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Hypothyroidism

(slow thyroid) - prevent the development of serious health conditions with timely treatment

HYPOTHYROIDISM (SLUGGISH THYROID) – PREVENT THE DEVELOPMENT OF SERIOUS HEALTH CONDITIONS WITH TIMELY TREATMENT

The thyroid, a small gland located at the front of the neck, is responsible for secreting key hormones – T3 (triiodothyronine) and T4 (thyroxine).

Its function is controlled by the pituitary gland through the principle of negative feedback. Thyroid hormones are vital for the metabolism of all cells in the body, and their deficiency leads to a condition known as hypothyroidism.

WHAT IS HYPOTHYROIDISM?

Hypothyroidism develops when there is a reduced secretion of thyroid hormones, making it the second most common endocrine disease, right after diabetes.

This condition affects women more often, and the symptoms are often subtle in the initial stage. Due to the key role these hormones play in the body, their deficiency can negatively affect many organs, resulting in a disruption in the quality of life.

Thyroid hormones have a controlling role in cellular metabolism, i.e. in maintaining body temperature, heart rhythm and calorie burning processes. In the context of hypothyroidism, these processes slow down, leading to a decrease in metabolism and a decrease in energy levels.

  • Latent or subclinical hypothyroidism

It is characterized by a slightly elevated serum TSH level, while T4 levels are normal. This form is often not accompanied by pronounced symptoms, so we are talking about the laboratory form of hypothyroidism.

Pregnant women and women planning pregnancy should be diagnosed and treated, including prescribing a synthetic analogue of thyroid hormones to avoid potential negative consequences for pregnancy and the fetus. People who normally use antithyroid drugs in their therapy should consult a doctor to adjust the dose of the drug.

RISK FACTORS FOR THE DEVELOPMENT OF HYPOTHYROIDISM

Anyone can develop hypothyroidism, but there are a number of risk factors that can increase the likelihood of developing it.

Risk factors include:

  • femininity
  • Over 60 years of age,
  • the presence of a family history with thyroid diseases,
  • previously diagnosed autoimmune diseases such as type 1 diabetes or celiac disease,
  • use of radioactive iodine therapy or antithyroid drugs,
  • undergone radiotherapy of the upper chest,
  • partial thyroidectomy,
  • Pregnancy or childbirth within the last 6 months.

It is important to understand that these risk factors indicate an increased likelihood of developing hypothyroidism, but do not guarantee its occurrence in every person.

CAUSES OF HYPOTHYROIDISM

When the thyroid gland does not produce enough hormones, there is an imbalance in the chemical reactions in the body.

Various diseases and conditions can cause this disorder, the most important being autoimmune diseases, treatment against hyperthyroidism, radiotherapy, thyroid surgery, and certain medications.

  • Autoimmune diseases – Hashimoto’s thyroiditis

Autoimmune diseases, such as Hashimoto’s thyroiditis, are the most common cause of hypothyroidism.

In this disorder, the immune system reacts excessively against substances that are normally present in the body, producing antibodies that damage thyroid tissue. The reasons for Hashimoto’s thyroiditis are not yet fully understood, but they include endogenous factors such as low birth weight, stress and estrogen, and exogenous factors such as infections, the presence of large amounts of iodine in food, smoking, medications and various toxins.

The antibodies that are produced bind to TSH receptors, inactivating them and causing inflammation and fibrosis of the gland.

  • Overreaction to therapy for hyperthyroidism

Hyperthyroidism is a condition where the thyroid gland produces increased amounts of hormones. This condition is treated with antithyrostatic drugs or radioactive iodine. The goal of such treatment is to reduce the excessive activity of the thyroid gland and restore the concentration of hormones to normal levels.

  • Thyroid surgery

This surgical procedure leads to hypothyroidism due to the lack of a gland or due to an insufficient amount of residual glandular tissue.

  • Radiotherapy and medications

When irradiated, there may be a slowdown in the production of hormones, which leads to hypothyroidism.

Some medications have hypothyroidism as a side effect. One of these drugs is lithium, and it is used in certain psychiatric disorders.

  • Iodine deficiency

Iodine deficiency prevents the normal synthesis of thyroxine and triiodothyronine. To compensate for the deficiency of these hormones, the pituitary gland secretes TSH more intensively, stimulating thyroid activity and growth. As a result, the gland enlarges, although not with increased functioning, in response to TSH stimulation.

WHEN TO SEE A DOCTOR?

Hypothyroidism develops quietly, and its symptoms gradually become noticeable. It is important to consult a doctor when you notice the following signs: fatigue, weight gain, depression, sensitivity to low temperatures, dry skin and hair, and muscle pain.

Since these symptoms can also occur as part of other diseases, it is important to determine if hypothyroidism is the cause and start treatment in time.

DIAGNOSING HYPOTHYROIDISM

The diagnosis of hypothyroidism is made through a combination of clinical examination, symptom analysis , andaboratorium findings. Symptoms alone are not enough because they can occur in many other diseases.

Ultrasound of the thyroid gland is often included in diagnostic procedures to assess its appearance and size.

To make a diagnosis, it is necessary to take a blood sample to measure the concentration of TSH, T3 hormones and T4 hormones from the serum.

Additional diagnostics include the identification of the exact cause of hypothyroidism, so antibodies directed to receptors, enzymes or proteins of the thyroid gland are often singled out. Based on the information collected, the doctor can make a diagnosis and begin appropriate treatment of the disease.

TREATMENT OF HYPOTHYROIDISM

Treatment of hypothyroidism involves the use of replacement therapy through tablets containing a synthetic analogue of thyroid hormones.

The goal is to achieve an adequate level of thyroxine in the serum.

The initial dose is usually determined, and then serum hormone levels are monitored every 6 to 8 weeks. As needed, the dose is adjusted, increased or decreased, until the optimal amount of hormones is reached. After adaptation, hormone control is usually carried out annually, since each organism reacts individually.

The goal of therapy is to maintain the concentrations of thyroid hormones and TSH within normal limits and relieve the symptoms of the disease. In case of a sudden worsening of symptoms, it is important to consult a doctor. Excessive doses of hormones can cause symptoms such as increased appetite, sleep problems, palpitations and tremors. People with significant hypothyroidism often start with lower doses of hormones, gradually increasing them to avoid unwanted side effects.

Therapy is usually carried out for life, allowing for a normal and healthy life with regular medical check-ups.

MAKE AN APPOINTMENT FOR AN EXAMINATION

Our main goal at the LF Polyclinic is to improve the quality of life and health of our clients by providing them with a top-notch health service.

That is why we have gathered a team of top experts, specialists and subspecialists who are the backbone of our multidisciplinary centers and specialist clinics.

Our goal is to achieve a safe and long-term good result through a successful diagnosis and selection of individual treatment, with timely monitoring of the patient.

In order to maintain the high quality of our medical services, we strive to be always available to our clients.

For a consultation and examination with our expert team, you can contact us by phone at +3851 2444-646 or via our online form. Opening hours for orders are Monday to Friday 10:15 a.m. – 6:15 p.m.

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J.Lj.

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I did rhinoplasty along with face tight treatment and the results were more than satisfactory. The guys (Boris and Peter) did everything at the same time, very professionally and in the shortest possible timeframe. I was out of tampons in 2 days, and my bruise recovery does not take longer than 7 days. Very gentle approach. Without unnecessary arrivals, with kind and friendly staff and arranging payments where flexibility was at an enviable level, the impression of service in this clinic is for every recommendation. Of course, I don’t even have to mention that my breathing is better now than before, and my facial skin is smooth and tight without any invasive method. Guys, you are the best. :)

A.P.

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I had unwittingly been suffering from hypopnea for nearly a decade. I did some research and I selected this clinic because it was located in a country where I have many friends. I had already been treated for this by a different physician in Canada, a surgery was done in my nose to remove an obstruction and believed it was better, but I was wrong. The Canadian doctor proposed dealing with the problem by CPAP or further surgeries. Their solution was to remove the first obstacle they find, see if that helps, if not, then remove the next obstacle etc. I had been using caffeine to stay awake, but my physical and mental performance was severely impacted by chronic sleep deprivation. At my first meeting, I was surprised to actually meet Dr. Filipovic, I presumed I would be looked after by an associate Doctor. I explained my suspicions and situation and told him, I do not want to go through multiple procedures to find one that worked. He listened, looked into my nose and proposed that I schedule and undergo a general anaesthesia, where he would be able to insert a camera and record what happens when I actually sleep. In addition I took home a wearable monitor for the night. After these diagnotics, it was found that a mandibular advancement device or CPAP would work for me. CPAP is not good for me because my young children would tear it apart. I had to leave Croatia earlier than planned, when I told his team. They moved heaven and earth to rush the casting, production and shipping of the device to me in Canada. Once I arrived here, his dentist responded to my emails to ensure I had proper guidance on how to adjust and use the device. It works wonderfully and with the clarity of thought that comes from regular sleep, I realized I should have a backup mandibular advancement device made, to use if my device is destroyed by my children. His team again did a wonderful job of using the casting I sent back to produce a 2nd set and ship it to Canada. I have tested the second device for a week now and it works as well as the first. I would highly recommend this team for their professional, courteous and effective effort. If, time & money allows and vanity demands, I would go to this team for a rhinoplasty in the future. Thank you all for improving my quality of life and work performance.

M.K.

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For so long I was dissatisfied with the breathing and the appearance of my nose. Of course the first step was to google rhinoplasty and read comments on forums of the people who did it in Croatia. That did not help because the amount of negative experiences only scared me. But I also read that the most important thing is to find a great surgeon so I finally went to meet with dr. Filipović. I met him, he explained the procedure and answered all my questions. On that first meeting I felt so confident that I even reserved a date for my surgery. Finally in November 2020 I had septorhinoplasty performed by dr. Filipović. They arranged that I stayed in the clinic for one day after the procedure. That really meant a lot, and I'm grateful for that. Recovery went fast and well, I almost had no bruising at all. I'm quite sensitive, so I felt some pain in the first 3 days after, but nothing too bad. It is now 2 months post-op and I look and feel better than ever. The result looks really natural, and it fits my face perfectly. The only regret that I have is that I didn’t do it sooner. Dr. Filipović is a miracle worker, and I will forever be grateful to him and his team.

M.G.

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I've done plasma skin regeneration and skin boosting treatment there. Clinic is beautiful, stuff is very friendly, young and with great knowledge and experience. I would recommend it to anyone who is looking high quality in every aspect. Thank you!

M.S.

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A month ago, I was on a lip lift with Dr. Filipović. The result is fantastic, as was the experience of consultation and surgery. The doctor and nurses are professional and approachable and inspire confidence. The lip lift turned out great and looks natural, but it's a big enough change that it affected the look of the whole face. The swelling subsided after about a week, and the scar under the nose is visible a month later, but it is not overly conspicuous.
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