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Old 04-06-2005, 12:45 AM   #1 (permalink)
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Question Endo Appointment Questions

Sorry if i'm posting this in the wrong thread, but I have my first endo appoinment in two weeks. I hoping someone can help me make the most of my appointment by suggesting questions I should be asking, and what I should expect of my endo in regards to treating pcos symptoms. I have had my thyroid tested in the past, but it always comes back normal. I have weight gain, hair growth, hair loss, acne, palpatations, muscle or nerve twitching, fatigue, and the list just goes on and on. I'm afraid if I go in and list all of my symptoms that he may write me off as a (hypocondriact sp?)Any feedback would be great.
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Old 04-06-2005, 07:35 AM   #2 (permalink)
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Hiya Sylvia and welcome to the board!

There is a very helpful "sticky" thread over at the newbies board all about what to ask at your endo visit. Here's the link:

http://www.soulcysters.net/showthread.php?t=6529

In terms of thyroid, don't let a doc tell you that "everything is fine" without seeing the actual test results. The tests should include not just a TSH and total T4 (the usual tests) but also a Free T3, Free T4, and TPO antibodies. Women with PCOS often have Hashimoto's Thyroiditis too, and you need a complete eval to rule this out. The interpretation of the tests can vary depending on the doc, and that's why you need the actual lab results and not just take a doc's word for it. An example of this is the TSH test. Many docs won't consider treatment until the TSH is over 6 or more, but the majority of the population have a TSH of 1 or less. There are newer guidelines that say anything over 3 is indicative of hypothyroidism, yet many labs and docs aren't up to date with this (the old guidelines go up to 5).

HTH,
Linda
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Met 2000mg since 2001, started Glucophage XR 4/22/04, then switched to Met ER 6/04; also: multi, Vit. C, Vit. E, B12/folic acid combo, fish oil & borage oil combo, garlic capsules, cinnamon, Vitex, calcium with magnesium/zinc, biotin, CoQ10, selenium,iron
Other meds: Verapamil and Altace(for blood pressure)
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Old 04-06-2005, 08:29 AM   #3 (permalink)
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Thank you so much for the info. There is so much information on this site, it would have taken me forever to find that sticky. It has taken over 18 months for me to get an appoinment with an endo, and I just want to make the most of my appointment. When I asked my doc for an endo referal he was indifferent about it, and I found myself actually explaining to him the pcos is an endo problem, and that cystic ovaries were a symptom of that. I think he was a bit insulted by the lesson at first, but in the end I did get a referal. Thanks again
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