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

Literature Review
thyroid thyroxine thyroid hormone t3 suppl suppresive
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  • A
    alfredoolivas
    last edited by alfredoolivas Jan 4, 2025, 12:41 AM Jan 4, 2025, 12:18 AM

    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

    K 1 Reply Last reply Jan 4, 2025, 10:50 AM Reply Quote 0
    • K
      Kvirion @alfredoolivas
      last edited by Jan 4, 2025, 10:50 AM

      @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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