And the adventure begins. Again.

My BP remains erratic, enough so that my medical people are investigating several possibilities, including hyperparathyroidism and, yes, the possibility that my other adrenal is acting up. Unless something comes up sooner, the ride begins on June 3.

Meanwhile, some worthwhile reading for anybody who has or has had PA and is having problems even after adrenalectomy or other treatment:

Primary Hyperparathyroidism With Concurrent Primary Aldosteronism

Two key takeaways:

…this unique case and the related findings support the notion that undetected hyperfunctioning of the parathyroid gland can contribute to maintaining hyperaldosteronism in PA. It also suggests the existence of a bidirectional link between the adrenocortical zona glomerulosa and the parathyroid gland, which can be relevant for the regulation of calcium metabolism and blood pressure.

and

PA is held to be autonomous from the renin-angiotensin system, but the term “primary” only denotes our scant knowledge of the mechanisms underlying the hyperaldosteronism. This case is, therefore, of interest from several standpoints, because it highlights one possible such mechanism and also suggests a bifunctional link between the parathyroid gland and the adrenocortical zona glomerulosa.

Emphasis mine, of course. How little do we know.

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