cortisol tags

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.

HUMOROUS VIDEO ABOUT ADRENAL FATIGUE:   In my blog post last February 15th, 2011, I sent you in the direction of a kooky, creative and hilarious You Tube video titled “Our Holy Miracle of the Infallible TSH Test”.

Well, creator and thyroid patient Brian Foreman has brilliantly done it again, but this time, it’s about adrenal fatigue and titled “Why Isn’t My Thyroid Medication Working?”  Have fun watching it, and get ready for a good laugh here and there.

Want to know more about adrenal dysfunction? Go here to find out about the problem, and do the Discovery Tests tests to see if you might have it.  Note that it’s critical, if the self-tests seem to point to an adrenal issue, to do a 24-hour adrenal saliva test to see what is going on at four key times during a 24-hour period.  Here is a compilation of what patients have learned in how to treat low cortisol, and this page is important to share with your doctor. If you want even more detail, it is strongly recommended by thyroid patients to order the REVISED STTM BOOK, and see Chapters 5 and 6. This can be carried right into your doctor appointment with key areas highlighted and bookmarked.

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BIPOLAR, DEPRESSION and HYPOTHYROID: A thyroid patient emailed me with just one more article on the connection between having a bipolar disorder and one’s thyroid, including the fact that there is “a strikingly high rate of autoimmune-caused thyroid problems in people with bipolar disorder”, aka Hashimotos disease.

And even if depression is your main problem, the article mentions “gently pushing your thyroid status over toward the “hyperthyroid” end of normal, if you happen now to be toward the hypothyroid end of normal”, in order to adequately reverse the depression problem. I constantly think back about my own mother who suffered from depression, succumbed to having shock therapy, and ended up on anti-depressants the rest of her life because of her use of Synthroid.  So we know that treating hypothyroidism with direct T3, such as is found in desiccated thyroid, is far better. 

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IS THERE A BABY KNOCKING IN YOUR BELLY?  I often see pregnant women in forums wondering how their babies are doing and how the thyroid works in helping their babies, or hurting them if the mother is pregnant and hypothyroid.  Here is an article sent to me that can help inform as to changes in your thyroid function when pregnant, how thyroid hormones affect the brain of the fetus, and the role of iodine.  It can underscore how important proper treatment is while pregnant.

What about adrenal fatigue which so many thyroid patients find themselves with, and pregnancy? A gal named Anne has written about this issue here. She has Addisons disease, which is more about a disease process and can be autoimmune, but her comments can be very applicable for those of you with sluggish adrenal function. Share all of this with your doctor. Need to find a good one?? Go here.

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TWO COMMON MISTAKES  MADE BY PATIENTS:  In patient groups, here are two common mistakes I see patients make:

1. Not doing the 24 hour adrenal saliva test if adrenal dysfunction is suspected:  I can’t stress this enough:  patients have learned repeatedly they shouldn’t have rushed into cortisol treatment if they or their doctor’s “suspect” an adrenal problem. Yes, STTM has outlined several self-tests, called Discovery Steps, that you can do in your own home to see if anything is suspicious. There is also a checklist of symptoms related to adrenal problems. But the problem is two-fold:  symptoms of high and low cortisol can be exactly the same, and ‘where you are low’ and ‘where you are not’ can dictate how your treatment should be.  Some only need to lower high cortisol, some may do well on simply adaptogens like Ashwagandha or Rhodiola, some do well on Isocort or OTC adrenal cortex, and some outright need to be on prescription hydrocortisone. Teach this to your doctor. Here is where you can order your own saliva tests, and then take them into your doctor’s office.
2. Not getting copies of labwork: Contrary to how your doctor says it, you have a right to have copies of your own labwork. And you should! Patients often come on groups seeking feedback from other patients, and yet, have no idea what their labwork was, or the ranges. Getting copies of labwork is just one step of many in being a pro-active patient. Here is how to read labwork according to the experience of thyroid patients.

Thyroid tidbit #1 COCONUT OIL: Thyroid patients continue to report that the daily use of Coconut Oil (extra virgin is good) caused an increase in metabolism and even weight loss in  somewho wanted the latter. How much daily? It varies from 2-4 T. but be careful, as too much can cause diarrhea. 

Thyroid tidbit #2 GRASS FED DESICCATED THYROID: Are you worried what the pigs were eating before the thyroids became desiccated?? If so, try Dr. Lowe’s Thyro-Gold, which is actually from cow who are pasture-fed. Then report back to STTM on the Contact Me page and tell us how it works for you as a treatment, or not work. I will compile information and report it here.

Thyroid tidbit #3 ALZHEIMERS DISEASE: Improving your thyroid function just may lessen your chance of getting dementia. But research has also found a Leptin connection: http://www.webmd.com/alzheimers/news/20091215/more-leptin-may-mean-less-alzheimers

Thyroid tidbit #4: ASHWAGANDHA: If you have sluggish adrenals and are on cortisol, adding the herb Ashwagandha can be an excellent and natural additional support for your adrenals. Even without adrenal fatigue, it’s also good in the face of excess emotional stress, and is an anti-inflammatory.

Thyroid tidbit #5 REVERSE T3–IS YOURS TOO HIGH? The body naturally converts T4 to RT3 as a way to clear out excess T4. But you can also make too much when your ferritin is too low, your adrenals are stressed, B12 is low, in the presence of diabetes, and other chronic issues. High levels of RT3 can cause a pounding heartrate, continued hypo, and just a feeling that you aren’t feeling great yet. To learn more, go here.

Thyroid tidbit #6 BI-POLAR: Have you been diagnosed with bi-polar disease? If so, you might want to do the right tests for hypothyroidism, since there can be a strong connection between the two, and you can either be undiagnosed thanks to the wrong test, or undertreated thanks to Synthroid, Levoxyl, Eltroxin or other T4-only medications. Read more here plus more detail in the STTM book.

Thyroid tidbit #7 GREEN POWDER and CHOCOLATE: Don’t like green veggies but want to be healthy? Look into the different varieties of “Green Powder” that you can stir into your favorite juice or water. Read the labels, tho, and avoid those with soy. Like chocolate?? They now make CHOCOLATE FLAVORED GREEN SUPERGREEN POWDERS and I am a huge fan. Just google what is all in caps before this.

Thyroid tidbit #8 YOUR GRANDMA: Thyroid function will naturally go downward in the elderly.That’s why grandma starts wearing that purple sweater in weather you are sweating in.  But putting those over 65 on T4-only thyroxine is not the answer, as a recent study showed.  That’s why YOU AND I are lucky to be on desiccated thyroid with its direct T3, or even those of you who are on T3 only.

Thyroid tidbit #9 EGGS ARE A BIT SCARY RIGHT NOW: Not necessarily for thyroid folks only, but you should be aware that with the recent recall of huge amounts of eggs in the US, there are reports of a four-fold increase in Salmonella Enteritidis infections since May 2010 because of eggs and health officials fear the worst may be yet to come. Why? Because the same eggs have been used in other products. Scroll down this page to see list of recalled eggs. P.S. if you get salmonella and are on cortisol for adrenal fatigue, you should discuss with your doctor about using OTC cortisol cream, since you may not be able to hold down the pills. 1/4 tsp equals 10 mg cortisol.

Thyroid tidbit #10 FLU SHOTS vs. VITAMIN D: Just when you are making progress treating your hypothyroidism and/or adrenal fatigue comes the season for the flu. And if you google the same same title of this tidbit, you’ll see numerous articles about the efficacy of taking Vit. D rather than the flu shots.  How much? General recommendation are 1000 IU’s daily at the minimum. Others point to more. Do your research.

I recently got an email from a sweet thyroid friend and advocate, Bev, aka Thyro-butterfly, whom I’ve known for several years. And Bev has had two relapsing and unnerving bouts with a condition that’s not common but under-diagnosed: Hashimoto’s Encephalopathy. She stated “I think everyone who has Hashi’s should know that this exists because the symptoms are so similar to severe neurological problems. And the treatment, though not cureable, is relatively easy to do….” Hashimoto’s Encephalopathy (HE), a rare neuroendocrine disorder which was termed and recognized just 44 years ago in 1966, has a strong connection to the autoimmune thyroid disease called Hashimotos, or Thyroiditis. i.e.  just as antibodies attack your thyroid, there are rare cases where it can attack and destroy your brain cells. Having a high thyroid peroxidase (TPO) antibodies lab result  is common with Hashimoto’s Encephalopathy. Those with HE can share many symptoms, or can have unique symptoms from each other. Symptoms include:

• tremors (most common symptom)
• language difficulty, whether speaking, writing or read (also common)
• confusion
• limited attention span or concentration
• poor memory and retention
• dementia diagnosis
• disorientation
• restlessness
• seizures
• convulsions
• symptoms similar to a stroke
• tremors
• muscle jerking
• poor coordination (walking, fingers, hands, etc)
• partial right-sided paralysis
• headaches
• fatigue
• sleep problems
• psychosis
• coma

Luckily, treatment is fairly straightforward and dramatic against symptoms: steroid use, which is why it’s also termed “steroid-responsive encephalopathy associated with autoimmune thyroiditis (SREAT)”. Says Elaine Moore in her article  titled Hashimotos encephalopathy: A Treatable Form of Dementia,  “Patients with SREAT show a good response to corticosteroids such as prednisone and related immunosuppressants because of the ability of these medications to reduce thyroid antibody production and reduce inflammation. Researchers in India report a case of SREAT that did not respond to corticosteroids but showed a very favorable response to plasma exchange, a technique used to remove circulating antibodies.” Doses of steroid can vary from individual to individual, but some do well on 4-6 mg cortisol for a few days. Others may need more.  Remission is the norm for most. You’ll have to watch for relapses. Since misdiagnosis is common, it’s important to talk to your doctor about this potential disorder, testing, and treatment if you have Hashi’s and symptoms similar to any of the above. Thanks to Bev for bringing this issue back up. ******************************** Have you signed up to be notified of these blog posts? To do so, go to the left and below the links right on the Stop the Thyroid Madness blog.

It’s a continuing travesty, and you see it in patient groups.

i.e. many patients still find themselves sick and disabled, stumbling miserably from one uninformed doctor to another…in spite of the wonders of natural desiccated thyroid, the testimony of changed lives, the education of patients thanks to the STTM website & book, and a small but growing body of wise doctors who seem to be “getting it”,

So what’s the problem?? It lays with our doctors and the entire medical profession.

1. Heavy-handed control over your medication: You go to pick up your prescription, and find your medication has been lowered by your doctor without your agreement or knowledge, as happened to Terry here (scroll down to find her post).
2. Ignorance about adrenal fatigue and treatment: You clearly have an adrenal problem, and one doctor dismisses its existence, another doctor poo-poos the saliva test, another doctor tells you cortisol supplementation is dangerous, another doctor thrusts all his herbal supplements at you, another doctor thinks that 5 or 10 mg cortisol is enough…and on and on and on.
3. Dismissing the Ferritin test: You want to know what your ferritin is, but the doctor’s nurse underscores that they’ve already checked your iron levels, so there’s no need for more testing.
4. Dismissing you: You are wise thanks to reading, researching and living in your own body, yet your doctor calls you a problematic patient on your charts, dismisses you, or gets angry.
5. RT3 huh? You have strong suspicions that your Reverse T3 is too high thanks to adrenal fatigue, low ferritin, undiagnosed gluten issues, or other reasons, yet this doctor refuses to test you, that doctor says an RT3 excess is rare.
6. Look at me! Look at me! You make an appointment with that great doc who has a fabulous website/book and who shouts that he uses desiccated thyroid with a big smile…yet any or all of the above and below occurs with him/her or his “trained” associates.
7. Continued worship of the TSH lab test:  Too many doctors still think the TSH lab test is from God Almighty. So when you finally start to feel well on desiccated thyroid with a TSH at zero or below…WHAM…you must lower your meds because you are somehow “hyper” in spite of no symptoms to match.
8. Pharmaceutical addicts: You mention your lingering hypothyroid symptoms, and you are bandaided with anti-depressants, anti-anxietal meds, statins, BP pills, pain tablets, acid reflux pills, calcium for your thinning bones…instead of understand that these are ALL side effects of poor treatment or undiscovered issues.
9. The country you live in: The desperation of UK thyroid patients is deep thanks to a thyroid association and a College of Physicians which tightens the screws if a doctor dares to prescribe a life changing medication with T3 in it.  Or just as frustrating, having a government which forbids desiccated thyroid to arrive to you in the mail.
10. Reformulations and Big Pharma apathy: Forest Labs turned one of the most popular and effective desiccated thyroid brand, Armour, into a pill with too much cellulose and too little sucrose , causing a massive return of symptoms in many, sooner or later. RLC also reformulated their Naturethroid, and though some patients still do well on it, others do miserably, and we are left wondering WHAT to take. (Thank God for Erfa’s Canadian “Thyroid”, but will we be able to continue with this fabulous desiccated thyroid product?)

And there are more reasons you might want to bring up in the Comments part of this post.

So you see, it’s no wonder so MANY patients feel forced to self-treat, yet they are also condemned for doing so. I refuse to condemn them for exactly the reasons above.  Petty. All I ask is that we all try to find a good doc, but it may be quite hard when you consider all the above.

All-in-all, we still have  a way to go, baby, and especially with the doctors we try so hard to get help from…but can’t.

P.S. Are you brave? Walk into your doctor’s office with the STTM shirt.