There is lots of sense to his questions but in a situation in which struggling to get beyond a TSH test is hard work and/or expensive, it is going to be extremely hard to identify the causative factors.
So I end up having a lot of agreement with the principle, but profound scepticism over whether it can be achieved in this real world for more than a small proportion of people.
Here here! When you suggest to your doctor that you might have an adrenal problem, and he stares blankly back at you muttering, "adrenals, adrenals..." as if he's trying to remember where he left them, there's not much hope of him managing to diagnose a seretonine problem, is there!
Seems to me he's just saying what most of us have been thinking but don't say it out loud because we know what the response will be.
I think that's why I get on my GP's nerves so much - I make her explain everything by asking WHY. She has even said to me on occassions "this is a bit complicated" but I still dont let her off the hook. I need to know the why's and wherefores to be able to understand this condition.
Lol! My GP once said to me, when I was asking her why my TSH was so low, given my T4 was right at the bottom of the 'normal' range... and she responded with the 'You have to understand that this is not an exact science, there are lots of variables, and you can't go just by the numbers...'
I think she regretted that when she told me my problem definitely wasn't my thyroid as the blood tests were in the normal range.... and I said 'But I thought that you couldn't go by just the numbers....' Our relationship has deteriorated since then.
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