From 'The Lancet' - !Liothyronine cost and pres... - Thyroid UK

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From 'The Lancet' - !Liothyronine cost and prescriptions in England"

shaws profile image
shawsAdministrator
9 Replies

This is an excerpt from the above article: which may have already been posted-

"Over the period analysed, no major study or guideline has advocated a change in liothyronine prescribing. Thus, this substantial reduction in prescribing seems to have been largely driven by cost. In view of the concerns raised by patients, this large disparity between CCGs in prescribing liothyronine linked to deprivation status is difficult to justify. Moreover, patients in more affluent areas might be more able to source liothyronine by private prescription, further exacerbating the inequality.

thelancet.com/journals/land...

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shaws
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diogenes profile image
diogenesRemembering

This starkly demonstrates that the real need for T3 addition in therapy is not medicine-driven but cost-driven. Where then does the doctors' Hippocratic Oath stand? Harm is being done, and no-one seems to realise this or want to admit it. We stand outside every week and clap for the "coal-face" heroic doctors and nurses (my niece is one in London). But we don't and should not clap for the administrators, NICE backwoodsmen (women) and CCG's and the foot-draggers in the NHS who have yet (after all this time) still failed to force the lowering of T3 availability in close to the original price. The Lancet article is a despairing one where change advocated gets lost in the morass of the NHS administrative jungle. Why, in the name of sense, can the NHS justify a huge price for T3 in the UK whilst everywhere else much lower prices hold? It defies description.

Marz profile image
Marz in reply todiogenes

.... and could it be that the elderly in care homes have never had their T3 tested - nor other vitals - making them even more vulnerable. So many will be taking statins - water and blood pressure tablets though - hindering recovery. When will the powers that be - controlling our health - wake up ? The whole debacle is a scandal ..

jgelliss profile image
jgelliss in reply todiogenes

Thank You Diogenes for saying it so *Eloquently* . The name of the game is follow the

M-O-N-E-Y. The y have no shame.

Proof beyond question that thousands of patients are deliberately kept ill by the NHS.

Many more are being deliberately kept ill for lack of NDT. I believe that the reason offered of there being too much T3 in NDT has been categorically shown to be irrelevant.

m7-cola profile image
m7-cola in reply to

Some perhaps deliberately but the majority of medics seem to believe they’re right in restricting T3!!!

shaws profile image
shawsAdministrator in reply tom7-cola

Just like they did with NDTs which suited many -and what kind of people have made False Statements about a product which first saved the lives of hypothyroid people from 1892 onwards and even does so today - if permitted to have it prescribed.

Actually it was withdrawn due to the False Statements that were made in order to do so. Deceitful or what?

Those on this forum know far more than many of the experts who have restricted prescribing to levo alone. There was a small glimpse of light when it was stated that Endocrinologists could prescribe but so few do.

It seems to me that many 'at the top of the 'thyroid knowledge tree 'have actually no knowledge at all about how best to restore the patients' health and are also ignorant of the clinical symptoms, except researchers/scientists and thankfully Thyroiduk have some on board.

Dr Gordon Skinner - now deceased and Dr Peatfield - both were trained before Big Pharma thought of blood tests which cannot replace doctors' knowledge that Dr P and Dr S had.

Dr S was a pain in the side of the Endocrinology so for that he was punished by appearing before the GMC several times but always found not to be doing anything wrong.

Those doctors who were trained in symptoms alone (no blood tests then - only their knowledge of symptoms and NDT - saved thousands of lives worldwide prescribing NDT and with no blood tests at all. If NDT is good enough - in these modern times - for Mrs Clinton and Oprah Winfrey it is good enough for those of us who would at least like a trial or maybe had it removed from being prescribed.

in reply tom7-cola

Pure ignorance, stupidity or carelessness translate into deliberate action or inaction when applied to a doctor.

jgelliss profile image
jgelliss in reply to

There is more *Profit* for them in keeping society sick than healthy . Instead of giving the right thyroid meds patients need to feel *Optimum* T3/NDT/T4 they would rather subscribe anti depressant meds , blood pressure pill, diet pills better yet bariatrics surgeries, heart medications, diabetic med, sleeping pills, pills for osteoporosis etc.

And now you know the rest of the story .

crimple profile image
crimple

Thanks for posting Shaws, it's truly shocking and especially when we have recently been told about the way Covid is affecting those in most deprived areas too,. How can they claim it is a National Health Service when it is such a post code lottery.

Whoever the procurement people are for NHS need a bomb under them, they haven't just failed with T3 (which costs £30 in Germany) but also with PPE procurement.

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