Hypothyroid 101: When to Use Weekly Instead of Daily T4 Therapy.

Hypothyroid 101: When to Use Weekly Instead of Daily T4 Therapy.

Hypothyroid 101: When to Use Weekly Instead of Daily T4 Therapy.

Hypothyroid 101: When to Use Weekly Instead of Daily T4 Therapy.

Dr.Guttler’s Comments:

  1. Non adherence is by far the most common cause of poor treatment results.
  2. If the coeliac test is negative, weight is not declining and there is no diarrhea, non adherence is the cause.
  3. A trial of prescribing the all weekly dose in a single take, under supervision by a reliable family member.
  4. This is an off label prescription. Not for older patients with cardiac disease.
  5.  The treatment is usually well tolerated.
  6.  Increasing the daily dose of thyroxine does not usually work in these patients.
  7. Weekly oral administration is recommended by the American Thyroid Association guidelines on hypothyroidism (1).
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