A curiously deceptive topic which needs a patient centred approach to alleviate symptoms and restore health in an evidence based approach. You’ll find a simplified flowchart published above but read an excellent review here.
Combination Thyroxine + T3 treatment in hypothyroidism – ETA guidelines 2012 help prescribing in hypothyroidism
Combination treatment with thyroxine and T3 has always remained controversial and uncommon (particularly the armour treatment) and the reluctance of endocrinologists to prescribe (which is very understandable). The controversy i.e. the paucity of evidence in medical literature to support T4+T3 treatment – Vs – persistence of symptoms on adequate treatment with thyroxine (despite normal TSH) and reported improvement […]