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NCBI
ncbi.nlm.nih.gov › books › NBK536970
Subclinical Hypothyroidism - StatPearls - NCBI Bookshelf
February 15, 2024 - Subclinical hypothyroidism characteristically presents with normal thyroxine (T4) levels and elevated thyroid stimulating hormone (TSH) levels.[1] Minor fluctuations in T4 levels result in considerably larger changes in TSH levels.[2] Although TSH levels exhibit wide variability across the ...
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Cleveland Clinic
my.clevelandclinic.org › health › diseases › 23544-subclinical-hypothyroidism
Subclinical Hypothyroidism: Symptoms & Treatment
September 4, 2025 - Subclinical hypothyroidism happens when you have elevated thyroid-stimulating hormone (TSH) levels with normal levels of the hormone thyroxine (T4).
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PubMed Central
pmc.ncbi.nlm.nih.gov › articles › PMC5771276
Subclinical Hypothyroidism – Whether and When To Start Treatment? - PMC
Subclinical hypothyroidism represents a state with increased values of thyroid stimulating hormone (TSH) and normal values of thyroxine (T4) and triiodothyronine (T3). The disorder is asymptomatic, and the diagnosis is made based on the results of laboratory findings when the level of TSH reaches ...
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NCBI
ncbi.nlm.nih.gov › books › NBK83492
Introduction - Screening and Treatment of Subclinical Hypothyroidism or Hyperthyroidism - NCBI Bookshelf
Patients with subclinical hypothyroidism are further categorized into those with mildly elevated TSH (4.5–10 mIU/L), and those with markedly increased serum TSH levels (>10 mIU/L).4Similarly, TSH levels below the lower reference limit can be classified as “low but detectable” (serum TSH ...
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American Academy of Family Physicians
aafp.org › pubs › afp › issues › 1998 › 0215 › p776.html
Subclinical Hypothyroidism: Deciding When to Treat | AAFP
February 15, 1998 - Its very sensitivity, however, ... measured as free thyroxine (T4) or free T4 index. This state—an elevated TSH level with a normal free T4 level—is referred to as subclinical hypothyroidism....
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Cleveland Clinic Journal of Medicine
ccjm.org › content › 86 › 2 › 101
Subclinical hypothyroidism: When to treat | Cleveland Clinic Journal of Medicine
February 1, 2019 - Subclinical hypothyroidism is defined by elevated TSH along with a normal free thyroxine (T4).1 · The hypothalamic-pituitary-thyroid axis is a balanced homeostatic system, and TSH and thyroid hormone levels have an inverse loglinear relation: ...
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American Academy of Family Physicians
aafp.org › pubs › afp › issues › 2021 › 0515 › p605.html
Hypothyroidism: Diagnosis and Treatment | AAFP
May 15, 2021 - Diagnosis is based on blood levels ... (hypothalamic source) causes.5 Subclinical hypothyroidism describes the state of normal FT4 levels when the TSH level is elevated....
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Cleveland Clinic Journal of Medicine
ccjm.org › content › 92 › 4 › 221
Most elderly patients with subclinical hypothyroidism do not need to be treated | Cleveland Clinic Journal of Medicine
April 1, 2025 - The US Preventive Services Task Force defines subclinical hypothyroidism as an elevated serum thyrotropin (thyroid-stimulating hormone, TSH) level (> 4.50 mIU/L), but with a normal free thyroxine (T4) level.1 Despite the term subclinical, symptoms ...
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NCBI
ncbi.nlm.nih.gov › books › NBK519536
Hypothyroidism - StatPearls - NCBI Bookshelf
February 18, 2024 - In subclinical hypothyroidism, TSH levels are elevated, and free T4 levels are within normal limits.[2] Antithyroid antibodies (eg, thyroid peroxidase antibodies) should also be performed to evaluate for autoimmune thyroid diseases.[2] Patients with subclinical hypothyroidism and thyroid peroxidase ...
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Wiley Online Library
onlinelibrary.wiley.com › doi › 10.1111 › joim.13410
Treating hypothyroidism is not always easy: When to treat subclinical hypothyroidism, TSH goals in the elderly, and alternatives to levothyroxine monotherapy - Ross - 2022 - Journal of Internal Medicine - Wiley Online Library
November 11, 2021 - Overt hypothyroidism is defined by an elevated TSH and a low free T4 concentration. Subclinical hypothyroidism is defined by an elevated TSH and a free T4 within the normal reference range, and therefore simply represents mild hypothyroidism.
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PubMed Central
pmc.ncbi.nlm.nih.gov › articles › PMC2664572
Subclinical Hypothyroidism: An Update for Primary Care Physicians - PMC
The best therapy for SCH is a combination of levothyroxine (T4) and T3 · All experts would agree that levothyroxine therapy is indicated in a patient with a serum TSH of 8.0 mIU/L and a mildly elevated total cholesterol level · Because the Concise Review for Clinicians contributions are now ...
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Medical News Today
medicalnewstoday.com › articles › hypothyroidism-with-normal-tsh
Hypothyroidism with normal TSH: Causes and treatment
December 18, 2023 - This can indicate that their thyroid is beginning to work less efficiently. People with subclinical hypothyroidism can also have elevated thyroid antibodies, but typically, they do not have low levels of the thyroid hormones T3 or T4...
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Healthline
healthline.com › health › subclinical-hypothyroidism
Subclinical Hypothyroidism: Treatment, Symptoms, Diet, and More
February 2, 2023 - TSH triggers the thyroid, a butterfly-shaped gland at the front of the neck, to make the hormones T3 and T4. Subclinical hypothyroidism occurs when TSH levels are slightly elevated but T3 and T4 are normal.
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HealthCentral
healthcentral.com › condition › subclinical-hypothyroidism
Subclinical Hypothyroidism: Symptoms, Causes, and Treatment
September 11, 2023 - Subclinical hypothyroidism is when you have normal levels of T4 and T3 (thyroid hormone), but elevated levels of thyroid-stimulating hormone (TSH).
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Mount Sinai
mountsinai.org › health-library › report › hypothyroidism
Hypothyroidism Information | Mount Sinai - New York
Subclinical hypothyroidism (mildly underactive thyroid) is a condition in which TSH levels have started to increase in response to an early decline in T4 levels in the thyroid. However, blood tests for T4 are still normal. The person may have mild symptoms (usually slight fatigue) or none at all.
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ScienceDirect
sciencedirect.com › topics › medicine-and-dentistry › subclinical-hypothyroidism
Subclinical Hypothyroidism - an overview | ScienceDirect Topics
As shown in Table 4, subclinical hypothyroidism is defined as an elevated TSH but normal levels of FT3 and FT4 (Hollowell et al., 2002; Javed & Sathyapalan, 2016). NHANES defines subclinical hypothyroidism as TSH > 4.5 mIU/l and T4 ≥ 57.9 (Hollowell et al., 2002).
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Medscape
emedicine.medscape.com › tools & reference › endocrinology
Hypothyroidism: Background, Pathophysiology, Etiology
The generally accepted reference ... hypothyroidism, also referred to as mild hypothyroidism, is defined as normal serum levels of free T4 and triiodothyronine (T3), with a slightly high serum TSH concentration....
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Medscape
emedicine.medscape.com › tools & reference › endocrinology
Hypothyroidism Treatment & Management: Approach Considerations, Hypothyroidism in Pregnancy, Subclinical Hypothyroidism
In a meta-analysis of 19 prospective cohort studies (47,045 women), the risk of preterm birth was higher in association with subclinical hypothyroidism, isolated hypothyroxinemia (decreased free T4 concentration with normal TSH concentration), and thyroid peroxidase (TPO) antibody positivity.
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Reem Hospital
reemhospital.com › home › health & wellness › understanding tsh: symptoms, high tsh risks, and what happens if it’s elevated
Understanding TSH: Symptoms, High TSH Risks & Normal Levels | Reem Hospital
2 weeks ago - “Subclinical cases” of hypothyroidism refer to situations where your TSH level is elevated, but your thyroid hormone levels (Free T4 and Free T3) are still within the normal range.