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Wow I see all this almost every day in my office -- same exact thyroid related medical issues/complaints. After ten years of endocrinology research and 33 years in practice, I've concluded that a lot of my fellow doctors weren't really taught the nuances of thyroid care. Those include how patients need levels optimized, or how to really listen to patient's symptoms (and treat accordingly), and which labs to get at what time. So, I always tell patients to believe their ‘lying eyes’ (their symptoms are real), and not always the lab results (which can be inaccurate or not interpreted correctly).

My Approach to PCOS. Let me know your questions. WHEN YOU HAVE PCOS I CHECK THE FOLLOWING FIRST IN A FASTING LAB: PROGESTERONE LEVEL FREE AND TOTAL TES LEVEL INSULIN LEVEL THYROID TESTING: FREE T3, FREE T4, AND TSH SPECTRACELL MNP FOUNDA

I personally use Direct Labs to get my tests. Here is how the process works: 1. Order Tests Order online or call (800) 908-0000 to place your test order. 2. Go To Lab Patient Service Center locations are nearby your home or work. 3. Retrieve Results Most results are received within 24-48 hours and uploaded securely to your account. More Info on Direct Labs Laboratory Tests First time customers will create a MyDLS® account. You will be able to access this account with your username and password at any time to view your test orders, sign HIPAA release forms, print your requisition, and view or p

Learn how symptoms, lab results, and health history fit into a thyroid discussion.

…: methylation folate metabolism redox balance the transsulfuration pathway glutathione production When certain variants occur in a homozygous state , they can significantly increase a person’s baseline homocysteine levels. This may explain …

…yo-inositol, D-chiro-inositol and combination formulas. The ratio and amount differ between products. A question to bring to your visit Is inositol being considered for a measured nutrient finding, a nervous-system pattern or a metabolic qu…

…rting replacement. Putting the pieces together The genetics reference also discusses HFE in relation to iron handling. A current blood count, ferritin and other clinician-selected iron studies can answer different questions, and an HFE resu…

…y fat sources fit this pathway? Variant IDs in the teaching reference: rs1501299, rs2241766, rs266729

…oose a supplement dose for you. Variant IDs in the teaching reference: rs819147 Where the VARS Triad and MTHFR Daily fit If you are exploring homocysteine or cytokines, Dr. Purser may discuss MTHFR Daily and the VARS Triad: VARS Glutathione…

…ing it, responding to it, clearing it Dr. Purser’s genetics reference places AOC1 in the histamine-clearance part of the gut and immune story. The enzyme it encodes, diamine oxidase, helps break down histamine and related amines. That is a …

…e health factors matter for me? Variant IDs in the teaching reference: rs429358, rs7412

…the same conversation. Those connections do not make an IBS label, Crohn’s disease or another diagnosis interchangeable, and a common variant is not a substitute for a digestive workup. A question to bring to your visit Which part of my his…