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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Hashimoto’s versus Graves disease and although they are seem to be two cataclysmically different conditions, they’re, not in fact they have a bit of overlap, so autoimmunity is involved in both of them, so both of them are autoimmune problems.
Both of them are, as a result of the immune system, attacking an aspect of that their thyroid physiology, but in Hashimoto’s, it’s. One aspect integrase it’s. Another aspect in Hashimoto’s, the thyroid peroxidase enzyme is attacked and in far less frequently the anti thyroglobulin tissue is attacked and what that means is there’s? An enzyme in Hashimoto’s, that’s, attacked that actually makes the thyroid hormone.
It’s called the it’s called the thyroid peroxidase enzyme, and it takes it, takes the iodine and the tyrosine. So in T so in thyroid hormones are the main one that’s made and then thyroid is called t4.
So it takes the T which is tyrosine and and and that enzyme puts that T together with the four which is four iodine’s, and then that makes your t4 and when you have disruption of that, when you have an attack on that enzyme, You will you will tend to make a lot more thyroid hormone and that when you get an attack on and as you’re doing, that it damages thyroid tissue.
So you start making less thyroid tissues so between you, making less thyroid tissue and for the small group that have anti thyroglobulin hormones. These are I’m, sorry, enzymes being attacked, then the then those enzymes are actually tacking the tissue of your thyroid.
The actual tissue that make your thyroid and and so between those two things you can get, you can get hypothyroid and it’s hired and a hair falling out and and the constipation and the and an edema around the ankles and dry skin, and All these different things from everything, slowing down and and then intermittently in Hashimoto’s.
You’re, going to get an attack on that enzyme that makes more thyroid hormone and, and you’re going to and you’re going to get jittery if you get both of them at the same time. Sometimes, when you get the anti thyroglobulin antibodies attack, meaning the one that’s attacking the actual tissue.
Sometimes, when you get the destruction of that tissue, that destruction alone, vomits thyroid hormone out into the bloodstream for a little bit of time, and that causes the heart palpitations and the anxiety and the panic of that.
So so the uniqueness of Hashimoto ‘ S. Is you get mostly hypothyroid symptoms, the fatigue, the hair falling out the eyebrows going away the skin, going away the overweight, the constipation? All that and then intermittently you’re, going to get hyper thyroid.
You’re, usually gonna be overweight. If you have Hashimoto’s thyroiditis, there is a small percentage of hype of Hashimoto’s, patients that actually are thin and have more of the symptoms of what we’re about to talk about with Graves.
They’re there, they have more hyperactive symptoms and and – and so they share that characteristic with Grace’s these, although they’re, two distinctly different diseases, so so Hashimoto’s, hypothyroid intermittent attacks that cause Jarius.
Now we have Graves disease Graves disease is a much more serious condition that’s, not that it’s, not that Hashimoto’s. Isn’t serious. It’s. It’s. Very serious that’s. Why we talk about it all the time, but Grey’s? Is a potential life and death type of a serious it you, someone has Graves disease is getting a different enzyme attached.
The thyroid, stimulating hormone that creates that tells your thyroid to make thyroid hormone is getting attacked. The thyroid, stimulating hormone is getting attacked and it is continually being told to make more thyroid hormone, more thyroid hormone or thyroid hormone.
So it’s. Just like somebody’s got their. You know their foot on the on the gas pedal and they just won’t, take their foot up it’s like their own 150 miles an hour. You know all the time and and that’s.
What’s going on that now, if you get, if you have that happened now, you can also have thyroid peroxidase antibodies, be positive for grace disease. Just for the record. Okay, not that it’s. It’s hugely important, but it just you can eat those enzymes also attack there.
So now you have those enzymes that are making more thyroid hormone. Now you have the thyroid stimulating hormone that is continually stimulating your thyroid, and now it’s, just crazy and and so people try to doctors, try to dampen it down with different types of drugs.
One’s called meth. I’m asalaam. Basically it stops you from making thyroid hormone. If that doesn’t work, then it’s almost always going to be a thyroidectomy of some sort, and in this particular case I think those thyroidectomies are well.
Are a good protocol? Okay, I do treat Grey’s. Patients, okay, but I do not treat a Grey’s patient unless I am Co managing it with a medical doctor. There is a condition called a thyroid storm and if you get a thyroid storm where that enzyme just keeps getting attacked like just consistently for hours and hours and hours and hours, you can get your heart’s.
Gon na start pounding out of your chest, you can get a heart attack and died, and so Graves is a much more aggressive, much more acute. They’re, both autoimmune but different parts of the process of your brain and your pituitary gland telling your thyroid.
What to do different parts of the process are being attacked, and so you get two different animals. I mean that’s. Really pretty much it sometimes graves and and Hashimoto’s thyroiditis, especially with the thin Hashimoto’s.
Patient are confused and and the testing sometimes isn’t as clear, but most of the time when you, when you, when you do the testing for for the thyroid, stimulating hormones for the Graves disease, that’s positive, you up Graves and So so that’s, the difference between graves it’s.
It’s in it. To me as serious as Hashimoto’s. Is it’s, a drastic? It’s, a drastic difference between Hashimoto’s and graves, and a grace patient walks in here. I’m kind of on, like I’m kind of on my like Milo and tenner, going up because it’s like okay.
Do we treat this person because it’s, still an autoimmune problem, and but that person is it’s, still an autoimmune problem a lot of times you can still dampen it by doing the by doing the same things.
By biting that, you would do to get autumn unity under control yeah. I’m gonna find out if loosens food sensitivities fix their gut, get their blood sugar under control. All those types of things, because there’s, different gradients of graves as there are different gradients from mild to severe ashy Moto’s and graves.
But I, but I don’t care how mild it is birds coming in here. They need to be being co-managed by a biomechanical doctor on that, because a lot of times the person will be taking the medication it’s, not working, then their next thing is is do they want to get a surgery and get it out and And then some people that will show up in here go can we do anything to make sure I don’t have surgery, and then we go into our dressing, the immune response for them, and sometimes it works, and sometimes it doesn’T and that’s.
Why I like to and that’s? Why I like that to have a good relationship with their with their medical doctor when we’re doing that case, so that’s yeah. You know that’s. The cliffnotes of graves versus Hashimoto’s, but I think that’s kind of the guts of what what somebody needs to know to understand the difference between the two of them.