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Ask the Pharmacist: Bob Mehr
Written by Bob Mehr   

Q: How can Pure Pharmacies help women who are taking Bio-Identical Hormone Therapies?

A: Working closely with her medical or naturopathic doctor, pharmacists at Pure Pharmacy can help a woman start and maintain a hormone replacement regimen that brings her hormones back into balance and closely mimics what her body has been doing naturally for years. It is extremely important for the hormones to be of the highest quality using the most effective cream bases and accurate measurement and formulations for effective results. With a healthcare provider’s prescription, the pharmacist at Pure can prepare hormones in a variety of strengths and dosage forms, including:

  • Capsules
  • Topical or vaginal creams, gels
  • Vaginal suppositories
  • Sublingual drops or troches

Once the therapy has begun, the pharmacist will continue to work with the woman and her prescriber to make sure the compounded hormones are working correctly, adjusting the dosage if necessary, and ensuring that the medication is just right for her body.

Q: How can Pure Integrative Pharmacy help patients who are taking thyroid medications?

A: The conventional treatment for hypothyroidism starts a patient off on the hormone levothyroxine (T4). Common brand names are Synthroid and Eltroxin). T4 is one of two types of hormones produced by the thyroid gland. For many patients this is an effective treatment, but it assumes that T4 is efficiently being converted to the active form of the thyroid hormone, liothyronine (T3). T3 is the form of the hormone that exerts its effects on the body’s cells.

Pure Integrative Pharmacies have innovative treatment options for addressing thyroid issues, particularly when a patient has not responded well to conventional approaches. Each compounded medication can be customized to a strength that perfectly suits a patient’s profile. Possible treatments include:

  • Compounded sustained-release T3/T4 capsules
  • Compounded desiccated thyroid capsules (which contain T3 and T4 in roughly physiologic ratios)

For patients taking any type of thyroid medication, it is important to know that these drugs interact with most foods, drugs and supplements. Therefore, it is important to take thyroid capsules one hour before any food or drug, and four hours before any supplement containing minerals like iron, calcium or zinc.

Q: What are some of your recommended supplement options for patients with iron deficiency?

A: The cause of your iron deficiency should always be investigated. In the majority of cases, the cause is poor nutrition. In some cases, however, there can be something else interfering with iron absorption or causing increased iron loss from the body. There are a number of commercially available iron supplements on the market (easily obtained without a prescription from any pharmacy), but the problems with these products are that they can cause stomach irritation and constipation which are two major side effects of iron. Due to these side effects, many women do not like taking iron. The good news is that at Pure Pharmacies, our compounding pharmacists can formulate a special iron called “Bob’s Iron Formula” which has been compounded since 1999 as a result of many requests from doctors who were looking for a superior iron supplement for their patients without the side effects.

Q: What can Pure Integrative Pharmacy do in the area of pain management?

A: Pharmacists at Pure Pharmacies can make many different kinds of medications to help with pain management. They can make an oral drug last longer (with sustained release), or customize its strength, and they can formulate medicated, sugar-free lollipops. They can also add specific drugs to a highly specialized topical base developed by our compounding pharmacists. This penetrating cream makes it possible to apply the drugs directly to the skin at a particular site where the pain is, offering an alternative to an oral dosage form. Examples of drugs that can be added to the this cream base include:

  • Anti-inflammatories (such as ibuprofen)
  • Topical anesthetics (such as lidocaine)
  • Muscle relaxants (such as magnesium, which is very effective and natural and does not require a prescription)
Bob Mehr -

Bob Mehr’s experience providing pharmacy services spans nearly twenty years. Bob presently owns and operates 16 pharmacies in Vancouver, Victoria, White Rock and Chilliwack under the name Pure Integrative Pharmacy. His focus and specialty is mainly on the area of pharmaceutical compounding (especially Bio-Identical Hormone therapy) and natural medicine. Bob is also the clinical pharmacist at Inspire Health Integrative Cancer Care where he consults with cancer patients. Bob Mehr is committed to maintaining relationships with various healthcare practitioners, which allows his pharmacies to remain accountable and progressive. Visit to learn more about Bob Mehr and his team.


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