So You Think You Have a Thyroid Problem?

So you think you have a thyroid problem but your provider says you are “Normal?” It is possible that you are both RIGHT!

Unfortunately, for YOU, the provider is RIGHT in that you are ”normal.” This just means that you are within the range of a lab test that tests TSH (thyroid stimulating hormone) and not your Free T3 (the active part of your thyroid). More often than not, since you did not meet your provider’s understanding of a thyroid deficiency, you would be prescribed an anti-depressant.

The truth is that YOU are also RIGHT, because you may suffer from “subclinical hypothyroidism”, a condition not understood or recognized in a conventional medicine approach to health. Further, even if you were diagnosed as suffering from hypothyroidism based on the provider’s TSH lab test, you would likely be prescribed a synthetic thyroid and not a natural thyroid. Either way, you would not receive the benefits of natural thyroid.

Therefore, if you believe that you may have a thyroid deficiency, ask for a Free T3 lab test. If that test is low, you may in fact improve your symptoms and quality of life with natural thyroid.

Hormone Information – Thyroid

Thyroid hormone is a metabolic hormone secreted by the thyroid gland. It regulates temperature, metabolism and cerebral function that result in increased energy, temperature and warmth. It increases fat breakdown resulting in weight loss and lowers cholesterol. Thyroid hormones control the growth differentiation and metabolism of each cell in the body. They also control how fast our body uses the fuel that we consume particularly carbohydrates and fat. This in turn helps to regulate our temperature and body fat percentage.

The thyroid hormone protects against cardiovascular disease by its cholesterol lowering properties. It improves cerebral metabolism, prevents cognitive impairment and relieves symptoms of thin, sparse hair, dry skin and thin nails.

Persons who suffer from low thyroid function tend to experience fatigue and low energy, slowness in their speech and actions, forgetfulness, mental confusion, depression, arthritis-like pain and susceptibility to colds and infections. Many of these aspects are considered normal aging. However, we now know that it is secondary to thyroid insufficiency. The thyroid hormone is an indispensable ingredient in the total hormone package.

Benefits of Thyroid Supplementation:

  • *Regulates temperature, metabolism, and cerebral function
  • *Increases energy, body temperature, and warmth
  • *Increases fat breakdown resulting in decreased weight and lower cholesterol
  • *Protects against cardiovascular disease
  • *Improves cerebral metabolism
  • *Prevents cognitive impairment
  • *Relieves symptoms of thin sparse hair, dry skin, and thin nails

Possible Side Effects:
Most common side effects from too high a dose include chest pain, increased pulse rate, palpitations, excessive sweating, heat intolerance, or nervousness.

Administration:
Most providers continue to prescribe the synthetic thyroid hormone T4 or Synthroid. Synthroid is only T4 and may not be converted to the T3 the body needs. The recommended form of thyroid replacement is with Armour Thyroid or compounded thyroid which is a combination of T3 and T4. The combination allows the body to receive the active form as well as the inactive to treat those patients who are not able to properly convert. The standard dose is 1-2 grains taken once daily in the a.m.

Frequently Asked Questions:

  1. What do I do if I forget to take my thyroid? If you forget to take your thyroid in the morning you may take it later in the day and resume your schedule the following morning. Do not take two the following day to make up your dose.
  2. What will happen if I forget to take my thyroid for a few days? You will generally start to feel more fatigued, decreased energy and possibly feel more cold than usual.

Additional Information:
Thyroid production declines as we age, similar to other hormones. This is not considered to be true hypothyroidism but rather a thyroid insufficiency that has in the past been thought to not need hormone replacement. Research suggests that improving thyroid levels will alleviate the symptoms of thyroid insufficiency and allow our system to function more effectively and efficiently.

Mitochondria need thyroid hormone to burn oxygen and produce ATP, the fuel that runs the body. If the mitochondria are weakened due to an inadequate supply of thyroid hormone, then we will not be able to burn up proper amounts of oxygen thereby giving us less energy and symptoms of thyroid insufficiency. In addition, we will be unable to keep up mentally and physically as we once did. In addition, our immune system slows down becoming weaker and less effective. Physicians have been hesitant to supplement thyroid hormones largely due to a lack of understanding of the importance of optimal thyroid levels and the relationship to the quality of daily life.

There are two types of thyroid hormones, Thyroxine (T4) and Triiodothyronine (T3). T4 is inactive and kept in reserve, T3 is the active hormone. Thyroid hormone initially is produced in the thyroid gland as a storage form of the thyroid called T-4. Once in the body, this circulating T-4 is converted to the active form of T-3 by an enzyme. As we age, the production of T-4 diminishes. In addition, the conversion of T-4 to the active form of T-3 also diminishes, resulting in less stimulation of the cells.

Low thyroid levels results in complaints of fatigue, lack of energy, weight gain and all the other symptoms typical of low thyroid. Tests often show a “normal” thyroid. Patients are treated with synthetic T-4 products and still experience hypothyroid symptoms even though the laboratory test values appear normal. The reason for this is that the treating provider may rely on one thyroid test, TSH or thyroid stimulating hormone. This is an indirect measurement of thyroid function. The new paradigm is to measure the free hormones in our body, which is the Free T-3 in thyroid. The free hormones are the œactive hormones and are a more accurate indication of the body’s metabolism of the hormone.

About 80% of the thyroid hormones we produce is T4, the inactive thyroid hormone that is typically held in reserve by the body. T3 makes up only 20% of the thyroid hormone, but is about four times more potent than T4 and is the active hormone that the body uses to function. T4 is converted into T3 when thyroid hormone is needed.

The release of the thyroid hormones is controlled by the thyroid stimulating hormone (TSH), which is produced in the pituitary gland. Low circulating levels of thyroid hormone are detected by the hypothalamus which then instructs the pituitary to release TSH. When sufficient amounts are released the hypothalamus communicates with the pituitary to stop or slow down.

Because of this complicated feedback loop, high levels of TSH in the blood often means the pituitary is trying to stimulate production of the thyroid hormone but the thyroid gland is not responding. This condition, known as hypothyroidism, is more common in women and the elderly.

NBH, Clinic Director

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