At present, medicine is based upon the control of thyroid function of the known TSH, but that is not quite accurate.
The recent scientific evidence suggests that conventional medicine is unable to efficiently manage the thyroid and that treatment should not only lower the TSH but also maintain stable levels and a high level of excellence in T4 and T3, which is often forgotten.
Dr. Francisco Martínez Peñalver – Medical Director Neolife Marbella
Preventive medicine included within the comprehensive approach in hormone replacement provides control of thyroid function with a mixture of T4/T3.
Historically, physicians have inherited a wide range of knowledge from their teachers as a basis upon which they then build their clinical practice. One of these pillars is the management of thyroid pathology, which is more and more present in our modern-day environment. 95% of thyroid disorders in adults occur in women, so there are many who believe that disorders in the menstrual cycle can, in some way, contribute to the thyroid losing functionality in a progressive way.
The knowledge traditionally passed on by our teachers advocates that the hormone level is controlled in the anterior of the brain, in a small stem called the pituitary. This hormone is known as TSH, and is a mechanism to control the thyroid, since at lower circulating levels of T3 and T4 the level of TSH secretion is higher, which is the hormone that stimulates the thyroid to produce more of the hormone. Traditionally the control of TSH was assumed to have been conducted through the thyroid.
However, the pituitary-thyroid axis a crucial element has been disregarded considering the transformation in the peripheral tissues from T4 to T3, something that is fundamental for the hormone to work.
In recent years the concept that the transformation which takes place in peripheral tissues to active hormones may be even more important than the control that TSH exerts on the thyroid gland is gradually being formed. Numerous articles, as far back as 2010 have stated this position. From the “Clinical Endocrinology of Oxford” about the effectiveness of adding T3 in those patients with a controlled thyroid function as a means to increase their cognitive capacity; to the latest article last April in the “Innovations in Clinical Neuroscience” journal which speaks openly about how controlling T3 levels is crucial for some symptoms associated with low thyroid function, such as depression and weight gain.
In summary, the recent scientific evidence suggests that conventional medicine is unable to efficiently manage the thyroid and that treatment should not only lower the TSH but also maintain stable levels and a high level of excellence in T4 and T3, which is often forgotten. This may be the answer to many patients who suffer the symptoms of poor thyroid control, but who are labelled as “free-from thyroid disease” because the usual clinical practice only addresses TSH levels.
The Neolife preventive medicine clinic with our comprehensive approach to hormone replacement using bioidentical hormones aims to provide the ideal hormonal profile for every patient thanks to the hormones that have been used for years to control thyroid function along with the T4/T3 mixture.