DrRic The thyroid (slide share edition)

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DrRic Saguil's short presentation on Thyroid Disorder with yoga as a controlling measure while waiting for medical intervention to work.

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DrRic The thyroid (slide share edition)

  1. 1. The Thyroid
  2. 2. Facts • Ancestral origin developed as animals left sea • Active starting from fetal age “week 4” • Secreting at fetal age “week 18” • Responsible for packaging iodide and transporting it into the cell • Also houses parafollicular cells (calcitonin) • Shields the parathyroid gland (parathormone)
  3. 3. Post thyroidectomy testing:
  4. 4. Salmon Calcitonin
  5. 5. pathology • Hypothyroidism –underactive • Hyperthyroidism-overactive • Subclinical Hypothyroidism-underactive
  6. 6. Hypo • Age • Infections (viral) • Surgical • Auto “digestion” (auto immunity s/e) • Radiation (2011 Tohuko Earthquake/Tsunami) • Cancer • Drugs (lithium)
  7. 7. Hypo symptoms • Fatigue/weakness • Weight gain • Depression • Low voice • Constipation • Poor memory • Intolerance to cold • Brittle nails, dry skin, coarse/thin hair • Irregular mense (>5-7 d)
  8. 8. Long term Hypo • Intellectual disability/social out casting • Psychological labeling • Myxedema coma • Heart failure +/-
  9. 9. hyper • Autoimmune (early phase) • Pregnancy • Foods • Infection/inflammation • Iatrogenic
  10. 10. Hyper symptoms • Nervousness/anxiety • Weight loss • Insomnia • Irregular heart beat • Diarrhea • Hyperhydrosis, rash, thin falling hair
  11. 11. Long term Hyper • Heart enlargement • Myxedema (thick skin shins/feet) • Graves ophthalmopathy • Psychological labeling
  12. 12. “Subclinical” Hypo • “Wastebasket Dx” • Blood tests normal • All the symptoms of Hypo • Some studies show females > 60 = 20%
  13. 13. Long term Subclinical Hypo • Social withdrawal • Psychological labeling • Withdrawal from western medicine (+) • Small % go onto Hypo
  14. 14. Imbalances in a nutshell • T4 (thyroxine) • T3 (triiodothyronin) • TSH (thyroid stimulating hormone)
  15. 15. T4 • The cool molecule created by land animals to carry iodide throughout the blood and deliver to the cell-most attached to TBG • Most thyroxine is bound (but free is included in the total) • Free is “active” can be calculated (FreeThyroxineIndex) • Free T4 (0.9-1.8ng/dL)
  16. 16. T3 • Less in amount but also attached to TBG • Seems to have greater effect on the way the body utilizes energy • Better to get free T3 (240-450pg/dL)
  17. 17. Exogenous hormone • Levothyroxine sodium (levothyroid, levoxyl, synthroid) • Dessicated thyroid (armour/nature thyroid) • Armour=corn fed/Nature=grass fed) • Compounded Armour • Liothyroinine sodium (cytomel) • Liotrix (thyrolar) • Compounded Liotrix • The New England Journal of Medicine 1999;340:424-429, 469-470
  18. 18. TSH • Hormone secreted by the pituitary gland • Increase means brain thinks thyroid slow • Decrease means brain thinks thyroid fast • Supersensitive TSH (1-1.5mIU/L) • THR (thyroid releasing hormone for pituitary loop function)
  19. 19. Thyroid antibodies • Thyroid peroxidase antibody • Antithyroglobulin antibodies • Problem: what is causing the antibodies to attack? • Further investigation (Naturopathy)
  20. 20. Goitrogens • Cabbage • Brussel sprouts • Broccholi • Califlower • kale
  21. 21. Iodine • Supplanted by the government in salt, and in some countries flour and cooking oil • Potassium iodide created after dash diet • Lack of can cause goiter or low production thyroid • Poor nutrition bringing back low iodine • Chlorine, florine, bromine compete

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