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Re: GEN: Hypothyroidism From: Anna Meenan, MD (annam@uic.edu) Tue Mar 22 19:31:53 2005 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Anna Meenan, MD: "Re: Aetna, CIGNA CEOs got 8-figure pay packages" Previous message: Garry E. Siegel, M.D.: "GEN: Hypothyroidism" In reply to: Garry E. Siegel, M.D.: "GEN: Hypothyroidism" Next in thread: R. Daniel Braun: "Re: GEN: Hypothyroidism" Reply: R. Daniel Braun: "Re: GEN: Hypothyroidism" Reply: Garry E. Siegel, M.D.: "Re: GEN: Hypothyroidism" A subtle low level of free T3? Free T3 can be measured. Did the doc send you a copy of the lab test? -- Anna Meenan, MD At Tue, 22 Mar 2005, Garry E. Siegel, M.D. wrote: > >Recently saw a 30 YO P1001, now around 11 weeks, who went to another gyn >who just stopped Ob. I don't know the doc well, other than by name. > >Anyway, the patient conceived on letrozole, and the other doctor put her >on Armour thyroid despite apparently normal TSH and Free T4 values. The >patient really didn't know exactly what the deal was, and I thus >repeated those labs and they were normal. I sent a copy of my dictated >note to the other gyn, who called today. > >He told me he was doing a lot of hormone work, and that a subtle low >level of Free T3 is her problem, best supplemented by this preparation >which is 80% T4 and 20% T3. He also mentioned compounding pharmacies >that can make T3, and that they way to diagnose and follow a low T3 is >by following her basal temperature, which was low and would be low if, >say, her thyroid requirement increased (as is often the case) during >pregnancy. He also told me that the endocrinologists poo-poo this line >of thinking, since the Synthroid people fund all of the research anyway. > >She is on 1/2 grain, which is a pretty small dose, he said, and it >may/should be increased to 1 grain. > >I'll do a medline. . .any thoughts? I have mine :). > >Garry > >-- >Garry E. Siegel, M.D. >Private Practice >Roswell, GA > Next message: Anna Meenan, MD: "Re: Aetna, CIGNA CEOs got 8-figure pay packages" Previous message: Garry E. Siegel, M.D.: "GEN: Hypothyroidism" In reply to: Garry E. Siegel, M.D.: "GEN: Hypothyroidism" Next in thread: R. Daniel Braun: "Re: GEN: Hypothyroidism" Reply: R. Daniel Braun: "Re: GEN: Hypothyroidism" Reply: Garry E. Siegel, M.D.: "Re: GEN: Hypothyroidism"

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