Thyroid – Functional Medicine Back to Basics

Thyroid – Functional Medicine Back to Basics

In this segment of Functional Medicine Back to Basics Dr. Rutherford discusses the thyroid and its roll in chronic conditions.

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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Hi Dr. Martin Rutherford here in the continuing series of functional medicine back to basics, and for those of you who have not tuned in to functional medicine back to basics. Before we are probably three or four months into a series of how to attack the chronic conditions that walk into most functional medicine, practitioners today – and I am presenting the ideal – seen the classic scene, the scene that was originally put together as how to attack a case From functional medicine, we have what we ‘

Ve talked about the basics we’ve talked about blood sugar, oxygen godwe, you can go back and you can look at all of those things just to let you know, because some I’m, going to refer back to some of that, Especially today and and we’re, going to continue on now with thyroid okay, I guess the point I’ll.

Make here to those of you who have not been watching – or those of you have been watching – is that we’re finally getting the thyroid, and I think, one of the most common conditions that walks into our office is thyroid and my mentor dr.

Crossan was the doctor who dust it off mr. Hashimoto findings from 1902 and said: Hashimoto’s is causing the vast majority of thyroid problems, and indeed he was correct, and that was years ago when nobody thought he was correct and those of us who Knew him had a strong suspicion, he was correct and we were using his his knowledge in his findings and the challenge back then was people would come in.

I was probably 15 years ago or something like that and people would come in and say. Well, I got tired problem. I went to the doctor, it’s, not working. All my numbers are normal and I got all the symptoms and what do I do and and and I would start to walk them through what it meant to have a thyroid problem in today, Society, which is enormous, ly more elaborate than what’s.

The newest supplement before that, because I don’t want to take the medication, and the answer was was there is no supplement for that, particularly you have to go through all the steps that we’ve gone through in the back-to-basics emotional Messaging protocol see which one the patient’s, have relative to different gut functions and bacterial infections and blood sugar or fluctuations, and these things and and all of those great inflammatory responses, and you have to go through all those first that didn’t go over very well by the way.

Look those patients they’re, like I just came in here for my thyroid, and I was like this is rough now. The Mayo Clinic says that 85 to 95 percent of all thyroid problems or Hashimoto’s, which is the reason that we have done everything else first and it’s.

The reason that a functional medicine practitioner should attack a thyroid problem in a certain fashion, so I’m. Not going to go through this is thyroid is what it does thyroid thyroid controls your metabolism, and it helps with calcium metabolism through through calcitonin through through working with the parathyroids, that’s, what it does if your thyroids working you have energy.

If your attire is not working, everything slows down everything you put on weight. Maybe your hair starts falling out and you maybe get constipation. Maybe your gallbladder stops functioning as well, because because, when the thyroid goes down, all the receptor sites from thyroid hormone and all of those areas go down that’s.

What thyroid does that’s, that’s? The extent that I’m going to get into the physiology of thyroid what I’m going to talk about, I was thought I was thinking about this earlier. I’m gonna talk about how I process a thyroid.

In my mind, again, when you look at a book about thyroid – or maybe even some stuff, you see on ly about functional nonsense here’s, the thyroid here’s. How you do this, you give them that supplement, and it is it’s not like that for the patients who come in here anyway, because the vast majority of people come in here have already been everywhere and they’ve been their Doctor or they’ve, driven them crazy.

There’s already. Symptoms are are normal or okay, but their numbers are off. So the doctor gives the medication to screw them up or vice versa. The numbers are okay, but they have 25 out of 25 symptoms of Hashimoto’s thyroiditis and the doctor, doesn’t know what to do for him and because and then gives them a medication, and that’s, gruesome or It doesn’t, do anything to them or any variety of things.

So this is. We’re going to talk about thyroid. I’m gonna. Maybe do a separate one on autoimmunity because to me thyroid and autoimmunity or wan na in in the in the in the practical clinical world it’s almost always about automating.

So let’s. Talk about that! Let’s! Talk about thyroid by the way when we first started doing videos on thyroid it had to be. I don’t, know seven eight nine years ago, and so we have a lot of videos on all the other things.

I just told you, I’m, not going to talk about, and you can look at them up on power. He’ll talk calm in the early ones, you’ll notice. You’ll, actually have to look up hypothyroidism. The reason that they’re under that under the heading is because nobody was looking for Hashimoto’s back then, because nobody knew they had it.

So we would talk about hypothyroidism and then people would check out our hypothyroid tape, arte for presentation or whatever, and and they’d, go like you’re talking, you’re. Talking about Hashimoto’s, it’s.

Like I looked at, I have hypothyroid it’s like no. You’re like washing my toes so and then the later ones are about Hashimoto sweet. I I don’t, think I’m, exaggerating if I say we probably 20 hours or more on on on thyroid online.

So you can look those up for more details, but here’s, kind of how it goes with me. Okay person comes in and it’s classic they’re. They’re, holding their thyroid. They’re, holding their thyroid labs for me to show me what they are and they’re, obviously not very happy where they are most of them have classic symptoms, and the vast majority of people who come in here have Hashimoto’s, it is a rare rare day when I see an actual hypothyroid case and and and and and those are the the first challenge is to figure out that right there, okay, but really now again, I’m, just giving you clinical experience Here, because you can look at all the other stuff elsewhere, okay, but really when a person comes in here and they have hypothyroid that’s, usually going to be, they have hypothyroid.

They’re, taking the medication it’s, not working that & # 39; s, usually be going to be there’s there, several pathways there’s like 21 different pathways between your thyroid making thyroid hormone, and I’ll, go into a little of the science when your thyroid makes thyroid hormone.

It is makes mostly like 93 to 97 percent of what it makes is in active hormone. Doesn’t. Do anything it’s. It’s inactive, so it can be flying around your system attached these little proteins and fly around your system all day long and it never attaches to anything to create a physiological response, meaning it’s, not gonna make you it’s, not gonna give you any energy until it becomes an active form of thyroid so and that active form is called t3, so the inactive form is t4, the active form is t3, and most of your thyroid medications by the way are t4.

We’ll talk about that, so so you’re. So how does that happen? Okay, there’s. There’s 21 different things that can screw. That I mean I’m, not exaggerating. I’m, saying specifically 21 different pathways that we know of that can screw that up half of the drugs that people are taking that come in here people come in here.

Half of the drugs are taking for these six other things that they have, that they’re. Taking drugs for can be screwing up that conversion factor that’s called conversion; okay, the big things that screw it up are.

However, most of the conversion takes place in the liver, and so so, if you have a fatty liver, if you’re, not clearing your liver, if you have a golf lap and bad gallbladder that’s, backing up into your liver, you’ve have cirrhosis you drink too much.

All of those things are gonna cause you to not convert your thyroid hormones, so you! So, even if you take the thyroid hormone, which is t4, it still has to be converted. Okay, so so in my world I’m. Looking at those things right off the bat I’m.

Looking first of all, do I have I try to not just say everybody’s got Hashimoto’s. I try to make sure okay is this person actually have a hypothyroid? They wouldn’t like the five to ten to fifteen percent of people who does not have Hashimoto’s, who has a thyroid problem, and, and so, if that’s the case, I’m.

Looking for these pathways, second pathway is the intestines if the person that has bad intestines, if they have poor hydrochloric acid in your stomach, if their gallbladders are decreased, if their pancreas is off, if their digestive enzymes are off, if they got information on the inside of Their intestines, all of that is going to contribute to an environment where the t3 cannot be converted.

You cannot get the t4 to t3, so those are Biggie’s, so person comes in. They’re here. They’re interested. They’re hypothyroid. They’re, taking their their their medication. It’s, not working. They’re.

Looking for supplements and a lot of you’re gonna say there are supplements for that now and there are, but we’re gonna talk about that, because that’s, not the classic way to start falling in Love with giving people supplements right away.

Okay, for those two people, the issues fix the gut fix the gallbladder fix the fixed, fixed intestines and all the sudden they’ll, start converting properly other the other most common things that convert that caused you to not going to work properly.

Are stress. Stress hormones, great inflammation, that alters cortisol, cortisol screws up your blood sugar, and that brings you to the next thing that screws up your conversion of t4 to t3, which is your blood sugar.

So you can either have blood sugars just totally screwed up, because you’re eating like crap and and because or you’re trying. You know whatever you know you’re, all the things, your blood sugar drinking eating, eating too much sugar eating too many processed foods and all that type of stuff.

So so the so the blood sugar is a big deal that will cause you to not be able to convert when that’s fluctuating the stress is a big deal. Stress, inflammation from stress will cause you to not be able to convert right.

For many reasons. I won’t get into the whole physiology of that. The stress affects your pituitary gland. It stops talking to your thyroid, your thyroid yeah. Then. Maybe he can, or maybe can’t even make the thyroid hormone.

It’s supposed to be, and then, when it gets to the receptor sites in your body, where it’s supposed to get in it can’t get in because of stress inflammation is screwing that up on top of Screwing up your blood, sugar or stress is a big reason that you can’t convert your thyroid hormones another than the other.

Two big reasons that I see they come in here are hormone replacement therapy and I’m, not talking thyroid hormone replacement therapy. I’m talking in men who take testosterone and women who take estrogen.

These hormones interfere with you with what’s called your sex hormone, binding globulin, and they also a fear, interfere with whether with the earlier thyroid, binding globulin and you can’t, and these are.

These are proteins that actually carry this stuff around, carry the they carry the thyroid hormone from your thyroid to the liver into this and to the intestines and to the cell sites, and and and and without getting again.

You know it into the extensive chemistry of that. Indeed, the conversion just doesn’t happen. So those are the main things that we see come in here and drugs like I said, the drugs right it’s. Not you look.

I have literally I don’t have right here. I should have had it that would have been fun. I literally have three pages. This is enough. This is not it, but I have. I have three pages like like full of all the medications, because I can’t.

Remember them all all the medications that screw up somebody’s thyroid. So first thing I do is this: I look in look at those medications to see if they’re on those, because I know that that’s going to be an issue.

So this is usually what’s walking into the office, so it’s, not a matter of. Do I take google for my hypothyroid GU GU L. Do I take Google? It’s? No, it’s. It’s, it’s. It’s because it’s, not gonna work anymore.

Then then, the medication is going to work, so this this is. This is even that’s even height. That’s hypothyroid! Okay, now you throw Hashimoto’s. On top of there and Hashimoto ‘ S is very, very complex.

My mentor does a three-day twenty five hour seminar on the thyroid, okay and I go to it every year and I’m, always amazed that I always think I’m. Just gonna go get some CEUs and, and I get there and the next thing I know three hours later.

I got 41 pages of notes that I’ve, just written out from what our understanding has advanced relative to autoimmunity and particularly Hashimoto’s just from the last year or two. So it’s. It’s. An evolving understanding of what’s, going on with your thyroid, and so so the thyroid is, is autoimmune.

Thyroid is in arc in our practice, my god, it’s. It’s, 90 % to 95 % of what walks in the door. Mayo Clinic says it’s 85 to 95 percent of all hypothyroid diagnosis, whether you’ve been diagnosed correctly with it or not.

So it’s very common. It’s, extremely common. The the thing about the hypothyroid. Is it’s, not functioning right and most of the time it’s, going to be those conversion factors that I just got done talking about? But when you have Hashimoto’s, that’s, an autoimmune attack on your thyroid.

So this is your thyroid. This is the immune system. Your thought, your your immune system is, is hitting your thyroid, okay and, and – and so this really is the problem at least initially. Okay, there are things that you first need to determine.

Does that person that Hashimoto said that’s? Not always that easy, because here’s, the nuances of it? Okay, the nuances are this here’s, a problem? Okay, it’s. The immune system, somewhere along the line.

Something has happened there’s, been a stress there’s been a trauma there’s been an accident, so somebody had their third child and their whole life fell apart. They got an overwhelming infection, they got mono and and all their physiology fell apart.

Usually what has happened is under those circumstances. The immune system is flared up and it’s N and for some reason you have a genetic propensity in your DNA to allow your thyroid to get attacked and it attacks, but some people it just attacks a little bit some people.

It attacks a lot some people, even though they get a viral infection or taking really really good care of themselves and or eat and writing or exercise. And then they get a positive mental attitude and and and this attack is very mild and it doesn’t even cause any symptoms.

You don’t even know you have it that’s called silent, Hashimoto, silent autoimmune attack. Then, as this attack keeps going, maybe the person goes through life, maybe their stresses. Maybe there’s ups and maybe there’s financial stresses.

Maybe there was relationship stresses maybe you know. Maybe there’s. Maybe there’s, national political stresses, like all the things that people are going through, right and and and and those stresses will cause that immune system it’ll cause inflammation to keep attacking attack more and now what happens is that person Starts getting symptoms and the symptoms by the way are classic symptoms are hypothyroid.

Are I’m tired? I’m tired all-time. I’m sluggish. I can sleep all I want I’m. Never I never feel like. I have energy. My hair is falling out. I’m, putting on weight for no reason at all, and I’m still exercising and I’m still eating right constipation.

We could have hair thinning and that outer third of the eyebrows hair scalp and face genitals. You know having your hair, get thin or fall out dryness of the shins, particularly but dryness of skin dryness, of shins mental sluggishness, mental sluggishness edema around the ankles.

I think those are pretty much the main ones for like hypothyroid and – and I mentioned hypothyroid, because, as you’re, getting beat up your thyroids getting beat up, you initially go into hypothyroid.

I mean it’s, beating up tissue. That’s, making thyroid hormone, and you’re as kind of a like. You know like a boxer getting like beat up and and it starts losing its ability to make thyroid hormone, and you get all the hypo symptoms.

But this guy is the guy that’s, doing it, and so eventually you start getting hypo symptoms and eventually you start getting hyper symptoms and the number one hyper symptom to me. That alerts me to the probability of the person sitting in front of me is Hashimoto’s.

I get heart palpitations for no reason at all. Now, heart palpitations, the person usually has been to the cardiologist cardiologists check them out, told them everything’s. Okay, life is good. You’re, just stressed, and indeed they may be stressed, but heart palpitations is different from the type of feeling that you get when you’re stressed, and these heart palpitations come and go for no reason at all, and and they can Actually flare up and cause anxiety and they can cause heart palpitations and we’re trembling, increased pulse at rest, nervous and emotional night.

Sweats insomnia people get night sweats, they think they got a hormonal problem dip and, in rare cases, difficulty gaining weight and and and and and now that’s. When you’ll have to look up, we have a.

We have a presentation on the thin Hashimoto’s, patient most Hashimoto’s. Patients are heavy, so it’s, so some people call it autoimmune Ottoman hypothyroid. Some people call it Hashimoto’s hypothyroid because you get the hypothyroid stuff first, so we went from silent autoimmunity.

I haven’t forgotten over to here to where we now have what’s called reactive autoimmunity. You’re, getting it. You’re, getting more damage to the tissue. All the sudden, you’re starting to get all of these symptoms right.

You go to the doctor and everything’s, normal everything’s normal it’s. Wonderful but doctor. I have all of the symptoms. The doctor Rutherford chest cut and talking about every one of them and, and he says I have Hashimoto’s and and the doctors are well, he’s like a jerk.

He doesn’t know what he’s. Talking about you know and and and what we found over the years was. It was legitimate to go by the symptoms, because the symptoms will come first before you start getting enough tissue damage for it to show up on the on the testing and then eventually, so so that’s, where a lot of my patients are when They come in here it’s.

Like I got all these symptoms. I went to the doctor. He told me I’m normal. I go. I’ll, see in six months. I’m, like my hair’s falling out one bite, you know like that, so this is this is this is my job.

This is what I do every day. This is. This is what I see and then the next thing is full-blown active autoimmunity and that’s, where you’re, getting all the symptoms, but now you go to the doctor and they go.

Oh, your thyroid hormones are all over the place and maybe they check your prostate medicine. Maybe they don’t. Maybe they just give you something for your hypothyroid symptoms and they think that your heart palpitations anxiety and we’re trembling.

Are that you’re just stressed, and and and and it’s more and more doctors are starting to look for Hashimoto’s, but here’s, the thing most people don’t. Well, let’s. I’ll, get to that in few minutes. So so more and more doctors are starting to look for Hashimoto’s and more and more doctors are starting to find it, and so the challenge there is sometimes doctors will say we don’t know whether you got it or not, Because there are varying ranges still on what’s, hashing motifs, and what’s not? And so when we started out the range you check these certain antibodies, they’re, called thyroid, peroxidase antibodies and anti-thyroid gamma globulin antibodies.

And so basically, you check these things, and maybe they come up normal now in our world, since we were have been doing this since so long before anybody even thought she was real. The symptoms, weren’t enough for us to say we got to treat you for autumn unity and dampen the immune response and see what happens with your thyroid and and that’s.

The ultimate takeaway from this today by the way. But what happens is you know? Usually there’s, an endocrinologist involved, and, and so there can be a little bit of a tug-of-war there, because the endocrinology so go well.

Your your your, your thyroid, gobby and antibodies came up normal. So you don’t, have it or even better, they’ll, come up positive and they’ll go, oh, maybe you have it and then the next time your your test says normal and they ‘

Ll say you don’t, have it so I’m, not quite sure why this is a huge confusion today, but it’s, but but the reality is is is if you’ve gone to get test Board once you test positive one time, you’ve got it because what happens is the antibodies that tag anybody’s.

The way it works is there’s, these antibodies in your immune system, and they actually tag what they think are bad guys. They tag bacteria to get killed by your immune system. They tag the viruses to alert your immune system to kill the virus.

Unfortunately, four people have autoimmune disease, they’ve, tagged, an organ and in this particular case it’s thyroid, so they’ve tagged the thyroid Oregon and and when they tagged it when they’re up.

When the antibodies are up, because you’re stressed because you’re eating like crap, because you got a cold or something like that, this really starts happening when they go down there’s less of an attack, but when They go down, you can test them and they can look normal on the test and and then the doctors go well.

I I don’t know it’s. One day it’s positive in one days negative. So we don’t know where you got it. If you ask an immunologist, they’ll, say you have it you have it once you get the positive test, you have it again.

I started going there in two ranges when we first got into this. The range for Hashimoto’s and to be positive, was zero to 100. This is the next confusion. Okay, then it came down to 64. Now our group and and my mentor after experimenting with a lot of Hashimoto’s.

Patients, among maybe 35 to 50 of us, like practitioner, said it’s somewhere between zero to eight and zero to ten so pH. So it came down to third 64. Then the range came down at 32. I’ve, seen some ranges in the 20s and the 16s Mayo Clinic today says the range is zero tonight and in having treated people from around the world there.

I think Belgium zero to five and there are some other European countries where it’s. It’s, zero to seven nine ten, so everybody’s got their little thing relative to – I guess their patient population here, but the reality is is so I just go to.

Let me oh clinic because everybody goes Mayo Clinic okay, so so Mayo Clinic says zero tonight, and that was no small thing for them to come down and say that, but still in my town here in Reno Sparks area and Northern Nevada, I mean you can go To you can go to all the different labs and one of the one of the hospitals here has two laps one lab it’s, zero to nine and the other one is zero to thirty.

Two, so point is everybody from nine to 64? Is being told that they don’t have Hashimoto’s, even though they have all the symptoms. So I said all that to say this so high, so that’s. Hashimoto’s, so first you got to figure out this person.

Actually I’ve hypothyroid. They have silent autoimmunity, they have reactive autumn unity, they have just full-blown autumn unity, it kind of it kind of dictates your prognosis, okay, and from this perspective, a lot of people come in don’t want to take thyroid medication and they’re like alright, I don’t, take any medication.

I’m like okay, I’m. With that I mean I’m, like like less medication. Better thyroid medication is kind of unique in this sense. If you can, if you have a thyroid problem and you can get the right dosage of medication, the side effect is your body works really well, okay, if you have too much, are you too little that’s, not good, because you’Re gonna either have hyper thyroid or you’re gonna have hypothyroid symptoms and for the Hashimoto’s patient, it is impossible almost impossible to dose that properly.

Until you’ve done all of the other things we’ve talked about in all of the other videos, those of the of those conditions that are unique to that particular person. So if the person got sasebo or if the person’s got a bacterial infection or if they got h, pylori or if they got chronic stress or if they got gallbladder problems or like hydrochloric acid.

Some all of those things create inflammation all those things raise cortisol more inflammation and then the next thing you know that causes a poor conversion factor and in the Hashimoto’s, patient it also flares up their thyroid.

Are the attack against the thyroid? So you have to go about it that way. So in the beginning, you can imagine that people coming in here looking for like some herb or botanical now we have Peters whole screening and this therapy will get them walk out.

Look what are you talking about? It’s, my thyroid it’s. Like I know my gut, my bad gut is like has nothing to do with this. I mean you know that I don’t get that anymore. Today there’s enough online, where a lot of you’re, probably saying why he’s even talking about this.

I already know this stuff, but I mean, but I get a lot of people in here. They’re way, more educated about this stuff than used to me, so so that’s been nice, so so, okay, so so we figure out that you have Hashimoto’s or you have or you have hypothyroid.

Okay, I put the IRA, it’s, easy frankly, one of the main reasons I don’t get hypothyroid. That often is because they’re. The people who take the medication and they’re Lou life – is good. Everything is wonderful.

My weight is going away. My hair is growing back Mary. Why don’t you take this medication. Look at how wonderful it was for me and Mary takes the head of medication and just about blows her head off because she’s got a hyper hyper.

She mutters hyperthyroid. So these are the things that that that you have to to understand about your Hashimoto’s. It’s, it’s, it’s. It’s. I’m, doing the thyroid very late in this back to basics protocol, because this is the way it goes.

So when somebody comes in your Hashimoto’s like oh another thing, do you want to know? So if a person comes in here with Hashimoto’s and they have not taken any thyroid medication, so thyroid medication is, is the substitute it’s artificial.

It’s, hormone replacement therapy, you put it in okay, you put it in and it and and now you have enough t4 flowing through your system. It may not be getting converted, but you have enough getting going through your system.

That tells you a part of your brain that assesses these things called the hypothalamus. It says Doc & # 39; s, got enough thyroid hormone in them, and you and and that tells the pituitary gland at the master gland, to tell your thyroid to kick back and take a vacation and it doesn’t have to do anything.

It doesn’t have to produce, because I don’t know where it’s coming from, but there’s plenty of t4 running around in here. So so kick back until we need you well, if you keep taking it, you’re, never gonna need your thyroid and then it atrophies and then it and then it can’t make tea for my guideline when people ask me, Am I gonna have to take thyroid.

Medication is if they’ve been taking 50 milligrams, maybe 50 milligrams like the borderline, but but at the bottom of ends of the range, fifty milligrams or more for two years or more. It’s. My observation, that’s, a lot of there’s, not in any books or anything it’s.

My observation that that person is probably gonna need hormone replacement therapy for us. They’re like okay, if they are not taking any thyroid when they get in here, and they’ve just been a trooper and suffering because they don’t want to take medication when they didn ‘

T. Think their doctor knew what they were talking about or they are or they’ve been taking it for like less than two years and it’s been fifty milligrams or less. I’d, say seventy percent of those people their thyroid ends up working again.

It hasn’t yet atrophied. The point we can’t work and and and most of those don’t have to take a medication. But to me honestly, it’s, not about taking a medication or not with a thyroid, because most of ours are Hashimoto’s and it’s about.

Do we get the let’s? Let’s, get the inflammation down. Let’s, get the food sensitivity, figured out, let’s, get the toxins figured out. If you have them, you know it. Let’s, get figured out what’s, causing the inflammatory responses in you and let’s, see what happens now at that point.

At that point now, before you go to medication, you can use herbs and botanicals, okay and and and and there’s and there’s, different herbs and botanicals for it there’s herbs and botanicals. That’ll, just get your thyroid to start making tea for there’s other herbs and botanicals.

That will help your conversion factor. They all have nutrients in there that will sensitize receptor sites so that they take your thyroid hormone in on the cells they have herbs, but they have herbs and botanicals in there.

That’ll, get your your liver working better or your pancreas working better and and I’m. Sorry, you’re in your. Your gut function, working better receptor sites working better, so so, but it’s. The same thing until you get on the other hierarchy better, then you shouldn’t start you shouldn’t start using herbs or botanicals.

Yet, okay, because you, if you get the other things under control, your thyroid might just start working. You might not even eat herbs and botanicals for your thyroid, then the next step is use the herbs and botanicals, and if the thyroid is gone, then then thyroid medication, full disclosure.

I take levothyroxine okay. My story is, I probably got Hashimoto’s when I was 20 21. I had a severe bout of mononucleosis, I mean like. I was sick for months like three months. I was in bed – oh, my god.

It was like sweats and and chills, and I was losing weight and and the whole thing and then even after I got out of it, I was I was a guy that played sports back then I had to miss a whole soccer season and and and my Baseball season that year, wasn’t all that one to put in the record books, to say the least, because I was fatigued for like 14 months.

Well, we know now is, is that if you got Epstein, if you get mono it’s caused by epstein-barr virus and it lasts for more than 4-6 weeks. You would probably developed Hashimoto’s back then, so nobody figured out and then I started having a little trouble with my weight and my fatigue, and nobody figured out that I had Hashimoto’s until I was almost in my Earl late Forties and so my thyroid wasn’t coming back, so I take actually take 50 micrograms of levothyroxine and I even take a smidge of something called t3.

I’m, not telling you to take these. I’m just telling what I do to give you some reality on like what I think is the reality of Hashimoto’s, especially for the people coming here. Oh no, no, never! Never! Medication! It’s like if I wasn’t taking medication.

I wouldn’t, be sitting here doing this. I can tell you that, and why do I take that t3 because I have celiac? I have celiac and – and I have Ottoman gastritis, so I don’t break down the t3 properly. So I take a combination of both of those – and Here I am, my numbers are perfect.

Your numbers can be valuable after you ‘ Ve done all that after you’ve fixed your stress after you’ve fixed your intestines after you’ve fixed your your gut after you’ve fixed all that stuff, then your your thyroid numbers actually become Useful, but, prior to all that that TSH, the t3, the T for that the doctors are are using.

If you have Hashimoto’s, it’s strong probability. Those numbers are not representative of what your actual thyroid function is. So I think that’s, it I thought any other clinical pearls relative. The thyroid.

Again, I mean, like I said, my mentor teaches a 24 hour 24 hour course, over a period of three days on this, and and I’m there, he ‘ S got another one coming up in June and I’m. Either gonna be there or watching it online or one or the other, because it’s.

It’s, just it’s, a really it’s, autoimmunity okay, for the vast majority of you, it’s. Automated okay, here’s, another clinical problem, Hashimoto ‘ S is usually connected to a lot of other things.

It’s. You it’s connected to autoimmune gastritis, it’s connected to celiac. It’s; connection connected to antibodies against your cerebellum. So those of you who, at the same time you started getting putting on weight, you started getting dizziness and balance problems and and stuff like that.

It’s connected to that. It’s connected to autoimmune hepatitis. It’s connected to polycystic ovarian syndrome, all in different in different ratios, but like like them like. More often it’s connected to it’s, a celiac and the cerebellum that’s, a polycystic ovarian syndrome, but the bottom line is: is it’s connected to a lot of things? So if those things come in to me, guess what we have to go through the whole hierarchy right and then there’s.

Those areas where you’re having to treat the the the gut and the thyroid at the same time, because the thyroid screw it up to gut against screwing up the thyroid. So you have to attack those both at the same time.

So so so so for those of you who are like you know always looking online and you’re doing things. I encourage that because it’s, making my job a little easier with people coming in and having tried things and they haven’t worked or they understand what I’m talking about.

When I talk about SIBO. Are it just helps? It helps a lot, but, but you need to understand there is. There is an organization to our system and this this autoimmunity. This has been there’s, a screw things up, majorly and it’s.

It’s only it’s, the only last 30 or 40 50 years. I mean I’m, not treating the same patients. Now I was treating when I went to the practice 40 years ago. Yeah people don’t respond as well now as they used to and a lot of it’s.

Because of these, these autoimmune problems that people a lot of people coming here, don’t even know they have them. They just know they’re, not feeling well, they’ve tried everything it didn’t work, so so I’m expanding a little bit into autumn unity there, because that’s.

What most thyroids are all about, if you go and you I and you go, and you come in here and tell me: well, I got a doctor and he understands Hashimoto’s and and he’s, a wonderful person and she’s, wonderful person and they’re, doing a wonderful job and her sitting here, and they got 20 out of 20 symptoms of Hashimoto’s.

I’m asked to plate. Lee tell them that we may not be able to do this if you think that what they’re doing is right, because I’m gonna change, what they’re doing, because you still have all these symptoms, so It’s kind of a unique area, but this is why it’s at the end.

So for those of you who have may be frustrated with your thyroid approach from your doctors, I one last bit one last bit. I should tell you this, so if you there are doctors now that are getting more conversing with the fact that person’s got Hashimoto’s, however, they just keep treating at you as hypothyroid.

There’s. The next level of doctor who finally goes you know this is an autoimmune problem, and, and there are those doctors who are actually using a little bit of hydrocortisone, which is which is a steroid that you use in autoimmune problems to bring down the information, and it Helps and it helps it because why? Because it’s addressing the problem, it’s.

Addressing this, but people will say I don’t, take hydrocortisone rest of my life because it ‘ S got like a lot of bad side effects, which is true. Okay, then, the next thing that they’re doing is they’re, going like okay? I just know what to do with this.

So here’s. What we’re gonna, do we’re, either gonna, take it out or radiate it from you. Take it out, radiate it, but this is still there. The immune system is still there and nobody has addressed dampening the immune system.

Oh, but there’s, not tissue left. I’m, not so sure about that. Okay, I’m, pretty sure that when people take these thyroids out, I’m willing to be corrected. But I’ve. Seen hundreds of these and I’m, not exaggerating when I say hundred people had their thyroids out that come in, they stopped all the hype.

Oh, they sell all the Hashimoto stuff. We put him through the automated protocol and in their symptoms, resolved, okay or improve substantially or whatever, and and and and the same thing with people who get radiated.

So I’m, not sure. If the whole thing just doesn’t get radiated, I think they don’t, I just understanding from anatomy courses and doing anatomy and teaching in anatomy labs. In my younger days. I it would be hard for me to imagine that they can get the whole thyroid out without, like damaging other things, so there’s, either still tissue in there or just you got to get it’s just that they have not Addressed it the amine with component of it, so whatever it is, that’s.

What I’m saying today, so they’re, more doctors who are recognizing it, but the the ultimate solution for a lot of doctors. They just take it out, just full disclosure. My thyroid is never coming out and unless it’s got cancer.

That’s. It it’s not coming out for nodules. It’s, not coming out for undifferentiated cells that they’d, say: oh, we looked in there and did a biopsy and there’s, undifferentiated cells and we don’t know what they are.

They’re, not cancer, but we’re gonna take it out. No, I mean I’m, just saying me: okay, so and and and by you know, inference. Maybe I’m telling you. You know what I think, and I tell you what I’m telling my patients, so so that’s, that’s more or less fibroid from a clinical experience perspective, it’s, it’s.

It’s, really it comes in the door, it’s there. It’s, an autoimmune case first in a thyroid case. Second and it may get rid of the immune, you may dampen the immune response and the thyroid may just start working again and and – and I gave you the parameters for who that may work for and who ain’t know.

But if you, if you do all of that, and you’re still having thyroid symptoms now the herbs, if you do the immune response approach, that would be the back-to-basics of the functional medicine things that we’ve talked to from the Ends of that, and you still have symptoms now, the herbs and botanicals may work, and if they don’t work.

Now your doctor probably will be able to dial in your medication to where it works. It’s, complex thyroids, complex and that’s, really what you need to understand so that’s, thyroid it’s, one of my it’s.

You know long with the with the adrenals, the blood sugar I mean these are, these are the key players and – and I haven’t – talked about male or female hormone problems, yet we’re going to because they are also, at the Behest of all the other things not because they’re autumn youn for different, but for different reasons.

But if you are in menopause perimenopause, you’re having a lot of problems. If you’re 41 and you’ve been told that you’re in that a pause which is not likely the case. Okay, it’s. All this stuff. We’re talking about it’s, always things double you’ll notice.

That comes after all, the things we talked about that just affects the thyroid and the thyroid. So, for those of you on hormone replacement therapy that’s, screwing up your thyroid. Okay, you can see there’s, a lot of vicious cycles there.

We’ll, be talking about that next time, so, okay, so next time we’ll be talking about hormones. I kind of like that too. I kind of like that, because they kind of complete the cycle when you’re. Doing a full-blown autoimmune case full-blown got case a full-blown.

I’m Aang’s, IAT case these types of things and we’ll talk about that so until next time. I hope you enjoyed this. Please give me any feedback. I love, I love the feedback. I’m amazed at how much feedback we get.

I we do. I do have someone here who actually looks through all that and tries to sift through them and gives me the questions of like you know what seems to be the most likely things that are popular, and so please, please feel free to.

Let us know whether you like this or you know that type of stuff, but but if you get any questions, let us know makes it easier for me to think of topics. So alright, so I ‘ Ll. See you next time.

Bye, you

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