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T4?+?T3 combination therapy: any progress?


ABSTRACT: Guidelines on T4?+?T3 combination therapy were published in 2012. This review investigates whether the issue is better understood 7 years later. Dissatisfaction with the outcome of T4 monotherapy remains high. Persistent symptoms consist mostly of fatigue, weight gain, problems with memory and thinking and mood disturbances. T4 monotherapy is associated with low serum T3 levels, which often require TSH-suppressive doses of L-T4 for normalization. Peripheral tissue thyroid function tests during T4 treatment indicate mild hyperthyroidism at TSH?

SUBMITTER: Wiersinga WM 

PROVIDER: S-EPMC6794355 | biostudies-literature | 2019 Oct

REPOSITORIES: biostudies-literature

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T4 + T3 combination therapy: any progress?

Wiersinga Wilmar M WM  

Endocrine 20191015 1


Guidelines on T4 + T3 combination therapy were published in 2012. This review investigates whether the issue is better understood 7 years later. Dissatisfaction with the outcome of T4 monotherapy remains high. Persistent symptoms consist mostly of fatigue, weight gain, problems with memory and thinking and mood disturbances. T4 monotherapy is associated with low serum T3 levels, which often require TSH-suppressive doses of L-T4 for normalization. Peripheral tissue thyroid function tests during T  ...[more]

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