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On this subject ( not all of them) I can't see what Ive got mentioned ,namely Disease Related Supression of TSH .Here you get supressed t4 BUT also tsh not elevated .Due to something called Hysteresis which Diogenese pointed to me. It is a consequence of an earlier episode of bad hypERthyroid or thyrotoxicosis ( "Hashi- hyper" caused by anti tpo antibodies) which is treated with an extended period of "block and replace" therapy .All of this results in a blocking off of the upper range of tsh .So when the presence of anti tpo antibodies eventually progresses to a reduction in thyroxine production ,it doesn't show up as elevated tsh ( because this top range is blocked off) . With the NHS " protocol" of only looking at tsh , the GPs don't "clock" the low t4 .I had a situation where my t4 was 40% below min range but tsh not elevated, so I was refused treatment by NHS for well over 5 years . Rant over ,but I just don't want others to suffer as I did and still am .
I would like to know if anyone else has this experience .Also any articles on it .I have a couple but the more the better so I can try to explaine it yo GP. Psychiatrists know about it but not GPs or Endocrinologists .
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