FYI The Society for Endocrinology has its annual jolly (BES) at the EICC in Edinburgh this year and on November 2nd at 7.00pm there will be debate about the treatment for Hypothyroidism. The chair is Mark Vanderpump who makes his views clear in the blogpost here: endocrinologyblog.org/2015/... . In the 'Levo is a panacea and solves everything' camp is Tony Weetman from Sheffield and in the 'for Gods sake give them T3 too if T4 alone doesn't work' camp is Colin Dayan from Cardiff. Shame, if Ilived in Scotland I'd arrange for quite a few Hypothyroid folks to go lobby... but I'm in Brighton, its just too far!
This is the most recent statement from British Thyroid Association too if you've not read it. onlinelibrary.wiley.com/doi... The conclusion is as they don't have enough data they will stick with the status quo of T4 only, err, that status quo being preferable to the one they kicked out when drug companies persuaded them to drop NDT in favour of synthetic hormones (sorry, I think we must all have missed the data they came up with to support that move...).