ducks in a Row

(Important note: STTM is an information-only site based on what many patients have reported or learned in their treatment. Please work with your doctor. This is not meant to replace that relationship or guidance, and you agree to that by reading this website. See the Disclaimer.)


All too often, more than one problem can cause the same symptom, which end up fooling thyroid patients into thinking “this” is their problem, when in reality, “that” may be their problem.

So, for example, a person may wrongly raise their thyroid meds when, in reality, they may have needed to look at their iron, or their B12, or their adrenals, etc.

Numbers 1-6, all of them below, are key elements to feeling better again, informed thyroid patients have learned, and must be maintained, as well.

So if you still feel bad, you need to be CLEAR on numbers 1 – 6 below while working with your doctor:

  1. Thyroid hormones: 

    We found we need to get to the right amount of either natural desiccated thyroid or T3, which seems to put our free T3 towards the top of the range and free T4 mid-range, plus gives us a great temperature. Some may need to correct #2 and 3 below before they can get optimal on NDT, though. (See Chapters 2 and 12 in the 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 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 revised STTM book) NOTE: you will not be able to find your right amount of cortisol is 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)

  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)

  5. Vit. D:

    Lots of opinion out there, but patients wanted to be at least 50 with a range of 40-80. Other goals are 60 or 80.  (see Addendum C in revised STTM book)

  6. Better Absorption:

    Many patients discovered that putting one tablespoon ACV, lemon or any acid in the drink used to swallow supplements will enhance absorption–key for the low stomach acid too many thyroid patients have.

Once patients have made SURE ALL the above is being worked on, or corrected and then maintained, and if you still have issues….then it’s time to explore these with your doctor. We found we did not want to focus on the below when we haven’t also put focus on all the above–many experiences on that! Because the above are common problems with thyroid patients and do, in fact, explain many problems.

  1. Re-activated EBV (Epstein Barr Virus): very common for hypothyroid patients under stress. My Med Lab tests this. 
  2. Lyme disease: Can put your immune function into overdrive. The lab IGeneX may 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 all of these—EBV, HHV-6 and Cytomegalo (CMV) virus)
  3. Other viruses: get your doctor to identify and test any other potential viruses, but do get the above three tested.
  4. MTHFR mutation or any methylation problem:  this results in the failure to break down either b12 or iron for use, causing high levels, yet your are in a low state. Or one can see too high levels of metals like selenium,  lead, mercury, etc…
  5. Chronic inflammation: can be discerned by too-high ferritin and/or a CRP test. You need to get inflammation down–it can not only spread, but affects your HPA axis messaging negatively.
  6. Candida: promotes inflammation!
  7. Stomach/gut issues (intolerance to certain foods like gluten and more)
  8. Blood sugar
  9. Sex Hormones: low levels can make you feel bad. Also look into PCOS.
  10. Parathyroid issues here.
  11. H. pylori infection  – a bacteria in the stomach
  12. Over-exposure to mold: can cause an immune system in overdrive and a chronic inflammatory condition
  13. Iodine levels
  14. Extreme gluten sensitivity

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

Get the revised STTM book here: //