Dr. Aaron Neinstein
Internal Medicine
San Francisco, CA
14 years experience male
Locations
UCSF Endocrinology and Metabolism
San Francisco, CA
About
Bio
Endocrinologist and Informaticist at UCSF
SpecialtiesDoctors may have more than one area of specialty interest. Board certification in a specialty area means the doctor has completed formal training and has practice experience in that specialty, and has passed the certification examination from the corresponding accredited medical specialty board.
Doctors may have more than one area of specialty interest. Board certification in a specialty area means the doctor has completed formal training and has practice experience in that specialty, and has passed the certification examination from the corresponding accredited medical specialty board.
Internal Medicine
Endocrinology
Doctor Q&A
24 Answers
3 Agrees
The number of answers this doctor has agreed with.
A 56-year-old member asked:

Dr. Aaron Neinstein answered
Internal Medicine 14 years experience
No: These are both from the same medication class, beta-blockers. It would be extremely unusual for a physician to prescribe these simultaneously and could be potentially very dangerous. You should absolutely clarify with your physician whether this was intentional and if so, what the reason was for prescribing them both together.
A 52-year-old male asked:

Dr. Aaron Neinstein answered
Internal Medicine 14 years experience
Probably not: People with graves disease typically have a low TSH along with high free T4 and/or high free t3 (liothyronine). Most people also have a high tsi titer, though not everyone does. If you have a low TSH and high free t4, you may have mild early hyperthyroidism, and it is possible that it is graves, so it is something to follow-up in the future. A more accurate antibody test than tsi is the TSH receptor antibody.
A 52-year-old female asked:
My MCH came back at 25.3 yet doc didn't even mention it. At what levels do doctors become concerned?

Dr. Aaron Neinstein answered
Internal Medicine 14 years experience
Don't worry about it: As long as your hemoglobin is normal, don't worry about your mch, as it doesn't really matter. If you don't have an anemia, then the MCH is not important. Mch stands for mean corpuscular hemoglobin, which is the average mass of hemoglobin in a red blood cell.
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TestimonialsRecommendations and Thank you notes are endorsements given from patients or other doctors.
Recommendations and Thank you notes are endorsements given from patients or other doctors.
2
Recommendations
38
Thank you notes
HealthTap member
Mar 31, 2015
Dr. Neinstein is an amazing doctor! #nationaldoctorsday2015 #virtualflower1
HealthTap member
Mar 31, 2015
Dr. Neinstein is an amazing doctor! #nationaldoctorsday2015 #virtualflower1
HealthTap member
Thanks for your quick reply! Thank you for your time and answer, a lot to think about. When tested 20 yrs ago it was very low, in the 2's, now it's 4/5. Same symptoms.
HealthTap member
Thank you, your answer was very helpful! Thank you very much. Hard times now, we'll continue fighting.
HealthTap member
This saved my life. Thank You! Thanks you very much
Education & Training
Medical/Graduate school
Keck School of Medicine of University of Southern California, CA
Graduated 2007MD
Residency
UCSF MEDICAL CENTER
Awards
Alpha Omega Alpha
Endocrinology Division, Clinical Fellow Award, 2011-2012
Affiliations
Endocrine Society
American Association of Clinical Endocrinologists
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