Re: spiro, week 1 - my BP is still running high

[Guest guest]

And the good news is... I've been on only 20meq/K per day for a week but my K is up to 3.9, so my nephrologist believes the spiro is doing something positive even though my BP does not reflect this. Ordinarily any dose of K lower than 60meq/day will drop me down into the 2's.The bad news? He wants me to up the spiro to 25mg/day tomorrow, which is the dose that gave me such severe pain and side effects when I tried it some years back.-msmith1928Nulliparous

female, 46, 5'3", 120 lbs, polymenorrhea, hyperinsulinemia, hereditary fructose intolerance, lactose intolerance, probable gluten intolerance. Current meds are spiro 12.5mg/dday, potassium 20MEQ/day, singulair 10mg,

norethindrone .35mg to regulate polymenorrhea, cyclobenzaprine 5-10mg when needed, fexofenadine 180mg as needed. Low sodium, fructose- and grain-free diet. Known drug allergies include PCN, sulfa, tetracycline.1cm

left

adrenal nodule, supine aldosterone 28.5/renin 0.2, potassium <2.9 (when not taking supplements), 25mg spiro caused gynecomastia and polymenorrhea. AVS showed right adrenal overproduces aldo; unable to

sample left; proceeding as if my hyperaldosteronism is bilateral.>> Just saw the nephrologist for the first time since starting spiro last> Wednesday. He didn't seem too concerned that my BP while on spiro is> averaging about 168/106, although prior to that (on no BP meds) my> average was 142/92. He thinks it still needs some time to kick in. Does> this sound right? I haven't seen BP readings this high except back> during my oral salt loading test, and it's got me a little worried.> > My most recent K, taken the day after starting spiro and cutting K tabs> back to 20meq/day, was 3.7. I had bloodwork done today and if it's not> up to 4 or higher, the nephro is going to have me add in another K tab.> > Interesting side note: the phlebotomist told me *not* to make a fist,> and pretty much recited to me the protocol for accurate K draw exactly> as recommended here. That was a first > > > -msmith1928> Nulliparous female, 46, 5'3", 120 lbs, polymenorrhea,> hyperinsulinemia, hereditary fructose intolerance, lactose intolerance,> probable gluten intolerance. Current meds are spiro 12.5mg/dday,> potassium 20MEQ/day, singulair 10mg, norethindrone .35mg to regulate> polymenorrhea, cyclobenzaprine 5-10mg when needed, fexofenadine 180mg> as needed. Low sodium, fructose- and grain-free diet. Known drug> allergies include PCN, sulfa, tetracycline.> 1cm left adrenal nodule, supine aldosterone 28.5/renin 0.2, potassium > <2.9 (when not taking supplements), 25mg spiro caused gynecomastia and> polymenorrhea. AVS showed right adrenal overproduces aldo; unable to > sample left; proceeding as if my hyperaldosteronism is bilateral.>

[Guest guest]

Give her a high 5 next time. Did be do a urine Na K to see how u r DASHING?Tiped sad Send form miiPhone ;-)May your pressure be low!CE Grim MDSpecializing in DifficultHypertension

Just saw the nephrologist for the first time since starting spiro last Wednesday. He didn't seem too concerned that my BP while on spiro is averaging about 168/106, although prior to that (on no BP meds) my average was 142/92. He thinks it still needs some time to kick in. Does this sound right? I haven't seen BP readings this high except back during my oral salt loading test, and it's got me a little worried.My most recent K, taken the day after starting spiro and cutting K tabs back to 20meq/day, was 3.7. I had bloodwork done today and if it's not up to 4 or higher, the nephro is going to have me add in another K tab.Interesting side note: the phlebotomist told me *not* to make a fist, and pretty much recited to me the

protocol for accurate K draw exactly as recommended here. That was a first -msmith1928Nulliparous

female, 46, 5'3", 120 lbs, polymenorrhea, hyperinsulinemia, hereditary fructose intolerance, lactose intolerance, probable gluten intolerance. Current meds are spiro 12.5mg/dday, potassium 20MEQ/day, singulair 10mg,

norethindrone .35mg to regulate polymenorrhea, cyclobenzaprine 5-10mg when needed, fexofenadine 180mg as needed. Low sodium, fructose- and grain-free diet. Known drug allergies include PCN, sulfa, tetracycline.1cm

left adrenal nodule, supine aldosterone 28.5/renin 0.2, potassium <2.9 (when not taking supplements), 25mg spiro caused gynecomastia and polymenorrhea. AVS showed right adrenal overproduces aldo; unable to

sample left; proceeding as if my hyperaldosteronism is bilateral.

[Guest guest]

You can out salt Spiro. Tiped sad Send form miiPhone ;-)May your pressure be low!CE Grim MDSpecializing in DifficultHypertension

Just Remember it's not the spiro alone, you have to Dash also, you can take a LOT of spiro, but if you are not dashing you BP will never get controlled, and yes it can take sometime for it to kick in, so really wait, if spiro is the one you need, then the dash and the spiro will work.

But really remember to DASH, look at the bravo article.

>

> Just saw the nephrologist for the first time since starting spiro last

> Wednesday. He didn't seem too concerned that my BP while on spiro is

> averaging about 168/106, although prior to that (on no BP meds) my

> average was 142/92. He thinks it still needs some time to kick in. Does

> this sound right? I haven't seen BP readings this high except back

> during my oral salt loading test, and it's got me a little worried.

>

> My most recent K, taken the day after starting spiro and cutting K tabs

> back to 20meq/day, was 3.7. I had bloodwork done today and if it's not

> up to 4 or higher, the nephro is going to have me add in another K tab.

>

> Interesting side note: the phlebotomist told me *not* to make a fist,

> and pretty much recited to me the protocol for accurate K draw exactly

> as recommended here. That was a first

>

>

> -msmith1928

> Nulliparous female, 46, 5'3", 120 lbs, polymenorrhea,

> hyperinsulinemia, hereditary fructose intolerance, lactose intolerance,

> probable gluten intolerance. Current meds are spiro 12.5mg/dday,

> potassium 20MEQ/day, singulair 10mg, norethindrone .35mg to regulate

> polymenorrhea, cyclobenzaprine 5-10mg when needed, fexofenadine 180mg

> as needed. Low sodium, fructose- and grain-free diet. Known drug

> allergies include PCN, sulfa, tetracycline.

> 1cm left adrenal nodule, supine aldosterone 28.5/renin 0.2, potassium

> <2.9 (when not taking supplements), 25mg spiro caused gynecomastia and

> polymenorrhea. AVS showed right adrenal overproduces aldo; unable to

> sample left; proceeding as if my hyperaldosteronism is bilateral.

>

[Guest guest]

Show me the pee!Tiped sad Send form miiPhone ;-)May your pressure be low!CE Grim MDSpecializing in DifficultHypertension

I eat low sodium but cannot DASH due to dietary restrictions described in my sig. My sodium intake never exceeds 1000 mgs a day; usually it's about 800 max.-msmith1928Nulliparous

female, 46, 5'3", 120 lbs, polymenorrhea, hyperinsulinemia, hereditary fructose intolerance, lactose intolerance, probable gluten intolerance. Current meds are spiro 12.5mg/dday, potassium 20MEQ/day, singulair 10mg,

norethindrone .35mg to regulate polymenorrhea, cyclobenzaprine 5-10mg when needed, fexofenadine 180mg as needed. Low sodium, fructose- and grain-free diet. Known drug allergies include PCN, sulfa, tetracycline.1cm

left adrenal nodule, supine aldosterone 28.5/renin 0.2, potassium <2.9 (when not taking supplements), 25mg spiro caused gynecomastia and polymenorrhea. AVS showed right adrenal overproduces aldo; unable to

sample left; proceeding as if my hyperaldosteronism is bilateral.> >> > Just saw the nephrologist for the first time since starting spiro last> > Wednesday. He didn't seem too concerned that my BP while on spiro is> > averaging about 168/106, although prior to that (on no BP meds) my> > average was 142/92. He thinks it still needs some time to kick in.

Does> > this sound right? I haven't seen BP readings this high except back> > during my oral salt loading test, and it's got me a little worried.> > > > My most recent K, taken the day after starting spiro and cutting K tabs> > back to 20meq/day, was 3.7. I had bloodwork done today and if it's not> > up to 4 or higher, the nephro is going to have me add in another K tab.> > > > Interesting side note: the phlebotomist told me *not* to make a fist,> > and pretty much recited to me the protocol for accurate K draw exactly> > as recommended here. That was a first > > > > > > -msmith1928> > Nulliparous female, 46, 5'3", 120 lbs, polymenorrhea,> > hyperinsulinemia, hereditary fructose intolerance, lactose intolerance,> > probable gluten intolerance. Current meds are spiro 12.5mg/dday,> > potassium 20MEQ/day,

singulair 10mg, norethindrone .35mg to regulate> > polymenorrhea, cyclobenzaprine 5-10mg when needed, fexofenadine 180mg> > as needed. Low sodium, fructose- and grain-free diet. Known drug> > allergies include PCN, sulfa, tetracycline.> > 1cm left adrenal nodule, supine aldosterone 28.5/renin 0.2, potassium > > <2.9 (when not taking supplements), 25mg spiro caused gynecomastia and> > polymenorrhea. AVS showed right adrenal overproduces aldo; unable to > > sample left; proceeding as if my hyperaldosteronism is bilateral.> >>

[Guest guest]

On 800mg sodium/day???

> > >

> > > Just saw the nephrologist for the first time since starting spiro last

> > > Wednesday. He didn't seem too concerned that my BP while on spiro is

> > > averaging about 168/106, although prior to that (on no BP meds) my

> > > average was 142/92. He thinks it still needs some time to kick in. Does

> > > this sound right? I haven't seen BP readings this high except back

> > > during my oral salt loading test, and it's got me a little worried.

> > >

> > > My most recent K, taken the day after starting spiro and cutting K tabs

> > > back to 20meq/day, was 3.7. I had bloodwork done today and if it's not

> > > up to 4 or higher, the nephro is going to have me add in another K tab.

> > >

> > > Interesting side note: the phlebotomist told me *not* to make a fist,

> > > and pretty much recited to me the protocol for accurate K draw exactly

> > > as recommended here. That was a first

> > >

> > >

> > > -msmith1928

> > > Nulliparous female, 46, 5'3 " , 120 lbs, polymenorrhea,

> > > hyperinsulinemia, hereditary fructose intolerance, lactose intolerance,

> > > probable gluten intolerance. Current meds are spiro 12.5mg/dday,

> > > potassium 20MEQ/day, singulair 10mg, norethindrone .35mg to regulate

> > > polymenorrhea, cyclobenzaprine 5-10mg when needed, fexofenadine 180mg

> > > as needed. Low sodium, fructose- and grain-free diet. Known drug

> > > allergies include PCN, sulfa, tetracycline.

> > > 1cm left adrenal nodule, supine aldosterone 28.5/renin 0.2, potassium

> > > <2.9 (when not taking supplements), 25mg spiro caused gynecomastia and

> > > polymenorrhea. AVS showed right adrenal overproduces aldo; unable to

> > > sample left; proceeding as if my hyperaldosteronism is bilateral.

> > >

> >

> >

>

[Guest guest]

What was the urine Na K?Tiped sad Send form miiPhone ;-)May your pressure be low!CE Grim MDSpecializing in DifficultHypertension

And the good news is... I've been on only 20meq/K per day for a week but my K is up to 3.9, so my nephrologist believes the spiro is doing something positive even though my BP does not reflect this. Ordinarily any dose of K lower than 60meq/day will drop me down into the 2's.The bad news? He wants me to up the spiro to 25mg/day tomorrow, which is the dose that gave me such severe pain and side effects when I tried it some years back.-msmith1928Nulliparous

female, 46, 5'3", 120 lbs, polymenorrhea, hyperinsulinemia, hereditary fructose intolerance, lactose intolerance, probable gluten intolerance. Current meds are spiro 12.5mg/dday, potassium 20MEQ/day, singulair 10mg,

norethindrone .35mg to regulate polymenorrhea, cyclobenzaprine 5-10mg when needed, fexofenadine 180mg as needed. Low sodium, fructose- and grain-free diet. Known drug allergies include PCN, sulfa, tetracycline.1cm

left

adrenal nodule, supine aldosterone 28.5/renin 0.2, potassium <2.9 (when not taking supplements), 25mg spiro caused gynecomastia and polymenorrhea. AVS showed right adrenal overproduces aldo; unable to

sample left; proceeding as if my hyperaldosteronism is bilateral.>> Just saw the nephrologist for the first time since starting spiro last> Wednesday. He didn't seem too concerned that my BP while on spiro is> averaging about 168/106, although prior to that (on no BP meds) my> average was 142/92. He thinks it still needs some time to kick in. Does> this sound right? I haven't seen BP readings this high except back> during my oral salt loading test, and it's got me a little worried.> > My most recent K, taken the day after starting spiro and cutting K tabs> back to 20meq/day, was 3.7. I had bloodwork done today and if it's not> up to 4 or higher, the nephro is going to have me add in another K tab.> > Interesting side note: the phlebotomist told me *not* to make a fist,> and pretty

much recited to me the protocol for accurate K draw exactly> as recommended here. That was a first > > > -msmith1928> Nulliparous female, 46, 5'3", 120 lbs, polymenorrhea,> hyperinsulinemia, hereditary fructose intolerance, lactose intolerance,> probable gluten intolerance. Current meds are spiro 12.5mg/dday,> potassium 20MEQ/day, singulair 10mg, norethindrone .35mg to regulate> polymenorrhea, cyclobenzaprine 5-10mg when needed, fexofenadine 180mg> as needed. Low sodium, fructose- and grain-free diet. Known drug> allergies include PCN, sulfa, tetracycline.> 1cm left adrenal nodule, supine aldosterone 28.5/renin 0.2, potassium > <2.9 (when not taking supplements), 25mg spiro caused gynecomastia and> polymenorrhea. AVS showed right adrenal overproduces aldo; unable to > sample left; proceeding as if my hyperaldosteronism is bilateral.>

[Guest guest]

He didn't test it, unfortunately. It's hard telling doctors how to do their

jobs. I wish I was better at it, but I'll admit defeat.

> > >

> > > Just saw the nephrologist for the first time since starting spiro last

> > > Wednesday. He didn't seem too concerned that my BP while on spiro is

> > > averaging about 168/106, although prior to that (on no BP meds) my

> > > average was 142/92. He thinks it still needs some time to kick in. Does

> > > this sound right? I haven't seen BP readings this high except back

> > > during my oral salt loading test, and it's got me a little worried.

> > >

> > > My most recent K, taken the day after starting spiro and cutting K tabs

> > > back to 20meq/day, was 3.7. I had bloodwork done today and if it's not

> > > up to 4 or higher, the nephro is going to have me add in another K tab.

> > >

> > > Interesting side note: the phlebotomist told me *not* to make a fist,

> > > and pretty much recited to me the protocol for accurate K draw exactly

> > > as recommended here. That was a first

> > >

> > >

> > > -msmith1928

> > > Nulliparous female, 46, 5'3 " , 120 lbs, polymenorrhea,

> > > hyperinsulinemia, hereditary fructose intolerance, lactose intolerance,

> > > probable gluten intolerance. Current meds are spiro 12.5mg/dday,

> > > potassium 20MEQ/day, singulair 10mg, norethindrone .35mg to regulate

> > > polymenorrhea, cyclobenzaprine 5-10mg when needed, fexofenadine 180mg

> > > as needed. Low sodium, fructose- and grain-free diet. Known drug

> > > allergies include PCN, sulfa, tetracycline.

> > > 1cm left adrenal nodule, supine aldosterone 28.5/renin 0.2, potassium

> > > <2.9 (when not taking supplements), 25mg spiro caused gynecomastia and

> > > polymenorrhea. AVS showed right adrenal overproduces aldo; unable to

> > > sample left; proceeding as if my hyperaldosteronism is bilateral.

> > >

> >

>

[Guest guest]

It would be helpful if you could phrase this in a way I can present it to my

doctor. What test am I supposed to ask him for? Thanks.

> > > >

> > > > Just saw the nephrologist for the first time since starting spiro last

> > > > Wednesday. He didn't seem too concerned that my BP while on spiro is

> > > > averaging about 168/106, although prior to that (on no BP meds) my

> > > > average was 142/92. He thinks it still needs some time to kick in. Does

> > > > this sound right? I haven't seen BP readings this high except back

> > > > during my oral salt loading test, and it's got me a little worried.

> > > >

> > > > My most recent K, taken the day after starting spiro and cutting K tabs

> > > > back to 20meq/day, was 3.7. I had bloodwork done today and if it's not

> > > > up to 4 or higher, the nephro is going to have me add in another K tab.

> > > >

> > > > Interesting side note: the phlebotomist told me *not* to make a fist,

> > > > and pretty much recited to me the protocol for accurate K draw exactly

> > > > as recommended here. That was a first

> > > >

> > > >

> > > > -msmith1928

> > > > Nulliparous female, 46, 5'3 " , 120 lbs, polymenorrhea,

> > > > hyperinsulinemia, hereditary fructose intolerance, lactose intolerance,

> > > > probable gluten intolerance. Current meds are spiro 12.5mg/dday,

> > > > potassium 20MEQ/day, singulair 10mg, norethindrone .35mg to regulate

> > > > polymenorrhea, cyclobenzaprine 5-10mg when needed, fexofenadine 180mg

> > > > as needed. Low sodium, fructose- and grain-free diet. Known drug

> > > > allergies include PCN, sulfa, tetracycline.

> > > > 1cm left adrenal nodule, supine aldosterone 28.5/renin 0.2, potassium

> > > > <2.9 (when not taking supplements), 25mg spiro caused gynecomastia and

> > > > polymenorrhea. AVS showed right adrenal overproduces aldo; unable to

> > > > sample left; proceeding as if my hyperaldosteronism is bilateral.

> > > >

> > >

> >

>

[Guest guest]

Show me the pee!Tiped sad Send form miiPhone ;-)May your pressure be low!CE Grim MDSpecializing in DifficultHypertension

On 800mg sodium/day???

> > >

> > > Just saw the nephrologist for the first time since starting spiro last

> > > Wednesday. He didn't seem too concerned that my BP while on spiro is

> > > averaging about 168/106, although prior to that (on no BP meds) my

> > > average was 142/92. He thinks it still needs some time to kick in. Does

> > > this sound right? I haven't seen BP readings this high except back

> > > during my oral salt loading test, and it's got me a little worried.

> > >

> > > My most recent K, taken the day after starting spiro and cutting K tabs

> > > back to 20meq/day, was 3.7. I had bloodwork done today and if it's not

> > > up to 4 or higher, the nephro is going to have me add in another K tab.

> > >

> > > Interesting side note: the phlebotomist told me *not* to make a fist,

> > > and pretty much recited to me the protocol for accurate K draw exactly

> > > as recommended here. That was a first

> > >

> > >

> > > -msmith1928

> > > Nulliparous female, 46, 5'3", 120 lbs, polymenorrhea,

> > > hyperinsulinemia, hereditary fructose intolerance, lactose intolerance,

> > > probable gluten intolerance. Current meds are spiro 12.5mg/dday,

> > > potassium 20MEQ/day, singulair 10mg, norethindrone .35mg to regulate

> > > polymenorrhea, cyclobenzaprine 5-10mg when needed, fexofenadine 180mg

> > > as needed. Low sodium, fructose- and grain-free diet. Known drug

> > > allergies include PCN, sulfa, tetracycline.

> > > 1cm left adrenal nodule, supine aldosterone 28.5/renin 0.2, potassium

> > > <2.9 (when not taking supplements), 25mg spiro caused gynecomastia and

> > > polymenorrhea. AVS showed right adrenal overproduces aldo; unable to

> > > sample left; proceeding as if my hyperaldosteronism is bilateral.

> > >

> >

> >

>

[Guest guest]

The good news looks like you got some attention re: your K issues. I was

looking at Spiro. last night trying to determine if it and an ACEI were doing

the same job regarding vascodialation around the kidneys They were talking

about it taking some time to take effect but it seems like it was a week to 10

days and you must be there by now. I know you are proceeding with caution

because of previous gynecomastia and polymenorrhea but they may need to titrate

up. (They had me at 50mg to get BP under control and right on the cusp for

controlling other symptoms. Finally went to 75 until I can get DASHing, another

option not available to you!

Keep it up and you'll have to teach them the difference between left and right,

sorry, couldn't resist!

- 64 yo morb. ob. male - 12mm X 13mm rt. a.adnoma with previous rt. flank &

testicle pain. I have decided against an adrenalectomy at this time since

Meds. are working so well. Current BP being watched after Oral Surgery and

associated dietary changes.

Other Issues/Opportunities: COPD w/ft Oxygen, OSA w Bi-Pap settings 13/19, Type

II Diab. and PTSD

Meds: Duloxetine hcl 80 MG, Mirtazapine 15 MG, Methadone 10 MG(titrating off

S-L-O-W-L-Y) , Metoprolol Tartrate 200 MG, Metformin 2000MG, Lisinopril 2.5MG

and Spironolactone 75 MG.

>

> Just saw the nephrologist for the first time since starting spiro last

> Wednesday. He didn't seem too concerned that my BP while on spiro is

> averaging about 168/106, although prior to that (on no BP meds) my

> average was 142/92. He thinks it still needs some time to kick in. Does

> this sound right? I haven't seen BP readings this high except back

> during my oral salt loading test, and it's got me a little worried.

>

> My most recent K, taken the day after starting spiro and cutting K tabs

> back to 20meq/day, was 3.7. I had bloodwork done today and if it's not

> up to 4 or higher, the nephro is going to have me add in another K tab.

>

> Interesting side note: the phlebotomist told me *not* to make a fist,

> and pretty much recited to me the protocol for accurate K draw exactly

> as recommended here. That was a first

>

>

> -msmith1928

> Nulliparous female, 46, 5'3 " , 120 lbs, polymenorrhea,

> hyperinsulinemia, hereditary fructose intolerance, lactose intolerance,

> probable gluten intolerance. Current meds are spiro 12.5mg/dday,

> potassium 20MEQ/day, singulair 10mg, norethindrone .35mg to regulate

> polymenorrhea, cyclobenzaprine 5-10mg when needed, fexofenadine 180mg

> as needed. Low sodium, fructose- and grain-free diet. Known drug

> allergies include PCN, sulfa, tetracycline.

> 1cm left adrenal nodule, supine aldosterone 28.5/renin 0.2, potassium

> <2.9 (when not taking supplements), 25mg spiro caused gynecomastia and

> polymenorrhea. AVS showed right adrenal overproduces aldo; unable to

> sample left; proceeding as if my hyperaldosteronism is bilateral.

>

[Guest guest]

LOL! Although I suspect in my case there's not much difference between left and

right - neither one is going anywhere

Thanks for the encouraging words. Going up to 25mg tomorrow morning; here's

hoping that being some 10 years older than at last attempt will work in my

favor.

> >

> > Just saw the nephrologist for the first time since starting spiro last

> > Wednesday. He didn't seem too concerned that my BP while on spiro is

> > averaging about 168/106, although prior to that (on no BP meds) my

> > average was 142/92. He thinks it still needs some time to kick in. Does

> > this sound right? I haven't seen BP readings this high except back

> > during my oral salt loading test, and it's got me a little worried.

> >

> > My most recent K, taken the day after starting spiro and cutting K tabs

> > back to 20meq/day, was 3.7. I had bloodwork done today and if it's not

> > up to 4 or higher, the nephro is going to have me add in another K tab.

> >

> > Interesting side note: the phlebotomist told me *not* to make a fist,

> > and pretty much recited to me the protocol for accurate K draw exactly

> > as recommended here. That was a first

> >

> >

> > -msmith1928

> > Nulliparous female, 46, 5'3 " , 120 lbs, polymenorrhea,

> > hyperinsulinemia, hereditary fructose intolerance, lactose intolerance,

> > probable gluten intolerance. Current meds are spiro 12.5mg/dday,

> > potassium 20MEQ/day, singulair 10mg, norethindrone .35mg to regulate

> > polymenorrhea, cyclobenzaprine 5-10mg when needed, fexofenadine 180mg

> > as needed. Low sodium, fructose- and grain-free diet. Known drug

> > allergies include PCN, sulfa, tetracycline.

> > 1cm left adrenal nodule, supine aldosterone 28.5/renin 0.2, potassium

> > <2.9 (when not taking supplements), 25mg spiro caused gynecomastia and

> > polymenorrhea. AVS showed right adrenal overproduces aldo; unable to

> > sample left; proceeding as if my hyperaldosteronism is bilateral.

> >

>

[Guest guest]

But to fGet max benefit from lower Na intake on minimizing Aldo effects and dose of Spiro or other MCBs you need to document what is going in by what is going out. Thus the reason for a timed urine Na KTiped sad Send form miiPhone ;-)May your pressure be low!CE Grim MDSpecializing in DifficultHypertension

No, and as you know, I am not DASHING because my fructose intolerance prevents me from eating the high K foods.

>

> > Just saw the nephrologist for the first time since starting spiro last Wednesday. He didn't seem too concerned that my BP while on spiro is averaging about 168/106, although prior to that (on no BP meds) my average was 142/92. He thinks it still needs some time to kick in. Does this sound right? I haven't seen BP readings this high except back during my oral salt loading test, and it's got me a little worried.

> >

> > My most recent K, taken the day after starting spiro and cutting K tabs back to 20meq/day, was 3.7. I had bloodwork done today and if it's not up to 4 or higher, the nephro is going to have me add in another K tab.

> >

> > Interesting side note: the phlebotomist told me *not* to make a fist, and pretty much recited to me the protocol for accurate K draw exactly as recommended here. That was a first

> >

> >

> > -msmith1928

> > Nulliparous female, 46, 5'3", 120 lbs, polymenorrhea, hyperinsulinemia, hereditary fructose intolerance, lactose intolerance, probable gluten intolerance. Current meds are spiro 12.5mg/dday, potassium 20MEQ/day, singulair 10mg, norethindrone .35mg to regulate polymenorrhea, cyclobenzaprine 5-10mg when needed, fexofenadine 180mg as needed. Low sodium, fructose- and grain-free diet. Known drug allergies include PCN, sulfa, tetracycline.

> > 1cm left adrenal nodule, supine aldosterone 28.5/renin 0.2, potassium <2.9 (when not taking supplements), 25mg spiro caused gynecomastia and polymenorrhea. AVS showed right adrenal overproduces aldo; unable to sample left; proceeding as if my hyperaldosteronism is bilateral.

> >

> >

>

[Guest guest]

But to fGet max benefit from lower Na intake on minimizing Aldo effects and dose of Spiro or other MCBs you need to document what is going in by what is going out. Thus the reason for a timed urine Na KTiped sad Send form miiPhone ;-)May your pressure be low!CE Grim MDSpecializing in DifficultHypertension

No, and as you know, I am not DASHING because my fructose intolerance prevents me from eating the high K foods.

>

> > Just saw the nephrologist for the first time since starting spiro last Wednesday. He didn't seem too concerned that my BP while on spiro is averaging about 168/106, although prior to that (on no BP meds) my average was 142/92. He thinks it still needs some time to kick in. Does this sound right? I haven't seen BP readings this high except back during my oral salt loading test, and it's got me a little worried.

> >

> > My most recent K, taken the day after starting spiro and cutting K tabs back to 20meq/day, was 3.7. I had bloodwork done today and if it's not up to 4 or higher, the nephro is going to have me add in another K tab.

> >

> > Interesting side note: the phlebotomist told me *not* to make a fist, and pretty much recited to me the protocol for accurate K draw exactly as recommended here. That was a first

> >

> >

> > -msmith1928

> > Nulliparous female, 46, 5'3", 120 lbs, polymenorrhea, hyperinsulinemia, hereditary fructose intolerance, lactose intolerance, probable gluten intolerance. Current meds are spiro 12.5mg/dday, potassium 20MEQ/day, singulair 10mg, norethindrone .35mg to regulate polymenorrhea, cyclobenzaprine 5-10mg when needed, fexofenadine 180mg as needed. Low sodium, fructose- and grain-free diet. Known drug allergies include PCN, sulfa, tetracycline.

> > 1cm left adrenal nodule, supine aldosterone 28.5/renin 0.2, potassium <2.9 (when not taking supplements), 25mg spiro caused gynecomastia and polymenorrhea. AVS showed right adrenal overproduces aldo; unable to sample left; proceeding as if my hyperaldosteronism is bilateral.

> >

> >

>

[Guest guest]

My guess is that you are pretty good at that. Another tack take him Bravo's art and point out the subject who lowered Spiro dose fro600 to 12.5 by lowering his Na intake enough. Tell him you are working very hard to get Na intake lower than K intake to lower Aldo effects on BP and K and the ONLY way we know how to document in the urine. MAybe he hAs a better way. Chances are he has never had a pt adhere to an 800 Mg a day sodium diet. Tiped sad Send form miiPhone ;-)May your pressure be low!CE Grim MDSpecializing in DifficultHypertension

He didn't test it, unfortunately. It's hard telling doctors how to do their jobs. I wish I was better at it, but I'll admit defeat.

> > >

> > > Just saw the nephrologist for the first time since starting spiro last

> > > Wednesday. He didn't seem too concerned that my BP while on spiro is

> > > averaging about 168/106, although prior to that (on no BP meds) my

> > > average was 142/92. He thinks it still needs some time to kick in. Does

> > > this sound right? I haven't seen BP readings this high except back

> > > during my oral salt loading test, and it's got me a little worried.

> > >

> > > My most recent K, taken the day after starting spiro and cutting K tabs

> > > back to 20meq/day, was 3.7. I had bloodwork done today and if it's not

> > > up to 4 or higher, the nephro is going to have me add in another K tab.

> > >

> > > Interesting side note: the phlebotomist told me *not* to make a fist,

> > > and pretty much recited to me the protocol for accurate K draw exactly

> > > as recommended here. That was a first

> > >

> > >

> > > -msmith1928

> > > Nulliparous female, 46, 5'3", 120 lbs, polymenorrhea,

> > > hyperinsulinemia, hereditary fructose intolerance, lactose intolerance,

> > > probable gluten intolerance. Current meds are spiro 12.5mg/dday,

> > > potassium 20MEQ/day, singulair 10mg, norethindrone .35mg to regulate

> > > polymenorrhea, cyclobenzaprine 5-10mg when needed, fexofenadine 180mg

> > > as needed. Low sodium, fructose- and grain-free diet. Known drug

> > > allergies include PCN, sulfa, tetracycline.

> > > 1cm left adrenal nodule, supine aldosterone 28.5/renin 0.2, potassium

> > > <2.9 (when not taking supplements), 25mg spiro caused gynecomastia and

> > > polymenorrhea. AVS showed right adrenal overproduces aldo; unable to

> > > sample left; proceeding as if my hyperaldosteronism is bilateral.

> > >

> >

>

[Guest guest]

I'm still really confused by how all of this works... bear with me a moment...

If my NA intake is around 800mg, and my K intake is around 2000mg (on a good

day), isn't my NA intake already lower than my K intake?

And if I'm only eating the NA that is naturally occurring in foods, and I'm only

eating 1100 calories a day, then - how could I possibly get my NA intake any

lower?

I feel like I'm missing the point of this entirely!

> > > > >

> > > > > Just saw the nephrologist for the first time since starting spiro last

> > > > > Wednesday. He didn't seem too concerned that my BP while on spiro is

> > > > > averaging about 168/106, although prior to that (on no BP meds) my

> > > > > average was 142/92. He thinks it still needs some time to kick in.

Does

> > > > > this sound right? I haven't seen BP readings this high except back

> > > > > during my oral salt loading test, and it's got me a little worried.

> > > > >

> > > > > My most recent K, taken the day after starting spiro and cutting K

tabs

> > > > > back to 20meq/day, was 3.7. I had bloodwork done today and if it's not

> > > > > up to 4 or higher, the nephro is going to have me add in another K

tab.

> > > > >

> > > > > Interesting side note: the phlebotomist told me *not* to make a fist,

> > > > > and pretty much recited to me the protocol for accurate K draw exactly

> > > > > as recommended here. That was a first

> > > > >

> > > > >

> > > > > -msmith1928

> > > > > Nulliparous female, 46, 5'3 " , 120 lbs, polymenorrhea,

> > > > > hyperinsulinemia, hereditary fructose intolerance, lactose

intolerance,

> > > > > probable gluten intolerance. Current meds are spiro 12.5mg/dday,

> > > > > potassium 20MEQ/day, singulair 10mg, norethindrone .35mg to regulate

> > > > > polymenorrhea, cyclobenzaprine 5-10mg when needed, fexofenadine 180mg

> > > > > as needed. Low sodium, fructose- and grain-free diet. Known drug

> > > > > allergies include PCN, sulfa, tetracycline.

> > > > > 1cm left adrenal nodule, supine aldosterone 28.5/renin 0.2, potassium

> > > > > <2.9 (when not taking supplements), 25mg spiro caused gynecomastia and

> > > > > polymenorrhea. AVS showed right adrenal overproduces aldo; unable to

> > > > > sample left; proceeding as if my hyperaldosteronism is bilateral.

> > > > >

> > > >

> > >

> >

> >

>

[Guest guest]

So I ask him to do a " timed urine " ? Is that the same as 24 hour urine?

> > >

> > > > Just saw the nephrologist for the first time since starting spiro last

Wednesday. He didn't seem too concerned that my BP while on spiro is averaging

about 168/106, although prior to that (on no BP meds) my average was 142/92. He

thinks it still needs some time to kick in. Does this sound right? I haven't

seen BP readings this high except back during my oral salt loading test, and

it's got me a little worried.

> > > >

> > > > My most recent K, taken the day after starting spiro and cutting K tabs

back to 20meq/day, was 3.7. I had bloodwork done today and if it's not up to 4

or higher, the nephro is going to have me add in another K tab.

> > > >

> > > > Interesting side note: the phlebotomist told me *not* to make a fist,

and pretty much recited to me the protocol for accurate K draw exactly as

recommended here. That was a first

> > > >

> > > >

> > > > -msmith1928

> > > > Nulliparous female, 46, 5'3 " , 120 lbs, polymenorrhea, hyperinsulinemia,

hereditary fructose intolerance, lactose intolerance, probable gluten

intolerance. Current meds are spiro 12.5mg/dday, potassium 20MEQ/day, singulair

10mg, norethindrone .35mg to regulate polymenorrhea, cyclobenzaprine 5-10mg when

needed, fexofenadine 180mg as needed. Low sodium, fructose- and grain-free diet.

Known drug allergies include PCN, sulfa, tetracycline.

> > > > 1cm left adrenal nodule, supine aldosterone 28.5/renin 0.2, potassium

<2.9 (when not taking supplements), 25mg spiro caused gynecomastia and

polymenorrhea. AVS showed right adrenal overproduces aldo; unable to sample

left; proceeding as if my hyperaldosteronism is bilateral.

> > > >

> > > >

> > >

> >

> >

>

[Guest guest]

The point is sodium creeps in in many ways and, based of lots of experience, many who think/belive they are on a low sodium diet are not when we check the urine. Seeing the pee is believing. I have had pts who swore they were on a very low sodium intake whose urine showed over 300 mM sodium a day.So at least once I recommend this. If it is sneaking in on you somehow then you can look and see where it might be coming from. Another way is to get the urine chloride dipsticks we have talked about here.CE Grim MDI'm still really confused by how all of this works... bear with me a moment...If my NA intake is around 800mg, and my K intake is around 2000mg (on a good day), isn't my NA intake already lower than my K intake?And if I'm only eating the NA that is naturally occurring in foods, and I'm only eating 1100 calories a day, then - how could I possibly get my NA intake any lower? I feel like I'm missing the point of this entirely!> > > > >> > > > > Just saw the nephrologist for the first time since starting spiro last> > > > > Wednesday. He didn't seem too concerned that my BP while on spiro is> > > > > averaging about 168/106, although prior to that (on no BP meds) my> > > > > average was 142/92. He thinks it still needs some time to kick in. Does> > > > > this sound right? I haven't seen BP readings this high except back> > > > > during my oral salt loading test, and it's got me a little worried.> > > > > > > > > > My most recent K, taken the day after starting spiro and cutting K tabs> > > > > back to 20meq/day, was 3.7. I had bloodwork done today and if it's not> > > > > up to 4 or higher, the nephro is going to have me add in another K tab.> > > > > > > > > > Interesting side note: the phlebotomist told me *not* to make a fist,> > > > > and pretty much recited to me the protocol for accurate K draw exactly> > > > > as recommended here. That was a first > > > > > > > > > > > > > > > -msmith1928> > > > > Nulliparous female, 46, 5'3", 120 lbs, polymenorrhea,> > > > > hyperinsulinemia, hereditary fructose intolerance, lactose intolerance,> > > > > probable gluten intolerance. Current meds are spiro 12.5mg/dday,> > > > > potassium 20MEQ/day, singulair 10mg, norethindrone .35mg to regulate> > > > > polymenorrhea, cyclobenzaprine 5-10mg when needed, fexofenadine 180mg> > > > > as needed. Low sodium, fructose- and grain-free diet. Known drug> > > > > allergies include PCN, sulfa, tetracycline.> > > > > 1cm left adrenal nodule, supine aldosterone 28.5/renin 0.2, potassium > > > > > <2.9 (when not taking supplements), 25mg spiro caused gynecomastia and> > > > > polymenorrhea. AVS showed right adrenal overproduces aldo; unable to > > > > > sample left; proceeding as if my hyperaldosteronism is bilateral.> > > > >> > > >> > >> > > >>

[Guest guest]

You want a urine Na, K and creatinine measured. In a timed urine and with the urine volume measured as well.What he and you want to knowHow close is your estimate of Na and K intake to what you have calculated.And if there more K in the urine than Na (mM/L) I use it to monitor all pts who are interested in controlling their BP with fewer or no drugs.CE Grim MDIt would be helpful if you could phrase this in a way I can present it to my doctor. What test am I supposed to ask him for? Thanks.> > > >> > > > Just saw the nephrologist for the first time since starting spiro last> > > > Wednesday. He didn't seem too concerned that my BP while on spiro is> > > > averaging about 168/106, although prior to that (on no BP meds) my> > > > average was 142/92. He thinks it still needs some time to kick in. Does> > > > this sound right? I haven't seen BP readings this high except back> > > > during my oral salt loading test, and it's got me a little worried.> > > > > > > > My most recent K, taken the day after starting spiro and cutting K tabs> > > > back to 20meq/day, was 3.7. I had bloodwork done today and if it's not> > > > up to 4 or higher, the nephro is going to have me add in another K tab.> > > > > > > > Interesting side note: the phlebotomist told me *not* to make a fist,> > > > and pretty much recited to me the protocol for accurate K draw exactly> > > > as recommended here. That was a first > > > > > > > > > > > > -msmith1928> > > > Nulliparous female, 46, 5'3", 120 lbs, polymenorrhea,> > > > hyperinsulinemia, hereditary fructose intolerance, lactose intolerance,> > > > probable gluten intolerance. Current meds are spiro 12.5mg/dday,> > > > potassium 20MEQ/day, singulair 10mg, norethindrone .35mg to regulate> > > > polymenorrhea, cyclobenzaprine 5-10mg when needed, fexofenadine 180mg> > > > as needed. Low sodium, fructose- and grain-free diet. Known drug> > > > allergies include PCN, sulfa, tetracycline.> > > > 1cm left adrenal nodule, supine aldosterone 28.5/renin 0.2, potassium > > > > <2.9 (when not taking supplements), 25mg spiro caused gynecomastia and> > > > polymenorrhea. AVS showed right adrenal overproduces aldo; unable to > > > > sample left; proceeding as if my hyperaldosteronism is bilateral.> > > >> > >> >>

[Guest guest]

Got it, thanks. In my case, the only way sodium could be sneaking into my diet

is if someone is injecting me with salt while I'm sleeping!

> > > > > > >

> > > > > > > Just saw the nephrologist for the first time since

> > starting spiro last

> > > > > > > Wednesday. He didn't seem too concerned that my BP while

> > on spiro is

> > > > > > > averaging about 168/106, although prior to that (on no BP

> > meds) my

> > > > > > > average was 142/92. He thinks it still needs some time to

> > kick in. Does

> > > > > > > this sound right? I haven't seen BP readings this high

> > except back

> > > > > > > during my oral salt loading test, and it's got me a little

> > worried.

> > > > > > >

> > > > > > > My most recent K, taken the day after starting spiro and

> > cutting K tabs

> > > > > > > back to 20meq/day, was 3.7. I had bloodwork done today and

> > if it's not

> > > > > > > up to 4 or higher, the nephro is going to have me add in

> > another K tab.

> > > > > > >

> > > > > > > Interesting side note: the phlebotomist told me *not* to

> > make a fist,

> > > > > > > and pretty much recited to me the protocol for accurate K

> > draw exactly

> > > > > > > as recommended here. That was a first

> > > > > > >

> > > > > > >

> > > > > > > -msmith1928

> > > > > > > Nulliparous female, 46, 5'3 " , 120 lbs, polymenorrhea,

> > > > > > > hyperinsulinemia, hereditary fructose intolerance, lactose

> > intolerance,

> > > > > > > probable gluten intolerance. Current meds are spiro 12.5mg/

> > dday,

> > > > > > > potassium 20MEQ/day, singulair 10mg, norethindrone .35mg

> > to regulate

> > > > > > > polymenorrhea, cyclobenzaprine 5-10mg when needed,

> > fexofenadine 180mg

> > > > > > > as needed. Low sodium, fructose- and grain-free diet.

> > Known drug

> > > > > > > allergies include PCN, sulfa, tetracycline.

> > > > > > > 1cm left adrenal nodule, supine aldosterone 28.5/renin

> > 0.2, potassium

> > > > > > > <2.9 (when not taking supplements), 25mg spiro caused

> > gynecomastia and

> > > > > > > polymenorrhea. AVS showed right adrenal overproduces aldo;

> > unable to

> > > > > > > sample left; proceeding as if my hyperaldosteronism is

> > bilateral.

> > > > > > >

> > > > > >

> > > > >

> > > >

> > > >

> > >

> >

> >

> >

>

[Guest guest]

Thank you so much for clarifying that. Printing this out and taking it to him

next week!

> > > > > >

> > > > > > Just saw the nephrologist for the first time since starting

> > spiro last

> > > > > > Wednesday. He didn't seem too concerned that my BP while on

> > spiro is

> > > > > > averaging about 168/106, although prior to that (on no BP

> > meds) my

> > > > > > average was 142/92. He thinks it still needs some time to

> > kick in. Does

> > > > > > this sound right? I haven't seen BP readings this high

> > except back

> > > > > > during my oral salt loading test, and it's got me a little

> > worried.

> > > > > >

> > > > > > My most recent K, taken the day after starting spiro and

> > cutting K tabs

> > > > > > back to 20meq/day, was 3.7. I had bloodwork done today and

> > if it's not

> > > > > > up to 4 or higher, the nephro is going to have me add in

> > another K tab.

> > > > > >

> > > > > > Interesting side note: the phlebotomist told me *not* to

> > make a fist,

> > > > > > and pretty much recited to me the protocol for accurate K

> > draw exactly

> > > > > > as recommended here. That was a first

> > > > > >

> > > > > >

> > > > > > -msmith1928

> > > > > > Nulliparous female, 46, 5'3 " , 120 lbs, polymenorrhea,

> > > > > > hyperinsulinemia, hereditary fructose intolerance, lactose

> > intolerance,

> > > > > > probable gluten intolerance. Current meds are spiro 12.5mg/

> > dday,

> > > > > > potassium 20MEQ/day, singulair 10mg, norethindrone .35mg to

> > regulate

> > > > > > polymenorrhea, cyclobenzaprine 5-10mg when needed,

> > fexofenadine 180mg

> > > > > > as needed. Low sodium, fructose- and grain-free diet. Known

> > drug

> > > > > > allergies include PCN, sulfa, tetracycline.

> > > > > > 1cm left adrenal nodule, supine aldosterone 28.5/renin 0.2,

> > potassium

> > > > > > <2.9 (when not taking supplements), 25mg spiro caused

> > gynecomastia and

> > > > > > polymenorrhea. AVS showed right adrenal overproduces aldo;

> > unable to

> > > > > > sample left; proceeding as if my hyperaldosteronism is

> > bilateral.

> > > > > >

> > > > >

> > > >

> > >

> >

> >

> >

>

[Guest guest]

What about that sunny california beach water? ============================================================================45-Male-Caucasian, 5'9"- 234lbs, PA Diagnosed 2007 Suspected Hyperplasia-No tumors on CT - No AVS.Meds: 100mg Spiro, 1800mg Calcium, 1000mg 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 Pole, Right Flank PainDASH: Started "sort of" DASHing

5/3/2011To: hyperaldosteronism Sent: Thursday, June 30, 2011 1:30 PMSubject: Re: spiro, week 1 - my BP is still running high

Got it, thanks. In my case, the only way sodium could be sneaking into my diet is if someone is injecting me with salt while I'm sleeping!

> > > > > > >

> > > > > > > Just saw the nephrologist for the first time since

> > starting spiro last

> > > > > > > Wednesday. He didn't seem too concerned that my BP while

> > on spiro is

> > > > > > > averaging about 168/106, although prior to that (on no BP

> > meds) my

> > > > > > > average was 142/92. He thinks it still needs some time to

> > kick in. Does

> > > > > > > this sound right? I haven't seen BP readings this high

> > except back

> > > > > > > during my oral salt loading test, and it's got me a little

> > worried.

> > > > > > >

> > > > > > > My most recent K, taken the day after starting spiro and

> > cutting K tabs

> > > > > > > back to 20meq/day, was 3.7. I had bloodwork done today and

> > if it's not

> > > > > > > up to 4 or higher, the nephro is going to have me add in

> > another K tab.

> > > > > > >

> > > > > > > Interesting side note: the phlebotomist told me *not* to

> > make a fist,

> > > > > > > and pretty much recited to me the protocol for accurate K

> > draw exactly

> > > > > > > as recommended here. That was a first

> > > > > > >

> > > > > > >

> > > > > > > -msmith1928

> > > > > > > Nulliparous female, 46, 5'3", 120 lbs, polymenorrhea,

> > > > > > > hyperinsulinemia, hereditary fructose intolerance, lactose

> > intolerance,

> > > > > > > probable gluten intolerance. Current meds are spiro 12.5mg/

> > dday,

> > > > > > > potassium 20MEQ/day, singulair 10mg, norethindrone .35mg

> > to regulate

> > > > > > > polymenorrhea, cyclobenzaprine 5-10mg when needed,

> > fexofenadine 180mg

> > > > > > > as needed. Low sodium, fructose- and grain-free diet.

> > Known drug

> > > > > > > allergies include PCN, sulfa, tetracycline.

> > > > > > > 1cm left adrenal nodule, supine aldosterone 28.5/renin

> > 0.2, potassium

> > > > > > > <2.9 (when not taking supplements), 25mg spiro caused

> > gynecomastia and

> > > > > > > polymenorrhea. AVS showed right adrenal overproduces aldo;

> > unable to

> > > > > > > sample left; proceeding as if my hyperaldosteronism is

> > bilateral.

> > > > > > >

> > > > > >

> > > > >

> > > >

> > > >

> > >

> >

> >

> >

>

[Guest guest]

LOL! Could I be absorbing the salt water through my skin??

> >> > > > > > >

> >> > > > > > > Just saw the nephrologist for the first time since

> >> > starting spiro last

> >> > > > > > > Wednesday. He didn't seem too concerned that my BP while

> >> > on spiro is

> >> > > > > > > averaging about 168/106, although prior to that (on no BP

> >> > meds) my

> >> > > > > > > average was 142/92. He thinks it still needs some time to

> >> > kick in. Does

> >> > > > > > > this sound right? I haven't seen BP readings this high

> >> > except back

> >> > > > > > > during my oral salt loading test, and it's got me a little

> >> > worried.

> >> > > > > > >

> >> > > > > > > My most recent K, taken the day after starting spiro and

> >> > cutting K tabs

> >> > > > > > > back to 20meq/day, was 3.7. I had bloodwork done today and

> >> > if it's not

> >> > > > > > > up to 4 or higher, the nephro is going to have me add in

> >> > another K tab.

> >> > > > > > >

> >> > > > > > > Interesting side note: the phlebotomist told me *not* to

> >> > make a fist,

> >> > > > > > > and pretty much recited to me the protocol for accurate K

> >> > draw exactly

> >> > > > > > > as recommended here. That was a first

> >> > > > > > >

> >> > > > > > >

> >> > > > > > > -msmith1928

> >> > > > > > > Nulliparous female, 46, 5'3 " , 120 lbs, polymenorrhea,

> >> > > > > > > hyperinsulinemia, hereditary fructose intolerance, lactose

> >> > intolerance,

> >> > > > > > > probable gluten intolerance. Current meds are spiro 12.5mg/

> >> > dday,

> >> > > > > > > potassium 20MEQ/day, singulair 10mg, norethindrone .35mg

> >> > to regulate

> >> > > > > > > polymenorrhea, cyclobenzaprine 5-10mg when needed,

> >> > fexofenadine 180mg

> >> > > > > > > as needed. Low sodium, fructose- and grain-free diet.

> >> > Known drug

> >> > > > > > > allergies include PCN, sulfa, tetracycline.

> >> > > > > > > 1cm left adrenal nodule, supine aldosterone 28.5/renin

> >> > 0.2, potassium

> >> > > > > > > <2.9 (when not taking supplements), 25mg spiro caused

> >> > gynecomastia and

> >> > > > > > > polymenorrhea. AVS showed right adrenal overproduces aldo;

> >> > unable to

> >> > > > > > > sample left; proceeding as if my hyperaldosteronism is

> >> > bilateral.

> >> > > > > > >

> >> > > > > >

> >> > > > >

> >> > > >

> >> > > >

> >> > >

> >> >

> >> >

> >> >

> >>

> >

> >

> >

> >

> >

>

[Guest guest]

be sure to check Na content of chicken that is not fresh. Just saw some thighs with 600 mg each. Looked fresh but not.CEGrim MDWhich for me is always the same: 3 cups of leafy greens a day, 2 eggs, a portion of chicken or fish the size of my palm, a handful of almonds. No seconds, no dessert, no surprises.Really, you guys have to believe me when I say this: I do not eat for pleasure. I only eat for nutrients, and only just enough - I don't overeat, I don't eat for fun, I don't eat in restaurants. And it sucks! But it keeps me from getting sick.I know it's hard to believe that anybody would have this much self-control in our Super-Sized Nation, but I'm telling the truth here! The food intolerances make deviating from this absolutely not worth it.-msmith1928Nulliparous female, 46, 5'3", 120 lbs, polymenorrhea, hyperinsulinemia, hereditary fructose intolerance, lactose intolerance, probable gluten intolerance. Current meds are spiro 12.5mg/dday, potassium 20MEQ/day, singulair 10mg, norethindrone .35mg to regulate polymenorrhea, cyclobenzaprine 5-10mg when needed, fexofenadine 180mg as needed. Low sodium, fructose- and grain-free diet. Known drug allergies include PCN, sulfa, tetracycline.1cm left adrenal nodule, supine aldosterone 28.5/renin 0.2, potassium <2.9 (when not taking supplements), 25mg spiro caused gynecomastia and polymenorrhea. AVS showed right adrenal overproduces aldo; unable to sample left; proceeding as if my hyperaldosteronism is bilateral.> > > > > > > > > >> > > > > > > > > > Just saw the nephrologist for the first time since> > > > > starting spiro last> > > > > > > > > > Wednesday. He didn't seem too concerned that my BP while> > > > > on spiro is> > > > > > > > > > averaging about 168/106, although prior to that (on no > > > BP> > > > > meds) my> > > > > > > > > > average was 142/92. He thinks it still needs some time > > > to> > > > > kick in. Does> > > > > > > > > > this sound right? I haven't seen BP readings this high> > > > > except back> > > > > > > > > > during my oral salt loading test, and it's got me a > > > little> > > > > worried.> > > > > > > > > >> > > > > > > > > > My most recent K, taken the day after starting spiro and> > > > > cutting K tabs> > > > > > > > > > back to 20meq/day, was 3.7. I had bloodwork done today > > > and> > > > > if it's not> > > > > > > > > > up to 4 or higher, the nephro is going to have me add in> > > > > another K tab.> > > > > > > > > >> > > > > > > > > > Interesting side note: the phlebotomist told me *not* to> > > > > make a fist,> > > > > > > > > > and pretty much recited to me the protocol for > > > accurate K> > > > > draw exactly> > > > > > > > > > as recommended here. That was a first > > > > > > > > > >> > > > > > > > > >> > > > > > > > > > -msmith1928> > > > > > > > > > Nulliparous female, 46, 5'3", 120 lbs, polymenorrhea,> > > > > > > > > > hyperinsulinemia, hereditary fructose intolerance, > > > lactose> > > > > intolerance,> > > > > > > > > > probable gluten intolerance. Current meds are spiro > > > 12.5mg/> > > > > dday,> > > > > > > > > > potassium 20MEQ/day, singulair 10mg, norethindrone .35mg> > > > > to regulate> > > > > > > > > > polymenorrhea, cyclobenzaprine 5-10mg when needed,> > > > > fexofenadine 180mg> > > > > > > > > > as needed. Low sodium, fructose- and grain-free diet.> > > > > Known drug> > > > > > > > > > allergies include PCN, sulfa, tetracycline.> > > > > > > > > > 1cm left adrenal nodule, supine aldosterone 28.5/renin> > > > > 0.2, potassium> > > > > > > > > > <2.9 (when not taking supplements), 25mg spiro caused> > > > > gynecomastia and> > > > > > > > > > polymenorrhea. AVS showed right adrenal overproduces > > > aldo;> > > > > unable to> > > > > > > > > > sample left; proceeding as if my hyperaldosteronism is> > > > > bilateral.> > > > > > > > > >> > > > > > > > >> > > > > > > >> > > > > > >> > > > > > >> > > > > >> > > > >> > > > >> > > > >> > > >> > >> > >> > >> >>

[Guest guest]

Is that cooked or raw. If you ane looking at charts mant time is is for raw.

> > > > > > > > > > >

> > > > > > > > > > > Just saw the nephrologist for the first time since

> > > > > > starting spiro last

> > > > > > > > > > > Wednesday. He didn't seem too concerned that my BP while

> > > > > > on spiro is

> > > > > > > > > > > averaging about 168/106, although prior to that (on no

> > > > BP

> > > > > > meds) my

> > > > > > > > > > > average was 142/92. He thinks it still needs some time

> > > > to

> > > > > > kick in. Does

> > > > > > > > > > > this sound right? I haven't seen BP readings this high

> > > > > > except back

> > > > > > > > > > > during my oral salt loading test, and it's got me a

> > > > little

> > > > > > worried.

> > > > > > > > > > >

> > > > > > > > > > > My most recent K, taken the day after starting spiro and

> > > > > > cutting K tabs

> > > > > > > > > > > back to 20meq/day, was 3.7. I had bloodwork done today

> > > > and

> > > > > > if it's not

> > > > > > > > > > > up to 4 or higher, the nephro is going to have me add in

> > > > > > another K tab.

> > > > > > > > > > >

> > > > > > > > > > > Interesting side note: the phlebotomist told me *not* to

> > > > > > make a fist,

> > > > > > > > > > > and pretty much recited to me the protocol for

> > > > accurate K

> > > > > > draw exactly

> > > > > > > > > > > as recommended here. That was a first

> > > > > > > > > > >

> > > > > > > > > > >

> > > > > > > > > > > -msmith1928

> > > > > > > > > > > Nulliparous female, 46, 5'3 " , 120 lbs, polymenorrhea,

> > > > > > > > > > > hyperinsulinemia, hereditary fructose intolerance,

> > > > lactose

> > > > > > intolerance,

> > > > > > > > > > > probable gluten intolerance. Current meds are spiro

> > > > 12.5mg/

> > > > > > dday,

> > > > > > > > > > > potassium 20MEQ/day, singulair 10mg, norethindrone .35mg

> > > > > > to regulate

> > > > > > > > > > > polymenorrhea, cyclobenzaprine 5-10mg when needed,

> > > > > > fexofenadine 180mg

> > > > > > > > > > > as needed. Low sodium, fructose- and grain-free diet.

> > > > > > Known drug

> > > > > > > > > > > allergies include PCN, sulfa, tetracycline.

> > > > > > > > > > > 1cm left adrenal nodule, supine aldosterone 28.5/renin

> > > > > > 0.2, potassium

> > > > > > > > > > > <2.9 (when not taking supplements), 25mg spiro caused

> > > > > > gynecomastia and

> > > > > > > > > > > polymenorrhea. AVS showed right adrenal overproduces

> > > > aldo;

> > > > > > unable to

> > > > > > > > > > > sample left; proceeding as if my hyperaldosteronism is

> > > > > > bilateral.

> > > > > > > > > > >

> > > > > > > > > >

> > > > > > > > >

> > > > > > > >

> > > > > > > >

> > > > > > >

> > > > > >

> > > > > >

> > > > > >

> > > > >

> > > >

> > > >

> > > >

> > >

> >

>

[Guest guest]

Also check water for NA. May have to check with city water dept. Only way to not

have NA in water is to only use distilled water.

> > > > > > > > > > >

> > > > > > > > > > > Just saw the nephrologist for the first time since

> > > > > > starting spiro last

> > > > > > > > > > > Wednesday. He didn't seem too concerned that my BP while

> > > > > > on spiro is

> > > > > > > > > > > averaging about 168/106, although prior to that (on no

> > > > BP

> > > > > > meds) my

> > > > > > > > > > > average was 142/92. He thinks it still needs some time

> > > > to

> > > > > > kick in. Does

> > > > > > > > > > > this sound right? I haven't seen BP readings this high

> > > > > > except back

> > > > > > > > > > > during my oral salt loading test, and it's got me a

> > > > little

> > > > > > worried.

> > > > > > > > > > >

> > > > > > > > > > > My most recent K, taken the day after starting spiro and

> > > > > > cutting K tabs

> > > > > > > > > > > back to 20meq/day, was 3.7. I had bloodwork done today

> > > > and

> > > > > > if it's not

> > > > > > > > > > > up to 4 or higher, the nephro is going to have me add in

> > > > > > another K tab.

> > > > > > > > > > >

> > > > > > > > > > > Interesting side note: the phlebotomist told me *not* to

> > > > > > make a fist,

> > > > > > > > > > > and pretty much recited to me the protocol for

> > > > accurate K

> > > > > > draw exactly

> > > > > > > > > > > as recommended here. That was a first

> > > > > > > > > > >

> > > > > > > > > > >

> > > > > > > > > > > -msmith1928

> > > > > > > > > > > Nulliparous female, 46, 5'3 " , 120 lbs, polymenorrhea,

> > > > > > > > > > > hyperinsulinemia, hereditary fructose intolerance,

> > > > lactose

> > > > > > intolerance,

> > > > > > > > > > > probable gluten intolerance. Current meds are spiro

> > > > 12.5mg/

> > > > > > dday,

> > > > > > > > > > > potassium 20MEQ/day, singulair 10mg, norethindrone .35mg

> > > > > > to regulate

> > > > > > > > > > > polymenorrhea, cyclobenzaprine 5-10mg when needed,

> > > > > > fexofenadine 180mg

> > > > > > > > > > > as needed. Low sodium, fructose- and grain-free diet.

> > > > > > Known drug

> > > > > > > > > > > allergies include PCN, sulfa, tetracycline.

> > > > > > > > > > > 1cm left adrenal nodule, supine aldosterone 28.5/renin

> > > > > > 0.2, potassium

> > > > > > > > > > > <2.9 (when not taking supplements), 25mg spiro caused

> > > > > > gynecomastia and

> > > > > > > > > > > polymenorrhea. AVS showed right adrenal overproduces

> > > > aldo;

> > > > > > unable to

> > > > > > > > > > > sample left; proceeding as if my hyperaldosteronism is

> > > > > > bilateral.

> > > > > > > > > > >

> > > > > > > > > >

> > > > > > > > >

> > > > > > > >

> > > > > > > >

> > > > > > >

> > > > > >

> > > > > >

> > > > > >

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