Why is it so Hard to Regulate Thyroid Medication with Hashimoto’s?

Hard to regulate thyroid medication with hashimoto's there's so many aspects to this but
00:00:05
let's just stick to why is it so hard to regulate thyroid medication with hashimoto's so
00:00:12
first of all i get a lot of people coming here like no thyroid medication so i mean if
00:00:16
you're not taking thyroid medication i might try to work on that with those goals
00:00:20
that's not my goal my goal is to get you as close to remission or into remission if possible
00:00:26
and if thyroid medication can be a asset in that which it can um then you know i'm all for it but it's
00:00:35
gotten a bad reputation because i have a lot of people coming here i'm taking the thyroid medication i'm feeling better i
00:00:39
feel worse i blew my head off so that's what we're going to talk about so if you have hashimoto's it really is
00:00:46
a good thing if you can find a doctor that's a big if at this point in time
00:00:51
if you can find a doctor or an endocrinologist who understands
00:00:57
the whole spectrum of hashimoto's but if they simply understood that um
00:01:06
that certain thyroid medications are not good for hashimoto's patients which one is it
00:01:12
it depends on the patient in general one of the worst ones is synthroid i've had two people on synthroid
00:01:20
which is disappearing it seems like i think it's disappearing because i think the
00:01:24
insurance companies are paying more for limo thyroxine but since where it has like eight
00:01:29
different potential triggers in it for hashimoto's and two of the biggest ones are are gluten
00:01:36
yes centauri has gluten in it and um food coloring and there's there's like there's like six other ones that
00:01:43
are all uh you can take it all sudden you go i took it and all of a sudden i started
00:01:47
getting heart palpitations and anxiety and fatigue and brain fog and my doctor said it couldn't be from the medication
00:01:52
and it is so to give you just that's just one kind of generalized example
00:01:59
of some of the uniqueness of a medication there are most of the synthetic
00:02:05
medications only have one hormone in them it's called t4
00:02:10
for those who haven't been watching any of my stuff over the last like whatever how many years
00:02:15
t4 is an inactive hormone made in a thyroid meaning it doesn't do anything until it gets
00:02:22
somewhere it's got to get to the liver it's got to get to the stomach it's got to get to your cell
00:02:25
sites and then there are enzymes that cause it to to uh to become to turn into
00:02:32
something called t3 and make it active so we need t4 we need t3 so some people do well with t4
00:02:39
some people take t4 and they go like it hasn't made any difference and my thyroid
00:02:43
my tsh is normal my tsh is high in t so i don't feel a difference that person probably has what's called a
00:02:49
conversion problem they're they're probably just not changing the t4 in that synthetic
00:02:55
to um to uh active hormones in the places i just got done saying liver stomach and cell sites
00:03:03
so so that person probably would do well with a little t3 okay t3 is the active hormone now trying
00:03:11
to get your doctor to give you t3 is is like pulling teeth there are doctors that are starting to do it now i
00:03:17
know the medical societies have said over the last year year and a half that it's okay to give a
00:03:23
person a little t3 in fairness to the doctors they've been told not to do it
00:03:28
and the um and the doctors uh that they're under the impression that you're gonna take d3 and all sudden
00:03:37
your heart's gonna start pounding and so on and so forth so if they understood what i said about the
00:03:42
conversion which i must know none that do i'm talking regular medical doctors not the
00:03:49
alternative medical doctors the alternative medical doctors or holy grail is d3
00:03:53
they would they want to give you t3 and that and there's and that may be fine for you okay so t3
00:04:00
is the active stuff so so you're taking t4 nothing's happening maybe you need t3 well
00:04:07
where do you get t3 you can either get it separately synthetically made or or you can get it
00:04:13
by taking the pig you know glandular stuff or the cow glandular stuff the things that are in the
00:04:21
natural thyroid hormones now natural thyroid good synthetic bad wrong okay so
00:04:29
you can take natural thyroid and if you already have enough t3 running around your system and your thyroid stimulating
00:04:35
hormone is normal despite the fact that you have hashimoto's you can take d3 and it'll
00:04:39
blow your brains out because you don't need the extra t3 and i'll make you jittery and you'll get
00:04:44
like anxiety and panic attacks and insomnia and all that type of stuff start breathing chest pain all the whole
00:04:50
thing so so so synthetics t4 in general then you have the uh bioidenticals the
00:05:01
natural has t4 and t3 so the bioidenticals have the the t3 that will
00:05:09
actually make you uh have a response for some people that's good for some people that's bad
00:05:15
for i i personally i've had hashimoto's for a long time i currently am on 25 micrograms of
00:05:22
levothyroxine which is like a tiny dose and i'm on 15 micrograms of something called lyothyronine which is
00:05:33
um l3 i mean t3 now it's been hard for me to catch the doctor that i need to go to because i'm
00:05:40
not a medical doctor to do this i used to have a couple of uh alternative practitioners here that were
00:05:46
naturopaths and or osteopaths sorry and and i could get it but now
00:05:52
they've moved on and i can't and it's hard for me to get so i finally found the doctor
00:05:56
that's helping it was like pulling teeth so i don't know how you do it if you need it okay but the bottom line
00:06:02
i think and i go on and on and on there's there's there's one called tyrosine
00:06:07
that's just t4 but the nice thing about tyrosina is it's a polar opposite
00:06:13
of synthroid where uh it has no it has is there's nothing in there that's going to trigger you
00:06:20
everything that could possibly create an immune response has been taken out of it it's a liquid it's assimilated really
00:06:26
well and it's so that's a nice one for for a lot of people especially
00:06:30
if you have multiple chemical sensitivities and you're sensitive to smells and
00:06:35
allergies and all that type of stuff um sensitive perfumes and and those those uh softeners that they
00:06:44
put in the in the dryers when you're washing your clothes and all that type of stuff
00:06:48
tyrosine is probably a good thing for you so as you can see you know it's kind of a prerequisite it
00:06:54
should be a prerequisite if you're a doctor to kind of be conversant with all of these aspects of it but then they
00:06:59
would have to have kind of like the functional understanding of wow maybe this person's thyroid is
00:07:05
working fine maybe the attack on it is not bad maybe the immune reactivity of the thyroid
00:07:14
is low because you can have high immune reactivity or low immune reactivity with your um with your um
00:07:22
hashimoto's you know you could have an aggressive hashimoto's a mild hashimoto's depending on how much damage
00:07:28
you've had to it over the years i mean it's a spectrum that is crazy wide and but you have to figure
00:07:33
that out if you're gonna and it so most people either
00:07:37
luck out or don't luck out it's like you gave me a lot of thought now why do people give you levothyroxine most
00:07:42
because that's what the insurance is paid for and i'm not sure all the insurances
00:07:46
there was this one um and i just talked to somebody yesterday who was taking it there's this one
00:07:51
medication called naturothroid now a lot of patients who are doing very well in that and also nobody can get it
00:07:57
um and and so i'm not quite sure why she's got it and i didn't ask her um but uh but then that was the disaster
00:08:05
because as you can see there are a lot of parameters as to why
00:08:09
she was working well with that no no there was no ingredients in there that made her sick
00:08:14
she probably has low thyroid load what's called free t3 she probably is that low she's probably
00:08:19
not converting probably she needed t3 she takes the t3 and within three days she felt much better
00:08:25
makes my job way easier if a person comes in here with a normal tsh thyroid stimulating hormone
00:08:33
the one number that they that everybody takes in the medical field
00:08:37
and if they're and if their lab ranges are around one to three somewhere in there
00:08:43
which is where we in functional medicine who've done thyroid for a long time consider a
00:08:48
normal range it makes it way easier because now you got some energy in your system
00:08:52
you know maybe your bowels are moving better than they would because if you got hypothyroidism your bowels move slow
00:08:57
maybe you're making better hydrochloric acid in your stomach because if you don't have enough thyroid
00:09:01
you're not maybe maybe your polycystic ovarian syndrome gets less
00:09:05
because that's connected to i mean there's just i could go over 100 things that could be at least improved
00:09:11
despite the fact that you might have 39 other different things that need to be addressed
00:09:16
or five other things that need to be addressed would probably be more accurate
00:09:19
um it would be helpful it would be helpful so thyroid hormone is good when it's the right hormone when it's
00:09:27
the right medication at the right dose and and and get you into
00:09:32
get you out of hypothyroidism any other time it's kind of like causing you a problem so i mean
00:09:37
and i hope that also clears up the i never want to take thyroid hormone versus the versus the uh synthetic
00:09:44
versus natural and and and this one's better than that one
00:09:48
for the med if i were a medical doctor it'd just be trial and error if i gave him one thing
00:09:52
i mean if i didn't know any of this i would i would give him one i i i laid here today and and she got she
00:09:59
has thyroid medications make her feel better but the tsh wasn't normal so they
00:10:04
changed it and now she's got all these hyperactive symptoms so a second good way to figure it out is i
00:10:11
took it it made me feel better keep taking it you know but but but but they're hooked on the numbers there's a
00:10:18
lot of legal issues that there that that they have to follow through they don't want you having
00:10:23
a problem and then you going somewhere and an attorney going oh my god he gave you that
00:10:29
he gave you this medication and you just kept giving to her because she felt well maybe you're the one in a thousand
00:10:35
people who has a problem with it and then boom this guy's in trouble so so these are the realities you're
00:10:39
dealing with as far as when you're going to the doctor these these doctors are not dumb
00:10:43
these are smart people i've never found one that was that was not bright but but they're you have to understand
00:10:50
they're educated in a in a certain model almost in a vacuum that it's with the advent of 15 or
00:10:59
20 years of hashimoto's data coming out coming out coming out the pro the medical profession's
00:11:05
starting to break a little bit on that but it's so slow and and i don't know what it's going to take for
00:11:13
your doctors across the board now you have nurse practitioners you have medical
00:11:17
doctors you have pcps you have endocrinologists you have all these people doing your thyroid
00:11:22
chances of them all knowing this is like zero and none so so and then you're going to be sent
00:11:27
there by the insurance company so this is your this is your challenge um you have to
00:11:32
somehow educate yourself at least a little bit like maybe like this is a good i believe i go on
00:11:38
for hours on this one subject but this is like a good kind of framework for you to look at a
00:11:43
couple of times before you go to your medical doctor to try to ask a couple of questions
00:11:49
if you are watching this because you're like my medication isn't working i'm taking medication it doesn't it
00:11:55
doesn't it's not it's not doing anything or i'm taking a medication and my tsh is normal
00:11:59
then it's making me worse and the doctors tell me i've got to keep taking it and
00:12:03
if you're in any of those things it's just a matter of you got to get your doctor to
00:12:07
go look i got we got to change to something even if they do trial and error
00:12:11
for god's sakes until we find one that actually makes you feel well and your numbers start moving towards normal
00:12:17
that's really the best thing to do uh if you don't really understand all of this all this stuff so so it's a big con it's
00:12:24
a big challenge it's a big challenge if somebody comes in here and i want and
00:12:28
i'd like to see them get on some medication in tsh that's what's in my mind like where do i
00:12:33
send them what do we do um if that if they have to have a nurse practitioner who's like
00:12:37
moving in this direction sometimes i can talk to them and it's kind of fun but i'm not a medical doctor
00:12:41
so i can't so i can't prescribe any of this stuff i can only tell them what i've seen
00:12:46
relative to responses of care based on what they've done and that's kind of where that's at so so
00:12:52
that's why that's thyroid medication and and and why it's so hard to figure out your thyroid medication and
00:12:59
and it's kind of like again i always use the term glyph notes but that's really kind of a good framework for you to
00:13:03
understand as to why your your medication may or may not be working why you may have a
00:13:09
synthetic that's doing great and your neighbor may have a natural that's killing her so and and so on and so
00:13:14
forth so i think it's a good topic um and and so i think i'll wrap it up with that