Quote:
Originally Posted by Apia resurrected
As someone who speaks with physicians for work for the last 17 years:
Not all doctors know best.
Unfortunately you can't really judge if your doctor is one of them as a regular patient.
|
Your health is still ultimately your responsibility and if you can arm yourself with a good deal of information prior to contact with your doctor you should be able to at least glean if they know the current "literature" and if they are any "good" by your standards. 7/10 in my experience are horse shit pharma salesmen in white coats. This ratio increases to around 999/1000 in government captured fields and systems.
Quote:
Originally Posted by joslingeneva
Chemda,
I am going through the same thing. It's called perimenopause. Dr. Lara Briden is doing some cutting edge research on this. Her book The Period Repair Manual saved me. I am now off both birth control AND wellbutrin. I am also very angry with my doctors cause none of them are interested in functional medicine. They just want to hand out prescriptions. Check out Dr. Briden's blog here. https://www.larabriden.com/progester...od-treat-pmdd/ |
Good for you for getting off the drugs. However this referenced blog has some grains of truth but also some odd conclusions that aren't exactly inline with the observed phenomonology nor the research data. Dosing both progestins and estrogens at the same time are abnormal biologically and cause a couple crazy cascades that appear to manifest in a lot of harm. Low dose progestin locally (IUD) hasn't shown the same side effects of the dual hormone oral treatments that seem to be erroneously attributed to progestins.
Quote:
Originally Posted by DeathInGrasp
Nurse practitioner here. I wouldn’t mess with the birth control if you consume nicotine. The reason blood clots are a concern is that if you get a blood clot in your blood vessel it cuts off circulation and is painful and emergent and requires treatment - that’s the best case with blood clots, that it’s in an extremity and you can treat it before further complications. Worst case, having a blood clot somewhere like in your leg can cause fatal outcomes when the blood clot dislodges and travels to the heart, lungs or brain because it’ll cut off circulation in a blood vessel in your brain causing a stroke, or in your heart a heart attack, or in your lungs a pulmonary embolism.
|
This is spot on. One piece of nuance here is that a single does of nicotine daily would have an acute vasoconstriction reaction through the sympathetic response system that also plays an important role in clotting. However that acute response at that dose should be transient and should only present a chronic clotting risk if that nicotine dose is increased or continued for years. The constriction and antagonistic response on top of taking a dual hormone oral contraceptive would most likely be manifested negatively in renal deficiencies. You may want to keep an eye on your glomerular filtration rate numbers if you choose to continue down this path. Of note, renal deficiencies are a potential cause of blood clots chronically.
DeathInGrasp,
In your estimation how are blood clots/plaques naturally cleared? How does that relate to daily single dose nicotine use and estrogen levels?