Selv innbitte forkjempere for at TSH-testen betyr noe innrømmer at en del pasinter blir bare bedre hvis ft4 er veldig høyt og TSH veldig lavt. Ikke normalt, slik som endokrinologene i nord-norge synes å hevde.

as in our experience most patients feel well only with a dose resulting in a high normal free T4 and low normal TSH concentration, and those patients with continuing symptoms despite "adequate" doses of thyroxine12 may be slightly under-replaced. Some patients achieve a sense of wellbeing only if free T4 is slightly elevated and TSH low or undetectable
http://bmj.bmjjournals.com/cgi/conte...l/326/7384/295