Ignore TSH, treat symptoms
He emphasizes that TSH is a growth signal. In Hashimoto's, the thyroid is under attack, so it needs high TSH to regenerate. Giving exogenous hormones lowers TSH, removing that signal, leading to progressive gland destruction. He compares it to muscle atrophy from disuse. He advises patients to self-titrate based on well-being, not lab numbers. A TSH of 5 or even 1000 is not dangerous if the patient feels good on iodine and other supports. However, if symptoms are severe, hormones are necessary but only to the point of acceptable function, not to normalize labs.
TSH stimulates thyroid follicular cells to grow and produce hormones. Suppressing TSH with exogenous T4/T3 removes this trophic stimulus, leading to atrophy.
Staramy się stymulować tarczycę w przypadku choroby zapalnej czy niedoczynności tarczycy stymulować TSH chodzi o to żeby TSH było maksymalnie wysokie a żebyście wy się dobrze czuli bo jak ono będzie 5 z 1000 ale wy posiadacie sobie preparaty jodu i czujecie się dobrze to nie ma sensu przyjmować hormonów tarczycy

