Dr. Leonard Wartofsky is Professor of Medicine, Georgetown University School of Medicine and Chairman Emeritus, Department of Medicine, MedStar Washington Hospital Center. He trained in internal medicine at Barnes Hospital, Washington University and in endocrinology with Dr. Sidney Ingbar, Harvard University Service, Thorndike Memorial Laboratory, Boston. Dr. Wartofsky is past President of both the American Thyroid Association and The Endocrine Society. He is the editor of books on thyroid cancer for both physicians and for patients, and thyroid cancer is his primary clinical focus. He is the author or coauthor of over 350 articles and book chapters in the medical literature, is recent past Editor-in-Chief of the Journal of Clinical Endocrinology & Metabolism, and is the current Editor-in-Chief of Endocrine Reviews.

In this episode, Dr. Wartofsky discusses the following:

Bioavailability versus content of a thyroid replacement tablet, and how it is absorbed.
Hypothyroidism causes
When is replacement thyroid replacement hormone necessary?
The history of replacement thyroid hormone going back to 1891
The early treatment included a chopped up sheep thyroid and served as a 'tartar', often resulting in vomiting
Myxedema coma
The danger of taking generic T4; are cheaper, larger profit margin, but the content varies.
Synthroid versus generic
Manufacturing plants in Italy, India, Puerto Rico are known to produce generics
Content versus absorption when taking generic T4
An explanation of TSH
1.39 is a healthy TSH level for women in the U.S.
Symptoms of hypothyroidism, such as a slow mind, poor memory, dry skin, brittle hair, slow heart rate, problems with pregnancy, miscarriage, and hypertension.
Screening TSH levels if contemplating pregnancy T4 is the most prescribed drug in the U.S.
Hypothyroidism is common when there is a family history
Auto-immune disease is often associated with hypothyroidism
An explanation of T3
An explanation of desiccated thyroid
The T3 'buzz'
Muhammed Ali's overdose of T3
Dangers of too much T3
When to take T4 medication, and caution toward taking mediations that interfere with absorption
Coffee and thyroid hormone absorption
Losing muscle and bone by taking too much thyroid hormone
Taking ownership of your disease

NOTES

Listen to Doctor Thyroid Related Episode : 37: Adding T3 to T4 Will Make You Feel Better? For Some the Answer is 'Yes' with Dr. Antonio Bianco from Rush University American Thyroid Association Leonard Wartofsky

Delayed Recall - Stroke in Systemic Disease (July 2015)