Quick Questions

[Kitti1]

I believe in the past one of the esteemed thyroid doctors, Dr Peatfield or Lowe or Skinner arranged a conference for endocrinologist, to discuss his perspective on the correct treatment of hypothyroidism. But everyone declined. could someone please tell me who that was, if Ive got it right ?

Secondly would anyone please have a copy of the Pulse article by Dr Toft that Lousie Roberts supplies to take to your doctor. If you could please pm me and I'll give you my email address, then if you'd be so kind to email a copy over to me.

Many thanks

[nightingale-56]

Kitti1 it was Dr Skinner as SeasideSusie has said. Have you seen the BMA booklet by Dr Toft, Understanding Thyroid (?). Sorry forgotten exactly what it is called and cannot lay my hands on my copy.

[Kitti1 in reply to nightingale-56]

Thank you SeasideSusie & nightingale-56 Ive heard of the booklet j_bee, I believe its a little on the fence re the benefit of t3, if I have that right ? I know I should have got round to getting a copy.

Hope your both good

[Raventhorpe in reply to Kitti1]

Hi kitti1 the book is called understanding thyroid disorders. On page 89 under heading judging correct dose of thyroxine. It says your gp or thyroid specialist will usually prescribe a dose of thyroxine that raises the ft4 and tt4 to the upper part of the normal range and reduces the TSH level in the blood to the lower part of the normal range.

Typical results would be ft4of 20pmol/l or tt4 of 130nmil/l, and tsh of 0.4mu/l. In some patients a sense of well being is not restored, however,and the doctor is often pressurised to sanction an increased dose of thyroxine. Evidence is growing that increasing the dose of thyroxine such that tsh becomes undetectable at less than 0.01mu/Lin the long term may put you at increased risk of future heart disease or osteoporosis. Rather than increase the dose of thyroxine to potentially dangerous levels, it may be sensible to change to a combination of thyroxine and triiodothyronine(liothyronine), ensuring that tsh levels are normal. Such combination treatment requires the supervision initially of a specialist. You can get this book inW.H.Smith for £4.95.

It dose look like he's in favour of using t3 in combination with t4 if levo on it's own is not working.i don't agree with everything written in this book but it's not bad for a starter book for people who have no knowledge about the thyroid.

[Kitti1 in reply to nightingale-56]

Ive finished the reply now, it sent too soon by accident at first !

[SeasideSusie Remembering]

Ha ha, I just managed to delete my reply! What a numpty!

I meant to correct the email addy, [e-mail] for the Pulse article.

Fat fingers and a problem with small tablet keyboard to blame! How do people manage on phones??!!??

[Kitti1 in reply to SeasideSusie]

HaHa if your a numpty SeasideSusie there is utterly no hope for the rest of us !