I’ve just reworked the research I did seven years ago and posted it.  It is maddening to see we’ve come nowhere. The standard screening is still a TSH, all by itself. Anyone who has looked at my pages on weight loss can see that the research supports a direct thyroid connection that will not show up on TSH until the situation is very severe.Â
So here we are as a much heavier population without any medical recognition of the hormonal effects of thyroid short of drastic deficiency.  Meanwhile, obese patients are unsure about basal metabolism and set points when it is clear that thyroid monitoring would give indications of when someone has crossed over into a starvation state.