Re: Gyn: PCO
From: Charlie Chambers (cchamber@gorge.net)
Sat Oct 19 16:28:08 2002
Mark,
Please clarify. How do you select patients for treatment, i.e. diagnose
anovulatory hyperandrogenism?
On Friday, October 18, 2002, at 05:05 PM, Mark Perloe wrote:
> At 09:39 PM 10/15/2002 -0500, you wrote:
>
> Me Three - Agree!
>
> I was about to post why would you use an insulin sensitizing drug when
> there isn't insulin resistence? But Jay & Betsy beat me to it.
>
> Cause you don't diagnose insulin resistance with these tests. If it
> looks like PCOS, it is PCOS unless you have another explanation.
>
> Metformin numerous benefits that will for many promote long term health
> benefits.
>
> Please read the original metformin papers and you will see that in none
> of those papers was fasting insulin levels an issue. If you insist on
> wanting to see abnormal values, the two hour insulin level above 50 is
> the best indicator. But when correlated with clamp studies, LDL and TG
> elevations were strong predictors.
>
> Mark Perloe, M.D.
> Georgia Reproductive Specialists
> 5445 Meridian Mark Rd, Suite 270, Atlanta, GA 30342
> 404-843-2229
>
> Live Chat Monday evenings 8:00-9:00 p.m. ET
>
=
**************************************************************************
Charlie Chambers
Hood River, OR USA
cchamber@alumni. rice. edu
"I'm a goin fishin.
Yeah, I'm goin fishin
And my baby's goin fishin too!"
Taj Mahal
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Mark,
Please clarify. How do you select patients for treatment, i.e.
diagnose anovulatory hyperandrogenism?
On Friday, October 18, 2002, at 05:05 PM, Mark Perloe wrote:
<excerpt>At 09:39 PM 10/15/2002 -0500, you wrote:
Me Three - Agree!
I was about to post why would you use an insulin sensitizing drug when
there isn't insulin resistence? But Jay & Betsy beat me to it.
Cause you don't diagnose insulin resistance with these tests. If it
looks like PCOS, it is PCOS unless you have another explanation.
Metformin numerous benefits that will for many promote long term
health benefits.
Please read the original metformin papers and you will see that in
none of those papers was fasting insulin levels an issue. If you
insist on wanting to see abnormal values, the two hour insulin level
above 50 is the best indicator. But when correlated with clamp
studies, LDL and TG elevations were strong predictors.
<bold><italic><fontfamily><param>Times New Roman</param><color><param>0000,8080,8080</param><bigger><bigger><bigger>Mark
Perloe,
=
M.D.</bigger></bigger></bigger></color></fontfamily></italic></bold><fontfamily><param>Times New Roman</param><color><param>0000,8080,8080</param> </color></fontfamily>
<bold><underline><color><param>1999,1999,FFFF</param>Georgia
Reproductive Specialists
</color></underline></bold>5445 Meridian Mark Rd, Suite 270, Atlanta,
GA 30342
404-843-2229
Live <underline><color><param>1999,1999,FFFF</param>Chat Monday
evening</color></underline>s 8:00-9:00 p.m. ET
=
</excerpt>**************************************************************************
Charlie Chambers
Hood River, OR USA
cchamber@alumni. rice. edu
"I'm a goin fishin.
Yeah, I'm goin fishin
And my baby's goin fishin too!"
Taj Mahal
************************************************************************
--Apple-Mail-2-921085102--
