Jim Paoletti, Pharmacist, FAARFM

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  • Timing of TRT and Interpretation of Thyroid Levels
    Jim Paoletti, Director of Provider Education at ZRT Laboratory, talks about a critical aspect in interpretation of thyroid levels for a patient on Thyroid Replacement Therapy (TRT). http://www.zrtlab.com
  • What's the Word? Part 1: BHRT Terminology
    Terms used to describe the use of bioidentical hormone therapies can be misleading and misunderstood when the words have different meanings to different parties.
  • Does She/he Really Need Thyroid Replacement Therapy?
    Before initiation of Thyroid Replacement Therapy (TRT), the capacity of the gland to produce the thyroid hormones, primarily T4, should be first determined.
  • Safe Estrogen Metabolism
    We often overlook the best ways, both physiologically and economically, of ensuring safe metabolism of estrogens to decrease the risk of cancer.
  • She Needs Progesterone, Uterus or Not!
    Much too often I get asked about the statement "she doesn't need progesterone if she doesn't have a uterus".
  • Converting Patients to BHRT from Conventional Therapies
    Determining dosages and managing symptoms in patients who want to covert from conventional therapies to bioidentical therapy can be one of the most difficult challenges facing the BHRT practitioner.
  • Which Testing to Use?
    A question I get asked frequently is which method I prefer for measuring hormones, saliva testing or capillary blood spot testing.
  • Salivary Cortisol Testing
    Salivary cortisol testing is the preferred clinical method for measuring human cortisol levels.
  • Stop the Testosterone Madness!
    Men using topical testosterone replacement products are typically and commonly given too much hormone.
  • Do Women Really Need that Much Estrogen?
    It has been assumed that when a woman experiences perimenopause symptoms such as hot flashes, she needs estrogen. Proper measurement of hormone levels via saliva testing with symptom assessment should be reviewed before prescribing any estrogen therapy.

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