“It is far bet­ter to grasp the Uni­verse as it really is than to per­sist in delu­sion, howe­ver satisf­ying and reas­su­ring.” –Dr. Carl Sagan

You may have seen the seg­ment on NBC’s Today Show this mor­ning, January 29th, 2010, or you may have heard about it on the inter­net. But in case you didn’t, the Today Show had a rare short piece about hypothy­roi­dism and diag­no­sis which pre­sen­ted a Nurse Prac­ti­tio­ner, Eola Force, with clear symp­toms of hypo, inc­lu­ding extreme tired­ness, fee­ling like she’s dying, huge weight gain, depres­sion, and brain fog, to name a few.

Yet, she had a so-called “nor­mal  “TSH” lab test. The expla­na­tion for her symp­toms?? She’s FAT, HORMONAL and FEMALE, of course!

And because she is under the care of a wise and know­led­gea­ble doc­tor named Dr. Kent Hol­torf and his cli­nic, which uses addi­tio­nal tests besi­des the TSH, he diag­no­sed her clearly, put her on thy­roid hor­mo­nes, and chan­ged her life.

And the res­ponse by Dr. Sin­ger, an Endoc­ri­no­lo­gist? There is “no real scien­ti­fic basis” for what Hol­torf does in his prac­tice, and it was equi­va­lent to the “laying on of hands”.

Well my dear Dr. Sin­ger sir, if hun­dreds of millions of patients all over the world wai­ted on “science” to prove what they know by deca­des of mise­ra­ble expe­rience because of the TSH, we’d all still be sick as dogs. The mutually accep­ted delu­sion by the Endoc­ri­no­logy field about the TSH lab test has left millions of thy­roid patients undiag­no­sed and under­trea­ted for nearly 40 years of its exis­tence.

Other than to poten­tially diag­nose a pitui­tary pro­blem, no, the TSH lab test is NOT the gold stan­dard for thy­roid scree­ning any­more than rea­ding tea lea­ves tells me what kind of day I’m going to have.

Read more about the TSH lab test here, or find even more detail in Chap­ter 3 in the book called TSH: THYROID STIMULATING HOOEY.

See much bet­ter lab­work than simply the TSH here.  Find what your results mean here. And here’s how to find a much bet­ter doctor.

P.S. Thy­roid patient Lynn Dun­ning emai­led me about tal­king about the cra­zi­ness of current thy­roid treat­ment at her work, and one of her collea­gues put this up on the work web­site:
http://www.spunout.ie/health/Healthy-body/Thyroid-madness Good for Lynn and the Spu­nOut website!


  • Want to keep track of these “fringe web­site” blog posts? ;-) Curious what’s on Janie’s mind? Use the noti­fi­ca­tion on the lower left of the links, called a News­let­ter, or an RSS Feed.
  • The extre­mely hip and sophis­ti­ca­ted STTM t-shirts are half price! Great BUMPER STICKERS, too. Spread the word – YOU may make a dif­fe­rence in someone’s life.
  • Check out the patient-to-patient book with even more detail (and which doc­tors seem to res­pect more than websites).
  • Need to unders­tand all your best options for thy­roid treat­ment? Go here.
  • Keep infor­med of each live Thy­roid Patient Com­mu­nity Call on Talkshoe by sig­ning up as a follo­wer.

22 Responses to “Endocrinologists and the looney tune TSH lab test”

  1. Lisa Barnes Murray said:

    Jan 28, 10 at 6:35 pm

    Dr. Sin­ger – in his use of that stat­ment– used one of the OLDEST form of argu­ment – MOCKERY! But be assu­red that God is not moc­ked, neither is a patient who is lucky enough to find a Phy­sian willing to test free T4, free T3, TSH, Reverse T3, RIA, IRMA, Thy­roid Bin­ding glo­bu­lin, Neu­ro­trans­mit­ters and Amino Acids, DHEA, Cor­ti­sol, and other hor­mo­nes via Blood and Urine
    and Biopsy — WHATEVER it takes to get that patient well! No amount of moc­kery can under­mine that!

  2. Heather said:

    Jan 28, 10 at 10:56 pm

    Dear Dr. so&so — I use the term “doc­tor” lightly… It took me TWELVE years to get a pro­per diag­no­sis because of morons like that (you!).

    I finally had a doc­tor who tes­ted everything — and even though everything was within the norm (note here — inside the norm for the USA — NOT inside the norm for Aus­tra­lia — THEIR num­bers are more tightly confined) — he deci­ded that it was indeed NOT nor­mal to have cons­tant anxiety attacks & not have to shave my legs for 6+ months at a time — save for the 10 hairs that DID grow. Over a year later & I’ve had to start buying razors again lol. I hope that doc doesn’t go back for a second whack with the stu­pid stick…

  3. Dwayne said:

    Jan 29, 10 at 8:23 am

    We, the patients, have finally caught on and the unin­for­med Dr’s are the ones now lost in the dark– extre­mely frus­tra­ted because we, the patients, have to edu­cate them on how to treat thy­roid disease and even more frus­tra­ted they get when patients have more options than they are even aware of– bot­tom line to the idiot doc­tors– you either work WITH us or we will find someone else who will OR we will do it our­sel­ves. Quite frankly, I got bet­ter through doing what other patients do– not what a so called Dr. told me to do. This is why Dr’s have LOST ALL RESPECT. The game is over. And the lon­ger you remain une­du­ca­ted– the more pis­sed off patients are get­ting and taking action– YOU WILL LOSE IN THE END. :-)

  4. April said:

    Jan 29, 10 at 9:40 am

    Honestly the res­ponse from Dr. Sin­ger lea­ves me extre­mely dishear­te­ned and frus­tra­ted. It takes a lot of work to con­ti­nually stand firm on my deci­sion to treat my Hashimoto’s with des­si­ca­ted thy­roid. I have made it clear to all of my doctor’s that this the treat­ment I am pur­suing, that I unders­tand their posi­tion, but they will not sway me. I have since moved to another state and need to find a whole new set of doc­tors. The thought of this has been worr­ying me because I know I will need to ready myself for the fight once again. It is such a shame that we have to argue for our right to be healthy!

  5. Maria said:

    Jan 29, 10 at 9:41 am

    WHAT ARE THEY AFRAID OF??? Why not offer both? I DON“T unders­tand!!!! If I’m NOT doing well with the medication!!!!Why not try the OTHER???I have been suf­fe­ring for over 20years!! I KNEW there must be something else out there that would work!! My laughed at me. I’m so thank­ful for Janie’s book and Mary’s. They ope­ned my mind. I WAS NOT CRAZY! It was not all in my head!!

  6. Maria said:

    Jan 29, 10 at 9:46 am

    Janie, how can I get one of those stic­kers? I did not get one with the book. I found your book when I goo­gled Hypothy­roid Cures. I bought it on Amazon.com.

    Thank you for all you do for US.

    From Janie: Maria, it only comes if you order from the publishing web­site, and if it’s directly reques­ted at the time of the order. :(

  7. Enrique said:

    Jan 29, 10 at 6:57 pm

    Watching that video clip made me very angry and I think it stres­sed out my adre­nals! LOL! These so-called ‘experts’ like Dr Sin­ger deserve a good ‘kick in the rear’.

  8. Mona said:

    Jan 29, 10 at 8:13 pm

    Well, Janie, I hope that you sent your elo­quent rebut­tal directly to the exe­cu­tive pro­du­cer of the Today Show, as well as to the repor­ter who filed that story.

  9. Babs said:

    Jan 31, 10 at 2:15 pm

    So dishear­te­ning. I’ve been going thru the same thing. Free T4 extre­mely low, Free t3 in the low range. Doc­tors won’t treat because TSH is fine. (I’m so tired of hea­ring “It’s the Gold Stan­dard!”) F* that!! I star­ted on Armour, and within a week I felt bet­ter than I’ve felt in 20+ years. 10 days later, though, symp­toms came right back. Docs don’t want to inc­rease because of TSH. TSH went below range on it. Meanwhile, I can hardly func­tion, and *I* know what is wrong. I’m going to call this cli­nic and see if I can get an appt. I’ll fly across the country if I have to. I can’t take this anymore.

  10. Theresa said:

    Feb 01, 10 at 7:37 am

    To Babs,

    Don’t give up. Find a doc­tor who can ignore the TSH. Mine was panic­ked when my TSH star­ted coming in at 0.03 or 0.04! The lab always flags it as abnor­mal, and auto­ma­ti­cally checks FT4 (something they will not other­wise allow tes­ting). My doc­tor sta­ted con­cerns about bone health with such a sup­pres­sed TSH, so I had a bone mine­ral den­sity test. Turns out my bones are 20 and I’m 50!! We also moni­tor FT3, which is kind of use­less, since my thy­roid doesn’t work, and my nor­mal FT3 levels are attri­bu­ta­ble to des­si­ca­ted thy­roid. Good luck.

  11. Brenda said:

    Feb 02, 10 at 8:23 am

    For 10 years I wal­ked around with a golf-ball sized goi­ter stic­king out of my neck. 4 dif­fe­rent Endoch­ri­no­lo­gists deter­mi­ned that I was fine since my TSH was in the accep­ta­ble range! One endoch­ri­no­lo­gist refu­sed to order a uri­nary iodine test because his office doesn’t order those. I got dec­li­ned for life insu­rance at the age of 31 because the agent did not think it’s very nor­mal to have a tumor stic­king out of my neck! Even the insu­rance agent had more com­mon sense then a slew of highly trai­ned endoch­ri­no­lo­gists. Today I am much healthier thanks to sur­gery, diet, natu­ral thy­roid, and a Doc­tor is NOT an endochrinologist!

  12. Babs said:

    Feb 03, 10 at 6:36 pm

    Thanks The­resa, I have an appt to be seen at the Hol­torf Cli­nic in a few weeks. I am so loo­king for­ward to it. To feel like a nor­mal per­son will be a true bles­sing. I’ll tra­vel if I have to in order to be healthy. It makes me NUTS when I’m sit­ting in front of a doc­tor, too tired to move, and in tears, and the doc­tor says, “I don’t see anything wrong.” I want to scream, “Stop loo­king at the TSH and look at me.” The last thing when they can’t find anything wrong is “Are you depres­sed?” No. Not at all. But I will be if I have to go on like this much longer.

  13. Cris said:

    Feb 04, 10 at 1:38 pm

    I’ve been stud­ying thy­roid for 15 years, and sex hor­mone inte­rac­tions for about 10. Being high estrogen/low pro­ges­te­rone will screw with your thy­roid and adre­nal hor­mo­nes, as well as your DHEA levels. You will usually have “nor­mal” thy­roid panels yet be cli­ni­cally seve­rely hypo thy­roid. Dr. Nor­man Shea­ley has a very infor­ma­tive boo­klet, a quick read and cheap, on using pro­ges­te­rone cream to help relieve a lot of the tri­ple crown of symp­toms (hypo T, adre­nal and low progesterone/high estro­gen share MANY symp­toms!). Also, Dr. John Lee’s book has some infor­ma­tion in What Your Doc­tor May Not Tell You About Meno­pause (not just for meno­pau­sal women).

    Once you get your pro­ges­te­rone levels back up (use Dr. Sha­mes Canary Club for the saliva tes­ting) THEN work on what is left lac­king in thy­roid and adre­nals as they often start wor­king again after the pro­ges­te­rone levels are back up to opti­mum. Not all pro­ges­te­rone creams work, you need to find relia­ble sour­ces or have your doc­tor put you on troches (sublin­gual lozen­ges). Low pro­ges­te­rone sick­ness applies to men too. If you are over­weight, you have high estro­gen. High estro­gen also cau­ses insu­lin resis­tance as well as resis­tance to thy­roid, adre­nal and sex hor­mo­nes neces­si­ta­ting higher than nor­mal doses for the same bene­fits others get on ‘nor­mal’ doses.

  14. Elizabeth Hitchcock said:

    Feb 05, 10 at 5:03 pm

    I fired my endo for rel­ying solely on that #!@$%**! TSH test and insis­ting that I reduce my dose of Armour from 90 mg to 60 because my TSH was “on the low side”! My FT3 and FT4 were also on the “low side”, but that did not mat­ter to her! Enough of this TSH crap!! I suf­fe­red horribly for over 17 years because of Synth­roid, stu­pid doc­tors, and the “most sen­si­tive” TSH test!! (AND, little did she know I was really taking 180 mg of Armour and fee­ling bet­ter than I had in 20 years!)

  15. Laura said:

    Feb 10, 10 at 4:39 am

    I am finally get­ting around to watching the Today show clip. I love her story, love that she’s lost weight and doing bet­ter on hor­mone repla­ce­ment, won­de­ring if she’s on Synth­roid or dessicated?

    But, most of all, I LOVE her kitchen! I am nee­ding ideas for colors for cabi­nets and deco­ra­ting ideas too. Currently I am on a pain­ting kick, I have lived in this house for 16 years in hypo hell and have never had the energy to fix things up. Well, after a cou­ple years on des­si­ca­ted thy­roid, look out.

    Any­way, I love her cabi­nets and the grey and white. Another option to con­si­der for my colors!

  16. Starrie said:

    Feb 11, 10 at 2:16 pm

    It really is ridi­cu­lous that we unders­tand the science behind thy­roid hor­mo­nes bet­ter than these stu­pid endoc­ri­no­lo­gists. When I take into account how much money they make from mis­diag­no­sing peo­ple it makes me SICK!

  17. Elizabeth said:

    Feb 13, 10 at 1:50 pm

    Exactly! Years ago, when one implied that I might be “depres­sed” because I was still free­zing all the time while on synth­roid, (Btw, there is NO con­nec­tion to being cold and depres­sion!) I felt com­pe­lled to say “the only thing that depres­ses me is igno­rant doctors!!”

  18. Jessica Williams said:

    Feb 19, 10 at 7:51 pm

    I find it not just a medi­cal night­mare but a repre­sen­ta­tion of how women are gene­rally trea­ted by “autho­rity figu­res” in the USA and elsewhere. In air­ports, we seem to be the ones on the no-fly lists. In cafes, we seem to become invi­si­ble when it’s our turn. In the area of heart health, most doc­tors still believe that “women don’t have heart disease”. It is our num­ber one killer!
    It’s time to FIRE the doc­tors, the poli­ti­cians, the ban­kers, and the cor­po­rate elite, almost ALL of whom are MEN. I am femi­nista and I am proud of it. I do not hate men. I dis­trust their logic and their abso­lu­tism. And I take strong issue their POWER over others. Any sane doc­tor knows by now that the TSH is a fla­wed, mis­lea­ding test, one that gives little in the way of infor­ma­tion about T3 and T4 in the bloods­tream. “T4 only” works ok on men, it is true. This is because they have little estro­gen in their bodies to bind with the T3 that’s crea­ted. Other­wise, T4 only meds should NEVER be used on a hypothy­roid female. NEVER.

  19. Elizabeth said:

    Feb 20, 10 at 12:39 pm

    A well-stated com­men­tary on our society; I agree 100%!

  20. Terry said:

    Apr 13, 10 at 9:48 pm

    Ever­yone, I am so angry, that I can­not express it!!! I am on my 16th doc­tor in 16 years. I only feel well when my TSH is 0 and below. I recently got new test results from tests orde­red from a new doc­tor. The TSH was below o of course but my FT4 and Ft3 were normal(Ft3)and on the high side of nor­mal (FT3). They called me with the results and told me how I nee­ded to lower my dosage. I told them I was coming in to talk in two weeks. Anyhow I went to the phar­macy to pick up my T4, a refill I had orde­red over the wee­kend, and the phar­macy assis­tant said that someone had already called in to lower my T3 dosage. They had not even tal­ked to me yet and they had already lowe­red the dose and called it in, ahhhhhhhhhhh! Oh my God they treat you like you are not even there; like you are nothing! It is nothing short of men­tal abuse. I am pre­sently on seve­ral drugs (ban­daids) for all the pro­blems I have that I believe are cau­sed directly or indi­rectly from the under­trea­ted hypothy­roi­dism. (I still need to inc­rease my T4 and they are lowe­ring the T3.) They are lite­rally killing me. I now have osteo­po­ro­sis, seven years of pre-cancerous cells that I can­not get rid of in spite of two sur­ge­ries and the list goes on. I have deve­lo­ped rest­less leg, have chro­nic high chlo­res­te­rol, refux, fibrom­yal­gia. That isn’t coun­ting the use­ral, dry skin, depres­sion, anxiety, skin pro­blems, puf­fi­ness, fati­gue, con­fu­sion, two second memory, PMS, pig­men­taion around eyes etc. I have deci­ded to raise my T4 myself, talk to this doc­tor about using the FT3 and Ft4 tests to moni­tor my levels. If she refu­ses, I have one more source to try before just moni­to­ring it myself. I wouldn’t even go to an MD except for the fact they have for­ced me to take seve­ral medi­ca­tions for all the pro­blems I have deve­lo­ped and I can’t just quit the drug. All because they are obses­sed with the Fool’s Gold stan­dard test. I can see it now I am dying and collap­sed on the floor with a large tumor pro­tu­ding from my neck. The endoc­ri­no­lo­gist comes over to me and says, “good news your TSH test result is nor­mal, there is nothing wrong with you!”

  21. Bee said:

    Apr 23, 10 at 1:22 pm

    After many doc­tors, hemithy­roi­dec­tomy, and many years of being sick I finally deci­ded to self-treat. When my last endoch­ri­no­lo­gist told me that he does not treat by “symp­toms” but only treats by “TSH” num­bers then I knew that I was on my own. I had care­fully typed a list of my symp­toms and he never loo­ked at them (they matched all the obvious hypo symp­toms on this site). It takes a while, but we all ulti­ma­tely learn that there is nobody who will take care of us besi­des our­sel­ves. It was abso­lu­tely cri­ti­cal for me to main­tain my health and employ­ment. I have no wealthy parents or spouse to pay my bills. I had reached a point in my life where my health had cau­sed my job to be at stake. No emplo­yer will tole­rate an emplo­yee who is una­ble to con­tri­bute with ener­ge­tic invol­ve­ment in the work­place. Loss of employ­ment is a devas­ta­ting pos­si­blity with thy­roid disease. I have seen many women have their thy­roids remo­ved and then leave their careers after­wards. I did not want to become a home­less bag lady! With that in mind, I deci­ded to do wha­te­ver neces­sary … even if it means get­ting on a plane and going to another country to get treat­ment. Yes, I will fight my har­dest to live. So I have found non-prescription sour­ces for my natu­ral thy­roid medi­ca­tion and I have researched exten­si­vely and moni­to­red myself as I inc­rea­sed my dose to 4 grains over a period of 2 years. The end result has been gain­ful employ­ment, being alert in the after­noons, sta­bi­li­za­tion of my weight, eli­mi­na­tion of hair loss, and the abi­lity to have a rela­tionship. I can’t begin to desc­ribe how thri­lled I am to have the oppor­tu­nity to live each day fully.

  22. Laura Magee said:

    Jun 08, 10 at 6:47 pm

    4 grains? I am having the pro­blems with the new armour– could you tell me what your height and weight? The only rea­son I ask is that 1.5 grains is not wor­king and I am at at a loss. The olde armour had me on the money and I was fine. Do you use a sup­ple­ment of the naturthy­roid and armour? Thanks

    (Laura, you’ll pro­bably find your­self here: http://www.stopthethyroidmadness.com/mistakes-patients-make )


Leave a Reply


Do NOT follow this link or you will be banned from the site!