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  • 1. “Overcoming Hypothyroidism: The Ultimate Guide to Recovery” Free Chapter by Petra Mitova ThyroidDiseaseSucks.comDISCLAIMERNo part of this publication may be reproduced, stored in a retrieval system, or transmitted in anyform or by any means, electronic, mechanical, photocopying, recording, scanning, or otherwise,except as permitted under Section 107 or 108 of the 1976 United States Copyright Act, withoutprior written permission of the Publisher.While the publisher and author have used their best efforts in preparing this book, they make norepresentations or warranties with respect to the accuracy or completeness of the contents of thisbook and specifically disclaim any implied warranties of merchantability or fitness for aparticular purpose. No warranty may be created or extended by sales representatives or writtensales materials. The advice and strategies contained herein may not be suitable for yoursituation. You should consult with a professional where appropriate. Neither the publisher norauthor shall be liable for any loss of profit or any other commercial damages, including but notlimited to special, incidental, consequential, or other damages. Copyright © 2012
  • 2. What’s Sabotaging Your Thyroid?Most doctors nowadays want you to believe that treating hypothyroidism isas simple as taking a pill every morning. The body doesn’t really work thatway, however. There’s always a reason behind a condition and there aremany different factors that affect the health of your thyroid. Even thoughyour hypothyroidism might have been caused by one initial problem, thatone problem quickly creates a domino effect and before you know it, youcould be dealing with a number of problems that all need to be fixed inorder to heal your thyroid. Here are some common factors that play a role indeveloping hypothyroidism:1. Leaky GutThe leaky gut syndrome is a name given to a very common healthdisorder in which the basic organic defect is an intestinal lining which ismore permeable (porous) than normal. The abnormally large spacespresent between the cells of the gut wall allow the entry of toxic materialinto the blood stream that would, in healthier circumstances, be repelledand eliminated.You might think you don’t have leaky gut because you have no digestiveproblems. I’m here to tell you that if you have Hashimoto’s, you do have aproblem within your digestive system. You might not realize it but there is aconnection between your thyroid and your digestive system, and a foodintolerance can also present with inflammation in the joints, skin,respiratory tract and brain, without any obvious gut symptoms.The gut becomes leaky in the sense that bacteria, fungi, parasites and theirtoxins, undigested protein, fat and waste normally not absorbed into thebloodstream in the healthy state, pass through a damaged,hyperpermeable, porous or "leaky" gut. This can be verified by special gutpermeability urine tests, microscopic examination of the lining of theintestinal wall as well as the bloodstream with phase contrast or darkfieldmicroscopy of living whole blood.The leaky gut syndrome is almost always associated with autoimmune diseaseand reversing autoimmune disease depends on healing the lining of thegastrointestinal tract. Any other treatment is just symptom suppression.Copyright © 2012 Overcoming Hypothyroidism: The Ultimate Guide to Recovery
  • 3. Physicians are increasingly recognizing the importance of the gastrointestinaltract in the development of allergic or autoimmune disease. Understandingthe leaky gut phenomenon helps us with safe and effective therapies tobring the body back into balance. Due to larger than normal spaces betweenthe cells of the gut wall, larger than usual protein molecules are absorbedbefore they have a chance to be completely broken down as occurs when theintestinal lining is intact. The immune system starts making antibodiesagainst these larger molecules because it recognizes them as foreign,invading substances. The immune system starts treating them as if they hadto be destroyed. Antibodies are made against these proteins derived frompreviously harmless foods. Human tissues have antigenic sites very similarto those on foods, bacteria, parasites, Candida or fungi.The antibodies created by the leaky gut phenomenon against these antigenscan get into various tissues and trigger an inflammatory reaction when thecorresponding food is consumed or the microbe is encountered.Autoantibodies are thus created and inflammation becomes chronic. If thisinflammation occurs at a joint, autoimmune arthritis (rheumatoid arthritis)develops. If it occurs in the thyroid gland, autoimmune thyroditis may bethe result. If it occurs in the brain, myalgic encephalomyletis (a.k.a. chronicfatigue syndrome) may be the result. If it occurs in the blood vessels,vasculitis (inflammation of the blood vessels) is the resulting autoimmuneproblem. If the antibodies start attacking the lining of the gut itself, theresult may be colitis or Crohns disease. If it occurs in the lungs, asthma istriggered on a delayed basis every time the individual consumes the foodwhich triggered the production of the antibodies in the first place. It is easyto see that practically any organ of the body tissue can become affected byfood allergies created by the leaky gut. Symptoms, especially those seen inconditions such as chronic fatigue syndrome, can be multiple and severelydebilitating.For example, Hashimoto’s sufferers are often advised to eliminate glutenfrom their diet. Several studies show a strong link between autoimmunethyroiditis (both Hashimoto’s and Graves’) and gluten intolerance. The link isso well-established that researchers suggest all people with thyroiditis bescreened for gluten intolerance, and vice versa. What explains theconnection? It’s a case of mistaken identity. The molecular structure ofgliadin, the protein portion of gluten, closely resembles that of the thyroidgland. When gliadin breaches the protective barrier of the gut, and entersCopyright © 2012 Overcoming Hypothyroidism: The Ultimate Guide to Recovery
  • 4. the bloodstream, the immune system tags it for destruction. Theseantibodies to gliadin also cause the body to attack thyroid tissue. One reasongluten intolerance goes undetected in so many cases is that both doctorsand patients mistakenly believe it only causes digestive problems. But glutenintolerance can also present with inflammation in the joints, skin, respiratorytract and brain – without any obvious gut symptoms.I show you exactly how to fix your leaky gut in the “You Are What You Eat”Chapter.2. DysglycemiaDysglycemia refers to abnormal blood sugar levels from any cause whichresults in disease. Hyperglycemia is a condition in which glucose levels arehigher than usual; hypoglycemia is a condition in which blood glucose levelsare lower than normal. Low blood sugar decreases the conversion of T4 toactive T3 in your liver, and it signals your body to increase the stresshormone, cortisol, which breaks down your muscle tissue in order to keepyour blood sugar from dropping to dangerously low levels. Insulinresistance is a condition where the natural hormone insulin, becomes lesseffective at lowering blood sugars. The resulting increase in blood glucosemay raise levels outside the normal range and cause adverse health effects.Insulin is a thyroid growth factor that stimulates proliferation of thyroid cellsin culture. A 2008 study of 111 euthyroid women determined that highercirculating levels of insulin cause increased thyroid proliferation. The clinicalmanifestations are larger thyroid volume and the formation of nodules.Thus, the thyroid gland appears to be another victim of the insulinresistance syndrome.In order to improve thyroid function, dysglycemia must be addressed. Aneasy and healthy way to maintain your blood sugar levels steady is to eatplenty of ripened fruit. It’s naturally high in potassium, which helpsregulate your blood sugar by reducing the amount of insulin that your bodyneeds to properly absorb the sugar. In fact, the sugar from fruit is apowerful blood sugar regulator. And this is because it has the unique abilityto either increase or decrease your blood sugar depending on what yourbody needs. It also reduces your tendency to store fat.Copyright © 2012 Overcoming Hypothyroidism: The Ultimate Guide to Recovery
  • 5. Sugar from fruit is different from other forms of sugar which cause yourblood sugar to rise rapidly, and this in turn causes your body to secrete alarge amount of insulin in order to remove the sugar from your bloodstream.Another important factor in managing your blood sugar levels is to reduce toa minimum polyunsaturated fats from your diet, which can lead to insulinsensitivity and eventually, diabetes. Another useful tip is that many peopleneed to eat something before they go to bed in order to help them maintaintheir blood sugar levels throughout the night. In fact, low blood sugar is anextremely common cause of night waking and insomnia. This is becausewhen blood sugar is low, stress hormones rise. And oftentimes, adrenalinewill rise high enough to wake you up. Some people might argue that eatingbefore bed might cause weight gain. I don’t agree with that, I always have asnack before bed and sleep throughout the night without waking up whereasbefore, when my last meal was around 6pm I used to wake up hungryseveral times a night. I follow a special diet and even though I wasdiagnosed with hypothyroidism, I have not gained a single pound. In thechapter “My Diet” I give you my exact meals schedule and tell you how tomaintain healthy blood sugar levels, what foods to avoid and what foods toinclude in your daily diet.3. Unbalanced Estrogen LevelsEstrogen dominance is a metabolic state where the level of estrogen outweighsthe level of progesterone in the body. Estrogen is everywhere in ourenvironment – you’d have to virtually live in a bubble to escape the excessestrogens were exposed to through pesticides, plastics, chemicals, birth controlpills, industrial waste products, car exhaust, meat, soaps and much of thecarpeting, furniture and paneling that we live with indoors every day. It appliesto both men and women, as men accumulate estrogen as well. Excessiveestrogen has been shown to play a role in the development of hypothyroidism.Estrogen inhibits the thyroid’s ability to secrete hormones, and theseunsecreted hormones tend to build up in the thyroid.Your body doesn’t get the hormones you need and you become hypothyroid.So you can see how important it is to not only treat your thyroid but addressall the other issues you’re having.There are several things you can do to reduce your exposure to estrogenthat comes from the environment. Avoid plastic containers for storing food,and especially if you are heating or freezing it – that’s when the largestCopyright © 2012 Overcoming Hypothyroidism: The Ultimate Guide to Recovery
  • 6. amounts of toxic chemicals leach in your food. Avoid phyto-estrogenic foodssuch as broccoli, soy bean products, certain teas, chocolate, coffee andwine, sesame seeds, wheatberries, fenugreek, oats, barley, dried beans,lentils and yams. Consider a different form of birth control pills - women whouse estrogen-containing birth control pills are at a 3- to 6-fold increased riskof developing blood clots. Blood clots may lead to deep vein thrombosis,heart attack, or stroke. Try to buy organic food as much as possible –herbicides and pesticides are big sources of environmental toxins in ourbodies.There are also foods that act like a sponge, soaking up the excessestrogen within your digestive tract and preventing your body fromreabsorbing it. I talk about this in more detail in the “What to Eat” chapter.4. Congested LiverThe liver is one of the most vital organs in our body and also one of thehardest working ones. The main symptom related to any liver disease istiredness. The main function of the liver is to remove toxins from the body,which can include varied chemical as well as physiological substances.When the liver is overloaded with work then it can face problems in clearingtoxins from your body, which results in congested liver or liver congestion.Your thyroid makes mostly T4 (the inactive hormone) and a little bit of T3(the active form). About 70% of T3 in your body is converted from T4 byyour liver, so if your liver isn’t functioning properly, it wouldn’t convertthese hormones efficiently and that leads to hypothyroidism. T4 thenaccumulates in the body, and a signal is sent to the thyroid to stopproducing so many hormones, slowing it down even further.Another issue with a congested liver is that it can no longer properly storesugar. This stored sugar plays an important role in your ability to maintainsteady blood sugar levels throughout the day. When that happens, yourblood sugar level drops, your body gets stressed and sends a signal toyour adrenals to release stress hormones.In order to keep your liver healthy, try to reduce your exposure to toxins asmuch as you can. Your liver also needs nutrients in order to convert thyroidhormones. One such mineral is selenium; 200 mcg of selenium per day hasbeen also shown to reduce TPO-ab and TG-ab in Hashimoto’s patients inCopyright © 2012 Overcoming Hypothyroidism: The Ultimate Guide to Recovery
  • 7. several studies. I show you what other vitamins and supplements to take tomaintain proper thyroid function in the “Vitamins and Supplements” chapter.5. StressStress produces an adrenaline rush in the fight or flight response. Chronic,prolonged stress suppresses our immunity and makes us vulnerable toillness and disease. Under normal conditions, your body maintains abalanced state of health. But, when exposed to constant and chronic stress,the system breaks down. You become vulnerable - not only to stresssymptoms like headaches or nausea, but also to long-term immune systemdisorders and other diseases and illnesses. In fact, nearly 70% of allillnesses and diseases can be attributed to stress, says stress isn’t confined to just emotional stress as many people think;stress can be physical, dietary, environmental, etc.So how does this affect your thyroid? Stress hormones inhibit the conversionof T4 to T3, and increase the production of Reverse T3 (rT3) which stopsyour body from using T3 (the active thyroid hormone). When under stressyour body naturally slows down your thyroid and shuts down non-essentialbody functions – for example, digestion is slowed, and your immune systemis weakened. Your body does this so you can “survive” or outlast the stress,which is actually helpful if you really are in danger.But in modern society stress is an integral part of life, and we don’t knowhow to turn it off. When stress is excessive, prolonged and chronic, itactually breaks down our body’s defense mechanism and leaves you openand vulnerable to disease and illness. You may find that you get colds moreoften, or you come down with the flu.I discuss the effects of stress in more detail in the “The Role of Stress inHashimoto’s Disease” chapter, as well as some methods and techniquesto help you relieve and reduce stress.6. Too Much ExerciseWhile exercise is essential for maintaining your health and well-being, toomuch exercise can have the opposite effect. In fact, many professionalathletes suffer from hypothyroidism, because the physical stress theyplace on their bodies leads to adrenal fatigue, which in turn leads toCopyright © 2012 Overcoming Hypothyroidism: The Ultimate Guide to Recovery
  • 8. hypothyroidism. Oftentimes hypothyroid patients have issues with weightgain, so they think that exercise will help them lose the extra weight. Buttoo much exercise or the wrong kind of exercise only makes you even morehypothyroid. Intense exercise requires your body to use up a lot of sugarrather quickly but if your liver can’t properly store sugar then you don’t haveenough sugar to burn. In that case your body will have to increase stresshormones to break down your muscle tissue to use as sugar. In the endyou’re left with even less muscle and more fat, especially around yourabdomen. Several studies have even showed that over-exercising can stopyour body from producing the active thyroid hormone immediately. So ifyou’re considering an intense workout, you might want to reconsider that.You should never exercise on an empty stomach or early in the morning.That’s when your stress hormones are highest, and exercise will cause themto rise even higher for longer periods of time. Eating breakfast in themorning and balancing your blood sugar is generally when your stresshormones return to normal. Walking, Yoga, bike-riding, swimming, deepbreathing, meditation, or stretching are fine. Don’t engage in vigorous orintense aerobic exercise, which depletes the adrenals. I discuss this subjectin more detail in “The Importance of Sun, Fresh Air and Exercise” and “TheAdrenals – The Workhorses of Your Body” chapters.7. Dental ProblemsYou’re probably wondering what your teeth and dental problems have to dowith your thyroid. Most people don’t realize that bacteria from your mouth,untreated cavities and root canals can spread throughout your body andmake you very sick. Failing to brush your teeth twice a day cansignificantly increase the risk of developing heart disease, according to anew study, led by Professor Richard Watt from University College London.What’s more, approximately 80% of the population has inside their mouthsthe most toxic non-radioactive substance on the planet. This known poison ismercury, and it comprises 50% of all "silver" amalgam fillings that areplaced in people’s mouths during routine dental procedures. According toscientists Sharma and Obersteiner at Utah State University, mercury is evenmore toxic than aluminum, lead, cadmium or arsenic. They state thatmercury is "a strong protoplasmic poison that penetrates all living cells ofthe human body. Mercury is a powerful biological poison with no necessarybiological function." The harmful effects of mercury on the body are almostCopyright © 2012 Overcoming Hypothyroidism: The Ultimate Guide to Recovery
  • 9. too numerous to count. In many cases it can take up to twenty-five years fordisease symptoms from mercury poisoning to manifest.I myself had 5 mercury fillings which were placed on my teeth 20 years ago. Ihad all of them removed in May 2012 by a holistic dentist, and noticed aconsiderable improvement in my health in the following months. Surfaceparticles of elemental mercury from amalgams are acted upon by oral andintestinal bacteria to produce methyl mercury, an even more toxic form ofmercury that targets the pituitary gland, thyroid gland, and the brain.Research has implicated amalgams (silver dental fillings) as a contributingfactor in developing Hashimoto’s. Dental amalgam is the largest source ofmercury in most people with amalgam fillings and it is well That most with many chronic health problemssignificantly improve after amalgam replacement is also well & A new studyconcluded that “Removal of dental amalgam decreases anti-TPO and anti-Tgautoantibodies in patients with autoimmune thyroiditis.”Research conducted as early as a decade ago reported that old fillingsviewed under an electron microscope showed holes where the mercury hadevaporated, releasing 40% of the mercury into the body over a ten yearperiod. The U.S. environmental protection safety limits for mercury exposureare 10 micrograms per day, yet mercury released from fillings cancontribute up to three times this amount, just from the simple acts ofchewing, brushing the teeth, or drinking hot liquids. Studies show that theaverage person makes and swallows 1.5 liters of saliva a day. Yet, if theyhave as few as four amalgams present in their mouth, their saliva is so highin mercury they cannot legally spit into the toilet in the USA. In fact,amalgam that has been drilled out of teeth must be collected by a specialtoxic waste disposal company in three airtight metal containers locked oneinside the other and labeled with a skull and crossbones. Yet this material isconsidered safe when placed in our mouths?Mercury and toxic metals block enzymes required to digest milk casein andwheat gluten, resulting in dumping morphine-like substances in the bloodthat are neurotoxic and psychotic. That might explain why some hypothyroidpatients report “feeling like crazy.” Another interesting fact is that seleniumhelps remove mercury from the body, as well as it lowers TPO-ab (thyroidCopyright © 2012 Overcoming Hypothyroidism: The Ultimate Guide to Recovery
  • 10. peroxidase antibodies) and TG-ab (Thyroglobulin antibodies) countin Hashimoto’s patients.I discuss this matter in more detail in the “It All Comes Down to theGut” chapter.I hope you enjoyed reading this free chapter and decided to take the firststeps towards reversing your hypothyroidism. If you’d like to download thebook “Overcoming Hypothyroidism: The Ultimate Guide to Recovery” headover to and order your copy to get instantaccess to all the information that helped me regain my health. If youchoose not to order it, at least apply the things you learned in this freechapter, and I’m sure you’ll see positive results.To your recovery,Petra MitovaCopyright © 2012 Overcoming Hypothyroidism: The Ultimate Guide to Recovery