CATEGORY: Health and Wellness


Treating The Help Rejecting Complainer

Do you know someone with Narcissistic Personality Disorder? There are established ideas about the best course of treatment. There are vigorous discussions among clinicians about the need for and the relevance of diagnostic labels. Arguments are focused on the idea[...]
READ MORE »

Men On The Cusp Who Don’t Need Testosterone Yet

Do all men need testosterone replacement when they develop the symptoms of Testosterone Deficiency. The answer is, sometimes. When I evaluate the history and lab work of a prospective male patient, I take into account many factors before I accept[...]
READ MORE »

Why You May Want To Stay On Your Antidepressant

Depression, Bipolar Disorder and PTSD. How Repeated Bouts Off Medication Cause More Severe Episodes in the Future. An article in Aeon recently called The Kindled Brain, caused me to rethink my theory that once my patients received testosterone for 4-6[...]
READ MORE »

Signs and Symptoms of Thyroid Disease

Even if you have normal lab scores, you may still have symptoms that cause you discomfort or distress, and you may still be sick. There are major disagreements over the practice of medicine and the way it is done in[...]
READ MORE »

Hormone Therapy and Long Term Mortality

Exciting new article on Hormone Replacement Therapy (HRT) in The Journal of the American Medical Association. JAMA, the Journal of the American Medical Association is one of the major pieces of literature that doctors read to obtain new information about[...]
READ MORE »

You Better Get Healthy, Because Illness Costs Too Much!

How do insurance and pharmaceutical companies decide what to charge for prescription drugs? How do insurance companies and pharmaceutical companies make the decisions they make? How do they decide which medicines to provide and what to charge for them?  How[...]
READ MORE »

Sex and Depression

What to do if you are depressed, on medicines for depression, and are experiencing side effects? Last week we talked about orgasm and depression. We discussed what depression is and how it impacts your ability to desire sex and or[...]
READ MORE »

Orgasm and Depression

The Sexual Side Effects of Depression, and Antidepressant Medicines. This week we are speaking of depression. Some of the side effects of being depressed are those that impact your libido and your desire or ability to have sex. First we[...]
READ MORE »

A Discussion of Drug Expiration Dating

Are drug expiration dates really accurate, or our we just throwing away perfectly good medicine? Federal and State Regulations determine the expiration of a drug. After the expiration date the drugs cannot be returned to the manufacturer and they cannot[...]
READ MORE »

Case Study – Mysterious Muscle Wasting in a 62 Year Old Woman

What to look for when Testosterone and Estradiol pellets are not working as planned. It is not often that I have trouble determining a successful treatment plan for menopausal women based on hormone pellet therapy, however I have been struggling[...]
READ MORE »