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Re: Initiating MetforminFrom: anonymous (anonymous@obgyn.net)Thu, 28 Aug 2003 17:41:46 -0500 (CDT)
So if I understand correctly all blood work related to insulin and sugar as well as your ultrasound were normal but you still were put on the medication and it helped w/ your weight. Did it help w/ normal phasing of periods? Thank you very much for taking the time to respond. At Wed, 27 Aug 2003, click wrote: > >I went to my new general practitioner because of my rapid weight gain >(unexplained; ate very little), my low energy, missed period for mroe >than a year, etc.. I was 16 years old, 5'7, 240 lbs, blood pressure was >170/100. > >The Dr ordered blood work checking a couple types of testosterone >levels, sugar levels, lipid levels, and some other items.. after that, >my GP suspected PCOS--she sent me to a gynocologist & an >endocronologist. I got into the gyno first. The gyno did an exam as >I'd never had one before--to check for abnormalities because of my high >testosterone, and then sent me to have an ultrasound of my ovaries done >(non vaginal as I was a virgin) to rule out any large cysts or abnormal >sizing. All that came back OK, but I still haddn't had a period, so my >gyno put me on high doses of progesterone for 5 days and I had a 30 day >long period. About two weeks into that, I demanded to start the insulin >resistance treatment I'd been suspected of having since I haddn't been >able to get into the endocronologist yet and my weight was getting >worse, so my gyno perscribed me enough for a month to hold me over. The >endocronologist had ultrasounds of my kidneys done, a CAT of my adrenal >glands, etc to rule out any other causes of my symptoms and things that >would be problems with the medication. Also, my blood pressure after a >few weeks of the metformin had dropped to 150/90--a large improvement. >All of the tests came back normal and he continued my glucophage >treatment and continued communicating with my gynecologist. > >Two months later I had realized that the medication's side effect that >were only to last the adjustment period were still plaguing me and >really crippling my life (in bed after 5pm because of stomach >pain/cramps, cold sweats, up and down blood sugar & moods) and so my >endocronologist switched me to glucophage XR (time release) and it was >magic. Two months later I'd lost 12 pounds or so, by 6 or 7 months I >had lost 40 pounds--all without effort--eating the same as I had before >I was diagnosed (which was not bad, btw, except for soda which was not >in excess) > >... anyway, That's the summed up version of events. > >At Wed, 27 Aug 2003, anonymous@obgyn.net wrote: >> >>A doctor should take blood to run the following; FSH (Follicle >>Stimulating Hormone), will be normal or low with PCOS,LH (Lutenizing >>Hormone), will be elevated with PCOS,LH/FSH greater than 2:1 or 3:1 may >>be considered diagnostic of PCOS, Prolactin can be normal or low with >>PCOS ,Testosterone, total and/or free usually elevated with PCOS,DHEAS, >>frequently mildly elevated with PCOS , Estrogens, may be normal or >>elevated with PCOS , Lipid profile (low HDL, high LDL, and cholesterol, >>elevated triglycerides) Glucose, may be elevated, Insulin, often >>elevated with PCOS ,TSH (Thyroid stimulating hormone) some who have PCOS >>are also hypothyroid >> >>I had the initial blood test that checked most of the above and then I >>had the glucose tolerance test to rule out diabetes. >> >>Also, they did a vaginal Ultrasound to evaluate cysts/enlarged ovaries. >> >>Hope this helps. >> >>At Tue, 26 Aug 2003, anonymous wrote: >>> >>>I'd like to hear from anyone about how their doctor came to place them >>>on Metformin/glucophase. Was it the results of blood tests, if so which >>>ones? >>>Thanks
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