EPISODE 2 - · PDF fileEPISODE 2: Dr. Izabella Wentz:

EPISODE2:TheThyroidMisinformationandMisdiagnosisMachine ©2017ThyroidHealthMedia,LLC.AllRightsReserved.

Dr.IzabellaWentz:

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Thyroiddiseaseispoorlyunderstoodbyconventionalmedicine.Manypeoplearemisdiagnosedandstrugglewithsymptomsforyears,sometimesdecadesbeforetheygettherightdiagnosis.Evenwhentheydogetdiagnosed,they'reoftentoldthattheyjusthaveasluggishthyroid.They'renottoldthattheyhaveanautoimmuneconditionwhichisprogressive.Wedecideditwastimetoabolishthemythsthatleavepeoplesickandfeelingtotallyhelpless.It'sforthisreasonthatwe'regivingyouandyourlovedonesthevitalinformationcontainedinthisepisodeforfree.Ifyou'dliketo,youcanowntheseriesandsupportourmission.Ifyouwanttohelpustokeepgettingthetruthouttothosewhoneeditmost,thenclickonthelinkbelowtodiscovermoreaboutmakingTheThyroidSecretyours.Withoutfurtherado,let'sstartanotherexcitingepisode.

[00:01:00] You'reabouttolearnsomethingsthatwillhelpimpactyourlifeandthelivesofyourfamilymembersforthebetter.Thesepeople,Icallthemmyrootcauserebels.Thesearepeoplethatarelookingfortherootcausesofwhat'sledtotheirhealthconditions,sothey'renotjusttryingtobandageuptheirhealthconditionswithmedications.Forexample,onewomanwhowasabletoreverseherpolycysticovariansyndrome,irritablebowelsyndrome,andgofromsleeping14hoursanighttoeighthoursanightwithinjustacoupleofweeksofdoingsomeofthelifestyleinterventions.

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ThenIrecentlyhadawomanwhousedtonotbeabletowalkpastacandlestoreatthemallwithoutgettingveryseverelyill.Withinafewweeksnow,she'sabletotoleratealotofdifferentthings.Peoplewithmultiplechemicalsensitivities,thoseproblemsgoingaway.I'veseenpeoplewhowentfrombeingsomebodywhowasverybrainfogtothepointwheretheyhaddifficultywithwordfindingbecomingnovelistsandpublishingnovels.It'sthesetransformationsinpeopleoncetheygettheirhealthbackthatarejustastounding.There'sasayingthatsayswhenasleepingwomanawakens,shewillmovemountains.That'swhatI'veseenalongmycommunity.Whenpeoplechangetheirhealth,theyawaken.Whenthyroidfunctionreturns,people'sdreamsreturn.Theycanfollowtheirdreamsoncemore,theycangoafterthethingstheywantinlife.

[00:02:30] DeannaKelemen:

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Istartedtodevelopanothermysteryillness.Thiswasin2008.Ihavebeenaddingsymptoms.Theyhadbeenmonitoringalowwhitecountthathadbeengoingonforyearsactually.JustanumberofthingsthatIwasstartingtofeelrundownagain.ThiswaswhenIwasonjustwithSynthroid.Idon'tknowifthere'sanyrelationship.ThenallofasuddenIstartedrunningahighfeverforacoupleweeks.Iwaited,andabouttwoorthreeweeksafterandmytemperaturewasstill102.Tonsofteststryingfigureoutwhatwasgoingonwiththis.

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IranthatfeverprettymucheveryafternoonormainlytheeveningsomeafternoonsforayearbeforeIwasfinallydiagnosedwithundifferentiatedconnectivetissuedisease,whichisautoimmune.It'skindofamildversionof,there'sanumberofconnectivetissuediseasesthataregoingtobemuchmoreseriouslikerheumatoidarthritisorlupusorSjogren's,ormixedconnectivetissuediseaseisabunchofthem.Thisiswhenit'slike,someofthetestsarepositivebuttheycan'tquitefigureoutexactlywhereyoufitinthatpicture.That'swhenIdecidedtogetreallyextremeaboutmydiet.There'snotaSynthroidpillyoucantakeforthattoreplacehormones,becausethat'snotwhatit'sabout.

[00:04:00] Dr.IzabellaWentz:

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Ithinkthat'ssuchanimportantpointthatyou'rebringingupbecauseIdon'tthinkalotofpeoplerealizethis,butwhenyouhaveoneautoimmunecondition,thatisbasicallytheimmunesystemgoingaftertheweakestlink.Foralotofwomen,it'sourthyroid.Ourthyroidcanconcentrateinfections,itcanconcentratedifferenttoxins.Alotoftimesit'sgoingtobethefirstthingthatthebodygoesafter.WeknowthattherearefivestagesofHashimoto's.ThesecondstageofHashimoto'siswhenwestarthavingtheattackonthethyroid.Thenitmovestosubclinical,thenitmovesintohypothyroid.Thenthefifthstageisactuallymovingintoadditionalautoimmuneconditions.

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Whilethyroidmedicationscanhelp,andIcertainlydoappreciatethatasapharmacistgettingthepersonontherightmedicationattherightdoseforthem,thatcanmakeatremendousdifference.Ireallyurgepeopletolookatthewholebody.Whenyouhaveoneautoimmunecondition,thatmeansyourimmunesystemisoutofbalance.Ifyoudon'taddressthatbalance,there'sapotentialthatyou'regoingtodevelopadditionalautoimmuneconditions.Really,thelifestyleinterventionsthat

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you'vebeenmakingareworkingtogetatthecoreandtoslowdowntheautoimmuneprogressionandtoreversethatautoimmunecondition.Likeyousaid,there'snotaSynthroid,there'snotahormoneforeveryautoimmunecondition.

DeannaKelemen: [00:05:30]

Right,right.Ifthere'sonethingIwishIknew30yearsago,thatwouldbeit,thatit'snotamatterofjustfiguringoutyourthyroiddose,takethatmedicine,andgoonwithyourlife.IwishIknewthat.Ididn'tevenknowthattherewasanincreasedlikelihoodofautoimmunedisease.IfIknewthatthere'sstuffyoucoulddotopreventthatfromhappening,it'saloteasiertopreventitthanitistogetittogoawayI'mdiscovering.


Absolutely.Thankyousomuchforsharingthatbecausethat'soneofmybiggestfrustrationswithconventionalmedicine.AsmuchasIreallyappreciatehavingconventionalmedicineonmyside,wheneversomethinggoeswrong,it's,Iguess,suchavoidthatwe'renotinformingandeducatingpatientsaboutautoimmunity,howitcanbeprogressive,andhowyouneedtodoalotmorethanjusttakemedications.

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Therearefivestagestoautoimmunedisease.Here'swhathappensinHashimoto's.Inthefirststage,wejusthavethegeneticpredisposition.Forallintentsandpurposes,wedonothavethecondition.Wedon'thavechangesinthyroidfunctionandtheimmunesystemstillrecognizesthethyroidglandaspartofourbody.Duringthesecondstage,westartdevelopingautoimmunereactivitytoourthyroidgland.Atthisstage,thethyroidglandbeginsbeingattackedbytheimmunesystemandwestartseeingthyroidsymptoms.Thethirdstageiswhenwebegintoseesubclinicalchangesinlabmarkersaswellasmorethyroidsymptoms.Duringthefourthstageiswhenapersonwillhaveoverthypothyroidsymptoms.Thisisusuallythestagewherethey'llbediagnosedbecausetheirlabmarkerswillbeabnormal.

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Now,thefifthstageisactuallyprogressiontoalltheirautoimmuneconditions.Sadly,mostofyouwon'tbediagnoseduntilyoureachstagefourorevenstagefive,andwhensignificantdamagehasoccurredtoyourthyroidgland.Weactuallybegintohavesymptomsinstagetwowhenthedamagestarts.Ifleftalone,thisconditionwilljustcontinuetoprogressandprogressuntilthepersonfeelsworseandworse.Mostconventionaldoctorsdon'ttreatHashimoto'suntilitreachesstagefour.Atthisstage,thyroidmedicationsarestartedbuttheydonotpreventprogressiontootherautoimmuneconditions.

MichelleCorey: [00:08:00]

Ithinkalotofpeopleareinthedarkaboutthyroid,theyjustthink,yougotoarheumatologistandthey'llsay,"Yeah,yougotHashimoto's.Here'swhatwecando.Wecanwaitandwatchforthingstogetworse.Wecangiveyousomethyroidreplacement.Thediseaseisgoingtoprogress.It'lleventuallydestroyyourthyroid."IfyouhaveGraves'disease,theysay,"Oh,gosh,that'sdangerous.Yourheartispoundingandyouhavetachycardiaandallthesethings,let'scutitout.Let'sirradiateit."Thatisthestandardtreatment.Nobodyquestions,thereisnotasinglequestionofwhy.


That'sprettyextremetorecommenddestroyingorremovinganorgan,right?Mostpeoplearenottoldthatthere'sanotherway.They'retoldthatGraves'diseaseandthyroidcancerrequireglandremovalorradioactiveiodine.ThereareevenconventionaldoctorspushingforHashimoto'stobecomeasurgicaldisease.Weknowthatthereareriskfactorswiththeseinterventionsandthatthisstandardofcareisdefinitelynotthebestcare.It'simportanttonotjusttreatthehormonalimbalancebuttoalsoconsidertheautoimmunecomponentofthecondition.

[00:09:00] AndreaNakayama: [00:09:30]

Whenwehaveanautoimmuneconditionandtheimmunesystemisattackingyourowncells,thenthere'shaywirehappeninginsidethebody.Ifwedon'tactuallyaddressthat,thenwe'remissingthecuesthatthebodyneedstocomeintohealing.There'smoreopportunityforthebodytoattackitself.There'smoreopportunityforimmuneconfusion.IalwaysliketosayI'monamissiontoempowerthepatienttobetheagentoftheirownchange.Thewaythatthepatientbecomesanagentoftheirownchangeisbytuninginandbylisteningandbyunderstandingwhatdifferentexpertsarelookinginto,wheretheresearchis,andseeingwhichpiecesapplytoourownhealthandhealing.Reallybeingable

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totakeeverythinginandseehowitappliestoyouandfindingwhatyouneedisanimportantstepinhealing.

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Whenyouonehaveautoimmunecondition,let'ssayHashimoto's,anditisn'taddressedfromtherootcause,thatcanleadtootherautoimmuneconditions.Itcanleadtoimbalanceswithyourvisionandbalance.Iseethismoreandmore,morepeopleexperiencingvertigo.ItcanleadtoMS.Itcanleadtoalopecia.Thereareanumberofotherautoimmuneconditions,psoriasis,eczema,Crohn's,ulcerativecolitis,they'llstarttoaddupanditbecomesmoreandmoredifficulttogetundercontrol.It'sgreattoknowthatyoucanpreventit,youcanreverseit,youcanaddressitwhenyoulookfortherootcause.Theinformationthatyou'regoingtolearninthisseriesisgoingtoprovideyouwiththosesteps,withthosetools,withthatinsightandinformationthatyouneedtobebackinthedriver'sseatofyourownhealthandofthepeoplethatyoulove.

Dr.IzabellaWentz: [00:11:30]

There'sasilentbattlegoingoninyourbodywhenyouhavethyroiddisease.Theimmunesystemhasbeguntorecognizethatpartofyouasaforeigninvader.There'sagoodchancethatyou'regettingthemessagesomehow,butoftentimesyoudon'tgetthehelpyouneedbecauseyoudon'tlooksickontheoutside.OneofthehardestthingsaboutdealingwithHashimoto'sformewasactuallynotknowingthatIhadHashimoto's.Iwassotiredforalmostadecade.Ibasicallywouldgotoschool,comehomefromschool,andgotobed.Isleptfor12,sometimes14hourseachnightjustfeellikehuman.

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AnotherpartthatwasreallychallengingwasthebrainfogthatIexperienced.Iwasinmymid-20sandIfoundmyselftobevery,veryforgetful.Ihadalwaysbeenthisbrighteyedandbushytailedkid,andallofasuddenIcouldn'trememberreallysimplethings.Thiswasn'tsupposedtohappen.Iwassmart,Iwasarticulate.YetIfoundmyselfgoingintoroomsandforgettingwhyIgotthere,forgettingsimplewordslikecat,dog.IthoughtIwaslosingmymind.

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Whenyouhavethebrainfogthatcomeswiththyroiddisease,youfeellikeyou'reinaconstantquicksand.You'retryingtogetoutandyoujustcan'tgetout.You'reworkingsohardtogoagainstthegrain,goagainstthesand.It'snotworkingbecauseeverythingaroundyouisjustmovingwaytooquickly.Afterthat,Ibegantohaveanxietyandpanicattacks.ThenIstartedhavingcarpaltunnel.Ibegantolosemyhair.Ibegantohavebrainfog.ItjustfeltlikeIwasonadownwardspiral.Myhealthjustkeptdecliningslowlybutsurely.Monthaftermonth,Ibegantohavemoreandmoresymptoms.

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Ididn'tlooksick.Mostpeoplewithautoimmunethyroiddiseasedon'tlooksickatall.Everybodyaroundthemjustdoesn'tseemtobelievethepainthatthey'regoingthrough.Ididn'tlooksick.NobodythoughttherewasanythingwrongwithmebecauseIlookhealthy,andIrememberwhenIfirstgotdiagnosedwithHashimoto'sIcamehomeandItoldMichaelwhenIwasdevastatedandIwascrying,thatIhadHashimoto'sautoimmunecondition.Hesaid,"Youdon'tlooksick.Youlookjustfinetome.Theymustbewrong."Iwaslike,"No,they'renot.ThisiswhatI'vebeenfeeling."

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Itfeltlikenobodyreallybelievedme.IrememberpeoplewouldteasemebecauseIwasalwayssleeping.TheythoughtIwasjustlazyorsomethingwaswrongwithmebecauseIwasforgettingthings.TheythoughtIwasanairheadbecauseIcouldn'tremembersomethingfromapreviousday.Thatwasjust,itreallythoroughlyhurt.Itreallymademefeelbadaboutmyself.Yeah,whenIfirstgotdiagnosedIfinallyfeltvalidatedafteralmostadecadeofbeingtoldthattherewasnothingwrongwithme.Iwasgoingtodifferentdoctorsandtheyweresaying,"You'renotanemic,you'renotthis,younotthat.Maybeyou'redepressed.Wecangiveyourantidepressants."Iwaslike,"Idon'tknow,Idon'tfeelunhappy.Ifeelfine.I'mjusttiredallthetime."

[00:14:00] ItwasnicetofinallygetananswerforwhatIwasgoingthrough.Itfeltgood.Atthesametimeitwasbittersweetbecausepartofyoufeelsvalidatedbutanotherpartofyoufeelslikeoh,wow,therereallyissomethingwrong.It'snotjustinmyhead.SometimesIthinkyouwishthatitwasjustinyourheadanditwouldgoaway.

SusanThompson: IknewfromaveryyoungagethatIwaslikelytohaveHashimoto'sbecausemymomhadit,my

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grandmahadit.There'sabiggeneticcomponent.Iwastestedfortheantibodiesasateenager.TheyfindoutIhadit.TheyputmeonalowdoseofSynthroid.Ijuststayedonitforalongtime.WhenIlostallmyexcessweightandwent,inasixmonthperiodoftime,wentfromobesetoslender,itthrewmybodyintoalotofturmoil.IwaslivinginSydney,Australiaatthetime.IwasdoingapostdoctoralresearchandteachingfellowshipattheUniversityofNewSouthWalesinSydney.

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Iwentintothatexperience,thatalotofpeoplewhohavereallybadhypothyroidismexperience,whichisIhadaveryhardtimefunctioningatall.Ididn'tknowthatitwasmythyroid.Ithoughtthatthatproblemwasbeingtakencareof.SomeofmysymptomswereIrememberIwouldtrytowalktothebusandIwouldstepdowntocrossthestreet,stepdownacurbandwalkslowlyacrossthestreet.IwouldgetacrossthestreetandlookatthecurbthatIhadtostepuptogetontothenextsidewalkandIwouldgo,andthenIwouldliftmylegupandsteponthecurb.Then,I'dkeepwalking.

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Irememberthisonetimetherewasthis80yearoldwomanwithawalker.Shezoomedpastmeonthesidewalk.Iwaslike,wow,Imustbewalkingreallyslowly.Sydneyinthesummertimehashotweather.Inthis90degreeweather,Iwaswearingablackwoolpeacoatandglovesonmyhandstotrytokeepfrombeingchilled.Iwassocold.Iwouldgethomeattheendofthedayandtakeahotshowerbecausemyfeetweresocoldtheywouldn'theatupanyotherway.IwouldtakeasecondshowerinthedayeventhoughI'mnotanighttimeshowerer,I'mamorningshowerer.Iwouldgetoutoftheshowerandmyfeetstillweren'twarm.Iwouldsitinthemyfeetinabucketofhotwaterfortherestofthenight.

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Iwascompletelyconstipated,nosexdriveatall.Iwasgoingtodoctorsandtheywererunningmythyroidnumberswithbloodworkandsayingthatmylevelswereallroughlyinthenormalrangeroughlyandthatitwasn'tmythyroid.Ididn'tknowwhatitwas.Ifinallyfoundadoctorwhowouldtreatmythyroidmoreaggressively,treatmysymptomsinsteadofmybloodworknumbers.Ifinally,betweenthyroidtreatmentandadrenaltreatment,gotfeelinggoodagain.Thatwas11,12yearsago.Thatwasalongtimeago.

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BeingaPhD,peoplethinkIknowanythingabouteverything.OtherPhD'sandIjokeaboutthis,thatwhenyouhaveaPhD,peoplethinkthatmeansyouknowallthisstuff.Actuallyitmeansyouknowawholelotaboutalmostnothing.Itmeansyouknowalotaboutthisonetinysliceoftheworldthat'ssoobscurethatnobodycaresaboutit.I'mnotamedicaldoctor.IknownothingreallyaboutthemedicineoftreatingthethyroidotherthanwhatI'velearnedasapatient.I'mnomorewell-equippedinthatareathananylaypatient.

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IhaveaPhDinbrainandcognitivesciences.It'sgotnothingtodowiththyroid.I'vejustbeendoingmybestlikeeveryotherthyroidpatienttogeteducatedandtotrytofigureoutwhototrustandwhatinformationpertainstome.It'scomplicatedstuff.IknewenoughtoknowthatstandardWesternmedicinewasnottreatingmeproperly.ThereasonIknewthatwasbecauseIcouldn'tgetoutofbed.YetwhenyouleavethatsafeenclosureofbestpracticesinWesternmedicine,you'reoutinthewildWestoflike,thenwhodoIlistento?

Dr.IzabellaWentz: Sadly,manypeoplewiththyroiddiseasearetoldthatthesymptomsarejustallintheirhead.Theygetofferedantidepressantsorsenttopsychiatristswhentheyturntotheirdoctorsforhelp.Canyouseethemadnesshere?

Dr.MarkHyman: [00:19:00]

Ithinkthechallengewiththyroiddiseaseisthatit'softensubtle.Peoplestarttothinkthattheemotionalandpsychologicalconsequencesoflowthyroidfunction,whetherit'sdepressionoranxietyorsleepissuesorfatigue,arenormal.Thentheyinterferewiththeirdailyfunctioning,theyinterferewiththeirabilitytodotheirlife,tohavegoodrelationships.Whatiftheirsexdrive'slowandtheydon'thavesexwiththeirpartner?Howdoesthatimpactthem?

Allthesethingsarerealbiologicalphenomenathathappensasaresultoflowthyroidfunction.Ifyouwalkaroundthinkingthesethingsareinyourheadandthatit'syourfaultorthatit'ssomedefectin

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[00:19:30] yourrelationship,thenthat'saproblem.Thetruthisthatit'snot.It'sahormonaldysfunctionorimbalancethathasafix.Thesadthingisthathalfofthepeoplethathavethisproblemhavenoclue.Ourcurrentmethodsofdiagnosingitaresocrudethatmostdoctorscompletelymissit.

Dr.KellyBrogan: [00:20:00]

I'vebecomeinterestedinwhatIcallpsychiatricpretendersorthesecommonreversiblecausesofapsychiatricdiagnosisandoftenreversiblepathstoaprescription.Thyroiddysfunction,it'salmostlikethepoetryoftheuniversetounderstandthatmypersonalexperienceinmanywaysequippedmetounderstandthepotentialforanautoimmune,butspecificallyautoimmunethyroidconditiontomasqueradeasapsychiatricpathology.

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Inliterature,thereisgoodreasontobelievethatthereisastrongassociationandpotentially,again,acausalrelationshipbetweenthyroiddysfunction,andagain,specificallyautoimmunethyroiddysfunctionincludingthyroiditisandwhatisultimatelydiagnosedasapsychiatricillness.Inthisway,usingpsychiatricmedicationinthesecasesisalmostliketheanalogyIuseisliketakingTylenolforashardofglassinyourfoot.There'ssomepossibilitythattherecouldbeanadaptivesedativeeffectorsomethinglikethat,butthetruthisjusttakethepieceofglassout.Justresolvetherootcause,ofcourseasyouknow.

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ThestrongestsignalintheliteratureisaroundthesignificanceofautoimmunefunctionevenintheabsenceofanalteredTSHforexample.Subclinicalhypothyroidismwherethereissomediminishedreservesintermsoffreehormonelevels,buttheTSHisnormal.HowmanyinternistsjustuseofcourseTSHinaverygenerousreferencerangetodismisstheroleofanyendocrineimbalanceinapatient'spsychiatriccomplaint?Specificallyarounddepression,sofoggythinking,lowmood,amotivation,anhedonialackofpleasure...

Dr.IzabellaWentz: Sleepingalot.

Dr.KellyBrogan: [00:22:00] [00:22:30]

Fatigue,yeah,exactly.It'sveryeasytomissthisdiagnosis.Thenpsychiatrybecomesthewastebasket,becausethesepatientsaretold,"No,you'refine,yourthyroidisfine."Infactin52%oftreatmentresistantdepression,thereisthisphenomenonofsubclinicalhypothyroidismwheretheycouldeasilybemissedonabasicscreening.Thenthere'stheliteraturethatsuggeststhatevenifthethyroidhormoneandTSHarenormal,butthereisthepresenceofantibodies.Howmanyconventionaldoctorsarescreeningforantibodies?Asyouknow,veryfew.Thepresenceofantibodiesalone,autoimmuneactivityissignificantlycorrelatedwithstatesofdepressionsothatitseemslikethereisatleastanoverlap,andwhoknows,theremightevenbebrainbasedautoimmunitythatcorrelateswiththatthyroidautoimmunitythat'sbuildingmaybefive,sevenyearsinadvanceofchangesonthehormonelevel.


It'sinterestingbecausethyroiddiseaseandautoimmunethyroiddiseaseisoneofthemostcommonconditionsintheUnitedStatesandinmostWesterncountries.Wehaveratesofupto28to38%ofpeoplehavethyroiddisease.Manyofthemarewomen.Foreverymandiagnosed,there'sfivetoeightwomen.Yetwhenyoutalkaboutbeingtired,that'sthenumberonesymptomofanunderactivethyroid.Thedoctorsjumptodepressionratherthantothyroiddisease.Weknowthatthyroiddiseasecancauseallofthesesymptoms,butyettheyweren'ttestingyouforthat.


Right.IactuallyhaveaMastersdegreeinclinicalpsychologyandI'mlicensedinCalifornia.NothereinColorado.Idon'trememberspendingfiveminutesonanytrainingthathadtodowithlookingatthebodyasacauseforanysortofpsychiatricillness.Itjustwassodivided.Tomeit'salloneinthesame,thebodyandthemindandmood.


They'reconnected,andI'mverymuchfortherapy.Ithinktherapyiswonderful.Ithinkitcanhelpsomebodydifferentpeople.Ifyou'redeficientinsomethingandsomebody'stryingtotellyou,talktherapy,howdoesthatmakeyoufeelasatherapistandasapatienthavingundergonethat?

DeannaKelemen:

Asatherapist,I'mnotpracticingnowbutIstartedtofeelpowerlessbecauseIfeltlikethereissomuch

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[00:24:30] moretoitthanthat.Thereisadefinitedivide,especiallymaybeinpsychiatrythere'salittlebitmoreconnectiontothebody.There'sthetraining.Ifyou'resimplytrainedasacounselor,you'renottrainedtoevenknowaboutthesebodyissues.It'snothelpful.Counselingishelpfulbutit'snotgoingtohelpifthebodyisn'tright.

Dr.SandraScheinbaum: [00:25:00]

Itwasahappysurprise.Iwentonthepathofstudyingfunctionalmedicine,becauseasapsychologistIwasveryfrustratedwiththetoolsthatwehad.Somebodycouldbeintherapyfor10yearsandnevermaketheconnectionthatwhatthey'reeatinghasanyimpactontheiranxietyordepression.Iwasstudyingfunctionalmedicinetotakebettercareofmypatients,notrealizingthatintheprocess,themoreIgotintoit,Iwouldlearnmoreandmorethatwouldhelpmephysically.


Sadly,peopleareledtobelievethatthey'relosingtheirmindsandperhapsthatthey'rebadpeople,wheninrealitythey'rejustdealingwithathyroidcondition.

Dr.HylaCass: [00:26:00]

Ithinkthewayconventionalmedicineistreatingdepressionisreallyadisaster.Thatissimplywritingprescriptionsforantidepressants.Igetalotofthesewomen,andthesewomenoutnumberingmenwiththyroidissuescomingtomethathavebeenfailures,“failures”atantidepressanttherapy.They'restilldepressed,andthey'renotonlystilldepressed,buttheynowhavesideeffectsfrombeingonantidepressants.Theycan'tsleeporthey'resleepingtoomuch.Weightgain,hugeweightgain.Withthyroidissues,you'realreadygettingweight.Dizziness,nausea,lackoflibido.Imean,really?Somany,somanyproblemswiththeantidepressants.It'snotdirectedatthecause.

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WhenIseethem,whatIdoisactually,usinganautomobileanalogy,isIlookunderthehood.What'sgoingonthere?GivinganantidepressantissimplyaBand-Aid.It'sawayofgettingsomebodyinandoutofyourofficein15minutesifthat.Isayyouhavetodoagoodmedicalworkuponeverybody.Itmaynotbethyroid.VerybasicallyyoudoaTSH,afreeT3,afreeT4,reverseT3,andpossiblyanti-thyroidantibodies.Whenyoudothat,youcantellwhat'sgoingon.

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Somanyofthesewomenwhohadpresentedinitiallytothedoctorwithweightgain,depression,feelingcold,feelingwithdrawn,unhappy,anxious,havingsleepproblems,whatwasreallygoingonwiththemwaseitherhyperthyroidismorHashimoto'sThyroiditis.Theywerebeingmistreated.Theywerebeingtreatedwiththewrongthingandnobodylookedatsomethingthatisbasicmedicalcare.ThemostconventionaldocswilldoisaTSH,athyroidstimulatinghormone,whichreallyisn'tadequatebecauseyoucanhaveanormalTSHandstillhaveyourotherhormonesnotbenormal.

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IcoverthisactuallyinEightWeekstoVibrantHealth,givingtheexactnumbers.Wereallyliketohave,IliketoseeaTSHwellbelowtwo.I'vehadwomencomeinwithhigherTSH'sandweretold,"You'reokay,yourthyroidisokay."Andbeenputonantidepressants.It'satravesty.WhatIdowhenI'mlecturing,whenI'mondocumentaries,whenI'mlecturingtomycolleagues,whichIdoafairbit,Ireallyemphasize,doagoodmedicalworkup,thisisgoodconventionalmedicine.It'sjustcarriedtoalevelofexpertisethatwereallyshouldallbedoing.


LookingattheoverlapwiththeSTAR-DtriallookingatathirdofpeoplebenefitedfromT3medicationswiththeirdepression.Itseemslikenobodywasreallyputtinganyofthosepiecestogether.


That'sright,yeah.What'samazingaboutthattrial,oneofthemostexpensivetrialsourtaxeseverpaidfor,isthat3%ofpatientswereinremissionwiththeirantidepressantsafterayear.Theoutcomesareso,almostpitiful.They'reembarrassingofconventionaltreatment.Ifwehavetoalreadyexaminetheefficacyofthesemedicationswithoutevenenteringthediscussionoftheirsafety,thenwehavetoreallybegintothinkoutsidetheboxandlookatwhatisgoingonandaskofcoursethequestionIwasnevertrainedtoask,whichiswhyarethesepatientsstruggling?Whatisitthatcouldbebehindthesymptomsthey'redescribing?

KimLaktas: [00:29:30]

IhaveHashimoto's.Iwasdiagnosedwithitayearandahalfago.TryingtogetmydoctortodiagnosemewithitwasreallyhardbecauseshelookedatmyTSHandsaidthatyou'renormal.Myhairisfalling

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out,myskinisdry,I'mcoldallthetime,problemswithconstipation,memoryfog.Tobetoldyou'renormalwasjust,Ididn'tfeelnormal.Ifthiswasnormal,thisisnothowIwantedtofeel.Forayearandahalf,tryingtogethertodothetestingformyantibodieswashardbecauseitwasjust,youjustneedtolosesomeweightandtakesomevitaminD.Yearandahalflater,stillcomplainingtoheraboutit,she'slike,okay,"We'lltesttheantibodies."Sureenoughtheycamebackthreetofourtimesoverthelimitofwhattheyweresupposedtobe.Shewaslike,"Youknewyourbody."


ItJustreallystrikesmethatyouweretheonethathadtoseekoutadiagnosis,andyouweregoingtodifferentdoctorsandtryingtogetthisinformation,tryingtogetthemtodiagnoseyoubecauseyouknewsomethingwasn'trightandyouknewyourbodybest.Didyouevermaybehaveanybodysuggestthatyouwereahypochondriacordidyoueverfeellikeyouwere?


NotsomuchthatIwasahypochondriac.Iwasdepressed.WhenIwasgiventhemedicineforthehypothyroidismorfortheHashimoto's,IwasalsogivenanantidepressantbecauseIwouldcomeintothedoctor’sofficejustcrying.Everytimeshewouldcomein,Iwouldalreadybecryingbecausebeforeshefoundthat'swhatIhad.Shethoughtit'sjustdepression.Itwasn'tjustthat.Iknewitwasn'tthat.JusttryingtogethertounderstandwhereIwasatandhearmeandjustwantingtobetested,itwashard.

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WhenshefinallydidandsheacknowledgedthefactthatIwasrightwithitbeingthatmythyroidwasn'tright,itwasjustavalidationthatokay,tomeIwondered,okay,isthisstuffgoingon?Iknewitwasbecauseyoucan'tjustnotloseyourhairattherootsandnotthinkthatyou'renormal.Tobecoldallthetime,Ijustthoughtitwasmywayoflifeandthat'showIwasgoingtobe.ThedoctorwantedmetotryXanaxandIrefusedtotakeitbecauseIknowthatmedicinecanbeverydetrimentaltoyouandverycontrolling.Ididn'twantthat.

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ShedidputmeonWellbutrinandsheputmeonSynthroid.WhenwefirstfoundtheHashimoto's.Iwasfeelingfantastic.Iwasgettingtofeelbetter,butthatIdidn'tknowwasthatthethyroidmedicinedoingitorwasittheWellbutrinthatwasdoingit?TheWellbutrinjustmademefeelnumbafterawhile.IfIwantedtocry,Icouldn'tcry.Iwantedtogetupset,Icouldn'tgetupset.ItwasreallyweirdbecauseInever,andIquittakingthemedicationbecauseithadthateffect.

Dr.IzabellaWentz: Itmadeyoudisconnectfromyourownbody.

KimLaktas: Yeah. [00:32:30] Dr.IzabellaWentz:

Howdoyoufeelnow?


I'mnotasdepressedanymore.I'mstilldealingwithbeingtired,butwithmythyroidjustbouncingthereandthat,it'salotbetterthanwhatitwas.I'mnotascoldanymore.I'mactuallyalittlewarmernowthanmyhusbandwho'slikealittleinferno.That'sgreat.Yeah,rightnowI'mdoingtheAIP,theautoimmuneprotocoldiet,andtheCandidadiet.BecausewhenIfoundoutoneofmytestsinJulysaidthatIhadCandidaovergrowth,sothenitwaswatchingevenmoresowhatIwaseating.NowI'mjusteatingmeat,vegetables,andGrannySmithapplesbecauseit'stryingtogettingridoftheyeast.JustsearchingontheInternetandfindingoutmoreandseeingthatmorepeoplehaveit.

[00:33:30]

WhenIwentandgotmylastbloodwork,thetechnicianwhowastakingmyblood,"She'slike,you'regettingalotofbloodtestsforyourthyroid."Isaid,"I'vegotHashimoto's."She'slike,"MymomhasHashimoto's."It'slike,wow.Tohearaboutitisjustnotascommonplaceasyouwouldthink,butitwascoolthatsomebodyelsearoundtheareaalsohadit.Ifeelalotbetterafterhavingachangeinmydiet.

[00:34:00]

Youwouldn'tthink,okay,ifIdon'teatgluten,howmuchofaneffectifyoustopdoingit,howmuchofeffectitdoeshaveonyou.Istartedlosingweight.I'velost50poundsinthelastyearjustnoteatingdairy,gluten,andsoy.That'shelpedtremendouslybecauseIcouldn'tlosetheweightbefore.WhenIdidlastloseweightIhadtodoP90Xtotrytoloseit.ThenIgained50poundsbackwithinayearor

8


two.IwasstillwatchingwhatIwaseatingbutIwasn'twatchingthedairy,gluten,andsoy.WhenIdidthat,itmadeaworldofdifference.


Areyoushockedtolearnthatmanyconditionsthatareconsideredpsychiatricconditionsareactuallyduetothyroiddiseaseandcanbetreated,evenreversedbytheveryrecommendationsweshareinthisdocumentaryseries?Here'sDr.Brogan.She'sapsychiatristandshe'sgoingtotalkingmoreabouttheconnection.


IalwaystrytoputmyselfinthepositionofifIhadheardthiskindofarecommendation,likealifestylerecommendationwhenIwasreallyinconventionalmindset,howwouldIhavereceivedit?WhatwouldIhavethought?Letmetellyou,Iwouldhaverolledmyeyesandlaughedbecauseit'sanextremelychallengingmindsettoadoptwhenyouarecomingfromconventionalorthodoxythatsaysyouwerebornwiththis.There'sageneticcomponent,it'sachemicalbalance,anditrequiresseriousmedicine,whichispharmaceuticalproducts.

Dr.IzabellaWentz: You'llneverbeabletogetoffthemedicine,too.

Dr.KellyBrogan: [00:35:30] [00:36:00]

Right,andlifelongtreatment.Tosuggestthatasimpledietarychange,andparticularlyoneinthecaseofnon-celiacglutensensitivitythatdoesn'tevenhaveaverifiabletestassociatedwithit,tosuggestthatthisisrealmedicineisoffensive.It'spreposterous.It'sonlyrecentlythatI'vereallyenjoyedliteraturethathaslookedatglutenasapotentialtrigger.Therearecrossovertrialslookingatforexamplefourgramsofglutenexposureversusariceplacebo,andthatyoucanliterallyinduceadepressivesyndromeinthespaceofdays.Crossovertrialsandreintroductionexposuretrialsareinmanywaysthegoldstandardforestablishingcausality.

[00:36:30] [00:37:00]

Thenwehaverecentlyisacoupleofmonthsago,therewasacasereportofa37yearoldwomanwhowasdiagnosedwithpsychoticdepressionandthenultimatelywithschizophrenia,delusional,paranoid,andessentiallybecamenonfunctionaltothepointofhomelessnessandrestrainingorderfromherfamily.ShewasultimatelydiagnosedwithHashimoto'sandceliacdisease.Whenshewasputonthreemonthsofastrictofcourseglutenfreediet,shecameintototalremissionofhersymptoms.SomethingthattheRisperdalandZoloftshewasprescribedforthebetterpartofayearwasunabletoaccomplish.Itwasonly,actuallyinthereportittalksaboutare-exposurethatshehad,totallyaccidental.Hersymptomscamebacktosuchadebilitatingextentthatsheultimatelybecamedisabledagain.

Dr.SarahBallantyne: [00:37:30]

Depression,anxiety,moodissues,brainfog,memoryproblems,thesearereallycommonsymptomsofahugerangeofautoimmunediseases.Weknownowsomereallydisturbingfacts.Forexample,upwardsof80%ofpeoplediagnosedwithbipolardiseasemaynotactuallybebipolar,theymayhaveHashimoto'sThyroiditis.Whenyoutreatthemwiththyroidhormone,thesymptomsofbipolardiseasecangoaway.Thisisvery,veryunder-investigatedinthementalhealthfield.It'snotrecognizedyet.Hopefullyitwillbesoon.Whensomeonepresentswiththesetypesofsymptomsthatrunningathyroidpanelbecomespartofthediagnostics.

[00:38:00] [00:38:30]

Asapersonwithmentalillnessthatrunsprettyrampantinmyfamily,includingbipolardiseasewhichisdefinitelythemostprominentmentalillnessinmyfamily,aswellasafamilywithwhomhypothyroidismrunsveryrampantaswell.It'ssomethingthatIfeelveryfrustratedwiththeideathatsomeonecanbestrugglingwithbipolardisease,whichis...doesn'tjustimpactthatperson.Itimpactseverypersonintheirlives.Itcanbeanincrediblydestructivediseaseforfamilies.Thatcouldbepreventedwithamorethoroughdiagnosticandafunctionalapproachtotreatment.

[00:39:00]

Ithinkit'sheartbreakingtoseepeoplestrugglingwithmentalhealthproblemsthatcouldbefindingasolutionthroughabloodtestandapillthat'stakenonceaday.Notlithium,butthyroidhormone.Ithinkthatweneedtoincreaseawarenessthatthisisapossibleunderlyingcause.Foranybodyouttherewho'swatchingthis,ifyou'vegotmentalillnessinyourfamily,makesurethatyouareinvestigatingyouroptionsintermsoffunctionalintegrativemedicineandlookingatwhetherornot

9


there'sanunderlyingcausethat'seasiertotreat.Thatchangeslives.

Dr.IzabellaWentz: Howdidthementalillnessinyourfamilyaffectyouwhenyouweregrowingup? [00:39:30] Dr.SarahBallantyne: [00:40:00]

Mygrandmotherwasbipolar.Itchangedherrelationshipwithallofherchildren,somymotherandmythreeuncles.Itinformedtherelationshipwithallofthegrandchildren.ItcreatedasetofdynamicswithinmyfamilythatIdon'tthinkweregenerallythemostproductiveorhealthiest.Itmadefamilygatheringsvery,verystressful.Italsostrangelymadebehaviorsthathavelaterbeendiagnosedandotherfamilymembersasmentalillness,itmadethemseemmorenormal.Itallowedformembersofmyfamilytonotgethelpbecausewewerealsousedtothemania.

[00:40:30] [00:41:00] [00:41:30]

IthinkthatespeciallynowthatIknowmygrandmotheractuallyhashypothyroidismandthatwasprobablygoingonthewholetime,Ithinkofhowhermentalillnessimpactedherchildrenandhergrandchildrenandhowthatcouldhavebeenprevented.Ithinkit'stragic.Assomebodywhogrewuprightinthemiddleofit,there'ssomanyexperiencesinmylifethatcontributedtomyownlackofself-esteemandself-worth.Iftheyhadn'tbeenthere,Imighthavebeenabletobemoreassertiveintermsoffindingsolutionstomyownhealthissuesearlier.It'sprofound.Mentalillnessisareallydifficultthing.Idefinitelyfeelagreatamountofcompassionforeveryoneintheworldwho'sdealingwithitorhasitintheirfamiliesortheirpeerscircles.

Dr.IzabellaWentz: Youknowtheworkthatyou'redoingintheworldishelpingfamilieslikethat.


Ihopeso.Ithinkthere'sanamazingamountofunderstandingandresourcesthatcanreallyturnthetideforpeople.SometimesIfeellikeIneedapicturemegahorn,butIdowhatIcantospreadthatknowledgesothatpeoplehavetheeducationtheyneedtoreallytakecontroloftheirownlives.

Dr.IzabellaWentz: Youjustsharingyourstoryabouthowyougrewupandthechallengesyoufacebecauseofundiagnosedthyroidproblemswhichweremisdiagnosedasmentalillness,Ithinkforeverybodywatchingrightnow,thisisconnectingatonofdots.


Ihopeso.Really,ifonepersonwatchesthisandgoes,"Aha,that'sit.That'smysolution."Theycanmakethechangesthattheyneedtoandgetthehelpthattheyneedto,thenthat'smadealloftheworkI'vedoneoverthelastfewyearsincrediblyworthwhile.


AnxietyisusuallyattributedtoGraves'diseaseandanoverabundanceofthyroidhormones.StudieshavefoundthatanxietyisoftenasymptomofHashimoto'saswell.Thisisbecauseastheimmunesystembeginstoattackthethyroidgland,brokenthyroidcellscontainingsmallamountsofthyroidhormonesaredumpedintoourbloodstream,causingatransienthyperthyroidismandresultinganxiety.AnxietyisoftentimesoneofthefirstsymptomsreportedbypeopleintheearlystagesofHashimoto's.Manyofthemaremisdiagnosedwithanxietydisordersandpanicattacks.I'veevenseenpeoplewhoweremisdiagnosedwithbipolardisorderwheninfacttheyhadathyroidcondition.

TrudyScott: [00:43:30]

Alotofpeoplegotothedoctorandgetadiagnosis.You'vegotanxietyoryou'vegotdepression.Nowthey'regivenamedication,benzodiazepineoranSSRI.Itmaybetheirthyroidthat'scausingtheproblems.It'scommonknowledgethatthyroidproblemscancausedepression.It'slesswellrecognizedisthatthyroidproblemscanactuallycontributetoanxiety.Iactuallylookedatastudythatwaspublishedin2010,andIfoundoutthattherewasthreetimesthehigherincidenceofanxietyinwomenwhohaveunderactivethyroid.

[00:44:00]

It'smorecommonthanalotofpeoplerealize.Certainlyinmypractice,workingwithanxiouswomen,mostofthepeoplethatIworkwitharewomen,Iworkwithmenaswell.MostofthewomanthatIworkwith,withanxiety,havethyroidissues.TheyeitherhaveHashimoto'sThyroiditis,theyhavehypothyroid,ortheymayhavehadGraves'inthepast.It'svery,verycommonthatIseethis.

TheclassicthyroidproblemwhereyouwouldimmediatelycorrelateanxietywiththethyroiddisorderwouldbeoveractivethyroidorGraves'disease.It'sverycommonforsomeonetohaveanoveractive

10


[00:44:30] [00:45:00]

thyroidandhavetheanxiety,havetheheartpalpitations,havetheinsomnia,gototheirdoctor,andbeingdiagnosedwithananxietydisorderwheninactualfactit'soveractivethyroid.They'lloftenbeprescribedabenzodiazepinewheninfactit'snotanxietythat'stheissue,it'stheoveractivethyroid.Thenwe'llhaveanunderactivethyroid,hypothyroidism.Interestinglyenough,aswellasdepression,youwilloftenseeanxietywithpeoplewhohaveunderactivethyroid.

Dr.KellyBrogan: Hyperthyroidismmayhavearole,asyou'resaying,inbipolardisorder.I'vebeenveryinterestedin,therewasonepaperforexample,yearsoldnowthatlookedatpostpartumpsychosis,sofirstdiagnosisofpostpartumpsychosis,andfoundthat19%ofthewomendiagnosedwithpostpartumpsychosishadthyroidautoantibodies.


Oneinfive?


Yeah.67%ofthemIthinkwentonwithintheyeartobefullydiagnosedwithpostpartumthyroiditis,relativeto20%ofcontrol.Tome,that'sprettymeaningful.Inthepostpartumwindow,whichisagainwhatIultimatelyspecializedin,moodinstabilityandassociatedsymptomsincludingflatnessofaffectorflatnessofemotionalrange,whichofcoursecanmanifestinafeelingofdisconnectionfromthenewborn,isthyroiddysfunctionuntilprovenotherwise.

[00:46:30]

Toprescribeanantidepressant,whichisofcoursewhatIdidformany,manyyearstoawomanwhohasanautoimmuneendocrineproblemwhenwehaveonlythreerandomizedtrialsofantidepressantsinthispopulation,andofcoursehorrorstorieslikeAndreaYatesofpotentiallyantidepressant-inducedinfanticideisatthispointIthinkanactofrecklessness.Ofcourse,youhavetounderstandtheseconnectionstobeabletoseethroughtheverytemptingillusionthatwehaveatreatmenttoofferthesewomen.Wereallyshouldbeofferingthem,screeningthemandofferingthemmoreoftheavailabletreatment.


Whenlookingatalltheliteraturethat'soutthere,weknowthatpregnancyisoneofthepeaktimesinpostpartumwhenawomanwilldevelopathyroidcondition.I'msureyouknowwhatit'sliketofeelalittledown.Maybeyouknowwhatit'sliketofeelreallydown.Perhapsyoufacedtragediesandloss,andthepainyoufeltwasanaturalcauseandeffectthatyouhadtorecoverfrom.Whatifthingsaregoingfairlywell,perhapsnotperfect,butyou'vegotanumberofthingstobehappyforinyourlifeandyoujustcan'tshakethefeelingofsadness?Maybethefeelingdarkensintoadarkandemptyfeelingyoucan'tescapefrom?There'snothingyoucanquiteputyourfingeronthatexplainstheseverityofwhatyou'refeeling.Whatisactuallyhappeningtoyou?

[00:47:30]

Asyou'relearningthesepowerfulinsights,itmaybebringingupanepiphanyforyouorperhapsit'ssheddinglightonacircumstancealovedoneisfacing.Knowledgeispower,andthispowerhastheabilitytosetpeoplefree,tosetyoufree.Getreadyforthenextinsightsonbipolardisorderanditsconnectiontothesmallbutterflyshapedgland.

Dr.HylaCass: [00:48:00] [00:48:30]

SooftenIhavewomencomingtomewhowereonaloadofmedication,psychiatricmedicationbecausethey'vebeendiagnosedashavingbipolardisorder.Whenyou'rediagnosedwithbipolar,andIcantellthattheybeendiagnosedbecausetheyareonanantidepressant,anantipsychotic,amoodstabilizer,andpossiblyastimulant.Thisislikethecocktailthat'sautomaticwhenyou'rebipolar.What'ssosadisfirstofall,it'snotworking.Themedicationsaren'tworking.They'recomplaining,thewomenarecomplainingoffeelingdull,theyhaveothersideeffects.Thesedrugshavesideeffects.Weightgain,20poundsjustlikethat.Lossoflibido,feelingbrainfog,lossofemotionalability.Theydon'twanttobedepressedbuttheyalsowanttohavesomeemotions.Thatandmanymore.

[00:49:00]

Ihavetosaymedicationhasitsplacesometimes,butnotthewayit'sbeingused.Ijustwanttosaythatparenthetically.Thesewomendiagnosedwithbipolarareonthiscocktailofmedicationthat'snotworkingwithsideeffects,andIdoalabtestonthem.Idoacompletelabtest.Idoawholeloadofthings.Includedisparticularlywiththesewomenisalsogoingtobeantithyroidantibodies,alsoafreeT3,afreeT4,afreeTSH,andreverseT3,butantithyroidantibodies.Iwillfindthatthesepoorwomen

11


[00:49:30]

haveHashimoto'sThyroiditis,autoimmunethyroiditis.Thosemedicationsarenotgoingtowork.They'reonlygoingtocausesideeffects.They'regoingtocauseharmtothebrain,becausetheydochangeyourbrain.It'sreallysad.Wehaveadoubleproblemhere.

[00:50:00]

IhavetohelpthemtoaddresstheirHashimoto'sThyroiditisandIhavetohelpthemweansafelyoffofthemedication,becauseyoucan'tjuststopit.Youcan'tstopmedications.Theyhavetobedoneusuallyoneatatimeandyouhavetoknowwhichonetodofirstandhowslowlytodoit,andeveryone'salittledifferent.Iaddressthethyroidrightaway,andthatalreadymakesadifference.There'ssomeprotocolsfortreatingHashimoto'sThyroiditiswhichislikeanyotherautoimmunedisease.Thereareanumberofthingsyouneedtolookfor,whichIdo.

[00:50:30]

Thisiskindofinterestingforapsychiatrist.Mytrainingisinpsychiatry,thebrain.Guesswhat?Thebodydoesn'tstopatthebrain.Weknowthat.I'mbasicallytreatingsomanydifferentthings.Hormones,bloodsugar.ThesewomenwithHashimoto'smayalsohavethebloodsugarimbalances,soweneedtotreatthat,too.It'salltreatedwithdiet,lifestyle,andcertainsupplements.Wegetthemoffthemedsandtheygetnormal.Whatasurprise,becausetheyactuallyaretreatedattherootcause.Thatissosatisfying.That'swhyIwentintopsychologyistotrulyhelppeople,toreallymakeadifference.Notjusttowriteprescriptionsandtosendthemhomeandkeepthematastatusquo,buttoreallyenhancethequalityoftheirlives.That'swhatturnsmeon.

[00:51:00] Dr.IzabellaWentz: [00:51:30]

Gettingthewrongdiagnosiscandestroyyourlife.Ifyouareapersonwithinsulin-dependentdiabetes,andinsteadofinsulinyouweregivingarandommedicationlikeabloodthinneroraninjectablechemotherapy,thiswouldbeconsideredmalpracticebecausethiscouldreallyhurtyou.Notgettingtherighttreatmentsmeansyou'regoingtocontinuestrugglingwithsymptoms,andyoucanevenpotentiallyloseyourlife.What'sevensadderisthattakingthewrongtreatmentcanmakeyourconditionworseinmanycases.Manypeoplewithmentalhealthsymptomsarereceivingtreatmentsthatcanactuallymakethyroiddisease,aswellastheirmentalhealthconditions,worse.

[00:52:00]

WhenIwasworkinginthementalhealthspaceinaconsultingrole,Abilifygotanon-labelusefordepression.Thisisanantipsychoticmedicationand,antipsychoticmedicationsare,Iliketocallthemthedirtiestdrugsouttherebecausetheyaffectsomanydifferentreceptorsandtheycausesomanyproblems.WethinkabouthowmanywomenormenwiththyroiddiseasewhowerealreadystrugglingwiththeirweightbecauseofthyroiddiseaseandstrugglingwithdepressionwereputonamedicationlikeRisperdal,Abilify,Zyprexa,toaugmentthedepressionwhentheantidepressantswerenotworking.Thatmadethemgainevenmoreweight.Thatmadethemevenmoretired.

[00:52:30]

It'sveryfrustratingformeasapharmacist,andI'msureasapsychiatristyoufindthatveryfrustratingbecausepeoplewillbeplacedontheseheavy-dutydrugs,forexamplelithium.Weknowthatlithiumcanbeusedforbipolardisorder.That'sfrequentlyoneofthosemedicationsthat'slastresort.Howcanmedicationslikethatimpactthethyroid?


Lithiumisagreatexample,becausewhatifwehaveapatientwhohasautoimmunehyperthyroidismorathyroiditiswherethere'sabitofbothGraves'andHashimoto'sactiveandthere'sjustatonofglandularsimulationinthiserraticseeminglycyclicalbehavioralshiftsbecauseoftheirendocrineimmunepathology?Whatifthatpatientisnotproperlydiagnosed,andthentheyareputonamedicationlikelithium,which,believeitornot,isstillconsideredgoldstandardasamoodstabilizer?Particularlyifthere'ssomethinglikesuicidality.

[00:53:30] [00:54:00]

Wedon'thaveagreatunderstandingofhowandwhylithiuminterfereswithourfunction.Therearesometheoriesandcertainlyevidencethatitcanincreaseriskforhypothyroidism,includingautoimmunehypothyroidism.There'ssomethinkingthatitinterfereswithdeiodinaseperipherallyandconversionofT4toT3,andmaybeeventhatitdecreasesT-cellsuppressorssothatyouhavetheriskofautoimmunitywhileyou'rehavinginterferencewithactualhormoneproduction.Sufficeittosaythathypothyroidismisaverycommon,includingrenaldysfunctionandalonglistofundesirablesideeffects,isaverycommonadverseeffect.Nowyouhavecompoundedtheinjury.

12


[00:54:30]

It'sasituationthatIthinkisalmostviewedasbeinglikethecostofdoingbusiness,thesekindofsideeffectsarenotconsideredlethal.They'resortofjustseenasverysubacute.Meanwhile,youcanunderstandwhyapatient'squalityoflifeandfunctionality,becauseallofthenon-industryfundedlong-termdatasuggeststhatpatientsfunctionmorepoorlywhentheyaremedicatedwithanantidepressant,withanantipsychotic,withamoodstabilizer,withastimulant,younameit.Theyfunctionmorepoorlywhentheyaretreatedthanwhentheyarenot.

[00:55:00] [00:55:30]

Youcanignorethatdataandyoucancontinuetotellyourselfasaprescriberorasapatientthatit'sprobablyinyourbestinteresttocontinueyourtreatment.Thesciencedoesn'tsupportthat.Maybeit'sbecauseofthepropensityforsomeofthesemedicationstoinduceendocrinedisturbanceandimmunedisturbance.Bytheway,I'veonlyeverfoundthreestudiesthathavelookedattheimpactofpsychiatricmedicationsonthemicrobiome.They'veallbeenrodentdata.TherodentdataactuallysuggeststhatfemalerodentsaremorelikelytosuffermicrobioticdisturbancefrommedicationslikeZyprexaorRisperdal.We'renotevenaskingquestionsthatmightconcernusevenmoreaboutthepotentialforthesemedicationstohaveadverseeffects.Itreallyisinsulttoinjuryunfortunatelyforalotofthesepatientswhoarenotgiventheopportunitytoreallyinvestigateandreversetherootcause.

Dr.IzabellaWentz: Thyroiddiseaseisanequalopportunitydestroyer.Adults,children,andevenpetscanbeaffected. [00:56:00] VivekManden: [00:56:30]

IwasdiagnosedwithHashimoto's,andthewayithappenedwasactuallyaroundthetimeIwaseightornine,Istartedgettingreallybadmigraines.Actually,Istartedgettingalotofsymptomstogether.Iwasreallytiredallthetime,Ihadreally,reallybaddigestion.EverytimeIwenttohaveaBM,I'dbebleeding.EverytimeIatefoodI'dbeintremendousamountofstomachpainandI'dbebasicallypassedoutalldayjustfromthemigrainesandstuffthatIhad.Wedidn'treallydomuchaboutit.Ididn'ttalktoomuchtomyparentsaboutthesethings.Theywerealwaysbusy.Theynoticedittosomedegree.Weweren'treallytoofamiliarwithgoingtodoctorsbecausemymomhadherownbadexperiencewithdoctorsinthepast.IthinkIjuststuckitout.

[00:57:00]

ThenwhenIhitaround10,11,IwassupposedtobegoingthroughpubertyandIwasn'tgrowing.Wehadaneighborthatwasanendocrinologist.Wewenttoabunchofdifferentdoctorsandnoonecouldfigureoutwhatwashappening.Mymomwaslike,"Thisissomethingseriouslywrong."Wewenttoabunchofdifferentdoctors.Noonecouldfigureoutwhatwashappening.WhenIwas12,ourendocrinologistneighborjustfinallynoticed,andshewaslike,"Oh,yourneckisreallyswollen.Weshouldgetyoucheckedforathyroidcondition.”

[00:57:30]

Iwasinthehospitalforaday.Theyweredoingallthesebloodtests.Ithinktheychecked,IwasveryyoungsoIdon'tremember.Theywerecheckingallsortsofdifferentthings.OfficiallyIwasdiagnosedwithathyroidcondition.Wedidn'treallytalkaboutitbeingHashimoto'soranythinglikethat.Itwasjustlike,okay,youhavethis.Youneedtotakethis,sotheygavemeSynthroidandIjusttookit.That'sit.Istartedgrowing.Yeah,Istillcontinuetohavesymptoms.

Dr.IzabellaWentz: WhatkindofsymptomsdidyoucontinuetohaveevenwiththeSynthroid?

VivekManden: [00:58:00] [00:58:30]

Thegrowingwasfine.Istartedgoingthroughpuberty.Themigraineswerejustdebilitating.ItwouldbetothepointwhereIwouldhavefourorfivemigrainesaweek.LikeIsaid,IlearnedtofunctionwiththembecausethatwasmylifeasIwasgrowingup.Iwenttoschool,I'dtakeexams,Iwouldtalktopeople.Iplayedtennis.Istilldidphysicalactivity.I'dhavejustthesedebilitatingheadaches.WhenI'dcomehome,I'djustcrash.Ididn'treallysleepverywell.Ihadalotofsleepissues.I'dalwaysbeexhausted.ItwasjustterriblebecauseIrememberwhatanightmareitwaswakingupforschooleverydaybecauseyoujusthavetogetup.Ijustmemberthatfeelingofexhaustion.Mymomwouldalwaystalktomeandshe'dbelike,"Whyissohardtogetyouupbutyourbrothergetsupnoproblem?Whyareyoumakingmylifesodifficult?"Ialwaysthought,whyamImakingherlifesodifficult?

13


Dr.IzabellaWentz: Likewhat'swrongwithyou.

VivekManden: [00:59:00]

What'swrongwithme,yeah,exactly.Iwasalwaystired.Ihadreallybadallergiesthatstartedtodeveloprightaroundthattime,sospring.Thenthedigestivestuff.Istartedgettingalotofjointpain,too,whichsuckedbecauseIwasplayingtennis.Mywristandmyelbowandallthesethingsstartedhurting.IthinkthemoodswereprobablysomethingthatIdidn'treallyunderstandbackthen,butthatwasareallybigpartofmylife.Iwasreallydepressedandreallyanxious.Itcarriedoverintoallofmyrelationships.ItcarriedoverintohowIperformedatschool,whichsurprisinglyIdidwell.Justmyinteractionwithmyfamilyandmyparents,IthinkpartofmeknewIwasn'treallythatkindofperson,butdefinitelyitwasahugepartofbasicallyallofmyteenageyearsinmyearly20s.

Dr.IzabellaWentz: Didyoufeellikeyoumissedoutonlifebecauseyouweresosick? [00:59:30] VivekManden:

Yes.Ido.InsomesenseI'mgratefulforitbecauseIcanthatsaynowthatI'mfeelingalotbetterthesedays,soIcansayI'mgratefulforit.Ilearnedalotfromit,butyeah,Iabsolutelydidmissoutonmylife.Icouldn'tdoanythingthatwasnormal.Wheneverwe'dgotovisitfamily,Iwastheonethatwasalwayssick.Iwastheonethathadaheadache,Iwastheonethatwasthrowingup.Whenwedidtennis,itwasreallyhardformetorecuperatethesamewaythatotherpeopledid.

[01:00:00] Schoolwasreally,likeIsaid,IdidwellbutitreallyhardformetostudybecauseIwasalwaystiredbutIthoughtIwaslazy.Itwashardformetojustbenormalandbelikeotherpeople.IdefinitelyfeellikeImissedoutonanormalchildhoodteenageexperience.There'salotofsocialisolationbecauseagain,Ididn'tunderstanditatthetimebutnowIdo.It'sprettymuchimpossibletoreallyassimilatewithnormalpeoplewhenyou'rejustexhaustedandmoody.Itreallyaffectsthewaythatyousocializeandinteractwithpeople.

[01:00:30] Dr.EricaPeirson: [01:01:00]

Inmyexperienceandinmyopinion,theresearchisn'tthereyet.EverychildwithDownsyndromeexperienceshypothyroidism,allofthem.Notjustincreasedrisk,notjustsomeofthem.Itstarts,ifnotinutero,butcertainlyfromdayoneoflife.It'satalevelthatcongenitalhypothyroidscreeningtestisn'talwaysdetectinganddoctorsaren'tdetectingbasedonsymptoms,becauseagain,theirsymptomsareoftendismissedasthischildhasDownsyndrome.Wewouldexpectthemtohavelowmuscletone,dryskin,constipation,lowgrowth.

Dr.IzabellaWentz: Theseareallthyroidsymptoms.

Dr.EricaPeirson: [01:01:30]

Exactly,right.Exactly.Theygetdismissed.Theygetdismissedallthetime.Igetparentswhowereveryfrustrated,andnotthatthey'renotacceptingofthechildandtheirconditionandtheextrachromosomebyanymeans.Theylovetheirchildrenjustasanyotherchild.Theyseethatthere'sapossibilitythatthere'sanotherexplanation.Theycometomeandwelookatmoredetailedlabs.That'swhereitreallycounts.NotjustaTSHandnotjustafreeT4,butmoredetailedlabsandthehypothyroidismcanoftenbedetectedatthatlevel,yeah.

Dr.JeanDodds: [01:02:00]

Oneofthemostunrecognizedearlysignsofthyroiddysfunctioninpetsisbehavioralchange.Theclientcaregiverwillbringthattotheattentionofveterinarian,andmanyveterinariansdon'thaveanyidea.Oryou'llstarthavingseizuresoutoftheblueinanadult.Thisisnotjuvenileepilepsy.Theyarethreeorfouryearsold,allofasuddenthey'restartingtohaveseizures,sometimesassociatedwiththemoon,thelunarcycle.Sometimesassociatedwithweatherchanges,otherthings.They'llsay,"Mydogishavingseizures."They'llgototheveterinarianandtheveterinarianwillreferthemtoaneurologistandtheneurologistcandoallkindsoftesting,sometimesevendoMRIsorCATscansandtheclienthasspent$4,000andtheyneversuggestedcheckingforthyroiddysfunction,whichwethinkaboutrightaway.

[01:02:30] Thebiggestproblemformeasanexpertinthisfieldandovertime,Ijustcontinuetoeducateandeducate,iswhyaren'tveterinariansaskingthesequestions?Eventhoughyou'renotfeedingthemanymore,theybecomea“easykeeper.”Theygainweightandtheygainweight.Youtaketheanimalto

14


theveterinarianandtheveterinariansays,"You'reoverfeedingit."Whenthey'renot.Theycanbeasubtlesignalsoinpeopleofabeginningofthyroiddysfunction.

[01:03:00] [01:03:30]

Oneofthethingsthat'sreallyimportantiswellnessscreening,justlikewedoforpeople.Youshouldgoandhaveacheckupperiodically.Werecommendifananimal'shealthy,onceitreachespuberty,itshouldhaveanannualwellnessphysicalexamination,familyhistory,andlaboratorytestingaroundayear,10to14monthsofageroughly.Theneveryyearafterthat.Thebasicthyroidlevelscouldstillbenormal,butantibodiesbeingproduced,andit'sdamaging,assaultingthethyroidglandprogressivelyoverthenextfivemonthstoayear.It'schangingbecauseit'sonlyonce70%ofthethyroidglandsoutputisdamaged,70%ormoreinpeopleandanimalanimalsthatyouactuallyseethetypicalbasallevelsoftheroutinetestinggodown.

[01:04:00]

Theysay,"Oh,IdidthetotalT4,it'snormal.Yourdogisnormal."Meanwhileit'sbitingpeopleanditcouldgobye-bye,right?Unacceptable.Wejusthadonetheotherday.Nobodyknewwhatwasgoingon.Thiswasinthenorthwest,wenttotwospecialtyclinics.Ithadathyroidenlargementpalpatedintheneck.Nobodydidathyroidantibodyprofilebecausetheenlargementwasfromtheantibody.Wediditanditwas156.Thenormalrangeisunder10.Weknewthereason.Meanwhile,thispoorclienthadspent$8,000tryingtofindout,becausetheysaid,"Youprobablygotathyroidtumor."Thedogwasseven.Wasn'tthatold.

[01:04:30] Anyway,it'safrustratingthing.Theclientisnowhappybecausewecantreatthedoganditcangetbetter.She'ssofrustratedthattheydidsomanyteststhatwereesotericincomparisonwhentheydidn'tdothebasicthyroidtest.Howdidsheknewtodothat?Whenshewentonlineandeverybodysaid,"SpeaktoDr.DoddsandhaveHemopetdothetesting."ThankGodtheeducationworks.Itgetsoutthere.

[01:05:00] MichelleCampeau: [01:05:30]

IwasfirstdiagnosedwithHashimoto'swhenIwas12yearsold.Ihappenedtojustseeapediatrician,andheasapediatricendocrinologistmadeathyroidcheckaspartofmyannualexam.ItjustsohappenedIdon’tthinkIwasshowingtoomanysymptomsbuthefeltagoiter.Iwasalso12.I'mnotsureIknewwhatsymptomswere.Sometimesaround12,usladieswidenalittleandstartgoingintoourhormonalphases.IprobablyhavesomesymptomsthatIwasn'tawareof.Oncethegoiterwasfelt,IwastestedforHashimoto's,testedpositive.Thatwasthebeginningofmyjourney.

Dr.IzabellaWentz: Bothofherparents,they'renurses,they'rehealthcareprofessionals,andtheywantedtogetyouthebestpossiblecare.Youwenttoapediatricendocrinologist.

MichelleCampeau: [01:06:00]

Yes,yesIdid.Asamatteroffact,hewasoneofthebestpediatricendocrinologistsatthetime.HeworkedatabighospitalinNewYorkCity.Hewasdefinitelywellknown.Throughoutmylife,I'vealwaysbeentreatedbygenerallythebestthatIcouldaccess.I'vebeenveryluckyinthatsense,butit'sstillbeenajourney.

Dr.IzabellaWentz: Foralotofpeople,thegutdiagnosisisgoingtobehalfthebattle.Justgettingtheproperdiagnosis,itjustfeelslike,wow,you'refinallyvalidatedforeverythingthatyou'vebeengoingthroughandhere'satreatment.It'slikeyourideoffintotherainbowwithyourmagictreatmentsandyoustartfeelingbetter.Itwasn'tlikethatforyou,wasit?

[01:06:30] MichelleCampeau: [01:07:00]

No.No,itwasn't.Iexperiencedalotthroughmychildhoodandintomyteenyearsthatwasn'tquitecaught.IrememberwhenIwasyounger,Ihaddepressivethoughts.At12yearsoldyoushouldnotbehavingdepressivethoughts.Istillwasbeingtreated.Ididn'tknowthattheywerecorrelated.Iwasquitechunky,Iguessthat'stheword,that'swhatIwasdescribedatleastasbeforeIhitpuberty.Iwasonthyroidmedication.Icontinuedtobeonthyroidmedicationthroughoutmylife,andagainstilldidn'tmakeassociations.

IrememberonetimewhenIwasabout19,20,IdidgotoonedoctorandIsaid,"Youknow,I'mgainingweight.Ijustfeellikethatmightbethyroiddisease.CouldyoucheckoutmyHashimoto's?

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[01:07:30] Couldyoucheckonmythyroidlevels?"Shesaidthatshewouldandmylevelscamebacknormal.Idon'tknowwhatthatmeantatthetime.ActuallytoldmethatIhad“forkinmouth”diseaseandthatIshouldeatless.

Dr.IzabellaWentz: “Forkinmouth”disease?

MichelleCampeau: [01:08:00]

Yes,Ihad“forkinmouth”diseaseandthatIshouldeatlessandthereforemyweightissueswillbesolvedanditwasnotathyroidproblem.Unfortunately,Ilovemyparentsandtheydodotheirbestbyme.However,theydidalsobelievethattakingapilleverydaymadeHashimoto'sandthyroiddiseasenonexistent.Iacceptedthatasrealityaswell.


Basicallytheblamewasplacedonyou.Youweretoldthatitwassomethingthatyouweredoingthatwascausingyourweightgain,thatitdidn'thaveanythingtodowithyourthyroid. Haveyoustruggledwithyourweight?Haveyoueverfeltlikenomatterwhatyoudo,youcannevershedtheunwantedpounds?You'refeelinglikebybreathing,you'reputtingonweight? Whenyouwereoverweight,howdidpeoplerespondtoyou?Whatkindsofthingsdidfamilymembers,friends,doctorssaytoyouaboutwhyyouwereoverweight?


Ithinktheblamewasalwaysputonme.Iwastheonewhowaseatingwhateverwasimpliedtonotbeagreatchoice.Itwasalwaysmyfault.Thingswerealways,theadvicethatIwasgettingwaseatless,countcalories,joinWeightWatchers.Exercisemore,joinagym.Itwastheverystereotypicalcaloriesin,caloriesoutwithoutanappreciationforhormoneregulation,withoutanappreciationfortheemotionalsideofeating.ThedepressionwithoutaninvestigationbeyondthecaloriesthatIwaseating,thatpotentiallytherewasanunderlyinghealthconditionthatwaspermittingthissituationinmybodywheremybodywouldgainweight.

[01:09:30] [01:10:00]

Ijustfeltgenerallylikeitwasmyfault.Itriedsomanydifferentthings.Itriedcountingcalories.Itriedcountingpoints.Itriedwalkingmore.Itrieddoingstepaerobics.Itriedcyclingandrunning.Iworkedreallyhardtoloseweight.Itwasneversuccessful.Ifitwassuccessful,itwas5or10pounds,andthentheyo-yodietofthenwillthengain20or30.Iwasmiserable.


Inmanycircumstances,thegreatestgiftyoucangiveyourselforalovedoneisthegiftofunderstanding.Ibelievethatyouyourselflongtobeunderstood.It'sahighvaluetoyouandit'ssomethingyouaspiretogive.Asyou'reunderstood,yourpotentialisunlockedandperhapseventheshameyoumighthavebeenfeelingdissolvesaway.You'reabletobeyou.You'reabletothinkoutsideoftheboxpeoplehaveplacedyouin,ormaybeeventheboxyouplacedyourselfin.Outsideofthisboxliesthetruesolutions,notonlyofyourhealthbutyouruniquepathtomeaningandtruth.

Dr.HylaCass: [01:11:00]

Ihadthisonewomanwhohadbeenoncitrullineformanyyearsandwasoverweightandstilldepressedandwantedtogetoffthemedication.Anytimeshetriedtogetoffit,shehadreallygottenworse.Shewasreallyafraidtodoit,soshestayedonit.ShecametoseemeandIdidabloodpanelonheranddiscoveredthatshewasalittlebithypothyroid.Nothugelyserious,butshewassomewhat,andsomewhatforanybodycanmakealotofdifferenceinhowtheyfeel.

[01:11:30]

ThefirstthingIdidwasIputheronalowdoseofnaturaldesiccatedthyroid.Iputheronthat.Itwasreallynice.Shecalledmethenextday.Shesaid,"Hey,it'slikesomeoneturnedthelightson."Whichisreallycoolbecauseshehadn'tfeltthatgoodinmany,manyyears.Shesaidshe'dbeenoncitrullinesinceshewasateenagerandshewasnowinher40s.ThedownsideoftheSSRIsisweightgain.Youcanhavemoreanxietyonthemoryoucanbemoresleepy.Thenwhathappensisyouhaveinsomnia,inwhichcaseyou'rethenputonasleepingpillontopofthat.That'snotsogood.OraneurolepticoranantipsychoticlikeSeroquel.That'snotgood.

[01:12:00]

Inhercase,hersideeffectswereprettymuchweightgainandflataffect,whichmeansshedidn'thaveallofheremotions.Shejustknewshewantedtogetoffit.Shesaidshefeltreallymuchbetteronthe

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[01:12:30]

thyroid.IgraduallytookdowntheZoloftandIalsowasaddedinsome5-HTP,5hydroxytryptophan,whichisaserotoninprecursorenhancer.Youhavetobecarefulwhenyou'redoingthisbecauseyoudon'twanttocreateserotoninsyndrome.ShewouldtaketheZoloftinthemorningandthe5-HTPintheeveningsothattheywereseparated.Theyshouldbeseparatedbyacouplehours,anyway.

[01:13:00]

Shebegantoweanherselfoffthemedicationwithmysupervisionandgraduallyaddinthe5-HTPtoreplaceitandthethyroidhormone.Wegraduallyadjustedthethyroidhormoneaswell.Withinafewmonths,shewasofftheZoloft,onanicedoseofnaturalthyroidcalledNature-Throid.Shewashappy,shewasgreat.Shesaid,"Ihavemyemotionsback.Ihaven'tfeltthisgoodsince..."Shedidn'trememberhowlongithadbeen.Maybesinceshewasateenagerbeforeshebecamedepressed.Thatwasgreat.Shelostweightbecauseshewasfinallyabletoloseweight,notbeingonthemedicationandhavingherthyroidworkingproperly.

[01:13:30] TrudyScott: [01:14:00]

Thethingsthatwewanttothinkaboutfromabiochemicalandanutritionalaspectwhenitcomestoanxietyisjunkfood.Wewanttoeatreal,wholefood.Theadditives,thecolors,thepesticides,thetransfats,allofthosecanbeproblematicwhenitcomestoanxietybecausewedon'thavetherawmaterialstomakeourbrainchemicals.Gabaisawonderfulcalmingneurotransmitterandserotoninisalsocalming.Ifwedon'thaveenoughoftherawmaterialstomakethoseneurotransmitters,wecanbemorepronetoanxiety.

[01:14:30]

Iliketolookatincorporatinggrassfedredmeatintosomeone'sdiet.Alotofpeoplesay,"Yay,Icaneatredmeatagain."Weoftenhavethismyththatredmeatisnothealthy.Ifit'sgrassfed,it'sreallyhealthy.It'sgotomega-3's,it'sgotzinc,it'sgotiron.Thesearenutrientsthatareneededforanxietytoalleviatetheanxietyandarealsogreatforthyroidhealth.We'regettingbenefitsonbothsides.Addinginfish,wildfishlikesardines,addinginsalmonisgreatforgivingproteintohelpstabilizebloodsugar.Alotofpeoplehaveproblemswithlowbloodsugarwhentheyhaveanxiety.

[01:15:00]

Whenyourbloodsugartakesadip,you'regoingtofeelmoreanxious,you'regoingtofeeledgy,you'regoingtofeelagitated.Havingproteinatbreakfastisreallykey.Thismakessuchabigdifferenceforsomanypeople.Havingdinnerforbreakfast,havingaproteinsmoothieforbreakfast,havingfishforbreakfastbuthavingthatproteinfirstthinginthemorningcanmakesuchabigdifference.

[01:15:30] [01:16:00]

Thenglutenisabigproblem.Thisisaproblemforboth.Ifyouhaveanautoimmunethyroidcondition,gettingoffglutenisonethingtoconsider.It'sabigfactorformanypeople.Thenthere'ssomuchresearchshowingtheconnectionbetweenglutensensitivity,celiacdisease,andanxietyandpanicattacksandsocialanxiety.Gettingofftheglutencanhaveabigimpactaswell.Someofthereasonswhywewanttogetoffglutenisbecauseglutencan,ifyouhaveasensitivity,itcandamagethegutlininganditcancausemalabsorption.Nowwe'renotabsorbingthezincandtheironfromthegrassfedredmeatthatwe'reeating,anditcanlowerserotoninlevels.Ofcourse,we'vegotsomuchgoingoninthegutwhenitcomestothemicrobiomeandweneedgoodcuthealth.Ifwe'vegotdamagetothegut,that'sgoingtoaffectthatandtherebyaffectmoodaswell.

[01:16:30]

Thosearesomeofthethings.Theotheronethatisarealkeyfactorandisproblematicformostofmyclientsiscoffee.Myclientswillgiveupbread,they'lladdintheredmeat,they'lladdinsalmon.Someofmyclientswilleatsardinesforthefirsttimeintheirliveswhenthey're55yearsoldbutthey'llhangontothatcoffee.Theyreallydon'twanttogiveuptheircoffee.Thereareasubsetpeoplewithanxietyandpanicattacksthataremorepronetotheeffectsofthecaffeine,andit'sgoingtomakethemmoreanxious.Theotherthingwithcoffeeisit'sloadedwithpesticides.That'sproblematic.Thenalotofpeoplearedrinkingcoffeeoutofplasticcups,soyou'regettingallthetoxinsfromtheplastic.

[01:17:00]

Thentheotherbigthingwithcoffeeisthatitaffectsyourbloodsugarlevels.Whenyoudrinkacupofcoffee,it'sgoingtodepressyourbloodsugarlevels,andthenyou'regoingtofeelmoreanxious,andthenyou'regoingtoneedsomethingelse.Gettingridofthatcoffeeisarealthingformostofmyclients.They'llfightit.Whentheygiveitup,they'llsay,"Ican'tbelieveitwasn'tashardasIthoughtitwasgoingtobe,andIfeelsomuchbetter."Whenwe'retalkingaboutallthenutrientsthatweneedto

17


lookatlikeaddinginzinc,maybelookingatironlevels,lookingatvitaminDlevels,whynotjustgiveupthecoffeefirst?Thenmaybeyoudon'thavetodoeverythingelse.It'sthecoffeeinthecaffeinethat'scausingtheiranxiety.

[01:17:30] Oneofthekeynutrientsforaddressinganxietyiszinc.Lowzinclevelswilloftenmeanthatyou'vegothighcopperlevels.Zincandcopperbalanceeachotherout.Whenyou'vegotahighcopper,you'regoingtohavelowzinc.Ifwethenwillhavesomeonesupplementwithzinc,that'sgoingtopushdownthecopperlevels,whichisgoingtoalleviatesomeofthatanxiety.Zincisimportantforthyroidhealthaswell.We'regettingthyroidbenefitsandwe'regettinganxietyreductionbenefitsaswell.

[01:18:00] MarkHyman:

That'sprettyamazing.Iwasreflectingonhow,Irememberthiswomanwhowassufferingbecauseshewasinfertileandthentriedtogetpregnantforyearsandyearsandwantedababydesperately.Itturnedoutitwasherthyroid.Ifixedherthyroidandshewasabletohaveababy.That'ssogratifying.Anotherpatienthadbeendepressedforyearsandyearsandyears,inandoutofpsychiatrictreatment,psychiatricmedications.Nothingwasworking.Wefixedherthyroidandherdepressionwentaway.

[01:18:30] Weseethesemiraclestoriesofthingswewouldn'texpectwherepeoplewhohaveheartdiseaseandhighcholesterol,andtheirdoctorsaregivingthemastatinwheninfacttheirthyroidisnotworking.That'swhat'scausingtheirhighcholesterolandtheirheartdisease.Youjusthavetobeadetective.That'sreallywhatIdo.Functionalmedicineisessentiallydetectivework.It'stryingtounderstandtherootcausesofdiseaseandtryingtofigureouthowtogetthebodytoworkbetteronitsown.It'slikethescienceofcreatinghealth.

[01:19:00] Dr.IzabellaWentz: [01:19:30]

I'mreallyimpressedwithyoubecauseyouquestionedthestatusquo.Alotoftimespeople,theygotoonedoctorandthisonedoctortellsthemsomethingandit'slikegospel.There'snowaythatyoucanargueitorrefuteit.Youjustgiveuponyourself.Youlistentothisotherpersonwhohaswonderfulphenomenaltraining,butthey'renotyou.It'salmostlikeyouletthatpersonstandinthewayofyourownhealingbecauseyoutaketheiropiniononyourbodyratherthanlisteningtoyourownbody.Whatmadeyoudecidetolistentoyourownbody?Whatdroveyoutodothat?


Idon'tknow.Ioncehadsomebodytellme,wedidthisthingwherewehadtointroduceallthesenewpeopleinagroupsettingandtalktothispersonandthensheintroducedme.Deanna'sapersonwholikestogoagainstthegrain.Ineverthoughtofmyselfthatway.IthinkIdo,Iquestioneverything.Ijusthavealwaysquestionedeverything.Iresearcheverything.IresearcheverythingaboutanyhealththingIhave.I'msogladwehavetheInternetnow.Idon'thavetogotothesciencelibraryandgotothedoctorwithmylistofthyroidsymptomsandsay,"See,thisisme."That'sjustme,mypersonality.


Ilovethat.Ithinkofpeoplelikeyouandmeandhopefullytheviewerswatchingthis,asrootcauserebelsbecausewedon'tlistentothestatusquo.Wereallyadvocateforourselves.Wetrytogetdifferentresultsthaneverybodyelsegets.Becauselet'sfaceit,ifyou'redoingexactlywhateverybodyelseisdoing,thenyou'regoingtohavethesameresults.It'sasystem.It'sprettystraightforward.It'slikeoneplusoneistwo.Wereallydoneedtogoagainstthegraintogetourhealthbackandtostartmovingtowardswellness.

DeannaKelemen: Exactly.

Dr.AlanChristianson: [01:21:00]

Hashimoto'sisreallythemaincauseofthyroiddiseaseacrosstheboard.There'sothertypesthatareoutthatwe'lldiscuss.Hashimoto'sisthemainone.Inmanycasespeople,arediagnosedasbeinghypothyroidwhenit'sobvious,butthey'renoteventoldaboutHashimoto's.Thedataisstrongthatthewholeimmuneresponse,theinflammation,itcangoonforadecadebeforethere'severenoughofashifttogetdiagnosedasbeinghypothyroid.

ThetoughpartisthatHashimoto's,there'sdifferentkindsofdiagnosesinmedicine.Somekindsofdiagnosesareoneparticularfinding,likeyou'rehypertensiveifyourbloodpressureishere.There's

18


[01:21:30] thebreakonthex-ray,you'vegotabrokenfibula.Somediagnosesareonefinding.Otherdiagnosesarebaseduponclustersofsymptoms.Wecallthosesyndromes.Thenotherdiagnosesarereallybaseduponmicroscopicfindings.Wecallthatahistologicdiagnosis.Hashimoto'sisactuallyahistologicdiagnosis.

[01:22:00]

There'salotofwaysyoucanstronglysuspectHashimoto's,suchaspositivethyroidantibodies,unexplainedchangesinthyroidfunction,oralterationsinthyroidstructureviaultrasoundespecially.But,there'sreallynoclearwaytorefuteHashimoto's.There'snowayyoucantakesomeoneandsay,"Yeah,youdon'thaveit."Thatisunlessyouremovetheirglandandyou'veminceditandyou'veanalyzedeveryspeckmicroscopically.Wedon'tdothat.Somanythathaveit,don'tknowitbecausethere'snoeasyruleoutforit.

BartKramer: Doyouseethat?Peoplewithautoimmuneproblems,depressionkicksin? [01:22:30] Dr.IzabellaWentz: [01:23:00]

That'sahugecomponent.That'sahugepartofautoimmunediseaseandahugepartoftheHashimoto's.Weseethatasoneofthemostcommonsymptomsthatpeoplereport,topthreesymptoms.Firstoneisgoingtobefatigue.Then,we'relookingatweight.Thethirdsymptomsaregoingtobedescribedasmoodalterations.We'relookingatpeoplewhosaytheyarebrainfogged,they'redepressed,theyhaveapathy.Somepeoplewillhaveanxiety.OtherpeopleI'veseenactuallymisdiagnosedwithbipolardisorder,misdiagnosedwithdepression.It'saverycommonthing.

Dr.DavidHaase: [01:23:30]

Ifyou'rehavingsymptomsofdepression,anxiety,fatigue,youshouldheedthosesymptoms.They'remeaningful.Thebodyisdesignedtothrive.It'sdesignedtofeelwell.Igettoseepeoplerecovertheirhealthallthetimeinmypractice.That'swhentheyaddresstheunderlyingcausesoftheirdysfunction.Partlyweneedto,ifonethingdoesn'twork,wehavetokeepdiggingdeeper.Theideathatthereisasinglemagicformulatofixeverybodyisreallyhubris.Thebodyissoincrediblycomplex.Ourlivesandthenumberoffactorsthatinterveneuponusthatcancostagenerationarenotdefinedbyasimpleequation.

[01:24:00]

Therearefundamentalsthatyoucando,somethingsthatareveryhelpfulincleaningupyourdiet,beingawareofthetoxinloadinyourlife,addressingthestressthatgoesoninyourworld,gettingbetterqualitysleep.Assessingyourrelationshipsandexercisingatalevelthatdoesn'tcauseyoudegeneration,doesn'tburnyourfireup,doesn'tburnyourfiresohotthatitessentiallycausesdamage.Thebodyheals,butonlyifyougiveitwhatitneedsandkeepitawayfromwhatharmsit.


Sincewe'reonthetopicofantibodies,canwetalkaboutbrainantibodiesandthewholetopicofHashimoto'sencephalopathyandreallythefocusofyourlatestbookandyourlatestworkaswellwasonthebrain.

Dr.DatisKharrazian: [01:25:00]

Sure.Thisis,Ithink,oneofthemostignoredandoverlookedareasofHashimoto'smanagement.Somuchemphasisondietandceliacdiseaseandleakygut,andnotsomuchonwheretherestoftheautoimmunityis.Hashimoto'sencephalopathy,encephalopathyjustmeansinflammationofthebrain.Hashimoto'sencephalopathyisclassicallysomeonewhohasHashimoto's,theirantibodycountsgetreallyhigh,andtheygetdelirium,theygetconfusion,andthentheygotothehospitalandtheycan'tfigureoutwhy.

Dr.IzabellaWentz: Soscary.


That'sreallyprogressed.There'ssubtledegreesofHashimoto'sencephalopathythatpeoplehaveonanongoingbasis.Justlikepeoplehavesometimesposttraumaticencephalopathywheretogetabraininjury,theygetchronicinflammationinthebrainandthebraindegeneratesovertime,andtheystarttohavealltheseneuropsychiatricsymptomslikewhatweseewithsomeoftheresearchcomingoutwithNFLfootballplayers.

Dr.IzabellaWentz: Soscary.

19


Dr.DatisKharrazian:

It'sthisencephalopathythat'slow-grade,notveryobviousthathappensovertime.ThesametypeofslowgradeongoingencephalopathyhappenswithmanyHashimoto'spatientswithoutquestion.Theresearchclearlyshowsthatantibodiescanactuallyattachtothebrain,thyroidantibodies.

Dr.IzabellaWentz: Thyroidantibodiescancross-reactwiththebrain. [01:26:00] Dr.KirkGair: [01:26:30]

In2011,mywifehadaCTstudywithiodinecontrast.That'sreallytransformedeverythingformepractice-wise,becausepriortothatwasmostlyjustinjuriesandalittlebitoffunctionalmedicine.Whenmywifehadaniodinecontraststudy,italmostkilledher.Shehadathyroidstormthatputherontheedgeofhavingastroke.WewereinandoutoftheERseveraltimes.Theycouldn'tfigureoutwhatwasgoingonwithher.Shesawnumerousspecialists.WewereatHarborUCLA,consideredoneofthetopplacesinthecountry.Theycouldn'tfigureoutwhatwasgoingon.

Shehadalotofissueswithnotonlyherheartrate...thecommonsensewasthatHashimoto'spatientshaveittowheretheycan'tsleepatnight,thatthey'reexhausted,vertigo,fatigue.Shehadallthesedifferentthings.Itcompletelychangedherlifeovernighttowhereshecouldn'tevenreallyleavethehouse.Whennoneofthosespecialistscouldhelpus,that'swhenIwaslike,man.TheonlypersonIknowwhocouldhelpusisDr.Kharrazian.He'sjustsodedicatedtowhathedid.

[01:27:00] [01:27:30]

Fortunatelyforme,havingknownhim,Iwasabletojustcallhimonthephoneandtellhim,"Hey,Datis,thisiswhat’sgoingonwithmywife."Noonecouldfigureoutwhat'sgoingon.Theysayitnotrelatedtotheiodine,butitwasliterallyyougetthecontrastandyou'vegotapersonwhoselifeisdifferentthedaybeforeanddifferentthedayafter.NotonlyfromaHashimoto'sperspective,butalsofromabrainperspective.Hewasabletoinjustfiveminutestellmeexactlywhatwasgoingon,howtheiodinecantriggeramassiveautoimmuneattackandcausethethyroidtodumpjusttonsthyroidhormone,essentiallyathyroidstorm.Hetoldmetobringherinsohecoulddoanevaluationonher.

[01:28:00]

Wetookherintotheappointmentanditwaschallengingjusttogettherebecausethat'showbadshewas,justtryingtogetinacaranddrive.Thatcouldmakeherheartrategoup.Thatcouldmakeherfeelextremevertigo.We'retalkingaboutatanextremelevel,notjustalittledizziness.Wegetherintotheoffice,hedoestheevaluationonher,runsometests,wedosomelabs.That'swhenhefigureoutthetypesofreactionsshe'shavingtogluten,tocow’smilkproteins.Heexplainshowthat'striggeringattacksagainstthethyroidandalsoagainstthebrain.That'swhatwaswhatreallyblewmeawaywasthefactthatyoucanhaveanantibodythat'snotonlyhittingthethyroidbutalsohittingthebrainandcreatingallthesedifferentkindsofbrainsymptoms.

[01:28:30]

That'ssomethingIthinkalotofpeoplemissoutonthatDr.Kharraziantalksabout,thatabout50%ofthepeoplewiththeHashimoto'santibodieshavebrainantibodies.Theygetallthesebrainsymptoms.Youseethebrainfogandanxietiesandalotofpatientsgettingmedicationsforpanicattacksandthey'renotlookingatthecauseofit.Hewasshowinguswherethecauseofthesethingswerewiththenutritionalfactors.Thenhewasshowingmesomedifferentfunctionalrehabwecandoforthebrain.That'swherealightbulbclickedforme,becauseashewastalkingaboutthedifferentpathwaysthattriggerHashimoto'sandthedifferentpathwaysthattriggerthebraininflammation,IsawitdovetailedinalotwithwhatIwasdoingwiththelasers,thatthelaserscouldhelpsupportsomeofthesepathwaysthatareinvolvedwithHashimoto'sandthebrainsymptomsthatpatientshave.

[01:29:00] Idiscussedthatwithhim.Iaskedhim,"Whatdoyouthinkaboutmedoingthelaserwhilewe'redoingthisdifferentkindsofrehabactivities?"Hesaiditsoundedlikeagreatidea.Asamazingasheis,in24hourshesentmeseveralresearchstudiesthatsupportedwhatwewerethinkingaboutdoingatthatpoint.That'swhenIcreatedtheseprotocolswhichIwastryingtohelpmywifewhenshegotallthesespecialistsandhadnohelp,andsocreatedtheselaserprotocolstoimprovebrainfunctionanddampensomeoftheactivitythatwasgoingonwiththebrain.

[01:29:30] Whathasamazedmeisthatsincewedidtheseprotocols,whichdramaticallyhelpedher.Shewentfrombeingprettymuchhouse-boundforseveralmonthstoayearafterwedidallthisworkonher,

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shewasabletogetoutandplaytennisandmoreofanormallifebackisthatIstartedseeingallthesepatientscominginwiththesesymptomsthatit'snotthattheyweren'ttherebefore,it'sjustthatIwasn'tawareofthembecauseofthetraditionaltrainingthatwehad.WeweremissingoutonallthesepatientscominginwithsubtlethingsthatweresignsofHashimoto's.


Howdoesapersonknowiftheirsymptomsthatyoutalkedaboutarethyroidsymptomsorifthey'rebrainantibodysymptoms?


Theinterestingthingisthatwhetherit'sthyroidantibodiescausingsomebrainissuesorit’sglutenantibodiescausingbrainissuesorpeopleactuallyhaveHashimoto'sdevelopantibodiesintheircerebellum,thekeyexaminationfindingiswhattheycallidiopathicsporadicataxia.Idiopathicsporadicataxiameans,firstofallataxiameanstheycan'twalkinastraightlinewithoutstability.Iftheyclosetheireyesandtrytowalkasifthey'reonabalanceboardorbalancebeamandtheycan'tdoitwithoutshakingorfallingformorethanthreesteps,that'sataxia.Normallyyoushouldbeabletowalkandyou'restable.Ifthey'rewalkingandthey'refallingallovertheplace.

Dr.IzabellaWentz: Gymnastsdon'tgettodothis,right?


Again,ifithappens,that'sataxia.Peoplecanhaveataxiaforlotsofdifferentreasons,butthat'sataxia.Idiopathicsporadicmeans,idiopathicmeansthereisnoknownheadtrauma,thereisnoknownneurologicaldiseasethat'sobvious.Theyhaven'thadastroke.Allofasuddentheyjusthaveataxia.That'stheidiopathic.Sporadicmeanssomedaysit'sworse,somedaysit'sbetter.Idiopathicsporadicataxiameanswhenapersonclosestheireyesandtriestowalkinastraightlineandtheyfallallovertheplace,theyhavethatcondition.

[01:31:30]

IfapersonhasHashimoto's,theyshouldchecktoseeiftheyhavethat.Somedaysitwillbebetter,somedaysitwillbeworse.Iftheyhave,thatthereisastronglikelihoodthattherearesomecomponentsoftheirHashimoto's,thyroidantibodies,glutenantibodies,oreventhey'vedevelopednowneurologicalantibodiesinthebrainthatareinvolved.Thatwillhelpsomepeopleidentifyjustathomelisteningtothis.

BartKramer: [01:32:00] [01:32:30]

TwoyearsagoIwasgoingthroughanawfullotoffatigue.Mybalancewasterrible.Thesummerof2014Ifellintheparkinglotofthegrocerystoregettingtothecarwithabagofgroceriestwice.Iwenttoamedicaldoctorandhe'ssaid,"Let'srunsomebloodtests."CamebackwithaTSHof76whichisreally,reallyhigh.Thenhesays,"Bart,you'vegotHashimoto's."Oh,okay.Whatwedonext?HehandedmeaprescriptionforsomesyntheticT4.Hereyougo,goodluck.Seeyouinthreemonthsandwe'llcheckyourTSHagain.Okay.Itwasatthatpointdecisiontimeforme.AmIgoingtowalkdownthatpathoramIgoingtotakewhatIknowaboutdoingsomeresearchontheInternetandplugitintomyownsituationrighthere,rightnow?

[01:33:00]

Itwasaneasychoiceformetosay,"Getoffyourbutt,dude,anddoit."Offwegodownthemedicalsciencepath.YourbookwasthefirstbookthatIfound.Iboughtitandthatstartedmeoffthinking,wow,there'sscienceoutthereaboutthisHashimoto'sstuff,Ihadneverheardofit.IhadtoGoogleHashimoto'stofigureoutwhatitwasI'vegot.


Therearepeoplethatareprobablyathomewatchingthisandlisteningtoyou.Theyseeyounow,you'reenergetic,you'reveryvibrantandwellspoken.They'rethinkingIcouldn'tdothisbecauseI'mreallyfatiguedorI'mhavingbrainfogorthisisnotmeordepression.DidHashimoto'shavethateffectonyou?

BartKramer: No.Depression,no,brainfog,heckyes.Ithought,Iwasindeeptrouble.MywayofearninganincomeisItrade.I'minthemarketsglobally.Imanagemyownmoney,manageotherpeople'smoney.


Takesalotofbrainpower.

BartKramer: Yes,andIwaslosingit.Mytrading,youcanlook.2012,okay.13,goingdownhill.14,oh,God.Itwas

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[01:34:30] [01:35:00]

terrible.Ijustcouldn'tgetmyarmsaroundit,thementalarmsaroundconcepts.WhatamIgoingtodo?Itjustwasn'tthere.IshouldhavewalkedawayfromitbutIdidn't.Anyway,thatwasmotivationenoughtotrytogetthatback.WhenIreadbooksanditsaysthatfatigueisnormal,yousleeping12hoursaday,fiveorsixwasmynormal.Ihadgonefromsixtoseventoeighttonine.AtnineIfeltbetter.Holycow,Ihaveneversleptninehoursinmylife.Whatisgoingon?Thisishealing.Justcalmdown,justrestructureyourlifealittlebitandheal.SoIdid.

Dr.IzabellaWentz: Sosleepingmorewasapartofyourhealingjourney?

BartKramer: [01:35:30] [01:36:00]

Yes,andchangingdiet,massivedietchanges.Izabella,Iwasabreadbakerfromtheearly70s,onanoldfarminIowawithabunchofotherlong-hairedpeople.BackthenIhadhair.Ibakedbread.ThisiswhatIdidforthefamilyoutthere.Ibakedbreadmywholeentirelife.Iwasreallydarngoodatit.Itwasmyfallbackposition.IfthingsreallywenttohellIwouldbeabakerinMcCarthy,Alaska.Thatfallbackpositionnumberoneorthreeorsomething.

[01:36:30]

Changingmydietwasoneofthose,I'mgoingtodoit.Iwillnotacceptwhining,Bart.Youunderstandthat?Willnotacceptwhining.Wehadtheseseriousconversations,meandmyself.Okay,stop.Stopthecoffee,stopthesugar,stopthebread,stopdairy,juststopit.Okay.Lifegoeson.Izabella,Ididn'tmissit.Ineverinamillionyears,ifyouhadsaid,"Bart,you'regoingtobeabletojuststopeatingbreadandpasta."Itworked.Itchangedmyhealth.

[01:37:00] Dr.DavidHaase: [01:37:30]

Mostpeopledon'trecognizejustwhatabigdealtheirthyroidisintheirbrainfunction.Wedoalotofbrainmappinginouroffice,understandingjusthowthebrainfunctionsfromanalyticalstandpoint.Individualswiththyroiddysfunctionshowaberrationinthebrain.Wehearaboutbrainfogandfatigueandthoseassymptoms,buttheycomefromaveryrealphysicalsource.Iwanttoencouragepeople,don'tneglectthefactthatthethyroidcouldbeapartofdepression,anxiety,thoughtdisorders,inappropriateprocessingandattentiondifficulties.Thosesymptomsthatarepresent,thatarediffuse,areoftenexacerbatedbythesemasterorganshavingdysfunction.

Dr.IzabellaWentz: Whatdoyoudowhenyouhavebrainfogandyou'realreadyoptimizedonthyroidmedications? [01:38:00] Dr.DatisKharrazian: [01:38:30]

Thebasicconceptisyouhaveimpairednerveconductionspeed.Neuronsfireatacertainrate.Ifanythingslowsthatdown,thecomplaintmostpeopledescribeitasisbrainfog.Theycan'tfindtheirword,they'researchingforthings,theycan'tgettoit.Theirmindisslow,theirrecallisslow.Thatallreferencesslownerveconduction.Weknowinflammationinthebrainslowsdownnerveconduction.Deficiencyofthyroidhormonesslowdownnerveconduction.Deficiencyofotherhormones,estrogen,testosteroneslowdownnerveconduction.

Ithink,forthemostpart,whenpeoplehavebrainfog,thefirstthingtheygois,whyismynerveconductionspeedsimpaired?Mostcommoncauseisinflammation.Aspeoplegoonsomethyroidreplacementstheymayimprovebecausethyroidhormonesactually,someresearchshowsthereisaninitialtwo-weekimmune-dampeningeffectfrombeingonareplacement.Someoftheinflammationgoesdown.Foralotofthepeopleitgoesdown,butthenafewweekslateritcomesbackup.

[01:39:00] Dr.KirkGair: [01:39:30]

Ourprotocol,wedidtheCyrexlabtestingtoseewhatfoodsshereactedto.Glutenwasahugeone.Milkbutyrophilinwasanotherone.Wehadtoeliminatethat.Wedidstrict,kindofapaleotypeofdiet.AndwedidsomespecificsupplementstodampentheinflammationlikeResveratrol,turmerictodampentheinflammation.Vinpocetineinordertohelpdilatethebloodvesselstoimprovebloodflowstothebrain,especiallysinceherbloodpressureissohighasaresultofthisthatit'sdangerousforstrokes.OneofthethingsDr.KharrazianrecommendedwasVinpocetinebecauseofthewayitcanprotectthebrainanddilatethebloodvesselsandhelpwiththat.

Thatwasthenutritionalprotocol.Fromlasers,whatIdidwaswhateverpathwaywasweakwithher,soforexampleshecouldn'twatchTViftherewasfast-movingcamera,likefastcamerachanges.Shewaswatchingmostlyblackandwhitesingleanglecamerasthatweren'tstimulatingthebrainvery

22


[01:40:00] much.Wehadtoworkonjustbeingabletogethereyestoprocessthatinformation.OneofthethingswedidisIwouldhaveherdoeyemovementswhileIplayedthelasertotheoccipitallobewherebasicallythecerebellumandtheareasforvisionareinthebrain.

[01:40:30]

WedothattotrytostimulatethosenervepathwaystofirebetterandtoincreasetheamountofATPinthatareaofthebrain.Wedosomedifferentbalanceexercisesaswelltotrytoreintegratethosesystemssothatshecouldactuallybeabletoinitiallywatchamoviethathadmultiplecameraangles.WeeventuallygottothepointwherenowshecangoseeanIMAXfilmandnotfreakout.Whereas,initiallymultiplecameraangles,boom.Heartrateisgoingtogoup.Alotofpatientshavethat.Ihearthat,alotofpatientscomein,“oh,Ican’twatchanactionflick,Ican'tgoseeIMAX,”or“Ifeelnauseated,Ifeelnauseated,Ifeelanxious,I'lleventhrowupwithoutmoving.”Wejustworkedonrehabbingthatpathway,that'soneoftheprotocolsthatwedid.

Dr.IzabellaWentz: [01:41:00] [01:41:30]

Knowingthetruthaboutthyroiddiseaseanddispellingthemythsiscrucialtofindingyourtruepathtohealing.Takewhatyou'velearnedinthisepisodeandapplyitsoyoucangettheresultsyou'relookingforinyourlife.Itwasamazingjusttopeelbackthesymptoms.EverytimeIwouldgo,mythyroidantibodieswouldgodroplowerandlower.It'snicetobeabletoactuallywakeupinthemorningandnotsleepfor12hours.It'snicetobeabletorememberthings.It'snicetobeabletohavetheenergytopursuemypassions.Icangooutwithfriendsforafewweeksatatimeandnotfeelexhaustedandnotbebedridden.

[01:42:00]

It'sjustsuchablessingtobeabletodoeverythingthatIwanttodowithoutfeelinglikeIneedtoaccountforthiselephantintheroom,whichisachronicdiseasethatfollowsmeanddrivemedownallthetime.It'sjusthardtofindthewordstoexplainhowamazingitfeelstohavemyfreedombackandhowgoodIfeelnowadays.Iusedtohavequiteaproblemwithwordsandbrainfogandwordfinding.IrememberjustbeinginmeetingsandtryingtothinkofsomethingsmarttosayandIwasneverabletodothatatworkbecauseIwouldbeintimidated.OrifIdidsaysomething,I'dforgetwhatIwassayingmid-sentence.Evensimplewordslikethatanimalwiththewhiskers,oh,yeah,yeah,cat.

[01:42:30]

Thatwasjustdevastating.Ithoughttherewassomethingseriouslywrongwithme.I'vebeenabletodohundredsofinterviewsnow.MostofthetimeIfindmywordswithoutaproblem.Iwasabletowriteabookthatwasover400pageslongandIwroteeverywordofit.It'snotaproblemformeanymore.It'snicetobeabletohavemyvoiceback.It'snicetobeabletohavemyconfidencebackandjustputmyselfoutthereintheworldwithoutreallyworryingaboutforgettingeverything.

Dr.HylaCass: [01:43:00] [01:43:30]

Ithinktheproblemisthatthepharmaceuticalindustrymarketstotheuniversities,themedicalcenters,andultimatelythephysicians.Thatistheonlygameintown.That'sstandardofcare.Iknowphysicianshavebeencensuredforexamplefornotgivingstimulantstokidsthathaveattentiondeficitdisorder,wheninfactifyoudealwiththeirdiet,takethemoffsugar,takethemofffoodcoloringinsomecasesforkidsthataresensitive,givethemagooddiet,addinsomefishoil,omega-3fattyacids,addinsomeprecursors,somedopamineprecursorsliketyrosine,phenylalanine,whichIhaveinmyFocusproduct,youcangetagreatresult.

[01:44:00]

Ihavefooledsomeschoolsbygivingchildrensomeomega-3fattyacidschangingtheirdiet,givingthemsomefocuswhichasIsaidtyrosine,phenylalanine,andafewotherthings.TheADDgotbetter.Oh,wowMrs.Smith.Yousee,Iwasrighttorecommendthathebeonastimulant.Youdidtherightthing.Shejustsmilesbecauseyoucan'treallytellthemyou'redoingtheactualthings,unfortunately.Really,whatI'mdoing,whatIzabellaisdoing,andallofusareeducatingthepublictotakecharge,toreallytakechargeoftheirownhealthanddothingstherightway.

[01:44:30]

Thisissomethingpeoplecanlearn.Ithelpstohaveadoctorwhoisonyourside.That'stheotherthingisreallylecturingtodoctors,educatingthem.Therearemoreandmoredoctorslearningthiskindofmedicine,andthat'sveryexcitingtome.WhenIfirststartedover20yearsago,thereweren'tthatmanyofus.Nowthereareconferencesallthetimeandtherearedocumentariesandprograms.I'mexcited,itisreallyanewtimenow.

23



I'dliketopersonallythankyouforwatchingthisepisode.Itmakesmesohappytoknowthatyouareabletoreceivethiscrucialinformationforfree.Ifthisisaresourceyou'dliketoown,thenpleaseconsidersupportingourmissionbymakingTheThyroidSecretyours.You'llbeabletosharewithlovedonestimeandtimeagain.We'reasmallcompanythatreliesonthesupportofpeoplelikeyourself.Thankstoyou,we'reabletocontinueourworkincreatingresourcesthatwillhelpinbringinganendtothesufferingofmillionsofpeoplethatarefacingitneedlessly.

[01:45:30]

Let'sstartshowingupintheworld.Firstbyshowingourselvesthesametypeofloveandcompassionthatweshowtotheonesthatwelovemost,andthenbypayingitforwardtolookafterothersthatmayneedusbysupportingthismissionandhelpingthismessagetospantheglobe.Peopleshouldneverhavetheirlivesdestroyedbecauseoftheliesandillusionsofawrongdiagnosis.Weneedtobandtogethertoovercomethisepidemicandtospreadthewordaboutthetruth.Weneedtoensurethatwehaveaworldwherepeoplearenotgivenharmfulpsychotropicmedicationswhentheyreallyhavethyroidconditions.

[01:46:00]

Whenyoupurchasetheseries,youalsoreceivetheentireuncutfulllengthinterviewswithover150experts.Werecordedsomuchlife-alteringinformation,butwesimplycouldnotfititintotheepisodes.That'swhywe'vegivenyoutheopportunitytoownthisunreleasedcontentsothatyouandyourlovedonescanhavethisresourceavailablewhenyouneeditmost.Ifyou'dliketoownTheThyroidSecret,clickthelinkbelow.I'mDr.IzabellaWentz,andyou'vebeenwatchingTheThyroidSecret.Ihopetoseeyouonthenextepisode.You'regoingtolearnsomeamazingthings. [Here’swhat’stocomeinthenextepisode!]

[01:46:30] [01:47:00] [01:47:30]

Inthisepisode,you'llfindouthowyourmorningroutinecouldactuallybetriggeringyourthyroiddisease.Yourtoothpaste,thewateryoudrink,themakeuponyourface,thesoapyouused,thefoodyou'reeatingallcouldbetriggers.Why?Becauseoftoxins.Wearenowlivinginaworldthatisnolongersafetolivein.We'rebombardedbytoxicchemicalseveryday.Corruptionandgreedhavetaintedtheproductsweuseandthefoodweconsume.We'retheonespayingtheprice.DidyouknowthattheaverageAmericancomesincontactwithover80,000chemicalseverysingleday?Withthatperspective,itdoesn'tseemsosurprisingthatthyroiddiseaseisinepidemicproportions.However,wehavesomesecretssimpletoolsfromworld-renownedexpertstolowertheamountofharmfultoxinsinyourlifeandtostopthesetoxinsfrombecomingthecatalystforyourthyroidcondition.

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© 2017 Thyroid Health Media, LLC. All rights reserved.

The Thyroid Secret Episode Transcript Book covers all nine episodes and gives you a front row seat to experience this series in a whole new way.

Dispelling | Revealing | Healing

Her integrative approach has revolutionized treatments for thyroid disorders, and she has empowered thousands to recover their health by addressing the root causes triggering their symptoms.

Over the past year, Dr. Wentz traveled all around the country interviewing over 100 experts who help their patients overcome thyroid disease and throughout each episode; they share how they did it – and how you can too.

As you delve into this beautifully laid out (and easy to read) booklet, you’ll start absorbing dynamic truths that will propel you forward and help you discover life-changing interventions that you might otherwise miss!

Plus, you’ll learn about best practices from 67 thyroid patients who have been there to help you recover your health!

Whether you’re looking for prevention, treatment or education, these transcripts detail everything you need to know

to start recovering your health — TODAY!

JOIN DR. IZABELLA WENTZ FOR A JOURNEY OF EPIC PROPORTIONS AS SHE SHATTERS THE MYTHS SURROUNDING THYROID DISEASE AND REVEALS HIDDEN TRUTHS YOU WON’T FIND ANYWHERE ELSE.

The Thyroid Secret Episode Transcript Book contains explosive information you need to know to start living a healthy, empowered life — today!

You’ll have access to all 9 episode transcripts covering topics like:

Recovering your health is possible. It can even start right now. Each episode depicts the honest reality of thyroid disease in the 21st century as Dr. Wentz shatters myths and reveals the truth about thyroid disease.

EPISODE 1: Thyroid Disease RevealedEPISODE 2: The Thyroid Misinformation and Misdiagnosis Machine EPISODE 3: Unknown Thyroid TherapiesEPISODE 4: The Truth About ToxinsEPISODE 5: Healing Thyroid DiseaseEPISODE 6: The Stress SicknessEPISODE 7: Motherhood Interrupted EPISODE 8: Healing from WithinEPISODE 9: The Thyroid Success Stories

Our host, Dr. Izabella Wentz is an internationally acclaimed thyroid expert, autoimmune thyroid disease conqueror, pharmacist, patient advocate, researcher, and author of the New York-Times Best-selling book, Hashimoto’s: The Root Cause and Hashimoto’s Protocol.

EPISODE 2 - · PDF fileEPISODE 2: Dr. Izabella Wentz:

Documents

Transcript of EPISODE 2 - · PDF fileEPISODE 2: Dr. Izabella Wentz: