Hashimoto’s – Is Your Thyroid Stable?

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Your hashimoto's autoimmune response stable okay two the first two things that i look at when a person comes in
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here with hashimoto's is isn't it aggressive um unstable hashimoto's thyroiditis and
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aggressive and stable are two different things so aggressive will be another presentation somewhere
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along the way but these influence the manner in which i attack a hashimoto's
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case or any and frankly even an autoimmune case but we're talking specifically
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about hashimoto's case right now uh significantly as to whether it's stable or not so
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what's unstable and unstable hashimoto's first of all usually is is one that's here's the old
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here's the old thyroid here here's your here's your your immune system immune system is
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attacking this and to varying degrees this thyroid is getting damaged when i
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should put pictures online of a clean looking thyroid section in a damaged looking thyroid section it will
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blow your mind as to what it looks like and it doesn't look good
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so but some people have a little damage some people a lot of damage some people have
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like like they're it's just like crazy getting damaged all the time so how do you know
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you know because not everybody who has an immune attack against their thyroid is has a is has is having an active
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attack all the time the people who are not having an active attack
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those are people who their tshs are i mean they're they're um they they come in here their
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antibodies may be uh it doesn't matter what they are they could be low they could be high
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they could come in here i won right now whose antibodies are over 2 000 which is high for those of you may
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not be familiar with ranges like like crazy high range is like zero to nine um
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but when you look at their symptoms they're not getting heart palpitations they're not getting anxiety for no
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reason at all they're not getting insomnia or they're getting it like very occasionally that could lead you
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symptomatically to understand um whether it's stable or not but the real way to figure out if the person's
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stable is to just get their history relative to their their uh their meds and if if you if you have a a
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hashimoto's case and every three months or every six months or once a year
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or every year your doctor has having to increase your medication because your thyroid stimulating
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hormones markers your tshs the much maligned tsh marker by us mostly by the functional
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medicine guys if it keeps going up this is this lets the practitioner know i that you may not
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be having a lot of those symptoms but your thyroid is getting damaged every year that your thyroid is getting
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damaged it's getting less able to function and your
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thyroid stimulating hormone is being called upon more and more to stimulate it so it
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keeps going up and up your doctor has to keep raising your thyroid medications so that you don't
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have your hair falling out and your fatigue you have an unstable thyroid that that affects treatment
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in a lot of ways now this is something that you may never even have heard about i even know um of conversations i've had
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with other functional medicine doctors that were like what does that mean unstable and tsh i don't even look at
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that dhh it doesn't mean anything at that well it's not
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it's the if they don't just do one marker it doesn't mean anything but but if you it means something if you
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learn what it means and you can use it diagnostically that person also that for me
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i'm gonna hit that thyroid sooner than later many of you have heard me talk about
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how we treat these things and usually the thyroids last you're finding all the triggers the triggers calm down
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then if the thyroid's still not regaining function then maybe we'll do some herbs
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botanicals on that or maybe your doctor will titrate your medication down
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uh but but also from the perspective of you should be getting your thyroid stimulating hormones taken
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more frequently if if you are the person whose medications have been going up
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you know a couple of times a year or even every year for five or six years every year it goes up
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whether you have those symptoms or not it's it's it's an unstable situation and you should probably
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get your tshs done particularly um well in both in both the medical and and the functional medicine attack you
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should be getting it done every three months now your doctors you know once they get your initial dose
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usually it's like once a year well that that whole year if your tshs are going up you're getting damage to your thyroid
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your thyroid is being you know there's been there's destruction occurring through
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your thyroid so even if it's the medical approach they're gonna they're gonna raise your
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thyroid hormone quicker than not and it's going to dampen the destruction for some period of time
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so over a period of time you would dampen your destruction destruction by getting your meds properly managed
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but in in my world it's like okay this is like an alarm city this is like okay we can't
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just wait for six months for everything to come around we need to go after that
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inflammation now it's and it's kind of like a little bit more of a an acute
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like let's put out the fire thing here and then get to uh and then get to some of the organ
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systems and some of the other things that you want to get to the blood sugars and this and that that
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that will help to dampen the immune responses the infamous gut the infamous leaky gut
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the food sensitivities and those types of things so there's i would go at that one a lot heavier
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with probably certain types of nutrients and and and things that are anti-inflammatory and
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just whatever it is that the blood work and the assessment forms that we have people
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fill out these are a couple of assessment forms that have like 240 questions on them
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and it kind of gives us a really good idea of how to attack that so so instability um of the thyroid
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is a real important thing for you to even be aware of it's an important thing for you to know
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if you're talking to your medical doctor they probably would embrace this if you shared it with
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them and said you know my my tsa just keep going up and you know my understanding is it's
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destruction to the thyroid could we check it um every three months instead of every
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year and they would probably be on board with that unless i miss my guess
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and and and then your functional medicine practitioners if they are not aware of it you should
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have them become aware of it and i think they would be okay with that too because it might
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these are not easy things to manage it might it might help a little bit in their world to to
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to manage your thyroid better not just now but into the future and so i i
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people have unstable tshs over a period of years five six years by the time they come in here
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i'm gonna have them doing their tsh is every six weeks when we start then it's going to be every three months
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and then it's probably going to be no longer than six months until i am one certain dude that the destruction has
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been put into remission so yep so that's um is your thyroid stable do you have a
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stable hashimoto's or do you not have stable hashimoto's so i know that wasn't the title of this but
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that's the meat of the subject there so okay so and we'll be back with one on
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um on uh the aggressiveness of the instability probably at some point in the future