How JustAnswer Works:

  • Ask an Expert
    Experts are full of valuable knowledge and are ready to help with any question. Credentials confirmed by a Fortune 500 verification firm.
  • Get a Professional Answer
    Via email, text message, or notification as you wait on our site.
    Ask follow up questions if you need to.
  • 100% Satisfaction Guarantee
    Rate the answer you receive.

Ask Dr. Pfeiffer Your Own Question

Dr. Pfeiffer
Dr. Pfeiffer, Doctor
Category: Health
Satisfied Customers: 5986
Experience:  Ob/Gyn
Type Your Health Question Here...
Dr. Pfeiffer is online now
A new question is answered every 9 seconds

Ive been suffering with increased anxiety, bouts of depression,

Resolved Question:

I've been suffering with increased anxiety, bouts of depression, periodic insomnia, and fatigue. I am 51 and can find all of these symptoms in the "perimenopause" chart. I recently visited my primary MD and she ran another TSH and thyroid panel. She said that my TSH readings have consistently been in the 2.5-2.7 range for the past 5 years and feels I could benefit from thyroid medication for what she calls "sub clinical thryoid" -- I've been reading on hypo and hyper thyroidism and really don't know what she could prescribe - I have symptoms for both - I'm thinking it's hormonal - perimenopausal - and she also suggested a low dose birth control pill, depending on my thyroid results. I don't like to take medication - any suggestions. Thank you!
Submitted: 1 year ago.
Category: Health
Expert:  Dr. Pfeiffer replied 1 year ago.

Dr. Pfeiffer :

hello

Dr. Pfeiffer :

when was your last period?

Customer:

hello - 3 weeks ago - I still have periods, cycle betwween 20-32 days - I also have occasional palpitations with hot flashes

Dr. Pfeiffer :

ok...

Dr. Pfeiffer :

I really think these symptoms are also related to perimenopause.

Dr. Pfeiffer :

we commonly see this.

Dr. Pfeiffer :

do you not want to take a pill, a medication or a hormone?

Customer:

I'm not a medication fan -- would prefer to avoid it


 

Customer:

I just want to feel better! I miss "me" - if that makes sense :)


 

Dr. Pfeiffer :

got it

Dr. Pfeiffer :

..and yes I do

Dr. Pfeiffer :

the best menopausal symptom relief that is not a medication is black cohosh

Customer:

I've heard of it - any dosing suggestions?


 

Dr. Pfeiffer :

there are multiple menopausal sympom relief supplements on the market today as well.

Customer:

Would you recommend any of the OTC - estroven, etc?


 

Dr. Pfeiffer :

yes. I have heard a lot of women happy with estroven.

Customer:

is there really anything in those supplements that can be harmful, or are there things we should watch for?


 

Dr. Pfeiffer :

the general answer is no...in healthy women

Customer:

I don't have any illnesses - I don't take prescription Rx - I take motrin occasionally when I've "overdone" it - or for menstrual cramps

Dr. Pfeiffer :

because most of these products have some sort phytoestrogen..I typically do not recommend them in women with heart disease, blood clot disorders or stroke...history.

Dr. Pfeiffer :

ok...have you been on a birth control pill before? when you were younger?

Customer:

I was - 30 years ago and got pregnant with my oldest on the pill haha! I didn't enjoy it for sure - headaches, nausea

Customer:

I know women for hundreds of years have gotten through this without alot of intervention -- can I help nutritionally?

Dr. Pfeiffer :

ok..if you didn't develop any problems with the pill the OTC products aren't likely to cause any problems for you.

Dr. Pfeiffer :

well balanced diet, exercise. calcium, vitamin D

Dr. Pfeiffer :

some recommend zinc as well.

Dr. Pfeiffer :

restrict caffiene, nicotine intake.

Dr. Pfeiffer :

especially in the evening

Dr. Pfeiffer :

magnesium, vitamin E...

Dr. Pfeiffer :

basically..a well balanced die or addition of a multivitamin

Customer:

I take Centrum for Women - but my doc said to add 1000 mg /day vit d


 

Dr. Pfeiffer :

that's fine

Customer:

I don't take vit e currently - my multi vitamin has magnesium and I take a calcium and D3 supplement

Dr. Pfeiffer :

but you really need to make sure you're taking 1500 of calcium

Customer:

can I take the vit D all at once, or break it up

Customer:

I am not taking that much calcium

Customer:

I need to increase that then

Dr. Pfeiffer :

ok..you could try the vitamin E...400 IU daily.

Customer:

you believe calcium and vit d could help some of my symptoms?

Customer:

I do take 1200 mg omega 3 - DHA and EPA

Dr. Pfeiffer :

in general...vitamin preparations are best abosorbed in divided doses.

Dr. Pfeiffer :

it's especially important with the calicum...though

Customer:

1/2 at night - 1/2 in AM?

Customer:

I usually just take everything in the AM - yikes!

Dr. Pfeiffer :

that's fine...

Dr. Pfeiffer :

it doesn't hurt you to take it all at once...

Dr. Pfeiffer :

your body will only absorb a certain percentage and then excrete the rest.

Customer:

I can divide the calcium - will it affect my sleep if I take the other half at bedtime?

Dr. Pfeiffer :

possibly....

Dr. Pfeiffer :

not sure if that alone would be enough to completely help the symptoms.

Dr. Pfeiffer :

when it comes to sleep..you need to maintain good sleep 'hygiene'

Dr. Pfeiffer :

go to bed when you're tired.


restrict fluid intake after 6pm...so you aren't getting up to go.


no reading or watching TV in bed

Customer:

do you think the additional vitamins will help with the anxiety/depression - or should I just go to yoga more :-)

Dr. Pfeiffer :

personally.....I would try the black cohosh so you aren't taking a medicine cabinet of vitamins

Dr. Pfeiffer :

and continue your exercise program

Dr. Pfeiffer :

as long as you're doing something daily that should be adequate.

Dr. Pfeiffer :

I always recommend daily exercise so that it becomes part of the daily routine..ie. brushing one's teeth

Customer:

thank you for your kind help = and that you don't believe I would benefit from thyroid meds - there's a cycle I don't want to start!

Customer:

exercise boosts up our endorphins :=)

Dr. Pfeiffer :

given your prior results I wouldn't anticipate the TSH to be abnormal.

Dr. Pfeiffer :

and..yes, that's true!

Customer:

Thank you again!!


 

Dr. Pfeiffer :

you bet.


take care and good luck!!

Dr. Pfeiffer :

Dr. Pfeiffer

Dr. Pfeiffer, Doctor
Category: Health
Satisfied Customers: 5986
Experience: Ob/Gyn
Dr. Pfeiffer and 5 other Health Specialists are ready to help you

JustAnswer in the News:

 
 
 
Ask-a-doc Web sites: If you've got a quick question, you can try to get an answer from sites that say they have various specialists on hand to give quick answers... Justanswer.com.
JustAnswer.com...has seen a spike since October in legal questions from readers about layoffs, unemployment and severance.
Web sites like justanswer.com/legal
...leave nothing to chance.
Traffic on JustAnswer rose 14 percent...and had nearly 400,000 page views in 30 days...inquiries related to stress, high blood pressure, drinking and heart pain jumped 33 percent.
Tory Johnson, GMA Workplace Contributor, discusses work-from-home jobs, such as JustAnswer in which verified Experts answer people’s questions.
I will tell you that...the things you have to go through to be an Expert are quite rigorous.
 
 
 

What Customers are Saying:

 
 
 
  • I can go as far as to say it could have resulted in saving my sons life and our entire family now knows what bipolar is and how to assist and understand my most wonderful son, brother and friend to all who loves him dearly. Thank you very much Corrie Moll Pretoria, South Africa
< Last | Next >
  • I can go as far as to say it could have resulted in saving my sons life and our entire family now knows what bipolar is and how to assist and understand my most wonderful son, brother and friend to all who loves him dearly. Thank you very much Corrie Moll Pretoria, South Africa
  • I thank-you so much! It really helped to have this information and confirmation. We will watch her carefully and get her in for the examination and US right away if things do not improve. God bless you as well! Claudia Albuquerque, NM
  • Outstanding response time less than 6 minutes. Answered the question professionally and with a great deal of compassion. Kevin Beaverton, OR
  • Suggested diagnosis was what I hoped and will take this info to my doctor's appointment next week.
    I feel better already! Thank you.
    Elanor Tracy, CA
  • Thank you to the Physician who answered my question today. The answer was far more informative than what I got from the Physicians I saw in person for my problem. Julie Lockesburg, AR
  • You have been more help than you know. I seriously don't know what my sisters situation would be today if you had not gone above and beyond just answering my questions. John and Stefanie Tucson, AZ
  • I have been dealing with an extremely serious health crisis for over three years, and one your physicians asked me more questions, gave me more answers and encouragement than a dozen different doctors who have been treating me!! Janet V Phoenix, AZ
 
 
 

Meet The Experts:

 
 
 
  • Nurse Milli, RN

    Nurse (RN)

    Satisfied Customers:

    4043
    20 years experience in many areas of Nursing. Both Hospital and Private Practice experience.
< Last | Next >
  • http://ww2.justanswer.com/uploads/NU/nursescare4u/2013-3-31_03429_JApic.64x64.jpg Nurse Milli, RN's Avatar

    Nurse Milli, RN

    Nurse (RN)

    Satisfied Customers:

    4043
    20 years experience in many areas of Nursing. Both Hospital and Private Practice experience.
  • http://ww2.justanswer.com/uploads/agketch/2008-7-14_184046_drketchresized.jpg Dr. Ketch's Avatar

    Dr. Ketch

    Doctor

    Satisfied Customers:

    102
    Medical Degree, Former Assistant Professor at School of Medicine at Yale University
  • http://ww2.justanswer.com/uploads/FA/FamilyPhysician/2013-8-31_191624_JA550x500Photo.64x64.jpg Family Physician's Avatar

    Family Physician

    Doctor (MD)

    Satisfied Customers:

    5622
    Emergency Medicine and Family Practice for over 26 years
  • http://ww2.justanswer.com/uploads/drphophalia/2007-08-23_095626_dr._arun_phophalia.jpg Dr. Arun Phophalia's Avatar

    Dr. Arun Phophalia

    Doctor (MD)

    Satisfied Customers:

    17025
    MBBS, MS (General Surgery), Fellowship in Sports Medicine
  • http://ww2.justanswer.com/uploads/VA/VANP/2012-6-6_235535_Skye2.64x64.jpg A. Schuyler, NP's Avatar

    A. Schuyler, NP

    Nurse Practitioner

    Satisfied Customers:

    12170
    Board Certified NP, MS, RN. Private practice & hospitalist
  • http://ww2.justanswer.com/uploads/TA/tazechip/2012-6-7_135230_drpic.64x64.png Dr. Chip's Avatar

    Dr. Chip

    Doctor (MD)

    Satisfied Customers:

    10029
    Over 20 yrs of Family Practice
  • http://ww2.justanswer.com/uploads/neurosurg/2009-10-06_120923_profile.jpg Dr. Mark's Avatar

    Dr. Mark

    Doctor (MD)

    Satisfied Customers:

    6234
    U.S. Physician/Surgeon in Neurosurgery