1. Your doctor probably is still using the old reference range of 0.5 to 5.0 for diagnosis and management of your thyroid disease
2. You should not accept the answers "normal," "high" or "low" as a report of your blood tests. Instead, ask for the actual numbers and ask for the lab's normal range. Better yet, ask that a copy of your blood test report be faxed or mailed or given to you.
3. If your TSH test levels come in below 0.5, or above 2.5-3.0, and your doctor is saying these levels are normal, make him or her aware of the AACE and American Association for Clinical Chemistry Laboratory Medicine Practice Guidelines and their 0.3 to 3.0 new reference range. Ask the doctor if he or she will consider a different diagnosis and treatment based on this new information.
4. If your doctor refuses to consider your results according to the new range, you may want to look for a new doctor who is more accepting of change and new evidence, and who will in fact be practicing according to the American Association of Clinical Endocrinologists new guidelines.
Mary Shomon, About.com's Thyroid Guide since 1997, is a nationally-known patient advocate and best-selling author of 10 books on health, including "The Thyroid Diet: Manage Your Metabolism for Lasting Weight Loss," "Living Well With Hypothyroidism: What Your Doctor Doesn't Tell You...That You Need to Know," "Living Well With Graves' Disease and Hyperthyroidism," "Living Well With Autoimmune Disease," "Living Well With Chronic Fatigue Syndrome and Fibromyalgia," and the "Thyroid Guide to Fertility, Pregnancy and Breastfeeding Success." Click here for more information on Mary Shomon.
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