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10 Rockin’ Thyroid Patient New Year Resolutions just for you!

10 RESOLUTIONSHIP HIP!! As we head into a New Year, here are 10 resolutions to potentially help you feel better and stay better as a thyroid patient…and informed patients everywhere will back you all the way, thyroid friends!!

check mark in square1. I WILL GIVE UP THE PATIENT PASSIVITY AND BECOME EDUCATED AND PROACTIVE!

It’s on purpose that this is the first resolution! Why? Informed thyroid patients achieve better results plus become more confident and proactive in their doctor’s office. Both the latter are IMPORTANT to getting well and staying well, say informed patients.  Let the wisdom of thyroid patients in the Stop the Thyroid Madness books and the patient-to-patient website information be your key towards finding your better thyroid treatment spot. (The STTM II book is even written by medical practitioners!)

check mark in square2. I WILL EXERCISE MY RIGHT TO FIRE MY DOCTOR AND FIND A MUCH BETTER ONE IF I CAN.

If attempting to educate our doctor doesn’t work, there’s the option to find a better one. In the United States, thyroid patients do have choice, and they can exercise it. They work to find a better informed or more open-minded doctor. In the UK, patients choose a clinic…and believe it or not, they do have the right to choose a specialist, but they need to fight for their rights to find a good replacement doctor. Says an informed UK patient: if you hear of good Endo, ask for a referral and ensure you contact them to say you only want to see that Endocrinologist. No one else.  In Canada like elsewhere, patients can do the work to find a better doctor, but may have to call to make sure someone is taking new patients. Every province has different rules.

It’s not always easy depending on where you live, but it’s possible!

check mark in square3. I WILL RETHINK THE SYNTHROID/LEVOTHYROXINE BALONEY.

A healthy thyroid makes five hormones, not just one. T4 is a storage hormone meant to convert to the active T3 hormone. It’s T3 which does the trick in removing hypothyroid symptoms. But a healthy thyroid also gives you direct T3 and doesn’t force you to only get it from conversion. There are plenty of reasons why you won’t get enough T3 from conversion, sooner or later, even if at first, some do feel better. That’s why patients all over the world are switching to natural desiccated thyroid (NDT), or adding synthetic T3 to their synthetic T4 and raising the T3 or NDT to find their optimal dose.

check mark in square4. I WILL KEEP TRACK OF MY IRON LEVELS

Informed patients, whether female or male, found out the hard way in groups associated with STTM that their iron levels are important. If iron gets too low, we’ve noticed we might have hyper-like symptoms with NDT or T3 on top of feeling poorly from low iron. Or we just might feel pretty darn awful from inadequate levels of iron. And we know that there are important iron labs we pay attention to, as well as learning where our iron should fall.

check mark in square5. I WILL PAY ATTENTION TO MY GUT HEALTH AS WELL AS WHAT I CONSUME.

The “gut” refers to the journey and bodily activity from what goes into your mouth all the way down to where what’s left comes out. And for those with Hashimoto’s, the majority do better by avoiding gluten. It helps decrease antibodies for many, and lowers the problem of inflammation caused by the gluten. Removing gluten has also improved nutrient levels. Some need additional help with LDN, or selenium, or iodine–it’s individual as to what will work best for any one patient.

Our intestinal bacteria is also important and believe it or not, can have a major role in a strong immune system and even our brain health, besides good thyroid function. Informed thyroid patients nourish their microbiome with fermented food like sauerkraut or kombucha, or consuming yogurt, or taking a broad-spectrum probiotic supplement–all for the good bacteria. Prebiotics are dietary fibers which will help feed the good bacteria, and include foods like asparagus, onions, garlic, dandelion greens, raw chicory root, and even bananas or beans and more. You can do a search for prebiotic supplements, too.

check mark in square6. I WILL PROTECT MY ADRENAL HEALTH.

Our adrenals are the knights that protect us and keep us going. So patients have learned to support and protect them. One important way is to avoid or lower stress the best way we can: resting, meditation, pleasure reading, music, artistic pursuits, laughing, yoga…you name it and it’s individual. When under stress, thyroid patients often use adrenal-supportive herbs, such as Ashwagandha, Rhodiola or more. If there is suspicion of a problem with our cortisol levels, informed patient do saliva testing, not blood, since they found it fit their symptoms better, besides revealed the cellular, useable levels of cortisol.

check mark in square7. I WON’T BE FOOLED BY “NORMAL” RANGES ON MY LAB WORK.

This is a huge area that thyroid patients learned about in the early patient groups and into the present. Namely, we saw that many of us fell in the so-called “normal range” result, yet clear symptoms of the particular problem. The TSH lab rest was one, but there are many other labs and their so-called normal ranges that we won’t be fooled by anymore.

check mark in square8. I WILL LEARN FROM THE MISTAKES OF OTHERS BEFORE ME!

Yes, along the way, thyroid patients and/or their doctors have made a lot of mistakes, and we can learn from them! This page outlines many of those mistakes and what was done about them.

check mark in square9. I WILL PAY ATTENTION TO MY DUCKS–quack quack.

Yes, there are first priority issues to find through testing and working with informed doctors that we need to take care of, which ranges from better thyroid medications to treating cortisol or iron issues correctly to keeping our nutrients at healthy levels. But some have to explore other issues with their doctor to find their sweet spot, ranging from h-pylori to lyme to reactivated EBV to high heavy metals and more. It’s individual and it’s all about our ducks in a row.

check mark in square10. I WILL HAVE HOPE!

There is very good reason to have hope: there are thyroid patients all over the world who have gotten better. Janie Bowthorpe, the creator of the informational Stop the Thyroid Madness website and books, went from having to apply for Social Security Disability to regaining her life again. Hang in there! Learn from worldwide patient experiences and wisdom on STTM and find a good doctor to help!

All the above are just summaries and if more detail is needed, click on the links. For information not linked, there is plenty on the internet. 🙂

JanieSignature SEIZE THE WISDOM

 

 

 

 

 

 

– Have active Graves disease and you aren’t hypothyroid yet? Go here. 

– Check out all the STTM articles on Thyroid cancer here.

– Come on over and “Like” the STTM FACEBOOK PAGE for daily inspiration and information. 

– Here are patient groups for support and information: //www.stopthethyroidmadness.com/talk-to-others

22 replies

Medical Boards and the TSH: how they fail thyroid patients worldwide!

STTM Texas Medical Board“A learned fool is more a fool than an ignorant fool.”
                        ― Molière

 

In 2008, a news press appeared about the discipline of a very popular and well-liked doctor in Texas, USA who treated many hypothyroid patients.

And for what?

Under the column titled NONTHERAPEUTIC PRESCRIBING, it stated:  The action was based on Dr.________ prescribing Adipex, Adderal and Armour Thyroid to patients when such medications were not indicated.

Adipex and Adderal are both central nervous system stimulants, and we can’t comment one way or the other.

But the mention of Armour thyroid as “not indicated” was a sure sign that this medical board was using the ridiculous TSH lab test range to decide whether a thyroid medication was needed or not. We’ve already seen numerous and similar disciplinary actions brought upon well-liked and wise doctors like Dr. Peatfield and Dr. Skinner of the UK, Dr. Derry of Canada, and Dr. Springer in the US–all who dared to make obvious symptoms of one’s hypothyroid state more important than ink spots on a piece of paper. There have been many others.

Just to clarify: TSH stands for Thyroid Stimulating Hormone and is a messenger hormone released by your pituitary gland with the purpose of “knocking” on the door of your thyroid to tell it to produce thyroid hormones. So the implication is that if the TSH lab result falls in this so-called “normal range” (which in itself is a travesty), by golly everything must just be fine with your thyroid. You will read an interesting and explanatory chapter on the TSH in the revised STTM book as well as more information by Dr. Jeffrey Dach in the STTM II book.

But thyroid patients all over the world know first hand that the TSH lab result has been a complete failure. It can look “normal” even while we have clear symptoms of hypothyroidism. And it can take years and years before it rises high enough to show that something is quite wrong with the function of our thyroid.

A side note: the Association of American Physicians and Surgeons (AAPS) filed a lawsuit against the entire Texas Medical Board (TMB) and its officials in 2014. Though unrelated to thyroid treatment, they cited Manipulation of anonymous complaints, conflicts of interest, violation of due process, breach of privacy, and retaliation against those who speak out.

Kymm is a good example of the TSH fallacy in diagnosis

Take Kymm, a 45 year old woman. She had manifested hypothyroid symptoms for 15 years since the birth of her daughter. Yet during those entire 15 years, her TSH lab result had been completely “normal” in the upper 1’s and lower 2’s. Her hypothyroid state had never been “indicated” based on the typical and widespread gold standard of diagnosis used by medical professionals: the TSH.  As a result, she simply continued to suffer with easy weight gain, chronic depression, thinning hair, rising cholesterol, dry skin and an increase in stress on her adrenals. (And she did finally start on Natural Desiccated thyroid aka NDT, with adrenal treatment…and soared).

Kymm is not an oddity.  Thyroid patients on internet groups report going years with a normal TSH and no diagnosis, yet clear symptoms which are ignored by their TSH-obsessed doctors.  So their doctors may have avoided disciplinary action by going strictly by the TSH lab test, but did they truly practice the art and science of healing??

A doctor is disciplined for allowing a patient’s TSH to be suppressed

A horrendous disciplinary action happened to a California physician when it came to the thyroid treatment of one of his patients named as V.G who had had her thyroid removed. She had dizziness, dry skin and fatigue. He first put her on .125 levothyroxine, which only barely raised her T4 with a low T3. She continued to have the above symptoms, but also complained of nervousness, palpitations and weakness. He then moved her over to two grains of Armour, one brand of natural desiccated thyroid (NDT). The disciplinary action states:

Lab test results dated November 2, 2010, indicated that THS [sic} levels were suppressed, suggesting that V.G. was receiving too much thyroid hormone. However, at V.G.’s subsequent office visit on November 30, 2010, Respondant made no change to V.G’s thyroid medication. (#15)

The patient also had high cholesterol, plus symptoms of PCOS–both clear symptoms of continued hypothyroidism even though they claim she was receiving too much thyroid hormone! By point #17, after the patient had been raised to 3 grains, it reports a slight lowering of cholesterol and normal triglycerides, yet it was stated once again that she was on too much thyroid hormones due to a suppressed TSH. The bombshell comes in #19, it which states:

Respondent was grossly negligent in the care and treatment of V.G when he failed to recognize abnormal thyroid function tests and failed to properly adjust thyroid medications.

In other words, the California Medical Board was claiming that this doctor should have LOWERED the medication due to a suppressed TSH, in spite of the fact that she continued to have clear hypothyroid problems on the lower dose of 2 grains. Scores of thyroid patients who’ve had their thyroid meds lowered due to a suppressed TSH will tell you that their hypothyroid symptoms got worse, not better.

(If symptoms improve from lowering desiccated thyroid due to a suppressed TSH, that is more about the relief of hyper-like symptoms caused by low iron or low cortisol–either which NDT will reveal and aggravate until treated. See www.stopthethyroidmadness.com/ndt-doesnt-work-for-me  Also, there is a possibility that V.G.’s low T3 was due to a high Reverse T3, which will occur in the presence of low cortisol, low iron and/or inflammation.)

As far as a suppressed TSH, informed thyroid patients worldwide, who when optimally treated on NDT with the complete removal of hypothyroid symptoms (plus a healthy blood pressure and heart rate), find that it’s quite normal to have a suppressed TSH without one hint of symptoms of being on “too much thyroid hormone”!!!

Medical Boards can be a problem for thyroid patients and good doctors alike!

In the United States, there is a Federation of State Medical Boards with the stated purpose of “protecting the public from the unprofessional, improper and incompetent practice of medicine…”, yet the very boards which state they are protecting us from professional incompetence end up supporting incompetence via their flagrant ignorance about the TSH lab test and their dubious “discipline” of doctors who end up changing our lives and well-being!!

Or in the United Kingdom, we have the General Medical Council with the stated purpose of helping ” protect patients and improve medical education and practice across the UK”….yet they completely hounded Dr. Gordon Skinner who successfully treated thyroid patients, even though their TSH results erroneously implied that not a thing was wrong. Additionally, the GMC has brought at least 30 cases against Dr. Sarah Myhill, who also had the courage to treat her patients in spite of a so-called normal TSH.

Dr. Myhill so wisely stated: “Doctors who fail to toe the drug-industry-driven, conventional-medicine, symptom-suppressing line are singled out for special attention by the establishment”

Are Medical Boards useless?

Most informed thyroid patients would clarify that Medical Boards have good intentions. They can play a role in protecting us from true incompetence or negligence from those we put our trust in. They can serve a role in protecting us from sexual misconduct and the inability to practice safely due to substance abuse.

But when it comes to the highest and best treatment of our thyroid disease, medical boards DO THYROID PATIENTS NO FAVOR by disciplining doctors who….

  • have the wisdom and courage to look at the clinical presentation of clear symptoms rather than simply a “pituitary hormone” lab test with both its ridiculous normal range and its FAILURE to measure whether all organs and tissue are receiving enough thyroid hormones…
  • pay more attention to symptom relief on natural desiccated thyroid  (with good heartrate and blood pressure) rather than obsessing about one’s suppressed TSH lab test when thyroid patients are optimal.

As Albert Einstein so wisely stated, the measure of intelligence is the ability to change. Will Medical Boards grow up and change in their knowledge of thyroid treatment? No one more than maltreated thyroid patients worldwide can fervently hope so, as well as forward-thinking doctors who have been wrongly harassed by their medical boards in their treatment of hypothyroidism.

JanieSignature SEIZE THE WISDOM

 

*For more detailed information on the history of Medical Boards and problems, check out the book titled Medical Licensing and Discipline in America: A History of the Federation of Medical Boards. 

* Join the STTM Facebook page for tips, information and inspiration. 

* Do you have both the STTM books? They are extremely useful in making you an informed thyroid patient based on the experiences and wisdom of patients before you worldwide!

 

 

 

22 replies

10 ways you can live a better life as a Thyroid Patient

STTM 10 things(This post originally appeared in 2012, but has been updated for July 2015 with more information! It’s just a poignant today as it was then. Enjoy!)

In a post I did 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, plus 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 sometime after 2012!)

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 financially poor with thyroid disease (or not–this can apply to anyone), 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). Or I use lemon juice in most of my water daily! Great for alkalinizing the body. I don’t avoid refined carbs totally, but I do avoid them in many places. I love the sun. Plus exercise when I’m able. And lately, I’ve learned the hard how important it is to avoid chronic stress, or treat myself more gently when I have to go through it!

A 11th recommendation from Janie: 

I think it’s also important to add that in addition to all the wonderful ways you can live a healthier life as a thyroid patient, also consider adding T3 (Cytomel, cynomel, etc) to your T4 (aka Synthyroid, levothyroxine, eltroxin, etc), or look into natural desiccated thyroid with its five thyroid hormones, which is usually even cheaper. Updating your thyroid treatment is not based on opinion! It’s based on the experiences and wisdom of patients worldwide who found they got much better results! 🙂

Namaste Janie

 

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

** Check out both STTM books here: www.laughinggrapepublishing.com

38 replies

THYROID CANCER IS AN EASY CANCER?? Patients are appalled!

Screen Shot 2015-07-08 at 11.58.29 AM

“May your choices reflect your hopes, not your fears.” ~ Nelson Mandela

It’s not uncommon when perusing the internet to see the word “easy” associated with “thyroid cancer”, or described as “the best kind of cancer to get”… as if of all cancers, this one is somehow less difficult, less arduous, a walk in the park or a piece of cake cancer.

Nor is it uncommon for thyroid cancer patients to be told something in a similar vein by their doctors. And of course, many of those doctors will use the “one little pill” pronouncement about the treatment afterwards. Easy-peasy, lemon squeezy!!

So where is the truth? Do you have reason to be nervous about your surgery? About your cancer? Is it that easy? What will your life be like after surgery?

One side of the story

Many thyroid cancer patients do report that all went well in many ways. They caught it early enough. It didn’t spread to their lymph nodes. Some didn’t even have to use pain medications after their surgery. If some did, it was short-lived. Others moved over to Tylenol after going home. Or ice packs. Drains were removed smoothly. Recovery went smoothly. Energy returned in several weeks. And they report that the cancer remained gone.

But here’s the other side of the story which completely dispels the myth that thyroid cancer is easy or the “best” cancer to get.

1) No matter where the cancer is, the emotional reaction is the same.

Many a thyroid cancer patient will tell you about their fears, depression, aloneness or anxiety when they were told. Or the denial, anguish, anger and stress they feel. Or the numbness. Or the fears of it returning. Or the unknown.

2) No surgery is fun, and that includes thyroid removal

Who wants to endure the pre-op or the aftereffects of surgery. No matter if some do better than others, it’s not fun to be in a hospital, be put to sleep, the waking up, the drains, the recovery, the discomfort, the time away, and the cost.

3) Many thyroid cancer patients have to endure RAI treatment after surgery and the side effects

RAI stands for Radioactive Iodine Ablation, also called I-131, given in either in liquid or capsule form. Since the thyroid easily absorbs iodine, and the radiation is strong, it serves to destroy any remaining tissue or cells that might still have thyroid cancer in them.

And side effects are far from pleasant and can include isolation, stomach problems, heart palps, neck tenderness, all over achiness, changes in taste, salivary inflammation and parotitis, facial or neck redness or “sunburns”, peeling skin, fatigue, fogginess, nausea, dry eyes, irregular period or other reported problems.

Then comes the reported risks that can come later in life due to having RAI, which include “bladder, breast, central nervous system, colon and rectum, digestive tract, stomach, pancreas, kidney (and renal pelvis), lung, or melanoma of skin”. Keep in mind this is about “risk” rather than a definite outcome, but it’s not fun to consider.

You can read of one patient’s opinion and experience with RAI titled Why have million of patients been treated with RAI?

4) The fear of recurrence always lingers!

Life-long monitoring is a sure bet when one has had thyroid cancer. The itchy reminder that it “could” come back never goes away when one has to have neck examinations, certain thyroid blood tests or neck ultrasounds.

5) The “one little pill” mantra of easiness is foolhardy

That one little pill is a reference to T4-only, aka thyroxine or levothyroxine, also commonly known as Synthroid or other brand names. And reported patient experiences for all too many reveal continual problems, sooner or later.  Equally as silly, that one little pill leads to the use of many other pills to treat the symptoms of continued hypothyroidism that many report finding themselves with while on the T4-only, one little pill. Those include statins, anti-depressants, anti-anxiety or pain meds, to name a few.

The conclusion?

You are not alone. Thyroid patients know that thyroid cancer is not as “easy” as they make it sound, nor is it the “better” cancer!  We are with you! Join the group below for camaraderie, wisdom and support!

This page was brilliantly updated July, 2015 to reflect even better information. Enjoy!

**************

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200 replies

A hopeful new article proposing that adding T3 to thyroid treatment is the way to go!

Screen Shot 2014-03-19 at 5.48.52 PM(This post was updated in 2015. Enjoy!)

In a recent article by thyroid patient Mary Shomon, there was mention of an interesting article by Dr. Wilmar Wiersinga that came out this year in the journal Nature Reviews Endocrinology titled “Paradigm shifts in thyroid hormone replacement therapies for hypothyroidism.” And I find this article fascinating.

I’m going to break it down a bit and add more important observations that I’ve not seen expressed elsewhere and which are important, because the truth stands out about T4-only and decades of patient experiences.

In the abstract summary of his article, he states:

Evidence is mounting that levothyroxine monotherapy cannot assure a euthyroid state in all tissues simultaneously, and that normal serum TSH levels in patients receiving levothyroxine reflect pituitary euthyroidism alone.

Informed thyroid patients can only shout Hallelujah!!

But actually, the evidence has been there all along…and the medical profession has not been listening!

For over 50 years since T4-only was pushed upon thyroid patients in the early 1960’s (not the 1970’s mentioned in the actual article), we haven’t done well on levothyroxine. But when we came into our doctors offices and complained of those pesky symptoms of continued hypothyroidism while on levothyroxine, the replies from our doctors have ranged from “You need to exercise more and eat less”, to “it’s just your age”, to “It’s part of being a busy mother” to  “Here’s a prescription for an anti-depressant/statin/BP med”….on and on.

My own mother was the classic example. She as put on Synthroid in the early 1960s in her forties. And from that time on until she died in her early eighties still on Synthroid, she paid continual and growing problems: chronic depression, rising cholesterol, heart problems, weight gain, body stiffness, inability to stand for long periods, poor stamina, dry hair and skin, and problems with her cognitive abilities. And today, informed patients know that all those symptoms are classic symptoms of continued hypothyroidism—all common in far too many patients on T4-only in their own degree and kind…sooner or later.

Stop the Thyroid Madness is the direct result of thyroid patients gathering in groups on the internet by the turn of the 21st century and proclaiming T4-only has only served to make them sicker!

Dr. Wiersinga also states in his abstract:

Levothyroxine plus liothyronine combination therapy is gaining in popularity; although the evidence suggests it is generally not superior to levothyroxine monotherapy, in some of the 14 published trials this combination was definitely preferred by patients and associated with improved metabolic profiles. Disappointing results with combination therapy could be related to use of inappropriate levothyroxine and liothyronine doses, resulting in abnormal serum free T4:free T3 ratios. 

That is a bit confusing to say “evidence suggests it is generally not superior to levothyroxine monotherapy”. What about the clinical presentation of patients shown every day in the offices of doctors over the past 50+ years?  Why have so many thyroid patients on levothyroxine for example, been put on anti-depressants, statins, BP meds, pain meds and more?

The Medical Dictionary defines “clinical presentation” this way: The constellation of physical signs or symptoms associated with a particular morbid process, the interpretation of which leads to a specific diagnosis.

Why has there been such a gap between what a doctor learns in medical school /continuing education vs. the clear clinical presentation by millions that underscores how poorly T4-only really has been?

As far as those “disappointing results” which Dr. Wiersinga mentions, informed thyroid patients have the answer: low iron and cortisol issues–both issues which all-too-many levothyroxine patients acquire due to being a poor treatment, and which either T3 or natural desiccated thyroid will reveal. Or, the patient is held hostage to the TSH lab test, leaving them underdosed, and again, many acquire either low iron and/or a cortisol problem.

Dr. Wiersinga concludes in his abstract:

However, in selected patients, new guidelines suggest that experimental combination therapy might be considered.

We agree and bravo!!

But Informed thyroid patients have a strong reply: why limit a better treatment to only “selected patients”?? Why continue to put each and every thyroid patient on one of five thyroid hormones, which more than 50 years have revealed has been an abject failure in too many, sooner or later?

Why not put the majority of your thyroid patients, not a “selected few”, on a medication which gives back the exact same hormones that one’s thyroid would be making in the first place, aka Natural Desiccated Thyroid Hormones? “Selected patients” should only refer to those who may need T3-only since they could have a conversion problem. 

The full article also describes three paradigm shifts, plus a proposed fourth one:

1)   1891, when the real gland (sheep at the time) was first used to treat hypothyroidism. bottle1

2)   1960 — 1988, when desiccated thyroid use declined and levothyroxine use increased

3)   the 1990s, when it was reported that T3 was needed after thyroid removal (but wasn’t pursued)

(See Chapters 1 and 2  in the revised STTM book for more excellent information)

And the 4th paradigm shift might occur, he explains, when those of us with poorly functioning thyroids could see regeneration from embryonic stem cells, as outlined in a 2012 study. Pretty exciting!

But I think a 4th paradigm shift has already occurred! A growing body of doctors have changed the way they treat hypothyroidism, and it’s by prescribing natural desiccated thyroid. As a southerner would say “Bless their little souls!!”

Until the possibility of stem cell treatment of our hypothyroidism becomes a reality, which may not be soon enough, we all hope to see better understanding by our physicians about what treatment really hasn’t worked well, and what treatment really does.

i.e. doctors need to return to the observation of “clinical presentation” 

Adding T3 to our treatment, and especially with natural desiccated thyroid, has changed lives. And we can at least shout “Bravo” to  Dr. Wiersinga for positively proposing that Endocrinologists consider the fact that perhaps, T4-only is NOT the way to go and adding T3 just might be for very good reasons. And by the way, thyroid patients also know that the TSH lab test is as much a failure as T4-only.  

Seize the Wisdom!

Yours truly,

Janie A. Bowthorpe

Post Script: The full article can’t be found in most places yet, but here is one place where the charge is less than others if you want to see it: http://www.readcube.com/articles/10.1038%2Fnrendo.2013.258

 

 

 

 

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