there are also some studies showing that thyroid hormone replacement therapy causes thyroid antibodies to normalise after around 12-18 months - in a lot of cases
then the other day i came across a guy who has published some research in this area saying that:
new studies showing 20% of population have raised levels of anti thyroid antibodies( outside range) - 5% also have physical ultrasound detectable tissue damage in thyroid gland - but only under 1% are truly hypothyroid - in terms of out of range T3.... therefore thyroid antibodies alone does not equal hypothyroidism
he feels many people are overmedicated - due to trends in functional medicine that are not supported by recent research
he thinks other issues can and may be driving thyroid issues - esp gut issues - and those should be what is treated - rather than give thyroid hormones.
gut infections or parasites were two thing mentioned that can cause this.
studies also show little or no clinical improvement when treating people with thyroid hormones who have TSH of 5-8 ( some recent studies are arguing maybe starting to see some v slight benefit at 7)
and that often these people will have their TSH and thyroid hormones normalise over time in any case
apparently latest research shows only people that have TPO above 500 are likely to go on to develop full blown hypothyroidism within 6 years ( mine was 168 at peak ) and the other antibodies are much less diagnostic
there are risks of treating with thyroid hormones - approx. 2% increase in heart disease risk - ( not big - but not zero)
selenium is protective in small doses - <200mcg - antioxidant - helps body make glutathione - but should not be taken in large doses - or taken long term - benefits seem to occur in 3-6months - not further
his clinic can see people with fatigue, insomnia, etc who are actually suffering from the stimulant effect of too much thyroid meds ( not too little), but don’t know it - thinking its from their hypothyroidism - but is actually from chronic over use of the stimulating replacement thyroid hormone - so basically overstimulating themselves and having poor sleep - then being tired in the daytimes - and thinking that just down to their thyroid condition.
i haven't read the guys published studies - but there were some surprising and thought provoking stuff in there
(best to skip through all the annoying advertising at the beginning and get to the interview )
https://chriskresser.com/understanding-the-gut-thyroid-axis-hypothyroidism-and-hashimotos-with-dr-michael-ruscio/