I went to mt Endo today to follow up on blood work she did because of episodes of high blood pressure
plus headaches, fatigue, numbness, thirst . . .
I sat for 10 minutes before sitting blood draw.
Aldosterone, serum 14.1 ng/dL
Renin Activity 0.4 ngmLhr
Vitamin D, 25 OH 28.4 ng/mL (range 30 - 60)
previous results from blood work earlier this year:
Potassium 3.3 3.7 3.7 4.1 meq/L (range 3.5 - 5.3)
She said that if Renin were non-existant and Aldosterone over 15, she would do further testing. Since I already take Vit. D supplements, she recommended more sunshine.
I have seen several references to the Aldosterone/PRA Ratio (she did not mention this). Mine would be 35.25. ARUP Lab says "greater than 25 is suggestive of hyperaldosteronism" and Quest says >18.2 is Primary Hyperaldosteronism.
So you did all the tests, about the Aldosterone/PRA Ratio , she didn't mention but she did, an Aldosterone/PRA Ratio over 30 with ALDOSTERONE higher then 15 ng/dL is suggestive of primary hyperaldosteronism. Further tests are required if aldosterone gets higher then 15. Those further tests include a non suppression of plasmatic aldosterone after administration of 500 mL/ h of fisiologic serum x 4 hours, and other tests (that doctors inject something). After those tests (if suggestive )they will ask for a high resolution CT scan for the suprarenal glands.
I think he is waiting to see if aldosterone gets higher then 15, then he probablyl request further tests...., I've noticed you have asked Dr. Lupo, just wait for he's advice (I'll be waiting too), sometimes we think a value is high but for doctors that value isn't high enough for a diagnosis or aren't high enought to justify further analyses ( that sometimes are invasive). About cortisol, have you tested for ACTH?
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