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.
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recordings per month · last 12 monthsRecordings per month over the last 12 months — 22 in all, peaking in Aug 2026 with 5.
Appearances
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?
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But the patient is very symptomatic with symptoms of an underactive thyroid.
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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.
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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.
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We have a cutoff point.
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Point with TSH.
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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.
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The frustrating thing is for patients is when it doesn't go above that level.
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And so
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The guidance is, mm, you don't have to treat it, but if they're very symptomatic, you can treat it.
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And there's a a bit of a l a kind of
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The patient wants the treatment because they're symptomatic.
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And the doctor goes, Well, we don't want to over-treat you and push you into an overactive, but it's a negotiation.
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But I always err on the side of what the patient wants.
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They're symptomatic, they're living with it.
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I'll put them on tablets.
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I can repeat their blood tests in six weeks and see how they are.
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Do we need a more nuanced thyroid test?
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Well, that's the other thing.
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Because we're only generally testing for TSA.
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Showing 3661–3680 of 9,955 · page 184 of 498
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