Hashimoto’s – How Often Should I Have My TSH Checked?

Hashimoto's – How Often Should I Have My TSH Checked?

Note: The following is the output of a transcription from the video above. Although the transcription is largely accurate, in some cases it is incomplete or inaccurate due to inaudible passages or transcription errors.

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They, the uh, the the holy grail of the medical community, relative to your thyroid uh dysfunction, and we’re, going to talk about tsh and hashimoto’s. Okay, so tsh it’s kind of interesting. I’ve, been in this for a long time.

Probably since the very beginning of of the understanding that hashimoto’s was causing most of these thyroid problems. I i’ve, had the opportunity to um to be involved in the evolution of thought on several things.

Well, should you take thyroid medication? Should you not uh the tsh isn’t enough, you don’t bother to do it because it really doesn’t tell you anything other than about about the immune system and and the whole evolution of understanding tsh.

Eventually, i’m, going to do a talk on on um thyroid peroxidase enzymes, the tpo enzymes, uh and and just the evolution of thought on all those. So just keep that in mind. If i have, if you saw something in some of my other videos that are going to contradict what i say right now, because it’s kind of the latest stuff, okay thyroid stimulating hormone.

Basically, people come in and they go. I have low thyroid and i go. You have low thyroid or do you have low thyroid, stimulating because low thyroid, stimulating hormone um uh means that you have high thyroid function and vice versa, and without getting into all of that, it seems counterintuitive.

But when your thyroid, the important point is, is when your thyroid function is going down. You’re, not making as much thyroid hormone so that so there’s. This part of your brain that sends out a a signal to another part of your brain to send out something called thyroid, stimulating hormone tsh to stimulate this lazy thyroid, or this thyroid, that’s being destroyed so that it makes more hormone.

So when you have high tsh it’s, because your thyroid is like this and it can’t make hormone and it’s, trying to stimulate it to make more hormone. That’s, a key understanding. Now, historically, in the beginning, tsh was mainly a function of our understanding was it was a function of hypothyroid, which was the medical understanding for the last hundred years.

However, it’s, taken on kind of a new understanding in that thyroid in hashimoto’s, thyroid tissue is being damaged. If i could show you some pictures of a, i should do that. If i can show you some pictures of a thyroid being damaged that’s been excised and it’s being down.

It would blow your mind as to how it looks and it’s. The damage that’s being done and every time you’re getting attacked. Sometimes you’re, getting a little teeny bit of damage. Sometimes you’re, getting full blown damage.

Those of you are having swelling those of you are having swelling that goes up and down you’re. Getting a lot of anxiety, you’re, getting a lot of damage, and so so the tsh can be used to measure that damage.

If the, if the thyroid stimulating hormone, one of the things that thyroid stimulating hormone can tell you, if you get it measured regularly, is how much is damage being done? It’s, pretty simple. If you’ve been at this for 10 years, and your tsh has been going like that every year it goes higher and higher and higher.

That means every year, from the one time that you got let’s, say from 2019 to 2020, it went higher. There was damage taking place over that entire period of time and you’re, the person who they continue, giving you a higher dosage of thyroid medication, so that tsh is a measure of of that.

If the person who has who has thyroid stimulating hormone every year, your thyroid hormone just stays the same, your tsh is or stays the same, that’s, a very stable thyroid. Even though you have hashimoto’s, it means that the damage is pretty baseline.

It’s like not it’s, not a ton, so you might be the person who goes like hashimoto’s, but i don’t. I only have a few of those symptoms in my and, and you know my labs look good and, and but i have these other symptoms and and well.

The other symptoms are from other things that are happening from your thyroid, say: slowing down your liver or slowing down the ability to make blurred blood cells or slowing down the ability to make hydrochloric acid in your stomach, so tsh can be very valuable.

The answer to the question is how often i should have it done if you are in a more hyperactive state. So if you have let’s say i just had one yesterday and and and it was a lady who’s whose thyroid was swelling and we had made a couple of suggestions to her uh early on in treatment and she followed Those suggestions and her thyroid has gone down like 60, already, okay, a thyroid that can swell and go down swell and go down.

Maybe you get glands and at the same time we get heart, palpitations maybe get anxiety, and we’re trembling insomnia night sweats, that type of stuff that’s, a thyroid that is um very unstable um. It’s, a thyroid that is very active and, and that and that thyroid is creating a lot of destruction.

That immune response is creating a lot of destruction because you’re. Getting all of those when your thyroid is is destroyed. Cells are destroyed, they go they they go out into your bloodstream, along with the t3 and the t4, that’s in them, and then you have too much thyroid in your system and the next thing you know the next thing you know you’re, getting these these uh um symptoms, along with the fact just the fact that you’re that your immune system is flared up, but so you’re, getting a lot of destruction.

You want to get that thyroid checked if it’s in treatment. You might want to get the tsh checked every six weeks, because the tsh is going to go into uh it’s. It’s, going to go. It’s, going to go up the more damage that there is okay, so you want to check damage frequently, especially if you’re in treatment.

Most of our treatment protocols are anywhere from like, like six weeks to four or five months. Just depending on how many, how many triggers, how many things you got to go after or how many organs the person’s missing how many drugs they’re, taking all that type of stuff.

So you would want to do it kind of maybe every six to at least at the very least. You would want to do it every three months. I say this because most of you know, as i’m about the same question you go to the doctor.

They attack you and they’ll, see in a year. During that period of time you may go from being stable to being unstable and you won’t know it. So i recommend my patients get if they’re. If they’re relatively stable and let’s say we’re done with treatment and they’re doing well and they’re relatively stable.

I recommend they get their tsh checked every six months. I just think a year is too long, maybe somewhere around six months – something happens. Maybe they get a new food sensitivity. Food sensitivities come and go.

Maybe they get a new food chemical senses, things come and go um. You know things happen. We’re. The societal issue right now of so many things happening with the covid political upheaval. All these things.

People are stressed that actually, that actually can fire things up and that could maybe the threshold where now you start getting damage to the thyroid. You want to know that you want to know that if so, if that happens, so we’re done with care, and that starts happening at six and a half months.

We want to know that, because there’s a way to dampen that response as quickly as possible, so the tsh really gives us a powerful tool to to manage hashimoto’s for those of you who watched it. You, you probably heard me say: hashimoto’s is multifactorial.

There’s, a lot of moving pieces to it. There there’s, multiple webs involved like the brain and the thyroid, and the gut they got in the thyroid and the gut in in the immune system and and and all these different things that relate to the thyroid that have to be worked up.

And then gotten under control? Well, once you’ve got them under control. That’s called putting that person in remission you haven’t. The goal is not to cure you because i don’t know anybody who knows how to cure hashimoto’s yet, and so the goal is to get you in remission and keep you there and then teach you how to keep it There one of the most powerful tools to understand how to keep it in remission is to understand whether it’s, whether it’s turned active or not, and the tsh is is the best way.

Uh there there’s. Other ways there there’s there’s other tests. There are much more. They’re, much much much more expensive. They’re, like in the 400, and some dollar range called tnb, lymphocytes and natural killer cells, and you can run that.

But the tsh is like it’s, a cheat thing: people they run it every day in lab core. They run a zillion of them a day. The more you run in a lab, the less expensive. It is so if you run like 100 tmp, lipocytes or 100 tshs every day long, we run one every week of the tmb lymphocytes that one’s.

Going to be much more expensive, that’s, how they decide those things, so the tsh really can be a valuable, valuable tool for those who understand it. It can be a valuable tool to to to manage your thyroid during treatment.

It can be a valuable tool to manage your thyroid when you’re in remission and catch things before they start to get out of control before they get or after they’ve been triggered by a stress or by a pregnancy or By a surgery or by an infection, or something like that, so we’re finding it is.

It is useful in so many more ways for the hashimoto’s patient than just its tsh. Your tsh is normal by it was nice. Knowing you talked to in a year so that’s, tsh and hashimoto’s and we ‘ Ll, probably talk to you sooner than a year, so see you! Then you

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