Therapy paradigms
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Several fallacies in the TSH-T4 paradigm of thyroid therapy

When you are steeped in a medical paradigm, its fallacies can be as comfortable and taken for granted as an old pair of sneakers. In this post, I’ll take apart several thyroid therapy fallacies, starting with the fallacy “description is not prescription.” I will investigate many of the ways in which patients on T4 monotherapy…
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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.”…
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Thyroid therapy paradigm shift: T3 hormone testing is a battleground.
The T3 paradigm shift in thyroid therapy is occurring at a time when Canadian health policy, driven by an old paradigm, is shutting down testing of Free T3. It’s hard to see through the confusion because thyroid science is in the midst of this shift. Outdated beliefs rigidly hang on while new beliefs move forward.…
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Question Pilo’s 1990 study. It can be misused to limit your T3 supply.
In this series, I am examining two T4-T3 thyroid hormone ratios that have been circulating in thyroid medical literature for decades. The first ratio is the “molar ratio” of T4 and T3 hormone secretion from the thyroid gland. The second ratio is the theory that the human body derives 20% of its T3 hormone supply from…
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2014 ATA Therapy guidelines: 3. Desiccated thyroid

This post continues my paraphrase of Jonklaas et al’s 2014 “Guidelines for the Treatment of Hypothyroidism: Prepared by the American Thyroid Association Task Force on Thyroid Hormone Replacement.” Posts in this series: 2014 ATA Thyroid therapy guidelines: 1. Levothyroxine 2014 ATA Thyroid therapy guidelines: 2. Ethics 2014 ATA Therapy guidelines: 3. Desiccated thyroid [this post]…
