RE: Hypothyroid and hyperadrenal

[Guest guest]

I would think that all that cortisol in her system is the culprit. Her energy is great because she's speeding on all that cortisol. If you rebalance her adrenal function/reduce the cortisol, her thyroid would respond as well, or perhaps the true nature of her hypothyroid would reveal itself, or you could effectively treat. Regards, Whiten.D., Ct

Hypothyroid and hyperadrenal

I have a 58 year old female patient who came to me about a year ago for support with hypothyroidism. She has not symptoms of hypothyroid at all. Energy is great, skin, hair, wt, temp all good.

Her TSH had been 19.2 and 23 at two times before seeing me and had a T4 at 5.2. I don't have those labs, she just reported those to me. Her primary care doc tried to put her on Synthroid at the lowest dose and she became a "screaming maniac" and had headaches pretty badly. This was before she came to see me. She stopped the meds, of course. She is sensitive to most meds.

She sailed through menopause without issues. Does yoga daily or almost daily. She is a pretty relaxed person. I had a hard time finding anything to go on with her. I mean she is pretty darn healthy. She walks alot daily, gardens, is retired, lives with husband, quite happy.

Only symptom is that she may be chilly occasionally.

BP 122/88 P72 R16

No thyroid enlargment or nodules on palpation.

She recently told me she had a car acccident a few months before her thyroid went wacky. - Thoughts on this?

So,

I prescribed:

alternating hot/cold to thyroid BID

Avoid goitrogens

Eat lots of greens and thyroid support foods like seaweeds,etc

Thyroidinum 4CH 15gtts BID

Phytogreens 1 scoop BID

She was taking a thyroid support supplement from health food store with the usual nutrients in it which I told her to finish off - she could only take one cap of it which was a very low dose of stuff.

She called a few days later and said she got a headache with 15

gtts of Thyroidinum. Cut dose in half and was "flying high with energy" but too much.

So, she stopped it and we discussed reintroducing it 1 drop at a time.

Followed up a couple months later and and was doing Thyroiodinum 4CH 6 drops per day and could only do hot/cold compresses once a day because it felt too stimulating. Continued this plan and gradual increase in drops per day.

Did not follow up for many months. Not consistent with plan but called finally and said that she thought the plan was helping and wanted to get back into it.

She had gone to an endocrinologist who measured:

urine epinephrine, norepi, dopamine, normetanephrine and metanephrine which were all WNL.

I requested she get TSH, Free T3 and FreeT4 this past Feb and she got TSH and total T3 and T4 instead.

TSH =24.84

Total T4 4.5 (4.5-12.5)

Total T3 156 (60-181)

SHe came in that month and I recommended an ASI and we did:

Continued hot/cold compresses, phytogreens

Thyroidinum - she went back down to 1 gtt BID because was too stimulating again.

Added- Gammadyne I

Got an ASI and Cortisol levels were quite high:

AM- 32 (13-24)

Noon - 14 (5-10)

4-5pm - 8 (3-8)

midnight - 13 (1-4)

Cortisol burden 67

DHEA normal @4

Salivary SIgA depressed at 7

Gliadin Ab, negative @3

17-OH progesterone 23

Saliva Insulin low fasting and post prandial - I don't think this test is reliable. I never see correlation with these levels and what I believe is actually going on for my patients. Any comments on saliva insulin?

So, I see her tomorrow to address these results.

My questions?

- Is her TSH just working so hard for so long to keep her T3 and T4 where they are? Is that why her TSH is soo high?

- I did not expect her adrenals to be so whacked because she is a really balanced person. Any thoughts on this?

- Should I get her off of Gluten anyways, despite her labs? Maybe it's really high but SIgA is too low to truly reflect (as we've discussed recently)?

- How about the car accident? Could it have messed with her pituitary?

Any thoughts welcome.

Kim Saxe, ND

Kim E. Saxe, ND Vice-President, Wisconsin Naturopathic Physicians Association www.milwaukeenaturopathic.com

"Study nature, love nature, stay close to nature.

It will never fail you." ~ lloyd

Seven Stones Center for Wellness 1924 N Farwell Ave Milwaukee, WI 53202 414.224.1074

__________________________________________________

[Guest guest]

That's a good point. I met with her the other day and we had a lengthy discussion about cortisol, it's effects and how to work on lowering it, mostly with diet, lifestyle stuff, relaxation exercises and routine. She said she had just been thinking about how she wants to get into meditation again. Funny how that works out, sometimes. Also,we're using some Seriphos and adaptogenic herbs. Any other thoughts are welcome. Kim Saxe White <nancywhitend@...> wrote: I would think that all that cortisol in her system is the culprit. Her energy is great because she's speeding on all that cortisol. If you rebalance her adrenal function/reduce the cortisol, her thyroid would respond as well, or perhaps the true nature of her hypothyroid would reveal itself, or you could effectively treat. Regards, Whiten.D., Ct Hypothyroid and hyperadrenal I have a 58 year old female patient who came to me about a year ago for support with hypothyroidism. She has not

symptoms of hypothyroid at all. Energy is great, skin, hair, wt, temp all good. Her TSH had been 19.2 and 23 at two times before seeing me and had a T4 at 5.2. I don't have those labs, she just reported those to me. Her primary care doc tried to put her on Synthroid at the lowest dose and she became a "screaming maniac" and had headaches pretty badly. This was before she came to see me. She stopped the meds, of course. She is sensitive to most meds. She sailed through menopause without issues. Does yoga daily or almost daily. She is a pretty relaxed person. I had a hard time finding anything to go on with her. I mean she is pretty darn healthy. She walks alot daily, gardens, is retired, lives with husband, quite happy. Only symptom is that she may be chilly occasionally. BP 122/88 P72

R16 No thyroid enlargment or nodules on palpation. She recently told me she had a car acccident a few months before her thyroid went wacky. - Thoughts on this? So, I prescribed: alternating hot/cold to thyroid BID Avoid goitrogens Eat lots of greens and thyroid support foods like seaweeds,etc Thyroidinum 4CH 15gtts BID Phytogreens 1 scoop BID She was taking a thyroid support supplement from health food store with the usual nutrients in it which I told her to finish off - she could only take one cap of it which was a very low dose of stuff. She called a few days later and said she got a headache with 15 gtts of Thyroidinum. Cut dose in half and was "flying high with energy" but too much. So, she stopped it and we discussed reintroducing it 1 drop at a

time. Followed up a couple months later and and was doing Thyroiodinum 4CH 6 drops per day and could only do hot/cold compresses once a day because it felt too stimulating. Continued this plan and gradual increase in drops per day. Did not follow up for many months. Not consistent with plan but called finally and said that she thought the plan was helping and wanted to get back into it. She had gone to an endocrinologist who measured: urine epinephrine, norepi, dopamine, normetanephrine and metanephrine which were all WNL. I requested she get TSH, Free T3 and FreeT4 this past Feb and she got TSH and total T3 and T4 instead. TSH =24.84 Total T4 4.5 (4.5-12.5) Total T3 156 (60-181) SHe came in that month and I recommended an ASI and we

did: Continued hot/cold compresses, phytogreens Thyroidinum - she went back down to 1 gtt BID because was too stimulating again. Added- Gammadyne I Got an ASI and Cortisol levels were quite high: AM- 32 (13-24) Noon - 14 (5-10) 4-5pm - 8 (3-8) midnight - 13 (1-4) Cortisol burden 67 DHEA normal @4 Salivary SIgA depressed at 7 Gliadin Ab, negative @3 17-OH progesterone 23 Saliva Insulin low fasting and post prandial - I don't think this test is reliable. I never see correlation with these levels and what I believe is actually going on for my patients. Any comments on saliva insulin? So, I see her tomorrow to address these results. My questions? - Is her TSH just

working so hard for so long to keep her T3 and T4 where they are? Is that why her TSH is soo high? - I did not expect her adrenals to be so whacked because she is a really balanced person. Any thoughts on this? - Should I get her off of Gluten anyways, despite her labs? Maybe it's really high but SIgA is too low to truly reflect (as we've discussed recently)? - How about the car accident? Could it have messed with her pituitary? Any thoughts welcome. Kim Saxe, ND Kim E. Saxe, ND Vice-President, Wisconsin Naturopathic Physicians Association www.milwaukeenaturopathic.com "Study nature, love nature, stay close to nature. It will never fail you." ~ lloyd Seven Stones Center for Wellness 1924 N Farwell Ave Milwaukee, WI 53202 414.224.1074 __________________________________________________