days of oral sodium loading. Would appreciate any

insights you have to offer, thanks!

> > >

> > > 24 HR TV - 2650 (normal 600-1600)

> > > 24 HR NA - 133 (normal 40-220)

> > > 24 HR K - 120 (normal 25-125)

> > > 24 HR CREAT - 1.2 (normal 0.8-1.8)

> > >

> > > URINE ALDO - 77.4 - not sure which range applies to salt loading so I'm

including them all - (<25MEQ - 17-44, 100-200MEQ 6-25, >200MEQ 0-6)

> > >

> > > I was taking 6 grams of sodium per day during the test, if that helps.

> > >

> > > CREATININE, URINE - MG/DL - 45 (no range given)

> > > CREATININE, URINE - MG/DAY - 1192 (normal 700-1600)

> > >

> > > And from a blood draw done that same morning:

> > > K 3.2 (normal 3.5-5.1)

> > > ALDOSTERONE, SERUM 28.5 (upright 4.0-31, supine <16.0 - pretty sure I was

supine)

> > > RENIN 0.2 (upright 0.5-4.0, supine 0.2-1.6)

> > >

> >

> >

>

[Guest guest]

Unusually so? Or typical for a patient with hyperaldo? Just curious.

>

> > Hi Dr. Grim, as promised, here are my 24 hour urine results (with lab

reference ranges) after 3 days of oral sodium loading. Would appreciate any

insights you have to offer, thanks!

> >

> > 24 HR TV - 2650 (normal 600-1600)

> > 24 HR NA - 133 (normal 40-220)

> > 24 HR K - 120 (normal 25-125)

> > 24 HR CREAT - 1.2 (normal 0.8-1.8)

> >

> > URINE ALDO - 77.4 - not sure which range applies to salt loading so I'm

including them all - (<25MEQ - 17-44, 100-200MEQ 6-25, >200MEQ 0-6)

> >

> > I was taking 6 grams of sodium per day during the test, if that helps.

> >

> > CREATININE, URINE - MG/DL - 45 (no range given)

> > CREATININE, URINE - MG/DAY - 1192 (normal 700-1600)

> >

> > And from a blood draw done that same morning:

> > K 3.2 (normal 3.5-5.1)

> > ALDOSTERONE, SERUM 28.5 (upright 4.0-31, supine <16.0 - pretty sure I was

supine)

> > RENIN 0.2 (upright 0.5-4.0, supine 0.2-1.6)

> >

> >

>