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I had a patient a while back struggling with ongoing depression symptoms, fatigue, and constipation indicative of symptoms of hypothyroidism. In this case, a couple of different antidepressants Remeron (mirtazapine) and Zoloft (sertraline) had been tried without any benefit. The most recent TSH was elevated at 13 requiring an increase in the levothyroxine dose from […]
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I had a patient who was rehabbing a knee replacement, and having some difficulty sleeping. Pain was a contributing factor, but appeared to be pretty well managed and eventually determined to not be a factor in this case. I had discussed the case with nursing, and they stated that he was up all day and […]
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Alright, new topic…let’s roll…I’m going to tackle some psych tonight, because I always get asked questions about these meds! The topic of psych medications in general is very challenging to say the least, I believe it is much more of an art than science – i.e. when compared to heart failure and other conditions with […]
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