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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Why is it so hard to regulate thyroid medication with hashimoto’s? There’s, so many aspects to this, but let’s just stick to. Why is it so hard to regulate thyroid medication with hashimoto’s? So, first of all, i get a lot of people coming here like no thyroid medication, so i mean, if you’re, not taking thyroid medication.
I might try to work on that with those goals that’s, not my goal. My goal is to get you as close to remission or into remission if possible, and if thyroid medication can be a asset in that which it can um.
Then you know i’m all for it, but it’s gotten a bad reputation, because i have a lot of people coming here. I’m, taking the thyroid medication. I’m feeling better. I feel worse. I blew my head off so that’s.
What we’re going to talk about, so if you have hashimoto’s, it really is a good thing. If you can find a doctor that’s, a big, if at this point in time, if you can find a doctor or an endocrinologist who understands the whole spectrum of hashimoto’s.
But if they simply understood that um that certain thyroid medications are not good for hashimoto’s, patients, which one is it it depends on the patient in general, one of the worst ones is synthroid.
I’ve had two people on synthroid, which is disappearing. It seems like, i think it’s disappearing, because i think the insurance companies are paying more for limo thyroxine, but since where it has like eight different potential triggers in it for hashimoto’s and two of the biggest ones are are Gluten, yes, centauri has gluten in it and um food coloring, and there’s.
There’s like there’s like six other ones that are all uh. You can take it all sudden you go. I took it and all of a sudden i started getting heart, palpitations and anxiety and fatigue and brain fog, and my doctor said it: couldn’t be from the medication, and it is so to give you just that’s, just one Kind of generalized example of some of the uniqueness of a medication there are most of the synthetic medications, only have one hormone in them.
It’s called t4 for those who haven’t been watching any of my stuff over the last. Like whatever how many years t4 is an inactive hormone made in a thyroid, meaning it doesn’t do anything until it gets somewhere it’s, got to get to the liver, it ‘
It’s got to get to the stomach. It’s, got to get to your cell sites and then there are enzymes that cause it to to uh to become to turn into something called t3 and make it active. So we need t4, we need t3, so some people do well with t4.
Some people take t4 and they go like it. Hasn’t made any difference and my thyroid, my tsh, is normal. My tsh is high in t, so i don’t feel a difference that person probably has what’s called a conversion problem.
They’re. They’re, probably just not changing the t4 in that synthetic to um to uh active hormones in the places i just got done, saying: liver, stomach and cell sites, so so that person probably would do well with a little t3.
Okay. T3 is the active hormone now trying to get your doctor to give you t3 is is like pulling teeth. There are doctors that are starting to do it now. I know the medical societies have said over the last year year and a half that it’s.
Okay, to give a person a little t3 in fairness to the doctors, they’ve, been told not to do it, and the um and the doctors uh that they’re under the impression that you’re gon. Na take d3 and all sudden your heart’s, gonna start pounding and so on and so forth.
So if they understood what i said about the conversion – which i must know, none that do – i’m talking: regular medical doctors, not the alternative, medical doctors, the alternative medical doctors or holy grail is d3.
They would they want to give you t3 and that and there’s, and that may be fine for you. Okay, so t3 is the active stuff. So so you’re taking t4, nothing’s happening. Maybe you need t3. Well, where do you get t3, you can either get it separately, synthetically made or or you can get it by taking the pig you know, glandular stuff or the cow glandular stuff, the things that are in the natural thyroid hormones now natural thyroid good synthetic bad wrong.
Okay, so you can take natural thyroid and if you already have enough t3 running around your system and your thyroid, stimulating hormone is normal. Despite the fact that you have hashimoto’s, you can take d3 and it’ll blow your brains out, because you don’t need the extra t3 and i’ll, make you jittery and you’ll get like anxiety and panic attacks and insomnia and all that type of stuff start breathing chest pain, all the whole thing, so so so synthetics t4 in general, then you have the uh bioidenticals, the natural has t4 and t3.
So the bioidenticals have the the t3 that will actually make you uh have a response for some people, that’s good for some people, that’s, bad for i i personally, i’ve had hashimoto’s For a long time, i currently am on 25 micrograms of levothyroxine, which is like a tiny dose, and i’m on 15 micrograms of something called lyothyronine, which is um l3.
I mean t3. Now it’s been hard for me to catch the doctor that i need to go to because i’m, not a medical doctor. To do this, i used to have a couple of uh alternative practitioners here that were naturopaths and or osteopaths.
Sorry and – and i could get it, but now they’ve moved on and i can’t and it’s. Hard for me to get so. I finally found the doctor that’s, helping it was like pulling teeth. So i don’t know how you do it if you need it, okay, but the bottom line.
I think, and i go on and on and on there’s. There’s. There’s. One called tyrosine that’s just t4, but the nice thing about tyrosina. Is it’s, a polar opposite of synthroid, where uh it has? No, it has.
Is there’s? Nothing in there that’s going to trigger you, everything that could possibly create an immune response has been taken out of it. It’s, a liquid, it’s. Assimilated really well and it’s, so that’s, a nice one for for a lot of people, especially if you have multiple chemical sensitivities and you’re sensitive to smells and allergies and all that type of stuff.
Um sensitive, perfumes and and those those uh softeners that they put in the in the dryers when you’re, washing your clothes and all that type of stuff, tyrosine is probably a good thing for you. So, as you can see, you know it’s kind of a prerequisite.
It should be a prerequisite if you’re a doctor to kind of be conversant with all of these aspects of it, but then they would have to have kind of like the functional understanding of wow. Maybe this person’s.
Thyroid is working fine, maybe the attack on it is not bad. Maybe the immune reactivity of the thyroid is low, because you can have high immune reactivity or low immune reactivity. With your um with your um hashimoto’s, you know you could have an aggressive hashimoto’s, a mild hashimoto’s depending on how much damage you’ve had to it over the years.
I mean it’s, a spectrum that is crazy wide and but you have to figure that out. If you’re gonna and it so most people, either luck out or don’t luck out. It’s, like you gave me a lot of thought now. Why do people give you levothyroxine most because that’s? What the insurance is paid for and i’m, not sure all the insurances there was this one um, and i just talked to somebody yesterday who was taking it there’s.
This one medication called naturothroid. Now a lot of patients who are doing very well in that and also nobody can get it um and – and so i’m, not quite sure why she’s, got it and i didn’t ask her um, but Uh but then that was the disaster because, as you can see, there are a lot of parameters as to why she was working well with that.
No no, there was no ingredients in there that made her sick. She probably has low thyroid load. What’s called free t3? She probably is that low. She’s, probably not converting, probably she needed t3.
She takes the t3 and within three days she felt much better makes my job way easier. If a person comes in here with a normal, tsh thyroid stimulating hormone, the one number that they that everybody takes in the medical field and if they’re and if their lab ranges are around one to three somewhere in there, which is where we In functional medicine, who’ve done thyroid for a long time, consider a normal range.
It makes it way easier, because now you got some energy in your system. You know, maybe your bowels are moving better than they would, because if you got hypothyroidism your bowels move slow. Maybe you’re, making better hydrochloric acid in your stomach, because if you don’t have enough thyroid, you’re.
Not maybe maybe your polycystic ovarian syndrome gets less because that’s connected to i mean there’s. Just i could go over 100 things that could be at least improved, despite the fact that you might have 39 other different things that need to be addressed or five other things that need to be addressed would probably be more accurate, um.
It would be helpful. It would be helpful, so thyroid hormone is good when it’s, the right hormone when it’s, the right medication at the right dose and and and get you into get you out of hypothyroidism any other time it’S kind of like causing you a problem, so i mean – and i hope that also clears up the i never want to take thyroid hormone versus the versus the uh synthetic versus natural and and and this one’s better than that one.
For the med, if i were a medical doctor, it’d, just be trial and error. If i gave him one thing, i mean if i didn’t know any of this, i would i would give him one. I i i laid here today and – and she got she has thyroid medications – make her feel better, but the tsh wasn’t normal, so they changed it.
And now she’s got all these hyperactive symptoms. So a second good way to figure it out is i took it, it made me feel better, keep taking it, you know, but but but but they’re hooked on the numbers there’s, a lot of legal issues that there that That they have to follow through they don’t, want you having a problem and then you going somewhere and an attorney going.
Oh, my god, he gave you that he gave you this medication and you just kept giving to her because she felt well. Maybe you’re, the one in a thousand people who has a problem with it and then boom this guy’s in trouble.
So so these are the realities you’re dealing with, as far as when you’re going to the doctor. These these doctors are not dumb. These are smart people. I’ve, never found one that was that was not bright, but but they’re.
You have to understand. They’re educated in a in a certain model, almost in a vacuum that it’s. With the advent of 15 or 20 years of hashimoto’s, data coming out coming out coming out the pro the medical profession’s, starting to break a little bit on that.
But it’s, so slow and – and i don’t – know what it’s, going to take for your doctors across the board. Now you have nurse practitioners, you have medical doctors, you have pcps, you have endocrinologists, you have all these people doing your thyroid chances of them all.
Knowing this is like zero and none. So so, and then you’re going to be sent there by the insurance company. So this is your. This is your challenge. Um, you have to somehow educate yourself at least a little bit like maybe like.
This is a good. I believe i go on for hours on this one subject, but this is like a good kind of framework for you to look at a couple of times before you go to your medical doctor to try to ask a couple of questions.
If you are watching this, because you’re, like my medication, isn’t working, i’m taking medication, it doesn’t, it doesn’t. It’s, not it’s not doing anything or i’m. Taking a medication and my tsh is normal.
Then it’s. Making me worse and the doctors tell me i ‘ Ve got to keep taking it and if you’re in any of those things it’s, just a matter of you got to get your doctor to go. Look i got. We got to change to something, even if they do trial and error for god’s sakes until we find one that actually makes you feel well, and your numbers start moving towards normal.
That’s, really the best thing to do uh. If you don’t really understand all of this all this stuff. So so it’s, a big con. It’s, a big challenge. It’s, a big challenge. If somebody comes in here – and i want – and i’d like to see them get on some medication in tsh – that’s, what’s in my mind like? Where do i send them? What do we do? Um? If that, if they have to have a nurse practitioner who’s like moving in this direction, sometimes i can talk to them and it’s kind of fun.
But i’m, not a medical doctor, so i can’t, so i can’t prescribe any of this stuff. I can only tell them what i’ve, seen relative to responses of care based on what they’ve done, and that’s, kind of where that’s at so so that’s.
Why that’s, thyroid medication and and and why it’s so hard to figure out your thyroid medication and and it’s kind of like again, i always use the term glyph notes, but that’s. Really kind of a good framework for you to understand as to why your your medication may or may not be working, why you may have a synthetic that’s doing great and your neighbor may have a natural that’s, killing her.
So, and and so on and so forth, so i think it’s, a good topic, um and – and so i think i’ll wrap it up with that and until next time yeah you
