En av de andre som skriver i kommentarfeltet, sier
Here are just a few articles for Dr Garber and his ill informed colleagues to read:

Reducing the Scope of Guidelines and Policy Statements in Hypothyroidism
JOM Volume 28, Number 2, 2013 Eric K. Pritchard, MSc
http://tpauk.com/images/docs/reduce-scope-final.pdf

Why we can’t trust clinical guidelines
(Published 14 June 2013) Cite this as: BMJ 2013;346:f3830
http://www.bmj.com/content/346/bmj.f3830?tab=responses

Thyroid function tests and hypothyroidism
(Published 8 February 2003) Cite this as: BMJ 2003;326:295
http://www.bmj.com/content/326/7384/295

An excerpt from the above paper says it all about the accuracy of the TSH:

Measurement of serum TSH alone may not always reflect thyroid status
Anthony D Toft (anthony.toft@luht.scot.nhs.uk), consultant physician, Geoffrey J Beckett, reader Author Affiliations

Paper p 311

It is extraordinary that more than 100 years since the first description of the treatment of hypothyroidism and the current availability of refined diagnostic tests, debate is continuing about its diagnosis and management. Symptoms of thyroid failure are often non-specific, such as weight gain, low mood, and fatigue. Some patients seeking an explanation for feeling “below par” are disappointed when thyroid function tests are normal. Unable to accept that there may be psychosocial reasons for their symptoms, a vociferous minority believe that hypothyroidism may exist with normal serum concentrations of both thyroxine (T4) and thyroid stimulating hormone (TSH).

Their hypothesis is that a doctor cannot know whether a concentration of free T4 or TSH within wide reference ranges is normal for that individual. Such an argument, supported by some misguided medical practitioners to justify prescribing various combinations of thyroid hormones, does not appreciate the sensitivity of the pituitary thyrotroph, which modifies the synthesis and secretion of TSH in response to minor changes in thyroid hormone concentrations within their reference ranges. For example, a reduction in free T4 from 20 pmol/l to 15 pmol/l is likely to cause …
En annen skriver
Dr. Garber's approach to the medical diagnosis and treatment of Hashimoto's Disease would be laughable, were it not so implicated for the ongoing and extended poor health of millions of patients. I would wager from my mother's health and appearance that she is about to die within the next three years, and based upon her complaints and appearance I know, as a thyroid patient being successfully treated, that it is all ultimately due to her completely ineffective thyroid treatment (except that it is effective enough to keep her from descending into a myxedema coma, and that's about it).

She is a willing partner in this health descent because she trusts her clueless physicians, and will not entertain the idea that they don't know best. She has "Dr. Garber clones" for thyroid doctors and is suffering the consequences of both their willful blind ignorance, and of her poorly-placed trust. It is heart-breaking to see when all she needs is a physician competent in the use of NDT and the proper tests (NOT the TSH-garbage test).

I know, because I experienced a similar, frightening health descent. But I researched, fired my willfully blind, ignorant physicians, and found one who is competent to test and treat my Hashi's appropriately. All I can do is empathize with her fears and sufferings because she will not listen and believe her doctors could be misled.

I mainly fault the physicians who do not continue to educate themselves past medical school except through drug reps. Where is the inquisitiveness? Where is the desire to improve oneself as a clinician, to invest the TIME it takes to study and learn, instead of relying upon stock training from makers of synthetic drugs which prop up medical schools through their corporate donations? Physicians cannot see through this? Do they realize how donors influence their curricular content? When they hear from their medical school the lie perpetuated by donor companies that NDT is not to be trusted for consistency of dose from batch-to-batch, why do they "buy" this lie, lock, stock, and barrel, even though conducting their own quick inquiry would help them discover that NDT is completely standardized?

If physicians' goal is really to heal people and not to harm them, they MUST do better than this. The state of thyroid treatment and diagnosis is pathetic, sorry, inexcusable, and shameful. My thyroid doctor says I should become a thyroid doctor because (in her words) I know more than many thyroid doctors. Well, this should not be! What a shameful state, that thyroid patients could know more than many thyroid doctors! How did we get here? The reasons are too numerous to mention. Meantime, people are dying and disabled because of it. What a joke, except that it's NOT FUNNY. My mother is going to die soon, and she doesn't need to! This is appalling. Doctors are very intelligent, and could be using the brilliant minds and talents God gave them to be doing much better things for thyroid patients, if only they would dig a bit more deeply to acquire the learning that is out there and exquisitely easy to find.
Hvem er Dr. Garber?
....Many of his mainstream medical counterparts disagree. "The vast majority of people are fine on the standard therapy," says Jeffrey Garber, an associate professor of medicine at Harvard Medical Center and chair of the American Association of Clinical Endocrinologists Thyroid Scientific Committee. Still, he says, "there's a whole group out there who just thinks we're clueless."

Dr. Garber, one of the authors who updated the clinical-practice guidelines for hypothyroidism last year, says while there have been some intriguing studies looking at different therapies, more research is needed.
Dr. Garber, like many endocrinologists, uses T4 medications with the vast majority of his patients. Occasionally he'll also use conservative doses of a synthetic T3 drug, but he virtually never prescribes the animal-derived form, he says, because of complications that could arise for women trying to get pregnant or in early pregnancy, as well as individuals with heart disease.
Hvordan gikk det for alle kvinnene som brukte thyroid tidligere mon tro, i den tiden hvor man brukte kun thyroid? De fikk vel problemer med å bli gravide, og beholde barnet? Denne legen kjenner tydeligvis ikke til all forskning gjort på thyroid. Synd at leger får mulighet til å spre slike løgner