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My doctor tells me that he doesn’t want to give me a trial of thyroxine because there is strong evidence that, once I start taking it, my own thyroxine production will decrease and I will become dependent on taking replacement medication. Is this true?

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My doctor tells me that he doesn’t want to give me a trial of thyroxine because there is strong evidence that, once I start taking it, my own thyroxine production will decrease and I will become dependent on taking replacement medication. Is this true?

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A. There is no evidence at all. He’s just made the whole thing up. If thyroid levels are already low, no amount of waiting about will cause them to come back to normal. The purpose of thyroid replacement should be to reduce or eliminate a patient’s hypothyroid symptoms, although doctors usually prefer to regulate thyroid replacement therapy based on TSH test results.

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