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?