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Re: estrogen From: Braun, R. Daniel (rbraun@iupui.edu) Tue Aug 3 07:04:00 1999 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: babydoc: "Re: ?premature menopause" Previous message: Laureano Folgar Erades: "Re: Tibolone" Do you have any data(references) on the use of serum estradiol levels to assure prevention of bone loss? Dan R. Daniel Braun, MD FACOG Clinical Professor Department of Obstetrics and Gynecology Indiana U. School of Medicine Indianapolis, IN 46202 International Representative for United States OBGYN.net -----Original Message----- From: Zach Newton [mailto:zbnewton@mindspring.com] Sent: Monday, August 02, 1999 7:40 PM To: Multiple recipients of list OB-GYN-L Subject: Re: estrogen "Braun, R. Daniel" wrote: > > Right, but the other half of my point was that there are some people who > actually require 1.25 to get bone protection. Therefore reducing to 0.375 > would decrease the number of people getting protection. Before changing dosage, which is agreed as appropriate in some, a check of serum E2 is worthwhile (with notation of time of last dosage stated by patient and time of specimen harvest). If sub-theraputic value (I figure <60 pg/ml if dosed in previous 24 hrs), time to up dosage. Then there is involutional and metabolic disorder bone mass loss, independent of the influence of estrogen/calcium load. At some point, particularly with E2 in therapeutic range, it is time to add Fosamax, with newer drugs in the pipeline. -- Zach Newton Z. B. Newton, III, M.D. Atlanta/Gyn Next message: babydoc: "Re: ?premature menopause" Previous message: Laureano Folgar Erades: "Re: Tibolone"

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