Managing Subclinical Hypothyroid Using Resting Metabolic Rate and Brachioradialis Reflexometry
نویسنده
چکیده
Objective This study looks at the risks associated with subclinical hypothyroidism and a new management paradigm that optimizes thyroid function based on Resting Metabolic Rate (RMR) and Brachioradialis Reflexometry (BR). Main Outcome Brachioradialis Reflexometry (BR) correlates the best with RMR measurements and, in this population, seems to be the best parameter to titrate thyroid dose. Using any form of thyroid therapy, RMR must increase approximately 383 kcalories above baseline values to achieve thyroid adequacy and resolution of symptoms. However, TSH values fall below 0.3 mU/L when RMR is increased only about 139 kcalories above baseline values.
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