Doctor insights on:
Does subclinical hyperthyroid caused by graves always progress to hyperthyroid and is treatment necessary for subclinical hyperthyroid?
Watch carefully: Eventually, you will likely develop either overt hyperthyroidism, or you could possibly become hypothyroid. But not always, and this could take years. If you feel well, and your heart/bones/psyche/ etc are ok, you and your doctor (best: Endocrinologist) could elect to watch this and not treat now, but watch carefully. ...Read moreSee 1 more doctor answer
T3 (liothyronine) and T4: t3 (liothyronine) thyroid is active thyroid. T4 thyroid converts to t3 (liothyronine). T3 (liothyronine) gets metabolized fast. High t3 (liothyronine) will suppress tsh. TSH stimulates the thyroid to make t4 and t3 (liothyronine). For some people armour thyroid is good. For some it has a little too much t3 (liothyronine). There is medicine that is all t3 (liothyronine) and all t4. I like armour thyroid. T4 is popular. ...Read moreSee 1 more doctor answer
Hashimoto's ds…: Is an auto-immune disorder that affects the thyroid gland, causing inflammation, that usually leads to underactivity of the gland. Sx develop slowly as thyroid fnx drops: fatigue, constipation, high cholesterol, weight gain, muscle aches/weakness, depression, etc. If thyroid hormone level is low, your doc will give medicine to restore normal fnx. See link in comment for more info —>. ...Read moreSee 4 more doctor answers
Several options: The treatments come down to antithyroid drugs (eg. Methimazole), radioactive iodine (rai), or surgery. Each has advantages and disadvantages, and you should discuss with your endocrinologist. If you opt for surgery, make sure the surgeon is an experienced thyroid surgeon. ...Read moreSee 1 more doctor answer
See below: By administration of an appropriate amount of levothyroxin until the thyroid normalizes, then maintenence therapy can begin. ...Read more
What is the best treatment for hyperthyroidism, particularly for autoimmune thyroiditis unresponsive to drug therapy?
Furhter eval: Hashi and most autoimmune illnesses stem from undiagnosed food allergens or environmental toxins stored in the body. Go to a4m.Com and use doctor locator function to find a local functional medicine doc to help you order specialized testing for gut like genova cdsa as well as metametrix igg food allergen testing to discover real cause. If not "fixed" other autoimmune illnesses will be in upcoming! ...Read more
What's best treatment for autoimmune thyroid disease and how is the treatment different than typical hypothyroidism?
Most often none: Most often the autoimmune process is not treated. We treat hypothyroidism or hyperthyroidism as those are the important consequences of the process. Treating the process itself with immune suppression is theoretically possible, but not done as such treatments can have serious consequences and in thyroid disease do not offer advantages. The only exception is graves' disease with ocular complication. ...Read moreSee 1 more doctor answer
Please define: Hi. By what do you mean "treatment-resistant"? Is your dose too low? That's not treatment resistant, that's just being under treated. Has your thyroid function been normalized on thyroid hormone replacement but you still feel symptoms? That's not "treatment-resistant", that's just assigning symptoms to the wrong thing. We need more information. I doubt you have a thyroid hormone receptor defect. ...Read more
Many causes.: Cushing's syndrome can have many different causes, including autoimmune disorders. However, first the diagnosis must be established, the cause determined and then appropriate therapy can be instituted. ...Read more
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