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Issue 1032 coverBiobehavioral Stress Response: Protective and Damaging Effects Volume 1032 published December 2004
Ann. N.Y. Acad. Sci. 1032: 287–288 (2004). doi: 10.1196/annals.1314.040
Copyright © 2004 by the New York Academy of Sciences
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Articles by JOFFE, R. T.
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Articles by JOFFE, R. T.
Articles by GERNSTEIN, H. C.
Does Substitution of T4 with T3 Plus T4 for T4 Replacement Improve Depressive Symptoms in Patients with Hypothyroidism?

RUSSELL T. JOFFEa, ANNA M. SAWKAb, MICHAEL J. MARRIOTTb, GLENDA M. MACQUEENb AND HERTZL C. GERNSTEINb

aDepartment of Psychiatry, UMDNJ, New Jersey Medical School Departments of Medicine, Division of Endocrinology and Metabolism, Newark, New Jersey 07103, USA
bDepartments of Psychiatry and Behavioral Neurosciences, McMaster University, Hamilton, Ontario, Canada

Address for correspondence: Russell T. Joffe, M.D., Office of the Dean, New Jersey Medical School, 185 South Orange Avenue, MSB C-671, Newark, NJ 07103, USA. Voice: 973-972-4538; fax: 973-972-7104. joffe{at}umdnj.edu

Substitution of T4 with T3 for T4 replacement in patients with hypothyroidism was undertaken using a randomized placebo controlled study design. Forty individuals were included who had depressive symptoms on stable doses of levothyroxine. Combined T4 plus T3 did not have a significantly different effect on mood and well-being scores than did T4 alone.

Key Words: thyroxine • triiodothyronine • depression




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