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Approach to a low TSH level: patience is a virtue Pantalone KM; Nasr CCleve Clin J Med 2010[Nov]; 77 (11): 803-11Confronted with a low serum level of thyrotropin (thyroid-stimulating hormone, TSH), physicians should not jump to the conclusion that it is due to a hyperthyroid state, as other conditions and some drugs can be associated with a TSH level that is slightly low (0.1-0.4 microIU/mL) or frankly suppressed (< 0.1 microIU/mL). This review discusses how to approach a low TSH, stressing the frequent need to reassess thyroid function before making a diagnosis, the underlying processes and the drugs that can be responsible, and the degree of TSH suppression and its role in the evaluation.|Adult[MESH]|Chorionic Gonadotropin[MESH]|Disease Progression[MESH]|Euthyroid Sick Syndromes[MESH]|Female[MESH]|Humans[MESH]|Hyperthyroidism/*blood[MESH]|Hypothyroidism/*blood[MESH]|Thyroid Function Tests[MESH]|Thyrotropin/*blood[MESH]|Thyroxine/*blood[MESH]|Triiodothyronine/*blood[MESH] |
