Sodium levels are affected by ADH (hypothalamus), aldosterone (renin-angiotensin-aldosterone axis), glucocorticoids and mineralocorticoids (pituitary axis). Potassium is affected by aldosterone, steroids, and insulin. Calcium levels are increased as PTH is released.odium levels are affected by ADH (hypothalamus), aldosterone (renin-angiotensin-aldosterone axis), glucocorticoids and mineralocorticoids (pituitary axis). Potassium is affected by aldosterone, steroids, and insulin. Calcium levels are increased as PTH is released.
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I would call the Mayo Clinic or call your insurance company. Your ins. co. should be able to tell you if they will require a referral. Mayo Clinic will also be able to tell you all the requirements for getting in there. I think you can also have them just do a records review and second opinion without having to actually go there if you wanted to do that.