HPT axis
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When is Low TSH not hyperthyroidism?
Q: When is a low TSH not hyperthyroidism? The answer is huge — in central hypothyroidism, in low T3 syndrome, in the first trimester of pregnancy… AND in cases where thyroid therapy achieves euthyroid status without causing tissue thyrotoxicosis. In many posts on this blog, we’ve detailed the reasons why TSH is a poor indicator…
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TSH untrustworthy in thyroid therapy
The current model of long term thyroid therapy reduces it to two simple buttons or levers on a machine: Test TSH Dose L-T4 to fix the TSH Wow, the power of science! We’ve got hypothyroidism fixed! Cured! It appears that doctors enjoy the satisfaction of “normalizing” the TSH hormone secretion by the L-T4 dose. It’s like…
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Recovery from T3 depletion
This post is a continuation of these posts GRAPHIC and discussion: T3 Depletion Do you have a Reverse T3 problem? In this post, I explain how to recover (or help a patient recover) from T3 depletion. Part 1: When illness is the trigger Part 2: When L-T4 dose is the trigger Part 3: Oversenstivity to…