Re: Kidney Issues (Low GFR)

[Guest guest]

Mike, My guess is 2-fold. S/He is probably concerned about your kidneys with

eGFR dipping below the magic # of 60. Is it trending down? Spiro has a warning

to be careful if there is kidney damage. The other point is with BP at 100/60

s/he probably felt it could increase a little.

I always suggest if you " wonder " why a doctor is doing something, ask them. You

are an important part of the team and there should be no secrets! Keep us

posted.

- 65 yo super ob. male - 12mm X 13mm rt. a.adnoma with previous rt. flank

pain. Treating with Meds. And DASH. . Current BP(last week ave): 131/76 HR 60

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

Meds: Duloxetine hcl 80 MG, Mirtazapine 7.5 MG, Metoprolol Tartrate 200 MG,

81mg asprin, Metformin 2000MG and Spironolactone 50 MG.

>

> I wanted to report that I had routine bloodwork the other day and Creatinine

was 1.5 and Estimated GFR was 54. Based on those numbers, my PCP reduced my

Spironolactone dose to 25 mg 2x from 50 mg 2x. I'm not sure I understand why he

did this and I'm not looking forward to the reduced dose because I felt really

good at 50 mg 2x and blood pressure averaged 100/60. He also ordered a kidney

ultrasound which came back normal. Has anybody had any experiences with this?

>

> For Lucy Sage: Thanks so much for sharing the name of your Endo. I got my

referral and will calling tomorrow to schedule an appointment.

>

> Thanks,

>

> Mike

>

> 48 yr old male, 6'3 " 240lbs, bilateral hyperplasia diagnosed in 2007

>

> Other issues: bicuspid aortic valve, enlarged aortic root, hypothyroidism,

allergies, asthma, gout, stomach discomfort

>

> Meds: Spironolactone, Levoxyl, Allopurinol, Toprol, Allegra, Prilosec,

Ranitidine, Singulair, Advair, Flonase, Albuterol.

>

[Guest guest]

In general when BP is first lowered esp if prev very high BP GFR worsens. Then if Rx is continued it may get better. A bp of 100/60 may also not be high enough to get good kidney function.Are you also DASHing. I assume he checked your urine Na/K to see how you are doing with that?Are you only taking spiro?Any CTs MRIs since last Cr?I recommend plotting 1/Cr y and rime on x axis to follow trend. It is a good way to predict when you may need dialysis or kidney transplant but you are no where close to that. I wanted to report that I had routine bloodwork the other day and Creatinine was 1.5 and Estimated GFR was 54. Based on those numbers, my PCP reduced my Spironolactone dose to 25 mg 2x from 50 mg 2x. I'm not sure I understand why he did this and I'm not looking forward to the reduced dose because I felt really good at 50 mg 2x and blood pressure averaged 100/60. He also ordered a kidney ultrasound which came back normal. Has anybody had any experiences with this? For Lucy Sage: Thanks so much for sharing the name of your Endo. I got my referral and will calling tomorrow to schedule an appointment. Thanks, Mike 48 yr old male, 6'3" 240lbs, bilateral hyperplasia diagnosed in 2007 Other issues: bicuspid aortic valve, enlarged aortic root, hypothyroidism, allergies, asthma, gout, stomach discomfort Meds: Spironolactone, Levoxyl, Allopurinol, Toprol, Allegra, Prilosec, Ranitidine, Singulair, Advair, Flonase, Albuterol.

[Guest guest]

At last bloodwork K - 4.5, Na - 136, Cl - 101. Last time GFR was checked was 1

yr ago and it was 59.2. I am to go in for more bloodwork and urine check on

Monday.

Dashing to max. Since reducing Spiro dose, bp up to 120/80

Other meds and conditions are below.

By the way, how often does everyone get blood drawn?

Thanks,

Mike

48 yr old male, 6'3 " 240lbs, bilateral hyperplasia diagnosed in 2007

Other issues: bicuspid aortic valve, enlarged aortic root, hypothyroidism,

allergies, asthma, gout, stomach discomfort, depression

Meds: Spironolactone, Levoxyl, Allopurinol, Toprol, Allegra, Prilosec,

Ranitidine, Singulair, Advair, Flonase, Albuterol, Wellbutrin

>

> > I wanted to report that I had routine bloodwork the other day and

> > Creatinine was 1.5 and Estimated GFR was 54. Based on those numbers,

> > my PCP reduced my Spironolactone dose to 25 mg 2x from 50 mg 2x. I'm

> > not sure I understand why he did this and I'm not looking forward to

> > the reduced dose because I felt really good at 50 mg 2x and blood

> > pressure averaged 100/60. He also ordered a kidney ultrasound which

> > came back normal. Has anybody had any experiences with this?

> >

> > For Lucy Sage: Thanks so much for sharing the name of your Endo. I

> > got my referral and will calling tomorrow to schedule an appointment.

> >

> > Thanks,

> >

> > Mike

> >

> > 48 yr old male, 6'3 " 240lbs, bilateral hyperplasia diagnosed in 2007

> >

> > Other issues: bicuspid aortic valve, enlarged aortic root,

> > hypothyroidism, allergies, asthma, gout, stomach discomfort

> >

> > Meds: Spironolactone, Levoxyl, Allopurinol, Toprol, Allegra,

> > Prilosec, Ranitidine, Singulair, Advair, Flonase, Albuterol.

> >

> >

>

[Guest guest]

Hi Mike,

My tests:

1) Monthly: Na, K, Cl, CO2, CREA (eGFR)

2) 3rd Monthly: HbA1c, uALBr ( = random urine microalbumin/randomurine

creatinine ratio < 2.00)

3) 9-12 monthly: CHOL, LDL, HDL, TRIG

Max

62M L adenoma by NP59 scan. High aldos not low renin. med combo

#76={Spiro=100, Amlo=10, Indap=2.5, Ramip=5, Metf=1000, Crestor=20, Feno=67,

K.Cl=120 mEq}{K=4.7}{not DASHing but low-salt diet, heat intolerance}

|

|By the way, how often does everyone get blood drawn?

|

|Thanks,

|

|Mike

|

|48 yr old male, 6'3 " 240lbs, bilateral hyperplasia diagnosed in 2007

|

|Other issues: bicuspid aortic valve, enlarged aortic root, hypothyroidism,

|allergies, asthma, gout, stomach discomfort, depression

|

|Meds: Spironolactone, Levoxyl, Allopurinol, Toprol, Allegra, Prilosec,

|Ranitidine, Singulair, Advair, Flonase, Albuterol, Wellbutrin

|

[Guest guest]

Interesting u are toprol and some meds for lung troubles generally line to avoid BB in people with lung problems. Can u give more details also on 2 meds for GERD?one goal in life should always try to reduce meds as much as possible over time. Tiped sad Send form miiPhone ;-)May your pressure be low!CE Grim MDSpecializing in DifficultHypertension

At last bloodwork K - 4.5, Na - 136, Cl - 101. Last time GFR was checked was 1 yr ago and it was 59.2. I am to go in for more bloodwork and urine check on Monday.

Dashing to max. Since reducing Spiro dose, bp up to 120/80

Other meds and conditions are below.

By the way, how often does everyone get blood drawn?

Thanks,

Mike

48 yr old male, 6'3" 240lbs, bilateral hyperplasia diagnosed in 2007

Other issues: bicuspid aortic valve, enlarged aortic root, hypothyroidism, allergies, asthma, gout, stomach discomfort, depression

Meds: Spironolactone, Levoxyl, Allopurinol, Toprol, Allegra, Prilosec, Ranitidine, Singulair, Advair, Flonase, Albuterol, Wellbutrin

>

> > I wanted to report that I had routine bloodwork the other day and

> > Creatinine was 1.5 and Estimated GFR was 54. Based on those numbers,

> > my PCP reduced my Spironolactone dose to 25 mg 2x from 50 mg 2x. I'm

> > not sure I understand why he did this and I'm not looking forward to

> > the reduced dose because I felt really good at 50 mg 2x and blood

> > pressure averaged 100/60. He also ordered a kidney ultrasound which

> > came back normal. Has anybody had any experiences with this?

> >

> > For Lucy Sage: Thanks so much for sharing the name of your Endo. I

> > got my referral and will calling tomorrow to schedule an appointment.

> >

> > Thanks,

> >

> > Mike

> >

> > 48 yr old male, 6'3" 240lbs, bilateral hyperplasia diagnosed in 2007

> >

> > Other issues: bicuspid aortic valve, enlarged aortic root,

> > hypothyroidism, allergies, asthma, gout, stomach discomfort

> >

> > Meds: Spironolactone, Levoxyl, Allopurinol, Toprol, Allegra,

> > Prilosec, Ranitidine, Singulair, Advair, Flonase, Albuterol.

> >

> >

>

[Guest guest]

Don't forget DASH also helps DM and lipids. Tiped sad Send form miiPhone ;-)May your pressure be low!CE Grim MDSpecializing in DifficultHypertension

Hi Mike,

My tests:

1) Monthly: Na, K, Cl, CO2, CREA (eGFR)

2) 3rd Monthly: HbA1c, uALBr ( = random urine microalbumin/randomurine

creatinine ratio < 2.00)

3) 9-12 monthly: CHOL, LDL, HDL, TRIG

Max

62M L adenoma by NP59 scan. High aldos not low renin. med combo

#76={Spiro=100, Amlo=10, Indap=2.5, Ramip=5, Metf=1000, Crestor=20, Feno=67,

K.Cl=120 mEq}{K=4.7}{not DASHing but low-salt diet, heat intolerance}

|

|By the way, how often does everyone get blood drawn?

|

|Thanks,

|

|Mike

|

|48 yr old male, 6'3" 240lbs, bilateral hyperplasia diagnosed in 2007

|

|Other issues: bicuspid aortic valve, enlarged aortic root, hypothyroidism,

|allergies, asthma, gout, stomach discomfort, depression

|

|Meds: Spironolactone, Levoxyl, Allopurinol, Toprol, Allegra, Prilosec,

|Ranitidine, Singulair, Advair, Flonase, Albuterol, Wellbutrin

|

[Guest guest]

Hi Dr. Grim, This summer my heat intolerance deprived me of outdoor cycling and exercise. It appears that heat intolerance is getting worse annually such that never ever I imagined that I cherish coming back of cold weather and snow! Max.62M L adenoma by NP59 scan. High aldos not low renin. med combo #76={Spiro=100, Amlo=10, Indap=2.5, Ramip=5, Metf=1000, Crestor=20, Feno=67, K.Cl=120 mEq}{K=4.7}{not DASHing but low-salt diet, heat intolerance} Don't forget DASH also helps DM and lipids. Tiped sad Send form miiPhone ;-) May your pressure be low! CE Grim MDSpecializing in DifficultHypertension Hi Mike,My tests: 1) Monthly: Na, K, Cl, CO2, CREA (eGFR)2) 3rd Monthly: HbA1c, uALBr ( = random urine microalbumin/randomurinecreatinine ratio < 2.00)3) 9-12 monthly: CHOL, LDL, HDL, TRIGMax62M L adenoma by NP59 scan. High aldos not low renin. med combo#76={Spiro=100, Amlo=10, Indap=2.5, Ramip=5, Metf=1000, Crestor=20, Feno=67,K.Cl=120 mEq}{K=4.7}{not DASHing but low-salt diet, heat intolerance}||By the way, how often does everyone get blood drawn?||Thanks,||Mike||48 yr old male, 6'3 " 240lbs, bilateral hyperplasia diagnosed in 2007||Other issues: bicuspid aortic valve, enlarged aortic root, hypothyroidism,|allergies, asthma, gout, stomach discomfort, depression||Meds: Spironolactone, Levoxyl, Allopurinol, Toprol, Allegra, Prilosec,|Ranitidine, Singulair, Advair, Flonase, Albuterol, Wellbutrin|

[Guest guest]

Nothing would make me happier than to reduce meds. Toprol is prescribed to keep

heart from beating too vigorously since I have valve and aorta issues. I

realize that it can affect asthma, but I haven't noticed a change. I have

reflux and they observed Barrett's a few years ago. I made dietary changes and

last EGD showed no evidence of Barrett's, but they didn't tell me to stop meds.

Mike

48 yr old male, 6'3 " 240lbs, bilateral hyperplasia diagnosed in 2007

Other issues: bicuspid aortic valve, enlarged aortic root, hypothyroidism,

allergies, asthma, gout, stomach discomfort, depression

Meds: Spironolactone, Levoxyl, Allopurinol, Toprol, Allegra, Prilosec,

Ranitidine, Singulair, Advair, Flonase, Albuterol, Wellbutrin

> > >

> > > > I wanted to report that I had routine bloodwork the other day and

> > > > Creatinine was 1.5 and Estimated GFR was 54. Based on those numbers,

> > > > my PCP reduced my Spironolactone dose to 25 mg 2x from 50 mg 2x. I'm

> > > > not sure I understand why he did this and I'm not looking forward to

> > > > the reduced dose because I felt really good at 50 mg 2x and blood

> > > > pressure averaged 100/60. He also ordered a kidney ultrasound which

> > > > came back normal. Has anybody had any experiences with this?

> > > >

> > > > For Lucy Sage: Thanks so much for sharing the name of your Endo. I

> > > > got my referral and will calling tomorrow to schedule an appointment.

> > > >

> > > > Thanks,

> > > >

> > > > Mike

> > > >

> > > > 48 yr old male, 6'3 " 240lbs, bilateral hyperplasia diagnosed in 2007

> > > >

> > > > Other issues: bicuspid aortic valve, enlarged aortic root,

> > > > hypothyroidism, allergies, asthma, gout, stomach discomfort

> > > >

> > > > Meds: Spironolactone, Levoxyl, Allopurinol, Toprol, Allegra,

> > > > Prilosec, Ranitidine, Singulair, Advair, Flonase, Albuterol.

> > > >

> > > >

> > >

> >

> >

>

[Guest guest]

I'll look for it, but a statement came out a few days ago about us way overestimating Barret's cancer risk - seems to be way less a risk then we thought. But this is good news.

Subject: Re: Kidney Issues (Low GFR)To: hyperaldosteronism Date: Thursday, October 20, 2011, 6:40 PM

Nothing would make me happier than to reduce meds. Toprol is prescribed to keep heart from beating too vigorously since I have valve and aorta issues. I realize that it can affect asthma, but I haven't noticed a change. I have reflux and they observed Barrett's a few years ago. I made dietary changes and last EGD showed no evidence of Barrett's, but they didn't tell me to stop meds.Mike48 yr old male, 6'3" 240lbs, bilateral hyperplasia diagnosed in 2007Other issues: bicuspid aortic valve, enlarged aortic root, hypothyroidism, allergies, asthma, gout, stomach discomfort, depressionMeds: Spironolactone, Levoxyl, Allopurinol, Toprol, Allegra, Prilosec, Ranitidine, Singulair, Advair, Flonase, Albuterol, Wellbutrin> > > > > > > I wanted to report that I had routine bloodwork the other day and > > > > Creatinine was 1.5 and Estimated GFR was 54. Based on those numbers,

> > > > my PCP reduced my Spironolactone dose to 25 mg 2x from 50 mg 2x. I'm > > > > not sure I understand why he did this and I'm not looking forward to > > > > the reduced dose because I felt really good at 50 mg 2x and blood > > > > pressure averaged 100/60. He also ordered a kidney ultrasound which > > > > came back normal. Has anybody had any experiences with this?> > > >> > > > For Lucy Sage: Thanks so much for sharing the name of your Endo. I > > > > got my referral and will calling tomorrow to schedule an appointment.> > > >> > > > Thanks,> > > >> > > > Mike> > > >> > > > 48 yr old male, 6'3" 240lbs, bilateral hyperplasia diagnosed in 2007> > > >> > > > Other issues: bicuspid aortic valve,

enlarged aortic root, > > > > hypothyroidism, allergies, asthma, gout, stomach discomfort> > > >> > > > Meds: Spironolactone, Levoxyl, Allopurinol, Toprol, Allegra, > > > > Prilosec, Ranitidine, Singulair, Advair, Flonase, Albuterol.> > > >> > > >> > >> > > >>

[Guest guest]

It's MAN 'o' pause

Hi Mike,My tests: 1) Monthly: Na, K, Cl, CO2, CREA (eGFR)2) 3rd Monthly: HbA1c, uALBr ( = random urine microalbumin/randomurinecreatinine ratio < 2.00)3) 9-12 monthly: CHOL, LDL, HDL, TRIGMax62M L adenoma by NP59 scan. High aldos not low renin. med combo#76={Spiro=100, Amlo=10, Indap=2.5, Ramip=5, Metf=1000, Crestor=20, Feno=67,K.Cl=120 mEq}{K=4.7}{not DASHing but low-salt diet, heat intolerance}||By the way, how often does everyone get blood drawn?||Thanks,||Mike||48 yr old male, 6'3" 240lbs, bilateral hyperplasia diagnosed in 2007||Other issues: bicuspid aortic valve, enlarged aortic root, hypothyroidism,|allergies, asthma, gout, stomach discomfort, depression||Meds: Spironolactone, Levoxyl, Allopurinol, Toprol, Allegra, Prilosec,|Ranitidine, Singulair, Advair, Flonase, Albuterol, Wellbutrin|

[Guest guest]

I would ask your team to review all of your meds and now that your BP is doing better with DASH and MCBs if you can consider reducing:1. allopurinal-if you have never had gout2. Prilosec and/or Ranitidine.3. Singulaire, Advair, Flonase Abluterol for Asthma?What is rellationship toprol to onset of asthma?CE Grim MD I'll look for it, but a statement came out a few days ago about us way overestimating Barret's cancer risk - seems to be way less a risk then we thought. But this is good news. Subject: Re: Kidney Issues (Low GFR)To: hyperaldosteronism Date: Thursday, October 20, 2011, 6:40 PM Nothing would make me happier than to reduce meds. Toprol is prescribed to keep heart from beating too vigorously since I have valve and aorta issues. I realize that it can affect asthma, but I haven't noticed a change. I have reflux and they observed Barrett's a few years ago. I made dietary changes and last EGD showed no evidence of Barrett's, but they didn't tell me to stop meds.Mike48 yr old male, 6'3" 240lbs, bilateral hyperplasia diagnosed in 2007Other issues: bicuspid aortic valve, enlarged aortic root, hypothyroidism, allergies, asthma, gout, stomach discomfort, depressionMeds: Spironolactone, Levoxyl, Allopurinol, Toprol, Allegra, Prilosec, Ranitidine, Singulair, Advair, Flonase, Albuterol, Wellbutrin> > > > > > > I wanted to report that I had routine bloodwork the other day and > > > > Creatinine was 1.5 and Estimated GFR was 54. Based on those numbers, > > > > my PCP reduced my Spironolactone dose to 25 mg 2x from 50 mg 2x. I'm > > > > not sure I understand why he did this and I'm not looking forward to > > > > the reduced dose because I felt really good at 50 mg 2x and blood > > > > pressure averaged 100/60. He also ordered a kidney ultrasound which > > > > came back normal. Has anybody had any experiences with this?> > > >> > > > For Lucy Sage: Thanks so much for sharing the name of your Endo. I > > > > got my referral and will calling tomorrow to schedule an appointment.> > > >> > > > Thanks,> > > >> > > > Mike> > > >> > > > 48 yr old male, 6'3" 240lbs, bilateral hyperplasia diagnosed in 2007> > > >> > > > Other issues: bicuspid aortic valve, enlarged aortic root, > > > > hypothyroidism, allergies, asthma, gout, stomach discomfort> > > >> > > > Meds: Spironolactone, Levoxyl, Allopurinol, Toprol, Allegra, > > > > Prilosec, Ranitidine, Singulair, Advair, Flonase, Albuterol.> > > >> > > >> > >> > > >>

[Guest guest]

Thanks Dr. Grim, I will definitely do that. I am cutting back on my stomach

meds to see what happens. The Allopurinol has been prescribed for high uric

acid; I've never had a gout attack. I do not use the Advair unless I am in a

period of bad asthma. My asthma did not change since I started the Toprol, I

have had asthma since birth.

I really don't understand why I cannot find a PCP in my area that will take a

comprehensive look at my issues before sending me to a Specialist. The

Specialists, naturally, only focus on the problem relating to their speciality.

I thought the purpose of the PCP would be to be the " big picture " guy who would

sort of oversee the care. Dr. Grim, you are the first MD that has said anything

about the number of meds that I take, and I agree that it's probably too much

for someone my age. Heck, I probably had diagnosable PA for about 15 years

before they found it. I had HBP and low K and it was being treated as if they

were separate problems. I had all of the other symptoms also. Nobody put them

all together until my pressure was up to 180/100 while on 3 HBP meds and they

had exhausted all tests for secondary hypertension causes (except PA). I even

told them that my Dad had adrenal issues in the 1970's!

Sorry for the rant, but it is really frustrating.

Mike

48 yr old male, 6'3 " 240lbs, bilateral hyperplasia diagnosed in 2007

Other issues: bicuspid aortic valve, enlarged aortic root, hypothyroidism,

allergies, asthma, gout, stomach discomfort, depression

Meds: Spironolactone, Levoxyl, Allopurinol, Toprol, Allegra, Prilosec,

Ranitidine, Singulair, Advair, Flonase, Albuterol, Wellbutrin

> > > > >

> > > > > > I wanted to report that I had routine bloodwork the other

> > day and

> > > > > > Creatinine was 1.5 and Estimated GFR was 54. Based on those

> > numbers,

> > > > > > my PCP reduced my Spironolactone dose to 25 mg 2x from 50 mg

> > 2x. I'm

> > > > > > not sure I understand why he did this and I'm not looking

> > forward to

> > > > > > the reduced dose because I felt really good at 50 mg 2x and

> > blood

> > > > > > pressure averaged 100/60. He also ordered a kidney

> > ultrasound which

> > > > > > came back normal. Has anybody had any experiences with this?

> > > > > >

> > > > > > For Lucy Sage: Thanks so much for sharing the name of your

> > Endo. I

> > > > > > got my referral and will calling tomorrow to schedule an

> > appointment.

> > > > > >

> > > > > > Thanks,

> > > > > >

> > > > > > Mike

> > > > > >

> > > > > > 48 yr old male, 6'3 " 240lbs, bilateral hyperplasia diagnosed

> > in 2007

> > > > > >

> > > > > > Other issues: bicuspid aortic valve, enlarged aortic root,

> > > > > > hypothyroidism, allergies, asthma, gout, stomach discomfort

> > > > > >

> > > > > > Meds: Spironolactone, Levoxyl, Allopurinol, Toprol, Allegra,

> > > > > > Prilosec, Ranitidine, Singulair, Advair, Flonase, Albuterol.

> > > > > >

> > > > > >

> > > > >

> > > >

> > > >

> > >

> >

> >

> >

>

[Guest guest]

Interesting about your dad. Dud u go to the NIH site in our intro to do a family tree? If not u should bTiped sad Send form miiPhone ;-)May your pressure be low!CE Grim MDSpecializing in DifficultHypertension

Thanks Dr. Grim, I will definitely do that. I am cutting back on my stomach meds to see what happens. The Allopurinol has been prescribed for high uric acid; I've never had a gout attack. I do not use the Advair unless I am in a period of bad asthma. My asthma did not change since I started the Toprol, I have had asthma since birth.

I really don't understand why I cannot find a PCP in my area that will take a comprehensive look at my issues before sending me to a Specialist. The Specialists, naturally, only focus on the problem relating to their speciality. I thought the purpose of the PCP would be to be the "big picture" guy who would sort of oversee the care. Dr. Grim, you are the first MD that has said anything about the number of meds that I take, and I agree that it's probably too much for someone my age. Heck, I probably had diagnosable PA for about 15 years before they found it. I had HBP and low K and it was being treated as if they were separate problems. I had all of the other symptoms also. Nobody put them all together until my pressure was up to 180/100 while on 3 HBP meds and they had exhausted all tests for secondary hypertension causes (except PA). I even told them that my Dad had adrenal issues in the 1970's!

Sorry for the rant, but it is really frustrating.

Mike

48 yr old male, 6'3" 240lbs, bilateral hyperplasia diagnosed in 2007

Other issues: bicuspid aortic valve, enlarged aortic root, hypothyroidism, allergies, asthma, gout, stomach discomfort, depression

Meds: Spironolactone, Levoxyl, Allopurinol, Toprol, Allegra, Prilosec, Ranitidine, Singulair, Advair, Flonase, Albuterol, Wellbutrin

> > > > >

> > > > > > I wanted to report that I had routine bloodwork the other

> > day and

> > > > > > Creatinine was 1.5 and Estimated GFR was 54. Based on those

> > numbers,

> > > > > > my PCP reduced my Spironolactone dose to 25 mg 2x from 50 mg

> > 2x. I'm

> > > > > > not sure I understand why he did this and I'm not looking

> > forward to

> > > > > > the reduced dose because I felt really good at 50 mg 2x and

> > blood

> > > > > > pressure averaged 100/60. He also ordered a kidney

> > ultrasound which

> > > > > > came back normal. Has anybody had any experiences with this?

> > > > > >

> > > > > > For Lucy Sage: Thanks so much for sharing the name of your

> > Endo. I

> > > > > > got my referral and will calling tomorrow to schedule an

> > appointment.

> > > > > >

> > > > > > Thanks,

> > > > > >

> > > > > > Mike

> > > > > >

> > > > > > 48 yr old male, 6'3" 240lbs, bilateral hyperplasia diagnosed

> > in 2007

> > > > > >

> > > > > > Other issues: bicuspid aortic valve, enlarged aortic root,

> > > > > > hypothyroidism, allergies, asthma, gout, stomach discomfort

> > > > > >

> > > > > > Meds: Spironolactone, Levoxyl, Allopurinol, Toprol, Allegra,

> > > > > > Prilosec, Ranitidine, Singulair, Advair, Flonase, Albuterol.

> > > > > >

> > > > > >

> > > > >

> > > >

> > > >

> > >

> >

> >

> >

>

[Guest guest]

Some meds can increase uric acid.

> > > > > > >

> > > > > > > > I wanted to report that I had routine bloodwork the other

> > > > day and

> > > > > > > > Creatinine was 1.5 and Estimated GFR was 54. Based on those

> > > > numbers,

> > > > > > > > my PCP reduced my Spironolactone dose to 25 mg 2x from 50 mg

> > > > 2x. I'm

> > > > > > > > not sure I understand why he did this and I'm not looking

> > > > forward to

> > > > > > > > the reduced dose because I felt really good at 50 mg 2x and

> > > > blood

> > > > > > > > pressure averaged 100/60. He also ordered a kidney

> > > > ultrasound which

> > > > > > > > came back normal. Has anybody had any experiences with this?

> > > > > > > >

> > > > > > > > For Lucy Sage: Thanks so much for sharing the name of your

> > > > Endo. I

> > > > > > > > got my referral and will calling tomorrow to schedule an

> > > > appointment.

> > > > > > > >

> > > > > > > > Thanks,

> > > > > > > >

> > > > > > > > Mike

> > > > > > > >

> > > > > > > > 48 yr old male, 6'3 " 240lbs, bilateral hyperplasia diagnosed

> > > > in 2007

> > > > > > > >

> > > > > > > > Other issues: bicuspid aortic valve, enlarged aortic root,

> > > > > > > > hypothyroidism, allergies, asthma, gout, stomach discomfort

> > > > > > > >

> > > > > > > > Meds: Spironolactone, Levoxyl, Allopurinol, Toprol, Allegra,

> > > > > > > > Prilosec, Ranitidine, Singulair, Advair, Flonase, Albuterol.

> > > > > > > >

> > > > > > > >

> > > > > > >

> > > > > >

> > > > > >

> > > > >

> > > >

> > > >

> > > >

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