Major Changes /AACE Guidelines for Hypothyroidism in Adults

Hi.

Here are 3 major changes in the AACE 2012 Clinical Practice Guidelines for Hypothyroidism in Adults which may affect many of us !

Overt Hypothyroidism:

      -->  TSH levels abvove 10 mlU/L

Subclinical hypothyroidism:

      --->  TSH less than 10 mIU/L, with lower Free Thyroxine (Free T4) levels

Medication treatment for Hypothyroidism:

---->   Treated only with levothyroxine drugs.


C~



Citation:
2012 Clinical Practice Guidelines for Hypothyroidism in Adults: http://aace.metapress.com/content/b67v7mk73g3233n2/fulltext.pdf

[flyingfool]

Sure wish they would have recommended new Free T4 and Free T3 reference ranges!

[Barb135]

I've done a little bit of research on this -- it sounds like a major setback for many thyroid patients, if doctors actually follow the guidelines.

[flyingfool]

Yeah, if Dr's keep in mind the number 10 for TSH then a LOT of people are going to remain untreated.

I think there is a newer post where a Dr did EXACTLY that. Said that the TSH of 7 or 8 was not high enough as it needed to be higher than 10 before treatment was recommended.

This is bad, bad, bad!

[LazyMoose]

"Treated only with levothyroxine drugs.

Many cannot function on T4 alone, why do they keep ignoring Triiodothyronine, (T3).?

[Red_Star]

When my TSH rose to 6 i developed severe bradypnea (6 breaths a minute) and severe shortness of breath. I agree with flying fool...bad, bad, bad!

[Brucergoldberg]

Man what a scary report.   Instead of going forward, the bozos are going backwards.   Uggh...

[Kristina538]

mmmm - agreed.  I had to go back and demand meds when I started going hypo;  the adjustments and tweeks have been a breeze compared to how I felt before getting any levo at all.  "We don't usually treat below TSH 10" is the brick wall I got last year - it's madness.