ducks in a RowARE YOUR DUCKS IN A ROW??

Getting well is multi-facted! Yes, it can definitely involve the right thyroid meds, understanding what optimal means, having the right levels of cortisol and iron…but it’s even more!

PART ONE–6 key issues:

  1. Thyroid hormones:

    We found we need to get to the right amount of either natural desiccated thyroid, or even T4/T3 (or just T3 for those who have high RT3, or a proven mutation affecting conversion). Optimal seems to put our free T3 towards the top of the range and free T4 mid-range–BOTH. But….some may need to correct #2 and 3 below before they can get optimal on NDT or T3, because if you raise in search of your optimal dose with inadequate iron and/or a cortisol problem, you’ll have problems. (See Chapters 2 and 12 in the updated revised STTM book .)

  2. Adrenals:

    Bringing cortisol to right amounts is key if a saliva test shows we have a cortisol issue. Why? Because if low, thyroid hormones can’t get to our cells well and will instead pool as we raise NDT or T3. If cortisol is high, RT3 goes up and keeps us hypothyroid. So, if cortisol is low, patients gives themselves back the cortisol they need, whether through the use of Adrenal Cortex or HC, or the T3CM for minor low cortisol in the mornings only. This is where it’s IMPORTANT to study Chapter 6 in the  updated revised STTM book in how we do it all. It’s also a good idea to have good progesterone levels for women (which converts to cortisol to some degree), and/or by improving one’s MTHFR issue (which is discovered via genetic testing, and which if causing high heavy metals, can stress our adrenals). (See chapters 5 and 6 in the updated revised STTM book) NOTE: you will not be able to find your right amount of cortisol if your Aldosterone is low.

  3. Iron:

    Patients discovered, upon seeing so much labwork, that they needed optimal amounts, not just “in range”. (See Chapter 13 in the updated revision STTM book) And without optimal amounts, raising Natural Desiccated Thyroid with it’s naturally containing T4 will cause one’s RT3 (Reverse T3–the inactive thyroid hormone) to go too high.

  4. B12:

    Should be in the upper quarter of any range, patients reported by the elimination of low B12 symptoms. Lower and they could have symptoms which resemble hypothyroid. (See Chapter 13 in the updated revision STTM book)

  5. Vit. D:

    Lots of opinion out there, but patients wanted to be at least 50 with a range of 40-80. Other goals we tend to follow are 60 – 80. (see Addendum C in the updated revision STTM book). Low vitamin D can cause achiness, fatigue. You also need two Vitamin D tests…see this.

  6. Better Absorption in the gut:

    Many patients discovered that putting 2-3 teaspoons of Apple Cider Vinegar or lemon juice in the drink used to swallow supplements will enhance absorption–key for the low stomach acid too many thyroid patients have. Others use betaine–i.e hydrochloric acid.


If you still have issues, even after correcting 1-6 above, then it’s time to explore these below. Remember: getting well is multi-faceted. Be open to all that might apply to you.

  1. Re-activated EBV (Epstein Barr Virus) or any other viruses/bacteria: Reactivated EBV is very common for hypothyroid patients under stress. My Med Lab tests this.
  2. Lyme disease: Can put your immune function into overdrive and in many, raise the RT3. The lab IGeneX or DNAConnexions can give more accurate lab results than does the Western Blot and ELISA labs from Lab Corp. Another clue you may have Lyme: having reactivated signs of any of these—EBV, HHV-6 and Cytomegalo (CMV) virus.
  3. Mold exposure: This can cause an immune system in overdrive, aka Chronic Inflammatory Response Syndrome (CIRS), plus adrenal stress, and can harm your thyroid.
  4. MTHFR mutation or any methylation problem: this results in the failure to break down either b12, iron, selenium, lead, mercury, etc… And the failure to break down B12 or iron puts you in a low state of either, with problems. Also this:
  5. Uncontrolled Hashimoto’s attack: Yes, this will keep you with problems, as it keeps inflammation up. Get those antibodies down. This is where you need the book Hashimoto’s: Taming the Beast, as there is information totally based on what Hashi’s patients have learned in bringing those antibodies down. .
  6. Chronic inflammation: can usually be discerned by too-high ferritin with lower iron. ,You need to get inflammation down no matter the cause-–it can not only spread, but affects your HPA axis messaging negatively.
  7. Excess Candida: promotes inflammation, can stress adrenals, raises RT3, negatively effects energy, etc
  8. Stomach/gut issues These can also stress Hashimoto’s, but even with non-autoimmune Hashi’s, these can make you feel bad. This area includes…
    a) Poor levels of good bacteria (can be from antibiotic use, poor nutrition, alcohol drinking, etc. Probiotics important.)
    b) SIBO–Small Intestinal Bacterial Overgrowth i.e. it moves into the small intestine, potentially causing bloating, gas, pain as the bacteria digest carbs.
    c) Low stomach acid (reduces absorption of nutrients),
    d) Gastritis (inflammation, irritation or stomach lining),
    e) H-pylori
    (harmful bacteria in stomach),
    f) Celiac or gluten intolerance..or intolerance of any foods you eat.
  9. High copper, low zinc, low ceruloplasm (messes up iron; inflammation; brain issues)
  10. Blood sugar problems
  11. Sex Hormones: low levels can make you feel bad. Also look into PCOS.
  12. Parathyroid issues here.
  13. Iodine levels

All of the above can be shared with your doctor! Let’s teach them what we’ve learned.

Get the updated revised Stop the Thyroid Madness book (for all causes of hypothyroidism) and the Hashimoto’s: Taming the Beast book here: It’s CRUCIAL THAT YOU BECOME INFORMED to counter the poor knowledge of too many doctors.

Important note: STTM is an information-only site based on what many patients worldwide have reported in their treatment and wisdom over the years. This is not to be taken as personal medical advice, nor to replace a relationship with your doctor. By reading this information-only website, you take full responsibility for what you choose to do with this website's information or outcomes. See the Disclaimer and Terms of Use.