Unless you have been referred to a doctor, from a known and reliable source, it is very difficult to find a doctor who is up to date and knowledgeable about age management medicine. I intend to develop a nationwide list of proficient doctors that will posted on this website. The chosen specialty of each doctor will vary because the knowledge necessary in this vital area of medicine typically comes from self education. It would seem that most endocrinologists would fit the bill, but that is simply not the case as most in that specialty seem to be more concerned with repeating the approach learned in their respective residencies. Most have little interest in delving further and are unwilling to learn from science based research. If you locate an endocrinologist that is open minded and willing to listen to science based facts, then you may have located an appropriate physician to help manage you aging process. Along those same lines, some of the most astute and competent physicians in this exciting area of medicine, are specialists in endocrinology.
Until I post the names of credible and knowledgeable doctors on this website, you may be able to locate a doctor by simply engaging in due diligence and by asking appropriate questions. I will list a few questions and provide what I would consider an appropriate response that may allow you to select that doctor.
- Do you think the aging process can be managed with hormone replacement, diet and exercise? The obvious answer should be YES!
- If you prescribe hormone replacement, do you feel bio-identical hormones are best? Again, the answer is YES!
- Is a balanced diet superior to a low fat diet? Answer, YES.
- When testing for thyroid function, do you think a free T3 is important? YES.
- What replacement do you prescribe for hypothyroidism? Desiccated thyroid or compounded T3/T4 combos is the correct answer. Synthroid or other synthetic brands of T4 is rarely the correct answer.
- What do you do if you determine I have type II hypothyroidism? Increase the dose while monitoring the pulse is the correct answer.
- Do you check axillary temperatures of hypothyroid patients? YES.
- Do you rely more upon the patient’s symptoms or the lab results? Symptoms, as lab results can be very misleading.
- Should I engage in some type regular exercise? YES.
- Is there a difference in normal vs. optimal ranges for lab values? YES.
These are just a few questions that you may consider asking. If you get the right answers, then by all means, stay with that particular doctor. However, if the doctor scoffs at your questions, avoids answering you or ridicules you for asking, then it should be obvious that you are in the wrong office and need to proceed to your next doctor candidate in order to optimize your health. Remember, it is YOUR health at stake and the choice of doctors is your’s alone.