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In secondary hypothyroidism the TSH is unreliable, and doses should be titrated to the T4 level Advise patients: Treatment is usually lifelong There is an association with other autoimmune diseases, particularly: Pernicious anaemia Addisons disease About the risk of side effects Typically few, and usually dose related due to too much thyroxine causing signs of hyperthyroidism: Palpitations and atrial fibrillation Diarrhoea Increase appetite Anxiety Insomnia Tremors Subclinical hypothyroidism Historically, a contentious issue Defined as elevated TSH, with normal T4

Our medical team will guide you through the process and make sure you feel comfortable with the injection method

Nature 438 (7064): 9093

Peptide therapy works best when paired with testing and structured protocols for optimal health

Bruno JL, Shelly EW, Quintin E-M, Rostami M, Patnaik S, Spielman D, et al