Dr. Angela Lucterland discusses Hashimoto’s Thyroiditis with Dr. Ben Weitz.
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Podcast Highlights
4:15 Hashimoto’s thyroiditis is the most common autoimmune disease and in the US it accounts for about 95% of cases of hypothyroid. [Hakuru Hashimoto was a Japanese MD and researcher who discovered Hashimoto’s Disease and published a paper on it in 1912.] In general, the conventional medical profession diagnoses hypothyroid via an elevated TSH and prescribes thyroid medication, typically synthetic T4. If you don’t test the antibodies, then you will miss the diagnosis of Hashimoto’s and taking thyroid medication will not fix the autoimmune component. Antibodies are often present 10 years or longer prior to enough tissue damage for someone to feel it, which gives us a huge opportunity to treat it with a Functional Medicine approach. A full thyroid panel should include TSH, Free T3, Free T4, reverse T3, and TPO and TGB antibodies.
6:03 It is important to run both of the thyroid antibodies–both the TPO and the TGB antibodies, even though high TPO antibodies are more common. Ideally we would like to see their labs improve, their symptoms improve, and also see their antibodies go down, then we know that they are improving.
7:05 Dr. Lucterland considers a TSH above 2 or 2.5 to be significant, though it may be useful to measure the TSH several times, since there can be some fluctuation of TSH levels. Also if you take vitamins with biotin, it can affect the measurement of TSH levels, so you should probably avoid taking multivitamins or other vitamins with biotin for a week prior to testing.
11:31 For patients that require thyroid medication, Dr. Lucterland feels that most patients do better with natural thyroid, like Armour vs synthetic T4 like Synthroid, since these natural products have not only T4, but they also include a little T3, which usually makes patients feel better.
13:37 Besides giving thyroid medication, since Hashimoto’s is an autoimmune disease, we need to restore barrier function and restore self tolerance. We need to remove environmental toxins and pathogens.
14:45 To get an idea of barrier function, Dr. Lucterland likes running a comprehensive stool analysis and she includes zonulin, which is a marker for leaky gut, though it is marker that tends to fluctuate quite a bit.
19:15 Before she runs the stool test, Dr. Lucterland will do a month of Lifestyle Intervention, so she will often start with the paleo diet
Dr. Angela Lucterland is a Doctor of Chiropractic and a Functional Medicine practitioner with a specialty in treating patients with autoimmune diseases like Hashimoto’s thyroiditis. Her website is AngelaLucterland.com.
Dr. Ben Weitz is available for Functional Nutrition consultations specializing in Functional Gastrointestinal Disorders like IBS/SIBO and Reflux and also specializing in Cardiometabolic Risk Factors like elevated lipids, high blood sugar, and high blood pressure and also weight loss and also athletic performance, as well as sports chiropractic work by calling his Santa Monica office 310-395-3111. Dr. Weitz is also available for video or phone consultations.
Podcast Transcript
Dr. Weitz: Hey, this is Dr. Ben Weitz, host of the Rational Wellness Podcast. I talk to the leading health and nutrition experts and researchers in the field to bring you the latest in cutting edge health information. Subscribe to the Rational Wellness Podcast for weekly updates,