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Our experience is that most endocrinologists and other clinicians (especially GPs) love thyroid antibody testing rather than the 'suggest repeat in 2-3 months' attitude you must take to compensated hypothyroidism if the test is not available. We find the test extremely cost effective since it is our immunology department who measure it and pay for it! P.S. There is an excellent practical strategy for the management of subclinical (should we still use this term?) hypothyroidism in the BMJ 1997; 314(7088): 1175-8 Dr. Eric S. Kilpatrick Consultant in Chemical Pathology Department of Clinical Biochemistry Hull Royal Infirmary Anlaby Road Hull HU3 2JZ >From: "Roy Fisher" <[log in to unmask]> >Reply-To: "Roy Fisher" <@btinternet.com> >To: "acbmailbase" <[log in to unmask]> >Subject: Thyroid peroxidase antibodies >Date: Tue, 25 May 1999 07:40:46 +0100 > >We have the opportunity to measure thyroid peroxidase antibodies(TPOAb) >locally using Immulite. I would be interested to hear if anyone is >operating a cost -effective strategy based on TSH levels or any other >criteria. Our endocrinologist remains unconvinced of their value in most >new cases and considers that all moderately raised TSH levels should be >followed up every 6 to 12 months. > >Roy Fisher >Consultant Biochemist >Royal Cornwall Hospital > >[log in to unmask] or [log in to unmask] > > > ______________________________________________________ Get Your Private, Free Email at http://www.hotmail.com %%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%