This downloadable paper deals with the uncommon treatment-refractory hypothyroid state. May help some posters here and is a useful paper to add to the TUK archive.
J Endocrinol Invest (2017) 40:1289–1301
DOI 10.1007/s40618-017-0706-y
REVIEW
Diagnosis and management of treatment-refractory hypothyroidism: an expert consensus report
M. Centanni, S. Benvenga, I. Sachim
Diogenes, thank you for posting.
It amazes me the number of people who are on longterm protein pump inhibitors, such as Omeprazole who are unaware of the effect of the medication on their absorption of nutrients and other medications. Their doctors seem to be unaware as well.
Of course treatment for various autoimmune (and other) diseases requires medication that then requires ppi to protect the stomach, but I do sometimes wonder whether this is creating a catch 22 of other health conditions (and would recommend people to speak to their doctor before discontinuing Omeprazole or alternatives).
The Hypothyroidism Treatment Debate
Hypothyroid treatment not working
Levothyroxine is the treatment of choice for hypothyroidism
Hypothyroid NHS treatment
Naturopathic Hypothyroid Treatment
