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The most common conversations that I have with my Hashimoto's patients is the wonderment of the patient going, "And it's crazy you know, I have a good day or two, and then I go out and I do this, and I go out and then I clean the house, and then I go out shopping, and then I do my exercise at the gym and then boom, I hit the wall and I just crash. Sometimes, one of the patients I was talking to yesterday says, sometimes I crash for a couple of hours, sometimes I crash for a couple of days, sometimes they crash for three weeks. What we call that is a person's metabolic capacity is low. Meaning that when your physiology is working normally, whatever that is today, but normally is your blood sugar is good, you're getting good oxygen.

There's no inflammation going on, your nutrients are good, you're absorbing your foods, you're getting good nutrients, you're feeling good, you're sleeping good, and you're getting a little exercise and all that type of stuff. You have better substrates going to your cells so you have better light. You know, you have better minerals, you have vitamins, you have all that stuff getting to your cells, basically. Your cells need them because in cells, there's these little organelles, little factories called mitochondria and these guys make energy. They need a lot of that stuff to make energy. They need oxygen, they need sugar, they need all these different things. They need certain B vitamins and they need a lot of different things. Coenzymes, things of that nature, and then they make energy. When you crash

It's because that mitochondria is just like, instead of that much substrate, it's got that much. This is very common with Hashimoto's because there are a lot of things that occur to dampen that. For example, inflammation alone will neutralize your cells and it'll damage the cell walls up all of your cells. We now also know that it will actually create an inflammatory response on the cell, on the wall of the mitochondria. Here's your cell, here's this tiny little mitochondria, in fact, you have lots of them in there. The outside wall of that mitochondria actually gets inflamed and then that creates an inability of nutrients to get in and out. When you have Hashimoto's, as most of you know, it's a highly inflammatory disease in its most aggressive state and not all of you are in that inflamed state. But there are other things that will cause even those who are not in that inflamed state to have, that one of them will be a lack of oxygen.

For example, if you have sleep apnea and you're not getting enough oxygen into the cells, then the cell becomes damaged. The cell becomes, the immune response to the cell becomes damaged. You get the inflammation, the mitochondria doesn't work. In the end, if I went through all of the things that caused that, that added up to cause your cell to not be able to respond, when you want it to use all that energy, I would be here for quite some time, cause there's like 39 different things. Those of you watch us a lot, I do use the term 39 a lot because there are 39 different things that we know of, maybe next year it'll be 42, I don't know.

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Martin P. Rutherford, DC

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