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Worldwide, hyperthyroidism affects 2.5% of adults. [8] It occurs between two and ten times more often in women. [1] Onset is commonly between 20 and 50 years of age. [2] Overall the disease is more common in those over the age of 60 years. [1]
Thyroid disease is a medical condition that affects the 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.
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 ...
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]
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 ...
Statins are linked to better health outcomes in older adults over the age of 70 ... for their lifetime increased their quality-adjusted life years by 0.24-0.70, and those on higher-intensity ...
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]
In humans, the relative incidence of cancer increases exponentially with age for most cancers, but levels off or may even decline by age 60–75 [3] (although colon/rectal cancer continues to increase). [4] People with the so-called segmental progerias are vulnerable to different sets of diseases.