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Showing posts with label thyroid. Show all posts
Showing posts with label thyroid. Show all posts

I Want a New Drug

This day has all of the makings of "one of those days." But what are ya gonna do? My windshield washer on my car won't work. Had to drop it off at the shop. If it weren't the middle of winter, I might not worry about it so much. But I gotta have it on days when it snows—ya know, when trucks pass you and splash crap all over your windshield.

Other stuff suggests that I probably should've got out of bed. But I've decided not to go into any of that here.

New Thyroid Drug
Yesterday, my doctor put me on a new thyroid medication. This is a compound from a pharmacy in Canada. I'll let you know how it works out. I was taking Armour Thyroid. But I've heard that they changed the formula and people weren't doing so well on it. I've been sick for a while. Maybe it's related.

When I was first diagnosed with thyroid disease in the early '90s, I took Synthroid. I never did well on it. My hair fell out, finger nails cracked, and I had horrible painful, periods. Those were just some of the things that happened. For the most part, it was like I wasn't taking anything for my disease.

Then I found Mary Shomon's site. What a Godsend. Up to that point, I had no idea that I had options other than Synthroid. I didn't know that doctors only wanted to treat thyroid disease inside a certain range and that anything inside that range was considered OK or normal. After reading her site, I realized I wasn't getting the treatment I really needed. So I found a doctor who would prescribe something other than the hyped up drug currently being touted. That's when I finally started getting better.

So, we'll see. Maybe this new drug will help me get back to being myself. Depression is a big part of thyroid disease, at least it is for me. I'm hoping this will help.

P.S.
I forgot to explain the previous post. I had to post that phrase on my blog so that a blog service I signed up for could verify my blog. Nothing too mysterious. But kinda funny.

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Iodine

I recently saw a post on Dr. Davis's Heart Scan Blog that reminded me I intended to write about iodine. Iodine is an essential trace mineral. It's required for the formation of activated thyroid hormones T3 and T4. The amount of thyroid hormones in circulation, and the body's sensitivity to them, strongly influences metabolic rate. Iodine deficiency can lead to weight gain and low energy. In more severe cases, it can produce goiter, an enlargement of the thyroid gland.

Iodine deficiency is also the most common cause of preventable mental retardation worldwide. Iodine is required for the development of the nervous system, and also concentrates in a number of other tissues including the eyes, the salivary glands and the mammary glands.

There's a trend in the alternative health community to use unrefined sea salt rather than refined iodized salt. Personally, I use unrefined sea salt on principle, although I'm not convinced refined iodized salt is a problem. But the switch removes the main source of iodine in most peoples' diets, creating the potential for deficiency in some areas. Most notably, the soil in the midwestern United States is poor in iodine and deficiency was common before the introduction of iodized salt.

The natural solution? Sea vegetables. They're rich in iodine, other trace minerals, and flavor. I like to add a 2-inch strip of kombu to my beans. Kombu is a type of kelp. It adds minerals, and is commonly thought to speed the cooking and improve the digestion of beans and grains.

Dulse is a type of sea vegetable that's traditionally North American. It has a salty, savory flavor and a delicate texture. It's great in soups or by itself as a snack.

And then there's wakame, which is delicious in miso soup. Iodine is volatile so freshness matters. Store sea vegetables in a sealed container. It may be possible to overdo iodine, so it's best to eat sea vegetables regularly but in moderation like the Japanese.

Seafood such as fish and shellfish are rich in iodine, especially if fish heads are used to make soup stock. Dairy is a decent source in areas that have sufficient iodine in the soil.

Cod liver oil is another good source of iodine, or at least it was before the advent of modern refining techniques. I don't know if refined cod liver oil contains iodine. I suspect that fermented cod liver oil is still a good source of iodine because it isn't refined.

Omega-6 Linoleic Acid Suppresses Thyroid Signaling


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Omega-6 Linoleic Acid Suppresses Thyroid Signaling

The thyroid gland controls the body's metabolic rate, among other things. It does this by secreting the thyroid hormones triiodothyronine (T3) and thyroxine (T4). As with any other hormone, the tissue response depends on the amount of hormone and the tissue's sensitivity to the hormone.

For example, in type I diabetes, the pancreas doesn't produce enough insulin to move glucose from the blood into tissues. In type II diabetes, often the tissues are so resistant to the action of insulin that glucose is not effectively transported from the blood into tissues, despite high levels of insulin. Both result in excessively high blood glucose after a meal containing carbohydrate.

In the last post, I discussed a study in which rats on different diets, fed equal amounts of calories and omega-3, gained weight in proportion to the omega-6 linoleic acid content of their diets. 1960s men fed a diet high in linoleic acid also gained weight relative to a more typical control diet containing the same number of calories. Rats deficient in linoleic acid develop an abnormally high metabolic rate. This suggests that the metabolic rate may be supressed by linoleic acid, and leads us to the question: does linoleic acid suppress thyroid signaling?

I was first introduced to the idea by Dr. Ray Peat, who suggests that all polyunsaturated fats (PUFA) suppress thyroid signaling (and should be avoided as much as possible). I couldn't find any credible references in his articles, so I went digging around PubMed myself. It turns out, he's right, and it's been known since at least the 1970s.

The first thing I searched for is whether or not linoleic acid reduces the secretion of T3 or T4 by the thyroid gland. It doesn't seem to, although one study I found used Crisco as the "saturated fat" control group (I'm not making this up!). Next, I looked for studies that evaluated the effect of linoleic acid on tissue sensitivity to thyroid hormones. Here's what I found:

  • A corn oil diet greatly suppresses the liver's response to T4 when compared with an equal amount of lard (5% by weight).
  • A safflower oil diet suppresses the liver's response to T3 when compared with an equal amount of beef tallow (10% by weight).
  • A diet high in linoleic acid (undisclosed source) suppresses the response of brown fat and liver to T3.
This is highly significant, since the liver is one of the major sites of thyroid hormone-responsive heat production. The liver and other visceral organs generate heat largely by activating a pump that pushes ions back and forth across the cell membrane, called the sodium-potassium ATPase. It's basically a way to create heat from chemical energy, like rubbing your hands together.

In another study, investigators showed that rats eating a diet containing 20% beef tallow ad libitum ate more, weighed less and carried less fat than rats eating 20% safflower oil. The
liver sodium-potassium ATPase activity of the safflower group was 26% lower, although the result was not considered statistically significant. Serum leptin was much higher in the safflower oil group. High leptin plus low energy expenditure suggests leptin resistance. The safflower group was eating less food, and gaining more weight, probably because linoleic acid was suppressing its ability to generate heat. This may be partly due to inhibition of the sodium-potassium ATPase, as well as the effects of leptin resistance.

In the 1970s, linoleic acid was
being considered as a treatment for hyperthyroidism:
Further studies should reveal the extent to which observed effects of excess thyroid hormone are amenable to control by dietary polyunsaturated fat.
Linoleic acid may interfere with thyroid signaling by inhibiting thyroid hormone binding to its receptor. Not all PUFA are equal in their ability to promote weight gain. Growing mice fed 15% corn oil develop more fat mass than mice fed 10% corn oil plus 5% perilla oil (rich in omega-3 alpha-linolenic acid). The effect can be blocked by knocking out the prostacyclin receptor, which shows that omega-6 derived eicosanoid signaling is responsible for the "excessive adipose [fat] tissue development" in growing mice. This mechanism is different from thyroid signaling.

Add gluten-induced autoimmune hypothyroidism, goitrogens (thyroid inhibitors) in soy, and endocrine disruptors from plastic like bispheonl-A, and you have potent brew that may strongly promote obesity in Western industrial nations.

The treatment? Dump the vegetable oil, wheat, soy, sugar and processed food in favor of the things the human body is equipped to handle: animal fats, root vegetables, vegetables, fruit, meats, organs, seafood, eggs, nuts and soaked or fermented non-gluten grains and legumes. Throw in some bugs if you're feeling adventurous.

Coconut oil can be particularly helpful because it's almost exclusively saturated, so it doesn't interfere with thyroid signaling. That may be why it increases energy expenditure and aids weight loss. Coconut has a long history of use by healthy non-industrial cultures in tropical areas. The medical literature likes to use the euphemism "medium-chain triglycerides" when referring to the saturated fat in coconut oil because it conceals the fact that it's saturated. Low-carbohydrate diets are also very helpful for weight loss, but I'm not sure it's really due to the carbohydrate itself rather than restricting wheat and sugar. I discussed that concept in this post.

Thanks to Wikipedia for the CC photo.

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Getting My Mojo Back

Prior to the switch in my thyroid medication, my temperature always ranged around 97. Well, last night I took my temperature, and it was 98.5, That's the highest it's been in years. Before, I always felt cold. Now, for the first time in years, I feel warm. I feel like I'm getting it together, too. And all it took was a little more T-3. So many people are different when it comes to the care of whatever ailment they might have. If we were all the same, we would all look alike. And wouldn't that be scary?


I overslept this morning—I'm sleeping better, too—so I didn't get to do the intensive interval workout. But that's OK. I'll get back to it Tuesday—Monday is a holiday. But on a sad note, there's still no aerobics class for September. This is very disturbing. If this keeps up, I'll just go to the university's Rec Center—as it's known. The price is the same, and it's closer to my work. I feel like my workout is suffering because of this. There are at least four people who would take this class. And if they did some better marketing, they might find that more people would be interested.

Now that I'm getting my mojo back, it's time to get serious about losing the rest of the weight. I think I might be able to come up with an eating plan I can live with—see I didn't say diet. My appetite feels like it's been slightly reduced—I said slightly—so that should be beneficial. I hope. I'm really hoping the changes I'm making will help. This has been a very frustrating experience. (Even my skin looks better.)

There's a football game here tomorrow. Traffic is going to be terrible from now until a good 24 hours after it's over. Mountaineer fans are dedicated if they are nothing else. And there's a pep rally of some sort today. That'll really gum things up.

And that's about the size of things today. See you next week.


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I Feel More Present

I finally got my tooth fixed yesterday. It is so much nicer without that sharp-edged tooth. Anyway, my face was numb for close to five hours. Why is it that the numbing seems to get number after you leave the dentist's office? And my breath had that wonderful I've-just-been-to-the-dentist's-office aroma. Gak. That's really hard to get rid of. Today, it feels tender. But not sharp. Yea.


I got some of my meds changed. I feel better already. I got rid of the Lasix altogether and made a switch in my thyroid medication. I now take it like I did a few years ago. The muscle cramps have subsided. I feel a little more focused (not much, just a little). I guess it's that I feel more lucid. I feel more present. I haven't felt this well in a while.

I did 45 minutes on the treadmill and 25 minutes on the bike today. If nothing else, my endurance is remarkable. I'm back to eating tons of fruit. I just love it.

OK. i don't know what else to say.

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Bio-identical Hormones for Menopause

I started taking bio-identical hormones for my perimenopausal symptoms. I think I may be feeling a little better. But I've only been taking them for about five days so it might just be my imagination. I had to do something. I felt horrible. I have been sleeping a little better—well, I didn't sleep well on Saturday night but that's another story entirely. I had my girls on Saturday night and they slept with me. The five-year old does OK. She picks a spot and goes to sleep. The three-year old on the other hand spins like a top. Anyway, I didn't get much sleep.


But back to the drugs. I think they help. At least I'm hoping they do. My doctor wrote a prescription for me that I had to have filled at a compound pharmacy—where they actually mix the drugs in house. Most pharmacies don't do it. Anyway, bio-identical hormones contain all of the hormones your body makes itself but loses at menopause and at the levels your body would make them. Anyway, I don't know if that makes sense.

Taking this compound potion may even help me lose weight. At least some of the stuff online says it might. My doctor said I may have no side effects at all from taking them as well—and that's a good thing, right? God knows I need all of the help I can get in the weight loss department. So, we'll see how this goes.

I worked out this morning. Yea. I got in cardio and strength training. Good way to start the week. With a lot of luck the scale will moving again soon. When they messed with my thyroid meds, I gained a total of seven pounds. I have now lost that weight and am back to where I started. So, I'm hoping things will pick up. It's been almost a year that I've been trying to get my old self back. And I feel better now than have I felt in years. So it's still all good.

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Getting Restless

My life has been pretty boring lately. Nothing much has happened for a while. I just go to the gym, go to work, and then go home. At least we're having good weather today—even if it is just a tease. So I think I'll go for a walk at lunch time. Wow. The excitement never ends.


My weight is still remaining close to the same. But I have put on a couple of pounds. I think that had something to do with the switch in thyroid medication. But I have been eating too much lately. I'm trying to get it under control. I need spring weather in a bad way. I'd like to get Chance out of the house. So much needs done at home, too. Grrrr. I'm ready for spring.

Let's see. So I've been thinking a lot about regret. Does it do any good to regret your past? The things you should've done? The things you shouldn't have? The people you've let down? The people you've hurt? I wish I had a time machine. But I don't. All I can do is ask for forgiveness. Say I'm sorry I hurt you. And hope that I am forgiven. If I'm not, I have to accept it.

I'm thinking of starting a new blog. There's so much more I want to talk about. But I can't really do it here.

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I've Got Spring Fever

I ate lunch at my desk today. I've been busy working on an article that I have to finish. I don't have much enthusiasm to write it though—and that means it's taking a long time.


I'm hoping that the switch in thyroid medication will help. It seems to be. I do feel more like doing something. When the meds were lowered, I didn't have much zest at all. I just wish it were warm outside so I could hit the Rail Trail. Spring Fever is setting in rapidly.

I'm trying to cut back on the amount I'm eating. I know I'm over doing it. But it's hard.

Well, unfortunately today I don't have much time. So I'll end here.

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I Must Have a Negative Charge

Ack. I've been having a lot of trouble with electrical things these days. My electric at home was in such bad shape that my house could've burned down, and today my computer at work crashed. Hmmm. Is it me?


Well, I had to have my thyroid medication increased. So I'm back to my old dosage. I should've stayed there to begin with. And I was really starting to feel hypothyroid. I was bloated and not losing any weight. So we'll see what the increase does. It will probably take a few days for it to regulate. But once the meds were increased, my appetite diminished. I have to get more blood work done in about six weeks. So we'll see.

The weather has been really bad here. I made it to the gym this morning—but the place was bare. The aerobics instructor came in, but I told her she didn't have do a whole class just for me. So I walked on the track for about 45 minutes and did about 35 minutes on the elliptical.

I got my electric repaired at home yesterday. But I am so happy. It's done. Yea. And he really did it up for me. it's always good to have a friend who's an electrician.

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