Dr. Amy Nett: So what I do with the Case Review documents is, we don’t really have an interpretation guide so to speak, so if there’s a symptom that you’re sort of unclear on maybe submit that. But I tend to use it, I use it a couple different ways. One is I have patients who check zeros and ones for everything meaning like, “Eh, barely any symptoms, this doesn’t really bother me, that doesn’t really bother me,” and then they have patients who check threes and fours for everything. Those are probably different personalities. And I know that my stoic patients who check a zero and a one for everything, I’m probably going to have to push them to be a little bit more conscientious about what changes are you noticing?Think about keeping some sort of journal or diary in terms of what supplements do you start and how do your symptoms change? Because some people aren’t necessarily always in tune with symptoms and even a lot of us who might be, we tend to get to a point where even if we’re not in great health, we think yeah, I’m in really good health because this is my normal.
So that’s one way to look at it. Otherwise, I tend to look at those symptoms and they may point me in a direction that I haven’t thought of previously; something that I hadn’t thought of during the initial consult, like I hadn’t realized that the patient had so many symptoms of cortisol imbalance or that they had such sleep disruptions. So I sometimes look at their symptoms and say how does this affect or change treatment in conjunction with the test results? So I look at the symptoms and use them in addition to the test results to come up with the treatment plan. Because the other thing is you can have a patient and maybe their cortisol curve looks completely wonky and you think this is gonna be where I need to focus. But then you go to their metabolic form and their symptoms, and it’s like, no, fatigue isn’t really a problem, sleep is a problem, oh, but digestive issues are actually a problem. And you might have thought, oh, SIBO breath test actually, eh, maybe mild, no big deal. So again, it’s not wanting to treat lab results but wanting to treat both the patient and the lab results. So that’s often how I use it sort of, I think those are probably the two primary ways I think sort of guiding treatment in terms of using it in conjunction with test results and then also telling me a little more about the patient in terms of how much symptoms affect them, maybe how in tune they are, just getting a little more information. So that’s how I use them, but if you have a more specific question, please do send that in.