Hypothyroidism management: Is an annual check of TSH level always necessary?
The Journal of Family Practice. 2012 October;61(10):E1-E5
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Perhaps not. Less frequent measurements may be appropriate for some patients. Our study reveals when you may be able to safely extend the monitoring cycle.
Finally, this study design did not control for concurrent medication use other than lithium and amiodarone, thereby potentially overlooking substances such as antacids and calcium that could reduce levothyroxine absorption. However, as a practical matter, use of over-the-counter supplements and substitution in levothyroxine brand are often not reported by patients.
CORRESPONDENCE Jennifer Pecina, MD, 200 First Street SW, Rochester, MN 55905; pecina.jennifer@mayo.edu