NEWSLETTER MARCH 2008

THYROID MEDICATION

A patient who consulted with me recently saw her endocrinologist for review of her thyroid medication which she was taking to treat her thyroiditis.  She indicated to her physician that she was experiencing fatigue and he responded in the way that most physicians consider appropriate; ‘Let’s do blood tests.’ When these came back suggesting that her thyroid was in perfect working order the physician then indicated that nothing was wrong with her and suggested that despite her feelings of fatigue what was more important were her blood test results demonstrating that his treatment was working just fine.  Imagine that, being told that how you feel is irrelevant and that what is more real is your test results.  If you think this is an uncommon and somewhat bizarre experience think again.  I encounter this all the time in my practice.  If you are experiencing fatigue as are many of the folk who have sent in questions for this month’s newsletter then it would be a good idea to find a physician who assesses you in a comprehensive fashion and takes a long history followed by a complete examination and then orders the appropriate tests.  There are a number of events which can lead to fatigue including nutrient deficiencies, food allergy/intolerance, digestive compromise and hormone insufficiency and these need to be evaluated by a practitioner who is sensitive to their relevance.

Question & Answer Segment   ------    your queries answered

 

Question: I have recently been diagnosed with Hashimoto's Thyroiditis hypothyroidism and my doctor has put me on 100mg of (Thyroxine) Synthroid or T4. I’m having a lot of trouble losing weight. I’ve also tried small amounts of T3 which have made me put on weight! very weird. I’m thinking of switching to Armour Thyroid. What’s your opinion on this medication? I’m 18 years old and I’m trying to become a bodybuilder but its becoming increasing difficult to do everyday tasks let alone such a demanding sport. I eat a healthy balanced diet with protein, complex carbohydrates and essential fatty acids and supplement Vitamin C, ZMA and Udo's Oil. I’ve also had highly elevated AST and ALT liver values and my testosterone levels have been constantly low on my blood tests.  I also have elevated thyroid peroxidase antibody levels. Hair growth is scarce, facial hair grows only on the lower part of the jaw, very little hair growth. No sex drive. Sleeping long hours unable to wake up till I’ve slept at least 10 hours waking up earlier leaves me fatigued and exhausted throughout the rest of the day. Sometimes feeling exhausted especially after training.  Joint paint in the knuckles and  in the knees. Brain fog sometimes feeling like I’m in a dream. Gain weight easily despite consistent diet, weight training and cardio, can't lose body fat. Hair is brittle and falls out easily. Waking up in the middle of the night frequently with an appetite. Can get extremely bad water retention in the abdominal, lower back and inner thigh area.  Not gaining enough muscle mass, not getting stronger or bigger from training.  General wellbeing is poor.

 

 Answer:  Nutrient deficiencies can often lead to hormonal imbalances and in your case inadequate amounts of iodine, zinc and selenium might be implicated which can lead to thyroid hormone insufficiency.  Zinc deficiency can also compromise testosterone production.  Heavy metal overload and food allergy/intolerance might be involved.  Candida/yeast, gluten and dairy intolerance need to be evaluated.  Adrenal hormone deficiencies might be part of your problem and this can be evaluated by means of salivary and urine assays which assess cortisol production.  As you’ve discovered T4 is not always the best form of management for thyroid hormone insufficiency but before you proceed with Armour thyroid having the above investigations would yield information that would be highly informative. Equally measuring blood glucose and insulin levels would also be useful.


Question: I am 30 years old living in Saudi Arabia since 4 years but I have some health problem from 2 years. I have acidity & gases problem.  I used so many medicine but not recovered from disease and I have taken 4 time helicobacter pylori test.   It is showing always positive. I used anti bacterial medicine tablet but still not recovered. I am not sleeping at night properly. I’m changing side by side all night during sleep and my stool is also not good.  It’s not regular or not on time. It’s very hard like layer by layer so please advise me what to do and tell me also what to take for the helicobacter pylori infection.

 

Answer:  A substance called zinc-carnosine which not surprisingly is comprised of the mineral zinc together with the antioxidant carnosine combined with the herbs cranberry, liquorice and picrorhiza has been advocated as a treatment for helicobacter pylori.  There is some evidence that these substances on their own can combat helicobacter and the wisdom is that when working in tandem these remedies might be even more powerful. Vitamin C, mastic gum, acidophilus powder or capsules and the herbs barberry, grapefruit seed extract, thyme, myrrh, cinnamon, golden seal, garlic, liquorice and tansy when used in combination can also be used to manage helicobacter pylori infection.  You have to give this kind of approach 3 months to be effective.

  It is also possible that food intolerance might be related to your problems and being tested for gluten and yeast intolerance and eliminating dairy might be helpful.
 


Question:  I’m 40 years old and I had a total thyroidectomy 4 months ago. Prior to the operation, my thyroid hormone levels were normal, the reason for the operation was the enlarged multinodular goitre which kept growing and was becoming visible. I opted for an operation because my doctor has assured me that the hormone that I would be taking has exact same chemical formulation as the hormone produced by my body and that I won't have any side effects associated with it. However, 1 month after the operation, I've started noticing rapid changes in my face - more wrinkles, less elasticity in the skin, circles under the eyes, etc. I have always
looked younger than my age, just prior to the operation someone has commented that I looked 25 - and now I look at the mirror and I don't recognise myself. Now I definitely look 40 or older! I am happy to accept my age, but my concern is that if the changes I experience are related to the lack of my own thyroid hormone and if the trend continues, I will age too quickly - and I don't want to! Do you think it is possible to stop this process and get my skin look the same as before the operation?

Answer:  It would be a good idea to idea to have your nutrient status and hormone levels evaluated. As you might have discovered from reading this segment T4 is not always the best treatment for compromised thyroid function which often merits from a comprehensive approach.  The stress of an operation can also adversely effect hormone status and can unmask nutrient insufficiency which is another reason for this type of evaluation.
 


Question:  We have just had our first baby and are weighing up wether to vaccinate or not. We did not do the hep B at birth as I knew she wouldn’t be using needles or having intercourse to contract it but now she is coming up to her 2 month jabs and I’m wondering your view on this. Should we wait till her immune system is stronger or forget them all together or just be selective with which ones we choose.

Answer:  I’m not the greatest endorser of vaccinations but there are many who would take umbrage with this point of view.  I was recently listening to a National Public Radio broadcast from the USA during which a medical expert indicated that the hypothesis connection vaccination with autism had been refuted.  Then a colleague informed me that a recent court case in the USA supported the opposite point of view.  Either way I would certainly endorse your desire to delay hepatitis B vaccination indefinitely and to choose vaccinations judiciously.
 


Question:  I take andriol and I have swelling of my feet.  I had an analysis and everything is good. Is this because of andriol? How can I avoid this swelling?

Answer:  It would be important to have your physician review this form of testosterone treatment as andriol can compromise liver function which can lead to swelling.  Equally under-production of thyroid hormones can lead to swelling as can impaired heart function so be sure to have your physician evaluate these possibilities.

 

Question:  I have recently plagued by a pain or stiffness around my lower neck and have a foul taste in my mouth and have noticed I’m losing quite a bit of hair. I thought it was due to starting a diet.  All my food intake is steamed. I mainly stick to vegetables and salads yet have not lost any weight past 10 pounds and now I’m experiencing stomach craps. I was wondering if I might be having trouble with my lower thyroid and what symptoms should I be looking for that would indicate that kind of problem.

Answer:  It sounds like your protein intake is inadequate.  This might limit digestive function which can lead to cramping.  A foul taste in the mouth might be caused by inflammation of the gums.  Hair loss and difficulty with weight loss might be due to thyroid insufficiency and inadequate production of other hormones including testosterone, oestrogen, DHEA and growth hormone.  You would need to get your physician to evaluate your neck problem as well as your nutrient, hormonal and digestive status.

 

Question:  I am seeking professional advice on human growth hormone (HgH) product. I see many HgH products online, but I’m also aware that the internet is action packed with scams that try and capitalize on insecure and self improving people. 

I want to revitalise my body and recharge my batteries I have been told that HgH which some of my friends have used is very good at replacing the loss of males hormones? There was lot of publicity about anti-aging effects of Human Growth Hormone several years ago but this seems to died down. Is this because it has now become an accepted treatment, or has it failed to live up the initial promise?

Answer:  There is probably more hype surrounding growth hormone than actual benefits.  While this substance can build muscle mass over time, boost the immune system and help to strengthen bones over time if you are young and producing adequate amounts of growth hormone or if you are overweight taking growth hormone might be counterproductive especially initially in the case of those who are overweight and certainly if you are young and your levels are sufficient taking this hormone would not be a wise choice.  As far as rebuilding male hormones and recharging your batteries I’m not sure there is any evidence for this.

 

This is just to let readers know that in addition to my Baulkham Hills practice I’ve also just commenced practice at THE ETERNAL HEALTH MEDICAL CENTRE, Suite 6, 6013D, Westfield, Bondi Junction. Ph: 93373589 for appointments.

 

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Sanctuary of Health

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Unit 8, Block B Capital Business Centre.
Norwest Business Park
38-40 Brookhollow Avenue

Baulkham Hills. NSW. 2153

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6013D, Westfield

Bondi Junction NSW 2022

Phone 8883 3655

Phone 9337 3589

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