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From the JAMA Network
June 25, 2014

Levothyroxine PrescriptionNot as Simple as It Seems

Author Affiliations
  • 1Division of Endocrinology, Diabetes, and Metabolism, Department of Medicine, Perelman School of Medicine at the University of Pennsylvania, Philadelphia
  • 2Associate Editor, JAMA
JAMA. 2014;311(24):2532-2533. doi:10.1001/jama.2014.3808

Prescriptions of thyroid hormone have been on the rise in the United States and the United Kingdom for years. Why? Is hypothyroidism becoming more common? Or is an aging population fueling the increase in prescribing? Are prescribers doing a better job of identifying and treating unrecognized thyroid dysfunction? Or is inappropriate thyroid hormone prescription occurring because of misinterpretation of thyroid function testing by clinicians, patient pressure to prescribe thyroid hormone for symptom relief, or both?

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