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Hey guys, this is Dr. Roushaw with your fast facts on this episode on Subclinical Hypothyroid,

which I think was a great episode, and I hope you guys really enjoy it.

Subclinical hypothyroidism is defined as high Tsh and normal T4 according to the conventional

ranges. Many cases will normalize with time. Subclinical hypothyroidism correlates with conditions

like cardiovascular disease, cholesterol and lipid abnormalities, infertility and miscarriage.

Subclinical hypothyroidism can be treated with thyroid hormone. Treatment of subclinical hypothyroidism

is controversial. The highest level evidence shows minimal benefit from treatment with thyroid hormone.

It lowers cholesterol and lipids, but does not appear to have any effect on heart disease risk or quality of life.

In my opinion, subclinical hypothyroidism should be re-evaluated after you have improved your diet, lifestyle,

and treated any other health problems, especially including digestive problems.

Some other guidelines suggesting when treatment may be indicated, the younger someone is,

the more likely treatment may help. Also, the less responsive someone has been to other therapies, the more likely treatment may help.

There is some evidence suggesting that treatment may help with, infertility, probably the most well suggested,

high cholesterol levels, cardiovascular disease, and cognition in children.

Treatment is least supported for inflammation, cognition in the elderly, fatigue, mood, and for

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