#1 Absolute Best Way To HEAL Your THYROID
Hello Health Champions. Today we're going to talk about the absolute best way to fix thyroid issues
and we're also going to cover why a lot of the standard advice and treatment for
thyroid actually makes things worse so after watching this video you will know enough to avoid
the pitfalls and also to start taking some steps in the right direction and when you have a thyroid
problem it can run too fast or too slow if it runs too slow that's about 95 percent of the cases
and it's called hypothyroid and the symptoms associated with that are things like fatigue
and depression constipation dry skin weight gain puffy face hoarseness joint pain
muscle aches muscle weakness elevated cholesterol heavy or irregular periods thin brittle
slow heart rate or bradycardia sensitivity to cold impaired memory and also we're going to
talk a good bit about the enlarged thyroid gland called a goiter and I've talked in other videos
about the symptoms so we're not gonna stay on this but I just want to show you that if it can affect
all of these different things then it's because it's involved in so many different things at so
many different levels in the body it's a super important gland and sometimes it seems like we
treat thyroid as a female only disease as if only women had this problem because
so many of the cases are female but trust me it's not like the ovaries that only women have
them if you're a man you have a thyroid and a lot of men have trouble with this
so in terms of diagnosed thyroid problems there's about five percent of adults that have a diagnosed
condition and most of those are female because females tend to go and complain about those things
more than men they say i am tired i don't feel so good I'm sensitive to cold and if you complain
about those things they're going to check your thyroid but if you don't then they probably will
never look so even though there's five percent of adults that are diagnosed I believe the prevalence
is much much higher and the people coming through my office I believe there's somewhere around 30 to
50 percent of people who have some thyroid issues and it doesn't mean that you have a full-blown
autoimmune disease or that you have markers way off the chart but people can have trouble and be
affected by thyroid problems at a much more subtle level so men need to be very aware of this as well
because just because you don't complain doesn't mean that there isn't a problem
getting your thyroid checked out and taken care of can be very frustrating because
the standard treatment model usually falls very short so to understand this we need to understand
how the body makes thyroid hormone it all starts with the hypothalamus and that's a little walnut
size gland that sits at the base of the brain and it is your master regulator it's your thermostat
and it regulates pH and hunger and thirst and most of the hormones and oxygen levels and so forth
and it releases a hormone called thyrotropin releasing hormone and that's just an instruction
to the pituitary to make some tsh and tell the thyroid to go to work and TSH stands for
thyroid stimulating hormone and if you look at this range that's the first problem 0.5 to 5.0
is considered normal that's a huge range that's a 10-fold difference between the high and the low
so you could vary you could swing widely within that range and still be considered normal
in my experience the good area a healthy area is to be around 1.8 to 3.0 a much much more narrow
range and this TSH is the only thing that they test standard if they test anything at all I've
seen a lot of blood work come back where they don't even test that but it is extremely rare that
they test anything except the TSH when they want to evaluate the thyroid but realize the TSH is not
even a thyroid hormone it's a pituitary hormone that depends on how much TRH the hypothalamus
releases but then based on the TSH the thyroid goes to work and it makes thyroxine t4
and that is thyroid hormone but we're not done there because this t4 isn't active it has to be
converted in the liver primarily there's a few other places it gets converted from t4 to t3 and
now it's activated and it can go out and fit into the receptors and drive things and speed things up
the way the thyroid hormone does and then there is a feedback cycle called negative feedback which is
a good thing even though it's called negative so this t4 gets into the bloodstream and it gets back
to the hypothalamus and if there's too much of the t4 then the negative feedback is going to
tell the hypothalamus to back off on the TRH so that the TSH comes down if there's not enough t4
then the hypothalamus is going to increase the TRH so that we get more drive in this
stimulation pathway so the standard treatment is to only check TSH and if the TSH is high
that means the thyroid is underperforming we don't have enough t4 so then they give you
Synthroid they give you synthetic t4 and now this t4 feeds back to the hypothalamus and they
regulate the amount of Synthroid based on the TSH so they if they give you too much then this TSH
gets too low if they don't give you enough then TSH is still high so this is basically the only
mechanism it's the only treatment that they look at one marker which is not only a thyroid marker
and they give you a synthetic hormone which is appropriate in many cases and then they try to
regulate and calibrate the level of TSH but we're going to talk about how many more steps there are
to this and why this is so inadequate now this crazy thing right here is called harrowers chart
and why do I show you a crazy picture like this is it so that you have something to memorize
no it is to help you see the complexity of things to understand that the thyroid affects virtually
every other organ and every other type of tissue in the body and harrower henry harrower was
a physiologist who is called the founder the father of modern endocrinology the study of
hormones and he felt the thyroid was so important that he stuck it right in the middle and if you
look at all these different lines those are ways that the different glands affect each other so
if it's a solid line it's a stimulating pathway if it's a dashed line it's an inhibiting pathway
and the next thing we want to understand is that how complex this system is and once you see how
complex it is you understand that you can't just look at TSH is the pituitary signal to the thyroid
well what about all the other players here and it also explains why someone can go to the doctor
and they have a high TSH and they give them some synthetic hormone and they feel better
for a couple of months but then after a while they don't feel good anymore they feel just as bad as
they did before and it's because there are so many other factors that are influencing how you feel
and how your body works so it's not just about TSH yes we want to look at TSH but it's one component
that we want to understand and this is why it's so important to have a holistic view of the body
where every component every tissue every gland every system is equally important one of the first
things we need to understand is the difference between the health of the tissue and how healthy
the markers look the blood work the things we measure so you could have a thyroid tissue
that is perfectly healthy that the cells in the thyroid are doing really really well but they're
getting the wrong messages or there's some other factor that is throwing off the blood markers
so it looks like you have a problem and you do actually have a problem of hyper or hypothyroid
but it's not a problem with the thyroid tissue and it could work the other way as well that you
do have a problem with the thyroid tissue with the cells but it's not resulting in unhealthy markers
yet or there may even be some markers that are offsetting each other to where it still looks
normal and when it comes to the health of the tissue we need to understand that the thyroid
tissue the cells are extremely sensitive there's all kinds of toxins and pathogens
that can start breaking down and affecting the thyroid and interestingly one of the compounds
called iodine that is absolutely necessary for the thyroid to do its job this compound iodine
is actually very toxic but not only that it has some even more toxic siblings so in the periodic
table there's a column where they have compounds called halogens and they are closely related they
have very similar properties and they're all very highly reactive and they're very toxic and these
are things like fluorine and chlorine and bromine and there are a few more but these are the main
ones that we run across and of course the fluorine and the chlorine are added to our drinking water
and bromine is a very common chemical added to food and industrial products now as much as
70 to 80 of all the iodine in the body is actually living in the thyroid you find it in the thyroid
tissue and like i said iodine is necessary for the thyroid to produce the thyroid hormone it
has the receptors and all the chemical components to process this but it also means that it's gonna
tend to attract the fluorine and the chlorine and the bromine which are even more toxic so if we get
those in the water or in the food then chances are they're going to end up in the thyroid and
as a result the thyroid tends to have a lot of autoimmune issues because when we have toxins
and we have these things breaking down the tissues then the body needs to clean up when the thyroid
cells break and they get out in circulation they end up in places they're not supposed to be
and then the body needs to have an autoimmune response it needs to clean that up and if there's
a lot of destruction going on then the body can overdo that response that cleanup and that's
where we get an autoimmune attack and to make things worse there are some additional factors
like your gut health if you have leaky gut if you have a poor microflora if you have food allergies
then all of these factors tend to confuse your immune system and exaggerate these responses
and further promote these autoimmune attacks so again you want to differentiate between
the tissue health and the marker health and all of these things we talked about
you can think of them as attacks like bullets shooting holes in your thyroid that the thyroid is
getting physically damaged and when that happens then you're promoting that autoimmune attack
now goiter relates directly to what we just talked about is it the tissue or is it other factors
so a goiter is an enlargement of the thyroid gland and the thyroid has to have iodine for every
molecule for every unit of thyroid hormone that the body makes it has four binding sites for
iodine that's why it's called t4 and if we don't have enough iodine in the environment if we don't
have supplements we don't have iodized salt and we live someplace where there's very little iodine in
the soil in the environment in the food now we're deficient there's virtually no iodine to go around
the body is going to try really really hard to grab every single molecule every atom of iodine
so it's going to adapt it's going to increase the amount of receptor sites it's going to hypertrophy
it's going to grow and these things can get huge they can get like footballs because the body is so
desperate the tissue just keeps growing but here's the question is that an unhealthy thyroid no the
tissue is perfectly healthy the thyroid is healthy it's doing exactly what it's supposed to do the
only issue is that it doesn't have any iodine so as soon as we provide a little bit of iodine then
the problem starts reversing now here's something i get a lot of questions about goitrogens I see so
many comments people hear conflicting information they worry about this food or that food being
a goitrogen and that means a food would have a tendency to cause a goiter to cause an enlargement
of the thyroid and then people ask me does this damage the thyroid and I've read lots of articles
where it says it damages the thyroid it interferes with the thyroid and that you shouldn't eat
these foods if you have a thyroid issue that you should avoid them in general but especially
if you have a thyroid issue and none of this is correct here's what's going on these foods
have chemical compounds that compete with iodine for binding sites so that means if there is a
deficiency of iodine and you eat these they're going to increase they're going to amplify or make
the deficiency worse so if you have a deficiency that's not a good thing but if you're eating
iodized salt or if you have access to iodine supplements then these things are not a problem
they compete they make it harder for the body to use the available iodine
but they do not in any way damage the thyroid or interfere with the thyroid they compete with the
raw materials that's all so goitrogens are only a problem if your thyroid issue is due to an iodine
deficiency and you don't have access to iodine now here's another way that the standard model
falls very short and we've all heard that pain hurts but stress kills well how does stress
now affect the thyroid well in the standard model everything is kind of black and white they don't
care where you are in this range from 0.5 to 5. if you're in the green area you're normal if you're
outside you have a disease and like we explained earlier the way they look at it is that the higher
your TSH goes the louder the pituitary has to ask the thyroid the more hypothyroid you are the more
underperforming the thyroid is the more TSH the body has to make so the higher the TSH the more
your tendency to be hypothyroid and on the other end of the scale the lower your TSH the more your
tendency is to be hyper thyroid well this is true but it's only a very small sliver of the truth
so we really want to think of this range not in terms of black or white or or in and out we
want to think of it as a gradient where there is a sweet spot and then there are some other
areas some yellow orange areas where things kind of turn around a little bit and the sweet spot
is from 1.8 to about 3.0 now what does stress do to this system well when we have stress when
the body has different priorities when we have high cortisol levels which is a stress hormone
now what that does it tends to make the hypothalamus a little bit less
sensitive so it's like the hypothalamus is sleeping on the job if you will so we could have
a low we could have a lack of thyroid function we could have a lack of product t4 and then this lack
of product feeds back and the hypothalamus is supposed to increase the TRH so we get more TSH
but if the hypothalamus is less sensitive it's not noticing that we're missing t4 and therefore
we could have a low t4 and a low TSH which is opposite of the standard interpretation so
stress can really mess with the regulation the production but it can do more the stress will
also interfere with the liver's conversion so the liver has to do most of the work in turning
the t4 the inactive thyroid hormone into t3 which is the active and in that process some of the t3
always ends up as reverse t3 and it's sort of like the mirror image of what's supposed to be
and now it's useless and the more stress you have the more inflammation you have the greater
the percentage of t3 that ends up useless you have a conversion problem and if we magnify this
little area down here between 0.5 and 1.8 and we look specifically at an area between 0.7 and 1.2
this is where i find that we have a lot of people that have a low TSH that in the standard model
the doctor would tell them that you're actually heading toward hyper the patient comes in and
says I think I'm hypothyroid I have these symptoms I don't feel good and the doctor
looks at the TSH and says no no no you're moving toward hyper there is but you're still in the
normal range so there's nothing wrong with your net values but this is actually a case
of functional hypothyroid so if you have a problem and you want to restore thyroid function
then you need to address any kind of factor that affects thyroid tissue damage and that could be
a lot of things various forms of toxicity like metals chemicals pathogens inflammation we want
to address autoimmunity if the thyroid is being attacked if you have an issue with conversion
and we'll look at how to spot that on blood test then it's mostly going to be about liver and gut
the liver does the majority of conversion from t4 to t3 but the gut flora the healthy bacteria
does a significant portion as much as 20-25 of your overall thyroid function depends
on how healthy the gut bacteria is and how well they can convert into that active thyroid
hormone we also talked about how stress and inflammation can interfere with that conversion
and then we have everything else so faulty regulation anything else that affects the
hypothalamus or pituitary or anything else in that signaling system could depend on all of the above
and it could also be any of the factors any of the glands any of the signals and pathways in that
crazy harrowers charge so you could see that this can get a little bit complex and you want to go
a good bit beyond just testing TSH the first step obviously is to know where you are the vast
majority of people have no idea if they have a thyroid issue or not and of the ones who do
it is usually misinterpreted so first of all get some blood work and you want to get
the TSH and you want to get in addition t4 and t3 at a minimum there are some more markers but
you don't have to complicate it to start off and you want to understand if your hyper or
hypo or if you are where you're supposed to be so if your TSH is high then you are hypothyroid
trending toward hypothyroid if your TSH is low like really low under 0.5 you are hyperthyroid
and then we have this nice zone in the middle called you or true it's called you thyroid and
then there's this area that everyone misses in between where you are functionally hypothyroid
even a lot of people are going to tell you you're trending toward hyper and here's how you spot
if you have a conversion issue and this is really really common conversion is taking t4 into t3 the
liver or the gut bacteria just pops off one of those iodines off the thyroxine turns t4 to t3
and you measure t4 and what you look at is where you are in the range right so these are
in micrograms and these are in nanograms they're extremely small amounts billionths of a gram and
let's say that you are in the middle of the t4 range that you're making a healthy amount of t4
but then you look at your t3 and you see that even though you're officially inside the range you're
still normal you look at the relative strength you look at how much of this because if the conversion
was working optimally then you would be in the same place roughly in the range
so if you're normal on t4 and really really low on t3 that means it's not converting again the
liver does the majority of this conversion a portion of the t3 always ends up as reverse
t3 but the more stress and inflammation you have the greater the percentage of reverse t3 and this
is another marker you can order this reverse t3 is not part of the t3 that you get on a t3 test
so you could order the reverse t3 separately and if it's super high then that would be a strong
indication of stress and inflammation another thing to look for in terms of conversion like
we said is the gut bacteria if you're low on t3 it could be that you have an unhealthy flora and also
some of the micronutrients the first thing we want to look for is not iodine it's zinc and selenium
because they are necessary in the conversion from t4 to t3 and now here's the big one
when it comes to hypothyroid autoimmune disease called Hashimoto's thyroiditis
now there are some areas in the world where this is not the main issue if you live in a place
where there is little iodine in the soil where there's no iodized salt
where there are no supplements widely available then in those areas the number one
cause for hypothyroid is iodine deficiency but today in most of the world where we have
iodized salt and supplements available and iodine is not really that scarce in the soil
the number one cause is Hashimoto's thyroiditis an autoimmune condition and why is it so important
to understand if you have this because if you have hypothyroid and they just supplement you with t4
now they're making the blood markers better they're compensating for your lack of function
but they're missing the big picture the big picture is that you have an autoimmune disease
that is destroying vital tissue that is eating away at your body and if you ignore that just
because they can give you some thyroid hormone and compensate a little bit then you're missing the
big picture and chances are that one autoimmune disease will continue to get worse and turn into
multiple autoimmune diseases the other big reason that you need to understand this is that there is
a chance that if you take iodine which is the number one recommended supplement for all sorts
of thyroid problems you could make your autoimmune disease worse because if you are low on iodine and
you have an autoimmune disease and you supplement iodine then you're going to provide a raw material
to increase the activity of the thyroid which is going to make the thyroid more visible to this
autoimmune attack so i have had many many many hypothyroid cases and i've never had a single one
where the solution was right off the bat to supplement iodine i then can come in later
when we've calmed down this autoimmune response but rarely is iodine a good idea in the beginning
if you have an autoimmune disease so the way to find out is to test an antibody called
thyroid peroxidase there are a couple of more and they usually bundle them together
but I'll just mention this because it's the main one it's by far the most common one
to show up but now there's a lot of confusion here as well because where I live in Georgia
the lab results will come back and say that anything under 34 units of antibodies is normal
now think about this antibodies there's something that's attacking tissue that's cleaning up things
and you're really supposed to have zero or very very close to zero there's always some breakdown
of tissue that needs cleaning up and tagging by antibodies but this line has been changing
over the years and it's very very different in different parts of the united states and
in different parts of the world some other areas they tell you that you have to be below 16 and
some they tell you under nine and it turns out that over time this has changed so a while back
most labs reported under five as the normal range so what's happening is that people are becoming
more toxic more autoimmune issues more antibodies and there's so many of them that have higher
levels so in order to not classify everyone as autoimmune they they've been pushing this level up
and it's probably because most of these people are not symptomatic or they're not very symptomatic
but we need to realize what antibodies are and while a little tiny bit is okay and normal
we're not supposed to have as much as 34. i think if you have somewhere in the teens
if you're 15 to 20 you need to start taking a really close look at this
if you're under five then you're probably okay I'm sure you notice by now that this
thyroid situation can get a little hairy a little complex so in terms of action steps
my first recommendation is actually to find a professional I know I explained a lot of things
you can do for yourself in these videos and and we'll follow through with that but if you can
if you feel strongly you have a thyroid issue I would recommend you find someone to work with
if you can't find someone to work with then we do have some long distance help we have
a telehealth department we can help you with some blood work and some consults at my clinic
but i would recommend you have someone local that can work with you closely some of the
things you can do for yourself is what we talk a lot about on this channel is go low
carb high fat depending on where you are in your metabolic health if you're very insulin resistant
then everything in your body is just a little bit screwed up and out of regulation if you're
fairly healthy metabolically if you're not insulin resistant then i would recommend a low to moderate
diet low to moderate carbohydrate diet because sugar and high insulin and blood sugar swings
doesn't do anybody any good then i would strongly suggest to not drink tap water if you live in an
area where they add chlorine and fluorine to the tap water and realize this also holds true for
the shower because you can absorb the equivalent of several glasses of water in terms of chlorine
through your shower so if you can best deal would be to get really clean drinking water and get a
house wide filter for your shower so that every tap every source of water is decontaminated in
the house you probably want to work on doing a liver detox and I've done some videos
on how to do that how to restore the the liver because these toxins the metals chemicals etc.
they are what circulate and attack the thyroid but also the liver is involved with the conversion
from t4 to t3 like we mentioned you want to work on gut healing if you have a leaky gut you're
going to have a lot of allergies and inflammation to promote autoimmunity and you want to restore
your microbiome that's kind of the second step after the leaky gut if you have that so probiotics
can be great they're usually not the first step again because you need to have a functioning gut
for them to do any good they're not going to harm anything but the benefit might be limited if
they don't have any healthy place to grow and you want to avoid allergens allergens
set off autoimmunity they set off inflammation and some of the most common allergens are wheat
not just gluten even though gluten is in wheat wheat is by far the worst of all the gluten grains
you want also avoid corn and soy they're very common allergens and you want to avoid pasteurized
dairy most people do really well with yogurt and butter most people need to avoid pasteurized dairy
so avoiding those allergens would be step one and then if you want to take it one step further you
want to look into something called an autoimmune diet or an autoimmune paleo diet so then
you start off with paleo which means you avoid all grain and dairy etc. but then you take it one step
further and you also avoid things like night shades and you get a little bit more specific
in avoiding things with lectins because if you have an autoimmunity you're probably
very sensitive to different things and you want to go one step beyond what most people have to do
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