Hashimoto’s Goiter

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A subject that comes up a lot with thyroid and and that's a goiter and patients wise my patients are always
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wondering is there order going to go away that seems to be the main issue and so I go there's a little tricky to
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understand in in many ways and in other ways it's not so quarters first thing is people have historically thought that
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goiters came from a lack of iodine and in in this country and in other countries at a time before we had
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iodized salt that was true you would get you would get you would get a goiter a lot of times people would take iodine it
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would go away but that's not the case anymore I mean if you eat in restaurants if you eat any type of fast foods if
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you're not using Himalayan pink salt or all that type of stuff all the salt is iodized today the in the in in first
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world countries and even second world countries and some third world countries now Gorder is not caused by iodine but
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let's say it was let's say you were in one of these third-world countries out of the middle of nowhere and you're not
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getting enough iodine what would happen is you need iodine to make to make thyroid hormone I'm going to tell you a
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little bit more in it is the wife this is not really pertinent but I want you to understand core here all the way and
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and and where's all this stuff came from it they told me I gotta take iodine so basically so basically iodine helps you
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to make thyroid hormone iodine for those of you haven't seen any of these before t4 is your main hormone that is made in
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your thyroid the T stands for tire seeing the 4 stands for 4 molecules of height and there's a whole process that
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puts those two things together and and part of that process is an enzyme that pulls iodine out of your bloodstream and
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a minute and it sticks it together that tyrosine and now you have when you do not have enough iodine
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you're not you're not gonna make enough thyroid hormone and then that tells your brain in your bloodstream you know
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there's not enough thyroid hormone so there's this part of your brain it's called a hypothalamus basically what you
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need to know is this thing's check and everything it's in your in your bloodstream all the time and if there's
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not enough of it it it tells the part of your body that needs to make whatever is not enough to make it in this particular
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case it tells your so it's Harry grant and gland to tell your thyroid to make hormone and it does it through this
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through this chemical called thyroid stimulating hormone hormone and it stimulates your thyroid and it makes
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hormone and so as it starts making the thyroid hormone then then there should be a feedback loop that says it's enough
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but if you're but if you don't have enough iodine if you don't have a few dumb in the finite you can't supply it
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that TSH keeps going and going and going because it's not getting enough iodine to make it the feedback mechanism keeps
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down you I don't have enough thyroid enough iodine enough tea for my system enough thyroid hormone and and so it's
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actually the thyroid stimulating hormone that causes you to enlarge your thyroid into a corner and in and if it's iodine
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okay for those of you who are all the iodine fans out there and you have a goiter and you think that's the case if
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it's iodine then you can then then you'll you'll at this point have hypothyroid symptoms why cuz you're not
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making enough thyroid hormone that's why your your brain keeps telling you to do the the TSH to keep telling your thyroid
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to make the hormone well there's too much TSH you're not making the armor and it keeps th th th and now you got this I
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got this quarter in the meantime you're developing a hypothyroid so not only you're developing the Gorder your hair
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is falling out you're putting on way you're getting constipation this game's dry maybe you're getting you know since
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through this skin and and and all the your eyebrows are going away and fatigue all you're getting alive with
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hard stuff how do you know if it's iodine you take iodine and the symptoms go away but the but the goiter does not
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go away the worrier has the grown those tissues have grown and and and that's that now then there is Gorder from now
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that doesn't happen very often in this country so if you want to try it for those ago you can take the iodine but
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it's probably not going to work because because really right now the number one cause of gorger's in this country in
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Europe in most first and second world countries and even in some third world countries now because we're getting in
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there and helping them out in fact I talked about a fact that I read the other day a an article on how they're
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going into third world countries and making sure they have their iodine and they're making sure they are iodine it's
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other so what's happening is is Hashimoto's is starting to explode you don't want to give people Hashimoto's
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iodine and Hashimoto's thyroiditis isn't them one cause of Reuters period in Western society and and most advanced or
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advancing societies today so Hashimoto's that's what you call that's what you're calling me about that's what you're
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asking me to talk about and and so Hoshi matters in immune attack against the thyroid and the uniqueness of the
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Hashimoto's cases you don't usually know you have Hashimoto's for a long time usually what will happen is Hashimoto's
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as the is the attack against the thyroid for those have you been watching me for a while you know you know this is the
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thyroid and this is the immune system attacking the thyroid okay and so here it is there's the immune system
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attacking Thyer but it can be attacking the thyroid tissue for a long time before there's enough damage for
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somebody to look around and start looking to see if you have Hashimoto's in the meantime you start damaging
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tissue and damaged tissue doesn't make enough thyroid hormone and there's nuances this there's a lot of nuances
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that is so for those of you know that something damaged tissue will put thyroid hormone
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out into the system and make you feel better temporarily I know that okay but we're just trying to keep it simple
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here so basically this damages the thyroid tissue all right and so you so so you stop making thyroid hormone it's
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just like the tissue gets tired it can't gets destroyed it can't make thyroid harms so now you're going into
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hypothyroidism now we had the same mechanism where the same mechanism as the rare rare rare rare rare iodine cost
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Gruyter okay we have the same mechanism you're not making you're not making favorite hormone it's feeding back to
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your brain your brains going where's all the thyroid hormone in my blood we need more tell us you know the
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thyroid pituitary gland and put out thyroid stimulating hormone and this thing right here isn't going away it's
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still doing this and as it does this over a period of time eventually you'll start getting hyper thyroid symptoms
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you'll start getting anxiety heart tremors maybe even panic attacks and some the heart palpitations for no
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reason at all eventually somebody looks at it and goes you have Hashimoto's so basically what the other Gorder is is a
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long long undiagnosed Hashimoto's thyroiditis okay and so if you and so it's it's it's actually a grows same way
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the tissue grows in the same way it's hard in the same way and and and the person who's sitting here it goes can
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you get rid of my quarter I the answer is no that goiter is not gonna go away now there's a few of you out there going
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my quarter went away I'll answer that so basically pretty much everybody who's ever come in here that we have done an
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exam on who has had Hashimoto's has had tenderness in their thyroid okay so they depending on what their journey
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was from normal thyroid to Hashimoto's they have somehow bypassed having the Hashimoto's undiagnosed
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too long and so we touch their neck you could see it their neck will be swollen okay is they actually used to call a
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thyroid lymph at an ideal type of diet thyroiditis well then inflamed limbs and inflamed
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infiltrated with white blood cells and so that thyroid will be tender and will be enlarged but it's not a goiter it's
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it's enlarged and there were people who will call that a goiter other people is just an enlargement they can see it in
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the mirror positive that tenderness and that enlargement that will go away the vast majority of time that will go away
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once you start dampening down the inflammatory responses that are causing the attack on the thyroid to begin with
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so so that is greater and then and in greater crosses with that controversial iodine thing okay that kind of that kind
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of really has not been relevant for the most part for Fri the last 30 or 40 years and so that whole area seems to be
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confused so I hope that that kind of clears that up for you but if the court is hard you had a long time and you've
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been misdiagnosed for a long time it's not going away you can get the symptoms gone you can get the symptoms to go away
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if it's that rare iodine case take the iodine it goes away if it's a Hashimoto's thyroiditis that's been
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undiagnosed for a long time you get rid of thyroid eyes symptoms over way but the goiter is thing