Re: Re: AVS results - uninterpreted, and some missing data

[Guest guest]

I am on HTN meds since 1999 and although have left adenoma and laprocopic surgery was scheduled but I decided to stay with meds..because based on info from Dr. Grim about 50% PA patients need medication even after surgery and removing an adenoma..plus the fact that low aldos disorder looked grimmer to me that high aldos.

The trick with meds is to understand as much as possible what each one does and how interact with eac other and which side effect belongs to which med...and ask doc to adjust until side effects are minimized... it is a math problem as follows: drugs=d1, d1, ....

{bp, side-eff} = func(d1, d2, d3, d4, ....)

d1, d2, ... and their doses should be frequently adjusted in order to minimize the left hand side of the equation.

Max.

Need to talk to others here who have been on meds for 5, 10 , 15 and 10+ years. And most of those were not DASHing till they got here.

CE Grim MD

Thanks, I appreciate the input Dr. Grim. Thought this was going to be a no-brainer since the tumor is on the left - I was really surprised to see higher numbers on the right.I'll be fighting for them to do it again. The prospect of meds for the rest of my life sounds absolutely miserable.

[Guest guest]

Weight gain by HTN meds is somewhat confusing because a drug like Norvasc caused me gain weight but then I found it was mostly water retention and got rid of it by Indapamide. Also, after Metformin added to my meds then I lost some appetite and noticed gradual loss of weight...I noticed after Metformin I nearly ate 50%-75% as before and sometimes I wonder how I ever could finish a full plate of food in the past. Hence, I doubt if HTN meds increase one's weight...weight gain is mostly due to bad diet rather than meds. (my observations)

Max.

61M L adenoma by NP59 scan. High aldos not low renin. med combo #75={Spiro=100, Amlo=10, Indap=2.5, Ramip=5, Metf=1000, Prav=40, Feno=67, K.Cl=120 mEq}{sideEffects: gynecodynia, dry legs skin}{K=4.5}{not DASHing but low-salt diet}

||Thanks so much for the reply. Did the meds make you gain weight?||Personally I believe many of those 50% of patients needs meds|after surgery because of lifestyle issues - the ones I've|talked to all admitted to eating too many cookies, or smoking,|or drinking, etc.|

[Guest guest]

Thanks for the echo.CE Grim MDWeight gain by HTN meds is somewhat confusing because a drug like Norvasc caused me gain weight but then I found it was mostly water retention and got rid of it by Indapamide. Also, after Metformin added to my meds then I lost some appetite and noticed gradual loss of weight...I noticed after Metformin I nearly ate 50%-75% as before and sometimes I wonder how I ever could finish a full plate of food in the past. Hence, I doubt if HTN meds increase one's weight...weight gain is mostly due to bad diet rather than meds. (my observations) Max.61M L adenoma by NP59 scan. High aldos not low renin. med combo #75={Spiro=100, Amlo=10, Indap=2.5, Ramip=5, Metf=1000, Prav=40, Feno=67, K.Cl=120 mEq}{sideEffects: gynecodynia, dry legs skin}{K=4.5}{not DASHing but low-salt diet}||Thanks so much for the reply. Did the meds make you gain weight?||Personally I believe many of those 50% of patients needs meds|after surgery because of lifestyle issues - the ones I've|talked to all admitted to eating too many cookies, or smoking,|or drinking, etc.|

[Guest guest]

In general, as I think I have said before, when BP is lowered you excrete less salt, thus you gain wait and may need a diuretic to counteract this or eat less salt.CE Grim MDAnd this is what worries me - I've had the opposite experience with HTN meds and weight gain. They make me gain an average of 10 pounds, which I'd say is mostly water because as soon as I stop the meds, the weight falls off in a week or so.I don't overeat (1100 calories/day maximum), I don't even snack, I don't even enjoy food really. By default, I don't have a "bad" diet due to a genetic defect that causes me to be unable to break down sugars and grains - thus, no junk food in my life.But every HTN med I've ever taken has made me gain weight, including spiro. I haven't tried inspra yet and am afraid to, because I do not like carrying extra weight. It makes me downright miserable.I can't imagine living another 40-odd years like that. I'm active and not overweight now, and I'm terrified that I'm going to lose that thanks to the need for meds. >> Weight gain by HTN meds is somewhat confusing because a drug like Norvasc> caused me gain weight but then I found it was mostly water retention and got> rid of it by Indapamide. Also, after Metformin added to my meds then I lost> some appetite and noticed gradual loss of weight...I noticed after Metformin> I nearly ate 50%-75% as before and sometimes I wonder how I ever could> finish a full plate of food in the past. Hence, I doubt if HTN meds increase> one's weight...weight gain is mostly due to bad diet rather than meds. (my> observations)> > Max.> 61M L adenoma by NP59 scan. High aldos not low renin. med combo> #75={Spiro=100, Amlo=10, Indap=2.5, Ramip=5, Metf=1000, Prav=40, Feno=67,> K.Cl=120 mEq}{sideEffects: gynecodynia, dry legs skin}{K=4.5}{not DASHing> but low-salt diet}> > > > > > > |> |Thanks so much for the reply. Did the meds make you gain weight?> |> |Personally I believe many of those 50% of patients needs meds> |after surgery because of lifestyle issues - the ones I've> |talked to all admitted to eating too many cookies, or smoking,> |or drinking, etc.> |>

[Guest guest]

Weight gain by water retention can be eliminated by adding an appropriate

dose of a diuretic like Indapamide...based on my understanding Ltd.!

Max.

|

|

|And this is what worries me - I've had the opposite experience

|with HTN meds and weight gain. They make me gain an average of

|10 pounds, which I'd say is mostly water because as soon as I

|stop the meds, the weight falls off in a week or so.

|

|I don't overeat (1100 calories/day maximum), I don't even

|snack, I don't even enjoy food really. By default, I don't

|have a " bad " diet due to a genetic defect that causes me to be

|unable to break down sugars and grains - thus, no junk food in my life.

|

|But every HTN med I've ever taken has made me gain weight,

|including spiro. I haven't tried inspra yet and am afraid to,

|because I do not like carrying extra weight. It makes me

|downright miserable.

|

|I can't imagine living another 40-odd years like that. I'm

|active and not overweight now, and I'm terrified that I'm

|going to lose that thanks to the need for meds.

|

[Guest guest]

I really cant complain about being on meds. It has been 3+ years now and like Max said, it is a bit of an equation getting things balanced. DASH, or at least eating alot less salt, has had a tremendous impact on my med cocktail. Thanks to Dr. Grim. It took me a while to even trust/believe him. I took the leap when i realized he wasnt trying to sell me so stupid pill or book. If he had written the DASH book himslef, I might have been less likely to try it. I am very thankful that I did. I no longer take any of the big horse pill Potassium pills and no more HCTZ. I am experimenting with the right amount of Spiro to keep heart flutters under control on my own. It seems 75mg in the morning is about the right amount for me. The only real downer has been the gyno and generally sore chest, but even that

isnt really that intolerable. I guess I look at where I was a few years ago and where I am today. It puts things into perspective for me. I can tolerate a little boob discomfort to not feel like I am 40 years older and in twitching hell. If i had the choice of having a tumor removed or eating the pills, I would opt for the pills as long as possible. I dont have that choice as I dont have a visable tumor that can be removed. All I can say is that I feel soooooooooooo much better than I did a few years ago. Surgery is too dangerous. Had a 30 year old friend die from acid reflux surgery...the surgeon punch a hole in his stomach and the acid wrecked his lungs. I just dont trust the idiots with the knife. So unless I have no other options than going under a knife, I wont. Ever. I didnt gain weight from the pills, but then I was already heavy to begin

with. I dont really even care how much I weigh as long as I feel good. People come in all shapes and sizes, so I just happen to be more of a marshmellow. Oh Well. ============================================================================45-Male-Caucasian, 5'9"- 234lbs, PA Diagnosed 2007 Suspected Hyperplasia-No tumors on CT - No AVS.Meds: 50mg Spiro, 1200mg Calcium, 500mg Magnesium, 100,000UI Vit D (weekly), 20mg OmeprazoleSide effects: Gynecomastia, stomach inflammationOther Diags: GERD, Hiatal Hernia, Metabolic Syndrome - PreDiabetic, Secondary Hyperparathyroidism caused by Renal calcium leak, Bone Cyct in left Femoral Head and Pelvis. Benign Lung Nodules, Fibromyalgia, Scarring on Right Kidney Lower PoleDASH: Started DASHing 5/3/2011To: hyperaldosteronism Sent: Thursday, May 19, 2011 9:31 PMSubject: Re: AVS results - uninterpreted, and some missing data

Thanks so much for the reply. Did the meds make you gain weight?

Personally I believe many of those 50% of patients needs meds after surgery because of lifestyle issues - the ones I've talked to all admitted to eating too many cookies, or smoking, or drinking, etc.

>

[Guest guest]

Or eat less salt. Tiped sad Send form miiPhone ;-)May your pressure be low!CE Grim MDSpecializing in DifficultHypertension

Weight gain by water retention can be eliminated by adding an appropriate

dose of a diuretic like Indapamide...based on my understanding Ltd.!

Max.

|

|

|And this is what worries me - I've had the opposite experience

|with HTN meds and weight gain. They make me gain an average of

|10 pounds, which I'd say is mostly water because as soon as I

|stop the meds, the weight falls off in a week or so.

|

|I don't overeat (1100 calories/day maximum), I don't even

|snack, I don't even enjoy food really. By default, I don't

|have a "bad" diet due to a genetic defect that causes me to be

|unable to break down sugars and grains - thus, no junk food in my life.

|

|But every HTN med I've ever taken has made me gain weight,

|including spiro. I haven't tried inspra yet and am afraid to,

|because I do not like carrying extra weight. It makes me

|downright miserable.

|

|I can't imagine living another 40-odd years like that. I'm

|active and not overweight now, and I'm terrified that I'm

|going to lose that thanks to the need for meds.

|

[Guest guest]

Can u upload this to our DASH STORIES file. Thanks Tiped sad Send form miiPhone ;-)May your pressure be low!CE Grim MDSpecializing in DifficultHypertension

I really cant complain about being on meds. It has been 3+ years now and like Max said, it is a bit of an equation getting things balanced. DASH, or at least eating alot less salt, has had a tremendous impact on my med cocktail. Thanks to Dr. Grim. It took me a while to even trust/believe him. I took the leap when i realized he wasnt trying to sell me so stupid pill or book. If he had written the DASH book himslef, I might have been less likely to try it. I am very thankful that I did. I no longer take any of the big horse pill Potassium pills and no more HCTZ. I am experimenting with the right amount of Spiro to keep heart flutters under control on my own. It seems 75mg in the morning is about the right amount for me. The only real downer has been the gyno and generally sore chest, but even that

isnt really that intolerable. I guess I look at where I was a few years ago and where I am today. It puts things into perspective for me. I can tolerate a little boob discomfort to not feel like I am 40 years older and in twitching hell. If i had the choice of having a tumor removed or eating the pills, I would opt for the pills as long as possible. I dont have that choice as I dont have a visable tumor that can be removed. All I can say is that I feel soooooooooooo much better than I did a few years ago. Surgery is too dangerous. Had a 30 year old friend die from acid reflux surgery...the surgeon punch a hole in his stomach and the acid wrecked his lungs. I just dont trust the idiots with the knife. So unless I have no other options than going under a knife, I wont. Ever. I didnt gain weight from the pills, but then I was already heavy to begin

with. I dont really even care how much I weigh as long as I feel good. People come in all shapes and sizes, so I just happen to be more of a marshmellow. Oh Well. ============================================================================45-Male-Caucasian, 5'9"- 234lbs, PA Diagnosed 2007 Suspected Hyperplasia-No tumors on CT - No AVS.Meds: 50mg Spiro, 1200mg Calcium, 500mg Magnesium, 100,000UI Vit D (weekly), 20mg OmeprazoleSide effects: Gynecomastia, stomach inflammationOther Diags: GERD, Hiatal Hernia, Metabolic Syndrome - PreDiabetic, Secondary Hyperparathyroidism caused by Renal calcium leak, Bone Cyct in left Femoral Head and Pelvis. Benign Lung Nodules, Fibromyalgia, Scarring on Right Kidney Lower PoleDASH: Started DASHing 5/3/2011To: hyperaldosteronism Sent: Thursday, May 19, 2011 9:31 PMSubject: Re: AVS results - uninterpreted, and some missing data

Thanks so much for the reply. Did the meds make you gain weight?

Personally I believe many of those 50% of patients needs meds after surgery because of lifestyle issues - the ones I've talked to all admitted to eating too many cookies, or smoking, or drinking, etc.

>

[Guest guest]

One almost never retains only water. So it it always SALT and water. so lowering the salt in the best was to stop the swelling.CE Grim MDWeight gain by water retention can be eliminated by adding an appropriatedose of a diuretic like Indapamide...based on my understanding Ltd.!Max.|||And this is what worries me - I've had the opposite experience |with HTN meds and weight gain. They make me gain an average of |10 pounds, which I'd say is mostly water because as soon as I |stop the meds, the weight falls off in a week or so.||I don't overeat (1100 calories/day maximum), I don't even |snack, I don't even enjoy food really. By default, I don't |have a "bad" diet due to a genetic defect that causes me to be |unable to break down sugars and grains - thus, no junk food in my life.||But every HTN med I've ever taken has made me gain weight, |including spiro. I haven't tried inspra yet and am afraid to, |because I do not like carrying extra weight. It makes me |downright miserable.||I can't imagine living another 40-odd years like that. I'm |active and not overweight now, and I'm terrified that I'm |going to lose that thanks to the need for meds. |