Posted by bulldog2 on September 28, 2008, at 15:46:58
In reply to Re: Thyroid levels and Serotonin » bulldog2, posted by bleauberry on September 28, 2008, at 15:16:55
> Very interesting stuff. Thanks for sharing. I have always thought that hormones have a huge, usually underestimated or not even considered, influence on mood. Due to their control of neurotransmitters, receptor sensitivities, and feedback loops. The information you shared helps to see a snip of that in action.
>
> Phillipa claimed to have enough serotonin. We don't know that. A urine test might help see a more objective picture, but even that may or may not be totally reflective of what is going on intracellularly within the nervous system. Just because a low dose of Luvox is on board doesn't mean there is plenty of serotonin. Also claimed was trying T3. That's not the whole truth. A particular dose was tried that felt like coffee stimulation, and then abandoned. That is not a good trial of T3. Should have been a much lower dose.
>
> The info you shared also highlights why it is important to judge doses by how they feel by each individual patient, and not limit treatment to mere lab numbers on paper, which are very wide general guidelines that fit a large segment of the population, but certainly not all-inclusive and certainly not a Bible.The way we currently test hormones also is not very reliable. The ranges are very wide and include data from all age ranges. Most docs pronounce you normal if you fall somewhere in that vast range which may not be normal at all.
P-docs should do hormonal testing before they prescribe ads. Once ads are started they should do followup tests to see if the meds are disturbing any of the hormonal levels and adjust the meds accordingly.
P-docs typically start with ssris because their the safest and easiest to prescribe. Why not due neurotransmitters tests to see if there's a shortage of one particular one.
It seems like p-docs continue to use a trial and error method that does not incorporate a scientific method. To much wasted time with this method which causes to many patients to abandone treatment.
poster:bulldog2
thread:854446
URL: http://www.dr-bob.org/babble/20080926/msgs/854639.html