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Real Example of Thyroid Misunderstanding

 

Dr. Krupka (00:01):

So I just had a situation with a patient. I thought I'd discuss it since we recently did a couple of thyroid hormone related videos. Had a patient call in today. We were going over some of her thyroid results. She deals with another practitioner to get her thyroid hormone prescribed. She takes NP thyroid, which is kind of a mix of T4 and T3. So there was a misunderstanding on the part of her practitioner, and it's a good example of what can happen if you don't understand what the different numbers mean.  I'm just going to go over it with you real quick. Because she's taking thyroid hormone, her TSH is very low. Remember, TSH is how you ask for thyroid hormone. If you're taking pretty much everything you need for thyroid hormone, your pituitary doesn't have a reason to ask you to make more, right?

(00:56):

So your TSH is going to go very low. It's perfectly normal. We expect it. In fact, in cases where someone's had thyroid cancer, they'll give them enough T4...

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