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So the topic today is the best medications for Hashimoto's. And I'm assuming that the question is relevant to hormone replacement therapy and for thyroid. And this is a great question and I could go on for a long time on this but I won't. But here's the deal, okay. I'm considered an alternative healthcare practitioner and I am functional medicine, functional neurology. And yet even in my world, the research is going more and more towards the earlier you can get the person on hormone replacement therapy, the better. There's a couple of problems there. The person's got Hashimoto's and they got all kinds of triggers hitting them. Their TSH is going to be all over the place. They can have inflammation. It's hard to get the proper numbers to even put that person on hormone replacement therapy.

I had a lady in here yesterday and she was like, "Yeah, and I go to the doctor and then he gives me the thyroid hormone and then I get shaky and jittery and all that type of stuff. And then he takes this away and then I'm done." Because that doctor really can't, she hasn't even started care yet and she's got some of the 20 or 30 or 40 triggers that are there. Until you get those triggers under control it's hard. Really, it's hard to dose thyroid hormone. Now, the question is, what's the best one? The answer is you don't know until you figure out what's the best one for that patient. I'll give you a couple of real quick examples. I think you just need to get this idea and this is a challenge for me because if a patient comes in, they have Hashimoto's they're not on thyroid hormone we'll probably say.

It might take 3 or 6 or nine or 12 months to figure out which is the right one for them. Their doctor might have a hard time figuring that out and they might hit it the first time and everything's off. I usually won't have that patient consider getting thyroid hormone replacement therapy until we pull all the triggers until we whatever, if it's their gut or if it's stress hormones or whatever thing we have to fix to get the thyroid under control. I'll usually wait but here's the deal. You go to a doctor and is it natural or is it synthetic or is it compounded or is it not compounded? And all of those things can be relevant to what's right for that particular person.

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