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Doctor insights on: Low Dose Hrt

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Dr. Bryan Treacy
865 doctors shared insights

Hormone Replacement Therapy (Definition)

Usually done to provide the hormones that would be deficient upon surgical removal or inactivity or malfunction of a hormone producing gland or organ. The endocrinologist is the medical specialist that specializes amongst other things , in doing just that. Insulin/glucagon-pancreas, thyroid hormone-thyroid, ovaries, testicles, hypothalamus, ...Read more


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Clomid (clomiphene) dosage for low t?

Clomid (clomiphene) dosage for low t?

"Low T": Is not a disease or even a well-defined syndrome. Therefore there is no clear treatment. Clomid (clomiphene) is one speculative treatment, but there is not a "correct" dose. ...Read more

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Person with normal Total T4, T3 (liothyronine) Uptake, FTI, Ultrasensitive TSH but LOW Total T3 (liothyronine) (63.55 ng/dl) = Synthroid dose needs to increase?

Person with 

normal Total T4, T3 (liothyronine) Uptake, FTI, Ultrasensitive TSH 

but 

LOW Total T3 (liothyronine) (63.55 ng/dl) 

= 

Synthroid dose needs to increase?

It's OK: Hi. Your TSH is "normal", but I'd shoot for a value on therapy generally around the 1.0-1.5 range. The total T4, T3 (liothyronine) resin uptake, and FTI are prehistoric tests no one in the thyroid field has used for years. Your body regulates conversion of T4 to T3 (liothyronine), so your T3 (liothyronine) should be just what the body ordered. Your T3 (liothyronine) is close to the normal range; if you repeat it it's likely to be within normal range. ...Read more

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How to treat very low progesterone level and high estrogen levels?

How to treat very low progesterone level and high estrogen levels?

Nothing: My guess is the hormones levels were just drawn at the early part of the cycle, which is exactly what you would expect to see at that time. If the hormones were drawn late in the cycle, the result would be the opposite. Probably does not need any treatment at all. ...Read more

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Low testosterone, low estradiol, high estrone, weight good, taking 200mg testosterone a day at cheek & gum, using a aromatase inhibitor, why low t?

Low testosterone, low estradiol, high estrone,  weight good,  taking 200mg testosterone a day at cheek & gum, using a aromatase inhibitor, why low t?

Difficult to say: Some guys just do not make enough and need supplementation. You might just fall in that category. It sounds like you have had a work up and you do not have a tumor or anything else to account for your low testosterone. ...Read more

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Does a high FSH level indicate low estrogen or hight estrogen?

Does a high FSH level indicate low estrogen or hight estrogen?

Low estrogen: Fsh stimulates estrogen production. If estrogen is low the stimulation increases, causing the fsh to be elevated. ...Read more

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Is levothyroxine 50mcg the appropriate dose for someone with tsh levels of 5.25uIU/mL

Is levothyroxine 50mcg the appropriate dose for someone with tsh levels of 5.25uIU/mL

Since the TSH is: on the upper range of normal your levothyroxine dosage is theoretically OK HOWEVER the dosage of thyroid replacement therapy is based not only on blood testing but is a CLINICAL decision best made by your Health Care Provider!!! Hope this helps! Dr Z ...Read more

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Is a 100 dose sertraline high dose?

Is a 100 dose sertraline high dose?

Depends: on your treatment goals. Typically doses can go higher (200 mg +) if treating depression. But there is a wide dosage range that is therapeutic, in my experience, since every person is different. If you feel better on 100 mg. and have no side effects, that's the best dose for you. Don't worry about a "standard" dose. Take care. ...Read more

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Can taking too much Synthroid (thyroxine) plus cytomel, therefore having a very low TSH level, cause seizures?

Can taking too much Synthroid (thyroxine) plus cytomel, therefore having a very low TSH level, cause seizures?

Possible: Both high and low thyroid states can be associated with seizures. Seizures can be seen in 5-10% of high thyroid states and even more commonly when it is due to an overdose with medication. If you are experiencing this, go to the nearest er as this condition is life-threatening and needs immediate attention. Your doctors will also search for other conditions that may be causing seizures. ...Read more

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Proamatine (midodrine) dosage for low bp?

Proamatine (midodrine) dosage for low bp?

Depends: Dosage usually three times a day. Start at 2.5 mg three times a day and can titrate up to 10 mg three times. Want to stabilize blood pressure without making the pressure too high. So titrate to BP and symtoms. I usually titrate to the lowest dose that resolves symptoms. ...Read more

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What causes low TSH, low T4 and low T3 (liothyronine)?

What causes low TSH, low T4 and low T3 (liothyronine)?

See below: All laboratory results need to be interpreted in the clinical context and the doctor who ordered the tests is usually in the best position to do that. Having said that, it would have helped to know the actual values. Even though all these parameters may be low, these may yet be in the normal range. ...Read more

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Is too high 50mg of clomid (clomiphene) daily for low testosterone 50 years old ?

Is too high 50mg of clomid (clomiphene)  daily for low testosterone  50 years old ?

Clomid/testoserone: Low testosterone at age 50 requires a complete understanding of the cause - low T at age 50 is of concern - and subsequent management. Why have you been prescribed Clomid (clomiphene)? ...Read more

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Desogestrel bp0.15mg ethinylestradiolbp 0.03mg is this low dosage contraceptive pill?

Desogestrel  bp0.15mg ethinylestradiolbp 0.03mg is this low dosage contraceptive pill?

Medium dose: We look at the ethinyl Estradiol dose when comparing pills - 20 micrograms (0.02 mg) is low dose, 30 or 35 micrograms is medium dose (0.03 mg / 0.035 mg). High dose pills are rarely used. ...Read more

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On Testosterone replacement therapy. 50mg T compounded with 0.5mg anastrazole three times a day. Seems like high dose. Unheard of?

On Testosterone replacement therapy. 50mg T compounded with 0.5mg anastrazole three times a day. Seems like high dose. Unheard of?

Standard dose: This is a standard dose for adult males taken once a day. Three times a day does seem high. The anastrazole is a compound that blocks conversion of testosterone to estradiol. ...Read more

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Man with normal testosterone and take clomid (clomiphene) low dose well making his testosterone lavel higher then maximum t level my questijus for information?

Yes: B"sd very likely , clomid (clomiphene) releases the pituitary hormones LH and FSH. LH can stimulate the testes to produce more testo and FSH acts to stimulate sperm production. Glad to discuss ...Read more

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Why high testosterone, low tsh, high cholesterol, weight gain, high triglycerides, irritable, aggressive, sleeplessness, high serum calcium?

Why high testosterone, low tsh, high cholesterol, weight gain,  high triglycerides, irritable, aggressive, sleeplessness, high serum calcium?

Multiple problems: You has a whole host of problems. First of all, you need to see your physician (p) to deal with your abnormal labs. I will address only a few of them due to space limitations. One of the causes of your high calcium is that you are on calcium, please stop it. You weight gain could be due to your high tsh. Speak to the p who ordered the blood tests that disclosed your problems for answers. ...Read more