Dr. Bianco: video from Thyroid Foundation of Canada

[gabkad]

from 9 months ago. Somehow it ended up in my youtube feed this morning.

He makes the point that L-thyroxine doesn't always manage to result in good

fT3 levels and patients need Liothyronine.

youtube.com/watch?v=PGlYO_H...(Not working as expected?)

[mrskiki]

I watched one of his presentations around that time, My FT3 dropped 20-25% on levo, and I don’t think I’m ever well now, and more tired than ever so it fits my situation quite well and I hope he continues to promote this.

I realise there are conflicts as the patients he specifically treated didn’t have suppressed TSH, but for me and many others it would be a step in the right direction and I hope he and others continue to stand his ground against the anti thyroid brigade. Especially after disappointing response on the latest petition. Just being able to have a conversation with GP or nurse about FT3 levels would be a relief, and then some guarantee of them not throwing a tantrum or worse when I end up self treating on T3.

[gabkad in reply to mrskiki]

He does say that there are people who only feel well when TSH is suppressed and he doesn't think that TSH has any other function in the body except to stimulate the thyroid.

To me it makes sense that TSH should be very very low when a person is properly dosed because it indicates that the pituitary doesn't need to stimulate the thyroid.

Of course, everyone is unique and that's why doctors need to coordinate dose with not only lab results but also how the patient feels. And not gaslight the patient by saying their poor quality of life must be for some other reason but then show no interest in determining what that might be.

[mrskiki in reply to gabkad]

Yes, I just wish he and a few others did the GP training sessions, the last one was dire to say the least

[TaraJR in reply to mrskiki]

Yes I watched too. So depressing.

[TaraJR in reply to gabkad]

EXACTLY this!

How can TSH be a useful tool when there's no thyroid gland left to stimulate?!

[Bearo]

I thought Bianco only approved of Lio if TSH was kept “within range”.

Has he changed his views?

[gabkad in reply to Bearo]

He still prefers that but acknowledges that there are people who feel best when TSH

is suppressed. He also acknowledges that there are a few people who can only respond well if they are only on T3. He doesn't know why this is the case and no studies have been done to figure it out, but he accepts that there are people like this.

I am not familiar with anything he might have said in the past. The only thing I've seen so far is a couple of more recent videos like this one.