thyroid check-up

ata guidelines & statements | american thyroid association

american thyroid association's clinical practice guidelines are the leading resources for diagnosing and treating thyroid disease and thyroid cancer.

diets and supplements for thyroid disorders

are there certain foods or supplements that affect thyroid health?

the latest guidance in managing thyroid disease | society for endocrinology

the society for endocrinology aims to promote the advancement of public education in endocrinology

hypothyroidism (underactive thyroid) - niddk

hypothyroidism, an underactive thyroid gland, can slow down nearly every organ. learn about its causes, complications, symptoms, diagnosis, and treatment.

hypothyroidism: diagnosis and treatment

clinical hypothyroidism affects one in 300 people in the united states, with a higher prevalence among female and older patients. symptoms range from minimal to life-threatening (myxedema coma); more common symptoms include cold intolerance, fatigue, weight gain, dry skin, constipation, and voice changes. the signs and symptoms that suggest thyroid dysfunction are nonspecific and nondiagnostic, especially early in disease presentation; therefore, a diagnosis is based on blood levels of thyroid-stimulating hormone and free thyroxine. there is no evidence that population screening is beneficial. symptom relief and normalized thyroid-stimulating hormone levels are achieved with levothyroxine replacement therapy, started at 1.5 to 1.8 mcg per kg per day. adding triiodothyronine is not recommended, even in patients with persistent symptoms and normal levels of thyroid-stimulating hormone. patients older than 60 years or with known or suspected ischemic heart disease should start at a lower dosage of levothyroxine (12.5 to 50 mcg per day). women with hypothyroidism who become pregnant should increase their weekly dosage by 30% up to nine doses per week (i.e., take one extra dose twice per week), followed by monthly evaluation and management. patients with persistent symptoms after adequate levothyroxine dosing should be reassessed for other causes or the need for referral. early recognition of myxedema coma and appropriate treatment is essential. most patients with subclinical hypothyroidism do not benefit from treatment unless the thyroid-stimulating hormone level is greater than 10 miu per l or the thyroid peroxidase antibody is elevated.

thyroid check-up
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