Re: GEN: Hypothyroidism
From: Charlie Chambers (cchamber@gorge.net)
Wed Mar 23 09:00:15 2005
Sounds like pseudo science.
On Mar 22, 2005, at 5:29 PM, 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
>
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Charlie Chambers
--
Hood River, OR
cchamber@alumni.rice.edu
"Almost anything you do will seem insignificant but it is very important
that you do it....You must be the change you wish to see in the world"
-- Mahatma Ghandi.
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