I'm a little lost on what I should be doing in terms of both sodium intake and follow-up tests.
It was recommended that I increase my sodium/electrolyte intake to counter my POTS symptoms, so I've been drinking normalyte daily and adding salt to my meals for a few months now. Occassionally getting 500 mL of saline IV is also particularly useful in improving my low blood pressure.
But then the next thing I know, my aldosterone (first time testing) comes back very high (1540 pmol/L [ref. range 118 - 946 pmol/L]), and yet my sodium, potassium, and renin are all normal. As noted, I generally deal with low blood pressure (not high, which is more typical of hyperaldosteronism).
I see conflicting studies as to whether or not reducing sodium will reduce the aldosterone; I don't want to reduce my sodium because it's been helping with the POTS, but I also have enough heart issues as it is and hyperaldosterone (if that's what it is), isn't gentle on the heart.
Has anyone seen anything like this (especially with normal mineral levels)? Are there other tests I should be pursuing before changing my diet?
It was recommended that I increase my sodium/electrolyte intake to counter my POTS symptoms, so I've been drinking normalyte daily and adding salt to my meals for a few months now. Occassionally getting 500 mL of saline IV is also particularly useful in improving my low blood pressure.
But then the next thing I know, my aldosterone (first time testing) comes back very high (1540 pmol/L [ref. range 118 - 946 pmol/L]), and yet my sodium, potassium, and renin are all normal. As noted, I generally deal with low blood pressure (not high, which is more typical of hyperaldosteronism).
I see conflicting studies as to whether or not reducing sodium will reduce the aldosterone; I don't want to reduce my sodium because it's been helping with the POTS, but I also have enough heart issues as it is and hyperaldosterone (if that's what it is), isn't gentle on the heart.
Has anyone seen anything like this (especially with normal mineral levels)? Are there other tests I should be pursuing before changing my diet?