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PA meds revisited...spiro vs. epler for women

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I just finished up testing at NIH and am awaiting AVS and some other test

results. Pheo is not yet ruled out, and although CAT revealed bilateral

nodules, we do not yet know if I have bilateral hyperplasia, or if one side is

producing more aldo than the other, etc. I will know more later this week. I

also don't know yet whether or not the AVS has to be repeated.

In my last conversation, however, with one of my Drs at NIH, he discussed the

possibility of managing bilateral hyperplasia with meds as opposed to surgery

for the other issues. Spiro and Epler were mentioned and I want to revisit the

question to all of you about the pros and cons of Spiro vs. Epler, for a woman.

The last time I posted a question on this topic, it evolved into a line of

messages around the negatives for men and the cost factors...I want a comparison

of the side effects, known to any of you who have taken them. Let's assume, for

this purpose, that the cost is the same.

So, as a post menopausal woman, with bilateral hyperplasia causing primary

aldosteronism, thyroid issues, and non specific cardiac arythmia, lipid issues,

hirsitism, hair loss, even though labs reflect within normal ranges for

testosterone and other androgens...and close to no estrogen or progestin what

are the pros and cons of spiro vs. epler for me?

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