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Re: BioidenticalsFrom: ainsron (ainsron@sbcglobal.net)Tue May 18 11:23:17 2004
Send all your patients to a different pharmacy and tell the pharmacist why you are doing it! :-( Ronald E. Ainsworth -----Original Message----- From: ob-gyn-l@obgyn.net [mailto:ob-gyn-l@obgyn.net] On Behalf Of Lynn D. Montgomery, M.D. Sent: Tuesday, May 18, 2004 8:39 AM To: Multiple recipients of list OB-GYN-L Subject: Bioidenticals Listers, I am not a huge "snake oil" salesperson when it come bioidenticals, but I will either new start or switch patients to them if they request. I use the same talked echoed by others here on the list, assuring that the patient understands that estrogen is likely estrogen when it comes to risk and that there are no studies that have included these agents. Last week, after calling in prescriptions for a patient who wanted to switch over, I got a call from the patient. She had gone to the pharmacy and was told by the pharmacist there that I didn't know what I was doing with regard to bioidenticals and that she knew significantly more. She then told the patient that I had prescribed the wrong medication and they needed to be changed. Has anybody heard that you have to "wean" a patient off Premphase before starting another preparation? Since then, I have been repeatedly counting to 10, trying to cool off and decide what to do... Lynn Lynn D. Montgomery, M.D. Maternal-Fetal Medicine, OB/GYN Rocky Mountain Women's Health 2835 Fort Missoula Rd., Suite 303 Missoula, Montana, 59804 406-549-0978 fax 406-549-0987 e-mail: apgar10@montanadsl.net
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