The management of patients with an under active thyroid has for many years followed a standard protocol using thyroxine (T4) tablets.

Taking synthetic T4 ensures that the bloodstream is replenished with thyroxine up to a concentration which laboratory tests indicate to be a normal level.

The blood test not only indicates the level of thyroxine but also the body’s marker of thyroxine need, the TSH level. The aim of treatment has traditionally been to re-establish the TSH back into the normal range and assume that the patient is now back to normal

Thyroxine is a metabolic hormone needed for all cells of the body to convert food into energy. The abbreviation T4 denotes the number of iodine molecules attached to the hormone structure. The cell take off one iodine molecule and make the more active component T3 within the cells. The question therefore arises as to whether thyroid therapy should also contain T3 as well as T4 and whether patients would feel better if they were given this combination.

Fizzy Drinks and Fruit juice ‘The News story’
The News Story: Fizzy drinks and fruit juice cause Type 2 diabetes, opting for plain water might pre... more
Laser treatment for retinopathy
It always important when you are a diabetic to maintain good blood glucose and blood pressure contro... more
Diabetes and Cardiovascular Disease
Heart attacks and stroke are by far the most frequent cause of premature death with patients in diab... more
Nutrition and diabetes
In the past patients have been given a prescription called a diabetic diet with many foods banned. ... more
Kidneys and diabetes Kidney Disease (nephropathy)
Diabetes represents the commonest cause of kidney failure in the Western World, Normal functioning ... more
Feet and Diabetic Peripheral Neuropathy
We often forget about the importance of foot care. But simply having diabetes greatly increases the ... more