I read your post to me about how you don't like block/replace therapy, and that you like MMI titration, what is that? HOw do you keep your patients from going hypo thyroid on only ATD's? and if they do go hypo, how do you help them if you don't use replacement? Also, does using ATD's burn out your thyroid? and does replacement burn out your thyroid? Do you consider 5mg of MMI to be a high dose of ATD? HOw long do you recommend ATD therapy for your patience, I have heard a year is standard, but do you go shorter sometimes? Do you believe that ATD therapy is what kills the TSI antibodies?
thank you,
Lorilynn