Turning the Spotlight on the Low Dopamine Depressive

  Low dopamine as an underpinning cause of depression, anxiety and even addiction (illicit drugs, sex, gambling) has been gaining increased recognition in research.  In spite of this there are no antidepressants currently on the Australian market that address...

A Duck Called Homer? (HOMA-IR)

Most of us know that measuring a fasting blood glucose to assess how well someone is managing their glucose levels is about as crude and insensitive as waiting for the smoke detector alarm to tell you your dinner is cooked!  If we wait to see an abnormal result here...

Bali Beauty Beware!

I’ve just come across yet another woman who has developed an unprecedented fungal nail infection  (Onychomycosis) in her toenails following a trip to Bali.  This infection is usually due to a species of tinnea that has managed to infiltrate the nail structure....

Is Your Rep a Good Rep?

  Recently a practitioner lamented that because of her clinic location she didn’t see company reps very often & felt this was a barrier to her staying current with her clinical knowledge.  Of course, I had to beg to differ. We’re quick to judge the medical...

Dump The Dairy But Not the Calcium?

  It’s not sexy but it is one of my favourite deficiencies. Favourite because it’s incredibly common…make no bones about it (tee hee)!  Favourite because a deficiency is actually reasonably easy to recognise once you know how (watch increasing phosphate levels...

The Inclusive Specialist?

  Lots of great conversations with practitioners following my recent post on the need to specialise – really thought provoking & clarifying ones which makes me think it’s been a good conversation starter. Key things that have come up for people are: How do I...

Why I wouldn’t use Vitex

    We had a great case in one of our graduate mentoring sessions the other day (thanks Kate 😉 ) , about a 40 something mum of 3 who reported to have cyclical mood and depression.  Further investigation of the case, however, revealed that some of the key...

Want Help With Your Grave’s Patients? Recording Available

So…a 55 year old female walks into your clinic only recently diagnosed with Graves disease but when you look through her old blood work it looks like actually she has had hyperthyroidism (or at the very least suppressed TSH) for some time prior.  She is...

Money and Meaning?

I had one of those conversations with a friend recently in which he was wondering out loud about what the point of it all is.  Now don’t panic…this is not ‘suicidal ideation over a cuppa’ kind of stuff … no this is the regular existential...

Avoiding Overwhelm In Clinic

So…a 40 something female walks into your clinic with depression & anxiety…sounds common enough right?  But here’s the twist: she’s already seen another practitioner who ran a range of investigations revealing she has pyrroles, high copper levels & is...

Iodine Excess in Action

  I’m only human & there are some questions that do make me silently groan & invisibly (I hope!) roll my eyes.  One is the old chestnut:  “but the Japanese consume on average 7mg of iodine a day!” which is typically offered up as a rationale for the...

Bad Patient Days (BPDs)

I was chatting with a colleague today about a complicated & interesting case of hers, severe hypothyroidism coupled with overt hypercortisolemia (salivary cortisol up to 230!).  This is a distance patient & she’s sharing care with a couple of other health...

What Do You Do For Post-Partum Hashimoto’s Thyroiditis?

  Like all thyroid disease, post-partum thyroid conditions seem to be on the rise – and often they rewrite the rule book when it comes to thyroid pathology & its management. Therefore for many of us it can add an extra element of uncertainty about how to help...

Who gives an RDW about RDW?

Ever noticed that thing called RDW (red cell distribution width) reported in your patients’ haematology results? Given that this parameter is currently regarded as one of the most important & earliest markers of a wide range of serious diseases, you might start...

Learning the Language of Men’s Endocrine Health

  We should all be as skilled in investigating & treating male hormone imbalances as we are female ones, yet this is often not the case.  A lack of confidence in this area, which seems to be an issue for many, in particular will compromise our ability to...

Managing Your Random-Regulars

So often in mentoring I hear about patients practitioners have struggled to treat primarily because of irregular points of contact….you know the type, the client who is an Irregular Regular or Random Regular, booking in to see you just once or twice a year or...

A Great Time To Be A New Practitioner

“Health issues are rarely one individual textbook condition like they were during my studies.  The interaction of the body is complex, and Rachel has given me valuable insight into how to link various pathology markers & physical aspects together.  Test...
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