Patient context and TSH levels are important when considering treatment of subclinical hypothyroidism.

Conclusion We agree that routine levothyroxine treatment of mild TSH elevation in asymptomatic individuals is not indicated, in the absence of pregnancy or pregnancy consideration. However, we have concerns relating to the certainty of evidence in issuing a strong recommendation against offering thyroid hormone treatment to individuals with TSH values ≥ 10 mIU/L. Furthermore, we also believe in the importance of treating the patient, and not simply a biochemical abnormality. In considering disease management options for individuals with subclinical hypothyroidism, additional relevant contextual factors such as symptoms, comorbidities, safety/feasibility issues (for both treatment and non-treatment), and patient values and preferences need to be considered. PMID: 31489828 [PubMed - as supplied by publisher]
Source: Thyroid : official journal of the American Thyroid Association - Category: Endocrinology Tags: Thyroid Source Type: research