Low-dose combination T3 and T4 thyroid therapy
is needed for both sexes with low normal thyroid functioning.
American Endocrine Society guidelines do not suggest universal screening but recommends screening of specific subset of subjects like 1) those who are currently on thyroid therapy
2) Family history of thyroid disease 3) goiter 4) history of autoimmune disorder 5) history of high neck radiation 6) history of postpartum thyroid dysfunction 7) precious delivery of infant with thyroid disease.
Speaking about anti thyroid therapy
during pregnancy, he said, T4, TSH level should be monitored at two and four weeks to know how the patient is doing.
The medical history of each participant was obtained from a questionnaire, including previous diagnoses of diabetes, hypertension, thyroid diseases, liver diseases, urticaria, and lipid abnormality, whether the subject was taking antidiabetic and/or antihypertensive medication and/or lipid-lowering drugs, and whether the subject had had thyroid therapy
performed including medicine and/or surgery or radiotherapy for the head and neck.
Pregnant women who have a history of high-dose neck radiation, thyroid therapy
, postpartum thyroiditis, or an infant born with thyroid disease should also be tested at the first prenatal visit.
The basal metabolic rate (BMR), developed by German physician Magnus-Levi in 1895, (13) was the gold standard for the first half of the 20th century for assessing clinical response of hypothyroid patients to thyroid therapy
. Regarding the dose of "thyroxin" needed to raise the BMR and alleviate the signs and symptoms of hypothyroidism, physicians using the racemic mixture reported an effective dosage twice as high as the dosages reported by those physicians using the L-thyroxine.
Researchers at the Boston University School of Medicine and Loma Linda Medical Center in California, who were still enrolling volunteers for test exposures in mid-2001, note that perchlorate has been used in thyroid treatments and that the level of test exposure is "many-fold" less than historical thyroid therapy
The size may indicate, for example, whether or not the gland is regressing on thyroid therapy
, he noted.
A patient, who responds to thyroid treatment with improvement in depression, fatigue, and related symptoms, should be continued on thyroid therapy
unless direct thyroid testing reveals excess T3 and T4.
After partial thyroid dissection everyone should have thyroid therapy
. As regards lymph node dissection risk of recurrence was 5% but in high risk patients recurrence could be as high as 10%.
One such study performed by Sonkin prescribed thyroid therapy
for 88 patients suffering from euthyroid hypometabolism.