Perimenopause and Mood

Depression in the perimenopause has been found to be due to swings in estrogen levels and deficiency of progesterone because there are no or few ovulatory cycles at this time of life.  We women knew this personally, but it takes years for academic medicine to give affirmation to what we women intuitively knew.   It […]

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Calcium From Plant-based Sources may be Better for Bone Health than Dairy or Supplements.

Cow Milk and Adult Health. Dairy news that may surprise you.   There seems to be no benefit to taking calcium supplements or sustaining a high dairy intake to improve bone mass or prevent osteoporosis or osteopenia related hip fractures. It just does not work. In fact higher milk consumption translates to a higher risk

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Genetic testing may identify who may benefit from combination therapy (T4+T3) after thyroidectomy.

The deiodinase 2 enzyme (DIO2) in the brain is responsible for converting T4 to T3 in the brain. Sixteen percent of the population carries a variation in the DIO2 gene that may affect how they respond to thyroid therapy after thyroidectomy. These individuals show in genetic testing a “CC” type or rs225014 polymorphism in the DIO2 gene.

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New Treatment for Graves Opthalmopathy

New treatment for Graves Opthalmopathy is a game changer and can prevent long standing proptosis and diplopia in patients with Grave disease.   Graves eye disease occurs because of autoimmune development of TSH receptor antibodies and IgF I receptor antibodies binding to both TSH receptor and  IGF-1 receptors on orbital fibroblast. These orbital fibroblast then

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Having the right gut bacteria matters: Good news for future prevention or treatment of food allergies

The microbiome is an intricate internal world of bacteria that live in the gut and other body sites. It is thought that an unhealthy gut microbiome may play a role in the development of food allergies, food sensitivities and leaky gut. Many patients in my practice are not well because they have irritable bowel, poor

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Call to Action on Hormone replacement therapy (HRT) for Women: Don’t miss out the window of opportunity! Do it! Pass this word on!

If under age 60 or within 10 years of menopause Don’t miss out! Do it! The benefits of HRT outweigh risks. I am including many references that support new ideas about this life saving issue so you may share with your doctors if they are concerned about giving you hormone therapy.   I am more

Call to Action on Hormone replacement therapy (HRT) for Women: Don’t miss out the window of opportunity! Do it! Pass this word on! Read More »

Graves Disease Treatment 2018-19: Methimazole only drug recommended for all.

Dr. Scott Rivkees, Chief of Pediatric Endocrinology at U. of Florida, and expert in anti-thyroid medication, discussed at a plenary lecture at American Thyroid Association’s (ATA) meeting why the use of propylthiouracil (PTU) for the treatment of Graves disease is no longer recommended.   It has been well documented that children with Graves Disease have

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