Causes

Low Free Testosterone & High Sex Hormone Binding Globulin
Impaired Copper/Zinc Ratio
Vitamin A Deficiency
- Malabsorption of the Gut
- Too high ocular binding globulin (impaired liver) circulates too much vitamin A in your blood, preventing your body from using it.
Autoimmune Disease
- Celiac
Binocular Vision Dysfunction
- Treated with vision therapy.

Treatment

Dr. Kara Fitzgerald
- New Frontiers in Functional Medicine
  - Episode 78, March 2 2020 - SIBO
  - Aug 17 2023 - SPMs

Neurolens
- Trigeminal Dysphoria
Rosen Optometry
- Intense-Pulsed Light (IPL)
- Radio Frequency (RF)
  - InMode "Invision" Forma

Xiidra Ophthalmic
- Pulse dose?
- Heavy dose?
Xdemvy
- 2x/day
- Pharmacies
  - BlinkRx
    - 1-833-919-4942
  - Carepoint Pharmacy
    - 1-855-237-9112
  - CVS Specialty Pharmacy
    - 1-800-237-2767
  - Walgreens Specialty Pharmacy
    - 1-800-424-9002
  - Walgreens Specialty Pharmacy
    - 3527 Chouteau Ave; Kansas City, MO 63103
    - (314) 771-2900
iVizia
Vevye
Tryptyr
- Triggers the TRPM8 cold receptors. Those may also be triggered by menthol (peppermint), although too much may cause irritation.
Autologous Serum Tears
- Higher quality of blood makes higher quality eye drops.
  - Make sure serum vitamin A levels are in range before getting these made.
Low Dose Naltrexone
- 1mg x 1week increase dosage up to 4.5mg as tolerated.
Meibo (or EvoTears Omega)
- Can buy online from apohealth.de
Thealoz Duo (or Hylo Dual Intense)
- Can buy online from apohealth.de
Thealoz Duo Gel (or Hylo Dual Gel)
- Can buy online from apohealth.de
Hylo Night Ointment