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Thyroid

It’s not just you: More women than men have thyroid disorders

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Guest post by Izabella Wentz, PharmD, FASCP

If you’ve ever wondered why more women than men seem to have autoimmune disorders, you’re not alone—I repeatedly get asked this question by people (mostly women!) who come to me seeking help with a thyroid disorder.

Even if you have had a hunch that more women than men are affected by autoimmune diseases such as lupus, rheumatoid arthritis, and multiple sclerosis, you’ll be surprised by this statistic: women account for a whopping 78% of all cases of autoimmune disease.

Hashimoto’s thyroiditis, which I was diagnosed with at 27, is five to eight times more common in women. (I’ve since gotten myself into remission and have dedicated my life to helping others heal from this condition.)

These disproportionate figures have perplexed experts for some time. After years of research and time spent working with people with thyroid disorders, I have formed my own theory, which I call the Izabella Wentz Safety Theory. I can’t wait to share it with you—but first, I’ll tell you a little about some of the other influences autoimmunity.

Searching for an Explanation

When we consider why more women than men have Hashimoto’s and other diseases of autoimmunity, we have to consider two key differences between men and women: hormones and a propensity to use more personal care products.

Regarding the first, there’s no denying that hormones could play a major role in autoimmunity developing. Three of the most likely times for the onset of thyroid disease are during and around puberty, pregnancy, and perimenopause.

Sex hormones such as estrogen and prolactin help regulate the immune system and fluctuations in these could contribute to thyroid disorders especially. Estrogen can alter the requirements for thyroid hormone, which could result in an autoimmune condition, especially if nutrient deficiencies are present. Prolactin, a hormone released by the pituitary gland in women after childbirth, can become elevated in women with Hashimoto’s (even in those not postpartum) and has been linked to increased thyroid antibodies and infertility.

Women do have a higher risk of developing diseases of the thyroid after they’ve given birth. But theories, such as “fetal microchimerism” which suggests that the presence of fetal cells in a woman’s thyroid gland after childbirth could be the spark of an immune system response, haven’t proven to be true.  

All this is to say that at present, there isn’t enough information to support the idea that hormones alone are to blame for the higher rates of autoimmunity in women.

It’s also been considered that because women generally use a greater number of personal care products—makeup, lotions, perfumes, etc.—they are more exposed to a greater number of chemicals, which could alter the immune system.

I haven’t seen enough evidence to convince me of this explanation either.

In truth, I think the answer is much more complicated and requires us to consider some of the underlying vulnerabilities that often occur in people with Hashimoto’s.

Unsafe Conditions Ahead: Go Back to Bed!

After working with thousands of people with Hashimoto’s, I’ve found that there are some common co-occurring factors. Many have nutrient depletions, intestinal permeability, food sensitivities, an impaired stress response, an impaired ability to get rid of toxins, and infections.

The more I thought about these factors, the more I realized that they have something in common: they all send a message to our bodies that the environment isn’t entirely safe and maybe self-preservation mode is what’s best for now. This provided the basis for my Safety Theory.

Let me explain.

Women are responsible for bringing new life into the world. And with this job comes a more finely tuned ability to sense the safety of the environment. We may be more inclined to sense that it’s not be the best time to reproduce—this could be because resources are scarce and we need to focus on our own survival, or for some other protective reason.

In either case, it’s a result of an evolutionary adaptation, or what’s known as adaptive physiology.

When we were cavewomen, one of the main sources of stress was food scarcity—we didn’t always know when we were getting our next meal. When we didn’t eat, consumed things that we weren’t intended to digest, or developed nutrient deficiencies, our bodies would conserve resources and reduce calorie burning.

Strangely enough, even though these scenarios first occurred hundreds of thousands of years ago, there are aspects of modern living that are replicating these signals: we go on calorie-restricted diets (signals food scarcity), eat a highly processed diet (creates nutrient deficiencies), and try to eat foods we’re not intended to digest, such as gluten (leads to digestive difficulties/intestinal permeability).

And when these vulnerabilities are present, they set the stage for an attack on the thyroid to take place and for some of the symptoms of self-preservation to develop. As thyroid function is disrupted, metabolism is slowed and you are sent into a quasi-hibernation mode.

Your body is signaling to you to conserve energy, hold onto weight, making you feel cold and tired all the time so you stay in your cave (or your bed), and lowering your interest in reproduction (low libido) until the environment is safe and fertile once again.

Other Environmental Threats Women Face and How the Thyroid Responds

Did you know that your thyroid gland can sense danger and initiate the autoimmune response? I think in this ability lies another possible clue as to why more women than men develop thyroid disorders.

It’s no secret that the world we live in is not as safe for a woman as it is for a man. Women are more likely to be abused, physically, emotionally, and sexually. And abuse is one of the most undeniable messages to our bodies that we are not safe. The function of the perceptive and sensitive thyroid is put at risk when this is the case.

This is part of my Safety Theory, but it’s not just a theory—multiple studies have confirmed that thyroid hormone imbalances occur in people who have been abused:

The abuse doesn’t have to be physical to trigger a red alert in the body. Many girls and women today experience emotional abuse or trauma that can make us feel isolated and cue up a flight response. This can happen at school or in adult social circles, where if we can’t keep up the appearance of being a Superwoman, we might get edged out of the tribe.

The Key to Healing—Showing (and Telling) Your Body It’s Safe

In working with so many women with Hashimoto’s over the years, I’ve learned so much about the condition and the vulnerabilities that can lead to its development. And I’ve also learned about some of the most effective strategies and approaches to healing.

One of the most moving revelations was that a message of safety is so important to helping women through recovery. I’m referring to comprehensive self-care, which can include internal mantras and the right kind of exercise and pampering that help create a restorative environment.

But it should be more than that.

What I’ve found is vital is addressing the vulnerabilities head-on—the signals your body is sending to conserve need to be shut off. You must repair your internal ability to respond to stress and restore detoxifying and digestive functions, eliminate food sensitivities and infections, and replenish nutrients that are lacking.

I’ve spent years creating and refining protocols that help women (and men) accomplish these goals. And I’ve finally been able to collect and present them together in one place in one program in my new book Hashimoto’s Protocol: A 90-Day Plan for Reversing Thyroid Symptoms and Getting Your Life Back.

When you follow the protocols I outline there, you send safety signals to your body by reducing your toxic burden, supporting your stress response, and supporting your gut with nutrition and targeted supplements. You communicate in a concrete way that the environment is stable and safe, and your thyroid can get back to its important work of helping you feel energized and warm, calm and clear headed.

I have dedicated my life’s work to helping women heal from Hashimoto’s so that they might feel safe, supported, and active in their lives again. I hope you’ll check out Hashimoto’s Protocol to see if might help you or a loved one recover from a thyroid disorder.

Until then, I encourage you to start sending safety signals today. Start by being nice to your body—feed it nutritious foods when it’s hungry and don’t skip meals. Don’t subject it to excessive or unnecessary stress, which means make time for play and rest. Stop forcing it to push through exhaustion by piling on the caffeine—rest! Listen to your digestion; if there are signs that a food is not working for you, don’t double up on antacids, but instead adjust.

Listen to your body and care for it like a child, or any other loved one who you would treat with absolute care. Like someone you’d want to make sure feels safe.

Hashimoto’s Protocol by Dr. Izabella Wentz

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The great new book called Hashimoto’s Protocol by Dr. Izabella Wentz just made #1 on the New York Times bestseller list!

Since I’m in Australia I have a kindle edition of Dr. Izabella’s brilliant new book that just released last week: Hashimoto’s Protocol: A 90-Day Plan for Reversing Thyroid Symptoms and Getting Your Life Back. It’s a must-read if you are dealing with Hashimoto’s or actually any thyroid problems (or if you suspect you may have thyroid issues)!  

If you are a practitioner I highly recommend it too!

Here’s the official blurb:

Dr. Izabella Wentz, the author of the phenomenal New York Times bestseller Hashimoto’s Thyroiditis, returns with a long-awaited, groundbreaking prescription to reverse the symptoms of this serious autoimmune condition that is becoming one of the country’s fastest growing diseases.

More than thirty-five million Americans currently suffer from Hashimoto’s—an autoimmune disease that affects the thyroid gland and causes the body to attack its own cells. To alleviate the symptoms of this debilitating condition—including chronic cough, acid reflux, IBS, allergies, chronic pain, hair loss, brain fog, and forgetfulness [plus anxiety and depression] —patients are often prescribed synthetic hormones that have numerous life-altering side effects.

But there is a better way.

Diagnosed with Hashimoto’s at twenty-seven, pharmacist Dr. Izabella Wentz knows first-hand the effects of the disease, as well as the value—and limitations—of medication. The key to improved health, she argues, involves lifestyle interventions. In Hashimoto’s Protocol, she outlines a proven treatment that has helped thousands heal and many others feel better—in as fast as ninety days.

Drawing on her own personal experience as well as her work consulting with thousands of patients, Hashimoto’s Protocol offers a practical pathway for healing and reversing the autoimmune damage at the root of the disease. The first step is a quick-start two-week detox that includes foods to eat and inflammatory foods to avoid, advice on supplements to support the liver, and an adrenal recovery plan. Next, readers create a personalized plan with foods, supplements, and other lifestyle interventions tailored to their body’s own unique Hashimoto’s triggers, which they can identify using self-tests included in the book. Hashimoto’s Protocol also features original recipes.

Grounded in the latest science, Hashimoto’s Protocol is the first book to offer a proven protocol by an acknowledged expert in the field to treat this condition without dangerous hormones—and help sufferers reclaim their lives.

Izabella has done a wonderful job! I love that she covers the basics like liver support, the adrenals and gut health and then goes into advanced protocols for trauma, infections, toxins and nutrient deficiencies! I really LOVE how she dives deep into the newest research and connects ALL the dots in a really smart way!

And even if you don’t have thyroid issues you would benefit from these sections that are applicable for everyone:

  • Root Cause Liver Support Protocol — how to support your liver by clearing detox pathways so that you’re able to release toxins and get your energy back.
  • Adrenal Recovery Protocol — how to reset your response to stress so that you can regenerate your body.
  • The Gut Balancing Protocol — the right nutrients so that your gut starts working at its optimal level.

Here is a snippet from the Liver support section:

Halogens and halogen-containing chemicals: These chemicals include bromide, chloride, and fluoride; are structurally similar to iodine; and may take up receptor sites in the thyroid gland. Unfortunately, their presence in the thyroid gland can

lead to thyroid cell death and inflammation. Individuals exposed to high levels of halogen-containing substances have been found to have higher rates of thyroid antibodies.

Chlorine: When found in polychlorinated biphenyls (PCBs), chlorine has been shown to be toxic to thyroid cells and to promote the onset of Hashimoto’s through increasing TSH, thyroid antibodies, and thyroid size. PCBs are found in industrial products. Chlorine is also found in water systems, pools, cleaning products, and plastics.

Bromide: This can be found in baked goods, plastics, soft drinks, and even our mattresses, which are coated with brominated flame retardants. Studies show bromine-containing substances—polybrominated diphenyl ethers (PBDEs)—are connected to an increased incidence of Hashimoto’s.

Fluoride: This thyroid-suppressing halogen is found in water, toothpaste, and some medications as well as in black, green, and red tea. Using a reverse osmosis filter is the best way to get rid of fluoride.

The gentle two-week Liver support section

will guide you on how to eliminate hidden toxins from your everyday life and how to help your liver process out the toxins you may have in your body. Both are critical steps for anyone who’s had problems with taking supplements or is struggling with current symptoms. Most people see drastic changes just by completing this step alone.

I can’t wait to share the interview we did on parasites – Dr. Izabella shared so many fascinating insights (all covered in the book of course)! Stay tuned for this (I’ll be sending this in an email next week)

We’re also doing facebook LIVE interview where you get to ask her your questions LIVE. This is scheduled for Monday April 10th at 5pm PST. If you’d like to join us LIVE, simply come to my facebook page TrudyScottAntianxietyFoodSolution, at this time.

If you’re not already following me on facebook, click on the above link, and hit the like button before the LIVE interview and then come back and join us at that day/time.

Here is the Amazon link or support your local book store if you have one nearby!

Once you’ve purchased grab your purchase bonuses here. They include over $260 in bonus content, including a supplement eBook, 2 recipe/diet eBooks, a guide to clinicians, and more!

While you’re waiting for the book to arrive grab the fabulous 2 week recipe plan Dr. Izabella is offering. It has 2 weeks worth of recipes, meal plans and shopping lists based on the autoimmune Paleo diet template. Click here to learn more and signup for the 2 week recipe plan.

Hope you enjoy these great thyroid resources!

If you already have a copy let us know what you think and which parts have helped you?

Shame is inflammatory: the thyroid, autoimmunity and serotonin

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A quick reminder that The Thyroid Secret online documentary replays air this weekend – all 9 episodes will be available to watch! It comes highly recommended! (You can still register here)

In Episode 5, The Stress Sickness, Michelle Corey, Functional Medical Practitioner, Nutritionist and author of the groundbreaking book The Thyroid Cure, The Functional Mind-Body Approach to Reversing Your Autoimmune Condition and Reclaiming Your Health, talks about the connection between shame and inflammation:

We know that shame is inflammatory. In fact, there was a study done where they had students sit for 20 minutes and think about some experience in their life that was shameful. They measured their blood afterwards, and they found spikes in inflammatory cytokines. We know that, from that study that induced shame cause a lot of inflammation. Unfortunately, we live in a global culture of shaming.

…shame is not something people really wanted to talk about, even psychologists or psychotherapists. Because shame is shameful. When you think about something shameful, it’s like the worst thing…

It’s very uncomfortable to speak about. I think just getting into the conversations about it. Just even journaling is one of the ways, because it is inflammatory. I have found, because I work with the autoimmunity [community], and there has been a big connection between abuse and autoimmunity in my practice that there is a lot of shame there. Just having someone be there to truly share your experience in a nonjudgmental way. Not in the way that I’m going to fix you, but just hear your story and have empathy for you. That’s one of the ways that shame dissolves. Because empathy is the antidote to shame. If we can have empathy for ourselves, if others can have empathy for us.”

She is talking about autoimmunity but this topic of shame and empathy is very relevant for my community – that means you of course – simply because of the shame and stigma around anxiety and mental health in general.

In case you’re interested here is the study Michelle is referring to: Immunological effects of induced shame and guilt, published in Psychosomatic Medicine in 2004.

I so appreciate everyone in the series, including Dr. Izabella Wentz, for sharing their powerful stories without shame so we can all be inspired and learn from them and have hope!

It’s not easy. I know because I used to have anxiety and panic attacks myself and made the choice to talk openly about the struggles I had. I was cautioned by a well-meaning mentor not to talk about it. She warned me that it was not professional and just not done in the field. I chose to be open and share anyway and I’m really glad I made this decision. It’s so important for healing on so many levels – for me and especially for those of you who hear my story and have hope!

In this same episode the topic of negative thoughts, the fears that we’re holding and the [negative] beliefs that we have about the body are discussed by Marc David and Emily Joy Rosen, founders of The Institute for the Psychology of Eating.

Marc shares this about these impacts on autoimmunity and the body attacking itself:

Autoimmune disease. That’s an autoimmune disease literally of our thinking, it’s self attacking self. It makes perfect sense to me because we know mind and body track one another. If I’m attacking self with negative thoughts, physiology can often follow where all of a sudden the body starts to attack itself. Or the body can attack its own thyroid gland. Which is, wow, how does that happen?

And Emily talks about how these thoughts impact treatment protocols:

I’m not saying that’s the only factor whatsoever. I think it is really important to look at the [negative] thoughts that we’re thinking. The fears that we’re holding, and the beliefs that we have about the body. Because they will impact the efficacy of any treatment protocol.

I wholeheartedly agree with both Marc and Emily and would like to add that these are all classic signs of low serotonin (that we can easily address):

  • negative thoughts (or negative self-talk)
  • fears and phobias and
  • the [negative] beliefs that we have about the body (often seen as low self-esteem or lack of confidence)

We could even connect the shame Michelle Corey talks about to low serotonin. The definition of ashamed is “reluctant to do or say something through fear of embarrassment or humiliation” or “hesitant or afraid to do or say something.” It sounds like low serotonin doesn’t it?

The wonderful thing is that these signs of low serotonin can be eliminated with some key nutrients.

The quickest and most effective way to boost serotonin is with the amino acids tryptophan and 5-HTP. I discuss the amino acids in the documentary: I touch on them in episode 2 and you hear me go into more detail in the FULL interview (which is part of the Deluxe GOLD package if you’re considering purchasing the series). Other ways include assessing and addressing low zinc, low vitamin B6, a need for inositol or curcumin or saffron, leaky gut and an out of balance microbiome. Eating GMOs, trans fats and gluten is detrimental. Exercising, eating grass-fed red meat and wild fish and supporting the adrenals is beneficial.

I hope you enjoyed this snippet and enjoy the replays!

And a quick reminder: did you know you can own the entire Thyroid Secret documentary series for yourself?

  • The Premium Silver Package, includes all 9 video episodes of The Thyroid Secret documentary series, complete easy to read transcriptions and MP3 audio recordings of each episode
  • The Deluxe Gold Package includes over 100+ amazing expert video interviews and 64 patient stories in over 76 hours of videos, transcriptions and MP3 audio recordings of each full length interview.

I’d love to hear some of the highlights you found useful and practical? Please share below in the comments.

PS. Feel free to share The Thyroid Secret online documentary with friends and family – all 9 replays air this weekend.

Anxiety and the thyroid: how to make the amino acids more effective

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Did you know that thyroid disease can be a root cause of anxiety? In fact, most of my anxious clients have thyroid issues.

Having an excess amount of thyroid hormone can make us extremely anxious, irritable and on edge. This is one symptom that is commonly attributed to Graves’ disease but can also happen in Hashimoto’s.

In the early stages of Hashimoto’s, the thyroid is under attack by the immune system. Thyroid cells are broken down, and they release thyroid hormones into the bloodstream. This causes thyroid hormone surges or a transient hyperthyroidism.

I know how awful anxiety can feel, I had anxiety, panic attacks and pyroluria (social anxiety) in my late 30s, together with an underactive thyroid, adrenal issues, gluten sensitivity, heavy metals, low progesterone (I call it my perfect storm!).   

I’m excited to share that there is a way out and that you don’t have to feel this way forever. Everyone is different, but two of the things that worked wonders for me and now work for my clients are nutrition and targeted individual amino acids (like GABA and tryptophan).

But are you aware that the amino acids will be effective for addressing low GABA and low serotonin (in their typical quick manner, often providing relief in 5 to 10 minutes) ONLY when thyroid health is optimal (not many people know this!)

And by optimizing your thyroid health, I don’t just mean taking thyroid medications….

Dr. Izabella Wentz, the Thyroid Pharmacist, is a personal friend of mine – we’re both members of Mindshare, a collaboration of like-minded functional medicine practitioners. 

Magdalena Wzelaki, Niki Gratrix, Izabella Wentz, myself and Julie Matthews

I adore Izabella and love how she is connecting all the dots with the research and the feedback she receives from her community.  She is trailblazing and always focused on the why of how a condition develops.

She has found that thyroid disease is triggered by a combination of food sensitivities, nutrient depletions, intestinal permeability, chronic infections, toxins and also a faulty stress response.

The thing about thyroid disease, just like anxiety, is that it’s a sign of a bigger imbalance in your body – while thyroid medications and glandulars can certainly help, they do not get to the underlying root cause of the condition, and thyroid conditions, which are usually autoimmune in nature, may progress to other types of autoimmune disorders.

Hashimoto’s, a condition that affects up to 27% of the population in the United States has 5 stages to it. Out of the 90 million or so people that have it, close to 80 million don’t know that they have it. Often, they are in the earlier stages that are missed by conventional tests.

Hashimoto’s is the primary cause of hypothyroidism, accounting for 95% of cases of hypothyroid in the United States. This condition occurs when the immune system recognizes the thyroid gland as foreign invader and launches an attack against it, eventually destroying enough of the thyroid to produce hypothyroidism.

The five stages of Hashimoto’s are:

1) In the first stage, for all intents and purposes, you will just have the genetic predisposition

2) In the second stage, you start developing an autoimmune attack on the thyroid gland – at this stage, you will also have thyroid symptoms (the most common one is anxiety), but the TSH test will still be normal. Only the thyroid antibodies will be elevated at that point, and at this stage people are often misdiagnosed with anxiety or depression

3) The third stage is when the thyroid gland starts to have more damage than it can repair, and begins to fail. More symptoms are seen, but doctors often miss this stage as well because the TSH is only “slightly” elevated according to their reference ranges

4) The fourth stage, we see overt hypothyroidism. At this page a person has had a significant amount of thyroid damage, and their thyroid fully loses its ability to compensate and create thyroid hormone

5) The fifth stage is the scariest, this is when a thyroid condition progresses to another autoimmune condition. The immune system finds another target to attack, and person may end up with lupus, rheumatoid arthritis, Sjogren’s or even multiple sclerosis.

The only treatment that is offered by conventional medicine is thyroid hormones, which is prescribed in stage 4. When that can help of course, it doesn’t address most people’s symptoms and doesn’t stop the progression of the condition and autoimmunity. There is no conventional treatment for stopping or reversing the progression, but luckily we have functional medicine and nutrition to the rescue!

A shocking thing that Izabella has shared, is that it takes people on average of 10 years to get diagnosed, and this is also the time it takes to get from stage 2 to stage 4 of Hashimoto’s! Izabella was actually misdiagnosed with anxiety and chronic fatigue for almost a decade before she got the Hashimoto’s diagnosis, and many people are told that they have intractable infertility, lifelong anxiety that they are told they will have to “manage” forever or even told they have treatment-resistant depression, or that they are simply overweight and lazy.

I know that many of my clients with anxiety are likely still in the earliest stages of Hashimoto’s, and there is hope that you can eliminate your symptoms, AND you can actually prevent the damage to the thyroid gland if you intervene at this point.

Izabella created the Thyroid Secret documentary series to help you connect the dots of your own thyroid condition, so that you can rebuild your health and eliminate your symptoms (and potentially your health conditions). She shares her latest research in overcoming thyroid disorders, and interviews the top experts who share their best strategies as well.

I was so excited when Izabella asked me to join the Thyroid Secret as an expert – in fact my interview was the very last thing I did in the United States, before I moved to Australia! This topic is so important to me (and so key for my clients and you to know about) that I did the interview in an empty house, with just a few chairs and our almost-packed suitcases, and just a few hours to spare before we got on the plane!

Here are a few pictures (I was ironing my clothes on a spare table in the mostly empty study!):

The Thyroid Secret covers not just the symptoms of thyroid disease (like anxiety) that can masquerade as mental illness, but also the triggers that can cause both conditions, and the solutions and protocols you need to recover your health.

When your thyroid is working as it should be, the amazing amino acids like GABA and tryptophan are truly effective in 5-10 minutes – so you really can say they are amazing!  You will see incredible results – anxiety relief right away – and a feeling of hope while you dig deeper for root causes that can take longer to address.

I wrote this blog for everyone using amino acids and not seeing results.  And also for everyone with a thyroid condition or if you have unresolved symptoms that could be related to your thyroid.

I do hope you’re already signed up and are enjoying watching, listening and learning as much as I am.

If you haven’t yet signed up you can still join as my guest to view the entire series at no cost (it started March 1). Just use this link to register.

We’ve come together in this Thyroid Secret documentary to give you this information because you deserve to feel on top of the world again!

Got questions or feedback? Your favorite speaker and some takeaways?

Did you find that GABA, tryptophan and other amino acids were more effective once you addressed your thyroid health? If you’re a practitioner do you see this with patients/clients?

Please share in the blog comments below.

 

Thyroid Secret documentary – wise words of wisdom!

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The Thyroid Secret documentary is just around the corner!  My colleague Dr. Izabella Wentz and her amazing team have produced this powerful 9-part documentary and it truly is groundbreaking! (It starts on March 1.)

Thyroid disease is one of the most overlooked diseases and is so often misdiagnosed. I see this all this time with my anxious clients (and I share more about this in the documentary!)

In case you’re not already signed up here is the link to sign up. And some wise words of wisdom from some of the experts that are part of the documentary

If you are already signed up enjoy these wise words too!

Dr. Izabella Wentz, host and producer of the documentary, and author of the forthcoming book, Hashimoto’s Protocol, sets the tone and I love it!

A person who has their health has 1,000 dreams. A person who does not has just one.

Allowing yourself to heal will allow you to do all these different things in your life that you maybe dreamed about but you never thought were possible. I have people within my community who’ve become like romance novelists or … they’ve gone back to horseback riding. They’ve done all of these things that they never thought will be possible and sometimes in their 40s, 50s, 60s, lucky ones in their 20s.

Dr. Mark Hyman, author of The Blood Sugar Solution, discusses the prevalence of thyroid disease in this part of his interview:

Thyroid disease is extremely prevalent, one in five women and one in ten men have low thyroid function. That’s an enormous number of people and half of them they don’t know it. They’re not even diagnosed and the ones that are diagnosed and treated most of those are inadequately treated.

You’ve got an epidemic or thyroid dysfunction that is really driving a lot of suffering and it’s subtle. People don’t know, they think it’s something else. Oh I’m a little tired, oh I have trouble getting up in the morning, my skin’s a little dry, my nails are cracking, I’m a little constipated, I have a little fluid retention. Can’t remember things as well, I feel little depressed, I might not be sleeping as well, I might get muscle cramps, my sex drive’s a little low… You add all these things up, oh my hair’s falling out a little bit.

 

Dr. Hyla Cass, integrative psychiatrist, talks about antidepressant side-effects in this part of her interview:

I think people have to be their own medical detectives in partnership with Functional Medicine docs like me because they know themselves better than I do.

 I think the way conventional medicine is treating depression is really a disaster and that’s simply writing prescriptions for antidepressants. I get a lot of these women and women outnumbering men with thyroid issues coming to me, that have been failures. ‘Failures’ at antidepressant therapy, they’re still depressed and they’re not only still depressed but they now have side effects from being on antidepressants. They can’t sleep or they’re sleeping too much, weight gain, huge weight gain (with thyroid issues you’re already gaining weight). Then there is dizziness, nausea, lack of libido… I mean really? So many problems with the antidepressants and it’s not directed to the cause.

 

Dr. Alan Christianson, author of The Adrenal Reset Diet, covers our genes and environmental toxins in this part of his interview:

Thyroid cancer, thyroid autoimmunity are much more common among women. We’re seeing about a eight to one female to male risk difference.

So, we think that it’s really a perfect storm of three, three large factors; we’ve got the, the genes, you know. So, the first step is you got to be cautious about choosing your parents (laughter), however that works out, I don’t know. So, there’s some genetic susceptibility and then, and there’s some foreign substances. So, your thyroid like, there’s the shows about the hoarders you know, like those that like never let go of things. So, your thyroid is kind of a hoarder (laughter). It needs iodine, but the amount that it needs is way above what your blood carries, so it concentrates it and pulls it in.

We have a lot of weird chemicals nowadays that confuse that concentrator, that your concentrator thinks, “Well, that looks like iodine,” but it’s not. So, we have uh, Perchlorate for example in the soils in the southwest area, where we had someone just the other day who is working in aviation, in managing the airplanes out in the tarmac and what not and exposed to jet fuel, and they get Perchlorate from that as well.

Dr. Amy Myers, author of The Autoimmune Solution, covers diagnosis, root causes and supplemental thyroid hormone in this part of her interview:

Your thyroid is a vital organ. It is your engine, so to speak, and every cell in your body has receptors for thyroid hormone on it.

The average is 6 to 10 doctors in five years to get any kind of autoimmune diagnosis. It may be less for thyroid because that’s a little more common and people do screen at least with a TSH, but if that damage has been going on or you are just now becoming aware of it and you’ve had Hashimoto’s for 20 years, if you’ve had enough damage and destruction to your thyroid, I and no one can grow your thyroid back. We can optimize the function through, and I’m sure we’ll talk about that through this interview, we can optimize the function, we can prevent you hopefully from getting another autoimmune disease, we can get to the root cause of why you got it, but I can’t regrow thyroid tissue for you. You may still need to be on some supplemental thyroid hormone, and that’s okay. I just want people to know that there are people, and I have them in my clinic as well, that we get it early enough and we’re able to do all the things that we’ll talk about in the interview, and they don’t need to go on supplemental thyroid hormone, or they’ve gone on it and we’ve been able to get them off.

Dr. Tom O’Bryan, author of The Autoimmune Fix, discusses the key role the gut and microbiome play:

If you have an autoimmune disease, there’s no question that you’ve got intestinal damage.

It’s a shift. The first shift is recognizing that there’s no magic pill for thyroid autoimmune disease. There’s no magic pill. The second shift is recognizing that it’s going to take time to reverse the damage that’s accrued. If you can accept that and look for the small wins regularly, and the third is … My recommendation to people, one hour a week. Can you give one hour a week to just doing some research on this topic that you have? Just one hour a week.

The most important thing as we’re learning now in this last ten to twelve year period is if there’s one organ that is more impactful on the rest of the body than any other organ, it’s the microbiome. The microbiome controls our brain function. For every one message coming from the brain down to the gut, there are nine messages from the gut to the brain. It’s the exhaust, if you will, the chemicals that are secreted by the microbiome that go up to the brain to tell the brain what to do. It’s a nine to one ratio. For your heart, the microbiome sends direction to the heart. For your thyroid, the microbiome sends direction to the thyroid.

Dr. Eric Zielinski, host of the Essential Oils Summit, covers the dangers of conventional body care products and why use essential oils instead:

We need to work on preventing disease before they happen and I hope to God, that the researchers will come together, that the funding will be available so we could start testing how certain essential oils and chemical constituencies in these oils affect thyroid conditions. Until we do have that, I’m telling you one thing.

If you want to save your thyroid, if you want to save your health, stop these conventional body care products. I’m talking throw them away.

The lowest hanging fruit that anyone can do today, so easy, is literally to throw away all hand sanitizer. I’m telling you, it’s like the worst stuff for you. Conventional hand sanitizer, throw it away. To replace it, super simple. You get a one to two ounce glass spritzer bottle, you put a few drops of witch hazel in it, a couple drops of aloe, vitamin E, and seven drops of essential oils per every ounce that the bottle is.

Suzy Cohen, RPh covers low ferritin and low manganese:

The ferritin, which is a storage form of iron, that’s the one that came up low. It was dangerously low. I don’t know how I was walking, it was eight, and it was eight for years. It was eight when I measured it, so it was probably lower, but eight is a very bad number. We shoot to have it above 50, sometimes even closer to 70.

I’m often asked, “What did I do to raise that ferritin, how did I get my iron up?” You would think the answer is that I took iron supplements, but that didn’t work. I did try them. I tried them for six months, they tore me apart. I took the best forms. I’m a pharmacist, I know what the best forms are. Iron doesn’t really help you if you’re iron deficient. That’s a huge secret.

The things that I did were I bought a cast iron pot. I bought two, a little one and a bigger one, and I cooked everything in my cast iron pot because the iron leaches just a little teeny bit. It’s just a little bit, but cooking all of your food in a cast iron pot helped. I drank a little Dixie cup full of orange juice every day. I took betaine with pepsin. This was huge for me. You’ve written articles about this, where you have to titrate up with the betaine. You can’t just take five all at once, but I was so low in acid that at one point I was taking six with my meals. Isn’t that a lot? Today I don’t take any, but there was a point where I worked my way up from one capsule with a meal to six.

The final piece of this was manganese. If your iron is low, manganese is lower, count on it. Having your iron and your manganese in the correct ratio is very huge. I took one capsule of manganese every day and that worked for me. It allows you to better absorb your iron, you need less iron, and you maintain the manganese-iron ratio, and that was a very big piece of it. I took one manganese capsule every day for about a year.

Magdalena Wszelaki, creator of Eating for Hormone Balance, talks about raw cruciferous vegetables and oxalates in this part of her interview:

I cannot find a single study that shows raw cruciferous vegetables are causing thyroid failure or binding to the receptors, or whatever. It’s the stuff that I feel like the bloggers have copied and pasted the same information and just created fear. Having said that, I have come across people …This is anecdotal, but when you have people coming to you over and over again telling these stories of going on a health binge, on a health kick I should say, and they will do juicing or they would start blending smoothies that are full of kale, and beets, and almonds. Then three months into that health protocol, they start having a lot of issues with fatigue. They start putting on weight. They go and get a test that turns out it’s the thyroid.

I think that what is happening is that there’s an issue with oxalates with a lot of the vegetables. Kale has got some oxalates, but spinach is super high in oxalates. Almonds are super high in oxalates, so are hemp seeds, all the seeds and nuts. That has been well-documented that oxalates can deposit on the thyroid gland and be causing an issue. I suspect that could be a problem for a lot of people. With the cruciferous vegetables, I love them because they are so rich in … Nutritionally they’re so much richer than all the other vegetables. They’re also full of diindolylmethane, DIM also named, which binds estrogen and that really supports the thyroid function. I’m definitely for them.

Trudy Scott, yours truly (!), and author of The Antianxiety Food Solution:

A lot of people go to the doctor and get a diagnosis, you’ve got anxiety, or you’ve got depression, and they’ll be given a medication, benzodiazepine or an SSRI. It may be the thyroid that’s causing the problems. It’s common knowledge that thyroid problems can cause depression. It’s less well recognized that thyroid problems can actually contribute to anxiety.

I actually looked at a study that was published in 2010, and they found that there was three times the higher incidence of anxiety in women who have underactive thyroid. It’s more common than a lot of people realize.

Certainly in my practice, working with anxious women, most of the people that I work with are women, I work with men as well, but most of the women that I work with, with anxiety, have thyroid issues. They either have Hashimoto’s Thyroiditis, they have hypothyroid, or they may have had Graves’ in the past. It’s very, very common that I see this.

One of the things that we want to think about from a biochemical and a nutritional aspect when it comes to anxiety is, junk food. We want to eat real whole food. The additives, the colors, the pesticides, the trans fats, all of those can be problematic when it comes to anxiety, because we don’t have the raw materials to make our brain chemicals. GABA is a wonderful calming neurotransmitter, and serotonin is also calming, and if we don’t have enough of the raw materials to make those neurotransmitters, we can be more prone to anxiety.

I’d like to end with a perfect quote from Mary Shomon, thyroid advocate: Be your own CEO of your healthcare!

Watching this Thyroid Secret documentary will empower you, provide you with vital thyroid knowledge you and will truly allow you to be the CEO of your own healthcare when it comes to your thyroid health!

Here is the link to register for the 9-part online documentary The Thyroid Secret, which runs March 1-9.

I do hope you can join us online for this amazing 9-part documentary that I’m so honored to have been a part of!

The Evolution of Psychiatry: integrative psychiatry, anxiety and the thyroid

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James Maskell is the founder of The Functional Forum and this month the theme was The Evolution of Psychiatry. It was such a great episode so I’m sharing it with you here today.

The first presentation was by Janet Settle, MD and Will Van Derveer, MD. They took the stage and presented on the fundamentals of integrative psychiatry, covering root cause-based psychiatry. Together with Scott Shannon, MD, they are also now offering their “Psychiatry Masterclass” training program to other doctors.

This presentation included:

  • The foundations of truly effective, root-cause focused mental health system
  • Typical unresolved physiological dysfunctions that manifest as mental illness
  • Concrete steps for creating the mental health centers of the future

Here is a sampling of what they covered. Isn’t it wonderful to see a slide titled “Integrative Psychiatry Model” and with physiologic root causes listed?

The section on child abuse, trauma and psychospiritual root causes was enlightening:

They cover MDMA- and ketamine-assisted psychotherapy and I look forward to learning more from them about these approaches. However, until I learn more I’m wary of these approaches because of the side-effects. Based on the work I do with targeted individual amino acids I would use them before even considering MDMA or ketamine.

You can watch the entire video presentation here:

 

Next up was Thyroid Pharmacist, Dr. Izabella Wentz, returning to the Functional Forum stage for her first keynote. Dr. Izabella is a dear friend and one of my favorite thyroid experts and she covered the connections between thyroid health and depression and anxiety, looking at proven protocols to address the underlying causes.   Her presentation is titled “The Misdiagnosis Machine: How Thyroid Problems Mimic the Symptoms of Mental Illness.”

Dr. Izabella shares the symptoms of the autoimmune attack on the thyroid gland. As well as fatigue, weight gain, gut issues and apathy, you can experience mood symptoms such as anxiety, OCD-like symptoms and mood swings.

You can watch the entire video presentation here (and listen for a mention of my name and how commonly I see anxiety with clients with thyroid symptoms):

 

If you enjoyed Dr. Izabella’s presentation you don’t want to miss her upcoming documentary called The Thyroid Secret. I’m thrilled to have been invited to contribute on my expertise on anxiety and how this ties back to thyroid health. You can read more about it and find a few snippets from my interview here.

 

Dr. Izabella also has a new book that will be released next month: Hashimoto’s Protocol: A 90-Day Plan for Reversing Thyroid Symptoms and Getting Your Life Back. I have a review copy and it’s brilliant! I’ll be sharing more via a book review and interview with Dr. Izabella, taking a deep dive into infections and Hashimoto’s, so stay tuned for that.

I hope you’ve enjoyed these two presentations! For me, hearing presentations like these gives me so much optimism for the future of mental health!

I’d love to hear what has inspired you?

If you’re a practitioner and would like to attend a live Functional Forum meeting in the future or tune in online, you can register here to be notified. James and his team also offer excellent practice resources for functional medicine practitioners. We appreciate him for what he is doing for functional medicine via the Functional Forum!