Endocrine Disorders: Hypothyroidism

Overview of Medical Evaluation

The treating endocrinologist or other treating physician knowledgeable regarding the management of hypothyroidism should provide the police physician with relevant medical records, medical data and/or responses to specific questions that indicate whether the LEO has met the criteria set out below.

The LEO who has been diagnosed with hypothyroidism can be cleared for full duty if they meet all of the following criteria:

• Currently euthyroid (TSH in physiological range)
• No cardiovascular, mental health, or musculoskeletal manifestations (see Appendix and appropriate chapters of the LEO guidance)

The LEO who has been diagnosed with hypothyroidism who is currently not euthyroid may need restrictions depending on the following manifestations (see relevant LEO chapters):

Cardiovascular

• Arrhythmias
• Heart failure

Mental Health

• Depression
• Cognitive dysfunction
• Alterations in mood

Musculoskeletal

• Muscle weakness
• Muscle pain
• Dupuytren’s contracture
• Carpal Tunnel

The police physician should confirm that the LEO with a diagnosis of hypothyroidism has a TSH measurement at least once a year.