Hypothyroid 101: Physician’s Hypothyroid therapy options.

Hypothyroid 101: Physician’s Hypothyroid therapy options.

Hypothyroid 101: Physician’s Hypothyroid therapy options.

Hypothyroid 101: Physician’s Hypothyroid therapy options.

DR.Guttler’s Comments:

No Evidence to Justify Switching to T3/T4 combo, T3 alone , or animal products now.

Physicians beware switching away from monotherapy with LT4 may be bad for your patient without research proven effectiveness.

 

Jonklass et al Thyroid 28(11) 2018 p. 1416

  1. 363  physicians answered a survey who treated hypothyroidism.
  2. 1-img_3308-1
  3. 98% used monotherapy with LT4 Synthroid or generic.
  4. thyroxine
  5.  Thyroxine monotherapy
  6. Some increased the dose or changed the therapy depending on the question asked of them.
  7. Patient continued symptoms was a powerful cause of changing therapy.
  8. Age and other illness prevented most from changing to to other therapies.
  9. Physicians willing to change to alternative therapy with T3, T4/T3 combo, or animal thyroid should pause before doing it as there is need for more research.
  10. imgres-5
  11. imgres-3
  12. Stick with monotherapy as most symptoms are not not due to hypothyroidism while taking LT4 alone.
  13. Dr.G.
Add Your Comment

Contact Info
1328 16th Street, Santa Monica, CA 90404
Monday – Friday
9:00 AM to 5:00 PM
(310) 393-8860