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Re: GEN: Hypothyroidism From: Garry E. Siegel, M.D. (garrys@mindspring.com) Wed Mar 23 16:33:22 2005 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Efrain Ramirez: "Re: Glyburide" Previous message: Garry E. Siegel, M.D.: "Re: Glyburide" In reply to: Anna Meenan, MD: "Re: GEN: Hypothyroidism" Next in thread: Charlie Chambers: "Re: GEN: Hypothyroidism" No levels, and Dan (and others) have hit the nail on the head, I believe. Garry At Tue, 22 Mar 2005, Anna Meenan, MD wrote: > >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 >> -- Garry E. Siegel, M.D. Private Practice Roswell, GA Next message: Efrain Ramirez: "Re: Glyburide" Previous message: Garry E. Siegel, M.D.: "Re: Glyburide" In reply to: Anna Meenan, MD: "Re: GEN: Hypothyroidism" Next in thread: Charlie Chambers: "Re: GEN: Hypothyroidism"

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