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 When diagnosing and treating individuals with symptoms of thyroid hormone imbalance, many medical professionals will refer exclusively to the TSH laboratory test. Patients who have symptoms despite a “normal” TSH test and research laboratory testing for hypothyroidism will quickly discover that there are medical professionals and patients advocating for testing beyond TSH.
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 Depression is a known symptom of thyroid disease. The exclusive use of the TSH laboratory test does not identify all patients with thyroid hormone imbalance since it is a measure of pituitary function not of thyroid hormone. Therefore, expanded thyroid hormone testing must be conducted before a patient is diagnosed with a mental health disorder.
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