I completed the BHI online course - Incorporating Bioidentical Hormones into the Medical Practice and spent the day with Dr Schwartz in New York for the preceptorship. I have a couple of questions.
I have noticed when adding thyroid- either compounded T4/T3, cytomel or sustained release T3 that patients
initially do well, then go down - Is this a normal pattern? Should I also be following T3 to reverse T3 ratios?
I was told to get bloods before the patient takes their thyroid- some doctors that I have spoken to don't do that- Which is correct?
Many thanks
Jill
Thyroid
Hi Jill,
I do bloods on all patients initially. I do follow T3/rT3 ratios but at the end of the day you must follow the patient. If they go down, they need more and possibly different formulations. Don't be afraid of increasing doses. Follow their reaction, They will give you enough information to determine if the dosing is adequate of too much or too little.
I hope this helps.
Best
Erika
Thanks!
Dear Erika,
Thanks so much, very helpful advise!
Jill