Doctor insights on:
Alternative Treatments For Factor V Deficiency
Some safe options: Progestins are felt to be better, to avoid the increased clotting risk from Estrogens in birth control pills. So: the mini-pill is usually considered safer, the iuds are very safe options, as are: Depo Provera (medroxyprogesterone) shots, and the Nexplanon rod. Some oncologists are okay with using the nuvaring, b/c vaginal Estrogens don't affect the liver the way oral pills do, and get lower levels of estrogen in ur b. ...Read more
Injections: I'm guessing you're referring to greater trochanteric pain syndrome. Steroid injections are very effective treatment. Oral and/or topical anti-inflammatories may help. Surgical excision of the bursa can be considered as a last resort. ...Read more
LARC methods: Estrogen containing contraceptives are contraindicated in women with FACTOR V LEIDEN DEFICIENCY. However evidence supports the safe use of progestin only contraceptives - LNG IUD(Mirena (levonorgestrel) or Skyla), Implant (Nexplanon), DMPA, POPs, or the nonhormomal copper IUD (Paragard). Barrier methods are obviously safe but less effective. ...Read more
Deficiency or factor: V Leiden?. Since you are on coumadin, (warfarin) it is not likely that you are deficient in Factor V but have an abnormal factor V that makes you susceptible to blood clots. The only cure for congenital factor V deficiency or Factor V Leiden would be liver transplant, but this treatment is likely to be worse than the disease. ...Read more
Iron supplements: Anemia should have a confirmed cause, so "suspected" is not good enough. A low serum iron level associated with heavy periods may be the cause, but there are also other causes of anemia and your doctor can confirm the cause. Dietary sources of iron are excellent (more red meat) but iron supplements available over the counter may also help. ...Read more
Non-hormone methods: People with abnormalities of factor v are at increased risk of blood clots in the veins. For that reason we avoid birth control with estrogen in it (pills, patch, ring). Some doctors also avoid Progesterone (mirena (levonorgestrel) iud, implanon, pills, Depo-Provera provera) although the evidence on that is not clear. Barriers like condoms, cervical caps, and diaphragms are safe. So is the paragard iud. ...Read more
More info needed: There are many different types of hemoglobins that are inherited, some varieties are mild diseases, some much more complex...You will need some tests to fully answer the question.The normal hemoglobin molecule carries the oxygen our tissues needs for life so it is really at the center of a lot of important activity. ...Read more
Severe reactions to all diff. kinds of steroids. Other options for treating Addison's? Vitamin/mineral suppl., compounds, natural treatments ?
Whoa: If you truly have Addison's, your life depends on your getting a low dose of a glucocoricoid. You make these naturally and if you're having a "reaction", the problem may be with the dose. I see that you are also taking methotrexate -- very seriou stuff -- and lidocaine patches. You need a relationship with a physician who you can trust and who can work carefully with you. ...Read moreSee 2 more doctor answers
Factor VIII: Concentrate. Factor viii is prepared by recombinant technology, though it may also be extracted from human plasma. Depending on the severity of deficiency, factor viii may be given prophylactically or to treat episodes of bleeding. The drug is given intravenously. ...Read more
Mediaxal: A related medication was taken off of the market in 1997 because of serious complications of heart valve disease, pulmonary hypertension and cardiac fibrosis. This medication should not be available to you as it was taken off of the market. It is dangerous to use. ...Read moreSee 1 more doctor answer
Not really: This is one of the glycogen storage diseases. Avoiding fasting and keeping food intake even, steady and moderate may make things easier. ...Read more
Is there a benefit in taking folate over folic acid for all mthfr or only certain strands? Is treatment different for homozygous v heterozygous?
Complicated: Mthfr c677t mutation should be treated with methylfolate (and not regular, synthetic folic acid) along with cofactors methyl or hydroxy b12, b2 and b6 most integrative doctors believe that both homozygous and heterozygous should be treated in this manner (unless there are other methylation defects). The a1298c mutation is more likely to affect neurotransmitter production so treatment is different. ...Read moreSee 1 more doctor answer
Is infusion therapy for non responsive chronic migraine a tested, safe and efficacious therapy ? Are the benefits temporary or long lasting ?
Infusion therapy: If the patient is rebounding, inpatient management or ambulatory infusion treatment may be required. It is safe, evidence based and effective in the majority cases. Major concerns are: comorbid medical illness that may require monitoring and allows only short-term follow-up. I use modified Meyers cocktail for my patients. Good luck. ...Read more
No: If a child is not manufacturing enough thyroid hormone it must be replaced. Levothyroxine is the generic name for the medication used to treat an underactive thyroid. Particularly in children, thyroid hormone is important for growth and also brain development when very young. ...Read moreSee 4 more doctor answers
Do all mthfr gene mutations benefit from folate over folic acid? Or certain stands? Is there different treatment for heterozygous v homozygous?
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