Subject: vertigo with progesterone
Dear Dr. Roby,
It was very good to hear you speak last year at the national Age Management Medicine Group meeting in Las Vegas. I am on the planning committee and met you briefly. I hope that you can help me with a patient that I have who is a 40 year old female with hypothyroidism, on Armour 240 mg, and h/o abnormal bleeding s/p endometrial ablation 2 years ago.
She is definitely estrogen dominant and every time we try any hormone manipulation even with smallest doses of progesterone she gets vertigo.
Please advise what I should do next.
She is gluten free and on supplements.
Best regards,
A.C., DO, FACOG, ABAARM
Dear Doctor C.:
You might go to my website at www.robyinstitute.com and see the blogs. I go into quite a bit of detail about how we block progesterone hypersensitivity using ProCALM drops. We send dropper bottles of ProCALM in dilutions of 0.00005mg/3 drop dose, 0.005mg/3 drop dose and finally .5mg per dose. We start them on the weakest and have them use it bid for 25 days (fifty doses per vial). Then we do the same with the .005mg drops and so forth. That will usually get you to a therapeutic .5mg daily dose in about two months. If she gets vertigo at .00005 I would dilute it to the 10th or 15th. Some cases require these extreme dilutions. I have one lady, on the blog, CM from Chicago, whose IC pain was worse on Prog. 25 and better on 30. So we used 30 for a month, then 25, then 20 and so on. Now she is moving steadily into stronger and stronger dilutions and still no increase in symptoms.
I hope that helps.
Warm regards,
Dr. Roby















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