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Best practice in primary care pathology: review 11
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    Account must be taken, not only of non thyroidal illness but also of advanced age

    Dear Editor,

    In the context of clinically suspected non-thyroidal illness(NTI) the advice to retest patients with raised levels of thyroid stimulating hormone(TSH)(1) may extend even to those in whom TSH levels are in the range 20-32.4 mIU/L(2). In one study, over a period averaging 88 days(Standard Error ie SE=34), seven such subjects, with mean baseline TSH of 32.4 mIU/L(SE=3.6), experienced a spontaneous fall in...

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