Dr Amir Khan

speaker
9,955 appearances 22 recordings 2 series first heard Apr 2026 last heard 3d ago

Dr Amir Khan’s voice in public audio — every appearance, attributed to the second.

Trend

recordings per month · last 12 months
5 · Aug OctJan 26AprJulnow

Recordings per month over the last 12 months — 22 in all, peaking in Aug 2026 with 5.

Appearances

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Now the medical argument is, well you even though it's working harder, your thyroid levels are ho are normal, so you're you should be okay because even though it's working harder, it's normal, right? voice-verified
But the patient is very symptomatic with symptoms of an underactive thyroid. voice-verified
And they feel either, you know, they they need further tests or that they should have some kind of treatment because they're so symptomatic and it's really annoying them. voice-verified
Generally, the the management of that is to repeat that test in a few weeks and see whether the TSH is still working hard and the thyroid levels are still normal. voice-verified
We have a cutoff point. voice-verified
Point with TSH. voice-verified
So if it goes above a certain level and you've got normal, normal thyroid, then because it's working harder and it's above that level, we will trial you with some treatment to see whether your symptoms improve primarily and whether that TSH returns back down to a normal level. voice-verified
The frustrating thing is for patients is when it doesn't go above that level. voice-verified
And so voice-verified
The guidance is, mm, you don't have to treat it, but if they're very symptomatic, you can treat it. voice-verified
And there's a a bit of a l a kind of voice-verified
The patient wants the treatment because they're symptomatic. voice-verified
And the doctor goes, Well, we don't want to over-treat you and push you into an overactive, but it's a negotiation. voice-verified
But I always err on the side of what the patient wants. voice-verified
They're symptomatic, they're living with it. voice-verified
I'll put them on tablets. voice-verified
I can repeat their blood tests in six weeks and see how they are. voice-verified
Do we need a more nuanced thyroid test? voice-verified
Well, that's the other thing. voice-verified
Because we're only generally testing for TSA. voice-verified
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