TSH - vi trengte ikke verktøyet for 80 år siden så hvorfor trenger vi det nå?

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En interessant artikkel om problematikken. http://annals.org/article.aspx?artic...052#s1-m151799

History of Medicine | 5 January 2016
Ann Intern Med. 2016;164(1):50-56. doi:10.7326/M15-1799

The History and Future of Treatment of Hypothyroidism

Dr. Elizabeth A. McAninch, MD
Division of Endocrinology and Metabolism, Rush University Medical Center, 1735 West Harrison Street, Cohn Building, Room 312, Chicago, IL 60612.

Dr. Antonio C. Bianco, MD, Ph.d.
Division of Endocrinology and Metabolism, Rush University Medical Center, 1735 West Harrison Street, Cohn Building, Room 212, Chicago, IL 60612.

Dr. Elizabeth A. McAninch forteller om bakgrunnen for prosjektet (mp4 video 3:12 min) på nettsiden til The BiancoLab at RUSH University Medical Center in Chicago (Deiodinase.org). Download PDF.

De beskriver klart at det på 70 tallet ble oppdaget at når legen doserte for å fjerne symptomene var pasienten egentlig "overdosert". Altså fra å fungere bra, måtte dosene reduseres. Om disse "major developments" var til noe hjelp strides nok de lærde endokrinologene og pasientene om.

Videre skriver de:
Later, a subpopulation of patients with residual symptoms of hypothyroidism was recognized.

Når dosen ble halvert, var det altså noen pasienter som fikk restsymptomer.

Merkelig at de fleste høyt respekterte endokrinologer ikke klarer å forstå sammenhengen.

Les emnet Endokrinologer halverte behandlingsdoser i 1973 (referanser til flere kilder i innlegg 2+9).

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Strange that most highly respected endocrinologists fail to understand the context.

Especially the academic, medical profession are massively exposed to the perception of themselves as knowledgeable, whereas most of the modern, everyday medicine, in fact, is based on interpretations of a few simple beliefs.

It is very possible that there exists advanced medical practice as well, but in the treatment of hypothyroidism everyday medicine reigns autocratic, randomly and without restrictions of any kind, as long as the treatment consists of synthetic hormone analogues, and only these ... :(