Posted by jane d on March 7, 2002, at 23:29:40
In reply to Hypopthyroidism in people wioth mood disorders., posted by Psydoc on March 7, 2002, at 5:05:55
I hadn't realized until now that the NEJM was allowing free access to some (most?) articles over 6 months old including the one recommended by Ivan Goldberg (many thanks!) below. You do need to register for it but that's easy enough. Just wanted to spread the word in case anyone else out there didn't know this.
Jane
> It has long been my impression that most endocrinologists tend to undertreat hypothyroidism in people with mood disorders. The best indicators of the adequacy of the treatment are the feeling of well-being of the person beingh treated and the level of TSH. It usually requires that sufficient thyroid hormones (optimally T-4 + T-3) be administered to cause the TSH to fall to the lowest quarter of the normal range.
>
> If your doctor is reluctant to use the combination of T-4 plus T-3, pringt out the paper from the New England Journal of Medicine at:
> http://content.nejm.org/cgi/content/abstract/340/6/424 and bring it to your next visit.
>
> Best regards . . .
>
> Ivan Goldberg
> psydoc@psycom.net
> %%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%
poster:jane d
thread:96147
URL: http://www.dr-bob.org/babble/20020307/msgs/96987.html