dating woman from fiji - Dating hypothyriod
Risk of harm to the patient, against which this potential benefit must be balanced, is quite small, since the use of the sensitive TSH assay provides assurance that we are not raising the blood thyroid hormone levels too much as long as TSH levels do not fall below the normal range.In patients with coronary artery disease and minimal elevations of TSH, however, it may be advisable to follow the TSH level rather than subject the patient to the small risk of levothyroxine therapy.
In some cases, the TSH level will be normal if measured again several months later; we would then attribute the initial elevation to laboratory error or, perhaps, to an episode of silent thyroiditis with a transient hypothyroid phase.
In other cases, the subclinical hypothyroidism remains unchanged.
The likelihood that this will happen increases with greater TSH elevations and detectable antithyroid antibodies.
Because patients with subclinical hypothyroidism sometimes have subtle hypothyroid symptoms and may have mild abnormalities of serum lipoproteins and cardiac function, patients with definite and persistent TSH elevation should be considered for thyroid treatment.
Levothyroxine, in a dosage that maintains serum TSH levels within the normal range, is the preferred therapy in these patients. In one study,1 thyrotropin-stimulating hormone (TSH) levels greater than 10 μU per m L (10 m U per L) were found in 7 percent of women and 3 percent of men who were 60 to 89 years of age, living active lives in the community (normal range: approximately 0.5 to 4.5 μU per m L [0.5 to 4.5 m U per L]).