ducks in a Row

ARE YOUR DUCKS IN A ROW?? If not, you can have problems. Some problems cause other problems. Or, 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 correct to feel 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–BOTH. But….some may need to correct #2 and 3 below before they can get optimal on NDT, 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 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) 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)

  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 revised 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.

If you still have issues, even after working on/correcting 1-6 above, ALL WHICH ARE IMPORTANT TO WORK ON….then it’s time to explore these below with your doctor. Be open to all that might imply!!

  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 all of these—EBV, HHV-6 and Cytomegalo (CMV) virus
  3. Mold exposure: can cause an immune system in overdrive; Chronic Inflammatory Response Syndrome (CIRS); adrenal stress, can harm your thyroid.
  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. Uncontrolled Hashimoto’s attack: Yes, this will keep you with problems. Get those antibodies down, whether via selenium for anti-TPO, or iodine (yes, it does lower them for some), or LDN. Most need to be off gluten.
  6. Chronic inflammation: can be discerned by too-high ferritin with lower iron, and/or a CRP test. You need to get inflammation down–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 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.
    b) Low stomach acid (reduces absorption of nutrients),
    c) Gastritis (inflammation, irritation or stomach lining),
    d) H-pylori
    (harmful bacteria in stomach),
    e) Celiac or gluten intolerance..and more.
  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 revised STTM books 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.