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Tricky Thyroid Tests: Is there something wrong with my thyroid in spite of “normal” tests?

Overview of the thyroid system (See Wikipedia:...

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Suffering from fatigue, constipation, weight gain, depression, brain fog, cold intolerance, hair loss, irregular menstrual periods, low libido and perhaps a host of other unexplained symptoms? Had tests for thyroid and results come back normal? Could it be that the “thyroid tests” only consisted of TSH (a pituitary hormone) and T4? Let’s say that “all” the thyroid tests were done and everything came back “normal”, is it still possible to have some underlying thyroid issues? Have you been tested for free T3, thyroid antibodies or reverse T3? Is there a family history of thyroid problems? Any history of sub-normal body temperatures (average body temperature less than 98.6)? Are you “freezing” all the time? Do you ever get a fever when you’re fighting off an infection? If any of the above questions got you thinking “could I possibly have thyroid issues?”, then you may be right. It’s always helpful to listen to your body (or intuition) coz in this society, we are brainwashed to think that medical authorities know our body more than we know it ourselves (although in certain instances, we need “expert’s”  opinions).

Back to making a diagnosis of thyroid issues. Free T3 is the metabolically active form of thyroid hormone. If it’s “low normal” and if a person has concomitant low thyroid symptoms, then it will be helpful to support the thyroid. In a holistic practice, one may start with nutritional support of the thyroid and if that doesn’t work, a trial of actual thyroid hormone could be used. The use of animal glandulars with both T3 and T4 such as Armour thyroid is preferable since some people who use synthetic T4 alone may not be able to convert it to T3 due to nutritional deficiencies including that of the mineral selenium. By the way, it’s also important to address adrenal dysfunction if a person has thyroid issues in the first place. In Chinese medicine, these are considered yin yang organs and are supposed to support each other. Substances that help the adrenals are called adaptogens and include rhodiola, ashwaghanda, ginseng, cordyceps and holy basil. Nutrients such as vitamin C and pantothenic acid also support adrenal function.

Anyway, for those with auto-immune type of thyroid conditions, it would be helpful to test for food sensitivity as well. Sometimes, getting off offending foods could resolve the thyroid issue. Interesting, huh?

Why is it that we’re seeing a lot of thyroid problems nowadays? The thyroid is one of the most vascular organs in the body. Toxins that we’re exposed to on a daily basis usually affect our thyroid. Some of these toxins are so ubiquitous in the environment that it’s sometimes difficult to avoid them. Some could be avoided entirely though (such as water that’s been purified with halides such as chlorine, bromine or fluoride). They all compete with iodine in the formation of thyroid hormone. Stress also affects thyroid function (elevated cortisol preventing the conversion of T4 to T3). Nutritional deficiencies also plays a major factor in the prevalence of thyroid disorders nowadays.

 

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Mad as a Hatter: Does It Matter?

Alice in Wonderland iPhone wallpaper

If you think I’m talking about the character in Alice in Wonderland, think again. In today’s blog, I’m going to discuss how toxins, particularly heavy metals (like mercury) could affect everything, including our mental health. The phrase “mad as a hatter” was coined in the early 19th century when “hatters” or people who were making hats started experiencing uncontrollable trembling and appeared insane. Apparently, the hatters were using glue that contained mercury at the time. Mercury toxicity can manifest as loss of appetite, fatigue, depression, emotional instability, peripheral numbness, tremors, poor memory and cognitive function, decreased senses of touch, taste, hearing and vision, and neuromuscular disorders. High levels have also been implicated in acute myocardial infarction. All the symptoms just mentioned  are quite common. Therefore, it’s always a great idea to rule out the presence of (heavy metal) toxins in anyone experiencing the said symptoms or anyone who has a possible exposure to mercury (and that means all of us). Mercury is now found all over the place, including our air (esp. surrounding coal-powered plants), food and water supply. In fact, common sources include fish (all fish now, compared to just large fish during previous years), dental amalgams, skin lightening agents (very common in Asia), some hemorrhoidal creams, some vaccines, medical instruments such as thermometers and sphygmomanometers, batteries, electrodes, some fertilizers, the paper industry and finally, the gold industry. In fact, there were recent reports in the news of mercury/lead toxicity in parts of Nigeria where people are involved in gold mining.

To test if someone has elevated levels of metals, particularly mercury, one can have a blood, hair or (provocative) urine testing done with chelating agents like DMSA or DMPS ( although others may use EDTA or other natural chelating agents). A blood specimen is usually used to determine acute exposure while hair and urinary testing informs us more of chronic exposure. Labs that perform the latter tests include Doctor’s Data and Genova Diagnostics. In Asia, I would imagine that Vitech Pro, a company based in Bangkok, is the one that performs these tests. Regular blood tests for mercury could be performed at any reputable lab like Quest or LabCorp. What do you do if your levels are elevated? Besides avoidance of possible sources (kinda difficult nowadays), the accepted form of treatment is a process called chelation therapy.  This has to be done properly however. Otherwise, further damage can be done. Natural oral chelating agents include vitamin C, alpha lipoic acid, garlic, cilantro, onions, chlorella and some therapeutic-grade essential oils. EDTA is available in oral (least effective), suppository and injectable forms. Other chelating agents include penicillamine (for copper toxocity), deferoxamine (for iron poisoning), dimercaprol (for arsenic, mercury and lead), DMSA and DMPS. It is important to individualize treatment in any case. Factors such as kidney and liver function, nutritional deficiencies, allergies, and general patient constitution should all be taken into account when one embarks on a cleansing or detoxification program. For more information, please check out the American College for Advancement in Medicine web site, http://www.acam.org. and the American Academy of Environmental Medicine web site, http://www.aaemonline.org.

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For Men Only (and for those who love them)

There are a lot of symptoms of male menopause that’s commonly attributed to the normal aging process. Symptoms are usually subtle unless there’s an abrupt decline in hormones. These symptoms include the following: abdominal obesity, decreased muscle mass and strength, loss of self-confidence, depression, fatigue, hot flushes, decreased sex drive, decreased ejaculation volume, decreased strength of erections, anxiety and loss of interest in life. Among the signs of testosterone deficiency include: loss of muscle tone, wrinkles at corner of eyes or above the lips, flabby belly or increased abdominal fat, prostate hypertrophy or atrophy, small/atrophied/flaccid penis and male pattern baldness. Anyway, a lot of men usually suffer in silence because complaining is not a sign of being macho. Oftentimes, men just deal with these nagging symptoms until things get worse. For instance, erectile dysfunction could be due to low normal testosterone levels. Treatment is usually not given until a person’s level is really deficient or below normal. So, instead of getting testosterone treatment, men are given “rocket boosters” like Viagra, Cialis or Levitra or supplement-wise, tribulus, maca, or L-arginine. This is all fine and dandy. However, it’s better to address the root of the problem rather than just treating symptoms, just like anything else. Sometimes, the first symptom of low testosterone is a cardiovascular event such as a heart attack. Scary, right? Anyway, it’s also important to check estrogen levels in men. High levels could lead to gynecomastia, prostate issues and emotional imbalance while very low levels could lead to osteoporosis. So again, it’s all about balance in everything (yin yang in Chinese medicine).

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Shut Your Pie Hole!

Veggie burger eating competition, Slovakia.

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Excuse my French. But that’s one of the only ways we can take care of the obesity epidemic in the US and around the world. Many people consume excess calories beyond what their body needs to function optimally. When I first came to the US 17 years ago, I was surprised by the huge servings of food they serve at most, if not all, restaurants (fast food or slow food ones) that I visited. I remember as a kid, my mom would always tell me to finish the food on my plate. But I won’t coz I was a picky eater and besides, she would finish eating the rest of my food anyway. Perhaps, at a young age, I thought intuitively that eating when you’re already satisfied is not right. Good thing, even though I ate junk food during my residency training, I somehow didn’t overeat or gain weight. Ideally, the only time to eat is when we’re hungry. Emotional reasons for eating should be addressed properly. Like when a person’s depressed, they tend to eat carbs to lift their spirits. A better option would be to inhale therapeutic-grade peppermint oil when you feel down because this oil uplifts, works as a digestive aid and also suppresses appetite according to a research study conducted by Dr. Hirsh, a board-certified neurologist from Chicago, who happened to be one of the attending physicians at the hospital where I did my residency training. A good rule of thumb when eating is to eat the amount of food that you could fit in the palm of your hand. Of course, you gotta eat whole foods that’s organic, in season, and sustainably produced. Avoid CRAP (conventional, refined, adulterated produce) foods if possible coz it makes you gain weight too.

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