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Take my article to your Dr and let him

> read it. Keep us posted on the effects of Sprior. Capto will not

work in

> PA alone.

I did give him a copy of your article and asked him to study it in

relation to my case. Sadly, he was hesitant in accepting it and I would

not be surprised if he did not read it at all.

My bp is high and I am sweating as I am writing this. I dont feel well.

Should I just take Spiro on my own? This doc has pulled me off Spiro

three days ago.

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> Ask why he took you off Spiro

He told me that Spiro as a diuretic will affect the work-up he intends

to do on me. He said he will want me off Spiro for 4 weeks before the

work-up.

My bp during my 50mg Spiro and Lo Salt dieting was in the 180/110

range. But it feels ok though I am aware I am at a dangerous level.

I think I will go back to Spiro on my own.

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In a message dated 7/27/05 9:22:48 PM, bayabas76@... writes:

He told me that Spiro as a diuretic will affect the work-up he intends

to do on me. He said he will want me off Spiro for 4 weeks before the

work-up

He is right here. My approach is to see if the BP responds to spiro first becasuse if it does then just treat with that. If it does not it makes it less likely your have PA. but need to go to 400 a day before deciding it is not having an effect.

May your pressure be low!

Clarence E. Grim, BS (Chem/Math), MS (Biochem), MD, FACP, FACC, FAHS

Clinical Professor of Medicine and Epidemiology

Director, Hypertension Diagnosis and Treatment Center

Board Certified in Internal Medicine, Geriatrics and Hypertension

Published over 220 scientific papers, book chapters and 220 abstracts in the area of high blood pressure epidemiology, physiology, endocrinology measurement, treatment and how to detect curable causes.

Listed in Best Doctors in America

Specializing in Difficult to Control High Blood Pressure and the History and Physiology of High Blood pressure in the African Diaspora

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  • 3 months later...

In a message dated 10/29/05 2:16:58 PM, val@... writes:

You can get online blood testing at www.healthcheckusa.com  They offer many tests that are not listed.  I am able to keep check on my thyroid numbers without such a huge expense.  I don't know if they would do aldosterone and renin but they do general chemistry.  They make arrangements with docs to give discount codes.  I belong to a private (for pay - $60/yr) list run by Dr. Larrian Gillespie (retired uro-gynecology UCLA).  Her website is www.menopausediet.com   I get a 5% discount by using her code. 

 

The cardiac tests they suggest are not worth the money. $200 for tests that are not needed is a scam. They make it look like a bargin as the "usual" cost is $500+. Dont waste your money here. Ask you Dr what he can get the test you need for. Must be a lost less. I will check local lab here FYI.

May your pressure be low!

Clarence E. Grim, BS (Chem/Math), MS (Biochem), MD, FACP, FACC, FAHS

Clinical Professor of Medicine and Epidemiology

Director, Hypertension Diagnosis and Treatment Center

Board Certified in Internal Medicine, Geriatrics and Hypertension

Published over 220 scientific papers, book chapters and 220 abstracts in the area of high blood pressure epidemiology, physiology, endocrinology measurement, treatment and how to detect curable causes.

Listed in Best Doctors in America

Specializing in Difficult to Control High Blood Pressure and the History and Physiology of High Blood pressure in the African Diaspora

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  • 11 months later...

Debi,

Type B is a genotype that responds very well to treatment. Excellent chance of clearing. She will still need to drink the water, don't smoke or drink alcohol. Get plenty of rest.

Keep a positive attitude. Take all meds on time. That's good news.

lab tests

My daughter called and said that her viral load was 5 million and she was a geno type 2b? Thoughts?debi in austin

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  • 1 year later...

Well normally it isn't but in this case it is. Hypothyroid levels begin at

TSH greater than 2. She is VERY hypothyroid. That's a crime that no one

caught it before this. She needs to get on thyroid medication - preferably

Armour and some good thyroid nutrients.

Iodine

Selenium

Vit C

Zinc

Magnesium

Also they need to check her B12 and Iron / Ferritin levels as hypothyroid

people tend to be low in both and this will inhibit the effectiveness of the

thyroid hormone replacement.

B.

Thyroid Cancer Journey: http://ds-ladybugsandbees.blogspot.com/

Lab Tests

>A friend of mine recently had her thyroid tested and they told her

> she was hypothyroid. They printed out her lab report and the only

> test on the sheet was this:

> TSH (H) 50.93 mcIU/mL 0.32-5.00

>

> Is this one test enough to really tell her what is going on? Everyone

> that posts here usually posts many more test results than one?

>

> Thanks for any enlightenment,

>

>

>

> Send Message: iodine

>

> Iodine

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A high TSH means the pituitary is pumping out a lot of thyroid stimulating

hormone, trying to get the thyroid to work harder. Classic hypothyroidism.

And 50 is an unequivocably high number. Even people (including myself) that

disparage TSH agree that a high TSH means hypothyroidism; that's about the

only time TSH really has any value. The problem with TSH occurs when the

value is less than 5.0 (the former upper range). A person can have a low

TSH and still be hypothyroid, that is when Free T3 and Free T4 are needed to

know what is really going on.

Lynn

> Well normally it isn't but in this case it is. Hypothyroid levels begin

at

> TSH greater than 2. She is VERY hypothyroid. That's a crime that no one

> caught it before this. She needs to get on thyroid medication -

preferably

> Armour and some good thyroid nutrients.

>

> Iodine

> Selenium

> Vit C

> Zinc

> Magnesium

>

> Also they need to check her B12 and Iron / Ferritin levels as hypothyroid

> people tend to be low in both and this will inhibit the effectiveness of

the

> thyroid hormone replacement.

>

> B.

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Lynn,

What kind of information about Free T3 and Free T4 are needed to determine what's going on? (And I don't know what FREE means here). In my recent test results which I copy here from the report:

TSH was 2.824 (less than 5.0)

Thyroxine (T4) -- 6.1 ug/dL (Ref. 4.5-12.0)

Triiodothyronine, Free, Serum -- 3.2 pg/mL (Ref. 2.3-4.2)

So what do these figures mean? TIA

Mahin

The problem with TSH occurs when thevalue is less than 5.0 (the former upper range). A person can have a lowTSH and still be hypothyroid, that is when Free T3 and Free T4 are needed toknow what is really going on.LynnSee what's new at AOL.com and Make AOL Your Homepage.

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Lynn and  B.,Thanks so much for your help, this is exactly what I was needing to know to help my friend. =====A high TSH means the pituitary is pumping out a lot of thyroid stimulatinghormone, trying to get the thyroid to work harder. Classic hypothyroidism.And 50 is an unequivocably high number. Even people (including myself) thatdisparage TSH agree that a high TSH means hypothyroidism; that's about theonly time TSH really has any value. The problem with TSH occurs when thevalue is less than 5.0 (the former upper range). A person can have a lowTSH and still be hypothyroid, that is when Free T3 and Free T4 are needed toknow what is really going on.====Well normally it isn't but in this case it is. Hypothyroid levels begin at TSH greater than 2. She is VERY hypothyroid. That's a crime that no one caught it before this. She needs to get on thyroid medication - preferably Armour and some good thyroid nutrients.IodineSeleniumVit CZincMagnesiumAlso they need to check her B12 and Iron / Ferritin levels as hypothyroid people tend to be low in both and this will inhibit the effectiveness of the thyroid hormone replacement. B.Thyroid Cancer Journey: http://ds-ladybugsandbees.blogspot.com/====

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I lost 30 years of my life after a partial thyroidectomy b/c I could not get thyroid hormone. My TSH was always "normal" even though I had every symptom of hypothyroidism. Actually one doc, Broda MD, did give me a small amount of Armour, but I couldn't tolerate it---thought I really didn't need it. Now I know I should have had adrenal meds first.

Gracia

A high TSH means the pituitary is pumping out a lot of thyroid stimulatinghormone, trying to get the thyroid to work harder. Classic hypothyroidism.And 50 is an unequivocably high number. Even people (including myself) thatdisparage TSH agree that a high TSH means hypothyroidism; that's about theonly time TSH really has any value. The problem with TSH occurs when thevalue is less than 5.0 (the former upper range). A person can have a lowTSH and still be hypothyroid, that is when Free T3 and Free T4 are needed toknow what is really going on.Lynn> Well normally it isn't but in this case it is. Hypothyroid levels beginat> TSH greater than 2. She is VERY hypothyroid. That's a crime that no one> caught it before this. She needs to get on thyroid medication -preferably> Armour and some good thyroid nutrients.>> Iodine> Selenium> Vit C> Zinc> Magnesium>> Also they need to check her B12 and Iron / Ferritin levels as hypothyroid> people tend to be low in both and this will inhibit the effectiveness ofthe> thyroid hormone replacement.>> B.

No virus found in this incoming message.Checked by AVG Free Edition. Version: 7.5.503 / Virus Database: 269.15.24/1115 - Release Date: 11/7/2007 9:21 AM

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That's cool Gracia! You got to see Dr. . Where was he in practice when you saw him?

Steph

Re: Lab Tests

I lost 30 years of my life after a partial thyroidectomy b/c I could not get thyroid hormone. My TSH was always "normal" even though I had every symptom of hypothyroidism. Actually one doc, Broda MD, did give me a small amount of Armour, but I couldn't tolerate it---thought I really didn't need it. Now I know I should have had adrenal meds first.

Gracia

A high TSH means the pituitary is pumping out a lot of thyroid stimulatinghormone, trying to get the thyroid to work harder. Classic hypothyroidism.And 50 is an unequivocably high number. Even people (including myself) thatdisparage TSH agree that a high TSH means hypothyroidism; that's about theonly time TSH really has any value. The problem with TSH occurs when thevalue is less than 5.0 (the former upper range). A person can have a lowTSH and still be hypothyroid, that is when Free T3 and Free T4 are needed toknow what is really going on.Lynn> Well normally it isn't but in this case it is. Hypothyroid levels beginat> TSH greater than 2. She is VERY hypothyroid. That's a crime that no one> caught it before this. She needs to get on thyroid medication -preferably> Armour and some good thyroid nutrients.>> Iodine> Selenium> Vit C> Zinc> Magnesium>> Also they need to check her B12 and Iron / Ferritin levels as hypothyroid> people tend to be low in both and this will inhibit the effectiveness ofthe> thyroid hormone replacement.>> B.

No virus found in this incoming message.Checked by AVG Free Edition. Version: 7.5.503 / Virus Database: 269.15.24/1115 - Release Date: 11/7/2007 9:21 AM

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Mahin,

This http://thyroid.about.com/cs/testsforthyroid/a/freet3.htm explains what FREE means in regards to Free T3 and Free T4.

Your T4 of 6.1 is at 21% of the range. Your FT3 of 3.2 is at 47% of range. Optimally they would be at least in the upper third of their ranges. Your TSH of 2.824 is higher than optimal, which is around 1.5. You appear to be hypothyroid.

It would be helpful to know if you have thyroid antibodies.

Lynn

Lynn,

What kind of information about Free T3 and Free T4 are needed to determine what's going on? (And I don't know what FREE means here). In my recent test results which I copy here from the report:

TSH was 2.824 (less than 5.0)

Thyroxine (T4) -- 6.1 ug/dL (Ref. 4.5-12.0)

Triiodothyronine, Free, Serum -- 3.2 pg/mL (Ref. 2.3-4.2)

So what do these figures mean? TIA

Mahin

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Ft. Colorado, about 1976. He had a small basement office, just him and his wife. I don't know how much Armour he gave me, but I couldn't tolerate it, and I didn't go back. I could not think straight at that point either. :((

Gracia

That's cool Gracia! You got to see Dr. . Where was he in practice when you saw him?

Steph

Re: Lab Tests

I lost 30 years of my life after a partial thyroidectomy b/c I could not get thyroid hormone. My TSH was always "normal" even though I had every symptom of hypothyroidism. Actually one doc, Broda MD, did give me a small amount of Armour, but I couldn't tolerate it---thought I really didn't need it. Now I know I should have had adrenal meds first.

Gracia

A

..

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Thank, Lynn. What kind of test determines if I have thyroid antibodies?

Mahin

This http://thyroid.about.com/cs/testsforthyroid/a/freet3.htm explains what FREE means in regards to Free T3 and Free T4.

Your T4 of 6.1 is at 21% of the range. Your FT3 of 3.2 is at 47% of range. Optimally they would be at least in the upper third of their ranges. Your TSH of 2.824 is higher than optimal, which is around 1.5. You appear to be hypothyroid.

It would be helpful to know if you have thyroid antibodies.

Lynn

See what's new at AOL.com and Make AOL Your Homepage.

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  • 10 months later...

I've never checked for B6...anyone else?Dara Bergen, MPH, RD, CDNRegistered Dietitian & Nutritionist718-544-0770www.darabergen.com

From: Long, Amy - NHMC <Amy.Long@...>Subject: RE: lab tests Date: Friday, September 12, 2008, 1:38 PM

Dara, this is great, just one question...some of the literature says it's rare, but we have recently seen 2 pts in a row with B6 deficiency.. .do you not check B6 levels?

Thanks for sending out the form!

Amy

Amy Long Carrera MS, RD Clinical Dietitian Northridge Hospital Medical Center & Center for Weight Loss Surgery Northridge, CA Amy.LongCHW (DOT) edu 818-885-8500 x4034

From: BariatricNutritionD ietitians [mailto:BariatricNu tritionDietitian sgroups (DOT) com] On Behalf Of Dara BergenSent: Friday, September 12, 2008 7:24 AMBariatricNutritionD ietitiansSubject: [bariatricNutrition Dietitians] lab tests

I have an out-patient practice and see many pre and post bariatric surgery pts. I'm finding that many PCPs are not thoroughly ordering appropriate labs. I just drafted and attached a one page recommended lab tests that I want to fax to the PCPs. Any suggestions? Did I forget anything? Should I add copper annually? Thanks and feel free to use this if it helps you too.

-DaraDara Bergen, MPH, RD, CDNRegistered Dietitian & Nutritionist718-544-0770www.darabergen. com

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  • 3 weeks later...

Not anymore. It used to be that Dr. F did consults but so does Hakala now.

Other than price ... they are the same. Hakala has faster turn around times

because they are doing less testing at the moment.

Steph

Lab Tests

> Hi,

>

> Is there any reason to choose one lab over the other?

>

> Hakala ($117) and FPP labs ($140) for testing spot and loading?

>

> thanks,

> Ritz

>

> ------------------------------------

>

>

>

>

>

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  • 1 year later...
Guest guest

I have seen on several occassions " Request Problem "   No frozen spicimen

recieved.  Yet they gave a report.  So I assume they used the blood anyway.

How important is the blood freezing.   Should I have them redone with the

freezing???

Thanks,

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Guest guest

I am not sure I get this on a lot of my labs but it looks like one test that was

not done was what they were talking about they will not run test on bad blood.

Co-Moderator

Phil

> From: <alexanderjones49@...>

> Subject: Lab tests

>

> Date: Sunday, June 20, 2010, 12:17 PM

> I have seen on several occassions

> " Request Problem "   No frozen spicimen recieved.  Yet they

> gave a report.  So I assume they used the blood anyway.

>

> How important is the blood freezing.   Should I have them

> redone with the freezing???

>

> Thanks,

>

>

>

>

>      

>

>

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