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So Hashimoto's and neuropathy is the topic today. The question of the day can they be connected? Yeah. 

So yeah, they can be connected note a fairly decent amount of the time. There's a lot of different types of neuropathy. Okay. Right now, I think they've lost count. I think they're up to like a hundred different causes of neuropathy, but they're small fiber off these there's mixed fiber and ROP these, and there's a large fiber neuropathies and the small fiber neuropathy. These are the ones that the Hashimoto's can be involved in. And these are sensory nerves. And you would know that you had small fiber neuropathy by the fact that you would get numbness, tingling, burning sharp shooting pains. These are, these are the small fibers being irritated by inflammation by the most common cause of those symptoms and the most common cause of small fiber neuropathy is pre-diabetes.

But one of the next most common causes of small fiber off the is Hashimoto's, which is an immune, which is autoimmune thyroid disease. And and really it's, it's comes from inflammatory responses that create thyroid dysfunction. And that affects just about everything in your system. But but the antibodies apparently can cross connect with with doing damage in your feet. There there's, there's, there's a couple of different crosses in this small fiber neuropathy. I think there's one of those hundred different things that can cause peripheral off. The only about eight are involved in causing small fiber neuropathy. And again, as I said, in some resistance pre-diabetes metabolic syndrome, whatever you want to call it. All of those are the most common cause I would say the second most common cause is probably the immune inflammation and that immune inflammation comes can come from.

Hashimoto's and then, and then Hashimoto's kinda cross reacts with gluten. So there's actually something called gluten sensitive, small fiber neuropathy which is you, you pray that you have this because you stop eating gluten, your peripheral neuropathy goes away and it has to do with different mechanisms that ultimately end up creating inflammation to the small fibers in your feet. The nice part about it, if you have Hashimoto's related small fiber neuropathy, the nice part about that is once you start to pull the triggers and get the immune responses against the Hashimoto's under control, a pretty significant amount of the time, percentage of the time that small fiber neuropathy will resolve. And and so, whereas that's not necessarily the case with the other neuropathies that we talked about in the beginning, the mixed fiber neuropathies tend to improve, but maybe not as much in the large fibers, they don't improve at all with with most of the things that, that you would try with diet and nutrition and lifestyle changes.

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