Critique of Thyroid Hormone Replacement Therapy Studies

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Thyroid Hormone Replacement Therapies:
Ineffective and Harmful for Many Hypothyroid Patients

May 4, 2004

(Republished and available as free pdf at:
http://www.thyroidscience.com/Criticism/lowe.dec.2006/t4vst4t3studies.htm)

Introduction | Page1 | Page 2 | Addenda | pdf format
Clarifications
| Selected Response Letters

The document this page introduces is a formal paper by Dr. John C. Lowe. In it, he presents documentary evidence for the ineffectiveness and harm of thyroid hormone replacement for many hypothyroid patients.

The paper is a formal critique of four studies published in 2003. These studies showed that two types of replacement therapies were ineffective for many patients. Other studies, which Dr. Lowe cites, also show that patients using T4-replacement have an increased incidence of other diseases associated with hypothyroidism, and increased chronic use of drugs to control persisting hypothyroid symptoms and the other diseases.

In that the paper is a formal critique, Dr. Lowe had to present his arguments with extreme precision. To do so required, at some points in the paper, that he use language some patients with cognitive dysfunction may find hard to understand. However, his Editor, Jackie Yellin, worked with him to simplify the language as far as precision allows. This makes most of the paper easy to understand.

If some parts of the paper aren't clear to a reader, Dr. Lowe and Jackie encourage him or her to write for clarification. (Please send emails to DrJohnLowe@aol.com.) The content of the paper is extremely important to the health and well-being of hypothyroid patients. Because of that, we'll post clarifications on a dedicated page at drlowe.com. We encourage readers to bookmark the page and visit it at intervals to read the clarifications.

Below is a "Table of Contents" for the paper. The Table contains links to different sections and subsections of the paper.

This paper will soon be published as an appendix in Dr. Lowe's new book titled Tyranny of the TSH.

Full Paper
pdf Version

Table of Contents

Section 1. Abstract

Section 2. False Reports of 2003 Study Results and Potential Problems From Them

A. Valid and Invalid Conclusions of the Endocrinology Researchers, Commentators, and Journalists

Section 3. Endocrinologists’ Odd Treatment Advice for Patients Who Remain Symptomatic on T4-replacement Therapy

Section 4. Alternate Approaches to Thyroid Hormone Therapy

A. Patient Safety

Section 5. Potential Harm From TSH-Suppressive Dosages of Thyroid Hormone

A. Central Limit Theorem and the Ineffectiveness and Dangers of Replacement Therapy for Many Patients

Section 6. Presumptions of the Endocrinology Specialty: Instability of Desiccated Thyroid, Dangers of T3, and the Safety and Effectiveness of T4-replacement

A. Instability of Desiccated Thyroid

B. Dangers of T3

C. Safety and Effectiveness of T4-replacement Therapy

(1) The Fraser Study

Section 7. Consequences of the Presumption That T4-replacement is Invariably Safe and Effective

A. Continued Suffering of Many Patients on T4-replacement

b. Increased Incidence of Disease and Medication Use Among Patients on T4-replacement

Section 8. Dilemma for the Endocrinology Specialty

References

Addendum 1. Inaccurate Statements of the Endocrinology Researchers

Addendum 2. Endocrinologists’ Advice to Continue T4-replacement

Addendum 3. Persistent Symptoms Among Patients Using Replacement Therapies

Addendum 4. Endocrinologists’ Warnings of Harm From TSH-Suppressive Dosages of Thyroid Hormone

Addendum 5. About Dr. Hutton

Copyright © John C. Lowe

Introduction | Page1 | Page 2 | Addenda | pdf format
Clarifications
| Selected Response Letters