Quote:
Originally Posted by waves
When you go to the the internist, as well as the endo records, i might also bring a note from your pdoc explaining his/her medical motivations for wishinig to treat with thyroid hormone supplementation before intervening with more psych meds, even if you are borderline or subclinical. elevated TSH indicates low thyroid function which can cause not only depression (typically "recognized" as a st), but also mood cycling. I suspect pdoc's rationale here is that giving an antidepressant, which can destabilize mood, would be best done after thyroid supplementation is done to restore normal function. Non pdocs may not appreciate the "cycling" aspect as relating to thyroid function. That's why i suggest a note from your pdoc.
~ waves ~
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It is too bad that there is not an applause emoticon on here.
waves - will you be my endocrinologist??? pretty please??? you understand perfectly! See mdocs of the world, it's not hard if you would just L I S T E N when people talk.
It is a shame that you, and me, and Mari, and others on here have to walk our own doctors through how to do their job.
Good idea about getting something in writing from pdoc. I'm writing that on my dry-erase board so I remember to get that done. Great idea!