Thyroid pharma
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2019 ATA article engages in patient-blaming and doctor-shaming
Some members of the American Thyroid Association (ATA) have achieved a new ethical low. The ATA have published in their official scientific journal, Thyroid, an article by Esfandiari and colleagues (2019) that blames thyroid patients for causing harm to themselves by making requests of doctors for tests and therapies. They titled their paper “Patient Requests…
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How to calculate LT3 vs. LT4 substitution: New thyroid science
What does NEW thyroid science have to say on the topic of thyroid pharmaceutical equivalency? How many micrograms of L-T3 Liothyronine (i.e. Cytomel) are equivalent to L-T4 Levothyroxine (i.e. Synthroid)? Thyroid hormone pharmaceutical monographs currently provide very rigid and low-ratio equivalency statements: In my previous post, I uncovered the historical origins of this low 25:100…
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How to calculate LT3 vs. LT4 substitution: History had it right
During therapy for hypothyroidism, dose adjustments may include changing thyroid hormone pharmaceuticals or combining them in a certain ratio. To prevent overdose or underdose at the new total dosage, a physician will need to estimate the substitution, and later adjust the dose to the individual’s response. The initial calculation needs to be physiologically accurate. Is…
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Global thyroid pharma economics: T3 meds
Here’s an update on prices in some locations of the world, and Canada, for synthetic T3 medication, known by the chemical name liothyroinine. UNITED KINGDOM & GREECE A Daily Mail article published May 27, 2019 reported the prices for T3 / Liothyronine pills in the UK over time, and today in Greece: 20-25 mcg /…
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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]…