OSA is common in diseased thyroid state when thyroid secretes less hormone which is known as hypothyroidism. Hypothyroidism is when your thyroid is not secreting enough thyroid hormones and treated by oral thyroid tablets taken every day empty stomach. In hypothyroidism TSH levels are high and that is how it is diagnosed. OSA in hypothyroid state is independent of obesity and improves significantly with treatment of hypothyroid state.
So, OSA patients should undergo thyroid function tests to rule out Hypothyroidism. Similarly, in hypothyroid patients, OSA symptoms should actively be looked for and sleep study should be performed if required.
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