Re: It it better to add K or increase Inspra/Spiro?

[Guest guest]

I dont know that i can lower salt too much more. I am already doing about as good as I can honestly stick with longterm. My wife suprised me with apple pancakes the other day and I had to pass on them and make unsalted scrambled eggs for breakfast. I looked at the mix she was using and it was salt loaded...she still doesnt get it. Needless to say she wasnt very happy with me. Oh well, I am training her to read the packaging too, and think about low salt options at all times. Fortunately, I do most of the cooking...except she is losing her job in a few months and is essentially on paid leave at home. So, she has been cooking more. Low sodium V8 has alot of K, but it does have alot of Na too. I have trimmed back on it somewhat as it makes me really thirsty.

Does it pay to have Aldo level tested in the blood anymore? Would it be sky high becuase of the MCB's? Do we just worry about blood pressure not being under control, or do we have to worry about too much Aldo in blood, even when presure is normal? I guess I am still unclear on how we know that aldo isnt causing organ damage. ============================================================================45-Male-Caucasian, 5'9"- 242lbs, PA Diagnosed 2007 Suspected Hyperplasia-No tumors on CT - No AVS.Meds: 50mg Inspra, 40meq Potassium, 2400mg Calcium, 1000mg Magnesium, 100,000UI Vit D (weekly), 20mg OmeprazoleSide effects: Gynecomastia, stomach inflammation (from potassium citrate)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 5/3/2011Status: Last Urine K/Na ratio was 1.1. But total of Na high alsoInitial Presenting Symptom: Muscle twitching all over body with low normal K, Mg, Ca, Low Ionized Ca, High PTH, low Vitamin DTo: hyperaldosteronism Sent: Sunday, October 16, 2011 12:35 PMSubject: Re: It it better to add K or increase Inspra/Spiro?

I would increase diet K if you can do lowNa V-8 and perhaps watch salt more. Well actually lower sodium in diet more if possible. CE Grim MD If BP is in the "normal" range...(dont want to debate what normal is again...just assume 120/80 is normal) yet still have low K symptoms, is it better to increase K or Inspra/spiro? Also, assume dietary level of salt/K are optimised. Just looking for a simple answer as to which would be increased

first... K tabs, or Spiro? ============================================================================45-Male-Caucasian, 5'9"- 242lbs, PA Diagnosed 2007 Suspected Hyperplasia-No tumors on CT - No AVS.Meds: 50mg Inspra, 40meq Potassium, 2400mg Calcium, 1000mg Magnesium, 100,000UI Vit D (weekly), 20mg OmeprazoleSide effects: Gynecomastia, stomach inflammation (from potassium citrate)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 5/3/2011Status: Last Urine K/Na ratio was 1.1. But total of Na high alsoInitial Presenting Symptom: Muscle

twitching all over body with low normal K, Mg, Ca, Low Ionized Ca, High PTH, low Vitamin D

[Guest guest]

, if you stop the diet mountain dews, you might be able to cut back on Na.

I am trying to stop drinking diet ginger ale, which has 125 mg. of Na in one 12

oz. can. It may be less in mountain dew, but I believe you just indicated that

you drink 5 or 6 cans a day. BTW, my husband's band needs a singer. They are

doing some nice originals sorta jazz, country, bluesy. They formed a year or so,

but didn't find a bass player who worked out till the beginning of this year.

However, we live right outside burg, PA, & I think you're on the West

Coast. I sense that you'll get everything sorted out. You seem pretty

determined.

~Lucy

Lucy Sage

Sent from my Verizon Wireless Phone

Brown wrote:

>I dont know that i can lower salt too much more. I am already doing about as

good as I can honestly stick with longterm. My wife suprised me with apple

pancakes the other day and I had to pass on them and make unsalted scrambled

eggs for breakfast. I looked at the mix she was using and it was salt

loaded...she still doesnt get it. Needless to say she wasnt very happy with me.

Oh well, I am training her to read the packaging too, and think about low salt

options at all times. Fortunately, I do most of the cooking...except she is

losing her job in a few months and is essentially on paid leave at home. So, she

has been cooking more. 

>Low sodium V8 has alot of K, but it does have alot of Na too. I have trimmed

back on it somewhat as it makes me really thirsty.

> 

>Does it pay to have Aldo level tested in the blood anymore? Would it be sky

high becuase of the MCB's? Do we just worry about blood pressure not being under

control, or do we have to worry about too much Aldo in blood, even when presure

is normal? I guess I am still unclear on how we know that aldo isnt causing

organ damage.

>

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

>45-Male-Caucasian, 5'9 " - 242lbs, PA Diagnosed 2007 Suspected Hyperplasia-No

tumors on CT - No AVS.

>Meds: 50mg Inspra, 40meq Potassium, 2400mg Calcium,  1000mg Magnesium,

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

>Side effects: Gynecomastia, stomach inflammation (from potassium citrate)

>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

>Status: Last Urine K/Na ratio was 1.1. But total of Na high also

>Initial Presenting Symptom: Muscle twitching all over body with low normal K,

Mg, Ca, Low Ionized Ca, High PTH, low Vitamin D

>

>

>>________________________________

>>

>>To: hyperaldosteronism

>>Sent: Sunday, October 16, 2011 12:35 PM

>>Subject: Re: It it better to add K or increase

Inspra/Spiro?

>>

>>

>>

>> 

>>

>>I would increase diet K if you can do lowNa V-8 and perhaps watch salt more.

 Well actually lower sodium in diet more if possible. 

>>

>>

>>CE Grim MD

>>

>>

>>

>> 

>>>

>>>

>>>If BP is in the " normal " range...(dont want to debate what normal is

again...just assume 120/80 is normal) yet still have low K symptoms, is

it better to increase K or Inspra/spiro? Also, assume dietary level of

salt/K are optimised. Just looking for a simple answer as to which would be

increased first... K tabs, or Spiro? 

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

>>>45-Male-Caucasian, 5'9 " - 242lbs, PA Diagnosed 2007 Suspected Hyperplasia-No

tumors on CT - No AVS.

>>>Meds: 50mg Inspra, 40meq Potassium, 2400mg Calcium,  1000mg Magnesium,

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

>>>Side effects: Gynecomastia, stomach inflammation (from potassium citrate)

>>>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

>>>Status: Last Urine K/Na ratio was 1.1. But total of Na high also

>>>Initial Presenting Symptom: Muscle twitching all over body with low normal K,

Mg, Ca, Low Ionized Ca, High PTH, low Vitamin D

>>>

>>>

>>

>>

>>

>>

[Guest guest]

Yeah, there is 50mg of Na per can...so i could get 250-300mg back if i quite drinking all diet dew. I think diet coke is 35mg of Na per can. Probably gonna be a heck of a challenge for me, but maybe it is time. As far as the band...that would be fun. Right now I live in Minneapolis/St. area, so I think gigging would be tough. lol ============================================================================45-Male-Caucasian, 5'9"- 242lbs, PA Diagnosed 2007 Suspected Hyperplasia-No tumors on CT - No AVS.Meds: 50mg Inspra, 40meq Potassium, 2400mg Calcium, 1000mg Magnesium, 100,000UI Vit D (weekly), 20mg OmeprazoleSide effects: Gynecomastia, stomach inflammation (from potassium citrate)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 5/3/2011Status: Last Urine K/Na ratio was 1.1. But total of Na high alsoInitial Presenting Symptom: Muscle twitching all over body with low normal K, Mg, Ca, Low Ionized Ca, High PTH, low Vitamin DTo: Brown ; "hyperaldosteronism " <hyperaldosteronism >Sent: Sunday, October 16, 2011 4:29 PMSubject: Re: It it better to add K or increase Inspra/Spiro?

, if you stop the diet mountain dews, you might be able to cut back on Na. I am trying to stop drinking diet ginger ale, which has 125 mg. of Na in one 12 oz. can. It may be less in mountain dew, but I believe you just indicated that you drink 5 or 6 cans a day. BTW, my husband's band needs a singer. They are doing some nice originals sorta jazz, country, bluesy. They formed a year or so, but didn't find a bass player who worked out till the beginning of this year. However, we live right outside burg, PA, & I think you're on the West Coast. I sense that you'll get everything sorted out. You seem pretty determined.

~Lucy

Lucy Sage

Sent from my Verizon Wireless Phone

Brown wrote:

>I dont know that i can lower salt too much more. I am already doing about as good as I can honestly stick with longterm. My wife suprised me with apple pancakes the other day and I had to pass on them and make unsalted scrambled eggs for breakfast. I looked at the mix she was using and it was salt loaded...she still doesnt get it. Needless to say she wasnt very happy with me. Oh well, I am training her to read the packaging too, and think about low salt options at all times. Fortunately, I do most of the cooking...except she is losing her job in a few months and is essentially on paid leave at home. So, she has been cooking more.

>Low sodium V8 has alot of K, but it does have alot of Na too. I have trimmed back on it somewhat as it makes me really thirsty.

>

>Does it pay to have Aldo level tested in the blood anymore? Would it be sky high becuase of the MCB's? Do we just worry about blood pressure not being under control, or do we have to worry about too much Aldo in blood, even when presure is normal? I guess I am still unclear on how we know that aldo isnt causing organ damage.

>

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

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

>Meds: 50mg Inspra, 40meq Potassium, 2400mg Calcium, 1000mg Magnesium, 100,000UI Vit D (weekly), 20mg Omeprazole

>Side effects: Gynecomastia, stomach inflammation (from potassium citrate)

>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

>Status: Last Urine K/Na ratio was 1.1. But total of Na high also

>Initial Presenting Symptom: Muscle twitching all over body with low normal K, Mg, Ca, Low Ionized Ca, High PTH, low Vitamin D

>

>

>>________________________________

>>

>>To: hyperaldosteronism

>>Sent: Sunday, October 16, 2011 12:35 PM

>>Subject: Re: It it better to add K or increase Inspra/Spiro?

>>

>>

>>

>>

>>

>>I would increase diet K if you can do lowNa V-8 and perhaps watch salt more. Well actually lower sodium in diet more if possible.

>>

>>

>>CE Grim MD

>>

>>

>>

>>

>>>

>>>

>>>If BP is in the "normal" range...(dont want to debate what normal is again...just assume 120/80 is normal) yet still have low K symptoms, is it better to increase K or Inspra/spiro? Also, assume dietary level of salt/K are optimised. Just looking for a simple answer as to which would be increased first... K tabs, or Spiro?

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

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

>>>Meds: 50mg Inspra, 40meq Potassium, 2400mg Calcium, 1000mg Magnesium, 100,000UI Vit D (weekly), 20mg Omeprazole

>>>Side effects: Gynecomastia, stomach inflammation (from potassium citrate)

>>>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

>>>Status: Last Urine K/Na ratio was 1.1. But total of Na high also

>>>Initial Presenting Symptom: Muscle twitching all over body with low normal K, Mg, Ca, Low Ionized Ca, High PTH, low Vitamin D

>>>

>>>

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