Hypothyroidism: stopping thyroxine – new findings for patients

Hypothyroidism: stopping thyroxine – new findings for patients

In the area of ​​thyroid health, a new study reveals interesting findings that could potentially fundamentally change the approach to treating hypothyroidism. Many sufferers have been taking the synthetic hormone L-thyroxine for years, although a significant proportion of patients may be able to stop taking this medication.

New insights into the treatment of hypothyroidism

According to experts and current studies, it is no longer irrefutable that all patients with hypothyroidism are dependent on thyroxine for life. A study carried out in Fulda has shown that around a third of patients may no longer need their medication. This raises questions regarding long-term use and the need for ongoing hormone replacement therapy.

Patient groups that may benefit from discontinuation

Dr. Joachim Feldkamp, ​​chief physician at the Bielefeld Mitte Clinic, has identified specific groups in which discontinuing thyroxine could make sense. These groups include:

• Patienten, die wegen eines Schilddrüsenknotens behandelt werden,
• Patienten mit nur leicht erhöhten TSH-Werten,
• Patienten, bei denen nur ein Teil der Schilddrüse entfernt wurde, und
• Junge Menschen mit leichten Erhöhungen von TSH aufgrund einer Hashimoto-Thyreoiditis.

According to Dr. Feldkamp reduces the risk of complications, such as atrial fibrillation, if their TSH levels are too suppressed by unnecessary hormone replacement therapy.

Critical consideration of long-term therapy

Awareness of the need for continuous therapy for thyroid diseases has changed in recent decades. What was considered standard 40 years ago is viewed more critically today. Today it is often recommended that thyroid hormones be administered only temporarily or in combination with iodine. Regular reviews of treatment approaches are necessary to ensure patient health.

Influence of diet on thyroid function

In addition to drug treatment, diet also plays a crucial role in thyroid health. For example, certain foods, such as nuts and coffee, can affect the effectiveness of thyroxine. Therefore, patients should also pay attention to such interactions:and adjust their eating habits if necessary.

Conclusion: education and self-determination in therapy

The new research results on the discontinuation of thyroxine encourage a rethink in the treatment of thyroid diseases. They encourage patients to participate actively and informedly in their therapy and to regularly question the necessity of their medication. An exchange with the treating doctors is essential in order to determine the best course of action for the individual health condition. This article does not claim to be self-diagnosis or treatment and does not replace a visit to the doctor.