This discussion spans inflammatory bowel disease (IBD) and thyroid presentations, with autoimmunity bridging the two. Integrative GP Dr Charlotte Middleton highlights the complex nature of IBD, its growing prevalence, especially among children, and the importance of early and thorough diagnostic workups to manage it. Thyroid focused naturopath Tara Nelson discusses factors affecting the accuracy of thyroid function tests including circadian rhythm, medications, stress and the patient’s own unique set point. She delves into the various thyroid antibodies, euthyroid sick syndrome and the patient who flips between hypo and hyperthyroid presentations.

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