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thyroid hormone concentrations within the reference range [ 1 , 2 , 5 ]. In a recent editorial, Professor Wiersinga proposed to add the presence of thyroid disease for the diagnosis of SCH [ 5 ]. This new definition prevents the erroneous treatment of
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Hypothyroidism affects about 3.7% of the general population in the United States [ 1 ], reaching levels of up to 8% in areas with high prevalence of iodine deficiency [ 2 ]. At first sight, treatment for hypothyroidism, regardless of its
Department of Endocrinology, Portuguese Institute of Oncology, Lisbon, Portugal
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seen as a protective condition for thyroid cancer, and a relationship between low serum TSH levels and a lower incidence of papillary carcinoma has been suggested [ 6 , 7 ]. However, a recent meta-analysis could not confirm this association [ 8
Amsterdam Gastroenterology Endocrinology Metabolism, Amsterdam, the Netherlands
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Amsterdam Gastroenterology Endocrinology Metabolism, Amsterdam, the Netherlands
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Department of Laboratory Medicine, Endocrine Laboratory, Amsterdam UMC, University of Amsterdam, Amsterdam, the Netherlands
Amsterdam Reproduction & Development Research Institute, Amsterdam, the Netherlands
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predominant. The intracellular concentration of thyroid hormone is regulated by specific enzymes, so-called deiodinases ( 2 ). Deiodinases are able to remove an iodine atom from the outer or inner ring of the tyrosyl backbone. There are three types of
Institute of Clinical Research, University of Southern Denmark, Odense, Denmark
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. After the first dose of RAI, the T 3 and T 4 levels decreased to normal, but TSH remaining suppressed. After the fourth dose of RAI, TSH concentration became measurable. During the fall of 2014 the patient was taken off PTU, with TSH, T 3 , and T 4
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on the x-axis (fig. 1 b, non-competitive). On the other hand, concentrations higher than or around the IC 50 seem to follow a competitive type of interaction with varying levels of the cofactor DTT (fig. 1 a, b). The two other compounds tested on
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(er) TSH concentrations [ 22 ]. Although a higher prevalence of elevated TgAb levels has been reported in women with subfertility, their significance remains uncertain [ 28 ]. Research examining TAI prevalence in subfertile women or any association between
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low iodine availability, genetic defects in hormonogenesis, inhibition of hormone synthesis by thyrostatic drugs (the most common explanation of fetal goiters today) and also, as reported in historical cases, when hormone synthesis is inhibited by
Royal Victoria Infirmary, Newcastle upon Tyne, UK
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Queen Elizabeth Hospital, Gateshead, UK
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Introduction Subclinical hypothyroidism (SCH) is defined as a state of increased serum thyroid-stimulating hormone (TSH) levels, with circulating thyroxine (T 4 ) and tri-iodothyronine (T 3 ) concentrations within the population reference
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very effective for both supra- and ventricular tachyarrhythmia, is hemodynamically well tolerated by patients with impaired inotropic function and/or pre-existent hypotension, and also prevents sudden cardiac death ( 2 ). Due to its high iodine