Extremely interesting....

[Easylover]

The Swinging Pendulum in Treatment for Hypothyroidism: From (and Toward?) Combination Therapy - PMC ncbi.nlm.nih.gov/pmc/articl...

[waveylines]

In the UK there is no sign of the pendulum swinging back in favour of combination thyroid hormones. The situation seems to have worsened.... But as the UK tends to follow the USA I live in hope that one day..... 🤞🤞🤞

[Easylover in reply to waveylines]

Me too. It's truly awful that they know nothing about the human body n it's needs of thyroid hormone, timing and interaction w other hormone. God is G♡♡d to give us Paul Robinson and his first book. Amazing. There is hope. But NDT is nothing like T3 mono therapy. So, trying to figure it out has been a real brain twister.

[arTistapple]

This I think, is the piece of research quoted by Dr. Peter Taylor in his debate with Rofessor K. Boelart. Taylor at least seems to be genuinely interested in the outcomes for patients. It’s 2019 so it’s ‘newish’ in medical terms. That is, hardly anyone in endocrinology is taking a blind bit of notice (except Taylor) for maybe the next twenty, thirty or forty years.

I think it’s a pretty thorough piece of work. It is created within context. It tabulates the history, quotes the research that the likes of Pearse and cronies are ignoring (or twisting to suit themselves) but also highlights one of the major problems (I think) of hypothyroid treatment. It is highlighting the need for ‘individualisation’ and it would need time and resources invested in each patient to implement.

There lies the rub for NHS number crunching medics and/or NICE and most importantly our government - allegedly sworn to protect its citizens. The ‘Powers that be’ don’t have the inclination. Number crunching is great for careers. “See how much money is being saved!”, whilst that is a complete red herring as we know. Not only can endocrinologists (jaundiced view) have their NHS careers, they can rack up multi thousands of pounds practising privately. However for some genuine doctors this may be the only way they are ‘allowed’ to truly help patients. How do we differentiate?

I think ‘individualising’ could quite easily be created within our system of medicine. Granted there would have to be front loaded investment. However it should pay back in terms of satisfied, productive patients, able to look after their families, able to take part in their communities, businesses and less of a burden on a very expensive welfare state. Very importantly, a reduction in NHS treatment of co-morbidities.

When we have this incredible concept - the NHS - off course, ‘they’ should be taking up this ‘idea’ but they just are not. We have in this country many charities set up which support the gaps in NHS care, perhaps this is a possible route. (Thyroid UK?). Some resources could be channeled through small experimental set ups. Similar to ‘drop in’ centres we see for so many disenfranchised groups throughout the UK. Many properties are owned and under utilised by NHS/Local Authorities etc. A few doctors could be released for short term ‘projects’. This would be novel, considering of about twenty clinics set up for the purpose of teaching and developing junior doctors in the specialism of endocrinology in Newcastle upon Tyne, I could find no clinic set up for junior doctors for plain old hypothyroidism. This in itself smacks of total disinterest. There might be something hidden in the curriculum off course.

National Guidelines stifle any real progress in this field and we live with the terrible reality. However ‘they’ seem to manage a similar type of progress/process for diabetics. Heck these patients can monitor themselves freely at home, with medical back up when/if necessary.

[serenfach]

Thanks for flagging this. I am going to send it to my so called Endo who said TSH is the golden rule.

[Easylover in reply to serenfach]

Thank you!!!

[TopBiscuit]

Very interesting! Thank you for posting