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Thyroid Disorders

Thyroid Disorders

In prescribing thyroid hormone replacement, what is your go-to? Levothyroxine, porcine-derived form, liothyronine, or compounded?

Dr. Amy Nett: Yeah, it varies a lot. That’s a great question. I would say if a patient comes to...

Have you ever seen any other practitioners run boron as a marker for thyroid health?

Dr. Amy Nett: No, I haven’t. I’ll dig into that a little bit more this weekend and see if I...

With women who are deficient in ferritin chronically, even when increasing iron intake, could it be an indication of SIBO or bacterial overgrowth if the bacteria is using the iron, so absorption does not take place? I have women who are hypothyroid with significantly low ferritin and can’t get ferritin up.

Dr. Amy Nett: If a patient with a ferritin as low as 20. If there’s no iron deficiency, I don’t...

An 18-year-old with low TSH of 0.27, normal free T3 and free T4, heavy menstrual bleeding, and irregular cycles. Other history of eczema and depression. Suggestions on how to follow up?

Dr. Amy Nett: Well, because of the menstrual issues, I would think about getting hormone testing. I’d probably start with...

Female patient, 60-year-old. Grain-free Paleo for 30 days. Has asthma, abnormal glucose, hypothyroidism, granuloma annulare, which hasn’t gotten any better through diet. Stool test shows low short-chain fatty acid, low good bacteria. Any recommendation for the granuloma annulare?

Dr. Amy Nett: Again, I would approach this the same way I would any other case. You need to think...

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