Clinical Application and DANGERS of High Dose Biotin

Clinical Application and DANGERS of High Dose Biotin Summary High-dose biotin treatment can cause insidiously misleading laboratory results by fully mimicking the typical laboratory pattern of Graves’ disease and sometimes persisting for several days after biotin application [13] A Somewhat Bizarre Case of Graves Disease Due to Vitamin Treatment [14] A Single 10 mg Oral […]

What is Sarcopenia and should I be worried?

When was the last time you moved? Away from the screen, out and about, just enjoying some light activity? If you have to think about the answer, you could be at risk of sarcopenia. According to the U.S. Department of Health & Human Services, less than 5% of adults engage in at least half an […]

Thyroid Hormone Replacement

Hormone replacement therapy often is focused on hormones such as estrogens, progesterone, DHEA and testosterone, but optimal hormone balance cannot be achieved without correcting thyroid hormone imbalances. The complexity of the relationships can be summarized as follows: menopause may modify the clinical expression of some thyroid diseases, particularly the autoimmune ones; and thyroid function is […]

Variability in BHRT Study Results

We regularly review the medical literature to most effectively meet the needs of our patients. Recently, there has been a paucity of information on compounded medications, and many of the studies which are published have failed to address key points which are pertinent when evaluating hormone replacement therapy: When topical preparations are used, most studies […]

Transdermal Pain Management Formulations

The quotes and recommendations below represent a synopsis of a comprehensive CME article “Use of Topical Pain Medications in the Treatment of Various Pain Syndromes” written by Sahar Z. Swidan, PharmD (Adjunct Clinical Associate Professor of Pharmacy, University of Michigan College of Pharmacy, and Chief Executive Officer of Pharmacy Solutions) and Hagar A. Mohamed, MS […]

Erectile Dysfunction and Low Testosterone Levels

Erectile dysfunction (ED) affects up to half of men in their 50-70s. General interest toward ED has exploded since the introduction of “PDE5i” drugs such as sildenafil (Viagra®). In the last decade, men have started to seek medical advice much more quickly after noticing symptoms of sexual problems. However, none of the PDE5i drugs are […]

Pain That Won’t Go Away!

Neuropathic pain can be caused by
diabetes, shingles, or an injury, and can
be very challenging to treat. The elderly
exhibit a higher incidence of neuropathic
pain conditions than younger individuals.
Treatment of neuropathic pain in the
elderly with oral medications usually
requires lower dosing, slower titration, and
more monitoring for efficacy and adverse
effects than in younger patients. Drugs
are absorbed and eliminated at […]

Veterinary – Cats & High Blood Pressure

In cats, untreated chronic high blood pressure (hypertension) can lead to damage to the eyes, kidneys, heart, and central nervous system. The majority of cats with chronic hypertension will require drug therapy. Amlodipine is a medication that has been
shown to lower systolic blood pressure
(the top number) by approximately 40
mmHg, reducing the risk of organ damage. […]