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Gilbert's Syndrome

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Hi Everybody

Can anyone help me to find out if there is a connection between hypothyroid

disease and the liver disease called gilbert's syndrome?

My 19yr old son has been diagnosed with gilberts syndrome whilst on his gap

year, luckily he happened to be in new zealand when he was admitted to hospital

with vomiting and diorhea and he had to have 3 bags of fluid to rehydrate him.

The medics are apparently very good there. He had blood tests done and they

found out his liver is not working properly and that it is a genetic fault

passed on by both parents. The funny thing is when I looked up the symptoms

they are identical to the hypothyroid ones, and it said that lots of people with

it are diagnosed as CF.

Both myself and my husband are now diagnosed as hypothyroid, and I was convinced

that my son also had the same problem as he has lots of the symptoms. I was

going to get him tested on his return, which I still will do I think. The

question I want to ask though is it common for hypothyroid patients to have this

syndrome, and is that the cause of hypothyroidism in some people?

love janet

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Hi Janet, Im very interested in your post as we came to the conclusion that my son (33) has Gilberts - he had lots of bloods done that showed nothing other than raised bilirubin and slightly raised cholesterol - but the info Ive read says that they also have a lowered risk of heart conditions.

As Im hypoT Im wondering now if there is a connection so will be interested if you find anything and I will look into it myself too!

Gill

Can anyone help me to find out if there is a connection between hypothyroid disease and the liver disease called gilbert's syndrome?The question I want to ask though is it common for hypothyroid patients to have this syndrome, and is that the cause of hypothyroidism in some people?

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....this is from another group:

Bill

~~~~~~~

From: Nicola

NaturalThyroidHormonesADRENALS

Date: Mon, 17 Sep 2007 07:45:08 +0000

[...] I have Gilberts Syndrome! It is diagnosed by elevated serum

bilirubin with otherwise normal LFTs. It is apparently a genetic

shortage of an enzyme which breaks down bilirubin in the

glucoronidation process of the phase 2 liver pathway. Because the

bilirubin is not being broken down as fast as it should, it leads

to a build-up of bilirubin in the blood, and can cause sufferers to

look jaundiced, with yellow skin and eyes.

Doctors claim Gilberts is benign, but it is not! They have not

appreciated that if one function of the liver is working slowly, then

probably the whole phase 2 pathway of the liver is working slowly.

There is a direct link between Gilberts syndrome and hypothyroidism,

because the conversion of T4 to T3 occurs in the phase 2 pathway of

the liver. Other things like steroid synthesis, utilisation of Vits

D and K, methylation also take place in phase 2, and are all likely

affected by the slow functioning of this pathway. Gilberts syndrome

sufferers are 4 times more likely to suffer from chronic fatigue

than 'normal' people -- quite simply, their livers cannot keep up

with the weight of detoxification.

Doctors say that Gilberts is genetic, ie inherited. Not true!!

No-one else in my family has Gilberts -- they have been tested.

Gilberts can be 'acquired' by years' exposure to heavy metals,

ie mercury, which get detoxed from the body via the phase 2 pathway.

The mercury damages the phase 2, and voila, you've got Gilberts!

At least, this is the only liver function affected that shows up on

standard blood tests. I am sure if doctors were to test methylation,

Vit D,K synthesis, conversion of T4 to T4, then this would all

show up as slow. But that would be asking too much of our well-paid

medical profession. We patients have been left to find these things

out by ourselves!!!

So, if you have Gilberts, you will have elevated bilirubin and normal

LFTs in a blood test. You will unlikely convert T4 to T3 well, and

will probably do better on T3 only. You will likely have blood sugar

problems (sluggish liver), and need supplementary Vits D and K. You

will probably have bloating, some nausea (when symptoms are accute),

brain fog, fatigue, irritability. The liver and adrenals work very

closely together to maintain blood sugar, and, because the liver is

sluggish, you will likely have blood sugar problems or carb

intolerance too.

Loads more info here:

www.gilbertssyndrome.com

How's that for a Monday morning lesson?!

best

Nicola

-------

NaturalThyroidHormonesADRENALS/

---

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Brilliant

Bill - many thanks for sharing this with us.

Luv -

Sheila

....this is from another group:

Bill

So, if you have Gilberts, you will have elevated bilirubin and normal

LFTs in a blood test. You will unlikely convert T4 to T3 well, and

will probably do better on T3 only. You will likely have blood sugar

problems (sluggish liver), and need supplementary Vits D and K. You

will probably have bloating, some nausea (when symptoms are accute),

brain fog, fatigue, irritability. The liver and adrenals work very

closely together to maintain blood sugar, and, because the liver is

sluggish, you will likely have blood sugar problems or carb

intolerance too.

Loads more info here:

www.gilbertssyndrome.com

How's that for a Monday morning lesson?!

best

Nicola

-------

NaturalThyroidHormonesADRENALS/

---

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>

>

>

> Dear Bill

>

> Thank you so much for this, I have been searching for a connection and have

found that the bilirubin is affected by hypothyroidism, I think this is another

of the things like CFS or fibromyalgia that is a neglected part of the thyroid

'family'

love janet

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  • 5 months later...
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Hi janet

toxic load of mercury can cause problems for the thyroid. Have a

look at the information that we have on our website re 'mercury' under

'Associated Conditions http://www.tpa-uk.org.uk/mercury.php

.. People with amalgam fillings in particular should get tested to see what

level mercury they have in their blood.

Luv - Sheila

Has anybody got any information about any studies that have been done on this,

as I would be really interested. Of course the official take on it is that the

condition is benign and people with it have no difficulties at all. It is not

what the support groups think though.

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Version: 8.5.392 / Virus Database: 270.13.45/2286 - Release Date: 08/07/09

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http://www.genecards.org/cgi-bin/carddisp.pl?gene=Dio3

Function: Responsible for the deiodination of T4 (3,5,3',5'-tetraiodothyronine) into RT3 (3,3',5'-triiodothyronine) and of T3 (3,5,3'-triiodothyronine) into T2 (3,3'-diiodothyronine).

RT3 and T2 are inactive metabolites. May play a role in preventing premature exposure of developing fetal tissues to adult levels of thyroid hormones. Can regulate circulating fetal thyroid hormone concentrations throughout gestation.

Essential role for regulation of thyroid hormone inactivation during embryological development

**

If either of these two 'inactive' metabolites build up ~ degradation to 3-iodothyronamine will reverse the activity of T3 itself; this is proven science (Scanlan,T et al)

3-iodothyronamine is an amine and is transported in a different manner from that of T3.

There is no excuse for either not knowing or minimising the damage that is being done through low T4 and/or low T3.

Look at the mechanism for degradation and it's clear why both of them will be low.

Hemangiomas arise from endothelial tissue ~ on the skin surface they disappear from birth onwards; appears they persist in the liver....for some reason.....

[[...If it could be a cause of reduced T3 conversion then perhaps the condition your son has might. You could try googling gilbert's syndrome and thyroid and see what comes up....]]

not reduced conversion as such, but increased degradation

Bob

>> I have a haemangioma on my liver. They discovered this accidentally some years ago whilst I was having a scan for something else. Since I stopped converting to T3, and as T3 is mainly converted in the liver, I thought I would look it up. > > I found:-> High levels of type 3 iodothyronine deiodinase activity were found in the haemangioma tissue. This enzyme is involved in the inactivation of thyroxine.> > As I was not quite sure what this means I did ask on the group if anyone could enlighten me, but as yet nobody has replied. > > If it could be a cause of reduced T3 conversion then perhaps the condition your son has might. You could try googling gilbert's syndrome and thyroid and see what comes up. > > Lilian> > > A few months ago my son was diagnosed with gilbert's syndrome whilst he was away in New Zealand. This is a liver condition ....>

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