Doctor insights on:
Low Aldosterone Treatment
Many options: First find out why the testosterone is low before treatment. If no secondary cause is found, then you can treat using a variety of options: oral pill (not recommended), injection, patch, gel, and products that absorb through your gum (buccal). Talk to your doctor about the appropriateness of each option for you individually. ...Read moreSee 1 more doctor answer
Low aldosterone ~3, normal renin and cortisol. Which type of adrenal issue and remedy available? Finding out reason for hyperkalemia and low hco3
Hypoaldosteronism: You may have normoreninemic hypoaldosteronism. It can be treated by a daily dose of fludrocortisone, under a physicians care. Could be due to medications or primary adrenal gland failure (zona glomerulosa). Additional tests could confirm this. ...Read more
Potassium 3.4 (3.5-5.0) got dysautonomia. Low aldosterone low angiotensin ii. Need florinef (fludrocortisone) but potassium will be lower. What causing this?
Review this again: Aldosterone deficient patients that require fluorinef are almost by definition hyperkalemic. Florinef (fludrocortisone) will make the k lower. The condition you describe (low aldosterone, adrenal insufficiency) comes with high k, non gap acidosis and low blood pressure. The low k does not fit. Perhaps this is a form of barrter's syndrome. Please review with your physician. ...Read more
Low aldosterone, normal renin. Sodium 141(135-145), potassium 3.4(3.5-5.0) confused, shouldnt sodium be lower if low aldosterone and potassium higher?
If someone had low angiotensin ii, low aldosterone and low vasopressin. Took florinef (fludrocortisone) would it retain water even though low vasopressin?
Can this be hypopituitairism: high cortisol, highish prolactin, low HGH, lowish TSH, low LH and FSH in luteal phase, (lowish in follicular), low ADH (vasopressin)?
Pituitary: It is difficult to diagnose hypopituitarism vased on labs you provided. High cortisol goes against hypopituitarism. High prolactin can lower FSH and LH.. TSH normal range is 0.3-4.. If pituitary dysfunction is suspected , we check Free T4, not TSH.. I hope this answers your question ...Read more
My hormone tests came in with high 3α-Androstanediol, high aldrosterone, high aldosterone, high 5a-THB, elevated 5α-reductase, and low 11b-hydroxyetiocholanolone. What can this mean?
Tests steroid metab: Apparently you are undergoing a work up for steroid and male hormones/androgen metabolism. These are unusual blood tests, and typically only performed when, usually a specialist, has a specific diagnosis in mind. I'm certain you can receive a better, more satisfying explanation by working with the doctor who ordered these tests. Pursuing that is your best option. Good wishes:) ...Read more
Could be: Could be a sign of congenital adrenal hyperplasia with one of several enzyme defects. This is rare. Depends on who's ordering the test. If endocrinology, this is the reason. Adrenal fatigue is a popular diagnosis now but really represents metabolic stress and is a reaction of the system to stress. The answer is not to address the symptom of the stress but to address the stress itself. ...Read more
Complicated: Kidneys normally help regulate BP by producing a hormone: renin which leads to prodction of angiotensin, a potent vessel constrictor. Most patients with essential HTN have high renin levels but since the 1970s it has been recognized that a subset have low levels. Some produce too much aldosterone (another hormone) but many don't. For those who don't, treatment for lreh is the same as for everyone. ...Read more
Please advise on this blood work result
Eos (Absolute) 0.6 HIGH x10E3/uL 0.0-0.4
BUN/Creatinine Ratio 8 LOW 10-22
Vitamin B12 >1999 HIGH pg/mL 211-9?
Stop worrying : All three values are common and of no concern. Reference ranges are set so that several percent of healthy folks fall outside on either end. Especially, high b12 is concerning only in one rare illness that you do not have. ...Read more
Blood co2 low ~15 on arb with low aldosterone. Neph prescribed sodium bicarb but cardiologist does not recommend. High phos, k. Is calcium bicarb ok?
Details, details: You can't really expect someone to recommend how to treat you by looking at a few numbers. You have to sit down with a doc face-to-face with whatever info you have and discuss your situation with him/her. This is not to be done in 400 spaces. You noted that 2 doc's you spoke to had differing opinions! What is that telling you! ...Read more
Depends: For some people, such as an athlete, "low" blood pressure is normal . A blood pressure is considered too low if it can't support normal body functions. Low blood pressure may result in dizzyness, lethargy, confusion, nausea, cold sweats, passing out. Treatment is necessary if symptoms are present. Might be as simple as changing your diet, drinking more water or taking medications. See an md! ...Read more
Cortisol: Would be low. Acth would be high if it were an adrenal cause; low if it was a pituitary cause. ...Read more
Low aldosterone ~3, normal renin. Low Na, co2, high k. Creatinine 1.4-2.2 in same week.Can type 4 RTA cause this fluctuation in ckd? Neph endo no help
Type 4 RTA: If anyone can figure it out it should be a nephrologist. What did he, she or it say? There are many causes of Type 4 RTA and will need to ask a number of questions to help get to the cause. 1. Meds u r on? 2. were u on meds when renin and aldo were measured. 3.What did 24 hr urine at the same time show? 4. Other medical illnesses. Happy to have you consult directly with me. ...Read more
Suspected ai, low salivary cortisol, low 24hr urinary cortisol, going for 8am serum cortisol and acth. Fast prior to bl. Work?
Generally not: Necessary, but check w/your specific lab to make sure of their requirements. ...Read more
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