Table 3.
Case | TFT at start of TRT | Antibodies | Time from starting lithium to initiating TRT | Time from discontinuing lithium to stopping TRT | Time from stopping TRT to reinstating TRT | TFT at or near time of TRT reinstatement | Reason for TRT reinstatement as recorded in the medical notes |
---|---|---|---|---|---|---|---|
1 | Subclinical | N/A | 4.3 months | 2 days | 11 days | Overt | Increasing TSH and decreasing fT4 |
2 | Subclinical | N/A | 3.2 months | 0 days | 16 days | Normal | Reinstated via primary care, no comment in journal |
3 | Subclinical | N/A | 5.3 months | 1.9 years | 1.2 years | TSH and fT4 not taken | Reinstated via primary care, no comment in journal |
4 | Overt | N/A | 2.3 months | 0 days | 1.6 years | Low fT4 only | Reinstated via psychiatry clinic, low fT4 |
5 | Subclinical | TPO negative | 4.5 years | 2.5 years | 3.4 years | Subclinical | Reinstated via primary care, no comment in journal |
6 | Overt | N/A | 9.7 months | 10 days | 4.5 years | TSH 7.5 IU/mL fT4 not taken | Postpartum |
N/A: not available; TFT: thyroid function tests; TRT: thyroid replacement therapy; TPO: thyroid peroxidase antibodies; fT4: free serum thyroxine; TSH: thyroid stimulating hormone.