patient,paediatrician,having cortisol-36.47mcg/dl, dhea s-3460ng/ml .TSH-2uIU/Ml .testosterone-852ng/dl.
He has recently alopecia areata on chest and generalised thinning od hair.He has family h/o of lung cancer in father.(Aleveolar).He is recently married.Has mercury filling in teeth.I have advised to remove it.What should be done in case of high cortisol.?
Added by dr atul chaudhary on July 5, 2010 at 12:43pm —
I HAVE A CASE OF BALDNESS IN YOUNG MAN AGED 24YRS HAVING NORMAL DHEA -S AND TSH AND TESTOSTERONE.E-2 BEING 52.75PG/ML.SHOULD WE LOWER THE RANGE OF E-2,I HAVE STARTED LOW PROGESTERONE .I THINKS PROGESTERONE IS BETTER OPTION THAN TAMOXIFEN.BUT QUESTION IS SHOULD WE TREAT HIGH E-2 IN THIS PATIENT?
Added by dr atul chaudhary on June 3, 2010 at 6:55am —
I have a patient of extensive baldness ,having following lab test-E2---52.75pg/ml.testosterone-7.62ng/ml.TSH-1.64uUI/ML,SERUM DHEA-S-2610NG/ML.THAT IS HAVING HIGH E-2.I HAVE STARTED PROGESTERONE ORALLY IN VERY LOW DOSE along with other nutritional supplements..Please give comments.I thinks progesterone will be more effective than tamoxifen.Here question arises should we lower E-2 in this patient?
Added by dr atul chaudhary on June 3, 2010 at 6:44am —
I HAVE A CASE OF BALD WOMAN EXTENSIVE BALDNESS.E2 AND PROGESTERONE ARE SLIGHTLY AT LOWER RANGE WITH HIGH PROLACTIN- 57NG/ML.AND LH IS 6.5mIU/ML.FSH IS 3.77mIU/ML.SIGNIFICANTLY LOW TESTOSTERONE.WHAT SHOULD BE IDEAL TREATMENT FOR SUCH MIDDLE AGED WOMAN WITH NORMAL MENSTRUAL CYCLE?KINDLY FIND TIME DR DEEPAK AS USUAL.
Added by dr atul chaudhary on April 13, 2010 at 12:30pm —
I am doing scalp mesothreapy to a young bald male patient in stage 4a of Hamilton-Noorwood scale.Recently hormonal analysis done-testosterone- 443ng/dl, DHEA-343ug/dl(3437ng/dl), FSH-7.3mIU/ml,,,LH-6mIU/ml, Prolactin 1.4ng/ml.
Some response to mesothreapy but what should be HRT in this patient.Presently started testosterone gel .His progesterone is within normal range.E2 not done.
Added by dr atul chaudhary on April 8, 2010 at 11:56am —
What do you suggest in case of female pattern baldness in middle aged lady (My finding is bald pattern is usually seen in middle aged woman)with lower testosterone and sometimes Low DHEAS?And having normal oestrogen ,progesterone and TSH levels?Frequent finding is I have seen in female pattern baldness is low testosterone and clinically also symptoms match.My logic is that giving testosterone orally that is andryol testocaps in low doses.What do you suggest.?
Added by dr atul chaudhary on February 7, 2010 at 1:35pm —
High Dhea -s is big issue for me.In my 2 cases of thinning and baldness stages 4(NOORWOOD HAMILTON SCALE)need suggestions-One patient having DHEAS 5810ng/ml.His testosterone ,DHT and Prolactin levels are within normal range.
Other patient having 6410ng/ml dheas and progesterone somewhat higher with testosterone and oestrogen(E2) ,TSH within normal range.I think hydrocortisone in low doses help along with saw palmetto and appilication of oesrogen cream .What do you suggest?
Added by dr atul chaudhary on February 4, 2010 at 2:53pm —
After correcting the hormonal imbalance by deficient hormones and supplements I am getting good results.
Why is excess DHEAS in some of my patients having extensive hair thinning and progesterone higher side?(DHEa-S_6410ng/ml progesterone-0.58ng/ml.
Added by dr atul chaudhary on January 24, 2010 at 12:14pm —