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Pharmacy Expert Q&A's
Name: tammy

Question:
Doctor,
I Am 45 years old and for the last year have been having panic attacks, also swelling hands with pain through my shoulders down to my waist. Also tremendous feelings of doom, nausea, and cramping a day before my period. I have had hot flashes and panic attacks for a year already. For the past 7 months I have had the swelling and chest heaviness with palpitations and a racing heart at times some days I feel as though I 'am dying' I feel so bad. What type of therapy is necessary my regular dr put me on progesterone 10mg a day till I can get an appt to see a female Dr. Is this okay in your opinion?He Did no blood work. I just told him I thought that would help me.

Answer:
Hello Tammy,
I am sorry to hear that your are having a hard time with your symptoms. Just looking at the information you have provided, your symptoms do seem related to a low progesterone level in the 2 weeks prior to your period. However, your progesterone dose of 10mg per day seems low. You could cycle the progesterone with a higher dose (take just the last 2 weeks of your cycle), and possibly benefit from the addition of a low dose of estrogen.

To learn more about how we can help manange your bioidentical hormone replacement therapy and feel better through our “Patient Empowerment Program” click here http://www.bpharmacysolutions.com/hormone/overview.asp or post this in your web browser. This program empowers you through knowledge and education to approach your physician and get the natural treatment you are looking for. We provide physician referrals, as part of our program.

The patient empowerment program is a full in-depth consultation with a consultant pharmacist whereby we evaluate your symptoms, lab work of your hormones (if performed), and any other pertinent laboratory results via phone consult. We then make an assessment and write a clinical consult note that includes recommendations for natural bioidentical hormones that you can provide to your doctor. To participate in the “Patient Empowerment Program”, please fill out the women’s or men's history consultation form which can be located from the link above or directly at the following link http://www.bpharmacysolutions.com/hormone/patienthistory.asp and you will be contacted by one of our consultant pharmacists within 2 business days to set up a consultation. Alternatively, to get started you may call 1-800-728-0288 and request to schedule a consultation with one of our pharmacists. We believe it is very important to utilize laboratory tests of hormone levels in our assessment of your hormonal status, and to incorporate this information into our recommendations. We encourage you to complete saliva testing, although will review blood tests if you have the appropriate tests available. For women, we generally recommend testing Estradiol, progesterone, testosterone and DHEA. You can order this test from the “Hormone Consultant” section of our website (same link as provided above).

Consulting Pharmacists at Bellevue Pharmacy Solutions
10+ years helping Power Surge's members
Pete Hueseman, R.Ph, PD
Paul Hueseman, Pharm.D.
Brock Smith, R.Ph.
Janna Gordon, R.Ph.
Jim Schmidt, R. Ph.
Tiffany Spudich, Pharm.D.
Rita Boone, R.Ph, JD
Ph. 1.800.728.0288 or 314.727.8787
Fax. 1.800.458.9182 or 314.727.2830
E.mail Pete & Bellevue's Staff
Read more about Bioidentical Hormones
Bellevue Pharmacy Patient Empowerment Program
Read some of some of Pete Hueseman, R.Ph, PD's guest transcripts

Read Paul Hueseman, Pharm.D's guest transcript

Information provided by the Staff of Consultant Pharmacists, from Bellevue Pharmacy Solutions is not intended as a substitute for a visit to and examination by your own personal health care practitioner.
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