2016: Interpreting Abnormal Thyroid Function Tests & Understanding Indications for Treatment

Educational video made available by the Southern Medical Association. Please support our mission to Improve quality of health care through education by joining or making a contribution to our research and education fund.
Join - sma.org/join
Donate - sma.org/donate

[@TheDot]

I religiously take Levothyroxine for 13 years, without food etc, and now TSH is 16, but T4 and T3 normal, but TPOAg and TGAg are very high. So autoimmune showing but what can be done? No one seems to give ways to sort this, especially as it affects cholesterol/heart and kidneys. This is so frustrating....

[@jwonTh]

Hi there, I have hypothyroid, TPO 600. I have not take levothyroxine. I m trying to take essential supplements.

[@ogbeborchristabel9276]

Antibiotic thyroid medicine from Dr emuakhe on KZbin from Africa vanished my thyroid case and haven't seen any reoccurrence to date, you're truly an epitome of good treatment..

[@mohamadalshabani9031]

PLEASE IS IT POSSIBLE TO HAVE THE SLIDES ?

[@dr.alaaelhag8619]

Thank u very helpful

[@mrabin8098]

Before i watching this video i had this on my mind antibodies means its going to destruct the gland but here i understood there is an stimulating antibodies exist too..

[@wintergreen3891]

Excellent, very helpful.

[@ahmedshinwari]

@4:20 .... I am so much disappointed by the non-sense approach of doing only limited tests (testing TSH only and not T3 & T4). Why? To save $10. Ridiculous. As a scientist or rationalist one should take out all to markers into account. Just go and read statistics about how many times Medical Practitioners missed an abnormal Thyroid because they did not carry full Thyroid Panel and Antibodies...

[@empathnurse]

completely agree-- how ridiculous that only recent post-TT patients "should" get the detailed thyroid markers. OUTRAGEOUS in fact. This is why so many thyroid patients are improperly medicated/treated and SUFFER. :(

[@teachher2fish491]

So what would you suggest a patient do if they have Hypothyroidism and a Rathke Cleft cyst is found on their pituitary gland? Would Glutathione IV drip work to reverse it? Or surgery to remove the cyst?

[@waltk7624]

Why are modern Dr.s not asking why is the thyroid being attacked? Also she talks about high tsh as above normal 10 or so mine was 530 yet my Dr tested for nothing else. Give a drug and go away.

[@lester_ernesto]

👏🏽👏🏽👏🏽!!!

[@Eliese.]

This clinical perspective review is so encouraging to the layman thyroid patient. Thank you.

[@empathnurse]

keep looking-- this info is sorely lacking and will often keep you feeling symptomatic despite a "great TSH". ☹

[@debrad5783]

Ugh, couldn't listen after 13 minutes. Sounds like part of the problem...base Levo on TSH only???

[@empathnurse]

1000% many of these providers will never understand or expand their minds until it happens to them personally... TSH-only monitoring is especially problematic for post-thyroidectomy patients, esp with other health conditions that may affect thyroid hormone conversion or deficiencies in cofactors 🤦‍♀ The confidence with which she conducts her presentation is disturbing because she is teaching this highly inadequate approach to other providers. 😣

[@haqzahoorul]

Thanks for the brilliant presentation. Why is total T4 measured at all, when free T4 and T3 are widely available?

[@Beshyah2008]

Excellent presentation

[@josephinemiller68]

This woman is part of the problem. Not doing a full panel of thyroid test just because someone took their medicine that morning which may drive up free T4 is not a good reason to not order these tests if someone is still feeling badly. I get tired of this and so many people go on for months and years feeling sick because their doctor didn’t want to do a full thyroid panel and do not understand other things that affect the absorption of thyroid hormone.

[@paulzaker5395]

Amen!

[@FataMorgana3000]

Great presentation, but hard to listen to. I wish the people who understand the science actually cared for people's health and applied their gift to figure out how to make people healthy, not just test for one marker and shove a medication into them because the pharma is paying for it!

[@c8Lorraine1]

GP should not attempt to diagnose and prescribe medication. They should refer to an expert ; an endocrinologist.

[@deepattison9329]

I agree. The average GP is lost when it comes to interpreting thyroid results and if the numbers are in the normal range they think everything is fine. There is a ratio that is very important to consider.