Have you also tested for calcium? and the presence of cathecolamines in urine?, do you take diuretics? How is your thyroid? (TSH)?
Calcium 8.8, 9.1 9.5 (8.5 - 10.1)
urine nd plasma catecholamines are low
plasmafree metanephrinesare ok
TSH .7, 1.3
T3 free 2.7 --
T4 free .94, .99
Thyroid has multiple hurthle cell adenomas (benign)
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.
So with an Aldosterone/PRA ratio of 35.5 and Aldosterone of 14.1,
is there a possible adrenal problem? My Endo is not planning any further testing.
My Cortisol is slightly high and Autonomic Nervous System tests areslightly abnormal.
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?
My blood pressure is not always elevated, but when it is it lasts for a few days.
Maybe we should re-check then?
ACTH is ok.
I hope Dr Lupo responds . . .