Doctor insights on:
What is the best SSRI to treat OCD? Thyroid tested along with everything else…Health is good but nothing I have done in CB therapy has helped?
Have you used: Exposure Therapy w/Ritual prevention? It is modern and effective. You need someone well trained in this. Peace and good health. Your state psychological association or your doc can help w/referral. ...Read more
I was wondering about ssris. Why do some cause weight gain and others don't? They both affect serotonin. Does it affect metabolism? Thyroid?
It depends : Different ssris have different chemical structures can affect not only the serotonin reuptake but other hormonal patterns including the thyroid function norepinephrine uptake Dopamine uptake or other hormones in the body. Hence different ssris effect weight differently. Zoloft and Effexor (venlafaxine) are usually weight neutral and Paxil and prozac's cause some weight gain. ...Read more
Do any ssri's increase or decrease the following: thyroid stimulating hormone, free t3, (liothyronine) free t4, t3, (liothyronine) and/or t4?
Not simultaneously: Hi. Yes, you can, but not simultaneously. For example, treatment of Graves' disease often renders the patients hypothyroid. Hypothyroidism can sequentially follow hyperthyroidism. Same for a self limited process called a subacute thyroiditis - hyperthyroidism followed by hypothyroidism. Hypothyroidism can be over treated causing hyperthyroidism. Hyper and hypo cannot be present at the same time. ...Read more
Hypothyroidism...: Hypothyroidism is easier to correct. In hypothyroidism, supplemental thyroid hormone can be taken to reach an adequate normal level. Hyperthyroid states are usually more difficult to control. Depending on the hyperthyroid illness, radioactive iodine, surgery, or anti-thyroid medications may be used. Often hypothyroidism results after treating hyperthyroid patients, but is easy to deal with. ...Read moreSee 1 more doctor answer
Fatige/dry skin/cons: The following symptoms fatigue dry skin constipation unexplained weight gain depression slow heart rate thinning hair heavier than normal or irregular menstrual periods muscle weakness hoarseness puffy face constipation thinning hair increase sensitivity to cold impaired memory elevated blood cholesterol level muscle ache and joint pains syptoms get worse if not treated with thyroid hormone. ...Read more