t3 tags

I have lived in the Uni­ted Sta­tes my entire life.

And there are other coun­tries I have felt were simi­lar to my own as far as being modern, forward-thinking, and inte­lli­gent. The Uni­ted King­dom is one.

But there is one area in the UK that is as close to the Dark Ages as it gets: the treat­ment of all forms and degrees of hypothyroidism.

Because of the Bri­tish Thy­roid Asso­cia­tion (BTA) and the Royal College of Phy­si­cians (RCP) ‘gui­dance’ on the Diag­no­sis and Mana­ge­ment of Pri­mary Hypothy­roi­dism, most UK doc­tors refuse to presc­ribe any form of  T3, whether adding synthe­tic T3 to one’s T4, or using natu­ral desic­ca­ted thy­roid, either because they have fallen in line like ducks in a row, or they fear for their job.

Why? Because “overwhel­ming evi­dence sup­ports the use of Thy­ro­xine (T4) alone in the treat­ment of hypothy­roi­dism, and we do not recom­mend the presc­ri­bing of addi­tio­nal Triio­dothy­ro­nine (T3) in any pre­sently avai­la­ble for­mu­la­tion, inc­lu­ding natu­ral thy­roid extract, as it is incon­sis­tent with nor­mal phy­sio­logy, has not been scien­ti­fi­cally pro­ven to be of any bene­fit to patients, and may be harmful”.

Any­body puking yet??

And, says thy­roid patient advo­cate Sheila Tur­ner of TPA-UK, “never has the RCP, BTA  pro­du­ced any of the ‘overwhel­ming evi­dence’ they claim as sup­por­ting the use of T4-only, even though they have been asked to do so on nume­rous occa­sions. Overwhel­ming evi­dence sup­ports the use of synthe­tic T4/T3 and natu­ral thy­roid extract.”

And don’t think it won’t hap­pen where YOU live. Stu­pi­dity can abound.

What to do about it?? Ans­wer a short ques­tion­naire, crea­ted by Sheila and TPA-UK, which is for those with symp­toms of hypothy­roi­dism when trea­ted with T4-only, who then tried a T3 thy­roid hor­mone pro­duct with suc­cess. “The results of this ques­tion­naire will ena­ble us to create the first ‘World-wide Regis­ter of Coun­te­re­xam­ples to Levothy­ro­xine (T4) — only the­rapy’”, unders­co­res Sheila. “The objec­tive is to draw atten­tion to the dire need for an urgent re-examination of the exis­ting pro­to­col for the diag­no­sis and mana­ge­ment of the symp­toms of hypothyroidism.”

Don’t wait until stu­pi­dity and narrow-mindedness comes to where you live, as it also has in the country of Colum­bia, where Cyno­mel (T3) was reti­red more than 10 years now.  Give this a voice NOW to head it off at the pass.

P.S. While you are at it, sign up with Dr. Skinner’s World Thy­roid Regis­ter.

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The STTM patient-to-patient web­site needs your help! I had to move the web­site to a far lar­ger ser­ver in order to handle the immense amount of visits this site gets. And a lar­ger ser­ver means higher yearly costs to host it. I can’t do it alone, as my money tree was killed by pine beet­les and my hus­band won’t tell me what his Swiss Bank Account num­ber is. So your dona­tions can help keep Stop the Thy­roid Mad­ness up and run­ning for your­self and other patients just like you! If you appre­ciate STTM, please go here to make a dona­tion to the hos­ting fees. I do not get it! The hos­ting com­pany does.

The large size STTM t-shirts are now gone. If you can wear an X-large or XX-large and want to spread the word to others, go here. And the bum­per stic­kers REALLY catch atten­tion!! I am stop­ped in par­king lots because of mine. YOU could change someone’s life!

The Con­tact Me page on STTM hasn’t been wor­king for weeks. And I didn’t know it.  But it’s fixed now.  Remem­ber: it’s not to ask ques­tions about your per­so­nal treat­ment. Those need to go here.

The STTM book helps in your doctor’s office. Have brain fog? Many patients are telling me they take the book right in the office, book­mar­ked. I can’t pro­mise how your doc­tor will res­pond, but it’s been posi­tive for most when a book is refe­rred to right in front of the doc. I hope it helps you, too.  P.S. Only books orde­red directly from the publishing com­pany get a book­mark of upda­ted info. That’s also true if you have a book sent to a rela­tive or friend.

A huge dis­co­very over the last few years by thy­roid patients is the wides­pread pro­blem of high levels of Reverse T3, aka RT3, in many patients. And those thy­roid patients have to use a T3-only pro­duct for awhile to lower the high RT3, which comes from the T4 in desic­ca­ted thyroid.

Higher levels of RT3 can occur in the pre­sence of adre­nal fati­gue, low B12, low ferri­tin, and other issues, all which need treat­ment to stop the RT3 pro­blem. And in case you are one who is on the Pad­dock brand of T3, this comes from the FDA this week:

PRODUCT
Liothy­ro­nine Sodium Tablets, USP 5 mcg, RX only, Net con­tents 100 tablets, NDC0574-0220 – 01, UPC code (01) 00305740220016. Recall # D-695‑2010
CODE
Lot # 9C548
RECALLING FIRM/MANUFACTURER
Reca­lling Firm: Pad­dock Labo­ra­to­ries, Inc., Min­nea­po­lis, MN, by let­ter dated May 18, 2010.
Manu­fac­tu­rer: Metrics Inc., Greenville, NC. Firm ini­tia­ted recall is ongoing.
REASON
The recall is being con­duc­ted due to a sta­bi­lity fai­lure at the 12 month time­point; the assay value of this lot was found to be sub-potent.
VOLUME OF PRODUCT IN COMMERCE
11,064 bott­les
DISTRIBUTION
Nation­wide inc­lu­ding DC and PR

• Want to learn more about RT3 and the pro­blems it can cause you?? You can read about it here on STTM’s Reverse T3 page, plus more details in the STTM book chap­ter on T3.
• Like being infor­med?? Go directly to the STTM blog page and sign up for noti­fi­ca­tions on the left beneath the links.
• Need other thy­roid patients to talk to? Go to the Talk to Others page.
• Have ques­tions about what thy­roid patients have lear­ned? Check out the newest Ques­tion and Ans­wers page.

(Note: this is a long post, but will be worth every penny if you read it all!)

When STTM first put out its shin­gle in Decem­ber of 2005 (with most of what you see today going up in ’06 and ’07 with con­ti­nual addi­tions),  my goal with this site was sim­ple: to edu­cate thy­roid patients.

And as I saw it, by edu­ca­ting patients on what we had been lear­ning, patients could in turn, take that infor­ma­tion into their doc­tors offi­ces and push for change. And it’s been wor­king, slowly. We now have more doc­tors than ever before who know about desic­ca­ted thy­roid and are willing to presc­ribe it, even if they are the mino­rity. STTM has a page on how to try fin­ding one of those good docs.

But as I wrote about this fact in my pre­vious post, cer­tain patients can still find them­sel­ves frus­tra­ted, angry and sick because of doc­tors. It’s not a pretty pic­ture for some.

I am lucky, as I’ve always mana­ged to have a fair doc­tor to work with, without com­pli­ca­ted issues. But a lot of patients aren’t as lucky.  They either can’t find a doc­tor to treat them correctly after trying repea­tedly, or they simply can’t afford to keep dri­ving to find a good doc (with no pro­mi­ses that they will get the good doc they des­pe­ra­tely need any­way). As a result, many thy­roid patients report being for­ced to self-treat.

Even though STTM was never crea­ted as a self-treatment site, I am aware that some patients use it that way.  And I can never con­demn them. Gran­ted, a few who make their own choice to self-treat can run into pro­blems, most espe­cially from undis­co­ve­red or undiag­no­sed low ferri­tin or low cor­ti­sol. But it’s a choice they seem to make out of desperation.

The follo­wing  post is by  Guest Blog pos­ter and UK’s thy­roid patient advo­cate Sheila Tur­ner of TPA-UK.  These are her cou­ra­geous thoughts con­cer­ning self-treatment, and her angst against anyone who tells patients not to do so.  Ove­rall, UK patients have a very tough situa­tion in the UK with doc­tors, but so do the vast majo­rity of patients around the world, as well as US patients. See what you think…

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It’s not uncom­mon to be told as a suf­fe­ring and debi­li­ta­ted thy­roid patient to never self-diagnose, never self-treat, never self-monitor.

And in an ideal world, we could take those admo­ni­tions on. But we are not living in an ideal world.

You might as well tell every­body with ill health to put up with wha­te­ver they are suf­fe­ring and leave their health in the safe hands of our ‘won­der­ful’ doc­tors whom we can trust impli­citly.  Sadly, many doc­tors have little (or no) edu­ca­tion in the wor­kings of the thy­roid system.

Or, you might just try tou­ring the country until you find one who will help. Well, if you have the energy and the money to do that, it could take a heck of a long time before fin­ding such a good doc­tor —  indeed, IF you ever find such a doctor.

I run a very suc­cess­ful Inter­net Thy­roid Sup­port group, plus web site for thy­roid disease, and I have seen at first hand (and expe­rien­ced it myself) the night­mare of having to put up with the terri­ble suf­fe­ring cau­sed by Doctors.

In the UK, for exam­ple, it is orga­ni­za­tions such as the Royal College of Phy­si­cians and the Bri­tish Thy­roid Asso­cia­tion who have terri­fied NHS doc­tors so much that they now no lon­ger presc­ribe any T3 hor­mone con­tai­ning pro­ducts, neither natu­ral nor synthe­tic, for fear of being repor­ted to the GMC  regu­la­tory body with the threat of losing their career and livelihood.

One com­ment I hear from those who con­demn self-treatment is the pro­blem of over-medicating. In rea­lity, it is the rec­kless prohi­bi­tion of all T3-containing drugs that cau­ses car­diac arrhyth­mia and risk of  sud­den death -  which would amount to at least mans­laugh­ter, and might even cons­ti­tute mur­der if the out­come is strictly fore­seea­ble - which it is. It is NOT patients who should be cri­ti­ci­zed. They have been dri­ven to buying presc­rip­tion medi­ci­nes for thy­roid and adre­nal insuf­fi­ciency. Cri­ti­ci­zing self-treatment is an outra­geous claim and one that the medi­cal regu­la­tors would no doubt be deligh­ted to hear. Seems that not only are doc­tors beco­ming sorely afraid of the Regu­la­tors, those who con­demn self-treatment are also falling into the same trap.

The “basic pre­mise” that under­lies my own pur­pose and advo­cacy is to help those being left to suf­fer because the medi­cal regu­la­tors and govern­ment are refu­sing to give a pro­per diag­no­sis — and for those who do get a diag­no­sis, giving them levothy­ro­xine sodium-only as a thy­roid hor­mone replacement.

Whe­ne­ver a new mem­ber comes to TPA, we encou­rage them to read, read and read again and to look at the infor­ma­tion in our FILES sec­tion which is there for all to see. We tell them about the asso­cia­ted con­di­tions that go along with being hypothy­roid such as low adre­nal reserve, sys­te­mic can­di­dia­sis, mer­cury poi­so­ning and ask them to request blood tests from their doc­tor to see if their levels are low in the refe­rence range for ferri­tin, vita­min B12, vita­min D3, mag­ne­sium, folate, cop­per and zinc. We have infor­ma­tion on the rea­sons they need to check these and if any of these are a pro­blem, make sure they are aware of just how essen­tial it is that they eli­mi­nate these con­di­tions, one by one, before star­ting thy­roid hor­mone repla­ce­ment – such con­di­tions are NOT auto­ma­ti­cally chec­ked by NHS doc­tors – and they put their patients at great risk by auto­ma­ti­cally presc­ri­bing levothyroxine.

We all know of the serious rami­fi­ca­tions for those patients who are not being given a correct diag­no­sis or treat­ment. Howe­ver, it is the endoc­ri­no­lo­gists and medi­cal regu­la­tors who are guilty of cau­sing much of the unne­ces­sary suf­fe­ring, not those patients who are dri­ven to self diag­nose, self treat and self moni­tor, as those who cri­ti­cize self-treatment would have us believe.

Mains­tream doc­tors do not appear to be even aware of the many com­mon and often undiag­no­sed symp­toms and dan­ge­rous con­se­quen­ces of low thy­roid. These inc­lude: serious men­tal pro­blems, sei­zu­res, heart disease, dia­be­tes inc­lu­ding mis­diag­no­sis and com­pli­ca­tions, cons­ti­pa­tion resul­ting in colon can­cer, all female pro­blems (due to high amounts of dan­ge­rous forms of oes­tro­gen), inc­lu­ding: tumours, fibroids, ova­rian cysts, PMS, endo­me­trio­sis, breast can­cer, mis­ca­rriage, heavy periods and cramps, blad­der pro­blems lea­ding to infec­tions, anae­mia, ele­va­ted CPK, ele­va­ted crea­ti­nine, ele­va­ted tran­sa­mi­na­ses, hyper­cap­nia, hyper­li­pi­de­mia, hypogly­ce­mia, hypo­na­tre­mia, hypo­xia, leu­ko­pe­nia, res­pi­ra­tory aci­do­sis and others.…

If suf­fe­rers of the symp­toms are NOT get­ting a pro­per diag­no­sis and the thy­roid hor­mone repla­ce­ment that would give them back their life and health through mains­tream doc­tors, how on earth would you recom­mend they do this, apart from scou­ring the country to find a doc­tor elsewhere who would help them, or recom­men­ding they get enough money together to see a pri­vate thy­roid spe­cia­list. Do you REALLY have such com­plete faith in the medi­cal pro­fes­sion to know that we should ALL leave our thy­roid health in their hands, sit back and do nothing – and pro­bably just wait to die? How can you recom­mend that they do NOT buy presc­rip­tion medi­ca­tions and should not self-medicate, self treat or self moni­tor when there is NO other option left open to them.

If those who cri­ti­cize self-treatment have per­so­nally heard from “DOZENS” of peo­ple who have follo­wed the “inc­rease my own dose of natu­ral thy­roid” self medi­ca­tion approach, then yes, something is seriously wrong with the ‘teachings’ or advo­cacy of such groups. Edu­ca­tion should be encou­ra­ged by all, and if mem­bers do not unders­tand the rea­sons why they need to take great care, such expla­na­tions should be given in such a way that they understand.

I rarely hear of mem­bers ending up in Emer­gency Rooms batt­ling poten­tially fatal heart arrhythmia’s, atrial fibri­lla­tion, and/or ending up in worse health than before, inc­lu­ding long-term and per­ma­nent heart damage through self-treatment. I have heard of many NHS patients being admit­ted to A and E, who had been trea­ted (or not) by mains­tream doc­tors who refu­sed them the correct the­rapy their symp­toms needed.

In good cons­cience, I do recom­mend that thy­roid patients self-diagnose, self-medicate and self-treat if they are being left to suf­fer, because orga­ni­za­tions such as the RCP, BTA TSH refe­rence range is so huge that they will never go outside of it. This refe­rence range is 0.5 to 10.0 in the UK – pro­bably the widest in the world. Then, we have to put up with the fact that the only thy­roid func­tion test that will be done is the TSH –  and doc­tors will not test Free T4 in a lot of cases, never mind free T3 level. Also, NHS Patho­logy labs refuse to test free T3 even if the doc­tor has spe­ci­fi­cally reques­ted it. So, many of us will NEVER get a pro­per diag­no­sis – being left to suf­fer their unne­ces­sary symp­toms for years and become wheelchair/bed bound in many cases, having to leave paid employment.

Such patients are told they have a ‘func­tio­nal soma­to­form disor­der’ when their TFT’s are nor­mal, when they con­ti­nue to com­plain of symp­toms – or –  those who are lucky enough to get a diag­no­sis, who are trea­ted with levothy­ro­xine only yet still com­plain of debi­li­ta­ting symp­toms are told also “you have a func­tio­nal soma­to­form disor­der” or “your symp­toms are non-specific” .

What mains­tream doc­tors do not recog­nize is that thy­roid func­tion tests ONLY test the amount of thy­roid hor­mone being sec­re­ted by the thy­roid gland.  TFT’s (more correctly should be called Thy­roid GLAND func­tion tests”, do not test to show whether there is periphe­ral resis­tance to the thy­roid hor­mo­nes at the cellu­lar level. This is not due to a lack of thy­roid hor­mo­nes sec­re­ted by the gland. Blood tests do NOT detect Type 2 hypothy­roi­dism. Type 2 is usually inhe­ri­ted. Howe­ver, envi­ron­men­tal toxins may also cause or exa­cer­bate the pro­blem. The per­va­si­ve­ness of Type 2 has yet to be recog­ni­zed by mains­tream medi­cine, but already is in epi­de­mic pro­por­tions. I think many suf­fe­rers of the symp­toms of hypothy­roi­dism know very much more than their medi­cal prac­ti­tio­ners. I do know which road I would like to follow – that is to find an exce­llent doc­tor I could trust impli­citly, but sadly, the ONLY road many of us have to follow to get back nor­mal health is the one where we have to self medicate.

Please do NOT blame patients who are dri­ven to self diag­nose and medi­cate as being the rea­son why the US govern­ment, or any other govern­ment for that mat­ter, are now eli­mi­na­ting the avai­la­bi­lity of natu­ral thy­roid and synthe­tic T3. You are being suc­ked into belie­ving what they want you to believe.

Levothy­ro­xine is a synthe­tic medi­ca­tion that can be paten­ted, and has made billions of pounds for the Big Pharma and for the regu­la­tors of hypothy­roid gui­de­li­nes. Natu­ral thy­roid pro­ducts can­not be paten­ted. Should doc­tors presc­ribe either synthe­tic or natu­ral T3, the majo­rity of suf­fe­rers of the symp­toms of hypothy­roi­dism would regain their nor­mal health – Big Pharma would suffer.

You should perhaps read the book “Dirty Medi­cine” by Mar­tin J Wal­ker if you have not already read it. Those who cri­ti­cize self-treatment appear to be accu­sing all those suf­fe­ring symp­toms of hypothy­roi­dism who have been dri­ven to buying medi­ca­tions without presc­rip­tion and self trea­ting as making it worse for the rest of those suf­fe­ring. It is NOT them who are abu­sing T3. If a T3 hor­mone con­tai­ning pro­duct was pro­perly presc­ri­bed, there would be NO NEED FOR PATIENTS TO BE SELF MEDICATING.

Self medi­ca­ting, wha­te­ver drug we are taking, whether using a T3 hor­mone con­tai­ning pro­duct or not, is always risky and patients must be fully edu­ca­ted in its use. Howe­ver, self medi­ca­ting with any drug runs risks, but I would rather self medi­cate with the chance of get­ting my health back than lea­ving my health in the hands of totally incom­pe­tent doc­tors –  incom­pe­tent because the teachers in our medi­cal schools are incompetent.

For those who are being left to die, without the treat­ment that will make them well, do-it-yourself medi­ca­tion is the only option left open to them. Would you really deny them this?  Lea­ving patients without the thy­roid hor­mone they need is appa­lling and one of the rea­sons TPA is cam­paig­ning to bring about chan­ges in the diag­no­sing and treat­ment of the symp­toms of hypothyroidism.

It can be appre­cia­ted to say to work with the right doc­tor, but what do you recom­mend if patients can­not find the ‘right’ doc­tor?? Perhaps you should all come over here to the UK and help those suf­fe­rers in fin­ding the right solu­tion and offer to help them help to find a “good doctor”.

Sadly, there are never any solu­tions given or alter­na­tive to self diag­no­sing, self-treating or self-monitoring, other than to “find a good doc­tor”. This does not help Inter­net thy­roid sup­port forum members.

Sheila
http://www.tpa-uk.org.uk/

(Side note: I feel so stu­pid. If you have sig­ned up to receive noti­fi­ca­tion of STTM’s blog posts (see sig­nup on left below links), I have inad­ver­tently fai­led to check a par­ti­cu­lar box for the emails to go out. I won’t make that mis­take again. See the two posts below, which you weren’t noti­fied about when they came out. )

I recently chat­ted with Sheila Tur­ner, a thy­roid patient advo­cate in the UK who runs the web­site Thy­roid Patient Advo­cacy – Uni­ted Kingdom.

And she has become abso­lu­tely dis­gus­ted at what is hap­pe­ning in the UK – dis­gus­ted enough to stop being polite and to ask direct and poin­ted ques­tions on the home page of her TPA-UK website.

What spu­rred her tough new stand?  Says Sheila, “The RCP (Royal College of Phy­si­cians), BTA (Bri­tish Thy­roid Asso­cia­tion) et al are doing everything they can to boy­cott all T3 con­tai­ning pro­ducts and their latest ‘Sta­te­ment’ on the diag­no­sis and mana­ge­ment of pri­mary hypothy­roi­dism is ban­ning gene­ral prac­ti­tio­ners from presc­ri­bing T3 at all.”.

And, explains Sheila, it’s got­ten to the point where most any Gene­ral Prac­ti­tio­ner is com­ple­tely afraid to presc­ribe T3 or any T3-containing pro­duct like natu­ral desic­ca­ted thy­roid for fear of being repor­ted. “The ONLY peo­ple allo­wed to recom­mend that T3 be presc­ri­bed are “acc­re­di­ted endoc­ri­no­lo­gists”, says Sheila. (And how many patients have expe­rien­ced how close min­ded Endo’s can be towards desic­ca­ted thyroid.)

And here are her bri­lliant, in-your-face ques­tions with links, which are per­ti­nent for ALL of us, whether in the UK or not:

1. WHY do the GMC, the RCP, the BTA et al. deli­be­ra­tely choose to ignore the scien­ti­fic evi­dence that has been avai­la­ble for over 40 years ?
2. WHY are medi­cal asso­cia­tions igno­ring the 13% fai­lure rate of T4-only the­rapy for the past 50 years? Why are patient’s com­plaints dis­mis­sed?
3. WHY has there been no correc­tion to the RCP sta­te­ment when there are patients who are coun­te­re­xam­ples to the vali­dity of T4-only therapy?
4. WHY is the con­fu­sion of two defi­ni­tions for ‘hypothy­roi­dism allo­wed to continue?
5. WHY are gui­de­line authorship and con­cise gui­dance to good prac­tice pro­to­cols ignored?
6. WHY are indi­vi­dual symp­toms of hypothy­roi­dism sta­ted to be “non-specific” when Bai­sier found groups of these symp­toms may be quite spe­ci­fic?
7. WHAT further inves­ti­ga­tions for non-thyroidal cau­ses are recom­men­ded as rele­vant to the symp­toms of hypothy­roi­dism when pitui­tary and thy­roid GLAND func­tion tests are bioche­mi­cally nor­mal –  Levels of fT3, rT3 and adre­nal levels?
8. WHY are the stu­dies by Das (2007) and Lewis (2008), which found that patients could be suc­cess­fully trea­ted with thy­roid extract being ignored?
9. WHY is medi­cine igno­ring false nega­tive test results?
10. WHY do doc­tors refuse to explain and/or jus­tify their deci­sions, the­reby withhol­ding infor­ma­tion neces­sary for valid con­sent to treatment?
11. WHY does the NHS refuse to take steps to pro­tect human rights when suf­fe­rers are put at risk through a dis­re­gard of the demand that patients should be trea­ted with fair­ness, res­pect, equa­lity, dig­nity and autonomy?
12. WHY are labo­ra­tory disc­re­pan­cies in serum tes­ting being ignored?

I appre­ciate the tough stand Sheila is taking. We HAVE to take a strong stand in light of the world­wide igno­rance about 60 years of patient suf­fe­ring on T4 meds like Synth­roid, Eltro­xin et al, about bet­ter treat­ment with natu­ral desic­ca­ted thy­roid and T3 pro­ducts, and about the lousy TSH lab test!

In fact, in light of prac­ti­cally NO mass media atten­tion to this huge world­wide thy­roid treat­ment scan­dal, we have to shout it whe­re­ver we can and hope that some WISE repor­ter or media per­so­na­lity gets this and will shine a media light at the idiocy going on out there towards thy­roid patients. Stop the Thy­roid Mad­ness!™

I am amazed.

The Society for Endoc­ri­no­logy in the UK recently repor­ted that taking higher doses of thy­ro­xine (which will lower the TSH lab result) may be safer than has been pur­por­ted for decades.

And how low a TSH lab result did they find to be safe? As low as 0.04 – 0.4, the research found, is still safe enough to not cause an inc­rea­sed risk of  “heart disease, abnor­mal heart­beat pat­terns and bone frac­tu­res”, aka HYPERthy­roid symp­toms.

And those of us world­wide who know about the supe­rio­rity of natu­ral desic­ca­ted thy­roid can also use these research results in our fight to be on enough desic­ca­ted thy­roid with TSH-obsessed doc­tors, who view research as the end-all to the truth rather than solid cli­ni­cal pre­sen­ta­tion, sadly. Because when we are on enough desic­ca­ted thy­roid to feel fabu­lous again with all symp­toms remo­ved (in the pre­sence of good cor­ti­sol levels, ade­quate ferri­tin, B12 and diges­tive issues), our TSH lab result is always low, aka sup­pres­sed, and without one iota of hyper symptoms.

Patients have expe­rien­tially known this truth about the lousy TSH lab test, without research, for years!

But here’s what’s mis­sing from their research:

1. Those “safe, low levels of an “ink spot on a piece of paper” do not mean the 16,426 patients they follo­wed will be without nume­rous issues rela­ted to being on a sto­rage hor­mone.  i.e. the body is not meant to live for con­ver­sion alone! A healthy thy­roid will con­vert T4 to the active T3, but it will also pro­vide direct T3 in addi­tion to the T2, T1 and calcitonin…none of which a T4-only med pro­vi­des directly.
2. Addi­tio­nally, the TSH lab test only reveals the action of a pitui­tary mes­sen­ger hor­mone called the Thy­roid Sti­mu­la­ting Hor­mone (TSH).  The lab test does NOT mea­sure whether your tis­sue is recei­ving enough thy­roid hor­mone, which is why so many patients on T4 end up with depres­sion, rising cho­les­te­rol, high blood pres­sure, low B12, low ferri­tin and many symp­toms, as well as adre­nal fati­gue thanks to the ina­de­quate treat­ment of T4.
3. Rai­sing T4 often encou­ra­ges an excess pro­duc­tion of Reverse T3 over time, which will block cell recep­tors and inc­rease the very symp­toms the researcher state is avoi­ded, as well as far more hypothy­roid symptoms.

But on the posi­tive side: this is just one more research study that ends up being on our side in our quest in teaching our doc­tors about far bet­ter treat­ment pro­to­cols. I have also inc­lu­ded men­tion of this study on the follo­wing page on STTM, where I keep a ongoing list of  research which sup­ports what patients already know by their expe­rience and cli­ni­cal pre­sen­ta­tion:  http://www.stopthethyroidmadness.com/medical-research/