thyroid

REDUCING THYROID ANTIBODIES CONT

QUESTION: I just listened to most of your lecture on Iodine/T3 therapy. What do you do to reduce antibody levels? I did not learn much in school (basically selenium) and I’ve tried pretty much everything I’ve read on facebook – nothing really works. What do you find works? I’m sure it depends, but this is driving …

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T3 DOSING STRATEGY CONT

QUESTION: When I first saw this patient she was taking 100 mcg T3 QD, prescribed by you, at that time. Her chief complaints were fatigue (she commutes 1.5 hours to work each way and was not getting enough sleep and was under a fair amount of stress) and headaches (in the morning, in the center …

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THYROID RESISTANCE IN POTS CONT

QUESTION: How do you treat POTS? Does it have something to do with thyroid? ANSWER: Underlying stuff is adrenal regulation and in POTS it sucks and can take 1-2 years to work on. Also if added DM or insulin resistance or “pre-diabetes” it will never be fixed. Circadian disruption feeds in, and in POTS autonomic …

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CORTICOID EFFECT ON TSH CONT

The corticoid effect on TSH is one of those non-linear processes in corticoid pharmacology. The data, and one of the best papers on this is a 2009 review [PMC2784889] shows that there is a dose at which TSH can be lowered – BUT there are a few mitigating factors: 1- the use of physiologic hydrocortisone …

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AUTOIMMUNITY Cont.

MY QUESTIONS ARE: What is a way to attempt to think globally about autoimmunity so I can consider as many potential causes when beginning a diagnostic and therapeutic approach? ANSWERS: Autoimmune cause areas to consider – Multiple cause areas can be considered and identified – Generally in most autoimmunity there are multisystem considerations Follow therapy, …

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