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🔺Thyroid-Stimulating Hormone High ↑ :-
A spot check is enough.
NB! Remember that overproduction of TSH by a pituitary tumor ("secondary Hyperthyroidism") is uncommon.
🔻Thyroid-Stimulating Hormone Low ↓ :-
Baseline T3, T4, and TSH: These are not so pulsatile as other hormones, and may be spot-checked.
♋ TRH test: A dose is given by vein.
This should greatly increase TSH levels.
Same warning as before.
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BY Clinical 🅱iochemistry
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