What is Hashimoto's Thyroiditis?: Recent Episodes
Dr. Martin Rutherford, DC, CFMP
Dr. Martin Rutherford, DC, CFPM discusses Hashimoto's Thyroiditis and all the little nuances about this disease that make it so difficult to treat. If you would like to schedule a consultation with Dr. Rutherford to review your case visit http://powerhealthconsult.com
Today Dr. Martin Rutherford, DC, CFMP dives deep into the issue of gas, bloating, and distension, dispelling common myths and shedding light on what these symptoms might reveal about one's digestive health. He emphasizes that while occasional gas is normal, regular episodes indicate an underlying issue. By tracing when the bloating or gas occurs after eating, one can identify potential problems areas such as the stomach, pancreas, gallbladder, liver, or even conditions like small intestinal bacterial overgrowth (SIBO). Dr. Rutherford underscores the diagnostic value of observing these patterns and offers listeners insights into managing and addressing these digestive dilemmas.
For more information on this topic or to schedule a consultation please visit us at http://WhatIsHashimotos.com
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Martin P. Rutherford, DC
1175 Harvard Way
Reno, NV 89502
775 329-4402
http://powerhealthreno.com
https://goo.gl/maps/P73T34mNB4xcZXXBA
In the latest episode, Dr. Martin Rutherford discusses the often-underestimated importance of vitamin D in maintaining overall health. He challenges traditional views about vitamin D, highlighting how common outdoor professions often still fall short on this essential vitamin. Dr. Rutherford suggests that low levels of vitamin D could signal autoimmunity, as it works in conjunction with an antioxidant to boost the T regulatory cells responsible for immune system regulation.
He suggests maintaining a higher-than-average level of vitamin D, as it morphs into an antioxidant and anti-inflammatory steroid at these levels, strengthening the immune system and potentially fighting viruses. Observing different global standards, he asserts that the ideal range for vitamin D levels remains contested.
Dr. Rutherford also discusses the potent effects of vitamin D supplementation in mitigating symptoms of autoimmune diseases like Hashimoto's, as it can dampen inflammatory responses. In his practice, he considers vitamin D a key component in a personal health maintenance protocol.
For more information on this topic or to schedule a consultation please visit us at http://WhatIsHashimotos.com
http://powerhealthtalk.com
http://drmartinrutherford.com
Martin P. Rutherford, DC
1175 Harvard Way
Reno, NV 89502
775 329-4402
http://powerhealthreno.com
https://goo.gl/maps/P73T34mNB4xcZXXBA
In this insightful podcast episode, Dr. Martin Rutherford discusses the complex interplay between Hashimoto's disease and menopause. He identifies a trend of women in their late 30s and early 40s being misdiagnosed with early menopause, when in fact they are experiencing symptoms related to Hashimoto's, an autoimmune thyroid disorder. Dr. Rutherford emphasizes that Hashimoto's has far-reaching effects, influencing various physiological processes like gut health, adrenal function, and blood sugar regulation, all of which can cause hormonal imbalances.
Through a functional medicine approach, he suggests focusing on treating the underlying causes like poor gut function and chronic stress, rather than simply addressing the symptoms. Dr. Rutherford also explores the role of thyroid function in managing progesterone levels, stressing the importance of a healthy thyroid in maintaining normal hormonal cycles. He advocates for a comprehensive treatment that includes managing stress hormones, stabilizing blood sugar, and detoxification. This episode underscores the need for a nuanced understanding of hormonal health and the role of thyroid function in women's health.
For more information on this topic or to schedule a consultation please visit us at http://WhatIsHashimotos.com
http://powerhealthtalk.com
http://drmartinrutherford.com
Martin P. Rutherford, DC
1175 Harvard Way
Reno, NV 89502
775 329-4402
http://powerhealthreno.com
https://goo.gl/maps/P73T34mNB4xcZXXBA
For more information on this topic or to schedule a consultation please visit us at http://WhatIsHashimotos.com
In this podcast episode, Dr. Martin Rutherford delves into the topic of inflammation and its connection to autoimmunity. The discussion emphasizes that inflammation plays a significant role in various aspects of life, including triggers for autoimmune conditions. The host highlights that events like childbirth, surgery, infections, trauma, and stress can all initiate autoimmune responses by activating inflammatory pathways. Furthermore, the episode emphasizes that inflammation is a natural reaction of the immune system to various stimuli.
Dr. Rutherford explores the importance of identifying the root causes of inflammation in autoimmunity, beyond simply using natural anti-inflammatory remedies like turmeric, resveratrol, CBD oil, and fish oils. While these natural alternatives can be effective in reducing inflammation, it is essential to address the underlying factors contributing to inflammation. The podcast highlights the role of factors such as diet, food sensitivities, chronic infections, leaky gut, and toxins in triggering inflammatory responses.
Dr. Rutherford recommends a comprehensive approach that involves investigating and addressing potential sources of inflammation specific to each individual. This personalized approach aims to identify and eliminate the underlying causes of inflammation rather than solely relying on anti-inflammatory supplements. By understanding the individual triggers of inflammation, it becomes possible to create a barrier against autoimmunity and promote overall well-being.
The episode also raises concerns about relying solely on natural anti-inflammatory products without understanding the underlying causes of pain and inflammation. It encourages listeners to look beyond surface-level relief and explore the factors contributing to their symptoms.
Overall, this engaging podcast episode emphasizes the importance of taking a holistic approach to control inflammation in the context of autoimmunity. By addressing the root causes of inflammation, individuals can aim for long-term relief and improved quality of life.
http://powerhealthtalk.com
http://drmartinrutherford.com
Martin P. Rutherford, DC
1175 Harvard Way
Reno, NV 89502
775 329-4402
http://powerhealthreno.com
https://goo.gl/maps/P73T34mNB4xcZXXBA
In this episode, Dr. Rutherford delves into the intricate relationship between gut health and mental wellness, specifically focusing on conditions like depression and anxiety. Contradicting traditional medical perspectives, he asserts that these conditions should not be pigeonholed as purely mental disorders due to their substantial physiological influences, particularly emphasizing the role of gut health in controlling brain chemistry.
Dr. Rutherford draws upon the groundbreaking research from Harvard's Microbiome Project to illustrate the profound connections between gut health and all bodily functions, most notably the brain. He further expounds on the significant role that an imbalance of gut bacteria and leaky gut syndrome can play in contributing to mental health disorders like depression and anxiety. This happens when bacteria leak into the bloodstream, travel to the brain, and instigate an inflammatory response harmful to neural health.
Our diet's vital role in mental health is another significant theme in Dr. Rutherford's discussion. He explains how unhealthy eating habits can contribute to inflammation, negatively impacting gut health and, consequently, mood. Dr. Rutherford points out that 90-95% of serotonin, a neurotransmitter crucial for happiness, is produced in our gut, emphasizing gut health's critical importance in mental well-being.
Encouraging listeners to consider both mental and physiological aspects, Dr. Rutherford suggests dietary changes and improved gut health as potential solutions for alleviating depression and anxiety symptoms. While acknowledging the benefits of counseling and medications, he asserts that addressing the underlying physiological conditions is key for achieving improved mental health. The episode illuminatively underscores the deep link between gut and brain health, advocating for a more holistic approach to treating depression and anxiety.
For more information on this topic or to schedule a consultation please visit us at http://WhatIsHashimotos.com
http://powerhealthtalk.com
http://drmartinrutherford.com
Martin P. Rutherford, DC
1175 Harvard Way
Reno, NV 89502
775 329-4402
http://powerhealthreno.com
https://goo.gl/maps/P73T34mNB4xcZXXBA
For more information on this topic or to schedule a consultation please visit us at http://WhatIsHashimotos.com
Salt, often overlooked, plays a significant role in autoimmune thyroid diseases such as Hashimoto’s. Not only does iodized salt affect thyroid health due to its iodine content, but salt itself can also trigger detrimental immune responses. Counterbalancing salt with potassium supplements can be a game changer in managing Hashimoto’s symptoms and maintaining blood pressure levels.
http://powerhealthtalk.com
http://drmartinrutherford.com
Martin P. Rutherford, DC
1175 Harvard Way
Reno, NV 89502
775 329-4402
http://powerhealthreno.com
https://goo.gl/maps/P73T34mNB4xcZXXBA
Today we are delving into the enigmatic world of Small Intestinal Bacterial Overgrowth (SIBO). SIBO is a condition where there is an excess of harmful bacteria in the small intestine. Our expert sheds light on the physiology behind SIBO and unravels the mystery of what causes it. Discover how the breakdown of the digestive process, starting with the stomach's failure to properly sterilize food, can set off a chain reaction that ultimately leads to SIBO. Understand the critical roles of stomach acids, gallbladder, and pancreas, and how their dysfunction leads to leaky gut, inflammation, and food sensitivities, which further contribute to SIBO.
You might be surprised to learn that chronic stress is identified as the primary culprit behind SIBO. It triggers the fight-or-flight response, affecting the digestive system. Stress and hypothyroidism, especially as seen in Hashimoto's disease, are key players in slowing down the digestive system, creating an environment conducive to bacterial overgrowth. Moreover, SIBO itself can perpetuate a vicious cycle by affecting other parts of the digestive system.
Tune in to grasp the nuances of treating SIBO, the importance of addressing underlying causes such as stress, and how solely depending on diets and supplements might not be enough. It's time to explore the brain-gut connection and take control of your digestive health!
For more information on this topic or to schedule a consultation please visit us at http://WhatIsHashimotos.com
http://powerhealthtalk.com
http://drmartinrutherford.com
Martin P. Rutherford, DC
1175 Harvard Way
Reno, NV 89502
775 329-4402
http://powerhealthreno.com
https://goo.gl/maps/P73T34mNB4xcZXXBA
For more information on this topic or to schedule a consultation please visit us at http://WhatIsHashimotos.com
Is your diet triggering your chronic condition or your chronic pain or your chronic fatigue? So the answer to that is, yeah, for sure, absolutely, there is no question about it. Any of those things that you are experiencing and you're not figuring out what is the right diet for you first before you try any of the billions of supplements that people are taking out there. Anybody who doesn't think diet is a part of that is never going to get well.
I mean, I don't think I could say it any more succinctly than that. It's interesting. I remember when I first started doing this and we started with fibromyalgia, that was it, because that encompassed everything, pain, fatigue, everything. And I just remember my first patient and I said, "Well, you're not going to be eating gluten and you're going to have to stop drinking alcohol." Not everybody has to stop drinking alcohol, so don't start throwing things at me, and the lady's like, "I'm going to stop drinking my martinis?" Now I know that's kind of not food, but it's kind of in the same similar swimming pool there. And then husbands are like, "What's gluten?" And I'm like, "Well, it's pasta, it's bread." They literally looked at me and go, "That's not happening." He literally grabbed her hand, he pulled her out of her chair and they walked out of my exam room. I was like, "Okay, maybe I need to go about this a different way."
But the reality is, more than back then, God knows how many years ago that was, food is a baseline for so much of this, and it varies. As I'm saying this I'm thinking about a million different things because it varies from case to case, like chronic fatigue. If you have chronic fatigue, there are just a lot of things that are related to that that are not food related. However, food sensitivities can be a big player in chronic fatigue. Food sensitivity alone will cause inflammation. They'll cause blood sugar swings. When your blood sugar drops, you get fatigue. If you have blood sugar that's going up and down like this or you have diabetes, those things are going to be affected by food, okay? And those are going to create fatigue.
But on a wider level, a lot of what's happening out there today is that we're stressed. When my parents would say, "Oh, that person got cancer because of [inaudible 00:02:52]", or, "That person got this because they were stressed." I used to think that was really mean. I was like, "You're mean. Why are you saying stuff like that?"
But you know what? They were largely correct, and my dad knew what stress was. He was in World War II and he had PTSD and he had all kinds of things. "It's my stress, my stress," and I thought, "Dad," you know, but he was right. He was right. The vast majority of patients that come into me of chronic conditions have a chronic stress response, and what does that do? Okay, what does that do? Chronic stress response, it affects every single cell in your body.
http://powerhealthtalk.com
http://drmartinrutherford.com
Martin P. Rutherford, DC
1175 Harvard Way
Reno, NV 89502
775 329-4402
http://powerhealthreno.com
https://goo.gl/maps/P73T34mNB4xcZXXBA
For more information on this topic or to schedule a consultation please visit us at http://WhatIsHashimotos.com
the importance of managing your stress response. I think people are starting to get that it's important to manage your stress response, a growing problem. I think most... I don't know, maybe I live my little world, but it seems like most people are probably aware of this, that it's important, we're going to talk about why. I mean, I've been in this a while now, quite a long time. And everybody who comes in here now, everybody has anxiety, depression, chronic stress. I have a section on my intake form on my questionnaire that I have a patient fill out once we've decided that their case looks like something that we can help. And there's just one whole section in there on are you accomplishing your life's purpose? Do you feel like you have enough time to exercise? Do you feel like you have enough? Are you overwhelmed with things to do?
A lot of times stress isn't stressed. A lot of times it's the daily stuff. And then you have all the news over the last five years and you have the continual at you by listening to the news or looking at your phone all the time. I have... I've done... I've worked at stress literally my whole career and in the beginning I was primarily doing chiropractic and diet and nutrition. And you noticed that the people who were stressed were not going to respond well to their chiropractic adjustments. And we've had physical therapy here and so on and so forth. So they wouldn't respond well to physical therapy. They wouldn't respond well to chiropractic. They just wouldn't respond well and was it was very... We started to screen them out and say, "Listen, we can do this, but as long as you're under stress, you just need to know this may not work very well."
But since then, it has become so ramped up. Back then, it used to be those people stood out. Now every single person that comes in here has on their intake form, anxiety, stress, depression, it's unbelievable. And it's concerning. All right?
When I was younger, people knew stress kind of wore you out and they'd say, look at that person. They're a look older than they should be, than they're biological ages. Or somebody would get cancer and they'd go, "Oh, that person probably was stressed." And there was just this general understanding of stress. But it's a big player in these chronic conditions. And stress is, for example, most of the chronic conditions that come in here, not all, but even well, the vast majority that come in here are autoimmune.
But I had a couple yesterday that're not, and even in their cases, or I think they're on their way to potentially developing autoimmune problems, but they haven't yet. But the problems that they have in their particular case, they were gut problems. Those gut problems definitely have come from their chronic stress because why do you have to manage stress? Those of you who have watched me have probably heard me say many times, if you have an autoimmune problem, if you have an autoimmune thyroid problem, if you have a gut problem, if you have lung problems, if you have a lot of these problems and you're under stress, what's happening is you are putting out hormones that are at a certain level, supposed to be good for you. At a certain level the cortisol that is put out when you're under stress, which everybody now knows what cortisol is, they come in and I go, "Cortisol." They go, "Oh yeah, stress hormone." Well, cortisol first is part of your immune system that goes up to dampen inflammation. Cortisol good, okay?
Cortisol is also a hormone that, it's called a glucocorticoid. Gluco stands for blood sugar.
http://powerhealthtalk.com
http://drmartinrutherford.com
Martin P. Rutherford, DC
1175 Harvard Way
Reno, NV 89502
775 329-4402
http://powerhealthreno.com
https://goo.gl/maps/P73T34mNB4xcZXXBA
For more information on this topic or to schedule a consultation please visit us at http://WhatIsHashimotos.com
Managing a Thyroid dump, I'm taking that the person that asked this question means I get an exacerbation. All of a sudden I got thyroid hormones running into my body, and although the question didn't expand upon the symptoms, I would assume you maybe get shaky, jittery, anxiety, panic attacks, insomnia, tremors, those types of things when you get this thyroid dump, and it was relative to my medical doctor is trying different things. This is with the medication that they're already taking, and the things that I see that the medical doctors are trying, the endocrinologists, the alternative MDs are we're going to try to, of course, change your dosages.
We're going to try to do the different timing. We're going to have you take it at four o'clock in the morning. We're going to have you take it every other day. We're going to have you take that plus T3, and just all those types of things. That works for some people, but it doesn't work for a lot of people. It just doesn't, because we're talking about autoimmune thyroid disease here. The question was relative to Hashimoto's and autoimmune thyroid disease, and I still get these thyroid dumps and it drives me crazy, and so on and so forth. It's because you have to go back and understand that it's really primarily not a thyroid problem. It's really primarily an immune response, and you're getting the thyroid dumps because you have different triggers that are intermittently triggering your immune system to create what's called a little mini cytokine storm, or just a cytokine exacerbation.
All of your cells have these little cells called cytokines or inflammatory proteins. They go up and then they flare up, and then they either attack your thyroid peroxidase enzymes to cause you to make more thyroid hormone, or they attack your thyroid tissue, which may just beat you up and make you feel tired. They're two separate things, and some of you have both of those. Some of you have one. Some of you have the other. So basically what happens is you're missing the point when you say, "Well, I'm trying everything with the medications." What causes thyroid dumps? To the person who wrote this question, I hope I am translating your question properly, but what happens is there's like 40 things that could happen if you have not addressed it as a multi-systems problem that has to be corrected to dampen thyroid inflammation. Then it could be, oh my God, let me go down the list. It could be a stress response. It could be a broken down gut and you're eating a food, and you're having a sensitivity response.
It could be that you have small intestinal bacteria overgrowth and you haven't fixed that gas, bloating, distension when you're eating starches, fibers, or sugars. You eat one of those and then you blow. That could blow you up. It could be poor gallbladder function, and you're eating something that's making your gallbladder work too hard and that could flare it up. You could have blood sugar fluctuations where maybe some of you can't... You start dumping and you start not feeling good, and you eat and you feel better. That's a low blood sugar response, or you could have a response where you eat and you get fatigue after meals. That's a high blood sugar response and an insulin spike dropping. Those are inflammatory responses. The inflammation causes those cytokines to flare up. Has nothing to do with your thyroid medication. This is where the nice thing is, there's a lot more data coming out on this from the medical research communities, but they don't know what to do with it because they're not looking at it as an autoimmune problem.
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Martin P. Rutherford, DC
1175 Harvard Way
Reno, NV 89502
775 329-4402
http://powerhealthreno.com
https://goo.gl/maps/P73T34mNB4xcZXXBA
For more information on this topic or to schedule a consultation please visit us at http://WhatIsHashimotos.com
So, vitiligo and Hashimoto's. So, vitiligo's a skin disease. It discolors. Those of you who are looking at this already know that, and there's varying degrees of it. And I'm not sure if you're aware that it's pretty much accepted now. The studies are largely, largely, largely pointing to the fact that it's an autoimmune problem, which we have supposed for quite some time because we treat autoimmune cases a lot. And although I haven't traded anywhere near as much vitiligo as other things, I've treated enough of it. And the question is, is vitiligo related to Hashimoto's? So, the answer is yes and no. And what that means is Hashimoto's doesn't cause for to say, vitiligo. You can have vitiligo and not have Hashimoto's. But because of my practice being the way that it is, virtually every vitiligo patient that's ever come in here has had Hashimoto's and other autoimmune conditions.
This is probably a good moment to illuminate that very few people actually get one autoimmune problem. I know myself, I have three active autoimmune problems for sure, potentially four, and I have one antibody against my pancreas that I don't think is a problem. And that may sound confusing to you, but there's a test that you can do to find out if you are diagnosed with, say, lupus, or you're diagnosed with vitiligo, you can do this test and see if you have antibodies to other tissues that if you keep triggering your vitiligo, you keep triggering your Hashimoto's, eventually you're going to express other autoimmune problems if you already have the antibodies. So, the one test I use is Cyrex 5, and it's, and it's Cyrex 5 C-Y-R-E-X 5, and they test all those antibodies.
What's the value of that? The value is that, is to find out if you have those and you keep exacerbating your vitiligo, which we'll get back to in a second. And then all of a sudden you start getting all the symptoms, all these are weird symptoms, and you know that you have antibodies against your thyroid, and you go, "Oh, my God, those are Hashimoto's symptoms, and I got Hashimoto's antibodies." Now you know you've developed Hashimoto.
And here's the other thing about Hashimoto's. So, as long as I've done this, I've seen a growing number of autoimmune conditions that are related to autoimmune thyroid disease Hashimoto's. So, I've seen a ton of people who have Hashimoto's and rheumatoid arthritis, Hashimoto's and pancreatitis, Hashimoto's... I'm sorry, Hashimoto's and diabetes type one, Hashimoto's and celia, Hashimoto's and Crohn's disease Hashimoto's and ulcerative colitis, Hashimoto's and autoimmune gastritis. [inaudible 00:03:15] saying Hashimoto's probably has something to do with polycystic ovarian syndrome, which isn't even necessarily an autoimmune disease, but I mentioned that because of the mechanism.
And the mechanism is this, your thyroid has receptor sites in every single cell of your body. And so, I think Hashimoto's has become so prevalent because the thyroid is so sensitive and it relates to everything else, and then it keeps getting beat up and beat up more than anything. You get stressed, beat up. Your blood sugar goes up, it gets beat up, your blood sugar goes down it gets beat up. You have a food sensitivity, it gets beat up. You have some smoke... I point outside because we had smoke here for... I'm in Reno, we had smoke here for only a week or two this year as opposed to three months like last year. And all of those toxins, boom, boom, boom. And if your thyroid keeps getting attacked and it's uber super sensitive more than anything else, it's going to raise your immune responses more and more and more and more and more and more and more.
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Martin P. Rutherford, DC
1175 Harvard Way
Reno, NV 89502
775 329-4402
http://powerhealthreno.com
https://goo.gl/maps/P73T34mNB4xcZXXBA
For more information on this topic or to schedule a consultation please visit us at http://WhatIsHashimotos.com
"I'm eating as well as a human being can possibly eat, but I'm still having my Hashimoto's symptoms." And I actually see this a lot. I see it a lot now, because in the day when we first started doing this, and all we knew was ... we told everybody, get off of gluten, casein, soy, corn, and eggs. That's what we did. And those were allergies, they weren't sensitivities. At that time, we weren't even testing for sensitivities. We were just putting people on diets. And eight months later, we'd have them reintroducing foods and it was crazy. And we're much farther along on that.
But now, you're watching me. You're watching a lot of my other colleagues, probably, online. And you're getting a lot of data. People are coming in here much more informed, in a manner. Maybe not as informed relative to the fullness of the topic, the full context of Hashimoto's. But people are coming in here knowing that diet's important. A lot of people. Not everybody, but most people. So people have tried diets. And then you have that person that comes in here and goes, "How much better can I eat?" A lot of vegans, vegetarians, pescatarians. "I'm eating great, and I still feel terrible."
So the first answer to that is, if we ... most patients who come in here who have autoimmune thyroid disease have a thyroid problem. Which is probably the second most common cause for digestive issues. It slows down your digestive system, and then you start not digesting your food properly. Stomach's slowing down, pancreas is slowing down, gallbladder's slowing down. And this is the way you start to develop food sensitivities. The number one cause for that is stress. So a lot of these folks are stressed even though they're ... and they're particularly stressed because they're eating great and they're not feeling good.
And some people are actually coming in and saying, "I feel good. I'm eating this diet. I'm eating as good as anybody. But if I get off of this diet, just one food, all my symptoms come back." So that's a person who already has developed a bunch of food sensitivities and they're managing it by just not eating those foods. But the problem with that is whatever caused all those food sensitivities in the first place ... in other words, your broken down digestive system and whatever caused that. Whether it's because you had stress or because you have a thyroid problem or because you have CBR, whatever it is. There's a number of things that can cause you digestive system to breakdown. You have an ulcer in your stomach, that breaks down the rest of the system. So usually that person's going to have something like that.
And what happens is they keep eliminating the foods and eliminating foods, and they feel better. A lot of them feel better, a lot of them don't. And the reason for both is they still have the broken down digestive system that caused this in the first place. And so they're eliminating foods and they're eating new foods. They're putting the new foods into the old digestive system that's calmed down because you've eliminated ... you're not eating a lot of foods that stir it up all the time. But it's still not a correct functioning digestive system. So now you put a new food in there and you go, oh, that food's not okay. That food's not okay either. So you put that new food in there and then it goes through the digestive process, it doesn't get digested properly. And then it goes through the whole process of becoming a food sensitivity and now you can't eat that.
http://powerhealthtalk.com
http://drmartinrutherford.com
Martin P. Rutherford, DC
1175 Harvard Way
Reno, NV 89502
775 329-4402
http://powerhealthreno.com
https://goo.gl/maps/P73T34mNB4xcZXXBA
For more information on this topic or to schedule a consultation please visit us at http://WhatIsHashimotos.com
So today's topic is can a concussion cause Hashimoto's? So the answer to that is it can trigger Hashimoto's. So Hashimoto's is an autoimmune disease. People who are looking at this probably already know what Hashimoto's is. It's an immune attack against your thyroid. And you can have silent autoimmune disease. You can have silent Hashimoto's for your whole life and never get it.
What has to happen is you have to have some sort of a trigger that triggers your immune system, which is usually already compromised from other things, to flare up and attack the tissue in your body that says you can attack my thyroid, because it's genetically programmed that way. And so when the trigger happens, your immune system flares up, and then that flares up the antibodies to your thyroid and then that tells your immune system to attack the thyroid. And that's how you get autoimmune thyroid disease.
There are multiple triggers. One of the triggers is trauma. So if you get a concussion, or I mean, if you get a broken leg, or if you get in a car accident, you get a whiplash, and then you have a whiplash for weeks or months, or you have a concussion, basically what happens is you immediately get inflammation. Immediately, you get inflammation. In fact, if you get a concussion, it's even worse because if you gain a concussion, listen to this, within five minutes, the inside lining of your gut starts to break down. So those of you who are familiar with leaky gut and you get a concussion within five minutes, leaky gut starts to occur.
Why is that important? Because back to the concussion, the concussion causes inflammatory responses, that raises up the immune responses. And then you can trigger Hashimoto's. So it's a cause. The genetics being triggered by something would be the root cause of it and the concussion would be one of those something.
Another thing that can trigger it is the concussion causes a leaky gut within minutes. Look it up. It's like stunning. Like within minutes. Now you got a leaky gut, now you got toxins leaking out of your gut, you got bad bacteria leaking out of your gut, you got undigested food particles leaking out of your gut. They go a lot of different places. But that is a huge trigger and perpetuator of autoimmune disease.
In fact, it's a new theory that the breakdown of the gut creating overwhelming chemicals and infections and food sensitivities overwhelming your liver and decreasing certain nutrients in that liver that stop us from getting too overzealous immune attacks may be why we're getting so much autoimmunity. And what's the main cause of that? The main cause of that is usually stress or one of these triggers that I'm talking about. So the concussion works in that particular area as well.
So concussion's a trigger basically. Absolutely I have had several concussions myself, and it can not only trigger Hashimoto's, but if you don't know how to take care of your concussion, it can actually also perpetuate the problem until you get the concussion under control for those people who have post-concussion syndrome, which is actually a small percentage of people who get concussions. But that's kind of concussion and Hashimoto's.
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http://drmartinrutherford.com
Martin P. Rutherford, DC
1175 Harvard Way
Reno, NV 89502
775 329-4402
http://powerhealthreno.com
https://goo.gl/maps/P73T34mNB4xcZXXBA
For more information on this topic or to schedule a consultation please visit us at http://WhatIsHashimotos.com
Hashimoto's exercise intolerance or exercising too much. So this is a topic that I have to address quite frequently. One of the main reasons is to my right, and if I point this way about that far, there's about 30 miles is Lake Tahoe, which is one of the biggest beautiful, most beautiful places on earth, and lots of crazy people are up there. Those crazy people are people who run triathlons and run and run, what do you call them? Just decathlons and every athalon that there is. And there's people out there that swim across the lake, which is insane because it's so cold. And I'm tongue in cheek because this is just beyond my comprehension that people could do that. But I get a lot of them, I get a lot of people that are up in there, and they have problems and they're over-training.
I also have people at the other end of the spectrum. I have people at the other end of the spectrum that come in here and if I go through the triggers for autoimmune thyroid disease, and when I get to over-training, they roll their eyes at me like, "Dude, I can't even walk across my living room. You have no problem with me over-training." So just to cover the spectrum there, over-training is a trigger for autoimmune disease, not just Hashimoto's, by the way. If you have any other autoimmune disease, if you have psoriasis, if you have rheumatoid arthritis, if you have celiac, if you have ulcerative colitis, this applies to you too. Over-training is bad.
Exercise is good. So when you exercise, you do a lot of good things. Honestly, between exercise and sleep and diet, you can do so much with a person. And most of my patients can't sleep. Most of my patients can diet and unbelievably some of my patients over exercise. So what happens when you over exercise? So when you're sick, when you have fibromyalgia or when you have chronic fatigue, and as most of my oxygenated patients have some form of that, you're putting a huge demand on your system through the mechanism of primarily inflammation. For all of you out there who goes, "It's all inflammation." It is all inflammation, but what's causing it? Okay, that's the ticket and how do you attack it and what's the order and all that type of stuff. But in the end, inflammation is the bad guy and inflammation covers your whole physiology.
And then depending on what parts of your physiology aren't working well or are available to be more attacked, then you start getting symptoms of that. But it definitely affects the mitochondria in your cells. Inflammation affects the mitochondria in your cells. What are mitochondria? They are the little organelles that are little energy factories in your cells. For those of you who are chemical nerds or biochemical nerds, this is the citric acid cycle, or those of you are not, they're little energy cells. They take your glucose, they take your thyroid hormones, they take your CoQ-10, they take all of these things and they make energy. So when you have them under an inflammatory response, you're generally usually fatigued. But for sure when you get up and start doing things, you're putting a demand on them, whether you're sick or not, you're putting a demand on your cells to create energy.
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Are My Supplements Working? And this is one that, when presented to me, I was actually excited about doing because this is a challenge. I work in a field in which we use diet, lifestyle and a variety of different supplementations from herbs and botanicals to nutraceuticals, to vitamins, to minerals, and so on and so forth, combined with diets. So I work with this every day. It's a very nuanced area and, "Are my supplements working," is something that I hear a lot. People will come in for their first consultation and sometimes... I had a lady there that came in with three bags of supplements. I think it was 31 supplements that she was taking multiple times a day. Multiple was at least two, was at least two times a day. Most of my patients come to me with bad digestive systems to begin with. So throwing 60 some supplements a day or more into a bad digestive system probably reduces the effectiveness of supplementation just for the record, and that's part of it.
Okay, so supplements, let's go A to B on this. First of all, when I'm treating patients, right now, at a point in the evolution of functional medicine and the evolution of my career, it's changed dramatically. It used to be people came in and if I started giving them some supplements, they were like, "Hey, I'm on four to five drugs. What are supplements going to do?" People were more medically oriented. Now people are coming in with laundry lists of supplements and sometimes they're the right supplement, sometimes they're not at the right dosage. But the point is, obviously they're not working for them or they wouldn't be here talking to me about their chronic fatigue, and their fibromyalgia, and their leaky gut syndrome, and their irritable bowel syndrome, and their chronic anxiety, and all that type of stuff.
Why are they not working? All right. So one big reason why they're not working is, and this is always a challenge for me when the patient comes because I use supplements. We have a pharmacy, if you will, of supplements in our front office that we've been fine-tuning and developing for probably a decade and a half at least. And different companies have different strengths in the field. One company has a strength that they're really the guys in glutathione. Other people might really be the company in berberine, other people... and on and on. Okay, so you get the point there. But that company doesn't just do glutathione and this company doesn't just do berberine. They then start to do all of the things that the other companies do, and then they have to tweak it to make their product special. So they'll put a couple of different ingredients in there, which a person may be sensitive to, they may not be sensitive to.
And these are the quality companies I'm talking about. These are the people I know and respect. And these are the companies that you can count on that what they put is in there. And what they say is in there is in there. And the amount that they say is in there is in there. And so we have a whole pharmacy of these. But I have the pharmacy of certain supplements from this company that are the best because those are the best for that company, and then the same thing for the other. So it's hard for the consumer to know that because you haven't been using trial and error on these supplements on very sick people for a long period of time on thousands of cases. So that's one of the reasons that your supplementation may not be doing the job that you think it should be doing.
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Can I get Hashimoto's if I wasn't born with a thyroid? So the answer to that is I don't know exactly for sure the answer to that because I've never met anybody who's been born without a thyroid. Certainly have never treated anybody who's been born without a thyroid.
But let's follow this through because I've also way more frequently gotten the question of if I have my thyroid taken out, can I still have Hashimoto's? The answer to that question is yes. The reason the answer to that question is yes, and this leads to the answer to the question of the day. Can I get Hashimoto's if I don't have a thyroid? The answer to the question of I've had my thyroid taken out, can I get it, the answer is yes.
The reason for that is because you still have thyroid tissue in there when you have it taken out. It's interesting. Years ago, right before I really started getting into all of this, I was invited to be a member of a hospital outreach program where they had several of us. They chose several of us or allowed several of us to go in and watch surgeries. I remember watching a thyroid surgery and I used to do a lot in human anatomy and biochemistry and I used to dissect out a lot of dead bodies. That's a whole nother story. Years and years and years and years and years ago.
But that allowed me to look at that and say after the doctor did his thing, I said, "It doesn't look like, you got all the thyroid out." He goes, "No, no, you can never get all the thyroid out because it's connected here and there. You might change their voice." At the time it wasn't a big deal to me, I just was curious. But later on when I started getting people that came in who didn't have their thyroid, but they had the antibodies and if they ate gluten, they would get all the exacerbations and the heart palpitations and this type of stuff. I started conjecturing back to that thinking these people still have thyroid tissue in there.
Then eventually, and it wasn't until just recently I actually had that confirmed by a doctor who said, "No. No, this is rare that we don't leave at least 10% of the thyroid in there." So the whole thing for the person who gets their thyroid taken out is they still have thyroid tissue. If you still have thyroid tissue, the immune system still... Your genetics still tells your immune system you can attack it. Now the answer to if you never had a thyroid, I would assume that the answer would be, what are my chances of getting Hashimoto's? I would assume that the answer would be zero and none because in my world, understanding physiology the way I think I understand it, you have no thyroid tissue to attack.
So let's say you had rheumatoid arthritis and you rarely get one thyroid... You rarely get one autoimmune problem. So let's say you got rheumatoid arthritis and you keep getting the rheumatoid arthritis and then whatever treatment you're doing isn't working. Then all of a sudden one day start to get a rash on your neck and you get it checked out and the doctor goes, "You know what? You have eczema now or psoriasis." Okay, let's say on your elbows so psoriasis. You go, "Oh crap. Now how can I get that?" Well, you can get it because you have the genetics that tells you you can attack that skin tissue because you keep flaring up the rheumatoid arthritis. If it's not under control, it's going to express the next one, the next genetic propensity that you have.
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There's no medication specifically for Hashimoto's. There are medications in and around Hashimoto's, so I'll go with that. The number one medication that is used, mostly by alternative functional medicine practitioners, is low dose naltrexone. Low dose naltrexone goes in, dampens the inflammation, creates an effect in your system that increases your endorphins, makes you feel better. That can dampen immune responses by just calming that whole system down. It's a favorite for alternative medical doctors. I tried it. For those of you who don't know, I have Hashimoto's. I tried it years ago. I think it made me feel better, but it gave me horrible nightmares and horrible dreams. And I hear that a lot. I've heard that a lot from people who take it. That's number one. That's not for Hashimoto's. In fact, it's a drug that was developed for a whole different thing.
They just happen to see what happened. It's really more like a dampening, increasing endorphins. None of these drugs are made for Hashimoto's. Hashimoto's is a thyroid problem. The drug for Hashimoto's is take a thyroid medication, especially in the mental world, basically their whole solution. We'll come back to that in a second. If there were a drug for Hashimoto's, it would be the one that's already there for autoimmune problems. If you're watching this and you have rheumatoid arthritis, or you have lupus or you have Sjogren's or you have irritable bowel syndrome, not irritable bowel syndrome, ulcerative colitis or something like that, that's autoimmune. What do they give you? They give you a steroid. Because why? Because it decreases and ultimately dampens and maybe even crushes the immune system. It comes with its whole set of side effects, which I don't have to go into.
A lot of you're going, "Ah, I don't want to take a steroid for the rest of my life." And you'd be right. I don't know that it would ever reach the level of taking an immunoglobulin therapy, which is another therapy for autoimmunity. But, the point is Hashimoto's is an autoimmune problem. It's not primarily a thyroid problem. Somebody can go, "It's a thyroid problem." Is lupus a primarily a skin problem? Is rheumatoid arthritis primarily a joint tissue problem? No, they're primarily autoimmune problems. That's why they give you steroids to dampen the immune inflammation.
It's the same thing with the thyroid. I've had patients that have come in and said, "One more thing I wanted to ask you." As I was doing their history, it's like, "I had this thing happen to me and they gave me steroids for 10 days and I felt enormously better. All had my anxiety went, my heart palpitations went." And I said, "Yeah, because for 10 days your immune system was put out of commission. It couldn't flare up and attack you."
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Hashimoto's and COVID. So, we're going to take this from the perspective of what I'm observing, not from "I'm the expert of the universe", or I don't have any axes to grind here, so we're not going to get into anything that I think is going to get me kicked off of the air or whatever it is that we're on here.
So, COVID, so a lot of people are asking me, okay, a lot of people I call and they call me and they say, "Doc, so I have this and I have an irritable bowel syndrome. I'm getting chronic pain, I'm getting joint pain." All the things that I treat, "all the things I got them. I'm seem like I have this or that, migraine headaches and my lungs are a problem." And then, I'll go through my normal consultation. And what I started to have happen, not that... Two years ago, "Oh, and before we're done, I have one more, I just have one more question. I just got COVID, could that have anything to do with it?" So, I think the answer is yes. I don't think that's controversial at this time. I'm reading about long COVID all over the place. And so, I think that my perspective is going to be more of maybe a forecast of what I think you're going to hear.
So, what I'm seeing is this. I'm seeing... I've seen tons of people who got COVID and have developed chronic pain, chronic fatigue, chronic gut problems, chronic anxiety. And in the beginning, the thought process that I was going through was, "Wow, these people sound just like my regular patients who come in with autoimmune problems and chronic anxiety and depression and chronic gut problems and irritable bowel syndrome."
And I thought it's kind of interesting. And then, I started seeing the articles on the health sites, and I have an app where I can access a bunch of health sites that I can go through every day from different newspapers and different journals, and I do so. And I started this look at the histories and they're going, "Oh my God, this long COVID, it's going to be... Or is there such a thing." And that whole thing, that was a couple years ago. Again, I thought, "Man, that looks just like my patients. This sounds like just like my patients." Well, a couple years later now, people are actually saying this long COVID is here. It is long COVID, it's real, it's here to stay. And they're... it's interesting, typical of the medical industry or the medical research industry, they're taking every single symptom and they're trying to find one thing that is causing that symptom.
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Okay, so I've just been informed that somehow we have not covered glyphosates in Hashimoto's. I'm not sure that's a hundred percent correct because it is on my list of the... Well, when I gave the list it was 39 different triggers of Hashimoto's. Now it's 42, but it is on that list.
So most of you know, glyphosates as all the bad chemicals that are on our vegetables and our fruits that are being sprayed on there. Most of you would probably know it as Monsanto, and you would know it as other companies that make these chemicals. You would know it as Roundup. But all these chemicals, they're glyphosates and they're bad. They're toxic, they're poisonous. There have been numerous, numerous studies that they are negative factors for human existence, for human physiology.
But it is listed as a specific trigger for autoimmune thyroid disease. When I say that, if you look at our presentation on the triggers for Hashimoto's, you'll find that, at that point in time, there's 39 of them. Every one of those triggers is on that list because they have been thoroughly researched either in credible labs around the world and even more so through what's called meta-analysis of research.
So what that means is they studied the people who studied these topics of how chemicals affect human physiology or how they affect tissue specifically. The group that studied whether glyphosates affect Hashimoto's did mostly meta-analysis. And here's what that means. It means that they looked at every single study that was ever done on glyphosates and then every single study that was ever done on glyphosates and thyroid tissue. That means that there was positive studies. That means that there were neutral studies. That means that there were studies that said no, there was no thing. When they looked at the meta-analysis, they were reviewing millions of people essentially by the time they looked at all these research projects. This research project was 30 people, and this was 700 and this was on 4,000 and so on and so forth.
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Why does Hashimoto's cause fatigue? Because, it's your thyroid, that's why. So, your thyroid is... It's funny, I was involved with a group years ago that was in the early stages of trying to figure out fibromyalgia and chronic fatigue. My mentor is... If you've watched many of my videos, is Dr. Datis Kharrazian. He's the guy who figured out that most of these chronic fatigue patients probably had a thyroid problem, but he was the one who took it the extra some said. "I think it's autoimmune thyroid disease." He was met with much skepticism, and I was one of them. But in retrospect, it's like, "Duh, it's your thyroid. It controls your energy." It's like, "If your thyroid goes hypothyroid, and it's not doing its job, you're going to be fatigued." And, it seems so obvious once the brain started to process that.
The basics of it is pretty simple. Your cells have these organs in them, little organelles inside of the cells, and they're called mitochondria. I'm sure a lot of you have heard of them. Some of you have probably even take mitochondrial support and CoQ10 and all this type of stuff. But that's where the energy is made, in those little energy factories in your cell. It's pretty basic. They need proper oxygen. They need proper blood sugar. They need a lack of inflammation, a lack of oxidative stress. In other words, oxidative stress kind of grinds down your cells, and it kind of rusts them out. Inflammation disturbs all function in a cell. It needs all of those things.
And, it needs proper T3. T3 is the end product of the thyroid hormone factory in your thyroid which makes this thyroid hormone called T4. And then, that's broken down into T3, and that's the active form. And when that hooks in to that cell and then it goes in your cell and it gets into those little mitochondria, and this is where for those of you chemistry geeks, this is where the Krebs acid cycle, citric acid cycle is also part of this, where people are taking CoQ10 and all that other stuff. You're going to get energy. You're going to get energy. Hyperthyroid lifts all boats too much and hypothyroid depresses it.
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Are IBS and Hashimoto's related? The answer is yes. Irritable bowel syndrome, that is when you have intermittent constipation and diarrhea. You can have where it is more IBS-C, which is IBS, more leaning towards constipation, or IBS-D, which is meaning it's more leaning towards diarrhea, but usually some combination of both. Look, and the way that happens is, it will seem obvious when I say this, but the way that happens is, is your gut breaks down. And what that means is, is that, somewhere along the line, you start losing your ability to digest your food properly. And then, that creates a bad scenario in your small intestines, because you're not digesting your proteins, or you're not digesting your fats, or you're not digesting your starches. So, you start getting all this undigested food in your intestines, which isn't real happy about that.
And then, just a bunch of things can start happening. The food can sit there. It can ferment. If you don't have enough hydrochloric acid in your stomach, because you're not digesting your proteins, so you can't have enough hydrochloric acid, you're not sterilizing your food properly. So, you may be getting H. pylori, or you may be getting infections in there, and so on and so forth.
What does it have to do a Hashimoto's? And that mechanism is much more even complex and involved in that, but that's the basic start of how you end up getting irritable bowel syndrome. The number one cause of that is chronic stress. And the reason that chronic stress causes that it's because... This goes back to survival mode and this goes back to fight flight responses. When you go into full bore fight flight, somebody's just about to come after you and is getting ready to do a number on you, and you have to decide whether you're going to fight or you're going to flee, your brain literally shuts down your intestines and your urinary bladder. Because, you don't need to be peeing or pooping while you're, or eating, while you're trying to get away from the bear, okay?
All your resources need to be going elsewhere. They need to be going to your muscles. They need to be going your brain. You need to think better. You need to be stronger. You need to be quicker. You need to have more oxygen going to your lungs. And all of that happens while your gut's being shut down.
On a lower level than that, if you are just stressed, it doesn't shut down your gut, but it semi-paralyzes it. It slows down the ability of it to move through. It causes your stomach to not make that hydrochloric acid that you need to sterilize your food, to digest your proteins. It's slows your gallbladder down. Number one cause for gallbladder's coming out, stress. Pancreas will slow down, which can screw up your blood sugar. And all these things from stress and more. Most of you are probably aware of how devastating stress is.
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So we're going to go today with the three main things you need to focus on if you have Hashimoto's. Why three? Okay because there's like 40 triggers, and we have these triggers in some of our presentations.
But sometimes people will just say, "Hey, listen, I can't do this. I can't do the whole thing that you're trying to tell me to do so what would you tell me if it could only be two or three things that I needed to do?"
So if I had to go with two or three things, I would say, gluten is it. It's number one. And some of you're thinking, "Well, I got off of gluten and it didn't do anything." Well that's because you got too many other things wrong that you're not able to really sense what's going on.
But trust me, gluten has molecular mimicry with your thyroid, which means it's not about being an allergy. It's not about being a sensitivity. You can do all the tests. That's fine. But once you know you have Hashimoto's, you also have a sensitivity to gluten because gluten in a chemical process called molecular mimicry, which is one of the three different ways that autoimmunity spreads, gluten has metabolites on it that look exactly, exactly like metabolites on your thyroid and other tissues, too. But we're just talking about thyroid right now.
So gluten is out and I mean, it's out. Doesn't mean it's out six days a week and I can eat it on Saturday night. It doesn't mean I can eat it when I want to every now and then because it can contaminate you and cause thyroid enzymes to flare up for three days, three weeks or three months, literally. And it just depends on which category you're in, but that's number one.
Number two would probably be the triggers, okay, but there's 40 triggers. But in the end, the triggers translate into... it's about... for all you inflammation guys out there, it's all about inflammation. Okay?
My massage therapist when I go in once a month and get a nice massage from this lady who is super [inaudible 00:02:26]. She's an ayurvedic practitioner. She says, "It's all inflammation. It's all inflammation." So she's all about loading people up with turmeric and veritrol and CBD oils, which is fine, but it's kind of like a bandaid as opposed to going after the triggers.
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"Can Hashimoto's cause anxiety?" Oh, yeah. Hashimoto's and anxiety are like this.
It's my position, I practice functional neurology. I've been in functional medicine practically from the beginning of functional medicine. That, anxiety is not a mental disorder. Now everybody's talking about the HPA axis and the over-firing of the amygdala. That's great. We've been talking about it for 30 years or whatever it is in the functional neurology world. Basically, anxiety is a fear response. It's actually a survival response.
Without crossing philosophical or spiritual or religious lines or something, there was a point in time where we know that cavemen, for example, were out there in the wild and this was their brain stem, reptile brain, original brain, brainstem response was they saw something that was a bear, they had to run from it. This is the response that developed in the fear center of your brain. It's called the fight-flight syndrome. You're very familiar with it, I'm sure. You're either going to fight or you're going to flee. It's a survival mechanism. It's not designed to be engaged 24 hours a day. It's designed to only be engaged occasionally. But anxiety, there's a lot of things that bring our threshold down, especially in this society, down to where that threshold is so low for us to set it off. A lot of it's physiological, some of it's lifestyle. It's just a lot hitting our brains very consistently or hitting our physiology very consistently that brings it down.
That's the setup. When I refer to physiology that can affect your brain and cause anxiety, Hashimoto's is right up there. Blood sugar's a big one, probably bigger. But, if somebody tells me they have anxiety, my brain's like, "Check your thyroid." "Oh no, no, I don't have a thyroid problem." Like, "Check your frigging thyroid, will you?" Because, I rarely... Now, I have a unique patient population granted, but I rarely have someone who come in here who doesn't have anxiety. I treat chronic pain. I treat chronic fatigue, fibromyalgia, chronic gut problems. That's what I treat.
At least 70 to 75% of those patients have autoimmune thyroid disease. And, they all have anxiety. So, I'm not saying it's the only thing that causes it, but here's what happens. Thyroid has what's called receptor sites in every single cell in your body, everyone, trillions of cells. It's the only thing... Well, it's not the only one, but it's the most sensitive one that has all these receptor sites in every single cell in your body.
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Martin P. Rutherford, DC
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Does Hashimoto's cause insomnia? Oh, yeah. We have a questionnaire that we have people fill out to 289 questions, one of the sections is on hyperthyroid symptoms. So, it has anxiety and inward tremors, and it has heart palpitations for no reason at all, and a number of things, and night sweats. And one of the questions is, do you have insomnia? This is in the Hashimoto's thyroid section. So, it definitely causes insomnia, and it's kind of indirect and it's kind of not. So, because Hashimoto's, your thyroid has so many effects on so many parts of your physiology, that it can alter your gut function, which can cause imbalances and bacteria, which can cause alternations in your blood sugar. And then you can't go to sleep and you wake up, you can't go back to sleep and you're going like, "Oh, my God, I don't know what's going on," and it's stress, but it's actually all of those things that was caused by the thyroid in itself.
And then there's so many of those mechanisms I can go through, just general inflammation. When the thyroid is attacked and it starts putting out a lot of thyroid hormone, that's an inflammatory response. The thyroid hormone itself will make you very jittery. When you get an attack on your thyroid and the thyroid hormone, particularly the thyroid hormone T3. T3, hooks into your cells, that's all the cells of your body, that would be your heart, your liver, your intestines, your brain, and it hooks into these cells of your physiology and the neurons. It just cranks everything up. And in the brain, it causes inflammation, it causes a lack of oxygen. This will disturb your physiology for sleep significantly, puts a tremendous strain on your adrenal glands, Hashimoto's does.
And your adrenal glands, most of you know them as stress glands. They help to control blood sugar, they're secondary sex glands, they do a lot of stuff. And one of the things they do is they directly work with something called your hippocampus and your brain. Your hippocampus is where your short term memory is. And your short term memory turns into long term memory when you sleep. So, this mechanism also has a lot to do with your circadian rhythm, when you go from day shift to suddenly going to a night shift, and it takes you months, and months, and months to synchronizing to that particular schedule and you don't feel good and you feel crappy. That's your poor circadian rhythm, which is heavily affected by Hashimoto's.
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Martin P. Rutherford, DC
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775 329-4402
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Is it Lyme disease or Hashimoto's? I'm going to do this, even though a lot of you are going to be saying bad things about me afterwards.
There's a culture out there, and that's how I prefer to refer to it, and I call it a Lyme culture. The Lyme culture is built around the infection of a human being by Lyme disease, which indeed occurs. When we were trying to figure out chronic fatigue and we're trying to figure out chronic pain and fibromyalgia, there was two factions. In one faction was the alternative medical world. The other faction was the alternative non-medical world.
The alternative medical world likes to... It's designed to attack the symptoms. It's designed to attack the bug. It's designed to kill the bug. It's designed to find the one thing that they think might be causing something. Lyme disease fell into that category. Heavy metals falls into that category. There's a number of things that fall into that category. That in, what I call the dark ages of when we were trying to figure this out, people would get treated for a Lyme, they'd feel much better. People would get the heavy metals taken out. They would feel much better. But I had a lot of patients who came in from that, felt much worse or it didn't help them at all. Or they were on their third trial of antibiotics for six months, which there's no justification for that anywhere. But that was the Lyme issue.
There was a whole language of killing the Lyme. Then there's the dark field microscopy and certainly the Lyme hides as does Epstein-Barr virus as does other viruses. Viruses hide. That's what they do. I remember being dragged in and, "Look. Here's the virus and you can see how it hides." I'm like, that's common physiology for a virus.
I was never against it. Now I'm in Reno, Nevada. Chris, I don't know if you're still here. I'm going to talk about you, but I'm not going to say your last name, but he was here. He was an alternative medical doctor, alternative dentist. I went to him. My wife went to him and we had knock down drag out fights over Lyme because he was the President of the National Lyme Association. In his world, everything was Lyme. Everything that we were looking for, the answer for it was Lyme.
So here's what I've seen and I know many of my colleagues will agree with this because this is what we do. There are 42 triggers for autoimmune thyroid disease, Hashimoto's. One of them is listed as Lyme. I have a little chart here on all of the 42 and the one that is listed is the Borrelia burgdorferi down here. These are all of the triggers for autoimmune thyroid disease. It's listed here as one of them.
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Hashimoto's is not primarily a thyroid problem. Hashimoto's technically is not a thyroid problem, at least not first. It is a problem of your thyroid secondarily. The initial problem is autoimmunity. This is why when you go to your medical doctors they have nothing for you to offer other than a thyroid medication. If that doctor doesn't understand thyroid medication applications it's not uncommon for people to come in here saying, "I took the thyroid medicine and it made me so much worse. Well and then I changed to the natural one and it made me worse." Some people take the medication and it made them feel better for a couple of weeks or even a month or two and then they crashed because they're treating the thyroid.
So the technical name for your condition if you have Hashimoto's is autoimmune Hashimoto's hypothyroiditis. The autoimmune is the key. It's an autoimmune problem. Your immune system has at some point been given the okay by your DNA to attack you and it could attack your skin. It could attack your salivary glands. It can attack your intestines. It can attack your bones. It can attack everything. But if you have autoimmune thyroid disease, it has decided to attack your thyroid.
If you came in here and you had autoimmune thyroid disease, lupus, celiac, autoimmune gastritis, it would still be the same approach to that case. It would be get the immune system under control first because it's an autoimmune problem. The interesting thing to me is it's 2022 and Hashimoto's has been being discussed now for approximately 20 to 22 years. Even though it was discovered in the early 1900s, it has only been an entity that has been brought to the table in the last 20 years. That's 20 years. That's a long time and still the medical profession... Look, I'm not an anti-medical profession basher per se, but in this one particular area, this is stunning to me.
The medical profession has not made the jump to the fact that all these other diseases, MS, Sjogren's, lupus, autoimmune gastritis, celiac, Crohn's disease, ulcerative colitis, all these are autoimmune diseases. If you have Crohn's disease they don't treat you for a gut problem. They treat you for autoimmune Crohn's disease. If you have Sjogren's or lupus, they'll give immunoglobulins or they'll give you steroids because they're treating it not as a skin disease, but they're treating it as an autoimmune disease.
It's been 20 some years and the medical community has not made the jump to this is an autoimmune disease. Maybe that's good because you're going to go in there and if they treat it as autoimmune disease, first thing they're going to do is give you steroids or immunoglobulin therapy or something like that. You're going to feel better. You're going to feel better. I have people take prednisone for something else and if they have an active Hashimoto's they go, "Could this be helping my Hashimoto's?" It's like yes, because your Hashimoto's is an autoimmune disease not.
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Are Hashimoto's and other autoimmunes genetic? The answer appears to be yes. It's funny. We just got this and I was just reading about this earlier this week just coincidentally. In a time that the data that I was reading was published there are still a little gray area, I think, going on here, but in the end, it's pretty much become accepted that you have to have the genetics to get it.
I give you an example for me. Okay. So I have Hashimoto's. For those of you may not know I have Hashimoto's, I have celiac autoimmune gastritis and two other positive antibodies. Interestingly enough, Hashimoto's thyroid disease, my mother had her thyroid taken out. Her sister had her thyroid taken out. My aunt had a goiter and their brother had MS, had multiple sclerosis.
So I got triggered when I was under a lot of stress and then I got pneumonia. Boom, everything blew up. That seems to be the mechanism. I think it's going that way. I think it's going to end up that way. That yes, it's genetic. Another anecdote that is maybe a little bit better than going into the science of it. When we were first starting to treat chronic fatigue, immunodeficiency disease/fibromyalgia, figuring out that gluten was a problem, and figuring out that maybe thyroid was involved and those types of things. Once we started to realize that thyroid was involved, particularly the possibility that most of it was Hashimoto's, at that point in time, this was 15 years ago or more. 15 years, I think. So when we started to realize that, one of the ways we started to establish whether the person probably had Hashimoto's and that was the way we wanted to attack the case was by looking at their family history. If we saw a family history like the one I just talked about on me...
It doesn't have to be even the same autoimmune disease, there's multiple... In other words, I didn't have to get Hashimoto's or MS, because it was in my family. There's an understanding that once you've developed autoimmune antibodies to tissues as you keep not knowing you have it, and you keep exposing yourself to triggers that you'll start getting immune antibodies to other triggers, to other aspects of your DNA that are weaker or that in your lineage somewhere is there.
So your DNA, what they say in the classes that I've attended is the DNA is the gun and then the environmental, or the lifestyle, or the dietary, or the pathogenic triggers pull the trigger. Pull the trigger. So the DNA is the gun and the trigger's environment, food, pull the trigger. Then that's what creates the autoimmune response.
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How often should you test for Hashimoto's? So, that's really an excellent question. So it assumes, I think that the patient already has Hashimoto's, all right. And so if you don't have Hashimoto's and you keep going to your doctor and they keep telling you that you don't have it, but you have all the symptoms, you should try to get tested every three months, because the antibodies go up and down literally daily. And so from that perspective, you should let no more than six months go by.
For me, I actually will have a patient who comes in here and everything's normal, but they got all the lab tests and their thyroids tender, and they've had nodules, but all their lab tests come up normal. I might test them every six weeks until it comes up, if they're really insistent upon getting a lab number that you can hang onto.
If you have Hashimoto's, okay, it's an immune problem that attacks... So, there's your thyroid. It's an immune problem, there's your immune system, that's attacking your thyroid. Okay. And until you pull all the triggers, until you find all the things in your physiology, whether it's small intestinal bacteria, or leaky gut, or one of the pathogens, Epstein-Barr Virus, lyme disease. Or whether it's that you drink too much, or whether it's blood sugar spikes going up and down or stress or diet, whatever it is. And there's 40 some of them, okay? Whatever it is, as long as these are there, your thyroid keeps getting attacked. All right?
So, especially if you're not... I mean, I'm going to promote here, the functional model. If you're not using some sort of functional model that is stripping these things down, and you're going to your doctor and just using the medication, the medication T4 and T3 are the thyroid hormones that are in these pills. Okay? They are antioxidants and they are steroids as well as being thyroid hormones. So, they can calm down inflammation to a degree and stop this a little bit. But if you're not pulling the triggers, it might be going like this. And you take the medication, it might be going like this. You might feel better for two, three weeks, six weeks, even three months. But eventually, you're going to start getting symptom [inaudible 00:02:31]. Why? Because there's still damage taking place to this tissue. Even though it's slowed down, there's still damage taking place.
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The subject today is how Hashimoto's disease is being diagnosed and that's so basic to what I do every day for a living and yet when I heard this question, a million things went through my mind and here's why. Hashimoto's is a complex syndrome. It's complex for so many reasons. One reason is you can have silent Hashimoto's and not even though you have it, meaning that your immune system has started to attack your thyroid, but you're not really getting any symptoms so nobody's looking for it. Or maybe you're getting some mild symptoms, but you would never put it together so nobody's looking for it. Then you start getting symptoms and maybe they look for it and maybe they don't.
Maybe they go like you got all these symptoms and now we have a joke in the functional medicine field, you go to the doctor for Hashimoto's and they send you to counseling for your depression, anxiety, and they send you to the GI guy for your gut problems and they send you to the endocrinologist for your hormone problems and there's like nine spikes on this little diagram that we use when it's Hashimoto's, when the problem is Hashimoto's. So that creates a layer of difficulty for the patient to get diagnosed properly.
Once you get to that active stage, eventually today, more and more often, the doctors are figuring out that maybe a thyroid's involved. The next difficulty is a lot of them still don't run the antibodies for two reasons, one, some still don't get the Hashimoto's is the cause of at least 90% of thyroid problems and the second one is the medical profession is starting to figure out, "No, don't start throwing things at me or anything like this." This is just, I see this every day, the medical profession is still figuring out they don't know what to do with Hashimoto's, because they don't treat it as what it is. It's primarily an autoimmune problem first.
The next problem is the difficulty of diagnosing an autoimmune problem, because in the medical world, they're going to wait until you have positive antibodies come up and there's positive signs of tissue destruction somewhere, by that time, you've probably had the problem for 10 or 15 or 20 years, you've been exhibiting symptoms of it, but unlike the old days, when I learned how to diagnose, symptoms aren't enough. And I can conjecture as to why that is, but I'm not going to get into that. So, now you're in phase two and you have all these symptoms, you go, they either test you and find out your thyroid stimulating hormone markers are off. So classically, they're going to do a TSH, T3 and a free... And well, they don't even do free T3 most of the time and a T3, T4 and T3.
That's not going to tell you very much. It might tell you if you have hypothyroidism, which is the first signs of Hashimoto. So then they give you the medication, you feel better, you feel worse, you feel better just for a little period of time.
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Hashimoto's and lifestyle changes. I like this. I like this topic because it's so underappreciated, it's astonishing. And I think it's because Hashimoto's is still kind of misunderstood.
I've been fortunate enough. I think I've been training with doctors from the get-go, from the time I got involved with this, who were the doctors who brought Hashimoto's out of the woodwork and dusted it off. Dr. Hashimoto said most thyroid problems were autoimmune back in the 19th, 11 or 12th, of the last century. And then everybody made fun of him and it kind of went away, and then my mentor brought it back, and then his mentor and him worked together to work out the autoimmune prospect of it, and as a result, we look at it as a disease. And when you're looking out for diseases, you're usually looking for pathogens.
You've probably heard of, it's Epstein-Barr virus, a cytomegalovirus. It's HHV-6 virus, it's Lyme disease, and all of those can be triggers. The alternative medical doctors, or the alternative medical doctors that call themselves functional doctors or integrated doctors, they're still looking for the big time disease. They're still looking for all of those things I just told you and more. It's heavy metals, and all of those things can play a part in this.
But really, the solutions are not exotic. It's food. It's toxins. Toxins are big. I think you can understand there's a lot of toxins flying around, but lifestyle's huge. Lifestyle is huge, and lifestyle changes are things that when you're doing them, they alter physiology in such a way that they flare up in inflammation, and life is kind of inflammatory. And then they ultimately create an immune response against your thyroid.
Right off the top of my head, the number one lifestyle trigger for autoimmunity is, and specifically for Hashimoto's is, stress, because stress hormones cause your adrenal glance to put out a lot of hormones that create inflammatory responses. They put out adrenaline and noradrenaline and they put out aldosterone, which raises your blood pressure. And they put out cortisol, which screws up your blood sugar if too much is put out, and then that creates inflammation and all that type of stuff, and that flares it up. So, stress is like the number one trigger, I think, and it's also the number one lifestyle perpetuator. And it's one of those things that a lot of people usually have to deal with once we get them in control by herbs and botanicals, breathing techniques, taking a walk, praying, whatever it is. But stress is a big deal.
And a lot of the other ones are very obvious. I mean, if you're a smoker, you're sucking up a ton of toxins into your system, and I'm not admonishing you, okay? Smoking is something that many of us might have done at some point in our life and then got smart and quit, and it's not easy to quit. But I'm just saying, every time you smoke a cigarette, you decrease oxygen to your brain, but you take in so many toxins. Oh, my God. And those toxins are, in and of themself, what triggers the Hashimoto's.
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Hashimoto's and memory problems. It is a rare Hashimoto's patient that comes in here that doesn't write down memory as part of their clinical picture, and Hashimoto's can play a huge part in memory problems. The part of your brain that controls memory is called your hippocampus. This hippocampus controls memory, and it controls sleep. It controls your short-term memory and long-term memory. Short-term memory turns into long-term memory when you sleep. Just the context, the background, there. Hashimoto's hits memory in a lot of different ways. Alzheimer's is the result of the beginning of your hippocampus being destroyed, short-term memory, then not being turned into long-term memory. We do know what it is. We do know there are many, many things that contribute to that.
They're calling Alzheimer's diabetes type-3, because somebody finally figured out that diabetes annihilates the hippocampus, and that starts off the whole chain of events, but it's one of many, many things. Many, many of those things are directly or indirectly related to autoimmune thyroid disease. Let's go directly. When you have autoimmune thyroid disease, and your thyroid gets triggered, for many, but not all of you, a triggered Hashimoto's is going to cause intermittent heart palpitations for no reason at all, inner trembling, maybe anxiety, or panic attacks. It's going to cause insomnia, night sweats.
Those are the signs that your thyroid are getting attacked, and not all of you have that, but most of you have that. When you're getting that, just know that when that's happening, your thyroid is doing a lot of bad things in your body. Two of the bad things they're doing is it's flooding your brain with inflammatory... They're called cytokines. The Hashimoto's inflammatory molecules have a specific affinity for your hippocampus. They go to your frontal lobe, but they have a specific affinity for your hippocampus, your short-term, long-term memory area of the brain.
The second thing that they do is... All neurons in the brain need a lack of inflammation. So, it does three things. It's a lack of inflammation that creates healthy brain function, and Hashimoto's creates inflammation in your brain. Then, it also decreases oxygen to your brain, so all the neurons in your brain, no matter where they are, whether in a hippocampus, or whether in amygdala, or the frontal lobe, or whether in the cerebellum, or wherever they are, they all need oxygen. Hashimoto's decreases oxygen to the brain.
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1175 Harvard Way
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So we're going to talk about Hashimoto's and PCOS today. Apparently there's a lot of people who are interested in that topic. And I would say with good reason. I don't think there's a week that goes by that I don't do a consult with a female patient who has polycystic ovarian syndrome and Hashimoto's and PCOS are fairly closely connected. And I don't remember what the percentages are. It might be something like 30% of females who have Hashimoto's get PCOS. Might be 40%. It's up there. And of course, polycystic ovarian syndrome, of course, maybe you know this already, is responsible for up to 50% of infertility in this country. So the connections are kind of clear, but they're not always that easy to explain, because when you have Hashimoto's, you have these vicious cycles going on with virtually every organ system and biochemical process in your body because the thyroid affects every single thing that there is.
And the real cause of autoimmune thyroid disease, I'm sorry. The real cause of polycystic ovarian syndrome is prediabetes. And I'm shocked at this point in time how few people coming in here really know that. So prediabetes, the infamous prediabetes of which nobody gets very excited over and you go to the doctor and go, ah, your pre diabetic. Maybe somebody will give you Metformin. Maybe somebody will tell you, change your diet, but most of them just go, eh, just watch your diet and exercise a little bit. And then we'll wait until you get to diabetes type two, and then we'll give you the real drugs. Okay. In the meantime, that mechanism creates chemistry that causes your ovaries, there's enzymes in the ovaries and these lyase enzymes stop working properly.
And the next thing you know, you may not be making enough estrogen, but you start making too much testosterone, thus the hair on your face. And the fact that you want to get angry and choke your husband and all those types of things. So I have more thorough presentations on polycystic ovarian syndrome online, but that's really the basis of it. Now, what can cause that? There's so many things that can cause that. Stress can cause that, but thyroid can cause that because thyroid affects so many different functions that can set you off and create insulin resistance. So that's really where it's at. Okay. Like for example, relative to autoimmune thyroid disease.
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Martin P. Rutherford, DC
1175 Harvard Way
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For more information on this topic or to schedule a consultation please visit us at http://WhatIsHashimotos.com
So today, we're going to do There is No Silver Bullet for Hashimoto's and oh, how that I wish there was. Okay, so I don't know, today, there's a lot of marketing going on. There is the internet, which you're watching right now, right? And it's kind of a wild, wild west out there. There's nobody that really goes in... And I'm okay with this. I don't want to start getting into a little controversy today of censorship and all that type of stuff. The reality is there's nobody out there centering people in this area going, "Oh, no, that doesn't work or this works or that miracle diet's going to work," and so on and so forth. And so I'm getting a lot more people coming to me with, "Have you heard of this diet, is that diet... How come you haven't put out a book? Oh, I read this book and this book says that." I had one yesterday. He came out with the intuitive mystic guy who said, "Okay, it's all Epstein-Barr virus," which it's not all Epstein-Barr virus.
And so I get so much of this. I'm getting so much more of it and more of it, more of it, more of it. So the reality is there's no magic bullet. Look, Hashimoto's is complex. I should have gone over there and pulled out, out of what I call my own control manual, the 10 pages that I go through to assess every single Hashimoto's case to make sure that I haven't missed any aspect of what could possibly be blowing them up. If I get... There's 40 different triggers to Hashimoto's, 40, there's 40. And actually, I think there's going to be 41 or 42 by the end of this year just based on what I'm seeing relative to the COVID thing and some other things.
And no one has, nobody has all those. Nobody has all those triggers. Who has eight? And who has 14? And who also has eight, but they're a different eight than this person has over here? And so there's just a certain complexity to the condition that is unfortunate, but it's there. So what happens is you go online and you start looking and you start finding all of these, I won't name names, so and so's leaky gut program or so and so's small intestinal bacterial program for Hashimoto's or so and so's Hashimoto's program. And I'm thinking of specific doctors as I say this.
And then I look at them and I go there is maybe 10%, maybe 15% of people who put out 1500 bucks or whatever it is for the supplements and the diet for that, that program's going to put you on. And maybe there's 15% of people who are going to do that that are going to do well because maybe they are in the early stages of Hashimoto's or maybe that particular diet, I'm even stretching it here, maybe that particular diet might be specific for that person. And just by doing the low level of vitamins, they might get better and get their... Better meaning putting their autoimmunity into remission, their Hashimoto's into remission.
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Martin P. Rutherford, DC
1175 Harvard Way
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775 329-4402
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For more information on this topic or to schedule a consultation please visit us at http://WhatIsHashimotos.com
So I've just been told that we haven't done a presentation yet on Hashimoto's and brain fog. I don't know how that's possible because it's literally one of the top three symptoms. It's fatigue and I put on weight and I have brain fog is Hashimoto's. There's 20 symptoms that are really, really prominent, but literally that's in the top three.
So yeah. Hashimoto's causes brain fog. How does it do that? So many ways. It's so many ways, but we'll start with Hashimoto's. We'll start with the thyroid itself. When the thyroid is getting attacked and it's creating an inflammatory response and it's making too much T4, and ultimately making too much T3, which is the two thyroid hormones and the T3 is active. There have been studies that have shown it creates inflammatory responses in your brain during these attacks and it decreases blood supply to your brain. Your brain needs proper oxygen. So decreasing blood supply is not a good thing to happen to your brain. The brain needs a lack of inflammation. So every time you get that, you get an inflammatory response to your brain and it needs other things, too. It needs blood sugar, it needs proper essential fatty acids. It needs proper stimulation.
So these are then things that your brain cells require. You're hitting two of the major areas with Hashimoto's and then brain fog is basically... Nobody can explain it, but they're just like I just can't think and sometimes I can't get my words out, and I get tired and so on and so forth. So that's one way in which Hashimoto's does it. Another characteristic of Hashimoto's is constipation. Can be constipation and diarrhea. Okay. More often it's constipation than not. Okay. Because after it's been beat up in attacks, then your thyroid starts to fall into hypothyroid just from it's getting beat up. So it's having a harder time making thyroid hormone in between these attacks. So that slows down your entire digestive system.
So what's in the digestive system that would cause you to have brain fog? You'll usually get leaky gut. You can have things like if you get bloating and distension, that can create things called lipopolysaccharides. Those go up to your brain, create inflammatory responses. There's cytokines, which are inflammatory proteins. There's food sensitivities. Once you get those, there's metabolites from those that go up there. And there's, I forget how much it is. I want to say 90%, I think that's correct. 90% of your serotonin. If you haven't heard of serotonin, that's what... Everybody says "Oh, I got a dopamine hit, I'm really happy." Well, serotonin is what really makes you happy. Serotonin is what makes you like to be with your friends. It makes you happy. Serotonin is like when you get sad, because it's overcast, you usually have low serotonin. Seasonal, effective disorder. Serotonin is like mood, mood, mood, mood, mood, mood, mood. Serotonin is like good mood.
Well, 90% of it's made in your intestines. So if the thyroid is slowing down and causing your intestines to become abnormal, then it's going to be destroying a lot of that serotonin.
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Martin P. Rutherford, DC
1175 Harvard Way
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775 329-4402
http://powerhealthreno.com
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For more information on this topic or to schedule a consultation please visit us at http://WhatIsHashimotos.com
Okay, so today we're going to talk about the carnivore diet, specifically, and Hashimoto's. So, the carnivore diet. So, background. Okay, I'll tell you what I share with my patients. When we're treating them, it's diet, it's lifestyle changes. There's herbs, there are botanicals. There's a lot of triggers that can be pulled. There just can be so many things that are being flaring up your immune responses and there's 40 something triggers and all that type of stuff. But diet's huge. In the beginning, diet's very, very, very important to calm down inflammation, to dampen things.
But most of my patients come in here, they have a variety of different things and one diet doesn't fit. Sarah Ballantyne wrote the Autoimmune Paleo Diet and that was a great thing at the time because it acknowledged that there was autoimmunity and that there were certain foods that flared up autoimmunity. There's the anti-inflammatory diet, except the problem was a lot of people had food sensitivities. And at that time there was no good way to test them. The problem was some people had small intestine bacterial overgrowth and you would get on that diet and all of a sudden your stomach would start bloating and you'd go, "What?"
So here, at Power Health Chiropractic in Reno, we use 15 different diets. But we never use one diet, never, because one diet is never appropriate for the people who are walking in here who's got small intestine bacterial overgrowth, food sensitivities and gastritis, or ulcers. Or who's got [inaudible 00:01:46] and who's got ulcers and who's got blood sugar, diabetes type II. And a lot of times what happens is functional practitioners will have a diet to help them and they'll make that their baseline diet for everything and then they wonder why things haven't worked. So that's just the background about what I'm going to say.
And frankly, I was just doing a seminar on vascular diseases not long ago and interestingly enough, the presenter went over... And it was the first time I ever heard this. It was our idea here. I work with another doctor here on the nutritional aspects of it. About five years ago, he said, "Look, one diet's not working, okay?" We have to figure out what diets to put together and we did so, and we started with putting these together based on our workups. Excuse me. And lo and behold, this gentleman, who I consider my mentor, came out and he started talking about how one diet didn't work, and you have to do [inaudible 00:02:54]. It's the first time I'd ever heard it. First time I've ever heard it in a seminar setting.
So one diet doesn't work. So we'll start off with that, with the carnivore diet. And a lot of people say, "Well, it made me feel so much better." And it can make you feel better. There are people who can't do the carnivore diet because they don't have enough hydrochloric acid in their stomach. They can't do it because some people that the diet is actually inflammatory to them and you're trying to dampen inflammation.
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Martin P. Rutherford, DC
1175 Harvard Way
Reno, NV 89502
775 329-4402
http://powerhealthreno.com
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Food sensitivities and Hashimoto's. Food sensitivities are... I think they're becoming much, much, much more appreciated. I have patients coming in, going, "I want my food sensitivities done. I want my food sensitivities done." So, years of a lot of us talking about food sensitivities is paying off because it's very, very, very important to an autoimmune thyroid case. In fact, I can't remember the last time I had... I don't think I've ever had anybody come in here who didn't have any food sensitivities, and I rarely have somebody comes in here who has less than 20 food sensitivities, believe it or not. So, food sensitivities are really, really important.
Here's the thing about Hashimoto's. It is a very complex condition. Clinical entity, it is just... I have pages. I have five pages that I review on literally every Hashimoto's patient that comes in and make sure that I've evaluated every single aspect of their case that could be flaring immune responses up against their thyroid, and one of them, of course, is the gut, and within the framework of the gut is food sensitivities, even though the gut is not where food sensitivities are actually made.
The bottom line is, people come in, and there's 42 different triggers for autoimmune thyroid disease. If you've heard me say 39 in the past, that's because there's three more that have come to light since then. Okay? And so, food sensitivities are a big one. Food sensitivities are a big one. They're a big one for Hashimoto's. They're a big one for setting off thyroids. They're a big one for those of you who are suffering from chronic fatigue. They're just huge, and they're way up there on the list of those 42, because there's an order in which you have to attack these autoimmune cases. I get doing all the testing, and doing the GI test, and doing the adrenal stress test, and I get you can do the pathology, test the pathogens, and you can do the chemical tests and all that type of stuff. All those things can be valuable, and I can get into the testing, and when you need to take it and when you don't need to take it on a later video.
But for now, then there's the food sensitivity testing, and for years, you've heard me say the food sensitivity testing out there is unreliable, and that's being generous, and then there's urine testing, and then there's hair testing and there's all this type of stuff, and food sensitivity testing, I'll just leave it at this, this is not the whole subject, but it should be antibody testing. You should be testing. You should be testing IGG, and you should be testing IGA, particularly, without getting into all that, but the IGA is really, really, really, really a big one to test because any food that comes up as an IGA is really screwing you up because it's affecting the inside of your intestines where 75% of your immune system are, and if you have Hashimoto's, you don't want anything irritating the 75% of your immune system, and food is something you're putting in there all day, two, three, four, six, for some of you, all the time. For some of you, lots of food. Okay? So, the potential there for exacerbation to your retire is huge.
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what is the optimal TSH level? I don't think anybody knows. I really don't, but here's the back story on that. When I got into this, so there's a medical lab range and it's better known as a pathological lab range. So most of the medical ranges that you see on your lab test in Labcorp or wherever you go are medical, pathological ranges. Meaning by the time those ranges really become positive on your test, and positive means it's not a good thing, there's a lot of damage that's already taken done. Now we're at the end point and it's showing up on that range. Now it's let's take his medicine or something like that.
But when we first started out in chronic conditions, and chronic pain, and chronic gut problems and realized that Hashimoto's was an issue and autoimmunity was an issue, and that the ranges, everybody was told that their lab tests were normal for everything, not just thyroids but everything. Then there were biochemists who started to shrink the ranges down. So back then the optimal range in the functional world. So the functional world was we wanted to know about dysfunction. The patient would come in, they'd have all of the symptoms of a disease, of a condition, whether it was insulin resistance or whether it was SIBO or whether it was Hashimoto's or whatever it was, but yet all their lab tests were normal.
So we wanted to know what was going on with the organs that caused those symptoms because dysfunction precedes going into pathology. Eventually you're going to get into the pathological ones. So the biochemist that we followed made... The pathological range for Hashimoto's was 0.45, 0.45 to 4.5 and that's the range for thyroid stimulating hormone. I just said Hashimoto's, but I meant to say thyroid stimulating hormone. So that's still the range for them.
Now in the functional world, we've used ranges that started from 1.8 to three, which is a very narrow range for your TSH. This was 20 years ago. As time has gone on, that range has changed from by observing different research projects, by just observing hundreds, thousands of physicians observing that range went to one to three. So currently I am using the range one to three. 1.8 seemed a little tight and I thought that when we were using it and then it was suggested we use one to three and I feel like I'm getting a better grip on what's going on with that thyroid patient using that range.
As I say, the real backstory on this is that ranges have changed forever. I could go into cholesterol. When I was in school, high cholesterol was 275 and it keeps coming down and coming down. There are some people who are irrationally now saying it should be under 100, in my opinion. Some people will tell you it's 150 and other people will still stick to it should be under 200 and so on and so forth. So it depends on the doctor that you go to. But these ranges keep changing and changing. Ranges will change from lab to lab. You'll go into one lab and the range will be one thing and you go into another lab because they use the average of the patients who come into that lab. So the ranges, they have always been ballpark figures.
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Hashimoto's and blood sugar today, because I think this is a really important subject. And I think the main reason it's so important is because somebody just turned it off going, "I don't have a blood sugar problem. I don't have diabetes. And my doctor said, even though I got a little prediabetes, it's okay." It's not okay.
And at the other end of the spectrum, there's a lot of people who have hypoglycemia, but they've been told by their doctors that they don't. Hypoglycemia is low blood sugar. Prediabetes is pre high blood sugar. And when you have low blood sugar, it's a big problem. It is completely blown off in the medical community. I mean, I'm not bagging the medical community, but more and more and every day, as our patient population grows to be more chronic conditions, it's just an outdated model of care for that particular type of person. [inaudible 00:01:07].
And a lot of people who have reactive hypoglycemia, which means that their blood sugar goes low, but it doesn't go low enough for them to be passing out and having to take a candy bar and all that type of stuff. They're being told they're okay, and they're not. So blood sugar and Hashimoto's. So Hashimoto's is an autoimmune thyroid disease. And I'm gathering somebody who is looking at this probably knows something about Hashimoto's or you wouldn't have clicked on this. So I'm not going to go really into Hashimoto's other than it's a thyroid problem. Okay?
So there's a lot of reasons that a person can... And I'm going to talk about how they go together. Hashimoto's you get an immune attack on your thyroid. And then as a clinical practitioner, you are a clinical practitioner. You're a functional medicine practitioner. Your nutritionist, your dietician, whoever everybody's going to today, your naturopath, your homeopath, they should be first evaluating your entire picture of all of the 40 or 41 or 42 triggers before they even start treatment. Because there's an order in which you attack, and blood sugar way up there on the things you have to attack first. And so blood sugar is one of those 42.
Say, "My God, well it's only one of 42. What a big deal." But certainly these ones like gluten are way more important than the other ones. And blood sugar is up there. Blood sugar is in the top four of the triggers that have to be addressed. Otherwise you're not going to get a lot of [inaudible 00:02:47] done.
So blood sugar, why is this an issue? You already have an autoimmune thyroid disease, which means you want to reduce the attacks on your thyroid by your immune system. Okay. So let's go into what I was talking about. Here's blood sugar. Blood sugar, a lot of people have diabetes type two.
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SIBO, small intestinal bacterial overgrowth. I assume most of you know that, or probably wouldn't be clicking on Hashimoto's and SIBO.
It's one of those very important things to know about. But again, it really needs to be put in context and because, what occurs with these types of conditions and it's been ever since people came out with the four R program remove, replace, now it's called the leaky gut program. The leaky gut program was enough maybe back in the seventies and eighties, but it's really not enough, now SIBO is much more involved than leaky gut, but SIBO can be one of the big causes of leaky gut. My point is going to be, we have a SIBO program, we have oral tolerance programs online, we have so many different programs now. I now have patients coming in here who have done them all and they're still sitting here.
Coming in here to try to find out what's going on, a lot of it is about the order in which you attack something and, SIBO is kind of up there with Hashimoto's. Hashimoto's is, for those of you who are tuning in here, who may not know what Hashimoto's is, it's an immune attack against your thyroid and without getting into it too heavily, the battle when you go to a functional medicine practitioner is the immune system. First, in most cases, it's the main system first. Whereas 70% of the system it's in the linings, particularly of your intestines barrier linings and your intestine, some of it's on the inside of your lungs. But the biggest part is in the intestines, which is why the leaky gut stuff came about because early on, people started realizing that when their guts got better, their Hashimoto's symptoms started to clear up.
This went along with the gluten issue. We thought we were really hot years ago. We would go like, "Hey, get off of gluten first of all, Oh my God, it feels so much better, we were bad, we know." Now it's a lot more than just gluten and that the person who gets off of gluten and feels wonderful is maybe 10% of the people walk in here, 5% and that there was more to that. SIBO is kind of like the new Holy grail in a lot of ways. There are a lot of programs on online for it and they're good. They're good programs, except SIBO is small intestinal bacterial overgrowth. SIBO can be caused by thyroid problem. SIBO can be caused stress, stress responses, paralyze your stomach and your intestines because when you're in fight flight, the stress response stops you from having to move your bowels or urinate because you're in fight flight.
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Hashimoto's and birth control pills. It could be Hashimoto's sex hormone binding globulin and birth control pills, and you'll see why in a second here. Okay. So birth control pills. I am a big non-fan of birth control pills. I get it. I get it, but birth control pills change a lot of things.
There are a variety of types, but there's estrogen, there's estrogen and progesterone. I don't know if anybody's even doing Premarin anymore. I haven't seen that in quite a while, but anyway, so it's the estrogen component that's a big deal. When you're taking exogenous estrogen, whether it's in a birth control pill or not, whether it's a cream, because you're in menopause and somebody gives you... Somebody says, "Okay, you're having all these symptoms, you're in menopause. So I'm going to give you estrogen." It's the brain dead.Let's not look at anything and give you estrogen type of thing.
There's a lot of things going on there. Whether it's synthetic, whether it's natural, these types of things. How they're read is very difficult, synthetic doesn't really register in your brain. So you really can't tell what the person's estrogen is all about. So there's just a lot of problems when you're trying to deal with somebody who is on birth control or estrogen. Now having said that, I treat a lot of people on birth control and what happens is the birth control pill...
Estrogen builds. In other words, you get estrogen into your system or you make estrogen, even for the people who aren't on birth control pills and are highly estrogenic, you have too much estrogen. Part of the reason is because it's not getting cleared out of your system properly. You need to make the hormone. It needs to go into your cell. It needs to be used. What isn't used needs to then go into the system and be cleared by your liver, gallbladder and your intestines. That's a big deal because especially if you're taking exogenous estrogen like birth control, you're never going to get it dosed properly for that person. There's always going to be building, there's always going to be stored estrogen and stored estrogen is not good. Most women now, if you take too much estrogen, it can cause breast cancer and a variety of other different things.
So now thyroid. So thyroid, the way a thyroid works is... The way hormones work is they're made, they go into your bloodstream and they have to hop on a protein. It's called a globulin and it has to hop on a protein and attaches that pro... Then that protein takes it to where it needs to go. So the thyroid protein takes it to all the cells in the body, the estrogen takes it to all the cells in the body.
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Hashimoto's and fibromyalgia. Again, this is a topic that I'm very familiar with because I started out in functional medicine as one of the earlier functional medicine practitioners back when everybody was coming in at that time, it was chronic fatigue, it was fibromyalgia. Those are the big things people were coming in for. And fibromyalgia means pain in your muscle fibers. I do have another like hour long presentation on this online. That is really, I think it's our most watched videos. Believe it or not, I think it's got over a million views. And so, anyway. So, early on I was involved when we didn't know what fibromyalgia was completely. I practiced functional neurology too. And so, we thought okay, it's brain, there's a brain component to that. We knew there was a fight, flight component to that.
And that made sense because even though fibromyalgia means pain in the muscle fibers, we were kind of thinking it's not the muscle fibers, this is nerve pain, this is small fiber pain. And we discovered that and come to find out that you could have something called non-length dependent small fiber neuropathy, which will cause pain and tenderness and all over the place. And so, we saw that as one component. As we started to realize that the thyroid component to fibromyalgia, which was causing the fatigue or part of what was causing the fatigue, as we started realized that that was involved, we started realizing that actually caused some of the small fibro neuropathy that I was just talking about and about a million other things. And so, the autoimmune thyroid disease started to become really a core of what we started looking for because we started realize that once we got the inflammation down from the fibromyalgia patient, a lot of things would get better.
Well, the things that we had to do to get the inflammation down to for the Hashimoto's, for example if you have blood sugars going up and down, you're not diabetic and you're not hypoglycemic where you're passing out all the time, but you're somewhere in the middle, like prediabetes or what's called functional reactive hypoglycemia where you're either fall asleep and you wake up when you eat or you eat and you fall asleep, this is bad butcher. You have to fix that to fix the Hashimoto's for the Hashimoto's to take a step towards getting better. Okay. But that in and of itself also is causing a lot of the muscle pain and a lot of the depression and a lot of the anxiety.
So, as we unwrap this onion, we started to see that we had to first when a person came in with fibromyalgia, we had to first go to what was causing the autoimmune attack against the person who has fibromyalgia. And I'd say 75% of them had Hashimoto's and then you would work with that and all of a sudden you would see huge differences frequently within 4, 5, 6, 8 weeks, something like that. So, there's a big connection there. 75% of the time with the Hashimoto's and the fibromyalgia, why is it not a hundred percent of the time?
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Hashimoto's and macular degeneration. So I can't say that I've studied this a lot, but you'll see why. You'll understand why here in a second. So I've treated Hashimoto's for a long time. I literally treated a couple of thousand cases or more and so you start to see patterns. People come in and they have Hashimoto's and they have every symptom known to man sometimes if they're a real serious case. They might even have fibromyalgia. They'll be overweight. Their hair will be falling out. They could have dizziness, vertigo, balance because Hashimoto's has cross sensitivity with something called your cerebellum, which could call us all of that stuff. They can have autoimmune gastritis. I'm thinking. You can have a million things. Once that thyroid goes, it has receptor sites in every single cell that they're in the body.
A lot of people come with migraines. Honestly, at this point, when a person comes in with Hashimoto's and migraines, I don't even pay attention much to their migraines. Because if you start getting the proper areas of body to function that are causing your Hashimoto's, most of the time the migraine's going to go away.
The eyes are in that category for me which is why I've never really gotten into investigating it a whole lot. I have seen scores and scores of people come in here who have Hashimoto's and eye problems. I just had one literally yesterday, who we had talked about the gluten being the number one trigger for Hashimoto's because when we had done the consult, she was telling me how every time she ate wheat she bloated. Every time she had a pizza, she bloated. Every time she had a piece of bread, she bloated and we didn't know she had Hashimoto's yet, but she had all the symptoms. I was proposing to her that, that may be part of the mystery disease she came in. She came up with kind of chronic fatigue and an eye problem.
She actually came in for an eye problem. Most of my patients come in with all of these other symptoms, a diagnosis of chronic fatigue, fibromyalgia, neuropathy, something like that and they list eye problems too. Bottom line on her was she started... Between the time we did the consult and the time I was able to gather all the data and do an evaluation for her, she had stopped gluten. Her eye problem went away. Her eye problem completely just... Mind you now, she'd been to an ophthalmologist. She'd been to two ophthalmologists, an optician and two ophthalmologists, and nobody could tell her what was wrong with her eye.
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Hashimoto's and gluten-free didn't help.
So I have probably heard this hundreds of times, and the problem is that gluten is the number-one trigger for autoimmune thyroid disease. In fact, it's not an allergen. It's not a sensitivity. You can have a sensitivity or an allergen to it and have Hashimoto's, but it's something called molecular mimicry, where there's metabolites on the gluten protein that unfortunately look exactly like metabolites in your thyroid tissue. So once you've developed Hashimoto's and your immune system starts to attack your thyroid, you eat gluten, it's going to flare up in an inflammatory response and create an attack on your thyroid every time you eat it. So it's got to go.
And gluten's in everything. Gluten's in all the good stuff. I'm half Italian, so gluten's in the pasta. Gluten's in the pizza. I used to like to have a beer now and then, or more than now and then, and it was in the beer. It's in a lot of the alcohol. I mean, it's everywhere. It's in the sauces. Gluten, it's everywhere. It's in all the good stuff. It's in all the stuff we love.
So on a semi-regular basis, I get a person go, "Well, I already tried off gluten, and it didn't do anything for me." Meaning, "I'm not going to give up all the good stuff if I got off of it." Now, here's the problem with that. The problem is Hashimoto's. So gluten's one of, now, I think it's 41 triggers that we know of, that are potentially also affecting your thyroid. Nobody's got all 41 triggers, but a lot of people have 12, 13, 14 of them. So that's one trigger. So let's say you don't even know what the other 13 triggers are, and most of them don't, and some of them are, mind-blowingly, things that you do every day or that you may ingest every day or things of that nature.
So when we first started this and we had people, this being treating Hashimoto's and taking people off the gluten, I was very early on in the groups that were taking people off of gluten for Hashimoto's. And you would get a miracle case, and you'd go like, "Yeah, we're bad. We know. These guys, these medical doctors, they don't know anything. We're so cool, because we took them off of gluten and they felt better." And then you'd get a couple of those, and life was good. And then you got the guy. You took him off of gluten, or gal and lady, and nothing happened. Or they felt worse or the gluten made them feel worse, because gluten is not just a trigger for autoimmune thyroid disease, but it is a big fat trashy carb.
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Hashimoto's treatment after thyroidectomy. Like anything else with the human body, nothing is as straightforward as you'd like it to be. So the theory is, and again, it depends on why you had your thyroid taken out. Did you have your thyroid taken out because you have Graves' disease? Did you have your thyroid taken out because you have Hashimoto's? Did you have it completely taken out or partially taken out? I'm assuming this question refers to completely taken out. And did you have it out because you had cancer? Okay.
So basically let's go to Hashimoto's and Graves', and Graves' is a very small part of the population, so I'm going to talk mostly about Hashimoto's. So when you have your thyroid out, and I've watched some thyroid surgeries years ago and asked some questions, and it seems like a lot of times they just take out maybe part of the thyroid in cancer. But in Hashimoto's and in Graves', they're usually going to take the whole thing out.
And so the theory is because of where the medical model is at this point in time in 2022, okay, they're still not addressing Hashimoto's as an autoimmune problem. They're still addressing it as a thyroid problem, which leads to the theory of I'm going to take it out and I'm going to be able to control your thyroid hormone levels by giving you the right thyroid medication. And that alone is a crapshoot, figuring out what is the right thyroid medication for that particular person. That's a whole other subject that I have a presentation on online.
And so it gets a little complex because of their model. All right? So two things. One thing is they don't always get all the thyroid tissue out, and it's attached to certain structures where it can alter things if you mess up. And the other thing is they're treating it as though it's a thyroid problem and not an autoimmune problem. So if you're still not aware that there's 40 triggers or more now, and I know I've got one online that says 39, but there's more since then. So if you're not aware of that and you're not removing those triggers, those triggers are still there. Very seldom does a Hashimoto's patient have one autoimmune problem. They usually have Hashimoto's and autoimmune gastritis or Hashimoto's and arthritis or they have Hashimoto's and cerebellar antibodies and on and on and on and on and on.
So in several different ways, the immune response is still a problem. And if you have thyroid tissue that is still remaining, you will have thyroid tissue that is still getting attacked. And have I had these patients come in? Oh, my God, probably a couple hundred over the period of time I've been doing this. And so, I mean, it's something I've seen a lot. And they respond well to treatment, because when you have an autoimmune problem
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Low dose naltrexone, LDN, and Hashimoto's. So I don't use low dose naltrexone for Hashimoto's and one of the main reasons is I'm not a medical doctor. I'm a chiropractor by... That's what I graduated from as my... That's my diplomat or whatever. My doctorate is in chiropractic. I do functional medicine. I do functional neurology. So that's the path that I have chosen and LDN is a medical procedure.
Now having said that, I have a lot of people who come in here on LDN. I have a lot of people who want to know about it. So I've done a lot of background research on it and here's been my observation on it. From a non-medical doctor, basically it's a medication that the alternative doctors mostly use. It's one of their, I don't know if it's fair to say holy grails, but it's one of their first tools for autoimmune thyroid disease. So basically when you get autoimmune thyroid disease, you have a lot of inflammation hitting your thyroid and that inflammation is coming from could be 40 different places or more.
So that inflammation creates an inflammatory response and you get shaky and jittery when the thyroid hormone starts going up. The medical model doesn't really treat Hashimoto's very well. I don't think anyway, because they'll usually look at your numbers, give you a thyroid hormone, it'll work. It won't work. Maybe it'll make you worse because there's binders in there that are part of the triggers and so on and so forth. So they don't really treat autoimmunity the way functional medicine practitioners do. So they treat autoimmunity by giving you steroids or immunoglobulin if it's really a serious, serious autoimmune problem.
So in between all of that is low dose naltrexone. So low dose naltrexone, what it does is it goes in and increases the endorphins in your body. The endorphins are those feel good endorphins that make you feel good. They also alter chemistry that will to certain degrees dampen the inflammatory responses and they're not anti-inflammatories, but through chemistry, I did use to teach biochemistry at one point in time. Through chemistry, they have kind of a chain reaction effect where they'll help to calm down the thyroid to a certain degree.
I have a lot of patients who come in and it's really helped them. So it doesn't really take care of the problem. I'm not trying to be demeaning by saying it is kind of a bandaid. Then there are a lot of people, and I don't know who's asking this question, but there are a lot of people that can't take it because it will cause a lot of people to have bad dreams and nightmares and things of that nature. So it's a tool. It's a tool. If you're not up on what all the triggers are for Hashimoto's, if you're not changing your diet, if you're not at least off of gluten, which is the number one trigger for Hashimoto's. If you're not doing all those things, if you have bad gut, if you're just not doing any of that and you're looking for something that's just going to make you feel a little bit better, it's worth a try.
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Hashimoto's and chronic fatigue. So years and years and years ago, I was part of a group that was one of the earliest groups in functional medicine and chronic fatigue was the issue. It was chronic fatigue, immunodeficiency disease, and fibromyalgia.
Chronic fatigue can be caused by a lot of things. Okay. Back then we were looking to see what caused chronic fatigue and the obvious main suspect if you will, was thyroid, because thyroid really, really is controlling your energy levels, and your mitochondria and your cells need a few things to work well. They need proper oxygen. They need lack of inflammation. They need proper blood sugar and they need proper T3, the thyroid hormone T3.
So if you're not getting an... So as we started to explore that, it became apparent that a lot of the thyroid problems that people did have, who had chronic fatigue, actually were autoimmune thyroid disease, Hashimoto's and then we started to see a big player in chronic fatigue, but it is not the only player. So Hashimoto's will cause chronic fatigue for the reason I just said. It's called Hashimoto's hypothyroid disease. The vast majority of people who have Hashimoto's have hypothyroid. There's a small group that are the thin overactive Hashimoto's patients, but 95% are hypothyroid. Overweight, losing hair, constipation, dry skin, everything slows down, including the ability to make thyroid hormone.
So you might not make enough thyroid hormone, or you might make enough thyroid hormone and it can't get into the cells. As I just said, you need proper T3, so that's the active thyroid hormone that is made out of your thyroid. A little bit out of your thyroid. There's another hormone called T4 that's made in your thyroid and that turns into T3 in your liver, in your intestines and at the cell sites themselves. Then that has to get in for your cells' mitochondria, the little energy industrial factory energies in your cells that make energy. It doesn't get in there, you got chronic fatigue.
That's the relationship of Hashimoto's to chronic fatigue. Again, I just want to make the point. Chronic fatigue can be so many different things. It can be chemical. It can be because of food sensitivities. It can be because of chemical sensitivities. It could be because of blood sugar going up and down. It can because of diabetes, it could be because of insomnia, sedentary lifestyle and more. Autoimmunity in general can cause it. So there's a lot of things that can... Usually, it's more than one thing, which is why I'm saying this. Usually it's Hashimoto's bad gut problem, blood sugar going up and down, chemical sensitivities. If you're like, I am so fatigued, I am done, I can't get up. I'm going to have to quit my job. It's not just Hashimoto's. It's going to be four or five or six of those things put together that need to be unwound, the onion on that needs to be peeled and Hashimoto's is a part of that. So that's Hashimoto's and chronic fatigue.
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Follow TSH not TPO. This came up a couple of times in the past couple of weeks when I had patients that I reevaluated their thyroid hormones and they were a little upset because I didn't rerun their thyroid antibodies. So I'm assuming if you're looking at this, you have some idea what TSH and TPO is, but we'll talk about it right now. So it's not that you never look for thyroid antibodies. Obviously you have to look for them. I'll assume that there's maybe one person out there who, for some reason, tripped on this and doesn't know what TSH and TPO is. So TPO is the thyroid peroxidase enzyme that is most, about 97% of the time, that's what comes up positive when a person has autoimmune thyroid disease, or you might know it as Hashimoto's. And a thyroid stimulating hormone is a hormone that everybody checks for your thyroid, all the endocrinologists check for the thyroid.
It's the holy grail. That's all they check. And if they just check that and they don't do the antibodies, they're not going to know that you have Hashimoto's, which 90% of hypothyroid patients or more, actually have Hashimoto's. So if they don't look for it, they don't know you have it, they're just going with your TSH. And so TSH, when they just go after that and you have Hashimoto's, a lot of you don't do well. And so, TSH has gotten a bad name. I was probably part of that at one point in time, as was the group of doctors that I was involved with because at the time we didn't know any better. And we were tracking thyroid peroxidase enzyme, TPO, to see if the patient was getting better. So, that was wrong. So here's how it goes.
The thyroid peroxidase enzyme, and there's another one called an antithyroglobulin enzyme. They're antithyroglobulin tissue test. So these tests tell you whether you have an antibody that flares up that tells your immune system to attack your thyroid. So these are the tests that need to be run to figure out, do you have Hashimoto's hypothyroidism? Once you figure that out, what someone figured out was that you really didn't need to run those antibodies anymore, but because we have been trained throughout our life that if you have a high blood sugar marker, and you do a blood sugar diet, you want to see the marker go down. So we intuitively think that's the same with the autoimmune thyroid disease markers, but it's not, because they're very erratic. They can go up and down for no reason at all. You can test them one day, they'll be down. You can test them the next day, they'll be high.
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Can child birth cause Hashimoto’s? So the short answer is yes. The longer answer is, here’s how that happens. Okay. So the answer is yes. I would… In my patient population over the years I’ve been in this… In my mind as I look at all the people who come in and I listen to all of the triggers that are described in the patient history as they’re giving it to me… I mean pregnancy might be number one, but if it’s not number one it’s definitely number two, behind stress responses.
So it’s huge. It is just like… A female patient walks in, she sits down, and then I say, “Okay, give me your story. When did this start?”. “Well, it started after my…”
They might not even know they have Hashimoto’s, when they came in to me, they might just suspect it. And they go, “It started after my third child, after the birth of my third child. It started after the birth of my first child.” I’m like, “That’s enough. You got Hashimoto’s.”
But seriously, what happens… There’s a lot of things that happen there, okay. The first thing that has to happen is that person has to have, that mother, has to have the genetics to develop Hashimoto’s. You have to have…so somebody, somewhere in your lineage has to have had some sort of thyroid problem.
Today we know, and I keep quoting the Mayo Clinic, okay, but today we know that… Well, one of my mentors says, “Look, it’s all Hashimoto’s, if you have a thyroid problem.” Mayo Clinic, let’s just go with the Mayo Clinic because everybody, you know… They have credibility with a lot more people than maybe my mentor does. They say 85-95% of hypothyroidism is Hashimoto’s.
Usually you’re going to have somebody that has thyroid back in your family and then you have your child. Now if you’re compromised during that period of time… If you haven’t been eating well, and if you’re stressed, and if you’re working too much, and if you’re fighting with your husband, and all that type of stuff; this all makes it more likely that you’re going to be compromised enough, so that when you start making antibodies… And this is a massive oversimplification of what happens, okay. All right. You’re compromised, you’re carrying a baby, you’re giving all [inaudible 00:02:41], you’re giving all of your nutrients and so on and so forth, to the child. So, your immune system is challenged, especially when you start making antibodies, to give to the child.
if you have the ability to make anti… You’re making excess antibodies to give to the child… Again, for those of you who are in the field of immunology and all this type of stuff, I know this is a gross simplification, okay. When you start making a lot of antibodies and if you have the gene that says I can get it and you’re compromised and mom’s compromised, and she is, especially in the third trimester when she’s going to have a baby
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So the topic today is the best medications for Hashimoto's. And I'm assuming that the question is relevant to hormone replacement therapy and for thyroid. And this is a great question and I could go on for a long time on this but I won't. But here's the deal, okay. I'm considered an alternative healthcare practitioner and I am functional medicine, functional neurology. And yet even in my world, the research is going more and more towards the earlier you can get the person on hormone replacement therapy, the better. There's a couple of problems there. The person's got Hashimoto's and they got all kinds of triggers hitting them. Their TSH is going to be all over the place. They can have inflammation. It's hard to get the proper numbers to even put that person on hormone replacement therapy.
I had a lady in here yesterday and she was like, "Yeah, and I go to the doctor and then he gives me the thyroid hormone and then I get shaky and jittery and all that type of stuff. And then he takes this away and then I'm done." Because that doctor really can't, she hasn't even started care yet and she's got some of the 20 or 30 or 40 triggers that are there. Until you get those triggers under control it's hard. Really, it's hard to dose thyroid hormone. Now, the question is, what's the best one? The answer is you don't know until you figure out what's the best one for that patient. I'll give you a couple of real quick examples. I think you just need to get this idea and this is a challenge for me because if a patient comes in, they have Hashimoto's they're not on thyroid hormone we'll probably say.
It might take 3 or 6 or nine or 12 months to figure out which is the right one for them. Their doctor might have a hard time figuring that out and they might hit it the first time and everything's off. I usually won't have that patient consider getting thyroid hormone replacement therapy until we pull all the triggers until we whatever, if it's their gut or if it's stress hormones or whatever thing we have to fix to get the thyroid under control. I'll usually wait but here's the deal. You go to a doctor and is it natural or is it synthetic or is it compounded or is it not compounded? And all of those things can be relevant to what's right for that particular person.
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Hashimoto's and low libido, and I'm largely talking to women on this because it's a lot different between women and men. Frankly, 97% of my practice is women and so I'm very much more familiar with that and I try to stick to things that I know. So basically, it's a complex relationship and it's not. So let's talk about libido and what causes libido in women. It's estrogen. So estrogen's what makes you want to have babies, it's what makes you want to have sex, it's what helps to procreate the human race. So it really comes down to all about estrogen and what's affecting estrogen. So this kind of hooks into Hashimoto's and pregnancy, this kind of hooks into Hashimoto's and abnormal periods and menstrual cramps, and just the whole thing.
And today, even endocrinologists up until maybe two years ago when I would see panels coming in from other doctors that were endocrinologists, they were never on a thyroid panel when we're trying to figure out a woman's female hormones. But today, they are. Today they are, they're running panels and they're not necessarily looking for Hashimoto's, but they're definitely are getting if the thyroids screwed up, then it's going to slow everything down and it's going to slow down a function of the process of making a proper estrogen, estradiol, estriol, progesterone balance.
So, this is kind of how it goes. Someone comes in here and they go, I'm not menopausal. I have all of these female hormone imbalances. Or I'm looking to get pregnant, I have no libido. Because they all kind of go together, it isn't like it's no libido and it's I have menstrual issues. It's all estrogen at that point. So the question is, is how do we, without drugs, I'll be the first one tell you, I'm not a big hormone replacement therapy guy or like, okay, you have this symptom, so take estrogen and you're about to find out why.
So basically, here's the things that have to be working in a person properly for them to produce proper estrogen production and proper estrogen clearance. And what that means is you produce estrogen, the estrogen gets made, it goes into the cells. In the cells, the estrogen is used for certain chemical processes. And then there's waste products and those waste products have to get into the toilet. If they don't get into the toilet, you start accumulating too much estrogen in your liver, in your fat cells, and some parts of your intestines, and now you start becoming estrogenic. The problem with that is it starts telling your brain you have too much estrogen and now you're ovaries start not making enough estrogen because your brain's going, kicking back and oh, well we already got enough estrogen sitting around. So I'm going to tell the pituitary gland to tell the ovaries to kick back and not make enough estrogen.
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Hashimoto's disease explained. So for me, who is embedded in Hashimoto's all day long, it's like, wow, people still need that explained. But yeah, they do and I know that from the consultations. I can tell you that most of the Hashimoto's seminars I've gone to have been about 24 hours long, over a period of three days. So I'm going to bring you the ultimate CliffsNotes of Hashimoto's disease explained.
So Hashimoto's, Dr. Hashimoto was a PhD in Japan back in the early 1900 and he was looking to see why are people getting thyroid problems? This was before the atomic bombs. I don't know if you know, the people who were in the areas of the testing in Las Vegas for atomic weapons all got thyroid problems. Radiation screwed up their iodine and stuff like that. But this was before that. This was before Hiroshima and all that type of stuff. So he's checking it out and he goes, you know what? All these people have autoimmune antibodies against their thyroid and nobody took him seriously.
So there were some doctors throughout the time, throughout the last century who checked for Hashimoto's. Occasionally I'll get a person who was checked for Hashimoto's in 1960 or 1970, which shocks me. But for the most part, nobody even knew what Hashimoto's was. And so Dr. Hashimoto figured out it was an immune attack against the thyroid and that's the defining factor. Okay. So for years and years, and years, and years, and years, and years and years in this country, and in most of the world, most thyroid doctors ignored what Dr. Hashimoto's findings were.
And so everybody was hypothyroid and everybody was being treated as a hypothyroid, meaning it's a thyroid problem. If your thyroid is low, then we give you a thyroid medication to bring it up. And if it's hyper, then we give you a medication to stop you from making thyroid problem. And that's how it was until probably 20 years ago. So basically what happens is let's go to the autoimmunity then. So basically what happens is you were born with a gene that says it is okay to attack your thyroid. And this is why I'm not yet fully embracing genetic testing because genetic testing tells you what could happen. It doesn't necessarily tell you what's going to happen.
So you can have a gene and never, ever, ever have Hashimoto's in your lifetime. And so basically, then the next thing that occurs is life. So there are a lot of triggers that can trigger autoimmunity, not just Hashimoto's, but autoimmunity in general, and those triggers are significant stress. Who's had significant stress over the last three or four or five or six years? It can be an overwhelming infection. So those of you know I have Hashimoto's. For me, it was a combination of an overwhelming infection and stress that hit me. I was under a lot of stress and I got pneumonia. Everything blew up.
After that, having a baby is probably the second most common one I hear after stress. Doc, I had a baby, it was my second child. It was the last child. It was my first child, whatever it was and after that, I've never been the same.
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Does Hashimoto's go into remission, or Hashimoto's and remission. These are questions that have come in a variety of different forms, and I'll try to cover them all. The answer to does Hashimoto's go into remission is, yes. Yes. It actually is a normal part of it. Autoimmunity in general, the goal when you treat a patient with autoimmunity, whether you're treating with medication, immunoglobulins or steroids, or whatever, or whether you're doing the superior model of functional medicine for Hashimoto's, the goal is always the same. The goal is to take that person who is an active case, and normally I don't get cases coming in here in remission, and to get that person into remission. Let's go back a step. All autoimmunity has certain touchstone characteristics. When you have a patient that comes in, they don't know what the heck is going on. You're digging, and you're trying to say, "Okay, where do we go with this? Is it inflammation? Is it autoimmunity?" You start hearing a person going, "It was triggered by this. Then I had it for a while, and then it went away. I have no idea why it went away. I just know it went away." Then a year or two, I just had one yesterday. I just had one yesterday. And five years later, it came back. Then he did some herbs and botanicals, and he worked with a nutritionist and stuff, and then it went away. In five years it's went from like 2000, it went away. 2005, it came back, and then it went away. 2010, it came back, and then it went away. 2015, it came back, went away. Then yesterday, he's calling me. That's a natural... That was not a Hashimoto's case. That was a rheumatoid arthritis case, and that's a natural characteristic of autoimmunity. There's lots of people who don't understand about autoimmunity yet, but one thing we do know is it comes and goes. If it doesn't go, that's when you end up in your doctor's office, our office, your rheumatologist office, trying to figure out how to get it to go in remission. Why does it go into remission? Yeah, it's hard to say. Just from the understanding that I have of treating this for thousands of these cases over a period of a long time, it just seems like, there's so many different things that affect it. Everybody's immune system has a different, for lack of a better term, plasticity. Some of your immune systems are stronger than others.
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We’re going to talk about Hashimoto’s and heart problems. This is kind of an interesting one. And I’m going to speak to you strictly from experience on this because a lot of people are looking for, “Oh, it’s causing this exact thing, that to the heart and it’s creating the bundle branch to not work right,” and blah, blah, blah, and all that type of stuff. But I’m going to tell you the nuts and bolts, blue collar aspect of Hashimoto as a heart disease.
So I’ve been doing this for a long time, seen thousands and thousands and thousands and thousands of patients. And here’s what I hear. I am going to grew greatly downplay how many times I think I’ve heard this, but I have heard this somewhere between 500,000 times. And I think probably more, but this is how common it is. The patient comes in and maybe they don’t even know that they have autoimmune disease at that time, maybe they don’t even know that they got a thyroid problem at that time. And so you’re sitting there are listening and digging and taking notes and trying to go, “Okay, what’s going on here? Does this person fit my practice? Do they have autoimmune problems?” And then it happens. Then I ask, “Do you have heart palpitations for no reason at all? Heart palpitations or anxiety for no reason at all? Would you call that PVCs, pre ventricular contractions? Would you call that SVPs?” These are all medical pathology that cause your heart to beat out of your chest. And then I’m like, “Well, tell me more about that.”
Here’s the story. “I was under a lot of stress and then all of a sudden, for no reason at all, for no reason at all, my heart started to really pound. And I really started to get big time arrhythmias. And I couldn’t breathe very well, and I was really getting anxiety and so on and so forth. [inaudible 00:02:05]. So I was at a hospital and then they did an EKG, they did an echogram, they did a cardiogram, they did everything. And everything was normal,” for the lucky ones. For the lucky ones. “And everything was normal. And they told me to go home and they told me to take some electrolytes and I’m probably just stressed and maybe I just need to deal with my stress and go to counseling. ‘But if it happens again, maybe you can go to cardiologist,’ even though everything was normal.”
The second person, who’s not always quite as fortunate, they’ll pick something up on some of the electrical diagnostics and they’ll go, “Okay, we’re going to go in and we’re going to ablate the nerves that are causing your heart to do that…” And then they do that. But the patient’s still sitting in front of me with heart palpitations for no reason at all, and anxiety for no reason at all, and those types of things, even though they’ve been ablated. So when I see questions that come in on does Hashimoto’s cause heart problems, technically the answer is no. However, not technically, the answer is yes. And here’s how it happens.
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is hashimoto’s an autoimmune disease, so i’ve been in this for so long. I that twists my brain around to think that there’s anybody that doesn’t know that hashimoto’s is an autoimmune disease at this point not to be an insult.
I i just i’m living in an alternative world, i’m living in a world where, all day long, like probably 80 percent of my patients, have automated thyroid disease. So the answer is yes, so hashimoto’s is an autoimmunity.
So here’s here’s how it works. Okay, so i’ll give you my family, okay, if well, that person asked that question. They may not know i have hashimoto’s, so i have hashimoto’s and um. So i have a. I have a mother who had her thyroid taken out.
I have an aunt who had her thyroid taken out. I had a grandmother all on the same side who had uh a goiter like until she died at like 96 or 97 years old, so this was back in 50s, 60s, um and and uh and and really nobody’s talking about hashimoto’s back then i mean it was Just like uh an afterthought in in in like somebody’s physiology book in medical school, but nobody really thought anybody got it.
Okay, but the point is, is you have to have the genetics first to get it um in a family where, if your mom’s got it um the chances uh and she has two daughters to change? There’S, there’s strong probability.
One of them is going to get it today. Okay, so you have to have the genetics to be turned on. That’s autoimmunity in general, whether it’s hashimoto’s, whether it’s a rheumatoid arthritis, whether it’s lupus you have to have the genetics, then what has to happen is you have to be unfortunate enough to get at a point in your life where your physiology crashes or you have a Trigger that is so significant that it overcomes the ability of your immune system to stop you from turning on that gene that will now cause you to have hashimoto’s and you can and and so you’re, so the immune system gets triggered and it can either attack the Thyroid tissue, so it’s called thyroglobulin tissue.
There’S a test called an anti-thyroglobulin test or much much more commonly the peroxidase enzyme and the peroxidase enzyme is an enzyme that that takes um tyrosine meta thyroid hormone is t4 and t3. The t is tyrosine the four iodines, so it takes this tyrosine and it mixes it with hydrogen peroxide, and then it sucks these four iodines in and now you have t4.
So this the thyroid peroxidase enzymes and the key player that makes your thyroid hormone. That can get attacked, so you can either attack the enzyme which is frankly way more common or you can attack the tissue or you can attack both i’ve.
You know i’d see it all. I see all that happening and then once that happens, that turns on your genetics and now your immune system has been given the the okay to attack you over and over and over again every time you trigger an attack, so the initial triggers that started for me.
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Okay, here we go again hashimoto’s and epstein-barr virus. You know um i’ve been involved in hashimoto’s literally since the beginning, i think, of when nobody even knew what the word hashimoto’s was because uh i studied with uh dr crossy, and if you don’t know who he is, you can get his book.
He wrote about it in 2009., he was the guy who said: hashimoto’s was actually causing most people’s thyroid problems and um and and the early understanding of it was that epstein-barr virus was the cause.
Then it was. Viral infections are the cause. So i curb these. Viruses. Can can be a trigger uh epstein-barr virus. We’Re going to talk about more can be a trigger. Um cytomegaloviruses can be a trigger, so there’s like six viruses that can be a trigger and that in early on it was this like it’s a viral infection.
It’S a virus in the thyroid and that’s what hashimoto says, and it isn’t even that. Okay, it’s it’s more, that it’s more, that um epstein-barr virus is a is a trigger. So i i i’m personally my personal case for those of you who have never seen me.
I have hashimoto’s and um and it’s kind of an interesting case because i probably got it at 21 years old and uh at 2021. I got mono and i was down for six weeks and i had to cancel an entire athletic season.
I played soccer. I uh played baseball. I wrestled i did. I literally had to cancel an entire year of sports because i was fatigued. I had mono mod is supposed to go away after, like four or five or six weeks, and then you get back to it.
What we now know is is that if you have epstein-barr virus, i mean, if you got mono and you had it for like a year like me and and i went to go on the soccer field like i was gonna be able to play again.
It was like i was like you know, like my legs felt like they were like 500 pounds each. You probably had gotten an epstein-barr infection and developed hashimoto’s at that point in time and for me being athletic.
It was kind of interesting because i never really had quite completely the energy that i had after that again, even when i got better – and i always you know wonder about that – i had sleep more and i and i had to battle my weight.
I mean, and i i stayed pretty active athletically through a lot of my life and yeah. I said i had to battle my weight and i had, and i was always like, had to sleep a lot and then in my 40s i ended up getting stressed and then i ended up getting pneumonia and then that blew up into fibromyalgia and chronic fatigue and A ton of things, one of the things we found out was i had hashimoto’s now in retrospect.
We know that i probably developed it 20 some years earlier and what causes mono is or virus, so that was uh, so this is kind of the flow of it, and this is why you’ve heard a lot about epstein-barr virus and then a couple of years ago, There was a book that came out and by the intuitive psychic.
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If you’re a hashimoto's sufferer than in botox and hashimoto’s and so botox is a neurotoxin, most people know what botox is as soon as i mention it to my patients, and I start to tell them what I'm going to tell you about it.
They go. I’m not going to do botox, meaning I'm never going to go, get those shots and get my nerves totally paralyzed. So my wrinkles go away, and, and actually botox has been more popular over a long period of time for um neurological problems.
It’S a neurotoxin. It literally paralyzes your nerves and they’re, it’s usually administered in shots and uh, and it’s it’s most common medical use is migraines migraine headaches. I’Ve had a lot of patients that have had that have had it performed on them for migraine, headaches and then, of course, the now ever popular.
I have to look younger phase where we are getting um botox shots to um uh, to look younger to get rid of our wrinkles and so on and so forth, and you can tell i’m not a botox taker, so it’s uh. So i speak from my heart on this okay, so basically, but i speak more as a clinician who’s trying to help people to stay better and it’s interesting.
One of the things that all hashimoto’s patients for sure and autoimmune patients in general should know is that botox flares up immune inflammation now, particularly studies have been done, particularly on hashimoto’s, but but i’ve talked about other things like salt and autoimmunity and stuff like that, and These these and i talk them relative to hashimoto’s, but as time goes on, the studies have been done on hashimoto's as time goes on.
It turns out that that it turns out that salt is exacerbatory to all autoimmunity. Well, botox is kind of the same yeah. In my observation, but for sure for sure uh for hashimoto’s, so basically what happens is when you inject this into your system.
It increases immune, inflammatory mechanisms considerably for hashimoto’s for uh for thyroid problems. It it the uh, the largest study that was done, indicated that if you have antibodies attacking your thyroid, a shot of botox will increase them by as much as 72 and uh and across the board.
It’s been shown that different other studies have um have said that autoimmunity in general is flared up once that’s 35 percent, one says 52 and stuff like that, but the bottom line is is, if you have autoimmunity, you should just like you should just like you know, Have to come to grips with dealing with your wrinkles or and and maybe your migraine headaches.
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What high or low antibodies mean in terms of Hashimoto thyroid symptoms? This is a great question. It's a question I have gotten a zillion times. It's not actually a, a question I've gotten a zillion times, basically what happens in this person comes in with their, with their labs and, and, and, and then they're opining or agonizing over whether their antibodies have gone up. Whether they've gone down, my antibodies won't come down, but I gotta get my antibodies down. And, and, and none of that is exactly well, it's not correct at all. So here's, here's kind of the skinny on antibodies. So antibodies are, they are made by your system to to alert your immune system, to attack something that's bad, like a VI Iris or something like that. And then unfortunately for a lot of us, we have the genetics that say that once you've developed a certain trigger and your immune system flares up your immune system might look around and go, oh, that person's genetics say I can attack their thyroid tissue.
Okay. Now there's, and, and, and this is interesting because everybody talks about the thyroid peroxidase antibody. So there's two different types of antibodies. There's an antithyroglobulin antibody, which almost nobody ever talks about. And there there's the anti and the thyroid peroxidase antibody, the infamous T P O. And so these antibodies are attacked. Are these antibodies when when a trigger is introduced into the system a food or toxin or a stress or you over exercise or whatever your triggers are, okay, then, then this trigger will set off an immune response. And then, and then that immune response will, will cause the antibodies to go up because you have the genetic propensity and your antibodies have been tagged by your immune system. So now every time your immune system goes up, your thyroid antibodies will go up. And then, and then that will call your, your, your, your white blood cells to come in attack.
Okay. And so basically the antibodies I've had people come in here with antibodies of 20,000 or more now the range of zero to nine. And for those of you say, it's 0 32 and 0 64 and 60, and all that. It's not zero to nine. Okay. And if so, so if, so I, so if somebody comes in here and anybody's at 20,000, they're freaked outta their minds. Oh my God. They might be sitting there and not even feel that bad. Maybe their only symptoms are that they get occasional heart palpitations for no reason at all. And they get the hypothyroid symptoms of, of being overweight and their hair's falling out. So, which has nothing to do with their antibodies, has to do with them being hypothyroid, because their thyroids been beaten up. It's not working well. And so, so there's not a correlation really between numbers of antibody.
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Martin P. Rutherford, DC
1175 Harvard Way
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What causes the swings between hyper and hypothyroid symptoms. We have a long presentation online called the nobs series on
You, you check antibodies to determine if you have Hashimoto's and I've already done videos to say the number is not the issue. I can have people who have Hashimoto's thyroid proxies, enzymes, which is the enzyme you measure of 50, and they'll be up and down and all over the place and hypo hyper. And, and then I could have somebody comes in and have Hashimoto's of 20,000 and, and they're, and they're in the, and they're stable to, to a, to a large degree. So that's, that's another whole subject, but the point is, is it, that's not the measure of, of going up and down. So the, it it's BA it is just based on your triggers, really it's based on how unstable your thyroid is. So what makes it unstable? What makes it unstable is we all have different microbiomes. We all have different immune systems.
We have different stress responses, and we all have different tissue resilience, see whose tissues have proper sugar and proper blood sugar and proper oxygen whose inflammation, inflammatory processes are low. All of these play into how susceptible a patient is to getting an immune response. Let's use gluten as an example, cuz gluten is the number one trigger probably for, for autoimmune thyroid disease. Iodine could be another one taking iodine, maybe you taking an iodine, multivitamin. It has iodine in it for autoimmune thyroid disease. That's one of the top. That's one of the top triggers for it. So you may be going along and everything's fine. And, and and, and then and then you expose yourself to one of these and then the immune system flares out to make a complex immune problem. Simple, the immune system, flares up inflammation, inflammation causes your antibodies to flare up.
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Martin P. Rutherford, DC
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Links between thyroid health and brain health. Wow. That's a big subject.
There's chemical ones. There's, there's, there's pathogenic ones. There's there's just a hunt there's lifestyle ones. Whenever you introduce one of these triggers into your system depending on your sensitivities, you're likely to set off a thyroid response, cuz you're going to cause too much thyroid hormone to, to be ejected outta your system. This doesn't a lot of different things. Okay. It can cause it can cause heart palpitations, but it can in someone who is prone to anxiety or panic attacks, because they have a easily firing mid midbrain or it's called an a amygdala. That's not the midbrain an easily following a MIDD which is the fear center of the brain that extra thyroid hormone can set that off. And it can cause you to have anxiety or panic attacks in general. Hashimoto's is known to when, when, when it's, when it's active, it's known to increase inflammation to the frontal low and it's known to decrease oxygen to the brain.
In general, the inflammation can hit the frontal low when, when you have, so when you have inflammation in your brain, your neurons, which are the, which are the the nerve cells of nerve tissue nerve cells, the neurons, they when they become inflamed they'll become excitatory producing some of the symptoms I just mentioned, but also inflammation will cause your neurons to not be able to make proper neurotransmitters like serotonin and dopamine, meaning serotonin and dopamine means serotonin. I'm not happy. I have seasonal effective disorder, depressed dopamine. I'm not motivated. I'm angry. I wake up tired. And so, and so you put the two of 'em together, you have significant depression and maybe someone who wants to do harm to themselves, this is a chemical issue. And, and so Hashimoto's literally is involved in of those, in all, in all of those factors, Hashimoto's is now being and migraines, migraines, what are migraines, MI migraines, if you break it down to the simplest aspects of it.
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Martin P. Rutherford, DC
1175 Harvard Way
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Impact of adrenal exhaustion on Hashimotos bear with me on this one. This one might be a few minutes longer. I'll try not to make it too long. Okay. Because when I first got into functional medicine, it was, you can't fix the adrenals. You can't fix anything. There's a smidge in of truth to that, there's some truth to that. But the reality is, is the adrenals get the snot kicked out of him like every day, all day long. And it's not stress it's partially stress it's it's. And, and let me even refine that. What I meant to say was it's not particularly mental stress, everything that happens in your system that creates inflammatory responses and puts you outta balance, causes a stress on your adrenal glands. Okay? And so your adrenal glands are, they are affected by they're affected by food sensitivities. They're affected by leaky gut.
They're affected by lipo poly rights. They're affected by small intestinal bacteria overgrowth. They're affected by any type of an infection they're affected by any type of a chemical sensitivity. And in a lot of the, Hashimoto's patients they're affected by over exercising, they're affected by not sleeping enough, they're affected by not being too sedentary. I could go on for a long time with, to all the things that create and a stress on the, on the body that forces your adrenal glands to either put out stress hormones, which is a adrenaline epinephrine or epinephrine or adrenaline. It can put out, it can put out cortisol, which is the one that everybody seems to be really familiar with today. Everybody's familiar with cortisol now, as they should be, they can put out cortisol and cortisol knows it's a stress hormone, but it's also, it's also before it's an inflammatory hormone.
It's, it's actually an anti-inflammatory home run before it becomes too much. And it also helps to control your blood sugar. It also can. It's also helps to control all your sex hormones. If you're, if you're in menopause and prior to menopause, it's a secondary repository for making, for making sex hormone. So your adrenals do a lot and they are affected by all that. You go through menopause and you're going through menopause really badly. And you're having a bad time. You, you have bad adrenals, but your E
The adrenals are like, they're like a little factory. Somebody says, I need these hormones. They put 'em out. They put 'em out. They put 'em out. They put 'em out, they put 'em out. And all of a sudden they all have so, so much hormones that they can put out and they are amazingly, amazingly regenerative. I might add the adrenals. So really the adrenals are, are how do they affect how they affect Hashimoto's or, or how does Hashimoto's affect them?
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How do we reduce your reactions to chemicals and we've talked about chemicals. So so what do you do about it? So it's an interesting thing. First, the first thing you do about it is try to get rid is as many of 'em as you can, but the, but the topic is how do I reduce my reactions to it? So chemicals are largely the most profound effect is on the liver. Okay. Your liver does, it used to be 350 things. Now, I think it's up to 500 things that your, that your 500 metabolic pathways that your liver is involved in, literally. Okay. But it, but they have several major pathways. And I, I think I'm correct in saying that it's most prominent pathway is a glutathione pathway. And so you've probably heard a glutathione if you haven't, you're going to okay.
Because Glu thigh is a major, major, major player in being, getting well and staying well in auto immunity. And here's the reason why 25% of approximately 25% of, of the listed known triggers that trigger immune to IID disease or perpetually keep triggering. It are toxins, our chemicals, our BPA they're they're they're plastics, they're from AEH, they're all these things that, that we live in. We live in this soup of chemicals. So glutathione is the, the glutathione pathway is the pathway that is designed to take this chemical. So this chemical is actually an entity. It's actually a molecule. Okay. It comes into you, you breathe it in, you know, comes in through your lung or you put it on your skin and it's absorbed through your skin, but eventually it finds its way, your liver cause your that's what your liver's there for liver there for alcohol drugs toxins, those types of things to, to, you know, it's one of the major pathways in, in what your liver does, the glutathione pathway being the guy toxins, glutathione is the most powerful antioxidant known to man.
I pretty sure. Or that's still a correct statement and is made in our cells and is made in our liver. It's actually hard to get auto immunity if you don't, if you have enough glutathione in your system because it's, it, it does such a good job in also working with, along with vitamin D and dampen immune inflammation. It, it does so many things heals your leaky gut. It does a zillion things. I should just do one on glutathione. So, but, but if you don't have enough glutathione, you're going to, you're going to have chemical sensitivities now. Because that pathway is gonna be overwhelmed. The, the glutathione is gonna get used up. The glutathione comes in, it literally grabs the molecule. Okay. And then it literally like, you know, crushes it to, to a degree, but it, it, it brings it to a pathway where it, where the path where neutralizes it so that it can have a a another chemical attached to it, which makes it water soluble.
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Hair dye, hair bleach, and Hashimoto's. So I don't really, you could go on forever if you want to tease out every single chemical that is a trigger. That's a trigger for Hashimo. So Hashimoto's is like, I've said 39. Like I think I'm about the 41 or 42 now, but it's like, it's 40, 41 triggers. And I have presentations online. I've said 39 cuz that's what there was at the time. And so the chemical sensitivities are probably a, a quarter of those like, like 25%. I, I don't even test for 'em anymore. There's controversy. Should you test it by hair? Should you do it by hair analysis? If you're going to test for them doic type PCR, antibody tests, and look for the IgG, I G a type of stuff and even IgM to make sure that you're, you don't have an allergy to it, but, but I don't even test for it.
I mean that I've been doing this for a long time and I've done the testing for it and I've gone through the, oh, it's the analysis for the metals, but also for the toxins and it's urinalysis and so on and so forth and, or it's antibody testing
It's like, like 80,000 chemicals have been introduced since then. How many of them have been actually evaluated? Well, not many, not many at all. And the ones that have been you, you, you prior to glyphosates from the, from the spraying of the, of the foods and, and the Monsanto and that whole type of thing, which is real. Okay. So, but, but that's just one, that's just one, it's just one chemical out of, out of all of those, these chemicals go in and they are, they're shown to create inflammation. They cause your liver to clog up. You, you end up getting itchy, maybe, maybe, or your liver to not be able to work. Right. And you start having all kinds of, of, of issues with detoxification, but in and of themselves, they have been shown to increase antibodies, to autoimmune diseases and particularly antibodies to to the thyroid proxies, enzymes of that caused the attack on your thyroid.
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Today we're gonna talk about the proinflammatory diet and Hashimoto's. So inflammatory diets are one of the many triggers of Hashimoto's tyroid disease and inflammatory foods are a lot of protein foods, it's meats and, and eggs, and, and just all, a lot of, a lot of things that are hard to digest more or less, a lot of meat, a lot of meat. And so grains, grains are there. And, and this is not the intention of me is to go through the whole ProAm diet because the, the proinflammatory diet or the pro antiinflammatory diet is it was, it was pretty much put together for auto autoimmune patients. And I think it was put together by Sarah Valentine and, and, and it's when it's still used a lot. It's still used quite a bit for, for auto immunity.
Now I I'll make a caveat. And what, and the reason that you want to follow a proinflammatory diet and the reason I'm not getting into it, I mean, you can look proinflammatory diet up online, and you'll be anti-inflammatory and you'll be, you'll be reading for a, and there's different people. Who've put 'em together, but the, the original and the classic is the anti in autoimmune paleo diet is that's the original anti-inflammatory diet. And then I've used it for years, but I don't use it as much as I used to. The premise of it is correct. The premise of it is it takes out all the foods that creates inflammation in your system, 75% of your immune system, 70%, however much it is, depending on who you're reading is in your intestines. And so it makes sense that if you have auto immunity, you start dampening inflammation in your intestines.
75% of your immune system is there. You're gonna start dampening if it immune inflammatory responses against your thyroid. Having said that there's a little caveat in here for me, about 75%, 70% of my patients come in, have something called small intestinal bacteri overgrowth. So, and that's a lot of my patients that have that. So if you go on the autoimmune paleo diet, then you will probably blow up. You'll probably start getting bloating and gas and distension. If you are one of the people who have small intestinal bacteria overgrow. So if you do that, then you need to know that you need to go to at the very, a low FODMAP diet. Another caveat is if you get on the autoimmune paleo diet and you don't seem to be doing well and you're, and, and you're not bloating up, or even if you are bloating up and if you haven't and if you don't know your food sensitivities, of course, the autoimmune paleo diet removes all of your food sensitivities, and then eventually you're supposed to start reintroducing them.
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H. pylori and Hashimotos so H. pylori is a bacteria that gets into your stomach and and when it gets into your stomach, it does bad things.
Now H. pylori is probably the most contagious infection that man has. And yet a lot of people don't know it's called Helicobacter pylori for those of you who like that type of stuff. Okay. So it's, it's the, it's the most common infection that man knows. And, and where can you get it? You can get it, you mainly get it from other family members. You can get it from your dog. Some think you can get it from your cat, but it is, it is highly transmission it's permissible. So, so essentially when you get HPI Lui it, it creates an infection. So there are several.
So there are several pathogens that can cause infections and they, and all of them you've heard of some of them are like Epstein bar virus. Some 'em are Lyme disease. Some are Py, some 'em are Botox. Some of 'em are cytomegalo viruses, Cox viruses, all of these can either trigger and or exacerbate a, a present a, a Hashimotos thyroiditis. So, and how, and so it is very simple. They're there, they exacerbate immune responses cuz the immune system is trying to kill them when the immune system flares up to try to kill them. It's it, it also can then flare up and attack the cells in your thyroid that that are, are, are gonna be damaged by the immune system. That's already been told it's okay to attack the thyroid by your, your genetics. So it's a, it's a common and it's, it is the most common trigger.
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For more information on this topic or to schedule a consultation please visit us at http://WhatIsHashimotos.com
Today we're gonna talk about dysglycemia and Hashimoto's. So dysglycemia refers to blood sugar. Disc means it's screwed up. So basically dysglycemia can be high blood sugar, low blood sugar, but it's usually somebody bouncing back and forth between high and low blood sugar. This is one of my favorite topics. So I'll do my best to try and keep it less than an hour and a half long here. This just be a couple minutes, because this is huge. This is huge, huge, huge, huge, huge. Why is it huge because everybody blows it off. What do I, what do I mean by everybody? I mean, your doctors blow it off. Low blood sugar is in the medical field, not considered a problem until it's below 60, which is almost like having no blood sugar and you're passing out and you can't stay awake.
And you're like, you know, this is like the diabetic who hasn't taken insulin or, you know, and they've run out of, and they've run outta sugar. But that's a pathological entity, low blood sugar is just you don't, you, you, you, you don't eat and you get irritable. You get shaky, you get agitated, you crave sweets, you get tired. Maybe you get trembling. All of these things are, all of these symptoms are relative to you having a blood sugar drop. When you get a blood sugar drop, it affects your it affects your brain. Obviously you get AR irritated, agitated, those types of things, because your blood, your brain needs proper blood sugar everything, your, all your cells need proper blood sugar, but your brain gives you the most notable symptoms. And when you're getting those symptoms, you are creating, there's a huge amount of inflammatory and what's called oxidative stress.
And so both of these chemical entities will then cause your antibodies to your thyroid to be attacked by inflammatory responses. And then, and then ultimately those inflammatory responses will attack your thyroid if you're a Hashimoto's patient. And then there's insulin resistance. So low blood sugar below 60 is, is what your medical doctor would be all excited about. But they're really not excited about low blood sugar. When you're getting ear and shaky and have anxiety and stuff, they just say, you know what? You just have anxiety in your ear will shaky here, take some, you know, take some Xanax or take some Prozac or take some sort of a, you know, anti-anxiety medication. They, and, and they'll look at your labs and, and if your blood labs are normal, but you have all of those symptoms, they're not gonna treat you for low blood sugar.
Here's a problem. Low blood sugar can, your low blood sugar can be present for seven to 10 years before it shows up on your blood test. So you really gotta go by these symptoms. Same thing with high blood sugar will use the terms, insulin resistance, because these are terms of doctors will use with you or prediabetic. Once you get the diabetes, your diabetic, you have high blood sugar, it stays a high until you do something about it.
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Can you be thin with hypothyroidism so that, you know, none of these direct questions are really all that straightforward. Okay. So hypothyroidism, first of all, the caveat is, is how many people actually have hypothyroidism. And the answer is almost very, very, very, very few. If you have a hyperthyroid and your thyroid slowing down the is why, why is your thyroid slowing down? And and, and so there are a lot of things that can affect thyroid function, but to actually put you in hypo thyroid to where your TSH number is to a point where your doctor pronounces you hypothyroid, usually there's going to have to be some reason that your thyroid has slowed down is not making enough thyroid hormone. And the vast majority of the time is because you have autoimmune thyroid disease and nobody's figured it out yet.
And so, so I think even the Mayo clinic now is saying that 85 to 95% of people who have autoimmune thyroid disease is actually Hashimoto's. And the reason that can happen is because it can take seven years, maybe, well, maybe it actually not even looking to see if you have autoimmune thyroid disease. And even if you have it, it can take like seven years from the time that it's triggered until the time that you start really seeing antibodies and you start seeing your thyroid hormone go off and then you can, and then you go through the only time, the only way you're thin is if you haven't had enough damage to your thyroid yet. And, and, and, and, and usually at that point in time, that was even when you're looking at thyroid problem, because usually your doctors, aren't gonna look at it, fired problem for you, unless you're fatigue and putting on weight.
And if you are thin and you have been diagnosed with hypothyroidism the greater likelihood is that you probably need to look further. You may be the thin Hashimoto's patient, about 10, 15% of people are thin with Hashimoto's with hyperthyroid HashChing with Hashimoto's hypothyroidism. But and, and, and if, and if that's you, in other words, you went to the doctor, your thyroid stimulating hormone is high, which means you were a hypo thyroid without getting into that whole thing. Then then you might want to, and you're wondering, you know, could I have Hashimoto's it's at that point, it's about it's about the symptoms. Are you having hyper symptoms? Cause hypo, thyroid slows everything down, I'm depressed, I'm fatigued. I'm putting on weight, my falling out my bowels don't work. I got constipation it's and, but if you were, but if you can't put on weight, if you're, if you have anxiety, panic attacks, if you have inward tremors, you have heart palpitations for no reason at all, some the night sweats, there's a good chance that you're the thin Hashimoto's patient, as opposed to the thin thyroid patient, which I don't even know if then hype.
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Insomnia and Hashimoto's, and I can't believe I haven't talked about this one yet. Because it's so huge. I mean, really sometimes when people will, you know, they'll say, okay, doc, you know, they know who I am or something like that. I'm talking to people and they're like, oh wow. I can't go to your pre three. You know, this can't go through your program or whatever. I can't, I can't do my diet or whatever. What's, what's like one of the one things you would have me change and really sleep is like way, way, way on top of the list of things that I would have them change relative to relative to their, their immune problem. I mean, if I put it right up there with gluten and I'd put it right up there with certain supplements that are really, really, really can be really powerful.
And auto-immunity, it's way up there because w when you get into REM sleep, when you get into that right sleep pattern it's, it's called restorative sleep, basically. That's when healing accelerates. So whatever you're doing with your diet and whatever you're doing during the day relative to your supplements, your diet, your other triggers, your, your exercise, you're not, over-training all these other things are, they kind of come together when you sleep. I, I is this for me, this, excuse me for me, this is like top, top, top. I strive to always get my sleep and I have to sleep more than eight hours. For those of you who have seen this for the first time, I have Hashimoto's and a number of other autoimmune issues. So I have to I have to sleep more than eight hours, and sometimes it's, it's a long time, so I make sure I get the bed early.
I make sure I get through the night. I make sure that when I wake up, I'm feeling refreshed. And if I'm not, I'll stay there until I am. I'll know when it, when it is. So there's not an exact number of hours for sleep for an automated patient probably is relative to how severe you are suffering, how many tissues are being damaged, sleep. So sleep is very restorative. It also is it's controlled by a part of your brain called the hippocampus the same part of your brain that is relative to short-term memory loss at the same, same area. Cause short-term memory. It turns into long-term memory when you sleep. So the same part of the brain is involved in your sleep. Rhythm sleep rhythm is huge. Circadian rhythm is huge. So I've had several patients over the years who have inconsistent work schedules.
So there's, there's, there's working normal day time, and then they switch over to a night shift and then they switch over the daytime and then they switch over to swing shift. I I'm in Reno, Nevada, where we have several casinos and casino workers will, will have that happen to them regularly. They start getting sick, they start getting injured. They can't think as well because it's, it's screwing up their brain and they're not getting the proper REM sleep. They're probably not getting the proper restorative sleep. So it, it makes them much more susceptible to getting sick.
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Martin P. Rutherford, DC
1175 Harvard Way
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775 329-4402
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For more information on this topic or to schedule a consultation please visit us at http://WhatIsHashimotos.com
What causes Hashimoto's? I don't feel like maybe I've put out a succinct enough explanation of this. Just based on like, thinking back to some of the presentations I've made and, and, and I wanted to do this to either update or clarify that question for people Hashimoto's patients come into us. And back in the day before we knew a whole lot about Hashimoto's and how to determine if the person even had it the numbers were all over the place. Nobody knew what the ranges were. A lot of people still don't know what the ranges are. They're still all over the, I mean, I've talked to somebody in Alabama the other day where the range of zero to a hundred the Mayo clinic is now agreeing that the range is zero to nine.
I, in my city, there was a hospital zero to nine. There's another hospital, zero to 34, and there's another hospital to zero to 24. So there was a lot of confusion on that. And, and, and those types of things made it really challenging. So we went a lot on symptoms. And one of the things we started to recognize was if mom had a thyroid problem and the grandma had a thyroid problem and their sister had a thyroid problem, this person's probably got it. So we understood in the beginning that genetics was a big player. So, and then, and then there's the genetics. So we used to do the HLA DQ testing, and we would go, oh my God, you got the positive codes for it. You have it. And then now we know that that's not necessarily true. You can have the genetic code for it, not get it and not have it, so you can be treating it.
And for a lot of people out there who are still going by the genetics, there are a lot of doctors out there treating people by the genetics for things that they don't have, their thing there's things that they could have, but they don't have. So having said that genetics genetics are involved. You usually have to have one of the genes that say, you can get Hashimoto's to get Hashimoto's. So this is why you'll see it in your family. And if you've got it, you'll see your sister's got it. Or maybe your grandmother's got it. Great. Grandma's got it. Her brother, you know, and, and usually that's a prerequisite. There used to be like two genes that we talk about. I think it was the HLA B 27. I forgot what the other one was, because it was so long ago. Why do I forget it?
Because now there's 90 genes that are listed that indicate a vulnerability to Hashimoto's 90. So, so that doesn't mean you should go out and get genetic testing. Okay. It just means that if you really want to know the, cause there's been some sort of an evolutionary issue to where hypo thyroid are turning into into PR into problems. And maybe these genes have been there forever, but we haven't been doing the things that turn, turn it on. So so the things that make us more vulnerable to and that contribute to the expression of these genes is smoking. I mean, you're going to, I mean, you're going to get a lot of these things, but the reality is these are the things that make you vulnerable to these 90 genes being able to turn on smoking alcohol, you know, alcohol is one for sure a lack of selenium.
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Do you have to be gluten free with Hashimoto's? Yes. So yes, yes, yes, yes, yes, yes, yes, yes, yes. So, okay. Why? All right. So, you know, it's, it's interesting. Auto-Immunity is becoming now more and more understood and there's mechanisms that cause immune inflammation to spread. One of them was called epitope exp spreading one cause bystander spreading and other ones are have a topic sharing these epitopes and it's called and it's and it's part of something called molecular mimicry and all that means this. And this is pretty interesting actually. Y yes, yes, yes, yes, yes, yes, yes. There's this this molecular mimicry means that if you have an autoimmune problem, then, then there are multiple tissues in your body that may look to your immune system.
Exactly. Like the tissue that you're getting attacked. And then eventually as those attacks keep happening, your immune system looks around, sees that other tissue and can attack it. So let me give you a very solid example that if you're asking this question and you have Hashimoto's this will make sense to you. So the gluten protein of which are 25 different aspects to it has a metabolites on their epitopes metabolites. It has it has bio chemical material that looks to your immune system, exactly like metabolites that are in your thyroid. So we have a wheat protein. This is what is really interesting, and you have a thyroid endocrine tissue, a human and their current tissue. And you also have a the tissue in your cerebellum, which is, which is a part of your brain it's down here. And all you have to know for this presentation is when it's not working, it's dizziness, vertigo,
Balance, car sickness, boats, seasickness, stiff neck, blurred vision, and you've gone to the doctor and they've checked you for all that. And everything's normal. And your MRI is normal and your everything in your ears were normal and that's brain neurological tissue. And so you, so, so those tissues, brain tissue and the current tissue in a wheat protein all look exactly the same to your to your, to, to your immune system. So, so if you get Hashimoto's, you're going to get a sensitivity to gluten. If you have a gluten sensitivity, you're going to, you're going to get eventually Hashimoto's and, and frequently all three of these. So the person presents as maybe they've gotten off of gluten, maybe they haven't, maybe they've gotten off of gluten and said, you know, I, when I eat bread, I don't get as dizzy. What's that about? It's because they're, they're not getting that attack against the gluten and the cerebellum.
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So Hashimoto's and neuropathy is the topic today. The question of the day can they be connected? Yeah.
So yeah, they can be connected note a fairly decent amount of the time. There's a lot of different types of neuropathy. Okay. Right now, I think they've lost count. I think they're up to like a hundred different causes of neuropathy, but they're small fiber off these there's mixed fiber and ROP these, and there's a large fiber neuropathies and the small fiber neuropathy. These are the ones that the Hashimoto's can be involved in. And these are sensory nerves. And you would know that you had small fiber neuropathy by the fact that you would get numbness, tingling, burning sharp shooting pains. These are, these are the small fibers being irritated by inflammation by the most common cause of those symptoms and the most common cause of small fiber neuropathy is pre-diabetes.
But one of the next most common causes of small fiber off the is Hashimoto's, which is an immune, which is autoimmune thyroid disease. And and really it's, it's comes from inflammatory responses that create thyroid dysfunction. And that affects just about everything in your system. But but the antibodies apparently can cross connect with with doing damage in your feet. There there's, there's, there's a couple of different crosses in this small fiber neuropathy. I think there's one of those hundred different things that can cause peripheral off. The only about eight are involved in causing small fiber neuropathy. And again, as I said, in some resistance pre-diabetes metabolic syndrome, whatever you want to call it. All of those are the most common cause I would say the second most common cause is probably the immune inflammation and that immune inflammation comes can come from.
Hashimoto's and then, and then Hashimoto's kinda cross reacts with gluten. So there's actually something called gluten sensitive, small fiber neuropathy which is you, you pray that you have this because you stop eating gluten, your peripheral neuropathy goes away and it has to do with different mechanisms that ultimately end up creating inflammation to the small fibers in your feet. The nice part about it, if you have Hashimoto's related small fiber neuropathy, the nice part about that is once you start to pull the triggers and get the immune responses against the Hashimoto's under control, a pretty significant amount of the time, percentage of the time that small fiber neuropathy will resolve. And and so, whereas that's not necessarily the case with the other neuropathies that we talked about in the beginning, the mixed fiber neuropathies tend to improve, but maybe not as much in the large fibers, they don't improve at all with with most of the things that, that you would try with diet and nutrition and lifestyle changes.
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Okay. So we're getting questions on selenium suddenly over the recent weeks. And I don't know if a month or two, and I have been seeing selenium show up more and more and more in the vitamin lists of the patients who come in and SU to my office. And so the question is, should I be taking selenium for Hashimoto's and the answer is again yes and no. I say again, because I say that a lot, the, the answer is again, yes and no. Selenium has been shown to it can be pretty interesting. It can be pretty, pretty helpful. In certain cases, you have to understand if I get a a hundred people to come in here with Hashimoto's, they're all slightly different. They all have slightly different triggers. They also are at different stages of disease where some of may have hardly any damaged their thyroid.
Others are like a 10, like you can't touch your thyroid. It swells, it goes down and everything in between. So that has, and then, and then, and then there are 39 different triggers for Hashimoto's. If you wonder why you're having a hard time figuring things out, these are many of the reasons. Okay. And, and, and so, and so different parts of their system are being affected, who who's who's pancreas has been affected. Who's not, who's got oral tolerance problems who doesn't that type of stuff. So you have to have like an organized way of going about it because you have all that going on in and enter selenium, okay. Into that whole mismatch. And under, I would say, mild to moderate symptoms. I think selenium in and of itself probably gives you some advantage. And it, it, it's been shown to dampen immune inflammation to the thyroid, and it's been shown to be able to correct thyroid stimulating hormone numbers.
And that's, what's interesting about it is it's been a it's it's shown to get high numbers low down and low numbers up. So that's pretty wild and it's pretty cool, but, but, but depending on you, depending on how many triggers you have going, depending on how much inflammation you have, and if you got a lot of inflammation, it's going to take a little bit more than the daily dose of selenium that's on the bottle. And by the way, they put the, the doses that they put on those bottles are low. You know, usually, well, maybe I shouldn't say this, but usually usually the dosing needed for that particular person who has Hashimoto's is higher than what they put on the bottles. However, I don't know what yours would be. Okay. So don't go dosing up because I said that and cause I don't know where, where you would stop based on, I don't have all this information in front of me.
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Can emotional trauma cause Hashimoto's or other thyroid problems?
Okay. So the answer is yes for that. So that, so the mechanism is this, so Hashimoto's first is a auto-immune problem. So there's a, there's an order of the way you would look at this and you would look at it first that, okay. Hashimoto's is an automated problem. So anything that flares up autoimmunity can can perpetuate Hashimoto. So, so stress is one of the, you know, 39 or 40 different triggers for Hashimoto's once you have it, but can it cause it so, and, and, and other hypothermia and other thyroid problems, so you to get some, let me step back to their 90, 95% of, of, of thyroid problems are Hashimoto's if you haven't watched any of our videos or if you don't know that I mean, I almost never see an actual, just hypo thyroid.
There's there's always gonna be something that's going to cause it. And so so I kinda throw down, I kind of lumped them in because a lot of you have hypothyroid just don't know that you have Hashimoto's maybe, maybe, maybe they ran it and the antibodies haven't come up yet, but the antibodies can be down for seven years before you before you actually are able to have them come up enough to diagnose you with Hashimoto's. So my answer is going to be kind of in my world. I'm kind of like, if you're going to have you got a thyroid problem and it's not grace, it's probably Hashimoto's. And if it's hypothyroid, you may have just not figured out your Hashimoto's yet. Now I say all that for a reason. Okay. Because the way that it happens is you have to have the genetic in code mint for, I think it's HLAB, I don't think it's 27, but you have to have the, you have to have the genetic code that says that you to your immune system, that you can get Hashimoto's.
So it has to be in your genetic code. Now you don't have to get it. Okay. But there are numb numerous triggers that will ultimately initially set off the chain of events where your thyroid will be alerted to the fact that it can now attack your thyroid. Okay. And emotional trauma is up there. And the re, and so I've had a number of people, literally I'll say hundreds, and that's not even close to an exaggeration and maybe a very gross understatement. I've had hundreds of people come in here who, after a significant stress and a significant trauma. I mean, I've had some, I got, I had somebody come in here was, you know, husband shot right in front of him, had other people come in here.
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Did your doctor miss your Hashimoto's diagnosis? I'm seeing this a lot lately. I've been seeing a lot for, for ever since I've been doing this for sure. And I'm still surprised at how little, the understanding of Hashimoto's has not trickled. And I use the word trickled, not trickled down into the endocrinology field or the medical field yet. I see bits and pieces of it getting in there. I see more people testing for it, but the answer is yes. I mean, you go to the doctor. Okay. And the doctor is on a time schedule, very few or not. I mean, if they're taking your insurance, they're on a time schedule just for the record. Okay. Because that's see so many patients and they have to do their notes. And so, so they're going to look at your thyroid symptoms.
They may not be familiar with their, with the fact that you have thyroid symptoms. Here's the typical medical model for Hashimoto's you go to the doctor and they don't know that you have Hashimoto's. So they treat you for all the symptoms. So they gave you a medication for anxiety. Cause they don't cause they don't look for it. They, they may not be familiar with all the symptoms. Maybe they run a panel for thyroid. Maybe they don't even run a thyroid panel because they don't get yet that these are thyroid symptoms. I see this all the time and then they treat all the other symptoms. They give you something for your constipation and they give you something for your anxiety and they give you something for the fibromyalgia pain that you might be developing from it. And maybe they gave you something for your headache and your migraine and all these things.
So they're literally treating all of the different symptoms of one problem with a lot of different drugs. So that's number one number two, they may be familiar with it. There are more doctors in all fairness becoming more and more familiar with it. And ultimately that they I'm sorry to laugh. They they test for it and then they find it. And then it's off to the races. I mean, I've heard so many things just in the last couple of weeks, I've heard, well, your thyroid antibodies are, are, are, are 600. And but it doesn't really mean anything. You seem to be, you know, just that your TSH is off. I'll give you thyroid hormone medication and we'll watch it. Your thyroid peroxidase enzyme should be like under nine. And if you're, if they're not, you have Hashimoto's and now you have an autoimmune problem.
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What is a Hashimoto's flare up?
Okay. So the question for the day is what is a Hashimoto's flare up? So Hashimoto's who man Hashimoto's can print that sentence off in so many different ways. It's crazy. And it can have so many different triggers and the numbers can be all over the place. And so there's a variety of things that would, that would tell you if, if your, your particular Hashimoto's syndrome is first unstable, it has to be unstable for you to get flare ups. And what that means is that the immune system has reached the level of attacking your thyroid at a high level, at a very high level. And, and, and so there's like 40 triggers, and you're going to have a number of them if you have Hashimoto's. And as these triggers start to continue to be incurred by you, as life goes on your immune system is going to become more and more reactive to them.
And not, everybody's not everybody's, but, but the person who has a flare up there, your immune system is very reactive to it. It might be because you have a viral infection, a lot of these triggers can, can create a more susceptible patient. And it could be that you actually have a viral infection in your thyroid. It can be any number of different viruses. It could just be that your, that your th one system, which is the system that attacks most of the time that that could be overactive. And the point being what you're going to be experiences is, is a combination of hypo and hyper thyroid symptoms. And so those hypo and hyper thyroid symptoms are going to be, the hypo is going to be, I'm overweight. My hair's falling out. My skin is dry. My back. I've got constipation, I'm fatigued.
I can't get out of bed. I'm good days. I have bad days on my good days. I do everything I can't do in a bad days. And I crash and my hair is falling out. I think I said that one already. And then intermittently what's going to happen is you're going to get hyper symptoms when you're getting the hyper symptoms is when you are having a degree of flare up, some are mild and some are off the charts and that's harp anxiety, panic attacks, heart palpitations, nights, sweats insomnia, inward tremors. Those are the main ones. Okay. Now it, as it starts to really ramp up in those people who have those symptoms. Now you can start getting actual physiological abnormalities from your, your, your reflexes will become hyper reflexive. You'll your heart. Like I said, will start pounding. Maybe you'll start sweating.
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Does Hashimoto's cause nodules?
That's kind of a complex kind of vicious cycle type of a situation where the answer is kind of yes and no, it's actually more yes than it is now. So basically nodules are mostly created from intermittent bursts or consistent vers of too much thyroid stimulating hormone. And so, and then they create a situation in which you develop too much thyroid tissues. You're making too many thyroid tissues. So you're, you're chronically have this, this high thyroid stimulating hormone that is creating a lot of T4, some T3 and over stimulating the, the the thyroid to do that. And then you're just making too much thyroid tissue, too many thyroid cells. That's really what it is. And, and, you know, you, I don't know how much you want to talk about the cancer aspect of it, but it's, it's very little, it can happen, but like 99% of, of nodules are probably too much thyroid stimulating hormone.
But having said that you have Hashimoto's, which is not depending on who you are reading or listening to a researching 85, 90, 95, a hundred percent of all hypothyroidism. And and so, and, and the correct term for it is, is Hashimoto's hypothyroiditis. They're all thyroiditis is they're almost all hypothyroidism. And and so, and so basically the Hashimoto's like literally ramps that up. It literally ramps because every time you get an attack directly on your thyroid, that makes more thyroids. That makes more that makes more thyroid hormone. So that makes more thyroid hormone. Thyroid hormones made into cells. If it's a big demand, it could be damaging cells before damages cells that can actually be growing them. But what ha what will happen in that case is eventually you go into hypothyroidism and then your brain starts telling yourself that you're your thyroid to make more thyroid hormone.
And then, and then, and then you, you start so you go up and down, basically you go up and down between making, making a lot more thyroid hormone, a lot more tissue, you get the nodules and you go up and down between making a ton, having a lot of thyroid hormone being made with the auto-immune attack that attacks your thyroid, that the tissues are damaged, that vomits a lot of thyroid hormone out into the tissues that can contribute until the damage is over, and then it goes down and then you go back into hypothyroid. So, so it's, it's a vicious vicious cycle. So the answer is yes. I mean, it contributes to it if I honestly, I mean, I guess, I guess from a practical let's say clinical perspective. If I'm interviewing a patient and they tell me that they have enlarged thyroid it's, it's tender, it's not tender. They have, they've been diagnosed with nodules to me, they're autoimmune thyroid until proven innocent. So I would say the vast majority of time, there is a relationship between Hashimoto's and, and thyroid nodules.
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So the question today is can depression because by low thyroid to low thyroid. Okay. And then most of the low thyroid that comes in to my office, 90% of it or more is actually Hashimoto's thyroid disease. Hashimoto's thyroiditis, Tasha motor was euthyroid most of the, most of it well, would be euthyroid euthyroid means that it's it's, it's normal and you're asking about love. So, yes. And I'm gonna go from more from the perspective, if you have actual hypothyroidism, which almost nobody has an actual hypothyroidism, usually that's your diagnosis. There's a good chance that Hashimoto's is lurking somewhere in your, in your physiology, but hypothyroidism slows everything down so you can, you know, so just from that perspective, your brain needs proper oxygen to to function properly. If you get hypothyroidism, hyperthyroidism can cause you to have low blood pressure, low adrenal function.
It can even create a situation where you have trouble managing your blood sugar. You're getting a low blood sugar function and the brain needs proper oxygen, which you're not getting. If your blood pressure is low, it needs proper oxygen, which you're not getting. If your, if your adrenals are low and it needs proper blood sugar. And so from the physiological perspective, your frontal lobe is where you get depression and hypothyroidism will, will slow a number of days. It'll give you constipation hypothyroidism aspect is, is like the number one cause of constipation. It's number two, probably number two costs after stress. And so so that can cause poor digestive function. And then that can cause intestinal permeability. And then that can cause these toxins called lipopolysaccharides they're bacterial toxins. They can get out and they can cause depression. So from that perspective, if you had just a straight hypothyroid.
Yeah, I mean, I mean depression and, and poor brain function is one of the most common symptoms of, of poor thyroid function. If you have Hashimoto's which 90 or 95% people who who've been diagnosed with hypothyroid ism actually have they actually have Hashimoto's then the deal with that is Hashimoto's itself decreases blood supply to your whole brain, but we're, but depression mostly occurs in your frontal lobe and and it increases to the frontal lobe and, and then it all, and then it does all the other things that hypothermia does. It alters the function of being able to control your blood sugar and it can, and it can give you hypo hypoadrenalism and so that your, so that your adrenals are pumping the blood up to your head. And so a very common, very, very, very, very common for somebody who has hypothyroidism to have depression.
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So there's been a lot said on the microbiome. I actually talked to somebody yesterday who hadn't heard about the microbiome, that was kind of unusual because most of the people were coming to me today. I've seen, have been all over the internet, trying everything. And when it didn't work, you know, that's where they call us. So so microbiome project microbiome project was 2005 to 2010. It was amazing. I actually have a colleague who was involved in that project. There was 18 people on that project. And and that's where they came to understand that the microbiome, that three to five pounds of bacteria in your intestines was a mindbogglingly important to our overall health go figure, you know, we're eating, it goes, we digest it. It goes into our intestines and it creates a bouncing bacteria. How could that possibly be affecting our health so much?
But you know, when you tell somebody that your microbiome could be causing the pressure in your microbiome could be causing inflammation, it could be the reason that you can't lose weight. It could be the reason they have anxiety. It could be part of the reason that when it breaks down, you're having pain in your joints, or if you're in pain throughout our body. And you know, a lot of people, particularly back then even practitioners would kind of roll their eyes, but they're, nobody's rolling their eyes. Now, the microbiome is a big deal for everybody. Okay. one of our, I think one of our successes here was that my colleagues know, took great notice in the clinical application of the microbiome relative to the types of conditions that my colleagues and I treat, which is like, I call them the, I actually off-camera.
We call them the mystery disease patient because it's the patient who's come in and all the labs are normal and they'd been everywhere. And it was more mystery disease back in the nineties and two thousands than it is now. But, but the person who just has every single symptom known to humanity and where does it begin? And this, this goes back to the leaky gut, but this goes beyond that and the myth. And here's the thing about, about the microbiome and Hashimoto's, it's bad enough that the United States of America has the worst microbiome of any country on earth. And, and that is a fact that is a study that was done in the microbiome project back in 2005 to 2010. And they took biopsies of virtually every single country's average microbiome for five years, they compared them. And the United States was worse because we just eat like crap and we're stressed out of our minds.
And so but to take that one step further, the microbiome of the Hashimoto's patient is totally different from even the average microbiome of the of the of the, of the normal population in the Hashima for I'm, first of all, how she Meadows contributes to creating a bad microbiome. The hypothyroid aspect of Hashimoto's slows everything down. So you don't digest your food, right?
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How much iodine for Hashimoto's. We haven't talked about this one for a long time, as long as I have known Dr. Datis Kharrazian and have been going through his classes, who I think was the first one who came out and said no iodine for Hashimoto's and, and, and kind of blew up the alternative thyroid world. Because up until then everybody was giving iodine for thyroid disease. And back then, that was because most people were not being diagnosed with Hashimoto's. Ever since then I've never given anybody iodine. And since then, the number of studies that have come out to back that up has probably, it's probably more than 50. And yet I, I had a, a colleague who is specializes in Hashimoto's and goes to all these same classes. And he called me the other day and said, you're not gonna believe it. I went to this class from a reputable, I think, reputable groups. I'm not going to name their name right now though, because they start, they were teaching during the group to give Asha modus patients, iodine. They, the, the evidence is crystal clear. No iodine, when you, you there, the confusion is you need iodine to make T3 and T4. If you're watching this video, I'm assuming, you know, T3 and T4 are the thyroid hormones.
If you don't know that
T3 and T4, the thyroid hormones and they're made out of, so the T is, is tyrasine. So there's a chemical, right? T his tire scene. And then the four is four molecules of iodine. And then the three is three molecules of iodine. So it's made out of iodine. There's this enzyme called thyroid peroxidase enzyme proxies. So it takes hydrogen peroxide out of your system. It sucks iodine out of your blood. It puts them together. And that's how you make thyroid hormone in your thyroid. So logically you would say, okay, I need iodine, but what happened was, was this, this, this Hashimoto's it. I don't think it's just that Dr. Kharrazian started to be the first doctor to say, listen, all of this is all of this is Hashimoto's. All of these hypotheses are Hashimoto's and the Mayo clinic agrees with this now. And, and I think because I've been doing this for a long time now, and it just seems to be exploding.
It's starting to can go through Hashimoto's is expanded. It's going through generations, generations. We're starting to see it in two and three and five and seven year olds. It's pretty scary, frankly, but the bottom line is, is I would say it's probably relatively new issue over the last 20 years or so. And, and so prior to that, it was mostly hypo thyroid. So people gay people, I then they felt better because they had low iodine. They weren't making enough thyroid hormone. They felt better, but if you take it, when you have Hashimoto's, the thyroid peroxidase enzyme that I talked about now starts getting more fuel from another source. So it's bringing, taking iodine out of your blood to make this T4, but now you're giving it iodine. Well, it doesn't need more iodine because it makes you give it more iodine. It's going to start making more more thyroid hormone and classically people are going to get jittery.
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Today's going to be can Hashimoto's mimic M S and the answer is absolutely there's. There's no question about it. Because Hashimoto's can come in so many different forms. I mean, you have to understand that when your thyroid goes down, when your thyroid function goes down, it affects every single cell in your body. And depending on which cells are, let's say more beat up, or maybe more genetically susceptible you're gonna, you're gonna experience those symptoms. So, so the point being that everybody's gonna experience the same symptoms, Hashimoto's affects so many more specific organ systems. It affects your brain. It affects your, your gut. It affects mood. It affects endocrine function. I'm starting to see now that a lot of the endocrine doctors who are doing female hormonal work are also running full thyroid panels along with their hormone panels.
So the point is, is Hashimoto's it can create all of the, all those types of symptoms. I am S when I used to be more strictly chiropractic in those years, I used to get a lot of people who came in and thought they had Ms. And they actually had actually had spinal problems. They actually had irritation of the nerves in their neck and irritation in the nerves in your low back, because when you have early Ms signs, when you start getting them some tingling in your hands and your legs together, your neurologist is going to test you for Ms. To, for, you know, that's, that's like the earliest signs of Ms. If you have Hashimoto's, oh my God, can you get numbness and tingling in your hands and your feet? Yeah, you can get that.
There's it should, it should be, it should be easy to delineate
That from fibromyalgia, from Ms. If your doctor knows what tests to run, because there's, there's pretty specific tests for Hashimoto's. And could you have both together? The answer is yes. Can you have, but they're specific tests, Hashimoto's, and their specific testing for Ms. Relative to antibodies against myelin basic proteins, which is the myelin that wears away around the nerves that creates the symptoms of multiple sclerosis. And certainly there's different stages of, of, of tissue damage in the brain that can be imaged with MRIs. So, so you, so you can, you can kind of separate that out.
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Dr. Martin Rutherford
Martin P. Rutherford, DC
1175 Harvard Way
Reno, NV 89502
775 329-4402
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Hashimoto's do teenagers get it? Are they different than adults? What do they experience? So i'll. Try to hit all of those. So yes, teenagers get it um. I i have a. I have some paperwork on someone. I'm, going to be consulting in the next few days and they're 17.
Just for the record, we have seen a lot of teenage hashimoto's, um and and the two and and and and and we've, even seen it younger than 10.. So hashimoto's is seems like it's evolving through genetic lines and it's showing up earlier and earlier i don't know if it's because more, we're.
Aware of it, if the testing is better because it's, not particularly better, but if we're looking at the ranges better um it's. So but it feels to me like it's, just promulgating itself more through through through our patient populations through society.
So yes, people get it and 17. What i have seen is um is those seminal moments in life seem to set it off. Um like puberty uh, the teenagers seem to blow up, especially the ones that go to college. They seem to blow up their freshman year in college and it's like duh, so they already have the genetic propensity to to develop.
Uh hashimoto's, and now they go to college and they're, like their schedules, are a little bit off. Maybe they don't, go to sleep at ten o'clock every night and get up at like six o'clock in the morning and take their shower and dutifully go off to their classes.
Just saying that there's, a small group of college students like that, maybe they are eating in the cafeteria. Maybe they're eating gluten all over the place. Maybe they're partying a little bit on a friday or saturday night.
Maybe their blood sugars are all over the place because they're. You know they're, not eating. Well, their circadians are rid of their sleep. Is all over the place because it's college and so that's, and then there's, the stress of the freshman year and and the in and being on your own and trying to find classes.
Just that whole thing is uh is very stressful, and so i i see a lot of hashimoto's blow up in in that particular period of time and so um and the other thing i see blow it up is just stress in a sense That, if that teenager is in a difficult situation at home, with um stress from maybe a recent divorce - or you know those types of things, these seem to trigger them, but i mean i mean the ultimate answer is yeah: they get it.
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Martin P. Rutherford, DC
1175 Harvard Way
Reno, NV 89502
775 329-4402
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For more information on this topic or to schedule a consultation please visit us at http://WhatIsHashimotos.com
Hashimoto's and Candida I'm going to give you some new data on this. I get i mean just everybody comes in here as candida everybody, everybody comes in here. We evaluate them, they got the you know, they got the thrush mouth there, um and and it it’s in there and they’ve gone and they ‘
Ve done the candida diet and they’ve removed. All the sugars and and they’ve, taken the candida supplements and they come and go when it comes to going. It comes and goes and comes and goes, and so i think i just wanted to i.
So if you’re, looking at this, you probably like know what candida is, you probably know, you know a lot of things about it without without going into all the all of the specifics of the yeast fungal candida um chemistry, but in the end, What we’ve come to see is that the the number one cause of people getting candida and not having the ability to get rid of it with all of the things that are going on is a lack of hydrochloric acid in your stomach.
So hashimoto’s hypothyroidism and if you’ve been watching these clips, you’re, probably sick and tired of hearing me say this, but hashimoto’s. Hypothyroidism slows down the ability of your stomach to make hydrochloric acid, the acid in there that digests your proteins, okay, and it also is there to sterilize your foods and to sterilize the contents of what goes into your ultimately goes into your intestines and in its process Of sterilization, it is supposed to kill things that are trying to take over.
If you will so everybody’s got candida in them a little bit of candida uh. Some people argue everybody’s, got h. Pylori! I’m. Not sure about that one, a lot of people get sibo, you get parasites, you get a lot of things that come from outside, we ingested viruses and stuff and it gets into our food and or we we ingest it and it goes into our intestines.
So the hydrochloric acid is supposed to keep that environment in the stomach is sit enough to kill that acidic enough to kill those things. If you don’t have enough hydrochloric acid in that in that chyme and that gastric juice, you’re, not going to kill it, and so you and and there’s.
Another cause of this. By the way that i’ll just mention it uh stress – stress, the combination of stress and hashimoto’s, which i almost see almost all the time is just stress will cause you to be in fight flight.
When you’re in fight flight, your brain’s, telling your stomach not to do anything. Don’t make hydrochloric acid don’t digest don’t. Do anything. We just got a fight or flea, and, and so you have the stomach, pretty much being shut down by that and you have the and if you have hashimoto’s and hypothyroidism at the same time, then you have the stomach being slowed down so That it doesn’t make enough hydrochloric acid.
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Martin P. Rutherford, DC
1175 Harvard Way
Reno, NV 89502
775 329-4402
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The topic is sodium intake with Hashimoto’s Thyroiditis, and i have a personal experience with this, so this is kind of a so.
I’m happy to share this with you. I’m kind of interested to share this with you. So there was there’s, a study that came out a couple years ago and um. They they had 49 healthy people who they put on a low salt diet.
Then they put them on a high salt diet, and then they followed that by a high salt diet with potassium supplementation. So here’s. The deal 100 years ago, who knows maybe 60 years ago or or more, are potassium and and and and and sodium all right, salt.
They balance each other and they and they work to balance each of your electrolytes and they’re like hugely important to your physiology. You have too much salt. Maybe your blood pressure goes up. Maybe you get bloated there’s.
A lot of bad things about too much salt okay, so they did a study and they found, and then they measured blood chemistry relative to um white blood cells, and they found that this one white blood cell called il17a.
It just means that this is a blood cell. It’s, a white blood cell that goes up when a person gets inflammation. Okay, it’s. An inflammatory white blood cell would go up significantly in the blood after you have high salt.
Now let me go back, i skipped over myself. So, like 60 to 100 years ago, the ratio was sodium, uh was like potassium eight, sodium one uh and – and this was probably before processed foods and restaurants got popular and all that type of stuff, because now the ratio is 18 sodium to one potassium.
Did you get that okay, normal potassium, before processed foods, all restaurants, salt, all that type of stuff and everything potassium? Eight sodium one: proper ratio um? Now it’s. Salt 18, potassium one! So that’s, bad! It’s, particularly bad for Hashimoto’s.
Patients. What we found was that um, when they expose these folks to potassium so people who so the people who took salt, they had a they ended up. Taking a high salt meal and their sodium went up even more when they were exposed to seven days of supplementation.
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Martin P. Rutherford, DC
1175 Harvard Way
Reno, NV 89502
775 329-4402
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For more information on this topic or to schedule a consultation please visit us at http://WhatIsHashimotos.com
today we're gonna answer the questions from those of you who asked about Hashimoto's and eye issues, and that's um, it's not terribly common, but it's not terribly uncommon. It's kinda like in between. It's not something, eye issues are not something that are listed as a symptom of Hashimoto's. However, Hashimoto's, I think, has a much farther reach than I think the research has ultimately been willing to put out there because they haven't been able to make definite connections. And so you're gonna hear about Hashimoto's and eye connections eventually, but I see it moderately. I do see it. And we'll see blurred vision, and we'll see double vision. We'll see dry eyes. Those are the main things that we'll see in conjunction with Hashimoto's. The connections, I surmise from treating all of these cases and evaluating how things kind of are connected, Hashimoto's Thyroiditis has a commonality, it's called a molecular mimicry, with something called the cerebellum. Cerebellum is in the back of the head down here. Cerebellum is balance. Cerebellum's not working right, you can get a stiff neck. Cerebellum's not working right, it can affect your ear. You can get balance, dizziness, vertigo. Cerebellum also helps you to fixate on things. So if you have your eyes fixated on that thumb while you're doing this motion, that's you're cerebellum doing the fixation. If your cerebellum's not fixating properly, because the cerebellum controls your eye muscles, if it's not fixating properly, you're gonna have a situation where your eyes are gonna go like that, and you're gonna get blurred vision. That actually, now that I'm thinking about it, that's a pretty common complaint. Blurred vision is a very common complaint. Double vision not so much, and I never know when I'm doing a Hashimoto's patient, if somebody says double vision, if it's connected directly the Hashimoto's or not. And then we've had situations where once we got the immune response under control and everything calmed down, their double vision improved or went away. So I don't know the exact mechanism for that, if that's kind of like a secondary, you fix the Hashimoto's, it decreases inflammation, and than that stabilizes some neuro inflammation in the brain, but I have seen that. The dryness of the eyes is usually more that Hashimoto's is related to a lot of other different autoimmune conditions, and one of them is Sjogren's. And Sjogren's you'll get dry mouth. You can get dry eyes, and I see that. I've seen that connection on multiple different occasions where the person has both of those, the Hashimoto's and has the Sjogren's, or doesn't know that they have the Sjogren's, and then we run the antibodies to find out if they have it and find out that they have the Sjogren's.
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Martin P. Rutherford, DC
1175 Harvard Way
Reno, NV 89502
775 329-4402
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For more information on this topic or to schedule a consultation please visit us at http://WhatIsHashimotos.com
Can Hashimoto's give you a hoarse voice? And the answer is yes. And frankly it's kind of a gauge to help the clinician to maybe understand what kind of Hashimoto's case he's working with as well as maybe where to start care with, with that type of patient. So Hashimoto's and hoarse voice. It's, it's, it's pretty much this is the more unstable Hashimoto's patient. So if you have a hoarse voice, you reach up here and your thyroid's maybe swells a little bit and then goes away and swells a little bit. Maybe it's tender, maybe you don't have any of the tenderness or swelling, maybe you just have the hoarseness in the voice itself. You are, and, and it's, and it's affecting your throat. Usually it's because the thyroid is getting attacked. The hoarseness of the voice is usually because it is affecting your thyroid, maybe not to the degree where you're able to perceive that the thyroid is enlarging a little bit, because when I palpated people's thyroids, I would say more than half are shocked. When I say you have an enlarged thyroid and then I have a, an, and that food starts to react. And our immune system starts to flare up. They'll, they'll get an inflammatory response either against their thyroid against their thyroid sites, their, their their thyroid sites or thyroid cells against their thyroid cells. And then that'll create an inflammatory response. Maybe you get a little bit of enlargement in there and and then you have that hoarseness, and then you have and then it comes and it goes for no reason at all. You might have swelling with it. You may not have swelling with it. And that's, that's kinda how it goes. If a person comes in here and there that's significant that's acute to me, that's like a right now thing. Let's get that under control right now. Because if you get that under control right now a lot of the patient's symptoms feel better then the problem I have with that is then that the patient thinks they're better because then they go like, well, I'm done. But at that point we usually need to find the rest of their triggers. And, and, and a lot of times they're like so happy because they're feeling so much better than that. They don't follow through with that. But that's another story. So this is, so this is so this is, yeah, this is significant. You can get, this is a sign that you're either in an acute response or that if you're like me and I'm not in acute situations anymore. I mean, I have my Hashimoto's like largely under control, but, but for me it, it's it's kind of a sign of like, okay, there's a trigger somewhere then I, that I didn't miss something happened to me today. Something, because basically in Hashimoto's look, you're looking to get the person to stop the downward progress. You're looking to get them out of remission. And then you're looking to have them have enough awareness to know that you have to manage this thing. You have to look for future trigger.
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Martin P. Rutherford, DC
1175 Harvard Way
Reno, NV 89502
775 329-4402
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Today we're going to talk about emotional trauma because we were just, 'cause we were just conversing about the consistency that we see in emotional trauma on the intake forms that we get and the insanity of so much of it. It just blows me away as to what's going on out there today; as far as emotional trauma goes. And how it's connected to Hashimoto's, and I practice functional neurology as well as functional medicine. I think most of you probably know me as a functional medicine practitioner. But I was functional neurology before I became a functional medicine practitioner. And the whole world of functional neurology was built around, ultimately it's built about correcting imbalances in the brain and giving people... The functional neurologist were the first brain rehab guys and giving brain exercises and stuff. It was really built around chronic stress. It was really built around what a lot of people know about today, which is this chronic fight-flight mechanism. And it shuts down your gut and it shuts down your stomach and it causes you to have all, then it's off to the races of leaky gut and all that type of stuff. And how, how that can cause that. It's one of most common causes of constipation. If you have small intestine bacterial overgrowth and you have stress, it's screwing up your gut. Good luck in getting rid of it. So that's what functional neurology really was a lot about, it still is. But one step up on that is emotional trauma because emotional traumas, we're talking about physical trauma versus emotional trauma and physical traumas: "Okay, I got in a car accident and everything went south." Car accident is a trigger that trigger goes away. It's usually triggering something that's there, like you already have the genes to get MS. Or you already have the genes to get Hashimoto's or rheumatoid arthritis and in an injury like that can set off enough of an immune response, inflammatory response to set off an immune problem. For those of you who've had that happen. Emotional trauma is a little bit different. I mean, you can have an emotional trauma that is my husband was beating me up for five years. That was a physical trauma. But across the board, across the board, emotional traumas are... It's just stunning to me, the spectrum of types of situations that people can encounter in your younger lives and throughout life. That set off the fear center in their brain. And it's different than fight-flight. It's different than, "Ooh, there's danger here. "I gotta run away from this danger, "or stop and face the danger." And then that puts you into fight-flight. And then that sets off a certain amount of chemicals that causes your heart start pounding. And again it shuts down your stomach. It shuts down your intestines in such. Then your bladder, 'cause you don't need to be peeing or pooping while you're fighting or fleeing. And so that's how the nervous system is set up.
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Martin P. Rutherford, DC
1175 Harvard Way
Reno, NV 89502
775 329-4402
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For more information on this topic or to schedule a consultation please visit us at http://WhatIsHashimotos.com
Today we are going to talk about Hashimoto's progression. And I'm Dr. Rutherford, for those of you, who've never seen me before. And we're talking about Hashimoto's, big series here on Hashimoto's, and we're gonna talk about progression today. Hashimoto's progresses would be like the cliff notes form of what needs to be said here. So basically look autoimmune problems always progress. For different people, they progress differently and that goes for symptoms and that goes for speed of progression. And so, the bottom line is all of these autoimmune problems progress. Hashimoto specifically, we've talked about this, for those of you, who watch us all the time and shocked at how many of you that are out there that watch these things all the time. But it starts off as silent autoimmunity. So Hashimoto's, basically, you have the DNA to be able to develop an autoimmune problem and your DNA kind of alerts the immune system that it's okay to attack your thyroid. And it may be that you live a pretty healthy lifestyle, maybe you just have a strong constitution, for some reason, you have a stronger autoimmune, not autoimmune, stronger immune system than other people, but you're actually making antibodies to your thyroid and you don't even know it. You don't have any symptoms, you don't know anything about it. So for some reason, somebody might accidentally run the antibody and say, "You know, you got Hashimoto's" and you would go, "I don't have Hashimoto's. I don't have any symptoms. I'm fine. I'm not losing my hair. My weight's fine. I'm not fatigue." That's silent autoimmunity. And then the progression from there is frankly life. Okay, lifestyle, sleeping poorly, not getting enough exercise, getting too much exercise, eating improperly, getting a lot of chemical toxins in you, we've here in Reno now, we have this big smoke issue from all the fires in California for months. And there's a lot of toxins in there. I saw my patients get worse from burning tires and burning houses and burning cars and burning furniture and all the chemicals with that. All of these things attack, stress attacks, viruses attack, you get into money, all these things keep flaring up immune responses, and to the degree that that person's physiology is weak, medium or strong, you keep getting attacked. And then the next thing you know you start getting symptoms. The silent autoimmunity person, 999 times out of 1000 does not know that they have it. So what starts happening is you start getting Hashimoto symptoms, usually you'll start getting hypothyroid symptoms, and then you'll start getting tired and fatigue and your hair might start falling out and you might start getting constipation, you might not put it all together, and then you go to the doctor and they test you, maybe they run the antibodies and they're normal. Maybe they run the antibodies, or maybe they don't run the antibodies, which is more common. And so you have all these symptoms, but there's no testing. You don't have enough damage to your tissues yet for it to show up. So the tests are normal, you're feeling like crap, you have what we call reactive hypoglycemia, we can talk about that too, reactive Hashimoto's at that point in time. And then it advances as life goes on, get it life.
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Martin P. Rutherford, DC
1175 Harvard Way
Reno, NV 89502
775 329-4402
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Hashimoto's and hair loss. My two least favorite topics are Hashimoto's and obesity and Hashimoto's and hair loss because you can get rid of every other symptom that the patient has when they come in. I don't care what it is, if it's their bowel symptoms, if it's skin symptom. If it's chronic fatigue, whatever it is. If the hair doesn't stop falling out, and if the person doesn't lose weight, they're never happy. So here's why you're getting hair loss. And here's why it's tough. Okay, so basically, Hashimoto's, as we're gonna do this series of "Hashimoto's And", you're gonna hear me say a lot of just Hashimoto's hypothyroiditis and the hypothyroid aspect of it is what really kills us and that the hyper active aspect of thyroid, it gives us symptoms, it'll give us heart palpitations and it'll give us anxiety, and it'll give us insomnia, it'll give us stuff like... But physiologically the hypo stuff is what it causes the hair to fall out, it causes you to put on weight, it causes you to have oedema, we'll talk about that at some point in time, but the hair loss is an interesting one because it's like hypothyroid causes your hair follicles to stop making hair. It's kind of an interim relationship. So you might read on Wikipedia or something else about other causes of hair loss. Another causes of hair loss, one of the biggest ones is liver, another one is poor estrogen. another one is lack of essential fatty acids. Let's see, another one is anemia. All right, these are all pretty well considered causes of hair loss but they can all be caused by Hashimoto's. Basically what happens is Hashimoto's slows everything down. So for example, it slows your liver down and your liver is the area that clears out a lot of things. Everybody knows their liver is a detoxification center but frankly it makes proteins, it makes fats, it makes sugars, it stores sugars, it does a zillion things. But it also clears out fats and hormones. Okay, so it's creating fats and it's getting them out into the system would be a better way of putting it. And so if your system slows down without getting the whole chemistry of it, it's not ultimately getting those broken down essential fatty acids out into your system, that lack of essential fatty acids is gonna cause you to have dry skin and dry hair, and the dry hair is gonna start falling out. Also related to the liver, most of the time when it's liver that is causing the hair to fall out and come out in clumps, as you put it, a lot of times, it's estrogen imbalances that are taking place in the liver, at the liver, so estrogen. So estrogen, female hormone, you make it, and then it's supposed to do its thing in as far as helping you to have children and wanna have children and giving you your female characteristics and does a lot of good things. And then that estrogen it's not used, needs to clear through the liver, gallbladder, intestines and needs to get into the toilet. A lot of times it gets stuck in the liver. And this goes triply, for those of you who use estrogen hormone therapy, okay? Lot of times it gets, it overloads the liver and then the liver can't process it right.
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Martin P. Rutherford, DC
1175 Harvard Way
Reno, NV 89502
775 329-4402
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For more information on this topic or to schedule a consultation please visit us at http://WhatIsHashimotos.com
Nutrient Deficiencies and Hashimoto's. This a big topic, so I'm just going to blab out here real quick, okay? Because I want to cover a lot of things. Nutrient deficiency and Hashimoto's. So Hashimoto's, hypothyroid aspect of Hashimoto's will slow everything down. So the baseline of getting nutrient deficiency is from Hashimoto's is that you don't digest as well. Once you move into the active part of Hashimoto's, where you really start having symptoms. One of the most common symptoms is constipation. Long before constipation it starts to slow down the ability of your stomach to digest. It starts slowing down the ability of your gallbladder to pump out gallbladder bile. Starts slowing down the ability of your pancreas to pump out digestive enzymes for starches and sugars and finishing off the protein digestion. And so that alone will create a situation with the breakdown of your foods and then ultimately that can affect the absorption of it. And then that can cause you to not have enough hydrochloric acid in your stomach. Again, hypothyroid, not enough hydrochloric acid in your stomach. That can cause you to not be able to break down your iron. So you can get iron anemia. That'll cause you to not break down your, it may cause you to have a concomitant auto-immune situation where your intrinsic factor doesn't work to bring your B12 into your system, and get it through your intestines into your bloodstream. So, those are nutrient deficiencies that can be assigned to Hashimoto's. I mean it's so much, it's crazy. I mean, Hashimoto's people have nutrient deficiencies. I was reading something not that long ago that said half people or more that have Hashimoto's will have either small intestinal bacteria overgrowth, or something called oral tolerance, which many of you may not be familiar with yet. It's kind of a new concept that we've been using a lot. And both of those, both of these are going to break down your digestive chain, just the way I just outlined that the Hashimoto's in and of itself causes. So you can have Hashimoto's causing constipation, and then that can cause a SIBO. And then the SIBO can cause a number of things. And the SIBO itself can cause the gallbladder not to work. The SIBO itself can cause intestinal permeability. So that you have a little bit more difficult time digesting your foods properly, and absorbing it properly. And you also have a lot more challenge with you putting toxins into your system. So you can be getting nutrient deficiencies from that. You can get a central fatty acid deficiency from that gallbladder not working properly. So your hair can start getting dry and things can start clearing out that way. So essentially the nutrient deficiencies, if you have constipation, or if you have irritable bowel syndrome, and those are secondary to your Hashimoto's, you're not going to be. Across the board, you may not be getting nutrients in there the way that you'd like.
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Martin P. Rutherford, DC
1175 Harvard Way
Reno, NV 89502
775 329-4402
http://powerhealthreno.com
https://goo.gl/maps/P73T34mNB4xcZXXBA
For more information on this topic or to schedule a consultation please visit us at http://WhatIsHashimotos.com
Today we're going to talk about exercise. Now I, full disclosure, I'm sure I've talked about this at some point in time. Cause it's such a significant part of exercise relative to Hashimoto's, relative to immunological aspects of disease in general. So in other words, I get a lot of people that come in here, with auto immunities of all kinds. And this ongoing series that we're doing right now, is all about Hashimoto's. And, we usually pick these topics, according to what people are asking for but also according to what I'm seeing. And I see a lot of trends, I see a lot of new patients. I interview a lot of people. I've seen a lot of new patients. And the latest trends I'm seeing, is people taking more responsibility for themselves. At least the ones that are calling here. And they're doing it. They're trying the different diets. They're off the gluten. They're taking the seleniums and they're taking the Methanone and they're taking the zinc. And they're taking the magnesiums and everything. And, they probably gotten some improvement but obviously they're not getting what they want out of it. So they call, someone like me. And, so one of the things I've seen lately is, people going, "Okay I got to exercise." Exercise is good. And I probably have done something like this online already. And, if I did what I said was, yeah but too much exercise is not good. So I wanted to go over a little study that was just done. And it was a study out of Europe, and, it was just last year. And the study was on the immunological aspects, of exercise in chronic disease. And interestingly enough, they specifically talked about Hashimoto's thyroiditis in this study. Understand, all you Hashimoto's sufferers. You have the... You now have, officially have, the number one, autoimmune condition in the entire world. Talking to people from Australia, talking to people from the United Arab Emirates, I've talked to... We were all over and it is, it's there. And their doctors don't know what to do with it either. So there's a lot of different things, relative to fixing or putting these problems in the remission, keeping into remission. And really what I do is lifestyle, right? It's lifestyle. It's, nutrients, nutraceuticals and it's diet and but within the framework of that there's about, 40 different things you need to look at. Exercise is a big one, because here's the deal. What they found is that a certain level of exercise, is really excellent for autoimmune disease in general. We may have always kind of intuitively known, it's good for your immune system and balancing out your immune system in general. But this, study took a number of people. And I think it was like 180 people and measured outcomes, measured lifestyle outcomes but also measured specific chemistry relative to immune function. And this... Some of this particular chemistry, was relative to, Hashimoto's. Now what they found, some of it's not going to surprise you. First of all, they found that it keeps your immune system and your metabolic system in balance. When you do enough exercise but not too much exercise. We'll get into the too much later. But if you do enough and you don't exceed, your metabolic capacity.
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Martin P. Rutherford, DC
1175 Harvard Way
Reno, NV 89502
775 329-4402
http://powerhealthreno.com
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What are Hashimoto's versus hypothyroid symptoms? So this is a person who apparently hasn't been watching my stuff for very long. We'll go through it. So, okay. So Hashimoto's is an autoimmune attack on your thyroid. So your immune system attacks your thyroid and then it starts creating damage to the ability to make thyroid properly. And usually when you get the attack it makes a lot of thyroid hormone. It makes a lot more thyroid hormone if you're attacking an enzyme called a thyroid peroxidase enzyme. That enzyme works with hydrogen peroxide and it pulls iodine into the system. It makes thyroid hormones. And when it gets attacked, it starts getting crazy and making way more hormone that causes hyper symptoms. We'll talk about that in a second. You can also attack the thyroid tissue itself not the enzyme, just damage the tissue. That just starts as you've heard me say a million times, vomiting out, just seems like the right word for that. Just vomiting out a lot of T4 and T3. Those are the hormones you'll get hyper stuff. But Hashimoto's usually, I'd say 85% time or more, usually is first a hypothyroid. So here's how it goes. You have a thyroid, you have a thyroid problem. You have a thyroid that's working normally. And then somewhere along the line, we get an attack on our thyroid, and that attack just starts to attack the thyroid, whether it attacks the tissue or whether it attacks the enzyme. And it can be very, very low grade attack in the beginning, and often is. I just heard something, I think I was listening to a lecture which was citing research that said, "It's takes about seven years "for the attack on the thyroid to start creating a full-blown Hashimoto symptomatic picture. So in other words, you can have the attack for like seven years, not even know you have it. Maybe even longer, but let's just use the seven years. So now it's going like this. And so it's kind of subtly beating up your thyroid if you will. And eventually, you start getting tissue damage and it's settled tissue damage, and you start going into hypothyroid. Usually first, usually go on a hypothyroid. Sometimes this will all happen at once but let's just keep it simple first to do hypothyroid. In other words, your thyroid is getting beat up. It's not operating well enough. It's not making enough hormone. You're tired and your hair is falling out. These are the hypothyroid symptoms. Hair falling out, tired, somethings slow. Everything slows down. You start getting acid in digestion because your stomach's not making enough hydrochloric acid, because the mechanism has slowed down. That alters your entire digestive system. The next thing you have, constipation because you have poor chemistry, constipation. Thyroids slows down the enteric nervous system. So that's the nervous system that makes your bowels move. Next thing you know, you have constipation. It creates an inability of your gallbladder to work. So all of a sudden, maybe you start getting problems of digesting fatty foods.
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Martin P. Rutherford, DC
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Hashimoto's and nutrition. Nutrition casts a wide net relative to... I'm not sure if the person's asking about supplements or basically diet or am I losing nutrients? So again, it's not a clear question. So I'm gonna give it a shot and kind of anticipate what that person might be asking. I'm gonna stick to diet. And when we first started treating Hashimoto's seemingly light years ago, a long time ago, we were very, very thrilled when we told the person to get off of gluten and they would do so much better. And we would just be kind of like, "Oh yeah, we're bad. "We know what's going on here." "Nobody else knows when the doctors don't know." We're like, "Cool." Of course, a lot of people got off of gluten and nothing happened . And then we weren't all that cocky about it. But there's a molecular mimicry between gluten and your thyroid. Meaning that, when you get a reaction to gluten there's a high percentage chance that you're gonna get a reaction to your thyroid especially if you have Hashimoto's. In fact only if you have Hashimoto's. So certainly gluten is out. Another one I've talked about at great length is iodine. And there's still a lot of practitioners out there who say you should eat, you should take iodine because it helps your thyroid. And I would say that iodine, is like one of the last things you should do. And in fact, the confusion is iodine, is good for hypothyroid, but it's not good for Hashimoto's and that's a whole talk into itself. And I think there's a couple of... We have several talks online on that. And so, Hashimoto's is a part of the dietary issue. As far as groups of foods, it differs from one patient to the next. If you wanna know about nutrition, you could do the autoimmune paleo diet and see what happens. Because that takes out all the foods that create an inflammatory response or an autoimmune response. It's kind of hard to live on that diet for a long time. At some point in time, you wanna find out what your food sensitivities are. Food sensitivities are huge. Dietary protein, cross reactivities are huge. So like the gluten where you actually have a cross-reactivity where the gluten gets attacked and your thyroid gets attacked but food sensitivities are big. They sort of fall into that category. And so, you wanna find out what your food sensitivities are. Some people say you should get off of milk, okay. And some people say it's okay. We now are in the realm of doing a lot of testing on that. And we're finding that 50% of the time the person can take milk out. I have colleagues who literally just take their patients off of gluten and casein and they claim they get good results. That's not my patient population . So I don't know who they're treating, but it's a good start, but it's a good start. Grains were where we started. First there was gluten and bursting out off of gluten and nothing happened, and then we took them off all the grains and a bigger percentage of people started getting better. At that time, people had already understood that milk products could be bad for a certain group of people, so there was that whole thing going. In general you're looking to avoid a pro-inflammatory diet and so you have to... So it's not a "one size fits all" answer to that.
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Hashimoto's disease and pregnancy. That's a wide open topic. I'm not if you're asking can you get pregnant, or what happens when you get pregnant, or what happens after you get pregnant? So I'll try to answer all three of those. So Hashimoto's can first prevent you from getting pregnant. And I think that's pretty well accepted out there today. We've had some patients that came in and their medical doctor treated their thyroid for their infertility and they got better. And there's a couple reasons for that. Most direct reason is that Hashimoto's has a very, very specific relationship with progesterone, and progesterone is the hormone that allows you to hold the egg, so when you ovulate, and then you ovulate embeds, and then when the egg embeds itself in the wall of the uterus is progesterone that allows it to stick, if you will. And then it is progesterone that allows you to carry through the pregnancy. If your progesterone is very low because you have hypothyroid, Hashimoto is hypothyroid, then there's a good chance that you're not going to carry through. On top of that, Hashimoto's seems to have a very direct relationship to polycystic ovarian syndrome, in which your blood sugar goes off, and your blood sugar is controlled by your diet, but it's also controlled by your adrenal glands, and by your pancreas, and by your thyroid. All of these can be affected Hashimoto's in different ways. The end result ends up being usually that the person develops an insulin resistance, which is kind of high blood sugar but it's not diabetes, it's kind of pre-diabetes, insulin resistance is kinda in the same category, and then that usually increases testosterone production in the ovary also, in addition to what has happened with your adrenals, and your pancreas, and your liver from the low progesterone, and then the chances of you having a baby are reduced by, I believe it's like 50%. I do know that the last statistics I saw was that polycystic ovarian syndrome, which is very closely related to Hashimoto's, is responsible for as much as 50% of infertility in this country. Then Hashimoto's during pregnancy, it certainly, you know, it's better to be healthy when you're having a pregnant child, when you're planning on having a child, getting pregnant, and so from that perspective, I tell my patients who have Hashimoto's who are coming in here, not to get pregnant until after we've cleaned up a lot of things, because I don't know, somewhere in there is a question of can this affect the child? And the answer is yes, and probably should do a different segment on that, because it's a long topic. And then as far as the mom's health during that period of time, it is not unusual for me to hear, "That's the best I ever felt." "I felt wonderful, everything was great. "My fibromyalgia went away." And things of that nature. And that has to do with immune shifts that take place while you're carrying the child, particularly in the third trimester, where you're shifting antibodies in to Your child so that when your child is born, they have the ability to build a immunoresponse, and a humeral immunorespone after they're born.
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Martin P. Rutherford, DC
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Today we're answering the question of, can Hashimoto's cause hyperthyroidism? Again, this is a lengthy kind of explanation, we're trying to keep these to smaller chunks and segments that don't take up part of your day, whole part of your day. And this is what I've been seeing a lot more of lately, and it seems to be very confusing, in a sense that it used to be you had hypothyroidism, or you had Graves' disease. And nobody even really looked for Hashimoto's. And then Hashimoto's came in, just so it could screw up the whole picture. Because Hashimoto's is like hypothyroid. They call it Hashimoto's hypothyroiditis, if it's inflamed, or Hashimoto's hyperthyroid if it's not. Anyway, so it's hypothyroid. So you get the hypothyroid stuff. And then when you get the hyperthyroid symptoms, especially if you're the unusual Hashimoto's patient, that is thin, that has all hyperthyroid symptoms, and there's no hypothyroid symptoms. Now it gets confusing. So the first go-to is, does this person have Graves' disease? There are different antibodies that you check for that is called thyroid stimulating antibodies. And if you have those, you have Graves' disease. But if you have those, you could also have positive antibodies for Hashimoto's. So, but Graves' disease, if that one marker comes up, you opt for Graves' disease. And then that's a medication to stop the too much hormone from going on, or they radiate it or they take it out. Now, there's this big gray wasteland of hyperthyroidism, I'm hearing the diagnosis more and more. Basically, what is in the literature that causes hyperthyroidism are a few things. Okay, Graves' being one of them. Toxic nodule. Now, so nodules, so you get nodules, and then you test the person, and you feel for the nodules. And if you've got one nodule, or if you've got multi nodules. If it's tender, for sure you want to go get a check to see if it's a cancerous proposition. Most of the time it's not. Thyroid cancer isn't that common, but it happens. People get it. But these nodules, my understanding so far. And here's where I say this. I mean you have to understand that we are in the evolution of understanding all of this stuff. That's why I do these things. Everybody comes in and they think like, "Oh well, you should know all of that, the whole thing." Nobody knows all about the whole thing at this point in time so. And toxic nodules are right up there. Nodules are right up there in the area of nobody knows everything about them right now. So what it appears right now is that you get a nodule, whether it's a toxic one nodule, or whether it's a toxic multinodular, many nodules.
Today what's happening mostly is we're getting them ultrasounded, and then they go, "Oh." If it's a nodule, let's do a biopsy on it. And then we do the biopsy and look at them. And like 99 and nine tenths percents of the time the biopsy comes up with abnormal cells, but not cancer. And so what seems to happen most of the time is that the doctors kind of want to hedge their bets that those abnormal cells don't become cancer. And then usually advise you to take it out or radiate it.
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Can Hashimoto's be cured, or can Hashimoto's go away? The answer is no. And again, I think if some of you have not seen me before, you've know that I have Hashimoto's, have had it probably since I was like 21. So, no, because what happens is, you know, when I first got into this there wasn't a whole lot of understanding how to figure out whether personally even Hashimoto's or not, the lab ranges were all over the place, there was no genetic testing, there was nothing like that. And now you can test for genes, we have testing, we know what the lab, we're getting closer and closer to knowing what the lab ranges are, to be able to definitively tell somebody they got Hashimoto's. And the reason is this, that is these, some of these tests can now tell us look, you have a genetic problem. You have a genetic problem, and at some point in time a polymorphism in your gene was turned on that says, It's okay for my immune system to attack me. So your immune system is an amazing, it's like, the more I read about it, it's like insanely crazy. It's supposed to take care of toxins, it's supposed to take care of, it's supposed to make sure all your food is like processed properly. It's supposed to take care of bacteria's, viruses. It's supposed to take care of your candidiases, it's supposed to kill everything, but it's not supposed, and it's supposed to do all that without attacking you. If you really think about that it's pretty wild, okay. And so there's a fail-safe mechanism that allows the immune system to do that. Then there's not. So what happens? I don't think that the answer to what happens is actually completely known yet just taking, I probably take 60 hours of classes a year on this type of stuff. And so I'm just saying that there's an evolving understanding as to why it happens. What I think is known now is those of you who have developed Hashimoto's usually there's a familial connection. My mother had thyroid, this was before anybody was talking about Hashimoto's. She had her thyroid taken out. My aunt had her thyroid taken out. My grandmother had a goiter. I had an uncle who had Parkinson's disease, and another uncle has MSM. I mean, so it was all through my mother's side of the family. So, we started to notice that earlier on that there was a genetic component, so we never knew that absolutely, for sure. And what happens is when you have that vulnerability, that genetic vulnerability, as you go through life and you get these triggers, surgeries, having a baby, overwhelming infections, injuries, severe injuries, several things of that nature, they all trigger an immune response. And if you have the vulnerability and maybe you're not taking care of yourself, then you're leading a sedentary lifestyle, and you eat like crap, all these things add up to, at some point you get one of those triggers and it's enough to change that fail-safe mechanism because you have the genetic propensity to develop an autoimmune problem, or specifically Hashimoto's. Once that gene is turned off to my understanding nobody has figured out how to turn that off.
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Can Hashimoto's caused dizziness? Oh yeah. Hashimoto's can cause dizziness. It is extremely common for Hashimoto's to cause dizziness and on so many levels. So, okay. So, again Hashimoto's. Thyroid controls your metabolism. A big part of it is there's two, there's two mechanisms we're gonna talk about here. We're gonna talk about the hypothyroid mechanism. And the hypothyroid aspect of your mechanism is this. A lot of people come in here, they're hypothyroid, so they're overweight. And they can't lose weight. And they're constipated. And they get swelling in their ankles. And um, And so that's the hypothyroid symptoms. And hypothyroid also goes towards it can actually alter blood sugar mechanisms. Hypothyroidism, despite the fact that you put on weight, can actually cause low blood pressure. Hypothyroid can actually cause low adrenal function. When you have low blood pressure, you have low adrenal function, you may be the person who goes from laying down to sitting or from sitting to standing and you like get a little woozy, almost want to pass out. A smaller manifestation now for someone whose adrenals aren't as bad, whose blood pressure isn't as bad, would be dizziness. I get lightheaded and dizzy. Dizzy's a tough explanation for patients. Patients have a tough time describing dizziness. So sometimes it's lightheadedness. And sometimes it's dizzy. The one, I usually cognate on more when someone comes in here and says, I've got dizziness." And it's usually dizziness. And a lot of times it's dizziness and nausea. Sometimes it's dizziness and balance. Sometimes it's actually dizziness and vertigo. Is that, your thyroid has an interesting relationship to your cerebellum, which is a part of your brain that is down here. And I can even, I got a little I got a little brain that I have right on my desk here for patients. Okay. So this is the brain. This is the cerebellum. Okay, down here. So this guy There you go. So this guy right here is your cerebellum. It's called the little brain. And your thyroid has a direct relationship to the cerebellum. And here's how it works. When your thyroid gets attacked There are, by your immune system because you triggered it some way. There's a direct relationship in the sense that there are metabolites in this cerebellum that look exactly like metabolites in your thyroid. And so, and it's something called molecular mimicry. And so when that gets, when your thyroid gets attacked, in a substantial portion of patients, the cerebellum gets attacked. I have one right now and she just, she like, she can't take five steps without being woozy because the cerebellum can cause dizziness, vertigo, balance, stiff necks. It can cause you to have anxiety. But those are all different aspects of the cerebellum. The part that causes dizziness and imbalance and wooziness and vertigo is the cerebellum has projections into your spinal cord that causes like stiffness in the neck. It'll cause stiffness in your whole back. And it has projections into your cortex. It actually can cause blurred vision. But it also, From controlling nerves that are around your eyes. And if the nerves aren't working right, you'll get blurred vision and a bunch of other things.
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So the question today is can Hashimoto's cause a red face? So this is kind of interesting, well, it's funny, I was just going through last night, some of the updated materials that I just recently received on all of the more or less known direct symptoms of Hashimoto's, red face was not on there. However, I do get a lot of people come in here with red faces. And so, it's, I would say indirectly, the question might be more, or the answer might be more indirectly, one of the things that will cause, and I, it just said red face, all right? So I have a number of different ideas in my head of what a red face means to that particular person who asked this question. The most common thing I see is actually a rosacea, so I don't know if this person actually has rosacea, which is a butterfly rash across your face. And it mostly comes with the fact that Hashimoto's can be connected to a lot of other autoimmune problems. And so, one of the problems it can be connected to is lupus, and so the lupus patients will get that red face. A lot of people come in, and understand, they don't know whether they have lupus or not. They don't even, some don't even know, most know that they have Hashimoto's now, but I still get a lot of patients who don't know if they have it or not, they just suspect it. Well, they certainly are not suspecting that they might have Hashimoto's, lupus, rheumatoid arthritis, antibodies to myelin in their brain. So, I mean, there's all these possibilities. Once you have one, once you have one autoimmune problem, you may not have any other ones, but you may, and then you may get mixed up with some of the symptoms because you're looking up Hashimoto's and there's a whole mess of symptoms that aren't there, but you actually have another autoimmune problem. That's one reason that people will get a red face. Another piece of it is just high blood pressure, person's coming in, maybe they got normal blood pressure, and then they get a, they get exposure to a trigger. The trigger creates an immune inflammatory response, that creates an inflammation of the thyroid. The thyroid either starts making more thyroid hormone or the thyroid tissue starts getting damaged. When a tissue, when a cell, when a cell, just one thyroid cell gets damaged, that cell contains thyroid hormone. So it contains the magical T3 that goes into your cells and it gives you energy. But if it's getting damaged and it's just spewing out a lot of dead cells with a lot of T3, then you're going to get hyper symptoms, and one of the hyper symptoms you're gonna get is gonna be a little high blood pressure and that can cause a red face. The other one I see is unknown food sensitivities. Again, a food sensitivity is something that people say, "Well, I don't have any food allergies," and food sensitivity is different.
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The question is what are symptoms of a Hashimoto's thyroiditis flare up. So there's the common symptoms. I'm assuming the person asking this and the person tuning into this as interest already know something about Hashimoto's. So Hashimoto's flares up. Many things can flare it up. I mean we've talked about that. They're lifestyle things that can flare it up. There's lack of sleep. There's over-exercise, there's poor relationships. There's blood sugar problems can do it. And then there's food sensitivities and chemicals and viruses and pathogens and moles, and on and on. There's like, again, the third famous 39 triggers that can flare it up. There's the symptomatic overactive thyroid symptoms are pretty much anxiety. It can flare up anxiety. It can I think like the cardinal sign to me is heart palpitations for no reason at all. Heart palpitation that come and go for no reason at all. Something goes, something triggers your thyroid. The thyroid starts vomiting out thyroid hormone, more than it should. It increases your metabolism and your heart has a gazillion thyroid receptors on it, more than any place else in your body. And so the thyroid hit your arm and you start getting heart palpitations for no reason. Inward trembling, which comes directly from that increased thyroid. Shakiness, like if you some for not everybody but for some people start to get shakiness or some people will start to get worse balance problems because their cerebellum is being attacked by the thyroid. Insomnia, the insomnia fires up the system. Starts screwing up your blood sugar. Blood sugar is the biggest cause of waking up in the middle of night and not being able to go back to sleep but it can be secondary to the thyroid. So let's see thyroid let's see. Inward trembling, insomnia, night sweats. It has a profound thyroid when its major function, its main function. It has a profound effect on estrogen and testosterone and progesterone. And so it can affect your hormones and cause night's sweats in men as well as women by the way. I think some of the more outward visual signs that are more obvious that tend to really really get people's attention is their thyroid. If their thyroid starts swelling and then it goes down it swells and then it goes down. Those are signs of a hyperthyroid Hashimoto's flare up. And that's actually an acute unstable Hashimoto's thyroiditis. And when one of those cases comes in here, one of my decisions is do I just go after that first and throw a bunch of stuff there, that's gonna get that down. So the patient can be a little calmer and not be so worried or do you go after all of the things that are causing those triggers and just wait on giving the person a bunch of supplements that calm down the inflammation. So, but either way, if that is an acute inflammatory response.
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So this one today is Hashimoto's and chest pain. And again, I refer to these questions relative to what I experienced in practice, cause I've been in practice long enough that I think I've seen most of the trends and what occurs in my patient population. Which is auto immunity, which is Hashimoto's, chronic fatigue, different types of neuropathies, gut problems, food stuff, that type of thing. So, chest pain. So, the most common reason present comes in here with chest pain from Hashimoto's is usually, it's a combination or a division between stress and Hashimoto's inflammatory attacks. So let me explain that. So, I'm gonna take this to an extreme, I have a group of patients. I literally, I have talked to a few hundred patients who have ended up in the hospital, their heart pounding out of their chest. This is not exactly the question. But their heart pounding out of their chest and they go to the hospital and they get the EKG and they get all the Echo grams and they get everything taken, all the studies taken. And they get their bloods taken, and then they're told right! Everything's normal. Go home, you need some electrolytes you're just distressed. So to a certain degree, there's truth to that. But that person, that person who shows up in the hospital is usually kind of more of a more extreme example of what this question is asking. So, I get a lot of people come in and say, "My chest is tight." Normally that tightness in the chest. And again, these people have usually already been checked. They were well, their heart's fine and everything. Usually it's stress. Usually it's stress. Now, most of the people I see, it's very rare that I see a person that comes in here. Isn't in some sort of a chronic stress cycle. Stress is one of the triggers and exacerbators of Hashimoto's immune inflammatory attacks. So it's not surprising that that's part of their picture. And then that tightness is normally from the stress component. And so, now you can then add to it that if one of those triggers, if the person has a blood sugar drop, or if the person has some sort of a food sensitivity or any of these triggers, some sort of a chronic infection that's been activated, let's say it's a low level, and it starts exacerbating. And either starts damaging thyroid tissue, which starts vomiting out T3 and T for that the T3 and T four thyroid hormones. That on a low level can create a tightness in the chest. As you move up the scale, then it can actually cause a little bit of a chest pain. As you move up the scale, then you'll usually gonna start experiencing maybe your heart palpitating a little bit. But by observation, that doesn't happen. That doesn't happen in the, I wouldn't say rare, but this semi-annual patient that comes in here, who's not in some sort of a chronic stress response. Those folks generally are just gonna get heart Palpitations are not gonna get that.
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Hashimoto's and neuroinflammation. This was a request. And it's interesting 'cause all of a sudden I'm seeing neuroinflammation patients. This week, I've seen three and they're mostly post concussion syndrome, but you don't have to have post concussion to have neuroinflammation. And so neuroinflammation, inflammation of mainly... It's mainly inflammation in the brain. Okay. Neuroinflammation of brain can cause a lot of different symptoms, as you can imagine. But how does Hashimoto's play into that? It plays in that so many different ways. You have to realize that I hope that we're at a point where the people who are watching, those of you who are watching regularly or people who come in here and we explain it to them, that Hashimoto's is multiple different vicious cycles. Neuroinflammation can cause Hashimoto's and Hashimoto's can cause neuroinflammation, for starters. Okay. And then that can affect your endocrine system, it can affect your digestive system. Your digestive system can affect brain function. And so I just want you to have that kind of context for what I'm about to say. So neuroinflammation in the brain. So first of all, the brain... Back to basics. Okay. And so first of all, the brain needs lack of oxygen. You don't have oxygen to your brain and I get the Hashimoto's thing. Okay. So I am layering to that. So if you don't get oxygen to the brain, you're gonna get inflammation. Okay. If you have blood sugar imbalances, then blood sugar imbalances, you fatigue after meals, you fall asleep, you get more energy after a meal, you feel really great, but two hours later you fall asleep. Then you either have: The first one was instant resistance. The second one is functional hypoglycemia. You have either one of those every time you fall asleep, it's an inflammatory response. If you have a poor blood brain barrier, if you have a poor gut barrier, you're gonna get that inflammation in your brain. Actually, you're gonna get into your brain anyway, because the blood sugar needs to be stable in your brain. So oxygen, so blood sugar and then you need proper essential fatty acids. Well, if your gallbladder is not working, if your liver is not working properly, even if you're eating like six fish a day, you're not gonna be getting enough essential fatty acids to your brain. Essential fatty acids in your brain are dampening to inflammation. So two of these things create inflammation. One of them dampens inflammation. And then the other thing, your brain needs is no inflammation to work right. And that can be a ton of things depending on how the system is broken down. So how does this relate to Hashimoto's? So directly, Hashimoto's decreases blood supply to your frontal lobe, which is about half of your brain. It's like this whole front half. And it's the part where you think and it's your executive function. It's your mood, it's like your motivation, it's your thinking. They call it your executive function. It decreases blood supply to your brain while there's your oxygen, gone. Inflammation, low oxygen inflammation, low oxygen, I can't think, low oxygen, I'm fatigued.
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Martin P. Rutherford, DC
1175 Harvard Way
Reno, NV 89502
775 329-4402
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"How to treat Hashimoto's." They're about a few hundred hours online on this, but still we get an awful lot of people that says, "Well, how do you treat Hashimoto's?" So, let me see if I can answer that question, like in a succinct manner. And this has been a question literally that we have struggled with since the day we started treating Hashimoto's which was a long time ago. We were probably one of the first ones in the pool doing it as far as functional medicine went. And people would come in back then and they say, "Hi, you know, I have Hashimoto's and I'm taking these tests," oh no sorry, "Taking these medications and nothing is happening." And so I would start to explain to them about the gut and there's the diet and all these types of things. I mean, that is like 20 years ago or 12 years ago or 14. It was a long time ago. People started glazing over their eyes and glazing over and they'd go, "I just wanna know if you are like an ABBA botanical who treat Hashimoto's." And they would be totally crushed. Like, okay, they don't get it. And it was pretty understanding at that point in time that people didn't get that. And the problem is, we have this model, okay? And it's a pathological model. And the model is, I have lupus and they give me, you know, suppressants. I have a bacteria infection and they give me antibiotics. I have a heart problem and they do a heart bypass on me. So we have this very linear one-to-one idea of treatment, which is a big part of the reason that we're in the predicament that we're in, in this country right now. With frankly, an explosion of sick people. And this video for future posterity of people who are watching this is being done at the time of COVID-19. And I don't think it's understating the stress that also comes from that, plus it'll be interesting to see in the future what happens with this but there's a hugely divisive presidential election going on. You put those two things together and there's a lot of stress out there. And so, these things are along with so many other things, the food supplies and right now we're in the process of this humongous fires in California. Where we know, haven't seen this you know, blue sky like in weeks, actually we saw it this morning but it's supposed to be gone by this afternoon. And there's chemicals in there. So we're in a position where literally our physiology is being overwhelmed with toxins and food diets and all this type of stuff. We have a new patient population and that patient population is not well, it is declining. It is declining in health, more drugs, more sickness, more autoimmunity more chronic disease and more Hashimoto's Okay? And that's kind of my lead in, how do you treat Hashimoto's? Look, you're looking for the Cliff Notes, how do I treat Hashimoto's? Whether you realize it or not that's what you're looking for. You're looking for the aggregated version of it. Because, as I've talked about many times there's a hierarchy to how you treat it, in the past year or two I've been talking about, the fact that there's 39 triggers.
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Martin P. Rutherford, DC
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The question we're getting lately is: you keep talking about these 39 triggers. What are they? I'm thinking that the thinking there is, "If I could just know what those 39 triggers are, I'm going to be able to take care of myself." That may or may not be true. Just for the record, I know at the 39 triggers are and I have to do a lot of work to figure out how to help people to get where they want to get with these 39 triggers. But we're going to reveal the 39 triggers.
So, what's a trigger? Okay. The triggers we're going to reveal ... and listen, full disclosure. This comes from above. This comes from the people who are doing research on this. The chart I'm going to show you comes specifically from a seminar that I went through with a doctor, Datis Kharrazian, who apparently is becoming more and more popular online. As he should be. But these 39 triggers are dripped to us over a period of three days with a lot of explanation to each subsequent one.
A trigger is basically this. You have an autoimmune problem, meaning your immune system has become sensitized to certain tissues in your body. If it's your thyroid, obviously it's your thyroid that's getting attacked. If it's rheumatoid arthritis, it's your joints. And so on and so forth. The medical approach to the triggers is nothing. The medical approach is to crush the immune system. Basically, to give you immune suppressants, things that bring your immune system down, which stops them from flaring up when you expose yourself to these triggers, and stops you from flaring up, and then stops that attack on your tissues.
The problem with that approach is you don't want to have your immune system suppressed for long periods of time. You start getting colds, and flus, and viruses, and infections, and you start not being able to get over them and things of that nature. So, triggers have been categorized into by people in the immune field into dietary proteins, which is a little bit more than just allergies. Dietary allergies. It's a little bit more than gluten, which is a big one. Lifestyle factors, chemicals, and then pathogens.
Now, I'm answering the question here: "What are the 39 triggers that you keep referring to for Hashimoto's?" There is a lot more triggers for autoimmunity in general. And the key is to figure out. Not to try ... well, you could. Not to try to take an herb, or a botanical, or make every single dietary change I'm about to tell you is a trigger because you'll probably go crazy. But a lot of you are going to try to do it anyway, and that's fine. I'm good with that.
So, the triggers ... I'm just going to go through them, because I can't go through them. There's 39 of. If I spent, as I've just been told, one minute on each of these people are going to be like ... So, we're just going to give you. These are the 39 triggers that are known to date in the literature and in the research that have been definitively and definitely defined as triggers. Not just to autoimmunity, but that specifically raise antibodies to the thyroid of a Hashimoto's patient. I'm just going to read it.
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Something I've been actually studying a little bit more lately. It's a topic on which are a lot of different opinions as to when you do it and why you do it. So, to understand that you need to understand Hashimoto's. For those of you who have not seen any of these videos, Hashimoto's is an immune attack on your thyroid. It's the number one cause of hypothyroidism and people get hypothyroid symptoms, overweight, fatigue, can't sleep, the bowels, the backing up, constipation, dry skin
Usually on the shins, you can have puffing of the face, dry mouth and you can have dry eyes. There's a ton of things that you get with the hypothyroid aspect of it. Then eventually you start to develop hyperthyroidism from the immune system attacking it. As immune system attacking it, you destroy tissue, there's the cliff notes version, you destroy tissue. It vomits out a bunch of thyroid hormone and you can get anxiety, and you can get heart palpitations for no reason at all, and tremors and night sweats. A bunch of more hyper symptoms, so that's kind of Hashimoto's and so the point is it's actually a thyroid problem first, and then it's an autoimmune problem. Actually, I would say it's actually an autoimmune problem first
And a thyroid problem second. Basically what happens with that patient is they go to the endocrinologist. Endocrinologist today says you have Hashimoto's but it really doesn't change initial treatment. Most endocrinologists are gonna look at your normal thyroid panel, thyroid stimulating hormone T3, T4 and not run a full panel. Then they're going to give you thyroid hormone and maybe it gives you a little bit of a brief break and you feel a little better for a little time, but as long as this is going on, as long as you're getting attacked, it's not going to work for a lot of people. In those folks for whom it doesn't work, there is a second and a third option and the second and or third option, depending on who you're talking to is radiation and or surgery.
We're talking about radiation today. Radiating a thyroid for me would be a third option just for the record. But radiating thyroid, you basically take a pill. There's radioactive iodine, something that I really can't imagine I would want in my body, but that's how they do it. Then hopefully they dose up enough to where your thyroid dies. Radioactive iodine kills your thyroid radiation coach with heart. Now we have no thyroid and the question usually is, alright, I don't have a thyroid now they're telling me I'm going to go into hypothyroid period, and then they're going to control it with the medication. Now I was seeing a couple, probably a few hundred of these cases and over a period of time, I've been doing this.
Obviously that's not always true. I don't know what the percentages of people for whom that doesn't work, but it's enough to where I've seen several hundred of these myself. So, what happens, a couple of things happen, first of all, it's a thyroid problem that is being attacked by an immune system and you have an immune problem.
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Stress and Hashimoto's I think was the question that I am kind of going with today. Does stress affect Hashimoto's? Does it cause Hashimoto's? No, it triggers Hashimoto's, it creates stress, creates inflammatory process. Stress does a zillion bad things to us, and it all starts with the adrenal glands. The adrenal glands are our stress management glands. When you go into a fight flight response, a stress response, a lot of things happen in that adrenal gland to offset physiology. It slows down your gut, it causes you to have constipation so you're not detoxifying the increase in cortisol. When stress occurs, there's a hormone called cortisol and it goes up and it goes up a lot. It goes up to make stress hormones, or it is, it goes up because it's the stress hormone being made instead of making something else. Cortisol has a bad effect on blood sugar control but it has a worse fact on inflammation. Too much cortisol will cause inflammation, inflammatory responses will then in turn cause an immune inflammatory response against your thyroid. So that's like, so that's one of the direct pathways. I mean, your thyroid works specifically in tandem with your adrenals, and that's really the core of how stress affects your thyroid. When your adrenals have been under stress a long time, your metabolism goes down and when your metabolism goes down, everything goes down. We just did one on female hormones and we talked about when metabolism goes down, everything goes down and your estrogen goes down. Your estrogen goes down, then you can't make babies so stress has a big, big effect on that. And then that in turn has an effect on your thyroid, thyroid and female hormones and thyroid and male hormones have a actually what they call a crosstalk with each other.
Stress causes under conversion of T4 to T3 so what that means is, your thyroid makes a hormone called T4 mostly 93 to 97% of the hormone that you make in your thyroid is T4. It's not active until it gets somewhere like the liver or the intestines or the cell sites. For it to get there, certain parameters have to be met. If there's inflammatory responses going on from stress, these proteins that carry the thyroid hormone from the thyroid to where it needs to get, can't do that. You may have perfectly normal thyroid hormone numbers, but you might be stressed and that might cause you to not be able to convert. It's called under conversion, your T4 to T3. Basically what happens is, is you're not getting active stuff into your active thyroid hormone into your cells and you're tired.
Stress indirectly affects thyroid hormone, as opposed to just directing directly hitting the thyroid and and the cortisol that we talked about, that high levels of cortisol. So when cortisol goes up, one of the main things it does is it dumps blood sugar out from your liver. It's primarily designed to do that in the middle of the night when you're on a fast and you're like sleeping, and you're not eating anything for 8, 9, 10, 11, 12 hours, and your blood sugar keeps going down cause you're not eating anything and your brain needs blood sugar.
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Martin P. Rutherford, DC
1175 Harvard Way
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The question was tell me about Hashimoto's encephalopathy and that's interesting cause it's something in all the years I've been studying, things have always kind of just blown off because encephalopathy means abnormality of the brain and Cephalon means brain apathy means abnormality, right? I kind of equated to peripheral neuropathies in a sense that peripheral neuropathies are abnormal dysfunctions of the peripheral nervous system, like the hands and the feet, but there's a hundred different things that cause peripheral neuropathies. Hashimoto's encephalopathy has always struck me kind of like that. And I never really had my attention directed to it until this kept coming up as a question as to what is it. So decided to kind of look into it a little bit further, especially since I actually am going to be studying this specifically in about a week in a class I'm going to, and I happened to have data on, so I'm actually using notes on this particular subject because I wanted to be very clear on it because it's something I've always kind of thought, ah, what's an encephalopathy.
I mean, one of my teachers, one of the teachers that I look to for good data in addressing brain function, encephalopathy as a brain abnormality would say, don't overthink it. It's all inflammation, all the things that caused the brain that were problem, it's all inflammation. You just got to dig and find out where the inflammation is, that kind of fits Hashimoto's encephalopathy. Let me just read to you what my notes say for the class, for the upcoming class that I've got here, Hashimoto's encephalopathy also known as steroid responsive encephalopathy inflammation. You'd give the person a steroid and all of a sudden their symptoms improve associated with autoimmune. Thyroiditis is a neurological condition characterized by encephalopathy, have normal function of some different part of the brain, thyroid auto immunity. In this particular diagnosis and they have a million diagnosis's out there now for every single symptom that there is. For this particular diagnosis you would have Hashimoto's. So you would test positive for the antibodies and a good clinical response to steroids.
You would take corticosteroids for the brain symptoms and you would feel better, this is what they call Hashimoto's encephalopathy. I gotta tell you, that's almost, that's a lot of the Hashimoto's cases that come in here. After further reading it says it's associated with Hashimoto's thyroiditis. It was first described in 1966. It is sometimes referred to as a neuroendocrine disorder, something between the brain and the hormones, the endocrine system hormones blood sugar, thyroid, adrenals, all that. Although the conditions relationship to the endocrine system is widely disputed, It's recognized as a rare disease, which I did consider a rare disease, which is why I never really looked into it. By the national Institute of health, genetic and rare diseases information up to 2005, they're almost 200 published cases reported of the disease. But between 1990 and 2000, 43 cases were published, suggesting that this rare condition is likely to have been significantly underdiagnosed in the past.
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Hashimoto's versus graves' disease. And although they are seem to be two cataclysmically different conditions, they're not, in fact they have a bit of overlap. So autoimmunity is involved in both of them. So both of them are auto immune problems. Both of them are as a result of the immune system attacking an aspect of that, their thyroid physiology, but in Hashimoto's it's one aspect of integrase. It's another aspect in Hashimoto's the thyroid peroxidase enzyme is attacked and, and far less frequently the anti thyroglobulin tissue is attack. And what that means is there's an enzyme in Hashimoto's that's attacked that actually makes the thyroid hormone it's called the it's called the thyroid peroxidase enzyme, and it takes off, it takes the iodine and the tyrasine. So in T so in thyroid hormones are the main one that's made in thyroid is called [inaudible].
So it takes the T, which is tire scene. And, and the enzyme puts that T together with the four, which has four iodines. And then that makes your T for, and when you have disruption of that, when you have an attack on that inside you will, you will tend to make a lot more thyroid hormone. And when you get an attack on and as you're doing that, it damages thyroid tissue. So you start making less thyroid tissues. So between you making less thyroid tissue and for the small group that have anti thyroglobulin hormones, these are I'm sorry, enzymes being attacked. Then the, then those enzymes are actually attacking the tissue of your thyroid, the actual tissue that makes your thyroid. And so between those two things, you can get, you can get hypo thyroid, and that's hired in a hair falling out in the, in the constipation and the, and the deem around the ankles and dry skin and all these different things from everything slowing down, and then intermittently in Hashimoto's, you're going to get an attack on that enzyme that makes more thyroid hormone, and, and you're going to, and you're going to get jittery if you've got both of them at the same time.
Sometimes when you get the anti thyroglobulin antibody attack, meaning the one that's attacking the actual tissue. Sometimes when you get the destruction of that tissue, that destruction alone, vomits thyroid hormone out into the bloodstream for a little bit of time, and that causes the, the heart palpitations and the anxiety and the panic of that. So, so the uniqueness of Hashimoto's is you get mostly hypo thyroid symptoms, the fatigue, the hair, falling out, the eyebrows, going away, the skin going away, the overweight, the constipation, all that, and then intermittently, you're going to get hyperthyroid. You're usually going to be overweight. If you have Hashimoto's thyroiditis, there is a small percentage of hypo of Hashimoto's patients that actually are thin and have more of the symptoms of what we're about to talk about with graves. They're they're, they have more hyperactive symptoms and, and, and so they share that characteristic with grace as these other two distinctly different diseases.
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No Thyroid and Hashimoto's. In other words, we're going to be talking thyroidectomy, the doctor has taken my thyroid out and I'm still getting symptoms. I'm assuming that's what the inference was in this topic that was requested. And we did kind of did something like this previously in which we talked about Hashimoto's and radiation therapy. And and, and so, but there's similarities again, we talked about it relative to radiation therapy versus thyroidectomy, but, and thyroidectomy, basically what happens is you've gotten, Hashimoto's the immune you're, you're, you're getting hypothyroid symptoms from your immune system, attacking your thyroid for so long. You're getting tired, fatigue, hair falling out your guts. Don't slowing up. Your stomach's giving you acid indigestion, your constipation just a skin is drying out a number of things. And and so then after the attack is taking place for a while, then you start getting hyper symptoms.
You start getting anxiety, panic attacks, maybe even a big one is heart palpitations for no reason at all arrhythmias insomnia night sweats in word tremors. These are all hyper symptoms from the thyroid, getting attacked tissue, being damaged, vomiting out a bunch of stress or not stress hormones bombing out a bunch of thyroid hormone T four and T three. And, and I was getting jittery. So, so that the person who's wanting to know about thyroidectomy or, or my thyroid's out probably went through this, probably got medication and the medication didn't work. Maybe, maybe it worked, you know, for a few weeks, maybe it didn't work at all. Maybe it made the person worse. Maybe they kept switching one medication from synthetic and natural and, and, and the whole deal. And nothing's worked. Your TSH is perfectly normal. Now the, the, the gold standard TSH T three T four, but you still have all these symptoms and you don't have a thyroid.
And, and they told you, it's no big deal. We're going to take your thyroid out. You're going to be hyperthyroid and we're going to manage it, equate it to your to your to your hormone levels. Here's the problem. They're managing this. They're managing the thyroid. They're not managing this the immune system. So, so the immune system is still there. They take your thyroid out. You might have antibodies. These are antibodies that are causing the immune system to attack your thyroid and create inflammation in your thyroid. Okay? These antibodies, maybe they're 500, maybe, maybe, maybe the reading on them. When they take your thyroid peroxidase enzyme test, maybe it's like 500 normal, zero to nine, and they take your thyroid out and it has less to attack. Maybe the antibodies clean up a little bit, but they still stay there. They don't go away. You can get bacteria in your gut, bad bacteria in your gut that can actually break down. And then the the leftover pieces of the cell walls of those bacteria can get through your leaky gut, which is probably caused by your Hashimoto's and a number of other things. And then that can make its way around your system that can create a lot of inflammation can cause joint pain, a lot of other different things. But one of the biggest things that it can do is cause your insulin to not work, right?
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Why can't I lose weight with Hashimoto's or better yet? Can you guarantee I'm going to lose weight when you treat my hush? And the answer is kinda, I guess, no guarantee guarantee, but, but yes, maybe. So why can't you lose weight when you have Hashimoto's? So Kashi motors is a multifactorial disease. There are so many things that are involved with Hashimoto's as far as attacking the thyroid and the thyroid affects so many aspects of your physiology. If you keep it simple Hashimoto's, I'll step back to, to, if some comes in here and says, I can't lose weight and I've done everything I've tried. I mean, I've changed my diet. I've eaten every diet. I've gone to weight Watchers. Jenny Craig, I, I run my bike 20 to 20 miles a day and I try to HCG when I only eat 500 calories a day. And it just the whole thing. And I can't lose weight. It's either going to be a mismanaged diagnosis of your thyroid mismanaged thyroid. It's going to be mismanaged gut problems, which can be caused by thyroid. It's going to be mismanaged blood sugar problems, or it's going to be mismanaged stress responses.
I've talked about each one of those others is why we, you, you can't lose weight, but let's just stick with the thyroid. So in the end, Hashimoto's is a autoimmune thyroid disease. Primary problem is a, an attack against the thyroid. And I found out a couple of weeks and a couple of weekends ago that that there are 39 triggers for Hashimoto's that we know of. Now, a lot of them are, a lot of them are food, sensitivity triggers, and these things will beat up the thyroid. I'm keeping this very simple. Okay. Cause I'm trying to keep these things at five, six, eight minutes. Okay. So, so the thyroid gets beat up, get beat up. It gets tired. It starts, you know, you start damaging tissue. It's not, it's not, it's not making enough thyroid hormone most, but not all. Most some, some Hashimoto's patients have trouble putting on weight, but most Hashimoto's patient can't lose weight because everything slows down.
They're not making, they're not putting out enough T3. They're not putting out enough T4. So the gut slows down. So the gut slows down. Now you get leaky gut. Now you get, now you get now you get, maybe you get small intestinal bacteria overgrowth maybe you're not digesting your food properly. Maybe you're, you're not absorbing nutrients properly. And, and, and so everything kind of slows down your bet and all of that leads to you not making enough energy in yourself in the end. You know, you're not making enough energy. It's the old, it used to be the old, well, you gotta go eat less calories and go and, and, and, and, and exercise more. And that for some people, but it doesn't work for Hashimoto's people because all of that stuff goes to cause you to not get proper nutrients to your do yourself.
Mitochondria are little organelles in your cells. They make energy. You're not making energy. You're not gonna lose weight. I mean, you're not going to lose weight. Those are the energy things. So you can exercise, exercise, exercise session. It doesn't matter. You get an imbalance in bacteria. In your gut, you can get something called a lipopolysaccharide small intestinal bacteria or regrets.
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We're going to talk about Hashimoto's and joint pain, so Hashimoto's and joint pain Hashimoto's and joint pain. I mean, they go together, you know, frequently
And so Hashimoto's, uh, hopefully it is not the first time you're watching this, but if you are Hashimoto's immune attack on the thyroid autoimmunity immune inflammation on the thyroid, if you're not familiar with Hashimoto's and what it is, I mean, we, we must have a couple hundred hours on that, on, uh, power health, uh, talk.com and you can just look up Hashimoto's and, and, and we talk about the full breadth of Hashimoto's, which is quite expensive. So Hashimoto's is an autoimmune attack on your thyroid. When you get an autoimmune attack on your thyroid, lots of things happen because your thyroid controls every
Single, metabolic process in your body, even though it's closely related to, um, energy and metabolism. And it has a receptor site in every single for there's a receptor site in every single cell in the body for thyroid hormone, um, to create energy, that energy in turn that it creates in your cells runs everything. Okay. So I was not running everything. A lot of things slow down and you're going to say, Oh, here he goes again. He's just going to tell me how everything's slowed down. So I'm going to be a little bit more, it's going to be a little different on this because, because Hashimoto's is, is, is, um, you know, it's a thyroid problem. Immune system is attacking the thyroid. There's a lot of inflammation involved. There's a lot of inflammation and causing immune systems to flare up and then attack the thyroid. A lot of things happen when that happens.
For example, when you get the thyroid attacked, one of the things that happens is you attack the thyroid and you damage tissue. Well, this tissue doesn't just disintegrate into thin air. This tissue goes into your system. And with that tissue going into your system, you get, um, you get a lot of, uh, um, thyroid hormone going into your system because it's in that tissue. So you not only can get, uh, anxiety and you can not only get jitters and panic attacks and stuff, but you can get pain you because that isn't highly inflammatory response. And it's kind of interesting because thyroid hormone in and of itself also is the thyroid hormone itself T four and T3 are, are steroids. And they, they, so they dampen inflammatory responses. They damper what's called oxidative responses. If oxidation is like wear and tear on your system, inflammatory responses are everything that happens, creates an inflammatory response.
So your thyroid hormone works towards that. You start destroying that, that starts to become not a mechanism that's not happening real well. Now we go to joint pain. What causes joint pain? So joint pain is interesting because joint pain, uh, it can be, it can be something directly related to your joint that the Hashimoto's turns on. So for example, there is a now a significant component and significant understanding of, of the relationship between rheumatoid arthritis and Hashimoto's, they're both autoimmune conditions. You flare up, Hashimoto's, that's going to flare up inflammatory responses.
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Hashimoto's and vaginal dryness. And this is, this is kind of part of a slightly bigger picture of uh Hashimoto's and, um, and just female hormonal imbalances in general. I, it hit me, it just hit me a couple of days ago that almost everybody in the last two or three weeks, almost every female in the last two or three weeks who has come in here, um, for, for care has had, uh, alternating menstrual periods, heavy bleeding, low bleeding, um, hot flashes, uh, consistently vaginal dryness. And most of them are taking some sort of hormone replacement therapy for that. Of course. So, and they're not particularly people who are in menopause, these are Hashimoto's patients. So Shimoda is, is just crazy. As you, as if you've been following along in the series, it's insane. All the things that it affects. And it's because I should, Meadows has a receptor site, your thyroid has a receptor site to receive your thyroid hormone and, and, and then get hooked into the cell and have it make energy and every one of the trillions of cells in your body.
So, and it has a direct relationship to your female hormones. If a person comes in here with a female hormonal problem, um, first thing we're going to look at is, um, all of the physiology that would be abnormal, that would cause you to have a female hormone problem. If it's not a pathology. In other words, if you've gone to the doctor and you don't have like a tumor or something like that, or, you know, have endometriosis, you don't have ovarian cysts or something along those lines. Um, or even if you do have like ovarian cysts, but, but if it's not a pathology, a cancer, something like that, there's an abnormal imbalance in your system. It's going to be, it's going to be adrenals or stress or things that are stressing out your adrenals. It's going to be blood sugar. It's going to be, it's going to be a poor liver clearance of, of, of your, um, hormones, your estrogens and progesterones and all that type of stuff.
Uh, poor, essential, fatty acids and poor blood sugar. All these things interfere with the feedback loop, the production of the, the ability of your hormones to hook into the receptor sites. It just, they all just affect hormone physiology. Almost nothing affects hormone physiology more than like Hashimoto's, Hashimoto's hypothyroidism, Hashimoto's hypothermia in the end. Everything's just, fluxed down. Okay. When you have hypo, when you have the Hashimoto's hypothyroidism or you're tired and you're slow, and everything's just like dragging, and occasionally you get your, you know, your bowl or you get anxiety or, or heart palpitations for no reason at all or insomnia or, or something like that. But most of all, you're in hype. Most of are in hypothermic. What's the small exception, which I'm not going to get into. So, but it slows everything down. And so it slows down. It slows down your, your hormones when they're made, they need to be made.
They need to be used. They need to be cleared. They need to get out into the toilet. And then that whole mechanism tell it creates a certain balance in you.
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Martin P. Rutherford, DC
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Reno, NV 89502
775 329-4402
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Hashimoto's and Botox. And I think this is a very, very, very important topic. Um, and it's, it's, it, it's something that has become more understood in the world of Hashimoto's just recently. Okay. I have a paper in front of me and it's, it's a picture of a time magazine article. Okay. Fairly recent. And the article is about how Botox is becoming used for depression, heart trouble. It says, forget wrinkles. Botox is now being used to treat migraines, depression, heart conditions, twitching eyes, overactive bladder, sweaty pumps, and more for some of you who may not be familiar with Botox, it's a neurotoxin it's called CRA Clostridium botulinum. It's a neurotoxin. It paralyzes nerves. When you inject it in that area, the article goes on to say some, call it a Marvel of medicine, others caution that the risks are still unknown. So I'm about to share one of the unknown risks with you that is now it's known, uh, the, the researchers who are researching this are kind of tiptoeing into it.
Cause there's a lot of players in the Botox field. If you will. Um, there was over 252.5 million, um, shots of Botox given last year for these, um, issues, but also for cosmetic issues. And what they're now showing is that Botox is a bacteria. So it's a bacteria that paralyzes the nerves. So you can put a shot into an area where you have wrinkles. It will paralyze that area. The whole muscle will relax and the wrinkles will go away. You can put a shot into an area where a nerve is as over firing. And, and so you put that in there. And the next thing you know, that nerve stops over firing frequently in here from migraine headache. Okay? So it's certainly tempting because it's quick, it's easy, it's a shot and it works an awful lot at a time for what they're using it for. However, this bacterium is Clostridium. Bacteria happens to mimic. It's called molecular mimicry and it's involved in Mo in most thought of immunities in a, um, in, in Hashimoto's there's a classic molecular mimicry pattern where there's molecules and on a gluten protein that look exactly like molecules on the thyroid tissue, which look exactly like molecules on your cerebellum. And it's called the molecular mimicry. And what that means in English is you get an attack on one of those things. You get an attack on that, gluten protein
And, and the,
The tissue here on your thyroid and the tissue on your cerebellum look exactly like the tissue that's being attacked on that. Gluten, if you have that, then you eat the gluten and you get all the sirens symptoms, you get all the cerebellar symptoms, dizziness, vertigo, balance migraines, blurred vision muscles that won't turn on and off. And you walk into your doctor. You put that together with all your Hashimoto's symptoms, your doctor standing there, glassy-eyed going like, what the hell is going on here? Right? That's what they're finding out that Botox does. And it's not small. One of the studies that I saw was that, um, relative to people, they did a study on a, it was a several hundred people who had Hashimoto's. Some of them had no symptoms. They saw that if they took a shot, that the antibodies would skyrocket that the, that the immune attack on the thyroid would actually skyrocket.
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Martin P. Rutherford, DC
1175 Harvard Way
Reno, NV 89502
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Fibromyalgia and Hashimoto's as you know, we've done a lot on this over the years. And again, there's a lot of this on our, on our, on our power health talk.com site. And you can look up Hashimoto's and, and, and you can look up fibromyalgia and usually have Hashimoto's and fibromyalgia. But, you know, it's interesting that this was the question of the week, so to speak and, and, and it's how it's, it's kinda how it started. It's kind of like how this whole thing started. You're you're looking on Google, you're looking on the internet and you're getting all this stuff. It started back in the nineties with chronic fatigue, immuno deficiency disease, and, and everybody who had that back in the nineties, it was considered, uh, a nut case, you know, like you need to go see the psychologist. And, um, and so, uh, so it started out with that, with chronic pain, with the alternative healthcare guys going, no, they're not crazy.
You know, they, they, they, I can feel it. I can feel they're tender, they're sick. And, and, um, and so everybody's looking for the answer back then. People who are, people are looking for like, Oh, it's heavy metals sometimes. Oh, it's all parasites, that's another whole topic. But sometimes, um, and, and, and on and on and on, there was all kinds of theories on Epstein BARR virus. We now know Epstein BARR virus is one of 39 different triggers. Okay. So we went through that whole thing. And, uh, it was a, it was, uh, discovered at one point in time that, uh, by, by a couple of clinicians, that all of a sudden, they started to realize that all of their five, that it morphed in from chronic fatigue syndrome to fibromyalgia. Cause because a lot of the pain and then it morphed into I'm calling it fibromyalgia.
And then sort of certain clinicians, they started to realize that every fibromyalgia patient there was, had some sort of abnormal thyroid problem. They all had, they were all on thyroid medication and that the thyroid medication, um, wasn't really helping because their thyroid numbers were still all over the place, further investigation into that was when it was discovered that these were not hyperthyroid patients. They all had Hashimoto's. And so there was an original, um, there was original understanding of that. There's a whole story to that, and it was solved, but in the end, fast forward about 20 years now. And what we now know is when you get Hashimoto and who's the fibromyalgia patient, fibromyalgia, patient overweight, fatigue, tired, uh, constipation, uh, pain, everywhere. Some people have painted or torso. Some people are paying here. It comes and goes. Some people have bilateral carpal tunnel syndrome.
Some people have no pain shooting down their arm and peripheral neuropathy. They've gotten a check everything's normal, you know, how could everything be normal? And it turns out that so much of this is related to Hashimoto's, like I said, fast forward 20 years later. And, and we now know Hashimoto's is connected to, well, let's just start with the brain gut gut brain thing. And the Hashimoto's got thing.
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Martin P. Rutherford, DC
1175 Harvard Way
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Hepatitis C and Hashimoto's. I have one of these cases going right now. That's why I kind of thought this would be a good one to do. Just maybe think, I don't think we've ever done this one before. So, so hepatitis C it's, it's a, it's a, um, curable that this is going to be the key. It's a curable form of have a Titus. Okay. There's was hepatitis a, B and C. Hepatitis B is, is incurable. Everybody pretty much agrees with that. And, uh, but, and, and a and C are, are, are thought to be curable. But if you read in some of the literature as I have done, and, and you'll see, even in the research literature that is, um, printed, that where they summarize the, the research project, and then it ends up in a journal for Hep C they'll actually put Hep C is quote unquote curable.
So those quotation marks mean a lot. They mean you can take the treatment and the Hep C virus will become deactivated would probably be a better word for it will become the activated. And, um, but, but that Hep C virus will then become what we call a stealth pathogen. In other words, it doesn't go away. Okay. It's like becomes dormant. All right. It's still in you. And those of you who are familiar with Epstein, BARR, virus, most people I say I've seen more virus. Do they go? Yeah, everybody's got it. It's kind of like that when, once you get it, okay, it's not as prevalent as Epstein BARR, virus by any stretch of the imagination. But once you get it, you got it. And here's, here's the deal. So if you have Hashimoto's and you are just bopping along, let's say, you've come to us and we've got you all wired, and life is good and you're eating right.
You know what your sensitivities are. And you're taking care of the different, uh, parts of what we call the physiological web of the connections between your thyroid and your liver and your thyroid and your, and your gut and your thyroid and your brain and all these types of things. And we'd figured all that out for you. And life's good. You know, we, haven't seen a year and a half and all of a sudden you go, you call us and go, Oh my God, everything came back like everything. And I'm getting a swollen thyroid and it's swelling and it's not swelling. And it's, and I'm getting anxiety. I'm getting pain. That usually is going to be some sort of a pathogenic infection or a chemical exposure. Usually when it's that rapid in the end and the thyroid starts swelling and stuff like,
You know, I, so I had a gentleman that, that I'm working with. I hope you're not watching. Maybe you are watching, but I've John I'm working with. We had this conversation. He'll, he'll he'll know we had this conversation like three weeks ago. And he was you. He understood that it was cured as dr. Tom was cured, but I don't think it was cured. It was cured. But, but, but it there's a good chance that his picture is so clinically appropriate to what's going on here. It's a good chance that the Hep hepatitis C, which set off this gentleman's problem in the first place years ago, okay. Has been activated. What would activate it? Well, stress would activate anything that brings you down. It's kind of like, when do you get a flu? You get a flu when you're compromised. Who's who, you know, who gets the flu.
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Martin P. Rutherford, DC
1175 Harvard Way
Reno, NV 89502
775 329-4402
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Hashimoto's and Low Dose Naltrexone. So I, this is kind of an interesting topic to me. Uh, and, and so low dose naltrexone is now being used by mostly alternative medical doctors for Hashimoto's. And the reason it's interesting to me is because Hashimoto's is an auto immune disease. So, so having been in the Hashimoto's pool, probably since the inception of people realizing that Hashimoto's was an actual cause of their hypothyroidism, um, have watched the medical community struggle with this because they're kind of boxed into it's a thyroid problem when it's actually an autoimmune problem. And they were, and they were totally boxed into that for probably the first 10 or 11 or 12 years that I was aware of, of, uh, of, of Hashimoto's. So you would go to the doctor, they would, they would look at you, they'd say your thyroid is normal and they would, um, and then all of the symptoms that you got a Hashimoto's, they would treat with a different medication.
So if you had constipation, they give you some for that. And if you had pain, they give you something for that. And if you had migraines or if you had the, um, or if you're overweight, they, they would try to give you something for that. So, so that's kinda how it was the fact that, that it was an auto immune problem was, was not even like considered. And then later on, they started getting a little bit more than the medical community started getting a little bit more like, okay, this is, this is an autoimmune problem, but we're still just going to give you the TSH. And we're still just going to give you like all these drugs for all the different symptoms that the Hashimoto's is actually doing. And then, and then just in the last couple of years now, I'm in Reno, Nevada, and this, this has been an kind of, I know people think of Reno, Nevada.
They probably think more like casinos and divorce and, and, and, and things that we've been gambling, you know, and, and, and, and things that we've been famous for prostitution that we've been famous for forever. Right. They probably don't think that we're an alternative Mecca, but this was like the alternative Mecca of the country for years in the seventies, early eighties. Uh, because if we had all those other things, then why not have alternative medicine, right. When alternative medicine wasn't very popular in any of the other States. So we have a lot of alternative medical practitioners here, and they're kind of forward thinking. So this group seems to have started thinking, you know, this is an auto immune problem, so maybe we should treat the autoimmunity. So a number. So I have a number of colleagues that will try hydrocortisone, which is an autoimmune, which is a, um, uh, anti-inflammatory, uh, steroid ish, uh, medication.
Why, because that dampens auto immune responses, um, that's pretty aggressive. And a lot of the doctors, um, the one that used to work here, as a matter of fact, I had a, I've had, I've had the pleasure working with a couple of osteopaths here over the years. And, um, and one of them really turned me on to, to the low dose naltrexone. So basically low dose naltrexone was another acknowledgement that it's not, it's the thyroid being attacked.
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Martin P. Rutherford, DC
1175 Harvard Way
Reno, NV 89502
775 329-4402
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Treating symptoms versus treating Hashimoto's and this is what most of the people coming in here are experiencing. Now in the day, when I started this, people came in, they had no clue at 15 years ago or whatever it was. People would come in, I'd say, "you got Hashimoto's," they'd say, "what's that?" We talk about how it's an autoimmune problem. They tell me the doctor said that we're crazy and, you know, we talked about diet and they're like, "how could diet affect my thyroid" and all that. Today it's not like that. Today, people are much more savvy, much more, if people are coming in and they've been on all the diets, a lot of times they're taking all the right supplements, but it's not working. You can watch all my other videos to understand why it's not working for those particular people when it's not working.
One of the things that I see a lot now is doctors are not kicking people to the side of the curve and saying, "you know, Hashimoto's doesn't exist or you don't have it." You have it. But even medical doctors, and even functional medicine doctors are practicing what I call a linear Hashimoto's protocol. I saw one yesterday, just what I said, they haven't figured out their food sensitivities yet, but they aren't frankly taking all of the right supplements, or all supplements that could be right. They're taking the anti-inflammatories, they're taking the turmeric's, they're taking the selenium's, they're taking the myoinositols, they're taking the magnesium and yet they're still here and they're still having all the problems. When you've gone to a functional medicine practitioner who's doing that, they're practicing a linear attack on there.
Those practitioners also have given you something for your stress, and they've given you something maybe for your bowels, and they've given you something for this. That's treating symptoms. It's more prevalent with the medical doctors. Basically what happens in the medical community, is you go to the doctor and you have 20 symptoms. They finally figured out that you have Hashimoto's, but they really don't get the full parameter of parameters of how you treat Hashimoto's. They don't. For example, I got this right here. This is what we call the web of Hashimoto's. There's 39 different triggers for Hashimoto's. They're all on this page. And some of our groups and some are not in the old, some of your right, trying to write all this stuff down. And, and so, so right away, you have to look at those and go, okay, which one of those parameters are involved for that person versus the next person person, the next person, this is the way that the mature at this point in time, functional medicine practitioner is going to is going to attack a case of Hashimoto's by looking at all of these potential triggers and figuring out which ones are the ones for this particular person, is this person not on both birth control pills?
Is this person not on birth control pills? Is this like have a viral infection? Do they not have a viral infection? And so on and so forth with a medical community? Does is they all look at your thyroid now, and now the thyroid for them is, okay, let's give you a medication.
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Martin P. Rutherford, DC
1175 Harvard Way
Reno, NV 89502
775 329-4402
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Today is going to be Hashimoto's. Should I take medication? This is kind of a new one for me, in a sense that the answer previously was different than what I'm going to give you today. I'll call it kind of encapsulate the entire subject here. Up until now, up until not that long ago, if a person came in here and they weren't on medication, and many of you who seek out alternative cares, don't want medication. Now, everyone thinking medication is bad and, I'm not never been entirely in that boat. There are different aspects of being ill. There's a very, very acute aspect of being ill and what you get, like a significant overwhelming infection. Sometimes maybe it's good to go get a medication and knock it out. Even if it's an antibiotic and then take a bunch of antibiotics and be done with it.
In my opinion, having done this, I've been there. I've tried knocking a lot of infections out with high doses of natural antibiotics and Oregano and these types of things and it doesn't seem optimum. It seems like when you have an acute, acute flare type of an issue, it seems to me like, it might be better to get the medication out of the way, clean up the damage, and then go on with it in a natural flow. In thyroid, I get the same thing. I get a lot of people come in, I don't want to be on thyroid medication ever. I want to be done. I don't want, and that's not always possible. If you've watched previous talks that I've done on this, our common procedure was if you are on a medication, stay on it. We will then modulate what we can, we'll find your triggers, we'll evaluate your case, we'll go through all of the things, the lifestyle, the triggers, the diet, finding stealth pathogens, whatever we have to do to get the immune system under control. Then at that point, you can determine whether you can do the job with herbs and botanicals, cause everything's been calmed down, or you can just stay on the medication because at this point in time, at that point in time after everything's been to the degree that it can be calmed down, put in remission, then your doctor can dose you much, much better, much, much better and it seems to be advantageous to do it that way in certain patients. I would tell people, if you were not on medication when you came here, 60 to 70% of our patients that were not on medication, or were on a small amount of medication for less than two years, that we could normally, 60 to 70% of time, we can get that person off the medication.
That's kind of changed over the last couple of months and this is not going to go across the board in the alternative field. I've affiliated myself for years with people who do research, people who are not just doing research, but also are clinicians who, in other words, they do the research but they actually treat and they use these protocols, and then they bring them to those of us who see their data as valuable. Over the last couple months, my mentor Dr. Kharrazian, who is very, very well known for being the person who wrote the book, "Why Do I Still Have Thyroid Symptoms When My Lab Tests Are Normal" has come out and not suggested when you're evaluating a Hashimoto's case, the TSH is now more important than we thought it was.
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Martin P. Rutherford, DC
1175 Harvard Way
Reno, NV 89502
775 329-4402
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Today we're going to talk about food sensitivities versus food allergies, and a lot of you out there going like, well, yeah, I know all about food sensitivities and food allergies. I can't eat gluten, I can't drink milk and so that's not exactly food sensitivities. It's significant in Hashimoto's, alone there are 39 different known triggers and that's what we know today. Next year, maybe we're going to know even more, I have no idea but 39s enough and among the leaders are certain viral infections. Not many, as weird as you might think, but certain viral infections, certain bacterial infections, there are certain chemicals. Not as many as maybe people might think, but when they're there, they're a big issue. Food sensitivities are significant, nutrient deficiencies are significant and then there's just a bunch of others.
Those categories kind of rule. Within each of those categories, there's a lot of different ones. I think food sensitivities, I put them as the most important. In some cases you could argue, they are, in some cases you could argue they're not. But from the perspective that, if you're eating a food every day that is causing your immune system to flare up and you're trying to figure out what's wrong with somebody cause your immune system is flaring up and then causing an attack on your thyroid and you're trying to figure out whether it's a virus, or whether it's a bacteria, or whether it's a chemical, or whether it's whatever you read on the internet yesterday. It's difficult to figure out because you're continually altering that baseline of understanding what's causing your symptoms and food sensitivities. Everybody comes in and they go like, "Oh yeah, I know what my food sensitivities are.
I can't eat eggs, I can't eat gluten, maybe I can't drink milk, maybe I can't eat soy. And I go, "how you know that?" They go like, "well, when I eat it, I get like, my nose stuffs up and I get headaches or my diarrhea comes back" or something along those lines. I say, "how quickly?" "You know, well, usually, you know, right away, usually sometimes within minutes, sometimes within half an hour or 20 minutes, something like that." That's not a food sensitivity, which is why I emphasize food sensitivities. As a food sensitivity is different, food allergies are actually created in the bloodstream, food sensitivities are created in the gut, and there's a number of reasons that they're created. But the main reason they're created is because your digestive check breaks down, your stomach stops digesting properly.
You're not making enough hydrochloric acid, maybe you're stressed, maybe you got a thyroid problem, maybe you got an ulcer, maybe you got H pylori, maybe you got a parietal cell antibodies. Meaning, you have automated gastritis. Usually it's one of those things. Then that can either set off your gallbladder, if you still have it, or maybe you don't have a gallbladder and then that doesn't break down the fats well. Then, both of those things cause your pancreas to maybe not work as well as it could, maybe it's not a disease and your pancreas, it's just not working as well because it's getting this food that's not digested and it's harder for it to digest.
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Martin P. Rutherford, DC
1175 Harvard Way
Reno, NV 89502
775 329-4402
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Hashimoto's and lack of dietary diversity and we're going to be speaking about lack of dietary diversity, specifically relative to vegetables. This is not new material, but it's not getting out there. The, data's probably three, four, five years old and when I tell you what it is, you're going to understand why it's not getting out there because nobody wants to tell their patients to do this, I think, but we've had tremendous success with this. Hashimoto's is an immune attack against your thyroid and you're looking for all the triggers and a good place to start is always diet. It's a lifestyle change and if you miss elements of the diet that are exacerbating, that person's immune responses, I don't even know how you go anywhere from there and figuring that out, it's not easy. I mean, we use autoimmune paleo diets. We use SIBO diets, we use paleo diets, we use oral tolerance diets, which we're going to talk about here in a minute. We combine those with diets for ulcers and things of that nature. Diets quite, quite significant. The aspect of food sensitivities is, probably to me, the most significant aspects of diet and figuring that out. Cause think about it, if you're trying to dampen immune inflammation and you're on Dr. Google, and you're trying the SIBO diet, but you're eating foods every day that are flaring up your immune response in your intestines or you're on the leaky gut diet, or you're on the autoimmune paleo diet, whatever diet you're on. I mean, if you're flaring up immune inflammation every day by eating foods that you're sensitive to, and you don't know that because the response to that food isn't occurring until a few days later, you're going to be the person that comes in and says, I've tried everything. It works for three days a week or two, and then it fails. Diet is huge, huge, huge and this oral tolerance thing, this variety of foods is really proven to be important.
In fact, we're helping cases right now that in the past, we literally just couldn't help when we would miss this with a patient. And in fact, we're starting to implement this in some manner with almost everyone eventually. So what is it? So here's what it is. There was a study that was done a couple of years ago on the microbiome in Harvard and basically they studied every microbiome on the planet. Everyone, every month microbiome is the three, or four, or five pounds of bacteria that's in your gut and it should be balanced between about 80 20, I think it is 80% good, 20% bad. Yes, there should be bad stuff in there to kind of keep the good alert and working. This is the perfect balance, but they looked at every single country's microbiome.
They took biopsies from people who volunteered and found that and then they did indigenous tribes in addition to that. There was one tribe that was a nomadic tribe, and this tribe ate 600 vegetables per year because that's what they did. They just wandered around for food and ate 600 vegetables, to make long story short, they had the number one best combination and best microbiome of anyone in the world and the United States as you probably expect, has the worst.
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Martin P. Rutherford, DC
1175 Harvard Way
Reno, NV 89502
775 329-4402
http://powerhealthreno.com
https://goo.gl/maps/P73T34mNB4xcZXXBA
For more information on this topic or to schedule a consultation please visit us at http://WhatIsHashimotos.com
the Holy grail of the medical community relative to your thyroid dysfunction and we're going to talk about TSH and Hashimoto's. TSH, it's kind of interesting. I've been in this for a long time, probably since the very beginning of the understanding that Hashimoto's was causing most of these thyroid problems. I've had the opportunity to be involved in the evolution of thought on several things. Well, should you take thyroid medication, should you not? The TSH isn't enough. You don't bother to do it because it really doesn't tell you anything other than about the immune system and the whole evolution of understanding TSH. Eventually, I'm going to do a talk on thyroid peroxidase enzymes, the TPO enzymes, and just the evolution of thought on all those. Just keep that in mind, if you saw something in some of my other videos that are going to contradict what I say right now, because it's kind of the latest stuff.
Thyroid stimulating hormone, basically people come in and they go, "I have low thyroid" and I go, "you have low thyroid, or do you have low thyroid stimulating hormone?" Because low thyroid stimulating hormone means that you have high thyroid function and vice-a-versa, and without getting into all of that, it seems counterintuitive but when your thyroid, the important point is, is when your thyroid function is going down, you're not making as much thyroid hormone. There's this part of your brain that sends out a signal to another part of your brain to send out something called thyroid stimulating hormone, TSH to stimulate this lazy thyroid, or this thyroid is being destroyed so that it makes more hormone. When you have high TSH, it's because your thyroid is like this, and it can't make hormone and it's trying to stimulate it to make more hormone.
That's a key understanding, now, historically in the beginning, TSH was mainly a function, of our understanding was, it was a function of hypothyroid, which was the medical understanding for the last hundred years. However, it's taken on kind of a new understanding in that a thyroid in Hashimoto's thyroid tissue is being damaged. If I could show you some pictures, I should do that. If I could show you some pictures of a thyroid being damaged, it's being excised and it's being that, it would blow your mind as to how it looks and as the damage that's being done, and every time you're getting attacked, sometimes you're getting a little teeny bit of damage. Sometimes you're getting full blown damage. Those of you are having swelling. Those of you are having swelling that goes up and down. You're getting a lot of anxiety, you're getting a lot of damage.
The TSH can be used to measure that damage. One of the things that thyroid stimulating hormone can tell you, if you get it measured regularly, is how much damage being done. It's pretty simple. If you've been at this for 10 years and your TSH has been going like that every year, it goes higher and higher and higher. That means every year from the one time that you got, let's say from 2019 to 2020, it went higher. There was damage taking place over that entire period of time. You're the person who they continue giving you a higher dosage of thyroid medication.
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Martin P. Rutherford, DC
1175 Harvard Way
Reno, NV 89502
775 329-4402
http://powerhealthreno.com
https://goo.gl/maps/P73T34mNB4xcZXXBA
For more information on this topic or to schedule a consultation please visit us at http://WhatIsHashimotos.com
Today we are talking about thyroid and low libido, and this goes for females as well as males. Frankly, I don't treat a lot of males, but almost everyone that comes in here has a low libido. It's a pretty straight forward shot as far as why that occurs. If we go back to the thyroid, we go back to Hashimoto's most of the time it's hypo thyroid that has been caused by an immune attack on the thyroid. Hypo thyroid means everything slows down. Your thyroid hormones have receptor sites in other words, where they hook into the cells in every single one of the trillions of cells that we have in our body. Now, if you came to me and again, it's mostly females but if a female came to me and said, you know, I have all kinds of menstrual problems,
I have periods that are off. I have periods that are gone, that shouldn't be gone. I have heavy bleeding, low bleeding, cramping, no cramping. Oh, and by the way, I also have a dry vagina, and I have no libido. That's usually how it works. People don't usually come in here specifically for no libido and if somebody, or if a guy said this it's a little different, but the bottom line is with either one of them, you would be looking to see why their testosterone in a guy, or why their estrogen in a woman isn't working. In a woman, it's usually gut problems, It's usually liver problems, It's usually gallbladder problems because estrogen needs to be used whether it's made by your body or whether you're taking a hormone replacement therapy, it needs to be used. It needs to be effective.
Then the kind of the residue needs to go through the liver, gallbladder, through the intestines and into the toilet. That doesn't happen, you're going to have high estrogen and believe it or not high estrogen causes the same problems as low estrogen. Without me getting into that whole thing, at this point in time, it's about the estrogen. It's also about blood sugar. It's also about stress. It's also about essential fatty acids, all of these work together to make your brain tell your adrenal glands or tell your ovaries to make the estrogen that you need and then process it properly and get it into the toilet and, you know, detox you and get it into the toilet. If you have a hypo thyroid, that's not going to happen. Now, thyroid does have kind of a straight shot relationship to progesterone as far as prolactin and as far as, so having a baby and fertility and stuff like that.
But in the end, all of those things I just talked about are going to slow down. Your liver is going to start slowing down and you're not gonna be able to get the estrogen through it as much. You can tell by looking on your labs, whether your liver enzymes are up or not, a lot of the times you can look at that. You can look on your labs and if you're the one who has the high cholesterol, and you have the high LDLs, and you have low, good, HDLs, low, good fat then people go, well, you need a statin drug. You need to stop eating, you know, junk and everything. You go, like I'm on the autoimmune paleo diet. I don't need any of that stuff. How could that be?
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Martin P. Rutherford, DC
1175 Harvard Way
Reno, NV 89502
775 329-4402
http://powerhealthreno.com
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For more information on this topic or to schedule a consultation please visit us at http://WhatIsHashimotos.com
That's like the word today, the microbiome. It's kind of cool, you know, and it's a big deal. They did a test on the microbiome, not test, the research project that Harvard couple of years ago on the microbiome. I personally know one of the doctors that was involved in that whole test, that whole research project, and it was a mind blowing project. The microbiome is basically the three to five pounds of good and bad bacteria that's in your gut and it's becoming more and more and more understood that this gut thing is a humungous deal relative to our health. Not just Hashimoto's health, not just autoimmune health, but the mental health too. Obviously digestive health, you name it, endocrine health, you name it.
It is a big deal, which is why diets are becoming so popular online and probiotics are being, you know, thrown all over the place. The microbiome is composed of, it should be about 20% bad bacteria and 80% good bacteria. That's something that's important to know, they're called commensurable bacteria because they kind of get together. The bad bacteria kind of keep the good bacteria primed for lack of a better term. Those of you who take a probiotic and you bloat, it's because you either have too many bad bacteria or your bad bacteria are starting to figure out how to neutralize your good bacteria, which is not a good thing. Probiotics can be good, but for those of you who take them and said it's not, it's because that balance is off. The microbiome, they're actually starting to call the human microbiome an organ.
They're starting to refer it as another organ system in the body. I could go on for hours about this research thing because it was like the coolest thing ever. It is amazing, amazing research project as to how well it was done and how much data it revealed. Hashimoto's, so it affects everything. How does it affects Hashimoto's? Interesting because there's kind of a Hashimoto's gastrointestinal vicious cycle, the brain gut, gut brain cycle, do you got brain vicious web or the web. There's just a number of names for it right now but bottom line with all those is the brain can affect the gut. The gut can affect the brain. The thyroid can affect the gut.
The gut can affect the thyroid. A lot of you have noticed that when you start to work on the gut, that a lot of your Hashimoto's symptoms start to dampen, especially gluten. Gluten is the reason, gluten is a problem because your gut sees it as an improper entity entering into the system. It's big, it's large, it's sticky. It's got chemicals on it and the immune system can't handle it. It creates antibodies to it, and it damages the inside of your intestines. The next thing you know, every time you eat gluten, you get bowel symptoms. Some of you don't get bowel symptoms and you get neurological symptoms, and that's gut, okay, that's part of the gut affecting the thyroid. The microbiome being imbalanced, it can cause gas.
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Martin P. Rutherford, DC
1175 Harvard Way
Reno, NV 89502
775 329-4402
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For more information on this topic or to schedule a consultation please visit us at http://WhatIsHashimotos.com
This is a pretty cool one because no one ever talks about it. It's Hashimoto's autoimmune reactivity to the thyroid hormones, T3 and T4. For those of you who may not have ever seen any of my things before that we've put online, any of my presentations, then I'll do just a little quick, here's what the thyroid hormone is. Your thyroid puts out two hormones. One is T4, it's inactive. The other one is T3. It puts out like 93%, I've seen 93 and 97%. It puts out let's say 90% T4 and it puts out 3% T3. So the T4 has to be turned into T3 because T3 is the active form of the thyroid hormone that goes into the trillions of cells in your body to make you actually work, give you energy, control your temperature and that type of stuff.
If you have not enough T3, you're like, you have no energy. Energy is down, your cold, you got cold feet, you know, you're putting on weight because everything slows down, hair starts falling out, all the classic hypothyroid symptoms. If you have too much T3, you're like this. You're like, you're losing weight, you have more energy than 15 people put together, your heart's pounding like crazy, may have anxiety, night sweats, panic attacks, can't sleep, that type of stuff. The second one of those examples, the too much T3 is what you feel like if you get an auto immune attack against your T3 and against your T4, and it happens and it's very disturbing. Sometimes people will have a low thyroid function and they'll take T4.
Synthetic hormones, like Leibowthyroxin, Synthroid, these have binders in them. They have a lot of things in them that can flare you up, but they're basically the only the T4 inactive hormone. You're supposed to take it and then your body is supposed to turn that into T3, if your body's able to do that. Sometimes you'll take that. Maybe you'll feel a little jittery, doctor won't be able to figure why. Maybe you'll take that and you'll feel good for a while, and then you'll get jittery. Your doctors are like, I just gave you T4, it's not supposed to do anything. It shouldn't, and it doesn't have a direct effect relative to your immune system attacking your enzymes that make it, but it will have a direct effect if it's being attacked by your immune system.
But if you take another thyroid hormone that has T3 in it, and these are the bioidenticals, these are the pig thyroids, the cow stuff, this is the nature-Throid which everybody says, "Oh, it's wonderful, It's bio identical, It's like, it's wonderful." You take it and you start feeling like I said when you have hyper, you feel like your head's going to blow off, your heart starts pounding, you start getting irritable and jittery. It's because in there, you also have T3. You have a good chunk of T3 in those. If you have autoimmunity actually attacking the T4 into T3 hormone, you're going to find out if you take one of those bioidenticals, and that's not the only reason bioidentical will make you go into hyperthyroid symptoms and functions but, there's not that many reasons that that happens either.
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Martin P. Rutherford, DC
1175 Harvard Way
Reno, NV 89502
775 329-4402
http://powerhealthreno.com
https://goo.gl/maps/P73T34mNB4xcZXXBA
For more information on this topic or to schedule a consultation please visit us at http://WhatIsHashimotos.com
Why is it so hard to regulate thyroid medication with Hashimoto's? There's so many aspects to this, but let's just stick to why is it so hard to regulate thyroid medication with Hashimoto's? So, first of all, I get a lot of people who come in here, like no thyroid medication. So, I mean, if you're not taking thyroid medication, I might try to work on that with those goals. That's not my goal. My goal is to get you as close to remission or in remission, if possible and if thyroid medication can be an asset in that, which it can, then I'm all for it.
But, it's got a bad reputation because I have a lot of people come in here and I'm taking thyroid medication, I'm feeling better, I feel worse, I blew my head off, so that's what we're going to talk about. If you have Hashimoto's, it really is a good thing. If you can find a doctor that's a big if at this point in time, if you can find a doctor or an endocrinologist who understands the whole spectrum of Hashimoto's, but if they simply understood that,
That certain thyroid medications are not good for Hashimoto's patients, which one is it?
It depends on the patient.
In general, one of the worst ones is Synthroid. I've had two people on Synthroid, which is disappearing it seems like. I think it's disappearing because I think the insurance companies are paying more for Leibothyroxin. But Synthroid has like eight different potential triggers in it for Hashimoto's and two of the biggest ones are gluten. Yes, Synthroid has gluten and
food coloring and there's like six other ones. I took it and all of a sudden I started getting heart palpitations, and anxiety, and fatigue, and brain fog. You know, my doctor said it couldn't be from the medication and it is. That's just one kind of generalized example of some of the uniqueness of a medication. There are, most of the synthetic medications only have one hormone in them, It's called T4. Those who haven't been watching any of my stuff over the last, like whatever, how many years, T4 is an inactive hormone, made in the thyroid, meaning it doesn't do anything until it gets somewhere. It's got to get to the liver, it's got to get to the stomach, it's got to get to you cell sites.
Then there are enzymes that cause it to turn into something called T3 and make it active. We need T4 and we need T3. Some people will do well with T4, some people take T4 and they go like, it hasn't made any difference in my thyroid. My TSH is normal, my TSH is high, I don't feel a difference. That person probably has, what's called a conversion problem. They're probably just not changing the T4 in that synthetic to active hormones in the places I just got done saying, liver, stomach, and cell sites. So, that person probably would do well with a little T3. T3 is the active hormone. Now trying to get your doctor to give you T3 is like pulling teeth. There are doctors that are starting to do it now.
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Martin P. Rutherford, DC
1175 Harvard Way
Reno, NV 89502
775 329-4402
http://powerhealthreno.com
https://goo.gl/maps/P73T34mNB4xcZXXBA
For more information on this topic or to schedule a consultation please visit us at http://WhatIsHashimotos.com
A TPO of 10,000, like doc, save me, please, I'm dying. Help, It's 10,000. I just had one the other day and it was 20,000. Just had one the other day that was 20,000. That's pretty scary if you have no idea what that means and our, you know, our tendencies. There's a lot of tests that I run, one of them is food sensitivity tests that have just so many different interpretations and you have to know what those interpretations are. I had one of these this morning, like a note on it, like, well, this says this food sensitivity test says, I should eat this. This one says, I shouldn't eat this. And which one is it? And both of them were different food sensitivity tests. They had completely different meanings and they were totally congruent in the end. You need to know the nuances of how that can happen because we're used to looking at blood tests forever, right?
You're used to walking in and your doctor goes, your blood sugar is one 102 so you're a little bit over. But, let's not worry about it yet because it's just early pre-diabetes. That's where we're at. It's like look at these numbers, but we're finding out in chronic conditions that, especially Hashimoto's, you just can't do that. There's just so many nuances to how you look delve into these tests and understand these numbers. Thyroid peroxidase enzyme, that's the most commonly attacked thyroid enzyme in auto-immunity. There's an anti thyroglobulin one, and then there's another one for Graves, but TPO is it? You say TPO, most people know what you're talking about in that field so that gets attacked. Then, that starts to make you make more thyroid hormone, you start getting jittery. I have patients that come in and they lay down in front of me, like the one the other day. It was 20,000 but she didn't have heart palpitations, she didn't have anxiety, she wasn't thin and couldn't put on weight. She didn't have graves' disease. It was like, Oh my God, I have 20,000. I gotta get it down, I gotta get it down. Not necessarily. So the thyroid peroxidase enzyme gets attacked by antibodies to tell your, in Hashimoto's, to tell your immune system to attack that cell in your thyroid.
The TPO enzyme will go up as antibodies affect it, It will go up. However, it's not a measurement of damage to your thyroid. It doesn't, it tells you that your immune system is signaling your white blood cells essentially to kill your thyroid. But that doesn't mean that they're doing it. It just means that you got a lot of antibodies flying around, telling your thyroid to do it. Now, your thyroid, your immune system might be so suppressed and fatigued, It may not be doing it. There's a number of reasons that it might not be doing it. I might have a patient who's coming in and they figured out a lot of their food sensitivities and or whatever it is.
They figured out chemical sensitivities, or they've taken vitamin D and it may dampen the white blood cell response. Despite the fact that the person's making a ton of these, of these antibodies that are raising your TPO.
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Martin P. Rutherford, DC
1175 Harvard Way
Reno, NV 89502
775 329-4402
http://powerhealthreno.com
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For more information on this topic or to schedule a consultation please visit us at http://WhatIsHashimotos.com
Epstein–Barr Virus, the Holy grail Hashimoto's, or at least that used to be. So I'm in Reno, Nevada and about 40 minutes from here, there's this beautiful small village up in, it's called incline village Nevada. There is a doctor who discovered years ago that Epstein BARR virus probably had something to do with chronic fatigue syndrome. This was before anybody knew about Epstein BARR, virus and so we had a lot of patients in common and it was interesting to see his, his thought was deal with the immune system, kill the virus and so on and so forth. I'm not saying his name cause it didn't feel like it went very well. He was the first one to recognize the Epstein BARR virus could have some sort of an effect on this fatigue. It turns out in the end, it probably, if it does have an effect that probably has an effect because it can be one of the viruses that affects your thyroid. You'll notice I said one of the viruses that affects your diet. Now I'm getting a lot of questions on Epstein BARR virus, because, and I don't remember the gentleman's name for a variety of reasons cause I don't want to remember his name who just wrote a book. I think it was last year, The Medical Intuitive.
I actually am not like adverse to medical intuitive, I don't know for sure, but I've seen some pretty impressive stuff from them. But this gentleman and author, one day just had a flash out of nowhere that it was Epstein BARR virus that was causing all Hashimoto's. He basically wrote a book on it and then pretty much his model was the model of the original doctor who started Epstein Barr virus, which was a doctor named Dr. Datis Kharrazian, who is still probably the world's most reputable expert on it and does research on it to this day and as a clinician. And so you kind of ripped off Dr. Karazzhian's stuff and made a lot of people think that it was all Epstein BARR virus. So that's the baseline of what I'm going to say.
Because I've seen where a virus can be a trigger, there are 39 known triggers of Hashimoto's. They are a ton of food sensitivities. There are some minerals, believe it or not that people think they should be taking for Hashimoto's that will actually make them worse. There are lots of lifestyle factors. I mean, I think it goes without saying insomnia, sedentary lifestyle, smoking, alcohol, drugs, and not sleeping properly. Unhealthy relationships are huge. I'm sorry but if you're like in a battle with your significant other and your divorced, or you are going over a child custody things, I've just seen that, and that goes to the next one is stress and imbalance of blood sugars is another one. These are a lot of the 39 triggers. Everybody's a little different one could be for those, one could be two of those, there's chemicals.
The chemicals have gotten a lot of play over the years because the alternative medical profession where their world is pathogens. Their world is come in here, let's try to find out what it is, let's take out your metals, let's give you a shot, let's do a collation, lets collate your metals out of there.
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Martin P. Rutherford, DC
1175 Harvard Way
Reno, NV 89502
775 329-4402
http://powerhealthreno.com
https://goo.gl/maps/P73T34mNB4xcZXXBA
For more information on this topic or to schedule a consultation please visit us at http://WhatIsHashimotos.com
Who's not stressed today, right? It's a funny thing, people get that they're stressed and, they get that it creates a physiological response in them, and then it makes them want to choke people, and kill people, and do stuff like that. But they're also, you know, it's like my heart's beating and I'm huffing and puffing and I have no energy, but there's not a connection. A lot of times with the fact that the stress is either triggering, causing or perpetuating their conditions. Not only is there not an exception for that with Hashimoto's thyroiditis or just Hashimoto's hypothyroidism, stress is probably the first thing I look at when a person walks in here and I do do functional neurology. I am involved in that and functional neurology.
One of the big aspects of it is to assess people's stress responses and how it affects their entire physiology. For those of you who've watched us, and maybe you've seen our back to basics, we kind of have an idea as to how to attack auto-immunity and there's an organization to it. You've probably heard me talk about hierarchy, probably tired of hearing me talk about hierarchy in order and how you attack things. Stress is right at the top, like literally right at the top. It's like the three first things I look at, the five first things I look at is stress, sleep, relationships, blood sugar, and oxygen. I mean, I don't even go anywhere else until I look at those. It's because if you're deficient on all of that, I can't help you with your relationships.
If you have a bad relationship with your husband, or your wife, or your boss, or your workers, or coworkers or wherever, and it's ongoing, that's something that has to be kind of handled before we get into the whole involvement and getting in, finding out all your triggers. That's like the biggest trigger that there is because it causes stress. Stress is number one, so it's stress, sleep and relationship, stress, relationships, sleep. They need to be addressed. Why? Because stress, when you go into stress, it alters your entire physiology. There's not that many things that affect every single one of the trillions of cells in you. Stress happens to be one of them and thyroid happens to be another one of them. Stress will trigger, basically what stress does, is it shuts down your whole gut system and it shuts down your bladder, your urinary bladder.
Stress creates an issue where your stomach's not working. How many people do not know that stress causes ulcers? Well, long before you got ulcers, that's altered physiology in your stomach so that you're not digesting food, you're not sterilizing food, your bowels aren't moving. Stress is probably the number one cause of constipation in this country. For all of you who are taking MiraLAX, for all of you who are buying stock in smooth move tea and magnesium supplements and all that, look and see if you're stressed. Stress is the number one cause of that, stress shuts down your intestines, your intestines can't work. Now it's off to the races. You can get, without getting into it, you can get small intestinal bacteria overgrowth, you can get constipation, imbalance in bacteria, you name it. It'll cause your candida to flare up.
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Martin P. Rutherford, DC
1175 Harvard Way
Reno, NV 89502
775 329-4402
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Where the Hashimoto's might be the cause of your constipation. It's stunning to me how many people have no idea that they've had constipation, like forever and that their thyroid was the problem. Hashimoto's, immune attack against your thyroid, heart palpitations, anxiety, and panic attacks to different degrees. For some of you there's actually, some of you don't have those symptoms yet, that's called silent autoimmunity. But in the end, the core of Hashimoto's is that it's a hypo thyroid problem, the thyroid itself gets beat up by the immune system. Depending on the degree of destruction to your thyroid, you will get a variety of the symptoms I just got done talking about but you will always get a hypo thyroid. Your thyroid will always ultimately go into hypo function. Okay, I'm going to take them back. There is a thin hyperactive Hashimoto's patient.
They are far in the minority, but 90%, 95% of the time you're going to get hypo thyroid. The word hypo pretty much defines it. The thyroid controls all your energy and it controls your temperature, right? But it controls your energy, it literally, so when it slows down, it slows everything down. I can talk about hypothyroidism constipation, hypothyroidism of female hormones, and hypothyroidism and poor digestion, and stuff like that relative to that. Hypothyroid, I think, is the number two cause of constipation that I see in my practice. Number one cause is stress, by the way, chronic stress and chronic stress can cause the hypothyroid, the Hashimoto's, which can both cause constipation. The hypothyroid does it just by slowing the whole digestive chain down. It basically slows down the ability of your stomachs, what are called parietal cells to make hydrochloric acid.
You don't make that, you can't sterilize your food, hydrochloric acid sterilizes your food before it gets to your gallbladder, your pancreas and your intestines. It digests your proteins, it creates a proper acidic balance in there. For those of you who are the alkaline people, we need an acidic bolus to go down into the slightly acidic intestines so that we have a nice natural environment that kill viruses and bacteria's and parasites, well that doesn't happen when the thyroid starts slowing down. There's a signal that goes from the stomach to the gallbladder. So the stomach tells the gallbladder not to work because it doesn't have enough hydrochloric acid and the bolus is not acidic and the bolus is not chopped up. But also, the thyroid directly causes your gallbladder to get slower and to not eject your bile the way it should be. It's called an ejection fraction. For those of you who had your gallbladder's checked, had them taken out, you know what an ejection fraction is, cause that's what they measure. They measure how your gallbladder is pumping and they look at stones and stuff like that. But this will cause you to create stones, despite what you eat and then same thing with the pancreas. It slows down the pancreas. Now you're not making enough digestive enzymes, you're not making enough hydrochloric acid, gallbladder struggling and they want to take it out.
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Martin P. Rutherford, DC
1175 Harvard Way
Reno, NV 89502
775 329-4402
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For more information on this topic or to schedule a consultation please visit us at http://WhatIsHashimotos.com
Your Hashimoto's auto immune response, stable. The first two things that I look at when a person comes in here with Hashimoto's is, is it an aggressive, unstable Hashimoto's thyroiditis, and aggressive and stable are two different things. Aggressive will be another presentation somewhere along the way, but these influence the manner in which I attack a Hashimoto's case and frankly, even an autoimmune case. But we're talking specifically about a Hashimoto's case right now, significantly as to whether it's stable or not. So, what's unstable? Unstable Hashimoto's first of all, here's the old thyroid here, here's your immune system. Immune system is attacking this and to varying degrees, this thyroid is getting damaged. When they actually put pictures online of a clean looking thyroid section, in a damaged looking thyroid section, it will blow your mind as to what it looks like and it doesn't look good.
Some people are a little damaged, some people a lot of damage, some people, it's just crazy getting damaged all the time. So how do you know? You know, because not everybody who has an immune attack against their thyroid is having an active attack all the time. The people who are not having an active attack, those are people who their TSH is, they come in here, their antibodies may be, it doesn't matter what they are. They could be low, they could be high, they could come in here. I have one right now, whose antibodies are over 2000, which is high. For those of you may not be familiar with the ranges, crazy high range, like zero to nine. When you look at their symptoms, they're not getting heart palpitations.
They're not getting anxiety for no reason at all, they're not getting insomnia or they're getting it like very occasionally that could lead you symptomatically to understand, whether it's stable or not. But the real way to figure out if the person is stable is to just get their history relative to their meds. If you have a Hashimoto's case and every three months, or every six months, or once a year or every year, your doctor has having to increase your medication because your thyroid stimulating hormones, markers, your TSH is the much maligned TSH marker by us, mostly by the functional medicine guys, if it keeps going up. This lets the practitioner know that you may not be having a lot of those symptoms, but your thyroid is getting damaged every year that your thyroid is getting damaged.
It's getting less able to function. Your thyroid stimulating hormone is being called upon more and more to stimulate it, so it keeps going up and up. Your doctor has to keep raising your thyroid medication so that you don't have your hair falling out. Your fatigue, you have an unstable thyroid that affects treatment in a lot of ways. Now this is something that you may never even have heard about. I even know of conversations I've had with other functional medicine doctors that were like, what does that mean? Unstable and TSH. I don't even look at that TSH, it doesn't mean anything.
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Martin P. Rutherford, DC
1175 Harvard Way
Reno, NV 89502
775 329-4402
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For more information on this topic or to schedule a consultation please visit us at http://WhatIsHashimotos.com
I'm going to start hitting some of the common things that people see online relative to thyroid. Today we're going to be talking about goitrogens. We're probably going to be talking about in the future. We're probably going to be talking about blood pressure. Some seemingly innocuous things like, mercury, like alcohol, like sleep, like cigarette smoking, some of the things like duh, but I think it might be good to go into them for the reasons that you'll find out. If you stay around and watch what we're going to present to you, but today we're going to do goitrogens. And the reason we're going to do that is not unlike iodine, which we've already done for those of you who are the iodine thyroid people just know not for Hashimoto's, you can watch that presentation. We got, we had a couple of them on online on powerhealthtalk.com and with over the supporting references and all that. Goitrogens kind of fall in the same category. Goitrogens are vegetables and there is a ton of them and I'm not going to go over all of them. There's kohlrabi, there's spinach, there's broccoli, there's collar greens, cauliflower, all the things that are good for you. Were discovered back in 1928 to stop iodine, which is one of the reasons I thought of doing this cause we just did the iodine and it stops iodine from going into the thyroid. Now here, here's how your thyroid hormone is made.
There is a, first, the brain tells the thyroid there's not enough thyroid hormone in the system.
Something called thyroid stimulating hormone, so that hormone from the pituitary gland stimulates the thyroid to make hormone. And it stimulates this thyroid peroxidase enzyme that all of you have measured to see if you have Hashimoto's. That enzyme then, and there's other things with hydrogen peroxide and stuff, and I'm gonna keep this really simple okay. So then that enzyme helps to suck iodine out of your bloodstream and attach it to one molecule of something called tyrosine and tyrosine is T and then it's T4. Well, the 4 are 4 atoms of iodine. So T4 is one protein called amino acid called tyrosine and these are all iodine. So goitrogens were discovered in 1928 to block iodine from coming in and thus it would cause you to make less T4 and then it would cause your TSH to go up and then you'd be hypo thyroid cause you don't have enough iodine coming in to make the thyroid hormones. That was kind of the Holy grail of alternative medicine for years.
I did a lot of George Goodheart's work with muscle testing and supplementation back in the early eighties, like 1980 and 1985, 1986 and that was it. You know, it was like you tested the person's thyroid, their arm went down, you gave them tyrosine and iodine. You know what, most times it worked. This is the salient point on that, we've changed since then. Hashimoto's was not some sort of an epidemic, which is what it is right now. I was reading about it the other day and it's crazy. . It's being estimated that possibly a third of the country has Hashimoto's. It's been established that 10 to 15% have it for sure. But there's something called silent Hashimoto's and they did a study where they just tested a bunch of people who didn't have any thyroid symptoms.
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Martin P. Rutherford, DC
1175 Harvard Way
Reno, NV 89502
775 329-4402
http://powerhealthreno.com
https://goo.gl/maps/P73T34mNB4xcZXXBA
For more information on this topic or to schedule a consultation please visit us at http://WhatIsHashimotos.com
SIBO, small intestinal bacterial overgrowth. I assume most of you know that, or probably wouldn't be clicking on Hashimoto's and SIBO.
It's one of those very important things to know about. But again, it really needs to be put in context and because, what occurs with these types of conditions and it's been ever since people came out with the four R program remove, replace, now it's called the leaky gut program. The leaky gut program was enough maybe back in the seventies and eighties, but it's really not enough, now SIBO is much more involved than leaky gut, but SIBO can be one of the big causes of leaky gut. My point is going to be, we have a SIBO program, we have oral tolerance programs online, we have so many different programs now. I now have patients coming in here who have done them all and they're still sitting here.
Coming in here to try to find out what's going on, a lot of it is about the order in which you attack something and, SIBO is kind of up there with Hashimoto's. Hashimoto's is, for those of you who are tuning in here, who may not know what Hashimoto's is, it's an immune attack against your thyroid and without getting into it too heavily, the battle when you go to a functional medicine practitioner is the immune system. First, in most cases, it's the main system first. Whereas 70% of the system it's in the linings, particularly of your intestines barrier linings and your intestine, some of it's on the inside of your lungs. But the biggest part is in the intestines, which is why the leaky gut stuff came about because early on, people started realizing that when their guts got better, their Hashimoto's symptoms started to clear up.
This went along with the gluten issue. We thought we were really hot years ago. We would go like, "Hey, get off of gluten first of all, Oh my God, it feels so much better, we were bad, we know." Now it's a lot more than just gluten and that the person who gets off of gluten and feels wonderful is maybe 10% of the people walk in here, 5% and that there was more to that. SIBO is kind of like the new Holy grail in a lot of ways. There are a lot of programs on online for it and they're good. They're good programs, except SIBO is small intestinal bacterial overgrowth. SIBO can be caused by thyroid problem. SIBO can be caused stress, stress responses, paralyze your stomach and your intestines because when you're in fight flight, the stress response stops you from having to move your bowels or urinate because you're in fight flight.
Hypothyroidism, which most Hashimoto's patients become hypo thyroid, long before the attack takes its toll, this is the immune system, this is the thyroid, long before this attack takes its toll and damages this thyroid mechanism, you'll get hypo thyroid symptoms. Both of those will slow down your gut. Both of those are like the number one and two causes of constipation, like stress, hypothyroid. If you have constipation, first thing you want to look for is those three things, even over dehydration and all those types of things. So now, dampens that movement so you get the constipation's, it slows down that movement, and then you get an imbalance and bacteria in your stomach and then here we go back to these vicious cycles.
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Martin P. Rutherford, DC
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The most common conversations that I have with my Hashimoto's patients is the wonderment of the patient going, "And it's crazy you know, I have a good day or two, and then I go out and I do this, and I go out and then I clean the house, and then I go out shopping, and then I do my exercise at the gym and then boom, I hit the wall and I just crash. Sometimes, one of the patients I was talking to yesterday says, sometimes I crash for a couple of hours, sometimes I crash for a couple of days, sometimes they crash for three weeks. What we call that is a person's metabolic capacity is low. Meaning that when your physiology is working normally, whatever that is today, but normally is your blood sugar is good, you're getting good oxygen.
There's no inflammation going on, your nutrients are good, you're absorbing your foods, you're getting good nutrients, you're feeling good, you're sleeping good, and you're getting a little exercise and all that type of stuff. You have better substrates going to your cells so you have better light. You know, you have better minerals, you have vitamins, you have all that stuff getting to your cells, basically. Your cells need them because in cells, there's these little organelles, little factories called mitochondria and these guys make energy. They need a lot of that stuff to make energy. They need oxygen, they need sugar, they need all these different things. They need certain B vitamins and they need a lot of different things. Coenzymes, things of that nature, and then they make energy. When you crash
It's because that mitochondria is just like, instead of that much substrate, it's got that much. This is very common with Hashimoto's because there are a lot of things that occur to dampen that. For example, inflammation alone will neutralize your cells and it'll damage the cell walls up all of your cells. We now also know that it will actually create an inflammatory response on the cell, on the wall of the mitochondria. Here's your cell, here's this tiny little mitochondria, in fact, you have lots of them in there. The outside wall of that mitochondria actually gets inflamed and then that creates an inability of nutrients to get in and out. When you have Hashimoto's, as most of you know, it's a highly inflammatory disease in its most aggressive state and not all of you are in that inflamed state. But there are other things that will cause even those who are not in that inflamed state to have, that one of them will be a lack of oxygen.
For example, if you have sleep apnea and you're not getting enough oxygen into the cells, then the cell becomes damaged. The cell becomes, the immune response to the cell becomes damaged. You get the inflammation, the mitochondria doesn't work. In the end, if I went through all of the things that caused that, that added up to cause your cell to not be able to respond, when you want it to use all that energy, I would be here for quite some time, cause there's like 39 different things. Those of you watch us a lot, I do use the term 39 a lot because there are 39 different things that we know of, maybe next year it'll be 42, I don't know.
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Martin P. Rutherford, DC
1175 Harvard Way
Reno, NV 89502
775 329-4402
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For more information on this topic or to schedule a consultation please visit us at http://WhatIsHashimotos.com
Talk about a subject that I think really requires a little bit of clarity, and it's kind of an interest they want. It's vitamin D and Hashimoto's specifically. Everybody, everybody, but everybody comes in here has low vitamin D. Having done this for a long time, there was a time when it wasn't so well understood that low vitamin D was a problem, or what the problem was, or how it occurred. People would come in with like vitamin D to be like, if the range in America is 30 to a hundred, people would come with the vitamin D of 20 and the doctor was going, ah, you know, you need to get out in the sun more. As we were in earlier stages in the group that I was involved in, I would say we're some of the earliest functional medicine practitioners.
We just kept seeing low vitamin D, low vitamin D, low vitamin D, low vitamin D and to us, It just started to indicate that there's a connection between low vitamin D and chronic pain. Ultimately realizing that Hashimoto's was part of an awful lot of chronic conditions, chronic pain conditions, and that vitamin D had something to do maybe with immune inflammation using it up, you know, and that's what I've told people for years. Just recently researchers are positing that vitamin D is low vitamin D. One of the reasons is that it's secondary to an inflammatory process that takes place in the body and that this inflammation uses up vitamin D. That's pretty close to what we've been saying for a long time. I'm guessing it's going to go one step further, and they're going to say it's auto-immune because they're now saying that there's an association between low vitamin D and vitamin D polymorphism.
Let's talk about that real quick. People come in, they have Hashimoto's, first thing I ask them is they have low vitamin D, another thing back then, they were like, yeah, low vitamin D. I went to my doctor and they said I'll just take some pills. At that time it was like 450 milligrams a day. I mean, now doctors are giving 50,000 units which is like 20 times that a week to their patients when they have low vitamin D. They're not quite sure why, but they're giving it to them. There are reasons that vitamin D goes low. One of the biggest reasons is what's called polymorphisms. Basically a lot of times, you have a problem with genetics, you just genetically have a problem with processing and absorbing vitamin D.
What's interesting is, is now they're finding that there's a big association with people who have Hashimoto's and people who have vitamin D polymorphisms. One of the reasons that your vitamin D may be low is because you have Hashimoto's and you have this polymorphism. You take 50,000 units, six weeks late, a week, six weeks later, you go to your doctor and your vitamin D hasn't moved a bit. That's something that person's needs to be aware of whose vitamin D isn't going up. There are ways to address that, but you have to basically figure out what the triggers are for the Hashimoto's, get the Hashimoto's under control, and then it seems to improve absorption. But specifically, the other reasons that you won't absorb vitamin D and this is relevant to Hashimoto's, as you're about to find out in a second, is maybe you don't have a gallbladder.
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Martin P. Rutherford, DC
1175 Harvard Way
Reno, NV 89502
775 329-4402
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For more information on this topic or to schedule a consultation please visit us at http://WhatIsHashimotos.com
Hi, Dr. Rutherford here. You know, I get a lot of these classes. I have a lot of mentors who are just really amazing and they keep doing research and I went to a class maybe three years ago. One of the things that you'll hear me say when it comes to these relatively complex cases, by the time a person gets here is sometimes it's not about the sexy stuff. Sometimes it's about really basic stuff like oxygen or blood sugar. I've had people where we've gotten their blood pressure up, gotten enough oxygen to their brain, or extremities and their feet, and their gut. All of a sudden, like all these kind of crazy things started getting better. We have presentations on that same thing with blood sugar so we're going to kind of hit oxygen today from a different angle.
We're going to hit it from sleep. Sleep is very, very, very important to getting well. I could go on with that forever. I wrote a little book I think in 2002, it was called, "Power Health Back to Basics." It really was more for my chiropractic patients who would just kept asking me why they weren't holding their adjustments. I said, well, you eat like crap, you don't sleep, you don't exercise, you know? A bunch of things like that, so sleep's a broad topic but I went to this seminar about three years ago. The doctor made the point about oxygen and blood sugar, I was like, yeah, I already get this. I've been doing this forever. But then he said something I had never heard before.
He said, don't miss the sleep apnea. He said, you missed sleep apnea, you're screwed. You already have no chance of getting this patient where you could get them because people need oxygen. You need oxygen to every cell in your body. Then that went back all the way to my very, very, very, very first class I ever took on functional medicine, which was a really long time ago. The doctor said, if you can't make energy in your cells, you can't get the person well. You can't get them back to balance, a lot of the patients coming in lately. I just want to get back, you can't get homeostasis back because you need these mitochondria in your cells to make oxygen. The mitochondria needs oxygen to make energy so you can get better.
Those of you who hit the wall, I have a good day and I go out and I crashed. This is part of the reason you don't have enough oxygen going into your cells in your mitochondria is just crashing. It's part of the reason, and then the sleep apnea comment by this teaching doctor, I was like sleep apnea, now I have to check everybody for sleep apnea. Like, Oh my God, so I dutifully go home and do these things because these are smart people. Every time I go to these particular people's classes and they say something, it turns out being valuable data. I start checking everybody for sleep apnea. Oh my God. I mean, I think 40% of the people that come in here have sleep apnea, it's on it's on the intake form.
Do you have sleep apnea? Yes. Do you have your C-PAP? Well, yes. Do you use it? Sometimes. I really started to get it because then I started pushing for people to get a little bit friendlier with their C-PAP machines and started really seeing results. Some are miraculous results, some mild results, and moderate results.
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Martin P. Rutherford, DC
1175 Harvard Way
Reno, NV 89502
775 329-4402
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For more information on this topic or to schedule a consultation please visit us at http://WhatIsHashimotos.com
Today the question is, when do you take the thyroid out? If there's a time to take the thyroid out, do you take the thyroid out? And interestingly enough, I haven't gotten any questions that I can remember about radiation and Hashimoto's, which is kind of crazy. So we'll cover that too. So basically, never. No, close to never. Look here's the deal, right now we're in a spot where the medical community, which is, I was just having this conversation with a nurse just two days ago. The medical community still is thinking that Hashimoto's is a thyroid disease and only a thyroid disease and they're not treating it as an autoimmune problem as we've talked about previously.
We should be treating the immune system to dampen inflammation against the thyroid. There's a hierarchy as to, as to treatment. I'm not never take your thyroid out, but I'm close to that. I mean, mine was not coming out. Spoiler alert as they say, mine's not coming out unless somebody tells me I have definitively have thyroid cancer, that's it, that's when it's coming out. But you know, a little bit of background on that, because the medical community is now becoming aware of Hashimoto's, but they don't particularly have an agreement among doctors as to how to treat it. You'll have some people give you thyroid medication still and not do anything about the immune system. There are some people in the medical field that are trying to do the immune system by giving people hydrocortisone maybe some low dose Naltrexone to calm inflammation down.
These doctors are far and few between but they're at least thinking of addressing the immune system, and then if that doesn't happen, then they're going to start going well, maybe we should just take it out and then we'll moderate your hormone levels by just giving you medication. The problem is, is there's a lot more to it than that. A lot more to it than that. You don't just take medications and all of a sudden everything corrects when you have Hashimoto's. There's so much more than that. It's that I don't have time to talk about that in these daily segments. But, the other thing is, is they might be for that. So they might say, you know what, let's just radiate it or let's just take it out. I'm seeing that a lot.
Let's just radiate it. Let's just take it out. That's not a good enough reason for me to take out my thyroid and by the way, most of you probably know I have Hashimoto's. The other thing, the other pathway could be that you go to the doctor, you have an enlarged thyroid, or you have nodules, they end up taking a biopsy and here's what they got. Here's what they say. They say, "you have abnormal tissues in there, undifferentiated abnormal tissues in there so maybe we'll just take that part of the thyroid out." I wouldn't do that, and I'll tell you why I wouldn't do that because more and more it's becoming apparent that those undifferentiated abnormal unidentifiable cells are because of Hashimoto's, but that's not quite been embraced completely by the people who are taking out thyroids at this point in time.
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Martin P. Rutherford, DC
1175 Harvard Way
Reno, NV 89502
775 329-4402
https://goo.gl/maps/P73T34mNB4xcZXXBA
For more information on this topic or to schedule a consultation please visit us at http://WhatIsHashimotos.com
Today's topic is Hashimoto's and when to medicate. I'm not a medical doctor, I'm practicing functional medicine, practicing functional neurology chiropractor, and a few other things you don't need to know about, and I also take thyroid medication. I think I can give you pretty good perspective from both sides as to when to take thyroid medication in the functional medicine flow. Here's the classic flow to me. This is how I understand functional medicine and this is the protocol that works pretty good for me. First of all, you've been established as having Hashimoto's, you have positive antibodies, you go to the doctor, the doctor frequently gives you, today they're really sticking the Levothyroxin quite a bit, but other doctors might give you Synthroid or something like that. Then usually a patient feels good for a little while. Not usually, well, sometimes patient feels good for a little while they get a boost in energy, maybe their hair stops falling out. maybe their weight stops going away, or maybe their weight starts going away and their energy gets better. But we usually, we call that the hormone honeymoon. Usually what happens is, after a short period of time, that person will then start reverting back to having all their Hashimoto's symptoms. The reason is because Hashimoto's tissue has been damaged. The thyroid tissue has been damaged by the immune attack and so it wasn't making that much thyroid hormone and the
Levothyroxin, which is T4 kind of gets in there. If you're able to convert your T4 to T3, you feel a lot better and that's kind of how it goes when you go to the medical doctor or to your PCP, to your endocrinologist. Our approach is quite a bit different. The approach with Hashimoto's is, dampen the immune response first. Hashimoto's is first and foremost an autoimmune problem and so it just seems to make a lot of sense to take care of dampening the immune response first. We do all of those things, we find food sensitivities, you do the leaky gut, you do whatever it is you find that person with the first is in a chronic stress response. They have parasites, they have viral infections, whatever it is, it's creating inflammatory responses that are damaging our thyroid, nutrient deficiencies, toxicities, all of these things. Then as that gets better, usually you will see symptoms disappearing and usually they are the hyper symptoms that go away first, heart palpitations for no reason at all, insomnia, night sweats, inward tremors, and those types of things.
Then, because you're dampening the immune inflammation, that starts the thyroid to be able to heal, maybe that's not the best way of putting it, when you dampen the immune inflammation, it stops the attack on the thyroid. It stops damage to the tissue. If the thyroid is not damaged too much, then you may be able to address the protocol with any of a handful of herbs and botanicals that either promote you making thyroid hormone without having to take it, or promotes you to be able to convert thyroid hormone that your thyroid is now being able to make, because it's not attacked.
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Martin P. Rutherford, DC
1175 Harvard Way
Reno, NV 89502
775 329-4402
https://goo.gl/maps/P73T34mNB4xcZXXBA
For more information on this topic or to schedule a consultation please visit us at http://WhatIsHashimotos.com
Why is Hashimoto's becoming so common? I mean, I've had a lot of time to think about this over the last couple of months, because in my mind that plays in with a lot of things that are happening right now with people being more compromised, and being more vulnerable to getting the Corona virus and some people reacting much worse, continually hearing how compromise those patients are. It's really, auto-immunity, that's becoming more common. When I first got in the practice, I was treating people who got well pretty quick, whether you or, I was doing chiropractic, whether we were doing physiotherapy on them, whether we were giving them blood sugar diets, whether we were giving them supplements, I don't know, you know, it was just like you, okay, you're better. That's good, let's see you later. Back then auto-immunity was basically MS, it was rheumatoid arthritis, lupus, Lou Gehrig's disease, which is still very rare. It was these things. It was things that you would know and grasp but then
it started to become understood that, and I do think it started with the thyroid. It started to become understood that the thyroid was actually the most hyperthyroid is actually autoimmune thyroid. The research on that, it's like irrefutable at this point in time, even Mayo clinic says 85 to 95% of all hypothyroidism are Hashimoto's. Within the framework of being in practice during that time and seeing those patients and watching the explosion, I remember the group of doctors that I was with back then, we were all kind of like communicate with each other on board and go, "does everybody have autoimmune?" It was auto immune at the time and we were running autoimmune markers before anybody else was running them. They were telling us that we were crazy, and everybody was coming up, the A and A's were coming up on them, the antibodies were coming up. Then one of my mentors said, "let's test everybody for Hashimoto's." I was resistant to it, tested them, I tested the next 10 patients and seven of them had it. I basically almost fell off of my chair. Like, how could that be? So I think Hashimoto's kind of led the way to now, even in the medical community, they're embracing more and more that these mystery diseases, things that they can't put their finger on could be auto-immune.
More and more automated testing is being done, it's in its evolution. But the point is, is that, we are developing auto immunity as a common factor in our patient population, in our society. I think, you know, being my age and having gone through the fifties, the sixties, and seventies, all the way up until today, had opportunity to watch the change in society. What challenges our immune systems? Our immune systems are amazing. It's like, how do you have a system that detects things that come into the body that don't belong there and either kill it, or detox it without killing you? Think about that, you know, your immune system will attack a bacteria, virus, that type of thing, but in theory, it shouldn't attack you except in auto-immunity. Now all of a sudden it's attacking us and it would appear based on the evolution of what we understand we need to do to dampen the immune response that it's societal, It's indeed more stress.
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Martin P. Rutherford, DC
1175 Harvard Way
Reno, NV 89502
775 329-4402
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For more information on this topic or to schedule a consultation please visit us at http://WhatIsHashimotos.com
what are triggers of Hashimoto's?" I'm pretty sure that I covered this in one of the presentations we did last month and be, since we did 30 presentations, I don't remember which one it was so we'll do it again. Triggers versus causes, I think I'll just cover all of that. Hashimoto's is an auto immune problem. If this is the first time you're seeing this, then Hashimoto's is an autoimmune problem more than it is a hypo thyroid problem. Even though it's both, what gets triggered that ultimately creates the immune attack against the thyroid that beats it up and causes it to be hypo thyroid is the immune system.
What we want to know is what is triggering the immune system. The immune system is classically, the person already has some sort of a propensity to have Hashimoto's. Maybe they have what's called silent Hashimoto's, you actually are getting your thyroid attacked, but it's on such a low level that you don't even know you have it, or maybe you're getting some of the symptoms, but you're kind of blowing it off as other things. And then you go and then as you're going and traveling through this great journey of life, things happen. One of the things that can happen is pregnancy. Women get pregnant. I've had literally hundreds of women come in here and go, it was going along fine. You know, I felt good and then I got pregnant and I felt great. Then I had my baby and it was like the end of my life, everything fell apart.
That's when everything began and it's been getting worse ever since. A pregnancy can create an inflammatory response, believe it or not and it can also cause antibodies shifts. In other words, when you're giving your antibodies as a woman over to the child, they can create an antibody shift. Then if the person has the propensity to develop Hashimoto's genetically, that shift causes a lot more antibodies to be flying around that person's body than normal cause they're giving those extra antibodies to the kid and boom, next thing you know, you got Hashimoto's. If anything, it causes a significant increase in inflammation. Stress does that, so you can have a big stress thing happen, could be an issue. It could be a trauma, it could be an emotional trauma.
Lots of women in here who have been sexually, verbally, physically abused, or they're taking care of a loved one and that loved one was dying slowly under their tutelage and care at home or is a divisive divorce. These things create stress, hormones, stress, hormone. The big stress hormone that most people are familiar with today is cortisol. Cortisol is actually a good hormone to have because it creates a mild inflammatory response in the body when you're attacked by anything, viruses, cuts, bruises, bacteria, and then that mild response tells your immune system to come to attack that area or heal that area. But when you get stressed, that cortisol goes way up, creates an inflammatory response. The person's already compromised, person already has parents have Hashimoto's or autoimmune disease, etc.
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Martin P. Rutherford, DC
1175 Harvard Way
Reno, NV 89502
775 329-4402
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For more information on this topic or to schedule a consultation please visit us at http://WhatIsHashimotos.com
Talk Hashimoto's and fertility, might have to try to keep this one short, because I could go off on this one for a long, long time. I'm not going to get into the chemical pathways and things of that nature, but Hashimoto's does affect fertility. One of the biggest things that one of the biggest connections in fertility, I think with Hashimoto's is it has a connection to polycystic ovarian syndrome. They've done studies on young gals who are 12, 11, 13, 14 years old and who had cysts and they gave them thyroid medication and their cysts went away. So again, when I said, I have to keep this real, like, not go through all the chemical pathways, there are pathways that involve the adrenal glands and blood sugar manipulation that are secondary to Hashimoto's. Ultimately create these cysts people get polycystic ovarian disease probably understand, or those of you who don't know, is the cause of some studies estimate 50% of the infertility in this country.
That's a big crosstalk connection between the thyroid and the ovaries, but just in general, Hashimoto's thyroiditis is a hypo thyroid condition. Hypothyroid conditions slow everything down, it just slows everything down. It slows down your ability to make eggs, it slows down your ability to pop those eggs out. You can't get the egg out, no cycle, no baby. Hashimoto's works at it from that perspective. I have a lot of women who come in here and they're on hormone replacement therapy for their estrogen, and all of a sudden their thyroid starts getting better. They have to go down on their hormone replacement therapy because now they're starting to make more estrogen and they're making too much, and they're getting all kinds of symptoms of too much estrogen or getting heavy periods and stuff like that.
It has a direct effect on estrogen metabolism. It has a direct effect on progesterone metabolism now in a little different way. Estrogen, you know, you make the egg, you have the baby, or you've already made the, heck you came with the eggs but you made it so that it can be expelled. The follicle can become that you can get into the uterus, that's estrogen. Estrogen does all that, but progesterone makes the uterus so that the follicle will stick so that it will hold. Progesterone has a very interesting relationship with the thyroid hormone. Thyroid hormone will sensitize the receptor sites on the cells so that the progesterone gets in there better. If you have hypo thyroid, and you're not producing enough thyroid hormone, or you're not converting enough thyroid hormone from T4 to T3, then you're not going to have your thyroid hormone sensitizing the progesterone.
Maybe you can see, but then you can't carry to term and you have miscarriages and women who have hypothyroidism and Hashimoto's type with thyroid ism, I think are four times more likely to miscarry. Another thing relative to thyroid hormone is when thyroid hormone decreases, high thyroid hormone is under the auspices of your pituitary glands. Your pituitary glands tells your thyroid what to do and so they have a very close relationship. When we get a decreased hypo thyroid ism, particularly the most common one, which is Hashimoto's, inflammation can affect that pituitary gland.
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Martin P. Rutherford, DC
1175 Harvard Way
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775 329-4402
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For more information on this topic or to schedule a consultation please visit us at http://WhatIsHashimotos.com
But apply roiterrying which is Hashimoto's and iodine or even thyroid and iodine, I guess we could get into that a little bit. When people come in here, historically, since I've been doing thyroid, people come in and they're taking Thyroxine, and they're taking selenium, and they're taking on many, many, many, many were, and still several come in are taking iodine. It's sorta like traditional in the alternative world to give people this and in the past it probably had more application than it has now. Now it has almost no application as far as taking iodine, but if you have Hashimoto's, taking iodine is like pouring gasoline on the fire. For all the iodine fans out there, let me explain. The reason that iodine is popular is because if you understand what the components are of thyroid hormone, then you understand that the T stands for Thyroxine in the T4, T4 is the main thyroid hormone that's made by your thyroid
and T3 is ultimately converted from T4. But the fours and the threes in those little formulas are iodine molecules. It probably made sense at one point in time that if a person had low thyroid, you would give them iodine so that they can make more T4. The problem is, we don't have a lack of iodine in this country. A lot of people have pointed to third world countries and saying, well, they don't have enough iodine and people give them iodine and their thyroids get better, but that's not what the study show. In fact, they're showing that as they introduce iodized salt into third world countries, that the amount of Hashimoto's and goiters is skyrocketing. I use that term because I just read something on this past weekend and I read a number of studies on that.
Skyrocketing was the term that was used in that research study. Basically, Hashimoto's thyroiditis has a uniqueness that you have something called a thyroid peroxidase enzyme. That is the test you run to determine whether a person has Hashimoto's or not, that thyroid peroxidase enzyme. For those of you know the science I'm vastly simplifying this. The thyroid peroxidase enzyme essentially has a lot to do with pulling iodine out of the system, out of the bloodstream, bringing it into the follicular cells and there's cells in your thyroid that make the thyroid hormone. Then it puts it together with the thyroxine and it literally is the catalyst to make thyroid. So let me step back to the thyroid peroxidase enzyme is what we measure in order to figure out if a person has Hashimoto's.
What happens is, if a person has thyroid peroxidase enzymes, these enzymes are what tag the thyroid tissue to tell your immune system to come and attack it. If you increase iodine, then that activates more thyroid peroxidase enzyme, it actually causes your body to make more thyroid peroxidase enzyme. Very simply those anti TPO antibodies, they're called the thyroid peroxidase enzyme anyway, start attacking your thyroid more because there's more of them and you end up getting more of an attack. . If you have tested positive for thyroid peroxidase enzyme antibodies, iodine is totally contraindicated. You know to go back to, maybe it seems like this thyroid condition, Hashimoto's really exploded about 30 years ago.
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Martin P. Rutherford, DC
1175 Harvard Way
Reno, NV 89502
775 329-4402
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This is the person that comes in here with multiple food sensitivities and Hashimoto's. But multiple food sensitivities, I could say and everything, multiple food sensitivities in Hashimoto's, multiple sensitivities with rheumatoid arthritis and the reason that we're bringing it up is because all of a sudden, I'm seeing a lot of these cases and they're very unique cases. They are cases that I literally, when they would walk in the door in the past, I would literally just go, I can't help this person. I would let them know, I didn't think I could help them. I'd say, "well, we'll give it a shot. We'll treat you for all these as histamine responses and all these other things." And it would help to a degree. But this was a big thing. And so the relationship, first of all, what multiple food sensitivities is, it's the person that walks in here and goes, I am down to six foods, that's it. I can only eat six foods last month. It was seven. And this week it's six. So I don't know where this is going, but I need help. And I need it like now. And so It's an interesting phenomenon. Basically what happens is your digestive chain has completely broken down.
It's slow and it's gradual over a period of time and what that means is your digestive chain is, I chew and you should be chewing somewhere between 20 and 40 times, and I know all of you are doing that. Why is that important? Because that tells your stomach and your gallbladder, and your pancreas. It sends signals to them, food's coming. You're getting the digestive enzymes from your saliva in there, then it hits the stomach. You need to have enough hydrochloric acid in your stomach, to digest proteins and other things, and to kill bugs, bacteria's, viruses. All of you that have candida, I'm going to tell you, you don't have enough hydrochloric acid in your stomach, or you probably wouldn't have candida.
Then you have the gallbladder, it's supposed to do its job with the fats and you have the pancreas, that's supposed to do it's job with the starches and the carbohydrates, etc. And then you have the stomach, it's supposed to do its job. and then the intestines and in the intestines, there's a whole lot going on in there. They got your microbiome in there. So you have your balance, they have the right balance in bacteria. You have 75% of your immune system is there, which is where this comes in with Hashimoto's. You have to absorb nutrients. Do you have a leaky gut? So, this is the digestive chain. When that digestive chain breaks down, essentially what happens is the food particle that is supposed to be broken down, into eensy weensy, teensy, tiny molecular particles.
Your proteins are supposed to be broken down into these things called amino acids. Amino acids are building blocks for proteins. But, they don't get broken down into that. They get broken down only so far because your stomach didn't have enough hydrochloric acid to break them down. Then I won't get into the gallbladder and the pancreas and all that. Basically, let's just keep with that. So, they're supposed to break down the one amino acid but they don't, they don't have enough hydrochloric acid. It breaks down to what's called an amino acid chain.
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A subject that comes up a lot with thyroid, and that's goiter and the patients wise, my patients are always wondering, is their goiter going to go away? That seems to be the main issue. And so goiters a little tricky to understand in many ways, in other ways it's not. So goiters, first thing is people have historically thought that goiter came from a lack of iodine and in this country, and in other countries at a time before we had iodized salt, that was true. You would get a goiter. A lot of times people would take iodine it would go away, but that's not the case anymore. I mean, if you eat in restaurants, if you eat any type of fast foods, if you're not using Himalayan pink salt, or all that type of stuff, all the salt is iodized today. In first world countries,
and even second world countries, and some third world countries now, goiter is not caused by iodine. But let's say it was, let's say you were in one of these third world countries out in the middle of nowhere, and you're not getting enough iodine. What would happen is you need iodine to make thyroid hormone. And I'm going to tell you a little bit more in as to why this is not really pertinent, but I want you to understand goiter all the way and where all the stuff came from. "They told me I got to take iodine." So basically iodine helps you to make thyroid hormone. Iodine for those of you haven't seen any of these before, T4 is your main hormone that is made in your thyroid. The T stands for thyroxine, the 4 stands for four molecules of iodine.
And there's a whole process that puts those two things together. And part of that process is an enzyme that pulls iodine out of your bloodstream and it sticks it together that thyroxine and now you have thyroid hormone. When you do not have enough iodine, you're not going to make enough thyroid hormone. And then that tells your brain in your bloodstream, there's not enough thyroid hormone. So there's this part of your brain, it's called a hypothalamus. Basically what you need to know is this thing's checking everything in your bloodstream all the time. And if there's not enough of it, it tells the part of your body that needs to make whatever's not enough to make it in this particular case. It tells your pituitary gland to tell your thyroid to make hormone.
And it does it through this chemical called thyroid stimulating hormones and it stimulates your thyroid, and it makes thyroid hormone. And as it starts making the thyroid hormone, then there should be a feedback loop that says it's enough. But if you don't have enough iodine, you can't supply it. That TSH keeps going and going and going, because it's not getting enough iodine to make it. The feedback mechanism keeps telling you I don't have enough thyroid, enough iodine, enough T4 in my system, enough thyroid hormone. And so it's actually the thyroid stimulating hormone that causes you to enlarge your thyroid into a goiter and if it's iodine, okay, for those of you who are all the iodine fans out there, and you have a goiter and you think that's the case, if it's iodine, then you'll at this point, have hypo thyroid symptoms.
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Why do people get puffiness of the face with Hashimoto's? So puffiness of the face is, it's not that common and so it's a question that I don't get that often, but I thought it would be good to answer anyway. Just as a different aspect of Hashimoto's. So, puffiness of the face is called myxedema M Y X E D E M A myxedema. And it means that you're getting edema. Edema is puffiness because water is being absorbed into the skin. You have sugars in your skin, different chemical sugars in your skin. And under certain circumstances, those sugars will start to absorb water. And so one of the main reasons that it happens in the face is hypothyroidism. Most hypothyroidism we now know is Hashimoto's. So basically slows everything down, water fluids, not being, not going, not being processed properly through your system.
You have this excess sugar in your system, probably also because that's not getting processed properly because of the hypothyroidism. The sugar attracts the water, excuse me, and the water gets into the skin. And the next thing you know, you have all this puffiness. The interesting thing would be a more common question would be, why do I get myxedema of my shins? In our examinations we always look at a persons shins and ankles to see if they have swelling around the shins and they have edema. Now, edema just for the record, is if you push your finger in there like this, and you go like that, and this indentation that you made stays there, it doesn't go, it doesn't elastically pop back. That's an evaluative procedure to determine whether the person has to myxedema.
Most of the time, we see it on the ankles where there are other things that cause it on the ankles, hypothyroid is almost one of the few things that caused it in the face. And so you press in on that puffiness on your ankle and if it just stays there, then you have myxedema. And if you have the suspicion of thyroid, there's a good chance that the thyroid is connected to that too. So it's something not that common, but it does happen, that's what it is. It is totally part of the whole Hashimoto's is slowing down all the physiology, slowing down the processing of your water, slowing down the processing of your sugar, slowing down the processing of your lymph, which is obliquely related to what I just got done saying. And that's why you get, that's why you get myxedema with Hashimoto's.
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Presentations I do on Hashimoto's are done from questions. And the question was what are Hashimoto's thyroiditis Symptoms?
Hashimoto's is primarily an autoimmune problem, but it shows up first as a hypothyroid case because over a period of time, you have a thyroid that has started to get attacked by your immune system. And in the beginning, when you get this attack, you may only get symptoms from the hypo thyroid aspect of this. And what that means is, that as you attack the thyroid, the initial response is you start to lose thyroid tissue, and that causes you to make less thyroid hormone. So normally in the beginning, you'll get fatigue, you'll get tired, you'll usually start putting on weight, you haven't changed your diet, you haven't stopped exercising. You know, your routine is pretty much the same but all of a sudden you start putting on weight. Some people gradually, some people not so gradually. Hair will start falling out to varying degrees. Hashimoto's, the hypothyroid aspect of Hashimoto's slows everything down, so it can slow down your intestines. It can slow down your stomach, so you can start getting stomach acid. You could get GERD because you don't have enough hydrochloric acid in your stomach cause the thyroid is slowing it down, so you can get acid indigestion, you can get gas, bloating. The most common gastrointestinal symptom that you'll get will be constipation, because it has to do with helping your nervous system to ultimately make the bowels move.
So everything slows down your bowels move down. One of the most common causes, constipation is hyperthyroid. So you'll get those, swelling around the ankles is another one. Dry skin, normally the dry skin is usually on the shins of the ankles. Sometimes you'll get myxedema of the face, we've gotten questions about why I get puffiness in the face. So basically everything slows down. You're not clearing, your liver is not clearing, your lymph glands aren't clearing so you're starting to get puffiness. And then as the attack keeps taking place and more and more tissue goes, but as the attack keeps taking place more and more, then you start activating, these enzymes more that create the thyroid hormone. And during the attacks you will get usually intermittently, you'll get I think the big one is kind of anxiety intermittently for no reason at all.
Anxiety happens. You're getting too much thyroid hormone during the attacks and it creates a situation that sets off a stress response in your brain. Insomnia, you can get insomnia, you can get inward tremors. Hashimoto's thyroiditis has an affinity to also create an attack on something called your cerebellum. That's called molecular mimicry. A lot of times, these two things will get attacked at the same time, the thyroid and the cerebellum. And so you might get inward tremors for no reason at all, night sweats. You can get night sweats from some indirect function of the thyroid effecting your estrogen hormone balances. So anxiety and inward tremors, panic attacks. You can get panic attacks in extreme cases and insomnia, night sweats. For some of you who are like the 20% that, thin Hashimoto's patient.
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The question is, will thyroidectomies cure Hashimoto's? The answer is no. Why do we do thyroidectomies? We're going to be talking about that tomorrow. But a thyroidectomy takes your thyroid out. The problem is that the thyroidectomy doesn't address the root cause of the problem. The root cause of the problem is an overactive immune response. It's an autoimmune problem. That's really the root cause of the problem. The thyroidectomy in this particular light usually occurs when you have driven your endocrinologist batty because they can't find a drug that works for you, and you're still having a significant number of symptoms. What I'm seeing today in the thyroid world is the doctors have now diagnosed you with Hashimoto's. They've tried all kinds of medications, none of them have worked. So it's like, "Let's just take it out, or radiate it."
By the way, this could also go along with, does radiation a cure? And the answer is no. Not only does it not cure it, their position is, "We'll take it out. We'll take it out and we'll give you enough thyroid hormone. We'll fine tune it just right so that it works," which the vast majority of time it doesn't. You got number one, you have somebody who's giving you exogenous hormones. They're giving you levothyroxine or Synthroid, or maybe one of the natural ones, but still it's very difficult to dose that properly, number one.
Number two, it is very frequent that because of the positioning of the thyroid, it isn't taken out completely. And so if you still have thyroid tissue there and the tissue was getting attacked before you got the surgery, you're still going to be getting thyroid attacks from the immune system after the surgery, and you're still going to end up putting out intermittently excessive amounts of T4. Not as much as if you had your whole thyroid but it's still there. It's still confusing. It's still not allowing that person to maybe dose your thyroid that they're going to give you the way that they think they're going to dose it.
I think one day they're going to figure this out. But for right now there's a lot of thyroids coming out. There's a lot thyroids coming out. I'm amazed at how many people put up their hand and go, "No, give me radiation. Radiate me." And that's crazy. They walk into the room with a hazmat suit on and then they tell you don't go near anybody for the next several weeks or whatever it is. That's something that I would avoid. But it will not cure it. And there's another aspect to this too. Let's just even theorize that they got it all out and let's theorize that they could somehow figure out the absolute perfect dosing of the exact proper medication for you, which is no small task if can even be done.
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Martin P. Rutherford, DC
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Hashimoto's and leaky gut, which its kind of a why... Again, these are all why topics that we're talking about and that's why a lot of you are watching. So let me see if I can kind of intuit what might be meant by the person who has sent us that Hashimoto's, leaky gut kind of a question. So they are related. There's a lot of things that cause leaky gut, okay? Just for the record, there's a lot of things that cause leaky gut, but interestingly enough, Hashimoto's, if you have Hashimoto's, that sets off a whole chain of events that causes leaky gut. And the reason is because Hashimoto's is hypothyroid most of the time, most of the time. And when you have hypothyroid with an immune attack on it, you get a lot of the hypothyroid symptoms. You get the hair falling out, you get the dry shins, dry skin in general.
Maybe you get some pain, putting on weight, you get tired and lethargic and so on and so forth, can't lose weight. So everything slows down, so everything slows down. Now the thyroid has receptor sites in every single cell in your body. And what I'm about to say would probably go the same for somebody who just has a straight hypothyroid, which I don't hardly ever see. So the hypothyroid aspect of it is what the issue is. And what happens is, is when your thyroid slows down and it has receptor sites in every cell of your body, it has receptor sites in your stomach, in your gallbladder, in your liver, in your pancreas, on the cells, on the inside of your intestines that actually process the foods and absorb the nutrients, particularly in your small intestines, where small intestinal bacterial overgrowth takes place. So in essence, everything slows down, which is why one of the most common symptoms that I did not mention of Hashimoto's is constipation, everything slows down.
So the T3 that comes up... That is the end thyroid hormone that goes into your cells is what creates energy. If you're not getting energy to your enteric nervous system, that's the nervous system in the inside of your... That actually that's the second brain that maybe you've heard of, that controls your intestines, then your intestines aren't going to move. If you're not making enough energy in your stomach, you're not going to make enough hydrochloric acid in your stomach. You're not going to digest your protein properly. It is probably one of the two most common reasons for gallbladder problems, by the way, and for gallbladders coming out. And I'm talking now, thyroid. Hashimoto's is kind of a bonus here in a sense that Hashimoto's is what caused probably the hypothyroid in the first place, but this is about the hypothyroid aspect of this condition slowing everything down.
So your gallbladder starts not pumping as well because it's pumping slower, it gets a little sludge in it. It's not breaking down your bile and most people go, "Oh wow, what's not breaking down fats have to do with it?" Well the gallbladder does a lot more than that, and gallbladder also dampens inflammation in the intestines.
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What is the root cause? So you have about six hours that you want to hear about this because it's pretty interesting. Hashimoto's is something ... I'm treating a different patient population than I was treating 40 years ago and 40 years ago you did put somebody on a diet, they got better. You gave them something, they just got better. As chiropractor, you adjusted them, they got better. Things have changed. Things have changed a lot. We're dealing with an enormous explosion of autoimmunity, and it's interesting as to the difference theories out there as to how these things have come about.
I kind of embrace the fact that it's kind of an evolution of society. Anything that creates an immune response can attack you, and then they could attack you and cause rheumatoid arthritis, Sjogren's, lupus, Hashimoto's. My mother, so my mother, this was back in the '50s and early '60s, she had her thyroid taken out. My aunt had her thyroid taken out. My grandmother had a goiter. Maybe they had Hashimoto's. I don't know how widespread Hashimoto's was at that time. Hashimoto was a guy who in 1902 said all thyroid problems outside of Graves' was autoimmune, and it turns out Hashimoto was, Dr. Hashimoto, was probably correct. So she probably had it back then. But back then, even though it was post-war, life was a little bit slower. Stress was a little bit lower, in a sense that we weren't as rushed back then. Everyone went to church on Sundays. Everything was closed on Saturday afternoon and all day Sunday. There wasn't this freneticness of got to work all the time, work all the time. You get done at five o'clock, go home, and relax.
That started to evolve. Medication started to become very popular about then, and medications do a lot to damage thyroid function. So you had a lot of these people. People have had thyroid throughout history, but now you have people with thyroid problems that are now genetically being passed on to their offspring. I use the example of if you are a female and you have a mom and a sister and a daughter that's alive, there's an awfully strong chance, today, that two out of three of them are going to get it. It's for sure one is going to get it. So it passes on this genetic propensity, and as my lifetime has gone on, there have been more and more and more attacks where we have some, I don't know, 700 million pounds or tons of chemicals that are produced every year. Only 1700 of them have been tested for toxicity.
Those chemicals cause inflammation. Those flare up immunity. We have all the modified foods. We have the standard American diet, which is sugar, sugar, sugar, sugar, sugar, salt, salt, salt, salt, salt and nitrates and MSG. All these things create inflammatory processes. We drink inflammatory stuff by drinking out of these plastic bottles. If the plastic bottles have been heated up, they create a toxicity of the water that you're drinking. We can go on forever. Food sensitivities flare up. So we now have, we're stressed. We have all these toxins.
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Supplements for Hashimoto's. This used to be really big, when Hashimoto's first came out, we were first starting to do Hashimoto's. People would be like, "I read this book about Hashimoto's, it makes sense, it sounds like me." And, so I came here, I went to my endocrinologist and it's just not working. I mean, I'm taking the medication, I'm not feeling any better, I'm feeling worse. And so I came over here to see if you have any like herbs and botanicals that'll work for Hashimoto's. And the answer is yes and no. Mostly no. Hashimoto's is an autoimmune disease. You have to dampen the immune inflammation first. So, there's so many things that can cause that. Stress hormones can cause that, bacterial infections can cause that, toxics can cause that.
Deficiencies in vitamin D, which you all have, can actually contribute to that or cause that, deficiencies in B vitamins can cause that. Stress hormones can cause that. I think I already said that. Pretty much anything that creates an inflammatory response. And if you have leaky gut, you have food sensitivities, you have food allergies, pretty much anything that you have that causes an inflammatory response is what really needs to be treated. Now, you may use supplements to treat those things. Okay, and in that case, it's highly individualized as to what you're going to treat for the person. Now, that's the no part, that's the no, there's not specific supplements for Hashimoto's. The yes part would be this. Okay? So in auto-immunity there's like five different parts to autoimmunity. I'm not going to go into all those parts. I'm just going to tell you there's a part that causes inflammation.
There's a part of the immune system that's supposed to dampen that attack from attacking your thyroid. There's another part of the immune system that actually does the attacking. There are supplements for each of those. And so the, like the fab five for auto-immunity is probably some form of an antiinflammatory. My favorites, like turmeric and probably polyphenols. So, my favorite is Resveratrol, vitamin D, glutathione. Glutathione is always low in auto immunity, for those of you who are ... may not be aware of that. And nitric oxide, I just saw something the other day online who looked like a personal trainer or a nutritionist saying nitric oxide was overrated. So, I'm not sure what it was overrated for, but it stops the kill, it stops the actual kill, the actual damage that's being caused by the auto immune problem. However, okay, if you still got a leaky gut, if you've still got small intestinal bacteria overgrowth, if you don't have enough hydrochloric acid in your stomach, you have H. pylori, you're stressed out of your mind.
You got all kinds of, you got ... whatever. All these other things have to be gotten rid of, or dampened for those supplements to work. So when you see why I say yes and no. And I give that kind of a yes. I use those supplements on most of our auto immune problem. And I don't use all of them, on all the autoimmune problems.
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Vitamin D and Hashimoto's. There's a distinct advantage to having good vitamin D levels when you have Hashimoto's. Hashimoto's is an autoimmune problem, and that means that you get hypothyroidism but then when you get attacks from your immune system, many if not most of you, get irritable. You get heart palpitations, anxiety, insomnia, night sweats. You get these hyper functions.
Vitamin D has a role to play in that, and vitamin D, actually it's a precursor to a steroid. It's called a SUC sterol. if you look it up, it's S-U-C, S-U-C, not S-U-C-K. S-U-C steroid. Vitamin D is a big, it is a steroid when it's at its full potency. So what are steroids? They're anti-inflammatory. If you dampen inflammation, you're going to dampen inflammatory responses that create immune flare ups that could attack your thyroid.
Beyond that, you'll notice pretty much every one of you who has had vitamin D checked and who also has Hashimoto's, has had low vitamin D, like really low. We just got off the phone with somebody about two hours ago and they said, "Yeah, mine's kind of low. It's 19." I said, "Well, the range is 30 to 100." They went, "Oh." There are countries in Europe and the Far East where the ranges run more like 100 to 300, 90 to 235. Most of you have vitamin D that's in the 20s, in the 19s. Usually to me that means that there's been a lot of immune activity and here's why.
Here's where I think it really connects up to Hashimoto's. You have like many, many, many, many, many parts of the immune system. Okay. A zillion. I'm going to simplify as tremendously. This part of immune system kills bacteria and viruses and candida. This comes in, viruses come in, bacteria come in, they come in and this part of the immune system goes into attack and it attacks and it attacks and it attacks and attacks and attacks until it can't attack anymore.
Now there's this other part of the immune system that after the attack has stopped, it'll come in, make antibodies and these things got to be balanced. But this part of the system has to stop first for your full immune response to kill and then get immunity to that the next time it comes in, this has to stop.
There's a third part of the system called the regulatory system. This regulatory system regulates both of these guys from getting out of control. When this guy goes and it starts killing a virus, it's killing it, and it's killing it and it's killing it. It's beating it up and it's kicking it and it's stabbing it and it's chopping it up and it's like something's got to go in and go, "Stop." That's the regulatory system. The regulatory system says, "It's dead. You can stop now." Because if that response keeps going, it might look around and go, "Oh, there's a thyroid that looks like it's got the DNA of somebody who says I can attack it." So it has to stop and the regulatory system stops it.
Now, why did I go into all of that? Because the regulatory system is heavily, heavily, heavily fueled by vitamin D and glutathione. So if you have an autoimmune problem and your immune system is always trying to attack your thyroid, this vitamin D is the fuel that's fueling these regulatory cells to try to stop to attack your thyroid.
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Sick, and nothing could be done for them, and they have fibromyalgia and chronic fatigue, and all of a sudden they felt wonderful. Now, not everybody felt wonderful because there's varying degrees of sensitivities to gluten, but that was kind of the beginning of really, really understanding food and its relationship to Hashimoto's. Now, if you've been watching the series, Hashimoto's is an autoimmune problem. It's primarily an autoimmune problem, and 70% of your immune system is on the inside of your intestines, so good answer. A good question, I would say, to answer.
So, it goes beyond gluten. I have friends in the field, colleagues in the field, and they do what our second evolution of food that was bad for Hashimoto's was back then. And that was, we would just write on a piece of paper: gluten, casein, soy, corn, and eggs, and we would hand it to the patient and say, "Don't eat those for the next three months." That was an evolution. Those are considered high allergic foods. Most of you probably know that. Those are some of the most high allergy foods that are out there.
Another thing we used to do was, we used to say, "Okay, here's a piece of paper. Write down your five most favorite foods in the whole world." They would write them down and hand them back to us, and maybe we would look at them and maybe we wouldn't. We'd turn around and hand it back and say, "Okay, don't eat those foods." Because the understanding was that your favorite foods are the foods you eat the most frequently, and that you have the most likely chance of developing food sensitivities to those.
What I'm trying to say is there's not one food. I have another colleague who's a fairly, fairly well-known neurologist in the field of [neuroinflammology 00:02:04] and he does a lot of consulting on it. He just takes people off of gluten and milk products. That's not enough for a lot of you, for sure.
So, there's not an exact answer that ...The answer is, it's all about food allergies and food sensitivities, and which ones are the ones for you. Okay? People do different diets. They do the autoimmune paleo diet, but even in the autoimmune paleo diet, there can be foods on there that you're going to be sensitive to. And so, with those types of people we do an allergy elimination diet, and you've got to find out what people's food sensitivities are, and it varies from person to person.
You might do the keto diet, and that might make you feel better because you're not eating a lot of vegetables, and the vegetables might be something where they bloat you up. If they bloat you up, it's because you have small intestinal bacteria overgrowth, probably, so you can't eat those foods because those foods will flare you up, and then that in turn will flare up your immune system. And that, in turn, will flare up your thyroid.
If you have a leaky gut you might have sensitivity to a lot of foods, and so you have to fix that and not eat any of those foods, because they flare up your thyroid.
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Very popular one that we get a lot of questions on. In fact, we get so many questions that we might be doing this for another 365 days on Hashimoto's. But yeah, Hashimoto's and flare ups, it's funny because it's so like, duh, yeah, of course you get flare ups when you get Hashimoto's. Oh, you didn't know that. So essentially Hashimoto's is about... It's an autoimmune problem. Any autoimmune problem that you have, I don't care whether it's rheumatoid arthritis, or whether it's lupus or Sjögren’s, you get flare ups. You get flare ups, you get stressed, you get a flare up. You eat food you don't know about, you get a flare. Up in the end, it's an autoimmune problem. I have to keep bringing you back to it's an autoimmune problem. It's an autoimmune problem. It's an autoimmune problem. Yes, I know when I'm going to my endocrinologist, it's an autoimmune problem.
So in my world, if I really break it down despite... It must be a thousand hours online that we have now or something like that. Treating autoimmunity is about putting that person into remission. You have heart palpitations, anxiety, panic attacks, you're getting night sweats and then you go on to fatigue and the idea is to put that person in remission so that those symptoms don't come about. You're going to dampen the stresses that are in the system there. You're going to fill in the nutrients that are deficit. You're going to find out which toxins are triggering that. So you're looking for the triggers.
So in autoimmunity, you have an immune system that's attacking you. The goal of the practitioner, whether it's medical or whether it's alternative, is to stop that, put you in remission. And then the goal is to keep you in remission. Some people are easier than others. Some people have more flare ups, some people have less. It just depends on the severity of their attacks, how long they've had them, how low their threshold is for being attacked. But my goal, when when you come in here, it's like okay you have an autonomy problem, we're going to look for all of the triggers, because the cause is long gone. You have a genetic problem, you have that, you've had an initial trigger, you have that. But we're looking for the present day triggers, and any one of those triggers can cause a flare up. Bad day can cause a flare up.
If you have Hashimoto's and depending on how severe it is, you might have a metabolic capacity of, I can only do five things in a day, and if you do the sixth thing, you crash. That's a flare up. What are you flaring up? You're flaring up inflammation. What is inflammation doing? It's flaring up the immune response. What's the immune response doing? It's hitting your thyroid. What's the thyroid going? Anxiety, panic attacks and night sweats and insomnia and heart palpitations and stuff like that. So, the whole protocol, it's funny because when I first started doing Hashimoto's years ago, It was like, "you got a supplement for Hashimoto's?" And I would spend like 30 minutes explaining this to people and they would go, "Ah, I don't want to do all that. I just want a supplement for Hashimoto's". Well it doesn't exist, so this is what exists.
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I'm going to attempt to answer the question of, what is a natural treatment for Hashimoto's? And there is no one answer for that. I can have 100 people come in here with Hashimoto's Thyroiditis and have each one of them have a different flow to it. And here's the reason why. This goes back to when I first started doing Hashimoto's, before anybody even knew what it was. And people would come in and I'd tell them they have Hashimoto's and they'd go back to their endocrinologist. And the endocrinologist say, "Nobody gets that." And as you probably know by now, if you're watching this, it's rampant. It's like an epidemic. Patients used to come into us and say, "Well, I went to my doctor, he wanted to give me this medication. So I came to you because I heard you treat Hashimoto's."
So I would go through about what I'm about to tell you. And they would go, "I didn't come here for that. I just came here to see if you've got an herb for Hashimoto's." Because that's where it was at that point in time. It was highly misunderstood and it still is with a lot of patients who come in here. Here's the overall deal with Hashimoto's. It's an autoimmune problem. It's primarily first and foremost an autoimmune problem. It is secondarily a thyroid problem in fact. And that's the key. So you treat it first as an autoimmune problem. And then you have to kind of go through autoimmunity. What flares up autoimmunity? Stress flares up autoimmunity, poor sleep flares up autoimmunity, over exercising flares up autoimmunity, poor relationships flare up autoimmunity.
Food antigens, so food sensitivities, food allergies, gluten being the main one, but there can be many more. If you're sensitive to gluten, usually there's a number of other cross sensitivities that you're going to find. Chemical sensitivities, environmental toxicities. These are all the things that... And that's not all of them. I mean, there's nutrient deficiencies, there's just a number of things that will flare up your autoimmunity. Too much salt, low blood sugar, low blood pressure, all of these things are aspects of physiology that when a person comes in here with autoimmunity, this is something that we look at.
This is the way we look at it. We look at it from the full breadth of what types of things can be flaring up. An immune response against a certain tissue, and at this particular point, that tissue would be your thyroid. If a person comes in here and they've not been on thyroid medication, or they've only been on a little thyroid medication for a fairly short period of time, let's say, less than two years, you can frequently get that thyroid to calm down and start working properly if you do a good history on that person, find out within the framework of all of those things, what's actually causing them to have an inflammatory response against their immune system that then in turn attacks Hashimoto's, attacks your thyroid and creates Hashimoto's responses.
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Hashimoto's and gluten, and that was really one of the first things that we understood as functional medicine practitioners in the early days was a problem. We didn't completely know exactly why at that point in time. This was before anybody heard of gluten. This is when you told somebody to get off of a gluten or get onto a gluten free diet. And first they would look at and go, "What's gluten?" And second, when you told them what it was, they would ask you if you were crazy because it's all the fun food. So gluten. So gluten is actually, technically can be one of the causes of Hashimoto's. Hashimoto's can be triggered by a number of things, and I've had people on some of these questions, they asked me what causes Hashimoto's?
And technically, here's how it works. Gluten is a trashy, trashy carb. So first of all, it screws up your blood sugar. It is modified. It's genetically modified. As you know, gluten, or if you don't know, gluten is a very sticky protein. That's why they use it to make bread and stick breads together. And those wonderful pizza crusts that I can't eat. It sticks those things together. And cakes and sauces and soups and it's in non-gluten free soy sauces and stuff like that. So it's sticky. And the protein has become larger and stickier as time has gone on. So when we eat it, our stomachs and our pancreatic enzymes don't break it down very well. It's not like the wheat. It's not like our grandmother's wheat. Okay? Or even my mother's wheat. It's a whole different animal.
So when it doesn't break down on the inside of your intestines, there's this thing that most of you now probably know, 70% of your immune system is on the inside of your intestines. So there are sort of different aspects of the immune system. One is when something comes into the intestines and it doesn't look like it belongs there, there are these other cells that come out like this and actually look like little octopuses and they come out and they put their little tentacles on that undigested protein and go like, "Well, it's not virus. It's not a bacteria. But it doesn't belong here." So it literally grabs it, and then it presents it. They're called antigen, virus, bacteria, gluten, now, are antigens, things that want to hurt you. They take that and they take it over and they present it to the cells that decide whether we're going to attack it or not. They're called CD4 cells, but they're your immune system. That's the immune that tries to keep you healthy by making sure that nothing's going in here that's going to make you sick.
And when they look at that, they go, "Man, that doesn't belong here," and they attack it. Now, when they attack that, they create an inflammatory response. That's what happens, like when you get a virus and the fever is an inflammatory response when it's attacking it. So these cells say, "You know what? We're going to attack you." There's an inflammatory response. And then what happens is that inflammatory response will let the thyroid know that there's something down here that looks exactly like the thyroid and I'm attacking it. And so I'm going to attack the thyroid too. How could it possibly look exactly like the thyroid?
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Can Hashimoto's go into remission? So a lot of people come to me and they come to me with Hashimoto's, maybe they come to me with fibromyalgia, chronic fatigue, maybe they come to me with bowel issues that and we find out that Hashimoto's is involved. And some obviously come to me with Hashimoto's. I have an intake form cause I want to see what that person's realistic expectations are. And most people are like, "I want to feel better, I want to get better, I want to start living a normal life again. I want to lose the weight, I want my hair to come back." But some people put down, "I want to be cured." And so I have to explain that Hashimoto's is an autoimmune problem. And to this date I don't think that there is anybody who knows how to cure an autoimmune problem. If there is, I don't know who they are and I would love to know who they are so I can figure out what they're doing.
So the goal for all auto-immunity, let's say somebody comes in with Hashimoto's, let's say somebody comes in with rheumatoid arthritis, lupus, Sjogren's, any of these things, celiac, Crohn's disease, ulcerative colitis, any of these auto immune problems, the goal of the functional medicine practitioner, and I will say this, if you have a functional medicine practitioner who tells you, you can clear their Hashimoto's, hold onto your wallet and walk out the door because that is not going to happen. And those people tend to do a lot of crazy things to try to cure your Hashimoto's. But autoimmune can't be cured. So the whole goal, the whole goal is to put the person in remission.
The whole goal is to figure out what aspects of that person's physiology are creating inflammatory responses that are in turn creating immune inflammation, causing your immune system to flare up, and get overactive, and attack. In this particular case, we're talking about Hashimoto's. So the whole goal is to figure out every aspect of that person's lifestyle, whether it's sleep, whether it's sleep, whether it's stress, whether they're not exercising, whether exercising too much, but also bacterias, viruses, food sensitivities, food allergies, toxicities, toxins. Does the person have oral mucosal intolerance problems? That's the person who can't eat any foods because they're so reactive to everything. You have to look at all this, and then you figure out which of these things are relevant to that person's case. And then you start chipping away at it. And there's usually in order what you want to chip away at it. But that's another story.
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What's the best diet for Hashimoto's? So there is and there isn't one. So let me answer that. So it's interesting. I've been around since Hashimoto's more or less began to be taken seriously. And the initial diet that was put together for Hashimoto's was the anti-inflammatory diet. That's what it was called, anti-inflammatory diet, Hashimoto's an autoimmune problem. You want to put it into remission by dampening immune inflammation and you dampen immune inflammation by doing a lot of different things. But at that point in time we didn't know what they all were. So it started out as the inflammatory diet, the anti-inflammatory diet, and then it morphed into the autoimmune paleo diet. And that seems to be probably the best baseline diet for Hashimoto's. However, okay, a lot of people come in here and say, "I was on the autoimmune paleo diet, I got off of gluten and I felt worse."
So the problem is is that person has probably something called a FODMAP problem. They probably need to be on a SIBO diet, a low FODMAP diet for SIBO. So when I say there is one, there isn't one, these are the nuances of diet. So for those of you looking for the magic diet, it doesn't exist because whether it's... And other people come in here, I have three now, I have literally three now, it's killing me... People were coming in and they can't eat hardly anything. They can only eat raw foods or they can only... So that's what's called an oral tolerance program. They're not tolerating their foods properly. And so you could use what's called a mucosal diet for that. So all of these affect autoimmunity. That's the point. And when we're treating Hashimoto's, you're treating autoimmunity and one of the first things you have to do is figure out which diet's the right one for them to start out with.
In the end, it usually is going to morph into the autoimmune paleo diet, but sometimes people are on a low FODMAP diet and they've got to stay on that forever. In addition to that, you have to fine tune the diet. You have to fine tune the diet to that person. What do I mean by that? You have to find out what their food allergies are. And most people know when they come in here what their food allergies are. They know that they're allergic to strawberries or whatever and they eat a strawberry and they don't feel good or they get a rash or something like that. But it's food sensitivities. Food sensitivities have to be ferreted out. This is huge. If you don't get the diet right and you don't get the food sensitivities right, all the people who are coming in here are going like, "Well, I've tried every diet and it's not working and I've tried all the... [inaudible 00:02:42] and it's not working," it's because they have to figure out which diet's right, which can be a challenge sometimes.
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If somebody comes in here and tells me I've got depression and anxiety and panic attacks, I'm looking to see if they got a thyroid problem, if they haven't already been diagnosed. And a thyroid problem is usually going to be Hashimoto's.
So there's a lot of chemistry involved in that. Depression is a frontal lobe problem, frontal lobe, right in here. This is who we are. This is where we think, this is our executive functions. This is where our motivation is. This is where our focus is. This is where we make our decisions and if it's not working well, that's where we make bad decisions. These are the people who don't have a filter on their mouth, which I'm told sometimes is me, but that's frontal lobe.
Frontal lobe is also where your mood is. So frontal lobe is, I'm happy, more serotonin, I'm motivated, more dopamine or I'm sad, more serotonin or I'm depressed, more serotonin, really bad. So it's a chemical issue. Most people come in here and depression is a chemical issue. You're looking for what destroys the chemistry in the brain.
So what do you need to not get depressed? What do you need for your frontal lobe to keep working and not be depressed? Proper blood sugar. Too high or too low blood sugar is going to cause inflammation in your brain. Proper oxygen. You have a lack of oxygen going through your frontal lobe. You have anemia, something like that. You have low blood pressure. All of these. Low thyroid aspect of Hashimoto's, you're not going to get enough oxygen there. You're not going to be able to make dopamine and serotonin and you're going to be down. You're going to be depressed.
Stress obviously does it and you need a lack of inflammation. I just mentioned inflammation. Stress is probably the number one on that one and blood sugar. So blood sugar, oxygen, essential fatty acids and a lack of inflammation. Hashimoto's has an affinity for decreasing blood supply to your frontal lobe and increasing inflammation to your frontal lobe. Without getting into the whole chemistry of that, that's what Hashimoto's does.
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Is Hashimoto's related to anxiety? Can Hashimoto's cause anxiety? Yes. Yes, yes, yes, yes. What is anxiety? Okay. Anxiety is an over-firing of a certain part of your brain, and you have something called the amygdala and that amygdala is the fear center of your brain. And when the amygdala has been either programmed and it's in a chronic fight, flight response, because maybe you're in the middle of the coronavirus issue or other issues in your life, then that fear center starts to fire to give us the adrenaline that we need to get through it.
Unfortunately, a lot of times that fear center stays engaged and the definition of anxiety is fear of the unknown. Well, there's a lot of fear of the unknown right now and there's a lot of fear in the unknown in life. I mean, most of us don't even know we're going to be here tomorrow. So there's a lot of anxiety. So we think of it that way, that was my whole point of that beginning diatribe. We think of it that way. We think of it as a personality disorder. It is not a personality disorder, period. If I have 10 people come in here with Hashimoto's or chronic fatigue or fibromyalgia, eight or nine of them have anxiety as prominent symptoms that they want to address.
So how's the Hashimoto's connect? So there's a lot of things that contribute to anxiety. Low blood pressure contributes to anxiety. Low blood sugar contributes to anxiety, chemically. And what these things do is they alter chemistry in your frontal lobe, in your brain. So if you start to get too much inflammation in your frontal lobe, you start to get a lack of oxygen in your frontal lobe, you don't have enough central fatty acids or you get too much inflammation. For those people who've watched me, you probably understand that I say that a lot, those four things.
That frontal lobe, it's the part of your brain that's supposed to shut down that stress response and shut down the anxiety. So Hashimoto's kind of attacks from two directions when it comes to anxiety. Number one, it creates inflammation in your frontal lobe and some people would say throughout your whole brain, but it certainly creates inflammatory responses in your frontal lobe, and it decreases blood supply to your frontal lobe. So from a purely functional neurology point of view, you have this frontal lobe that's supposed to be shutting down the stress response and the anxiety response, and it can't do so because it doesn't have the proper chemistry because you have Hashimoto's.
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Is Hashimoto's related to polycystic ovarian syndrome? The answer is probably. There are different studies out there that suggest that PCOS and Hashimoto's exist together. Some say 40% of the time, some say 30%, some say 50% of the time, some say 60%, but there's definitely a link between these two conditions. Hashimoto's, frankly, rarely exists by itself as an immune condition. Usually, if you have Hashimoto's, if you really start looking around you're usually going to find the person either has celiac, or antibodies against their cerebellum. Or they're going to have rheumatoid arthritis, so they're going to have something else like that. Autoimmune gastritis, autoimmune hepatitis, just a lot of things that you can have along with Hashimoto's.
PCOS is a little different animal than that. What they think is that the PCOS, polycystic ovarian syndrome, is really caused by blood sugar problems. Despite what you may have heard, it's caused by blood sugar problems. When you have insulin resistance, when you are morphing towards diabetes, when you have whatever you want to call it, pre-diabetes, insulin resistance. Those blood sugar problems alter the ability of the ovaries to make their estrogen and their progesterone right.
So, where does thyroid come in with that? Hashimoto's is largely a hypothyroid condition. We talked on one of the segments about the thin Hashimoto's patient, and we're not talking about that one right now because they generally don't get polycystic ovarian syndrome, either. Basically, the thyroid will affect sugar metabolism. Thyroid will affect metabolism, in general. The thyroid, if it slows down, it'll slow down your adrenals, it'll slow down your pancreas, it'll slow down liver function, and it'll slow down the ability of cells to metabolize things. And all of those things I just mentioned manage your blood sugar.
In the end, if they start not functioning right, maybe insulin starts not functioning right, next thing you know you have insulin spikes going. Now you develop pre-diabetes, insulin resistance, and then that can ultimately lead into you having polycystic ovarian syndrome. That would be the actual chemical pathways that would occur, versus the fact that there just is an affinity for Hashimoto's to be involved with so many other different areas of the body. I suspect the reason is because Hashimoto's is a thyroid problem. It's an autoimmune problem first, a thyroid problem second, and the thyroid most of the time is a hypothyroid problem.
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Can Hashimoto's cause night sweats? I would argue that it's probably the number one cause of night sweats. And the night sweats, hot flash area of physiology is kind of confusing. So when most people come in here and they list night sweats as a symptom that they're interested in resolving, if it's a woman they're usually thinking hormonal, all right? But they're not thinking thyroid hormonal, they're thinking estrogen hormonal, but night sweats are different than hot flashes. And in hot flashes you get hot all throughout your body, but night sweats you sweat. And so sweating comes more from the adrenal glands, yet the genesis of it is a attack on the thyroid, so you get an attack on your thyroid and Hashimoto's. Hashimoto's is an autoimmune problem. You get an attack on a thyroid that puts out an increased amount of thyroid hormone and it creates intermittently a lot of hyper symptoms.
What would those be? Anxiety. Panic attacks can even be set off by a Hashimoto's attack. Insomnia, inward trembling, and night sweats. Night sweats is kind of secondary because the thyroid hormone increases physiology throughout the body, and then it increases the physiology in your adrenal glands and then you get night sweats. So yeah. So actually, if somebody comes in here and says night sweats, they haven't mentioned anything about a thyroid, they don't even think they got a thyroid problem. First thing I'm doing is running the antibodies on them to see if they have Hashimoto's. So Hashimoto's, night sweats, more often than not that's the connection.
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Can Hashimoto's Cause Skin Rash? I get a lot of people come in, and they say, "Oh, I got this rash, and I think it's coming from my Hashimoto's, and it flares up when my Hashimoto's ... It flares up." It's kind of a relationship versus Hashimoto's actually causing it. As so many of these things that I talk about, I have this, and most of the time, the skin rash is not going to be from Hashimoto's. If you look at the symptoms of Hashimoto's, they don't include skin rash. They include can't lose weight, hair loss, outer hair loss, my hair, my genitals, wherever, hair loss in my eyes. It's not skin rash. It's skin dryness usually on the shins, constipation, swelling around the ankles, but not skin rash, but we talked numerous times in our videos. We have a ton of videos on Hashimoto's, on PowerHealthTalk.com, and we talked in there about how auto-immunity, auto-immune attacks do not occur in isolation.
In other words, usually, you're going to have more than one autoimmune attack on you. If you have Hashimoto's, there's a good chance you're either going to have an immune attack on your stomach, autoimmune gastritis. Maybe you're going to develop celiac. Maybe you're going to develop autoimmune hepatitis. Maybe you're going to develop rheumatoid arthritis. Until you get your immune system under control, and as you keep developing exacerbations of your immune response that keeps attacking your thyroid, your immune system is eventually going to look around and attack other tissues that are vulnerable.
The two most common things I see that cause the rash ... Now, it depends on where the rash is. The most common thing I see is eczema now, and that's the one that I have, and it comes around here if I let it go, and it comes around here, but eczema can come in a number of different places. It doesn't have to come around your neck. The other one that we see is more on the face, is lupus, and not so much psoriatic arthritis. Most people don't come in and psoriasis. They realize that's more than a rash. Those are the two that we see the most.
A lot of people say eczema is not autoimmune, but the research and the data is moving more and more and more and more towards the fact that it is autoimmune, and I think it's autoimmune. So there. That's what's important for those of you who are listening to me, and I don't be cavalier about that. Literally, I've seen a 1,000 Hashimoto's cases. You have a chance to kind of observe these things.
Basically, what happens is let's say you're Hashimoto's and you're living on planet Mars and you haven't yet figured out that you shouldn't be eating gluten, so you eat gluten, your Hashimoto's flares up, and you start getting some of the symptoms of Hashimoto's and maybe you get heart palpitations or jittery or something like that. At the same time, your rash breaks out. You probably should start running antibodies to see if you have
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I think most of you probably know that I have Hashimoto's. And that I was actually one of the early diagnosis of Hashimoto's. Back when the doctor told me I had it, I didn't even... Never even heard of it. And, the doctor said, no, nobody's heard of it, but everybody's got it. That was a while ago. And he was right. And I had the classic symptoms. Actually what happened to me was I got pneumonia and I was under a lot of stress and boom, it triggered a whole autoimmune cascade in me, not just Hashimoto's but celiac and other things.
And it's interesting, the two things that I noticed the most was actually I put on weight like immediately, but my hair started thinning. And I was suddenly finding that I had large clumps of hair in my sink and on my brush and stuff like that. And my eyebrows were going away. This was years ago. And you'll notice, maybe you'll notice, I don't know, my hair is kind of back. I mean, there was a point where you can look and see my scalp and my eyebrows were gone.
So I mean it's just part and parcel to the hypothyroid aspect of Hashimoto's, essentially everything slows down. Your hair loss can come from poor liver function. So thyroid slows everything down, next thing you know, you're not getting proper liver function, now you're not breaking down enzymes, you're not making proteins that make your hair. You could get... And it's not a direct autoimmune attack on the hair. It's altering your physical, it's altering your hormonal function. In women, it's altering your estrogen receptor sites, so where the estrogen gets into your cell, starts not working right. In both men and women it starts gunking up your liver's ability to clear, to produce vitamins. Biotin is like... Everybody gets biotin when they got [inaudible 00:02:09].
So, liver produces B vitamins, so it's not producing B vitamins. It's glunked up. There's toxins, it's toxic. And the next thing you know, you're not getting the nutrients and you start losing hair.
But it's not like a direct hit on your hair. Okay? So you can get alopecia. If you've ever seen anybody who has like specific chunks of hair that just come out all at once. That's autoimmunity. Now, you don't get one autoimmunity in isolation. I've almost never seen it. There's always like autoimmunity of Hashimoto's and rheumatoid arthritis. Or Hashimoto's and celiac. Or Hashimoto's and get antibodies to your cerebellum. Or Hashimoto's and get antibodies to your pancreas, in which you start getting blood sugar issues.
So you can have that kind of cross reaction. I've seen it a number of times where the person has had that alopecia along with Hashimoto's, but I don't think that's what the question was asking. I think it was question was asking, is Hashimoto's causing my hair loss? So, indirectly, yes. Indirectly, it's one of the most common things. You will go in the hypothyroid and one of the classic signs of Hashimoto's is my hair starts falling out.
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We're going to be talking about Hashimoto's and weight loss. A lot of these come from questions that we've gotten. We had a zillion questions. So most of what we're going to be doing over these 30 days is answering those questions and then filling in the blanks for you. And some of you are saying, Hashimoto's and weight loss? I got Hashimoto's and I put on 60 pounds and I can't get it off. And you are the more common Hashimoto's patient if you have put on weight. I just had a thin Hashimoto's patient. And if you want more on this, the thin Hashimoto's patient, we have a much longer presentation on it on powerhealthtalk.com and you just type in thin Hashimoto's patient and we'll explain a lot more about that.
But just to keep it short, about 85%, 90% of patients get an immune attack in Hashimoto's and it slows down, it beats up, it's hitting their thyroid, it's damaging thyroid tissue, it's damaging the ability for thyroid to be made. So we start getting tired, we start getting overweight, we start getting swelling around the ankles, constipation, all things that are indicative of slow metabolism. The thyroid controls your metabolism. But there's a number of patients, I'd say 10%, maybe 15%, maybe probably closer to 10% or less, that come in who have Hashimoto's who are thin. They have been mistakenly called hyperthyroidism, they have been tested for Graves' disease. Graves' disease is an attack on the actual thyroid stimulating hormone that stimulates your thyroid. And if you get an immune attack on that, it keeps making more and more stimulating hormone. And now you stimulate it more, you make more thyroid hormone, and you're like this.
So there are two different antibodies that you measure. One's called an antithyroglobulin antibody and the other one's called antithyroid peroxidase enzyme. And it seems to me, depending on which one of those get hit or both of them get hit, you can go into hyperthyroidism. And here's the deal, you'll be thin. You'll get this attack on your thyroid. And instead of you getting tired and getting the weight gain, you're actually going to become hyper. Because that attack, unlike Graves', which attacks something called the thyroid stimulating hormone, it's attacking another part of the thyroid. But it is still forcing the thyroid to create more iodine, which ultimately creates more thyroid hormone. And now when you get too much thyroid hormone, when it's too little, you're like this. When it's too much, you're like that.
But the interesting part of this is that the hyper thyroid people generally are thin, they generally are wired, they generally can't sleep. They don't really have a lot of the hypothyroid symptoms from that perspective. But most of them, for some reason their hair will fall out, their eyebrows will get thin, their valves will be off. And they will have still a number of hypothyroid symptoms. So they kind of morph back and forth between hypo and hyper, but they are hyper.
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Martin P. Rutherford, DC
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Hashimoto's and high cholesterol. The reason I am taking this question and doing it is because it's something I see all the time. And it's like people come in and they have high cholesterol and they have high LDLs, low density lipids. And they go, "Oh my God, my doctor told me I got to go on a statin drug, my cholesterol is too high." That's another whole thing as for what actually constitutes high cholesterol. You can look at some of our other videos on powerhealthtalk.com on that. But they're like, "Man, I think I eat pretty good and I feel like I exercise," and all that type of stuff.
So two things that can cause high cholesterol, which most doctors aren't taking into consideration, one is actually insulin resistance. One is actually pre-diabetes. I won't get into the physiology of it, but prediabetes causes insulin resistance and insulin resistance causes high cholesterol. It's kind of like the basis of all the research for keto stuff. But thyroid, hypo-thyroid and 90... We'll use Mayo Clinic's numbers. In 85 to 95% of the people out there with hypo thyroid likely have Hashimoto's. And Hashimoto's is frequently called Hashimoto's Hypothyroid Disease. So the hypo-thyroid aspect of it is what creates the condition. So basically the thyroid has receptor sites all over the body. And when you get hypo-thyroid, everything starts slowing down for two reasons. One, it affects the vagus nerve coming off of your brainstem. And your vagus nerve is what controls your stomach. It controls your gallbladder. It controls your pancreas. It helps to control... It controls the movement of your bowels. It's the number one cause of constipation is when that guy's not working. It controls your liver.
So everything slows down. Cholesterol is made and stored in the liver. And so what happens is when you get hypo-thyroidism, things start to slow down. The liver can't clear as well as it should. And the next thing you know, you start making... High density lipids, they're the good cholesterol. Low density are the bad cholesterol. And cholesterol is cholesterol. Okay, so high density lipids, the good guys, usually go down because those are guys that are going out to your arteries and bringing back the bad cholesterol. And the bad cholesterol is the bad cholesterol because it's going into your arteries and staying there. And cholesterol is just cholesterol. When everything slows down, the low density lipids, the bad cholesterol starts not mobilizing as well as it should. When everything slows down, the overall cholesterol guys don't get out of the out of liver the way that they should. And you start to get this picture of a high cholesterol and high low density lipids. And that's the point in time when people start saying, "Oh, let's give you a statin drug." Or even in the alternative world, let's give you something for that.
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Martin P. Rutherford, DC
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775 329-4402
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Constipation is extremely common with the Hashimoto's condition. So why does... Is it related? Yes. I would say that Hashimoto's is considered probably the number two cause of constipation. Number one cause is chronic stress. And then after that, you can go into all of the things that occur. But Hashimoto's, from my understanding, goes at constipation in two different ways. The primary way that Hashimoto's causes constipation is it alters the physiology of your brainstem. And without getting too into the weeds, we do functional neurology here as well as functional medicine. So they kind of go together, brain function neurology. So essentially, it alters the ability of your brainstem to dampen stress responses. In fact, it increases stress responses, which then can overwhelm relaxation responses. Relaxation responses are known as parasympathetic responses. So basically, if you're in a chronic fight response, let's put Hashimoto's over here for a second.
If you're in a stress response, the number one cause of constipation, the stress response basically shuts down your relaxation response. When you're in fight/flight, you're not supposed to be relaxed. It's a different chemistry. And the Hashimoto's does a similar thing to that parasympathetic relaxation response. You may or may not realize it because a lot of you sit on the toilet thinking when you have to go to the bathroom and go, and you're pushing and all that type of stuff. Where, just saying, if you were kind of relaxed, started doing some deep breathing, start meditating, whatever it is that you relax, you would find your bowels would move a lot easier because it is a relaxation response. So essentially, it shuts down the vagus nerve, which allows that relaxation response in what's called your enteric nervous system. There's a separate nervous system.
Some of you have heard the phrase, "We have two brains. There's a second brain in the gut." That's what we're talking about. And that second brain is in the muscular lining of the gut that is right below where all the little digestive areas villi are, and then it gets tight. When the relaxation response is interfered with, the muscles become tight, and then they don't work. There's this part of the nervous system, they're called migrating motor system, and the migrating motor system helps you to migrate your feces out to the toilet. Okay? So that kind of gets slowed down, paralyzed. And that's really... There is a huge connection. Also, Hashimoto's is called, some people call it Hashimoto's hypothyroid disease because probably 75% of you have Hashimoto's hypothyroid as opposed to the small percentage that are the thin Hashimoto's patient and hyperthyroid, hypothyroid patient, everything slows down.
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Martin P. Rutherford, DC
1175 Harvard Way
Reno, NV 89502
775 329-4402
https://goo.gl/maps/P73T34mNB4xcZXXBA
For more information on this topic or to schedule a consultation please visit us at http://WhatIsHashimotos.com
Is Hashimoto's disease genetic? There's been a lot of going back and forth on this ever since Hashimoto's was discovered. It's essentially an autoimmune disease, which means your immune system, which has been tasked with the almost ridiculously impossible task of killing bacterias, killing viruses, detoxing things, protecting your tissues from anything that is bad and attacking that without attacking you.
Pretty amazing, it's a pretty amazing thing. And then as time has gone on, we have had a kind of an evolution of society, and you've probably heard me talking about this many, many times. And next thing you know, we're staying up late, we got poor work hours, we're eating genetically modified foods, we're taking tons of drugs that we didn't take before. A lot of those stuff have chemicals in them. We have tons of chemicals. All these things flare up immune responses and then they can start attacking tissues.
The thyroid tissue is arguably the most sensitive tissue that there is. And so that makes it kind of the most vulnerable tissue. And then basically, you violate that immune system, you overload it, it kind of gets a little confused. And the next thing you know it actually flares up too much, and then it starts hitting vulnerable tissue. The thyroid has a receptor site for its hormones in every single cell of your body, every single one; trillions. So probably the only thing it has that, maybe blood sugar has that, maybe glucose has that.
So anyway, but so it's an auto immune problem, it kind of develops the same way all these autoimmune problems are developing. Having said that, I think the question probably comes from the fact that we now are looking at histories. For example, if the mom has it and she has a mom who had it, and she has a ... Let's start that over again. If you have a female patient, she's got a mom, she's got a daughter, she's got a sister, she's got another sister. Two of them today, in today's age, are probably going to get it. So it's like a 50/50 type of a thing.
And so from that perspective, you could argue that it's genetics, because now once you have turned it on in the first person, their DNA has said, "It's okay to attack me, my immune system. I know you're supposed to only attack those viruses and bacterias and yeast and molds and all that type of stuff, but you can attack me now." And once your immune system attacks you, it creates what's called a polymorphism in your DNA and now you're susceptible to it. You can pass that on, you can pass that genetic propensity to develop it to your offspring. And ultimately, we see these pods all the time. We see that the mom has it, the grandmother has it, the sister has it, the brother may have it occasionally.
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Martin P. Rutherford, DC
1175 Harvard Way
Reno, NV 89502
775 329-4402
https://goo.gl/maps/P73T34mNB4xcZXXBA
For more information on this topic or to schedule a consultation please visit us at http://WhatIsHashimotos.com
http://powerhealthtalk.com
http://powerhealthreno.com
Martin P. Rutherford, DC
1175 Harvard Way
Reno, NV 89502
775 329-4402
https://goo.gl/maps/P73T34mNB4xcZXXBA
For more information on this topic or to schedule a consultation please visit us at http://WhatIsHashimotos.com
Can Hashimoto’s cause a positive ANA. This is like, I think one of the most important topics of this whole auto-immune as well as a Hashimoto's topic. This one drives me crazy. So ANA. ANA is a widely accepted test. Most people who do auto-immune testing today, medical doctors, rheumatologists, will run an ANA when they suspect you have autoimmunity. And an ANA means anti-A, anti, nuclear antibody. These are antibodies. So what antibodies are, when there's a bad guy in your system, antibodies don't destroy them, antibodies tag them for destruction. An antibody doesn't destroy, they just tag so that the immune system knows to come out and do the destruction. It's considered a pretty general auto immune marker. Hashimoto's is an auto immune disease, so indeed, if you have Hashimoto's ... Well, let me step back.
Let me step back. Anti nuclear antibody, what does that mean? It means that you are getting antibodies against the nucleus of a cell. All of our cells have nuclei, right? Nucleus. Which cell? We don't know. It could be against any cell in your body. Any cell, which includes you're going to have an anti nuclear antibodies with rheumatoid arthritis, Sjogren's, lupus, those are the most common ones. Certainly, you can have it with a Hashimoto's and any one of ... They now are up to like 140 potential autoimmune responses in the body that they know of. But here's the killer about the ANA and this may be what generated question. I don't know. Almost everybody comes into me goes, "They don't know whether I have autoimmunity or not." And I already know what that means before they even get the words out right. It means they ran an ANA and one day they ran it and it was positive and they said, "Oh, it looks like you might have autoimmunity but it doesn't mean anything, because the next day we might run it and it might mean nothing because it might not come up positive."
Not being an autoimmunologist, but seeing a zillion of these things, it's pretty well understood that some days antibodies are more available, you have more of them flying around than other days. Some days the ANA will be up, some days the ANA will be down, confusing your doctor, but it shouldn't be confusing. At any given time, if you have an immune attack against your thyroid or against any tissue, antibodies are going to be up and it's going to come up positive. You have autoimmunity. Autoimmunity doesn't go away. I've had doctors criticized me for this indirectly to their patients and I said, "Well, why don't you just go back to your doctor and ask him why did you run the damn test in the first place? If the test came up positive, why are you telling me I don't have anything?"
The mindblower is, this test actually means you can have antibodies against any cell in your body. It's actually a very good test if you just learn how to use it. Absolutely. And I just wanted to like go over all that because I'm going over with you the things that I see as a longtime functional medicine practitioner, probably first one in the group of doctors that was in the pool for a Hashimoto's years and I've got Hashimoto's.
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Martin P. Rutherford, DC
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Why do you still have thyroid symptoms when the doctor is telling you that your thyroid numbers are correct? There's a lot of nuances to that, a lot. Like about 25 different ones. But I'm going to talk about the core here real quickly. So normally when you go to the doctor, in this day and age maybe you already know you have Hashimoto's. So I think that's what the person is asking, this is a question that someone asked. So let's say you know you have Hashimoto's, you go to the doctor, they're checking your thyroid hormone. Most of the time they only check TSH still. And if your TSH, which is the thyroid stimulating hormone, which is the holy grail of endocrinology for 100 years or more for thyroid, you don't have enough data to really know why that is happening. And your doctor doesn't generally know that, because that's basically what they go by.
Some doctors will measure TSH T4 and T3. So T4 is with the thyroid makes, T3 is what the T4... The thyroid hormone T4 is inactive, T3 is what the inactive T4 turns into. T3 is active. It's all about T3. It's all about T3 getting into your little cells and giving you energy and then you lose weight, your hair stops falling out and things of that nature.
Problem is even when the doctors today run TSH T4 and T3, we have a significant disagreement between functional world and the pathological world, the doctor world, the medical doctor world, the endocrinology world, as to what those numbers should be. Most of the time what's happening is you're not converting the active T4 to T3. So you have this thyroid, it makes a proper amount of T4, so you take the test says your TSH is normal, your T4 is normal. There's a lot of argument as to what's normal for T3. The inactive thyroid hormone gets converted. Now there's a ton of things that will stop that conversion. One of them is half of the drugs that you're taking out there. I literally have two laminated sheets, both sides, notebook type paper type sheets of drugs that I have to look at before I do anything else and go, "This is maybe part of your problem. This may be stopping you from T4 to T3." Some of the most popular ones unfortunately are like hormone replacement, birth control or, for you guys are out there who liked the big muscles, steroids. And so those things will do it. But there's just so many. Some of the antidepressants, some of the antianxiety medication, so you got that.
But you convert your T4 to T3 in your liver, in your intestines, and at the very cell site where it goes into the cell. Within the framework of those three things, there's about 30 things that can go wrong. So this goes back to Hashimoto's. Hashimoto's is an autoimmune problem. We're not even talking about that automated problem right now. We're talking about just the basic of the thyroid itself showing normal. If you have liver problems, if you have fatty liver, if you have any of the one to 30 things that can happen in your intestines, autoimmune gastritis, SIBO, leaky gut, dysbiosis, alternating constipation and diarrhea. If you have any of those things you're probably going to have a hard time converting.
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Martin P. Rutherford, DC
1175 Harvard Way
Reno, NV 89502
775 329-4402
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For more information on this topic or to schedule a consultation please visit us at http://WhatIsHashimotos.com
Topic today is Hashimoto's versus hypothyroidism. Hashimoto's has a lot of different names to it. One of them is Hashimoto's hypothyroid disease, and so pure hypothyroidism, I'm not even sure if it actually exists because I never see it. The people who come in here have Hashimoto's. They've already been to their doctor. The doctor has told them that they have hypothyroid, but they have all these symptoms. They're taking the medication. It's not working because the doctor hasn't checked to see if they have Hashimoto's, which is technically primarily an autoimmune problem first and a thyroid problem second. If you actually have a pure hypothyroid, if it exists, then your thyroid is slowed down. Question is why. Usually the answer is because person's got Hashimoto's, but if you actually had a pure hypothyroid problem, you would take the medication, your TSH would be too high, you take the medication.
TSH would come into range, thyroid-stimulating hormone come in range. You'd feel like a million bucks. You start losing weight, your hair will get better and all that type of stuff. It's arguable that that may never even be the case. Here's the deal on Hashimoto's, okay, there are silent Hashimoto's. Silent Hashimoto's means that you're getting an immune attack on your thyroid, but you don't even know it. Here's the thyroid, here's the immune system. The immune system is hitting the thyroid and the thyroid is like maybe not doing anything at all. Maybe you don't even have any symptoms whatsoever. This is how a lot of Hashimoto's starts out, and you can have that for years and you're not going to know it because you're not getting any symptoms. You're not going to go to the doctor, you're not going to look for it. Nobody's going to look to find it.
Then there's something called reactive hypo, hypoglycemia, reactive Hashimoto's, and this is something that I would say this is 50% or more of what comes in here. Okay, so the person has the attack. The attacks been going on for years. It's been silent, but all of the sudden, my hair starts falling out. I start putting on weight. I start getting tired. I start getting ankles that are swollen, maybe a little constipation, maybe my skin starts drying out. Some combination of that. Go to the doctor and they test you and everything's normal. Everything's normal, but you have all these symptoms so that you get maybe going for another six months. You get tested normal maybe go on for another six months, maybe a year and a half later, there's enough damage to this thyroid that you actually get a test and they say, "Oh, your TSH is off and we'll give you this thyroid hormone."
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Martin P. Rutherford, DC
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Which test do you do to, to figure out whether a person's got Hashimoto's or not. There's a few nuances to this that we may cover later on in some of our other series presentations on this, but the tests themselves, there's two.
So when you go to the doctor and they do the TSH, they do your thyroid stimulating hormone, T4, your T3, those are for thyroid function and they have nothing to do with whether you have Hashimoto's or not. So the test that the doctor should run to determine whether you have it is twofold. One is called ATPO, T like in Tom, P like in Paul, O like and Oreo cookie and it stands for thyroid peroxidase enzyme and that's the enzyme that takes the T, so your thyroid hormone that is mostly made in your thyroid is called T4. So it takes the T, which is tyrosine and it puts it together with four iodines and that makes your T4. That enzyme is what does that. So that enzyme gets tagged by antibodies to be attacked by your immune system. So that's one. Thyroid peroxidase enzyme, TPO enzyme. They're one in the same test.
The second test is the antithyroglobulin test. So globulin means protein, basic league. This is not an attack. This is not an antibody tagging an enzyme for an attack. It's an antibody attacking or attaching to your actual thyroid tissue. The actual tissue in which the enzymes and the chemical reactions that make your thyroid hormones take place. So that's called an antithyroglobulin hormone. The ranges on those are significantly different and that's something that we'll be covering in the future.
This was basically the genesis of this presentation was a question that asks, what do I do? What do I do to find? Is there a test? Is there a test for Hashimoto's? Yes and what is it? That's what it is. It's those two. If you go to the LabCorp, they, they actually have a panel there. It's just called thyroid antibodies and if you ordered that panel, these are the two. These are the two ranges that you would get.
So that's it for today. TPO antibodies, antithyroglobulin antibodies. Those will tell you whether you have Hashimoto's.
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Martin P. Rutherford, DC 1175 Harvard Way Reno, NV 89502 775 329-4402
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We're beginning a new topic here in our presentations that we've been putting on for the last seven or eight or nine years. Our new way of presenting data, we're going to start presenting one condition a month and we're going to address that condition every day for that month. We're going to give you nuances of that condition. That condition that we're going to start with in April is, that we're doing this April, right now, is what is Hashimoto's? And Hashimoto's is going to be the subject this month. Then another month we might talk about fibromyalgia, another month we might talk about chronic fatigue. So, there's so many aspects to these conditions that it's hard for me when somebody writes me and says, "What's Hashimoto's?" I can talk for, well, you can go look at our Hashimoto's No BS Series, and that's over an hour long and we had to cut that down.
So, what is Hashimoto's? And we're going to hit a little nuance each and every day. So, for those of you with Hashimoto's this should be like uber interesting and informative, because I've been doing Hashimoto's for a long time. I studied with a doctor that actually kind of figured out Hashimoto's was what's causing most thyroid problems, and I've been very blessed that way. And if there's a question you got about it, usually I can answer it. So, let's start answering them. We'll start with what is Hashimoto's? So, I'm going to keep this short because we're going to talk about this for another 29 days. Okay? But Hashimoto's is very complex. It is just so complex. When we started out it was, okay, it's an immune attack against the thyroid. Okay? And that's clear enough. Your immune system starts attacking your thyroid and you get Hashimoto's.
So, technically it's an autoimmune problem. They call it Hashimoto's thyroiditis. Itis means inflammation. Okay? So, there's inflammation against the thyroid because the immune system is attacking, and there's so many nuances. We're going to talk about why you've been told that your lab tests are normal. A lot of people know that now, but a lot of you still don't. I had a nurse in here yesterday that kind of was a little bit unaware of the fact that it's mind numbingly misdiagnosed. It's frequently not looked for. The numbers in different labs are different. There is silent Hashimoto's, there is reactive Hashimoto's, there is full blown Hashimoto's, there are nuances of it all over the place. There are herbs and botanicals for it. Some people want to know, can I get off the medication? We'll answer that question.
Medications are a big, big question I get a lot. Hashimoto's is related to so many other things. It's related to autoimmune attacks against your cerebellum where you get dizziness and vertigo imbalance at the same time and you're going like, "What the heck do I have that for?" And you don't realize that they're connected. It's related to gut problems, specifically related to celiac. It's related to autoimmune gastritis. For those of you who have difficulty having a child, it's related to polycystic ovarian syndrome and more. If you have rheumatoid arthritis, there's such and such a chance that you're going to have Hashimoto's. So, we're going to talk about those things. We're going to talk about what is the actual attack for Hashimoto's and the fact that the initial attack should not be herbs and botanicals, or drugs for that matter.
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