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Dr.DAGO
Dr.DAGO, Board Certified Physician
Category: Medical
Satisfied Customers: 4271
Experience:  Internal Medicine. Pulmonary/ Critical Care
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I am a 29 year old female. Recently my endrocinologist ran

Customer Question

I am a 29 year old female. Recently my endrocinologist ran tests and I had an elevated level of aldosterone. However, my renin was within the normal range. What would this mean?
JA: Any recent weight loss/gain? Are you excessively thirsty?
Customer: Yes. I've gained weight over a period of time that I can't lose. I am thirsty a lot, but always thought it was due to me not drinking enough water.
JA: Anything else in your medical history you think the doctor should know?
Customer: The doctor also found that my Progesterone levels were pretty low. (0.5 at cycle day 21). I also have Hashimoto's disease, which is medicated. I have some issues with gum disease, as well as dry mouth and eyes.
Submitted: 9 months ago.
Category: Medical
Customer: replied 9 months ago.
A subsequent overnight test for Cortisol was in the normal range. Recently was diagnosed with hypertension, and put on medication to combat high blood pressure.
Customer: replied 9 months ago.
Also, I have a parathyroid adenoma that was found on my last thyroid ultrasound.
Expert:  Dr.DAGO replied 9 months ago.

Hello

This is Dr. Dago. I'm board certified. I have over 10 years of experience.

I understand your concerns. I'm here to help you.

Do you have any other medical conditions?

Customer: replied 9 months ago.
No.
Expert:  Dr.DAGO replied 9 months ago.

The isolated elevation of aldosterone is likely from primary hyperaldosteronism also known as conn's disease. It's usually secondary to a small tumor. You should follow with your doctor for treatment.

Please leave a positive rating.

Thank you

Customer: replied 9 months ago.
I asked my endocrinologist about Conn's. He said since my renin was normal and not low, it was not Conn's.
Expert:  Dr.DAGO replied 9 months ago.

It depends on the ratio. It could be just hyperaldosteronism.

Thanks

Customer: replied 9 months ago.
I uploaded my test results below. How do I calculate the ratio?
Expert:  Dr.DAGO replied 9 months ago.

Plasma aldosterone (ng/dL) to plasma renin activity (ng/mL/h)

Normal ratio 20-40.

I have spent time answering your question.

Please leave a positive rating.