Dated, but worth a read.: Some of you may have... - Thyroid UK

Thyroid UK

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Dated, but worth a read.

Sewnsew profile image
7 Replies

Some of you may have read this in the past. It's worth a read!

pulsetoday.co.uk/clinical/t...

Can you believe it?!

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Sewnsew profile image
Sewnsew
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7 Replies
Clutter profile image
Clutter

I think the clue to why so many don't do well on Levothyroxine is that many patients are undermedicated as some doctors insist mid-range TSH is good rather than the 0.5mU/l Vanderpump suggests should be targetted.

"However, in practice it is worth trying to achieve a target serum TSH at around 0.5mU/l, as some patients prefer to be at that end of the reference range."

Funny how patient preference is considered valid in that sentence but is totally dismissed with respect to NDT.

I dispute his recommendation to withdraw T3 if no improvement within 3 months. The usual 10mcg start dose isn't always sufficient and as endo consultations are rarely more frequent than 3 monthly isn't helpful.

Surprised to see both my comments remain when so many were deleted :-D

one has to be registered to read the article. Can you give the gist, perhaps, please?

Sewnsew profile image
Sewnsew in reply to

Sorry Humphrey, I didn't realise there would be a problem! It's rather a lot to copy n paste onto here. I could email it to you if you message me your email.

in reply toSewnsew

Thank you, Sewnsew - PMing.

Chancery profile image
Chancery

As Humphrey says, you can't actually read the article from this link. Do you have a way in perhaps? Or could you let us know what the thesis of it is?

Sewnsew profile image
Sewnsew in reply toChancery

Sorry Chancery, if you want to do the same as I've advised above I will email you the article.

Chancery profile image
Chancery in reply toSewnsew

Thanks, Sewnsew, I've sent you my email in a message.

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