Where is the evidence...?

Where is the evidence...?

Although evidence-based medicine has undoubtedly been a force for good and has transformed clinical practice for the better, it has also been responsible for a subtle change in power dynamics when it comes to clinical policymaking.

TSH and Pregnancy: Treat the Test or the Patient?

TSH and Pregnancy: Treat the Test or the Patient?

Susan is newly pregnant. She had some thyroid tests done earlier this year and was diagnosed with subclinical hypothyroidism. Her TSH was 6 mIU/ml with a normal thyroxine and negative anti thyroid antibodies. She has read in a forum online that she needs to be treated with thyroxine but she is worried about taking medication when pregnant. What do you advise her?

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