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New TSH guidelines woo hoo!

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ElaineP

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Jan 26, 2001, 8:33:30 AM1/26/01
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The following is from Mary Shomon's newsletter:

MAJOR REVERSAL AT AMERICAN ASSOCIATION OF CLINICAL
ENDOCRINOLOGISTS: TSH OVER 3 IS SUSPECT!!!
The American Association of Clinical Endocrinologists has officially
stated that a "TSH level between 3.0 and 5.0 uU/ml ...should be
considered suspect since it may signal a case of evolving thyroid
underactivity." This dramatic reversal in their position means
millions more may be diagnosed as hypothyroid, and many
hypothyroid patients may find their drug dosages and treatment
programs substantially changed. What could this new attitude
mean for you as a thyroid patient?
http://thyroid.about.com/library/weekly/aa012301a.htm


--
Elaine
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BL 1204

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Jan 26, 2001, 9:45:02 AM1/26/01
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>MAJOR REVERSAL AT AMERICAN ASSOCIATION OF CLINICAL
>ENDOCRINOLOGISTS: TSH OVER 3 IS SUSPECT!!!

Wow.

BL

Jerry

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Jan 26, 2001, 9:56:29 AM1/26/01
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Interesting news! I hope it opens up the eyes and minds of the Dr.s who have
continually pooh-poohed patient's complaints and only use current "normal"
TSH standards. I am printing up a copy of their statement and putting it in
my files for future reference. Thanks Elaine.

"ElaineP" <pelaine...@bellatlantic.net> wrote in message
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Andrea Martell

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Jan 26, 2001, 11:26:16 AM1/26/01
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"ElaineP" <pelaine...@bellatlantic.net> wrote in message
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Will this effect doctors in other countries? I'd sure like it if endo's and
doc's here in Canada got this "memo".


Herman Family

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Jan 26, 2001, 8:44:41 PM1/26/01
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This is good news. Now the trick is to get the news out to the doctors who
don't read that journal.

Michael

"ElaineP" <pelaine...@bellatlantic.net> wrote in message
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ElaineP

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Jan 29, 2001, 7:32:26 AM1/29/01
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"CB Willis" <cbwi...@adore.lightlink.com> wrote in message
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> Wonder how they came up with 3.0, when the british study indicated 2.0.
>
> IMO 2.0-3.0 is the squirreliest area in the TSH range.
>
>
I agree. I'm not so happy about the fact that they didn't bring it down to
2, but any movement in the right direction is a victory. I know what you
mean by 2 - 3 being the squirreliest area of the range. Years ago my mother
decided that I should see a "specialist" in NY that had treated my
grandmother for years. At that time I was still feeling some hypo symptoms
and was depressed. I decided that when you're hypothyroid, you never get
back to normal even with treatment. (Sound familiar Barry/Pat?) Well this
doctor did testing and told me that my numbers were perfectly fine and that
I shouldn't run to the doctor to raise my dose every time I didn't feel well
(I had given him my history of dosages over the years). He said I should see
a psychiatrist because I was obviously depressed and antideprressants would
work wonders. I cried in the office (this was before I learned how to deal
with doctors), and then crawled back under a rock. I had a copy of the lab
results, but with a TSH of 3.0 it sure looked like he was right, it wasn't
the thyroid. Only last year did I look back at those lab results and realize
why I wasn't feeling well.

--
Elaine
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- CBW


OLAV AULIBRÅTEN

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Jan 29, 2001, 3:17:27 PM1/29/01
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By the way that holistic-med-website stuff someone keeps posting here
considered 2,5 to be normal because it is in the middle.......
Nora
"ElaineP" <pelaine...@bellatlantic.net> skrev i melding
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Lois

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Jan 29, 2001, 7:18:17 PM1/29/01
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Nora wrote:
: By the way that holistic-med-website stuff someone keeps posting

here
: considered 2,5 to be normal because it is in the middle.......

What site is that? Or do you remember who posts it? I'd like to
see that site, and I can find it in the archives with the poster's
name if you don't remember the site.

Thanks,
Lois

Stacey

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Jan 30, 2001, 6:38:50 AM1/30/01
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Although I am not the person who normally posts the site, I am pretty
good about bookmarking anything I think might be helpful, so here is the
address - http://www.holistic-med.com/symptoms.htm#symptoms and a quote
from the site about the dr's views on "normal" vs. optimal lab results -

"It is helpful to compare lab values relative to their position on the
scale of ‘normal’. Usually there is an optimal point at which function
is near the ideal for the average individual. The ‘ideal’ may be found
by looking at the average value for very healthy individuals. Often, it
is near the mathematical midpoint of the total range of acceptable
values. This tends to be the case for Total T4 and Total T3. For
example, most labs list the acceptable or ‘normal’ range for T4 as 5 to
12. The mathematical midpoint is 8.5 and this is the value I most often
see in healthy individuals plus or minus 0.5. For T3 it is usually
between 60 and 120, the mathematical mid-point is 120. I also find this
to be true for healthy individuals (usually they are around 115-130).
The TSH is different. Normal range is around 0.5 to 5.5. The midpoint
here is 3.0 but I find that ‘healthy’ individuals tend to have values of
around 1.5 to 2.5. This can vary a among individuals and these numbers
are not carved in stone. They do, however, give an idea of approximate
preferred values. When looking at ‘normal’ values, remember, normal does
not mean optimal. It is normal to have a $5,000 debt on one’s credit
card. It is not, however, ‘optimal’. Most doctors would agree that the
following ‘normal’ values spell trouble for the patient"

He also goes on to give a couple of examples, and more discussion later
on the page... but as you can see, he is also interested in how a
patient *feels*, not just the numbers

Stacey

Cavalier

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Jan 30, 2001, 4:54:27 PM1/30/01
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hi cb
can you point me to the british study (is it an older one)? thanks
diana

CB Willis wrote:

> Wonder how they came up with 3.0, when the british study indicated 2.0.
>
> IMO 2.0-3.0 is the squirreliest area in the TSH range.
>

> - CBW

Lois

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Feb 3, 2001, 5:59:27 PM2/3/01
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ElaineP told us about the
: > MAJOR REVERSAL AT AMERICAN ASSOCIATION OF CLINICAL

: > ENDOCRINOLOGISTS: TSH OVER 3 IS SUSPECT!!!
: > The American Association of Clinical Endocrinologists has
officially
: > stated that a "TSH level between 3.0 and 5.0 uU/ml ...should
be
: > considered suspect since it may signal a case of evolving
thyroid
: > underactivity."

Andrea Martell asked:
: Will this effect doctors in other countries? I'd sure like it if


endo's and
: doc's here in Canada got this "memo".

We can make sure they do. We can bring them this reference and
*all* the others (6 pages of them on the recent list) that say
the TSH s/b even lower.

I'd be interested in hearing any success stories of diagnosis that
result from this.

Lois


Laura

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Feb 5, 2001, 10:19:12 AM2/5/01
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Just had dinner Saturday night with hubby and another couple a few nights
ago. (Now both husbands are second year residents.) I couldn't help but
bring up this topic. They both said they didn't know and the friend said he
probably has a few patients he needs to call back in.

--
Laura

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