{"id":460,"date":"2017-03-26T14:25:25","date_gmt":"2017-03-26T14:25:25","guid":{"rendered":"http:\/\/papergp.com\/index.php\/endocrinology\/hypothyroidism\/"},"modified":"2023-01-24T11:25:25","modified_gmt":"2023-01-24T11:25:25","slug":"hypothyroidism","status":"publish","type":"page","link":"https:\/\/papergp.com\/index.php\/endocrinology\/hypothyroidism\/","title":{"rendered":"Hypothyroidism"},"content":{"rendered":"<div class=\"content-box-blue\">\n<h4>Data gathering<\/h4>\n<ul>\n<li>Red flags<\/li>\n<li>Others &#8211; weight, tired, skin\/hair, bowel, periods, mood<\/li>\n<li>Examine &#8211; pulse, BP, CVS, thyroid, reflexes<\/li>\n<\/ul>\n<\/div>\n<p>&nbsp;<\/p>\n<div class=\"content-box-blue\">\n<h4>Clinical management<\/h4>\n<ul>\n<li>Investigations\n<ul>\n<li>Bloods &#8211; TFTs<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<ul>\n<li>Explanation\n<ul>\n<li>thyroxine is a hormone produced by the thyroid gland that helps with body functions such as periods, mood, bowels. having an underactive thyroid can slow some of these processes leading to constipation, dry skin, change in periods<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<ul>\n<li>Treatment\n<ul>\n<li>Levothyroxine 50mcg OD (even if asymptomatic but TSH &gt; 10)\n<ul>\n<li>Start at 25mcg if &gt;50yo\/heart disease<\/li>\n<li>Increase in 25mcg increments after 6 weekly TFTs<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<ul>\n<li>Follow-up \/ Safety-net\n<ul>\n<li>Check TFTs 6 weeks after and then annually<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<\/div>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Data gathering Red flags Others &#8211; weight, tired, skin\/hair, bowel, periods, mood Examine &#8211; pulse, BP, CVS, thyroid, reflexes &nbsp; Clinical management Investigations Bloods &#8211; TFTs Explanation thyroxine is a hormone produced by the thyroid gland that helps with body functions such as periods, mood, bowels. having an underactive thyroid can slow some of these &hellip; <a href=\"https:\/\/papergp.com\/index.php\/endocrinology\/hypothyroidism\/\" class=\"more-link\">Continue reading <span class=\"screen-reader-text\">Hypothyroidism<\/span><\/a><\/p>\n","protected":false},"author":1,"featured_media":0,"parent":456,"menu_order":72,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-460","page","type-page","status-publish","hentry"],"jetpack_sharing_enabled":true,"_links":{"self":[{"href":"https:\/\/papergp.com\/index.php\/wp-json\/wp\/v2\/pages\/460","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/papergp.com\/index.php\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/papergp.com\/index.php\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/papergp.com\/index.php\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/papergp.com\/index.php\/wp-json\/wp\/v2\/comments?post=460"}],"version-history":[{"count":5,"href":"https:\/\/papergp.com\/index.php\/wp-json\/wp\/v2\/pages\/460\/revisions"}],"predecessor-version":[{"id":1925,"href":"https:\/\/papergp.com\/index.php\/wp-json\/wp\/v2\/pages\/460\/revisions\/1925"}],"up":[{"embeddable":true,"href":"https:\/\/papergp.com\/index.php\/wp-json\/wp\/v2\/pages\/456"}],"wp:attachment":[{"href":"https:\/\/papergp.com\/index.php\/wp-json\/wp\/v2\/media?parent=460"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}