For Physicians of Patients Being Treated by Dr. Lindner
If Dr. Lindner is treating one of your patients, please read his letter concerning his practice and
how it will interact with the medical care you provide. On this website, you can see his
explanation for his belief that it is safe to restore estradiol and progesterone in
postmenopausal women. You may be concerned by your patient's thyroid or cortisol
replacement therapy. Dr. Lindner does diagnose thyroid and cortisol insufficiency in many
patients who are not diagnosed by the usual criteria. He is able to help many people who were
not helped by other doctors precisely because he no longer shares their conventional ideas.
He has read many hundreds of papers and textbooks and thereby gained a different view of
these hormone deficiencies. For more explanation of how he has diagnosed your patient as
deficient, and determined how much hormone they need, see the following documents:
Information for Physicians of Patients on Thyroid Hormones
Information for Physicians of Patients on Hydrocortisone
Physician Consultations
Do you want to help a specific patient with hormone replacement? Have you run into a problem
with a patient's hormone therapy that you cannot resolve? Do you have a female patient who
cannot tolerate estrogen replacement, or a hypothyroid patient who cannot tolerate thyroid
replacement? Do you have patients on thyroid replacement with a normal TSH who still
complain of hypothyroid symptoms? Do you think that menopausal female hormone in
dangerous? See Sex-Steroid Restoration for Women to learn why it's dangerous NOT to
replace a woman's lost estradiol and progesterone.
Using the same fee schedule as for patient consultations ($5/min), Dr. Lindner will respond to
clinical questions about specific patients from other health care providers, either by mail,
e-mail, or telephone. He will provide not only relevant scientific data, but also concrete
recommendations to follow with your patients. If there are a large number of labs to be
discussed, please e-mail or fax the results with the reference ranges. Remove any identifying
patient information. E-mail Dr. Lindner to set up the consultation, or call his office.
Dr. Lindner has concentrated on nothing but hormone restoration and optimization for the last
six years. His fee schedule has allowed him to see large numbers of patients with varied
hormonal and other issues. He has gained a great deal of clinical experience with both routine
replacement and with difficult hormonal problems. He is conversant with much of the relevant
medical literature. Much of what he has learned is completely unknown to
conventionally-trained physicians--of which he was once a typical example. Conventional
medical training and current guidelines do not equip physicians, including endocrinologists, to
diagnose mild-moderate hormone deficiencies or to optimize hormone replacement. (See Why
Docs Don't Get It.)
Patients are learning about hormone replacement via the Internet. They are increasingly asking
their doctors for testing and for treatment. You can either remain ignorant and have them seek
care elsewhere, or you can avail yourself of the ideas and information available at this site and
from other sources. Physicians who try to replace hormones often run into a number of
problems for which they are not prepared to cope. They have to learn to think about hormones
in a way that is very different from pharmaceutical medical practice. For instance, hormones to
not have side effects. If the patient has a negative response to a hormone, then either the dose
is too low or too high, or they are missing some other hormone or nutrient that they need to
balance the higher hormone levels. Many perimenopausal and postmenopausal women
seeking hormone replacement have significant thyroid and/or cortisol insufficiencies. Their
pain, fatigue, depression, insomnia, and irritability may not improve much with sex hormone
restoration, and in some cases it will make them feel worse. Even rather straightforward and
uncomplicated tasks like restoring testosterone levels in men require a knowledge of how to
monitor dosing and to achieve optimal effects. Many men have come to Dr. Lindner after having
been diagnosed and treated for hypogonadism, but never given adequate doses for optimal
effect. Dr. Lindner prefers testosterone injections--self-administered subcutaneously each
week--to the use of creams or gels. The latter produce a highly abnormal DHT/testosterone
ratio.
Many of your patients with hypothyroid symptoms, a normal TSH, and relatively low free T3
and/or free T4 levels are being inappropriately denied life-giving thyroid optimization. Did you
know that the free T4 range found in 95% of relatively healthy persons is 1 to 1.7ng/dL, not
down to 0.6 ng/dL as reported by some labs? Labs are taking doctor-ordered thyroid panels
with "normal" TSH levels and including the free T4 and free T3 values in their ranges. Did you
know that patients on T4 therapy should have Free T4 levels near or above the top of the
laboratory's reference range? Many, if not most of your patients on levothyroxine, dosed to
"normalize" the TSH, are being undertreated. That is why they have persistent fatigue, weight
gain, cold extremities, constipation, headaches, etc.
If Dr. Lindner is treating one of your patients, please read his letter concerning his practice and
how it will interact with the medical care you provide. On this website, you can see his
explanation for his belief that it is safe to restore estradiol and progesterone in
postmenopausal women. You may be concerned by your patient's thyroid or cortisol
replacement therapy. Dr. Lindner does diagnose thyroid and cortisol insufficiency in many
patients who are not diagnosed by the usual criteria. He is able to help many people who were
not helped by other doctors precisely because he no longer shares their conventional ideas.
He has read many hundreds of papers and textbooks and thereby gained a different view of
these hormone deficiencies. For more explanation of how he has diagnosed your patient as
deficient, and determined how much hormone they need, see the following documents:
Information for Physicians of Patients on Thyroid Hormones
Information for Physicians of Patients on Hydrocortisone
Physician Consultations
Do you want to help a specific patient with hormone replacement? Have you run into a problem
with a patient's hormone therapy that you cannot resolve? Do you have a female patient who
cannot tolerate estrogen replacement, or a hypothyroid patient who cannot tolerate thyroid
replacement? Do you have patients on thyroid replacement with a normal TSH who still
complain of hypothyroid symptoms? Do you think that menopausal female hormone in
dangerous? See Sex-Steroid Restoration for Women to learn why it's dangerous NOT to
replace a woman's lost estradiol and progesterone.
Using the same fee schedule as for patient consultations ($5/min), Dr. Lindner will respond to
clinical questions about specific patients from other health care providers, either by mail,
e-mail, or telephone. He will provide not only relevant scientific data, but also concrete
recommendations to follow with your patients. If there are a large number of labs to be
discussed, please e-mail or fax the results with the reference ranges. Remove any identifying
patient information. E-mail Dr. Lindner to set up the consultation, or call his office.
Dr. Lindner has concentrated on nothing but hormone restoration and optimization for the last
six years. His fee schedule has allowed him to see large numbers of patients with varied
hormonal and other issues. He has gained a great deal of clinical experience with both routine
replacement and with difficult hormonal problems. He is conversant with much of the relevant
medical literature. Much of what he has learned is completely unknown to
conventionally-trained physicians--of which he was once a typical example. Conventional
medical training and current guidelines do not equip physicians, including endocrinologists, to
diagnose mild-moderate hormone deficiencies or to optimize hormone replacement. (See Why
Docs Don't Get It.)
Patients are learning about hormone replacement via the Internet. They are increasingly asking
their doctors for testing and for treatment. You can either remain ignorant and have them seek
care elsewhere, or you can avail yourself of the ideas and information available at this site and
from other sources. Physicians who try to replace hormones often run into a number of
problems for which they are not prepared to cope. They have to learn to think about hormones
in a way that is very different from pharmaceutical medical practice. For instance, hormones to
not have side effects. If the patient has a negative response to a hormone, then either the dose
is too low or too high, or they are missing some other hormone or nutrient that they need to
balance the higher hormone levels. Many perimenopausal and postmenopausal women
seeking hormone replacement have significant thyroid and/or cortisol insufficiencies. Their
pain, fatigue, depression, insomnia, and irritability may not improve much with sex hormone
restoration, and in some cases it will make them feel worse. Even rather straightforward and
uncomplicated tasks like restoring testosterone levels in men require a knowledge of how to
monitor dosing and to achieve optimal effects. Many men have come to Dr. Lindner after having
been diagnosed and treated for hypogonadism, but never given adequate doses for optimal
effect. Dr. Lindner prefers testosterone injections--self-administered subcutaneously each
week--to the use of creams or gels. The latter produce a highly abnormal DHT/testosterone
ratio.
Many of your patients with hypothyroid symptoms, a normal TSH, and relatively low free T3
and/or free T4 levels are being inappropriately denied life-giving thyroid optimization. Did you
know that the free T4 range found in 95% of relatively healthy persons is 1 to 1.7ng/dL, not
down to 0.6 ng/dL as reported by some labs? Labs are taking doctor-ordered thyroid panels
with "normal" TSH levels and including the free T4 and free T3 values in their ranges. Did you
know that patients on T4 therapy should have Free T4 levels near or above the top of the
laboratory's reference range? Many, if not most of your patients on levothyroxine, dosed to
"normalize" the TSH, are being undertreated. That is why they have persistent fatigue, weight
gain, cold extremities, constipation, headaches, etc.
For Health and Quality of Life
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