Subclinical hypothyroidism is defined as an elevated
thyroid stimulating hormone (TSH) and a normal T4 in the presence
of few or no hypothyroid symptoms. It is a frequently encountered
clinical scenario. Often the clinician is faced with the decision
of treatment vs. no treatment. A recent review of the evidence
produced guidelines on management of this condition. Essentially
there is insufficient evidence to support treatment in most
cases; however these guidelines recommend treatment if the
hypothyroid patient is symptomatic or if TSH is over 10.
Subclinical Hypothyroidism: The evidence suggests that treatment is not indicated, consensus guidelines and clinician judgment may sometimes say otherwise..
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