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Combined T4/T3 Therapy: Placebo or Tomato?
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From by Ken Woliner, M.D., A.B.F.P., About.com Guest

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Oct 20 2003
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1. Walsh JP, et al. "Combined Thyroxine/Liothyronine Treatment Does Not Improve Well-Being, Quality of Life, or Cognitive Function Compared to Thyroxine Alone: A Randomized Controlled Trial in Patients with Primary Hypothyroidism." 2003; JCEM 88(10): 4543-50.
2. Sawka AM, Gerstein HC, et al. "Does a Combination Regimen of Thyroxine (T4) and 3,5,3'-Triiodothyronine Improve Depressive Symptoms Better Than T4 Alone in Patients with Hypothyroidism? Results of a Double-Blind, Randomized, Controlled Trial.” 2003; JCEM 88(10): 4551-55.
3. Kaplan MM, et al. “Editorial: In Search of the Impossible Dream? Thyroid Hormone Replacement Therapy That Treats All Symptoms in All Hypothyroid Patients.” 2003; JCEM 88(10): 4540-2.
4. Bunevicius R, et al. “Effects of thyroxine as compared with thyroxine plus triiodothyronine in patients with hypothyroidism.” NEJM 1999; 340: 424-9.
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17. Goodwin JS. “The tomato effect. Rejection of highly efficacious therapies.” JAMA 1984; 251(18): 2387-90.
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