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Low sodium


KiminOrlando
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@KiminOrlando - how do you know the salt is not staying in your body - is it from peeing it out? -- I too had the problem that a high-salt diet and lots of fluids went right through me, I had minimal effect from them. That is why I am now on IV fluids - a huge difference from high salt/ high water diet!

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  • 3 weeks later...

My potassium is normal although I do take prescription potassium and my magnesium is normal. I take 1 mg of salt daily and eat salt in everything. No progress so far. Everybody seems to be confused. I have been on 5 mg of prednisone for about 6 months and I can't help but think that is somehow involved because of adrenals. 

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2 hours ago, KiminOrlando said:

My potassium is normal although I do take prescription potassium and my magnesium is normal. I take 1 mg of salt daily and eat salt in everything. No progress so far. Everybody seems to be confused. I have been on 5 mg of prednisone for about 6 months and I can't help but think that is somehow involved because of adrenals. 

So with adrenal insufficiency, which is the reason for my question, there can be decreased serum sodium and increased serum potassium, with urine showing the opposite. And usually increased urine volume. External steroids (in excess), especially those with high mineralocorticoid properties, can raise serum sodium and lower potassium. Five mg of pred daily is within the range for steroid replacement even when the adrenal glands are being suppressed by the external steroid. While prednisone does not have a lot of mineralocorticoid activity, it does have some. Along with a normal aldosterone that should keep electrolytes in range.

How low is your sodium, if you don't mind saying? And why are you taking oral potassium? 

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