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    Thyroid hormone (T3/T4) is not suppressive; can restore hypothyroid thyroid hormone levels to euthyroid levels, AFTER medication is stopped

    Scheduled Pinned Locked Moved Literature Review
    thyroidthyroxinethyroid hormonet3 supplsuppresive
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    • alfredoolivasA Offline
      alfredoolivas
      last edited by alfredoolivas

      When Ray Peat discussed thyroid hormone therapy helping to restore "order" in thyroid gland function and potentially reversing hypothyroidism, even after stopping the therapy, I initially thought this was just anecdotal evidence.

      However, a meta-analysis of 17 observational studies involving 1,082 patients suggests otherwise. The findings reveal that up to a third of hypothyroid patients became and remained euthyroid (having a normally functioning thyroid gland.) after discontinuing T4 therapy, with thyroid hormone fully excreted (median follow-up time: 3 months).

      This suggests by some mechanism, thyroid hormone therapy, can reverse hypothyroidism / improve thyroid function.

      https://pmc.ncbi.nlm.nih.gov/articles/PMC8110016/

      "We searched multiple bibliographic databases for studies.... in which thyroid hormone replacement was discontinued... when all studies were included, the pooled estimate for euthyroidism at follow-up was 37.2%"

      Proportion of Hypothyroid Patients Achieving Euthyroid Status After Discontinuing T4 Therapy Over Time
      a14ec620-af21-4223-8a46-ea83578dca3f-image.png

      Proportion of Hypothyroid Patient Categories Achieving Euthyroid Status After Discontinuing T4 Therapy
      1e55ad59-cadc-42fc-b8b6-9905142c4d02-image.png

      KvirionK 1 Reply Last reply Reply Quote 0
      • KvirionK Offline
        Kvirion @alfredoolivas
        last edited by

        @alfredoolivas
        Thanks, interesting.

        The problem with this study is that it considers the level of TSH below 8–9 mIU/L "normal"...

        A little learning is a dangerous thing ;
        Drink deep, or taste not the Pierian spring :
        There shallow draughts intoxicate the brain,
        And drinking largely sobers us again.
        ~Alexander Pope, An Essay on Criticism

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