Kent Holtorf

==Diagnosis and treatment of hypothyroidism==

==Diagnosis and treatment of hypothyroidism==

Holtorf states that the standard thyroid tests which are typically relied upon by primary care and specialist physicians to diagnosis hypothyroidism (low thyroid) and determine dosage are insufficient because they focus on TSH levels as an indicator of thyroid function and miss a large percentage of people with low thyroid.<ref name="Diagnosis" /> This is discussed extensively on the website of his nonprofit organization the National Academy of Hypothyroidism.<ref>“How Accurate is TSH Testing?” NAHypothyroidism.org. Retrieved 2011-10-02.</ref> Instead, Holtorf advocates labs and diagnostics which look at all thyroid hormone levels, with a particular emphasis on free T3, triodothyronine, the active hormone both produced by the thyroid and converted from T4, levothyroxine, and reverse T3, a metabolite of T4 conversion usually created during times of stress or trauma.<ref name="Diagnosis" /><ref>{{cite web |url=http://thyroid.about.com/od/hypothyroidismhashimotos/a/The-Optimal-Treatment-For-Hypothyroidism.htm |title=Optimal Treatment for Hypothyroidism - Dr. Kent Holtorf Shares Thoughts About The Best Way to Treat an Underactive Thyroid and Hypothyroidism |publisher=Thyroid.about.com |date=2010-12-22 |accessdate=2011-11-26 |archive-date=2011-12-05 |archive-url=https://web.archive.org/web/20111205130046/http://thyroid.about.com/od/hypothyroidismhashimotos/a/The-Optimal-Treatment-For-Hypothyroidism.htm |url-status=dead }}</ref> This is contrary to position statements by societies such as the American Thyroid Association and [[American Association of Clinical Endocrinologists (AACE)|American Association of Clinical Endocrinologist]].<ref>{{cite web|url=http://thyroidguidelines.net/hypothyroidism_1995/guidelines |title=Treatment Guidelines for Patients With Hyperthyroidism and Hypothyroidism &#124; Thyroid Cancer Guidelines from the American Thyroid Association |publisher=Thyroidguidelines.net |accessdate=2011-11-26 |url-status=dead |archiveurl=https://web.archive.org/web/20111206192607/http://thyroidguidelines.net/hypothyroidism_1995/guidelines |archivedate=2011-12-06 }}</ref><ref>{{cite journal |pmid=15260011 |year=2002 |last1=Baskin |first1=HJ |last2=Cobin |first2=RH |last3=Duick |first3=DS |last4=Gharib |first4=H |last5=Guttler |first5=RB |last6=Kaplan |first6=MM |last7=Segal |first7=RL |author8=American Association of Clinical Endocrinologists |title=American Association of Clinical Endocrinologists medical guidelines for clinical practice for the evaluation and treatment of hyperthyroidism and hypothyroidism |volume=8 |issue=6 |pages=457–69 |journal=Endocrine Practice|doi=10.4158/1934-2403-8.6.457 }}</ref> Holtorf condones treating hypothyroidism with compounded combinations of bioidentical thyroid hormones.<ref name="Diagnosis" />

Holtorf states that the standard thyroid tests which are typically relied upon by primary care and specialist physicians to diagnosis hypothyroidism (low thyroid) and determine dosage are insufficient because they focus on TSH levels as an indicator of thyroid function and miss a large percentage of people with low thyroid.<ref name="Diagnosis" /> This is discussed extensively on the website of his nonprofit organization the National Academy of Hypothyroidism.<ref>“How Accurate is TSH Testing?” NAHypothyroidism.org. Retrieved 2011-10-02.</ref> Instead, Holtorf advocates labs and diagnostics which look at all thyroid hormone levels, with a particular emphasis on free T3, triiodothyronine, the active hormone both produced by the thyroid and converted from T4, levothyroxine, and reverse T3, a metabolite of T4 conversion usually created during times of stress or trauma.<ref name="Diagnosis" /><ref>{{cite web |url=http://thyroid.about.com/od/hypothyroidismhashimotos/a/The-Optimal-Treatment-For-Hypothyroidism.htm |title=Optimal Treatment for Hypothyroidism - Dr. Kent Holtorf Shares Thoughts About The Best Way to Treat an Underactive Thyroid and Hypothyroidism |publisher=Thyroid.about.com |date=2010-12-22 |accessdate=2011-11-26 |archive-date=2011-12-05 |archive-url=https://web.archive.org/web/20111205130046/http://thyroid.about.com/od/hypothyroidismhashimotos/a/The-Optimal-Treatment-For-Hypothyroidism.htm |url-status=dead }}</ref> This is contrary to position statements by societies such as the American Thyroid Association and [[American Association of Clinical Endocrinologists (AACE)|American Association of Clinical Endocrinologist]].<ref>{{cite web|url=http://thyroidguidelines.net/hypothyroidism_1995/guidelines |title=Treatment Guidelines for Patients With Hyperthyroidism and Hypothyroidism &#124; Thyroid Cancer Guidelines from the American Thyroid Association |publisher=Thyroidguidelines.net |accessdate=2011-11-26 |url-status=dead |archiveurl=https://web.archive.org/web/20111206192607/http://thyroidguidelines.net/hypothyroidism_1995/guidelines |archivedate=2011-12-06 }}</ref><ref>{{cite journal |pmid=15260011 |year=2002 |last1=Baskin |first1=HJ |last2=Cobin |first2=RH |last3=Duick |first3=DS |last4=Gharib |first4=H |last5=Guttler |first5=RB |last6=Kaplan |first6=MM |last7=Segal |first7=RL |author8=American Association of Clinical Endocrinologists |title=American Association of Clinical Endocrinologists medical guidelines for clinical practice for the evaluation and treatment of hyperthyroidism and hypothyroidism |volume=8 |issue=6 |pages=457–69 |journal=Endocrine Practice|doi=10.4158/1934-2403-8.6.457 }}</ref> Holtorf condones treating hypothyroidism with compounded combinations of bioidentical thyroid hormones.<ref name="Diagnosis" />

==Diagnosis and treatment of CFS and fibromyalgia==

==Diagnosis and treatment of CFS and fibromyalgia==