This remission is also associated with the disappearance of antibodies. In Hashimoto's disease, around 10% of patients actually have a spontaneous remission, typically from 4 to 8 years after starting thyroid hormone replacement. Scientists speculated that it might even be able to stop the progression of Hashimoto's disease or prevent hypothyroidism. In this study, German researchers reported that use of levothyroxine for cases of autoimmune Hashimoto's disease where TSH had not yet elevated beyond normal range could reduce the incidence and degree of autoimmune disease progression. This practice of treating patients who have Hashimoto's thyroiditis but normal-range TSH levels is supported by a study reported in the March 2001 issue of the journal Thyroid. Other practitioners, however, treat with thyroid replacement drugs to prevent worsening of autoimmune thyroid disease. In the case of Hashimoto's disease, if you test positive for antibodies but do not have an elevated TSH level, many practitioners will not treat you until your TSH level rises above the normal range.
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