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Category: T3 Controversies Series

T3 Controversies: Is TSH Reliable when Taking T3?
T3 Controversies Series

T3 Controversies: Is TSH Reliable when Taking T3?

Posted on June 17, 2022June 19, 2022 by HD

Do T3-containing medications like pig thyroid suppress TSH out of proportion to what happens with equivalent doses of levothyroxine? Let’s hunt for evidence.

Should you care if levothyroxine normalizes metabolic rate?
T3 Controversies Series

Should you care if levothyroxine normalizes metabolic rate?

Posted on December 1, 2021December 7, 2021 by HD

Some studies suggest that T4 monotherapy doesn’t normalize BMR; others say it’s fine. The jury may be out on this, but it’s nonetheless fascinating to look at the strength (or lack thereof) of the original studies using BMR to guide treatment.

Pig Thyroid is Best?
T3 Controversies Series

Pig Thyroid is Best?

Posted on March 24, 2021March 24, 2021 by HD

In a new clinical trial, study participants preferred desiccated thyroid and T4/T3 combination therapy over T4 alone, but is there more to this than the conclusion?

T3 Controversies: How Much T3 Should I Take?
T3 Controversies Series

T3 Controversies: How Much T3 Should I Take?

Posted on April 27, 2020April 25, 2020 by HD

Which sounds better to you: taking a physiologic dose of T3, or a heroic bolus that acts like an illicit stimulant? If you get your care from alt med, chances are you’ll be slammed with the latter.

T3 Controversies: Should T3 Levels Be Normal When Treating Hypothyroidism?
T3 Controversies Series

T3 Controversies: Should T3 Levels Be Normal When Treating Hypothyroidism?

Posted on February 24, 2020February 23, 2020 by HD

In assessing whether there is value in monitoring T3 levels and restoring them to normal in hypothyroidism, I think it helps to return to first principles. And no, “more T3 is better” is not a first principle.

T3 Controversies: What About Tissues That Can’t Make T3?
T3 Controversies Series

T3 Controversies: What About Tissues That Can’t Make T3?

Posted on February 10, 2020January 28, 2020 by HD

In this next post in the T3 Controversies series, we cover whether T3 therapy must be used to account for tissues that can’t make their own T3.

T3 Controversies: Can Impaired Thyroid Hormone Action be Treated with T3?
T3 Controversies Series

T3 Controversies: Can Impaired Thyroid Hormone Action be Treated with T3?

Posted on January 27, 2020January 28, 2020 by HD

In this first post of my “T3 Controversies” series, I address the claim that there are acquired forms of tissue resistance to thyroid hormone, which can be treated with high-dose T3 therapy.

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