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Feel better on T4 than you did on Natural Desiccated Thyroid?

Occasionally, hypothyroid patients will exclaim with conviction and truth that they outright feel better on Synthroid or Levothyroxine (T4-only meds) than they did when they tried Natural Desiccated Thyroid (NDT) or even T3-only.  And we believe them.

But…there is an explainable reason which does not mean T4-only is better for you. It really isn’t. Bear with me and read on…

Years ago, as many of us were starting on NDT after being on T4, we were seeing our lives change in a huge way, far more than T4 did! It was like a miracle! Those five hormones really made a difference.

But some others were having problems when raising something so miraculous for others. Huh?? We didn’t get that.

It took awhile longer to finally see why and to answer the “huh?” i.e. we began to see that there were three strong and correctible reasons why someone was not seeing the miracle of NDT as others were, and instead, were blaming the NDT (or T3) and moving back to T4-only…

The three main and correctible reasons why NDT, which gives all five thyroid hormones, seems to fail…

1) NOT BEING “OPTIMAL” WITH YOUR NDT DOSE (it’s NOT about just being in range and not about being held hostage to the TSH)

We all have had a tendency to believe that our doctors know what they are doing with NDT or T3. But, the majority do not. They tend to leave you on too-low doses, and/or pay attention to the lousy TSH. Thus, due to the natural suppression of the feedback loop (hypothalamus to pituitary to thyroid), you will get worse on those lower doses, sooner or later. i.e. you will get more hypo, and/or have rising adrenaline, cortisol, anxiety or other. And because of that, some exclaim “NDT didn’t work for me!” and they rush back to T4-only.  But NDT, with all five thyroid hormones, could have worked well IF you had known to be more optimal. Optimal puts the free T3 towards the top of the range and the free T4 mid-range, and puts the TSH below range…all three…and removes all symptoms. What amount does that is very individual—some start to achieve that in mid-2 grains, others are in the 3-5 grain area, others may be higher.

What if you tried to raise to be optimal, but had worsening problems? Read #2 and #3 below.

2) NOT BEING OPTIMAL WITH YOUR IRON LEVELS (it’s not about just being in range)

When this is brought up to patients who once tried NDT and failed, they will exclaim with all sincerity “But my iron levels were great”. We know that a very small percentage may have had good iron. But what is common with the majority is they did NOT have good levels “Falling in the normal range” does not equal a good level of iron. It’s WHERE one falls that tells the story.

For example, with two types of ranges for serum iron (NOT ferritin):

a) When the range is approx. 40?155: women who have optimal serum iron tend to be close to 110, or 109, or 108, etc. They are NOT in the 90’s and definitely not lower when optimal. Men tend to be in the upper 130’s.
b)  When the range is approx. 7-27: women are optimal around 23ish; men are towards the top.

If they are lower than the latter examples, it messes up the ability to raise NDT and feel great without issue. Why? Inadequate iron levels tend to raise the reverse T3 (RT3) as one is raising their NDT.  As the RT3 goes up due to inadequate iron, you will feel worse. And because of that, some exclaim “NDT didn’t work for me!” and they rush back to T4-only…but if they had had optimal iron, NDT WOULD have worked…as long as they also had optimal cortisol (See #3 below) and were working to find their optimal dose of NDT (see #1)

See more details about iron here: http://stopthethyroidmadness.com/ferritin

3) NOT BEING OPTIMAL WITH YOUR CORTISOL LEVELS (it’s not about just being in range, and it’s NOT about blood cortisol)

We noted years ago that at least 50% of those with hypothyroidism had a cortisol issue as revealed by saliva, not blood. What does a cortisol issue mean? Either their cortisol was too high (due to the stress of being undiagnosed, poorly treated, or being on T4) or was too low (due to the stress of being undiagnosed, poorly treated, or being on T4), or had both high and low (due to the stress of being undiagnosed, poorly treated, or being on T4).

And what happens with a cortisol issue when you are trying to work with NDT? Either RT3 will go too high (the inactive hormone), or one’s T3 will pool in the blood and not make it to the cells, or both…and you won’t feel well or have bad reactions like excess adrenaline, anxiety, shakiness, feel-bads.

And because of having a cortisol issue, some exclaim “NDT didn’t work for me!” and they rush back to T4-only…but if they had…

a) done the 4-point saliva test, not blood
b) compared the saliva results it to the lab-values page (it’s not about that normal range)
c) CORRECTLY treated it (see this page, plus Chapter 6 in the updated revision STTM book if saliva is VERY low, which also applies to Adrenal Cortex),

….they would have soared on NDT…along with good iron and being OPTIMAL on NDT (or T3)

Note: it’s always about the results of a saliva test, NOT blood cortisol.

Bottom line, it’s not as simple as “feeling better on T4”. It’s more about that you are NOT experiencing the side effects that you did on NDT from any of the above three problems, which were all correctible. That is different.

“That all sounds like too much trouble–I’m staying on T4-only!”, you may be exclaiming….

There is a big problem with that reasoning that I hope you will be open to….Namely, T4-only outright…

  • CAUSES low iron
  • CAUSES a cortisol problem
  • CAUSES many other issues like lowered B12, lowered Vitamin D, rising blood pressure, rising cholesterol, depression, anxiety, heart issues, bone thinning, chronic pain….and more. The individuality is in who gets which…but T4 users do get problems of their own kind, sooner or later.

Please note that the above is not an empty strong opinion. It’s based on years of reported patient experiences from many who were on T4! i.e. most of the following hypothyroid symptoms were experienced by T4 users!! They were still hypo!

Now you may state “But I know people on T4 who do not have those problems!”.

First, some outright DO have some of those problems, but don’t realize it or they deny it (while others see it in them). Adrenal issues, even those denied, can make certain people awash with defensiveness, argumentativeness, denial, anger, paranoia towards others observations, low patience, moodiness, etc.

Yes, some on T4 do, in fact, do better than others. But you know what we have observed? The longer they stay on T4-only, the more problems WILL, in fact, raise their ugly heads eventually…like either adrenal issues, or low iron, or low B12, or depression, or rising cholesterol, or rising blood pressure, or heart problems, or dry skin and hair, or chronic pain, or bone loss, or rising illnesses…..on and on. Forcing the body to live for conversion alone backfires….sooner or later.

Summary: A working Natural Desiccated Thyroid, or adding T3 to that T4 as a second choice and getting those frees optimal, is a much better way to go than being on nothing but T4, according to years of worldwide patient experiences

A working NDT gives you all five thyroid hormones, and does NOT force you to live for conversion of T4 to T3 alone, i.e. some of NDT is direct T3. Additionally with T4-only, some people have genetic mutations which hinder the conversion of T4 to T3 and may not realize it.

There is a good reason that millions of patients found out that T4-only is not the way to go for many reasons, and NDT is the way to go if you correct the reasons you did NOT to do well...or even adding T3 to your T4 in an OPTIMAL amount. But you will still need optimal iron and cortisol!

P.S. The above three reasons are the most common for not doing well on NDT (or T3) and should be considered first. A 4th less common reason: chronic inflammation of any cause. Read about inflammation. If this is true for you, the sad part is that T4-only will also backfire, as it raises RT3.

Mold exposure can also effect conversion.

Click on the graphic to order an excellent saliva cortisol test.

101 replies

20 Ways that Hypothyroid or Hashimoto’s Patients are Gaslighted

It would make an incredible horror movie. THE PLOT: stunningly convince hundreds of millions of individuals worldwide that what isn’t a good thing, really is. That what appears to be so, isn’t. 

Or that leaves only look green because of alien filters in your eyes. That ripe apples fall because invisible evil hands pull them down. That fire doesn’t burn your skin–it’s only your imagination, so ignore the fake pain and blisters. 

That giving you only one of five thyroid hormones…a storage hormone called T4 with the name of Synthroid, Levothyroxine, Eltroxin, Oroxine, etc…is all you need to adequately treat your hypothyroid state. 

Because if those in authority say so, it must be so…right?

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The gaslighting of hypothyroid patients for decades

If you have never heard of the term “gaslighting”, it describes a form of manipulation by an individual or enterprise. The result is to cause you to doubt your own intuition, intelligence, perceptions and natural wisdom.

Here’s what gaslighting does: 

  • implies a person in authority knows what he or she is talking about or doing, over your own inner wisdom and observations.
  • makes you question your own self
  • makes you second guess what is going on and your own perceptions
  • spins a false interpretation of reality.
  • tries to put the blame on you
  • makes you feel crazy
  • is a way to benefit the person or enterprise pushing the delusion for their own aims.

20 ways that Hypothyroid or Hashimoto’s patients are gaslighted–which ones are you?

  1. Authoritatively putting you on only one of five thyroid hormones as if it’s an adequate treatment, as if relying solely on “conversion” to get T3 is all you need (Yet all along, there was a proven treatment that contains all five thyroid hormones, including some direct T3, called Natural Desiccated Thyroid. But of course, you aren’t told, or it’s efficacy is grossly misrepresented)
  2. Telling you that Synthroid or Levo etc is the gold standard of hypothyroid treatment i.e. adequate, easy to dose, reliable, then sending you off into the world (Yet for all too many, sooner or later, T4-only meds have been problematic for millions, in their own degree and kind, for over five decades, as reported by patients worldwide about themselves, relatives, friends, etc)
  3. Implying the TSH lab test, aka Thyroid Stimulating Hormone, is a reliable way to diagnose or dose by.  (The TSH is a pituitary hormone, not a thyroid hormone, with a lousy “normal” range, and with a history of lagging behind for years and thus preventing diagnosis, and more)
  4. Implying that those continued symptoms, whether at the beginning or the longer you stay on T4-only, are somehow your fault, about your life situation, or in your imagination (examples in #5, #6, #7, for example. See the best list of symptoms on the net)
  5. Telling you that you need to “eat less” or “exercise more” (as if easy weight gain is totally your fault or in your control, instead of the fault of a poor treatment with T4, or the use of the TSH)
  6. Sending you to a therapist (as if your hypothyroid-caused depression isn’t related to your T4-only treatment…when it definitely can be… or can be due to the lack of a diagnosis)
  7. Saying your afternoon fatigue is due to “being a mother” or “part of getting older” (yet we see that need for a nap go away for the majority once optimal on NDT or T3 with optimal iron and cortisol)
  8. Implying that you have “separate” conditions which now need more medications only (like rising cholesterol, higher blood pressure, depression, fibromyalgia, and more…all which can be clearly related to a poor treatment and which either go away or improve, say many patients, once they have T3 or NDT in optimal amounts)
  9. Stating that Natural Desiccated Thyroid (with all five hormones) is outdated and thus a reason to avoid it (Hmmm. Then I guess so is listening to the radio, talking to people live on the phone instead of on Facebook, or sending a real birthday card instead of an internet one…should be avoided since they are outdated.)
  10. Saying you’ll get heart or bone issues if your TSH goes below range while optimal on NDT or T3 (Patients have noted that it’s not only normal for the TSH to go that low when optimal, but they see improved bone and heart health! A low TSH on NDT is NOT the same as a low TSH with Graves disease!)
  11. Stating that it’s rare for anyone to be above 2 grains, aka one grain is 60 or 65 mg depending on brand, so your continued symptoms aren’t related (Yet there are many patients who aren’t optimal until the mid-or-upper 2’s, or in the 3-5 grain range. It’s individual where optimal falls.)
  12. Implying that continued hypo symptoms while on NDT or T3 proves they aren’t needed (There are understandable and correctible reasons.)
  13. Stating that Natural Desiccated Thyroid is not for Hashimoto’s patients (which is contrary to the majority of Hashi’s patients on NDT who have reported great gains once they get up to their optimal amount)
  14. Stating that iodine is the worst thing for every and all Hashimoto’s patients (in spite of those with Hashi’s who discovered that iodine lowered their antibodies if they used it correctly with supporting nutrients. It’s individual and each Hashi’s patient has to find out for themselves). 
  15. Saying that NDT or T3 for those over 60 is dangerous (yet many patients this age range report huge improvements from using it safely and wisely, such as starting low, building in small doses, watching labs, learning how to read labwork, etc)
  16. Implying there’s no such thing as adrenal fatigue/hypocortisolism (yet many get low cortisol, as proven by saliva testing, due to the inadequate treatment of Synthroid or Levothyroxine, and suffer from it.) 
  17. Stating that the use of hydrocortisone (Cortef) in the presence of extremely low cortisol three or more times (as proven by saliva testing) is dangerous or should be kept low (in spite of how patients have successfully learned how to use HC safely and wisely as outlined in chapter 6 of the revised STTM book)
  18. Underscoring that if you are “in range” with your lab result, you are doing great (We learned that it’s where we fall that has meaning, not just being in range.)
  19. Stating that you should not go by what is said on the internet, such as on Stop the Thyroid Madness (STTM) or the books (in spite of the fact that it’s all based on 15 years of repeated, solid, patient reports and wisdom; can include studies to back it up on several pages; has the support of many other practitioners….etc)
  20. Implying you are a “difficult patient” because you dare to state what you have learned that is contrary to what the doctor says (See Things we have learned)

So you see, the horror movie plot has been a reality for hypothyroid patients.

Like a few years ago. A couple saw the STTM book in my vehicle and struck up a conversation with me. She was on Synthroid; he was on Levoxyl–both T4. They had each been on their T4-only treatment for 12 and 14 years respectively. They felt their hypo was perfectly treated and they believe in their doctors. So the other problems they dealt with were separate: his rising cholesterol, her depression, his fatigue, and her weight gain. But of course, they felt those have nothing to do with their T4-only treated hypothyroid, as some of it was their own fault, and their doctors are right…leaves aren’t really green, invisible hands make ripe apples fall, and fire doesn’t really burn.  Gaslighting.

Sad.

  • Check out the best list of hypothyroid symptoms on the net, totally based on reported patient experiences, reliable, and not culled from other cold lists to bulk it up. They can even occur on Synthroid or Levothyroxine, report patients over the years.
  • Have you Liked the STTM Facebook page? One of the most helpful thyroid Facebook page on the internet and based on reported patient experiences and the wisdom gained. 
  • See research that can back up what patients have learned (and there is more on individual pages)

P.S. The photo is an actor portraying a zombie. It’s simply to represent a horror show.

109 replies

A Speculative Account of the Effects of Iodine Supplementation at Different Doses

Screen Shot 2016-01-08 at 10.14.42 AMThe following Guest Blog Post was written by Malcolm Maclean, MD of the United Arab Emirates. Dr. Maclean serves as a Trustee and Medical Advisor for TPA (Thyroid Patient Advocacy) UK.

Dr. Maclean makes strong speculative proposals in this article as to why there are differing bodily experiences in the use of iodine and the doses used.

Take the time to read the below slowly and carefully–good points to consider!

NOTE: if you are receiving email notice of this blog post, a reply to the email goes nowhere. Instead, you need to click on the title of the blog post, which will take you directly to the STTM blog, and there you can comment.

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The value of iodine

Most folk in the Thyroid Community understand the requirement for Iodine because the body uses it to synthesize thyroid hormone.

But a variety of cells require iodine for optimum function, as well (e.g. breast, ovaries, pancreas and prostate). So Iodine is important for the body quite apart from supplying the thyroid gland with Iodine. This view is not widely held in the mainstream.

Further, several scientific reports point to widespread iodine deficiency, particularly in the UK and parts of Russia, pointing to the value of Iodine supplementation, at least in some cases.

Yet a problem and a challenge

The capacity of Fluoride and possibly Estrogen Dominance to aggravate dysfunctional Iodine metabolism argue for close attention. Because for those who choose to supplement with Iodine (and there is a strong case for this to prevent breast cancer, plus those diagnosed with Hashimoto’s Disease, see below), the response to such supplementation (based on reported experience of those contributing to Iodine Forums) appears to vary according to:

  1. the baseline Iodine status
  2. the state of the adrenal glands (operating at full strength or in a state of “adrenal insufficiency”?)
  3. whether Companion Nutrients are simultaneously supplemented.
  4. the chosen dose of Iodine
  5. how it is taken (via skin/orally)
  6. the size of the dose
  7. how quickly dosage is introduced

Important Point: For those in the Thyroid Community who have been diagnosed as having Hashimoto’s Disease, Iodine has a reputation for exacerbating Hashimoto’s Disease. However, Iodine may be tolerated provided that the “Companion Nutrients”, referred to above, are in place.

Why are Companion Nutrients important?

Arguably, the adverse effects attributed to Iodine, when used in the situation of Hashimoto’s Disease, are caused by the Iodine-induced, unbalanced and exaggerated activity of the activity of an important and powerful thyroid enzyme: Thyroid Peroxidase, thereby a creating Oxidative Stress and the potential for thyroid cell damage. The Companion Nutrients are designed to support the body’s antioxidant System. Companion Nutrients are used here to prevent damage arising from the unopposed action of Thyroid Peroxidase, as and when Iodine is introduced to the Thyroid Gland, especially in the situation of an inadequate anti-oxidant System.

The purpose of this article

The purpose of this text is to examine the variable experience of those who have reported the effect of supplementing with Iodine and to attempt to explain those experiences according to how the body responds in different metabolic situations. Therefore the purpose is not to influence the reader in any direction (as regards Iodine usage) but to perhaps enable a speculative view of what might happen if/as and when, Iodine is supplemented and why.

I believe that no one should adopt Iodine supplementation without a good deal of reading around the subject, e.g on the STTM and TPAUK websites.

I apologize for the length of this contribution. However, it deals with the complex issue of Iodine effects and it is tricky to give a brief interpretation of this little-understood, but important area, especially for those whose metabolism is out of whack because of the toxic effects of mercury, which has the capacity to damage adrenal, thyroid and methylation function (at least).

So, this text has also been written for those with suspected toxicity (e.g. from dental amalgam) in the hope that the text might explain and emphasize components of the Shade Protocol (designed for the elimination of mercury), which might be ignored by those who, unwisely, are too hasty to get better. 

The right dose of Iodine

I don’t think anyone fully understands what “the right” dose of Iodine is.

If your adrenals are out of whack, Iodine is liable to cause you to crash.

Nor is there agreement on what may be the further results of Iodine supplementation, especially at higher doses.

Some people assert that if you start supplementing with Iodine, two different effects may result, depending on what dose you start at:

Low Dose

Effect: Up-regulation of thyroid synthesis, especially for those who are Iodine deficient (many people are Iodine deficient, so that makes sense). However, if your adrenal function is down, the cells cannot handle the increased levels of stimulation (via thyroid hormone) without a correspondingly elevated level of cortisol.

It is known that thyroid hormone and cortisol work together. Hence, in the situation of adrenal insufficiency (possibly Mercury-induced in the first place, for some) there is the potential for an adrenal failure-induced “Crash” (= feeling dreadful +/- palpitations =”Thyroid toxicity”). So in these two situations… (a] adequate, vs  b]  inadequate adrenal function…taking Iodine may make you feel better or worse

High dose

Effect: Some people report benefit from the introduction of Iodine at a high initial dosage (going against the principle of starting low, increasing slow). This appears not to make sense.

The theory of taking high doses of Iodine

One theory involves acknowledging that Iodine may function as an antioxidant (that Iodine has antioxidant properties, is accepted, although, perhaps not widely so).  The theory goes: Iodine exerts its antioxidant properties but only noticeably at higher doses.

Further, so the theory goes, that antioxidant effect at higher doses tends to overcome the blockage of adrenal function that is creating impaired adrenal function in the first place. Meaning: Low cortisol synthesis and low cortisol levels, because of Mercury blocking cortisol Synthesis by exerting stress on the anti-oxidant system (Iodine usage here, supporting the anti-oxidant system and opposing Mercury).

That too makes a certain amount of sense, because Mercury is known to be able to block cortisol synthesis by acting as an oxidant and exerting stress on the anti-oxidant system.

Speculatively, once your Iodine dosage has (according to this scenario) restored adrenal function by opposing Mercury effects, any further increase may start to be counter-productive (meaning onset of Iodine overdose).

Speculatively, according to dosage therefore, these situations may result sequentially:

1. Baseline: Iodine deficiency in the diet.

Sub-optimal thyroid function with, perhaps, symptoms of Hypothyroidism.

2. Addition of Iodine at low dosage

a) Improves you if adrenal function is adequate
b) Crashes you if you have adrenal insufficiency

3. Addition of Iodine at high dosage

a) Bypasses the “Crash” effects
b) Remits the oxidative stress which is causing the (Mercury-induced) adrenal Insufficiency (with knock-on low Cortisol levels), enables the adrenals to restore Cortisol synthesis:

Result?  Feeling better

4. Supra-Optimal Iodine Dosage

Meaning: even higher dosage than that necessary to restore adrenal function and Cortisol levels:

Speculatively: Iodine Toxicity

Result: You start to feel down again.

Speculative summary of Iodine effects according to dosage

Starting at a “Low” baseline level (Iodine Deficient status) and from there, increasing daily dosage: Feels down-> Take more Iodine-> Feels better->Increase Iodine dosage. More iodine-> Feels worse-> Increase Iodine dosage. More Iodine->Feels better-> Increase Iodine dosage even further: feels worse

This is all theory and is provided for the benefit of those who speculate about what effects Iodine may have.

In preparing the description of this speculative scenario, I am indebted to the contribution (of a lawyer) to an Iodine Forum, who wrote interestingly on this topic as follows:

“Okay. This all-theoretical, mind you, but based on my experience, I think my theory may be correct. At lower doses of iodine, many of the symptoms labeled as bromide detox are identical to adrenal fatigue symptoms: air hunger, low blood sugar, weight gain, headaches, dizziness, fatigue, insomnia, anxiety, palpitations, etc. Another coincidence: the very things that Brownstein etc. recommend for bromide detox are actually things used to alleviate adrenal fatigue: Vitamin C, salt… This may explain many of the symptoms of detox at lower doses. It’s actually adrenal fatigue. Now, iodine can also act as an antioxidant, but only when the body uses excess iodine to make a lipid called delta-iodolactone. But the body will not make this unless it is such a high dose of iodine that the body feels confident that it has enough iodine for its basic needs, so it can use the excess iodine to make this antioxidant lipid. This antioxidant is like 300x more powerful than Vitamin C. I think that you have to take upwards of 100mg of iodine or higher for the body to make this. Because when I take 25mg, I have horrible detox symptoms, but when I take 100mg of iodine I feel normal. I think that at 100mg and up, the body makes delta-iodolactone, and this [is an] antioxidant . It’s the only thing that can account for the fact that people, who can’t take 25mgs without getting sick, can take 150mg without a problem. And there have been about 10 of us who have found this to be true”

The only difference between the lawyer’s interpretation of Iodine effect (at high dosage) and my interpretation:

My interpretation is that at high Iodine dosage, that strong antioxidant effect kicks in, thereby enabling Iodine to resurrect the adrenals (and thus cortisol levels) by opposing the strong oxidant and toxic effects of Mercury. The evidence for this speculation?  At high concentration, iodine appears to tighten up the mitochondrial membrane, thereby preventing leakage of cytochrome C from the mitochondria, across the mitochondrial membrane into the cytosol (cytoplasm).

Result? Less  in the cytosol diminishes oxidative processes in the cytosol.

Result? Less risk of the negative consequences of oxidative stress.

Result? Restoration of the important enzymes which have been suppressed by oxidative stress.

Result? Recovery of 17-Hydroxylase, 5′ Deiodinase, and Methionine Synthase, thereby contributing to the recovery of adrenal, thyroid and Methylation function respectively.

There are those, including myself, who attribute their thyroid & adrenal failure to Mercury toxicity (from dental amalgam). Importantly, this interpretation of Iodine effects draws attention to and emphasizes the importance of supplements described in the Shade Protocol (designed for the elimination of Mercury) and also described as the “Companion Nutrients” in “Iodine Context”.

To summarize: Iodine supplementation is a tricky area. Extensive reading prior to any usage is advised. Adrenal function should be good and the Companion Nutrients should be in place as supplements before embarking. Potential effects of Iodine at different doses have been speculatively described. Getting the right dose is especially tricky and there appears to be no way of knowing what is the right dose without just trying and seeing. Few would argue against a daily dosage of Iodine: one milligram per day, properly supported, as described above.

Further, importantly, this text is not a recommendation to start taking Iodine at massive doses, despite the fact that some report benefit from this approach. The reason for such caution is, as usual, that our metabolisms are all different.

Dr. Malcolm Maclean

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63 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!

 

 

 

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Short and Sweet – Listen to latest interview of Janie Bowthorpe

JANIE in front of books July 2014Hello to all my fellow thyroid patient friends!

I, Janie, have taken a break from the STTM  blog after the release of the fabulous Stop the Thyroid Madness II book. And it’s time to return!!

Here’s the short and sweet reason I’m writing this blog…

Listen to Kirstin Costello of Wellness Talk Radio interview me!! I think we both did a great job!  

And once you do, spread the word by sharing the link below. Send this to your family and friends. Post it on Facebook. Let’s help reach all our fellow thyroid patients who need to learn from over a decade of thyroid patient experiences and wisdom in the treatment of hypothyroidism, adrenal fatigue/insufficiency issues, low iron and so much more.

Go here: https://www.youtube.com/watch?v=51-ikKxufgU

Kind regards from…

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P.S. Have you read the new Stop the Thyroid Madness II book? You should.

No, this new book does not “replace” the original revised and very detailed STTM book. The latter will always have brilliant details of patient experiences and wisdom found nowhere else.

But the new STTM II book is giving you the following:

1) an excellent companion to the first book.

2) information that only certain medical practitioners can give you.

3) a strong message to all doctors since it’s written by their very colleagues.

In other words, if other practitioners continue to bash Natural Desiccated Thyroid or T3 or refer to it as “poison”, think the TSH is a great diagnostic tool to diagnose or dose by, don’t believe in low cortisol, and more…they will have to be bashing their own colleagues’ wisdom as contained on these pages.

The authors of the new STTM II book include Paige Adams FNP, Geoffrey T. Bouc MD (owner of website I want my T3!), Jeffrey Dach MD (jeffreydachmd.com), Lena D. Edwards MD, Andrew H. Heyman MD (in Virginia), Carla Heiser RDN, Paula H. Luber MD, Benjamin D. Lynch MD (aka Ben Lynch of the MTHFR website), William D. Trumbower MD, Philip L. Roberts MD, Yusuf (JP) Saleeby MD, Laura R. Stone MD, Nguyen D. Phan MD, and James C. Yang, MD.

If you haven’t yet seen or read this wonderful new book yet, go here: //www.stopthethyroidmadness.com/stop-thyroid-madness-ii

46 replies