Posted by Psydoc on March 7, 2002, at 5:05:55
In reply to Re: Lithium; thyroid site » noa, posted by Ritch on March 6, 2002, at 23:48:34
It has long been my impression that most endocrinologists tend to undertreat hypothyroidism in people with mood disorders. The best indicators of the adequacy of the treatment are the feeling of well-being of the person beingh treated and the level of TSH. It usually requires that sufficient thyroid hormones (optimally T-4 + T-3) be administered to cause the TSH to fall to the lowest quarter of the normal range.
If your doctor is reluctant to use the combination of T-4 plus T-3, pringt out the paper from the New England Journal of Medicine at:
http://content.nejm.org/cgi/content/abstract/340/6/424 and bring it to your next visit.Best regards . . .
Ivan Goldberg
psydoc@psycom.net
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