Dear members,
Occasionally our nephrologists have to treat patients with full-blown
nephrotic syndrome for hypothyroïdism that need enormous amounts of thyroid
hormone to reach a state of euthyroidism. Assuming a urinary loss, the idea
was (also from a healthy interest point of view) to analyse the thyroid
hormones in urine as a possible (rough) indicator-measure for hormone
titration.
When my memory serves me right there has been a discussion in this group
(some time ago though) regarding this subject but I can not recall the
details. Therefore I would like to appeal to the group to give some feedback
with respect to possible experiences (both analytic and clinical) and
theoretical considerations. To me the most sensible analysis in this setting
would be total T4 analysis (although I do not yet know how) but I am open
for any suggestions.
Kind regards
Albert Wolthuis, PhD
Clinical Chemist
Stichting KCL
Study scientist
KCLBioAnalysis BV
( www.kclbioanalysis.nl <http://www.kclbioanalysis.nl> )
Borniastraat 34
8934 AD Leeuwarden
Tel.: (+31) 58 2888455
Fax: (+31) 58 2882227
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