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Questions for 5/29 Appointment

May. 26, 2009 by Keiko Zoll

I’m scheduled to meet with Dr. Gross this Friday at 3pm. Giving my recent blood test results of positive for ATA and negative for Fragile X, I have a good handful of questions. Am I missing anything?

Re: blood results:

  1. Do my ATA numbers indicate Hashimoto’s or Graves?
  2. Are my low TSH numbers a result of the high ATA count?
  3. ETA: do ATA indicate I have anti-ovarian antibodies?

Thyroid issues:

  1. Should I see an endo? Referrals/recs?
  2. With such high ATA, is it worth investigating meds like Armour for both T3 and T4 replacement?
  3. Lifestyle changes recommended?
  4. Natural/alternative treatment therapies, or therapies to use in conjunction with standard medicine?

Impact on fertility:

  1. If this is mostly thyroid related, is the POF, in effect, reversible?
  2. Timeline for TTC – should we adjust our family planning timeline in light of the cause? Will waiting make it more difficult, or should we make attempts sooner rather than later? (2 months vs. 2 years)
  3. Does thyroid disease carry a higher risk of miscarriage? What can be done to prevent this?

Reproductive hormone deficiencies:

  1. What can I do to alleviate menopausal symptoms?
  2. Should I begin HRT? What do you recommend? Risks? Benefits?
  3. Are there any supplements I can take in addition to or in place of HRT?
  4. Should I increase/decrease the soy in my diet?

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