QUESTION: When I first saw this patient she was taking 100 mcg T3 QD, prescribed by you, at that time. Her chief complaints were fatigue (she commutes 1.5 hours to work each way and was not getting enough sleep and was under a fair amount of stress) and headaches (in the morning, in the center …
QUESTION: I have a 30 year old female pt with high calcitirol. What does this mean?? I am having a hard time finding its relevance. Though maybe I read something about low calcium in the diet or intestines??? Her calcitriol is 149.3, range is 10-75. She has low normal vitamin D levels (36, range 30-100) …
QUESTION: I need some help with myasthenia gravis. I have been treating someone successfully for over 1 year. They came off prednisone, off pyridostigmine and lowered synthroid to 50 mcg. I treated adrenals and thyroid, food allergies, gut dysfunction, completely overhauled the diet and added an extensive protocol which included huperzine A and a few …
QUESTION: I have a 57 YO Menopausal Female who is an avid runner with migrating joint pain. What labs would you run to help diagnose what is wrong with her? ANSWER: Lab Investigation Rationale: First basic labs to make sure no imbalanced electrolytes, elevated LFTs, Anemia etc. Then, inflammatory rheumatologic labs (Sed or CRP / …
MIGRATING JOINT PAIN, TESTING CONSIDERATIONS CONT Read More »
QUESTION: I have a Lyme patient, and want to use a combination of IM rocephin, liposomal artemesia and biocidin. Along with a general foundational protocol in an otherwise healthy autoimmune (hashimoto’s/vitligo/very fungal sensitive) patient. I plan to give diflucan along with the anti-biotic protocol. My questions are: Will IM rocephin work? Can I do 1 …
QUESTION: I have a 30 year old female pt with high calcitriol. What does this mean? I am having a hard time finding its relevance although I read something about low calcium in the diet or intestines? Her calcitriol is 149.3, range is 10-75. She has low normal vitamin D levels (36, range 30-100) . …
QUESTION: How do I assess whether a patient needs IV Iron? Why can they sometimes not get enough orally? What are the best forms to use IV? ANSWER: Below is an outline of cases and resultant research into non-cancer / non-renal induced anemias in the chronically ill (which fall often between the criteria and rules for …
IRON STATUS ASSESSMENT AND IV IRON ADMINISTRATION CONT Read More »
QUESTION: I have a patient who no longer seems to be reacting to standard IV ABX and naturopathic treatments for Lyme. ANSWER: Thoughts of where to start: 1. Mitochondria get really injured through Tx. They need a lot of support for a long time to come online – worse with mito SNP’s but bad anyway. …
The corticoid effect on TSH is one of those non-linear processes in corticoid pharmacology. The data, and one of the best papers on this is a 2009 review [PMC2784889] shows that there is a dose at which TSH can be lowered – BUT there are a few mitigating factors: 1- the use of physiologic hydrocortisone …
I digested Jeffries work long ago after my first 20-30 patients I’d “freestyled” with hydrocort on. Then over the following years looked at all the so called dogma and experts on such Tx. I have easily given thousands of doses of cortisol analogs (and to be up front, have communicated with Titlebaum and others about all this). Jeffries had …
MY QUESTIONS ARE: What is a way to attempt to think globally about autoimmunity so I can consider as many potential causes when beginning a diagnostic and therapeutic approach? ANSWERS: Autoimmune cause areas to consider – Multiple cause areas can be considered and identified – Generally in most autoimmunity there are multisystem considerations Follow therapy, …
MY QUESTIONS ARE: I have a patient with MS and am wondering what things I should include in my assessment and care plans. ANSWERS: We generally try to consider multiple potential aggravations in the patient which can increase the effect and symptom picture in MS and other autoimmune cases. These include immunologic, infectious, inflammatory, toxic …
MULTIPLE SCLEROSIS AUTOIMMUNITY AND CLINICAL Cont. Read More »
Sorry for a long email. I would greatly appreciate if you could provide input with a case of mine as I am still a baby doc. I have been working with this person, for a while and it’s frustrating! 28 year old with chronic eczema since age 14. Eczema over shoulders, back, groin thighs and …
