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If, after all that, the patient is still experiencing fatigue or weight gain, its not the thyroid thats causing it, and they may benefit from considering lifestyle issues.
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If subclinical hypothyroidism persists, test for thyroid peroxidase antibodies. These demonstrate an autoimmune process and progression risk. These patients stand to benefit from treatment. So do those with goitre, and women who are pregnant or trying.
8. Monitor TSH and T4 every 4-8 weeks until it stabilizes in target ranges. That done, hypothyroidism is controlled. But patients wont see immediate improvement. It can take 3-6 months or even longer.
The study involved 31 women with intermittent claudication and raised TSH ( 4 mU/L treatment with thyroxine for 1 year was associated with less morbidity and less progression of arterial disease than in an untreated group.
Feb 19, 2015.
Estimates of prevalence range from 1 to 10, with women overrepresented, and of these 3-20 will progress untreated. Others are resolving cases of thyroiditis that will improve. 3. Wait 2-3 months then test again.
Subclinical hypothyroidism: TSH is elevated (usually mildly: 5-10 mIU/L T4 (thyroxine) is normal range. So is T3 (triiodothyronine if tested. There s little).