What a difference time has made on thinking on thyroid function diagnosis

[diogenes]

This 2014 article was the concerted work of many major influencers in thyroidology and treatment. Comparing the one here with 2021/2 discussions, it is educational to see how far their original stance has been subtly changed over the 7-8 year period. I'm showing it to contrast ways of thinking then and now. It shows both how opinion has shifted but the basic understanding underlying changes has not yet been understood. Downloadable at least for me.

 SPECIAL ARTICLE  

Guidelines for the Treatment of Hypothyroidism Prepared by the American Thyroid AssociationTask Force on Thyroid Hormone Replacement

 Jacqueline Jonklaas,  ,Antonio C. Bianco, Andrew J. Bauer, Kenneth D. Burman, Anne R. Cappola, Francesco S. Celi,  David S. Cooper, Brian W. Kim, Robin P. Peeters,  M. Sara Rosenthal,  and Anna M. Sawka 

THYROID Volume 24, Number 12, 2014ª American Thyroid Association DOI:10.1089/thy.2014.0028   

Link to article liebertpub.com/doi/full/10....

[Edited by admin to include link]

[Catseyes235]

Any chance you could summarise the findings ..the link doesn’t work but I’d be happy to hear what those changes are!

[caledoniancat]

I see Catseyes has difficulty with the link, but this is just to let you know that the link worked for me (using android etablet). Haven't read the article yet but will do. Thanks

[Angel_of_the_North]

So they are still obsessed with TSH and have no clue about the significance of T3 levels. Bah!

[diogenes Remembering in reply to Angel_of_the_North]

By suggesting some change in thinking over the 10 years or so, I'm also showing that the now discredited paradigm for thyroid diagnosis and treatment still constitutes the basis of their thinking then and now. All that has happened is that they admit a subsection of patients unsatisfied with T4 only may need T3 to help them gain some sort of balance, but at the same time, try to weave in this change into the accepted paradigm of thyroid activity without realising a) they can't and b) if so try to suppress its implications. No way will doctors, even in the present, admit to 30 years of failure based on a faulty decision tree involving TSH as the chief controller and T4 as the accepted treatment.

[BB001 in reply to diogenes]

Depressing.