And now we have to ask: who will fill those shoes when it comes to the continuation of thyroidscience.org and the courageous message of Dr. Lowe?? Even the front page contains an important article  titled “TSH is Not the Answer,” a report Dr. Carol Rowsemitt and Dr. Thomas Najarian: Their explanation and verification  i.e. Dr. Lowe fought for what PATIENTS ALREADY KNOW TO BE TRUE about the lousy TSH lab test!

And Lowe announced that he was next coming out with an article concerning ” false statements of fact online about T3-containing thyroid products including Armour Thyroid” by The British Thyroid Association and UK Royal College of Physicians.  He continued: ” The scientific facts patently show the falsehood of the two organizations’ statements. Is this a failure of responsibility to study scientific issues before making public pronouncements on them? Or do the statements constitute science fraud?”    Unless it was already written, we might never see this article. But we all know the truth.

The loss of Dr. Lowe propels me to ask: Who do YOU see as a medical professional who has the following qualities:

• high intelligence
• an interest in true science rather than blindly following research with outcomes based on who paid for certain studies
• the courage to speak the truth, even if it goes against the grain of staid medical opinion
• compassion for thyroid patients and the willingness to listen to their experiences

Who, as a medical professional, can patients give a vote of confidence to as someone who can continue the legacy of Dr. Lowe?  Propose some names by commenting on this blog post below. (If you are reading this via the Email Notification, click on the title of this post, which will bring you directly to the blog post where you can leave a comment).

A MESSAGE FROM ELLEN GETTENBERG of ACELLA (THE MAKERS OF GENERIC DESICCATED THYROID CALLED N.P. THYROID)

Over the past several weeks, Acella has experienced production planning issues associated with NP Thyroid.  We sincerely apologize for this and want to inform our valued customers that we are putting measures in place now to prevent any further limited supply.  We anticipate improved availability by the end of January.  Please check back here on our website for further updates.  If you need additional information, please email us through the “Contact Us” page on NPThyroid.com.

Ellen Gettenberg
Director, Marketing| Acella Pharmaceuticals
9005 Westside Parkway | Alpharetta, GA 30009
www.acellapharma.com

WANT TO PAY IT FORWARD AS TO WHAT STTM HAS GIVEN YOU?

Out of my own savings last Fall, I paid for three months in hiring a publicist for the message of Stop the Thyroid Madness…i.e. through the end of December. My goal is to reach far more who may not understand WHY they have problems thanks to the lousy TSH lab test or T4-only meds like Synthroid, Levothyroxine, etc. And she has done a fabulous job in getting interviews and articles out there–you can see what she has done on the donation page mentioned below.

After December, patients donations completely paid for January. Now we are working on February, and nearly half way there. But this will end sooner than later if more donations don’t come in. Go here to read about it and Pay It Forward.

HAVE YOU CONSIDERED YOU MAY NOT NEED HC TO HEAL YOUR ADRENALS? OR IF ON HC, YOU CAN DO THIS A LOT FASTER?

UK thyroid and adrenal patient Paul Robinson made a VERY interesting discovery–that he could heal his adrenals with his unique use of T3. Yup, and he SUCCEEDED. And it’s quite exciting news for adrenal fatigue patients.  Additionally, if you are on T3, his  T3 titration process alone is vastly superior to most other recommendations in the use of T3, and means you can use less!!

Take the time to find out for yourself!!  There’s a good summary of what he discovered in the new STTM Facebook Adrenals group (and please note this group is for PATIENTS ONLY, not medical professionals. And for approval to the group, you canNOT have a hidden info and friends. We have to be this way to keep out spammers, and to see that you are who you say you are).  You can also order his book from this Recommended books page on STTM. To order the patient-to-patient STTM book, go here.

Please offer your condolences and praise of Dr. Lowe and all his accomplishments in the name of better thyroid care, by commenting on this blog. I will alert Tammy to it. If you are reading this via the Email Notification, click on then title of the post to put you back on the actual blog, and comment there.

A Special Tribute to my Husband,
Dr. John C. Lowe
1/22/1946- 1/9/2012
by Tammy Lowe

It is with deep sadness and a broken heart that I write this letter to inform you that Dr. John C. Lowe died suddenly January 9, 2012 due to complications following a head injury that he sustained on November 14, 2011.

I’ve spent the last few days searching for the right words to share this news and to honor the man that I have known and loved for the majority of my life, but the words seem so small and insubstantial to the man that he was. One only has to read the many pages of www.drlowe.com, www.thyroidscience.com, and www.thyroidscience.us to know that John’s passion and dedication to the field of thyroidology and fibromyalgia was his reason for getting up every day and spending countless hours boldly offering his strong opinions in the field. There were no vacations in our life together, no tee times on the golf course, no boating on the beautiful waters or walks on the sandy beaches in Florida where we live. His happiest moments were spent at the desk he loved, surrounded by his many wellread, tattered books, and typing the words that would eventually make their way to the websites for his readers to find them. They say a genius is someone of great intelligence and I do believe that John was a genius in his field. His greatest magnum opus, of course, was The Metabolic Treatment of Fibromyalgia, the textbook that took him 10 years to write. Imagine the dedication to complete such a task.

In the final months since his head injury – John was able to accomplish several things despite impaired vision in his right eye and a broken collar bone. He proudly completed a forward to a book titled ‘Recovering with T3‘ by Paul Robinson and a forward for the book, The Hormone Zone, by Dr. John Robinson. He also conducted an interview for Dr. Mark Swanson that will soon be published. And finally, he was also working to complete his own book, ‘Safely Getting Well With Thyroid Hormone’ and was preparing to have it in print within a few weeks.

The website’s will remain as they are. His compassionate words will still be there. I will try to find the newsletter that he was working on and send it (incomplete or finished by my hand). The Thyro-gold will also continue to be available. John believed in it so strongly. I will try to find the clinical trial results and post them for the benefit of those who rely on the product. There are so many documents that he was writing that remain unfinished but I will do my best to sort through them and share them when I can.

What final words can I offer to you all at this sad time? For those of you who knew him personally, who spoke with him on the phone, who met him face-to-face, shook his hand or offered a hug in gratitude – you will join our daughter Michele and me in sorrow as we face this tragic loss together. For those of you who never had the privilege to know my husband personally, but read his writings, just know that he believed in his research and hoped that someday the TSH testing would be abandoned as the standard practice for thyroid health and that healthcare would return to the science-based treatment that it should be.

Remember the scientist that he was and continue to share his work with others who need it. Remember his voice for those
who felt they were never heard when they were in need of direction. Remember the extraordinary man that he was and help me maintain his everlasting presence.

HOW T3, DOSED A CERTAIN WAY, CAN REVERSE YOUR ADRENAL FATIGUE! 

UK’s Hashimoto’s patient Paul Robinson has been a successful T3-only treated patient for more than 13 years, especially because he never did well on either synthetic T4, nor on the combination of T4/ T3. And he learned so much that he compiled all the information on T3 dosing in his book called Recovering With T3: My Journey from Hypothyroidism to Good Health Using the T3 Thyroid Hormone.  You can order it here.

But what I especially find interesting is how he used T3 to cure his flagging adrenal function rather than HC (hydrocortisone).  And here is a short summary of key points, and you can read more by getting his book. He calls this The Circadian T3 Method.

1. Most of the day’s cortisol is made in the last four hours of sleep, which means your adrenals work their hardest during that time. And like any cell in your body which need T3 to function well, so do your adrenal cells…especially during the time they work the hardest.
2. With the above in mind, it made sense to Paul that if adrenals are struggling with low cortisol, they clearly need T3 in that early morning 4-hour window in order to function better. How did he do it?  He moved his first T3 dose to one hour before he would normally wake up, held it for a few weeks to see the results, went earlier another half hour, held it for a few weeks to see the effect…and so on. He obtained a lot of data to ascertain what was happening–urine cortisol, blood pressure, pulse, etc. He found that the time which gave his adrenals the biggest boost, and thus better function, was 3 1/2 hours before he normally wakes up.  But he feels that others might find that anywhere in the first three hours of that four hour window, and it’s important to move slowly within that area to find the right time for you based on data.
3. This protocol needs certain supplements, which include high potency B complex, B12, Vit. C, Vit. D and a good multi mineral. He goes into detail in his book.
4. This protocol would not work if someone has Addisons, Hypopituitary or Diabetes…and may not work if you have pre-Diabetes blood sugar issues. It’s blood sugar in the cells that reacts positively with T3.

There is much more detail than the above. And Paul makes it clear that this treatment for adrenal fatigue and proven low cortisol should only be done in your relationship with your doctor. So you will need his book to understand it all. We have also been discussing this protocol in the new STTM Facebook Adrenals group–created for friendly discussion of your experiences and anything you learn elsewhere.

SELENIUM, EVEN WITH HIGH RT3, IS A MINERAL YOU NEED!

Check out what thyroid patient Cheryl Alvey has put together about the key importance of selenium for thyroid patients: http://www.stopthethyroidmadness.com/selenium

WHY THYROID PATIENTS NEED HEALTHY LIVER FUNCTION

Not only is your liver the largest organ in your body, it does an astonishing amount of work to keep you healthy. It helps maintain good blood sugar levels, metabolizes fats and proteins, helps eliminate toxins via the bile, stores important vitamins and minerals, and makes cholesterol–the pre-cursor for estrogen, progesterone, testosterone, cortisol, DHEA, and aldosterone.

As for thyroid, your liver is is equally as important:

• promotes type 1 deiodination for the conversion of  T4 to T3
• helps with transport of T4 and T4 throughout your body

So what happens if your liver isn’t healthy?  Transportation is less optimal, and the deiodination type 1 will change to type 3, meaning T4 will convert to excess RT3! And guess what can make your liver unhealthy? Continued hypothyroidism, which happens to all too many who are on T4-only medications, or those left undiagnosed due to the TSH. Hypothyroidism is worsened with adrenal problems, and low iron.  And liver function can become unhealthy or stressed if you eat poorly  You can read more about all this here.

In the meantime, what can one do to promote better liver function? Milk thistle is one highly recommended way by many (use Milk Thistle supps from the seeds to avoid estrogenic affect). Also look into dandelion root /leaf, Sassafras, Burdock, Goldenseal and Yellow Doc root, Red Clover and Echinacea root. Ask someone knowledgeable at your local health food store.

I DID THE JUICING FAST

Yup, I watched the DVD “Fat, Sick and Nearly Dead”, and it just resonated with me–both for my yearly weight loss diet which I do after Christmas (to take off the result of all those Christmas goodies), and the immense nutritional benefits.  So I got a new juicer (I chose the Masticating juicer because it gets out more juice-see those on Amazon), shopped for all the veggies and fruits I’d need to use, and began. As I write this, I am approaching my 12th day. Yes, I’ve lost weight–belly is smaller…so is face. But even better, I know I’ve done a wonderful thing for my body with all the nutrients one gets from the juicing of a variety of mostly veggies, and some key fruits.  I’ll probably finish soon, but will always do juicing for veggies a few times a week, because I simply can’t stand them otherwise. And juicing them is quite good if you add a juiced fruit like an apple.  Cheers!

PATIENT YOU-TUBE STTM VIDEOS

See thyroid patient Sam Aliyev’s latest YouTube video.  If you do one about the message of STTM, let me know and I’ll post about it.

Has STTM benefitted you?? Want to Pay It Forward? Go here.

IRON AND ITS IMPORTANCE 

It all too common with hypothyroid patients: finding themselves with low iron levels.   I probably had insufficient iron my entire adult life, remembering that my doctors always told me I was borderline, yet nothing was done about it. So when I finally got on desiccated thyroid, and my iron needs increased due to better health, I finally fell into true anemia, and twice.  Miserable, let me tell you. I was breathless, achy, depressed and had horrific fatigue.

And why is iron so important?

• Iron carries oxygen from your tissues to your lungs (so if iron is low, you can be breathless and your heartrate has to go up in response to less oxygen. Link here.)
• Iron helps raise dopamine and serotonin in your brain (so if iron is low, you can feel depression or hyperactive i.e. attention-deficit hyperactivity disorder. Link here.)
• Iron assists with the cortisol secretion after ACTH stimulation (so if your iron is low, the cortisol secretion is decreased, lowering glucose in your cells, and that might cause the pooling of T3 in your blood. Link here.)
• Iron promotes good conversion of thyroid hormones T4 to T3 (so if iron is low, your storage iron T4 will build too high. Link here.)
• Iron balances your autonomic nervous sytem (so if your iron is low, you can end up in a frequent state of fight-or-flight with accompanying adrenaline surges and nervousness due to heightened sympathic activity. Link here.)
• Iron protects women from breast tumor growth (so if your iron is low, a benign tumor can become a malignant cancer tumor. Link here.) 
• Iron improves your immune system (so if your iron is low, you are most susceptible to infections and illness. Link here.)
• Iron supports brain cell health (so if your iron is low, you can have brain cell death contributing to dementia and possibly Alzheimers. Link here.)

How to discern if your iron is too low:  We used to think testing one’s storage iron, ferritin, was enough. But it’s not. Your storage iron can look normal because of an ongoing inflammation, which tends to thrust iron into storage. So we learned that we need four labs at the minimum : ferritin, % saturation, serum iron, and TIBC.  Even low ferritin along with optimal results in the other labs have caused problems with T3 pooling in the blood.  Go here to read what we look for in our iron results.

Raising poor iron levels: Hypothyroid patients tend to “dry up” and that also causes lowered levels of hydrochloric acid in the stomach, which lowers absorption. For better absorption, try adding 1 tsp to 1 tbsp of Braggs Apple Cider Vinegar to each large glass of water or juice you use to swallow your iron pills, or use Betaine, which is an OTC hydrochloric acid supplement.

To learn more, go to the following page. And for even more details, read the Odds and Ends chapter in the revised STTM book.

CAN LIVER CLEANSES/SUPPORTS HELP IMPROVE YOUR RT3 RATIO??

Because of low iron or adrenal dysfunction, many thyroid patients have found themselves with high levels of Reverse T3…or more common, a poor RT3 ratio. And too much RT3 can mean the thyroid hormone T3 won’t adequately work in your cells, and you can feel miserable. The solution for most has been to switch to T3-only, but that can have a host of difficulties.  It’s not easy to dose with T3 alone.

Recently, though, patients are discovering an alternative way to lower one’s excess RT3: the use of a good liver cleanse/support product, and most especially those with the herb called Milk Thistle. It’s an herb which, for hundreds of years, has been used as a liver tonic.  In supplements, it’s the milk thistle seeds which are used because they contain silymarin–the powerful part of the herb which does the trick.  And doses in the 400 mg’s of milk thistle extract supplements seem to be doing the trick, say patients who are reporting on it, taking it twice a day at 200 and 200 minimum. Some studies state you can go higher, if needed.

HO! HO! HO! SEND THE REVISED STTM BOOK TO A FRIEND OR LOVED ONE FOR CHRISTMAS OR THE NEW YEAR!  It can be the BEST gift they will ever receive!  Go to the following page, and put in the name and address of the recipient, YOUR email, and the publishing company will get the book out to your special someone:  http://www.laughinggrapepublishing.com/all-about-the-book

 LISTEN TO ONE OF SEVERAL INTERVIEWS I’VE DONE LATELY…AND BOSTON IS NEXT! My next interview will be aired on WBZ-AM 1030 (Boston & New England) on the program called “Women’s Watch” with host Ellen Sherman. You can also listen live here: http://boston.cbslocal.com/station/wbz-news-radio/ No specific time as I am posting this, but it may happen next week. Watch the NTH Yahoo group, STTM Twitter and STTM Facebook groups for an announcement. And there are more to come thanks to a great publicist representing Stop the Thyroid Madness. Want to donate so she can continue helping us spread the word? Go here.  Janie can’t do it without you…and this is specifically to reach millions still on T4-only meds!

 STTM NOW HAS MANY FACEBOOK GROUPS!  See what Facebook has to offer you on top of already great Yahoo groups, here.

NOTE: if you are reading this via the email notification, and you want to comment on it, you’ll need to click on the title of this blog post to take you directly to the blog post. Then scroll down to comment.  For those reading this on the actual blog, sign up to the left under the links. 

IMPRESSIVE GOOD THYROID NEWS!  

After a grueling week by the United Kingdom’s General Medical Council (GMC) , it was decided that the UK’s most renowned thyroid practitioner, Dr. Gordon P. Skinner, should have all his restrictions lifted and his Fitness to Practice restored!

On November 11th, 2007, the GMC had decided that the beloved Dr Gordon Skinner was not fit to practice, simply because in 2005, he dared to listen to and dose by a patient’s clinically-presented thyroid symptoms rather than her TSH labwork–the latter which fell in the erroneous normal range.  Even more dastardly, felt the GMC, Skinner was going to treat the patient without a referral letter from her GP, and may have failed to contact the GP. Heaven Forbid!!

Says a recent statement from TPA-UK:

The GMC have agreed that Dr Skinner was not acting dangerously in initiating treatment with thyroid hormone replacement for those patients who had normal thyroid function tests but who suffered several symptoms and signs of hypothyroidism. They also agreed that for those patients who did not do well on levothyroxine-only therapy, the use of natural desiccated thyroid extract (i.e. Armour Thyroid) was a safe and effective thyroid hormone replacement that doctors could prescribe, even though it remains unlicensed. This is a precedent - and one that the British Thyroid Association are most definitely very unlikely to be happy with.

There’s something huge to learn from this!  It’s called PATIENT POWER, my thyroid friends, and what we must always practice in our fight to get far better treatment. Namely, what impressed the staff of the GMC was the sheer volume of the general public who attended the hearings in support of Dr. Skinner.  Additionally, there was a nicely bound volume of over 2000 patient citations in support of him.

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SURVIVING STRESSFUL EVENTS EVEN WITH ADRENAL FATIGUE

Having adrenal fatigue with its low cortisol can be a challenge, even while you are on Hydrocortisone for your treatment (HC). So thyroid and adrenal fatigue patient Robin had to learn the hard way how to do something very stressful and still survive, adrenally. After moving to a new house, she created these excellent tips for dealing with any stressful event and preventing an adrenal meltdown:

1. REST REST REST as much as you possibly can! Just sit and stop moving, give yourself permission to stop “doing” and just BE! Let others do the work.
2. Don’t be afraid to stress dose with your HC!  Remember that a healthy person’s adrenals can provide over 100mg per day when in very stressful circumstances! Of course this is not healthy long-term, but we do what we have to do to survive!
3. Remember that if you stress dose, you’ll need to start a tapering down by 2.5 mg, holding for several days, then taking off another 2.5, etc until you work back down to your “regular” daily dose–the one that gave you stable Daily Average Temps.
4. SALT! Drink lots of salt water (or juice–I prefer my salt in watered-down juice or other flavored drinks), salt your food heavily, and even eat lots of salty olives, if you like them! The adrenals thrive in salt, and this can also be important if your aldosterone levels are also sluggish.
5. Eat lots of protein and fat and try to keep the carbs as low as you can!
6. Give yourself permission to be a hermit for a while. People can wait for you to return their calls. Just enjoy some quiet and solitude for a while.

PAYING FORWARD WHAT STTM HAS GIVEN YOU!

Janie began a contract with a top-notch publicist to help get the word out to millions about the problems with T4-only, or for those remaining undiagnosed or undertreated due to the TSH lab test (similar to what Dr. Skinner above tried to avoid for one of his patients). She already has interviews scheduled and more gigs are coming.

But this contract won’t last long–it’s just too expensive for Janie alone. So your help is needed to reach more people, and soon.

Go here and read all about it.

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READING THIS VIA THE EMAIL NOTIFICATION?? If you want to comment on anything on a blog post, click on the title of this post, and you’ll be taken right to the actual post. Then scroll down for the Comment square.

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In the year 1847, a young Hungarian physician named Ignaz Philipp Semmelweis had a practice of Obstetrics which began to grow by leaps and bounds.  Even the Royalty of Hungary began to go to his practice. Why?  Because he had the best outcomes.

When he tried to show his collegues his techniques, they simply made fun of him. As his practice continued to flourish,  his peers brought him before the medical society and censured him for not adhering to the current practice guidelines. 

His crime? Washing his hands before delivering babies.  Physicians were offended to think they should wash their hands, and were especially incensed when he could offer no scientific explanation for his intuitive action.  Yet, this very simple antiseptic procedure meant that his OB patients did not contact puerpeal fever and die. Puerperal fever was common in mid-1800′s and often fatal.

The censureship did him in with depression and his practice ended when he was only 47 years old….not because he couldn’t practice,  but because he literally grieved himself to death watching so many women dying unnecessarily for the sake of  current practice guidelines.

It was not until the 1890′s that his methods were fully recognized,  even though Oliver Wendell Holmes of Boston, Mass. USA had confirmed the contagiousness of peurperal fever, and Louis Pasteur confirmed the theory about germs.

And today, established scientific and medical opinions continue the same ridiculous travesty. 

TSH levels have been set at 0.3-5.1 as normal. Therefore, if your physician screens for thyroid disease and you fall within that range, you are considered normal.  Yet, Gay, JC et. al.,  in the Arch Intern Med 2000: 160: 526-534,  showed that the TSH range was 0.45-2.5 for 95% of general population.

In the J Clin Endrocrino Metab Feb 2002 87:(2)489-499 “Serum TSH,T4, and Thyroid Antibodies”,  Hollowee JG et.al. found that a normal TSH was 0.05-3.0 and was different for Whites, Hispanics, and Blacks.The NHASANES lll study showed the normal TSH to be 0.3-2.5 (95% of normal reference subjects).

As a doctor, I wrote to my pathologist at the lab I use and asked why his lab had not changed the ‘normal’ values. I will give you his reply:

“I am aware of this idea to lower the reference range for TSH.  But there are mixed feelings about this in the medical community, especially with endocrinologists. If, for example,we lowered our reference range for TSH from its current 5.1 to 3.0,  we would go reporting about 7% of TSH results being too high to 30%. The last time I looked into this, which was about two years ago (note: this was written in June 24, 2005,  which puts the date of last looking in 2003), most endocrinologists that I spoke with were concerned that suddenly having many more patients would be considered “abnormal” and it would be difficult to manage. They felt it would be best to wait until the word spread in the general medical commmunity and literature so that most physicians would be prepared for the inevitable questions from patients and know how to deal with patients suddenly having high TSH’s. On an individual basis, we certainly could give a lower reference range for the TSH, but you should know that this is not the standard practice in the commnity at this time. It may become standard, but right now, it is not.

Thanks, and good luck,
xxx

So there is the problem. Even if TSH alone was used for screening,  the answer will be wrong. Many hypothyroid patients misdiagnosed as ‘normal’  are being done so because if the right change were made, the ‘medical establishment’ would be embarassed. This says to me that the ‘medical establishment’ does not care about the patient as much as they do themselves.

Recap: TSH levels were known to be wrong by 2000. Reconfirmed in 2006. Waited at least 5 years to make change and no change made. Something is wrong with the system. Review Ignaz Philipp Semmelweis story. Nothing has changed in approx. 160 years.

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From Janie:  ABSOLUTELY BRILLIANT!  And of course, informed thyroid patients also know another inane current practice guideline–the use of  Synthroid and other T4-only meds as the “gold standard” of thyroid treatment…in spite of the fact that a huge body of thyroid patients in internet groups ALL OVER THE WORLD report POOR outcomes when on T4-only meds, besides with the TSH, and do much better on natural desiccated thyroid, or even T3, and dosing by symptoms and the free T3.

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FIND THE ABOVE APPALLING??? FIGHT BACK!!!  A publicist has been hired to represent  Stop the Thyroid Madness in getting to the word out to millions who still linger on T4-only meds, or who are considered “normal” thanks to the lousy TSH lab test. But it can’t go on long without your help!! Read about it here.

As thyroid patients, we are continually seeking doctors who understand successful patient experience. It’s not always easy.  So when we do find a good doctor, we’re ecstatic. But little do we know the challenges a good doctor faces!  The following was sent to me by a progressive, open-minded MD, of whose name I have removed to protect him from his own medical board. Be appalled and amazed. I was.

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Janie, it is not infrequent that we are sent messages like this from Pharmacy Benefits Managers. Here is a typical letter with my reply.

Considerations for Your Review

1. Drug Safety Consideration: ARMOUR THYROID Use in Seniors  Our claims record suggests that your older patient is receiving ARMOUR THYROID. Thyroid hormones should be dosed cautiously in seniors due to a potential risk of cardiac effects. Desiccated thyroid products contain variable amounts of T3. T4 and other iodothyronine compounds. Because older patients have a high prevalence of occult
cardiac disease, the Beers criteria generally recommend transition to a safer alternative (e.g.. agents like levothyroxine with more standardized hormone content). Please consider the potential risks versus benefits of therapy for your patient.

Reference(s):
1. Thyroid Agents. In: McEvoy GK, ed. AHFS: Drug Information. Bethesda, MD: American Society of Health-System Pharmacists; 2008:Sec 68:36.04.
2. Pick DM et al. Updating the Beers Criteria for Potentially Inappropriate Medication Use in Older Adults. Archives of Internal Medicine. 2003; 163:2716-2724.
3. Semla TP et al. Geriatric Dosage Handbook. 13th ed. Hudson, OH: Lexi-Comp; 2007.

(And this brilliant doctor’s reply:)

Dear  xxxxxxx

Re: Armour Thyroid Products

I invite your attention to the P.I. (product information) in the PDR on levothyroxine (Synthroid). I quote:  PRECAUTIONS “Patients with underlying cardiovascular disease—Exercise caution when administering levothyroxine to patients with cardiovascular disorders and to the elderly in whom there is an increased risk of occult cardiac disease.”

DOSAGE AND ADMINISTRATION

“Caution should be exercised when administering SYNTHROID to patients with underlying cardiovascular disease, to the elderly, and to those with concomitant adrenal insufficiency (see PRECAUTIONS).”

I read your statement that says, “Desiccated thyroid products contain variable amounts of T3 and T4 and other idothyronine compounds.”  Forest Pharmaceuticals has stated their product is standardized as published in the PDR: “ One (1) grain or 60 mg of Armour contains by assay 38 mcg levothyroxine (T4) and 9 mcg liothyronine (T3).” I do not ever remember Armour Thyroid ever being recalled for stability or lack of standardization.

However, Synthroid and the other forms of levothyroxine have had significant problems.

SYNTHROID AND OTHER T4 PRODUCTS were subject to FDA NOTICE in the FEDERAL REGISTER: AUGUST 14, 1997 (VOL 62, NUMBER 157). These were the drugs that were not well standardized and were not stable. I quote from the report: “Some of the problems reported were the result of switching brands. However, other adverse events occurred when patients received a refill of a product on which they had been previously stable, indicating a lack of consistency in stability, potency, and bioavailability between different lots of tablets from the same manufacturer.”

Thank you for caring for the health of the patients receiving medications from your company. I request that you check your facts fully before issuing such flyers.

Respectfully,

xxxxxxxxx, M.D.

Cc: FOREST PHARMACEUTICALS

BRAVO TO THIS DOCTOR in the face of complete ignorance!!

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STTM HAS HIRED A PUBLICIST and YOUR HELP IS NEEDED!

Do you value what Stop the Thyroid Madness has given you??  Something has to be done to reach millions of individuals still lingering without a diagnosis due to the TSH, or suffering due to being on T4-only meds! You and I run into them DAILY and don’t even know it!  Or we have many family members in the TSH/T4 category. And the media does NOTHING about this scandal.  STTM has hired a publicist, and you can read about it here. But I can’t do this alone. If you value Stop the Thyroid Madness, please considering helping.

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TPA (Thyroid Patient Advocacy) STILL NEEDS YOU TO REGISTER 

Have you registered for the Counterexamples to T4-only?  So far, 1437 have, and Sheila Turner is determined to get that number to over 2000 at least. There were 900 participants on those flawed studies showing that T4/T3 combination worked no better than T4-only, and we have got to prove our point that this is wrong.  All you have to do is answer 3 very short questions.  http://www.tpa-uk.org.uk/register_of_counterexamples.php

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(Photo graphic by thyroid patient Sam Aliyev of Azerbaijan, Baku city.)

• TAKING YOUR TEMPERATURE CORRECTLY?? Possibly not. 

Thanks to Dr. Broda Barnes, informed thyroid patients know the importance of taking one’s temperature, especially just before we get out of bed in the morning. According to Barnes, we can suspect a thyroid problem if that temp is below 97.8. Conversely, healthy thyroid function (or adequate treatment) would  put our before-rising temp from 97.8 to 98.2. (Menstruating females would need to be aware of higher temps right after ovulation.).

Today, we favor the mercury thermometer over digitals for accuracy. But are we using the mercury thermometer correctly? Maybe not.

A discussion between thyroid patients recently underscored the need to leave it in the mouth longer than the 5 minutes we thought was adequate. Thyroid patient Jennifer states: At 5 minutes it read 97.6, at 10 minutes it read 97.8 and at 15 minutes it read 98 degrees. After that, it stayed 98 degrees.  We then discussed the fact that manipulating the muscle in the back of throat could have caused the final temp. But her experiment, as well as others, underscored that we need to be holding that mercury thermometer in our mouths no less than five minutes, and ten is probably better.

• DOES SELENIUM REALLY CAUSE A RISE IN REVERSE T3 (RT3)?  THINK AGAIN.

The above statement about selenium causing excess RT3 has oft been repeated from group to group for a few years. But it may be very wrong.

For example, this study shows selenium did not cause a rise in RT3, and in fact, lowered  it. Here is one which shows LOW levels of selenium can result in increased RT3. This medical book states that though RT3 comes from T4, it also concludes that  low selenium increases RT3.

In other words,  though the enzymes that convert T4 to T3,  and convert T4 to RT3, are selenium dependent to do their job, that doesn’t mean that selenium is going to increase your RT3.  Bottom line, many thyroid patients love selenium, especially with its power to lower Hashimoto’s antibodies, and being anti-cancer. Suggested levels are no more than 400 mcg.

• TPA’s AUTUMN NEWSLETTER IS OUT–many good articles!

TPA stands for Thyroid Patient Advocacy, and is a UK charity organization started by Sheila Turner. Check out the articles below in thelatest newsletter.

Page 5: The Big Question – Is There an Anti-T3 Conspiracy.  Eric Prichard critically questions why those in Endocrinology need to cite numerous anti-T3 studies, in spite of many other studies which reveal the activeness and superiority of T3. Is the UK and other dark age countries ever going to get it?

Page 9:  Why I Believe T3 Should Be the Very Last Treatment that Thyroid Patients Consider.  Don’t let UK’s Paul Robinson’s title fool you. He believes in the efficacy of T3, but underscores why it can be complex to dose with just T3.  Especially compelling are what follows Paul’s article, titled MEMBERS SUCCESS STORY.  Story 1 is about an individual who, when dosing T3 in the early morning hours, was able to get off all adrenal meds. Story 2 is about a gal’s successful transition from T4 to T3.

Page 15:  Thyroid Patients Have Come a Long Way, Baby….But We Still Have a Way to Go!  Though there are now numerous patient groups on the net and many lives have changed, Janie Bowthorpe (yes, me) explains how many doctors still have a long way to go in understanding how T4 and TSH fail patients, just as desiccated thyroid or T3 have turned miserable lives around.

• HEALTHCHECKUSA WENT UP ON SALIVA TESTING….BUT HERE’S HOW YOU CAN GET THE ORIGINAL PRICE!!

On the Recommended Labwork page, you’ll see several lab facilities where patients can get their own labwork done. HealthcheckUSA is a favorite for many. Unfortunately, their “Adrenal Hormones Saliva Testing Kit from ZRT labs (Dirunal Cortisol and DHEA-S)” went up, from $170.00 to $ $265.00. But there is GOOD NEWS:  STTM’ers can keep the price of $170.00 by placing a PHONE ORDER for the saliva at 1-800-929-2044. The customer will need to mention STTM!!   MENTION STTM to get the discount.

• READING THIS BLOG POST VIA AN EMAIL NOTIFICATION??

If you want to respond to this post, click on the title at the top of the email, which will take you directly to the blog post on the STTM site. Then click on Comment.

MAY YOU HAVE A FUN, HAPPY AND HEALTHY DAY!   Janie

The positive effect of kindness on the immune system and on the increased production of serotonin in the brain has been proven in research studies. Serotonin is a naturally occurring substance in the body that makes us feel more comfortable, peaceful, and even blissful. In fact, the role of most anti-depressants is to stimulate the production of serotonin chemically, helping to ease depression. Research has shown that a simple act of kindness directed toward another improves the functioning of the immune system and stimulates the production of serotonin in both the recipient of the kindness and the person extending the kindness. Even more amazing is that persons observing the act of kindness have similar beneficial results. Imagine this! Kindness extended, received, or observed beneficially impacts the physical health and feelings of everyone involved!   ~~Wayne Dyer

I promise myself…to be so strong that nothing can disturb my peace of mind; to talk health, happiness, and prosperity to every person I meet; to make all my friends feel that there is something worthwhile in them; to look at the sunny side of everything and make my optimism come true; to think only of the best, to work only for the best, and to expect only the best; to be just as enthusiastic about the success of others as I am about my own; to forget the mistakes of the past and press on to the greater achievements of the future; to wear a cheerful expression at all times and give a smile to every living creature I meet; to give so much time to improving myself that I have no time to criticize others; to be too large for worry, too noble for anger, too strong for fear, and too happy to permit the presence of trouble; to think well of myself and to proclaim this fact to the world, not in loud word, but in great deeds; to live in the faith that the whole world is on my side, so long as I am true to the best that is in me.  ~~Christian D. Larson

Life expectancy would grow by leaps and bounds if green vegetables smelled as good as bacon. ~~Doug Larson

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Are you enjoying the change in your weather? I am tremendously.

If you have the revised STTM book (and I strongly recommend it–there are important revisions), you will note a brand new chapter about supplements and foods. I have also gathered up the following information on supplements that just might interest you!
Rhodiola, an herb and adaptogen, can be a great way to counter stress and protect your adrenals!

I often speak of certain herbs which thyroid patients should look into if they are under a lot of stress, or their adrenal cortisol saliva test shows slight sluggishness, or even slightly high cortisol,  as a result of a variety of stressors. One in particular is Rhodiola Rosea, and I am frankly impressed with it.

Since Rhodiola grows wild in Siberia, Russians have been brewing it as a tea to combat sluggish energy for a long time! And the Chinese have been aware of its great properties for eons as well.  As an adaptogen, it’s said to decrease fatigue, stimulate your energy levels, and lower depression, i.e. it can do a great job countering the effects of stress, whether biological or psychological.  See this research study.

It’s also known as an anti-oxidant, and studies show it can have anti-tumor properties. Different brands of Rhodiola contain different amounts of its important properties, so read the label.  You might want to avoid taking it in the evenings, as it can stimulate too much as you prepare for sleep. I keep Rhodiola on hand to use if I’m going through stress of any kind!  P.S. Please note that Rhodiola won’t be enough if your cortisol levels are severely low. You may need hydrocortisone in working with your doctor.

Why keeping your B-vitamin levels up can be so important!

Early in my journey to feeling wonderful again with desiccated thyroid, I remember a doc stating how important it was to keep up with my B’s. Why?  Because with an improving metabolism means a greater need for B-vitamins. Additionally, we may not be absorbing nutrients very well due to excess food processing, so keeping up with this is critical, even if you don’t “feel” the results.

What’s the big deal with B vitamins? They help your adrenals deal with stress better, assisting the production of all adrenal hormones. i.e. your adrenals are BIG users of B vitamins.  They help breakdown other nutrients, which improves energy.  They help in the production of serotonin, thus helping you to avoid depression. They enhance your immune function, and help with your hair, skin and muscles.  Wiki states they reduce the risk of getting pancreatic cancer.

I have tried to take liquid B-vitamins before, and despise the taste.  So I use a good quality, high dose pill form.  Some do better taking each B vitamin individually. Go here to read about vitamin B12 in particular, tho ALL of them are imporant.

Are you supporting your liver? It’s actually important for thyroid patients. 

There have been many good discussions on the STTM Facebook discussion group about our livers. Why is that large organ so important? For one, it’s a major detoxer!  We need it to function well to help remove that which we do NOT want in our bodies…such as excess RT3.  It plays a strong role in digestion through the production of bile, helps breakdown carbs and proteins, produces insulin-like growth factor (IGF-1)  and a bag full of other good activities. You can’t do well without good liver function.

How to support it? I am personally using a liquid product called Liver Life.  It contains mushrooms and Milk Thistle seeds–both important for good liver function.  Others also choose to do a liver cleanse to remove toxins, lower excess RT3 and improve liver function. I suggest talking to a Naturopath about good products, or do an internet search. Patients in groups can also help.

Speaking of depression…look what 5-HTP did for this gal.

Depression is all too common when on the inadequate T4-only meds like Synthroid or levothyroxine. Ridding it is one huge benefit of switching to desiccated thyroid, or correcting poor adrenal function and low iron.  But there’s a possible solution until you better treat your thyroid–5-HTP.  This chemical is a natural way to raise your serotonin levels,  which helps to raise your mood.

One gal had severe depression (which in turn can cause suicidal thoughts in some.)  Her Naturopath had an idea–to start taking 800 mg of 5-HTP a day, starting immediately with five pills before bedtime that very night. It worked.  She explains “The 5-HTP took me back to the bubbly, happy me that was there before the thyroid problems began — at least emotionally.”

Have asthma or any lung condition?  Then you may want to look at your Vitamin D levels, which are chronically low in thyroid patients.  

A female thyroid patient with low levels of Vitamin D got on supplementation with D3 to raise her levels. And to her complete surprise, her asthma went away.  She explains:  After I realized that my asthma was gone, I googled “Vitamin D and Lungs” and found out that it’s being studied all over the world.  Here’s just one quote she picked up: “In a recent article from the American Journal of Respiratory and Critical Care Medicine, researchers looked at Vitamin D2 and D3 levels in adults with asthma. They also measured obstruction in the lungs in various ways. They reported a significant correlation between Vitamin D levels and lung obstruction. In other words, the lower the Vitamin D level, the more obstruction in the lungs. In addition, decreased or insufficient Vitamin D levels were linked to greater “twitchiness” of the lung, which makes the lungs more sensitive.”

Click on last link below to view the Road to Recovery in your thyroid journey.