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