Guest guest Posted October 6, 2011 Report Share Posted October 6, 2011 I think that's comforting that you think so low isn't the best for everyone. Patients often TELL us they feel terrible at what medicine often sets as a benchmark and how can we deny what they feel. See that with blood sugars too sometimes.. , last night Dr. G.and I were talking about potential changes to the BP recommendarion as it applies to PTNs w/DM. (The ACCORD Trials Study found the lower std., 120/80, was detrimental when compared to a goal of 140/80. I've seen speculation that JNC-8 will see this reflected.) Dr. G. explained it was a "J-curve" effect and I posted an article that explained that. From my untrained eye it appeared to be a great article for those who want to know "Why". For those that missed it, it is not unique to DM PTNs and is at:http://www.medscape.com/viewarticle/712113_print - 65 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): 122/73Other 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. > > >  > > > > > Would taking progesterone help prevent/reverse gyno for men taking Spiro? I am been reading up on its use to balance out estrogen dominance and wondered if it might be useful for those of us dealing with Spiro induced gyno. My understanding is we get gyno becuase of the estrogen dominance cuased by blocking receptor sites for aldo/testosterone. From what i have also read, progesterone gets convered into Aldo. Since we are making aldo by the truck load in PA, is it possible that we become estrogen dominate by the fact we are low on progestrone. If i understand it right, progestrone blocks estrogen receptor sites to some degree. Anyway, curious what your thoughts are on this.> >  > ============================================================================> 45-Male-Caucasian, 5'9"- 242lbs, PA Diagnosed 2007 Suspected Hyperplasia-No tumors on CT - No AVS.> Meds: 50mg Inspra, 40meq Potassium, 1800mg Calcium, 1000mg Magnesium, 100,000UI Vit D (weekly), 20mg Omeprazole> Side effects: Gynecomastia, stomach inflammation (From Spiro)> 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> Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 6, 2011 Report Share Posted October 6, 2011 Very good! That IS the wink test, I mean that OTHER end of course. Well without the heat hopefully....unless you're drinking a hot glass cup of coffee before, or wearing warm gloves while...... Subject: Re: Medical reasoningTo: hyperaldosteronism Date: Thursday, October 6, 2011, 7:43 PM Is there a "Wink Test" for that one?> > >  > > > > > Would taking progesterone help prevent/reverse gyno for men taking Spiro? I am been reading up on its use to balance out estrogen dominance and wondered if it might be useful for those of us dealing with Spiro induced gyno. My understanding is we get gyno becuase of the estrogen dominance cuased by blocking receptor sites for aldo/testosterone. From what i have also read, progesterone gets convered into Aldo. Since we are making aldo by the truck load in PA, is it possible that we become estrogen dominate by the fact we are low on progestrone. If i understand it right, progestrone blocks estrogen receptor sites to some degree. Anyway, curious what your thoughts are on this.> >  > ============================================================================> 45-Male-Caucasian, 5'9"- 242lbs, PA Diagnosed 2007 Suspected Hyperplasia-No tumors on CT - No AVS.> Meds: 50mg Inspra, 40meq Potassium, 1800mg Calcium, 1000mg Magnesium, 100,000UI Vit D (weekly), 20mg Omeprazole> Side effects: Gynecomastia, stomach inflammation (From Spiro)> 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> Quote Link to comment Share on other sites More sharing options...
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