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10 Gray Areas about Thyroid Treatment and related issues: The Anomalies

Screen Shot 2015-09-01 at 2.34.02 PMEver heard of the word “anomaly“? It means that which deviates from what is standard, normal, or expected. You could also call it the “gray areas”.

And when you’ve observed and compiled thyroid patient experiences and wisdom as long as I have, one thing certainly stands out: though something may be true for the majority of thyroid patients, it may not be true for others.

Here are 10 of those anomalies when it comes to thyroid treatment and issues related – – all based on repeated observations: 

 

  1. HASHIMOTOS and GLUTEN:

    Though the majority of Hashimoto’s patients seem to need to be off gluten to control their antibodies and improve nutrient absorption, there have always been a small percentage of those who have never had problems with consuming gluten….ever.

    i.e. though their once-high antibodies revealed their Hashimotos state, eating gluten didn’t make them worse, nor did gluten consumption bring their antibodies back up after they had gotten them down due to a better thyroid treatment or use of iodine. (Yes, iodine use has helped many Hashi’s patients bring their antibodies down).

  2. SYNTHROID OR OTHER T4-ONLY MEDS:

    Though we’ve observed that the biggest body of Synthroid or T4-only users see the failure of their treatment either from the beginning or within the first few years (in their own degree and kind), there is a small percentage who may not see the failure for 15, 20 years or more, and an even smaller body who feel they never have problems from it (though they usually do and don’t recognize them as problems related to being forced to live for conversion alone).  

    Informed thyroid patients have observed that in fact, some T4-users convert to T3 (the active hormone), better than others…for awhile.  Other T4 users may never have needed treatment at all. My sister-in-law is an example. Her doctor once found her TSH was high, so he put her on Synthroid. She seemed to do fabulously for about 4 years. Then she stopped and was fine. Looking back, there’s a good possibility that chronic stress was pushing her cortisol high, which promotes a hypothyroid state and higher TSH…thus the appearance of thyroid disease. When the chronic stress is resolved, the “hypothyroid state” goes away.

  3. ADRENAL ISSUES:

    Though we’ve observed that at least 50% or more of thyroid patients end up with an adrenal problem due to being on the inadequate T4-only or other stressors to their adrenals, there is another body of patients who never seem to acquire adrenal problems yet had every stressful reason to. 

    Who knows why some escape it. My mother was on Synthroid her entire adult life and paid horrible prices, yet I saw no evidence of an adrenal problem. I was the same–had a million reasons to see my adrenals become sluggish, yet it didn’t happen. Something about our biological or genetic makeup in response to stress? Our way of handling stress? Supplements we took?

  4. HOW MUCH NDT CAN BE TOLERATED WITH LOW CORTISOL

    Though a large body of low cortisol patients can only tolerate “up to” 1 1/2 grains of NDT without having problems, if they go higher, they start to see either pooling of T3 or rising RT3. A smaller percentage can go much higher without noticeable issues, and another small percentage can’t even go as high as one grain without seeing those issues. But they are there.

    When one’s cortisol is a problem, especially when it’s too low, NDT at certain raises will reveal the low cortisol. i.e. NDT is not the problem; it’s revealing the problem via the raises. //www.stopthethyroidmadness.com/ndt-doesnt-work-for-me

  5. WEIGHT GAIN:

    Though it appears the majority of thyroid patients will either gain easy and/or have trouble losing weight, there is a smaller minority with hypothyroidism who stay thin.

    There are so many possibilities as to why some hypothyroid patients stay thin, ranging from not being one who uses food to treat emotions…to all the genetic differences in how each of us burns fat or what one craves. http://www.theguardian.com/world/2012/jul/17/food-metabolism-calories-obesity-diet

  6. WOMEN VS MEN AND HYPOTHYROIDISM

    Though the majority of hypothyroid sufferers appear to be women, there are a body of men who will find themselves in a hypothyroid and/or adrenal state, as well. 

    There is speculation that because of women’s hormonal changes, it makes them more susceptible to having a thyroid problem. But men get thyroid problems, too, so the problems of toxins in our environment and/or low iodine may be other issues affecting both males and females, even if females with their hormonal issues get it more often.

  7. OPTIMAL AMOUNTS OF NATURAL DESICCATED THYROID (NDT)

    Though it appears that a large body of thyroid patients, when optimal, end up in the upper two grain area AND HIGHER…there is a much smaller body who are even higher than the 3-5 grain area, and the very minority are optimal less than 2 grains. 

    If a line is drawn with the least amount of NDT on the left, and the highest amount of NDT on the right, and with a dot representing each person on an optimal amount of NDT, the majority of dots start to fall in the upper 2 grain area and into the 3 grain area. A lesser amount of dots fall in the 4-5 grains area, and fewer dots are higher. Same with the other direction, Much lesser dots are in the lower 2 grains area, and even less in the 1-2 grain area. Of course, this observation is only true when participants understand what “optimal” really means (which many do not) and is explained on the Natural Thyroid 101 page.

  8. DOCTORS

    Though patients have reported over the years that the majority of their doctors are overtly clueless about either diagnosing or correctly treating their thyroid disease, there are a small and growing percentage of medical professionals who are bucking the trend and taking the time to listen to informed patients and Stop the Thyroid Madness, both website and books. 

    And honestly, we all play a role in strengthening that trend by politely yet confidently being your own best advocate, learning what patients have learned, and having the courage to explain it to your doctor, besides make it clear that “this” is how you want to do “that”. If a doctor will not listen, we put our money into the hands of those who will. A doctor works for YOU, not you for him or her. Here’s how to find a good doc.

  9. PROGESTERONE

    Though many (not all) females see their sex hormones mess up in conjunction with having hypothyroidism…and thus, can need progesterone supplementation to counter estrogen, there is a risk of having the progesterone convert to too much cortisol and causing miserable symptoms of high cortisol!

    In the hormonal pathway of conversions, there are some who convert progesterone to cortisol far easier than others. So each person has to figure out how much progesterone they can handle, which is probably individual. If cortisol is low, though, progesterone converting to cortisol can be a slight boon! 🙂

  10. ACID REFLUX/GERD

    Though it’s very common for doctors to prescribe acid reducers like Prilosec or over-the-counter antacids like Tums for your GERD or Acid Reflux….in reality for thyroid patients, turns out they have LOW stomach acid causing the reflux, not high. 

    Though antacids will seem to relieve the symptoms, it’s actually making the low stomach acid now worse, which in turn makes your ability to absorb nurtrients worse. Read about this issue right here: //www.stopthethyroidmadness.com/stomach-acid

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Why iron is so important, milk thistle for RT3, and send the revised STTM book as a Christmas present!

NOTE: though this post was originally written in 2012, it has been updated to the present day and time! Enjoy!

IRON AND ITS IMPORTANCE 

It all too common with hypothyroid patients: finding themselves with low iron levels.   I probably had insufficient iron my entire adult life, remembering that my doctors always told me I was borderline, yet nothing was done about it. So when I finally got on desiccated thyroid, and my iron needs increased due to better health, I finally fell into true anemia, and twice.  Miserable, let me tell you. I was breathless, achy, depressed and had horrific fatigue.

And why is iron so important?

  • Iron carries oxygen from your tissues to your lungs (so if iron is low, you can be breathless and your heartrate has to go up in response to less oxygen. Link here.)
  • Iron helps raise dopamine and serotonin in your brain (so if iron is low, you can feel depression or hyperactive i.e. attention-deficit hyperactivity disorder. Link here.)
  • Iron assists with the cortisol secretion after ACTH stimulation (so if your iron is low, the cortisol secretion is decreased, lowering glucose in your cells, and that might cause the pooling of T3 in your blood. Link here.)
  • Iron promotes good conversion of thyroid hormones T4 to T3 (so if iron is low, your storage iron T4 will build too high. Link here.)
  • Iron balances your autonomic nervous sytem (so if your iron is low, you can end up in a frequent state of fight-or-flight with accompanying adrenaline surges and nervousness due to heightened sympathic activity. Link here.)
  • Iron protects women from breast tumor growth (so if your iron is low, a benign tumor can become a malignant cancer tumor. Link here.) 
  • Iron improves your immune system (so if your iron is low, you are most susceptible to infections and illness. Link here.)
  • Iron supports brain cell health (so if your iron is low, you can have brain cell death contributing to dementia and possibly Alzheimers. Link here.)

How to discern if your iron is too low

We used to think testing one’s storage iron, ferritin, was enough. But it’s not. Your storage iron can look normal because of an ongoing inflammation, which tends to thrust iron into storage. So we learned that we need four labs at the minimum : ferritin, % saturation, serum iron, and TIBC.  Even low ferritin along with optimal results in the other labs have caused problems with T3 pooling in the blood.  Go here to read what we look for in our iron results.

Raising poor iron levels

Hypothyroid patients tend to “dry up” and that also causes lowered levels of hydrochloric acid in the stomach, which lowers absorption. For better absorption, try adding 1 tsp to 1 tbsp of Braggs Apple Cider Vinegar to each large glass of water or juice you use to swallow your iron pills, or use Betaine, which is an OTC hydrochloric acid supplement.

To learn more, go to the following page. And for even more details, read the Odds and Ends chapter in the revised STTM book.

CAN LIVER CLEANSES/SUPPORTS HELP IMPROVE YOUR RT3 RATIO??

Because of low iron or adrenal dysfunction, many thyroid patients have found themselves with high levels of Reverse T3…or more common, a poor RT3 ratio. And too much RT3 can mean the thyroid hormone T3 won’t adequately work in your cells, and you can feel miserable. The solution for most has been to switch to T3-only, but that can have a host of difficulties.  It’s not easy to dose with T3 alone.

Recently, though, patients are discovering an alternative way to lower one’s excess RT3: the use of a good liver cleanse/support product, and most especially those with the herb called Milk Thistle. It’s an herb which, for hundreds of years, has been used as a liver tonic.  In supplements, it’s the milk thistle seeds which are used because they contain silymarin–the powerful part of the herb which does the trick.  And doses in the 400 mg’s of milk thistle extract supplements seem to be doing the trick, say patients who are reporting on it, taking it twice a day at 200 and 200 minimum. Some studies state you can go higher, if needed. Be careful with its use, as it can lower ferritin levels to some degree. But as long as you keep your serum iron levels up, you can get by with the lowering of ferritin for the short while you may be on Milk Thistle to lower RT3.

HO! HO! HO! SEND THE REVISED STTM BOOK TO A FRIEND OR LOVED ONE FOR CHRISTMAS OR THE NEW YEAR!  It can be the BEST gift they will ever receive!  Go to the following page, and put in the name and address of the recipient, YOUR email, and the publishing company will get the book out to your special someone:  //www.laughinggrapepublishing.com/

 LISTEN TO ONE OF SEVERAL INTERVIEWS I’VE DONE LATELY…AND BOSTON IS NEXT! My next interview will be aired on WBZ-AM 1030 (Boston & New England) on the program called “Women’s Watch” with host Ellen Sherman. You can also listen live here: http://boston.cbslocal.com/station/wbz-news-radio/ No specific time as I am posting this, but it may happen next week. Watch the NTH Yahoo group, STTM Twitter and STTM Facebook groups for an announcement. And there are more to come thanks to a great publicist representing Stop the Thyroid Madness. Want to donate so she can continue helping us spread the word? Go here.  Janie can’t do it without you…and this is specifically to reach millions still on T4-only meds!

 STTM NOW HAS MANY FACEBOOK GROUPS!  See what Facebook has to offer you on top of already great Yahoo groups, here.

 

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Recall of T3 tablets — 5 mcg. by Paddock Laboratories

Though this page was written in 2010, it has been updated to the present day and time. Enjoy!

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After the turn of the century and within groups associated with Stop the Thyroid Madness, thyroid patients made a huge discovery–that many of them had an RT3 problem!

RT3 is the acronym for Reverse T3. Reverse T3 production is normal. It will occur if you have surgery, after a bodily accident, when having the flu and/or other stressful conditions. It’s your body’s way of moving out the excess T4 by converting it to more and more RT3, which in turn, lowers your metabolism.

But when thyroid patients have either low iron or a cortisol problem, up goes the Reverse T3. And why is that a problem? RT3 is not only inactive, but you might say it’s a T3 “antagonist”, binding to the same cellular receptor that T3 would have attached to, but now can’t. Thus, T3 will rise higher and higher in the blood–a condition we call pooling.

So what did patients learn to do? Find out the reason and treat it…and in the meantime, they lowered the RT3 by lowering the amount of T4 they were getting, or by being on straight T3.

And in 2010 came recall of one of the brands of T3 by Paddock.

PRODUCT
Liothyronine Sodium Tablets, USP 5 mcg, RX only, Net contents 100 tablets, NDC0574-0220-01, UPC code (01) 00305740220016. Recall # D-695-2010
CODE
Lot # 9C548
RECALLING FIRM/MANUFACTURER
Recalling Firm: Paddock Laboratories, Inc., Minneapolis, MN, by letter dated May 18, 2010.
Manufacturer: Metrics Inc., Greenville, NC. Firm initiated recall is ongoing.
REASON
The recall is being conducted due to a stability failure at the 12 month timepoint; the assay value of this lot was found to be sub-potent.
VOLUME OF PRODUCT IN COMMERCE
11,064 bottles
DISTRIBUTION
Nationwide including DC and PR

Luckily, as the years went by, there continued to be other brands of T3 and new brands.

 

  • Want to learn more about RT3 and the problems it can cause you?? You can read about it here on STTM’s Reverse T3 page, plus more details in the STTM book chapter on T3.
  • Have you Liked the STTM Facebook page? Great place of daily information and tips!
  • Like being informed?? Go directly to the STTM blog page and sign up for notifications at the bottom of any any page
  • Need other thyroid patients to talk to? Go to the Talk to Others page.
  • Have questions about what thyroid patients have learned? Check out the Question and Answers page.
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