Majsen du får lige denne kortfattede oversigt fra Teitelbaum over forskellige former for thyroidmangler/-problemer i CFS/Fibromyalgi:

What treatment will work best often depends on what is causing your thyroid levels to be inadequate. Common causes of under active thyroid hormone in CFS/fibromyalgia include:

1. Hypothalamic dysfunction. Your thyroid gland may be fine but it is not getting adequate stimulation from the hypothalamus and is basically "asleep." In this situation, simply taking a mix of T4 and T3 (see below) at the dose that feels best may be adequate. As the CFS resolves and hypothalamic function recovers, you may often be able to wean off the thyroid hormone.

2. Hashimoto's Thyroiditis. In this autoimmune process your body's immune system attacks and damages the thyroid. This can be diagnosed by a blood test called an "anti-TPO antibody." If the anti-TPO antibody is elevated, you likely have Hashimoto's Thyroiditis and may need to take thyroid supplementation for the rest of your life.

3. Inadequate conversion of the T4 thyroid hormone to active T3. In this situation, which is very common in fibromyalgia, patients often respond best to treatment with pure T3 hormone. Blood tests are normal despite needing 9-27 mcg a day of T3 thyroid hormone (present in 1-3 grains of Armour thyroid).

4. Receptor resistance. In this situation your body is making adequate amounts of thyroid hormone but the areas that they stimulate are very slow to recognize the thyroid hormones' presence. Because of this, it takes a very high level of pure T3 hormone to get a normal response. This problem often resolves over one to two years on the high dose T3 treatment as the body heals from fibromyalgia and/or chronic fatigue syndrome.

Given the multiple causes of thyroid insufficiency in CFS and fibromyalgia, let's discuss how to best treat these problems.
Link til artiklen:
http://www.endfatigue.com/health_art...eficiency.html