Re: Re: Hyperaldosteronism and Fibromyalgia (and pain, and K)

[Guest guest]

No. pumping filtered Na (across the glomerulus) back INTO the blood. If this is not happen you would die of shock in a few hours. The kidney normally protects you form this by reabsorbing about 99% of the filtered sodium.CE Grim MD Don't you mean pumping Na out of blood into the urine? ============================================================================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 " <hyperaldosteronism >Sent: Tuesday, September 6, 2011 10:26 AMSubject: Re: Re: Hyperaldosteronism and Fibromyalgia (and pain, and K) Most kidney work is pumping Na out of urine into blood. About 1/4 of the heart output goes to the Ks so they can do this work. Tiped sad Send form miiPhone ;-)May your pressure be low!CE Grim MDSpecializing in DifficultHypertension Is peeing a symptom, a cause or a result of low K? I was in class the day they talked about DM2 and low K. When they asked everyone what their K was and I responded "4.8 or higher" she suggested I not eat too many bananas! I didn't and have not experienced anything that would make me suspect low K, in fact I am currently more worried about HIGH K and that is why I posed the question , "If one has a K that runs toward or at the high end of the range and is DASHING should s/he still target 4500 mg of K?" I tried to find the answer in the DASH book but was unsuccesful. It would seem to me if you were already high/normal and consumed ~1500mg more K than normal that you would end up higher thereby giving the kidneys (currently at CKD Stage2) more work which will induce more peeing or causing Hyperkalemia which may cause a Slow, weak, or absent pulse which when added to the b-blocker could very well cause a MI and if I am lucky I will end up in the ER with a needle in my hand so I can piss of the ward nurses! IF we are going to play "what if" games let's start with that one because it may be a more realistic situation for me! - 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): 123/73 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. > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > >  > > > > > > > > > > > > > > > > > > I notice on here a lot of people have both hyperaldosteronism and > > > > > > > > > fibromyalgia I was just wondering if there was any link between the two? > > > > > > > > > I have PA but wonder sometime if I have fibromyalgia also or is all the > > > > > > > > > pain from sodium and K imblance. > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > >

[Guest guest]

Well at first it was none. Then Dr Conn found some with normal K (about 1964). Remember every Conn's began with a normal K. That is one of the points in my evolution article which you may want to read again.Then it was 10% then 20% the 30% and now prob 50%. Most here however were Dxed late when low K appears.CE Grim MD Am I correct that Aldosteronism is sometimes DXed in PTNs with normal K? If yes, do you know and want to share the percentage? THANKS - 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): 123/73 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. > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > ÃÆ'Æ'‚ÃÆ'‚ÂÂ > > > > > > > > > > > > > > > > > > > > > > > > > > I notice on here a lot of people have both hyperaldosteronism and > > > > > > > > > > > > > fibromyalgia I was just wondering if there was any link between the two? > > > > > > > > > > > > > I have PA but wonder sometime if I have fibromyalgia also or is all the > > > > > > > > > > > > > pain from sodium and K imblance. > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > >

[Guest guest]

Plot 1/plasma creatinine on Y axis and time on x is a good way to track kidney function ups and downs.CE Grim MD Me too but its not been tested (not sure as I know how since eGFR is usually reported as > 60 and when I get an actual # it seems to vary.) Maybe time will tell! - 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): 123/73 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. > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > ÃÆ'Æ'‚ÃÆ'‚ÂÂ > > > > > > > > > > > > > > > > > > > > > > > > > > I notice on here a lot of people have both hyperaldosteronism and > > > > > > > > > > > > > fibromyalgia I was just wondering if there was any link between the two? > > > > > > > > > > > > > I have PA but wonder sometime if I have fibromyalgia also or is all the > > > > > > > > > > > > > pain from sodium and K imblance. > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > >

[Guest guest]

Oh. Interesting. Excess Aldo makes it hold on to too much and the volume goes up to keep the saline level right and we end up with increased pressure. Aldo makes us lose potassium to aid in holding on the the NA? Why do we lose magnesium too? ============================================================================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, September 6, 2011 9:59 PMSubject: Re: Re: Hyperaldosteronism and Fibromyalgia (and pain, and K)

No. pumping filtered Na (across the glomerulus) back INTO the blood. If this is not happen you would die of shock in a few hours. The kidney normally protects you form this by reabsorbing about 99% of the filtered sodium.CE Grim MD Don't you mean pumping Na out of blood into the urine? ============================================================================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 " <hyperaldosteronism >Sent: Tuesday, September 6, 2011 10:26 AMSubject: Re: Re:

Hyperaldosteronism and Fibromyalgia (and pain, and K) Most kidney work is pumping Na out of urine into blood. About 1/4 of the heart output goes to the Ks so they can do this work. Tiped sad Send form miiPhone ;-)May your pressure be low!CE Grim MDSpecializing in DifficultHypertension Is peeing a symptom, a cause or a result of low K? I was in class the day they talked about DM2 and low K. When they asked everyone what their K was and I responded "4.8 or higher" she suggested I not eat too many bananas! I didn't and have not experienced anything that would make me suspect low K, in fact I am currently more worried about HIGH K and that is why I posed the question , "If one has a K that runs toward or at the high end of the range and is DASHING should s/he still target 4500 mg of K?" I tried to find the answer in the DASH book but was unsuccesful. It would seem to me if you were already high/normal and consumed ~1500mg more K than normal that you would end up higher thereby giving the kidneys (currently at CKD Stage2) more work which will induce more peeing or causing Hyperkalemia which may cause a Slow, weak, or absent pulse which when added to the b-blocker could very well cause a MI and if I am lucky I will end up in the ER with a needle in my hand so I can piss of the ward nurses! IF we are going to play "what if" games let's start

with that one because it may be a more realistic situation for me! - 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): 123/73 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. > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > >  > > > > > > > > > > > > > > > > > > I notice on here a lot of people have both hyperaldosteronism and > > > > > > > > > fibromyalgia I was just wondering if there was any link between the two? > > > > > > > > > I have PA but wonder sometime if I have fibromyalgia also or is all the > > > > >

> > > > pain from sodium and K imblance. > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > >

[Guest guest]

Mine was low normal, which is partly why it was missed. Didnt plummet until I was put on Hctz to plug renal calcium leak. K dropped to 2.9. ============================================================================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, September 6, 2011 10:01 PMSubject: Re: Re: Hyperaldosteronism and Fibromyalgia (and pain, and K)

Well at first it was none. Then Dr Conn found some with normal K (about 1964). Remember every Conn's began with a normal K. That is one of the points in my evolution article which you may want to read again.Then it was 10% then 20% the 30% and now prob 50%. Most here however were Dxed late when low K appears.CE Grim MD Am I correct that Aldosteronism is sometimes DXed in PTNs with normal K? If yes, do you know and want to share the percentage? THANKS - 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): 123/73 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. > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > ÃÆ'Æ'‚ÃÆ'‚ÂÂ > > > > > > > >

> > > > > > > > > > > > > > > > > > I notice on here a lot of people have both hyperaldosteronism and > > > > > > > > > > > > > fibromyalgia I was just wondering if there was any link between the two? > > > > > > > > > > > > > I have PA but wonder sometime if I have fibromyalgia also or is all the > > > > > > > > > > > > > pain from sodium and K imblance. > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > >

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

[Guest guest]

Need 24 hr urine to interpret with any of these. CHF can cause 2nd Aldo as can CRF. CRF can also lower renin and increase K. High K can raise Aldo. So bottom line cannot really interpret the numbers. But if you got a lot better with Spiro and DASH is compatible with early PA IMHO. Tiped sad Send form miiPhone ;-)May your pressure be low!CE Grim MDSpecializing in DifficultHypertension

Now assume CKD, CHF with LVH and every class of medicine used to treat

HTN and what is your answer?

- 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): 123/73

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.

> > > > > > > > >

> > > > > > > > > My point would be there are alot of people possibly diagnosed with fibro who actually have PA because they wouldn

[Guest guest]

but your so rarely likely to see hyperkalemia unless there's signifcant kidney

failure or dialysis (and there's always a rare exception). But the symptoms of

lows list goes on forever and while not always as deadly, it dramatically alters

the life of the living beyond mere inconvenience

>Francis, Did you validate your source (hennagerdj) and what does this " Stress

Testing (Treadmill Test) Part 1 " have to do with potassium (K)?

>

>Second, where did you find your SX for Low and High (Hypo and HyperK)?

>Let me quote what I found:

>

>Hypokalemia: Signs and Symptoms

>If a person suffers from low potassium level in the body, then it can be life

threatening if proper treatment is not given immediately. Given below are some

of the common signs and symptoms of hypokalemia.

>Muscle cramps

>Weakness in muscles

>Fatigue

>Problems in digestion and constipation

>Excessive thirst as the body gets dehydrated

>Hypotension

>Dysrhythmias or abnormal heart rate

>Paralysis which might sometimes include the lungs too

>Stomach cramps and bloating of stomach

>Passing out of excessive urine

>Low blood pressure due to which the person might even faint

>Depression and hallucination

>Vomiting and nauseating feeling

>Irritability

>Rhabdomyolysis were the skeletal muscles breaks down

>Numbness in various parts of the body or tingling sensation

>Intestinal movements reduces

>If the level goes extremely low, then cardiac arrest might also take place

>Discomfort in the leg while sitting for a long time

>Dry skin

>Edema

>Lack of proper sleep or insomnia

>High level of cholesterol

>Severe headache

>Growth of the person is affected

>Body retains salt to a large extent

>Chills

>

>Hyperkalemia often has no symptoms. Occasionally, people may have the following

symptoms:

>Irregular heartbeat

>Nausea

>Slow, weak, or absent pulse

>

>Not to belittle the sx of low (hypokalemia) as I am sure they can be serious

when you are suffering from them. (I don't really have firsthand experience but

have read many posts that are attributed to low K.)

>

>On the other side (high K) 4 of the 5 sx, as reported by the NIH, affect the

heart. Certainly the last is extremely serious!

>

>Now, walk a mile in my boots! Let me set the scene: You are ~65, your K has

been reported at 4.8-5.0 for the year, you are ~300lbs, you have DM2 (which some

claim may damage kidneys impacting the removal of K, you have CKD Stage 2 (same

possible effect as before), and you are on a beta-blocker and your " normal "

heart rate is 56-62!

>

>With that said, would you be more worried about low or high K? I believe I

have established that PA can be DXed with normal K (The Grim Theory). The

back/testis pain went away at the exact time PA resolved as near as I can

determine.

>

>Here is the place for my " Bottom line " so should I worry about being tired,

thirsty and peeing alot or should I worry about my heart stopping? (Now return

my boots!)

>

> - 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): 123/73

>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.

>

>

>- In hyperaldosteronism , " Francis Bill SUSPECTED PA "

wrote:

>>

>> It seems the SX of hyperkalemia are much the same as hypokalemia. Only way to

tell If SX are from K related problems is with proper blood draw as stated by

the Clinical and Laboratory Standards Institute. There manual is about $600

maybe could find one in library.

>>

>> ACEI can increase K. Some information on K moving out of cells into blood in

this video

>>

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>> > > > > > > > > > > > > ÃÆ'‚ 

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>> > > > > > > > > > > > > I notice on here a lot of people have both

hyperaldosteronism and

>> > > > > > > > > > > > > fibromyalgia I was just wondering if there was any

link between the two?

>> > > > > > > > > > > > > I have PA but wonder sometime if I have fibromyalgia

also or is all the

>> > > > > > > > > > > > > pain from sodium and K imblance.

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[Guest guest]

I was hospitalized twice during August with spells of BP and abnormal blood test.First time my blood K was 3.9 - 4.5. I was on Dash and eplerenone, and since I started to have cramps, I took 3 - 4 tablets of K supplement, when got home since I could not eat properly. In 4 days I was hospitalized agin and my K = 6.6, they needed urgently to low it. Symptoms for me were the same, I could not recognize the condition. Doctors there said symptoms usually are the same - your muscles don't work properly at any case.They said when I am on eplerenone I don't need a special high K diet!!!???? And surely never

supplements!I am confused now about V8...... Natalia To: hyperaldosteronism Sent: Thursday, September 8, 2011 8:41 AMSubject: Re: Hyperaldosteronism and Fibromyalgia (and pain, and K)

I would think the video on stress testing gives some information on how K moves from cell to blood. and what this does in EKG. EKG = problems with heart.

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> > > > > > > > > > > > > > I notice on here a lot of people have both hyperaldosteronism and

> > > > > > > > > > > > > > fibromyalgia I was just wondering if there was any link between the two?

> > > > > > > > > > > > > > I have PA but wonder sometime if I have fibromyalgia also or is all the

> > > > > > > > > > > > > > pain from sodium and K imblance.

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[Guest guest]

It was French medicine "De Cramp" contained 1x0.1 mikrog, Magnesium 0.00001 mg, Potassium 0.00001 mg, and Arnica Montana 0.00001 mg.To: hyperaldosteronism Sent: Friday, September 9, 2011 1:31 AMSubject: Re: Re: Hyperaldosteronism and Fibromyalgia (and

pain, and K)

What was the K supplement you were taking? I was hospitalized twice during August with spells of BP and abnormal blood test.First time my blood K was 3.9 - 4.5. I was on Dash and eplerenone, and since I started to have cramps, I took 3 - 4 tablets of K supplement, when got home since I could not eat properly. Do you mean when got home

from hosp or what?Generally do not recommend K supplements with eplereone. Indeed you may need less K with it.Symptoms are not the same usually but everyone is different.I think you said you were also on Micardis which may also worsen K (raise it).CE Grim MDIn 4 days I was hospitalized agin and my K = 6.6, they needed urgently to low it. Symptoms for me were the same, I could not recognize the condition. Doctors there said symptoms usually are the same - your muscles don't

work properly at any case.They said when I am on eplerenone I don't need a special high K diet!!!???? And surely never supplements!I am confused now about V8...... Natalia To: hyperaldosteronism Sent: Thursday, September 8, 2011 8:41 AMSubject: Re: Hyperaldosteronism and Fibromyalgia (and pain, and K) I would think the video on stress testing gives some information on how K moves from cell to blood. and what this does in EKG. EKG = problems with heart. > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > ÃÆ'‚ > > > > > > > > > > > > > > > > > > > > > > > > > > > > I notice on here a lot of people have both hyperaldosteronism and > > > > > > > > > > > > > > fibromyalgia I was just wondering if there was any link between the two? > > > > > >

> > > > > > > > I have PA but wonder sometime if I have fibromyalgia also or is all the > > > > > > > > > > > > > > pain from sodium and K imblance. > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > >

[Guest guest]

I would just DASH. HAVE no idea what the montanica is and rThey can add anything they want to supplements etc. Do not bet your life on them. Tiped sad Send form miiPhone ;-)May your pressure be low!CE Grim MDSpecializing in DifficultHypertension

It was French medicine "De Cramp" contained 1x0.1 mikrog, Magnesium 0.00001 mg, Potassium 0.00001 mg, and Arnica Montana 0.00001 mg.To: hyperaldosteronism Sent: Friday, September 9, 2011 1:31 AMSubject: Re: Re: Hyperaldosteronism and Fibromyalgia (and

pain, and K)

What was the K supplement you were taking? I was hospitalized twice during August with spells of BP and abnormal blood test.First time my blood K was 3.9 - 4.5. I was on Dash and eplerenone, and since I started to have cramps, I took 3 - 4 tablets of K supplement, when got home since I could not eat properly. Do you mean when got home

from hosp or what?Generally do not recommend K supplements with eplereone. Indeed you may need less K with it.Symptoms are not the same usually but everyone is different.I think you said you were also on Micardis which may also worsen K (raise it).CE Grim MDIn 4 days I was hospitalized agin and my K = 6.6, they needed urgently to low it. Symptoms for me were the same, I could not recognize the condition. Doctors there said symptoms usually are the same - your muscles don't

work properly at any case.They said when I am on eplerenone I don't need a special high K diet!!!???? And surely never supplements!I am confused now about V8...... Natalia To: hyperaldosteronism Sent: Thursday, September 8, 2011 8:41 AMSubject: Re: Hyperaldosteronism and Fibromyalgia (and pain, and K) I would think the video on stress testing gives some information on how K moves from cell to blood. and what this does in EKG. EKG = problems with heart. > > > > > > > > > > #1 or #2 aymptom - muscle cramp the other > > > > > > > > > > --- On Mon, 9/5/11, <

[Guest guest]

Wikipedia Arica Montana for toxicity. ESP gi problems. Please never take any of this crap (I do not know the Russian word for crap) ever. Tiped sad Send form miiPhone ;-)May your pressure be low!CE Grim MDSpecializing in DifficultHypertension

It was French medicine "De Cramp" contained 1x0.1 mikrog, Magnesium 0.00001 mg, Potassium 0.00001 mg, and Arnica Montana 0.00001 mg.To: hyperaldosteronism Sent: Friday, September 9, 2011 1:31 AMSubject: Re: Re: Hyperaldosteronism and Fibromyalgia (and

pain, and K)

What was the K supplement you were taking? I was hospitalized twice during August with spells of BP and abnormal blood test.First time my blood K was 3.9 - 4.5. I was on Dash and eplerenone, and since I started to have cramps, I took 3 - 4 tablets of K supplement, when got home since I could not eat properly. Do you mean when got home

from hosp or what?Generally do not recommend K supplements with eplereone. Indeed you may need less K with it.Symptoms are not the same usually but everyone is different.I think you said you were also on Micardis which may also worsen K (raise it).CE Grim MDIn 4 days I was hospitalized agin and my K = 6.6, they needed urgently to low it. Symptoms for me were the same, I could not recognize the condition. Doctors there said symptoms usually are the same - your muscles don't

work properly at any case.They said when I am on eplerenone I don't need a special high K diet!!!???? And surely never supplements!I am confused now about V8...... Natalia To: hyperaldosteronism Sent: Thursday, September 8, 2011 8:41 AMSubject: Re: Hyperaldosteronism and Fibromyalgia (and pain, and K) I would think the video on stress testing gives some information on how K moves from cell to blood. and what this does in EKG. EKG = problems with heart. > > > > > > > > > > #1 or #2 aymptom - muscle cramp the other > > > > > > > > > > --- On Mon, 9/5/11, <

[Guest guest]

Thank you very much. Never will again. If I am on 150 mg eplerenone now, probably I don't need any K supplement? Remember, my blood K was 6.6 three weeks ago. NataliaTo: "hyperaldosteronism " <hyperaldosteronism >Sent: Saturday, September 10, 2011 8:58 AMSubject: Re: Re: Hyperaldosteronism and Fibromyalgia (and pain, and K)

Wikipedia Arica Montana for toxicity. ESP gi problems. Please never take any of this crap (I do not know the Russian word for crap) ever. Tiped sad Send form miiPhone ;-)May your pressure be low!CE Grim MDSpecializing in DifficultHypertension

It was French medicine "De Cramp" contained 1x0.1 mikrog, Magnesium 0.00001 mg, Potassium 0.00001 mg, and Arnica Montana 0.00001 mg.To: hyperaldosteronism Sent: Friday, September 9, 2011 1:31 AMSubject: Re: Re: Hyperaldosteronism and Fibromyalgia (and

pain, and K)

What was the K supplement you were taking? I was hospitalized twice during August with spells of BP and abnormal blood test.First time my blood K was 3.9 - 4.5. I was on Dash and eplerenone, and since I started to have cramps, I took 3 - 4 tablets of K supplement, when got home since I could not eat properly. Do you mean when got home

from hosp or what?Generally do not recommend K supplements with eplereone. Indeed you may need less K with it.Symptoms are not the same usually but everyone is different.I think you said you were also on Micardis which may also worsen K (raise it).CE Grim MDIn 4 days I was hospitalized agin and my K = 6.6, they needed urgently to low it. Symptoms for me were the same, I could not recognize the condition. Doctors there said symptoms usually are the same - your muscles don't

work properly at any case.They said when I am on eplerenone I don't need a special high K diet!!!???? And surely never supplements!I am confused now about V8...... Natalia To: hyperaldosteronism Sent: Thursday, September 8, 2011 8:41 AMSubject: Re: Hyperaldosteronism and Fibromyalgia (and pain, and K) I would think the video on stress testing gives some information on how K moves from cell to blood. and what this does in EKG. EKG = problems with heart. > > > > > > > > > > #1 or #2 aymptom - muscle cramp the other > > > > > > > > > > --- On Mon, 9/5/11, <

[Guest guest]

that is my guess but it depends on how low your salt (sodium intake is). Has K been checked since that time. Now would be a good time I would think.CE Grim MD Thank you very much. Never will again. If I am on 150 mg eplerenone now, probably I don't need any K supplement? Remember, my blood K was 6.6 three weeks ago. NataliaTo: "hyperaldosteronism " <hyperaldosteronism >Sent: Saturday, September 10, 2011 8:58 AMSubject: Re: Re: Hyperaldosteronism and Fibromyalgia (and pain, and K) Wikipedia Arica Montana for toxicity. ESP gi problems. Please never take any of this crap (I do not know the Russian word for crap) ever. Tiped sad Send form miiPhone ;-)May your pressure be low!CE Grim MDSpecializing in DifficultHypertension It was French medicine "De Cramp" contained 1x0.1 mikrog, Magnesium 0.00001 mg, Potassium 0.00001 mg, and Arnica Montana 0.00001 mg.To: hyperaldosteronism Sent: Friday, September 9, 2011 1:31 AMSubject: Re: Re: Hyperaldosteronism and Fibromyalgia (and pain, and K) What was the K supplement you were taking? I was hospitalized twice during August with spells of BP and abnormal blood test.First time my blood K was 3.9 - 4.5. I was on Dash and eplerenone, and since I started to have cramps, I took 3 - 4 tablets of K supplement, when got home since I could not eat properly. Do you mean when got home from hosp or what?Generally do not recommend K supplements with eplereone. Indeed you may need less K with it.Symptoms are not the same usually but everyone is different.I think you said you were also on Micardis which may also worsen K (raise it).CE Grim MDIn 4 days I was hospitalized agin and my K = 6.6, they needed urgently to low it. Symptoms for me were the same, I could not recognize the condition. Doctors there said symptoms usually are the same - your muscles don't work properly at any case.They said when I am on eplerenone I don't need a special high K diet!!!???? And surely never supplements!I am confused now about V8...... Natalia To: hyperaldosteronism Sent: Thursday, September 8, 2011 8:41 AMSubject: Re: Hyperaldosteronism and Fibromyalgia (and pain, and K) I would think the video on stress testing gives some information on how K moves from cell to blood. and what this does in EKG. EKG = problems with heart. > > > > > > > > > > #1 or #2 aymptom - muscle cramp the other > > > > > > > > > > --- On Mon, 9/5/11, <

[Guest guest]

I will do this test as soon as I am getting better or after the surgery.Many thanks,NataliaTo: hyperaldosteronism Sent: Saturday, September 10, 2011 8:35 PMSubject: Re: Re: Hyperaldosteronism and Fibromyalgia

(and pain, and K)

that is my guess but it depends on how low your salt (sodium intake is). Has K been checked since that time. Now would be a good time I would think.CE Grim MD Thank you very much. Never will again. If I am on 150 mg eplerenone now, probably I don't need any K supplement? Remember, my blood K was 6.6 three weeks

ago. NataliaTo: "hyperaldosteronism " <hyperaldosteronism >Sent:

Saturday, September 10, 2011 8:58 AMSubject: Re: Re: Hyperaldosteronism and Fibromyalgia (and pain, and K) Wikipedia Arica Montana for toxicity. ESP gi problems. Please never take any of this crap (I do not know the Russian word for crap) ever. Tiped sad Send form miiPhone ;-)May your pressure be low!CE Grim MDSpecializing in DifficultHypertension It was French medicine "De Cramp" contained 1x0.1 mikrog, Magnesium 0.00001 mg, Potassium 0.00001 mg, and Arnica Montana 0.00001 mg.To: hyperaldosteronism Sent: Friday, September 9, 2011 1:31 AMSubject: Re: Re: Hyperaldosteronism and Fibromyalgia (and pain, and K) What was the K supplement you were taking? I was hospitalized twice during August with spells of BP and abnormal blood test.First time my blood K was 3.9 - 4.5. I was on Dash and eplerenone, and since I started to have cramps, I took 3 - 4 tablets of K supplement, when got home since I could not eat properly. Do you mean when got home from hosp or what?Generally do not recommend K supplements with eplereone. Indeed you may need less K with it.Symptoms are not the same usually but everyone is different.I think you said you were also on Micardis which may also worsen K (raise it).CE Grim MDIn 4 days I was hospitalized agin and my K = 6.6, they needed urgently to low it. Symptoms for me were the same, I could not recognize the condition. Doctors there said symptoms usually are the same - your muscles don't work properly at any case.They said when I am on eplerenone I don't need a special high K diet!!!???? And surely never supplements!I am confused now about V8...... Natalia To: hyperaldosteronism Sent: Thursday, September 8, 2011 8:41

AMSubject: Re: Hyperaldosteronism and Fibromyalgia (and pain, and K) I would think the video on stress testing gives some information on how K moves from cell to blood. and what this does in EKG. EKG = problems with heart. > > > > > > > > > > #1

or #2 aymptom - muscle cramp the other > > > > > > > > > > --- On Mon, 9/5/11, <

[Guest guest]

I am curious how you conclude that with all the things going on with you none were ever K related or complicated? Sure, getting a diagnosis, or should I say a label on something, isn't too hard, it's getting the right one. I use as an example if every American had access to health care, or was willing to just submit to their healthcare provider hook line and sinker if they had one, the diagnoses for acute anxiety disorders, depression, bipolar, PTSD, and you pick the psych diagnosis de jour would quadruple, mainly because they now HAVE to have one (a diagnosis) to get paid, so the patient is getting one IF the patient again is willing to accept it.

This is why I was so very very cautious. I knew that I no doubt I had a medical causation - mainly because I know me and knew nothing added up - but I had to step carefully after a while because I refuse to accept psych labels and with compaints of fatigue, weakness, sometimes somnelence/anhedonia, insomnia, I knew those labels were coming if I let them and indeed . And I stepped over many a dead body in my career to try and save the other one

You have quite a history related to so many different issues and symptoms how do you know for certain low k never complicated pain? And what is it that's PA related for you then if all your symptoms are related to something else? Can you have PA with no associated problems whatsover? if so, then it wouldn't be a syndrome or even a problem at all.

Subject: Re: Hyperaldosteronism and Fibromyalgia (and pain, and K)To: hyperaldosteronism Date: Monday, September 12, 2011, 2:05 PM

I could agree with you IF I was suffering from any creditable symptoms of low (or high) K. Since I have none and never had any it is a low priority for me, in fact if my health continues in the direction it has taken since April 23, 2011 I will probably never persue!One can not learn and do everything at once so one must establish his or her personal priorities and persue. My priorities initially were (in priority order): pain, HTN, DM2, COPD w/O2, weight, OSA, depression, PTSD and how to reduce the number of meds and their associated side effects. As of today I consider the following resolved or controlled well rnough so their priority has reduced: pain, HTN less than goal, COPD controlled, O2 eliminated, weight reducing and lots of opportunity, OSA much improved sleeping 8 or more hrs/night w/o interruption, depression much improved. With this on my agenda I presume you can understand why K and its low effects are not on my agenda, in fact

not even on my radar!Now if you want to research my pain, let me throw out a statement I found in the Hypertension Primer last night when I was trying to establish the priority for my brother-in-law to get treatment for his edema. (He has apparently had it so bad that his skin split!) Here is the quote:"The tissue RAS plays an important role in the regulation of reproduction through effects in the pituitary, the TESTES, and the ovaries. However this chapter focus on the roles of the tissue RAS relevent to hypertension and its adverse effects."Now what does renin, or lack of, do to the testes? (Rennin = 0.1) What does renin/aldo ratio of ~50 do? Could the effect, if any, be bilateral if caused by an adrenal adnoma? That is one of my next priorities so I am dropping out of the K discussion!Before I leave though, I in no way intend to belittle the cause and effect of a K imbalance. I understand the symptoms are very real and

the difficulties to control and treat can be a challenge. I am just lucky that I never experienced them! Good luck with your efforts! - 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): 123/73Other 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. > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > ÃÆ'‚ > > > > > > > > > > > > > > > > > > > > > > >

> > > > > > > > > > > I notice on here a lot of people have both hyperaldosteronism and> > > > > > > > > > > > > > > > > fibromyalgia I was just wondering if there was any link between the two?> > > > > > > > > > > > > > > > > I have PA but wonder sometime if I have fibromyalgia also or is all the> > > > > > > > > > > > > > > > > pain from sodium and K imblance.> > > > > > > > > > > > > > > > >> > > > > > > > > > > > > > > >> > > > > > > > > > > > > > >> > > > > > > > > > > > > >> > > > > > > > > > > > >> >

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

[Guest guest]

I meant to say that indeed I heard the lectures about "out of shape" - more for not being able to get up and do anything and I had went from incredibly superactive and in great shape to trying to explain why I couldn't get up anymore, walk a set of stairs anymore, and walked out on a few providers because I was not depressed - I was sick. I am not prone or even lean toward depression naturally. I do get "broody" where I am quiet and do alot of thinking, but I am not sad or down and I refused the label period. They tried PTSD, anxiety, and so on on me, I wouldn't accept them. SSRI's the times I tried them made things 100 times worse right on point that this was deeper than a psych issue. Still they try.

Now, that's me, but all that corrected with the fixture of the PA and low K. You seem to connect all the myriad of your symptoms to another condition(s), but how certain are you stabilizing K and other electrolytes didn't fix or help the issues you attributed to something else?

Subject: Re: Hyperaldosteronism and Fibromyalgia (and pain, and K)To: hyperaldosteronism Date: Monday, September 12, 2011, 2:05 PM

I could agree with you IF I was suffering from any creditable symptoms of low (or high) K. Since I have none and never had any it is a low priority for me, in fact if my health continues in the direction it has taken since April 23, 2011 I will probably never persue!One can not learn and do everything at once so one must establish his or her personal priorities and persue. My priorities initially were (in priority order): pain, HTN, DM2, COPD w/O2, weight, OSA, depression, PTSD and how to reduce the number of meds and their associated side effects. As of today I consider the following resolved or controlled well rnough so their priority has reduced: pain, HTN less than goal, COPD controlled, O2 eliminated, weight reducing and lots of opportunity, OSA much improved sleeping 8 or more hrs/night w/o interruption, depression much improved. With this on my agenda I presume you can understand why K and its low effects are not on my agenda, in fact

not even on my radar!Now if you want to research my pain, let me throw out a statement I found in the Hypertension Primer last night when I was trying to establish the priority for my brother-in-law to get treatment for his edema. (He has apparently had it so bad that his skin split!) Here is the quote:"The tissue RAS plays an important role in the regulation of reproduction through effects in the pituitary, the TESTES, and the ovaries. However this chapter focus on the roles of the tissue RAS relevent to hypertension and its adverse effects."Now what does renin, or lack of, do to the testes? (Rennin = 0.1) What does renin/aldo ratio of ~50 do? Could the effect, if any, be bilateral if caused by an adrenal adnoma? That is one of my next priorities so I am dropping out of the K discussion!Before I leave though, I in no way intend to belittle the cause and effect of a K imbalance. I understand the symptoms are very real and

the difficulties to control and treat can be a challenge. I am just lucky that I never experienced them! Good luck with your efforts! - 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): 123/73Other 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. > > > > > > > > > >

> > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > ÃÆ'‚ > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > I notice on here a lot of people have both hyperaldosteronism and> > > > > > > > > > > > > > > > > fibromyalgia I was just wondering if there was any link between the two?> > > > > > > > > > > > > > > > > I have PA but wonder sometime if I

have fibromyalgia also or is all the> > > > > > > > > > > > > > > > > pain from sodium and K imblance.> > > > > > > > > > > > > > > > >> > > > > > > > > > > > > > > >> > > > > > > > > > > > > > >> > > > > > > > > > > > > >> > > > > > > > > > > > >> > > > > > > > > > > >> > > > > > > > > > >> > > > > > > > > >> > > > > > > > >> > > > > > > >> > > > > > >> > > > > >> > > > >> > > >> > >>

>>

[Guest guest]

I know you're not being insensitive to us K problem children, but a funny thing for me along those lines. You know when I would go to the ER say at 170/130 and sick as hell, I would come out feeling good for a couple of days (except ironically the pressure was never down below 150/110). Many times in the ER they had given me some MS or demerol for the cramping or pain from headaches (they don't "tell you" alot of times what they are doing and medical people sometimes make the worst patients and I didn't want to be one of "those") and for me I often came out feeling great for a few days then back down as hard as before.

I thought all that time the few days of feeling good might have been the pain meds because the opiates class especially seem to perk me up (I don't like anti-anxiety meds for myself, I use them on others that tolerate them well - the benzo's - but I no likey as they leave me heavy headed for a few days and I didn't need anything adding to the fog and don't like the feeling) -but if I do decide to get depressed or too stressed I have to stay away from them because of the euphoria I get from them, and I feel energetic, and I think they are THE answer to treating depression IF we can synthesize it to lose the baggage (I don't personally think we could ever decrease the dependency on them but would have to decrease the tolerance potential. But we long for something that makes us feel GOOD and takes away the woes so we will reach for it - naturally and I can't say I don't

understand. ) they would be great tx.

Now and especially after reviewing my own records I see how more often I got K in the er too. A few times I knew; other times I didn't (didn't see them hanging the bag of K or notice it). In my case I now know it was the K all along. No wonder 2-3 days I felt good, but they never talked to me about the low K (I would get "a couple of labs are off, but it's usually nothing to worry about") nevertheless they would tank me with some K and I would perk up. Never sent home with a script or discussed this though in 10+ ER visits. I felt better at the end of an ER stay so I think they sent me home thinking I was a pain med seeker who got his fix (and my pressure was THAT high due to withdrawals. BUT.....It was K that was my fix. K all that time.

It lasted a few days, but I still had PA and was never on spiro so it just pissed out in days again and I was miserable. No more.

Subject: Re: Hyperaldosteronism and Fibromyalgia (and pain, and K)To: hyperaldosteronism Date: Monday, September 12, 2011, 2:05 PM

I could agree with you IF I was suffering from any creditable symptoms of low (or high) K. Since I have none and never had any it is a low priority for me, in fact if my health continues in the direction it has taken since April 23, 2011 I will probably never persue!One can not learn and do everything at once so one must establish his or her personal priorities and persue. My priorities initially were (in priority order): pain, HTN, DM2, COPD w/O2, weight, OSA, depression, PTSD and how to reduce the number of meds and their associated side effects. As of today I consider the following resolved or controlled well rnough so their priority has reduced: pain, HTN less than goal, COPD controlled, O2 eliminated, weight reducing and lots of opportunity, OSA much improved sleeping 8 or more hrs/night w/o interruption, depression much improved. With this on my agenda I presume you can understand why K and its low effects are not on my agenda, in fact

not even on my radar!Now if you want to research my pain, let me throw out a statement I found in the Hypertension Primer last night when I was trying to establish the priority for my brother-in-law to get treatment for his edema. (He has apparently had it so bad that his skin split!) Here is the quote:"The tissue RAS plays an important role in the regulation of reproduction through effects in the pituitary, the TESTES, and the ovaries. However this chapter focus on the roles of the tissue RAS relevent to hypertension and its adverse effects."Now what does renin, or lack of, do to the testes? (Rennin = 0.1) What does renin/aldo ratio of ~50 do? Could the effect, if any, be bilateral if caused by an adrenal adnoma? That is one of my next priorities so I am dropping out of the K discussion!Before I leave though, I in no way intend to belittle the cause and effect of a K imbalance. I understand the symptoms are very real and

the difficulties to control and treat can be a challenge. I am just lucky that I never experienced them! Good luck with your efforts! - 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): 123/73Other 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. > > > > > > > > > >

> > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > ÃÆ'‚ > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > I notice on here a lot of people have both hyperaldosteronism and> > > > > > > > > > > > > > > > > fibromyalgia I was just wondering if there was any link between the two?> > > > > > > > > > > > > > > > > I have PA but wonder sometime if I

have fibromyalgia also or is all the> > > > > > > > > > > > > > > > > pain from sodium and K imblance.> > > > > > > > > > > > > > > > >> > > > > > > > > > > > > > > >> > > > > > > > > > > > > > >> > > > > > > > > > > > > >> > > > > > > > > > > > >> > > > > > > > > > > >> > > > > > > > > > >> > > > > > > > > >> > > > > > > > >> > > > > > > >> > > > > > >> > > > > >> > > > >> > > >> > >>

>>

[Guest guest]

Some believe that all cells have components of the RAAS but I am not a believer. CE Grim MD Yes , you are you and I am me. I understand your case presented itself differently than mine. When you have to assume low K caused by incorrect blood draw/handling not once but 22 times in 5 years and pain resolves the same day other sx of pa resolve I tend to blame pa! (In fact you endorsed that conclusion once!) (I might have been slightly out of shape at 5'6" and 322 lbs!) As for depression, I'll just say there were extenuating circumstances that I don't care to discuss here. As for me connecting all my symptoms to another condition, I do that based on a lot on the information provided by a certain doctor who has been treating PA for over 40 years! (So far he seems to be right!) As systems resolve or improve I discuss with my healthcare team and they have yet to dispute his conclusions. I've also reviewed the HTN Primer and found a lot of confirmation. Do you see it differently? When Dr. G. and I last talked about it he indicated that some doctors would have DXed "low renin HTN" which he described as "early PA"! I don't know how long you can have "early PA" but I wonder if it is NA related. I understand it is possible to eliminate the need for MCBs if you DASH and do low NA. I wonder if it is possible to do it without any MCBs. Understand that I haven't always been on the high end of the range for K, that is why they put me on 40 MG of POTASSIUM CHLORIDE in 2007 and it didn't get and stay over 4.0 until I started Spiro. in 2010. I still never recognized any sx of low K and if I was to accept that I would accept that my HTN was caused by Fat, like obesity, the morbidly type! (And I know of no way to prove it unless we can turn time back or if I put my body back to the shape it was, a condition I have no intention of attaining!) Now, do you know how the RAS system affects the balls or what type of doctor would be the expert? - 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): 123/73 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. > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > ÃÆ'Æ'‚ÃÆ'‚ > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > I notice on here a lot of people have both hyperaldosteronism and > > > > > > > > > > > > > > > > > > fibromyalgia I was just wondering if there was any link between the two? > > > > > > > > > > > > > > > > > > I have PA but wonder sometime if I have fibromyalgia also or is all the > > > > > > > > > > > > > > > > > > pain from sodium and K imblance. > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > >