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

[Guest guest]

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]

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]

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]

Thanks Dr Grim, I'm planning to bring this up with the nephrologist next week. I

can't exactly force him to do it, but I'll try to be convincing

> > > > > > > > >

> > > > > > > > > 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 question is how MG is in the water. Looking out my town water report it

gives this on what PPM means. One PPM is equivalent of 1/2 of a dissolved

aspirin in a bathtub full of water (approximatey 50 gallons). 1/2 aspirin is

162.5 MG. That would mean your water has 13487.5 mg of sodium in 50 gal of water

or 269.75 mg per gal.

> > > > > > > > > > > > >

> > > > > > > > > > > > > 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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