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Thyroid Tidbit: Thyroid Disease in India

STTM thyroid disease in indiaThough this was originally written in 2008, it has been updated to the current date. Enjoy!

In the magazine India Today, it was estimated that there were at least forty million individuals with thyroid disease, according to Dr. Ganapathi Bantwal, faculty member of the Indian Thyroid Society (ITS) and Professor and Head of Department of Endocrinology, St John’s Medical College, Bangalore.

He stated that most with thyroid disease are women, and most hypothyroidism is occurring after the birth of a baby, called postpartum hypothyroidism.

Actually, that most with thyroid disease are women is actually true all over the world. And hypothyroidism can occur at other times in one’s life, not just after the birth of a baby.

The Indian Thyroid Society wants to observe January as Think Thyroid Month with experts calling thyroid related disorders as the next diabetes to affect the nearly forty million Indians.

India in the News

This article in 2013 from the Daily Mail. states that one in ten people in India suffers from hypothyroidism. Considering the amount of Indian citizens, that’s a hefty amount.

Similar to the above article, DNA India underscores that

“undetected cases were significantly higher in Delhi (3.97 %) as compared to other major cities like Mumbai (2.86 %) and Chennai (2.09 %). About 9.61 % of the study population in Delhi had mild thyroid failure, which may lead to hypothyroidism in future.”

In 2015, Times of India reported the same number suffering from hypothyroidism.

How is hypothyroidism treated in India?

Sadly, it’s treated in the same poor way as everywhere else: with T4-only and the use of the TSH lab test–both which patients report keeps them sick. An example of the emphasis of both is here from the Indian Journal of Endocrinology and Metabolism. But here or there, one can find doctors who prescribe NDT (natural desiccated thyroid).

Does India have a thyroid organization?

One is called the Indian Thyroid Society, which is represented by the website for their peer-reviewed online journal called Thyroid Research and Practice, here. The journal covers “technical and clinical studies related to health, ethical and social issues in field of Thyroidology”. Articles with clinical interest and implications are given preference. The Editor in Chief is Dr. Unnikrishnan AG, an Endocrinologist and CEO at Chellaram Diabetes Institute Pune, a not-for-profit Institute, where he heads clinical care, research, education and oversees a philanthropic rural diabetes care program.

i.e. it’s not for patients as much as it is for clinicians.

 

How’s your weight?? 6 Holiday Facts for Thyroid Treatment from Stop the Thyroid Madness

(Though this post was originally written in 2008, it has been updated to the present day and time and still applies to TODAY’S holiday! 🙂 )

With the holidays here and all the goodies, it can make us all shudder as we deal with all that great food!

I admit it: At Christmastime, I LOVE the easy Gingerbread Boy Cookies recipe I used when the boys were little, the Microwave Fudge recipe to die for, my world famous Chocolate Chip Meringue Cookies which I color red and green, my mother’s wonderful Pralines which I occasionally try to make myself, and Grandma’s Fruit Cake–yeah an actual fruit cake I LOVE, which I order EVERY SINGLE YEAR at this time.

And it’s hard not to gain weight! Is that you, too?? So let’s go over 6 HOLIDAY FACTS about thyroid treatment with desiccated thyroid or T3:

1) WP Thyroid, NP Thyroid, Naturethroid, T3, etc or any other excellent thyroid medication is not meant to be a Christmas weight loss pill. Desiccated thyroid medications consist of thyroid hormones: T4, T3, T2, T1 and calcitonin. They simply give you back what your own thyroid is not giving you…the same five hormones which give you a stronger immune system, a normal body temperature & improved metabolism, better energy, healthier hair and skin, less aches & pains, emotional happiness, better lipid profiles like cholesterol, stronger bones…and on and on. But even with all that benefit, and even though it does improve your metabolism, desiccated thyroid, or even adding T3 to that T4, is not meant to be a weight loss pill.

2) NDT or T3 can only do its holiday job if you have strong adrenals or adequate cortisol treatment. Because cortisol is needed for thyroid hormones to move from your blood to your cells, you can only benefit optimally from desiccated thyroid during the holidays if you are lucky enough to have strong adrenals, or if you are giving yourself back the cortisol you need based on stable temps, blood pressure, and removal of most low cortisol symptoms. So don’t forget that cortisol right now, and definitely consider adding a stress dose of cortisol if things get rough with the in-laws. (See Chapter 6 in the STTM book for even more details about stable temps, blood pressure, and stress dosing)

3) Don’t drink that NDT down with Egg Nog! Calcium is a known binder of thyroid hormones in your stomach, keeping you from benefiting from some of those health-giving thyroid hormones. So if you swallow your desiccated thyroid or T3, get the water. Or even better, do it sublingually.

4) Don’t expect NDT to keep you from looking like Santa Claus: you still gotta exercise & watch what you eat! It’s true: the optimal use of desiccated thyroid does raise your metabolism and eats those extra calories up like PacMan. But if you’re like me, you can still have a tendency to put on those love handle butter pounds if you eat your fill of holiday foods. ho ho ho. To curtail the gain, add exercise to your holiday regime, or increase what you already do. I try to aerobically walk a LOT during the holidays. And when I’ve eaten a Christmas stocking full of goodies, my next meal will be nothing but high protein, like turkey, cheeses and nuts. Or, you can also balance your intake by choosing one meal a day to be low glycemic to somewhat balance out the high glycemics you know you are going to eat later. For example, I make my breakfasts only eggs and nitrate-free bacon, or plain yogurt with berries, nuts, and Stevia.

5) Building a holiday snowman outside? Consider an extra 1/4 grain of NDT. It’s a fact that prolonged exposure to cold increases your demand for energy, which in turn can increase your demand for more thyroid hormones. As a result, many patients find that adding an extra 1/4 grain of desiccated thyroid to one’s daily amount helps meet the demands of Frosty the Snowman or that holiday sprinkling of lights all over your house in the cold air. Talk to your doctor.

6) Give a gift of the STTM book to a loved one. There are other good thyroid books on the market, but unlike all of them, this is the bible of patient experience on successful thyroid treatment. You’ll find volumes of information that patients all around the world have learned. A true patient-to-patient guide to feeling wonderful again. Go here to order. And the publishing company is extending the time you can order a book to be sent DIRECTLY to your loved one.

HO! HO! HO!

JanieSignature SEIZE THE WISDOM

You can now donate to the hosting fees of STTM

Screen Shot 2015-08-31 at 10.17.13 AMThis page has been updated to the current date and time. Enjoy!

Since I first started to create this Stop the Thyroid Madness site around November/December of 2005, I’ve had several of you ask if you could donate, somehow, somewhere. At first, I wasn’t sure how to do that. What I did know is that millions of patients have suffered, and still suffer…and this site was to help educate you on what we have learned…and that education, in turn, could be taken to your doctors on how to stop the madness.

And now there is a way to donate!

Your donation goes towards the hosting fees to keep this site up. No, it does NOT go into Janie’s pocket in any way. Instead, it goes towards the monthly fees that are charged to host this site. And the larger the STTM website has become over the years, the larger those monthly fees. And since this is not Janie’s website, per se, but YOUR website of your experiences and wisdom, contributing to those hosting fees is a good thing.

At the bottom of any page on Stop the Thyroid Madness, just like this one, you will see this under the heading “Story and Support”: STTM needs your help to stay up. Please donate to the hosting fee! Under that is the icon you click on. The smaller amounts aren’t anywhere near enough to even pay for a month. But every little bit helps towards the whole. And for those who are able to give much bigger amounts, that’s very helpful, too.

Your donation assures that STTM will stay up. It’s “everyones” site. So for those of you who have really wanted to help, and to feel a part of an important worldwide patient revolution, there it is. And thanks. 🙂

JanieSignature SEIZE THE WISDOM

Chronic Fatigue Syndrome could be UNTREATED or UNDERTREATED hypothyroid!

Though this post was first created in 2006, it’s been updated to the current day and time! Enjoy!

On Thursday night, Nov. 2nd, 2006, I was concerned.

NBC News had a short segment by Robert Bazell, their Chief Science and Health Correspondence. And Mr. Bazell and NBC news announced that there’s a “mystery illness that afflicts more than one million people in the United States, especially women”. And they confirmed that the government (Centers for the Disease Control aka CDC) is telling doctors: it’s real. And it’s called Chronic Fatigue Syndrome…or Myalgic encephalomyelitis, abbreviated as ME, in Europe.

I remember when the term CFS was coined in 1988, even without a specific cause or marker. I remember when they surmised it was due to Epstein Barr Virus. I listened when Mayo Clinic stated that CFS was a “complex disorder”. I have listened when Georgetown University Medical Center stated that “chronic fatigue syndrome (CFS) may be rooted in distinct neurological abnormalities that can be medically tested” and may be a “legitimate, neurological diseases and that at least part of the pathology involves the central nervous system.” I also listened when CDC stated that CFS was “unexplained fatigue of greater than or equal to six month’s duration.”

For years, I have listened to the symptoms of CFS/ME with openness and great sympathy. I listened when I read that small outbreaks of similar fatigue disorders have been described in the medical literature since the 1930s

And I personally KNOW that unrelenting and debilitating fatigue is real. I know that incapacitating fatigue is real. I know symptoms can be variable, individual, and fluctuate in severity, and that friends and family may not really get how sick they are. I have also lived with chronic, debilitating fatigue, as have millions of others whether they were classified with CFS/ME or not.

BUT….to say that it’s a mysterious illness highly concerns me… for thyroid patients. We’ve had too many doctors proclaim CFS/ME when we presented our fatigue, yet the reality has been poorly treated hypothyroidism or Hashi’s, not a mystery.

And here are interesting facts for hypothyroid or Hashimoto’s patient who get this CFS/ME diagnosis.

1) Chronic Fatigue Syndrome as the label for a mysterious disorder seemed to make it’s appearance within the decade after the lousy but highly acclaimed TSH lab test was created in the mid-1970’s, and during a time when most all patients had been switched from the successful desiccated thyroid to thyroxine-only treatment..the latter which patients now know have been huge failures in the treatment of hypothyroid.

2) Most of the symptoms listed as belonging with CFS are the VERY same symptoms reported by patients who were on inadequate T4-only medications and who were dosed by the TSH. Also, those are the same symptoms that other patients had when they were told they had NO thyroid problem (due to inadequate testing and evaluation of those tests). Additionally, all the symptoms were eradicated when the patient was optimally treated on Armour.

3) Many of the symptoms listed as being those of CFS are the exact same symptoms related to having low functioning adrenals—a VERY common condition that accompanies hypothyroid is a large majority of hypothyroid patients, and which doctors ROUTINELY know NOTHING about. For example. the following symptoms are listed as CFS symptoms, but are ALSO symptoms that hypothyroid patients with low cortisol often have: allergies and sensitivities to noise/sound, fainting, fever, dizziness, balance problems, night sweats, sensitivity to light, anxiety, panic attacks, personality changes, mood swings, unrefreshed sleep…and others.

I am BOTHERED BY THE SIMILARITIES ABOVE!!

I am bothered by the fact many hypothyroid patients who come onto the many thyroid-related discussion groups state they had the diagnosis of Chronic Fatigue Syndrome when they once were on T4-only medications and were dosed by the lousy TSH.

I am bothered when CFS is classified as a “real illness” when these very same patients on these sites lose ALL those symptoms when they dose high enough with desiccated thyroid, ignore the TSH and instead, dose by the free T4 and free T3, and/or treat their low cortisol if it’s confirmed to exist.

I am bothered by the fact that many CFS sufferers are told they have no thyroid problem, when in fact, the hypothyroid-free diagnosis is usually based on very lousy labs called the TSH and T4…and often with no thyroid antibodies labs, which doctors routinely state is “unnecessary”. And if the doctor did do a free T3, he proclaimed the patient “normal” just because the number was “in range”. We, as thyroid patients, have learned that “in range” means squat.

I am bothered by the fact that several listed CFS symptoms are also those of low Ferritin, which leads to anemia, and which is a common condition with hypothyroid patients.

Now in all due respect to patients who have the diagnosis of CFS/ME, or those who suffer from debilitating fatigue–I have been there. I know there are REAL diseases, real conditions, which produce REAL fatigue that may or may not be related to having a diseased thyroid. I once had acute Epstein Barr Virus for a full year, and understand the deep misery and debilitation of fatigue. And I understand that there are other causes for chronic fatigue which include, but are not limited to, mito problems, viruses, enteroviruses, retroviruses, Herpes Viruses, Lyme, Mold and Candida albicans. I can also ascertain that some fatigue has unknown causes.

But I am deeply concerned that the “millions” that CDC is now stating as suffering from a “real disease” might in fact contain a large body who are suffering from untreated or poorly treat hypothyroidism or Hashi’s..

I want to make it clear that I am not saying that “everyone” who is classified as having CFS/ME has undiagnosed or undertreated hypothyroid. The world is not that black and white. But I do suspect, based on the information given above, that many in that “millions” possibly DO have undiagnosed or poorly treated hypothyroid, and/or adrenal insufficiency…and have not done the correct tests or the right treatment to confirm it, and to help RELIEVE them of their misery. The evidence is simply too compelling.