Shomon: Why endocrinologists may oppose desiccated thyroid therapy

An article by Mary Shomon, updated Dec, 2018, explains why endocrinologists are biased against desiccated thyroid.

Fogoros, R. N., & MD. (n.d.). Why Your Endocrinologist May Oppose Natural Thyroid. Retrieved January 5, 2019, from 

Ultimately, it comes down to endocrinologists preferring to Trust the Pituitary more than the rest of your body.

Mary Shomon writes,

“Their primary concern is the ‘TSH normal range’—and their treatment goal is to get patients into the normal range. Symptom resolution appears to be irrelevant and takes a back seat to management of TSH levels.”

It is well known among patients and doctors that understand its properties, that

  1. Effectively-dosed desiccated thyroid that relieves patient symptoms will often suppress TSH in patients without much living thyroid gland tissue,
  2. The main target that relieves symptoms is raising Free T3 into the upper 1/2 or even upper 1/3 of reference,
  3. And, meanwhile, Free T4 will be low-normal or slightly below reference, because the body needs LESS indirect hormone, T4 whenever T3, direct hormone, is more available to compensate for it. Trying to add more T4 in this context is not indicated, since it would unnecessarily increase the total thyroid hormone supply.

So, on desiccated thyroid, if neither a patient’s Free T3 levels nor their Free T4 levels exceed normal range, and they don’t have any hyperthyroid symptoms, just HOW can they be truly hyperthyroid?

Endocrinologists, Your’re still going to believe the TSH against all other indicators, right?


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