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For older people (over 50 years old) and people with known or suspected ischemic heart disease, levothyroxine therapy should not be initiated at the full replacement dose. [24] Since thyroid hormone increases the heart's oxygen demand by increasing heart rate and contractility, starting at higher doses may cause an acute coronary syndrome or an ...
Thyroid disease is a medical condition that affects the structure and/or function of the thyroid gland.The thyroid gland is located at the front of the neck and produces thyroid hormones [1] that travel through the blood to help regulate many other organs, meaning that it is an endocrine organ.
In people with central/secondary hypothyroidism, TSH is not a reliable marker of hormone replacement and decisions are based mainly on the free T 4 level. [8] [10] Levothyroxine is best taken 30–60 minutes before breakfast, or four hours after food, [8] as certain substances such as food and calcium can inhibit the absorption of levothyroxine ...
A major expected side-effect of radioiodine in people with Graves' disease is the development of lifelong hypothyroidism, requiring daily treatment with thyroid hormone. On occasion, some people may require more than one radioactive treatment, depending on the type of disease present, the size of the thyroid, and the initial dose administered. [47]
Statins are linked to better health outcomes in older adults over the age of 70 with or ... for their lifetime increased their quality-adjusted life years by 0.24-0.70, and those on higher ...
About 25 to 30% of people with the condition develop eye problems. [1] [4] The exact cause of the disease is unclear, but symptoms are a result of antibodies binding to receptors on the thyroid causing over-expression of thyroid hormone. [3] Persons are more likely to be affected if they have a family member with the disease. [1]
Older people should be started on lower doses of liothyronine. [12] Plasma T 3 concentrations in this population are decreased by 25% to 40%. [10] TSH must be routinely monitored since there is a risk of coronary artery disease, hyperthyroidism and excessive bone loss from inadequate or abnormal thyroid replacement. [10]
When pregnant, a woman with a low-functioning thyroid will also need to increase her dosage of thyroid hormone. [16] One exception is that thyroid hormones may aggravate heart conditions, especially in older patients; therefore, doctors may start these patients on a lower dose and work up to a larger one to avoid risk of heart attack. [17]
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