Diagnosing Thyroid Issues from a Functional Medicine Perspective:

When evaluating thyroid issues from a Functional Medicine perspective, a comprehensive diagnosis and evaluation may require several tests. These tests can help identify the underlying causes and imbalances contributing to thyroid dysfunction. Some of the key tests include:

1. TSH (Thyroid-Stimulating Hormone):
   • TSH levels indicate the communication between the hypothalamus, pituitary gland, and thyroid gland.

   • Elevated TSH levels may suggest hypothyroidism, while low TSH levels may indicate hyperthyroidism.

     Total T4 (Thyroxine):

   • Total T4 measures the total amount of thyroxine in the blood.

   • Low total T4 levels may indicate hypothyroidism, while high levels may suggest hyperthyroidism.

     Free T4 (Free Thyroxine):

   • Free T4 measures the unbound form of thyroxine, which is the active hormone that affects metabolism.

   • Low free T4 levels may indicate hypothyroidism.

     Free T3 (Free Triiodothyronine):

   • Free T3 measures the unbound form of triiodothyronine, the most active thyroid hormone.

   • Low free T3 levels may suggest hypothyroidism.

     Thyroid Antibodies:

   • Testing for thyroid antibodies helps identify autoimmune conditions such as Hashimoto's Thyroiditis or Graves' Disease.

   • Elevated levels of antibodies indicate immune system attacks on the thyroid gland.

     Reverse T3 (Reverse Triiodothyronine):

   • Reverse T3 is an inactive form of T3 that can interfere with the conversion of T4 to active T3.
   • Elevated reverse T3 levels may suggest a disruption in the conversion process.

Thyroid issues can result from various factors, including sluggish thyroid function, nutrient deficiencies, immune system dysfunction, or imbalances in the hypothalamus-pituitary-thyroid axis. Functional Medicine aims to identify and address the root causes of thyroid dysfunction for effective treatment.

Please note that interpreting these test results requires expertise from a qualified healthcare practitioner. If you have any concerns about your thyroid health, we recommend consulting with a healthcare professional experienced in Functional Medicine.

Hashimoto's Thyroiditis: Hashimoto's Thyroiditis is the most common cause of hypothyroidism in adults. It is an autoimmune disorder that results from a combination of genetic predisposition, leaky gut, inflammation, and triggers such as stress, illness, pregnancy, hormonal imbalances, or toxins.

Diagnosis of Hashimoto's Thyroiditis:To diagnose Hashimoto's Thyroiditis, a blood test is required to check for antibodies to the thyroid.

Treatment for Hypothyroidism and Hashimoto's Thyroiditis:

Hypothyroidism Treatment: The most common treatment for hypothyroidism is levothyroxine, a synthetic T4 hormone. However, some individuals may have difficulty converting T4 to the more active form, T3. In such cases, a combination of T4 and T3 may be beneficial. Here are two treatment approaches:

1. Addition of liothyronine (T3): This can be prescribed alongside T4. It can be obtained from a regular pharmacy (brand Cytomel) or through a compounding pharmacy. T3 has a shorter half-life, so it may be necessary to take it twice daily.
2. Use of Porcine Glandular thyroid preparation: Examples include Armour Thyroid, NP thyroid, and Naturethroid. These tablets are made from freeze-dried porcine thyroid gland and contain both T4 and T3. Many patients and functional medicine doctors prefer this option as it closely resembles the natural thyroid hormone production.

Hashimoto's Thyroiditis Treatment: Treating Hashimoto's requires addressing the root causes of the condition. Gluten is often problematic for individuals with Hashimoto's as it is associated with autoimmune disorders. Additionally, the molecular structure of gluten resembles thyroid tissue, leading to confusion and exacerbation of Hashimoto's symptoms.

If you have Hashimoto's or suspect you may have it (or any autoimmune disorder), it is highly recommended to completely remove gluten and dairy from your diet. These dietary changes can help manage symptoms and reduce inflammation.

Please note that individual treatment plans may vary, and it is important to consult with a healthcare professional experienced in treating thyroid disorders and autoimmune conditions for personalized guidance.