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The risk of esophageal cancer related to GERD (Barrets Esophagus) is less than once thought. It.s actually 1/2 of 1/2 percent. Treating GERD is usually more lifestyle, meaning it keeps us awake, bothers us when we laugh too much, exercise, etc.....good news is the risk for cancer is actually alot lower than this risk for cancer by eating red meat, diet sodas, etc...

http://www.medscape.com/viewarticle/745160---

Subject: Re: Renal Calcium Leak, Plugged!To: hyperaldosteronism Date: Tuesday, August 30, 2011, 1:49 AM

Congrats.. BTW you take omeprazole, that interferes with mg absorption and Calcium as well ( not sure about calcium ) >> So, I received some more of my blood work today and I am happy to report that the lower sodium intake has dropped my PTH well into the normal range and calcium is holding at the low-middle normal test range. Cant wait to talk to the endo about that on Friday. Thanks Dr. Grim. You were right again!> I may not be 100% dashing properly, and still eating like a horse, but i must be doing something right with the salt intake.> > ============================================================================>

45-Male-Caucasian, 5'9"- 242lbs, PA Diagnosed 2007 Suspected Hyperplasia-No tumors on CT - No AVS.> Meds: 100mg Spiro, 40meq 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 PainDASH: Started "sort of" DASHing 5/3/2011>

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The risk of esophageal cancer related to GERD (Barrets Esophagus) is less than once thought. It.s actually 1/2 of 1/2 percent. Treating GERD is usually more lifestyle, meaning it keeps us awake, bothers us when we laugh too much, exercise, etc.....good news is the risk for cancer is actually alot lower than this risk for cancer by eating red meat, diet sodas, etc...

http://www.medscape.com/viewarticle/745160---

Subject: Re: Renal Calcium Leak, Plugged!To: hyperaldosteronism Date: Tuesday, August 30, 2011, 1:49 AM

Congrats.. BTW you take omeprazole, that interferes with mg absorption and Calcium as well ( not sure about calcium ) >> So, I received some more of my blood work today and I am happy to report that the lower sodium intake has dropped my PTH well into the normal range and calcium is holding at the low-middle normal test range. Cant wait to talk to the endo about that on Friday. Thanks Dr. Grim. You were right again!> I may not be 100% dashing properly, and still eating like a horse, but i must be doing something right with the salt intake.> > ============================================================================>

45-Male-Caucasian, 5'9"- 242lbs, PA Diagnosed 2007 Suspected Hyperplasia-No tumors on CT - No AVS.> Meds: 100mg Spiro, 40meq 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 PainDASH: Started "sort of" DASHing 5/3/2011>

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I was told by a Mayo Dr. that GERD can cause problems and not have symptoms. I do not have Barrets Esophagus. Part of the reason to take a PPI when you have GERD and hiatal hernia it to prevent BE...which is a precursor to cancer. Alot of singers with vocal fatigue come to find out that it is GERD causing the problem, even though they didnt have classic heartburn symptoms. I have been in ER 2 times thinking I was have heart problems that turned out to be GERD. So, lifestyle may be part of it, but i guarantee you if i didnt take a PPI I would not be drinking low Sodium V8 juice, or taking K pills like I am. My dad has the exact same problem and has been taking a PPI for over 25 years. My grandfather died from esophageal cancer. I can assure you I would rather have a heart attack caused by PA than die from cancer the way

he did or from breast cancer like my mother did. Sudden cardiac death = 3 seconds of consiousness and then you are out of the game. One hell of a lot better way to go than any form of cancer. My Mayo Dr, yelled at me for not taking the PPI for a year. He said that it was one thing I could to avoid long term complication of GERD. Hard to prevent relux 100% when you have a hiatal hernia. If you ever woke up n the night and got puke in your lungs from reflux, you would take the PPI if it helped prevent that. Raising your bed only helps so much. Not eating late only helps so much. Being thin helps, if you are actually thin. But, there is a long road between where i am today and where I would need to be to even consider dropping the PPI, but that is just me. ============================================================================45-Male-Caucasian, 5'9"- 242lbs, PA Diagnosed

2007 Suspected Hyperplasia-No tumors on CT - No AVS.Meds: 100mg Spiro, 40meq 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 PainDASH: Started "sort of" DASHing 5/3/2011To: hyperaldosteronism Sent: Tuesday, August 30, 2011 7:37 AMSubject: Re: Re: Renal Calcium Leak, Plugged!

The risk of esophageal cancer related to GERD (Barrets Esophagus) is less than once thought. It.s actually 1/2 of 1/2 percent. Treating GERD is usually more lifestyle, meaning it keeps us awake, bothers us when we laugh too much, exercise, etc.....good news is the risk for cancer is actually alot lower than this risk for cancer by eating red meat, diet sodas, etc...

http://www.medscape.com/viewarticle/745160---

Subject: Re: Renal Calcium Leak, Plugged!To: hyperaldosteronism Date: Tuesday, August 30, 2011, 1:49 AM

Congrats.. BTW you take omeprazole, that interferes with mg absorption and Calcium as well ( not sure about calcium ) >> So, I received some more of my blood work today and I am happy to report that the lower sodium intake has dropped my PTH well into the normal range and calcium is holding at the low-middle normal test range. Cant wait to talk to the endo about that on Friday. Thanks Dr. Grim. You were right again!> I may not be 100% dashing properly, and still eating like a horse, but i must be doing something right with the salt intake.> > ============================================================================>

45-Male-Caucasian, 5'9"- 242lbs, PA Diagnosed 2007 Suspected Hyperplasia-No tumors on CT - No AVS.> Meds: 100mg Spiro, 40meq 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 PainDASH: Started "sort of" DASHing 5/3/2011>

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I was told by a Mayo Dr. that GERD can cause problems and not have symptoms. I do not have Barrets Esophagus. Part of the reason to take a PPI when you have GERD and hiatal hernia it to prevent BE...which is a precursor to cancer. Alot of singers with vocal fatigue come to find out that it is GERD causing the problem, even though they didnt have classic heartburn symptoms. I have been in ER 2 times thinking I was have heart problems that turned out to be GERD. So, lifestyle may be part of it, but i guarantee you if i didnt take a PPI I would not be drinking low Sodium V8 juice, or taking K pills like I am. My dad has the exact same problem and has been taking a PPI for over 25 years. My grandfather died from esophageal cancer. I can assure you I would rather have a heart attack caused by PA than die from cancer the way

he did or from breast cancer like my mother did. Sudden cardiac death = 3 seconds of consiousness and then you are out of the game. One hell of a lot better way to go than any form of cancer. My Mayo Dr, yelled at me for not taking the PPI for a year. He said that it was one thing I could to avoid long term complication of GERD. Hard to prevent relux 100% when you have a hiatal hernia. If you ever woke up n the night and got puke in your lungs from reflux, you would take the PPI if it helped prevent that. Raising your bed only helps so much. Not eating late only helps so much. Being thin helps, if you are actually thin. But, there is a long road between where i am today and where I would need to be to even consider dropping the PPI, but that is just me. ============================================================================45-Male-Caucasian, 5'9"- 242lbs, PA Diagnosed

2007 Suspected Hyperplasia-No tumors on CT - No AVS.Meds: 100mg Spiro, 40meq 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 PainDASH: Started "sort of" DASHing 5/3/2011To: hyperaldosteronism Sent: Tuesday, August 30, 2011 7:37 AMSubject: Re: Re: Renal Calcium Leak, Plugged!

The risk of esophageal cancer related to GERD (Barrets Esophagus) is less than once thought. It.s actually 1/2 of 1/2 percent. Treating GERD is usually more lifestyle, meaning it keeps us awake, bothers us when we laugh too much, exercise, etc.....good news is the risk for cancer is actually alot lower than this risk for cancer by eating red meat, diet sodas, etc...

http://www.medscape.com/viewarticle/745160---

Subject: Re: Renal Calcium Leak, Plugged!To: hyperaldosteronism Date: Tuesday, August 30, 2011, 1:49 AM

Congrats.. BTW you take omeprazole, that interferes with mg absorption and Calcium as well ( not sure about calcium ) >> So, I received some more of my blood work today and I am happy to report that the lower sodium intake has dropped my PTH well into the normal range and calcium is holding at the low-middle normal test range. Cant wait to talk to the endo about that on Friday. Thanks Dr. Grim. You were right again!> I may not be 100% dashing properly, and still eating like a horse, but i must be doing something right with the salt intake.> > ============================================================================>

45-Male-Caucasian, 5'9"- 242lbs, PA Diagnosed 2007 Suspected Hyperplasia-No tumors on CT - No AVS.> Meds: 100mg Spiro, 40meq 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 PainDASH: Started "sort of" DASHing 5/3/2011>

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But PPI's aren't the only thing, though they help. Weight loss is incredible at getting rid of tons of things in our lives like HTN, GERD, fatigue, DM etc.....

Subject: Re: Renal Calcium Leak, Plugged!To: hyperaldosteronism Date: Tuesday, August 30, 2011, 1:49 AM

Congrats.. BTW you take omeprazole, that interferes with mg absorption and Calcium as well ( not sure about calcium ) > > So, I received some more of my blood work today and I am happy to report that the lower sodium intake has dropped my PTH well into the normal range and calcium is holding at the low-middle normal test range. Cant wait to talk to the endo about that on Friday. Thanks Dr. Grim. You were right again! > I may not be 100% dashing properly, and still eating like a horse, but i must be doing something right with the salt intake. > > ============================================================================ > 45-Male-Caucasian, 5'9"- 242lbs, PA Diagnosed 2007 Suspected Hyperplasia-No tumors on CT

- No AVS. > Meds: 100mg Spiro, 40meq 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 PainDASH: Started "sort of" DASHing 5/3/2011 >

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But PPI's aren't the only thing, though they help. Weight loss is incredible at getting rid of tons of things in our lives like HTN, GERD, fatigue, DM etc.....

Subject: Re: Renal Calcium Leak, Plugged!To: hyperaldosteronism Date: Tuesday, August 30, 2011, 1:49 AM

Congrats.. BTW you take omeprazole, that interferes with mg absorption and Calcium as well ( not sure about calcium ) > > So, I received some more of my blood work today and I am happy to report that the lower sodium intake has dropped my PTH well into the normal range and calcium is holding at the low-middle normal test range. Cant wait to talk to the endo about that on Friday. Thanks Dr. Grim. You were right again! > I may not be 100% dashing properly, and still eating like a horse, but i must be doing something right with the salt intake. > > ============================================================================ > 45-Male-Caucasian, 5'9"- 242lbs, PA Diagnosed 2007 Suspected Hyperplasia-No tumors on CT

- No AVS. > Meds: 100mg Spiro, 40meq 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 PainDASH: Started "sort of" DASHing 5/3/2011 >

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Yeah. But that doesnt happen over night. My sister-in-law is skinny as a rail and she has GERD worse than i do. And if you have a hiatal hernia, skinny doesnt solve it. Sure, less of a problem, but still a problem never the less. If/when I lose the lard it took 25 years to store, I will give it another shot. For now, I dont see the benefit out weighing the risk. ============================================================================45-Male-Caucasian, 5'9"- 242lbs, PA Diagnosed 2007 Suspected Hyperplasia-No tumors on CT - No AVS.Meds: 100mg Spiro, 40meq 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 PainDASH: Started "sort of" DASHing 5/3/2011From: Bingham

To: hyperaldosteronism Sent: Tuesday, August 30, 2011 10:31 AMSubject: Re: Re: Renal Calcium Leak, Plugged!

But PPI's aren't the only thing, though they help. Weight loss is incredible at getting rid of tons of things in our lives like HTN, GERD, fatigue, DM etc.....

Subject: Re: Renal Calcium Leak, Plugged!To: hyperaldosteronism Date: Tuesday, August 30, 2011, 1:49 AM

Congrats.. BTW you take omeprazole, that interferes with mg absorption and Calcium as well ( not sure about calcium ) > > So, I received some more of my blood work today and I am happy to report that the lower sodium intake has dropped my PTH well into the normal range and calcium is holding at the low-middle normal test range. Cant wait to talk to the endo about that on Friday. Thanks Dr. Grim. You were right again! > I may not be 100% dashing properly, and still eating like a horse, but i must be doing something right with the salt intake. > > ============================================================================ > 45-Male-Caucasian, 5'9"- 242lbs, PA Diagnosed 2007 Suspected Hyperplasia-No tumors on

CT

- No AVS. > Meds: 100mg Spiro, 40meq 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 PainDASH: Started "sort of" DASHing 5/3/2011 >

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CPAP mostly cured mine. Ever been tested? Easier than losing weight.Also helped my nocturia. CE Grim MD I was told by a Mayo Dr. that GERD can cause problems and not have symptoms. I do not have Barrets Esophagus. Part of the reason to take a PPI when you have GERD and hiatal hernia it to prevent BE...which is a precursor to cancer. Alot of singers with vocal fatigue come to find out that it is GERD causing the problem, even though they didnt have classic heartburn symptoms. I have been in ER 2 times thinking I was have heart problems that turned out to be GERD. So, lifestyle may be part of it, but i guarantee you if i didnt take a PPI I would not be drinking low Sodium V8 juice, or taking K pills like I am. My dad has the exact same problem and has been taking a PPI for over 25 years. My grandfather died from esophageal cancer. I can assure you I would rather have a heart attack caused by PA than die from cancer the way he did or from breast cancer like my mother did. Sudden cardiac death = 3 seconds of consiousness and then you are out of the game. One hell of a lot better way to go than any form of cancer. My Mayo Dr, yelled at me for not taking the PPI for a year. He said that it was one thing I could to avoid long term complication of GERD. Hard to prevent relux 100% when you have a hiatal hernia. If you ever woke up n the night and got puke in your lungs from reflux, you would take the PPI if it helped prevent that. Raising your bed only helps so much. Not eating late only helps so much. Being thin helps, if you are actually thin. But, there is a long road between where i am today and where I would need to be to even consider dropping the PPI, but that is just me. ============================================================================45-Male-Caucasian, 5'9"- 242lbs, PA Diagnosed 2007 Suspected Hyperplasia-No tumors on CT - No AVS.Meds: 100mg Spiro, 40meq 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 PainDASH: Started "sort of" DASHing 5/3/2011To: hyperaldosteronism Sent: Tuesday, August 30, 2011 7:37 AMSubject: Re: Re: Renal Calcium Leak, Plugged! The risk of esophageal cancer related to GERD (Barrets Esophagus) is less than once thought. It.s actually 1/2 of 1/2 percent. Treating GERD is usually more lifestyle, meaning it keeps us awake, bothers us when we laugh too much, exercise, etc.....good news is the risk for cancer is actually alot lower than this risk for cancer by eating red meat, diet sodas, etc... http://www.medscape.com/viewarticle/745160--- Subject: Re: Renal Calcium Leak, Plugged!To: hyperaldosteronism Date: Tuesday, August 30, 2011, 1:49 AM Congrats.. BTW you take omeprazole, that interferes with mg absorption and Calcium as well ( not sure about calcium ) >> So, I received some more of my blood work today and I am happy to report that the lower sodium intake has dropped my PTH well into the normal range and calcium is holding at the low-middle normal test range. Cant wait to talk to the endo about that on Friday. Thanks Dr. Grim. You were right again!> I may not be 100% dashing properly, and still eating like a horse, but i must be doing something right with the salt intake.> > ============================================================================> 45-Male-Caucasian, 5'9"- 242lbs, PA Diagnosed 2007 Suspected Hyperplasia-No tumors on CT - No AVS.> Meds: 100mg Spiro, 40meq 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 PainDASH: Started "sort of" DASHing 5/3/2011>

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Yes. I had a sleep study about 4 years ago. I had very little apnea, but just didnt get into deep sleep cycles very often and woke up often...maybe becuase they kept waking me up all the time. ============================================================================45-Male-Caucasian, 5'9"- 242lbs, PA Diagnosed 2007 Suspected Hyperplasia-No tumors on CT - No AVS.Meds: 100mg Spiro, 40meq 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 PainDASH: Started "sort of" DASHing 5/3/2011To: hyperaldosteronism Sent: Tuesday, August

30, 2011 11:54 AMSubject: Re: Re: Renal Calcium Leak, Plugged!

CPAP mostly cured mine. Ever been tested? Easier than losing weight.Also helped my nocturia. CE Grim MD I was told by a Mayo Dr. that GERD can cause problems and not have symptoms. I do not have Barrets Esophagus. Part of the reason to take a PPI when you have GERD and hiatal hernia it to prevent BE...which is a precursor to cancer. Alot of singers with vocal fatigue come to find out that it is GERD causing the problem, even though they didnt have classic heartburn

symptoms. I have been in ER 2 times thinking I was have heart problems that turned out to be GERD. So, lifestyle may be part of it, but i guarantee you if i didnt take a PPI I would not be drinking low Sodium V8 juice, or taking K pills like I am. My dad has the exact same problem and has been taking a PPI for over 25 years. My grandfather died from esophageal cancer. I can assure you I would rather have a heart attack caused by PA than die from cancer the way he did or from breast cancer like my mother did. Sudden cardiac death = 3 seconds of consiousness and then you are out of the game. One hell of a lot better way to go than any form of cancer. My Mayo Dr, yelled at me for not taking the PPI for a year. He said that it was one thing I could to avoid long term complication of GERD. Hard to prevent relux 100% when you have a hiatal hernia. If you ever woke up n the night and got puke in your lungs from reflux, you would take the PPI if it helped

prevent that. Raising your bed only helps so much. Not eating late only helps so much. Being thin helps, if you are actually thin. But, there is a long road between where i am today and where I would need to be to even consider dropping the PPI, but that is just me. ============================================================================45-Male-Caucasian, 5'9"- 242lbs, PA Diagnosed 2007 Suspected Hyperplasia-No tumors on CT - No AVS.Meds: 100mg Spiro, 40meq 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

PainDASH: Started "sort of" DASHing 5/3/2011To: hyperaldosteronism Sent: Tuesday, August 30, 2011 7:37 AMSubject: Re: Re: Renal Calcium Leak, Plugged! The risk of esophageal cancer related to GERD (Barrets Esophagus) is less than once thought. It.s actually 1/2 of 1/2 percent. Treating GERD is usually more lifestyle, meaning it keeps us awake, bothers us when we laugh too much, exercise, etc.....good news is the risk for cancer is actually alot lower than this risk for cancer by eating red meat, diet sodas, etc... http://www.medscape.com/viewarticle/745160 Subject: Re: Renal Calcium Leak, Plugged!To: hyperaldosteronism Date: Tuesday, August 30, 2011, 1:49 AM Congrats.. BTW you take omeprazole, that

interferes with mg absorption and Calcium as well ( not sure about calcium ) > > So, I received some more of my blood work today and I am happy to report that the lower sodium intake has dropped my PTH well into the normal range and calcium is holding at the low-middle normal test range. Cant wait to talk to the endo about that on Friday. Thanks Dr. Grim. You were right again! > I may not be 100% dashing properly, and still eating like a horse, but i must be doing something right with the salt intake. > > ============================================================================ > 45-Male-Caucasian, 5'9"- 242lbs, PA Diagnosed 2007 Suspected Hyperplasia-No tumors on CT - No AVS. > Meds: 100mg Spiro, 40meq

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

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Lol. We used a horse to collect too. It was easier to get aorudn in teh wet woods with ahorse than a tractor. Horse didnt get to eat much as i recall until he was back in the barn. ============================================================================45-Male-Caucasian, 5'9"- 242lbs, PA Diagnosed 2007 Suspected Hyperplasia-No tumors on CT - No AVS.Meds: 100mg Spiro, 40meq 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 PainDASH: Started "sort of" DASHing 5/3/2011To: hyperaldosteronism Sent: Tuesday, August 30, 2011 12:04

PMSubject: Re: Renal Calcium Leak, Plugged!

For you that don't know how a horse eats: In the spring when we were making Maple Syrup we used to give the horses oats at noon time. To do this we simply put the oats in a canvas bag, put it over the horses mouth and looped the rope handle behind the horse's ears! He then "chowed down" uninterrupted! JUST IMAGINE!

- 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.

>

> So, I received some more of my blood work today and I am happy to report that the lower sodium intake has dropped my PTH well into the normal range and calcium is holding at the low-middle normal test range. Cant wait to talk to the endo about that on Friday. Thanks Dr. Grim. You were right again!

> I may not be 100% dashing properly, and still eating like a horse, but i must be doing something right with the salt intake.

>

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

> 45-Male-Caucasian, 5'9"- 242lbs, PA Diagnosed 2007 Suspected Hyperplasia-No tumors on CT - No AVS.

> Meds: 100mg Spiro, 40meq 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 PainDASH: Started "sort of" DASHing 5/3/2011

>

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I have a long list of do not wants...but i suspect we dont get to pick the exit door. I might influence the odds with taking poor or better care of my body. I suppose if i left my PA untreated I could heavily influence and speed up my exit, but I want to be here so I have to just treat myself better. I made some yummy spagetti for lunch using all low sodium items. Made the sauce with nosalt added canned tomato products and whole wheat spagetti. I was going to get a second plate full, but stopped and had a handleful of grapes instead. Now that i waited, I am still feeling plenty full. I would have been stuffed if i would have had seconds.The nice thing is that the low sodium canned tomato products are loaded with Potassium and very little salt. I am planning to make

no salt chilli later in the week. ============================================================================45-Male-Caucasian, 5'9"- 242lbs, PA Diagnosed 2007 Suspected Hyperplasia-No tumors on CT - No AVS.Meds: 100mg Spiro, 40meq 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 PainDASH: Started "sort of" DASHing 5/3/2011To: hyperaldosteronism Sent: Tuesday, August 30, 2011 12:59 PMSubject: Re: Renal Calcium Leak, Plugged!

My dad had GERD and was never overweight (5'7". 145") Got much better when he retired from a stressful job and quick smoking, maybe even dodged cancer but Alzheimer got him! (Add that to your "do not wants", .

- 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.

> > So, I received some more of my blood work today and I am happy to report that the lower sodium intake has dropped my PTH well into the normal range and calcium is holding at the low-middle normal test range. Cant wait to talk to the endo about that on Friday. Thanks Dr. Grim. You were right again! > I may not be 100% dashing properly, and still eating like a horse, but i must be doing something right with the salt intake. > > ============================================================================ > 45-Male-Caucasian, 5'9"- 242lbs, PA Diagnosed 2007

Suspected Hyperplasia-No tumors on CT - No AVS. > Meds: 100mg Spiro, 40meq 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 PainDASH: Started "sort of" DASHing 5/3/2011 >

> >

>

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I sleep much better now using the nose stripes. Makes a world of differnece. took me about a month to stop tearring them off in my sleep, but now I dont even want to go to bed without one on. ============================================================================45-Male-Caucasian, 5'9"- 242lbs, PA Diagnosed 2007 Suspected Hyperplasia-No tumors on CT - No AVS.Meds: 100mg Spiro, 40meq 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 PainDASH: Started "sort of" DASHing 5/3/2011To: hyperaldosteronism Sent: Tuesday, August 30, 2011 1:11

PMSubject: Re: Renal Calcium Leak, Plugged!

Excellent point, Dr. G. , you are probably large enough so you would need a manditory sleep study to get a commericial drivers license! (I believe the rules state if neck size is > 17 1/2.) Been on bi-pap machine over 10 yrs and sleeping soundly every night! Ave up to 8hrs/night! BTW, you get a freebe if you can get your sleep into a block higher than 4hrs as that is when you enter REM sleep which is when your body burns stored fat cells!

- 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.

>> So, I received some more of

> > my blood work today and I am happy to report that the lower sodium

> > intake has dropped my PTH well into the normal range and calcium is

> > holding at the low-middle normal test range. Cant wait to talk to

> > the endo about that on Friday. Thanks Dr. Grim. You were right

> > again!> I may not be 100% dashing properly, and still eating like a

> > horse, but i must be doing something right with the salt intake.> >

> > =

> > =

> > =

> > =

> > =

> > =

> > =

> > =

> > =

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

> > 45-Male-Caucasian, 5'9"- 242lbs, PA Diagnosed 2007 Suspected

> > Hyperplasia-No tumors on CT - No AVS.> Meds: 100mg Spiro, 40meq

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

> >

> >

>

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Most DM in adults is from excess body fat and the genes that are under the fat.CE Grim MD I've noticed with DM that dropping 10% of my body weight has made my BS alot easier to control, most of the time in the low 110's as long as I control my right elbow! - 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. > > So, I received some more of my blood work today and I am happy to report that the lower sodium intake has dropped my PTH well into the normal range and calcium is holding at the low-middle normal test range. Cant wait to talk to the endo about that on Friday. Thanks Dr. Grim. You were right again! > I may not be 100% dashing properly, and still eating like a horse, but i must be doing something right with the salt intake. > > ============================================================================ > 45-Male-Caucasian, 5'9"- 242lbs, PA Diagnosed 2007 Suspected Hyperplasia-No tumors on CT - No AVS. > Meds: 100mg Spiro, 40meq 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 PainDASH: Started "sort of" DASHing 5/3/2011 > >

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Most DM in adults is from excess body fat and the genes that are under the fat.CE Grim MD I've noticed with DM that dropping 10% of my body weight has made my BS alot easier to control, most of the time in the low 110's as long as I control my right elbow! - 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. > > So, I received some more of my blood work today and I am happy to report that the lower sodium intake has dropped my PTH well into the normal range and calcium is holding at the low-middle normal test range. Cant wait to talk to the endo about that on Friday. Thanks Dr. Grim. You were right again! > I may not be 100% dashing properly, and still eating like a horse, but i must be doing something right with the salt intake. > > ============================================================================ > 45-Male-Caucasian, 5'9"- 242lbs, PA Diagnosed 2007 Suspected Hyperplasia-No tumors on CT - No AVS. > Meds: 100mg Spiro, 40meq 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 PainDASH: Started "sort of" DASHing 5/3/2011 > >

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Are you sleepy during the day?CE Grim MD Yes. I had a sleep study about 4 years ago. I had very little apnea, but just didnt get into deep sleep cycles very often and woke up often...maybe becuase they kept waking me up all the time. ============================================================================45-Male-Caucasian, 5'9"- 242lbs, PA Diagnosed 2007 Suspected Hyperplasia-No tumors on CT - No AVS.Meds: 100mg Spiro, 40meq 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 PainDASH: Started "sort of" DASHing 5/3/2011To: hyperaldosteronism Sent: Tuesday, August 30, 2011 11:54 AMSubject: Re: Re: Renal Calcium Leak, Plugged! CPAP mostly cured mine. Ever been tested? Easier than losing weight.Also helped my nocturia. CE Grim MD I was told by a Mayo Dr. that GERD can cause problems and not have symptoms. I do not have Barrets Esophagus. Part of the reason to take a PPI when you have GERD and hiatal hernia it to prevent BE...which is a precursor to cancer. Alot of singers with vocal fatigue come to find out that it is GERD causing the problem, even though they didnt have classic heartburn symptoms. I have been in ER 2 times thinking I was have heart problems that turned out to be GERD. So, lifestyle may be part of it, but i guarantee you if i didnt take a PPI I would not be drinking low Sodium V8 juice, or taking K pills like I am. My dad has the exact same problem and has been taking a PPI for over 25 years. My grandfather died from esophageal cancer. I can assure you I would rather have a heart attack caused by PA than die from cancer the way he did or from breast cancer like my mother did. Sudden cardiac death = 3 seconds of consiousness and then you are out of the game. One hell of a lot better way to go than any form of cancer. My Mayo Dr, yelled at me for not taking the PPI for a year. He said that it was one thing I could to avoid long term complication of GERD. Hard to prevent relux 100% when you have a hiatal hernia. If you ever woke up n the night and got puke in your lungs from reflux, you would take the PPI if it helped prevent that. Raising your bed only helps so much. Not eating late only helps so much. Being thin helps, if you are actually thin. But, there is a long road between where i am today and where I would need to be to even consider dropping the PPI, but that is just me. ============================================================================45-Male-Caucasian, 5'9"- 242lbs, PA Diagnosed 2007 Suspected Hyperplasia-No tumors on CT - No AVS.Meds: 100mg Spiro, 40meq 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 PainDASH: Started "sort of" DASHing 5/3/2011To: hyperaldosteronism Sent: Tuesday, August 30, 2011 7:37 AMSubject: Re: Re: Renal Calcium Leak, Plugged! The risk of esophageal cancer related to GERD (Barrets Esophagus) is less than once thought. It.s actually 1/2 of 1/2 percent. Treating GERD is usually more lifestyle, meaning it keeps us awake, bothers us when we laugh too much, exercise, etc.....good news is the risk for cancer is actually alot lower than this risk for cancer by eating red meat, diet sodas, etc... http://www.medscape.com/viewarticle/745160 Subject: Re: Renal Calcium Leak, Plugged!To: hyperaldosteronism Date: Tuesday, August 30, 2011, 1:49 AM Congrats.. BTW you take omeprazole, that interferes with mg absorption and Calcium as well ( not sure about calcium ) > > So, I received some more of my blood work today and I am happy to report that the lower sodium intake has dropped my PTH well into the normal range and calcium is holding at the low-middle normal test range. Cant wait to talk to the endo about that on Friday. Thanks Dr. Grim. You were right again! > I may not be 100% dashing properly, and still eating like a horse, but i must be doing something right with the salt intake. > > ============================================================================ > 45-Male-Caucasian, 5'9"- 242lbs, PA Diagnosed 2007 Suspected Hyperplasia-No tumors on CT - No AVS. > Meds: 100mg Spiro, 40meq 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 PainDASH: Started "sort of" DASHing 5/3/2011 >

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Smoking and Alz would be my guess as they often go together. Vascular damage My dad had GERD and was never overweight (5'7". 145") Got much better when he retired from a stressful job and quick smoking, maybe even dodged cancer but Alzheimer got him! (Add that to your "do not wants", . - 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. > > So, I received some more of my blood work today and I am happy to report that the lower sodium intake has dropped my PTH well into the normal range and calcium is holding at the low-middle normal test range. Cant wait to talk to the endo about that on Friday. Thanks Dr. Grim. You were right again! > I may not be 100% dashing properly, and still eating like a horse, but i must be doing something right with the salt intake. > > ============================================================================ > 45-Male-Caucasian, 5'9"- 242lbs, PA Diagnosed 2007 Suspected Hyperplasia-No tumors on CT - No AVS. > Meds: 100mg Spiro, 40meq 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 PainDASH: Started "sort of" DASHing 5/3/2011 > > > >

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Smoking and Alz would be my guess as they often go together. Vascular damage My dad had GERD and was never overweight (5'7". 145") Got much better when he retired from a stressful job and quick smoking, maybe even dodged cancer but Alzheimer got him! (Add that to your "do not wants", . - 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. > > So, I received some more of my blood work today and I am happy to report that the lower sodium intake has dropped my PTH well into the normal range and calcium is holding at the low-middle normal test range. Cant wait to talk to the endo about that on Friday. Thanks Dr. Grim. You were right again! > I may not be 100% dashing properly, and still eating like a horse, but i must be doing something right with the salt intake. > > ============================================================================ > 45-Male-Caucasian, 5'9"- 242lbs, PA Diagnosed 2007 Suspected Hyperplasia-No tumors on CT - No AVS. > Meds: 100mg Spiro, 40meq 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 PainDASH: Started "sort of" DASHing 5/3/2011 > > > >

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I thought I read some where the Spiro may lessne the chance of Alz. Is that true? ============================================================================45-Male-Caucasian, 5'9"- 242lbs, PA Diagnosed 2007 Suspected Hyperplasia-No tumors on CT - No AVS.Meds: 100mg Spiro, 40meq 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 PainDASH: Started "sort of" DASHing 5/3/2011To: hyperaldosteronism Sent: Tuesday, August 30, 2011 1:21 PMSubject: Re: Re: Renal

Calcium Leak, Plugged!

Smoking and Alz would be my guess as they often go together. Vascular damage My dad had GERD and was never overweight (5'7". 145") Got much better when he retired from a stressful job and quick smoking, maybe even dodged cancer but Alzheimer got him! (Add that to your "do not wants", . - 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. > > So, I received some more of my blood work today and I am happy to report that the lower sodium intake has dropped my PTH well into the normal range and calcium is holding at the low-middle normal test range. Cant wait to talk to the endo about that on Friday. Thanks Dr. Grim. You were right again! > I may not be 100% dashing properly, and still eating like a horse, but i must be doing something right with the salt intake. > > ============================================================================ > 45-Male-Caucasian,

5'9"- 242lbs, PA Diagnosed 2007 Suspected Hyperplasia-No tumors on CT - No AVS. > Meds: 100mg Spiro, 40meq 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 PainDASH: Started "sort of" DASHing 5/3/2011 > > > >

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Not anymore. Not since I started using the nose stips a few years ago. ============================================================================45-Male-Caucasian, 5'9"- 242lbs, PA Diagnosed 2007 Suspected Hyperplasia-No tumors on CT - No AVS.Meds: 100mg Spiro, 40meq 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 PainDASH:

Started "sort of" DASHing 5/3/2011To: hyperaldosteronism Sent: Tuesday, August 30, 2011 1:21 PMSubject: Re: Re: Renal Calcium Leak,

Plugged!

Are you sleepy during the day?CE Grim MD Yes. I had a sleep study about 4 years ago. I had very little apnea, but just didnt get into deep sleep cycles very often and woke up often...maybe becuase they kept waking me up all the time. ============================================================================45-Male-Caucasian, 5'9"- 242lbs, PA Diagnosed 2007 Suspected Hyperplasia-No tumors on CT - No AVS.Meds: 100mg Spiro,

40meq 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 PainDASH: Started "sort of" DASHing 5/3/2011To: hyperaldosteronism Sent: Tuesday, August 30, 2011 11:54 AMSubject: Re: Re: Renal Calcium Leak, Plugged! CPAP mostly cured mine. Ever been tested? Easier than losing weight.Also helped my nocturia. CE Grim MD I was told by a Mayo Dr. that GERD can cause problems and not have symptoms. I do not have Barrets Esophagus. Part of the reason to take a PPI when you have GERD and hiatal hernia it to prevent BE...which is a precursor to cancer. Alot of singers with vocal fatigue come to find out that it is GERD causing the problem, even though they didnt have classic heartburn symptoms. I have been in ER 2 times thinking I was have heart problems that turned out to be GERD. So, lifestyle may be part of it, but i guarantee you if i didnt take a PPI I would not be drinking low Sodium V8 juice, or taking K pills like I am. My dad has the exact same problem

and has been taking a PPI for over 25 years. My grandfather died from esophageal cancer. I can assure you I would rather have a heart attack caused by PA than die from cancer the way he did or from breast cancer like my mother did. Sudden cardiac death = 3 seconds of consiousness and then you are out of the game. One hell of a lot better way to go than any form of cancer. My Mayo Dr, yelled at me for not taking the PPI for a year. He said that it was one thing I could to avoid long term complication of GERD. Hard to prevent relux 100% when you have a hiatal hernia. If you ever woke up n the night and got puke in your lungs from reflux, you would take the PPI if it helped prevent that. Raising your bed only helps so much. Not eating late only helps so much. Being thin helps, if you are actually thin. But, there is a long road between where i am today and where I would need to be to even consider dropping the PPI, but that is just me.

============================================================================45-Male-Caucasian, 5'9"- 242lbs, PA Diagnosed 2007 Suspected Hyperplasia-No tumors on CT - No AVS.Meds: 100mg Spiro, 40meq 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 PainDASH: Started "sort of" DASHing 5/3/2011To: hyperaldosteronism Sent: Tuesday, August 30, 2011 7:37 AMSubject: Re: Re: Renal Calcium Leak, Plugged! The risk of esophageal cancer related to GERD (Barrets Esophagus) is less than once thought. It.s actually 1/2 of 1/2 percent. Treating GERD is usually more lifestyle, meaning it keeps us awake, bothers us when we laugh too much, exercise, etc.....good news is the risk for cancer is actually alot lower than this risk for cancer by eating red meat, diet sodas, etc... http://www.medscape.com/viewarticle/745160 Subject: Re: Renal Calcium Leak, Plugged!To: hyperaldosteronism Date: Tuesday, August 30, 2011, 1:49 AM Congrats.. BTW you take omeprazole, that interferes with mg absorption and Calcium as well ( not sure about calcium ) > > So, I received some more of my

blood work today and I am happy to report that the lower sodium intake has dropped my PTH well into the normal range and calcium is holding at the low-middle normal test range. Cant wait to talk to the endo about that on Friday. Thanks Dr. Grim. You were right again! > I may not be 100% dashing properly, and still eating like a horse, but i must be doing something right with the salt intake. > > ============================================================================ > 45-Male-Caucasian, 5'9"- 242lbs, PA Diagnosed 2007 Suspected Hyperplasia-No tumors on CT - No AVS. > Meds: 100mg Spiro, 40meq 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 PainDASH: Started "sort of" DASHing 5/3/2011 >

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never see a study in PA but makes sense. High salt + Aldo leads to fibrosis heart, brain, kidney.CE Grim MD I thought I read some where the Spiro may lessne the chance of Alz. Is that true? ============================================================================45-Male-Caucasian, 5'9"- 242lbs, PA Diagnosed 2007 Suspected Hyperplasia-No tumors on CT - No AVS.Meds: 100mg Spiro, 40meq 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 PainDASH: Started "sort of" DASHing 5/3/2011To: hyperaldosteronism Sent: Tuesday, August 30, 2011 1:21 PMSubject: Re: Re: Renal Calcium Leak, Plugged! Smoking and Alz would be my guess as they often go together. Vascular damage My dad had GERD and was never overweight (5'7". 145") Got much better when he retired from a stressful job and quick smoking, maybe even dodged cancer but Alzheimer got him! (Add that to your "do not wants", . - 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. > > So, I received some more of my blood work today and I am happy to report that the lower sodium intake has dropped my PTH well into the normal range and calcium is holding at the low-middle normal test range. Cant wait to talk to the endo about that on Friday. Thanks Dr. Grim. You were right again! > I may not be 100% dashing properly, and still eating like a horse, but i must be doing something right with the salt intake. > > ============================================================================ > 45-Male-Caucasian, 5'9"- 242lbs, PA Diagnosed 2007 Suspected Hyperplasia-No tumors on CT - No AVS. > Meds: 100mg Spiro, 40meq 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 PainDASH: Started "sort of" DASHing 5/3/2011 > > > >

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Still may be worth having a repeat test. CE Grim MD Not anymore. Not since I started using the nose stips a few years ago. ============================================================================45-Male-Caucasian, 5'9"- 242lbs, PA Diagnosed 2007 Suspected Hyperplasia-No tumors on CT - No AVS.Meds: 100mg Spiro, 40meq 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 PainDASH: Started "sort of" DASHing 5/3/2011To: hyperaldosteronism Sent: Tuesday, August 30, 2011 1:21 PMSubject: Re: Re: Renal Calcium Leak, Plugged! Are you sleepy during the day?CE Grim MD Yes. I had a sleep study about 4 years ago. I had very little apnea, but just didnt get into deep sleep cycles very often and woke up often...maybe becuase they kept waking me up all the time. ============================================================================45-Male-Caucasian, 5'9"- 242lbs, PA Diagnosed 2007 Suspected Hyperplasia-No tumors on CT - No AVS.Meds: 100mg Spiro, 40meq 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 PainDASH: Started "sort of" DASHing 5/3/2011To: hyperaldosteronism Sent: Tuesday, August 30, 2011 11:54 AMSubject: Re: Re: Renal Calcium Leak, Plugged! CPAP mostly cured mine. Ever been tested? Easier than losing weight.Also helped my nocturia. CE Grim MD I was told by a Mayo Dr. that GERD can cause problems and not have symptoms. I do not have Barrets Esophagus. Part of the reason to take a PPI when you have GERD and hiatal hernia it to prevent BE...which is a precursor to cancer. Alot of singers with vocal fatigue come to find out that it is GERD causing the problem, even though they didnt have classic heartburn symptoms. I have been in ER 2 times thinking I was have heart problems that turned out to be GERD. So, lifestyle may be part of it, but i guarantee you if i didnt take a PPI I would not be drinking low Sodium V8 juice, or taking K pills like I am. My dad has the exact same problem and has been taking a PPI for over 25 years. My grandfather died from esophageal cancer. I can assure you I would rather have a heart attack caused by PA than die from cancer the way he did or from breast cancer like my mother did. Sudden cardiac death = 3 seconds of consiousness and then you are out of the game. One hell of a lot better way to go than any form of cancer. My Mayo Dr, yelled at me for not taking the PPI for a year. He said that it was one thing I could to avoid long term complication of GERD. Hard to prevent relux 100% when you have a hiatal hernia. If you ever woke up n the night and got puke in your lungs from reflux, you would take the PPI if it helped prevent that. Raising your bed only helps so much. Not eating late only helps so much. Being thin helps, if you are actually thin. But, there is a long road between where i am today and where I would need to be to even consider dropping the PPI, but that is just me. ============================================================================45-Male-Caucasian, 5'9"- 242lbs, PA Diagnosed 2007 Suspected Hyperplasia-No tumors on CT - No AVS.Meds: 100mg Spiro, 40meq 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 PainDASH: Started "sort of" DASHing 5/3/2011To: hyperaldosteronism Sent: Tuesday, August 30, 2011 7:37 AMSubject: Re: Re: Renal Calcium Leak, Plugged! The risk of esophageal cancer related to GERD (Barrets Esophagus) is less than once thought. It.s actually 1/2 of 1/2 percent. Treating GERD is usually more lifestyle, meaning it keeps us awake, bothers us when we laugh too much, exercise, etc.....good news is the risk for cancer is actually alot lower than this risk for cancer by eating red meat, diet sodas, etc... http://www.medscape.com/viewarticle/745160 Subject: Re: Renal Calcium Leak, Plugged!To: hyperaldosteronism Date: Tuesday, August 30, 2011, 1:49 AM Congrats.. BTW you take omeprazole, that interferes with mg absorption and Calcium as well ( not sure about calcium ) > > So, I received some more of my blood work today and I am happy to report that the lower sodium intake has dropped my PTH well into the normal range and calcium is holding at the low-middle normal test range. Cant wait to talk to the endo about that on Friday. Thanks Dr. Grim. You were right again! > I may not be 100% dashing properly, and still eating like a horse, but i must be doing something right with the salt intake. > > ============================================================================ > 45-Male-Caucasian, 5'9"- 242lbs, PA Diagnosed 2007 Suspected Hyperplasia-No tumors on CT - No AVS. > Meds: 100mg Spiro, 40meq 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 PainDASH: Started "sort of" DASHing 5/3/2011 >

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