Thyroid Testing
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Free T3 peaks and valleys in T3 and NDT therapy
Lack of knowledge about Free T3 peaks and valleys contributes to failure and frustration in T3-based therapies, including desiccated thyroid and T3-T4 combination therapy. On patient support groups, I often see conversations that go like this: Another common patient exchange usually goes like this: So many times, I’ve thought to myself, “I really wish all…
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Caution: Doctors perform T3-ectomies without our consent
We all know a “thyroidectomy” is the surgical removal of a thyroid gland. Nobody removes a vital gland without a patient’s informed consent. If your medical system and doctor are ethical, you as a patient have the opportunity to weigh the risks and benefits of the procedure and give signed consent. We need to consider…
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Principles and Practical tips for Reverse T3, FT3, FT4
This post follows up on several recent posts on the topic of Reverse T3 (RT3) and our thyroid hormone conversion enzymes, the three deiodinases. Here I’m providing some practical tips about Reverse T3 testing, test interpretation, and where we should be focusing our attention. In these posts, I aim to improve thyroid therapy by debunking…
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How thyroid guidelines are being used to punish doctors
Clinical guidelines are supposed to promote patient health and encourage evidence-based medicine and physician discernment, but thyroid guidelines aim to restrict testing, restrict medication, and prevent any change in therapy practices. Indeed, the enforcement of restrictions appears to be the main purpose of local and international thyroid therapy guidelines today. These thyroid therapy guidelines, and…
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The TSH-T3 disjoint in thyroid therapy
There’s a deep lie behind today’s TSH-based definition of “euthyroid” status and today’s policies of TSH normalization in therapy. The lie is that the loss of the thyroid and the initiation of thyroid hormone dosing has NOT altered and skewed natural TSH-FT3-FT4 hormone relationships. Yes, thyroid disease and therapy DO alter and skew these functional…