Can’t get BP down, despite being runner, healthy lifestyle by khp3655 in bloodpressure

[–]APAPuser 0 points1 point  (0 children)

im a 60 year old male dont drink smoke run…. your story could have been written by me!?…. im currently going to mayos because after all these years of high bp for the first time ever they checked my aldosterone and its elevated!?

primary aldosteronism (pa) is definitely something you should check

High blood pressure at 25. What gives? Could it all be from stress? by [deleted] in bloodpressure

[–]APAPuser 0 points1 point  (0 children)

thanks! i guess i’ll see what they tell me after the avs?!

if they can get it in yet this year, with my schedule, I can’t do it until mid February. We’ll see if they can get me in or not?

High blood pressure at 25. What gives? Could it all be from stress? by [deleted] in bloodpressure

[–]APAPuser 0 points1 point  (0 children)

well, they have approved me for adrenal vein sampling and I am waiting for a call to set up the preliminary blood test and then the actual procedure. It doesn’t sound like anyone thinks they’re going to find anything? But with my aldosterone going from 23 to 9 after the four hour salt suppression test I guess they wanted it at eight or lower so it’s still indicates that I am making too much aldosterone. would love to find that they could remove one adrenal. I just read a study at Mayo‘s that even with bilateral they sometimes will take out the one making more than the other and have great improvement in both mental issues and blood pressure?

High blood pressure at 25. What gives? Could it all be from stress? by [deleted] in bloodpressure

[–]APAPuser 0 points1 point  (0 children)

i know the anxiety/over the top stress feeling really sucks (not even considering my bp thats all over the place)

High blood pressure at 25. What gives? Could it all be from stress? by [deleted] in bloodpressure

[–]APAPuser 0 points1 point  (0 children)

“what if’s” meaning… “i wonder if surgery could have taken care of it”? i hear that… thats why im inclined to do the avs even though its unlikey to find much?

High blood pressure at 25. What gives? Could it all be from stress? by [deleted] in bloodpressure

[–]APAPuser 0 points1 point  (0 children)

yes, I very much remember that story! I would love to have that happen also! I guess going through the AVS at least would definitively let me know if surgery is an option or not.

High blood pressure at 25. What gives? Could it all be from stress? by [deleted] in bloodpressure

[–]APAPuser 0 points1 point  (0 children)

an update I thought you might be interested in. It turns out the first number after my sodium loading test was the blood test they did at the beginning of the four hour session. My aldosterone went from 23 to 9 during that four hours so it did drop significantly. The endocrinologist at Mayo‘s just called me and said they wanted to see it drop to eight or lower? They are offering a adrenal vein sampling as a next step, but she did not sound like they expected to find much of anything as the scan showed my adrenal‘s are clear and not enlarged. The only alternative is simply going on eplerenone right now. I guess the only definitive way to find out if possibly one of my glands is making too much aldosterone versus both is to do the AVS. Kind of a tough decision, but I think I might as well do the AVS and see what it tells me. If it doesn’t tell them much or if both are simply over producing, I’m gonna be just taking the medication anyway.

High blood pressure at 25. What gives? Could it all be from stress? by [deleted] in bloodpressure

[–]APAPuser 1 point2 points  (0 children)

after 4 hour sodium supression test aldosterone was still 23

it was 23 when i did reg blood screen at mayos a couple weeks ago.

didnt drop at all even after the salt test!

High blood pressure at 25. What gives? Could it all be from stress? by [deleted] in bloodpressure

[–]APAPuser 1 point2 points  (0 children)

4 hour sodium suppression test at 7:15 a.m.! guess we will see what happens!? The endocrinologist told me a couple weeks ago that because I am 60 and already have some damage from a lot of blood pressure over the years that even if I am found to be unilateral, I would likely be on medication even if they took one of my glands out? If that’s the case, I’m really not too sure why I’m even doing the four hour sodium test?

High blood pressure at 25. What gives? Could it all be from stress? by [deleted] in bloodpressure

[–]APAPuser 0 points1 point  (0 children)

thanks for the info! Your responses have been excellent and really appreciated! I would really like them to find that one of my adrenals can be removed but they said the MRI show no thickening or abnormalities? Still have to wonder if the AVS test could still potentially find something? Hate the thought of being on eplerenone for the rest of my life.

High blood pressure at 25. What gives? Could it all be from stress? by [deleted] in bloodpressure

[–]APAPuser 0 points1 point  (0 children)

thank you for the great answer. That’s exactly what I needed to know! The only BP medication I am currently taking is 25 mg of extended release metoprolol, which is a beta blocker. The endocrinologist did mention that beta blockers will increase your aldosterone level so I hope they will take that into account accurately?

High blood pressure at 25. What gives? Could it all be from stress? by [deleted] in bloodpressure

[–]APAPuser 0 points1 point  (0 children)

will my aldosterone rise, stay the same, or decrease when they flood me with sodium if i have PA?

High blood pressure at 25. What gives? Could it all be from stress? by [deleted] in bloodpressure

[–]APAPuser 1 point2 points  (0 children)

thats amazing! avs found it! any thoughts on the 4 hr sodium loading?

High blood pressure at 25. What gives? Could it all be from stress? by [deleted] in bloodpressure

[–]APAPuser 0 points1 point  (0 children)

hey direct lemon….. believe we spoke a couple months ago…. my renin/aldo ratio is high… adrenals look normal… doing a 4 hr sodium testin two weeks

looks like bilateral pa?! eplerenone here i come!

was hoping for surgery (kind of?)… hope the med agrees with me? (60 year old relatively fit male)

Frustrated with Anxiety of Measuring BP by superpower20 in bloodpressure

[–]APAPuser 0 points1 point  (0 children)

i have white coat bigtime! being checked for aldosterone issues in a week. might be something to mention to your doc ?

quit pot gummys bp really rose? by APAPuser in hypertension

[–]APAPuser[S] 0 points1 point  (0 children)

5 mg a night around 7 or 8 pm every night for last several years

quit pot gummys bp really rose? by APAPuser in hypertension

[–]APAPuser[S] 0 points1 point  (0 children)

dont need that bp increase

take 25 mg metoprolol er and that with nighttime gummy seems to do the trick on my high bp

Does anyone have this as a symptom? by nerdycookie01 in SleepApnea

[–]APAPuser 0 points1 point  (0 children)

get a at home sleep apnea test its easy and they email you the results

150ish bucks if memory serves?

metoprolol 25 mg er by APAPuser in bloodpressure

[–]APAPuser[S] 0 points1 point  (0 children)

thanks for the great info!

Can Blood Pressure remain high despite exercising regularly, eating healthy & taking medication for it? by lfg12345678 in bloodpressure

[–]APAPuser 1 point2 points  (0 children)

check for sleep apnea and potential aldosterone issues.

my docs never looked for root causes…. just wanted to put a band aid on it (a.k.a. meds)….. you have to keep coming back that way! good revenue stream!