Learn “weird” endocrine stuff! How to approach vague complaints like fatigue and weight gain. Reverse T3 syndrome, Wilson’s T3 syndrome, and adrenal fatigue; Do they exist? Learn how to help the challenging patient who is convinced they have an endocrine disorder in this discussion recorded live from AACE 2017 with Dr. Michael T. McDermott, Professor of Medicine, University of Colorado Denver School of Medicine.
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Case: 35 year old female presents with 10 years of chronic fatigue and difficulty losing weight. She ordered her own lab tests online and came to the office with some minimal lab abnormalities that she’d like explained.
Goal: Listeners will develop a framework for the diagnosis and management of vague multisystem complaints that could be endocrine related.
By the end of this podcast listeners will:
Dr. McDermott is the author of Endocrine Secrets, but has no other relevant financial disclosures pertaining to this episode.
05:36 Guest intro
07:50 Definition of “pseudo” endocrine
10:02 Case introduction
13:39 “Reverse T3 Syndrome”, the thyroid and fatigue
20:45 Growth hormone
25:10 Fatigue, and where to start
33:00 Adrenal fatigue
38:00 Lab testing
39:34 Take home points
42:12 Stuart on the thyroid and reverse T3
45:30 Paul’s approach to multisystem complaints
Links from the show:
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Interesting show. Where is the link to the fatigue questionnaire?
Paul and Stewart- beware,I'm gunning for your jobs! Excellent episode and analysis, thx to Matt for letting this groupie join in!
Thanks guys for this awesome podcast- Dr. McDermott was a great guest!