References for Thyrotoxicosis vs. Low TSH series

Posts in this series July 2019 Thyrotoxicosis? Many factors can lower TSH Thyrotoxicosis: Symptoms and signs Thyrotoxicosis vs. Low TSH Thyrotoxicosis can occur with high or normal TSH? TSH “can be very misleading” during thyroid therapy, say researchers How TSH ultrashort feedback works, and antibody interference Pregnancy thyrotoxicosis vs just a low TSH due to HCG hormone REFERENCES Anderson, J. L., Jacobs, V., May, H. T., Bair, T. L., Lappé, D. L., Muhlestein, J. B., … Bunch, T. J. (2018). Abstract 11290: Free Thyroxine (fT4) Within the Reference (‘Normal’) Range Predicts Risk of Atrial Fibrillation. Circulation, 138(Suppl_1), A11290–A11290. https://doi.org/10.1161/circ.138.suppl_1.11290 Bargi-Souza, …

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The impact of thyroid hormone dysfunction on ischemic heart disease, and how T3 therapy may help

Finally! In the past, the overemphasis on hyperthyroidism and thyrotoxicosis and heart diseases has made many doctors think that only excess T3 and T4 is bad for the heart. We finally have an article that focuses on the real cause-effect relationships on the opposite end of the thyroid dysfunction spectrum: HYPOthyroidism. This May 2019 article co-authored by three women and two men from Portugal emphasizes the research on hypothyroidism, especially T3 deficiency, and its adverse effects on ischemic heart disease. In the past, I’ve written a prior campaign blog article about thyroid hormones and the cardiovascular system, but none of …

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Analyze thyroid lab results using SPINA-Thyr

This post walks through the process of using the SPINA-Thyr to interpret thyroid lab test results. OVERVIEW SPINA-Thyr is a free diagnostic application developed by research endocrinologists who use it in peer-reviewed medical research. SPINA-Thyr has been in development since the late 1990s under the leadership of Dr. Johannes Dietrich, Specialist in internal medicine, endocrinology and diabetology, BG University Hospital Bergmannsheil, Bochum, Germany. SPINA-Thyr’s algorithm has been evaluated in multiple clinical trials with thousands of patients. (1) Its findings correlate with a wide variety of diagnoses of thyroid disease. (2) An online slide presentation further illustrates the technical details and usefulness …

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Evidence-based thyroid advocacy

My previous post talked about “evidence-based thyroid therapy.” Sometimes, thyroid therapy goes terribly wrong, despite the efforts of doctors and patients, and I tell my experience and hopes in this post. Failures are not just individual. In thyroid therapy, there are systemic failures. Many factors have led to challenges in thyroid therapy: History and trends in thyroid health care Changes in guidelines and policies Trends in prescribing Laboratory testing challenges Pharmaceutical development and marketing Administrative problems in health care systems Health care economics Medical attitudes, social values, and beliefs about thyroid disease and therapy. LIMITS ON DOCTORS’ DIALOGUE In my …

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Evidence-based thyroid therapy

“Evidence-based medicine.”  That term means different things to different people. It is a worthwhile goal. However, it’s often a weasel word medical people use to gain power and status over each other and to bully patients into submission. “I’m more evidence-based than you are, so you have to shut up and let me talk now.” A lot of limiting and harmful aspects of thyroid therapy claim to be “evidence based.” But nobody can honestly claim to have all the relevant evidence, ever. In fact, medical decisions, policies and research studies are always based on selective evidence. Also, you may be …

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