High TSH Levels: What Should You Do?

 Hey there, this is Dr. Ruscio. I just want to share a quick update regarding the thyroid TSH and why you should be careful in terms of what you are told you should do about an elevation of your TSH. You’ve hopefully heard some of my criticisms of the field of functional, natural, and integrative medicine regarding how overzealously, we’re interpreting small perturbations and findings on thyroid labs. This certainly includes people I work with in the clinic. I just had a patient this morning and she had previously a TSH of 6.3. So the cutoff on most labs is 4.5. So she was according to the conventional lab ranges, slightly elevated. This is known as subclinical hypothyroid. When that minimum elevation of TSH is paired with normal T4, this is known as subclinical hypothyroid, meaning you’re not a true hypothyroid. This is so crucially important because the data here are fairly clear in showing that most of these cases will spontaneously remit or will spontaneously, all on their own with no treatment or therapeutics or support, go back to normal. Now, what was so interesting here is that while working with me, she was also doing some local testing with her NP, her nurse practitioner. I advised her not to be too quick to act on this 6.3, this elevated TSH paired with normal T4 and also normal T3. Let’s retest in a month or two, especially given the fact that she has been improving symptomatically. As the data suggests, you will likely see normality or normalization of your TSH. So what do you know, about two months later? Her TSH has now gone into the normal range of 3.6, from 6.3, and T4 and T3 are still normal. All the while she has continued to improve symptomatically. To contrast this with what I think needs to be amended in the field, her NP wanted to put her on thyroid hormone at that initial visit with the elevated TSH. What a travesty that would have been, because once you put someone on thyroid hormone, the repeat testing doesn’t tell you if they no longer need the hormone, because all of the levels have been paved over by the hormone that the person is now taking orally. So this is a crucially important situation where we don’t want to be too quick to act to put people on thyroid hormone without giving adequate time to see if, especially at these subclinical findings, again – high TSH, normal T4 according to the conventional ranges – normalizes all on its own at your next retest. The trajectory of these two different patient scenarios is so different. The one patient from the more, what I would argue, the overzealous camp will be put on thyroid hormone in some cases for years until a provider has enough common sense to go back and check this. Or, as in this case with a more reserved and kind of circumspect approach, no medicine was started and a retest a couple of months later found she was back into the normal range. We stopped her from going on a medication ostensibly for years that she would not have needed. If you’re concerned about this, double check and get a second opinion to make sure that you’re A) not on thyroid hormone that you don’t need to be or B) that perhaps you are given thyroid hormone too quickly, based upon this lab work, that didn’t justify that approach. Now, according to the philosophy of some providers, subclinical hypothyroidism does justify the use of medication. Although the data here are clear that there is almost no benefit shown when those who have that pattern of high TSH and normal T4 go on thyroid hormone. Almost no benefit has been documented unless you’re very young, you are pregnant or are struggling with infertility, or your TSH is well above 10. These are important nuances to understand in navigating the conversation around thyroid, which is all too often vilified or positioned as a cause of all symptoms. It may well be, but we don’t want to force upon someone thyroid hormone when the labs don’t justify that because that can lead someone to be on medication they don’t need. This also distracts from actually determining what underlying cause is leading to the symptoms that you’re having. So again, I would encourage you to double-check. Don’t stop taking the medication until you check with your provider, but if you’re suspicious that your provider is being a bit overzealous, double-check. It may be well worth it. Okay. That is our show. Hopefully, this helps.As found on YouTubeExplaindio Agency Edition FREE Training How to Create Explainer Videos & SELL or RENT them! Join this FREE webinar | Work Less & Earn More With Explaindio AGENCY EDITIONOIP-48

Hashimoto’s and Hypothyroidism – Foundational Info To Heal Your Thyroid – Podcast #54

Hashimoto’s and Hypothyroidism – Foundational Info To Heal Your Thyroid – Podcast #54Get Show Updates Here: http://www.beyondwellnessradio.com/newsletterTranscription here: http://justinhealth.com/hashimotos-and-hypothyroidism-foundational-info-to-heal-your-thyroid-podcast-54/Dr. Justin Marchegiani and Evan Brand talk all about thyroid issues in this podcast. Listen as they share their recommendations on the first steps that patients with thyroid issues need to take in order to be successful along with helping them to push their thyroid to heal in the right direction.Find out what the potential signs and symptoms of a thyroid issue are and distinguish between adrenal and thyroid issues as well as the difference in dealing with thyroid issues from a conventional medicine approach versus from a functional medicine perspective. They also differentiate adrenal failure versus adrenal fatigue. Have you ever wondered what role does progesterone have that affects the thyroid function? Discover more about it and the other hormones affecting thyroid issues in this interview.In this episode, topics include:1:18 Thyroid 1012:35 Thyroid physiology6:20 Adrenal physiology11:29 Conventional medicine approach versus functional medicine perspective21.30 Adrenal failure versus adrenal fatigueSubscribe on I-Tunes: http://www.beyondwellnessradio.com/itunesReview us at: http://www.beyondwellnessradio.com/itunesVisit us at: http://www.beyondwellnessradio.comHave a question: http://www.beyondwellnessradio.com/question-~-~~-~~~-~~-~- Please watch: “GI Issues — Malabsorption, Infection & Inflammation in the Eye and Joint | Dr. J Live Q & A”
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Brain Health and Nootropics | Podcast #203

Brain Health and Nootropics | Podcast #203Thyroid Reset Summit: www.thyroidresetsummit.comGet Show Updates Here: http://www.beyondwellnessradio.com/newsletterYou-tube Podcast Subscribe: http://www.youtube.com/subscription_center?add_user=justinhealthShow Transcription: https://justinhealth.com/brain-health-nootropics-evan-brand-podcast-203/Schedule a FREE Consult: http://www.justinhealth.com/free-consultationMold Problem? Visit: https://justinhealth.com/immunolyticsOur brain is one of the essential parts of our body — it serves as the coordination center that helps us think, decide, feels, and all the other beautiful functions. In this episode, tune in to Dr. J together with his guest Evan Brand on brain health and nootropics. Learn more about how we improve our brain health and performance, and what is a proper diet for a better brain function.Watch this video for any tips and techniques that may apply to you!In this episode, we cover:00:46 Steps to improve brain performance03:42 Get the gut right16:07 Get the inflammation down18:32 Focus on your diet32:03 Resveratrols and alcohols34:27 Pharmaceutical nootropics=====================================Subscribe on I-Tunes: http://www.beyondwellnessradio.com/itunesReview us at: http://www.beyondwellnessradio.com/itunesVisit us at: http://www.beyondwellnessradio.comHave a question: http://www.beyondwellnessradio.com/question-~-~~-~~~-~~-~- Please watch: “GI Issues — Malabsorption, Infection & Inflammation in the Eye and Joint | Dr. J Live Q & A”
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Interconnected Medicine – April 2018 Functional Forum

Register to watch next the Functional Forum: http://functionalforum.com/next-event Evolution of Medicine Presents: Interconnected Medicine – April 2018 Functional Forum Subscribe: https://bit.ly/2n9QpsC Practitioners – Join the EvoMed Practitioner FB Group: https://bit.ly/2KpOfON Health Advocates – Register to receive our newsletter: https://bit.ly/2vfggnjJoin host James Maskell and the Evolution of Medicine team as we present our 51st Functional Forum live from a hotbed of Functional Medicine: Ashland, OR.This month’s topic, Interconnected Medicine, will build upon last month’s special anniversary episode, as we feature local Ashland Oregon practitioners and continue to lay out our kNew Vision for American Medicine.This time, the focus is on systems-based functional medicine proving to deliver better outcomes at lower costs for a range of chronic diseases, and community based solutions offering significant cost savings for payers.We will be featuring a number of practitioner speakers from the local community in a unique format as we prepare for our “kNew Visions Tour” starting in June 24.Keynote addresses come from Drs. Leslie and Michael Stone, veteran functional medicine physicians serving the Ashland community for decades.We’re thrilled to return to our roots for this LIVE event format, and we feel the Ashland community is the perfect place to make our next big announcement for individual payers.If you’re ready for a kNew era of medicine, then register to join us via the Webstream or at a local Meetup below. And be sure to tune in for this month’s podcasts which all lead up to this most important Functional Forum.Contact us: support@goevomed.com

“After Stress Ripped My Immune System to Shreds, I Cured Myself” | Robert Zembroski on Health Theory

This episode is brought to you by ButcherBox. Visit https://butcherbox.com/impact to get 20$ off your first order!This week’s guest on Health Theory is Dr. Robert Zembroski. He is a physician, nutritionist and cancer survivor. From his experiences rebuilding himself after a cancer diagnosis, he wrote the book, Rebuild: Five Proven Steps To Move From Diagnosis to Recovery And Be Healthier Than Before. In this episode he talks about why most diseases are self inflicted and how to start looking for answers outside the traditional medical system.BUY Rebuild by Dr. Robert Zembroski: https://amzn.to/2U7hfzwSHOW NOTES Why Robert blames himself for his cancer [01:21] The mindset it takes to battle cancer [05:22] How to become your own advocate [06:59] The importance of asking why in order to rebuild your body [08:23] Why you have to have a vision for better health [12:34] How to address a real life cancer diagnosis [14:30] The nutrients you must get to stimulate your immune system [18:09] How to build the physique of your dreams [22:50] Why you need to shift your perception of stress [26:06] How to naturally raise testosterone levels with food [28:39] The best exercise plan to build muscle [32:02] How to eat like a varietarian [33:28] Important testing to check your health [35:10] Why you shouldn’t care about weight [38:48] Why lack of physical movement is killing you [41:33] How to actually assess your health [44:50]FOLLOW DR. ROBERT ZEMBROSKI: WEBSITE: https://bit.ly/2UEvujM INSTAGRAM: https://bit.ly/2UJt5nL FACEBOOK: https://bit.ly/2X1KJRp TWITTER: https://bit.ly/2FYxLg8