Re: Re: Need to know what is the appropriate med. to go with Sprio

August 25, 2011

Hi :I agree....some days I actually feel like I was 30 years younger andother days...well, we wont go there LOLI will be 68 later on this year. I agree, age is just a number and has verylittle relevance at all.

Glad to hear that you are feeling better than you have in 10 yrs. Justthink, soon you may feel better than you have in 15 years. It can onlyget better!

Hey " Old Lady " you are only as old as you think and you better not slow down cause some of us are right behind you! (B 65 in a month and feeling better than I have in 10 yrs!)

- 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(last week ave): 123/69

Other Issues/Opportunities: OSA w Bi-Pap settings 13/19, DM2. and PTSD.

Meds: Duloxetine hcl 80 MG, Mirtazapine 15 MG, Metoprolol Tartrate 200 MG, 81mg asprin, Metformin 2000MG and Spironolactone 50 MG.

> >>>

> >>> Going to the Dr. in l l/2 hrs. time.

> >>> I am on 100 mg. of Spiro (50 mg. twice daily)

> >>> It has improved the BP somewhat but nowhere

> >>> near where it should be and my pulse is very

> >>> high. It usually is around 78 - 82 but it is

> >>> now running up to 111.

> >>> I think the Dr. indicated last time that he

> >>> thought my HBP was not all due to hyperaldosteronism.

> >>> He wants to add another medication.

> >>> I have been on all of them over the last 20 odd

> >>> years and they either don't work or I have terrible

> >>> side effects.

> >>> Diovan, Micardis & Cozaar (all from the same family)

> >>> seemed to be tolerated by me, but I don't think it

> >>> did much to reduce the BP.

> >>> I think he is going to want to add Micardis but I

> >>> read somewhere that it is counterproductive with the

> >>> Spiro.

> >>> Please.....let me know what are the no-nos to add

> >>> and what is the best one to add. Thanks for your

> >>> help.

> >>>

> >>

> >> --

> >>

> >> Jan Shimano

> >> Health & Wellness Advocate

> >>

> >

> > --

> >

> > Jan Shimano

> > Health & Wellness Advocate

> >

>

> --

>

> Jan Shimano

> Health & Wellness Advocate

>

-- Jan ShimanoHealth & Wellness Advocate

August 25, 2011

Sounds like fun. Make sure you take your meds with you in case youend up staying longer than expected.

Well maybe 5yrs first, my son just came up from Boston and we are headed up in the mtns to my remote camp. He says we are going for a hike and it will be the first time for that in 4 yrs! Looking forward to it!

- 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(last week ave): 123/69

Other Issues/Opportunities: OSA w Bi-Pap settings 13/19, DM2. and PTSD.

Meds: Duloxetine hcl 80 MG, Mirtazapine 15 MG, Metoprolol Tartrate 200 MG, 81mg asprin, Metformin 2000MG and Spironolactone 50 MG.

> > > >>>

> > > >>> Going to the Dr. in l l/2 hrs. time.

> > > >>> I am on 100 mg. of Spiro (50 mg. twice daily)

> > > >>> It has improved the BP somewhat but nowhere

> > > >>> near where it should be and my pulse is very

> > > >>> high. It usually is around 78 - 82 but it is

> > > >>> now running up to 111.

> > > >>> I think the Dr. indicated last time that he

> > > >>> thought my HBP was not all due to hyperaldosteronism.

> > > >>> He wants to add another medication.

> > > >>> I have been on all of them over the last 20 odd

> > > >>> years and they either don't work or I have terrible

> > > >>> side effects.

> > > >>> Diovan, Micardis & Cozaar (all from the same family)

> > > >>> seemed to be tolerated by me, but I don't think it

> > > >>> did much to reduce the BP.

> > > >>> I think he is going to want to add Micardis but I

> > > >>> read somewhere that it is counterproductive with the

> > > >>> Spiro.

> > > >>> Please.....let me know what are the no-nos to add

> > > >>> and what is the best one to add. Thanks for your

> > > >>> help.

> > > >>>

> > > >>

> > > >> --

> > > >>

> > > >> Jan Shimano

> > > >> Health & Wellness Advocate

> > > >>

> > > >

> > > > --

> > > >

> > > > Jan Shimano

> > > > Health & Wellness Advocate

> > > >

> > >

> > > --

> > >

> > > Jan Shimano

> > > Health & Wellness Advocate

> > >

> >

>

> --

>

> Jan Shimano

> Health & Wellness Advocate

>

-- Jan ShimanoHealth & Wellness Advocate

August 25, 2011

Enjoy the heck out of that hike!

Subject: Re: Need to know what is the appropriate med. to go with SprioTo: hyperaldosteronism Date: Thursday, August 25, 2011, 4:16 PM

What do you mean medS? I'll just put a couple extra Spiro in my pocket! That will get me off the bblocker which in turn reduce my depression so I won't need the psyco meds. (Actually that would be two factors that might increase my mood! Now I'm qualified to make recommendations for the JNC study!) Almost ready to tackle that issue when I get back! - 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(last week ave): 123/69Other Issues/Opportunities: OSA w Bi-Pap settings 13/19, DM2. and PTSD.Meds: Duloxetine hcl 80 MG, Mirtazapine 15 MG, Metoprolol Tartrate 200 MG, 81mg asprin, Metformin 2000MG and Spironolactone 50 MG. > > > > > >>>> > > > > >>>> > > > >

>>>> > > > > >>> Going to the Dr. in l l/2 hrs. time.> > > > > >>> I am on 100 mg. of Spiro (50 mg. twice daily)> > > > > >>> It has improved the BP somewhat but nowhere> > > > > >>> near where it should be and my pulse is very> > > > > >>> high. It usually is around 78 - 82 but it is> > > > > >>> now running up to 111.> > > > > >>> I think the Dr. indicated last time that he> > > > > >>> thought my HBP was not all due to hyperaldosteronism.> > > > > >>> He wants to add another medication.> > > > > >>> I have been on all of them over the last 20 odd> > > > > >>> years and they either don't work or I have terrible> > > > >

>>> side effects.> > > > > >>> Diovan, Micardis & Cozaar (all from the same family)> > > > > >>> seemed to be tolerated by me, but I don't think it> > > > > >>> did much to reduce the BP.> > > > > >>> I think he is going to want to add Micardis but I> > > > > >>> read somewhere that it is counterproductive with the> > > > > >>> Spiro.> > > > > >>> Please.....let me know what are the no-nos to add> > > > > >>> and what is the best one to add. Thanks for your> > > > > >>> help.> > > > > >>>> > > > > >>>> > > > > >>>> > > > > >>>> > > > > >>> > >

> > >>> > > > > >> --> > > > > >>> > > > > >> Jan Shimano> > > > > >> Health & Wellness Advocate> > > > > >>> > > > > >>> > > > > >>> > > > > >>> > > > > >>> > > > > >>> > > > > >>> > > > > >> > > > > >> > > > > > --> > > > > >> > > > > > Jan Shimano> > > > > > Health & Wellness Advocate> > > > > >> > > > > >> > > > > >> > > > > >> > > > > >> > > > > >> > > > > >> > >

> >> > > > >> > > > >> > > > > --> > > > >> > > > > Jan Shimano> > > > > Health & Wellness Advocate> > > > >> > > >> > > >> > > >> > >> > >> > >> > > --> > >> > > Jan Shimano> > > Health & Wellness Advocate> > >> >> > > >> > > > -- > > Jan Shimano> Health & Wellness Advocate>

August 26, 2011

And read the salt labels.CE Grim MD Sounds like fun. Make sure you take your meds with you in case youend up staying longer than expected. Well maybe 5yrs first, my son just came up from Boston and we are headed up in the mtns to my remote camp. He says we are going for a hike and it will be the first time for that in 4 yrs! Looking forward to it! - 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(last week ave): 123/69 Other Issues/Opportunities: OSA w Bi-Pap settings 13/19, DM2. and PTSD. Meds: Duloxetine hcl 80 MG, Mirtazapine 15 MG, Metoprolol Tartrate 200 MG, 81mg asprin, Metformin 2000MG and Spironolactone 50 MG. > > > >>> > > > >>> > > > >>> > > > >>> Going to the Dr. in l l/2 hrs. time. > > > >>> I am on 100 mg. of Spiro (50 mg. twice daily) > > > >>> It has improved the BP somewhat but nowhere > > > >>> near where it should be and my pulse is very > > > >>> high. It usually is around 78 - 82 but it is > > > >>> now running up to 111. > > > >>> I think the Dr. indicated last time that he > > > >>> thought my HBP was not all due to hyperaldosteronism. > > > >>> He wants to add another medication. > > > >>> I have been on all of them over the last 20 odd > > > >>> years and they either don't work or I have terrible > > > >>> side effects. > > > >>> Diovan, Micardis & Cozaar (all from the same family) > > > >>> seemed to be tolerated by me, but I don't think it > > > >>> did much to reduce the BP. > > > >>> I think he is going to want to add Micardis but I > > > >>> read somewhere that it is counterproductive with the > > > >>> Spiro. > > > >>> Please.....let me know what are the no-nos to add > > > >>> and what is the best one to add. Thanks for your > > > >>> help. > > > >>> > > > >>> > > > >>> > > > >>> > > > >> > > > >> > > > >> -- > > > >> > > > >> Jan Shimano > > > >> Health & Wellness Advocate > > > >> > > > >> > > > >> > > > >> > > > >> > > > >> > > > >> > > > > > > > > > > > > -- > > > > > > > > Jan Shimano > > > > Health & Wellness Advocate > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > -- > > > > > > Jan Shimano > > > Health & Wellness Advocate > > > > > > > > > > > > > -- > > Jan Shimano > Health & Wellness Advocate > -- Jan ShimanoHealth & Wellness Advocate

August 27, 2011

High diet k will lower bp. Low blood k does not lower bp that I know of. May make it more labile. Tiped sad Send form miiPhone ;-)May your pressure be low!CE Grim MDSpecializing in DifficultHypertension

I have tried to find a complete list of low K SX. Seems no one has a list. Maybe no one can tell you all SX. One thing I have see on many lists is low K can lower B/P.

> >>>

> >>> Going to the Dr. in l l/2 hrs. time.

> >>> I am on 100 mg. of Spiro (50 mg. twice daily)

> >>> It has improved the BP somewhat but nowhere

> >>> near where it should be and my pulse is very

> >>> high. It usually is around 78 - 82 but it is

> >>> now running up to 111.

> >>> I think the Dr. indicated last time that he

> >>> thought my HBP was not all due to hyperaldosteronism.

> >>> He wants to add another medication.

> >>> I have been on all of them over the last 20 odd

> >>> years and they either don't work or I have terrible

> >>> side effects.

> >>> Diovan, Micardis & Cozaar (all from the same family)

> >>> seemed to be tolerated by me, but I don't think it

> >>> did much to reduce the BP.

> >>> I think he is going to want to add Micardis but I

> >>> read somewhere that it is counterproductive with the

> >>> Spiro.

> >>> Please.....let me know what are the no-nos to add

> >>> and what is the best one to add. Thanks for your

> >>> help.

> >>>

> >>

> >> --

> >>

> >> Jan Shimano

> >> Health & Wellness Advocate

> >>

> >

> > --

> >

> > Jan Shimano

> > Health & Wellness Advocate

> >

>

> --

>

> ============================================================================

> *45-Male-Caucasian*, 5'9"- 234lbs, PA Diagnosed 2007 Suspected

> Hyperplasia-No tumors on CT - No AVS.

> *Meds: *100mg Spiro, 40 MEQ Potassium, 1800mg Calcium, 500mg Magnesium,

> 100,000UI Vit D (weekly), 20mg Omeprazole

> *Side effects: *Gynecomastia, stomach inflammation

> Other 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 Pain

>

> *DASH: Started "sort of" DASHing 5/3/2011*

>

August 27, 2011

I am Dashing...have been for about three weeks now. My blood pressurejust a few minutes ago was 144/99. My doctor feels that my HBP is notcaused solely by my PA. He said that he would be happy if I couldconsistently have a BP of 140/90.

We are all different.I think if your HTN is caused by PA alone, then Dashing and Spiro willdefinitely do the trick.Before I started the Spiro and dashing, my BP was as high as 210/127.I read how some people on this site are concerned if there blood pressure

is what mine is today (144/99). That's because their BP has never gonehigher than that, so that if high for them.I am hoping to reach 140/90 without having to add another blood pressuremedication to the Spiro.

Dash really that's the key now I take like 6.25mg of spiro every 3 days and my BP is around 110/70... so my dashing is taking care of me.

>

> Going to the Dr. in l l/2 hrs. time.

> I am on 100 mg. of Spiro (50 mg. twice daily)

> It has improved the BP somewhat but nowhere

> near where it should be and my pulse is very

> high. It usually is around 78 - 82 but it is

> now running up to 111.

> I think the Dr. indicated last time that he

> thought my HBP was not all due to hyperaldosteronism.

> He wants to add another medication.

> I have been on all of them over the last 20 odd

> years and they either don't work or I have terrible

> side effects.

> Diovan, Micardis & Cozaar (all from the same family)

> seemed to be tolerated by me, but I don't think it

> did much to reduce the BP.

> I think he is going to want to add Micardis but I

> read somewhere that it is counterproductive with the

> Spiro.

> Please.....let me know what are the no-nos to add

> and what is the best one to add. Thanks for your

> help.

>

-- Jan ShimanoHealth & Wellness Advocate

August 27, 2011

But what about the excess aldo? Isnt that still doing damage if no Spiro to block the receptors? or am I misunderstanding that?

Dash really that's the key now I take like 6.25mg of spiro every 3 days and my BP is around 110/70... so my dashing is taking care of me.

>

> Going to the Dr. in l l/2 hrs. time.

> I am on 100 mg. of Spiro (50 mg. twice daily)

> It has improved the BP somewhat but nowhere

> near where it should be and my pulse is very

> high. It usually is around 78 - 82 but it is

> now running up to 111.

> I think the Dr. indicated last time that he

> thought my HBP was not all due to hyperaldosteronism.

> He wants to add another medication.

> I have been on all of them over the last 20 odd

> years and they either don't work or I have terrible

> side effects.

> Diovan, Micardis & Cozaar (all from the same family)

> seemed to be tolerated by me, but I don't think it

> did much to reduce the BP.

> I think he is going to want to add Micardis but I

> read somewhere that it is counterproductive with the

> Spiro.

> Please.....let me know what are the no-nos to add

> and what is the best one to add. Thanks for your

> help.

>

-- ============================================================================45-Male-Caucasian, 5'9 " - 234lbs, PA Diagnosed 2007 Suspected Hyperplasia-No tumors on CT - No AVS.

Meds: 100mg Spiro, 40 MEQ Potassium, 1800mg 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 Pole, Right Flank Pain

DASH: Started " sort of " DASHing 5/3/2011

August 27, 2011

The data suggests in humans and animals that for aldo to do its damage you must have excess sodium. No excess sodium little damage it appears.CE Grim MD But what about the excess aldo? Isnt that still doing damage if no Spiro to block the receptors? or am I misunderstanding that? Dash really that's the key now I take like 6.25mg of spiro every 3 days and my BP is around 110/70... so my dashing is taking care of me. > > Going to the Dr. in l l/2 hrs. time. > I am on 100 mg. of Spiro (50 mg. twice daily) > It has improved the BP somewhat but nowhere > near where it should be and my pulse is very > high. It usually is around 78 - 82 but it is > now running up to 111. > I think the Dr. indicated last time that he > thought my HBP was not all due to hyperaldosteronism. > He wants to add another medication. > I have been on all of them over the last 20 odd > years and they either don't work or I have terrible > side effects. > Diovan, Micardis & Cozaar (all from the same family) > seemed to be tolerated by me, but I don't think it > did much to reduce the BP. > I think he is going to want to add Micardis but I > read somewhere that it is counterproductive with the > Spiro. > Please.....let me know what are the no-nos to add > and what is the best one to add. Thanks for your > help. > -- ============================================================================45-Male-Caucasian, 5'9"- 234lbs, PA Diagnosed 2007 Suspected Hyperplasia-No tumors on CT - No AVS. Meds: 100mg Spiro, 40 MEQ Potassium, 1800mg 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 Pole, Right Flank Pain DASH: Started "sort of" DASHing 5/3/2011

August 28, 2011

But how long does that sodium have to be in the an excess state? I think I recall you saying if one were going to fall off the wagon for salt intake, it is better to have it all in one meal, or in burst mode, than nibbling all day long on excess salt.

I was also wondering how effective Spiro is at removing excess salt? It is a diuretic, right? Does it do much to get rid of the salt? If someone is very salt sensative, is higher spiro intake more realistic than assuming they can maintain a low salt diet all the time. Wouldnt more spiro be sort of an insurance policy?

It might depend on what type of damage they were looking at. What doesn't seem to be well studed is the affect aldo has on the brain.

> > >

> > > Going to the Dr. in l l/2 hrs. time.

> > > I am on 100 mg. of Spiro (50 mg. twice daily)

> > > It has improved the BP somewhat but nowhere

> > > near where it should be and my pulse is very

> > > high. It usually is around 78 - 82 but it is

> > > now running up to 111.

> > > I think the Dr. indicated last time that he

> > > thought my HBP was not all due to hyperaldosteronism.

> > > He wants to add another medication.

> > > I have been on all of them over the last 20 odd

> > > years and they either don't work or I have terrible

> > > side effects.

> > > Diovan, Micardis & Cozaar (all from the same family)

> > > seemed to be tolerated by me, but I don't think it

> > > did much to reduce the BP.

> > > I think he is going to want to add Micardis but I

> > > read somewhere that it is counterproductive with the

> > > Spiro.

> > > Please.....let me know what are the no-nos to add

> > > and what is the best one to add. Thanks for your

> > > help.

> > >

> >

> > --

> > =

> > ======================================================================

> > 45-Male-Caucasian, 5'9 " - 234lbs, PA Diagnosed 2007 Suspected

> > Hyperplasia-No tumors on CT - No AVS.

> > Meds: 100mg Spiro, 40 MEQ Potassium, 1800mg Calcium, 500mg

> > Magnesium, 100,000UI Vit D (weekly), 20mg Omeprazole

> > Side effects: Gynecomastia, stomach inflammation

> > Other 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 Pain

> >

> > DASH: Started " sort of " DASHing 5/3/2011

> >

>

-- ============================================================================45-Male-Caucasian, 5'9 " - 234lbs, PA Diagnosed 2007 Suspected Hyperplasia-No tumors on CT - No AVS.

Meds: 100mg Spiro, 40 MEQ Potassium, 1800mg 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 Pole, Right Flank Pain

DASH: Started " sort of " DASHing 5/3/2011

August 28, 2011

But for a person insisting and/or simply refusing to do a low salt diet in the face of PA and relying only spiro runs the risk still of outsalting the spiro and that is kind of playing with fire. HTN is a silent killer but is a killer in the long run - shorter for some others. Kind of like being allergic to peanuts but saying I will just take my epinepherine shot BEFORE I eat the peanuts because I love peanuts. Or having cirrhosis and saying I am drinking anyway because I like it and I will just take gamma globulin to shrink my liver.

In the PA case not only do we risk kidney, heart, brain damage, etc, but eating the higher sodium food (which is often higher caloric too) we gain weight, and weight seems to be a festering issue for so many on this list as many mention that it bothers them nearly every posting. Weight doesn't help HTN and what if the HTN is now not only due to PA but high cholesterol and obesity?

Then someone has shot their self with two bullets.

It might depend on what type of damage they were looking at. What doesn't seem to be well studed is the affect aldo has on the brain.

> > >> > > Going to the Dr. in l l/2 hrs. time.> > > I am on 100 mg. of Spiro (50 mg. twice daily)> > > It has improved the BP somewhat but nowhere> > > near where it should be and my pulse is very> > > high. It usually is around 78 - 82 but it is> > > now running up to 111.> > > I think the Dr. indicated last time

that he> > > thought my HBP was not all due to hyperaldosteronism.> > > He wants to add another medication.> > > I have been on all of them over the last 20 odd> > > years and they either don't work or I have terrible> > > side effects.> > > Diovan, Micardis & Cozaar (all from the same family)> > > seemed to be tolerated by me, but I don't think it> > > did much to reduce the BP.> > > I think he is going to want to add Micardis but I> > > read somewhere that it is counterproductive with the> > > Spiro.> > > Please.....let me know what are the no-nos to add> > > and what is the best one to add. Thanks for your> > > help.> > >> >> >> >> >> >> >> > -- > > = > > = >

> = > > = > > = > > = > > ======================================================================> > 45-Male-Caucasian, 5'9"- 234lbs, PA Diagnosed 2007 Suspected > > Hyperplasia-No tumors on CT - No AVS.> > Meds: 100mg Spiro, 40 MEQ Potassium, 1800mg Calcium, 500mg > > Magnesium, 100,000UI Vit D (weekly), 20mg Omeprazole> > Side effects: Gynecomastia, stomach inflammation> > Other 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 Pain> >> > DASH: Started "sort of" DASHing 5/3/2011> >> >> >> >>

--

============================================================================45-Male-Caucasian, 5'9"- 234lbs, PA Diagnosed 2007 Suspected Hyperplasia-No tumors on CT - No AVS.Meds: 100mg Spiro, 40 MEQ Potassium, 1800mg 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 Pole, Right Flank Pain

DASH: Started "sort of" DASHing 5/3/2011

August 28, 2011

You would deplete your potassium at the same time. Sodium is the culprit driving the aldosterone and the BP, but low K is the culprit behind our symptoms and complaints. It would be a hard balancing act and diruetics have other effects outside of just water and sodium. Wouldn't it be easier just to lower one's sodium, it's not hard to do, and everyone cheats a little now and then and enjoys something they love, then to rely on pills? Plus you get healthier, lose weight, and save you heart brain and kidneys....among others

It might depend on what type of damage they were looking at. What doesn't seem to be well studed is the affect aldo has on the brain.

> > >> > > Going to the Dr. in l l/2 hrs. time.> > > I am on 100 mg. of Spiro (50 mg. twice daily)> > > It has improved the BP somewhat but nowhere> > > near where it should be and my pulse is very> > > high. It usually is around 78 - 82 but it is> > > now running up to 111.> > > I think the Dr. indicated last time

that he> > > thought my HBP was not all due to hyperaldosteronism.> > > He wants to add another medication.> > > I have been on all of them over the last 20 odd> > > years and they either don't work or I have terrible> > > side effects.> > > Diovan, Micardis & Cozaar (all from the same family)> > > seemed to be tolerated by me, but I don't think it> > > did much to reduce the BP.> > > I think he is going to want to add Micardis but I> > > read somewhere that it is counterproductive with the> > > Spiro.> > > Please.....let me know what are the no-nos to add> > > and what is the best one to add. Thanks for your> > > help.> > >> >> >> >> >> >> >> > -- > > = > > = >

> = > > = > > = > > = > > ======================================================================> > 45-Male-Caucasian, 5'9"- 234lbs, PA Diagnosed 2007 Suspected > > Hyperplasia-No tumors on CT - No AVS.> > Meds: 100mg Spiro, 40 MEQ Potassium, 1800mg Calcium, 500mg > > Magnesium, 100,000UI Vit D (weekly), 20mg Omeprazole> > Side effects: Gynecomastia, stomach inflammation> > Other 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 Pain> >> > DASH: Started "sort of" DASHing 5/3/2011> >> >> >> >>

--

============================================================================45-Male-Caucasian, 5'9"- 234lbs, PA Diagnosed 2007 Suspected Hyperplasia-No tumors on CT - No AVS.Meds: 100mg Spiro, 40 MEQ Potassium, 1800mg 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 Pole, Right Flank Pain

DASH: Started "sort of" DASHing 5/3/2011

August 28, 2011

With the spiro and PA it is the mineralcorticoid effect - blocking the aldosterone - and not the diuretic effect which is minimal in spiro anyway, that helps us.

It might depend on what type of damage they were looking at. What doesn't seem to be well studed is the affect aldo has on the brain.

> > >> > > Going to the Dr. in l l/2 hrs. time.> > > I am on 100 mg. of Spiro (50 mg. twice daily)> > > It has improved the BP somewhat but nowhere> > > near where it should be and my pulse is very> > > high. It usually is around 78 - 82 but it is> > > now running up to 111.> > > I think the Dr. indicated last time

that he> > > thought my HBP was not all due to hyperaldosteronism.> > > He wants to add another medication.> > > I have been on all of them over the last 20 odd> > > years and they either don't work or I have terrible> > > side effects.> > > Diovan, Micardis & Cozaar (all from the same family)> > > seemed to be tolerated by me, but I don't think it> > > did much to reduce the BP.> > > I think he is going to want to add Micardis but I> > > read somewhere that it is counterproductive with the> > > Spiro.> > > Please.....let me know what are the no-nos to add> > > and what is the best one to add. Thanks for your> > > help.> > >> >> >> >> >> >> >> > -- > > = > > = >

> = > > = > > = > > = > > ======================================================================> > 45-Male-Caucasian, 5'9"- 234lbs, PA Diagnosed 2007 Suspected > > Hyperplasia-No tumors on CT - No AVS.> > Meds: 100mg Spiro, 40 MEQ Potassium, 1800mg Calcium, 500mg > > Magnesium, 100,000UI Vit D (weekly), 20mg Omeprazole> > Side effects: Gynecomastia, stomach inflammation> > Other 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 Pain> >> > DASH: Started "sort of" DASHing 5/3/2011> >> >> >> >>

--

============================================================================45-Male-Caucasian, 5'9"- 234lbs, PA Diagnosed 2007 Suspected Hyperplasia-No tumors on CT - No AVS.Meds: 100mg Spiro, 40 MEQ Potassium, 1800mg 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 Pole, Right Flank Pain

DASH: Started "sort of" DASHing 5/3/2011

August 28, 2011

I have such a hell of a time executing DASH 100%. I dont like to excercise unless it is something productive. I have a friend laugh at me once when I said it take me 2hrs to vacuum our house, and that I am sweating like a wet towel when i am done...more than I do if I walk 45 minutes. I have a 3 story home and about 6300 sqft to clean. That is no small task. I push mow my lawn rather than using a rider. It takes me about 45 minutes. I am sweating like mad from that. When my symptoms are really acting up, it is difficult to get through it on hot days. I shovel my driveway in the winter and have just a small electric snowblower. I sold my huge snowblower 4 years ago. I had a stress test about 6-7 years ago for the stabbing pains I would get in my chest. Doc was amazed at how good of shape i was in even though I was obese. It is simple: I eat too damn much. I stress eat and I like food. I love to cook and I love to eat. My family doesnt like all my DASH options, They still want the pizza, etc...and so do I. If I could take a pill that would ward off most of the salt effects of PA and maybe I give up a few years at the end to not have to fester about DASH and all this other stuff I dont want to do, I would take that door. Noone really wants to help me figure out what that door is in the forum. All i get is Spiro/DASH. Iam very thankful we have that option and I commend Dr Grim and others for getting us this far in understand PA. But, I also would like door number 2. I have cut alot of salt out of my diet, and technically dashing on my last urine test as the K was Higher than NA. 1.1 to 1 ratio. My BP is normal, but I still have more symptoms since i stopped taking HCTZ. I dont understand why. I doubled spiro after getting of HCTZ and eat a faction of the salt I was eating before I stopped HCTZ. I am still taking the same about of potassium and adding in all the low Sodium V8, and dash like eating. Yes, I still have pizza about every 10 days or so and eat way more than I should when I do. But, if my doc told me that sex would kill me, I would not stop just to stay alive. Granted, pizza isnt really a good comparison...lol. But you get my point. Eating is a big part of living...at least for me

I think Dr. Grim said something like, " On this hand I offer you your life, on the other hand is the salt shaker and death " . I want my life, but want to figure out how to have just a packet or 2 of salt and not the whole shaker. I can easily go 90% DASH, but I am not going to give up eating some of the foods I like forever just to walk on the planet a few years longer. I am only 45 and would like to be here as long as possible, but I still want to LIVE. Eating is part of that, so help me find a way to have my cake and eat it to...just a little bit.

You would deplete your potassium at the same time. Sodium is the culprit driving the aldosterone and the BP, but low K is the culprit behind our symptoms and complaints. It would be a hard balancing act and diruetics have other effects outside of just water and sodium. Wouldn't it be easier just to lower one's sodium, it's not hard to do, and everyone cheats a little now and then and enjoys something they love, then to rely on pills? Plus you get healthier, lose weight, and save you heart brain and kidneys....among others

It might depend on what type of damage they were looking at. What doesn't seem to be well studed is the affect aldo has on the brain.

> > >> > > Going to the Dr. in l l/2 hrs. time.> > > I am on 100 mg. of Spiro (50 mg. twice daily)> > > It has improved the BP somewhat but nowhere

> > > near where it should be and my pulse is very> > > high. It usually is around 78 - 82 but it is> > > now running up to 111.> > > I think the Dr. indicated last time

that he> > > thought my HBP was not all due to hyperaldosteronism.> > > He wants to add another medication.> > > I have been on all of them over the last 20 odd> > > years and they either don't work or I have terrible

> > > side effects.> > > Diovan, Micardis & Cozaar (all from the same family)> > > seemed to be tolerated by me, but I don't think it> > > did much to reduce the BP.

> > > I think he is going to want to add Micardis but I> > > read somewhere that it is counterproductive with the> > > Spiro.> > > Please.....let me know what are the no-nos to add

> > > and what is the best one to add. Thanks for your> > > help.> > >> >> >> >> >> >> >> > -- > > = > > =

>

> = > > = > > = > > = > > ======================================================================> > 45-Male-Caucasian, 5'9 " - 234lbs, PA Diagnosed 2007 Suspected

> > Hyperplasia-No tumors on CT - No AVS.> > Meds: 100mg Spiro, 40 MEQ Potassium, 1800mg Calcium, 500mg > > Magnesium, 100,000UI Vit D (weekly), 20mg Omeprazole> > Side effects: Gynecomastia, stomach inflammation

> > Other 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 Pain> >> > DASH: Started " sort of " DASHing 5/3/2011> >> >> >> >>

--

============================================================================45-Male-Caucasian, 5'9 " - 234lbs, PA Diagnosed 2007 Suspected Hyperplasia-No tumors on CT - No AVS.

Meds: 100mg Spiro, 40 MEQ Potassium, 1800mg 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 Pole, Right Flank Pain

DASH: Started " sort of " DASHing 5/3/2011

-- ============================================================================45-Male-Caucasian, 5'9 " - 234lbs, PA Diagnosed 2007 Suspected Hyperplasia-No tumors on CT - No AVS.

Meds: 100mg Spiro, 40 MEQ Potassium, 1800mg 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 Pole, Right Flank Pain

DASH: Started " sort of " DASHing 5/3/2011

August 28, 2011