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My guess is that most lose some WT on Spiro or eplero. You gained WT on others because they do not work in PA. or as pressure drops you retain salt with excess Aldo. Tiped sad Send form miiPhone ;-)May your pressure be low!CE Grim MDSpecializing in DifficultHypertension

Hi Sojourner, I recently posted asking about the downside of long term spiro use because I'm worried about the same thing - I can't take spiro, but if adrenalectomy isn't an option for me I may have to start eplerenone and I am terrified of it making me fat! Every BP med I've taken has made me gain weight (that falls right off when I stop the meds without changing anything else).

Have you tried eplerenone? And if so, did it have the same side effect?

- msmith1928

45, female, 5'3", 120 lbs, 1cm left adrenal nodule, supine aldosterone 28.5/renin 0.2, potassium <2.9 (when not taking supplements); 25mg spiro caused gynecomastia; no HTN meds; current meds are 20MEQ K 2x/day, singulair 10mg, norethindrone .35mg, cyclobenzaprine 5-10mg when needed; low sodium, fructose- and grain-free diet

>

> Yuk, I hate Spiro!! It makes me fat!! What if I don't take it, what will happen. I was recently told to stop taking the hydrochlorizide/water pill, and start taking spiro again, due to my vitimin d levels on the floor, and potassium levels. Why can't I just take labetalol and vitamin D and a potassium supplement?

>

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What do you mean, does not work in " PA". so u gain weight w/ pressure dropping? But I stopped taking Spiro, and I have

lost weight. My breast were enlarged, and I put on about 20lbs. Yikes!!

Licia

To: "hyperaldosteronism " <hyperaldosteronism >Sent: Tue, May 3, 2011 5:52:50 PMSubject: Re: Re: Back On Spro!!

My guess is that most lose some WT on Spiro or eplero. You gained WT on others because they do not work in PA. or as pressure drops you retain salt with excess Aldo. Tiped sad Send form mi iPhone ;-)

May your pressure be low!

CE Grim MD

Specializing in Difficult

Hypertension

Hi Sojourner, I recently posted asking about the downside of long term spiro use because I'm worried about the same thing - I can't take spiro, but if adrenalectomy isn't an option for me I may have to start eplerenone and I am terrified of it making me fat! Every BP med I've taken has made me gain weight (that falls right off when I stop the meds without changing anything else).Have you tried eplerenone? And if so, did it have the same side effect?- msmith192845, female, 5'3", 120 lbs, 1cm left adrenal nodule, supine aldosterone 28.5/renin 0.2, potassium <2.9 (when not taking supplements); 25mg spiro caused gynecomastia; no HTN meds; current meds are 20MEQ K 2x/day, singulair 10mg, norethindrone .35mg, cyclobenzaprine 5-10mg when needed; low sodium, fructose- and grain-free diet>> Yuk, I hate Spiro!! It makes me fat!! What if I don't take it, what will happen. I was recently told to stop taking the hydrochlorizide/water pill, and start taking spiro again, due to my vitimin d levels on the floor, and potassium levels. Why can't I just take labetalol and vitamin D and a potassium supplement?>

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Hi MS,

I can say that since being on Spiro I have not gained any

weight and have only lost a few pounds since joining Weight

Watchers. What it

did do was make my breasts bigger buy a cup and band size.

Usually I am the first to gain weight on meds but spiro

hasn't been one of them.

Hope that helps,

Kellie

Hi Sojourner, I recently posted asking about the downside

of long term spiro use because I'm worried about the same

thing - I can't take spiro, but if adrenalectomy isn't an

option for me I may have to start eplerenone and I am

terrified of it making me fat! Every BP med I've taken has

made me gain weight (that falls right off when I stop the

meds without changing anything else).

Have you tried eplerenone? And if so, did it have the same

side effect?

- msmith1928

45, female, 5'3", 120 lbs, 1cm left adrenal nodule, supine

aldosterone 28.5/renin 0.2, potassium <2.9 (when not

taking supplements); 25mg spiro caused gynecomastia; no

HTN meds; current meds are 20MEQ K 2x/day, singulair 10mg,

norethindrone .35mg, cyclobenzaprine 5-10mg when needed;

low sodium, fructose- and grain-free diet

>

> Yuk, I hate Spiro!! It makes me fat!! What if I don't

take it, what will happen. I was recently told to stop

taking the hydrochlorizide/water pill, and start taking

spiro again, due to my vitimin d levels on the floor, and

potassium levels. Why can't I just take labetalol and

vitamin D and a potassium supplement?

>

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Hi M:

No I haven't heard of eplerenone. Is it the same as Spiro. Well Dr Grimm said bc, I stopped taking spiro and he felt that whatever else I was on

was making me gain weight. But I don't understand how that could be bc, the spiro, made my breast enlarge too. That wasn't so bad, lol but the

weight gain was ridiculous. I don't know if I am even eligible for the surgery, bc my kidneys. I really don't want to gain any more weight. I'm only 5'1" and was up to 152lbs!! I was that overweight when I was 9months pregnant with my first son. I don't think I want to go through this up and down. It is so frustrating.

Sojourner

To: hyperaldosteronism Sent: Tue, May 3, 2011 5:49:02 PMSubject: Re: Back On Spro!!

Hi Sojourner, I recently posted asking about the downside of long term spiro use because I'm worried about the same thing - I can't take spiro, but if adrenalectomy isn't an option for me I may have to start eplerenone and I am terrified of it making me fat! Every BP med I've taken has made me gain weight (that falls right off when I stop the meds without changing anything else).Have you tried eplerenone? And if so, did it have the same side effect?- msmith192845, female, 5'3", 120 lbs, 1cm left adrenal nodule, supine aldosterone 28.5/renin 0.2, potassium <2.9 (when not taking supplements); 25mg spiro caused gynecomastia; no HTN meds; current meds are 20MEQ K 2x/day, singulair 10mg, norethindrone .35mg, cyclobenzaprine 5-10mg when needed; low sodium, fructose- and grain-free diet>> Yuk, I hate Spiro!! It makes me fat!! What if I don't take it, what will happen. I was recently told to stop taking the hydrochlorizide/water pill, and start taking spiro again, due to my vitimin d levels on the floor, and potassium levels. Why can't I just take labetalol and vitamin D and a potassium supplement?>

Hi

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Hi Kim: But I lost weight after I stopped taking it and my breast size went down too. I want to lose this weight.

I feel bloated all the time.

Sojourner

To: hyperaldosteronism Sent: Tue, May 3, 2011 6:41:27 PMSubject: Re: Re: Back On Spro!!

Hi MS, I can say that since being on Spiro I have not gained any weight and have only lost a few pounds since joining Weight Watchers. What it did do was make my breasts bigger buy a cup and band size. Usually I am the first to gain weight on meds but spiro hasn't been one of them. Hope that helps, Kellie

Hi Sojourner, I recently posted asking about the downside of long term spiro use because I'm worried about the same thing - I can't take spiro, but if adrenalectomy isn't an option for me I may have to start eplerenone and I am terrified of it making me fat! Every BP med I've taken has made me gain weight (that falls right off when I stop the meds without changing anything else).Have you tried eplerenone? And if so, did it have the same side effect?- msmith192845, female, 5'3", 120 lbs, 1cm left adrenal nodule, supine aldosterone 28.5/renin 0.2, potassium <2.9 (when not taking supplements); 25mg spiro caused gynecomastia; no HTN meds; current meds are 20MEQ K 2x/day, singulair 10mg, norethindrone .35mg, cyclobenzaprine 5-10mg when needed; low sodium, fructose- and grain-free diet>> Yuk, I hate Spiro!! It makes me fat!! What if I don't take it, what will happen. I was recently told to stop taking the hydrochlorizide/water pill, and start taking spiro again, due to my vitimin d levels on the floor, and potassium levels. Why can't I just take labetalol and vitamin D and a potassium supplement?>

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And DASH. Aldo has no effect on a low sodium diet. Tiped sad Send form miiPhone ;-)May your pressure be low!CE Grim MDSpecializing in DifficultHypertension

Eplerenone is an alternative to spiro. I've heard it's expensive and sometimes hard to get insurance companies to pay for, but supposedly it has less of the estrogenic side effects of spiro (the estrogenic effects are what causes the breast enlargement). Anyway, it might be worthwhile for you to ask your doctor to try you on it and see how it goes.

> >

> > Yuk, I hate Spiro!! It makes me fat!! What if I don't take it, what will

> >happen. I was recently told to stop taking the hydrochlorizide/water pill, and

> >start taking spiro again, due to my vitimin d levels on the floor, and potassium

> >levels. Why can't I just take labetalol and vitamin D and a potassium

> >supplement?

> >

>

>

> Hi

>

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Ear less and exercise more.Tiped sad Send form miiPhone ;-)May your pressure be low!CE Grim MDSpecializing in DifficultHypertension

Hi M:

No I haven't heard of eplerenone. Is it the same as Spiro. Well Dr Grimm said bc, I stopped taking spiro and he felt that whatever else I was on

was making me gain weight. But I don't understand how that could be bc, the spiro, made my breast enlarge too. That wasn't so bad, lol but the

weight gain was ridiculous. I don't know if I am even eligible for the surgery, bc my kidneys. I really don't want to gain any more weight. I'm only 5'1" and was up to 152lbs!! I was that overweight when I was 9months pregnant with my first son. I don't think I want to go through this up and down. It is so frustrating.

Sojourner

To: hyperaldosteronism Sent: Tue, May 3, 2011 5:49:02 PMSubject: Re: Back On Spro!!

Hi Sojourner, I recently posted asking about the downside of long term spiro use because I'm worried about the same thing - I can't take spiro, but if adrenalectomy isn't an option for me I may have to start eplerenone and I am terrified of it making me fat! Every BP med I've taken has made me gain weight (that falls right off when I stop the meds without changing anything else).Have you tried eplerenone? And if so, did it have the same side effect?- msmith192845, female, 5'3", 120 lbs, 1cm left adrenal nodule, supine aldosterone 28.5/renin 0.2, potassium <2.9 (when not taking supplements); 25mg spiro caused gynecomastia; no HTN meds; current meds are 20MEQ K 2x/day, singulair 10mg, norethindrone .35mg, cyclobenzaprine 5-10mg when needed; low sodium, fructose- and grain-free diet>> Yuk, I hate Spiro!! It makes me fat!! What if I don't take it, what will happen. I was recently told to stop taking the hydrochlorizide/water pill, and start taking spiro again, due to my vitimin d levels on the floor, and potassium levels. Why can't I just take labetalol and vitamin D and a potassium supplement?>

Hi

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I will do just that. Thank you so much.

S.

To: hyperaldosteronism Sent: Tue, May 3, 2011 7:00:11 PMSubject: Re: Back On Spro!!

Eplerenone is an alternative to spiro. I've heard it's expensive and sometimes hard to get insurance companies to pay for, but supposedly it has less of the estrogenic side effects of spiro (the estrogenic effects are what causes the breast enlargement). Anyway, it might be worthwhile for you to ask your doctor to try you on it and see how it goes.> >> > Yuk, I hate Spiro!! It makes me fat!! What if I don't take it, what will > >happen. I was recently told to stop taking the hydrochlorizide/water pill, and > >start taking spiro again, due to my vitimin d levels on the floor, and potassium > >levels. Why can't I just take labetalol and vitamin D and a potassium > >supplement?> >> > > Hi>

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In contrAst to BP Meds that don't work well in PA MCBs allow the kidney to achieve sodium balance at a lower pressure. If the others lower pressure they increase Na retention and WT goes up. Tiped sad Send form miiPhone ;-)May your pressure be low!CE Grim MDSpecializing in DifficultHypertension

Hi MS,

I can say that since being on Spiro I have not gained any

weight and have only lost a few pounds since joining Weight

Watchers. What it

did do was make my breasts bigger buy a cup and band size.

Usually I am the first to gain weight on meds but spiro

hasn't been one of them.

Hope that helps,

Kellie

Hi Sojourner, I recently posted asking about the downside

of long term spiro use because I'm worried about the same

thing - I can't take spiro, but if adrenalectomy isn't an

option for me I may have to start eplerenone and I am

terrified of it making me fat! Every BP med I've taken has

made me gain weight (that falls right off when I stop the

meds without changing anything else).

Have you tried eplerenone? And if so, did it have the same

side effect?

- msmith1928

45, female, 5'3", 120 lbs, 1cm left adrenal nodule, supine

aldosterone 28.5/renin 0.2, potassium <2.9 (when not

taking supplements); 25mg spiro caused gynecomastia; no

HTN meds; current meds are 20MEQ K 2x/day, singulair 10mg,

norethindrone .35mg, cyclobenzaprine 5-10mg when needed;

low sodium, fructose- and grain-free diet

>

> Yuk, I hate Spiro!! It makes me fat!! What if I don't

take it, what will happen. I was recently told to stop

taking the hydrochlorizide/water pill, and start taking

spiro again, due to my vitimin d levels on the floor, and

potassium levels. Why can't I just take labetalol and

vitamin D and a potassium supplement?

>

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How clear is it than u have PA. I CAN'T tell by your signature nTiped sad Send form miiPhone ;-)May your pressure be low!CE Grim MDSpecializing in DifficultHypertension

What do you mean, does not work in " PA". so u gain weight w/ pressure dropping? But I stopped taking Spiro, and I have

lost weight. My breast were enlarged, and I put on about 20lbs. Yikes!!

Licia

To: "hyperaldosteronism " <hyperaldosteronism >Sent: Tue, May 3, 2011 5:52:50 PMSubject: Re: Re: Back On Spro!!

My guess is that most lose some WT on Spiro or eplero. You gained WT on others because they do not work in PA. or as pressure drops you retain salt with excess Aldo. Tiped sad Send form mi iPhone ;-)

May your pressure be low!

CE Grim MD

Specializing in Difficult

Hypertension

Hi Sojourner, I recently posted asking about the downside of long term spiro use because I'm worried about the same thing - I can't take spiro, but if adrenalectomy isn't an option for me I may have to start eplerenone and I am terrified of it making me fat! Every BP med I've taken has made me gain weight (that falls right off when I stop the meds without changing anything else).Have you tried eplerenone? And if so, did it have the same side effect?- msmith192845, female, 5'3", 120 lbs, 1cm left adrenal nodule, supine aldosterone 28.5/renin 0.2, potassium <2.9 (when not taking supplements); 25mg spiro caused gynecomastia; no HTN meds; current meds are 20MEQ K 2x/day, singulair 10mg, norethindrone .35mg, cyclobenzaprine 5-10mg when needed; low sodium, fructose- and grain-free diet>> Yuk, I hate Spiro!! It makes me fat!! What if I don't take it, what will happen. I was recently told to stop taking the hydrochlorizide/water pill, and start taking spiro again, due to my vitimin d levels on the floor, and potassium levels. Why can't I just take labetalol and vitamin D and a potassium supplement?>

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What is " Dashing" ? HOpe u don't mean running? LoL.

To: "hyperaldosteronism " <hyperaldosteronism >Sent: Tue, May 3, 2011 7:14:15 PMSubject: Re: Re: Back On Spro!!

And DASH. Aldo has no effect on a low sodium diet. Tiped sad Send form mi iPhone ;-)

May your pressure be low!

CE Grim MD

Specializing in Difficult

Hypertension

Eplerenone is an alternative to spiro. I've heard it's expensive and sometimes hard to get insurance companies to pay for, but supposedly it has less of the estrogenic side effects of spiro (the estrogenic effects are what causes the breast enlargement). Anyway, it might be worthwhile for you to ask your doctor to try you on it and see how it goes.> >> > Yuk, I hate Spiro!! It makes me fat!! What if I don't take it, what will > >happen. I was recently told to stop taking the hydrochlorizide/water pill, and > >start taking spiro again, due to my vitimin d levels on the floor, and potassium > >levels. Why can't I just take labetalol and vitamin D and a potassium > >supplement?> >> > > Hi>

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Have u also began to lower NA intake? Tiped sad Send form miiPhone ;-)May your pressure be low!CE Grim MDSpecializing in DifficultHypertension

What do you mean, does not work in " PA". so u gain weight w/ pressure dropping? But I stopped taking Spiro, and I have

lost weight. My breast were enlarged, and I put on about 20lbs. Yikes!!

Licia

To: "hyperaldosteronism " <hyperaldosteronism >Sent: Tue, May 3, 2011 5:52:50 PMSubject: Re: Re: Back On Spro!!

My guess is that most lose some WT on Spiro or eplero. You gained WT on others because they do not work in PA. or as pressure drops you retain salt with excess Aldo. Tiped sad Send form mi iPhone ;-)

May your pressure be low!

CE Grim MD

Specializing in Difficult

Hypertension

Hi Sojourner, I recently posted asking about the downside of long term spiro use because I'm worried about the same thing - I can't take spiro, but if adrenalectomy isn't an option for me I may have to start eplerenone and I am terrified of it making me fat! Every BP med I've taken has made me gain weight (that falls right off when I stop the meds without changing anything else).Have you tried eplerenone? And if so, did it have the same side effect?- msmith192845, female, 5'3", 120 lbs, 1cm left adrenal nodule, supine aldosterone 28.5/renin 0.2, potassium <2.9 (when not taking supplements); 25mg spiro caused gynecomastia; no HTN meds; current meds are 20MEQ K 2x/day, singulair 10mg, norethindrone .35mg, cyclobenzaprine 5-10mg when needed; low sodium, fructose- and grain-free diet>> Yuk, I hate Spiro!! It makes me fat!! What if I don't take it, what will happen. I was recently told to stop taking the hydrochlorizide/water pill, and start taking spiro again, due to my vitimin d levels on the floor, and potassium levels. Why can't I just take labetalol and vitamin D and a potassium supplement?>

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Reread our intro. DASH EATING PLAN. And get the book. Tiped sad Send form miiPhone ;-)May your pressure be low!CE Grim MDSpecializing in DifficultHypertension

What is " Dashing" ? HOpe u don't mean running? LoL.

To: "hyperaldosteronism " <hyperaldosteronism >Sent: Tue, May 3, 2011 7:14:15 PMSubject: Re: Re: Back On Spro!!

And DASH. Aldo has no effect on a low sodium diet. Tiped sad Send form mi iPhone ;-)

May your pressure be low!

CE Grim MD

Specializing in Difficult

Hypertension

Eplerenone is an alternative to spiro. I've heard it's expensive and sometimes hard to get insurance companies to pay for, but supposedly it has less of the estrogenic side effects of spiro (the estrogenic effects are what causes the breast enlargement). Anyway, it might be worthwhile for you to ask your doctor to try you on it and see how it goes.> >> > Yuk, I hate Spiro!! It makes me fat!! What if I don't take it, what will > >happen. I was recently told to stop taking the hydrochlorizide/water pill, and > >start taking spiro again, due to my vitimin d levels on the floor, and potassium > >levels. Why can't I just take labetalol and vitamin D and a potassium > >supplement?> >> > > Hi>

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Card will usually lower BP some and cause salt retention. May need sleep BP TO SEE BP effect. Tiped sad Send form miiPhone ;-)May your pressure be low!CE Grim MDSpecializing in DifficultHypertension

What about if the meds *raise* pressure? When I stopped Diovan and Cardizem, my average BP dropped from 165/95 to around 140/90 within a matter of days. And I dropped 10 pounds in 2 weeks.

I figured that something about the HTN meds was causing water/salt retention, so your explanation makes perfect sense to me - except my BP wasn't lowered.

- msmith1928

45, female, 5'3", 120 lbs, 1cm left adrenal nodule, supine aldosterone

28.5/renin 0.2, potassium <2.9 (when not taking supplements); 25mg spiro caused

gynecomastia; no HTN meds; current meds are 20MEQ K 2x/day, singulair 10mg,

norethindrone .35mg, cyclobenzaprine 5-10mg when needed; low sodium, fructose-

and grain-free diet

> >> >

> >> > Yuk, I hate Spiro!! It makes me fat!! What if I don't take it, what will happen. I was recently told to stop taking the hydrochlorizide/water pill, and start taking spiro again, due to my vitimin d levels on the floor, and potassium levels. Why can't I just take labetalol and vitamin D and a potassium supplement?

> >> >

> >>

> >

> >

>

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See I knew I was joining a purposeful group. You are so smart Dr. Lord have mercy. That is why

they keep chaning my meds after all the lab work. Pressure is fine, kidneys, is another story. shaking my head.

And you were also right by saying " you'll be back on the spiro." Thank you so much.

Sojourner

To: "hyperaldosteronism " <hyperaldosteronism >Sent: Tue, May 3, 2011 7:20:40 PMSubject: Re: Re: Back On Spro!!

In contrAst to BP Meds that don't work well in PA MCBs allow the kidney to achieve sodium balance at a lower pressure. If the others lower pressure they increase Na retention and WT goes up. Tiped sad Send form mi iPhone ;-)

May your pressure be low!

CE Grim MD

Specializing in Difficult

Hypertension

Hi MS, I can say that since being on Spiro I have not gained any weight and have only lost a few pounds since joining Weight Watchers. What it did do was make my breasts bigger buy a cup and band size. Usually I am the first to gain weight on meds but spiro hasn't been one of them. Hope that helps, Kellie

Hi Sojourner, I recently posted asking about the downside of long term spiro use because I'm worried about the same thing - I can't take spiro, but if adrenalectomy isn't an option for me I may have to start eplerenone and I am terrified of it making me fat! Every BP med I've taken has made me gain weight (that falls right off when I stop the meds without changing anything else).Have you tried eplerenone? And if so, did it have the same side effect?- msmith192845, female, 5'3", 120 lbs, 1cm left adrenal nodule, supine aldosterone 28.5/renin 0.2, potassium <2.9 (when not taking supplements); 25mg spiro caused gynecomastia; no HTN meds; current meds are 20MEQ K 2x/day, singulair 10mg, norethindrone .35mg, cyclobenzaprine 5-10mg when needed; low sodium, fructose- and grain-free diet>> Yuk, I hate Spiro!! It makes me fat!! What if I don't take it, what will happen. I was recently told to stop taking the hydrochlorizide/water pill, and start taking spiro again, due to my vitimin d levels on the floor, and potassium levels. Why can't I just take labetalol and vitamin D and a potassium supplement?>

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I have, Hyperaldonerionism. Overactive Adrenaline.

To: "hyperaldosteronism " <hyperaldosteronism >Sent: Tue, May 3, 2011 7:21:49 PMSubject: Re: Re: Back On Spro!!

How clear is it than u have PA. I CAN'T tell by your signature n

Tiped sad Send form mi iPhone ;-)

May your pressure be low!

CE Grim MD

Specializing in Difficult

Hypertension

What do you mean, does not work in " PA". so u gain weight w/ pressure dropping? But I stopped taking Spiro, and I have

lost weight. My breast were enlarged, and I put on about 20lbs. Yikes!!

Licia

To: "hyperaldosteronism " <hyperaldosteronism >Sent: Tue, May 3, 2011 5:52:50 PMSubject: Re: Re: Back On Spro!!

My guess is that most lose some WT on Spiro or eplero. You gained WT on others because they do not work in PA. or as pressure drops you retain salt with excess Aldo. Tiped sad Send form mi iPhone ;-)

May your pressure be low!

CE Grim MD

Specializing in Difficult

Hypertension

Hi Sojourner, I recently posted asking about the downside of long term spiro use because I'm worried about the same thing - I can't take spiro, but if adrenalectomy isn't an option for me I may have to start eplerenone and I am terrified of it making me fat! Every BP med I've taken has made me gain weight (that falls right off when I stop the meds without changing anything else).Have you tried eplerenone? And if so, did it have the same side effect?- msmith192845, female, 5'3", 120 lbs, 1cm left adrenal nodule, supine aldosterone 28.5/renin 0.2, potassium <2.9 (when not taking supplements); 25mg spiro caused gynecomastia; no HTN meds; current meds are 20MEQ K 2x/day, singulair 10mg, norethindrone .35mg, cyclobenzaprine 5-10mg when needed; low sodium, fructose- and grain-free diet>> Yuk, I hate Spiro!! It makes me fat!! What if I don't take it, what will happen. I was recently told to stop taking the hydrochlorizide/water pill, and start taking spiro again, due to my vitimin d levels on the floor, and potassium levels. Why can't I just take labetalol and vitamin D and a potassium supplement?>

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You must think I'm a bimbo, you mean Salt intake. LOL Yes I have not used in ages. I use Lemon Pepper hot peppers/season/

paprika, garlic/powder. Honestly I was never this heavey since all this med juggling. I never had to exercise, my mother was

thin and petite. it's the meds and i know it. I don't eat like it's going out of style. And I get full easy. It's not dietary. I know it.

S.

To: "hyperaldosteronism " <hyperaldosteronism >Sent: Tue, May 3, 2011 7:21:49 PMSubject: Re: Re: Back On Spro!!

How clear is it than u have PA. I CAN'T tell by your signature n

Tiped sad Send form mi iPhone ;-)

May your pressure be low!

CE Grim MD

Specializing in Difficult

Hypertension

What do you mean, does not work in " PA". so u gain weight w/ pressure dropping? But I stopped taking Spiro, and I have

lost weight. My breast were enlarged, and I put on about 20lbs. Yikes!!

Licia

To: "hyperaldosteronism " <hyperaldosteronism >Sent: Tue, May 3, 2011 5:52:50 PMSubject: Re: Re: Back On Spro!!

My guess is that most lose some WT on Spiro or eplero. You gained WT on others because they do not work in PA. or as pressure drops you retain salt with excess Aldo. Tiped sad Send form mi iPhone ;-)

May your pressure be low!

CE Grim MD

Specializing in Difficult

Hypertension

Hi Sojourner, I recently posted asking about the downside of long term spiro use because I'm worried about the same thing - I can't take spiro, but if adrenalectomy isn't an option for me I may have to start eplerenone and I am terrified of it making me fat! Every BP med I've taken has made me gain weight (that falls right off when I stop the meds without changing anything else).Have you tried eplerenone? And if so, did it have the same side effect?- msmith192845, female, 5'3", 120 lbs, 1cm left adrenal nodule, supine aldosterone 28.5/renin 0.2, potassium <2.9 (when not taking supplements); 25mg spiro caused gynecomastia; no HTN meds; current meds are 20MEQ K 2x/day, singulair 10mg, norethindrone .35mg, cyclobenzaprine 5-10mg when needed; low sodium, fructose- and grain-free diet>> Yuk, I hate Spiro!! It makes me fat!! What if I don't take it, what will happen. I was recently told to stop taking the hydrochlorizide/water pill, and start taking spiro again, due to my vitimin d levels on the floor, and potassium levels. Why can't I just take labetalol and vitamin D and a potassium supplement?>

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I now remember why I was told to get off of Spiro, my potassium was TOO HIGH, and the Dr thought I was going to have

a heart attack. Now my potassium is too low. What is this all about, do u need to just wake up and maintain this disease?

And have blood work every other day?

Just got on the scale and am 148lbs. Shaking my head. I stopped drinking beer for lent/fasting and I thought

for sure all that barely/hop weight would pair me down at least ten lbs. Nope, I lost like 4lbs. In those 40days.

S.

To: "hyperaldosteronism " <hyperaldosteronism >Sent: Tue, May 3, 2011 7:27:31 PMSubject: Re: Re: Back On Spro!!

Card will usually lower BP some and cause salt retention. May need sleep BP TO SEE BP effect. Tiped sad Send form mi iPhone ;-)

May your pressure be low!

CE Grim MD

Specializing in Difficult

Hypertension

What about if the meds *raise* pressure? When I stopped Diovan and Cardizem, my average BP dropped from 165/95 to around 140/90 within a matter of days. And I dropped 10 pounds in 2 weeks.I figured that something about the HTN meds was causing water/salt retention, so your explanation makes perfect sense to me - except my BP wasn't lowered.- msmith192845, female, 5'3", 120 lbs, 1cm left adrenal nodule, supine aldosterone28.5/renin 0.2, potassium <2.9 (when not taking supplements); 25mg spiro causedgynecomastia; no HTN meds; current meds are 20MEQ K 2x/day, singulair 10mg,norethindrone .35mg, cyclobenzaprine 5-10mg when needed; low sodium, fructose-and grain-free diet> >> >> >> > Yuk, I hate Spiro!! It makes me fat!! What if I don't take it, what will happen. I was recently told to stop taking the hydrochlorizide/water pill, and start taking spiro again, due to my vitimin d levels on the floor, and potassium levels. Why can't I just take labetalol and vitamin D and a potassium supplement?> >> >> >> > > >

>>

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Did they draw the K using our guidelines. Tiped sad Send form miiPhone ;-)May your pressure be low!CE Grim MDSpecializing in DifficultHypertension

I now remember why I was told to get off of Spiro, my potassium was TOO HIGH, and the Dr thought I was going to have

a heart attack. Now my potassium is too low. What is this all about, do u need to just wake up and maintain this disease?

And have blood work every other day?

Just got on the scale and am 148lbs. Shaking my head. I stopped drinking beer for lent/fasting and I thought

for sure all that barely/hop weight would pair me down at least ten lbs. Nope, I lost like 4lbs. In those 40days.

S.

To: "hyperaldosteronism " <hyperaldosteronism >Sent: Tue, May 3, 2011 7:27:31 PMSubject: Re: Re: Back On Spro!!

Card will usually lower BP some and cause salt retention. May need sleep BP TO SEE BP effect. Tiped sad Send form mi iPhone ;-)

May your pressure be low!

CE Grim MD

Specializing in Difficult

Hypertension

What about if the meds *raise* pressure? When I stopped Diovan and Cardizem, my average BP dropped from 165/95 to around 140/90 within a matter of days. And I dropped 10 pounds in 2 weeks.I figured that something about the HTN meds was causing water/salt retention, so your explanation makes perfect sense to me - except my BP wasn't lowered.- msmith192845, female, 5'3", 120 lbs, 1cm left adrenal nodule, supine aldosterone28.5/renin 0.2, potassium <2.9 (when not taking supplements); 25mg spiro causedgynecomastia; no HTN meds; current meds are 20MEQ K 2x/day, singulair 10mg,norethindrone .35mg, cyclobenzaprine 5-10mg when needed; low sodium, fructose-and grain-free diet> >> >> >> > Yuk, I hate Spiro!! It makes me fat!! What if I don't take it, what will happen. I was recently told to stop taking the hydrochlorizide/water pill, and start taking spiro again, due to my vitimin d levels on the floor, and potassium levels. Why can't I just take labetalol and vitamin D and a potassium supplement?> >> >> >> > > >

>>

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What guidelines? Please expand.

Thanks.

To: "hyperaldosteronism " <hyperaldosteronism >Sent: Tue, May 3, 2011 9:06:02 PMSubject: Re: Re: Back On Spro!!

Did they draw the K using our guidelines. Tiped sad Send form mi iPhone ;-)

May your pressure be low!

CE Grim MD

Specializing in Difficult

Hypertension

I now remember why I was told to get off of Spiro, my potassium was TOO HIGH, and the Dr thought I was going to have

a heart attack. Now my potassium is too low. What is this all about, do u need to just wake up and maintain this disease?

And have blood work every other day?

Just got on the scale and am 148lbs. Shaking my head. I stopped drinking beer for lent/fasting and I thought

for sure all that barely/hop weight would pair me down at least ten lbs. Nope, I lost like 4lbs. In those 40days.

S.

To: "hyperaldosteronism " <hyperaldosteronism >Sent: Tue, May 3, 2011 7:27:31 PMSubject: Re: Re: Back On Spro!!

Card will usually lower BP some and cause salt retention. May need sleep BP TO SEE BP effect. Tiped sad Send form mi iPhone ;-)

May your pressure be low!

CE Grim MD

Specializing in Difficult

Hypertension

What about if the meds *raise* pressure? When I stopped Diovan and Cardizem, my average BP dropped from 165/95 to around 140/90 within a matter of days. And I dropped 10 pounds in 2 weeks.I figured that something about the HTN meds was causing water/salt retention, so your explanation makes perfect sense to me - except my BP wasn't lowered.- msmith192845, female, 5'3", 120 lbs, 1cm left adrenal nodule, supine aldosterone28.5/renin 0.2, potassium <2.9 (when not taking supplements); 25mg spiro causedgynecomastia; no HTN meds; current meds are 20MEQ K 2x/day, singulair 10mg,norethindrone .35mg, cyclobenzaprine 5-10mg when needed; low sodium, fructose-and grain-free diet> >> >> >> > Yuk, I hate Spiro!! It makes me fat!! What if I don't take it, what will happen. I was recently told to stop taking the

hydrochlorizide/water pill, and start taking spiro again, due to my vitimin d levels on the floor, and potassium levels. Why can't I just take labetalol and vitamin D and a potassium supplement?> >> >> >> > > > >>

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Yes, back to the spiro, I am prescribed, 100mgs a day/25mg 4x's a day. is that overkill?

Sojourner

To: "hyperaldosteronism " <hyperaldosteronism >Sent: Tue, May 3, 2011 9:06:02 PMSubject: Re: Re: Back On Spro!!

Did they draw the K using our guidelines. Tiped sad Send form mi iPhone ;-)

May your pressure be low!

CE Grim MD

Specializing in Difficult

Hypertension

I now remember why I was told to get off of Spiro, my potassium was TOO HIGH, and the Dr thought I was going to have

a heart attack. Now my potassium is too low. What is this all about, do u need to just wake up and maintain this disease?

And have blood work every other day?

Just got on the scale and am 148lbs. Shaking my head. I stopped drinking beer for lent/fasting and I thought

for sure all that barely/hop weight would pair me down at least ten lbs. Nope, I lost like 4lbs. In those 40days.

S.

To: "hyperaldosteronism " <hyperaldosteronism >Sent: Tue, May 3, 2011 7:27:31 PMSubject: Re: Re: Back On Spro!!

Card will usually lower BP some and cause salt retention. May need sleep BP TO SEE BP effect. Tiped sad Send form mi iPhone ;-)

May your pressure be low!

CE Grim MD

Specializing in Difficult

Hypertension

What about if the meds *raise* pressure? When I stopped Diovan and Cardizem, my average BP dropped from 165/95 to around 140/90 within a matter of days. And I dropped 10 pounds in 2 weeks.I figured that something about the HTN meds was causing water/salt retention, so your explanation makes perfect sense to me - except my BP wasn't lowered.- msmith192845, female, 5'3", 120 lbs, 1cm left adrenal nodule, supine aldosterone28.5/renin 0.2, potassium <2.9 (when not taking supplements); 25mg spiro causedgynecomastia; no HTN meds; current meds are 20MEQ K 2x/day, singulair 10mg,norethindrone .35mg, cyclobenzaprine 5-10mg when needed; low sodium, fructose-and grain-free diet> >> >> >> > Yuk, I hate Spiro!! It makes me fat!! What if I don't take it, what will happen. I was recently told to stop taking the

hydrochlorizide/water pill, and start taking spiro again, due to my vitimin d levels on the floor, and potassium levels. Why can't I just take labetalol and vitamin D and a potassium supplement?> >> >> >> > > > >>

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Spiro 100mg/d seems enough for my 10mm left adenoma!

Max.

Yes, back to the spiro, I am prescribed, 100mgs a day/25mg 4x's a day. is that overkill?

Sojourner

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What is your kidney function?CE Grim MDSee I knew I was joining a purposeful group. You are so smart Dr. Lord have mercy. That is whythey keep chaning my meds after all the lab work. Pressure is fine, kidneys, is another story. shaking my head.And you were also right by saying " you'll be back on the spiro." Thank you so much. SojournerTo: "hyperaldosteronism " <hyperaldosteronism >Sent: Tue, May 3, 2011 7:20:40 PMSubject: Re: Re: Back On Spro!! In contrAst to BP Meds that don't work well in PA MCBs allow the kidney to achieve sodium balance at a lower pressure. If the others lower pressure they increase Na retention and WT goes up. Tiped sad Send form miiPhone ;-)May your pressure be low!CE Grim MDSpecializing in DifficultHypertension Hi MS, I can say that since being on Spiro I have not gained any weight and have only lost a few pounds since joining Weight Watchers. What it did do was make my breasts bigger buy a cup and band size. Usually I am the first to gain weight on meds but spiro hasn't been one of them. Hope that helps, Kellie Hi Sojourner, I recently posted asking about the downside of long term spiro use because I'm worried about the same thing - I can't take spiro, but if adrenalectomy isn't an option for me I may have to start eplerenone and I am terrified of it making me fat! Every BP med I've taken has made me gain weight (that falls right off when I stop the meds without changing anything else).Have you tried eplerenone? And if so, did it have the same side effect?- msmith192845, female, 5'3", 120 lbs, 1cm left adrenal nodule, supine aldosterone 28.5/renin 0.2, potassium <2.9 (when not taking supplements); 25mg spiro caused gynecomastia; no HTN meds; current meds are 20MEQ K 2x/day, singulair 10mg, norethindrone .35mg, cyclobenzaprine 5-10mg when needed; low sodium, fructose- and grain-free diet>> Yuk, I hate Spiro!! It makes me fat!! What if I don't take it, what will happen. I was recently told to stop taking the hydrochlorizide/water pill, and start taking spiro again, due to my vitimin d levels on the floor, and potassium levels. Why can't I just take labetalol and vitamin D and a potassium supplement?>

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I need the renin and aldo numbrers to decide if you have primary or secondary hyperaldo.Also thumbnail signature.CEGrim MDI have, Hyperaldonerionism. Overactive Adrenaline. To: "hyperaldosteronism " <hyperaldosteronism >Sent: Tue, May 3, 2011 7:21:49 PMSubject: Re: Re: Back On Spro!! How clear is it than u have PA. I CAN'T tell by your signature nTiped sad Send form miiPhone ;-)May your pressure be low!CE Grim MDSpecializing in DifficultHypertension What do you mean, does not work in " PA". so u gain weight w/ pressure dropping? But I stopped taking Spiro, and I havelost weight. My breast were enlarged, and I put on about 20lbs. Yikes!! LiciaTo: "hyperaldosteronism " <hyperaldosteronism >Sent: Tue, May 3, 2011 5:52:50 PMSubject: Re: Re: Back On Spro!! My guess is that most lose some WT on Spiro or eplero. You gained WT on others because they do not work in PA. or as pressure drops you retain salt with excess Aldo. Tiped sad Send form miiPhone ;-)May your pressure be low!CE Grim MDSpecializing in DifficultHypertension Hi Sojourner, I recently posted asking about the downside of long term spiro use because I'm worried about the same thing - I can't take spiro, but if adrenalectomy isn't an option for me I may have to start eplerenone and I am terrified of it making me fat! Every BP med I've taken has made me gain weight (that falls right off when I stop the meds without changing anything else).Have you tried eplerenone? And if so, did it have the same side effect?- msmith192845, female, 5'3", 120 lbs, 1cm left adrenal nodule, supine aldosterone 28.5/renin 0.2, potassium <2.9 (when not taking supplements); 25mg spiro caused gynecomastia; no HTN meds; current meds are 20MEQ K 2x/day, singulair 10mg, norethindrone .35mg, cyclobenzaprine 5-10mg when needed; low sodium, fructose- and grain-free diet>> Yuk, I hate Spiro!! It makes me fat!! What if I don't take it, what will happen. I was recently told to stop taking the hydrochlorizide/water pill, and start taking spiro again, due to my vitimin d levels on the floor, and potassium levels. Why can't I just take labetalol and vitamin D and a potassium supplement?>

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What is your kidney function?CE Grim MDSee I knew I was joining a purposeful group. You are so smart Dr. Lord have mercy. That is whythey keep chaning my meds after all the lab work. Pressure is fine, kidneys, is another story. shaking my head.And you were also right by saying " you'll be back on the spiro." Thank you so much. SojournerTo: "hyperaldosteronism " <hyperaldosteronism >Sent: Tue, May 3, 2011 7:20:40 PMSubject: Re: Re: Back On Spro!! In contrAst to BP Meds that don't work well in PA MCBs allow the kidney to achieve sodium balance at a lower pressure. If the others lower pressure they increase Na retention and WT goes up. Tiped sad Send form miiPhone ;-)May your pressure be low!CE Grim MDSpecializing in DifficultHypertension Hi MS, I can say that since being on Spiro I have not gained any weight and have only lost a few pounds since joining Weight Watchers. What it did do was make my breasts bigger buy a cup and band size. Usually I am the first to gain weight on meds but spiro hasn't been one of them. Hope that helps, Kellie Hi Sojourner, I recently posted asking about the downside of long term spiro use because I'm worried about the same thing - I can't take spiro, but if adrenalectomy isn't an option for me I may have to start eplerenone and I am terrified of it making me fat! Every BP med I've taken has made me gain weight (that falls right off when I stop the meds without changing anything else).Have you tried eplerenone? And if so, did it have the same side effect?- msmith192845, female, 5'3", 120 lbs, 1cm left adrenal nodule, supine aldosterone 28.5/renin 0.2, potassium <2.9 (when not taking supplements); 25mg spiro caused gynecomastia; no HTN meds; current meds are 20MEQ K 2x/day, singulair 10mg, norethindrone .35mg, cyclobenzaprine 5-10mg when needed; low sodium, fructose- and grain-free diet>> Yuk, I hate Spiro!! It makes me fat!! What if I don't take it, what will happen. I was recently told to stop taking the hydrochlorizide/water pill, and start taking spiro again, due to my vitimin d levels on the floor, and potassium levels. Why can't I just take labetalol and vitamin D and a potassium supplement?>

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