甲状腺機能低下症の新治療 Rethinking Hypothyroidism : Why Treatment Must Change and What Patients Can Do

Bianco, MD, Antonio C.

University of Chicago Press（2022/11発売）

University of Chicago Press（2022/11発売）

• 製本 Paperback:紙装版/ペーパーバック版／ページ数 304 p.
• 言語 ENG
• 商品コード 9780226823164
• DDC分類 616.444

Full Description

In this primer for patients, their families, and their doctors, a leading physician and scientist explains why the standard treatment for hypothyroidism fails many—and offers an empowering call for change.
 
Hypothyroidism, also commonly referred to as Hashimoto's disease, affects millions in the United States alone. It occurs when the thyroid—the butterfly-shaped gland that sits in your neck right above the front of your shirt collar—malfunctions or after thyroid surgery, causing thyroid hormone levels in circulation to drop below normal. Thus, treatment is aimed at bringing these hormone levels back to normal. This is done with daily tablets of thyroxine or T4. Because hypothyroidism is so common, we likely know someone who is on this type of medication. While most patients respond well to this standard treatment, about ten to twenty percent (some two to three million individuals in the United States) are far from living a typical life. They exhibit "foggy brain"—low energy, confusion, and poor memory. Many doctors have shrugged off their complaints, believing these symptoms to be unrelated to the thyroid disease. In Rethinking Hypothyroidism, Dr. Antonio C. Bianco, a physician and a scientist who has studied hypothyroidism and thyroid hormones for decades, offers an accessible overview of the disease's treatment and the role of big pharma in shaping it, making the case that the current approach is failing many patients. But more than this, Bianco calls for alternatives to improve lives, and he equips patients and their families with the tools to advocate for other treatments.

Contents

Preface
Introduction

Part One: The Crisis
1: Treatments and Controversies
2: Pharmaceutical Companies and Their Influence
3: Dogmas and Guidelines

Part Two: The Science
4: How the Thyroid Gland and Its Hormones Work
5: How T4 Transforms into T3

Part Three: The History
6: Nature's Cures
7: Pioneering a Purer Treatment
8: Dangers of Untested Treatments

Part Four: The Patients
9: Those Left Behind
10: TSH Isn't a Magic Bullet
11: Missing Clues and T3
12: There Is More to Hypothyroidism Than Just Low T3 Levels

Part Five: The Treatments
13: Understanding Combination Therapy
14: Embracing Options
15: The Promising Future
Epilogue
Acknowledgments
Notes
Index