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Thyroid Disorders

Thyroid Disorders

I saw a study recently about how lowering TPO antibodies is not clinically significant and that patients can have improvement in terms of thyroid symptoms with levels below 350. Have you seen anything similar in terms of thyroglobulin levels, and is there a number that you view as a concern in a lab test result? I recently had two patients come back with their thyroglobulin levels around 10.

Dr. Amy Nett: This is a little bit tricky. I wonder if you can post that study on the Facebook...

A 39-year-old female diagnosed with Hashimoto’s after first baby—that’s the most common time of diagnosis in women —also tested positive with Blastocystis. Functional doctor prescribed LDN, but she didn’t take it, did a reset with antimicrobials. She has had two miscarriages since second baby. Obstetrician thinks it’s thyroid causing it and advised going on thyroxine low dose. The patient is unsure if they’ll try for another baby but does want to know if it’s the best option or if should she do LDN or the Armour. Open to getting her stool screened again to see if Blastocystis is still there. Currently follows Paleo but include eggs, nightshades, and full-fat raw dairy. Scared to give them up because she loves them. Also wants to know even if she doesn’t have any more kids should she be on something for thyroid considering she can’t get the antibodies completely down through diet supplements and lifestyle.

Chris Kresser: Okay, lots of questions in there. First is if she’s not willing to try —if a patient has...

I have a patient with Hashimoto’s. Recently had lab work that came back with positive markers for rheumatoid arthritis. I haven’t actually seen the result. The patient has been on and off the autoimmune Paleo diet, has a difficult time adhering to it. Questions: Number one, do you know anything about ashwagandha and autoimmune disease? I see different ideas. It’s a nightshade so some practitioners say to stay off it.”

Dr. Amy Nett: Yes. I’m wondering what came back positive a little bit more specifically. That can be helpful because...

What to do if parathyroid markers are off? Why would iron be functionally high if ferritin is low at 15?

Chris Kresser: Okay, let me take the first one first. Since you’re on the call, Adam, maybe you could let...

I have a patient with burning mouth for the past year, has Hashimoto’s.

Dr. Amy Nett: Burning mouth … Have you sent her to see a dentist? I honestly haven’t heard of a...

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