When to refer

• Doubt about diagnosis, diagnostic tests or optimum replacement dosage

• Apparent secondary hypothyroidism, severe illness and associated ischaemic heart disease

• Concurrent autoimmune disease

• Hypothyroidism with goitre, postpartum and in the neonate

• Myxoedema coma


Hyperthyroidism (thyrotoxicosis) is also relatively common and may affect up to 2% of women, who are affected 4 to 5 times more often than men.

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Dealing With Back Pain

Dealing With Back Pain

Deal With Your Pain, Lead A Wonderful Life An Live Like A 'Normal' Person. Before I really start telling you anything about me or finding out anything about you, I want you to know that I sympathize with you. Not only is it one of the most painful experiences to have backpain. Not only is it the number one excuse for employees not coming into work. But perhaps just as significantly, it is something that I suffered from for years.

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