Dr. Michael Friedman ND talks about Thyroid. This is such a good lecture we are making it open to the public. Normally PHA MCs are private for enrollees only: https://rumble.com/v72vwlq-pha-masterclass-december-2025-thyroid.html is the direct RUMBLE link.
Summary (CC):
00:00:00.000 --> 00:00:01.000
Oh, okay.
00:00:01.000 --> 00:00:04.000
Okay, we’re good to go.
00:00:04.000 --> 00:00:08.000
All right, hi everybody. Hi, Dr. Friedman, glad you could make it.
00:00:08.000 --> 00:00:09.000
Um, thank you for adjusting your schedule for us tonight.
00:00:09.000 --> 00:00:11.000
Hi.
00:00:11.000 --> 00:00:24.000
Um, and uh, Dr. Friedman is a naturopathic physician. He was an instructor, a professor of endocrinology at the University of Bridgeport.
00:00:24.000 --> 00:00:34.000
And he’s the president of restorative Formulations. Um, he has authored textbooks on endocrinology, healing diabetes.
00:00:34.000 --> 00:00:41.000
And, um, and you also… did I see somewhere you founded a journal as well?
00:00:41.000 --> 00:00:43.000
Yeah, the Journal of Restorative Medicine.
00:00:43.000 --> 00:00:52.000
Yes, that’s right. All right, so we’re really lucky to have you here with us, um, this month and next month to talk about neurodegeneration.
00:00:52.000 --> 00:00:54.000
And I’ll hand the mic over to you.
00:00:54.000 --> 00:01:09.000
Hi, okay, and welcome everybody. Um, I’m calling… I’m talking from a… Vermont, and it’s been snowing here for days, and it’s, um… So, at… It’s snowing right now. Alright, so I’m gonna start off here.
00:01:09.000 --> 00:01:13.000
Um, can you… can you all see my, um… First slide here.
00:01:13.000 --> 00:01:14.000
Yes, looks good. Thank you.
00:01:14.000 --> 00:01:18.000
Yes.
00:01:18.000 --> 00:01:22.000
Alright, so I’m gonna talk about hyperthyroidism and hypothyroidism.
00:01:22.000 --> 00:01:27.000
Um, and um… So, I want to first start off with, um, in…
00:01:27.000 --> 00:01:33.000
Now listen, so, you know, the power of attorney that, uh.
00:01:33.000 --> 00:01:36.000
The sister got Sally? Yeah. Listen to this.
00:01:36.000 --> 00:01:39.000
Hello? Okay.
00:01:39.000 --> 00:01:41.000
Number 12. Power with respect to entities or forms of ownership or related transfers.
00:01:41.000 --> 00:01:56.000
Is there someone who…
00:01:56.000 --> 00:01:58.000
Huh? Okay.
00:01:58.000 --> 00:02:04.000
I said, sorry, Michael, why don’t you take it from the top? We had some open mics, I took care of the problem.
00:02:04.000 --> 00:02:17.000
Alright, no problem. Just one second, let me… if you guys don’t mind, I have to open the right PowerPoint here, I don’t have the right one.
00:02:17.000 --> 00:02:27.000
Okay.
00:02:27.000 --> 00:02:30.000
Okay, can you guys hear me now?
00:02:30.000 --> 00:02:33.000
Uh, yes, I can hear ya.
00:02:33.000 --> 00:02:38.000
Okay, can you see me? Okay. Alright, so for thyroid disease, we really have different options, and.
00:02:38.000 --> 00:02:42.000
I want to say that, you know, in conventional medicine, we were taught that there’s only one option.
00:02:42.000 --> 00:02:52.000
Um, but I think in, for example, in hyperthyroidism, it’s good to consider that we actually have a restorative approach where we can look at integrative medicine using natural medicine as well.
00:02:52.000 --> 00:02:58.000
The reason the benefit from that is, like, anti-thyroid drugs only cure about a third of the patients.
00:02:58.000 --> 00:03:02.000
And two-thirds of patients on antithyroid drugs only work temporarily.
00:03:02.000 --> 00:03:12.000
And most patients eventually will need radioactive iodine. So, there’s a solution there for hyperthyroidism professional medicine.
00:03:12.000 --> 00:03:17.000
But it’s far from being perfect. One is that most people end up becoming hypothyroid.
00:03:17.000 --> 00:03:22.000
So if there’s any way to prevent people from getting a radiation and keep their thyroid.
00:03:22.000 --> 00:03:25.000
this is where I think art medicine can shine.
00:03:25.000 --> 00:03:29.000
Michael, did you want to share some slides, or…?
00:03:29.000 --> 00:03:30.000
No. No.
00:03:30.000 --> 00:03:32.000
Oh, you can’t see my slides? Oh, well, that’s a problem.
00:03:32.000 --> 00:03:35.000
I gave you ability to screen share. We had it, um, on a…
00:03:35.000 --> 00:03:38.000
on an older minute.
00:03:38.000 --> 00:03:39.000
So see if you can reshare those slides.
00:03:39.000 --> 00:03:48.000
Okay. Alright, let me get… Okay, screen share, let me see…
00:03:48.000 --> 00:04:01.000
Mm-hmm.
00:04:01.000 --> 00:04:13.000
Hmm…
00:04:13.000 --> 00:04:14.000
Okay, there we go. We’ve got your slides up now.
00:04:14.000 --> 00:04:25.000
Okay, can you see that? Alright, so I’ll start from… Slideshow… Alright, so you guys can see it?
00:04:25.000 --> 00:04:27.000
Yes.
00:04:27.000 --> 00:04:37.000
All right, great. So, hyperthyroidism, again, it’s not a great solution in conventional medicine, because most patients need to end up becoming hypothyroid.
00:04:37.000 --> 00:04:43.000
So if there’s anything to help prevent this, and for patients to be able to keep their thyroid.
00:04:43.000 --> 00:04:47.000
This will be excellent, and I would say I’m confident to say that.
00:04:47.000 --> 00:04:54.000
Um, over the years, I’ve had many hyperthyroid patients, and none of them needed radiation.
00:04:54.000 --> 00:04:58.000
What about hypothyroidism? So, hypothyroidism, I would say you also have a choice.
00:04:58.000 --> 00:05:07.000
Um… You can also add a restored approach by using herbs and nutrition along with the pharmaceuticals.
00:05:07.000 --> 00:05:15.000
Um, to really help patients do well. And here’s a study here, 40-60% of patients who are on T4 levothyroxine.
00:05:15.000 --> 00:05:21.000
on its own, have persistent hypothyroid symptoms despite normal TSH.
00:05:21.000 --> 00:05:28.000
So, here we have two things. We can help with patients in hyperthyroid, and we also can help with patients with hypothyroid.
00:05:28.000 --> 00:05:31.000
Because both treatments are not really satisfactory on their own.
00:05:31.000 --> 00:05:39.000
For most patients. So, in terms… let’s focus more on hypothyroid in the beginning, and then I’ll finish off with hyperthyroidism.
00:05:39.000 --> 00:05:46.000
So, in hypothyroidism. Um, when people are on levothyroxine.
00:05:46.000 --> 00:05:50.000
Persistent symptoms can occur for most of these patients because, one.
00:05:50.000 --> 00:05:54.000
the conversion of T4 to T3… T3 is the active hormone.
00:05:54.000 --> 00:06:00.000
Um, can be impaired. Inflammation or autoimmunity can block T3 receptors.
00:06:00.000 --> 00:06:08.000
And T3 receptors are really. At the end of the day, what’s essential for the metabolic system to be reset, because T3.
00:06:08.000 --> 00:06:12.000
is, for the most part, which stimulates the mitochondria.
00:06:12.000 --> 00:06:19.000
Mitochandic can remain underpowered. And the TSH does not reflect tissue level thyroid activity. It only.
00:06:19.000 --> 00:06:26.000
TSH only reflects the level of. Thyroid hormones in the serum, not actually in the cells itself.
00:06:26.000 --> 00:06:31.000
And, um, I… one of the speakers and colleagues I know is that.
00:06:31.000 --> 00:06:39.000
Retired, he’s an endocrinologist. He, um… Dr. Cunningham, and he actually practiced medicine.
00:06:39.000 --> 00:06:50.000
Before the advent of TSH. And he said, I gotta tell you, patients got so much better before we started looking at a TSH, because we looked at people’s symptoms.
00:06:50.000 --> 00:06:54.000
We looked at… we looked at body temperature, looked at fatigue.
00:06:54.000 --> 00:06:58.000
Depression. We looked at all those different things, and if someone.
00:06:58.000 --> 00:07:01.000
had those symptoms, we used to just give someone a.
00:07:01.000 --> 00:07:13.000
therapeutic trial of thyroid hormones. And he was a big advocate of T3, and he went straight to the active hormone T3, and he said, that’s the best way to know if something works, try it out and see if they respond.
00:07:13.000 --> 00:07:17.000
not just look at the… not the number. He said, doctors now are just looking at the number in the district.
00:07:17.000 --> 00:07:24.000
They don’t really regard what the patient’s symptoms are.
00:07:24.000 --> 00:07:33.000
It normalizes blood levels of hormone. Fine, and many people, but does not necessarily collect peripheral thyroid hormone receptor sensitivity.
00:07:33.000 --> 00:07:41.000
It does not improve mitochondrial oxygen utilization. So patients can still feel tired. If someone’s on thyroid hormones and they feel totally fine.
00:07:41.000 --> 00:07:48.000
Then you don’t really need any more support. But if someone is in their 40-60%, which I still have some symptoms.
00:07:48.000 --> 00:07:54.000
This is where natural medicine will really help. I’ve identified these are some of the.
00:07:54.000 --> 00:08:02.000
Key ingredients which I’ve used. Um, for my patients. Um, so iodine, it’s a substrate for hormone synthesis.
00:08:02.000 --> 00:08:07.000
Um, also, Selenium helps with the conversion of T4 to T3.
00:08:07.000 --> 00:08:14.000
Um, the Herbalote myrrh, which is a… which actually is, um… is a… which is used in incense.
00:08:14.000 --> 00:08:19.000
And, um, also in the… The story with the Three Kings.
00:08:19.000 --> 00:08:25.000
Um, we use that to burn for incense, but myrrh actually is a resin from a tree, and it also has shown.
00:08:25.000 --> 00:08:37.000
to improve the peripheral thyroid hormone conversion. Also, seaweed, it contains… Um, polyphenols, which have also known to be anti-inflammatory.
00:08:37.000 --> 00:08:44.000
Um, it contains iodine, but it also does a lot of other things in terms of supporting the thyroid.
00:08:44.000 --> 00:08:49.000
So, I want to do a picture here of Abraham Hoffer.
00:08:49.000 --> 00:08:52.000
He’s my mentor, he’s… he passed away, but he’s.
00:08:52.000 --> 00:08:59.000
He’s the father of what we call orthomolecular medicine. He’s the first doctor, really, to start using high doses of vitamins.
00:08:59.000 --> 00:09:03.000
He’s the one who discovered, with the use of niacin that lowered, um.
00:09:03.000 --> 00:09:08.000
people’s cholesterol. He treated a lot… he was a psychiatrist, he treated a lot of schizophrenics.
00:09:08.000 --> 00:09:13.000
But he also just really started a branch of medicine called ortho-molecular medicine, which is.
00:09:13.000 --> 00:09:20.000
using vitamins, which was considered so radical. In the, uh, 1950s.
00:09:20.000 --> 00:09:27.000
And I remember he spoke at our… he spoke at our… one of the conferences I put on, and he actually also helped me.
00:09:27.000 --> 00:09:31.000
To treat some of my patients who had cancer.
00:09:31.000 --> 00:09:36.000
And he used to start off with, like. Well, you have to tell your patients.
00:09:36.000 --> 00:09:42.000
Are they willing to live longer? And are they willing to feel better?
00:09:42.000 --> 00:09:46.000
If they answer yes to that, then they should try natural medicine.
00:09:46.000 --> 00:09:49.000
Because they will live longer, and they will feel better.
00:09:49.000 --> 00:09:58.000
Um… So, in general, I would say a lot of this approach has side benefits and not side effects.
00:09:58.000 --> 00:10:02.000
And by the way, that’s how I actually got into medicine.
00:10:02.000 --> 00:10:08.000
was I went to a naturopathic doctor, I was considering regular medicine, but I went to a naturopathic doctor, and I actually got.
00:10:08.000 --> 00:10:16.000
So my, my, um… I noticed that. some of the nutrients they’re giving me had side benefits instead of side effects.
00:10:16.000 --> 00:10:22.000
So let’s look at here iodine. I-9 levels have fallen 50% since the 1970s.
00:10:22.000 --> 00:10:35.000
Thyroid disorders have skyrocketed since the 1970s. The amount of iodine in most people in the United States are not enough to produce iodolactone.
00:10:35.000 --> 00:10:41.000
Delta-iodolactone. Is the iodine, which is.
00:10:41.000 --> 00:10:47.000
I denied it 2 lipids. in, um, anywhere where there is.
00:10:47.000 --> 00:10:51.000
the iodine supporter, which was also the breast, the thyroid.
00:10:51.000 --> 00:10:58.000
Um, salivary glands, prostate. Um, and delta-lactone.
00:10:58.000 --> 00:11:09.000
is… and is… helps decrease. proliferation, it helps decrease inflammation. It’s a very important compound, delta-lactone.
00:11:09.000 --> 00:11:13.000
If you go on ChatGPT, or go on over to PubMed.
00:11:13.000 --> 00:11:19.000
You can find so much scientific research about how this compound, delta iodolactone, is essential.
00:11:19.000 --> 00:11:23.000
for health. And if you’re giving someone iodine for thyroid.
00:11:23.000 --> 00:11:30.000
You’ll also help them in other ways. So here is, look, for example, um, here is a review. Thyroid nodules and goiter.
00:11:30.000 --> 00:11:36.000
If someone’s taking a higher amount of iodine than what’s considered normal in the U.S. Diet.
00:11:36.000 --> 00:11:38.000
Um, and you’re giving to patients who are hypothyroid.
00:11:38.000 --> 00:11:41.000
you’ll decrease the amount of thyroid nodules and goiter.
00:11:41.000 --> 00:11:47.000
Definitely fibrocystic breasts. I used to treat patients… I have, and I’ve treated patients with.
00:11:47.000 --> 00:11:50.000
6, 12 milligrams of iodine a day along with herbs.
00:11:50.000 --> 00:12:00.000
And we noticed that the patient’s fibrocystic breasts. Would go completely back, um, would have no fibrocystic breast within 2 or 3 weeks of treatment while treating the thyroid.
00:12:00.000 --> 00:12:04.000
And this is an example, when you’re treating one thing, you have side benefits of other ways.
00:12:04.000 --> 00:12:11.000
So thyroid nodules and thyroid goiter has definitely gone down with thyroid. When you have enough iodine to produce this compound.
00:12:11.000 --> 00:12:18.000
called Delta Ionolactone. Which is extremely low in a North American population, according to the name.
00:12:18.000 --> 00:12:29.000
and HAINE study. Thyroid cancer and iodine. Iodine sufficiency correlates with lower incidence of follicular thyroid cancer.
00:12:29.000 --> 00:12:38.000
And the proposed mechanism is delta-adolactone. Again, delta-adolactone. is iodinated lipids, which do not.
00:12:38.000 --> 00:12:43.000
form in high enough amounts. with a current U.S. Diet.
00:12:43.000 --> 00:12:52.000
Breast cancer and iodine. Here’s an article showing that iodine and iodine lipids in the form of production of delta-lactone.
00:12:52.000 --> 00:13:03.000
contributes to lower breast cancer rates and look at, for example, in places Japan, Iceland, breast cancer rates are very low compared to the United States.
00:13:03.000 --> 00:13:10.000
So here is a slide that Anthony Bianco. endocrinologists made.
00:13:10.000 --> 00:13:13.000
Who spoke with one of my conferences as well.
00:13:13.000 --> 00:13:17.000
And he is… he runs a research lab in T3.
00:13:17.000 --> 00:13:20.000
Because T3, at the end of the day, as he said.
00:13:20.000 --> 00:13:27.000
is what actually stimulates the cell. And for example, so, an example of why T3 production.
00:13:27.000 --> 00:13:35.000
is so essential. When a baby is born. Um, the neck, you can’t… the neck isn’t held up, and the reason the necks are so floppy is that.
00:13:35.000 --> 00:13:46.000
The nerves are myelinated, and what stimulates that myelin growth is T3. It’s not T4. It’s the T4 which goes in from the plasma into the cell.
00:13:46.000 --> 00:13:53.000
Which actually stimulates the mitochondria and goes into mRNA production to produce the myelin sheath.
00:13:53.000 --> 00:14:03.000
So the development of T3 within the cell, which you can… there is no blood test right now to see T3 in the cell, you can only see T3 in the plasma.
00:14:03.000 --> 00:14:06.000
Most T3 in the cell is actually converted from.
00:14:06.000 --> 00:14:17.000
T4 in any cell which contains dehydenase enzymes. The DINase enzymes, which converts to T4 and T3, is found pretty much throughout the body. It’s found in the brain, it’s found.
00:14:17.000 --> 00:14:21.000
Um, it’s in the liver, the kidneys are primarily in liver and kidneys.
00:14:21.000 --> 00:14:24.000
Um, and that’s why, for example, someone has liver problems or kidney problems.
00:14:24.000 --> 00:14:29.000
They will eventually get very cold really quickly, because the metabolic rate goes down.
00:14:29.000 --> 00:14:34.000
Tree, which is the active hormone, is essential for growth, metabolism.
00:14:34.000 --> 00:14:40.000
Cognition, brain function. People have brain fog.
00:14:40.000 --> 00:14:46.000
Um, for example, Lyme disease, some people have just actually given people straight T3 to help with them.
00:14:46.000 --> 00:14:51.000
Also, with premature babies, um, some endocrinologists have even used.
00:14:51.000 --> 00:14:56.000
T3 to help with premature babies to help them grow their myelin sheath.
00:14:56.000 --> 00:15:01.000
I’ve used small amounts of T3, and people in congestive heart failure because the heart.
00:15:01.000 --> 00:15:06.000
The mitochondria has decreased so much that the heart has such a hard time pumping blood anymore.
00:15:06.000 --> 00:15:10.000
that even a small amount of T3, like 5 micrograms, can make it.
00:15:10.000 --> 00:15:22.000
profound impact. So, I want to start here that studies consistently show that physicians’ decisions align with what they believe their colleagues are doing.
00:15:22.000 --> 00:15:32.000
Even when evidence is weak. And I spoke… I’ll name the doctor as anonymously, I won’t mention specifically, but I know.
00:15:32.000 --> 00:15:43.000
the endocrinologist, on a personal level. who actually decides when someone should treat with thyroid hormones based on TSH. They come out with a range.
00:15:43.000 --> 00:15:47.000
And… he heard me lecture about T3.
00:15:47.000 --> 00:15:51.000
And he said, you know, my gut feeling is you’re right.
00:15:51.000 --> 00:16:00.000
that T3 would help. But as an endocrinologist, I can’t just say this. We have to prove it in such certain ways that we’ll never be able to, like.
00:16:00.000 --> 00:16:05.000
change the… they… The standard of care.
00:16:05.000 --> 00:16:09.000
But I… he says, I do… completely understand why your patients might.
00:16:09.000 --> 00:16:16.000
do really well when you’re giving people these doses of pure T3 liothyronine.
00:16:16.000 --> 00:16:21.000
So it’s just part of the herd instinct. So when we’re using this natural medicine, you have to be.
00:16:21.000 --> 00:16:32.000
somewhat confident in, like, leaving the herd. So this is a product I designed, it contains a lot of these herbs and.
00:16:32.000 --> 00:16:36.000
fans that we discussed to help with thyroid. It’s not gonna.
00:16:36.000 --> 00:16:42.000
We… it’s not going to, um… It’s not a replacement for thyroid hormones.
00:16:42.000 --> 00:16:47.000
as a thyroid decreases the production… when someone has Hashimoto’s.
00:16:47.000 --> 00:16:53.000
An autoimmune diseases of the thyroid, it creates permanent damage of the thyroid. I’ve seen the very beginnings.
00:16:53.000 --> 00:16:59.000
Or someone just got diagnosed, I’ve seen some patients get cured, but most patients need thyroid hormones.
00:16:59.000 --> 00:17:10.000
Someone’s still on thyroid hormones and tired. giving a product like this, or giving ingredients like this, will help the T3 conversion of T4 to T3, and people feel better.
00:17:10.000 --> 00:17:14.000
If after 2 or 3 weeks, these herbs or vitamins are not enough.
00:17:14.000 --> 00:17:25.000
Then… then it’s not working, and it’s a very small amount of people, then they need to go straight to the active thyroid hormone, T3.
00:17:25.000 --> 00:17:30.000
So, now I’m going to move on to the way I look at hyperthyroidism.
00:17:30.000 --> 00:17:37.000
So, it’s essential to treat hyperthyroidism. If someone’s in hypothyroidism, you still need to treat, it’s essential.
00:17:37.000 --> 00:17:44.000
But hyperthyroidism… can kill some… well, it can cause mortality, as in.
00:17:44.000 --> 00:17:53.000
one can have tachycardia, atrial fibrillation. Severe hypertension, so it’s something that you really, before you start treating, you really need to be.
00:17:53.000 --> 00:17:58.000
confident that you’re able to control. are all cardiovascular symptoms.
00:17:58.000 --> 00:18:04.000
And not put anyone at risk. Convention treatments.
00:18:04.000 --> 00:18:10.000
usually end up with radioactive iodine or thyroidectomy, where they destroy the thyroid gland.
00:18:10.000 --> 00:18:20.000
Although antithyroid drugs will buy people time. And antithyroid drugs, methimazole, PTU, are actually all.
00:18:20.000 --> 00:18:27.000
come from… originating from actually natural medicine, by the way. They found it when cows ate certain plants, they’d get goiters.
00:18:27.000 --> 00:18:31.000
And they actually synthetically started making some of these compounds.
00:18:31.000 --> 00:18:38.000
And made the per- made PTU drugs out of that information when the cows started getting thyroiders, pretty interesting.
00:18:38.000 --> 00:18:46.000
Um, and also, I want to say one thing is, in Europe, they have a better success rate in conventional medicine versus the United States.
00:18:46.000 --> 00:18:50.000
Part of the reason they use antithyroid drugs much longer and enable.
00:18:50.000 --> 00:18:52.000
For more than 18 months and are able to get.
00:18:52.000 --> 00:19:02.000
a higher amount of remission, at least 50%. So, a different approach might be better, or maybe combining an approach might be important.
00:19:02.000 --> 00:19:06.000
I’m not… I’m not… I’m not against pharmaceuticals such as.
00:19:06.000 --> 00:19:10.000
Using PTU, and I’ve used them along with herbs.
00:19:10.000 --> 00:19:15.000
But I’ve been able to most patients wean off the drug and just be on nerves.
00:19:15.000 --> 00:19:18.000
And eventually, wean off herbs and vitamins as well.
00:19:18.000 --> 00:19:22.000
To the point where the thyroid hormones are normal.
00:19:22.000 --> 00:19:27.000
This is true, I would say, for most patients who have minor to moderate hyperthyroidism.
00:19:27.000 --> 00:19:33.000
More severe hyperthyroidism, I’d want to put on the drug right away as well, like PTU.
00:19:33.000 --> 00:19:40.000
Again, I’ve never needed a patient need to go radioactive iodine.
00:19:40.000 --> 00:19:44.000
So if we can stop hyperthyroidism, and we can save the thyroid.
00:19:44.000 --> 00:19:47.000
we could agree that I think that would be a better solution.
00:19:47.000 --> 00:19:58.000
But doing this takes courage, as long as. as a lot of doctors have been very scared to treat hyperthyroidism in family practice unless they’re in an endocrinology.
00:19:58.000 --> 00:20:05.000
And part of the herd instinct is, again. Everyone will need to get irradiated. It’s… most people, eventually.
00:20:05.000 --> 00:20:10.000
So, based on clinical experience, historical evidence, and some clinical trials, I’ll assure you.
00:20:10.000 --> 00:20:14.000
Why natural medicine is a good solution, and I’ve used it.
00:20:14.000 --> 00:20:21.000
And it’s been effective. So, hyperthyroidism, toxic multinodular goiter.
00:20:21.000 --> 00:20:25.000
Toxic thyroid adenomas, and the most common is Graves disease.
00:20:25.000 --> 00:20:37.000
So, I just recently treated a patient. Who is a refugee from… from Sudan. He had toxic multinanger garter, severely hyperthyroid.
00:20:37.000 --> 00:20:46.000
Um, and suppressed TSH. And… I looked up that, um, in Sudan.
00:20:46.000 --> 00:20:51.000
People are extremely… have a lot of goreasures due to low iodine.
00:20:51.000 --> 00:21:00.000
There’s so much evidence that toxic multiniger goiter. is iodine deficient. We know goiters are usually iodine defici… has to do with iodine deficiency.
00:21:00.000 --> 00:21:07.000
But so as… so is toxic multinigoider. I gave the patient simply 25 milligrams.
00:21:07.000 --> 00:21:13.000
of iodine twice a day. And he went back to the endocrinologist asymptomatic.
00:21:13.000 --> 00:21:21.000
Within one week. Most common is Graves’ disease, and that’s an autoimmune disease.
00:21:21.000 --> 00:21:28.000
toxic thyroid adenoma? Um, there’s another one. How common is hyperthyroidism in general? It’s about 3.
00:21:28.000 --> 00:21:34.000
To 5%. Yeah, the adult population.
00:21:34.000 --> 00:21:43.000
So, an odd… Graves is an autoimmune condition. And it’s a production of an antibody called thyroid stimulating immunoglobulins.
00:21:43.000 --> 00:21:50.000
And this actually stimulates the thyroid. Um, just as TSH would, and thyroid hormones are.
00:21:50.000 --> 00:21:54.000
overproduced. And the way I know that these herbs work.
00:21:54.000 --> 00:21:58.000
By helping the immune system is that I’ve seen the TSI.
00:21:58.000 --> 00:22:13.000
The thyroid-stimulating immunoglobulin completely normalized using herbal medicine. TSI is elevated by 80% of patients, not everybody, and it sometimes can be in Hashimoto’s patients.
00:22:13.000 --> 00:22:19.000
Graves, if you treated it, you’ll notice that sometimes it evolves into Hashimoto’s, and it flips back and forth.
00:22:19.000 --> 00:22:28.000
But from a natural perspective, I would look at some of the same ingredients to treat both.
00:22:28.000 --> 00:22:36.000
So what happens to iodine after absorption? So 1 thing is iodine goes through this importer called the cytome iodine supporter.
00:22:36.000 --> 00:22:45.000
Where it gets oxidized with hydrogen peroxide. And it eventually forms… it’s called the organification of iodine.
00:22:45.000 --> 00:22:53.000
And it produces monourosine, diiodotyrosane, which is. iodine, um, two iodines with.
00:22:53.000 --> 00:22:59.000
with a tyrosine. And in dire situation with one more.
00:22:59.000 --> 00:23:04.000
Iodine, it produces. tri-iodothyronine, also known as T3.
00:23:04.000 --> 00:23:10.000
or liothyronine, or 2-diotyrosine picks. Mix together produce T4.
00:23:10.000 --> 00:23:20.000
Also known as levothyroxine. When delta adalactone and other… there’s enough of iodine, it produces iodinated lipids.
00:23:20.000 --> 00:23:28.000
produces delta iodolactone. Which is the key mediator of anti-tumor properties of iodine.
00:23:28.000 --> 00:23:33.000
And the thyroid and the breasts. So here, this is what happens.
00:23:33.000 --> 00:23:39.000
Um, in the breast tissue where there’s a sodium iodide supporter.
00:23:39.000 --> 00:23:47.000
And, um, and fibrocystic breasts will usually resolve very quickly with taking iodine.
00:23:47.000 --> 00:23:52.000
On the… another perspective is when someone’s taking radioactive iodine.
00:23:52.000 --> 00:23:57.000
It enters the sodium iodine supporter. and destroys the thyroid.
00:23:57.000 --> 00:24:02.000
Um, but it also enters the ovaries, the salivary glands, and the breast tissue.
00:24:02.000 --> 00:24:11.000
Radioactive iodine. is not the ideal drug if someone can avoid it.
00:24:11.000 --> 00:24:16.000
It is clear that IDEF deficiency may cause hyperthyroidism. Here are all the studies shown.
00:24:16.000 --> 00:24:24.000
The iodine deficiency is… can be clearly related to hyperthyroidism.
00:24:24.000 --> 00:24:28.000
Here, women who received iodine supplements were less likely to develop hyperthyroidism.
00:24:28.000 --> 00:24:37.000
There’s 3 trials involving 543 women. To show that this was true.
00:24:37.000 --> 00:24:45.000
And this was in, um, the Cochrane. systematic review. So if Cochrane’s… supports this hypothesis, it’s going to be hard to argue that.
00:24:45.000 --> 00:24:50.000
Um, there’s no evidence, because they’re all about evidence.
00:24:50.000 --> 00:24:55.000
Um, so, can you use iodine along with drugs? Absolutely.
00:24:55.000 --> 00:25:00.000
Um, iodine actually boosts their effectiveness and decreases adverse reactions.
00:25:00.000 --> 00:25:04.000
from the pharmaceuticals, like PTU, because you need less of it.
00:25:04.000 --> 00:25:09.000
iodine will not make the problem worse. Um, in Japan, dietary iodine.
00:25:09.000 --> 00:25:14.000
is 3 to 9 milligrams a day in the United States. It’s about 150 micrograms.
00:25:14.000 --> 00:25:20.000
And there’s not a higher incidence. of thyroid disease and some evidence there’s actually lower thyroid disease.
00:25:20.000 --> 00:25:27.000
and certainly less the breast disease cancer. So here’s an iodine therapy protocol for hyperthyroidism.
00:25:27.000 --> 00:25:36.000
I use 6 to 50 milligrams of iodine. Um, I usually find after 7-10 days, there’s some amelioration of symptoms.
00:25:36.000 --> 00:25:42.000
And I noticed that the free T4 levels eventually start dropping.
00:25:42.000 --> 00:25:49.000
Um, iodine alone treat hyperthyroidism? Yes, especially, um, I would say especially for.
00:25:49.000 --> 00:25:53.000
Toxic multiders, and I’ve seen it helpful for Graves.
00:25:53.000 --> 00:25:57.000
Um, but I would say you often need other things as well.
00:25:57.000 --> 00:26:04.000
Selenium is a very key compound. It shows… it increases the glutathione peroxidase.
00:26:04.000 --> 00:26:13.000
But it also has helped patients and. for example, in studies, and even small… on its own for subclinical hyperthyroid patients, and some evidence.
00:26:13.000 --> 00:26:21.000
It also helps with ophthalmalic symptoms. In general, it also reduces thyroid antibodies.
00:26:21.000 --> 00:26:27.000
Also, in. both hypo and hyperthyroidism.
00:26:27.000 --> 00:26:31.000
So, these are the herbs which I use in Graves’ disease.
00:26:31.000 --> 00:26:38.000
They’re all in the mint family. Bugleweed is one which has always been considered one of the standard ones.
00:26:38.000 --> 00:26:42.000
The eclectic physicians, which were MDs at the turn of the century.
00:26:42.000 --> 00:26:50.000
They use these herbs to treat hyperthyroidism. Um, before it became not cool to use herbs, but MDs use these herbs.
00:26:50.000 --> 00:26:57.000
Um, here is a study in, um… Germany, where they did a lot of study using this herb specifically.
00:26:57.000 --> 00:27:01.000
Um, and they were able to show a reduction in hormone values.
00:27:01.000 --> 00:27:08.000
Um, 72%, um, and 96% retain improvements for 2 years just using this herb.
00:27:08.000 --> 00:27:16.000
Um, they find a bind with TSI. And that’s why I think I’ve seen the thyroid-stimulating immunoglobulins to go down.
00:27:16.000 --> 00:27:23.000
Um, in this study, Germany, um, 87% were approved, just with this drug, or herb.
00:27:23.000 --> 00:27:35.000
Um, managing cardiac comorbidities, I can go into that another time, another… for longer, but there are a lot of herbs, and of course, you need the basis for the pharmaceutical would be a beta blocker.
00:27:35.000 --> 00:27:41.000
But there’s also other herbs like Ralphia. Convalery, which can help with tachycardia.
00:27:41.000 --> 00:27:47.000
And blood pressure. So a restorative treatment for hyperthyroidism, we have herbs.
00:27:47.000 --> 00:27:52.000
Um, rosemaryic acid is the polyphenol, which is found in plants.
00:27:52.000 --> 00:27:56.000
in the mid-family, such as lycopus, bugalweed, lemon balm, etc.
00:27:56.000 --> 00:28:08.000
Which I’ll have shown to decreased thyroid-stimulating immunoglobulins. Before I learned about iodine, that’s all I used for hyperthyroid patients, and it worked for the majority of patients.
00:28:08.000 --> 00:28:13.000
But as I started seeing other speakers talk about how well they treated.
00:28:13.000 --> 00:28:23.000
Thyroid disorders, especially hyperthyroidism, with iodine itself. I started using iodine as well, and selenium, and I think I’ve gotten much faster results.
00:28:23.000 --> 00:28:29.000
Here’s a product I designed. The higher the dose, the quicker it works. I give patients up to 10 capsules a day.
00:28:29.000 --> 00:28:34.000
Um, and we guarantee the product if it does not decrease.
00:28:34.000 --> 00:28:41.000
T3 or T4 levels, or does not increase TSH levels within a few months, we give 100% money again.
00:28:41.000 --> 00:28:46.000
I guarantee. Um, so we’re sort of approached a hyper… hyperthyroidism.
00:28:46.000 --> 00:28:51.000
It can provide effective control in many cases, it can save the thyroid.
00:28:51.000 --> 00:28:57.000
In most cases I’ve seen, and it is less expensive and less intrusive in the big picture.
00:28:57.000 --> 00:29:03.000
although I gotta say, the herbs are expensive, it usually takes about $300 to $500 to get hyperthyroid patient.
00:29:03.000 --> 00:29:12.000
on track using natural medicine. But a hyperthyroid with a drug, it’s usually covered by insurance, but it’s $2,000 for one little pill.
00:29:12.000 --> 00:29:20.000
And then they become permanently hypothyroid. So I can… Current Sheet Explorer and these options.
00:29:20.000 --> 00:29:29.000
Um, and that completes my lecture. Um, if anyone has any questions, I’m fine. You can always email me, michael at restorative.com.
00:29:29.000 --> 00:29:33.000
And, um, hope you… Enjoy the lecture.
00:29:33.000 --> 00:29:35.000
That’s it. Thank you for having me speak, Dr. Slevi.
00:29:35.000 --> 00:29:47.000
Thank you, Michael. Um, I’ve got a question. You talked about the serology testing, blood testing. What are other modalities, uh, do you utilize to monitor
00:29:47.000 --> 00:29:54.000
And manage, um, both hypo and hyperthyroidism.
00:29:54.000 --> 00:30:00.000
For hyperthyroidism, I look at. I might be looking… I would be looking at TSH.
00:30:00.000 --> 00:30:07.000
I might be looking at T3, T4, and thyroid stimulating immunoglobulins.
00:30:07.000 --> 00:30:12.000
And sometimes it… sometimes the symptoms improve before the blood test.
00:30:12.000 --> 00:30:16.000
Um, sometimes TSH. takes the longest to start.
00:30:16.000 --> 00:30:20.000
responding. I’ve seen it 2 months, 3 months, 5 months.
00:30:20.000 --> 00:30:26.000
Um, it depends, but the first thing I usually start seeing is the T3 and T4 levels.
00:30:26.000 --> 00:30:33.000
to start, um… start going down. But clinically, I would say.
00:30:33.000 --> 00:30:38.000
Um, it’s really essential that. Anyone’s blood pressure.
00:30:38.000 --> 00:30:50.000
is under control. Um, and… the tachycardia, the high heart rate, I’m very… I… If anyone has a heart rate over 100.
00:30:50.000 --> 00:31:00.000
Um, while resting, to me, that’s concerning. If it’s continuous, so… Um, I’ll be using the herbs, and hopefully that will work, but if it’s not enough.
00:31:00.000 --> 00:31:03.000
then they would need to use a beta blocker.
00:31:03.000 --> 00:31:09.000
For hypothyroidism. I look at a… I look at T3, I might look at reverse T3.
00:31:09.000 --> 00:31:20.000
Um, TSH, um… But I’m… I’m… even if TSH levels are normal and T3 levels are normal, and T4 levels are normal, if someone has hypothyroid symptoms.
00:31:20.000 --> 00:31:25.000
I would treat them. Um, so if someone has low basal body temperature.
00:31:25.000 --> 00:31:31.000
Where I would track their temperature, like, say, 3 times a day for 5 days, and if their temperature is continuously.
00:31:31.000 --> 00:31:35.000
Lower than 98, and they have symptoms of hypothyroidism.
00:31:35.000 --> 00:31:49.000
Such as fatigue, depression, insomnia, weight gain. then I would give them… I would… traditionally try to treat them therapeutically, possibly with thyroid hormones like T3.
00:31:49.000 --> 00:31:57.000
Or herbs. I might look at the thyroid peroxidase antibody, the TPO as well.
00:31:57.000 --> 00:32:05.000
I have consistently seen TSI antibodies go down to even normal, and hyperthyroidism.
00:32:05.000 --> 00:32:11.000
In hypothyroidism, the thyroxidase antibodies. sometimes don’t go down.
00:32:11.000 --> 00:32:14.000
I mean, often they go down, but I can’t… I would not.
00:32:14.000 --> 00:32:19.000
Um, see, that’s… the Holy Grail, the Holy Grail that someone can feel well.
00:32:19.000 --> 00:32:26.000
Great, great. I think Dr. Calderwood had a question. He had his hand up.
00:32:26.000 --> 00:32:36.000
Yeah, yes, um… I had listened to a lecture by a lady who had written a book on thyroid disease, and I’m not sure I agree with what she said.
00:32:36.000 --> 00:32:40.000
And I want your opinion. She said you should never.
00:32:40.000 --> 00:32:49.000
get the TSH below. The normal range, or that’s, uh… A malpractice, because they.
00:32:49.000 --> 00:32:56.000
leads to osteoporosis. Um, what’s your… Thinking on that.
00:32:56.000 --> 00:33:01.000
Yes, um, so I actually asked that question to, um.
00:33:01.000 --> 00:33:10.000
to Edwin Cunningham, who is an endocrinologist who. Actually, whose study treated 10,000 patients with T3.
00:33:10.000 --> 00:33:14.000
Um, he retired, and. He said, someone who is.
00:33:14.000 --> 00:33:26.000
the evidence of suppressing TSH and causing osteoporosis. is more speculative. The only time it’s very clear is when someone’s hyperthyroid.
00:33:26.000 --> 00:33:31.000
And severely hyperthyroid, when they’re producing, like, 300 to 500 micrograms of T3 on.
00:33:31.000 --> 00:33:37.000
endogenously, it will increase bone loss, but if you’re just suppressing.
00:33:37.000 --> 00:33:41.000
TSH, um. Below the range.
00:33:41.000 --> 00:33:47.000
Um, I’m not concerned about that, especially if you’re getting their energy up, because they start exercising more.
00:33:47.000 --> 00:33:56.000
I don’t think there’s any… there’s not that much of it. I think the only study was that if your TSH suppressed in post-menopausal, there’s increased bone loss.
00:33:56.000 --> 00:34:02.000
Um, so, yeah, you could make an argument if someone’s postmenopausal, there’s some argument.
00:34:02.000 --> 00:34:06.000
about that, but I think if you can get them feeling well and started exercising.
00:34:06.000 --> 00:34:09.000
Um, they’re actually going to be way better off.
00:34:09.000 --> 00:34:12.000
If some… if you’re giving a very suppressive dose of.
00:34:12.000 --> 00:34:25.000
where there’s no undetectable amounts of TSH. for long term, you know, that… you have to use your intuition on that. I mean, I would say if someone’s really feeling well and exercising… I had a patient before.
00:34:25.000 --> 00:34:32.000
who just literally barely could work, and then she just lit up and went back to life on a very high dose of T3 and.
00:34:32.000 --> 00:34:36.000
she started exercising, and for her, every time we lowered the dose, she just.
00:34:36.000 --> 00:34:46.000
Wasn’t able to work, so I was okay with it, but I… We tested… I did… test, um… I did review some bone scans for her, and um.
00:34:46.000 --> 00:34:49.000
For her, it didn’t worsen.
00:34:49.000 --> 00:34:59.000
Um, does… on your slide. Uh, you had for a selenium dose, you had 200 to 1,000 milligrams, and then after that.
00:34:59.000 --> 00:35:06.000
Michael… is that… it’s… it’s… If I did, I miss… that’s a mistake, it’s micrograms.
00:35:06.000 --> 00:35:07.000
Thank you.
00:35:07.000 --> 00:35:12.000
Yeah, I’m sorry if that came… I… That’s definitely rhyme. It’s milligrams, micrograms.
00:35:12.000 --> 00:35:14.000
Michael, on the… on the…
00:35:14.000 --> 00:35:17.000
I’m aggressive. I’m an aggressive dosage person, but not that aggressive.
00:35:17.000 --> 00:35:24.000
On the tail of that great question by Dr. Calderwood, I’d like to ask you to comment on
00:35:24.000 --> 00:35:29.000
P3 use and atrial fibrillation, or maybe a suppressed TSH.
00:35:29.000 --> 00:35:36.000
And how it relates to AFib.
00:35:36.000 --> 00:35:42.000
Um… So, what atrial fibrillation can occur when someone.
00:35:42.000 --> 00:35:48.000
gets sustained tachycardia. If the T3 levels are very high, so especially in hyperthyroid patients.
00:35:48.000 --> 00:35:55.000
That’s how some people present and go to the emergency room, is they’ll have atrial fibrillation from a very.
00:35:55.000 --> 00:36:02.000
High level of thyroid hormones and, and um. I’ve seen that in hyperthyroidism. I have seen that.
00:36:02.000 --> 00:36:10.000
Um, with myself. I’ve seen that also in a colleague who actually used very high doses of T3.
00:36:10.000 --> 00:36:20.000
Um, in a hypothyroid patient. and I’ve seen it… even one patient who… I’ve seen one doctor give very high dose of, like, 50 milligrams of iodine to a hypothyroid patient.
00:36:20.000 --> 00:36:24.000
Along with T3, and that person went into atrial fibrillation.
00:36:24.000 --> 00:36:30.000
Um, so one has to be careful. on these very high doses, especially with high doses.
00:36:30.000 --> 00:36:34.000
Of T3. Um, I’ve never seen it with, like.
00:36:34.000 --> 00:36:39.000
Small doses, like 5 micrograms or 25 micrograms.
00:36:39.000 --> 00:36:43.000
what’s the rage on the internet now is the use of T2.
00:36:43.000 --> 00:36:46.000
like, 100 to 200 micrograms of T2.
00:36:46.000 --> 00:36:54.000
to support thyroid health. Do you do that, um, at all in your practice?
00:36:54.000 --> 00:37:01.000
I had, um, well, you know, the ISIS, um, actually had it made for me as a supplement with T2.
00:37:01.000 --> 00:37:07.000
Um, before I knew it was… not legal. Um, and I use quite a bit of it, it was pretty cheap.
00:37:07.000 --> 00:37:13.000
Um… you know, it seemed like it had an effect.
00:37:13.000 --> 00:37:19.000
Um, so yeah, I would say had an effect where people felt more energy.
00:37:19.000 --> 00:37:23.000
Um, I still think T3 is the main active hormone, but um.
00:37:23.000 --> 00:37:31.000
I would still, you know. I’ve used it before, and I noticed a positive effect on it.
00:37:31.000 --> 00:37:40.000
And patients who are hypothyroid. And that’s the argument of using, like, desiccated thyroid to have some T3, it has some T2.
00:37:40.000 --> 00:37:45.000
And it has some T4. But ultimately, I think you have to use what works.
00:37:45.000 --> 00:37:56.000
And sometimes one thing works in a patient, it doesn’t work in another patient, and there’s times where I tried this and that, and then… Most patients, I didn’t use glandulars, but sometimes I use glandulars and it worked better than not.
00:37:56.000 --> 00:37:57.000
So…
00:37:57.000 --> 00:38:04.000
So I’m going to read some questions that were posted in the chat box, uh, from Charlotte. It’s, do you have any general recommendations
00:38:04.000 --> 00:38:06.000
For daily iodine,
00:38:06.000 --> 00:38:09.000
use for euthyroid individual, given that
00:38:09.000 --> 00:38:16.000
pervasive dietary deficiencies.
00:38:16.000 --> 00:38:22.000
Well, I would say I… a daily continuous dose, I would say, um.
00:38:22.000 --> 00:38:28.000
It depends on who you talk to, but I would say, if you look at people who eat a lot of fish, or, like.
00:38:28.000 --> 00:38:32.000
in Japan, they have, like, 3 to 6 hours the studies are that.
00:38:32.000 --> 00:38:37.000
The average person who eats a traditional diet in Japan has at least 3 to 6 milligrams of iodine a day.
00:38:37.000 --> 00:38:39.000
I would say, at least a good amount which you can take continuously.
00:38:39.000 --> 00:38:49.000
Right. Uh, Gail asks if you should take iodine on an empty stomach.
00:38:49.000 --> 00:38:51.000
I don’t think it really matters that much that I know of.
00:38:51.000 --> 00:38:57.000
Okay, uh, Claire asks, um, how long do you give a patient thyroid PX or
00:38:57.000 --> 00:39:04.000
thyro, I guess, calm, or thyroCare, she wrote, but I think it’s Thyroid Calm.
00:39:04.000 --> 00:39:12.000
Okay. Yeah, so… Um, TheraCom… I give it to a patient.
00:39:12.000 --> 00:39:19.000
maybe with some iodine, possibly. Until they’re asymptomatic, and it’s for hyperthyroidism.
00:39:19.000 --> 00:39:24.000
For mild hyper… it can be as fast as 2 months, it can be as slow as.
00:39:24.000 --> 00:39:28.000
I would say the most I’ve seen is a year.
00:39:28.000 --> 00:39:35.000
Before someone has a normal blood tests. And then when someone’s normal, and they’ve been well for at least a month or two, then I’m usually.
00:39:35.000 --> 00:39:42.000
I take them off. The only issue with keeping them on is really it’s expensive to make, so it’s an expensive product, but.
00:39:42.000 --> 00:39:45.000
There’s no side effects from it, so I would certainly.
00:39:45.000 --> 00:39:48.000
If, um… but most people are able to stop it.
00:39:48.000 --> 00:39:57.000
That’s after 4 months. Um, and maintain, but sometimes, like all autoimmune diseases, like, it’s still a chronic disease, and it still can come back.
00:39:57.000 --> 00:40:01.000
Um, so, to prevent it, I usually tell people just to, like.
00:40:01.000 --> 00:40:04.000
Take one bottle once a year, just to make sure it doesn’t come back.
00:40:04.000 --> 00:40:12.000
But I’ve talked to some patients. who say, you know, they’ve been asymptomatic for about 5 years, 8 years.
00:40:12.000 --> 00:40:21.000
for hypothyroidism. Um, I would say… I see it where I see a lot of MDs use is they always get patients.
00:40:21.000 --> 00:40:27.000
levothyroxine, and they just add thyroid PX and just give people 1 cap twice a day along with the, uh.
00:40:27.000 --> 00:40:31.000
The levothyroxine until they feel really well, and um.
00:40:31.000 --> 00:40:35.000
Some people are able to stay feeling well when they get off of it.
00:40:35.000 --> 00:40:46.000
And some people start feeling a little more groggy and tired again when they stop it, so… It’s really, ultimately, until the person feels well, and if they feel well, then I just keep them on it.
00:40:46.000 --> 00:40:49.000
If they want to get off it, and they can try and see if they ever… they still feel good.
00:40:49.000 --> 00:40:53.000
Pretty good. I think Kaisha, um, Perry, um…
00:40:53.000 --> 00:40:58.000
had a question, kind of a… it’s like a case, uh, the 85-year-old…
00:40:58.000 --> 00:41:03.000
female on 25 mics of levothyroxine,
00:41:03.000 --> 00:41:11.000
with labs as the follows. Free T4 at 2, TS8, TSH at 0.218.
00:41:11.000 --> 00:41:14.000
And a reverse T3 of 108.
00:41:14.000 --> 00:41:19.000
And a free T3 of 1.6.
00:41:19.000 --> 00:41:20.000
So the TSH is suppressed.
00:41:20.000 --> 00:41:24.000
TSH is suppressed, and they’re pretty high reverse.
00:41:24.000 --> 00:41:26.000
with a moderately, like, low free T3.
00:41:26.000 --> 00:41:31.000
Right.
00:41:31.000 --> 00:41:37.000
I would say, um, you know, aging increased… aging itself increases reverse T3.
00:41:37.000 --> 00:41:42.000
Um, I would be more… I’d like to know how the patient feels.
00:41:42.000 --> 00:41:46.000
I would, like, I’d be okay with that suppressed TSH.
00:41:46.000 --> 00:41:57.000
Um, if the patient’s feeling well, but I would try giving them herbs, like which I mentioned in Thyroid PX, or if you want to use your own things, like myrrh and using selenium to help with the conversion.
00:41:57.000 --> 00:42:04.000
I would do the… I would do that. Someone is in their 80s, I usually don’t increase the thyroid hormones too much.
00:42:04.000 --> 00:42:10.000
Um, I just… I’m more concerned about cardiac issues if someone’s.
00:42:10.000 --> 00:42:11.000
He further comments that this patient has terrible bone pain.
00:42:11.000 --> 00:42:20.000
at a, you know, set of D-plus.
00:42:20.000 --> 00:42:29.000
Yeah, I don’t know how that would be related, but um… Is there… you know, I don’t know how big this person is, but I mean, maybe a.
00:42:29.000 --> 00:42:35.000
If the TSH… If the TSH is completely suppressed.
00:42:35.000 --> 00:42:45.000
I would consider just, like, take… stop lowering the dose of thyroid hormones and giving them herbs instead.
00:42:45.000 --> 00:42:46.000
Okay.
00:42:46.000 --> 00:42:49.000
And see how they respond.
00:42:49.000 --> 00:42:53.000
I’m not saying I’m right. That’s something I would try, you know.
00:42:53.000 --> 00:43:02.000
All right, we have, uh, David, uh, Calderwood again, um, asks, when, uh, you use thyroid hormones in treatment,
00:43:02.000 --> 00:43:08.000
What form are you using? Compounded? Murmur?
00:43:08.000 --> 00:43:09.000
Or other?
00:43:09.000 --> 00:43:16.000
I used, um… Okay, I used to own, um… Well, I’m not practicing right now, but traditionally, I used.
00:43:16.000 --> 00:43:29.000
I used, uh, sustained release T3. Which would be compounded. Then, um… I also… then I started hearing other endocrinologists doing it other ways.
00:43:29.000 --> 00:43:38.000
Where the… Just used, um, pure Cytomel, liothyronine, and it was… it didn’t come in, like, 25 microgram tablets and 5 microgram tablets.
00:43:38.000 --> 00:43:44.000
And it was, um… it’s really cheaper for the patient.
00:43:44.000 --> 00:43:51.000
Uh, and… I dosed it differently when I, when, um.
00:43:51.000 --> 00:43:56.000
Dr. Cunningham, the endocrinologist, told me about how he dosed it and how he learned about using.
00:43:56.000 --> 00:44:02.000
liothyronine or T… Cytomel. Which is the brand name, um, literally in the 1950s.
00:44:02.000 --> 00:44:09.000
And he says, you just give… you give… someone who’s hypothyroid or someone who has hypothyroid symptoms.
00:44:09.000 --> 00:44:15.000
He would gradually increase the T3 by itself at a very slower rate than I.
00:44:15.000 --> 00:44:19.000
Did before. And he said, I’ve barely ever had any problems with heart power.
00:44:19.000 --> 00:44:33.000
Um, so… his protocol was… start off with a, um… a… get a 25-min… microgram tablet of Cytomel.
00:44:33.000 --> 00:44:35.000
and break it in half, and just take half of that.
00:44:35.000 --> 00:44:42.000
once a day for week one. And we two take half of it in the morning, and half of it in the evening.
00:44:42.000 --> 00:44:49.000
And keep on going in that direction, where you… Um, use… and he said most gradually every week.
00:44:49.000 --> 00:44:54.000
go a small and higher increment in the morning, and the week after that, higher increment.
00:44:54.000 --> 00:45:00.000
Evening, and eventually… you would get up to, like, 25 micrograms twice a day.
00:45:00.000 --> 00:45:04.000
And he said about 50% of patients. Would feel well on that dose.
00:45:04.000 --> 00:45:13.000
And he said a certain percentage of people. Didn’t quite get the energy you wanted, and then he… cycle them up to a maximum of, like.
00:45:13.000 --> 00:45:16.000
Um, 75 micrograms. In total in a day.
00:45:16.000 --> 00:45:18.000
Okay.
00:45:18.000 --> 00:45:24.000
Um, but he always… if someone ever had a heart rate going above 100, resting.
00:45:24.000 --> 00:45:32.000
He’d never cycle up. Um, and… Patients need to feel better within 3 or 4 weeks.
00:45:32.000 --> 00:45:35.000
Understand? Okay. Uh, Margaret asks, um,
00:45:35.000 --> 00:45:39.000
What can increase the free T4 levels
00:45:39.000 --> 00:45:42.000
that are not responding to levothyroxine.
00:45:42.000 --> 00:45:48.000
in Hashimoto’s patients.
00:45:48.000 --> 00:45:54.000
So if someone’s taking thyroid hormones. And it’s not increasing the free T4?
00:45:54.000 --> 00:45:56.000
Great.
00:45:56.000 --> 00:45:58.000
Versus the total T4?
00:45:58.000 --> 00:46:01.000
Um, that was the form of the question. Yeah, how to increase the free T4.
00:46:01.000 --> 00:46:06.000
Question. Right.
00:46:06.000 --> 00:46:10.000
Well, I’d be more interested in increasing the free T3, but.
00:46:10.000 --> 00:46:16.000
I mean, the T4 can be bound up with, um, other hormone, like a.
00:46:16.000 --> 00:46:21.000
sex-binding globulin, so it might be decreased if someone’s on, like, uh.
00:46:21.000 --> 00:46:30.000
bioidentical hormones, for example. Um, but I would say… you’d have to just give a higher dose if you’re not getting what you want.
00:46:30.000 --> 00:46:32.000
for it.
00:46:32.000 --> 00:46:38.000
And we have a question from Susan Pepper that says, any opinion on
00:46:38.000 --> 00:46:42.000
Hypothyroid patient wants to take desiccated thyroid
00:46:42.000 --> 00:46:46.000
can’t tolerate it because of severe bladder pain.
00:46:46.000 --> 00:46:50.000
Uh, on any type of thyroid medication, even microdosing,
00:46:50.000 --> 00:46:53.000
different desiccated thyroid meds. Why…
00:46:53.000 --> 00:47:06.000
would this happen with these thyroid irritating the bladder?
00:47:06.000 --> 00:47:07.000
Yeah, I’ve never seen that, but…
00:47:07.000 --> 00:47:13.000
I don’t know why. you know, I don’t know why, but I can say that sometimes, like.
00:47:13.000 --> 00:47:17.000
I’ve seen so many people associate one thing with another thing.
00:47:17.000 --> 00:47:26.000
I don’t think it’s always necessarily objectively true, but they might associate with that. That’s a possibility, but I don’t know… They could try something else, I mean, they could try.
00:47:26.000 --> 00:47:35.000
just pure T3 or T4 or herbs, and see how it responds.
00:47:35.000 --> 00:47:40.000
Uh, another question, do you agree to check a TSI level?
00:47:40.000 --> 00:47:45.000
When there is elevated free T4 and free T3.
00:47:45.000 --> 00:47:56.000
And, uh, also, you stated iodine will help with this, such as ioderalol.
00:47:56.000 --> 00:48:05.000
Okay, so, um, let me ask the first question, so… TSI, I’ll only look at TSI if someone has.
00:48:05.000 --> 00:48:10.000
documented Graves’ disease. so if someone has Graves’ disease and they’re hyperthyroid.
00:48:10.000 --> 00:48:16.000
It might… it’s gonna be interesting to me that their TSI antibodies go back to normal.
00:48:16.000 --> 00:48:20.000
Um, that would not be found in toxic multinodular, but.
00:48:20.000 --> 00:48:21.000
Right. Right.
00:48:21.000 --> 00:48:27.000
in Graves’ disease. Um, and in terms of ioderol, um.
00:48:27.000 --> 00:48:34.000
Yes, any, any, um… Honestly, any iodine is fine.
00:48:34.000 --> 00:48:39.000
Um, there is… there was an idea that.
00:48:39.000 --> 00:48:46.000
That, um… Okay, so it’s a long story, but I mean, the basic bottom line is that.
00:48:46.000 --> 00:48:53.000
Iodine in a capsule. is all I… is all, um, iodide.
00:48:53.000 --> 00:49:00.000
And we’ve tested that in many labs have tested it, and… Um, even if you pour pure iodine, it converts to I2.
00:49:00.000 --> 00:49:06.000
And, um, to iodide. So, ioderol used to have the… the thing is that it was.
00:49:06.000 --> 00:49:13.000
It has this and that, but when you… when it was tested at the labs, it was found that it was… ended up being pure.
00:49:13.000 --> 00:49:21.000
pure iodide. Um, the only way you can still have iodine and iodide… you can have some iodine if nilugol solution in liquid.
00:49:21.000 --> 00:49:24.000
But in a powder, it oxidizes too quick, and it was a.
00:49:24.000 --> 00:49:27.000
It was a chemist which came up with that concept. It’s like.
00:49:27.000 --> 00:49:32.000
how can that be? And then, so it was sent to the lab, and we were not able to find it.
00:49:32.000 --> 00:49:38.000
And David asks if the PowerPoint could be made available to us?
00:49:38.000 --> 00:49:40.000
like the slide deck.
00:49:40.000 --> 00:49:42.000
Sure, sure. I gotta make sure that it says micrograms, though.
00:49:42.000 --> 00:49:44.000
Okay, alright.
00:49:44.000 --> 00:49:50.000
I’ll let, uh, um, Stephanie work with you on that to get that
00:49:50.000 --> 00:49:53.000
PDF file and will post it when we post this, uh,
00:49:53.000 --> 00:49:56.000
recording of this lecture.
00:49:56.000 --> 00:50:01.000
But, uh, we are getting close to an hour, so I don’t think there are any further questions I see.
00:50:01.000 --> 00:50:09.000
Um, so I think we’ll close out now. Uh, my goal, it was great having you back again, and looking forward to another lecture coming up in a month or so, I believe.
00:50:09.000 --> 00:50:12.000
Thank you.
00:50:12.000 --> 00:50:16.000
And, uh, we appreciate it. It’s very informative.
00:50:16.000 --> 00:50:18.000
Thank you. Have a good day, everybody. Good night!
00:50:18.000 --> 00:50:19.000
Good night at all.
00:50:19.000 --> 00:50:21.000
Thanks, everyone! Merry Christmas!
00:50:21.000 --> 00:50:26.000
Yeah, Merry Christmas
For anyone interested in the text in the CHAT BOX here it is:
00:20:34 Fireflies.ai Notetaker Dave: Dave invited Fireflies.ai here to record & take notes. View Security & Privacy info: https://fireflies.ai/policy
Type:
‘/ff leave’ - Remove Fireflies
View Realtime notes here: https://app.fireflies.ai/live/01KC2Y59THXPQAK7B3FAB3SGYS?ref=live_chat
00:22:32 Charlotte K. Mathis MPAS, PA-C, NBC-HWC: Any chance to see the power point slides?
00:49:06 Stephanie Lanciki: Michael@restorative.com
00:50:40 Charlotte K. Mathis MPAS, PA-C, NBC-HWC: Do you have a general recommendation for daily iodine for euthyroid individuals given the pervasive dietary deficiencies?
00:51:08 jeanne olson: Curious if it is known what other enzyme pathways require iodine?
00:51:29 Gail Makos NP-C: do you need to take the iodine on a empty stomach?
00:56:32 Claire Mortimer: How long to give Thyroid PX or ThyroCare?
00:58:54 Keisha Perry: What next steps would you do for a 85 yo female on 25 mcg of levothyroxine with labs Free T4 2.09 TSH of 0.218 Reverse T3 108 (H), Free T3 1.6
00:59:26 Claire Mortimer: ThyroCare is another thyroid medicine from Restorative.
01:00:12 Stephanie Lanciki: Reacted to “ThyroCare is another...” with 👍
01:00:13 David Calderwood: When you use thyroid hormone in treatment, what form do you use? Compounded? Armour? Etc?
01:01:19 Keisha Perry: Replying to “What next steps woul...”
She has terrible bone pain
01:02:08 Margaret: What can increase free t4 levels that do not respond to levothyroxine in a Hashimotos patient?
01:05:08 susanpepper: Any options if a hypothyroid patient wants to take desiccated thyroid but can’t tolerate it as they get severe bladder pain from any amount of thyroid medicine - even a micro dose of different dessicated thyroid meds? Why would thyroid meds irritate the bladder?
01:06:28 Keisha Perry: Do you agree to check for TSI levels when there is elevated Free T4 and Free T3. And also you stated iodine will help with this? Such as iodoral?
01:06:55 David Calderwood: Will the powerpoint be made available to us?
01:09:18 Keisha Perry: I think I am confused about how to diagnose Graves vs TOxic Multinodular Goiter? Do you have time to explain?
01:09:42 Charlotte K. Mathis MPAS, PA-C, NBC-HWC: thank you so much! Really appreciate your time and this presentation!
01:09:42 Sandi: thank you
01:09:44 Keisha Perry: Thank you
01:09:51 Stephanie Lanciki: Reacted to “thank you” with 👍
