Overtreatment runs the risk of osteoporosis.
TSH is a good indicator of control over the last few months, T4 is much
more variable, and may be unduly high if a patient has suddenly started
taking her tablets when reminded that a blood test was due. In that
situation the TSH would be high and T4 high.
--
Michael
> -----Original Message-----
> From: GP-UK [mailto:[log in to unmask]] On Behalf Of Jeff Green
> Sent: 06 March 2004 16:52
> To: [log in to unmask]
> Subject: TFT's
>
>
> Another dumb question from me ;-)
>
> looking to make sure that 90% of thyroxine treated patients
> have had TFT in last year - I started to wonder about
> treatment options based on the results.
>
> If TSH is below normal yet T4 is OK - is any treatment change
> necessary? If not then why measure TSH at all?
>
> Confused as ever
>
> TIA
>
> Jeff
>
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