Hypothyroidism & Thyroid Dysfunction
About This Condition
Hypothyroidism is one of the most underdiagnosed and undertreated conditions in outpatient medicine. The thyroid gland regulates metabolism, body temperature, heart rate, mood, cognition, and hormonal balance — making dysfunction widespread in its effects. Conventional care relies almost exclusively on TSH as a screening and monitoring tool and prescribes synthetic T4 (levothyroxine) as a monotherapy. The problem: up to 15% of patients on adequate T4 replacement still report persistent symptoms because they cannot efficiently convert T4 to the active hormone T3. Hashimoto's thyroiditis — an autoimmune cause of hypothyroidism — is frequently missed or ignored entirely once TSH is "normal."
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