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Jeffrey Dach, MD

Mainstream medical practice relies on the TSH test to determine when to treat with thyroid hormone (lab range 0.5 – 5.5) , so most people with low thyroid may have normal TSH and are missed by the medical system and are not given thyroid hormone.

The TSH may be paradoxically low in a condition called hypothalamic dysfunction. Since the TSH may be below 3, no mainstream doctor would give thyroid hormone. However, if the free T3 and free T4 are both low, this indicates a low thyroid condition, in spite of the low TSH.

Reflex time and basal temperature are also useful, as well as a lengthy questionnaire reviwing symptoms of low thyroid. For treatment options, synthroid is the synthetic thyroid pill which contains only T4, while the natural thyroid pill contains both T3 and T4 accounting for its better results. For more information on natural thyroid for low thyroid conditions, see my newsletter.

Jeffrey Dach MD

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Sophie Hawkins

Interesting topic, thanks for posting information on saliva and blood spot testing for thyroid and other hormones. One question though, I was just on and saw that half the doctors use saliva testing and the other half don't. I thin that saliva testing does not test for synthetic hormones. What are your thoughts on this?


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