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Margaret,

I can't tell if you're being sarcastic or not. But here are some other

citations. Even newer info than this revised level from 2002 is that this is

still very controversial and endos are still arguing about it. Thus I 've seen

some reputable sources list 4.0 as the cutoff. I guess they're cutting it down

the middle from 3.0 to 5.0.

In any case they all agree that even a level over 3.0 or 4.0 should call for

monitoring and follow up...not necessarily treatment. However there are many

many labs who have still refused to change their ranges and I've heard of

doctors saying " I'm not going to look at this if the labs don't change their

ranges " . Just another case where we have to be on top of things. Even our

totally straight arrow AMA loving PCP insists 's TSH be below 3.0.

Again, symptoms always have to be taken into account.

I happen to think an endocrinologist is essential for DS kids as they are

notorious for becoming hypo at some point. And who can afford months or years of

lowered cognition and worsening MR due to hypthyroidism which is so easily

fixed.

http://www.nlm.nih.gov/medlineplus/ency/article/003684.htm

http://www.endocrinology-online.com/Content/For%20Patients/TSH.htm

http://www.aace.com/pub/positionstatements/subclinical.php

Sherry

<<The lab ranges Margaret posted are seriously out of date. In 2002 new

ranges for

TSH were accepted by endocrinologists and the current range is .3-3.0.>>

I will make sure to tell HMC and our local hospital lab this.

M

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