Therapy paradigms
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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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Thank you, good thyroid doctors!

Today is Canadian Thanksgiving Day. Today all thyroid patients in Canada and all over the world can reflect with gratitude toward all our good thyroid doctors past and present. To guide reflection and thanks, I’d like to outline 10 of the important things good thyroid doctors know and do. We all know there is no…
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The loss of thyroid clinical knowledge from Werner & Ingbar’s The Thyroid

Decades ago, a lot more doctors knew how thyroid hormone levels influenced all organs and tissues’ health. It wasn’t all about the influence of thyroid hormones on the TSH. It was more about the influence of truly adequate thyroid hormone levels on real health outcomes. A lot more doctors learned and understood that if thyroid…
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Flexible-Ratio T3, T4, and NDT Combination Thyroid Therapy

Here I bring thyroid science into a discussion of effectively adapting and managing the most flexible form of thyroid therapy, T4-T3 combination therapy. This is a model capable of adapting to an individual’s unique thyroid disability and response to thyroid medication. Finding an individual’s optimal combination therapy is medically necessary when conventional T4 monotherapy fails…
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What if TSH levels were like shoe sizes, thyroid meds like mobility aids
Seeing things visually might help clarify what thyroid therapy is like. Our thyroid hides in our neck and our hormones hide in every inch of our body. Nobody sees our thyroid gland distort, die, or shrivel. Nobody sees what fatigue feels like. Nobody sees organs suffering from lack of T3. Nobody sees how our pills…
