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no that's when I changed dr's. I will try to narrow down what exactly was going on, med wise. I was told Lisinopril is an aggressive ace inhibitor so probably why I was getting those good reads on the creatin. Just came bk from Dr. and he told me to " Chill" and stop smoking. Point blank. pressure has been better than it has ever. today it was 102/68. Even lost a few lbs, which u were right if put back on spiro, I should lose some weight. Thanks Doc!!

L.

Subject: RE: Labs 5/16/11To: hyperaldosteronism Date: Monday, May 16, 2011, 6:57 PM

How long have you been on spiro? Why are you on norvasc and labetalol? What's your blood pressure doing? Do you take calcium?

Val

From: hyperaldosteronism [mailto:hyperaldosteronism ] On Behalf Of Licia

Here are my labs from 5/13/11.

Licia, African American, PA, 148/150/lbs, norvasc, spiro-100mg, day/semastin/labetalol/iron/vitamin D/

So maybe the Spiro IS Working??

Component Results

Component

Your Value

Standard Range

Units

Flag

BUN

29

6 - 20

mg/dL

H

CREATININE

1.7

0.7 - 1.5

mg/dL

H

SODIUM

137

135 - 146

mmol/L

POTASSIUM

4.9

3.5 - 5.1

mmol/L

CHLORIDE

105

98 - 111

mmol/L

CO2

21

22 - 32

mmol/L

L

GLUCOSE

113

70 - 120

mg/dL

ANION GAP

11

7 - 15

mmol/L

CALCIUM

10.0

8.3 - 10.5

mg/dL

GFR ESTIMATED

32.2

>60 -

mL/min

L

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No, I did not. They were about to and realized my kidneys would not tolerate it.

I will. thank you.

L.

Subject: RE: Labs 5/16/11To: hyperaldosteronism Date: Monday, May 16, 2011, 8:16 PM

GFR=32.2=Outrageous

Either medications you take are poison or your kidney requires immediate medical attention!! (my Ltd understanding)

Max.

Here are my labs from 5/13/11.

Licia, African American, PA, 148/150/lbs, norvasc, spiro-100mg, day/semastin/labetalol/iron/vitamin D/

So maybe the Spiro IS Working??

Component Results

Component

Your Value

Standard Range

Units

Flag

BUN

29

6 - 20

mg/dL

H

CREATININE

1.7

0.7 - 1.5

mg/dL

H

SODIUM

137

135 - 146

mmol/L

POTASSIUM

4.9

3.5 - 5.1

mmol/L

CHLORIDE

105

98 - 111

mmol/L

CO2

21

22 - 32

mmol/L

L

GLUCOSE

113

70 - 120

mg/dL

ANION GAP

11

7 - 15

mmol/L

CALCIUM

10.0

8.3 - 10.5

mg/dL

GFR ESTIMATED

32.2

>60 -

mL/min

L

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All the blood work was taken in the afternoon. My pressure started to get out of whack, when I switched from Lisinopril and Norvasc, To Diovan, Bistolic and the water pill, then to diaovan and spiro, then stopped the spiro, and picked up the labetalol, then back to the spiro labetalol, and stopped the bistolic and diovan. All starting out from 12/2008. now i'm currently on spiro 100 4x's a day 25mgs, sembastin, vit d, 1 a week, and then 1 a month for 6months, iron 2x's a day, vitim b100 and vitima a and vitimin a and b, gels, once a day.

pressure is starting to get realistic. Thanks Dr. Grim.

Licia

Subject: RE: Labs 5/16/11To: hyperaldosteronism Date: Monday, May 16, 2011, 6:57 PM

How long have you been on spiro? Why are you on norvasc and labetalol? What's your blood pressure doing? Do you take calcium?

Val

From: hyperaldosteronism [mailto:hyperaldosteronism ] On Behalf Of Licia

Here are my labs from 5/13/11.

Licia, African American, PA, 148/150/lbs, norvasc, spiro-100mg, day/semastin/labetalol/iron/vitamin D/

So maybe the Spiro IS Working??

Component Results

Component

Your Value

Standard Range

Units

Flag

BUN

29

6 - 20

mg/dL

H

CREATININE

1.7

0.7 - 1.5

mg/dL

H

SODIUM

137

135 - 146

mmol/L

POTASSIUM

4.9

3.5 - 5.1

mmol/L

CHLORIDE

105

98 - 111

mmol/L

CO2

21

22 - 32

mmol/L

L

GLUCOSE

113

70 - 120

mg/dL

ANION GAP

11

7 - 15

mmol/L

CALCIUM

10.0

8.3 - 10.5

mg/dL

GFR ESTIMATED

32.2

>60 -

mL/min

L

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correction Val:

I am on Vitamin D, once a week and then once every month for six months. Hard to keep it all together. But my dr's are on it. God bless them and Dr. Grim!! and thank you for your advice and concern. Hope that Lyme Disease is at bay!!

Licia

Subject: Re: Labs 5/16/11To: hyperaldosteronism Date: Tuesday, May 17, 2011, 9:25 AM

Val,With high calcium & parathyroid problems, what symptoms did you have? I ask because I have been running high calcium for years.Glenda> > From: Valarie

> How long have you been on spiro? Why are you on norvasc and labetalol? What's your blood pressure doing? Do you take calcium?> > Val> > From: hyperaldosteronism [mailto:hyperaldosteronism ] On Behalf Of Licia > > > Here are my labs from 5/13/11.> > Licia, African American, PA, 148/150/lbs, norvasc, spiro-100mg, day/semastin/labetalol/iron/vitamin D/> > So maybe the Spiro IS Working?? > > > Component Results> > >

Component> Your Value> Standard Range> Units> Flag> > BUN> 29> 6 - 20> mg/dL> H> > CREATININE> 1.7> 0.7 - 1.5> mg/dL> H> > SODIUM> 137> 135 - 146> mmol/L> > > POTASSIUM> 4.9> 3.5 - 5.1> mmol/L> > > CHLORIDE> 105> 98 - 111> mmol/L> > > CO2> 21> 22 - 32> mmol/L> L> > GLUCOSE> 113> 70 - 120> mg/dL> > > ANION GAP> 11> 7 - 15> mmol/L> > > CALCIUM> 10.0> 8.3 - 10.5> mg/dL> > > GFR ESTIMATED> 32.2> >60 - > mL/min> L>

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Something produced a sudden worsening of your GFR.Our task is to try to find out.CE Grim MDNo, I did not. They were about to and realized my kidneys would not tolerate it.I will. thank you. L. Subject: RE: Labs 5/16/11To: hyperaldosteronism Date: Monday, May 16, 2011, 8:16 PM GFR=32.2=Outrageous Either medications you take are poison or your kidney requires immediate medical attention!! (my Ltd understanding) Max.Here are my labs from 5/13/11. Licia, African American, PA, 148/150/lbs, norvasc, spiro-100mg, day/semastin/labetalol/iron/vitamin D/ So maybe the Spiro IS Working?? Component ResultsComponentYour ValueStandard RangeUnitsFlagBUN296 - 20mg/dLHCREATININE1.70.7 - 1.5mg/dLHSODIUM137135 - 146mmol/LPOTASSIUM4.93.5 - 5.1mmol/LCHLORIDE10598 - 111mmol/LCO22122 - 32mmol/LLGLUCOSE11370 - 120mg/dLANION GAP117 - 15mmol/LCALCIUM10.08.3 - 10.5mg/dLGFR ESTIMATED32.2>60 - mL/minL

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When did they recommend you DASH?CE Grim MDAll the blood work was taken in the afternoon. My pressure started to get out of whack, when I switched from Lisinopril and Norvasc, To Diovan, Bistolic and the water pill, then to diaovan and spiro, then stopped the spiro, and picked up the labetalol, then back to the spiro labetalol, and stopped the bistolic and diovan. All starting out from 12/2008. now i'm currently on spiro 100 4x's a day 25mgs, sembastin, vit d, 1 a week, and then 1 a month for 6months, iron 2x's a day, vitim b100 and vitima a and vitimin a and b, gels, once a day.pressure is starting to get realistic. Thanks Dr. Grim. LiciaSubject: RE: Labs 5/16/11To: hyperaldosteronism Date: Monday, May 16, 2011, 6:57 PM How long have you been on spiro? Why are you on norvasc and labetalol? What's your blood pressure doing? Do you take calcium? Val From: hyperaldosteronism [mailto:hyperaldosteronism ] On Behalf Of Licia Here are my labs from 5/13/11. Licia, African American, PA, 148/150/lbs, norvasc, spiro-100mg, day/semastin/labetalol/iron/vitamin D/ So maybe the Spiro IS Working?? Component ResultsComponentYour ValueStandard RangeUnitsFlagBUN296 - 20mg/dLHCREATININE1.70.7 - 1.5mg/dLHSODIUM137135 - 146mmol/LPOTASSIUM4.93.5 - 5.1mmol/LCHLORIDE10598 - 111mmol/LCO22122 - 32mmol/LLGLUCOSE11370 - 120mg/dLANION GAP117 - 15mmol/LCALCIUM10.08.3 - 10.5mg/dLGFR ESTIMATED32.2>60 - mL/minL

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Many say that if you keep on smoking you should not worry about your BP as the smoking will get you first. In addition in the large BP trials we love to have lots of smokers as they are much more likely to have strokes and heart attacks from their HTN. So if you want to test your BP drug to see if it prevents or reduces strokes etc you want to enroll lots of smokers as many more will have these problems that non-smokers. Thus you have a better chance of detecting a significant difference with your new drug vs the old drug.But the choice is up to you.If you keep smoking you will be not only be chilled but dead cold.CE Grim MDno that's when I changed dr's. I will try to narrow down what exactly was going on, med wise. I was told Lisinopril is an aggressive ace inhibitor so probably why I was getting those good reads on the creatin. Just came bk from Dr. and he told me to " Chill" and stop smoking. Point blank. pressure has been better than it has ever. today it was 102/68. Even lost a few lbs, which u were right if put back on spiro, I should lose some weight. Thanks Doc!! L. Subject: RE: Labs 5/16/11To: hyperaldosteronism Date: Monday, May 16, 2011, 6:57 PM How long have you been on spiro? Why are you on norvasc and labetalol? What's your blood pressure doing? Do you take calcium? Val From: hyperaldosteronism [mailto:hyperaldosteronism ] On Behalf Of Licia Here are my labs from 5/13/11. Licia, African American, PA, 148/150/lbs, norvasc, spiro-100mg, day/semastin/labetalol/iron/vitamin D/ So maybe the Spiro IS Working?? Component ResultsComponentYour ValueStandard RangeUnitsFlagBUN296 - 20mg/dLHCREATININE1.70.7 - 1.5mg/dLHSODIUM137135 - 146mmol/LPOTASSIUM4.93.5 - 5.1mmol/LCHLORIDE10598 - 111mmol/LCO22122 - 32mmol/LLGLUCOSE11370 - 120mg/dLANION GAP117 - 15mmol/LCALCIUM10.08.3 - 10.5mg/dLGFR ESTIMATED32.2>60 - mL/minL

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It was never recommended. Just stop " shake'n the salt" exercise and stop smoking.

L.

Subject: RE: Labs 5/16/11To: hyperaldosteronism Date: Monday, May 16, 2011, 6:57 PM

How long have you been on spiro? Why are you on norvasc and labetalol? What's your blood pressure doing? Do you take calcium?

Val

From: hyperaldosteronism [mailto:hyperaldosteronism ] On Behalf Of Licia

Here are my labs from 5/13/11.

Licia, African American, PA, 148/150/lbs, norvasc, spiro-100mg, day/semastin/labetalol/iron/vitamin D/

So maybe the Spiro IS Working??

Component Results

Component

Your Value

Standard Range

Units

Flag

BUN

29

6 - 20

mg/dL

H

CREATININE

1.7

0.7 - 1.5

mg/dL

H

SODIUM

137

135 - 146

mmol/L

POTASSIUM

4.9

3.5 - 5.1

mmol/L

CHLORIDE

105

98 - 111

mmol/L

CO2

21

22 - 32

mmol/L

L

GLUCOSE

113

70 - 120

mg/dL

ANION GAP

11

7 - 15

mmol/L

CALCIUM

10.0

8.3 - 10.5

mg/dL

GFR ESTIMATED

32.2

>60 -

mL/min

L

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There is fulid retention.

> >>>

> >>>>

> >>>> GOOD MORNING DR. GRIM VAL ET AL:

> >>>> OK HERE IS A CHART:

> >>>> Chart

> >>>>

> >>>> Name CREATININE GFR ESTIMATED

> >>>> 6/25/2001 0.5 L

> >>>> 12/23/2002 0.9

> >>>> 7/24/2003 1.0

> >>>> 8/22/2007 1.1 57.4 L

> >>>> 12/8/2008 1.4 43.2 L

> >>>> 12/23/2008 1.3 47.1 L

> >>>> 3/13/2009 2.1 H 27.1 L

> >>>> 3/24/2009 1.6 H 37.0 L

> >>>> 6/2/2009 1.7 H 34.5 L

> >>>> 10/13/2009 2.1 H 27.0 L

> >>>> 11/2/2010 2.2 H 23.9 L

> >>>> 11/23/2010 2.3 H 22.7 L

> >>>> 11/29/2010 2.2 H 23.9 L

> >>>> 2/2/2011 1.5 37.2 L

> >>>> 2/23/2011 1.2 48.2 L

> >>>> 2/24/2011 1.8 H 30.2 L

> >>>> 4/22/2011 1.5 37.2 L

> >>>> 5/13/2011 1.7 H 32.2 L

> >>>>

> >>>>

> >>>>

> >>>> HERE ARE THE MEDS I WAS ON IN 2007 WHE MY CREATIN WAS 57. THE THE H, IS

GOING ON?? I WAS TAKING LISINOPRIL, WHY WAS I TAKEN OFF OF IT? IF IT WAS GIVING

KEEPING MY LEVELS AT A HEALTHY LEVEL?

> >>>>

> >>>> Name Start Date Discontinued Date

> >>>> TOPROL XL 100 MG PO TB24 8/22/2007 12/3/2008

> >>>> SYNTHROID 75 MCG OR TABS 8/22/2007 8/31/2007

> >>>> MY SYNTHROID WAS INCREASE TO 88MCG

> >>>> Routine Orders

> >>>>

> >>>> Name Type

> >>>> GYN REFERRAL OP Referral

> >>>> TSH Lab

> >>>> LIPID PANEL Lab

> >>>> COMPR METAB PANEL Lab

> >>>> CBC Lab

> >>>> Future Orders

> >>>>

> >>>> Name Expected Date Expiration Date Type

> >>>> TSH 8/22/2007 8/21/2008 Lab

> >>>> LIPID PANEL 8/22/2007 8/21/2008 Lab

> >>>> COMPR METAB PANEL 8/22/2007 8/21/2008 Lab

> >>>> CBC 8/22/2007 8/21/2008 Lab

>

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Studies have shown that women who eat three square or 4 smaller meals, so long

as there is not a true hormonal condition., maintain the best weight. our bodies

ARE going to get the calories it needs to function.

>Hi Licia,

>

>I have tried the " one meal a day. " to lose weight and it doesn't work

>and ends up causing more problems. How about 6 small meals a day? I am

>doing a combo Weight Wathchers/DASH diet which is 3 meals, two snacks.

>Granted the weight is coming off slowly but it is coming off which is

>better than I have done by myself in several years.

>

>Kellie

>

>

>>

>> THANK YOU. I ONLY EAT ONE SOLID MEAL A DAY, LIKE RIGHT NOW. I HAVE A

>> CAMPBELL'S HEARTY SOUP W/SPINACH I BOUGHT FROM OUR WORK CAF, AND A HAM

>> AND CHEESE SANDWICH. I MAY GET A CUP A COFFEE AND A COUPLE COOKIES

>> MAYBE, BUT THAT IS IT. I HAVE NOT USED OR BOUGHT SALT IN OVER A YR. I

>> USE PEPPER, LEMON PEPPER, CRUSHED RED PEPPER, PAPRIKA, GARLIC POWDER(

>> NOT THE SALT) CILANTRO, ITALIAN SEASONING. LIKE I MENTIONED EARLIER, I

>> DON'T EAT, SO THE WEIGHT HAS TO BE COMING FROM MEDS, WATER RETENSION,

>> MAYBE BEER, BUT I HAVE CUT BACK ON DRINKING BEER SINCE B4 EASTER.

>> Metabolism??

>> Licia

>>

>>

>>>>>

>>>>>

>>>>> From: Valarie <val@...

>>>>>

<http://us.mc332.mail.yahoo.com/mc/compose?to=valwyosip>>

>>>>> Subject: RE: Labs 5/16/11

>>>>> To:hyperaldosteronism

>>>>>

<http://us.mc332.mail.yahoo.com/mc/compose?to=hyperaldosteronism \

>

>>>>> Date: Monday, May 16, 2011, 6:57 PM

>>>>>

>>>>> How long have you been on spiro?Why are you on

>>>>> norvasc andlabetalol?What's your blood pressure

>>>>> doing?Do you take calcium?

>>>>>

>>>>>

>>>>> Val

>>>>>

>>>>>

>>>>> *From:*hyperaldosteronism

>>>>>

<http://us.mc332.mail.yahoo.com/mc/compose?to=hyperaldosteronism \

>[mailto:hyperaldosteronism

>>>>>

<http://us.mc332.mail.yahoo.com/mc/compose?to=hyperaldosteronism \

>]*On

>>>>> Behalf Of*Licia

>>>>>

>>>>> Here are my labs from 5/13/11.

>>>>>

>>>>>

>>>>> Licia, African American, PA, 148/150/lbs, norvasc,

>>>>> spiro-100mg, day/semastin/labetalol/iron/vitamin D/

>>>>>

>>>>>

>>>>> So maybe the Spiro IS Working??

>>>>>

>>>>>

>>>>> Component Results

>>>>>

>>>>> *Component*

>>>>>

>>>>>

>>>>>

>>>>> *Your Value*

>>>>>

>>>>>

>>>>>

>>>>> *Standard Range*

>>>>>

>>>>>

>>>>>

>>>>> *Units*

>>>>>

>>>>>

>>>>>

>>>>> *Flag*

>>>>>

>>>>> BUN

>>>>>

>>>>>

>>>>>

>>>>> 29

>>>>>

>>>>>

>>>>>

>>>>> 6 - 20

>>>>>

>>>>>

>>>>>

>>>>> mg/dL

>>>>>

>>>>>

>>>>>

>>>>> H

>>>>>

>>>>> CREATININE

>>>>>

>>>>>

>>>>>

>>>>> 1.7

>>>>>

>>>>>

>>>>>

>>>>> 0.7 - 1.5

>>>>>

>>>>>

>>>>>

>>>>> mg/dL

>>>>>

>>>>>

>>>>>

>>>>> H

>>>>>

>>>>> SODIUM

>>>>>

>>>>>

>>>>>

>>>>> 137

>>>>>

>>>>>

>>>>>

>>>>> 135 - 146

>>>>>

>>>>>

>>>>>

>>>>> mmol/L

>>>>>

>>>>>

>>>>>

>>>>> POTASSIUM

>>>>>

>>>>>

>>>>>

>>>>> 4.9

>>>>>

>>>>>

>>>>>

>>>>> 3.5 - 5.1

>>>>>

>>>>>

>>>>>

>>>>> mmol/L

>>>>>

>>>>>

>>>>>

>>>>> CHLORIDE

>>>>>

>>>>>

>>>>>

>>>>> 105

>>>>>

>>>>>

>>>>>

>>>>> 98 - 111

>>>>>

>>>>>

>>>>>

>>>>> mmol/L

>>>>>

>>>>>

>>>>>

>>>>> CO2

>>>>>

>>>>>

>>>>>

>>>>> 21

>>>>>

>>>>>

>>>>>

>>>>> 22 - 32

>>>>>

>>>>>

>>>>>

>>>>> mmol/L

>>>>>

>>>>>

>>>>>

>>>>> L

>>>>>

>>>>> GLUCOSE

>>>>>

>>>>>

>>>>>

>>>>> 113

>>>>>

>>>>>

>>>>>

>>>>> 70 - 120

>>>>>

>>>>>

>>>>>

>>>>> mg/dL

>>>>>

>>>>>

>>>>>

>>>>> ANION GAP

>>>>>

>>>>>

>>>>>

>>>>> 11

>>>>>

>>>>>

>>>>>

>>>>> 7 - 15

>>>>>

>>>>>

>>>>>

>>>>> mmol/L

>>>>>

>>>>>

>>>>>

>>>>> CALCIUM

>>>>>

>>>>>

>>>>>

>>>>> 10.0

>>>>>

>>>>>

>>>>>

>>>>> 8.3 - 10.5

>>>>>

>>>>>

>>>>>

>>>>> mg/dL

>>>>>

>>>>>

>>>>>

>>>>> GFR ESTIMATED

>>>>>

>>>>>

>>>>>

>>>>> 32.2

>>>>>

>>>>>

>>>>>

>>>>> >60 -

>>>>>

>>>>>

>>>>>

>>>>> mL/min

>>>>>

>>>>>

>>>>>

>>>>> L

>>>>>

>>>>>

>>>>>

>>>>>

>>>>

>>>>

>>>

>>>

>>

>

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Tracking or keeping a journal does help me a lot like you mentioned

in a previous email.

Keep up the good work Kellie

Tiped sad Send form mi

iPhone ;-)

May your pressure be low!

CE Grim MD

Specializing in Difficult

Hypertension

On May 18, 2011, at 6:05 PM, Kellie

wrote:

Hi Licia,

I have tried the "one meal a day." to lose weight

and it doesn't work and ends up causing more

problems. How about 6 small meals a day? I am doing

a combo Weight Wathchers/DASH diet which is 3 meals,

two snacks. Granted the weight is coming off slowly but it is coming

off which is better than I have done by myself in

several years.

Kellie

THANK YOU. I ONLY EAT ONE SOLID MEAL

A DAY, LIKE RIGHT NOW. I HAVE A

CAMPBELL'S HEARTY SOUP W/SPINACH I

BOUGHT FROM OUR WORK CAF, AND A HAM AND

CHEESE SANDWICH. I MAY GET A CUP A

COFFEE AND A COUPLE COOKIES MAYBE, BUT

THAT IS IT. I HAVE NOT USED OR BOUGHT

SALT IN OVER A YR. I USE PEPPER, LEMON

PEPPER, CRUSHED RED PEPPER, PAPRIKA,

GARLIC POWDER( NOT THE SALT) CILANTRO,

ITALIAN SEASONING. LIKE I MENTIONED

EARLIER, I DON'T EAT, SO THE WEIGHT HAS

TO BE COMING FROM MEDS, WATER RETENSION,

MAYBE BEER, BUT I HAVE CUT BACK ON

DRINKING BEER SINCE B4 EASTER.

Metabolism??

Licia

All the

blood work was

taken in the

afternoon. My

pressure

started to get

out of whack,

when I

switched from

Lisinopril and

Norvasc, To

Diovan,

Bistolic and

the water

pill, then to

diaovan and

spiro, then

stopped the

spiro, and

picked up the

labetalol,

then back to

the spiro

labetalol, and

stopped the

bistolic and

diovan. All

starting out

from 12/2008.

now i'm

currently on

spiro 100 4x's

a day 25mgs,

sembastin, vit

d, 1 a week,

and then 1

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Yes, but I know I have all kinds of hormonal crap going on. Haven't had a period in about 2yrs, no thyroid gland, graves disease, PA and vitiliago. So, somethiing is up. I'm just not hungry. I never was and always ate this way never gained a lb.

Licia>>>>>>>>>>>>>>> >>>> <http://us.mc332.mail.yahoo.com/mc/compose?to=val@...>>>>>>> Subject: RE: Labs 5/16/11>>>>> To:hyperaldosteronism >>>>> <http://us.mc332.mail.yahoo.com/mc/compose?to=hyperaldosteronism >>>>>> Date: Monday, May 16, 2011, 6:57 PM>>>>>>>>>> How long have you been on spiro?Why are you

on>>>>> norvasc andlabetalol?What's your blood pressure>>>>> doing?Do you take calcium?>>>>>>>>>>>>>>> Val>>>>>>>>>>>>>>> *From:*hyperaldosteronism >>>>> <http://us.mc332.mail.yahoo.com/mc/compose?to=hyperaldosteronism >[mailto:hyperaldosteronism >>>>> <http://us.mc332.mail.yahoo.com/mc/compose?to=hyperaldosteronism >]*On>>>>> Behalf Of*Licia >>>>>>>>>> Here are my labs from 5/13/11.>>>>>>>>>>>>>>> Licia, African American, PA, 148/150/lbs, norvasc,>>>>> spiro-100mg, day/semastin/labetalol/iron/vitamin D/>>>>>>>>>>>>>>> So maybe the Spiro IS Working??>>>>>>>>>>>>>>> Component Results>>>>>>>>>> *Component*>>>>>>>>>>

>>>>>>>>>> *Your Value*>>>>>>>>>> >>>>>>>>>> *Standard Range*>>>>>>>>>> >>>>>>>>>> *Units*>>>>>>>>>> >>>>>>>>>> *Flag*>>>>>>>>>> BUN>>>>>>>>>> >>>>>>>>>> 29>>>>>>>>>> >>>>>>>>>> 6 - 20>>>>>>>>>> >>>>>>>>>> mg/dL>>>>>>>>>> >>>>>>>>>> H>>>>>>>>>> CREATININE>>>>>>>>>>

>>>>>>>>>> 1.7>>>>>>>>>> >>>>>>>>>> 0.7 - 1.5>>>>>>>>>> >>>>>>>>>> mg/dL>>>>>>>>>> >>>>>>>>>> H>>>>>>>>>> SODIUM>>>>>>>>>> >>>>>>>>>> 137>>>>>>>>>> >>>>>>>>>> 135 - 146>>>>>>>>>> >>>>>>>>>> mmol/L>>>>>>>>>> >>>>>>>>>> POTASSIUM>>>>>>>>>> >>>>>>>>>>

4.9>>>>>>>>>> >>>>>>>>>> 3.5 - 5.1>>>>>>>>>> >>>>>>>>>> mmol/L>>>>>>>>>> >>>>>>>>>> CHLORIDE>>>>>>>>>> >>>>>>>>>> 105>>>>>>>>>> >>>>>>>>>> 98 - 111>>>>>>>>>> >>>>>>>>>> mmol/L>>>>>>>>>> >>>>>>>>>> CO2>>>>>>>>>> >>>>>>>>>> 21>>>>>>>>>> >>>>>>>>>> 22 -

32>>>>>>>>>> >>>>>>>>>> mmol/L>>>>>>>>>> >>>>>>>>>> L>>>>>>>>>> GLUCOSE>>>>>>>>>> >>>>>>>>>> 113>>>>>>>>>> >>>>>>>>>> 70 - 120>>>>>>>>>> >>>>>>>>>> mg/dL>>>>>>>>>> >>>>>>>>>> ANION GAP>>>>>>>>>> >>>>>>>>>> 11>>>>>>>>>> >>>>>>>>>> 7 - 15>>>>>>>>>>

>>>>>>>>>> mmol/L>>>>>>>>>> >>>>>>>>>> CALCIUM>>>>>>>>>> >>>>>>>>>> 10.0>>>>>>>>>> >>>>>>>>>> 8.3 - 10.5>>>>>>>>>> >>>>>>>>>> mg/dL>>>>>>>>>> >>>>>>>>>> GFR ESTIMATED>>>>>>>>>> >>>>>>>>>> 32.2>>>>>>>>>> >>>>>>>>>> >60 ->>>>>>>>>> >>>>>>>>>> mL/min>>>>>>>>>>

>>>>>>>>>> L>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>> >

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I've struggled with weight since my early 20's. Yes, I like to eat but I think there is more to it than that. Overweight people are not big, fat slobs who eat constantly without giving any thought to what goes into our mouths, somehow our bodies react differently to food. I used to work with a lady who was 5'2, weighed 102 pounds and ate like a 300 pound truck driver. Her motto was "a meal isn't a meal unless you've had desert". She'd eat a huge lunch with desert, and an hour later be munching on a candy bar. I tried to hate her but she was just too darned nice ;-) I think I've tried every diet known to man, some several times. About 17 years ago I took Phen-fen when it was all the rage, with low expectations in the beginning. I was amazed when I lost almost 50 pounds in 6 months. But the weight loss wasn't the most amazing thing about the drugs.

For the first time food became a non-issue in my life, I could take it or leave it. I actually had to remind myself to eat at times and I remember thinking, this must be how normal people feel about food. I sometimes think I'd risk the possible heart valve problems I I could get it again, that's how good I felt while taking it. When it was taken off the market I almost cried and of course gained it all back over time. Weight Watchers is probably the most healthy, sustainable diet around and you actually get to eat real food. I figured it out once, it's about 1200-1300 calories per day. I used to lose pretty well when I stuck to it but the older I get I find I lose very slowly on it, and only if I do some type of exercise daily. The key for me is taking the time to write down every single bite that goes into my mouth, which is a pain.

a

>>>>Subject: Re: Labs 5/16/11>To: hyperaldosteronism >Cc: "Clarence Grim" >Date: Wednesday, May 18, 2011, 3:12 PM>>> >>>>Tell me you HAVE already stopped smoking!>>>The Shaken the salt ploy won't help much unless you cook everything from scratch. Then you can add up to 3/4 teaspoon salt a day including what you use in cooking.>>>Esp if you eat out at all.>>>How often do you buy a box of salt. And for how many people are you cooking for?>>>U should know by now to

read every label and keep sodium less than 1500 mg a day total.>>>>>>>>, spiro-100mg, >

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Yes, I need to be more aware of what exactly is it that I am doing. I know working at night, I am never hungry in the morning. Granted on the weekends I have a couple eggs raisin bread toast w/jam and butter, trying recently to quit the processed bacon and sausage. How about turkey bacon? But I read that what ever they use to process that is more detrimental than regular bacon, is that true. Think the salt content is high.

Well I am slowly losing because the last time I was weighed it was about 152 and yesterday even the nurse said, " I'm so use to moving the 150 weight" and now

i'm 145. Think the up and down with the spiro has got me all turned around. Because I have never been a big eater and when I do eat I graze, small bites here and there which will take me hours to eat. We'll all get on track, God willing.

Licia

All the blood work was taken in the afternoon. My pressure started to get out of whack, when I switched from Lisinopril and Norvasc, To Diovan, Bistolic and the water pill, then to diaovan and spiro, then stopped the spiro, and picked up the labetalol, then back to the spiro labetalol, and stopped the bistolic and diovan. All starting out from 12/2008. now i'm currently on spiro 100 4x's a day 25mgs, sembastin, vit d, 1 a week, and then 1

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i agree just giving some insight in how some think. its not right but if thats

the docs main weakness then work around it tactfully or call him on it. youre

case screams hormones and go with your instinct as it is almost always right.

>Yes, but I know I have all kinds of hormonal crap going on. Haven't had a

period in about 2yrs, no thyroid gland, graves disease, PA and vitiliago. So,

somethiing is up. I'm just not hungry. I never was and always ate this way never

gained a lb.

> 

>Licia

>

>

>>>>>>

>>>>>>

>>>>>> From: Valarie <val@...

>>>>>> <http://us.mc332.mail.yahoo.com/mc/compose?to=valwyosip>>

>>>>>> Subject: RE: Labs 5/16/11

>>>>>> To:hyperaldosteronism

>>>>>>

<http://us.mc332.mail.yahoo.com/mc/compose?to=hyperaldosteronism \

>

>>>>>> Date: Monday, May 16, 2011, 6:57 PM

>>>>>>

>>>>>> How long have you been on spiro?Why are you on

>>>>>> norvasc andlabetalol?What's your blood pressure

>>>>>> doing?Do you take calcium?

>>>>>>

>>>>>>

>>>>>> Val

>>>>>>

>>>>>>

>>>>>> *From:*hyperaldosteronism

>>>>>>

<http://us.mc332.mail.yahoo.com/mc/compose?to=hyperaldosteronism \

>[mailto:hyperaldosteronism

>>>>>>

<http://us.mc332.mail.yahoo.com/mc/compose?to=hyperaldosteronism \

>]*On

>>>>>> Behalf Of*Licia

>>>>>>

>>>>>> Here are my labs from 5/13/11.

>>>>>>

>>>>>>

>>>>>> Licia, African American, PA, 148/150/lbs, norvasc,

>>>>>> spiro-100mg, day/semastin/labetalol/iron/vitamin D/

>>>>>>

>>>>>>

>>>>>> So maybe the Spiro IS Working??

>>>>>>

>>>>>>

>>>>>> Component Results

>>>>>>

>>>>>> *Component*

>>>>>>

>>>>>>

>>>>>>

>>>>>> *Your Value*

>>>>>>

>>>>>>

>>>>>>

>>>>>> *Standard Range*

>>>>>>

>>>>>>

>>>>>>

>>>>>> *Units*

>>>>>>

>>>>>>

>>>>>>

>>>>>> *Flag*

>>>>>>

>>>>>> BUN

>>>>>>

>>>>>>

>>>>>>

>>>>>> 29

>>>>>>

>>>>>>

>>>>>>

>>>>>> 6 - 20

>>>>>>

>>>>>>

>>>>>>

>>>>>> mg/dL

>>>>>>

>>>>>>

>>>>>>

>>>>>> H

>>>>>>

>>>>>> CREATININE

>>>>>>

>>>>>>

>>>>>>

>>>>>> 1.7

>>>>>>

>>>>>>

>>>>>>

>>>>>> 0.7 - 1.5

>>>>>>

>>>>>>

>>>>>>

>>>>>> mg/dL

>>>>>>

>>>>>>

>>>>>>

>>>>>> H

>>>>>>

>>>>>> SODIUM

>>>>>>

>>>>>>

>>>>>>

>>>>>> 137

>>>>>>

>>>>>>

>>>>>>

>>>>>> 135 - 146

>>>>>>

>>>>>>

>>>>>>

>>>>>> mmol/L

>>>>>>

>>>>>>

>>>>>>

>>>>>> POTASSIUM

>>>>>>

>>>>>>

>>>>>>

>>>>>> 4.9

>>>>>>

>>>>>>

>>>>>>

>>>>>> 3.5 - 5.1

>>>>>>

>>>>>>

>>>>>>

>>>>>> mmol/L

>>>>>>

>>>>>>

>>>>>>

>>>>>> CHLORIDE

>>>>>>

>>>>>>

>>>>>>

>>>>>> 105

>>>>>>

>>>>>>

>>>>>>

>>>>>> 98 - 111

>>>>>>

>>>>>>

>>>>>>

>>>>>> mmol/L

>>>>>>

>>>>>>

>>>>>>

>>>>>> CO2

>>>>>>

>>>>>>

>>>>>>

>>>>>> 21

>>>>>>

>>>>>>

>>>>>>

>>>>>> 22 - 32

>>>>>>

>>>>>>

>>>>>>

>>>>>> mmol/L

>>>>>>

>>>>>>

>>>>>>

>>>>>> L

>>>>>>

>>>>>> GLUCOSE

>>>>>>

>>>>>>

>>>>>>

>>>>>> 113

>>>>>>

>>>>>>

>>>>>>

>>>>>> 70 - 120

>>>>>>

>>>>>>

>>>>>>

>>>>>> mg/dL

>>>>>>

>>>>>>

>>>>>>

>>>>>> ANION GAP

>>>>>>

>>>>>>

>>>>>>

>>>>>> 11

>>>>>>

>>>>>>

>>>>>>

>>>>>> 7 - 15

>>>>>>

>>>>>>

>>>>>>

>>>>>> mmol/L

>>>>>>

>>>>>>

>>>>>>

>>>>>> CALCIUM

>>>>>>

>>>>>>

>>>>>>

>>>>>> 10.0

>>>>>>

>>>>>>

>>>>>>

>>>>>> 8.3 - 10.5

>>>>>>

>>>>>>

>>>>>>

>>>>>> mg/dL

>>>>>>

>>>>>>

>>>>>>

>>>>>> GFR ESTIMATED

>>>>>>

>>>>>>

>>>>>>

>>>>>> 32.2

>>>>>>

>>>>>>

>>>>>>

>>>>>> >60 -

>>>>>>

>>>>>>

>>>>>>

>>>>>> mL/min

>>>>>>

>>>>>>

>>>>>>

>>>>>> L

>>>>>>

>>>>>>

>>>>>>

>>>>>>

>>>>>

>>>>>

>>>>

>>>>

>>>

>>

>

>

>

>

>

>

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And do not contain excess calories. CE Grim MDStudies have shown that women who eat three square or 4 smaller meals, so long as there is not a true hormonal condition., maintain the best weight. our bodies ARE going to get the calories it needs to function.>Hi Licia,>>I have tried the "one meal a day." to lose weight and it doesn't work >and ends up causing more problems. How about 6 small meals a day? I am >doing a combo Weight Wathchers/DASH diet which is 3 meals, two snacks. >Granted the weight is coming off slowly but it is coming off which is >better than I have done by myself in several years.>>Kellie>>>>>> THANK YOU. I ONLY EAT ONE SOLID MEAL A DAY, LIKE RIGHT NOW. I HAVE A >> CAMPBELL'S HEARTY SOUP W/SPINACH I BOUGHT FROM OUR WORK CAF, AND A HAM >> AND CHEESE SANDWICH. I MAY GET A CUP A COFFEE AND A COUPLE COOKIES >> MAYBE, BUT THAT IS IT. I HAVE NOT USED OR BOUGHT SALT IN OVER A YR. I >> USE PEPPER, LEMON PEPPER, CRUSHED RED PEPPER, PAPRIKA, GARLIC POWDER( >> NOT THE SALT) CILANTRO, ITALIAN SEASONING. LIKE I MENTIONED EARLIER, I >> DON'T EAT, SO THE WEIGHT HAS TO BE COMING FROM MEDS, WATER RETENSION, >> MAYBE BEER, BUT I HAVE CUT BACK ON DRINKING BEER SINCE B4 EASTER. >> Metabolism??>> Licia>>>> >>>>>>>>>>>>>>> >>>> <http://us.mc332.mail.yahoo.com/mc/compose?to=val@...>>>>>>> Subject: RE: Labs 5/16/11>>>>> To:hyperaldosteronism >>>>> <http://us.mc332.mail.yahoo.com/mc/compose?to=hyperaldosteronism >>>>>> Date: Monday, May 16, 2011, 6:57 PM>>>>>>>>>> How long have you been on spiro?Why are you on>>>>> norvasc andlabetalol?What's your blood pressure>>>>> doing?Do you take calcium?>>>>>>>>>>>>>>> Val>>>>>>>>>>>>>>> *From:*hyperaldosteronism >>>>> <http://us.mc332.mail.yahoo.com/mc/compose?to=hyperaldosteronism >[mailto:hyperaldosteronism >>>>> <http://us.mc332.mail.yahoo.com/mc/compose?to=hyperaldosteronism >]*On>>>>> Behalf Of*Licia >>>>>>>>>> Here are my labs from 5/13/11.>>>>>>>>>>>>>>> Licia, African American, PA, 148/150/lbs, norvasc,>>>>> spiro-100mg, day/semastin/labetalol/iron/vitamin D/>>>>>>>>>>>>>>> So maybe the Spiro IS Working??>>>>>>>>>>>>>>> Component Results>>>>>>>>>> *Component*>>>>>>>>>> >>>>>>>>>> *Your Value*>>>>>>>>>> >>>>>>>>>> *Standard Range*>>>>>>>>>> >>>>>>>>>> *Units*>>>>>>>>>> >>>>>>>>>> *Flag*>>>>>>>>>> BUN>>>>>>>>>> >>>>>>>>>> 29>>>>>>>>>> >>>>>>>>>> 6 - 20>>>>>>>>>> >>>>>>>>>> mg/dL>>>>>>>>>> >>>>>>>>>> H>>>>>>>>>> CREATININE>>>>>>>>>> >>>>>>>>>> 1.7>>>>>>>>>> >>>>>>>>>> 0.7 - 1.5>>>>>>>>>> >>>>>>>>>> mg/dL>>>>>>>>>> >>>>>>>>>> H>>>>>>>>>> SODIUM>>>>>>>>>> >>>>>>>>>> 137>>>>>>>>>> >>>>>>>>>> 135 - 146>>>>>>>>>> >>>>>>>>>> mmol/L>>>>>>>>>> >>>>>>>>>> POTASSIUM>>>>>>>>>> >>>>>>>>>> 4.9>>>>>>>>>> >>>>>>>>>> 3.5 - 5.1>>>>>>>>>> >>>>>>>>>> mmol/L>>>>>>>>>> >>>>>>>>>> CHLORIDE>>>>>>>>>> >>>>>>>>>> 105>>>>>>>>>> >>>>>>>>>> 98 - 111>>>>>>>>>> >>>>>>>>>> mmol/L>>>>>>>>>> >>>>>>>>>> CO2>>>>>>>>>> >>>>>>>>>> 21>>>>>>>>>> >>>>>>>>>> 22 - 32>>>>>>>>>> >>>>>>>>>> mmol/L>>>>>>>>>> >>>>>>>>>> L>>>>>>>>>> GLUCOSE>>>>>>>>>> >>>>>>>>>> 113>>>>>>>>>> >>>>>>>>>> 70 - 120>>>>>>>>>> >>>>>>>>>> mg/dL>>>>>>>>>> >>>>>>>>>> ANION GAP>>>>>>>>>> >>>>>>>>>> 11>>>>>>>>>> >>>>>>>>>> 7 - 15>>>>>>>>>> >>>>>>>>>> mmol/L>>>>>>>>>> >>>>>>>>>> CALCIUM>>>>>>>>>> >>>>>>>>>> 10.0>>>>>>>>>> >>>>>>>>>> 8.3 - 10.5>>>>>>>>>> >>>>>>>>>> mg/dL>>>>>>>>>> >>>>>>>>>> GFR ESTIMATED>>>>>>>>>> >>>>>>>>>> 32.2>>>>>>>>>> >>>>>>>>>> >60 ->>>>>>>>>> >>>>>>>>>> mL/min>>>>>>>>>> >>>>>>>>>> L>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>> >

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Your calories are up.CE Grim MDYes, but I know I have all kinds of hormonal crap going on. Haven't had a period in about 2yrs, no thyroid gland, graves disease, PA and vitiliago. So, somethiing is up. I'm just not hungry. I never was and always ate this way never gained a lb. Licia>>>>>>>>>>>>>>> >>>> <http://us.mc332.mail.yahoo.com/mc/compose?to=val@...>>>>>>> Subject: RE: Labs 5/16/11>>>>> To:hyperaldosteronism >>>>> <http://us.mc332.mail.yahoo.com/mc/compose?to=hyperaldosteronism >>>>>> Date: Monday, May 16, 2011, 6:57 PM>>>>>>>>>> How long have you been on spiro?Why are you on>>>>> norvasc andlabetalol?What's your blood pressure>>>>> doing?Do you take calcium?>>>>>>>>>>>>>>> Val>>>>>>>>>>>>>>> *From:*hyperaldosteronism >>>>> <http://us.mc332.mail.yahoo.com/mc/compose?to=hyperaldosteronism >[mailto:hyperaldosteronism >>>>> <http://us.mc332.mail.yahoo.com/mc/compose?to=hyperaldosteronism >]*On>>>>> Behalf Of*Licia >>>>>>>>>> Here are my labs from 5/13/11.>>>>>>>>>>>>>>> Licia, African American, PA, 148/150/lbs, norvasc,>>>>> spiro-100mg, day/semastin/labetalol/iron/vitamin D/>>>>>>>>>>>>>>> So maybe the Spiro IS Working??>>>>>>>>>>>>>>> Component Results>>>>>>>>>> *Component*>>>>>>>>>> >>>>>>>>>> *Your Value*>>>>>>>>>> >>>>>>>>>> *Standard Range*>>>>>>>>>> >>>>>>>>>> *Units*>>>>>>>>>> >>>>>>>>>> *Flag*>>>>>>>>>> BUN>>>>>>>>>> >>>>>>>>>> 29>>>>>>>>>> >>>>>>>>>> 6 - 20>>>>>>>>>> >>>>>>>>>> mg/dL>>>>>>>>>> >>>>>>>>>> H>>>>>>>>>> CREATININE>>>>>>>>>> >>>>>>>>>> 1.7>>>>>>>>>> >>>>>>>>>> 0.7 - 1.5>>>>>>>>>> >>>>>>>>>> mg/dL>>>>>>>>>> >>>>>>>>>> H>>>>>>>>>> SODIUM>>>>>>>>>> >>>>>>>>>> 137>>>>>>>>>> >>>>>>>>>> 135 - 146>>>>>>>>>> >>>>>>>>>> mmol/L>>>>>>>>>> >>>>>>>>>> POTASSIUM>>>>>>>>>> >>>>>>>>>> 4.9>>>>>>>>>> >>>>>>>>>> 3.5 - 5.1>>>>>>>>>> >>>>>>>>>> mmol/L>>>>>>>>>> >>>>>>>>>> CHLORIDE>>>>>>>>>> >>>>>>>>>> 105>>>>>>>>>> >>>>>>>>>> 98 - 111>>>>>>>>>> >>>>>>>>>> mmol/L>>>>>>>>>> >>>>>>>>>> CO2>>>>>>>>>> >>>>>>>>>> 21>>>>>>>>>> >>>>>>>>>> 22 - 32>>>>>>>>>> >>>>>>>>>> mmol/L>>>>>>>>>> >>>>>>>>>> L>>>>>>>>>> GLUCOSE>>>>>>>>>> >>>>>>>>>> 113>>>>>>>>>> >>>>>>>>>> 70 - 120>>>>>>>>>> >>>>>>>>>> mg/dL>>>>>>>>>> >>>>>>>>>> ANION GAP>>>>>>>>>> >>>>>>>>>> 11>>>>>>>>>> >>>>>>>>>> 7 - 15>>>>>>>>>> >>>>>>>>>> mmol/L>>>>>>>>>> >>>>>>>>>> CALCIUM>>>>>>>>>> >>>>>>>>>> 10.0>>>>>>>>>> >>>>>>>>>> 8.3 - 10.5>>>>>>>>>> >>>>>>>>>> mg/dL>>>>>>>>>> >>>>>>>>>> GFR ESTIMATED>>>>>>>>>> >>>>>>>>>> 32.2>>>>>>>>>> >>>>>>>>>> >60 ->>>>>>>>>> >>>>>>>>>> mL/min>>>>>>>>>> >>>>>>>>>> L>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>> >

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That

is such an horrendous statement.

Val

From: hyperaldosteronism

[mailto:hyperaldosteronism ] On Behalf Of Clarence Grim

The

problem hormone is the mouth.

Tiped sad Send form mi

iPhone

;-)

May

your pressure be low!

CE

Grim MD

Specializing

in Difficult

Hypertension

Before the fiery darts. . . .if you look the

postings youll see that you ladies mention weight way more than the men and for

some it is mentioned every posting. it is often more central to a woman than a

man. . . . . .but once again often it is hormonal but please do not forget men

have hormones too and it is not just middle age, a beer belly, and or

inactivity now come on some oe you have pinned a man like that without thinking

it was hormonal. . . . .probably isnt, but still

>THANK YOU. I ONLY EAT ONE SOLID MEAL A DAY, LIKE RIGHT NOW. I HAVE A

CAMPBELL'S HEARTY SOUP W/SPINACH I BOUGHT FROM OUR WORK CAF, AND A HAM AND

CHEESE SANDWICH. I MAY GET A CUP A COFFEE AND A COUPLE COOKIES MAYBE, BUT

THAT IS IT. I HAVE NOT USED OR BOUGHT SALT IN OVER A YR. I USE PEPPER, LEMON

PEPPER, CRUSHED RED PEPPER, PAPRIKA, GARLIC POWDER( NOT THE SALT) CILANTRO,

ITALIAN SEASONING. LIKE I MENTIONED EARLIER, I DON'T EAT, SO THE WEIGHT HAS TO

BE COMING FROM MEDS, WATER RETENSION, MAYBE BEER, BUT I HAVE CUT BACK ON

DRINKING BEER SINCE B4 EASTER. Metabolism??

>

>Licia

>

>

>

>

>

>Subject: RE: Labs 5/16/11

>To: hyperaldosteronism

>Date: Monday, May 16, 2011, 6:57 PM

>

>

>

>

>

>

>How long have you been on spiro? Why are you on norvasc

and labetalol? What's your blood pressure doing? Do

you take calcium?

>

>

>

>Val

>

>

>From: hyperaldosteronism [mailto:hyperaldosteronism ] On

Behalf Of Licia

>

>

>

>

>

>

>

>

>

>Here are my labs from 5/13/11.

>

>

>

>

>Licia, African American, PA, 148/150/lbs, norvasc, spiro-100mg,

day/semastin/labetalol/iron/vitamin D/

>

>

>

>

>So maybe the Spiro IS Working??

>

>

>

>

>Component Results

>

>

>

>

>

>Component

>

>Your Value

>

>Standard Range

>

>Units

>

>Flag

>

>

>

>BUN

>

>29

>

>6 - 20

>

>mg/dL

>

>H

>

>

>CREATININE

>

>1.7

>

>0.7 - 1.5

>

>mg/dL

>

>H

>

>

>SODIUM

>

>137

>

>135 - 146

>

>mmol/L

>

>

>

>POTASSIUM

>

>4.9

>

>3.5 - 5.1

>

>mmol/L

>

>

>

>CHLORIDE

>

>105

>

>98 - 111

>

>mmol/L

>

>

>

>CO2

>

>21

>

>22 - 32

>

>mmol/L

>

>L

>

>

>GLUCOSE

>

>113

>

>70 - 120

>

>mg/dL

>

>

>

>ANION GAP

>

>11

>

>7 - 15

>

>mmol/L

>

>

>

>CALCIUM

>

>10.0

>

>8.3 - 10.5

>

>mg/dL

>

>

>

>GFR ESTIMATED

>

>32.2

>

>>60 -

>

>mL/min

>

>L

>

>

>

>

>

>

>

>

>

>

>

>

>

>

>

>

>

>

>

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Good work. Actually I worked in a Phen-fen clinic for about 2 weeks before the valve issue came out. I was very impressed with the wt loss they were seeing and how good they were feeling. CE Grim MDI've struggled with weight since my early 20's. Yes, I like to eat but I think there is more to it than that. Overweight people are not big, fat slobs who eat constantly without giving any thought to what goes into our mouths, somehow our bodies react differently to food. I used to work with a lady who was 5'2, weighed 102 pounds and ate like a 300 pound truck driver. Her motto was "a meal isn't a meal unless you've had desert". She'd eat a huge lunch with desert, and an hour later be munching on a candy bar. I tried to hate her but she was just too darned nice ;-) I think I've tried every diet known to man, some several times. About 17 years ago I took Phen-fen when it was all the rage, with low expectations in the beginning. I was amazed when I lost almost 50 pounds in 6 months. But the weight loss wasn't the most amazing thing about the drugs. For the first time food became a non-issue in my life, I could take it or leave it. I actually had to remind myself to eat at times and I remember thinking, this must be how normal people feel about food. I sometimes think I'd risk the possible heart valve problems I I could get it again, that's how good I felt while taking it. When it was taken off the market I almost cried and of course gained it all back over time. Weight Watchers is probably the most healthy, sustainable diet around and you actually get to eat real food. I figured it out once, it's about 1200-1300 calories per day. I used to lose pretty well when I stuck to it but the older I get I find I lose very slowly on it, and only if I do some type of exercise daily. The key for me is taking the time to write down every single bite that goes into my mouth, which is a pain. a >>>>Subject: Re: Labs 5/16/11>To: hyperaldosteronism >Cc: "Clarence Grim" >Date: Wednesday, May 18, 2011, 3:12 PM>>> >>>>Tell me you HAVE already stopped smoking!>>>The Shaken the salt ploy won't help much unless you cook everything from scratch. Then you can add up to 3/4 teaspoon salt a day including what you use in cooking.>>>Esp if you eat out at all.>>>How often do you buy a box of salt. And for how many people are you cooking for?>>>U should know by now to read every label and keep sodium less than 1500 mg a day total.>>>>>>>>, spiro-100mg, >

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Another case of the doctor blaming the patient... Just sayin'.

> >

> >

> >

> >Subject: RE: Labs 5/16/11

> >To: hyperaldosteronism

> >Date: Monday, May 16, 2011, 6:57 PM

> >

> >

> >

> >

> >

> >

> >How long have you been on spiro? Why are you on norvasc and labetalol?

> What's your blood pressure doing? Do you take calcium?

> >

> >

> >

> >Val

> >

> >

> >From: hyperaldosteronism

> [mailto:hyperaldosteronism ] On Behalf Of Licia

> >

> >

> >

> >

> >

> >

> >

> >

> >

> >Here are my labs from 5/13/11.

> >

> >

> >

> >

> >Licia, African American, PA, 148/150/lbs, norvasc, spiro-100mg,

> day/semastin/labetalol/iron/vitamin D/

> >

> >

> >

> >

> >So maybe the Spiro IS Working??

> >

> >

> >

> >

> >Component Results

> >

> >

> >

> >

> >

> >Component

> >

> >Your Value

> >

> >Standard Range

> >

> >Units

> >

> >Flag

> >

> >

> >

> >BUN

> >

> >29

> >

> >6 - 20

> >

> >mg/dL

> >

> >H

> >

> >

> >CREATININE

> >

> >1.7

> >

> >0.7 - 1.5

> >

> >mg/dL

> >

> >H

> >

> >

> >SODIUM

> >

> >137

> >

> >135 - 146

> >

> >mmol/L

> >

> >

> >

> >POTASSIUM

> >

> >4.9

> >

> >3.5 - 5.1

> >

> >mmol/L

> >

> >

> >

> >CHLORIDE

> >

> >105

> >

> >98 - 111

> >

> >mmol/L

> >

> >

> >

> >CO2

> >

> >21

> >

> >22 - 32

> >

> >mmol/L

> >

> >L

> >

> >

> >GLUCOSE

> >

> >113

> >

> >70 - 120

> >

> >mg/dL

> >

> >

> >

> >ANION GAP

> >

> >11

> >

> >7 - 15

> >

> >mmol/L

> >

> >

> >

> >CALCIUM

> >

> >10.0

> >

> >8.3 - 10.5

> >

> >mg/dL

> >

> >

> >

> >GFR ESTIMATED

> >

> >32.2

> >

> >>60 -

> >

> >mL/min

> >

> >L

> >

> >

> >

> >

> >

> >

> >

> >

> >

> >

> >

> >

> >

> >

> >

> >

> >

> >

> >

> Reply

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think avoiding these.Yes, I need to be more aware of what exactly is it that I am doing. I know working at night, I am never hungry in the morning. Granted on the weekends I have a couple eggs raisin bread toast w/jam and butter, trying recently to quit the processed bacon and sausage. How about turkey bacon? But I read that what ever they use to process that is more detrimental than regular bacon, is that true. Think the salt content is high. Well I am slowly losing because the last time I was weighed it was about 152 and yesterday even the nurse said, " I'm so use to moving the 150 weight" and nowi'm 145. Think the up and down with the spiro has got me all turned around. Because I have never been a big eater and when I do eat I graze, small bites here and there which will take me hours to eat. We'll all get on track, God willing. LiciaAll the blood work was taken in the afternoon. My pressure started to get out of whack, when I switched from Lisinopril and Norvasc, To Diovan, Bistolic and the water pill, then to diaovan and spiro, then stopped the spiro, and picked up the labetalol, then back to the spiro labetalol, and stopped the bistolic and diovan. All starting out from 12/2008. now i'm currently on spiro 100 4x's a day 25mgs, sembastin, vit d, 1 a week, and then 1

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It is easy to measure hormones but more difficult to decide what to do about them. CE Grimi agree just giving some insight in how some think. its not right but if thats the docs main weakness then work around it tactfully or call him on it. youre case screams hormones and go with your instinct as it is almost always right.>Yes, but I know I have all kinds of hormonal crap going on. Haven't had a period in about 2yrs, no thyroid gland, graves disease, PA and vitiliago. So, somethiing is up. I'm just not hungry. I never was and always ate this way never gained a lb. > >Licia>>>>>>>>>>>>>>>>>>>> >>>>> <http://us.mc332.mail.yahoo.com/mc/compose?to=val@...>>>>>>>> Subject: RE: Labs 5/16/11>>>>>> To:hyperaldosteronism >>>>>> <http://us.mc332.mail.yahoo.com/mc/compose?to=hyperaldosteronism >>>>>>> Date: Monday, May 16, 2011, 6:57 PM>>>>>>>>>>>> How long have you been on spiro?Why are you on>>>>>> norvasc andlabetalol?What's your blood pressure>>>>>> doing?Do you take calcium?>>>>>>>>>>>>>>>>>> Val>>>>>>>>>>>>>>>>>> *From:*hyperaldosteronism >>>>>> <http://us.mc332.mail.yahoo.com/mc/compose?to=hyperaldosteronism >[mailto:hyperaldosteronism >>>>>> <http://us.mc332.mail.yahoo.com/mc/compose?to=hyperaldosteronism >]*On>>>>>> Behalf Of*Licia >>>>>>>>>>>> Here are my labs from 5/13/11.>>>>>>>>>>>>>>>>>> Licia, African American, PA, 148/150/lbs, norvasc,>>>>>> spiro-100mg, day/semastin/labetalol/iron/vitamin D/>>>>>>>>>>>>>>>>>> So maybe the Spiro IS Working??>>>>>>>>>>>>>>>>>> Component Results>>>>>>>>>>>> *Component*>>>>>>>>>>>> >>>>>>>>>>>> *Your Value*>>>>>>>>>>>> >>>>>>>>>>>> *Standard Range*>>>>>>>>>>>> >>>>>>>>>>>> *Units*>>>>>>>>>>>> >>>>>>>>>>>> *Flag*>>>>>>>>>>>> BUN>>>>>>>>>>>> >>>>>>>>>>>> 29>>>>>>>>>>>> >>>>>>>>>>>> 6 - 20>>>>>>>>>>>> >>>>>>>>>>>> mg/dL>>>>>>>>>>>> >>>>>>>>>>>> H>>>>>>>>>>>> CREATININE>>>>>>>>>>>> >>>>>>>>>>>> 1.7>>>>>>>>>>>> >>>>>>>>>>>> 0.7 - 1.5>>>>>>>>>>>> >>>>>>>>>>>> mg/dL>>>>>>>>>>>> >>>>>>>>>>>> H>>>>>>>>>>>> SODIUM>>>>>>>>>>>> >>>>>>>>>>>> 137>>>>>>>>>>>> >>>>>>>>>>>> 135 - 146>>>>>>>>>>>> >>>>>>>>>>>> mmol/L>>>>>>>>>>>> >>>>>>>>>>>> POTASSIUM>>>>>>>>>>>> >>>>>>>>>>>> 4.9>>>>>>>>>>>> >>>>>>>>>>>> 3.5 - 5.1>>>>>>>>>>>> >>>>>>>>>>>> mmol/L>>>>>>>>>>>> >>>>>>>>>>>> CHLORIDE>>>>>>>>>>>> >>>>>>>>>>>> 105>>>>>>>>>>>> >>>>>>>>>>>> 98 - 111>>>>>>>>>>>> >>>>>>>>>>>> mmol/L>>>>>>>>>>>> >>>>>>>>>>>> CO2>>>>>>>>>>>> >>>>>>>>>>>> 21>>>>>>>>>>>> >>>>>>>>>>>> 22 - 32>>>>>>>>>>>> >>>>>>>>>>>> mmol/L>>>>>>>>>>>> >>>>>>>>>>>> L>>>>>>>>>>>> GLUCOSE>>>>>>>>>>>> >>>>>>>>>>>> 113>>>>>>>>>>>> >>>>>>>>>>>> 70 - 120>>>>>>>>>>>> >>>>>>>>>>>> mg/dL>>>>>>>>>>>> >>>>>>>>>>>> ANION GAP>>>>>>>>>>>> >>>>>>>>>>>> 11>>>>>>>>>>>> >>>>>>>>>>>> 7 - 15>>>>>>>>>>>> >>>>>>>>>>>> mmol/L>>>>>>>>>>>> >>>>>>>>>>>> CALCIUM>>>>>>>>>>>> >>>>>>>>>>>> 10.0>>>>>>>>>>>> >>>>>>>>>>>> 8.3 - 10.5>>>>>>>>>>>> >>>>>>>>>>>> mg/dL>>>>>>>>>>>> >>>>>>>>>>>> GFR ESTIMATED>>>>>>>>>>>> >>>>>>>>>>>> 32.2>>>>>>>>>>>> >>>>>>>>>>>> >60 ->>>>>>>>>>>> >>>>>>>>>>>> mL/min>>>>>>>>>>>> >>>>>>>>>>>> L>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>> >>>>>>>>

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It is scary. CE Grim MDThat is such an horrendous statement. Val From: hyperaldosteronism [mailto:hyperaldosteronism ] On Behalf Of Clarence Grim The problem hormone is the mouth.Tiped sad Send form miiPhone ;-) May your pressure be low! CE Grim MDSpecializing in DifficultHypertension Before the fiery darts. . . .if you look the postings youll see that you ladies mention weight way more than the men and for some it is mentioned every posting. it is often more central to a woman than a man. . . . . .but once again often it is hormonal but please do not forget men have hormones too and it is not just middle age, a beer belly, and or inactivity now come on some oe you have pinned a man like that without thinking it was hormonal. . . . .probably isnt, but still>THANK YOU. I ONLY EAT ONE SOLID MEAL A DAY, LIKE RIGHT NOW. I HAVE A CAMPBELL'S HEARTY SOUP W/SPINACH I BOUGHT FROM OUR WORK CAF, AND A HAM AND CHEESE SANDWICH. I MAY GET A CUP A COFFEE AND A COUPLE COOKIES MAYBE, BUT THAT IS IT. I HAVE NOT USED OR BOUGHT SALT IN OVER A YR. I USE PEPPER, LEMON PEPPER, CRUSHED RED PEPPER, PAPRIKA, GARLIC POWDER( NOT THE SALT) CILANTRO, ITALIAN SEASONING. LIKE I MENTIONED EARLIER, I DON'T EAT, SO THE WEIGHT HAS TO BE COMING FROM MEDS, WATER RETENSION, MAYBE BEER, BUT I HAVE CUT BACK ON DRINKING BEER SINCE B4 EASTER. Metabolism??> >Licia>>>>>>Subject: RE: Labs 5/16/11>To: hyperaldosteronism >Date: Monday, May 16, 2011, 6:57 PM>>> >>>>How long have you been on spiro? Why are you on norvasc and labetalol? What's your blood pressure doing? Do you take calcium?> >>>Val> >>From: hyperaldosteronism [mailto:hyperaldosteronism ] On Behalf Of Licia > >>>>>>>>>Here are my labs from 5/13/11.>> >>>Licia, African American, PA, 148/150/lbs, norvasc, spiro-100mg, day/semastin/labetalol/iron/vitamin D/>> >>>So maybe the Spiro IS Working??>> >>>Component Results>>>>>>Component>>Your Value>>Standard Range>>Units>>Flag>>>>BUN>>29>>6 - 20>>mg/dL>>H>>>CREATININE>>1.7>>0.7 - 1.5>>mg/dL>>H>>>SODIUM>>137>>135 - 146>>mmol/L>>>>POTASSIUM>>4.9>>3.5 - 5.1>>mmol/L>>>>CHLORIDE>>105>>98 - 111>>mmol/L>>>>CO2>>21>>22 - 32>>mmol/L>>L>>>GLUCOSE>>113>>70 - 120>>mg/dL>>>>ANION GAP>>11>>7 - 15>>mmol/L>>>>CALCIUM>>10.0>>8.3 - 10.5>>mg/dL>>>>GFR ESTIMATED>>32.2>>>60 - >>mL/min>>L>>>>>>>>>>>>>>>>>>>Reply to sender | Reply to group | Reply via web post | Start a New TopicMessages in this topic (49)RECENT ACTIVITY:New Members 6New Files 2Visit Your Group

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What we don't know is what is driving the mouth to eat. CE Grim MDThat is such an horrendous statement. Val From: hyperaldosteronism [mailto:hyperaldosteronism ] On Behalf Of Clarence Grim The problem hormone is the mouth.Tiped sad Send form miiPhone ;-) May your pressure be low! CE Grim MDSpecializing in DifficultHypertension Before the fiery darts. . . .if you look the postings youll see that you ladies mention weight way more than the men and for some it is mentioned every posting. it is often more central to a woman than a man. . . . . .but once again often it is hormonal but please do not forget men have hormones too and it is not just middle age, a beer belly, and or inactivity now come on some oe you have pinned a man like that without thinking it was hormonal. . . . .probably isnt, but still>THANK YOU. I ONLY EAT ONE SOLID MEAL A DAY, LIKE RIGHT NOW. I HAVE A CAMPBELL'S HEARTY SOUP W/SPINACH I BOUGHT FROM OUR WORK CAF, AND A HAM AND CHEESE SANDWICH. I MAY GET A CUP A COFFEE AND A COUPLE COOKIES MAYBE, BUT THAT IS IT. I HAVE NOT USED OR BOUGHT SALT IN OVER A YR. I USE PEPPER, LEMON PEPPER, CRUSHED RED PEPPER, PAPRIKA, GARLIC POWDER( NOT THE SALT) CILANTRO, ITALIAN SEASONING. LIKE I MENTIONED EARLIER, I DON'T EAT, SO THE WEIGHT HAS TO BE COMING FROM MEDS, WATER RETENSION, MAYBE BEER, BUT I HAVE CUT BACK ON DRINKING BEER SINCE B4 EASTER. Metabolism??> >Licia>>>>>>Subject: RE: Labs 5/16/11>To: hyperaldosteronism >Date: Monday, May 16, 2011, 6:57 PM>>> >>>>How long have you been on spiro? Why are you on norvasc and labetalol? What's your blood pressure doing? Do you take calcium?> >>>Val> >>From: hyperaldosteronism [mailto:hyperaldosteronism ] On Behalf Of Licia > >>>>>>>>>Here are my labs from 5/13/11.>> >>>Licia, African American, PA, 148/150/lbs, norvasc, spiro-100mg, day/semastin/labetalol/iron/vitamin D/>> >>>So maybe the Spiro IS Working??>> >>>Component Results>>>>>>Component>>Your Value>>Standard Range>>Units>>Flag>>>>BUN>>29>>6 - 20>>mg/dL>>H>>>CREATININE>>1.7>>0.7 - 1.5>>mg/dL>>H>>>SODIUM>>137>>135 - 146>>mmol/L>>>>POTASSIUM>>4.9>>3.5 - 5.1>>mmol/L>>>>CHLORIDE>>105>>98 - 111>>mmol/L>>>>CO2>>21>>22 - 32>>mmol/L>>L>>>GLUCOSE>>113>>70 - 120>>mg/dL>>>>ANION GAP>>11>>7 - 15>>mmol/L>>>>CALCIUM>>10.0>>8.3 - 10.5>>mg/dL>>>>GFR ESTIMATED>>32.2>>>60 - >>mL/min>>L>>>>>>>>>>>>>>>>>>>Reply to sender | Reply to group | Reply via web post | Start a New TopicMessages in this topic (49)RECENT ACTIVITY:New Members 6New Files 2Visit Your Group

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