One of many dis­co­ve­ries made by thy­roid patients is that “nor­mal” lab results don’t tell the whole story. And thy­roid and adre­nal patient advo­cate Vale­rie Tay­lor sure found out the hard way while dea­ling with wor­se­ning muscle spasms and weakness.

“I have been to at least 6 doc­tors over the past seven years and read thou­sands of web­si­tes, hun­ting for the cause of my severe muscle spasms”, explains Vale­rie. “They all ruled out potas­sium, a poten­tially likely cause,  because my serum lab result, 4.2, was right smack in the middle of the nor­mal range.”

So Vale­rie was for­ced to live with her wor­se­ning muscle issues– spasms, weak­ness and pain – because all labs were nor­mal and those that weren’t, didn’t per­tain.  Even her insulin-dependent Type 2 Dia­be­tes was well-controlled. And she knew it was all threa­te­ning to put her out of work as a pet groo­mer.  It was bleak.

But a sur­pri­sing change was to come.

“About 2 months ago,” says Vale­rie, “someone on one of my groups men­tio­ned potas­sium hel­ping with fluid reten­tion – the lat­ter I’ve had for the last 15 years and took  Dya­zide, a potas­sium spa­ring diu­re­tic.

She also lear­ned about get­ting an RBC (red blood cell) potas­sium lab as it shows what’s inside the cells rather than in serum (as usual labs show).  And the results? It came back LOW.

Vale­rie has since wor­ked her way up to 2850 mg. Potas­sium in a combo of chlo­ride and gluconate…and below, in her own words, are the results:

  • No more muscle spasms and the weak­ness and pain is lea­ving more daily!
  • My IBS sud­denly STOPPED!
  • My insu­lin needs are HALF what they were before this sup­ple­ment, and blood pres­sure & pulse are both down.
  • ALL fluid reten­tion is gone! I drop­ped 18 pounds the first month in just fluid weight.

Vale­rie is currently wai­ting for lab results to see if she needs to adjust further.

She conc­lu­des: I have since lear­ned that being hypothy­roid cau­ses potas­sium los­ses, as does ANY ste­roid which I had been on for neces­sary adre­nal sup­port. Dia­be­tes with a low carb diet also pre­dis­po­ses us to lose intra­ce­llu­lar potas­sium into the serum which is pro­bably why my serum labs loo­ked nor­mal in the face of extreme shor­tage. I hope many will see this and at the very least get RBC potas­sium labs done and if you have high BP or fluid reten­tion, reach for potas­sium before a diuretic!

************************

Even without being ins­pi­red by Valerie’s dis­co­very, there is good research out there for eating potas­sium rich foods, or like Vale­rie, using sup­ple­men­ta­tion if your levels are low.  The LA Times repor­ted a study which sta­ted that con­su­ming twice as much potas­sium as sodium might halve your risk of dying from car­dio­vas­cu­lar disease,  sta­ted by epi­de­mio­lo­gist Paul Whel­ton, pre­si­dent and chief exe­cu­tive of the Loyola Uni­ver­sity Health Sys­tem in Chi­cago and one of the authors of the study.

Here’s a list of potas­sium rich foods: http://www.hoptechno.com/bookfoodsourceK.htm

Here’s a list of symp­toms of low potas­sium: http://www.buzzle.com/articles/signs-and-symptoms-of-low-potassium.html

And remem­ber: ask your doc­tor to do an Red Blood Cell Potas­sium lab rather than simply serum. And don’t go as high as Vale­rie with sup­ple­men­ta­tion unless you have proof of low potassium.

P.S. Mag­ne­sium helps pump sodium out of your cells, and potas­sium into the cells – a good rea­son to get mag­ne­sium tes­ted as well.

*Want to be infor­med of my blog posts? Curious what’s on my mind? Use the Noti­fi­ca­tions to the left and below the links.

*What is your expe­rience with the newly for­mu­la­ted Armour? Found a way to get around the pro­blems? Express your opi­nion in the May 7th blog post!


  • Want to keep track of these “fringe web­site” blog posts? ;-) Curious what’s on Janie’s mind? Use the noti­fi­ca­tion on the lower left of the links, called a News­let­ter, or an RSS Feed.
  • The extre­mely hip and sophis­ti­ca­ted STTM t-shirts are half price! Great BUMPER STICKERS, too. Spread the word – YOU may make a dif­fe­rence in someone’s life.
  • Check out the patient-to-patient book with even more detail (and which doc­tors seem to res­pect more than websites).
  • Need to unders­tand all your best options for thy­roid treat­ment? Go here.
  • Keep infor­med of each live Thy­roid Patient Com­mu­nity Call on Talkshoe by sig­ning up as a follo­wer.

5 Responses to “POTASSIUM supplementation – do you need to consider it?”

  1. toriterese said:

    May 20, 09 at 9:43 am

    Yay! Thanks for this blog post…this comes at an all too fami­liar time, as I’ve just dis­co­ve­red my potas­sium is in the toi­let, and I need to sup­ple­ment. In fact Vale­rie and I were just pos­ting on our Yahoo group about why kind to try, and how much. Thank you for always pos­ting such rela­vent stuff…and lifesaving!

  2. Kim said:

    May 20, 09 at 7:30 pm

    Oh, my! I can’t believe this! Awe­some. I just about gave up, thin­king I can’t get any help. I tried alot of things with the adre­nal issues and such…found out I can’t use cor­ti­sols, so I gave up on every­body and sta­yed away, in my own misery.….I would have never knew this hap­pe­ned about potas­sium except for your blog! I am going for tes­ting and find out where I am at. I was the same as Val, 4.2. Interesting!

  3. Michelle said:

    Jan 31, 10 at 8:11 pm

    My potas­sium has drop­ped from 5.2 to 3.4 since my TT in Oct. 2009. I have extreme diz­zi­ness, nau­sea, horri­ble muscle weak­ness, cramps and spasms, chest pain, intense muscle pain and left arm pain. I feel con­fu­sed a lot of the time and I’ve been eating SO MUCH spi­nach, rai­sins and bana­nas, as well as taking potas­sium pow­der sup­ple­ments. I can’t get it above 3.9. I will ask for the other blood test. Oh, I had a one time urine test to see if potas­sium was lea­ving through kid­neys. My dr. sha­kes his head and says, wow, I’ve never seen anything like this. Maybe he should visit the inter­net once in a while?

  4. melissa said:

    May 30, 10 at 11:33 pm

    I have a ques­tion. I have been having a pro­blem with my potas­sium. for quite a while it has been drop­ping and for some rea­son they could not find out why. they have not been chec­king rbc just serum. I get it around nor­mal but I start fee­ling cramps in chest when it gets close to 3.0 and it has gone as low as 2.3 before. that called for potas­sium from I.V. as you could ima­gine. Is it pos­si­ble that rbc is lower? Can it be lower than serum and if it does not go up at same rate, how does it get rai­sed without get­ting serum too high? Of coarse, I have seen now about false high’s with pum­ping fists and tuni­ca­tes on too long and etc in some artic­les so my potas­sium may have actually been lower than even the 2.3. But I have been searching and have not found hardly any infor­ma­tion on if rbc is lower than serum num­bers.
    Thanks,
    Melissa

    (From Janie: Yes, RBC Potas­sium will be more accurate)

  5. charlotte said:

    Aug 25, 10 at 8:53 am

    I’ve had unex­plai­ned epi­so­des of potas­sium loss for the past 6 – 7 years that inc­rea­sed in seve­rity and even­tually led me to a nephrologist.…then to an endoc­ri­no­lo­gist who found a goi­ter two days ago — and he’s thin­king Hashimoto’s. I’ve been taking a potas­sium chlo­ride sup­ple­ment, but can barely get my K levels up to 3.6. My ques­tion is…even with hypothy­roid treat­ment, will pos­tas­sium remain a pro­blem? And what’s the mecha­nism for the loss? Is it because of over­wor­ked adre­nals? My cor­ti­sol was nor­mal — but I’m won­de­ring about other blog­gers who have potas­sium issues. If our potas­sium is low, would that be a red flag for adre­nal issues?

    Char­lotte


Leave a Reply


Do NOT follow this link or you will be banned from the site!