It's interesting and yet another example of doctors ignoring what their patients were telling them, resulting in poor clinical outcomes.
I didn't find the person, Antonio Bianco, annoying though. I think blame probably does lie in many places, and Dr Bianco seems to be accepting his share of it. He doesn't blame patients.
I think there are various things that annoy me in the interview, and I'm not necessarily annoyed with AB in all my comments :
EN: You talk about the knowledge gap that doctors have of not being aware that patients with hypothyroidism remain symptomatic. Can you speak a little more to that?
AB: We have known about these residual symptoms for decades. Somehow, they were overlooked and did not make it into the clinical guidelines. We should have been warned about them, but we were not.
Patients in their thousands have been telling doctors about their continuing symptoms over and over again for decades. Doctors didn't need to be warned - they needed to listen to their, mostly female, thyroid patients,
and believe them.
Another comment - referring to "residual symptoms" minimises the symptoms by implying they are minor and unimportant. Again, patients have been stressing that this is not the case for a very long time.
Physicians have been told not to use LT3 in the treatment of hypothyroidism because it is ineffective, and because it could lead to cardiac arrythmias and osteoporosis.
I am not directing this particular comment at AB, it is just a general comment. I want to know where these medical myths about T3 in particular and thyroid hormones in general actually come from :
1) T3 has been described as addictive, and has been compared to cocaine, heroin, and speed. Anyone saying this also has T3 flowing through their veins and arteries. If they didn't they'd be dead.
2) T3 has been described as dangerous, and some doctors believe it can kill. This is not backed up by the Yellow Card data on T3 :
If you want to see the Yellow Card report on T3, go to this page :
https://yellowcard.mhra.gov.uk/idaps and select the liothyroinine report. It won't work in Firefox, but does in Chrome. I haven't tried any other browsers. The MHRA or its predecessors started collecting adverse events data in 1967 (but I do know that for a long time there was almost no yellow card data collected on anything - but since roughly 2000 the number of reports have greatly increased for all sorts of drugs since the system was computerised). There have been zero recorded reports of osteoporosis. There have been 54 reports of cardiac disorder since 1967. There have been zero deaths. Hardly the dangerous hormone that doctors are terrified of!
3) Like so much of medicine which is "controversial" the phrase "more research is needed" comes up a lot when referring to T3. There was research on it in the 50s and 60s but that research has been buried and ignored. This article is worth reading, although it is quite long and could be too exhausting for many people here :
https://thyroidpatients.ca/2021/01/...yronine-as-a-replacement-for-thyroid-therapy/
My energy has run out.