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Month: May 2012

Hypothyroidism, Insulin resistance and Metformin: read this brilliant information!

This interesting page has been updated to the present day and time. Enjoy!

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The following insightful post was written by UK hypothyroid patient Sarah Wilson. 

My daughter (25) has epilepsy. What’s that got to do with being hypothyroid and Natural Thyroid Hormones (NTH. also known as Natural Desiccated Thyroid or NDT)? Quite a lot, by the look of things.

My daughter’s epilepsy is triggered by unstable blood sugars. And since taking Metformin (medication to improve blood sugar control), she has significantly reduced the number of seizures. Being a good hypothyroid Tiger-mother, I have been doing mega amounts of research and we got to the Metformin approach through reading hundreds of academic medical journals. What I found along the way got me thinking about NTH and Hypothyroidism.

I have a strong hunch, backed up by some meaty academic evidence, that when patients develop hypothyroid symptoms, they are actually becoming insulin resistant. There are many symptoms in common between women with PCOS and hypothyroidism–the hair loss, the weight gain, et al. http://insulinhub.hubpages.com/hub/PCOS-and-Hypothyroidism A hypothyroid person’s body thinks it is going into starvation mode and so, to preserve resources and prolong life, the metabolism changes. If hypothyroid is prolonged or pronounced, then it is entirely feasible that even with the reintroduction of thyroid hormones, that chemical preservation mode becomes permanent. To get back to normal, they need a super “jump-start” to kick the metabolism back into action. The super-kick start is effected through something called AMPK, which is known as the “master metabolic regulating enzyme.”  http://en.wikipedia.org/wiki/AMP-activated_protein_kinase

Guess what? This is exactly what happens to Diabetes patients when Metformin is introduced. http://en.wikipedia.org/wiki/Metformin

If you are technically minded then you might want to read these articles. http://www.springerlink.com/content/r81606gl3r603167/ and http://onlinelibrary.wiley.com/doi/10.1111/j.1365-2265.2011.04029.x/pdf

They are a bit tough-going on the science but worth ploughing through. Why?  Note the following comments/partial statements:  “Hypothyroidism is characterized by decreased insulin responsiveness”; “the pivotal regulatory role of T3 in major metabolic pathways”; “The effect of thyroid hormone on basal metabolic rate was recognized more than a century ago”

The community knows that T3/NTH makes hypothyroid patients feel better – but the medical establishment is scared of T3/NTH – probably because they don’t understand how it really works. The medical establishment might find an alternative line of argument about impaired metabolism more palatable if we can show them this real proof that the old desiccated thryoid treatment **was/is** having the right result – the i.e. the T3 is jump-starting the metabolism by re-activating AMPK. If Metformin (or one of the other anti-diabetic meds) could actually also do the same thing for hypothyroidism without the “dangers” of NTH, they they should be jumping at the opportunity.

The great news is that Metformin is very cheap, stable and has very few serious side effects (and certainly none on the heart). To use the car engine metaphor, if glucose is our petrol, AMPK is the spark plug and both T3 and Metformin are both ignition switches. Sometimes if you have flat batteries in the car, it doesn’t matter how much you turn the ignition switch or pump the petrol pedal, all it does is flatten the battery and flood the engine. Dr. Skinner in the UK has been treating “pre-hypothyroidism” the way that some doctors treat “pre-diabetes”. Those hypothyroid patients who get treated early (before the wretched blood numbers get into the magical range) probably haven’t had their AMPK pathways altered and the T4-T3 conversion still works. The use of drugs as prophylactics is well understood by the medical establishment (e.g. baby aspirin for hearts), so there is no reason therefore why thyroid hormone replacement therapy shouldn’t logically be given to ward off a greater problem down the line.

It’s my belief that there is clear and abundant academic evidence that the AMPK/Metformin research should branch out to also look at thyroid disease.

As a supplementary on the history. I have PCOS; my female relatives have PCOS; my mother has just developed breast cancer which we are certain is related to the oestrogen dominance/insulin resistance. My daughter also has had Coeliac Disease since weaning (and oh boy, that was a fight to get a diagnosis but we got there). My daughter was showing lots of PCOS symptoms (some of which are of course hypothyroid symptoms) alongside the Estrogen, but because there were no cysts…no diagnosis, which is not correct by the Amsterdam criteria, but there we have it. So we moved “off topic” in PCOS terms, did a 9 month experiment of adding and subtracting one thing at a time to get to a (more) stable outcome. We never got the PCOS diagnosis but we did end up with T2DM Type 2 Diabetes) by the backdoor and the Metformin. We had two stupid consultants who reduced her to tears – their logic was unbelievably crass and at odds with long standing proof: “there isn’t a tap in your neck which stops the sugar getting to your brain you know” grrrrr. I have since found the links between people with T1DM (Type 1 Diabetes) who inject insulin and hypothyroidism too.

So my idea is that we need to talk to the medical profession in a language they relate to. They think Natural Desiccated Thyroid is voodoo, so they switch off. YET the NDT is doing something very, very scientific: the direct T3 is kicking the closed -own metabolic process back into life, just like Metformin does for insulin resistance. Who says there isn’t more widespread T4 resistance? There is serotonin resistance!  http://www.ncbi.nlm.nih.gov/pubmed/17250776

http://web.archive.org/web/20130426233947/http://www.hotthyroidology.com/editorial_79.html Take a look at page 63.

Disclaimer: I, Sarah, am not medically trained and I haven’t even got a University degree. My business, however, is researching complex financial data and since leaving school, I have probably graduated with a PhD in the University of Life. My daughter has two degrees and my husband is in IT so I’ve learned a lot about logic over the past 30 years. I think that to take this debate forward, we need someone with the credibility to do a piece of academic research and get it put into one of the highly ranked journals – even doing a relatively straightforward meta-analysis of all the published works on AMPK/T3 /metabolism would be a start. I know everyone feels desperately miserable about not being treated properly, and it is probably very sexist that us bunch of moaning women are not taken seriously. BUT perception is reality and we have to deal with that reality as best we can. And I think that our sisters in the chronic fatigue/ME camp should have reason to join us on our quest too. I wouldn’t know where to start to find out how to sponsor a university researcher but maybe we should think about that as our “big thing”.

Let’s talk.

119 replies

Read these 10 things you can do to live a better life as a thyroid patient!

STTM 10 things

(This post was updated in 2015! Enjoy!)

In my most recent post of May 21st, 2012, I showed you two examples of very poignant emails I get weekly. And the second one revealed how hard it can be when you not only have very little money, but an uninformed doctor who ends up keeping you sick. 

Yesterday, I received another email from a thyroid patient which simply blew me away, directed to the gal above. But it turns out her words are very appropriate for all of us. Read it carefully and enjoy.

Dear friend,

I am also hypothyroid. I am on Armour Thyroid, but if I couldn’t get it, I would still take the following supplements to try and give my thyroid gland the support and boost that it needs in order to make its own hormones. Please consider starting on one or more of these and see how you feel. I’m listing the most important ones first.

1. Sunlight! We all need sunlight every day. Our bodies make vitamin D3 in the skin following exposure to sunlight. People who are overweight are usually low in vitamin D3. D3 helps the thyroid. D3 from sunlight is the best kind; D3 supplements are not as good. Don’t believe the medical profession when they try to scare you off from getting sunlight, and don’t use harmful chemical sunscreens; just cover up with longer clothing after you have had your desired sun exposure. Vitamin D3 actually has a protective effect against most cancers. Best of all, it’s free.

2. Iodine — it is part of the raw material for thyroid hormone. Buy a cheap bottle of simple iodine tincture and paint a drop on your skin each day with a cotton-tipped swab. It helps in so many ways. Not only does iodine supply the thyroid gland with raw material for hormone, but it is the body’s own natural antibiotic. The neutrophils (specialized white blood cells) each contain a speck of iodine to help fight off microbes. And the eyes and ears work better if iodine is sufficient in the body. The ciliary body of the eye has a rich concentration of iodine. And the little cochlea of the inner ear contains fluids — perilymph and endolymph — which contain iodine as well.

3. Selenium — a co-nutrient with iodine. Iodine should always be taken with selenium. I get my selenium in the form of pumpkin seeds, 2 tablespoons each day.

4. Magnesium — I make my own magnesium oil and apply it to my skin daily. Janie will tell you how wonderful magnesium oil is — it helps to burn calories by supplying the “flame” for metabolism. And it’s very anti-inflammatory, with no side effects. My recipe is as follows: Stir a cup of magnesium chloride flakes and a cup of pure water together in a bowl for 5 minutes until dissolved, then pour into a clean plastic spray bottle (like what you might use for ironing). The Zechstein Sea magnesium chloride flakes are the purest; they are from a mine underneath the Netherlands, an ancient sea of 250 million years ago. A 1-kilo bag of Zechstein magnesium chloride flakes should last you more than a year. (From Janie: you can also use a good quality magnesium supplement, which I switched to after this date!)

5. Green leafy vegetables, a dietary source of magnesium — these are helpful in so many ways and are great either raw or cooked. If you cook them, top them with a little salt, a squeeze of lemon juice and a splash of olive oil.

6. Vitamin C — helps the liver to convert T4 to the active T3 hormone. I always have more energy when I remember to take 500 mg of vitamin C twice daily.

7. Coconut oil — really! It supports the thyroid and helps with weight loss. Try to get raw or unprocessed coconut oil, but in a pinch any coconut oil is helpful. Take 1-3 tablespoons per day. Stir it into yogurt and chill it if you don’t like to swallow oil.

8. Avoid refined carbohydrates like the plague, please! They are not food at all. It is impossible to lose weight if one is eating refined cereal, bread, pasta, pizza and sweets. These trigger the body to produce more insulin; the insulin then triggers the cells to store the calories as fat. This is from the book by Gary Taubes, Good Calories, Bad Calories.

9. Avoid using harmful chemicals to clean your house; use vinegar and baking soda for most cleaning jobs. Bleach, ammonia and other chemicals are extremely harmful to your thyroid gland; chlorine displaces iodine in the body.

10. Simplify your personal care supplies to further reduce your toxic exposures (this saves money too). Throw away the fluoridated toothplaste, and brush with baking soda. Hydrogen peroxide 3% makes a good dental rinse. Baking soda dusted under the arms is an excellent and nontoxic deodorant. If your skin is sensitive, mix equal amounts of baking soda and cornstarch and use that as deodorant. Use a soap with a very simple formula and no chemicals. Try to find a shampoo without SLS or parabens (carcinogens). To save even more money, stop using shampoo and wash your hair with a baking soda solution and rinse with a mild vinegar solution. Many people say their hair is lovely with this treatment; google “no poo” to learn more. If you have dry skin, massage in a drop of coconut oil. Don’t use commercial creams or lotions; don’t put anything on your skin that you wouldn’t eat.

I wish you all possible success with your health. Even if you haven’t much money, there are things you can do to feel better. Please let Janie know how you are doing in a few months’ time, so she can let us know! Your sisters and brothers in the STTM community will welcome your news.

All the best, and don’t lose hope. Better days are ahead. Lots of hugs,

Yvonne in Cyprus

Yvonne is an 57-year-old American whose background is in medical transcription, writing and editing. She is constantly reading in the medical journals and websites, looking for natural and inexpensive ways to improve health. She and her husband eat a Mediterranean diet (organic when possible) with good fats from olive and coconut oils, nuts and cheeses. She thinks every family should have some type of garden, even if it’s just a few herbs in a flowerpot.

Have any other recommendations for someone who is poor with thyroid disease, plus has a doctor who isn’t helping?  Let others know!

P.S. from Janie: I already do many of the above. Do you? I’m big into Vit. C, magnesium and selenium. I also use liquid Vitamin D. I use baking soda for deodorant and non-fluoride toothpaste. I only use organic lotions and soaps.  I outright use one tablespoon vinegar in my morning drink, as well as MCT oil (it’s what’s in coconut oil). I don’t avoid refined carbs totally (I’m too much of a chocolate freak), but I do avoid them in many places. And I love the sun.

Additional recommendation from Janie: 

I think it’s also important to add that in addition to all the ways you can live a healthier life, also consider adding T3 to your T4, or look into natural desiccated thyroid with it’s five thyroid hormones. The latter is even cheaper than T4-only. Updating your thyroid treatment is not based on opinion! It’s based on the experiences of patients worldwide who found they got much better results, and which Stop the Thyroid Madness is about–worldwide experiences and wisdom!

Namaste Janie

* Check out 12 issues that can cause issues with conversion of T4 to T3: //www.stopthethyroidmadness.com/2015/01/20/12-ways-make-thyroid-treatment-worse/

* Have you Liked the STTM Facebook page? Get daily tips and inspiration! https://www.facebook.com/StoptheThyroidMadness

69 replies

Taken off Armour; put on T4–heartwrenching! And young Australian’s plea

STTM emails

(This page was updated in July 2015! Enjoy!!)

I get a lot of emails, and some are quite heart-wrenching. And though I can’t get into email advice and still have time to do what I do, I so appreciate reading what I get.

Here is one from a gal who, after ten successful years of Natural Desiccated Thyroid, was put on Synthroid and went totally downhill! Mental health issues like bi-polar, excess weight gain and more. THIS is why patients have to become knowledgeable (which is what Stop the Thyroid Madness gives you), instead of putting all your eggs in the doctor’s basket. And yes, she agreed to let me post this.

Hi Janie,

I just found your website and I’m going to order some copies of your revised STTM book. I’m nearly forty-eight years old. I was diagnosed with hypothyroidism in 1985 shortly after the birth of my first son. My doctor put me on Armour, and for ten years I was fine. When my doctor retired, I transferred my medical records to his son’s newly opened practice. His son took me off of Armour and put me on Levothyroxine, although I was having no problems, because he said it’s “better”. He basically used the same wording you quote on your website, “Armour is ‘unreliable’, ‘inconsistent’, ‘dangerous’, ‘outdated’…”. Naively, I trusted him.

Since starting Levothyroxine and subsequently, the brand-name Synthroid, I have been diagnosed with the following:

– Morbid obesity (I have gained 100+ pounds in 15 years with no prior history)
– Menstrual problems (heavy, prolonged, painful periods)
– Uterine fibroids
– Bipolar Disorder
– Generalized Anxiety Disorder
– Sleep Apnea
– Posterior Tibial Tendonitis (plantar fascitis)
– Osteoarthritis

I was beginning to believe that I have fibromyalgia and chronic fatigue syndrome!

Without going into a lot more detail, I’m taking nine prescriptions for these health problems. Now I realize that most, if not all, of these “health problems” are actually symptoms of improperly-treated hypothyroidism.

All I can say is, THANK GOD FOR YOUR WEBSITE! I’m going to talk to my doctor and take a copy of your revised STTM book with me. I’m going to make him listen to me. If he won’t cooperate, I will transfer my medical records elsewhere. If I can’t get any satisfaction from any other doctor in my area, I’m going to take matters into my own hands with the help of your book and website. I talked to my psychiatrist today (to get refills for my meds) about my suspicions — he told me that he believes I could be correct (hmmm — that in itself is quite disturbing).

God bless you Janie — I will remain a “fan” forever and I promise to send you additional follow-up information.

And here’s another one from a 24 year old in Australia who badly needed what STTM gives her:

Thank You! As a person who was diagnosed with hypothyroidism when I was sixteen, I’ve been through the works. I used to be a dancer, singer and a gymnast. All of that has gone by the by, and I am now plagued with debilitating bone problems and white hairs. I have been so confused. Then I was angry. Then I was just depressed. I’m twenty-four. I was sitting around, waiting to die. Then I came across your website. I want to say thank you. Thank you so much for being angry and doing something about it. I can never do anything about my condition. I live in Australia, with one, stupid incompetent doctor at my disposal, which I get in to see every few months at the most. I’m poor, and I have never had a medical practitioner listen to me. So I want to say, please, on my behalf, continue to do what you’re doing. Please keep campaigning. So that one day people won’t have to suffer from this debilitating disease.

Sometimes being an Activist for the truth of better thyroid treatment is stressful. But emails like the above are what keep me going! So thank you to these two gals for communicating with me and agreeing to let others to see what I get to see. It’s all from their hearts.

Namaste Janie

* LAUGHING GRAPE PUBLISHING HAS A NEW FACE (in 2012) and a new book (in 2015). Check them out here: //www.laughinggrapepublishing.com

* Join the STTM Facebook page for tips and inspiration: https://www.facebook.com/StoptheThyroidMadness

 

5 replies

An Endocrinologist peeks through, RAI disaster, and why synthetic T4 is only a mirror image

The clueless Cuckoo’s Nest of Endocrinology just goes on and on, according to repeated negative comments by thyroid patients in groups after they have visited with an Endocrinologist.  i.e. you will be put on T4-only and dosed by the TSH, then told you are just fine and only need an antidepressant or statin or BP med.

But in a recent issue of the Clinical Thyroidology For Patients (A Publication of the American Thyroid Association), Volume 5, Issue, 5, 2012, there comes the question: Should patients with no functional thyroid gland be treated with both thyroxine (T4) and triiodothyronine (T3)? 

Of course, the question is like asking “Should those starving be given food? ”  The article starts out stupid, stating (in bold):

  1. “…the absence of T3 production by the thyroid can be overcome by maintaining higher circulating T4 levels, resulting in normal circulating levels of T3. This is why T4 in the form of levothyroxine is the main treatment for hypothyroid patients”.  Patients all too well know how ludicrous this is.
  2. “Recent studies have generally found that there is no clinical advantage in adding T3 to the usual T4 replacement regimen.”  What about this study which reveals that there can be inadequacy of peripheral deiodination of T4 to T3 in some, or this study which found no support for the hypothesis that people with symptoms of hypothyroidism but thyroid function tests within the reference range benefit from treatment with 100 µg thyroxine daily, or this study which found that triiodothyronine added to thyroxine improved mood and neuropsychological function, and more.

But then comes the little peek from the door by the MD author after mentioning the 2011 study titled “Levothyroxine monotherapy cannot guarantee euthyroidism in all athyreotic patients.”  The concluding paragraph has this in it:

The present study identifies a subgroup of hypothyroid patients, namely those whose thyroid was surgically removed who do not have normal FT4 and F3  levels despite normal TSH levels on T4 alone. What is not shown by this study is whether or not combination therapy (T4 plus T3) is beneficial in these patients. Further studies are needed to sort this out.

Further studies are needed?? They are already out there! Besides, if 99% of Endocrinologists would use the proverbial toothpick to open up the eyelids of their minds, they just might notice all the continuing hypothyroid symptoms their patients have while on T4-only meds whether STUDIES prove anything or not. WAKE UP!!

MAN-MADE SYNTHETICS ARE ONLY A MIRROR IMAGE OF THE REAL THING

Scientists have always been able to synthetically duplicate substances by creating the same mix of molecules, aka a synthetic copy of the original compound. That’s what levothyroxine (l-Thyroxine) is a man-made copy of T4 (Thyroxine). Synthroid is an example. But it’s a mix of the left handed nature-made combination of molecules, aka L-(Laevorotary), along with the synthetic, man-made right handed version, aka D-(Dextrorotary), i.e. the latter is a mirror-image, not a direct image, according to this article.

The author feels it doesn’t act like a hormone.  So though your blood will show you have an increased level of levothyroxine, it’s not the same as having an increased level of the natural t4.  And of course, we as thyroid patients also know that the body is NOT meant to live on a storage hormone alone, even if it was pure. We also need direct T3 added to that T4. Even  natural desiccated thyroid provides direct T3. So with natural desiccated thyroid, we get T4, T3, T2, T1 and calcitonin.

REFLECTION ON WHY RAI WAS THE WORST THING SHE EVER DID

Read thyroid patient Robyn Thompson’s story on why she so regrets doing RAI (Radioactive Iodine), and how her Graves TSI antibodies are now worse than ever before, here:  //www.stopthethyroidmadness.com/robyns-experience-with-rai-graves/

HOW TO PROTECT YOUR ADRENALS IN THE FACE OF STRESS

I loved what thyroid patient Joy McHargue said to someone on the STTM Facebook group when asked what to do about high stress. Her answer:  Pray, salt, magnesium, rest, adaptogens of your choice, Vitamin C, talk about the stress to a calming person, take time away from the stress doing something fun regularly, epsom salt baths, fresh air?

THE STOP THE THYROID MADNESS BOOK IS NOW EVEN MORE REVISED! 

I added info about the T3 Circadian Method for Adrenal fatigue, refined information throughout, and cleaned up misspellings.  You can order the book at the bottom of any page on STTM, or via the tiny photo.

JANIE’S LATEST INTERVIEW: http://podroom.a2zen.fm/podcasts/krystalya-marie-energy-healing/stop-the-thyroid-madness-with-janie-bowthorpe-on-e

P.S. If you are receiving this via the Email Notification, DO NOT reply to the email to comment on this post. Click on the title of this, which will take you to the actual blog post, and Comment there!

3 replies