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For many of us the very word brings about negative thoughts, deep rooted fears and uncertainty. We are not programmed to like change. It is foreign and we fight it with everything that is in us.

A P Weetman, professor of medicineaa Department of Medicine, University of Sheffield Clinical Sciences Centre, Northern General Hospital, Sheffield S5 7AUAt first sight there could hardly be a more simple disorder to diagnose and treat than hypothyroidism. Now that we have robust hormone assays and reliable preparations of thyroxine in tablet sizes sufficiently small to tailor doses to an individual’s requirement, what issues remain? The purpose of this review is to flesh out some of the recently published consensus views on hypothyroidism,1 2 in particular regarding the role of screening for hypothyroidism and the need for treatment in subclinical hypothyroidism. Table 1) gives the definitions of hypothyroidism..

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Food companies want to be, must be, tuned to this new food culture. They cannot thrive otherwise. Critics of the food system fail to recognize that Big Food cannot dictate tastes to a new generation any more than the backers of Pat Boone could determine which singer Boone or Presley would define the exploding music culture of the 50 years that followed.