2nd appt with Dr. Gutsmann - Hormone & Thyroid Results

February 4, 2010

I met with Dr. Gutsmann today - gosh.. it had to have been 30+ minutes talking

about my results.

I was taking 4 grains of Armour and tested:

TSH <0.006 (0.450-4.5)

Free T4 2.05 (.82-1.77)

Free T4 8.7 (2.0-4.4)

Obviously high.. she reduced me to 3 grains about 3 weeks ago.. a compounded

naturethroid.. and I feel GREAT.

Hormones - Saliva Testing on Day 21:

Estradiol 0.8 (1.3-3.3)

Progesterone 510 (200-3000)

Ratio Pg/E2 638 (100-500)

Testosterone 15 (16-55)

DHEA 3.1 (2-23)

Cortisol AM 4.8 (3.7-9.5)

All of these tests were only taking a progesterone supplement. She is going to

continue the progesterone cream at current strength.

She gave me a Testosterone cream - she actually gave that to me weeks ago based

on old labs from Dr. Owens - but I couldn't start it until after I took the

saliva test. I started it about 3 weeks ago and it's wonderful!

DHEA - I am to continue the DHEA sublingual she gave me 3 weeks ago (still

didn't use it before test)

she said she would like to see my estradiol/progesterone ratio a little better -

but she is hesitant to give me an estradiol supplement. Since I am 7 months off

of birth control - after 15 years of use - she said my body isn't making all of

this stuff on it's own yet.. She feels that if I wait a bit longer, it will kick

back in.

With the DHEA, progesterone cream and testosterone I already feel much better -

so I'm happy with the let's wait approach.

She told me to go ahead and start trying to get pregnant again. She also told me

that if my OB won't treat me with the compounded meds - that she will treat me

during pregnancy.

I'm very very pleased with her.. I told her that my old docs office had closed

and she wondered how she could get more patients.

She really enjoys treating hormones.

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