Information for Physicians
Physician Consultations
Using the same fee schedule as for patient consultations ($4/min), Dr. Lindner will respond to
clinical questions 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. 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.
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.
Dr. Lindner has concentrated on nothing but hormone restoration and optimization for the last
four years. 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 what's wrong with conventional thinking
about hormones in 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. For instance, 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 requires a
knowledge of how 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.
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. Dr. Lindner has written the paper below on the inadequacy of
TSH-normalizing T4 therapy. It is not a full reconstruction of thyroidology, which is a much
bigger task, but instead simply a proof that thyroid hormone dosing cannot be guided by the
TSH level.
On The Relative Ineffectiveness of TSH-Normalizing T4 Therapy
Your comments on this paper are welcome.
Physician Consultations
Using the same fee schedule as for patient consultations ($4/min), Dr. Lindner will respond to
clinical questions 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. 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.
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.
Dr. Lindner has concentrated on nothing but hormone restoration and optimization for the last
four years. 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 what's wrong with conventional thinking
about hormones in 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. For instance, 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 requires a
knowledge of how 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.
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. Dr. Lindner has written the paper below on the inadequacy of
TSH-normalizing T4 therapy. It is not a full reconstruction of thyroidology, which is a much
bigger task, but instead simply a proof that thyroid hormone dosing cannot be guided by the
TSH level.
On The Relative Ineffectiveness of TSH-Normalizing T4 Therapy
Your comments on this paper are welcome.
For Health and Quality of Life
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