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Note: You can find out how you should be monitoring your body when you take thyroid medication to make sure it is actually working below.
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The ATA supports efforts to learn more about the causes of somatic symptoms that affect many individuals, to test rigorously the idea that some as yet unidentified abnormality in thyroid hormone action might account for even a small subset of these symptoms, and to pursue properly designed clinical trials to assess the effectiveness of lifestyle, dietary, and pharmacological treatments for these common ailments.
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An increase in TSH associated with sertraline therapy was reported in 11 patients (), although another study did not report such an increase ().
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Long-acting somatostatin analogs suppress serum TSH and blunt TRH-stimulated TSH levels in healthy volunteers (), while chronic nocturnal octreotide therapy in children treated for tall stature reduces nocturnal levels of serum TSH without affecting serum thyroxine concentrations ().
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For lumbar spine and hip (as for all other sites), suppressive TH therapy was associated with significant bone loss in postmenopausal women (but not in premenopausal women), whereas, conversely, replacement therapy was associated with bone loss in premenopausal women (spine and hip), but not in postmenopausal women.
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