Hashimoto’s With Normal Thyroid Levels

Fasik why do you still have thyroid symptoms when the doctor is telling you that your thyroid numbers are correct
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there's a lot of there's a lot of nuances to that like a lot like about 25 different ones but I'm gonna I'm gonna
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talk about the core here real quickly so normally when you go to the doctor in in in this day in age maybe already know
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you have Hashimoto's so I think that's what the person is asking this is a question that someone asked though so
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let's say you know you have Hashimoto's you go to the doctor they are checking your thyroid hormone most of the time
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they only check T s H still and if your TSH which is the thyroid stimulating hormone which is the holy grail of
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endocrinology for for a hundred years or more for thyroid you know enough you don't have enough data to really know
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why that is happening and your doctor doesn't generally know that because that's basically what they go by some
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doctors will measure TSH t4 and t3 so t4 is with the thyroid makes t3 is with a t4 the thyroid hormone t4 is inactive t3
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is what the inactive t4 turns into t3 is active it's all about t3 it's all about t3 getting into your little cells and
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giving you energy and then you lose weight and there stops falling off and things of that nature
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problem is is even when the doctors that I run TSH t4 and t3 that we have a significant disagreement between
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functional world and the pathological world of doctor world the medical doctor world the endocrinology world as to what
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those numbers should be most of the time what's happening is you're not converting the active t4 to t3 so you
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can have them so you so you have this thyroid it makes a proper amount of t4 so you take the test says your TSH is
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normal your t4 is normal it's a lot of argument as to what's normal for teeth room it gets that
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inactive thyroid hormone gets converted now there's a ton of things that will stop that conversion one of them is half
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of the drugs that you're taking out there I've I'll ever have to laminated sheets both sides notebook type paper
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type sheets of drugs then I have to look at before I do anything else and go this is maybe part of your problem this may
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be stopping you from Tea for Two Cities some of the most popular ones unfortunately are like hormone
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replacement like birth control or for you guys are out there who like the big muscles steroids and some of those
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things although but there's just so many have some some of the antidepressants some of the anti-anxiety medications so
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so you got that but you convert your t4 to t3 in your liver in your intestines and at the very cell site where it goes
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into the cell with those within the framework of those three things there's about 30 things that can go wrong so you
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want to so so this goes back to Hashimoto's Hashimoto is an autoimmune problem we're not even talking about
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that automated problem right now we're talking about just the basic of the thyroid itself showing normal if you
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have liver problems if you have fatty liver if you have any of the 130 things that can happen in your intestines
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autumn you gastritis SIBO leaky gut dysbiosis alternating constipation and diarrhea if you have any of those things
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you you you're probably gonna have a hard time you're probably gonna have a hard time converting and so you have
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this normal TSH meaning the pituitary glands telling your thigh where you can put up thyroid hormone properly you have
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this normal t4 which means your rate is putting out this normal amount of t4 which is inactive but then when it gets
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from going to active t4 inactive t4 to active t3 all of these things can happen that can stop it so now you have this
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you have this low t3 but all the numbers are normal and your doctor might think that t3 is normal if it's in the
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pathological range which we like the CT 3 minimum minimum minimum free t3 particularly which they usually don't
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run it's another reason why you're being told that's normal we like to see the free t3 over we like to see it over 3
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okay medical community like to see it 2 to 4 we like to see just normal t3 we like to see it over a hundred medical
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community thinks it's ok if it's over 75 so if you're between 75 and 100 on your lap they're going to tell you it's
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normal we're going to tell you what's not so those are I mean those are confusing things but this is the reality
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of what's going on out there every day I literally see this in my clinic in some way shape or form every single week so
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that's the reason that someone will tell you you're yeah you have you go and you're like I'm taking your medication
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you're telling me the levels are perfect I still have all the symptoms what's going on doc that's what's going on and
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we'll probably talk about a lot of those 3435 things that we talked about in the framework of all of these presentations
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so that's it that's why you still have thyroid symptoms when your doctors are telling you that everything is okay with