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Nathan Goodyear

Vitamin D Deficiency and Its Association with Thyroid Disease - 0 views

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    low vitamin D is not only associated with hypothyroidism; but also the severity of hypothyroidism.  Low calcium is also associated with hypothyroidism.
Nathan Goodyear

Effect of Levothyroxine Replacement on Lipid Profile and Intima-Media Thickness in Subc... - 0 views

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    synthetic T4, as levothyroxine, in subclinical hypothyroidism is shown to improve cholesterol levels and intima-media thickness.
Nathan Goodyear

Subclinical hypothyroidism in young women with... [Fertil Steril. 2013] - PubMed - NCBI - 0 views

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    Link exists between PCOS and subclinical hypothyroidism.  Another term is functional hypothyroidism.
Nathan Goodyear

Hyponatremia and the Thyroid: Causality or Association? - 0 views

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    hypothyroidism and hyponatremia is a rare finding; more commonly associated with severe hypothyroidism.  Co-exisitng medical complications need to be considered.
Nathan Goodyear

elements of oxidation/reduction balance in experimental hypothyroidism - 0 views

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    hypothyroidism decreases antioxidant enzyme activity of SOD and glutathione perioxidase.
Nathan Goodyear

Acute severe hypothyroidism is not associated with hyponatremia even with increased wat... - 0 views

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    study finds severe hypothyroidism that is abrupt is not associated with low sodium.
Nathan Goodyear

Hypothyroidism associated with anti-huma... [J Endocrinol Invest. 2003] - PubMed - NCBI - 0 views

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    a case report of anti-HCG antibodies in a 22 year old male on HCG therapy for idiopathic hypothalamic hypogonadism.  the Result was an autoimmune hypothyroidism as a result of the anti-HCG.
Nathan Goodyear

The Natural History of Subclinical Hypothyroidism in the Elderly: The Cardiovascular He... - 0 views

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    subclinical hypothyroidism is alarmingly high in elderly population--56%.
Nathan Goodyear

Combination Treatment with T4 and T3: Toward Personalized Replacement Therapy in Hypoth... - 0 views

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    Wow!  JCEM states, "...it may be time to consider a personalized regime of thyroid hormone replacement therapy in hypothyroid patents."  Otherwise stated, combination T4, T3 provides a more customized thyroid replacement therapy than synthroid alone.
Nathan Goodyear

Effect of treatment of overt hypothyroidism on insulin resistance - 0 views

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    Thyroid treatment in those with hypothyroidism and insulin resistance provided no benefit to the insulin resistance.  But, Total cholesterol did improve. 
Nathan Goodyear

Combination Treatment with T4 and T3: Toward Personalized Replacement Therapy in Hypoth... - 0 views

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    reference review suggests improved results with combined T4/T3 treatment for hypothyroid patients.  Also, a good review of thyroid metabolism.  Patients prefer the combination therapy versus T4 alone indicating improved symptoms with combined therapy.
Nathan Goodyear

Metabolic Effects of Liothyronine Therapy in Hypothyroidism: A Randomized, Double-Blind... - 0 views

  • tissue euthyroidism is the net result of multiple steps including conversion of the prohormone T4 into its active metabolite T3, which is ultimately responsible for signaling at the end-organ target level
  • The circulating and intracellular pools of T3 of treated hypothyroid patients (i.e. devoid of endogenous TH production) depend entirely on the conversion of exogenous l-T4 into T3
  • TH is the major regulator of basal metabolic rate
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  • The substitution of l-T3 for l-T4 caused a significant weight loss
  • The substitution of l-T3 for l-T4 caused a significant reduction in lipid parameters
  • TH action is increased in the liver, and the SHBG increase supports this hypothesis
  • The changes in serum lipid metabolism parameters are similar to the effects observed with drugs approved for the treatment of dyslipidemia
  • This differential response appears to be limited to the lipid metabolism and SHBG, whereas no differences in indices of insulin resistance were detected. This is remarkable because hyperthyroid states are associated with an increase in hepatic gluconeogenesis (37), and overt thyrotoxicosis is a known cause of secondary diabetes.
  • Despite the increase in serum T3, the l-T3 treatment did not cause major changes in cardiovascular or musculoskeletal function, as indicated by the echocardiographic and maximal exercise tolerance tests and DXA studies.
  • Similarly, no significant differences were observed in blood pressure, heart rate, or endothelial vascular function
  • In conclusion, the results of this pharmacology, proof-of-concept study indicate that replacement therapy of hypothyroidism with l-T3, compared with l-T4 causes weight loss and favorable changes in the lipid profile without appreciable side effects
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    Crossover study finds T3 versus T4 results in more weight loss, improved lipid management and increased SHBG without any adverse cardiovascular effects.   The T3 was dosed 3 x daily due to its short half life compared to T4.
Nathan Goodyear

The effects of treatment of subclinical hypothyroi... [Med Arh. 2007] - PubMed result - 0 views

  • These data support an important role of treatment of SH in support metabolic control and insulin sensitivity.
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    Treatment of sub-clinical hypothyroidism required to improve insulin resistance
Nathan Goodyear

Subclinical hypothyroidism: deciding when to treat. [Am Fam Physician. 1998] - PubMed r... - 0 views

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    Subclinical hypothyroidism: deciding when to treat.
Nathan Goodyear

L-Thyroxine therapy in subclinical hypothyroidism.... [Ann Intern Med. 1984] - PubMed r... - 0 views

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    Treatment in subclinical hypothyroidism provides statistical benefits to patient symptoms
Nathan Goodyear

Elevated C-reactive protein and homocysteine value... [Atherosclerosis. 2003] - PubMed ... - 0 views

  • This is the first paper to show that CRP values increase with progressive thyroid failure and may count as an additional risk factor for the development of coronary heart disease in hypothyroid patient
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    inflammation, CRP, associated with hypothyroidism
Nathan Goodyear

TSH is a poor measure of severity of tissue hypothyroidism - 0 views

  • Thyroid stimulating hormone (TSH) tests are not useful for estimating the clinical and metabolic severity of primary overt thyroid failure. Meier and colleagues (p311) found that, in contrast with the accuracy of serum TSH measurement in the early diagnosis of hypothyroidism, clinical markers and circulating thyroid hormones much more accurately reflect the degree of tissue hypothyroidism. Initiation of replacement therapy should be guided by clinical presentation and circulating thyroid hormones and not by TSH concentrations
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    TSH is not a useful test
Nathan Goodyear

Diagnosis and Treatment of Hypothyroidism - 0 views

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    good overall read on hypothyroidism from Dr. Mercola
Nathan Goodyear

Plasma concentration of gonadotrophins,... [Br J Obstet Gynaecol. 1975] - PubMed - NCBI - 0 views

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    Sex hormone imbalance plays a role in hypothyroidism.
Nathan Goodyear

Persistent Subclinical Hypothyroidism and Cardiovascular Risk in the Elderly: The Cardi... - 0 views

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    study finds no increased risk of CHD, HF, or CV death in subclinical hypothyroidism in older adults.  No insight is gained from this article, due to the use of TSH as the only tool for thyroid assessment.  TSH has been shown to become unreliable as a sole thyroid assessment tool an aging population.
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