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                  <text>m... V"...we:

November

2, 1979

Peter T. Loosen, M.D.
Dorothea Dix Hospital
Raleigh, NC 27611
Dear

Peter.

Thank you for the two articles, on the oral treatment
of depressed patients with 80 mg TRH and the review of peptide effects.
I had seen the Karlberg et al article, but in light of our discussion,
I should be disappointed and assume that the likelihood that TRH over
three weeks would be significantly antidepressant. Yet, the many observations
including the three patients who responded in this series, suggests that
we may be close, as close as the early workers were with l-dopa in parkin-

son patients.

For the meanwhile, I have decided not to replicate the study;
but rather to try with two of the newer peptides, DGAVP and des-Tyr-gammaendorphin, to assess their central (EEG) effects.
My associate, Yiannis Papakostas has been carrying out
stimulation tests and dexamethadone—cortisol tests in every one
of our depressed patients, referred for drug therapy or BCT. So far, in
the first 15 patients, he has found more consistent DM-cortisol abnormalities which resolve with treatment, than TRH-TSH but the latter do occur
in about 1/3 the cases, and he is confirming the observations of TSH blunted
response in some depressed. He is using our schizophrenic patients as
controls, and we are particularly interested in the ECT group.

TRH-TSH

It

was kind

of

you

to think of

me, and my

thanks.

Sincerely yours,
Pink, M.D.
Professor of Psychiatry

Max

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              <text>Special Collections and University Archives, University Libraries. Stony Brook University Libraries (State University of New York).</text>
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