Further to my post yesterday about BTF and mixed messages, I have sourced the full 2006 document which includes the referencing (it would be useful if someone could follow up on these):
So it would appear that there have been no further guidelines since 2006.
I've also come across a website that purports that the originator of the TSH and T3 tests (Dr Utiger) urged doctors not to use the TSH test as the definitive diagnosis of thyroid problems, but to look at body temperature and other symptoms:
The 2006 document still has the same glaring typo/mistake on page 56 that it has had since first published.
I did manage to get it changed on the ACB site - but the it somehow reverted.
One of the big issue is that the medical establishment almost invariably talks about primary hypothyroidism and ignores secondary/tertiary (collectively known as central). They seem to have the view that cases are rare and tend to be obvious. I suggest they are far more common and there is a scale between imperceptibly slight to severe. Further, that mild central hypothyroidism could actually explain (to some level) quite a few of the 'fail to fully recover' cases.
If my (hazy) memory serves me, didn't the doctors at the Scottish Parliament committee dismiss the T4 to T3 conversion argument? If so, then should the fact that Dr Utiger was the person who originally discovered the T4/T3 link be made known to the committee? That would expose the fact that Dr Utiger's research and theses have been - and still are - being cherry-picked. Or that in the passage of time his wider work has been eclipsed... (or maybe overturned by new research?)
It would be really useful if one of the sympathetic doctors to the cause could provide a review of Werner & Ingbar's 'The Thyroid: A Fundamental and Clinical Text', Volume 549 which was edited by Dr Utiger and his colleague (and available on Amazon Books). It also references Dr Utiger's research.
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We should write our own guidelines for the treatment of thyroid disease from the patients perspective!
Liothyronin guidelines to Endos
T4 'intolerance' and T3 treatment 
New Guidelines for Hypo treatment
BTF...
