Thyroid Dysfunction Printer Friendly Version
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Thyroiditis
Hashimoto’s thyroiditis : a chronic inflammation of the gland caused by auto-immune factors.
Subacute thyroiditis : acute inflammation of the thyroid gland caused by a virus.
Silent thyroiditis : a mild thyroid enlargement often in post-partum women

Euthyroid Goiter
An enlargement of the thyroid gland due to diminished thyroid hormone but without clinical hypothyroidism.

Thyroid Cancer
This includes Papillary, Follicular, Anaplastic and Medullary Carcinoma

Conclusion
Overt hypothyroidism is easy to diagnose by a simple blood test. Low levels of T3 and T4 are signs that you do not have enough thyroid hormones. Also, an elevated TSH is a sign of thyroid deficiency. When your TSH is high, it means the pituitary gland is trying to make the thyroid gland produce more hormones.

If, however, someone is suffering from the classic symptoms of thyroid deficiency but has normal test results, the thyroid slowdown could be slight or age related and is not easily detected by a blood test. A way of detecting a possible thyroid deficiency is to take your basal body temperature.

The Basal Body Temperature Test

Broda O. Barnes, M.D., developed the basal body temperature test. Barnes recommends the following procedure:

  1. Upon awakening, with as little movement as possible, place the thermometer firmly in your armpit or under your tongue (menstruating women should do this test only on the second and third days of their menstrual flow) keeping the thermometer there for 10 minutes.
  2. Record the readings on three consecutive days.
  3. A normal functioning thyroid should have a reading between 36 degrees and 34.5 degrees. Basal body temperatures below this range are quite common & may reflect hypothyroidism.( Int. Jrnl of Integrative Med Vol 3 No 3,Nov 2001)
  4. A reading of 97.8F (approx 36.2 degrees) or lower, according to Dr. Barnes, may indicate low thyroid function.

Pathology Tests

Leading pathology laboratories routinely test for TSH, free T3 and free T4 levels. Some functional laboratories are capable of testing TRH (thyroid releasing hormone) & rT3 ( reverse T3) as well.

Examples of reference ranges (Ref Melb Pathology)
Serum Free T4 …11-23pmol/l ; Serum Free T3 …2.2 to 5.2pmol/l ; Serum TSH ………0.305pmol/l


Treatment


If left untreated, hypothyroidism can cause anemia, low body temperature, and heart failure.

Conventional treatment calls for the oral replacement of deficient thyroid hormones. A synthetic form of T4 (Thyroxone) is most often administered, being taken for life. The dose is gradually increased until TSH levels in the blood return to normal.


Dietary Supplementation for Thyroid Deficiency

Thyroid USP, a natural synthesised porcine derived hormone, contains T4 and T3 (ratio of 4:1) and most closely resembles natural human thyroid hormone. This is appropriate where the body is unable to convert T4 to the active T3.

Supplementation includes vitamin A; vitamin B complex, B12, C, and E; as well as Coenzyme Q10; and especially the minerals magnesium, manganese, selenium, and zinc, & kelp, a rich source of Iodine. Deficiencies of any of these minerals can prevent the conversion of T4 to T3 and should be corrected. Sufficient protein iodine and especially the amino acid tyrosine are necessary to make T4 in the thyroid gland. Soy supplements are known to boost thyroid output.

The amino acid tyrosine is converted into thyroxine, or T4.

DHEA, a hormone that enhances the body's metabolic functioning, may also be deficient in individuals with hypothyroidism.



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