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Your Hashimoto's auto immune response, stable. The first two things that I look at when a person comes in here with Hashimoto's is, is it an aggressive, unstable Hashimoto's thyroiditis, and aggressive and stable are two different things. Aggressive will be another presentation somewhere along the way, but these influence the manner in which I attack a Hashimoto's case and frankly, even an autoimmune case. But we're talking specifically about a Hashimoto's case right now, significantly as to whether it's stable or not. So, what's unstable? Unstable Hashimoto's first of all, here's the old thyroid here, here's your immune system. Immune system is attacking this and to varying degrees, this thyroid is getting damaged. When they actually put pictures online of a clean looking thyroid section, in a damaged looking thyroid section, it will blow your mind as to what it looks like and it doesn't look good.

Some people are a little damaged, some people a lot of damage, some people, it's just crazy getting damaged all the time. So how do you know? You know, because not everybody who has an immune attack against their thyroid is having an active attack all the time. The people who are not having an active attack, those are people who their TSH is, they come in here, their antibodies may be, it doesn't matter what they are. They could be low, they could be high, they could come in here. I have one right now, whose antibodies are over 2000, which is high. For those of you may not be familiar with the ranges, crazy high range, like zero to nine. When you look at their symptoms, they're not getting heart palpitations.

They're not getting anxiety for no reason at all, they're not getting insomnia or they're getting it like very occasionally that could lead you symptomatically to understand, whether it's stable or not. But the real way to figure out if the person is stable is to just get their history relative to their meds. If you have a Hashimoto's case and every three months, or every six months, or once a year or every year, your doctor has having to increase your medication because your thyroid stimulating hormones, markers, your TSH is the much maligned TSH marker by us, mostly by the functional medicine guys, if it keeps going up. This lets the practitioner know that you may not be having a lot of those symptoms, but your thyroid is getting damaged every year that your thyroid is getting damaged.

It's getting less able to function. Your thyroid stimulating hormone is being called upon more and more to stimulate it, so it keeps going up and up. Your doctor has to keep raising your thyroid medication so that you don't have your hair falling out. Your fatigue, you have an unstable thyroid that affects treatment in a lot of ways. Now this is something that you may never even have heard about. I even know of conversations I've had with other functional medicine doctors that were like, what does that mean? Unstable and TSH. I don't even look at that TSH, it doesn't mean anything.

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Martin P. Rutherford, DC

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