Is Prednisone 50 mg for one month too excessive of a dose and how much Hydrocortisone should I prescribe once she start to taper down the prednisone. Would 20 mg BID of Hydrocortisone be appropriate? I’d really appreciate your input. It’ll be my first case of post-prednisone support. Dr. Anderson In bad autoimmune cases, 50 …
QUESTION: I just listened to your antidepressant tapering webcall, and you talked about looking at the patient’s reaction to meds to get a better idea of where their brain needs the most support. I’m wondering about someone put on Lexipro for situational grief, it never helped, she was left on it for 5 years, now …
QUESTION: I just listened to most of your lecture on Iodine/T3 therapy. What do you do to reduce antibody levels? I did not learn much in school (basically selenium) and I’ve tried pretty much everything I’ve read on facebook – nothing really works. What do you find works? I’m sure it depends, but this is driving …
Reference: MicroRNA-155 negatively affects blood– brain barrier function during neuroinflammation. Practice Implications: Before discussing the mechanics and relativity of this data to neurological symptoms I would like to describe the process I will use in this review: What is it? How does it work and cause disease? What else do we know about this? And …
FIRE IN THE BRAIN: WHAT CAUSES IT AND HOW TO MANAGE IT. Read More »
QUESTION: 33y/o F with 2 month hx of polymenorrhea (bleeds for 2 weeks, then off for 2 weeks, bleeds for 2 weeks, then off for 2 weeks). Pt’s cycles have been regular prior to this recent change. Pt has hx of anxiety and depression and has been on lithium (currently 600mg) and lorazapam (0.5mg) for …
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: A question about monitoring when a patient is on T3. When a patient is on T3, I’ve been monitoring their levels 6 hours after dosing to see the highest level of T3. I want to be sure that I don’t overdose them. Is this appropriate? If you monitor them more than 24 hours after …
QUESTION: How do you treat POTS? Does it have something to do with thyroid? ANSWER: Underlying stuff is adrenal regulation and in POTS it sucks and can take 1-2 years to work on. Also if added DM or insulin resistance or “pre-diabetes” it will never be fixed. Circadian disruption feeds in, and in POTS autonomic …
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 »
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 …
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 »
