Vanderpump's world

[diogenes]

Here is a link to show Dr Vanderpump's present take on hypothyroidism, diagnosis and treatment. Way to go still in his education.

markvanderpump.co.uk/patien...

[greygoose]

Gee whiz! If only it were that simple, Marky baby!

[amala57]

I sent a message to his site asking if he prescribes t3. In private practice he does!!!

[Hennerton]

I hope he does not actually treat patients and simply spends his time perfecting and fine tuning his erroneous website.

[Musicmonkey]

In his paper on Hypothyroidism he says,

"Treatment

Thyroxine (or Levothyroxine) is the current standard thyroid replacement. The goal of the treatment

is to reverse the symptoms of hypothyroidism by normalising and maintaining the blood TSH level.

The TSH blood test is successful in establishing the correct dosage of thyroxine, because of the

feedback loop between the thyroid hormone in the blood and the pituitary. When the thyroid

hormone levels are low, TSH levels rise, and conversely when the thyroid hormones are high, the

TSH levels fall. The pituitary is very sensitive to changes in circulating thyroid hormone levels and

the amount of TSH it secretes. It is therefore a useful yardstick to measure how much thyroid

hormone the body is exposed to."

What about the conditions he mentions earlier above this that do not fit into the primary hypo scenario?

[PR4NOW]

Diogenes, did you notice this quote? A rather severe mistake for an expert to make. PR

"20% of T3 is produced directly by the thyroid gland. The remaining 80% is by removal of an iodine molecule from T4 by the action of enzymes in the liver or kidneys."

[helvella Administrator Thyroid UK in reply to PR4NOW]

PR4NOW,

Yes - I noticed that. Which bit - the ignoring of any in-cell conversion or conversion in other tissues? Or the word "molecule" which should be "atom"?

Trouble is, and it seems widespread, people set up their websites and then largely ignore them. So often the text appears to have been picked up from somewhere by the website designer!

I have a ready-reckoner for assessing descriptions of thyroid disease: if they start with the words "The thyroid is a butterfly shaped gland..." they will almost universally be poor. It is not that those words are in themselves awful or, indeed, that bad. (Though would anyone with a huge goitre, no thyroid, or a lingual thyroid, ever identify with that description?) It is that the author thinks it is what needs to be said first. And it has become a trope and is hackneyed.

[PR4NOW in reply to helvella]

Rod, yes, exactly. I agree, people don't seem to proof their own websites often enough. Also agree about "The thyroid is a butterfly shaped gland..." which often has a simplified version of causes. PR