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Home > Adults > Endocrinology >

Sub Clinical hyperthyroidism

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Checked: 23-09-2022 by Vicky Ryan Next Review: 23-09-2022

Overview

 

These guidelines have been provided by the Endocrinology Team at NBT so pathways might be slightly different at UHBW

Definition 

Biochemically defined as a TSH below the normal range with a normal free T4 and T3

Important points

Rarely symptomatic and often doesn’t require treatment

Who to refer

Refer routinely if TSH <0.1mIU/L on 2 separate occasions or TSH <0.1mIU/L with a background of atrial fibrillation or osteoporosis.

Before referral

Further investigation

  • Repeat TFTs (TSH, free T4 and free T3) with TPO and TSH receptor antibodies, 2 weeks after the first blood test to ensure doesn’t represent non-thyroidal illness
  • If TSH ≥0.1mIU/L, monitor TFTs 6 monthly

 

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