Latka wrote: I agree that the standard thyroid treatment is ineffective. That is why I went to see a specialist. My GP would not treat me because all my blood work was within range. In any case the normal practice here is to only look at the TSH levels which is totally unreliable. My antibody count was through the roof and I had all the hypothyroid symptoms. The specialist diagnosed me based on my symptoms and put my on dessicated thyroid (another reason I went to see him as I did not want to be put on some synthetic stuff that most people don’t even respond to at all).
So when it comes to the hormonal supplementation therapy, I trust this doctor. He knows what he is doing. He is also the only one here who tries to figure out what is causing the auto immune response and how to lessen it. This is why he put me on Candida treatment to address the leaky gut.
Given my experiences this spring I’ve started to question a few things… When I am on a restircted diet my temperatures plummet and the hypothyroid symptoms reappear despite taking the dessicated thyroid. Given that for years I restricted my eating previously, is it possible that it might this that caused my hypothyroid symptoms in the fistt place? I mean why else would my blood work still be within range but my body has hypo thyroid symptoms? What I mean is that maybe the problem isn’t the thyroid itself but the general cellular metabolism that has slowed down due to insufficient energy. I have been reading Ray Peat to try and understand this better: http://raypeat.com/
In any case I have gotten this suspicion that perhaps the root cause of my problems such as the hypothryroidism isn’t the digestion. Maybe the digestion problems are just another symptom of something else going wrong in the body, such as the slowed down metabolism. And maybe then by increasing the metabolism the digestion can also be improved. Really seems like healthy metabolsim is at least the basis of being able to heal from anything. I am on the same dose of dessicated thyroid as before but have now been able to increase my temperatures a whole 2 degrees simply by eating more (and more carbs)the past three weeks. I make sure I no longer go hungry and that seems to be working for me.
I see you’ve done your research. You’re lucky to have found a doctor who knows about these issues. How long have you been seeing him? From what I understand, it takes a bit of trial and error and follow up testing to determine stable dosing, and changes in your diet or lifestyle (stress, circadian rhythm etc) will interfere with the process.
It’s possible to have the symptoms of hypothyroidism while being euthyroid. This is called non-thyroidal illness or euthyroid sick syndrome. There’s an incredibly detailed article about this on the Entropy Production blog. Another possible mechanism is elevated reverse T3, which stops T3 from working. I’ve heard of cell resistance to T3, possibly as a result of chronically high rT3, but this idea seems to be controversial. I don’t think NTI/ESS would apply to you given the antibody counts, but I don’t know much about the rT3/resistance issue.
I said in another thread there’s a bit of chicken and egg going on with candida and hypothyroidism. If you developed an overgrowth through the antibiotic route, it’s not unfeasible to develop thyroid issues once the gut integrity is compromised and junk starts entering the bloodstream. The same goes for bacterial overgrowth, as discussed here (LPS = endotoxin). On the other hand, if you develop thyroid problems for some other reason, the effect on digestion and immunity leaves you open to infections like candida or SIBO if it’s not properly treated or left undiagnosed.
Given what you’ve said about possible SIBO and probiotics, you’ll probably find this article the most interesting. Not only can endotoxin lower thyroid hormones (see above link), but there’s in vitro research suggesting it can even cause Hashimoto’s through molecular mimicry in a similar way to gluten. Remember this needs further research in humans to verify, but if you’ve taken other steps to lower your antibodies, it gives a compelling explanation.
By the way, I think Peat’s ideas are really interesting, and I think there are some good ideas to take away, like reducing PUFAs and endotoxin, balancing amino acids (more organ meats and gelatin instead of constant muscle meats), keeping minerals balanced etc. I’m not so sure about all the sugar, but we’ll be lucky to know what “perfect nutrition” is in our lifetime. My biases about sugar were already torn apart by this article on Whole Health Source.