Boca baton wrote:
With endocrinologists not on the same page regarding what "normal" levels of thyroid hormones are, what standards will WADA and/or USADA require?
I'm just trying to determine if this proposal is bringing actual improvements or just more red tape (that wastes USADA and WADA's time) that is fairly easy for athletes to manipulate.
There are published and widely accepted standards for what constitutes a normal clinical measurement. Doctors are free to prescribe outside of those boundaries but they are not practicing in accord with the standards.
This is not just for endocrinologists, doctors have wide freedom to do things such as prescribe medications off label, for example. In many ways things are much more black and white in the thyroid example then in many other areas of medical practice, since it is based predominantly on a lab test whereas many conditions are diagnosed predominantly or solely based on examination and history.
I do not know much at all about the practice of medicine outside this country, so I don't know if doctors in other countries share the same clinical standards or operate with the same freedom.
I would assume? that they would just adopt the standard which is widely accepted and published in the literature as the TUE standard, but I don't really know.