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It is not recomended to perform an extended panel of thyroid tests when thyroid diseases are suspected, perform only TSH or TSH Reflex. Do not screen asymptomatic subjects and measure only FT3 for ...
Choosing Wisely Italy. Doing more does not mean doing better (Fare di più non significa fare meglio)
SIPMeL – Endocrinology and Metabolic Diseases Study Group
TSH and TSH reflex are usually sufficient in the assessment of thyroid function. TSH reflex is preferred for diagnosis and TSH in monitoring. It is more appropriate to request TSH and FT4 when the pituitary-thyroid axis is not intact and its equilibrium is not stable. The interpretation of the FT3 results can be difficult mainly for methodological problems. The determination of TSH is sufficient to verify the correct dosage in patients treated with levothyroxine.
ver más ... 2018Limit foods of animal origin and industrial production is recomended. Give preference to fruits, vegetables, whole cereals and legumes, better if fresh, from your local area, seasonal and cultivated ...
Choosing Wisely Italy. Doing more does not mean doing better (Fare di più non significa fare meglio)
International Society of Doctors for the Environment – ISDE Italian section
The food must be healthy, varied and moderate, following the general guidelines of the so-called "Food Pyramid", which involves less use of natural resources and less pollution ("Ecological Footprint"). A vegetarian change would not only reduce the overall mortality of 6-10%, but would be able to act on climate change with a decrease of 25% of CO2. The citizen, as a responsible consumer, must be aware of the fact that the agro-food supply chain, in all its phases, from production to ...
ver más ... 2018It is not recomended not carry out X-rays unless a specific clinical indication.
Choosing Wisely Italy. Doing more does not mean doing better (Fare di più non significa fare meglio)
International Society of Doctors for the Environment – ISDE Italian section
X-rays are very useful in the diagnosis of several illnesses. We must however not ignore the possible harmful effects they can cause (toxicity, carcinogenicity). Therefore they should only be used and not abused.
ver más ... 2018Antibiotics are not recomended for common respiratory infections (colds, rhinosinusitis, cough/bronchitis, flu syndromes) and bacteria in the urine without symptoms, because generally they are ...
Choosing Wisely Italy. Doing more does not mean doing better (Fare di più non significa fare meglio)
International Society of Doctors for the Environment – ISDE Italian section
Microorganisms are essential in the ecosystem: the symbiosis between saprophytic germs and our organism is always important, and in particular in the early years of development. Few germs are pathogenic: most of them make us live and grow in health. The above infections are mainly from viruses, against which antibiotics (AB) are useless. Even when caused by bacteria, the prognosis is usually good and AB are not needed. Doctors must discourage self-administration, and kindly resist to pressures ...
ver más ... 2018Don’t drink bottled water, choosing, if possible, water from the tap which often has better organoleptic characteristics and is submitted to rigorous quality control.
Choosing Wisely Italy. Doing more does not mean doing better (Fare di più non significa fare meglio)
International Society of Doctors for the Environment – ISDE Italian section
Water is a precious “common good”: without water nobody can survive. Bottled water only adds costs in terms of plastic or glass containers and their disposal. The water can be polluted by toxic products: great attention is needed to avoid this dangerous damage.
ver más ... 2018