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<p>Subclinical hypothyroidism is frequently diagnosed in older patients. However, mild TSH elevations (up to 7 mU/L) with increasing age are physiologic. Studies demonstrate that treatment with levothyroxine in patients older than 65 years is not beneficial but may have potential risks. As overtreatment is often observed, an age-dependent interpretation of TSH levels and a conservative approach to prescription are recommended.</p>

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Gemeinsames Positionspapier: „Latente Hypothyreose beim älteren Menschen“ – Keine Levothyroxin-Neuverschreibung bei Personen > 65 Jahren bei leicht erhöhten TSH-Werten

  • 期刊论文

  • 出版模式：

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  • 发表日期：

    2025年9月4日

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  • Hannes Beiglböck,
  • Wolfgang Buchinger,
  • Michael Gabriel,
  • Michael Hermann,
  • Susanne Kaser,
  • Michael Krebs,
  • Siroos Mirzaei,
  • Stefan Pilz,
  • Eva Petnehazy,
  • Christian Pirich,
  • Franz Prasch,
  • Gundula Rendl,
  • Thomas Scherer,
  • Brigitta Schmoll-Hauer,
  • Gregor Schweighofer-Zwink,
  • Charlotte Sonneck,
  • Verena Theiler-Schwetz,
  • Greisa Vila,
  • Georg Zettinig

摘要

Subclinical hypothyroidism is frequently diagnosed in older patients. However, mild TSH elevations (up to 7 mU/L) with increasing age are physiologic. Studies demonstrate that treatment with levothyroxine in patients older than 65 years is not beneficial but may have potential risks. As overtreatment is often observed, an age-dependent interpretation of TSH levels and a conservative approach to prescription are recommended.