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Dr.Vivian DeNise
Patients Medical
 A full-service, holistic medical center
 Integrate modern medicine with holistic
practices
www.patientsmedical.com
www.patientsmedical.com
800 Second Avenue, Suite 900 (between 42nd and 43rd) NYC 10017
 Promote healing and prevent disease
 Focus on the root cause of symptoms
 Avoid a “Band-Aid” cure
www.patientsmedical.com
Defining Integrative Medicine
www.patientsmedical.com
Introducing our speakers:
Vivian DeNise, DO
ABAARM, FAARM
Integrative Internal Medicine
Holistic Pediatrics
www.patientsmedical.com
 Completed her medical degree
at NewYork College of
Osteopathic Medicine
 Certified in Integrative Medicine
with the American Academy of
Anti-Aging Medicine (A4M)
www.patientsmedical.com
 Specialties include
 Thyroid Disorders
 BalancingAdrenal Function
 Detoxification
 Hormonal Imbalances
 Nutritional Deficiencies
 Weight Loss
 Gastro-Intestinal Problems
 Women’s and Men’s Wellness
 Pediatrics
 And many more!
www.patientsmedical.com
www.patientsmedical.com
www.patientsmedical.com
www.patientsmedical.com
www.patientsmedical.com
 Affects tissue repair and
development
 Aides in the function of
mitochondria (energy
makers of the cell)
 Assists in the digestion
process
 Controls hormone excretion
 Controls oxygen utilization
 Modulates blood flow
 Modulates carbohydrate,
protein, and fat metabolism
 Modulates muscle and nerve
action
 Regulates energy and heat
production
 Regulates growth
 Regulates vitamin usage
 Stimulates protein synthesis
www.patientsmedical.com
 T2
 TSH-made in the pituitary gland
 T4-made in the thyroid gland
 T3-converted fromT4 primarily in liver and kidneys
 ReverseT3
www.patientsmedical.com
 Good metabolism
 Focus and concentration
 Positive attitude
 Good digestion
 Healthy immune system
 Brain wellness
 Clear skin
 And much more!
www.patientsmedical.com
www.patientsmedical.com
Low function = HYPOthyroidism
Over function = HYPERthyroidism
www.patientsmedical.com
 Anxiety/panic attacks
 Brittle nails
 Coarse, dry hair
 Cold hands and feet
 Constipation
 Decreased memory
 Low libido
 Depression
 Diffuse hair loss
 Dizziness/vertigo
 Dry, itchy ear canals
 Endometriosis
 Fatigue
 Fluid retention
 Gall stones
 Headache
 Increased appetite
 Infertility
 Insomnia
 Iron deficiency/anemia
 PMS
 Poor circulation
 Slower reflexes
 Swelling in body
 Weight gain
 And many others…
www.patientsmedical.com
 ADHD
 Chronic Fatigue / Fibromyalgia
 Congestive Heart Failure
 Depression/ Anxiety
 Elevated Cholesterol
 Heart Disease
 High C-Reactive Protein
 Increased Homocysteine Levels
 Insulin Resistance
www.patientsmedical.com
 Aging
 LowTSH
 High ReverseT3
 Hashimoto’sThyroiditis
 Mineral deficiency such as
Iodine, Zinc, Selenium,
Copper and Iron
 Vitamin Deficiency such as
Vitamins A,B2,B3, C and D3
 Hormonal Imbalance such as
low estradiol
 Medications: Beta Blockers,
Birth control phtalate,
Lithium, chemotherapy
 Diabetes
 Heavy metals such as Lead,
Mercury
 Toxins such as PCB’s,
Pesticides, Phtalates
 Stress
 Poor diet
 Excessive alcohol
 Surgery
www.patientsmedical.com
 Synthroid, or Levothyroxine=T4
 Cytomel =T3
 Armour thyroid=T3,T4,T1,T2
www.patientsmedical.com
 Chest pain
 Excessive sweating
 Hair loss
 Heart racing
 Heat intolerance
 Heightened anxiety,
irritability, moodiness or
depression
 Increased bowel
movements
 Muscle weakness
 Staring gaze
 Shortness of breath
 Weight loss
 Insomnia
 Light or absent
menstrual cycles
 Puffiness around eyes
www.patientsmedical.com
Most common cause is Grave’s Disease when the
body makes antibodies against the thyroid.
www.patientsmedical.com
 Dietary ****
 Carnitine
 Beta blockers
 Dexamethasone
 Propylthiouracil
 Radioactive iodine
www.patientsmedical.com
www.patientsmedical.com
 Thyroid Stimulating Hormone (TSH)
 CirculatingT4 (inactive thyroid hormone)
These will tell you if you have an overt or very
common thyroid disorder.
www.patientsmedical.com
 Thyroid Stimulating Hormone (TSH)
 CirculatingT4 (inactive thyroid hormone)
 FreeT4
 T3
 FreeT3
 Anti-ThyroidAntibodies
 Vitamin and Mineral deficiencies
 Thyrotropin Releasing Hormone (TRH) –
StimulationTest
www.patientsmedical.com
 Thyroid Sonogram
 Thyroid Scan
 Biopsy
www.patientsmedical.com
 Get a clearer picture of your thyroid’s whole
health
 TRH can give you information about how your
thyroid communicates with your brain
 Can diagnose more uncommon or slight
thyroid disorders
www.patientsmedical.com
 Take the time to get to know you, as a whole
person – not just a symptom
 Flexibility to offer a variety of protocols – both
conventional and holistic
 Doctor and Patient are partners in creating a
wellness plan
www.patientsmedical.com
www.patientsmedical.com
Dr. DeNise will be here this morning to answer all of
your thyroid health questions.
We welcome you to follow up with her at Patients
Medical for personalized medical care.
www.patientsmedical.com
www.patientsmedical.com
Dr. Rashmi Gulati,
Medical Director
Dr. Kamau Kokayi,
Holistic and Chinese
Medicine
Dr. Stuart Weg,
Alternative Pain
Management
Dr. Vivan DeNise,
Integrative Internal
Medicine and Peds
Dr. Eileen DiFrancesco
Psychopharmacology
Dr. Gino Bottino
Holistic Oncology
Dr. Paul A. Dreschnack
Plastic Surgery
Dr. L. Deanna Howard
Holistic GYN
Dr. Victor I. Rosenberg
Plastic Surgery
Dr. Marcia A. Harris
Holistic GYN and
Internal Medicine
Dr. Alan Coffino,
Nephrology
Dr. Ayman Matta
Holistic Ophthalmology
www.patientsmedical.com
www.patientsmedical.com
www.patientsmedical.com
To get more information or to schedule an
appointment,
call 212-679-9667 or
email media@patientsmedical.com

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Your Thyroid: The Master Gland You May Not Even Know Exists

  • 2.  A full-service, holistic medical center  Integrate modern medicine with holistic practices www.patientsmedical.com
  • 3. www.patientsmedical.com 800 Second Avenue, Suite 900 (between 42nd and 43rd) NYC 10017
  • 4.  Promote healing and prevent disease  Focus on the root cause of symptoms  Avoid a “Band-Aid” cure www.patientsmedical.com
  • 6. Introducing our speakers: Vivian DeNise, DO ABAARM, FAARM Integrative Internal Medicine Holistic Pediatrics www.patientsmedical.com
  • 7.  Completed her medical degree at NewYork College of Osteopathic Medicine  Certified in Integrative Medicine with the American Academy of Anti-Aging Medicine (A4M) www.patientsmedical.com
  • 8.  Specialties include  Thyroid Disorders  BalancingAdrenal Function  Detoxification  Hormonal Imbalances  Nutritional Deficiencies  Weight Loss  Gastro-Intestinal Problems  Women’s and Men’s Wellness  Pediatrics  And many more! www.patientsmedical.com
  • 13.  Affects tissue repair and development  Aides in the function of mitochondria (energy makers of the cell)  Assists in the digestion process  Controls hormone excretion  Controls oxygen utilization  Modulates blood flow  Modulates carbohydrate, protein, and fat metabolism  Modulates muscle and nerve action  Regulates energy and heat production  Regulates growth  Regulates vitamin usage  Stimulates protein synthesis www.patientsmedical.com
  • 14.  T2  TSH-made in the pituitary gland  T4-made in the thyroid gland  T3-converted fromT4 primarily in liver and kidneys  ReverseT3 www.patientsmedical.com
  • 15.  Good metabolism  Focus and concentration  Positive attitude  Good digestion  Healthy immune system  Brain wellness  Clear skin  And much more! www.patientsmedical.com
  • 17. Low function = HYPOthyroidism Over function = HYPERthyroidism www.patientsmedical.com
  • 18.  Anxiety/panic attacks  Brittle nails  Coarse, dry hair  Cold hands and feet  Constipation  Decreased memory  Low libido  Depression  Diffuse hair loss  Dizziness/vertigo  Dry, itchy ear canals  Endometriosis  Fatigue  Fluid retention  Gall stones  Headache  Increased appetite  Infertility  Insomnia  Iron deficiency/anemia  PMS  Poor circulation  Slower reflexes  Swelling in body  Weight gain  And many others… www.patientsmedical.com
  • 19.  ADHD  Chronic Fatigue / Fibromyalgia  Congestive Heart Failure  Depression/ Anxiety  Elevated Cholesterol  Heart Disease  High C-Reactive Protein  Increased Homocysteine Levels  Insulin Resistance www.patientsmedical.com
  • 20.  Aging  LowTSH  High ReverseT3  Hashimoto’sThyroiditis  Mineral deficiency such as Iodine, Zinc, Selenium, Copper and Iron  Vitamin Deficiency such as Vitamins A,B2,B3, C and D3  Hormonal Imbalance such as low estradiol  Medications: Beta Blockers, Birth control phtalate, Lithium, chemotherapy  Diabetes  Heavy metals such as Lead, Mercury  Toxins such as PCB’s, Pesticides, Phtalates  Stress  Poor diet  Excessive alcohol  Surgery www.patientsmedical.com
  • 21.  Synthroid, or Levothyroxine=T4  Cytomel =T3  Armour thyroid=T3,T4,T1,T2 www.patientsmedical.com
  • 22.  Chest pain  Excessive sweating  Hair loss  Heart racing  Heat intolerance  Heightened anxiety, irritability, moodiness or depression  Increased bowel movements  Muscle weakness  Staring gaze  Shortness of breath  Weight loss  Insomnia  Light or absent menstrual cycles  Puffiness around eyes www.patientsmedical.com
  • 23. Most common cause is Grave’s Disease when the body makes antibodies against the thyroid. www.patientsmedical.com
  • 24.  Dietary ****  Carnitine  Beta blockers  Dexamethasone  Propylthiouracil  Radioactive iodine www.patientsmedical.com
  • 26.  Thyroid Stimulating Hormone (TSH)  CirculatingT4 (inactive thyroid hormone) These will tell you if you have an overt or very common thyroid disorder. www.patientsmedical.com
  • 27.  Thyroid Stimulating Hormone (TSH)  CirculatingT4 (inactive thyroid hormone)  FreeT4  T3  FreeT3  Anti-ThyroidAntibodies  Vitamin and Mineral deficiencies  Thyrotropin Releasing Hormone (TRH) – StimulationTest www.patientsmedical.com
  • 28.  Thyroid Sonogram  Thyroid Scan  Biopsy www.patientsmedical.com
  • 29.  Get a clearer picture of your thyroid’s whole health  TRH can give you information about how your thyroid communicates with your brain  Can diagnose more uncommon or slight thyroid disorders www.patientsmedical.com
  • 30.  Take the time to get to know you, as a whole person – not just a symptom  Flexibility to offer a variety of protocols – both conventional and holistic  Doctor and Patient are partners in creating a wellness plan www.patientsmedical.com
  • 32. Dr. DeNise will be here this morning to answer all of your thyroid health questions. We welcome you to follow up with her at Patients Medical for personalized medical care. www.patientsmedical.com
  • 33. www.patientsmedical.com Dr. Rashmi Gulati, Medical Director Dr. Kamau Kokayi, Holistic and Chinese Medicine Dr. Stuart Weg, Alternative Pain Management Dr. Vivan DeNise, Integrative Internal Medicine and Peds Dr. Eileen DiFrancesco Psychopharmacology Dr. Gino Bottino Holistic Oncology Dr. Paul A. Dreschnack Plastic Surgery Dr. L. Deanna Howard Holistic GYN Dr. Victor I. Rosenberg Plastic Surgery Dr. Marcia A. Harris Holistic GYN and Internal Medicine Dr. Alan Coffino, Nephrology Dr. Ayman Matta Holistic Ophthalmology
  • 36. www.patientsmedical.com To get more information or to schedule an appointment, call 212-679-9667 or email media@patientsmedical.com

Editor's Notes

  1. The thyroid is one of the most important glands of your body. It’s been called “the master gland” the “manager” gland and “the brains” of your body’s gland system…it’s kind of like New York to the rest of the country. It is very influential…but you may not even know where it is or what it does.
  2. The thyroid is a 2-inch-long, butterfly-shaped gland weighing less than 1 ounce. Located in the front of the neck below the larynx, or voice box, it has two lobes, one on each side of the windpipe
  3. T3 is 5 times more active than T4T4 can be converted into T3 reverseT2 increases the metabolic rate of your muscles and fat tissues
  4. Hashimoto’s is the most common cause of thyroid disease. According to the World Health Organization 72% of the world population is iodine deficient. It has been noticed in people who swim in indoor pools have an increased incidence in hypothyroidism due to the cholrine replacing iodine.
  5. More common in women than men. Most frequently diagnosed between the ages of 30-40
  6. Hyperthyroidism can be life threatening and Must Always be treated by a physicianDietary includes cruciferous vegetables, such as broccoli, cabbage, cauliflower, kale and brussel sproutsLeafy green vegetables, peaches, pears and soybeans