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October 6, 2023 • 37 mins

Are you walking around with a hidden health problem? It's time to tune in to our latest episode where Dr. Gabe Ariciu and I uncover the secrets of thyroid disorders, diagnostics, and natural healing techniques. We dig deep into the role of this small yet mighty gland and its significant impact on your metabolism. You'll soon discover why thyroid dysfunction is so widespread in the U.S and learn about the standard tests and treatments available.

After listening, you'll have a clear understanding of the symptoms and root causes of hypothyroidism, such as Hashimoto's and hormone imbalances. You'll also gain an insight into the effect of certain antigens on your immune system, including food, toxins, heavy metals, and estrogen from plastics, each of which can contribute to thyroid dysfunction. We pull no punches as we emphasize the importance of doctors focusing on the root causes, not just the symptoms.

Throughout the episode, we explore the complexities of thyroid health and the many factors that can influence it, including diet, chronic infections, and hormone dominance. We'll give you strategies for managing these factors and discuss why tackling these health issues is crucial before trying to reduce thyroid medication. We round off with a powerful message about the importance of tailoring and sticking to your health journey. This is one episode you won't want to miss!

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Transcript

Episode Transcript

Available transcripts are automatically generated. Complete accuracy is not guaranteed.
Speaker 1 (00:01):
Welcome to the Functional Medicine and Natural
Healing Podcast, where we sharethe secrets to upgrade your
digestion, improve your hormones, restore your immune system and
detoxify your body.
I'm your host, dr HoustonAnderson.
Now let's get started.
The following discussion is foreducational purposes only.
It is not intended to diagnoseor treat any disease or disease

(00:24):
process.
Please discuss any medicaltreatments or medical
interventions with your personalphysician.
Welcome back to the podcast.
I'm here with Dr Gabe Arichuand we are going to talk about
things thyroid today.
This is one of Dr Gabe'sfavorite things to do, or
something that we're forced todo all day, every day in the

(00:44):
office, because it's trendy andbecause it's important.
Why don't we go ahead and getstarted?
Give us a little bit of info onthe thyroid, doc Sure.

Speaker 2 (00:53):
The thyroid is a little butterfly shaped gland
that we got down here in thebottom of our throat near our
larynx.
It's really, really important,kind of in an acupuncture way.
I kind of like thinking of it.
In that sense it's related tofire, because it's controlling
and regulating your metabolism.
Without the thyroid, creatingthyroid hormone, you don't

(01:15):
really have an accelerator onyour metabolism, or a regulator
because it accelerates and slowsit down, depending on what is
needed.
It's crucially important.

Speaker 1 (01:25):
I love that you put that brake pedal on there too,
because I think that everyonethinks like more and more and
more with the thyroid.
But it's really about balance.
With the thyroid Prettyprevalent in America, the
numbers are pretty, maybeunreliable.
We know that a lot of womenhave it, a lot of men have it.
Up to 20% of women aresuffering from it Functional

(01:45):
thyroid disorders.
Honestly, if we're to go atpeople that just have symptoms
or have an altered hormone levelto some degree in any way,
shape or form, that's probablyhalf of America.
At any given time.
You catch a cold, you eatunhealthy for a while, things
like that.
All of a sudden, your thyroidis going to have dysfunction.
Once again.
We'll get into whether it's anactual root cause or whether

(02:08):
it's a symptom as we go on today.
Can you tell us why?
You're giving me an idea?
You think you have a thyroidproblem.
You go to your primary care.
What are they going to look atthere?

Speaker 2 (02:18):
Typically you're going to see maybe one lab ran,
sometimes two.
Usually they're going to run.
If they're going to run athyroid at all, they're going to
run PSH and then T4.
If you know what's going onwith your thyroid, that's not
overly bad to track things,which we'll talk about.
You're going to miss a wholelot of things if only a TSH is

(02:42):
ran, because how often do bothof us see a TSH normal, but then
the other markers that we liketo run or not?
It ends up being a bitproblematic.
Things get missed.
Hashimoto's gets missed all thetime, partly because, well,
what are you going to do with itfrom a medical standpoint?

Speaker 1 (03:03):
Correct.
Yeah, I see that too.
You said the TSH, the T4usually ran.
Now I am seeing more like a TPOantibody being run, sometimes
rarely DCF Thibraglobulinantibody.
Rarely DCF Free T3, reverse T3.
You don't see many of theselabs that are being run by the
doctors very often.
But, yeah, like you said, let'ssay that you show up with TPO

(03:25):
antibodies, which means youmight have Hashimoto's.
What are they going to do aboutit?
They essentially diagnose youas that.
That's your permanent condition.
There's no way for you to gethealthier.
They're just waiting for it tobe so problematic that they
either medicated at the currenttime or they cut it out or
irradiate it.
So, once again, those areaggressive things.
So they don't want to beaggressive.

(03:46):
Their version of preventativeis just like let's wait and see,
and some of you guys, yeah, mayget better just by waiting.
It does happen, but it's notthe most active way to do it.
So, medication-wise, typicallythey're going to use what?
Centroid level?
Thyroxine is a generic.
What else do you see?

Speaker 2 (04:05):
If they're going to counteract the inflammation side
of things, you might seemethotrexate or some of those
ones where they're trying to doa little bit of immune
suppression if it's Hashimoto's,but yeah, usually it's centroid
level thyroxine if they'regoing to do anything at all, or,
like you said, they're justgoing to kind of track and wait
and see how things go.
And I think that's really oneof the main reasons why TPO

(04:28):
isn't often ran or any of theseantibodies, because what are
they going to do about it?
It's going to happen and so allthey're going to do is wait
until your thyroid hormones outof range, your TSH is out of
range, and then give you somehormone.

Speaker 1 (04:39):
So let's be clear on that.
Doc, have you seen people'sthyroid heal?

Speaker 2 (04:45):
I have seen you go into remission.
You don't really see a majorchange, the change that people
want to see in the antibodies.
They think it's going to gocompletely back to normal.
I always kind of relate it tothem like the Epstein-Barr virus
antibodies You're always goingto have a little bit of antibody
out of range, but ideally itshould be lower.
It's definitely lower.
You shouldn't have, like youknow, ranges over the thousand

(05:07):
or whatever it is where theirthyroid's just actively being
destroyed.
But you're gonna have it out ofrange just because that's
what's going on now their bodiesactively creating those
antibodies.
But it shouldn't be wherethey're constantly feeling the
Fatigue and all the symptoms.

Speaker 1 (05:23):
Their thyroid should function relatively normal right
, yeah, and so something to knowabout antibodies is that they
do have half-lives right andthey're slow.
So I think a lot of peoplemight go see a holistic
practitioner run their TPOantibodies day one or something
like that, and then come back,you know, even three months
later, and say, hey, they'restill there and everyone's like,
yeah, see, they never go away.

(05:43):
But the reality that I've seenover time is that the healthier
you get, obviously the lowerthey're gonna be.
But even if you were perfectlyhealthy in a week, it still
takes time for your immunesystem to down-regulate those
antibodies because they'reacting as a protective mechanism
.
So that's something that I gotto remind my patients that
oftentimes at a year and a halfI see that they are down to zero
or less than 10, whereas.
But in that first year it'svery unlikely that they're gonna

(06:06):
get to a zero, you know, in inthree weeks or something like
that.
Cool studies out there.
There's a lot of things comingand I think we'll do a second
thyroid podcast more and some ofthe details that we've seen in
practice.
We want this to be more of abroad spectrum, one sub in
holistic medicine.
What are you gonna do differentthan just prescribe a thyroid
medication, doc.
What are you thinking?

Speaker 2 (06:25):
Well, first of all, I want to run a full panel.
We need a full panel.
You need the free and Total T3,t4 hormones.
You got to get a good broadexample, like I just went over a
thyroid panel today and youknow a lot of the markers can
end as well as their age andthat they're female kind of
point towards what would be mostcommon Hashimoto's right, but

(06:48):
there wasn't Hashimoto's.
They had a relatively willfunctionally low TSH and
functionally low T3, which kindof points towards possibly like
a conversion issue.
So that's the reason why that'simportant to run a full panel,
because there's severaldifferent patterns that we could
be looking at.
As much as you know, we thinkHashimoto's is everything, so

(07:10):
therefore that's the only thingwe see and it's like no, there's
a lot more going on andsometimes you know how often are
we treating a secondary thyroidissue without even knowing it,
because because somebody's tired, because they have a viral
issue.
For sure, for sure.
And so, yeah, somebody walks inmy door and then they haven't
had a full thyroid panel ran andeverything points towards it.

(07:30):
They got hair loss, thinning ofthe outer side of their eyebrow
, things like that fatigue.
I'm going to, for sure, run apanel on them and it's not that
expensive really like, that'swhat's ridiculous.
It's cheap and just get thatpanel ran so we know what's
going on, and then from there wedecide what, what is best,

(07:52):
depending on the type of thyroidissues that's going on.

Speaker 1 (07:55):
Yeah, I like that.
I think I think I get both inthe office.
I see people that come in withjust their TSH and they're
Disgusted by their doctorbecause they didn't run a full
panel and and and I see bothways, like I.
I don't want anyone to thinkthat it's he doesn't have any
value, right?
I think a lot of people arejust they're always want their
t3, they always want the t4, thefree, the, the reverse t3, the

(08:19):
uptake numbers and all of thosegive us the differential
information.
I think we'll save most of thatlab detail for the second
podcast, maybe some commonpatterns and lab testing so
people can kind of Diagnose athome a little bit better without
having to call us.
But but I do say like that,your TSH has value If you're
doing everything else, and sothat's the one thing that I
always say.

(08:39):
So I'll often run a TSH, we'llrun a full panel at first and
then follow up if the TSH isalready at a five.
My first goal is get that TSHlower.
I could care less what all theother numbers are.
Then, once that TSH is lower,now we rerun everything and see
okay, are we optimized?
Because you can still feelpretty bad with a normal TSH is
our point.

(08:59):
But if the TSH is already off,that's kind of enough to get
started, because all of theother markers Unbeknownst to
many people, all the othermarkers don't tell you exactly
what the problem is.
They just tell you you haveanother problem, right?
So you can see a little bit ofa t3, t4 conversion issue on
your labs.
But why is it there?
Why isn't the liver converting?

(09:20):
Why isn't the gut converting?
Who's going to go and figureout that information for you?
So that's where it's like likeyou can take whatever you have
and get started.
But then you know, if you'veaddressed some things and you
don't feel better, definitelythat's going to be pretty
serious.
Now hyperthyroid not too common.
Do you see hyperthyroid veryoften in your office?

Speaker 2 (09:41):
This year I haven't actually seen it.
Last year it was interesting.
I had three or four graves inmy office like I was surprised.
It just seemed like one rightafter the other.
But not this year.
I haven't really seen much.
But I have had people withgraves disease come in and I
mean you treat it relatively thesame to Hashimoto's, it just
has different symptoms.

Speaker 1 (10:00):
Yeah, the big thing I always say with graves it's
hard, because if you ever getinto like an actual a storm
that's going on with graves,we're kind of limited in what we
can do you do end up in the ER.
The hospital we don't havemedications that can you know
instantly, kind of turn that off.
And so that's why you'llactually see very few people
come to a holistic practitionerfor graves, because essentially,

(10:22):
let's say that they're having athyroid storm from Graves
disease like their heartpalpitations are so intense,
their heart rate so fast,they're running to the ER as
fast as possible and they neverreally have the time.
Versus Hashimoto's orhypothyroidism comes on slow and
they get more tired and moretired and it happens over the
course of, you know, five to tenyears even sometimes, and so

(10:42):
they they're often, like youknow, have time to kind of meet
with one of us and kind of tryand figure some things out like,
hey, I just don't feel right,but oftentimes that thyroid
storm can hit quick and you justend up in the hospital.

Speaker 2 (10:53):
Oh, yeah, for sure.
Thankfully I haven't had todeal with that and these people
were relatively well.
They just wanted to see whatkind of natural route could help
them.

Speaker 1 (11:03):
That's awesome.
That's awesome.
Okay, what?
What do you think the mostcommon Patient presentation is
for thyroid?
Someone comes in and theysuspect they have a thyroid.
What is this?
I'm just gonna say a femalelook like to you.

Speaker 2 (11:16):
Well, I mean they're 30s, 40s.
Usually they're gonna be tired,they're gonna be sunk.
Weight gain is oftentimes athing.
Hair loss, that or third of theeyebrow, that's kind of random.
I don't really see it all thetime, but it's definitely there
when I see it Right.
Sometimes there's gut issues,sometimes there's some mental

(11:38):
health issues, like a little bitof anxiety or depression, but
usually it's fatigue, hair lossand maybe I got issue.
That's probably the most common.

Speaker 1 (11:47):
Yeah, very, very cool .
And I would say, obviously thefemale coming in, her biggest
complaint is weight gain, right,but the big thing there is that
nowadays because I think a lotof the holistic community is
aware of thyroid disorders A lotof people are coming in for
weight gain but it really hasnothing to do with their thyroid
right.

Speaker 2 (12:05):
Yeah, yeah, they're straight.
I mean, what's the most commonissue that we got in America?
Insulin resistance.

Speaker 1 (12:10):
Yeah, and so that's gonna be a secondary thyroid
issue.
Correct, correct.
So let's start talking aboutthat.
So what are some of the rootcauses, or things that you see,
of causes of hypothyroidism,doug?

Speaker 2 (12:21):
So with hypo, number one is gonna be Hashimoto's.
That's the most common.
You're gonna see that a lot.
We can go into detail on that.
But the other one probably isblood sugar, insulin issues.
I see that quite frequently,especially with a TSH that's
below 1.8.
That's pretty common.
I mean not, like you said, wecan go into detail on those labs
later, but that and thenhormones are gonna be at play,

(12:45):
but again they're kind ofsecondary.
You'll look at the thyroid andmaybe there's some support that
you need to give.
But the solution is elsewhere,whereas with Hashimoto's and I
mean technically even withHashimoto's it's your immune
system, it's not the thyroid.
The thyroid is just getting thebrunt of the attack, and so the
immune system needs to beaddressed.

(13:07):
What is causing the immunesystem to be on high alert,
which is very different from themedical community who says that
there's immune system onhaywire?

Speaker 1 (13:15):
It's like, yeah, your body's not dumb.

Speaker 2 (13:17):
It's just on high alert because it's been impacted
by what we would call a foreigninvader or an offender or
something like that, an antigenthat has repeatedly caused it to
be on alert.

Speaker 1 (13:31):
Yeah, so common antigens there?
Obviously infections, food andthen toxins, right.
And in today's toxic world,yeah, it could be heavy metals.
That's a simple one that wewould blame.
It could be something like mold, but the reality is like, even
like the plastics, the estrogenand plastics act as a huge
problem there.
In fact, I do find hormones,aka estrogen, to be a huge

(13:53):
problem with thyroid.
But I often wonder and I don'talways differentiate if it's
just estrogen and chemicals oractually systemic estrogen from
themselves.
Sometimes I don't really carebecause I'm just gonna detox it
either way, but probably Ishould be looking into, like,
what's the plastic load in thebody, which is probably pretty
high on so many people thesedays.

Speaker 2 (14:12):
Oh yeah, I mean it's ridiculous how often we're
drinking water bottles inplastic, like plastic water
bottles, all that stuff.

Speaker 1 (14:20):
Yeah, I think just so we have.
Autoimmune is the mostimportant, Iodine deficiency is
pretty important and as far asiodine deficiency, it's funny I
know there's a lot of sayingthat like we don't get any
iodine in our diet and stufflike that.
I try not to go too far intolike there's no way to be
healthy without like taking asupplement, because I like
people to be healthy withoutsupplements, right?

Speaker 2 (14:39):
I'm generally speaking, for sure.

Speaker 1 (14:41):
But the amount of bromide, which is probably the
most toxic competitor for iodinein our diets, it just keeps
increasing.
In fact, I saw a diagram theother day which is showing how
much bromide is actually in thecar plastics that you put your
arms on.
And I know I agree that likethat all the car pieces are high
in bromide.

(15:02):
And here we are, we sit in ourcars, rub our arms against it
all day long.
But I'll have to add thatdiagram somewhere, maybe on
Instagram.
But it was just kind of likeweird.
I was like, well, where do weget all our bromide?
And we all think like gluten,right, Our brominated bread and
flour.
But it was weird to see like,oh, like you don't even think
about so many places.
So all these chemicals arebeing put into everything and

(15:22):
specifically like your fluoride.

Speaker 2 (15:24):
You got your other ones too.
You got your fluoride andchlorine as well, like going
swimming in the swimming poolall the time.
I mean, there's a lot ofcompetitors to iodine, for sure.

Speaker 1 (15:33):
In Arizona.
We all have swimming pools here.
I don't, but we all do, andit's like you know.
Everyone's always asking you Iknow, go to a saltwater pool.
It has its own issues.
Then you got a chlorine basedpool.
It has its issues too.
So we kind of go there.
Let's talk about the conversionissue.
Where does conversion happenand why is there an issue, doc?

Speaker 2 (15:50):
So liver, gut and then periphery generally is
where it's going to be done.
And then the conversion issuecomes down to between T4 and T3
or reverse T3 and T3.
And typically you're needingzinc or selenium there.
But that doesn't tell you why.
Now it could be just simply youhave a zinc deficiency or a

(16:12):
selenium deficiency.
It could be just absolutelysimple.
But it could also be like,especially with a reverse T3,
it's kind of like homocysteineand some of these other big
markers inflammation is going toincrease.
It Like, okay, that's a verygeneral thing and we like to
throw around inflammation allover the place and of course
there's a million causes toinflammation.
So that would be the big onewhen we need to figure out

(16:35):
stress can cause it.
There's a lot of things thatwill cause it.
It's not a marker.
I like to run reverse T3 justbecause we're generally kind of
figuring out all the stressorsto the body's system and that
sort of thing.
So.
But general inflammation andstressors to the system will
cause conversion issues, alongwith zinc or selenium
deficiencies.

Speaker 1 (16:57):
Yeah, so I love that.
So if I go to like where, Iwould say if you go to a doctor
that says they're like a thyroiddoctor, that thyroid doctor
should pretty much never talkabout your thyroid because all
of the conversion, all theactivation, all of the problems
that go wrong with the thyroidare elsewhere.
So when you walk so your thyroidissues are relatively rare,
really rare, in our offices,right, because once again a real

(17:20):
primary thyroid issue is goingto have its own almost like
urgent kind of needs.
You're gonna know, say you're akid that develops one at like
two years old.
Things go wrong fast when it'sa primary thyroid disorders, but
yeah, so everyone wants to talkthyroid, thyroid, what about T3
, t4?
And it's like, look, that ispart of the story, what we're

(17:42):
monitoring while we treateverything else.
And that's where a lot ofpeople I always say medicine's a
little bit more complicatedthan most lay people think, but
a little bit easier thanmedicine makes it sound.
It was laying right in thatmiddle and I can't remember if I
said it in the last podcast ornot, but it really seems like
it's like people learn enough toknow they gotta run a full

(18:03):
panel, but they don't knowenough to know why they've gotta
run that full panel.

Speaker 2 (18:08):
So yeah, similar to people who think that you should
have a complete lab thing everyyear, a lab set every year, and
it's like you're thinking itdoes more than it does, yeah,
for sure, for sure, like itgives you all the secrets to
your story or something.
Yeah, and it's like how manypeople come in and ask it hey,
can you run all the vitamins andminerals in my blood work?

(18:30):
It's like it's not worth thatway.

Speaker 1 (18:32):
Yeah, yeah, and once again, you can run them and it
can be a lab point or a point ofreference or something like
that, but it doesn't tell youwhy you're low in the zinc, it
doesn't tell you why you're lowin that selenium, which are huge
in thyroid conversion and stufflike that.
The other thing that I wasgonna say is just, once again,
nowadays we're gonna talk aboutestrogen a little bit, but even

(18:55):
more important than estrogen istestosterone therapy and that's
why I believe, like testosteronefor females is one of the most
toxic hormones that someone canadd.
Testosterone directly increasesSHBG, and SHBG and testosterone
directly bind to those thyroidhormones.
They're more affinitive, or inother words, they're gonna bind
better to your thyroid hormonesthan estrogen.
Estrogens more like it kind ofstops the process from happening

(19:18):
, whereas testosterone is likedirectly competing for
absorption spots on the cells,and so I think that that's an
important one.
A lot of women like don't likethat.
I take away their testosterone.
But the reality is, once you'regetting healthy, you're not
seeing that much.
But yeah, testosterone, whenwe're back to testosterone, just
like thyroid, people want athyroid test, people want a

(19:38):
testosterone test.
But once you hear yourtestosterone test and find out
this low.
What are you gonna do about it?
Right, it's not just likeinjections or pills.
That's not the way it works,that's not holistic.
But obviously you can do thosethings, but they're not gonna be
nearly as effective as figuringout why you got low in
testosterone in the first place,for both males and females.

Speaker 2 (19:58):
I mean, that's what I had a patient recently on
progesterone slash, testosteronetherapy and level thyroxine.

Speaker 1 (20:04):
There you go.

Speaker 2 (20:06):
It's like oh my gosh.

Speaker 1 (20:07):
And it didn't change anything.

Speaker 2 (20:08):
That was the thing is like she's complaining of
certain symptoms and it didn'tchange anything and I'm like you
probably like might wanna thinkabout it.

Speaker 1 (20:17):
Yeah.
So a lot of people come in andthey ask, like, how do I get off
my thyroid hormone?
And we'll do that in the Q andA another time but, like, can I
get off my thyroid hormone?
And I always say that my firstgoal and you can tell me how you
approach this, doc but my firstgoal is to get you feeling well
on your thyroid hormone.
You're on level thyroxine,you're on synthroid.
Let's make sure that you feelgood, everything's functioning
well while you're using thatBand-Aid, and then we can talk

(20:39):
about, like, okay, can youdecrease that dose or how do you
get off of it?
How do you approach it, doc?

Speaker 2 (20:43):
I mean, yeah, that's the same.
I kind of approach a lot ofmedications like that,
especially because I mean it'soutside our scope anyway.
So it's a little easier to gothat route and then be like okay
, time to go talk to your doctor.
I think you might want to seeabout coming off of it, but go
have that discussion, sinceyou're doing so well.

Speaker 1 (21:02):
Yeah, I haven't found any problem locally with
someone, when their TSH goesbelow 0.5, of their doctor
saying, hey, let's cut back onthat medication, right?
Well, like you said, yeah, wedon't manage those medications
ourselves, if I made it soundthat way.
But long story short, likewe're essentially trying to
prove that what we're doing isworking.
You go and see, the lab saysthat it works.
Now you're going to get offyour medication because your lab

(21:23):
no longer warrants it.
So, and same thing, I alwaystell people with psychiatric
medications, if they're going towork with their doctor, to cut
it in half.
Great, when they get half.
When they go half on theirmedication, they should feel
better rather than depressed oranxious.
Right, they cut it in half andlike I feel amazing, great, now
you can disclose that to yourdoctor and you guys can work on

(21:44):
what's the plan to get off itcompletely if you're feeling
better on a decreased dose.
So, yeah, medication approachis a whole complicated thing,
but we want to get you healthybefore you just start pulling
medications off 100%, because Imean that can just drop the
world from underneath you.
Yeah, for sure.
I mean, I actually had a ladyyesterday that hasn't happened
to me in a long time 32medications, 32 prescription

(22:06):
medications and aggressive ones,and, like my main goal, like
there was like six for asthma,right, and I was like, okay, if
I can just fix the asthma, wecan get you off six medications.
Now you're down to 28medications, which is still a
ton, but we can slow it.
It's not a typical patient thatwalks in, but she was referred
to applied kinesiology by otherpeople and she said, hey, we

(22:29):
have great docs, and so I can'tremember what state they were in
.
But so she started searchingfor applied kinesiologists and
ran into me.
So it's pretty funny how thatworks.
Nice, okay, let's say so.
We've already talked about alittle bit of Hashimoto's.
What are some of thoseHashimoto's trigger?
Where do people need to diginto that autoimmune story?

Speaker 2 (22:48):
So I think number one foods, cause it's so easy to do
on your own.
I mean there's the six mostcommon ones Gluten's, probably
the number one that's implicatedwith Hashimoto's.
Then you also have dairynightshades, you have corn, you
have soy, you have eggs.
Those are the big ones.
Now, obviously it could be arandom other one.
I haven't seen it.

(23:09):
When it comes to a food, it'susually one of those.
It's not bad, like, let's say,it is nightshades, which is your
tomato, pepper, potato family.
It's not a bad idea to go grainfree anyway or legume free.
Just start eating healthybecause it's going to decrease
the inflammation, but don'tmistake one of those foods just

(23:31):
because it's helping you to feelbetter as the main trigger.

Speaker 1 (23:35):
Yeah, I think that that's pretty important.
I think everyone comes inbecause their neighbor got a
thyroid pill and they just wantthat.
But I do think that it's up toyou oftentimes how fast you want
to heal, how often and I'lleven say, with weight loss.
It's not quite cut and dry withweight loss, but it isn't with
thyroid either.
But if you go hardcore at yourdiet and avoid your actual food

(23:58):
allergy and you clean up all thetoxins in your environment,
you're going to see a fasterresult generally speaking Not
always, but generally speaking.
If you go at it all in, you geta better result.
Rather than someone coming inand saying like, do I really
have to avoid gluten and dairy?
It's like no, you don't have to.
We might be able to dial in foryou and you only got to avoid

(24:19):
one.
But the reality is if you justclean up really clean diet,
you're going to see a fasterresult with thyroid and more
people need to kind of have thatattitude of like I know it's
tough, but are you going to dothis or not?
We're going to take this, andthat's kind of a hardcore
approach and I'm nicer in theoffice, but on the podcast we
don't have to be nice.
So the reality is like are yougoing to do it or not?

(24:41):
It's completely up to you.

Speaker 2 (24:43):
I mean I like the way you stated that because I have
seen it.
I've seen somebody where glutenwas the main cause of their
Hashimoto's.
They removed it and it tookthem a good year because that
was the only thing they reallydid.
It took them a good year tofinally feel energetic, and I
wouldn't say they're all the waythere by any means, but they're
a whole lot better than wherethey were, and so that would be

(25:05):
a big one.
Go towards Paleo, remove gluten, remove anything else that's
inflammatory, find the maincause.
But then what are we going todo as doctors?
We're going to go the extramile and see what is going on
with your immune system and theway that we're going to support
the immune system.
Like, how do I support the Tregcells to help them regulate
everything and suppress theinflammation going on?

(25:26):
Do they actually need turmeric,like it's so popular out there?
Turmeric or resveratrol?
It could Like, I've seen it andI've given it to help lower
certain inflammatory compoundsthat your body's creating.
That helps them get there evenquicker.
So diet can be a huge.
And then I think the otherthing we run into is how often

(25:47):
is it just Hashimoto's alone, ordo they have other issues?

Speaker 1 (25:52):
Yeah, yeah, that's a hard one.
I mean, probably the biggestprimary story that I see, that's
other than Hashimoto's.
So I'll just kind of give youmy quick autoimmune spiel.
I would say autoimmune is justthose three main things that I
talk about, right, it's foods,it's infection and it's toxins.
Right, just to keep it supersimple.
It can be more complicated, butlet's just leave it like that.
And then there's autoimmunity,secondary to other things, but

(26:14):
other than the autoimmune story.
You're looking at liver healthand how many people have fatty
liver in America.
It's like 40% of America hasfatty liver and they don't have
to be overweight.
They can be a skinny female ora skinny male that has fatty
liver.
Now you're taking thatconversion, which arguably it's
60% to 80% of your thyroidconversion, and you're just
decreasing it.

(26:35):
But you may only be decreasingit 20%, but 20% decrease in
energy is significant.
Whenever I talk energy in theoffice, I talk hours in the day.
So let's say that you're awake16 hours and then you drop from
100% 16 hours to 80% energy.
You lose 3.2 hours of energy inyour day.
So like, instead of you beingable to stay up till 10 with

(26:55):
energy, you're only up till 630or something like that with
energy.
Then you're like grinding itout the last couple hours.
So I think that's more of anappreciable thing.
So when I tell people I'm goingto help them with their thyroid
and it starts to get better,I'm like just expect a half hour
here or there.
You're not looking for it, yourlife's not going to change,
your kids aren't going to beeasier to take care of, your

(27:15):
relationships aren't going toimprove, jobs not going to get
better.
You're just going to have alittle bit more energy to do it.
So I think that's where I startwith thyroid and then we start
addressing the other things,because oftentimes people think
the thyroid is causingeverything and oftentimes it's
other things causing the thyroid.
Biggest one in the office thatI pet peeve is constipation.
So like that's like everybody.

(27:37):
Oh, I'm constipated because mythyroid doesn't work.
I swear.
Every naturopath in Arizonasays that and I just don't find
that to be as critical.

Speaker 2 (27:46):
Not from thyroid.
No Job-led are sure, Dutish issure, but yeah, I just I don't
see, I did have one guy.

Speaker 1 (27:56):
He's been with me for about a year.
He's been pretty consistent onhis visits, maybe every other
month, and we finally he came into get off his thyroid
medication and but he also hadthis like chronic constipation.
We fixed his constipation andeverything was perfect and then
all of a sudden he went todiarrhea.
Right, and he goes to diarrheaand it was that thyroid drug
that he was taking, because bythe time we ran the lab the next

(28:17):
time for a thyroid he'dactually been over-medicated.
So now he was like his thyroidwas perfectly fine and so it was
causing loose stools because ofoverstimulating.
So let me, let me just coverthat last thing because it's
another pet peeve of mine.
I have a lot of pet peeves whenit comes to thyroid because
everyone's taking medication,thyroid hormone, in an
overstimulation situation feelslike stress and insomnia.

(28:39):
So I see a little less of thethyroid-medicated patients these
days, I think just because I'mgetting less medicated people.
That in general I would saylike one of my old number one
causes of insomnia, which isthat people are on too high of a
thyroid medication.
They're trying to push thatthyroid medication so far while
ignoring all other things.

(28:59):
So that's kind of how I see itthere.
What else do you think we cando for the thyroid doc?

Speaker 2 (29:07):
I think we covered a good portion of it.
I mean, the big one that I havecome across and I mean this is
gonna be more on the pet peeveside of mine is, yes,
hashimoto's is really important,but let's not neglect the other
major things that affect thethyroid.
And I mean we've alreadytouched on this several times,
but blood sugar gosh.

(29:28):
I have seen it so often latelywhere somebody is not eating
enough protein, they're eatingtoo many carbs, and then we get
pigeonholed into thinking Istill my immune system attacking
my thyroid, and it's like no,you're not eating enough protein
and you're eating too muchcarbs, too many carbs, and you
gotta fix that.
And it's like it's a strugglefor a lot of people to eat more

(29:51):
protein when they realize howmuch protein they need to
actually consume per day.
And then for many people,because they haven't done it for
years, you tell them well, yougotta eat like 100 grams or
something like that.
And I'm like what does thatlook like, doc?
Like a pound of meat, and Ithink it's hard.
And or we try to get theprotein levels up via like

(30:15):
protein powders or protein bars,and then the calories sink and
if you don't have enoughcalories you're gonna be tired,
so it ends up being supercomplicated when it should be
super simple.
So that's probably the otherone that I see all the time that
I'm trying to help people withis a blood sugar dysregulation

(30:36):
that's leading to a thyroidproblem.
Whether or not they haveHashimoto's, it doesn't even
matter, because this has to beaddressed.

Speaker 1 (30:43):
Yeah, I think you mentioned earlier about chronic
viral.
I think we need to be aware ofthat all the time.
Estrogen dominance, right?
So by the time someone comes inand sees a holistic
practitioner for weight gain dueto thyroid, that weight gain
has probably led to estrogendominance at some point in time.

Speaker 2 (31:01):
And it's just so common, like you were talking
about so common have estrogendominance.

Speaker 1 (31:06):
Yeah, and in fact I had a patient today that came in
and actually it was just likewellness, like they didn't have
anything wrong with them, and Iwas like, oh for sure I'll find
an estrogen issue.
That's always shows up on afemale, that's like 35, 40,
didn't show up and I was like,yeah, so surprising not to see
it in a quick visit.
But her signs and symptomsdidn't indicate that.
I just thought that I wouldfind it right.

(31:27):
But we go along with thatmuscle testing, and so that's
the next thing that I'll say islike, not every doctor is
well-versed in thyroid, notevery holistic doctor is
well-versed in thyroid.
There's a couple of questions Ialways wanna ask is like one
does that person believe thatyou can, at least to a large
degree, put the thyroid intoremission?
And so I try to get thatrealistic expectation.

(31:48):
So a couple of questions we'llfollow up with on the next
podcast.
But like can you reversenodules 100%?
Yes, sometimes they go away ontheir own, sometimes you gotta
treat them, sometimes they're apain in the butt.
All of those are true.
Can you get off your thyroidhormone after two, five, 10, 20
years?
Yeah, it just depends on howlong you've been on it and how

(32:09):
many problems you have.
Let's say, you've gotulcerative colitis and fatty
liver, so like severe gut issuesand liver issues, and you're
like I need to get off mythyroid meds now.
It's not happening, right, yougotta get healthy.
Before that happens.
And I think that that's probablythe biggest thing that I wanna
share in this podcast is likedon't go to your holistic
practitioner trying to fix athyroid without an intention to

(32:31):
get healthy as a human, becausethat's the biggest step.
And so people always wanna comein and they just wanna say
thyroid so that they can lose 20pounds.
Well, another thing that I'llbring to your attention is like
it's really one out of 20 womenthat I see like less than 5% are
taking a thyroid prescriptionand losing weight.
The rest of them take it, maybefeel better, but I don't see

(32:53):
them lose 30 pounds.
Have you seen the same thing,doc, or no?

Speaker 2 (32:57):
I mean everyone struggles with the weight issue
and I mean it's a very commonthing that somebody's coming in
with, and it's not just anotherlittle pet peeve of mine too is
the common thing that are toldeat less and move more.
It's like, oh, come on, if thatworked, people would be thin,
and it's just doesn't work.

(33:18):
We keep repeating it and it'scomplicated.
It can be really complicatedbecause the thyroid, the insulin
, hormones like estrogen, thatsort of thing, so no, absolutely
that's kind of how they'representing.
Even in my office, weight gainis always a difficult.
Either they're already thin orthey have extra weight and it's

(33:40):
just super difficult to get itoff and so they just need that
extra help.
Diet's not doing it alone.

Speaker 1 (33:47):
Yeah, I think.
Yeah, it wasn't turning into aweight loss podcast, but we will
say, like the people are always, like you know, I'm eating less
than my caloric intake.
I'm doing things like that.
The thing is, when your cells,your mitochondria, get sick,
when your cellular health ispoor, those little calorie
charts don't really make as muchsense as they used to.
They're all based uponalgorithms and percentages and

(34:07):
things like that.
You step on the scale andmeasures like your impedances
and stuff like that.
They're all based uponpercentages.
They're not necessarily basedupon who you are.
They don't know if you haveheavy metals and mold in your
system and at that point in time, and assuming you have a
thyroid issue, cells are turningslow.
But let's say we have a thyroidworking and the cells are
turning at the right rate andthey're making the right amount

(34:28):
of ATP.
You could still be years awayfrom getting your body to like
what it was when you were toxinfree, and so there's just so
much more to that weight lossstory than just fixing the
thyroid.
The only other thing I'll sayis thyroid is highly correlated
with mood.
So if you have the weight gain,you have all these symptoms and
you have poor mood Sometimesthat thyroid can help.

(34:50):
I will say, like you know, Idoubt you use it a lot, but I do
use a thyroid glandular onplenty of patients.
No hormones obviously in them,but I do use them and I do find
that over time they do rebuildthat thyroid.
Most of my patients are gonnasee nodules either stop
increasing inside or decrease insize or disappear one of the

(35:10):
two.
So we do see that you do see areversal of tissue damage as
people get healthier.
Now can we guarantee on?
No, no, we can't guaranteeanything.

Speaker 2 (35:20):
But the reality is that- that's always a struggle
for a lot of people.
They think, hey, can my thyroidbounce back?
And they've been on level ofthyroxine for years or
Hashimoto's.
I'm like we'll see.

Speaker 1 (35:30):
Yeah, yeah, my old like just to give people a
number, I say if you've been onit more than five years it's a
definite maybe right, like it'sprobably not Less than five
years.
I'm saying probably so.
How long that takes it justdepends.
But it let's get depends on howmuch tissue destruction you
have, how many nodules you'vehad.

(35:52):
I have people functioning withhalf thyroids, either born with
half a thyroid or had half athyroid removed.
So you don't have to have afull functioning thyroid gland
to work.
Great as a human, but there'smore to that.
So anyway, we'll cover a lot ofthe Q and A, because I think a
lot of those will go into detail, and I think we'll do another
one on just lab patterns.
That would be really cool forpeople just to be able to just
kind of self-diagnose at home orknow what to bring to their

(36:14):
doctor.
But this is kind of thatoverview, you know, of those big
things the blood sugar, theHashimoto's, which is food
toxins, and infections, thehormones which always do that.
So you can focus on any one ofthose three things and your
thyroid health will start toincrease and then you might need
more help with a doctor, tokind of dial it in Doc.
Still able to get ahold of youon your website.

Speaker 2 (36:36):
Yep easy to get ahold of as usual.

Speaker 1 (36:39):
Okay, cool.
So yeah, why don't you guysreach out to us if you have
questions?
A lot of us find us onInstagram.
I have not been getting as manyquestions on Instagram, so I
answer as many as I can, asfrequent as I can, but I don't
get a hundred anymore.
So you know, you might actuallyget your question answered if
you submit one on there.
So follow us on Instagram.
Anything else you want to sayabout thyroid before we leave?

(37:00):
Doc?

Speaker 2 (37:02):
Oh no, I think we have it pretty well covered.
It's definitely something thatwe see all the time, so if you
need any help, please reach out.
We're just willing to help inwhatever shape or form.
You're even posting a lotlately Just messing around on
Instagram, so hopefully some ofthat helps too.

Speaker 1 (37:17):
Yeah.
So those quick little thoughtsand once again, don't follow
tonight category of thinkingeither thing.
There's two extremes thinkingthat a holistic doctor can fix
everything, or thinking that thethyroid can never heal.
Neither are true.
You've got to figure out whereyou're at for you and what
you're doing to improve yourhealth, and as you do that,
you'll eventually start to feelwell.
And people are just ondifferent timeframes, hence why

(37:40):
we call it the health journey.
And it's not my journey, it'snot Dr Gabe's journey, it's your
journey to go ahead and figureout your own health and heal,
and we both have our ownjourneys that we have to do each
day.
So thanks for listening to thepodcast and we'll catch you on
the next time, doc.

Speaker 2 (37:55):
All right, take care.
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