Sing with me:

A-B-C-D-E-F-GGGGG
The TSH and symp­toms do NOT AGREE
Q-R-S
T-U-V
How long will it take doc­tors to SEE
Now we’ve said our ABC’s
How many doc­tors do we have to FLEE???

Yup, some­ti­mes even something as sim­ple as a rewor­ked nur­sery rhyme song says it all. Because as long as doc­tors look at the TSH as a relia­ble mar­ker of thy­roid func­tion, patients con­ti­nue to suf­fer. Why? Because the TSH lab is FLAWED, and the proof is in the pudding.

I work with nume­rous thy­roid patients, both here and other sites, as do seve­ral other thy­roid patient advo­ca­tes who run the forums here. And I can’t begin to count the OVERWHELMING num­ber of patients who come to us in des­pe­ra­tion because they have a “nor­mal” TSH, yet screa­ming hypothy­roid symp­toms, and a doc­tor who refu­ses to treat them because he has the myo­pic view that the TSH is a relia­ble win­dow into the func­tion of the thyroid.

The TSH is a relia­ble win­dow into the func­tion of the thy­roid as much as a sto­mach ache is a relia­ble indi­ca­tion that it’s about to rain.

No one said it more aptly that Dr. David Derry in an inter­view by Mary Sho­man: “Why are we follo­wing a test which has no corre­la­tion with cli­ni­cal pre­sen­ta­tion? The thy­roi­do­lo­gists by con­sen­sus have deci­ded that this test is the most use­ful for follo­wing treat­ment when in fact it is unre­la­ted to how the patient feels. The con­se­quen­ces of this have been horren­dous. Six years after their con­sen­sus deci­sion Chro­nic fati­gue and Fibrom­yal­gia appea­red. These are both hypothy­roid con­di­tions. But because their TSH was nor­mal they have not been trea­ted. The TSH needs to be scrap­ped and medi­cal stu­dents taught again how to cli­ni­cally recog­nize low thy­roid conditions.”

It’s called cli­ni­cal evi­dence by the recog­ni­tion of symp­toms, not cli­ni­cal evi­dence because of ink marks on a piece of paper!!

No won­der thy­roid patients have lost so much res­pect for doc­tors! Most doc­tors have become akin to pilot­less airc­rafts ope­ra­ted by the mind­less remote con­trol of their medi­cal school trai­ning and the phar­ma­ceu­ti­cal reps who tin­ker with their engines.


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  • Check out the patient-to-patient book with even more detail (and which doc­tors seem to res­pect more than websites).
  • Need to unders­tand all your best options for thy­roid treat­ment? Go here.
  • Keep infor­med of each live Thy­roid Patient Com­mu­nity Call on Talkshoe by sig­ning up as a follo­wer.

14 Responses to “Let me say it clearly – the TSH does not work”

  1. PAULA HARRIS said:

    Jun 27, 06 at 11:02 am

    My daugh­ter was diag­no­sed at 13 with Gra­ves, and after RAI she has con­ver­ted to hypothy­roi­dism. She was being trea­ted only with Synth­roid for the last year. After noti­cing she ws still fee­ling not quite her­self ‚we had her teted and found her free t3 dec­rea­sed> We added t3 to her treat­ment and now she is fee­ling much bet­ter. After seeing 7 dif­fe­rent phy­si­cians trying to get a diag­no­sis, I have lear­ned that the patient or their parents need to take con­trol. You unders­tand what is going on bet­ter than the doc­tors. My daugh­ter has a thy­roid storm twice and gra­te­fully we knew what was hap­pe­ning and sought emer­gency treat­ment.
    My advice: don’t give up and ask for a test. It is your life and the life of your child.

  2. Mark said:

    Jul 04, 06 at 7:23 pm

    I have had thyroid/adrenal gland pro­blems for over 20+ years now and it sure is a major relief to find this site. I have only recently dis­co­ve­red the real cure for hypothy­roi­dism and this site adds even more great infor­ma­tion. To make a long story short, I found my ans­wer when I heard Dr. Hotze’s radio show (am 700 KSEV in Hous­ton) and first heard of Armour thyroid.

    Dr. Hotze was a con­ven­tio­nal dr, but almost quit because he couldn’t really help his patients with all the stan­dard drugs that only cover up symp­toms and do not iden­tify and remove the cause the ill­ness. By the grace of God, he ran into many others who led him down the right road to pro­per health treatments.

    His ser­vi­ces are very expen­sive ($2,500 and up) because he does not use insu­rance com­pa­nies, which end up con­tro­lling the care a doc­tor can give to their patients in a nega­tive way. The upside is that he has total con­trol and can give the best care pos­si­ble. His web­si­tes will prove very help­ful to any body with hor­mone problems.

    As an alter­na­tive, Dr Pharo does a simi­lar ser­vice for much much less. http://www.awakenhealth.com/id4.htm

    Hope all is well!

  3. PN said:

    Jul 08, 06 at 2:32 pm

    It just hit me this week that doc­tors will ignore all or our com­plaints of com­mon symp­toms of hypothy­roi­dism;
    exhaus­tion, unex­plai­ned weight gain, eye­brow and hair loss, skin disor­ders, cons­ti­pa­tion, brain fog, heavy periods, depres­sion, fee­ling cold all the time…
    YET, let us have even ONE symp­tom of HYPERthy­roi­dism, such as high blood pres­sure, fee­ling warm (which can be cau­sed by medi­ca­tion) or irri­ta­bli­lity (which can be cau­sed by endos) we are bran­ded hyper.

    Their worship of the TSH test, which has been pro­ven to be use­less in patients who are already taking armour, and their insis­tence that synth­roid is supe­rior des­pite all evi­dence to the con­trary lea­ves patients won­de­ring if they have for­got­ten the most impor­tant part of their oath, ‘first, do no harm.’

  4. faith said:

    Jul 12, 06 at 10:21 pm

    I some how hap­pe­ned across your web site. I have been trea­ted for hypo thy­roid for 17+ years. I was diag­no­sed after I gave birth to twins. I am so tired of going from doc­tor to doc­tor. I know my family thinks I’m crazy, but I am soooooooo tired of being tired. I have so many of the symp­toms today that I had 17 years ago when I star­ted this ven­ture. I have lost so many good years but I don’t know where to go? All I hear is your TSH is nor­mal, with the medi­cine you are taking. Don’t they think I should know what is nor­mal? please email me with some ideas on where to go from here?

  5. Janie said:

    Jul 13, 06 at 6:51 am

    Faith, just peruse this site and you’ll find everything you need. Read T4-ONLY MEDS DON’T WORK, then NATURAL THYROID 101 and THINGS WE HAVE LEARNED. Look at HOW TO FIND A GOOD DOC. And before you visit the new doc, read MISTAKES PATIENTS MAKE to avoid them. Become fami­liar with the page RECOMMENDED LABWORK. All can be found in the links to the left of the page. I also have a SITE MAP page to find any page on this site. If you want one-on-one help, go to the FORUMS. And remem­ber: YOU are your own best advo­cate in the face of doc­tors who are kee­ping patients sick. Become infor­med. This site will help you. We’ve trea­ded the path before you and this site gives you what we have lear­ned. :) Janie

  6. Zev Lewinson said:

    Jul 16, 06 at 9:57 am

    Hello. I’m just ama­zed at this site. Sam, who is one of the con­tri­bu­tors in the STORIES OF OTHERS page here, saw a post I once pla­ced and emai­led me this URL. I’ll be rea­ding it and I’ll keep in touch. I’m the CEO of a mort­gage com­pany and a wri­ter of chil­drens sto­ries. I’m 53 and I lost my thy­roid because of mer­cury poi­so­ning. It’s a bit of a long story which I can’t get into now. I merely wan­ted to express my sin­cere thanks for your efforts with regard to crea­ting this site. Thanks so much! Sin­ce­rely, Zev

  7. Kelly said:

    Jul 19, 06 at 5:44 pm

    New lab tests…TSH = 0.050 range: 0.350 – 5.500
    T4= 10.2 range: 4.5 – 12.0
    T3 uptake = 32 range: 24 – 39
    Free T Indez = 3.3 range: 1.2 – 4.9.
    I have been on 100 Levo + 30 mg Armour + 25mg Cyto­mel daily. I split the Cyto and Armour and multi dose. After seeing these results, can anyone tell me WHY the doc would tell me to cut BACK on the meds? If the T3 and T4 are mid range shouldnt I stay with what I’m taking or even slightly inc­rease? Seems this is pro­ving the point of the weight the docs put on the TSH and ignore the T3 + T4. By the way, my temp is still below 98 in the AM and PM, I am dog-tired, still losing hair and strug­gling to lose an ounce. Stay with the dose or inc­rease — advice? Thanks

  8. Administrator said:

    Jul 27, 06 at 11:02 am

    Hi Kelly. Your infor­ma­tion and ques­tions really belong over at the forums. You can find a link to them on the left of any page, towards the bot­tom of the links. (And by way, you need to strongly request having the free T3 and free T4, not a sim­ple T4, or the use­less Uptake.)

  9. SeaLady said:

    Aug 30, 06 at 3:51 pm

    I went to my GP for 14 yrs, sleep was my main pro­blem, follo­wed by hip pain — he said I had bur­si­tis, but isn’t that when there is exces­sive use of the joint I asked???

    I Had exhaus­tion, unex­plai­ned weight gain, eye­brow and hair loss, dry skin, rid­ged fin­ger­nails etc.

    I did not know anything about the thy­roid — he finally did blood­work, a TSH was inc­lu­ded — he just told me I was nor­mal. I didn’t know better.

    Years later with the same com­plaints plus.….he again chec­ked my thy­roid — NOPE your nor­mal, you need to get more exer­cise and eat better.

    Could I kill him???? Maybe.….….when I finally switched doc­tors, in my Meet and Greet well­ness visit, he said: You have thy­roid pro­blems??? I said No.……its been tes­ted and is normal.

    He said “I don’t think so, you need an ultrasound”

    Well, enlar­ged thy­roid, goi­ter and 7 nodu­les were han­ging out in my throat.

    Please, please can someone tell me HOW the other doc mis­sed this?????? He not only relied on the won­der­ful TSH test, but he didn’t even bother to feel around on my neck!!!!!

    AND peo­ple won­der why we do not trust Doctors????

    Paleeeeeese!!!!!!

  10. leisa said:

    Sep 09, 07 at 11:01 am

    me too!! 3 yrs of total hypo symptoms…i was put on 1/2 grain. symp­toms wor­se­ned. NEVER has a doc felt my throat.now finally one thinks I have a nodule.

  11. Marie said:

    Aug 07, 08 at 10:02 am

    I’m glad to have found this web­site but am not sure if my ans­wer is here. I was hyper at 8, trea­ted until 18. Then hypo at 22 (or at least that’s what the dr said). Levoxyl until 41 yo. Always exhaus­ted, dr said num­bers per­fect, diag­no­sed with Fibrom­yal­gia, Mixed Con­nec­tive Tis­sue Disease, depres­sed, anxious…Anyway, switched to Armour 120 mg. Felt heavy arms and legs, same other symp­toms. Lowe­red to 90 mg, felt bet­ter. TSH was 31, T3 was 23.3, and T4 was 3.4 (I don’t think these are the Free tests you talk about) Dr said I nee­ded more Armour, now on 105 mg, and fee­ling the arm and leg symp­toms and such fati­gue, not slee­ping well. I think I’m over medi­ca­ted again. I’m going to get your book. (from Janie: you have adre­nal fatigue)

  12. Kim Reeves said:

    Jun 05, 09 at 10:18 pm

    I have weight gain, severe hair loss, memory pro­blems, frog in throat, dry skin, very sore skin around joints, rin­ging in my ears, severe char­lie hor­ses in legs, feet, free­zing all the time, cold hands, cold feet, men­tal con­fu­sion, pain in neck..like cho­king, hoars­ness, very exhaus­ted, severe mood swings, irri­ta­bi­lity, rages, heart pal­pi­ta­tions, blu­rred vision, ankle swe­lling, irra­tio­nal beha­vior, low ferritin…my doc felt a nodule on my thyroid..but the tsh is normal..so he says.. nope no thy­roid problems..you are fine.. Really, can someone direct me what to do now.. ? I am not fine, my daugh­ter is hypo as well as my grand­mother I am at the end of my rope here. I have been dea­ling with this for 20 plus years.….help!!

  13. Amber said:

    Jul 07, 09 at 6:51 am

    Star­ting at age 22, I began to rapidly inc­rease in weight, going from 135 to 213, within months. I can not get the weight off no mat­ter what I try, eating healthier, exer­ci­sing, not eating, nothing works. I am extre­mely fati­gued all the time. I have cons­ti­pa­tion, low tem­pe­ra­tu­res, a bloc­ked fee­ling in my throat (like its hard to swa­llow). I have got­ten a thick layer of fat around my neck that sticks out and looks awe­ful. I was always very thin prior to the age of 22. I had a TSH com­ple­ted in June 2003 and the GYN said it was nor­mal. She just com­ple­ted another on July 06, 2009 and I haven’t got­ten the results back yet, so we’ll see, but if they come back nor­mal, I don’t know. I still feel like I have mul­ti­ple symp­toms of Hypothy­roi­dism, but every­time I ask my pri­mary phy­si­can or OBGYN for tes­ting they only do TSH test!!! I’m so frus­tra­ted!! What to do??

  14. April said:

    Aug 10, 09 at 12:01 pm

    Hey Amber…I have the same exact symp­toms as you com­plete with the same amount of crazy weight gain around that same age. I am now 31 and I eat right and hit the gym all to no avail. I also have that full­ness in the neck too. I just had a TSH test taken a week ago and am awai­ting the results as well. The doc did feel my neck though and her res­ponse was “Oh WOW! Yeah something is going on there!” And orde­red the test. So I am wai­ting and won­de­ring now if it will even be accurate.


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