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Any tips for this patient?

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  • #16
    Dr. Bernstein, of “Diabetes Solution” states “Hypothyroidism is an autoimmune disorder, like diabetes, and is frequently inherited by diabetics and their close relatives. It can appear years before or after the development of diabetes and is not caused by high blood sugars. In fact, hypothyroidism can cause a greater likelihood of abnormalities in the cardiac risk profile than can blood sugar elevation.

    The treatment of a low-thyroid condition is oral replacement of deficient hormone(s) – usually 1-3 pills daily. The best screen test is free T3, as measured by tracer dialysis. If this is low, then a full thyroid profile should be performed. Correction of the thyroid deficiency inevitably corrects the abnormalities of cardiac risk factors that it caused.

    TSH, the inexpensive thyroid test performed by most physicians, does not correlate as well with symptoms of hypothyroidism as free T3.

    My goal with these patients is to use supplemental T3 and T4 to get free T3 and free T4 to the middle of the normal range.
    "When the search for truth is confused with political advocacy, the pursuit of knowledge is reduced to the quest for power." - Alston Chase

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    • #17
      Thanks for all of the tips everyone. She has been upping calories slightly lately and body temp has gone from 96ish to 97ish. In terms of workouts, she does competitive kettle bell lifting + yoga. She also does some cardio. I did send her an article earlier today on how chronic cardio (not sure if she exactly fits into this category) can deplete T3 and that she might be better of with her short burst workouts. Here is that article. Why Women Should Not Run

      She does not have hashimotos and is not diabetic. Lab tests pending for most recent thyroid panel.

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      • #18
        Thanks for all of the tips everyone. She has been upping calories slightly lately and body temp has gone from 96ish to 97ish. In terms of workouts, she does competitive kettle bell lifting + yoga. She also does some cardio. I did send her an article earlier today on how chronic cardio (not sure if she exactly fits into this category) can deplete T3 and that she might be better of with her short burst workouts. Here is that article. http://www.dangerouslyhardcore.com/5...hould-not-run/

        She does not have hashimotos and is not diabetic. Lab tests pending for most recent thyroid panel.

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        • #19
          Have you tested her for fasting insulin levels. May be that her sugars are fine, but it is taking enormous amounts of insulin to maintain them? That would certainly make weight loss almost impossible and could be promoting weight gain.

          Also, did you test blood Calcium levels? High levels can be a result of hyperparathyroidism and hair loss can be a symptom. Symptoms of Parathyroid Disease and Hyperparathyroidism: Parathyroid Symptoms: High Calcium, Tiredness, Osteoporosis, Fatigue, Weakness, Lack of Energy, and others...

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