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Re: ZRT LaboratoryFrom: Joe Cutchin (forcep@intercom.net)Sun May 19 20:11:57 2002
"art fougner, md" wrote: > > when did Miss Cleo open an endocrine lab? > > art > > At Sun, 19 May 2002, Hugo D. Ribot Jr. wrote: > > > >Dear Listers: > > > >I have recently tried to help one of those relatively rare (at least in my neck of the woods) symptomatically menopausal patients whose list of ills goes far beyond vasomotor symptoms. I'm talking the patient who is definitely eu-estrogenic with ERT but who has gone on to research extensively by talking to friends, etc. as well as scouring the internet for alternatives to estrogen. She tried the natural progesterone cream pushed by John Lee M.D. and his minions but - surprise! - this by itself wasn't the perfect solution. She (age 42) complains of difficulty concentrating, memory problems, as well as libido and other problems. Yes, I have tried Estratest in both dosages. Her FSH level a couple of years ago (she is status post TVH) was >100. > > > >My concern is she's now about to spend unknown $$ on salivary steroid hormone assays available through the web site below, recently given airtime on - of course - Oprah! > > > > http://www.salivatest.com/store/index.html > > > >My problem is that this has not been through the prospective/randomized/double blind/placebo controlled gold standard evaluation. > > > >What do you folks do with these patients? Does anyone actually titrate ERT or HRT with biochemical assays instead of by improvement in the patient's symptomatology? > > > >I'm trying to be open and told the patient I'm certainly willing to try the compounded estrones/estradiols/micronized progesterones/etc. > > > >Suggestions? > > > >Hugo Ribot M.D., FACOG > >Cartersville, GA > >12th year private practice > >2 MDs/3 CNMs > > -- > art fougner, md > ich bin ein New Yorker Is that web site good for CME?
--
Joseph H. Cutchin MD FACOG 4105463125
314 West Carroll Street 4105463128 Fax
Salisbury,Maryland 21801
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