Assessment of treatment efficacy

xxyzx wrote:

FrederickRose wrote:

nanwilson wrote:Doc. xxxyxz's claims have been refuted before... MANY times, yet he still refuses to accept that he is wrong or spouting wrongful information . He is never wrong... in his estimation only. .
Thank you for your insightful explanation , as I am one of those that has to take thyroid meds daily.
Cheers
Nan

Bertha deBlues wrote:
Thanks, Doctor, from another patient being treated for hypothyroidism. I appreciate the information you have shared. Best of luck to you in fine-tuning your own sleep apnea treatment. I'm still on the journey.

Thanks, Bertha and Nan. I'm glad it was useful information. I've been meaning to make a YouTube video to explain it better, because what xxyzx expressed is a very common misunderstanding about thyroid conditions.

xxyzx wrote:and those were the party line old school traditional whizdumb beliefs
many newer doctors do not agree
and many patients prove the newer doctors are right
whilst many patients suffer because the old doctors wont accept that they are sick and look at the real problem because TSH said there is none

so it is as much opinion as fact
... that has nothign to do with TSH not being meaningful for many people
nor T4 not treating many people

This is not about new vs old doctors. Many doctors of all ages don't listen enough to how patients are feeling, are overly dogmatic about TSH, and don't understand that there are aspects of thyroid replacement which remain incompletely understood. This deficiency on the part of many doctors has led to the type of misconceptions which you have expressed.

I agree with you that some people with a normal TSH benefit from treatment and that some people may benefit from treatment other than T4. Many doctors, both old and young would agree with that. In fact, the heavily referenced guidelines I linked to explain how and why that is. But for you to go the further step and tell people that TSH is not a very useful test in general, or that T3 is a better test than TSH for most people, the old saw applies: "A little knowledge is a dangerous thing".

Jay Aitchsee wrote:Here, I am saying don't be in a rush to get under 2. It takes time for one's body and mind to adjust to the therapy (sleeping with an alien on the face). Most of us would recommend small changes gradually. If you change the pressure, for example, let it ride for a while. A week would be good to determine the result. You might find that your current AHI will fall on its own without additional changes as you become used to the therapy. This is especially true if a significant portion of your AHI is made up of CA. CA's will often resolve on their own as one becomes accustomed to the treatment.

Thanks, this is great information!

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nothing was refuted at all
some were disputed and folks can decide which doctors to beleive
those of us who have the problem believe the doctors i cited
those without the problem can believe traditional whizdumb without any bad effects

what i said worked for me and many others
as i noted not everybody has the problem
but relying on TSH is bad practice when there are still problems and it is supposedly normal
i have normal TSH but need TR synthroid to achieve normal T3 levels and not feel so tired