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Thyroid Disorders

Homocysteine of 11, TPO, or thyroid peroxidase, antibodies at 245. She has been diagnosed with Hashimoto’s and is on 100 mg of Synthroid. Her thyroid markers are all in the functional ranges. Her vitamin D is low at 29.5, She also has low-normal iron stores, trying to focus on organ meats. Her chief complaints are are fatigue, body aches, weight. She had an ablation. She believes she’s still premenopausal which make sense since the estrogen markers are normal, sort of high normal. Progesterone is low normal. Testosterone is below normal. DHEA is low normal, with DHEA-S in range at the lowest. She has High 5-alpha-reductase activity.

Dr. Amy Nett: Interesting. Because DHEA actually upregulates 5-alpha-reductase activity. So I would’ve expected with low DHEA that she would...

So today you have a patient on Nature-Throid from her naturopath feeling much better in terms of hyperthyroid system. Free T4 and free T3 are good and TSH is suppressed at 0.01. Do you think this TSH suppression is okay?

Dr. Amy Nett:  This is really tricky. Chris and I have a patient that we both work with and she...

What are possible reasons for making antibodies to TTG6?

Chris Kresser: The whole modern lifestyle essentially can trigger or provoke autoimmunity. There’s many, many, many potential causes of autoimmunity....

Are DIM products goitrogenic? Can DIM products be used with hypothyroid patients?

Chris Kresser: It’s a good question I think you’re asking me because DIM is often isolated from cruciferous vegetables and...

Hypothyroidism seems to be associated with many conditions. Is that untreated hypothyroidism if the patient is on a synthetic thyroid hormone? Are the associations still a factor?

Chris Kresser: That’s a good question. My assumption would be that it’s untreated hypothyroidism. And once the patient is treated...
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