Information for Physicians
Physician Consultations
If Dr. Lindner is treating one of your patients, please read his letter concerning his practice and
how it will interact with the medical care you provide.
Do you want to help a specific patient with hormone replacement? Have you run into a problem
with a patient's hormone therapy that you cannot resolve? Do you have a female patient who
cannot tolerate estrogen replacement, or a hypothyroid patient who cannot tolerate thyroid
replacement? Do you have patients on thyroid replacement with a normal TSH who still
complain of hypothyroid symptoms? Do you think that menopausal female hormone in
dangerous? See Sex-Steroid Restoration for Women to learn why it's dangerous NOT to
replace a woman's lost estradiol and progesterone.
Using the same fee schedule as for patient consultations ($4/min), Dr. Lindner will respond to
clinical questions from other health care providers, either by mail, e-mail, or telephone. He will
provide not only relevant scientific data, but also concrete recommendations to follow with your
patients. If there are a large number of labs to be discussed, please e-mail or fax the results
with the reference ranges. Remove any identifying patient information. E-mail Dr. Lindner to set
up the consultation, or call his office.
Dr. Lindner has concentrated on nothing but hormone restoration and optimization for the last
six years. He has gained a great deal of clinical experience with both routine replacement and
with difficult hormonal problems. He is conversant with much of the relevant medical literature.
Much of what he has learned is completely unknown to conventionally-trained physicians--of
which he was once a typical example. Conventional medical training and current guidelines do
not equip physicians, including endocrinologists, to diagnose mild-moderate hormone
deficiencies or to optimize hormone replacement. (See what's wrong with conventional thinking
about hormones in Why Docs Don't Get It.)
Patients are learning about hormone replacement via the internet. They are increasingly asking
their doctors for testing and for treatment. You can either remain ignorant and have them seek
care elsewhere, or you can avail yourself of the ideas and information available at this site and
from other sources. Physicians who try to replace hormones often run into a number of
problems for which they are not prepared to cope. For instance, many perimenopausal and
postmenopausal women seeking hormone replacement have significant thyroid and/or cortisol
insufficiencies. Their pain, fatigue, depression, insomnia, and irritability may not improve much
with sex hormone restoration, and in some cases it will make them feel worse. Even rather
straightforward and uncomplicated tasks like restoring testosterone levels in men require a
knowledge of how to monitor dosing and to achieve optimal effects. Many men have come to
Dr. Lindner after having been diagnosed and treated for hypogonadism, but never given
adequate doses for optimal effect. Dr. Lindner prefers testosterone injections--self-
administered subcutaneously--to the use of creams or gels. The latter produce a highly
abnormal DHT/testosterone ratio.
Many of your patients with hypothyroid symptoms, a normal TSH, and relatively low free T3
and/or free T4 levels are being inappropriately denied life-giving thyroid optimization. Did you
know that the free T4 range found in 95% of relatively healthy persons is 1 to 1.7ng/dL, not
down to 0.6 or even 0.3ng/dL as reported by some labs? Did you know that patients on T4
therapy should have Free T4 levels near or above the top of the laboratory's reference range?
Many, if not most of your patients on levothyroxine, dosed to "normalize" the TSH, are being
undertreated. That is why they have persistent fatigue, weight gain, cold extremities,
constipation, headaches, etc. Dr. Lindner has written the paper below on the illogical practice of
relying on the TSH level to diagnose and treat thyroid insufficiency. The paper is an attempt to
reconstruct thyroidology so that it conforms with what we actually know about thyroid levels and
effects.
Against TSH-T4 Reference Range Thyroidology: The Case for Clinical Thyroidology
Your comments on this paper are welcome.
Physician Consultations
If Dr. Lindner is treating one of your patients, please read his letter concerning his practice and
how it will interact with the medical care you provide.
Do you want to help a specific patient with hormone replacement? Have you run into a problem
with a patient's hormone therapy that you cannot resolve? Do you have a female patient who
cannot tolerate estrogen replacement, or a hypothyroid patient who cannot tolerate thyroid
replacement? Do you have patients on thyroid replacement with a normal TSH who still
complain of hypothyroid symptoms? Do you think that menopausal female hormone in
dangerous? See Sex-Steroid Restoration for Women to learn why it's dangerous NOT to
replace a woman's lost estradiol and progesterone.
Using the same fee schedule as for patient consultations ($4/min), Dr. Lindner will respond to
clinical questions from other health care providers, either by mail, e-mail, or telephone. He will
provide not only relevant scientific data, but also concrete recommendations to follow with your
patients. If there are a large number of labs to be discussed, please e-mail or fax the results
with the reference ranges. Remove any identifying patient information. E-mail Dr. Lindner to set
up the consultation, or call his office.
Dr. Lindner has concentrated on nothing but hormone restoration and optimization for the last
six years. He has gained a great deal of clinical experience with both routine replacement and
with difficult hormonal problems. He is conversant with much of the relevant medical literature.
Much of what he has learned is completely unknown to conventionally-trained physicians--of
which he was once a typical example. Conventional medical training and current guidelines do
not equip physicians, including endocrinologists, to diagnose mild-moderate hormone
deficiencies or to optimize hormone replacement. (See what's wrong with conventional thinking
about hormones in Why Docs Don't Get It.)
Patients are learning about hormone replacement via the internet. They are increasingly asking
their doctors for testing and for treatment. You can either remain ignorant and have them seek
care elsewhere, or you can avail yourself of the ideas and information available at this site and
from other sources. Physicians who try to replace hormones often run into a number of
problems for which they are not prepared to cope. For instance, many perimenopausal and
postmenopausal women seeking hormone replacement have significant thyroid and/or cortisol
insufficiencies. Their pain, fatigue, depression, insomnia, and irritability may not improve much
with sex hormone restoration, and in some cases it will make them feel worse. Even rather
straightforward and uncomplicated tasks like restoring testosterone levels in men require a
knowledge of how to monitor dosing and to achieve optimal effects. Many men have come to
Dr. Lindner after having been diagnosed and treated for hypogonadism, but never given
adequate doses for optimal effect. Dr. Lindner prefers testosterone injections--self-
administered subcutaneously--to the use of creams or gels. The latter produce a highly
abnormal DHT/testosterone ratio.
Many of your patients with hypothyroid symptoms, a normal TSH, and relatively low free T3
and/or free T4 levels are being inappropriately denied life-giving thyroid optimization. Did you
know that the free T4 range found in 95% of relatively healthy persons is 1 to 1.7ng/dL, not
down to 0.6 or even 0.3ng/dL as reported by some labs? Did you know that patients on T4
therapy should have Free T4 levels near or above the top of the laboratory's reference range?
Many, if not most of your patients on levothyroxine, dosed to "normalize" the TSH, are being
undertreated. That is why they have persistent fatigue, weight gain, cold extremities,
constipation, headaches, etc. Dr. Lindner has written the paper below on the illogical practice of
relying on the TSH level to diagnose and treat thyroid insufficiency. The paper is an attempt to
reconstruct thyroidology so that it conforms with what we actually know about thyroid levels and
effects.
Against TSH-T4 Reference Range Thyroidology: The Case for Clinical Thyroidology
Your comments on this paper are welcome.
For Health and Quality of Life
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