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May 28, 2024 48 mins

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In this episode of the Ketones and Coffee podcast, host Lorenz  welcomes Dr. Amy Horneman, a renowned thyroid specialist and weight loss expert, to delve into the intricacies of thyroid health. Dr. Amy shares her personal journey with thyroid misdiagnoses and explains the critical importance of comprehensive thyroid testing. The discussion covers the impact of the thyroid on overall health, the relationship between thyroid function and weight loss, and actionable steps for optimizing thyroid health naturally. 

The episode also highlights the significant role of environmental toxins in thyroid disorders and offers practical advice for those struggling with thyroid-related symptoms. Don't miss this insightful conversation aimed at empowering you to take control of your thyroid health.

00:00 Welcome to the Ketones and Coffee Podcast!

00:41 Announcing Our Partnership with KetoCon!

02:20 Meet Our Guest: The Thyroid Fixer

05:44 The Journey to Diagnosis: A Personal Story

11:07 Understanding Thyroid Health: Basics to Know

18:44 Optimizing Your Health: Beyond Normalcy

21:38 The Importance of Lab Testing for Thyroid Health

22:27 Understanding Thyroid Function and Hormone Testing

23:15 The Importance of Comprehensive Thyroid Testing

23:28 Exploring T3 and Reverse T3 in Thyroid Health

25:30 Hashimoto's and Hypothyroidism: A Deep Dive

26:31 Why Thyroid Issues Are More Common in Women

28:06 The Missteps in Traditional Thyroid Treatment

30:57 Taking Control of Your Thyroid Health

36:56 Natural Ways to Support Thyroid Function

39:34 Addressing Environmental Toxins and Thyroid Health

41:59 First Steps in Thyroid Health Recovery

43:38 Closing Thoughts and Resources

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Transcript

Episode Transcript

Available transcripts are automatically generated. Complete accuracy is not guaranteed.
(00:00):
Welcome to the ketones andcoffee podcast with Lawrence

(00:03):
Monague, where we explore theketogenic lifestyle and how it
can improve your physical andmental health.
Each week we bring you valuableinsights and advice from experts
to help you on your journey to ahealthier lifestyle.
This episode is brought to youby BasicKetogenicLifestyle.
com, where Lawrence coachesindividuals with depression to
reverse their symptoms andachieve a healthier, Happier

(00:25):
life using an evidence-basedapproach.
So sit back, relax, and join usas we dive deep into the world
of ketones and coffee.
Subscribe to the Ketones andCoffee podcast today and never
miss an episode.
Hey guys.
Before we start the episode, I'dlike to announce our partnership
with Keto Con, the Science andStories of Keto this summer from

(00:48):
July eight to 10 in Austin,Texas, held at the Palmer Event
Center.
KetoCon is an annual health andwellness event, and is the
largest event in the U.
S.
focused solely on the scienceand stories of living a
ketogenic diet and lifestyle.
With 50 plus speakers, medicalprofessionals, researchers,
bloggers, technology developers,fitness experts, and everyday

(01:08):
people like you and I who haveused a ketogenic diet and
lifestyle to improve theirhealth.
With 230 bedded exhibitors aswell.
People love this event becauseit's all about the community.
Attendees are incrediblypassionate about their health
and the ketogenic low carblifestyle.
It is a three days of non stopmotivation and inspiration,
learning, networking, making newfriends, sampling all the latest

(01:31):
innovative products on themarket, and enjoying the city of
Austin.
For discounted tickets, go toketocon.
org and click on the get ticketsbutton.
Use the discount code ketonesand coffee at checkout and
receive a 10 percent discountcode on a three day full
conference passes.
Alright guys, enjoy the episode.
Hey guys, this is Laurence, andwelcome back to the Ketones

(01:53):
Coffee podcast.
And thank you so much for tuningin.
I know everyone here that'slistening are here because you
want to create a sustainable,healthy lifestyle through the
ketogenic diet.
And every single week I try tobring in guests.
That not only has the knowledge,but these individuals has also
been through the same trialsthat we all have been through
when it comes down to our searchfor a better health.

(02:15):
We get together in hopes toassist you on your own journey.
I'm so excited for this guys.
Our guest today is a renownedThyroid specialist and a weight
loss expert, and has a doctoratein clinical nutrition.
She is also known as the thyroidfixer, on a mission to optimize
thyroid patients around theworld and give them their lives

(02:36):
back through her work.
proprietary transformationalprogram called the fix method.
She's also the founder of theInstitute for thyroid and
hormone optimization.
And I'm not done.
She's also the host of thepodcast thyroid fixer, a show
for hypothyroid disordersufferers who are, who are fed

(02:56):
up with the symptoms such asfatigue, weight, uh, hair loss,
weight gain, and brain fog.
I'm so excited for this.
I'm here with Dr.
Amy Horneman.
Doctor, welcome to the show.
What is up?
Thank you for that beautifulintro.
You did better than I can everdo.
So thanks.
I disagree, but, uh, thank youso much for that compliment.

(03:18):
So in all transparency, when Iwas doing my research, I thought
I knew about this topic, youknow, the topic of all things
thyroid until I did my researchand listen to your podcast, I
went, huh.
Maybe not much, right?
But, um, there's a lot to it.
I am.
There's a lot to it.

(03:39):
And I am as newbie as they comein terms of, you know, overall
impact of our thyroid, um, toour overall head.
So on this show, we are allabout optimizing, taking, Uh,
control of our own healthbecause, you know, as we know,
our lifestyle is a big factorthat plays into the thyroid

(04:00):
issues.
So, having said that, we have togo back to the basics on this
show today.
Um, I'm going to ask the basicsand the lowdown explanation, um,
of what all of this means.
You know, the thyroid, uh,issue, the condition.
That's why I'm so happy to haveyou on and, uh, to shed some

(04:20):
light on this topic because nota lot of people are talking
about this topic and a lot, andI was listening to your podcast
and what I'm getting is there'sa lot of mis misleading
information out there.
A lot of misdiagnoses, uh, thatleads to frustration and leads
to more stress on the body.

(04:41):
So I want to preface this to ourlisteners.
Um, If you are fatigued, gainingweight, losing hair,
constipated, you know, moods areup and down.
Thyroid has a direct effect onthe body because it affects
every cell in every organ, whichcan use this problems, can cause
this problem.

(05:02):
So stick around until the endbecause we will discuss those
later on.
But, um, before we get to that,tell us how you got here,
because I can tell that this ismore than just a career for you.
When I listened to your speakabout.
Uh, your patients.
I feel that emotional connectionbetween you and your patients.

(05:23):
And even outside of that, you'reanswering questions from people
just who just needed help.
So where does that passion comefrom doctor?
Oh, thank you.
Thanks for picking up on that.
And it, and it is a passion.
I think a lot of us in thisspace come here because of a
pain to purpose story.
Maybe we went through somethingthat we want to now help others.

(05:44):
And that's my story.
So I was also misdiagnosed.
You talked about a lot ofmisdiagnoses in this area.
I was misdiagnosed six times.
And it started with, it startedback in my 20s when I was doing
bodybuilding competitions and Iwas doing the figure part, so
not beefy bodybuilding, but thefigure part.

(06:04):
And I had done this many, manytimes, dieting down, getting on
a stage, getting in front of thecamera, doing fitness modeling.
And there was one particularmoment where, one particular
show prep, where the scalesstarted going up instead of
down.
And I thought, wait a minute,this doesn't biologically make
sense.
With what I was doing.
And how my body was responding.
It felt like my body wasliterally rebelling against me.

(06:27):
So I went to what we all do.
I went to my doctor.
I said, this is what's going on,the scale keeps going up, up,
up.
Once it passed 20 pound gain, Istopped weighing myself.
So it could have gone higherthan that, but I know I gained
at least 20 pounds, very, veryrapidly.
And I go to the frisker, andthey told me I am normal, air
quoker, normal, everything isfine, just eat less and exercise

(06:49):
more.
I was like, are you kidding me?
I can't eat less and exercisemore, not more than what I'm
doing already.
I was already going to the gymtwice a day.
So, I go to doctor number 6,they all tell me the same thing.
Now, how many of us would stop?
How many of us would stop atdoctor number 2 because we put
our trust in conventionalmedicine and what my doctor says

(07:09):
must be the case, so I guessI'll just have to learn to live
fat, bald, and tired.
No, that's not what you shoulddo at all and that is my mission
in telling people they have tohave hope and they have to keep
going.
And part of that, thatpersistence.
And getting the answers islistening to your own body.
So, doctor number seven finallydiagnosed me, finally said, you

(07:32):
have Hashimoto's, you havehypothyroidism, and here's a
pill.
So she gives me a pill, I walkout of the office, and of course
I'm excited, because I'm like,yay! There's a pill, and now I'm
going to lose weight.
That didn't work.
I gave it five months.
I went back to her.
I said, you know, there has tobe something else in this, this
T4 medication that you're givingme.
There's this thing called T3over here.

(07:53):
It sounds like it's prettypowerful.
She goes, I don't do that.
I said, well, I'm going to findsomeone who does.
So my lifesaver.
was a functional medicinepractitioner back then.
I think we use the termintegrative and I went to him.
He saved me.
He changed my life.
He became my mentor.
He changed my career path.
And that's why I am here todayhelping others because I knew

(08:16):
that frustration I went throughother people are going through
it too.
I knew if I had to beg to findan answer, if I had to be that
persistent.
and go to seven differentdoctors.
Other people are dealing withthis as well.
So that's why I am now helpingpatients find an answer and get
absolutely optimized to gettheir life back.

(08:38):
You know, what I got from thatis you were so nobody's going to
stop you finding out what'sgoing on because you'd like you
said you've been to many manydoctors and you didn't stop with
one.
You didn't stop with two.
You were somebody that was hellbent on finding out what's going
on, right?
So.

(08:58):
And many people are not likethat.
Not like you that is so, um,aware of what's going on in
their body.
Maybe because, yeah, awarenessis key here.
If you don't know what'shappening, What you're looking
for.
And it becomes very hard.
Are you, were you always that,um, curious or were you always

(09:19):
sensitive with, you know, whatyour body's feeling?
And, or were you able to developknowing my body?
Yeah.
You know what I would say that'sdeveloped.
I, but I think that that's a keycomponent to, and it's something
that we all have to tune intoand learn is listening to your
body.
And now I always tell.
My listeners, my patients, thatyour body gives you a sign,

(09:42):
whether it's weight gain, youcan't lose weight, fatigue, hair
loss, constipation, depression,anxiety.
Those signs are red flags thatyour body's saying, hi, hello,
there's something going on.
This isn't right.
This isn't how you were built.
We were not built to walk thisearth.
Fat frustrated and tired.
That's not how we were meant tolive.

(10:03):
So when you have those symptomsTune into your body and listen
to it because it's giving you asignal It's giving you a signal
to say find out what this rootcause is find out what is
causing This symptom in you thatis not right So I really think
that's important for everyone.
Mine was definitely home becausewhen you are competing and going

(10:24):
through that very strict, I meanit was a strict diet, that's why
I say it doesn't biologicallymake sense that I put on 20
pounds because I was eatingchicken and fish and asparagus
and green beans and doing allthe things and working out and
doing strength training andcardio and I knew my body well
enough to know, yeah, this isn'tright.
So you have to listen to yourbody and don't push off the

(10:48):
signs and signals your body isgiving you.
Don't chalk it up to gettingolder or, oh, I'm just going to
have to learn to live this way.
And those are quotes from actualdoctors to my patients that have
then come to me and said, pleasehelp.
These are what those quotes are,what their doctors told them.
You're just getting older.
Learn to live with it.
You just have to deal with it.
You're a woman.

(11:08):
Just deal with it.
And I just, I want to pull myhair out when I hear things like
that.
So, what would you have donedifferent if you were to go back
to that time you were strugglingwith, uh, your thyroid?
What would you have donedifferent?
Because it did took you a whilenow to discover that, right?

(11:30):
And I just want to figure, Ijust want to figure out why do
you think it took that long foryou to discover?
Is it, is it not available forpeople?
Like, is it not, are the doctorsnot, um, testing your thyroid
when you're going in, or is thisjust awareness for, um,
education for people?
A little bit of both, but younailed it with the testing.

(11:52):
So if I could go back and I knewthen what I know now.
I would have demanded thoroughtesting.
So what I always tell mylisteners is, you know, chances
are when you go into your doctorand you ask for a full thyroid
panel, let's say you, you hearme on this podcast, you go in,
you're like, you know what?
I heard Dr.
Amy talk and I want a fullthyroid panel.

(12:13):
You can't do that becausechances are you're only going to
get two markers.
You're going to get TSH and youmay or may not get free T4.
And if I could go back and lookat my labs, I would bet money.
That's all they tested on me.
But there's so many more markersthat we have to look at to
really get that full picture ofyour thyroid health.
We have to test free T3.

(12:33):
We have to test reverse T3 andwe can go into what these mean.
Okay.
We have to test for Hashimoto's,which are the TPO and TGA
antibodies.
We have to do that thoroughtesting to really get that
accurate picture of your thyroidhealth.
So I would say if I could goback, I would have made sure
doctor number one did that fullpanel.
I would have demanded it.

(12:55):
And my rule of thumb to everyoneis if your doctor says no to
testing.
It's time to get a new doctorbecause if your doctor will not
even test it is no money out oftheir pocket There's no skin off
their back to write another teston that little script that
you're gonna walk into the labIf they don't even want to see
the answers if they don't wantto see you and and have all of

(13:16):
you Answers in front of them sothat when you go to them and put
your trust in them and you'resaying hey doc I am struggling
right now I am in the depths ofthis.
I am depressed.
I am frustrated.
I am gaining weight.
What the hell is going on withme?
And your doctor won't even testto get that full picture.
Time to go.
It is time to go.
You want to run, not walk awayfrom that doctor.

(13:38):
My concern is how do we helppeople quicker?
Um, how do we find you quicker?
Right.
Um, it seems to me that you mustbe frustrated already in the
system.
You must be able to take controlof your own health, meaning you
must know what's really going onin your body.

(13:59):
So you now can then direct yourdoctor to getting you the right
testing done.
Right.
Yeah.
Because in the beginning youmight not know that, you know,
obviously if I'm having theseemotional symptoms and physical
symptoms.
I don't know what's going on.
Like if I'm just a normal Joethat doesn't, it's not, you

(14:20):
know, well versed in, in thespace, then I, I, I don't know
any better.
Right.
I just want to know, like, howdo we help people a lot more
quicker?
Because so having said that, allof that, we have to really be
aware of our physical, emotionalsymptoms.
That's what we know.
Like you found keto because ofyour own struggles.

(14:41):
You're not because of yourdoctor telling you to go keto,
right?
We know, would I, would I lookout for, so I can know to go to
my doctor about getting sometesting.
Now, what, what are the telltalesigns now?
That I have a problem with mythyroid.
Yeah.
So it's really interesting whenwe talk about the thyroid,
because the thyroid is themaster gland.

(15:03):
So it's going to control a lot.
Well, here's what can be tiedback to it.
And we don't want to soundcliche like, Oh, that's a
thyroid problem.
That's a thyroid problem.
But it just is true.
When we think of it as themaster gland, it has control
over your insulin.
So one of the big things withketo and thyroid that I'll
actually be talking about atKetoCon, busting the myth that
keto is bad for hypothyroidism.

(15:24):
Is that most of the time, 99percent of the time, if you have
a thyroid problem, you're goingto have an insulin problem
because the thyroid is a masterand it's signaling insulin.
It's giving a signal to all ofyour hormones.
So your sex hormones,progesterone, estrogen,
testosterone, DHEA, and insulinis a hormone.
So it's signaling that insulinsecretion from the pancreas.

(15:45):
And oftentimes what we see isinsulin resistance or pre
diabetes in hypothyroidpatients.
So right there, if you arehaving any of those symptoms, if
you are gaining weight, if youcan't lose, if you're tired, if
you're constipated, if yourjoints hurt, if your hair is
falling out, if your skin isdry, if your nails are breaking,
all of those things.

(16:06):
Our symptoms are signs that arepointing back to the thyroid.
Now, it can have an effect, youknow, we could say, oh, look
over here, you have lowtestosterone.
Look over here, you have insulinresistance.
But, again, if there's a thyroidproblem, and that's at the top,
once we start optimizing yourthyroid and really getting you
into that optimal space, notjust normal, then everything

(16:27):
else down below it starts tocome into play.
So, yeah, I mean, definitely,when you're doing keto, you're
improving your insulin, You'realso taking down extra
functions.
Now the thyroid's functioningbetter, now the insulin
signaling is better, now yoursex hormones are better.
So every symptom that you havecan point back to the thyroid.
How do people know for sure?
It's about testing.

(16:48):
How do people know where to getthe testing?
That's what you and I are herefor, really.
Is to just throw out thiseducation as much as possible.
And when people hear it and theystop and they go, You know what?
I think that's me.
Then they're gonna take thatnext step to demand testing or
find a new doctor who will.
Or search, search functionalmedicine.
And find someone who will get tothat root cause and be able to

(17:10):
give you an answer and properdirection.
You know, it's about education.
That's what we're doing.
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grocery store.
I was listening to your podcast,uh, the other day.
And, um, you said this surroundyourself with people that get
you like this podcast righthere, surround yourself with,
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(18:34):
said, we don't have to remainwhere we are because there is
hope, absolutely.
There's hope a lot of people outthere have no clue what to do.
Yeah.
Right.
Um, so let's step back for asecond and really get into what
it means to be optimal becausepeople got used to being normal
or got used to be having the,this thing is common with this

(18:58):
age, uh, in their fifties, intheir forties, it's just common
for people like.
When you when you age you'resupposed to that's what that's
the common thought right?
Oh, i'm supposed to feel badbecause i'm getting older Right.
No, no, that's not the case atall.
And that's what we have to lookat What it like you said what it

(19:18):
means to be optimal and Ijokingly talk about optimization
land I always invite everyone tocome over and live with an
optimization land because it's agreat place to be but that's why
I want To be there.
I know everyone should be there,right?
It's a great great place So wedon't have to give in to the
status quo of aging We now knowthat supporting hormones thyroid
hormones sex hormones supportingyour hormonal system is key to

(19:42):
anti aging so when we're lookingat Degradation of joints
Degradation of your brain, theneurological diseases of aging,
cancer, I mean, all of thosepoint back to Optimizing your
hormones and and a lot of thatagain not to be cliche and tie
it in but I love keto I love theketo lifestyle we can see with

(20:04):
keto and living that ketolifestyle, how that also ties
into decreasing those diseasesof aging.
So if you do both, if youoptimize your hormones, and you
implement a low carb, low sugar,keto lifestyle, my god, you can
age and be a rock star.
And we see that in, in certainpeople.
And, you know, I, I, I challengeyou to Go ahead and go to a

(20:29):
park, go to the mall, go, go sitat a restaurant, right?
And look around at the peoplearound you and you will maybe,
maybe pull out one or two olderpeople who look good, who have
muscle, who don't have a ton ofwrinkles, who look really,
really good for their age.
Those are the people who haveoptimized their hormones.

(20:51):
Those are the people who areanti aging as those numbers
show.
Go up 65, 66, those numbers aregoing up.
They're getting older, butbiologically.
They're still young.
And then at the same time, youcan look around that room and
you can pull out 20 and 30 yearolds that look like they're 50

(21:11):
because of the, the hormonaldecline because of the processed
foods, because of theinflammation in their body.
So it really is about, aboutthat hormonal status and keeping
things in the optimal range, notjust normal, not just standard
lab normal, but in that optimalrange.
To truly live your best life, tofeel your best, to look your

(21:31):
best, to perform your best, toanti age as you age.
That sounds wonderful to me.
Um, let's, let's talk about, uh,let's go back to, um, lab
testing for a second.
And I really had to look theseterminologies.
And I urge our listeners, um, toreally take notes.
And I'm going back to re listento this.

(21:53):
And so So I can make sure that Idon't miss anything.
Let's say we check all the boxesand we decide to finally
approach our doctor aboutgetting some testing done.
And I know you've mentioned afew, um, tests in the beginning,
but what thyroid labs should weask for?
our doctors for.

(22:13):
Yeah, let's break those down.
So the number one, the one thatyou're going to get if you ask
for a thyroid panel is TSH, athyroid stimulating hormone.
It's important to note thatthat's a pituitary hormone that
is not an actual thyroidhormone.
So our pituitary hypothalamus inour brain talks to our
pituitary, then our pituitarytalks to our thyroid.

(22:34):
So pituitary releases thyroidstimulating hormone, TSH.
Because it's kind of like, Ilike to give analogies so
listeners can understand.
It's kind of like when your kidis doing something wrong and you
start off by kind of just, youknow, talking in a normal voice.
Like, Johnny, can you pleasepick up your toys?
And then he doesn't listen.
So you get louder, right?
Come on, Johnny, let's pick upyour toys.

(22:55):
And then you get loud and youstart to yell because you're
really getting pissed off thatJohnny's not picking up his
toys.
So as that TSH gets higher, It'syelling at the thyroid.
It's saying, thyroid, you're notdoing your job.
You need to wake up, you need todo your job.
So as that gets higher, yourthyroid is getting lower.
More hypo, low and slow.
That's one marker.
Now here's the problem, is thatoften times that TSH will be

(23:19):
within normal limits, WNL, airquotes, and there's still a
problem going on.
That's why we have to test more.
test deeper.
We have to go deeper here.
So now we go on to T4.
T4 is the inactive thyroidhormone, totally inactive.
There is not one single receptorsite on your cells for T4, but

(23:39):
there is receptor sites on yourcells for T3.
So we want to test free T4, freemeaning unbound, ready to be
used, ready to be converted inthe body.
T4 has to convert to T3.
So we test free T4.
We test free T3.
Because T3 is the active thyroidhormone.
That's what's going to give youmetabolism and grow your hair

(24:00):
and strengthen your nails andallow you to poop every day and
make you feel good.
That's T3.
Because that's getting to thereceptor site on the cell.
Now, we also want to testreverse T3.
Another analogy I'm going tothrow at you, reverse T3 is the
antithyroid hormone.
It is like a bouncer at theclub.
It is sitting outside your celldoor and telling T3 it can't get

(24:22):
in.
So T3, you can't get in, youcan't get in, you can't get in.
And it's blocking the activethyroid hormones.
Action on cell when reverse T3is high and it's reverse T3 is
built into us as a survivalmechanism.
We want it there because ifyou're laying in the ICU or the
ER with an injury, a trauma,whatever, fighting for your

(24:44):
life, reverse T3 goes up becauseour bodies are so intelligent.
It knows that we don't have toburn fat, feel good, grow your
hair.
When you're lying there hopingto survive, when your body is
trying to shuttle its energy tohealing whatever is injured.
The last thing we want, however,is reverse these three be
elevated when you're walkingaround trying to live life.

(25:07):
When you're going to work, andyou're trying to raise a family,
and you're trying to get thingsdone, we don't want reverse T3
high.
So we have to test it, becauseif that's high, we have to find
out why.
We might have to change yourthyroid medication, if you're on
thyroid medication, you mighthave to dig deeper to find out
underlying conditions, orinsulin resistance, or estrogen
dominance, all those things thatcan push reverse T3 up.
We have to find out the why.

(25:29):
So we test that.
Then, last two, I mentionedearlier TPO, which is thyroid
peroxidase, TPO, andthyroglobulin, TGA.
Those are antibodies that tellus whether or not you have
Hashimoto's.
Now when we're talking abouthypothyroidism, 95 percent of
the time, 90 5 percent ofhypothyroidism is the autoimmune

(25:50):
form Hashimoto's that's whenyour body is attacking your
thyroid gland because it thinksit's an invader.
So other autoimmune conditionsyou think of Hashimoto's is an
autoimmune condition.
where your body is attackingyour thyroid.
That's what we see most of thetime.
Now, another 5 percent can bejust hypothyroidism caused from,

(26:12):
you know, disordered eating,starvation diets, um,
chemotherapy, radiation, thosekind of things.
But that's only 5, about 5%.
Most people with a thyroidproblem have Hashimoto's.
So we want to test that.
We want to see where yourantibodies are.
We want to know.
And that's all information thatgives us that full picture of
your thyroid health.
Why is it that 95 percent ofwomen are affected by, uh, by

(26:41):
hyperthyroidism?
Why is it most of it is forwomen?
Most of it's women, yeah.
And it's because we have, wehave higher amounts of estrogen
and lower amounts oftestosterone.
So elevated estrogen and justeven just our fluctuating
hormones, because our hormonesare changing throughout a 28 day
cycle.
So our fluctuating hormones makeus more prone to autoimmune

(27:04):
disease.
And then low testosterone, whichI talk about a lot.
I'm a big proponent of havingoptimal testosterone in men and
women.
Because when your testosteronelevels are low, that actually
kind of opens the door for thatautoimmune switch to turn on.
The other tie back to women arethe, the big hormonal shifts.
Pregnancy is a big one.

(27:25):
So, I, I can't tell you theamount of women that come to me
and go, you know, it was aftermy first kid, or it was after my
second kid, that handbasket.
Because that's when I startedfeeling like garbage and the
weight started coming on.
And it's those hormonal shiftsthat will turn that autoimmune
switch into the on position.
With any autoimmune, we havethat genetic predisposition.
The question is, what's gonnaflip it on?

(27:47):
What's gonna turn the lightswitch on?
And hormonal changes, stress,pregnancy is a stress, even
though it's natural, it's stillstress, will turn that switch
on.
So you have been misdiagnosed,um, in the past and, uh, given,
uh, mistreatments.
What, what are the more, mostcommon mistakes doctors make,

(28:10):
you know, treating theirpatients with thyroid?
Using T4 only.
So that's what I was given.
So remember T4 is inactive.
When we give you T4, that has toconvert over into the active
form, T3.
Now, T4 has two paths it canchoose.
It can choose the path toconvert to T3, which we hope it

(28:32):
does, or it can choose the pathto convert to reverse T3, the
antithyroid hormone.
We don't want it to do that.
Now, the problem with giving T4only, and this is just part of
conventional medicine thinking,it's what they were taught in
med school.
is that, oh, no problem, we knowthat most people convert.
Well, if you really look at thebiology, and you look at the

(28:54):
fact that a healthy thyroidgland produces roughly 80
percent T4 and 20 percent T3.
It's kind of a guesstimate, butthat's a rough guesstimate.
And then, just, let's use commonsense logic, right?
And then, someone's thyroid,craps the bed, not working
really well, is destroyedbecause of Hashimoto's.

(29:15):
Maybe it's taken out, maybe youhave a total thyroidectomy, or
you had a partial thyroidectomy,or you have radioactive iodine
to destroy your thyroid becauseof a cancer that was found.
I give you T4.
Mmm.
Wait a minute.
If the thyroid gland onceproduced T4 we give you T4 only,
how does that make sense?
Why would we give you T4 and T3,which is what the body was

(29:37):
producing originally when thethyroid gland was healthy and
active and working properly.
So it doesn't even make sense togive T4.
And the other thing we have toremember is that conversion to
T4 to T3, I, I liken it torunning a marathon with hurdles,
you know, kind of like doinglike three Ironmans.
There's a lot that can get inthe way.

(29:57):
If you are insulin resistant, ifyou are estrogen dominant, if
you are anemic or you have lowferritin, if you don't have
enough iodine, zinc, magnesium,or selenium, vitamin D, if you
have a conversion issue througha genetic snip, the DIO1 and
DIO2 genetic snips, a variety ofmedications.
All of those can interfere.

(30:18):
I didn't even cover half ofthem.
All those can interfere with T4to T3 conversion.
So you can see that it's reallya tough job to do, but
conventional medicine says, ah,you'll be fine.
You got this.
Wait a minute.
No, I don't.
I, you know, I know I want totake the thyroid medication that
is going to work best for me.
And when people ask me, whatkind of medication is your

(30:39):
favorite?
I go, The kind and the dose andthe combination that is going to
optimize you and we have to findthat There is no one size fits
all There's no way i'm going togive the same person the same
pill and expect them to beoptimized.
It can't happen We are uniqueindividuals.
Our bodies are all different.
We have to find what's going towork for you now that's where

(31:01):
the issue is because now if IYou know, let's say for example,
I I do have those symptoms and Igo to my doctor asking You For,
you know, more testing done andyou're testing, you know, T3 or
reverse T3.
What if my doctor, you know, Iknow that you said that, you

(31:23):
know, change your doctor.
You gotta go.
But in reality, like Matt, likeI put a person puts a lot of
trust in the doctor.
That's, I think that's where theproblem is.
Like, um, I went to my doctorasking if keto is good for me.
And they said, I, I don'trecommend that.

(31:45):
Yeah.
They're all going to say that.
So that, yeah, yeah, yeah, that,that's a problem right there for
me.
But, um, again, like you, youreally have to take control of
your own health.
You really have to know yourbody and you really have to, uh,
be sensitive to what you'refeeling.
And if you're not feeling greatafter taking T4 only, then

(32:06):
that's when you ask yourself aquestion and then go to your
doctor, you know, Um, why I'mnot getting better.
Cause some people will just takethat and, and go home with it.
Right.
And keep, keep taking it untillike, um, when did you realize
that, you know, T4 is notworking and you had to rethink
or re, frame your mind that it'snot working and go to, and went

(32:30):
to your doctor.
How long did you had to take T4until you realized, or what, or
was it like something that let'sjust click right away?
I gave it five months.
I gave it five months and thenno symptoms were changing.
I did not lose a pound.
I did not feel better.
Yeah.
Just nothing was, was shiftingand changing for me.
So that's when I started doingmy own research.

(32:50):
Like we all do, right.
We go to Dr.
Google.
Yeah.
And we start researching, westart learning and we go, Hey,
now, I mean, this is 20 someyears ago.
Now we have so many moreresources for people so they can
jump into a Facebook group andthey can post a question.
And I see this all the timebecause I do have a Facebook
group called Love Your Mirrorand that's for the public and

(33:11):
the public will come in and I'llsee people post over and over
and over again.
Oh my gosh, I feel this way andI'm struggling and these are my
labs and this is what my doctorput me on and it's usually T4
only.
And there's a lot of educationthat has to go on and a lot of
handholding for people kind ofcoming into the thyroid space,
really searching for answers andsearching for help.

(33:32):
And that's where we just have toeducate them and say, you know
what?
No, there's, there's more thanone way of, of healing this and
feeling better.
You know, I look at you and youtalk about how we can feel
superhuman.
And I look at you and you are anexample of somebody that's very

(33:56):
passionate in what you're doing.
Very focused on what you'redoing and that's where I want to
be like you are a an example ofsomebody that's Really, you know
energetic and really passionatethat passion that came from you
Also struggling and that nowbecame your mission to help

(34:19):
other people succeed as well SoI really love what you're doing
in your mission and Huge part ofthe reason why people find out
about keto is weight loss,right?
Um, it is known to induce rapidweight loss, obviously.
And if, if done correctly, so.
You've you've talked about therelationship of thyroid and
weight loss on your podcast alot and for our listeners Why

(34:42):
should we check our thyroid ifwe are not losing weight?
That's your metabolic furnace,right?
That's the master gland That'swhat's gonna start everything.
So I always say you could bedoing things perfectly You could
be doing keto the right way.
You can be working out the rightway You could be, you know,
eliminating all of the endocrinedisruptors, and you're changing

(35:04):
your products, and you'regetting the water in, and you're
doing this, and you're doingthat, and if you are not losing
weight, that's when it's time tocheck your thyroid, because that
is your metabolic furnace.
That's your master gland.
That is going to control whetheror not you lose.
And again, what biologicallymakes sense.
We know what keto does to thebody.

(35:24):
We know it shifts you into beinga fat burner.
We know it allows your body totap into your fat stores for
fuel.
It's trying to do that, but ifyou don't have a metabolism,
there's no fire there.
There's nothing there to allowthe burn to happen.
So it's not that Keto is bad foryou.
It's not that you're doinganything wrong.

(35:45):
It's just you have to go back tothe source of your metabolism
and check that first.
And a lot of your listeners, Idon't know if you get into
testing, but if they aretesting, There are ketones at
all and you're not seeing muchlove there and you're not seeing
yourself getting into ketosisagain That comes back to the
thyroid controlling insulin.
It's not even allowing yourinsulin to go down I can't tell

(36:06):
you how many patients that Ihave worked with who have been
doing keto for a long time Andwe check their insulin and it's
elevated and it all comes backto the thyroid Once we start
treating the thyroid then theinsulin starts coming down and
Now, we see the insulinsignaling responding how it
should respond.
We see the glucose coming down,we see ketones going up, and it

(36:27):
all comes back to optimizing themasterland.
I have now a, I have now a newappreciation for the thyroid
gland, because I've, uh, I, no,I thought I knew a lot about the
thyroid, but when I listened toyou, I was watching, just
browsing through your YouTubechannel.

(36:47):
Man, there's a lot that getsaffected from just this small
gland that we have in ourbodies.
So, I want to know, like, whatare some natural ways or
lifestyle changes that we can dotoday so we can start that
process of reversing?

(37:10):
So big ones are number one,going gluten free because we
know if you have a thyroidproblem, if you have
Hashimoto's, any autoimmunecondition, really, that gluten
acts as a molecular mimicker.
So when you, here's anotheranalogy, right?
I always call those autoimmuneantibodies soldiers.

(37:31):
And your soldiers are going outand they're beating, they're
starting a war, they're beatingup your thyroid gland.
Whenever you eat gluten, itactually looks chemically alike
to the thyroid gland.
So your soldiers go, hmm, okay,wait, there's that invader
again.
It's coming in.
We gotta go start a war.
So the soldiers are gonna go outand when you eat gluten, you're

(37:51):
actually spurring on anautoimmune attack.
You are causing those soldiersto go out and beat up your
thyroid more.
So, again, I ask, if I came overand beat you up, would you be a
good worker?
Like, would you be able to getthrough your day effectively?
Probably not.
You'd be laying in the cornerall like, curled up in pain,
just wanting to sleep.
Well, that's what your thyroidgland's doing.
When you allow it to get beatup, it's not going to work very

(38:13):
well.
So it's not going to producethose thyroid hormones that your
body needs.
Eliminating gluten is a big one.
And again, I mean, not to becliche, but I love keto.
I love keto.
I love low carb eating foreveryone, but especially thyroid
patients because you're reducinginflammation.
You're taking down the insulin,you're doing your best to, like
we said, we have to optimizeyour thyroid, but you're doing

(38:34):
your best to lower that insulinresponse, to lower that, that
insulin surge and lowerinflammation.
We know.
So, the diseases of aging comefrom that high insulin.
So whether it's cancer,Alzheimer's, dementia,
Parkinson's, we, we were nowcalling Alzheimer's type 3
diabetes.
That's all from high insulin.
Insulin is that inflammatory.

(38:55):
If you want to age quickly, keepyour insulin levels up.
If you don't want your thyroidto work properly, keep your
insulin levels up.
So if we do the opposite and wedo everything we can to lower
that inflammatory hormone, i.
e.
through low carb eating andketo, then it just makes sense.
That low carb eating and keto isgoing to help the thyroid work

(39:16):
better because it doesn't havethat inflammatory burden on it
all the time.
So there's a lot here that weneed to unpack, but I am really,
really thankful for you being onand sharing your story and
sharing your knowledge for ourlisteners.
Um, my last question for you is,um, you know, Dean, you, you

(39:41):
talked about, um, you talkedabout how our environment also
affect affects.
Our, uh, our thyroid, you know,lots of stressors around us.
Um, Talk about how doesenvironmental toxin plays in a
role in the thyroidoptimization.
So we're right now we're livingin a world that is more toxic

(40:05):
than it ever has been.
So to lose weight in 2022 is notthe same as losing weight back
in 1995 because we have such aheavy toxic burden on us now.
Yeah.
Food is being sprayed.
There's pesticides everywhere.
I mean, just even, you know,your, your laundry detergent,
the, the, the body wash and bodylotion that you put on.

(40:27):
I mean, the, the sheets thatyou're laying in the carpeting
in your home.
I mean, we are just exposed totoxins ad nauseum and these
toxins are actual endocrinedisruptors.
So they fall into a, a, a classof chemicals or toxins that we
know impact the endocrinesystem.
So we start to see Thyroiddysregulation just

(40:49):
hypothyroidism left and rightHashimoto's that stress burden
is going to flip that switch onthat We talked about with
Hashimoto's with any autoimmunecondition and then there's the
hormonal disruption, too So weknow again that high estrogen
interferes with t4 t3 conversionHow many xeno estrogens fake
estrogens are we exposed to Imean plastics BPA?

(41:11):
Um, just, uh, the, the bad oils,canola oil, I mean, that will
jack up your estrogen, uh,pesticides.
I mean, the hormones in yourmeats, it's all of those are,
are xenoestrogens that willfalsely elevate estrogen in the
body.
Now you might not see that on amarker, but it's definitely
going to impact how your bodyfunctions and how your thyroid

(41:31):
functions.
So I really think it's, it's theworld that we live in that we
really have to start changing asmuch as you can change.
You know 80 20 rule 80 percentyou can't control 20 percent you
can't so as much as you can'tcontrol You have to do that and
take that burden off of yourbody.
I lied and I have anotherquestion for you.

(41:52):
Okay So You're you're also acoach, right?
I want to know what is yourprotocol for the first week for
somebody that's you know Youknow, having issues with their
thyroid and they don't know alot about, you know, the issue,

(42:12):
but, um, they, they approach youand, you know, obviously wanting
you to help them with theirissue.
What's the first step for them?
Um, what will be your first weekfor them?
very first step is test.
Don't guess.
So your body tells us your, yourlabs tell us a lot about you.
And that's when people will askme, like, well, what will I be

(42:36):
eating?
I say, you know, your labs willtell us because that's really
where we have to start to knowwhat do we have to fix
biologically?
Because again, it comes back to,I can put you on the perfect
diet.
I can put you on the perfectsleep regimen.
I can put you on the perfectexercise regimen.
It doesn't matter if yourthyroid is off or if your
hormones are off.
So we really have to start withtesting.

(42:56):
Testing, treatment, and theneverything will work together.
So I have a theory that, well,it's not really a theory, it's
just a saying that I always sayon my podcast, both and.
So that's why I treat mypatients, both and.
We're not just going to work onyour thyroid.
We're not just going toimplement keto, low carb, or
whatever diet is meant for you.

(43:17):
We have to do both and, becausewhen we do both and, then
everything works together.
Now your thyroid's optimized.
Now you get some bang for yourbuck for actually busting your
ass doing the perfect diet, andgetting to the gym, and sleeping
well, and everything works sobeautifully together.
So the very very very first stepis test.
Don't guess I love it.

(43:38):
Um, well, I had a blast.
Thank you so much for coming onfor sharing your story I want my
listeners to be able to find youUm, where can people find you?
Absolutely.
So, like you said in thebeginning, you can find me on
all podcast platforms on theThyroid Fixer podcast.
You can also go to my website atDrAmyHorniman.
com.
If you are interested in workingtogether, you can click, book a

(44:00):
call, book a free assessmentcall.
We'll go over your health andwe'll kind of see where we're at
now and see if you are right fitfor any of my programs.
And then of course, all socialmedia, uh, Instagram is at
DrAmyHorniman.
You can find me, DrAmyHornimanon YouTube.
So anywhere you go, you can findme.
Awesome.
Dr.
Amy Horniman, thank you so muchagain for coming on and sharing
your story.
Your mission is, is somethingthat, you know, I, I've, I've

(44:22):
have learned a lot today from,from listening to you and your
passion is really contagious.
And just, I was really excitedto have you on today and, you
know, talk all about, um,thyroid.
So I really learned a lot and Iwill really listen to this.
So I make sure I don't missanything.
Dr.
Amy.
Thank you.

(44:42):
Thank you very much.
I appreciate it.
Thank you.
Thank you.
Thank you for tuning in toanother great episode here on
the ketones and coffee podcast.
And we've had such a pleasure ofhosting yet another amazing
guest here, guys.
If you're eager to learnketogenic lifestyle, Be sure to

(45:03):
check out the show notes.
As a special treat for our loyallisteners, I'm offering an
exclusive opportunity for a freeconsultation call.
Discover how you can achievesuccess on the ketogenic
lifestyle by simply referring tothe details provided in the show
notes.
Take advantage, guys, of thisunique chance to enhance your

(45:24):
journey to a healthier you.
And stay tuned for morecaptivating episodes.
And until next time, guys, keepembracing the power of ketones.
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