Dr. Milner is well published with texts, medical journal articles and studies in cardiology, endocrinology, pulmonology, oncology, and environmental medicine. Dr. Milner calls his practice “integrated endocrinology” balancing all the endocrine hormones using bio-identical hormone replacement and amino acid neurotransmitter precursors.
Dr. Milner’s articles include treatment protocols for hypothyroidism, ”Hypothyroidism: Optimizing Medication with Slow-Release Compounded Thyroid Replacement” was published in the peer review journal of compounding pharmacists, International Journal of Pharmaceutical Compounding.
In this interview, the following topics are discussed:
Starving in the midst of plenty
Slow release T3 and T4
Hypothyroidism
Hyperthyroidism or Graves Disease
Often RAI leads to hypothyroidism
Visiting a naturopath while being treated by traditional endocrinologist
TSH suppression for thyroid cancer patients
Ordering blood tests of TSH, Free T4, Free T4, and reverse T3
Converting T4 into T3
Slow released T3
Manufactured T3 is not slow release
2005 article was published
150,000 pharmacist in U.S., and about 5,000 are compounding
Slow release blends are the same T4 from Synthroid and T3 from Cytomel
Slow release agent is hydroxypropyl melanose
Side effects of too much T3 or T4
The risk is compounder error or inconsistency
Binder sensitivity is another reason for compounding
Desiccated thyroid hormone compared to slow release
Auto-immune disease and desiccated treatment
Overwhelming response to slow release is when patients symptoms of hypothyroidism alleviate
A small percentage of people do not do better on slow release
Basel body temperatures
96.5 temperature in the morning, and hypothyroid symptoms is a concern in regard to treatment
Testing temperature in the morning, ideally done using mercury thermometer
How to use temperature testing as an indicator of hypothyroidism
Body temp should be over 97.8 first thing in the morning
Hypothyroidism will be overweight and difficult to lose weight, and brain fog, sluggish, dry skin, hair loss,
Eating well, active, and weight gain
Hypoglycemic or adrenal overload and low body temperature
High cortisol levels
Standard of care of Cytomel in contrast with conventional endocrinologist
T3 has a short half life
Half life — How long does it take a drug to bring blood levels to normal levels?
Half life of T3 is up to 70 days
Starving in the midst of plenty with T4
Insurance coverage of slow release T3 — T4
Cost of slow release T3 — T4 is approximately $40 monthly
Most important testing for TT patient is checking parathyroid gland status — and their role in calcium function
Important to measure calcium for TT patients
Caution about soy, broccoli, brussel sprouts, cauliflower, and calcium and thyroid hormone
When to thyroid replacement hormone — first thing in the morning, 1 hour before eating,
T4 replacement before bed — advantages to more stable levels
Slow release, combination therapy, should be taken in the morning
Estrogen deficiency
Brief summaries of the following symptoms: painful feet, dizziness, fatigue, hair loss, iron deficiency, chronic pain, tyrosine turning into dopamine and then adrenaline, sleep problems and anxiety and hypothyroidism, insomnia and cortisone and adrenaline at nigh and DHEA, cortisol measured throughout the day, muscle spasms,
Avoid refined sugar and high amounts of alcohol
Drink more water
Caution: food and its importance: smoothies and soluble fiber — fiber interacts with nutrients. Avoid this, as it effects absorption of medications
Emotional attachment to disease — fixation and complaining without making changes.
NOTES
International Academy of Compounding Pharmacists
75: Fat, Foggy, and Depressed After Thyroidectomy? You May Benefit From T3, with Dr. Antonio Bianco from Rush University
19: Hypothyroidism – Moving From Fat, Foggy & Fatigued to Feeling Fit & Focused with Elle Russ
Hypothyroidism: Optimizing Therapy with Slow-Release Compounded Thyroid Replacement
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