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Testosterone Replacement, Low T, HCG, & Beyond
Testosterone Side Effect Management
Should We Be Managing Estradiol and Hematocrit in Men on Testosterone Replacement?
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<blockquote data-quote="J. Keith Nichols MD" data-source="post: 71287" data-attributes="member: 15691"><p>Thyroid optimization is as important to my practice and patients wellbeing as testosterone. We what some may call "Agressively" treat with amour thyroid and aim for a free T 3 level of 4-5 or more if necessary. The most difficult problem is always the patients family MD. This of course supppresses the TSH which makes their MD think we are making them hyperthyroid which is absolutely not true. I take a very simple approach in our health and wellness program. We optimize DHEA, Vit D, Trestosterone, use pregnenolone and melatonin, treat PCOS, and really stress the importance of optimizing thyroid. We at times will use it BID for those that have afternoon fatigue or needing to decrease their body fat (weight loss) to improve their insulin resistance. We simply measure TSH (meaningless) , T4, and T3 and use a KISS (keep it simple stupid ) approach. Luckily by not over complicating matters and confusing patients we are having excellent success. We have as many women come in per week as men for thyroid management and PCOS management as we do men. We once again treat the symptoms and not the number with thyroid. Here are some excellent articles by Tammas Kelly that will help understand that high dose Thyroid is not dangerous and does not cause the same complications as endogenous hyperthyroidism </p><p>1. Elevated levels of circulating thyroid hormones do not cause the medical sequalae of hyperthyroidism </p><p>2. An examination of myth: a favorable cardiovascular risk benefit analysis of high dose thyroid for affective disorder</p><p>3. Long term augmentation with T3 in refractory major depression</p><p>Sincerely </p><p>Keith</p></blockquote><p></p>
[QUOTE="J. Keith Nichols MD, post: 71287, member: 15691"] Thyroid optimization is as important to my practice and patients wellbeing as testosterone. We what some may call "Agressively" treat with amour thyroid and aim for a free T 3 level of 4-5 or more if necessary. The most difficult problem is always the patients family MD. This of course supppresses the TSH which makes their MD think we are making them hyperthyroid which is absolutely not true. I take a very simple approach in our health and wellness program. We optimize DHEA, Vit D, Trestosterone, use pregnenolone and melatonin, treat PCOS, and really stress the importance of optimizing thyroid. We at times will use it BID for those that have afternoon fatigue or needing to decrease their body fat (weight loss) to improve their insulin resistance. We simply measure TSH (meaningless) , T4, and T3 and use a KISS (keep it simple stupid ) approach. Luckily by not over complicating matters and confusing patients we are having excellent success. We have as many women come in per week as men for thyroid management and PCOS management as we do men. We once again treat the symptoms and not the number with thyroid. Here are some excellent articles by Tammas Kelly that will help understand that high dose Thyroid is not dangerous and does not cause the same complications as endogenous hyperthyroidism 1. Elevated levels of circulating thyroid hormones do not cause the medical sequalae of hyperthyroidism 2. An examination of myth: a favorable cardiovascular risk benefit analysis of high dose thyroid for affective disorder 3. Long term augmentation with T3 in refractory major depression Sincerely Keith [/QUOTE]
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Testosterone Replacement, Low T, HCG, & Beyond
Testosterone Side Effect Management
Should We Be Managing Estradiol and Hematocrit in Men on Testosterone Replacement?
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