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Cytomel is a T3 only thyroid medication (the brand version of liothyronine) that is far more active than levothyroxine. Because it's so much more active, it also happens to be much better at helping thyroid patients with Hashimoto's and hypothyroidism lose weight. Before you run out and grab it, though, or try to switch medications, there are a few things you need to know. When using it you will want to keep an eye on certain lab tests including free t3, total t3, and reverse T3. In addition, you will also want to keep an eye on your basal body temperature and resting heart rate. Because of its power, it's important to keep an eye on these metrics to make sure you don't accidentally take too much. As far as dosing for weight loss is concerned, most patients do best taking a dose somewhere between 5 and 20 mcg per day. Instead of thinking as Cytomel as an alternative to levothyroxine, I think it's best thought of as a complementary option to it. Many thyroid patients see the best results when using both of these thyroid medications together. In addition, combining them with T2 will yield even better results. You can learn more about T2 and how it helps with weight loss here: https://youtu.be/2cL641utwn4?si=Q0h0JUDqAUOK8uld Download my free thyroid resources here (including hypothyroid symptoms checklist, the complete list of thyroid lab tests + optimal ranges, foods you should avoid if you have thyroid disease, and more): https://www.restartmed.com/start-here/ Recommended thyroid supplements to enhance thyroid function: - Supplements that everyone with hypothyroidism needs: https://bit.ly/3tekPej - Supplement bundle to help reverse Hashimoto's: https://bit.ly/3gSY9eJ - Supplements for those without a thyroid and for those after RAI: https://bit.ly/3tb36nZ - Supplements for active hyperthyroidism: https://bit.ly/3t70yHo See ALL of my specialized supplements including protein powders, thyroid supplements, and weight loss products here: https://www.restartmed.com/shop/ Want more from my blog? I have more than 400+ well-researched blog posts on thyroid management, hormone balancing, weight loss, and more. See all blog posts here: https://www.restartmed.com/blog/ Prefer to listen via podcast? Download all of my podcast episodes here: https://apple.co/3kNYTCS Disclaimer: Dr. Westin Childs received his Doctor of Osteopathic Medicine from Rocky Vista University College of Osteopathic medicine in 2013. His use of “doctor” or “Dr.” in relation to himself solely refers to that degree. Dr. Childs is no longer practicing medicine and does not hold an active medical license so he can focus on helping people through videos, blog posts, research, and supplement formulation. To read more about why he is no longer licensed please see this page: https://www.restartmed.com/what-happened-to-my-medical-license/ This video is for general informational, educational, and entertainment purposes only. It should not be used to self-diagnose and it is not a substitute for a medical exam, treatment, diagnosis, prescription, or recommendation. It does not create a doctor-patient relationship between Dr. Childs and you. You should not make any changes to your medications or health regimens without first consulting a physician. If you have any questions please consult with your current primary care provider. Restart Medical LLC and Dr. Westin Childs are not liable or responsible for any advice, course of treatment, diagnosis, or any other information, services, or product you obtain through this website or video. #thyroid #hypothyroidism #hashimoto's

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Dr. Pagnani of Rittenhouse Psychiatric Associates discusses Wellbutrin (Buproprion) and its off-label use in the treatment of Adult ADHD. Wellbutrin (buproprion) is a norepinephrine and dopamine reuptake inhibitor, which is FDA approved for the treatment of depression. Unlike antidepressants such as SSRIs or SNRIs, this medication does NOT increase availability of serotonin, and therefore, does NOT treat anxiety (in fact, it can make anxiety and irritability worse). It is also used for smoking cessation (with the Trade name Zyban). Other side effects include increased risk for seizure (making it a non-ideal option for individuals with eating disorders or alcohol use disorders [as it can be dangerous for these individuals]), increased intra-ocular pressure, dry mouth, constipation, tachycardia, sweating, insomnia, upset stomach, decreased appetite (and weight loss) and others. With that said, this may be a good option for some patients, particularly as it does not have the abuse potential, of stimulants like adderall, ritalin, vyvanse and concerta. Dr. Pagnani is the founder and medical director of Rittenhouse Psychiatric Associates, an Instructor at The Johns Hopkins Hospital for the Department of Psychiatry, he supervises psychiatric residents at Jefferson Hospital, he serves on the Young Professional Board of Uplift, the Center for Grieving Children and he maintains a private practice of Psychiatry in Philadelphia where he sees patients for one-time psychiatric evaluations and second opinions. He is a licensed physician and surgeon in NJ, PA, NY, MD, DE, FL and CA and can provide consultations to individuals via HIPAA compliant Telehealth visits living in these locations. Rittenhouse Psychiatric Associates is a private practice of psychiatry consisting of about 25 psychiatrists, psychiatric nurse practitioners and psychotherapists with physical locations in Philadelphia and Paoli, PA and serving all of PA, NJ, NY and FL virtually via HIPAA compliant tele-psychiatry. Individuals seeking not only evaluations but long-term psychiatric care, can contact Rittenhouse Psychiatric Associates directly. These videos aim to increase awareness and discussion of mental health topics and to encourage struggling individuals to schedule an appointment directly with a mental health provider. Mental health needs to be normalized, and simply speaking about mental health topics openly, is an important first step. Dr. Pagnani and Rittenhouse Psychiatric Associates are NOT advocating for or against the use of any mentioned psychiatric medications for any specific individual. Additionally, any side effects mentioned are not a complete list of potential side effects or contraindications to taking any mentioned medications, and all risks and benefits of a medication should be discussed with an individual’s provider at an appointment, before starting, stopping or making changes to a medication regimen. This video is INFORMATIVE ONLY - NOT MEDICAL ADVICE. If you are researching a specific topic, please view our Youtube channel, click all videos and use the search function. Please also visit and follow us on instagram and FB: @RittenhousePsych. www.RittenhousePA.com www.ChrisPagnaniMD.com

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