#124 - AMA #15: Real-world case studiesmetabolic dysregulation, low testosterone, menopause, and more

Published: Aug. 17, 2020, 9:30 a.m.

As a follow up to AMA #14\xa0where Peter explained his framework for analyzing labs, this \u201cAsk Me Anything\u201d (AMA) episode focuses on a number of\xa0real-world case studies\xa0exploring\xa0metabolic dysregulation, low testosterone, menopause, hypothyroidism, elevated uric acid,\xa0and more.\xa0From the examples discussed, you can follow along how our clinical team goes about interpreting diagnostic measures and applying relevant research findings.\xa0Once again, Bob Kaplan, Peter\u2019s head of research, will be asking the questions. If you\u2019re a subscriber, you can now listen to this full episode on your\xa0private RSS feed\xa0or on our website at the\xa0AMA #15 show notes page.

We discuss:

  • Should you stop taking supplements\xa0before getting a lab test? [2:45];
  • Family history\u2014Questions to ask and what to look for [5:30];
  • The purpose of\xa0an\xa0oral glucose tolerance test (OGTT) [12:15];
  • Case study\u2014Insufficient muscle mass for proper glucose disposal [17:15];
  • Why hemoglobin A1c is a relatively unhelpful metric [24:00];
  • Case study\u2014Exceeding carbohydrate tolerance [26:30];
  • Case study\u2014Metabolic dysfunction and\xa0a framework for metabolic health\xa0[33:30];
  • Peter\u2019s\xa0ideal\xa0tracking of\xa0metabolic health for all his patients\xa0[43:30];
  • Contrasting\xa0presentations\xa0of hypogonadism\u2014Low free testosterone [45:00];
  • How\xa0sleep, exercise, and alcohol affect testosterone levels?\xa0[56:20];
  • Case study\u2014Surprisingly fast onset of menopause [59:25];
  • Case study\u2014Hypothyroidism and high cholesterol [1:07:00];
  • Case study\u2014Elevated uric acid and hypertension [1:10:55]; and
  • More.

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Show notes page for this episode: https://peterattiamd.com/ama15

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