Therapy guidelines
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Dosing by TSH results in FT3 inequity and health discrimination
The standard measure of thyroid gland health (the TSH normal range) is not a fair or accurate measure of thyroid hormone sufficiency in thyroid therapy. And the same meme, this time with MEN — since men have hypothyroidism too. In a 2015 article, Midgley et al (1) wrote “the effective TSH level derived in a…
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Why T4 monotherapy has dominated
All thyroid hormone medications have the potential to be effective: L-T4 (Levothyroxine), L-T3 (Liothyronine), and natural desiccated thyroid (DTE / NDT). However, each patient is unique in their response to these medications. Optimizing a patient’s lifelong therapy involves finding the right thyroid hormone medication, or a combination of them, to relieve as many symptoms of…
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Dosing by the TSH can cause Low T3
Research has proven repeatedly that TSH is not the same to a thyroid patient as it is to a person who is not taking any thyroid hormone medication. For example, on standard L-T4 monotherapy, at any given level of TSH, a thyroid patient will have a higher T4 and a lower T3. If TSH is…