#AACE2021: Top 20-Challenges in Diagnosis and Treatments of Thyroid Dysfunction

Video Transcription

Video Summary

In this video, three speakers discuss different aspects of thyroid dysfunction. Dr. Alex Tesno focuses on combined T4-T3 therapy as a treatment for hypothyroidism. He explains that while levothyroxine is the standard treatment, some patients still experience symptoms. He suggests combining levothyroxine with liothyronine may be more effective in certain cases. He also discusses desiccated pork thyroid products versus synthetic human thyroid hormone replacements.<br /><br />Dr. Salman Razvi talks about managing subclinical thyroid disease. He emphasizes the importance of considering patients' symptoms and medical history when diagnosing and treating subclinical thyroid disease. He also discusses the long-term natural history of thyroid disease and research on different treatments and their effects on cardiovascular risk factors.<br /><br />Dr. Victor Burnett discusses the challenges in diagnosing thyroid dysfunction. He explains different patterns of thyroid function test results and factors that can influence those results. He also discusses the impact of systemic therapy and other medications on thyroid function. He uses case studies to illustrate these points.<br /><br />The video covers various topics, including thyroid autoimmunity, the ideal TSH target range, the use of T3 in combination therapy, and the debate around levothyroxine monotherapy versus desiccated thyroid extract. It also discusses genetic variants, accuracy of free T4 assays, safety of combined therapy during pregnancy, and the correlation between TSH levels and hypothyroid symptoms. The video emphasizes the need for further research and understanding of thyroid dysfunction. No credits were mentioned in the transcript.

Asset Subtitle

Victor Bernet, MD, FACE, FACP | Alex Tessnow, MD | Salman Razvi, MD, FRCP | Tracy Tylee, MD

Keywords

thyroid dysfunction

T4-T3 therapy

hypothyroidism

levothyroxine

liothyronine

desiccated pork thyroid products

synthetic human thyroid hormone replacements

subclinical thyroid disease

diagnosis

treatment

cardiovascular risk factors

thyroid function test results