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What causes the swings between hyper and hypothyroid symptoms. We have a long presentation online called the nobs series on Hashimotos you should watch that. That would probably be the best answer, but the semi short answer is, is so many things. Okay. So there's 40 different triggers. So if you have, so here it is, you have autoimmune thyroid disease. All right. And there's various stages to it. There's a relatively stable Hashi patient where they just don't have a lot of thyroid symptoms, their antibodies aren't very reactive in, they don't go up and down like that. Then you get into the reactive, it's actually called the reactive hypo reactive Hashimoto's patient. And when you get into that patient, that's the patient that we're talking about right now that goes up and down. Okay. The the you'll go up and down based on not, not particularly the antibodies, they, they can sometimes be a good check.

You, you check antibodies to determine if you have Hashimoto's and I've already done videos to say the number is not the issue. I can have people who have Hashimoto's thyroid proxies, enzymes, which is the enzyme you measure of 50, and they'll be up and down and all over the place and hypo hyper. And, and then I could have somebody comes in and have Hashimoto's of 20,000 and, and they're, and they're in the, and they're stable to, to a, to a large degree. So that's, that's another whole subject, but the point is, is it, that's not the measure of, of going up and down. So the, it it's BA it is just based on your triggers, really it's based on how unstable your thyroid is. So what makes it unstable? What makes it unstable is we all have different microbiomes. We all have different immune systems.

We have different stress responses, and we all have different tissue resilience, see whose tissues have proper sugar and proper blood sugar and proper oxygen whose inflammation, inflammatory processes are low. All of these play into how susceptible a patient is to getting an immune response. Let's use gluten as an example, cuz gluten is the number one trigger probably for, for autoimmune thyroid disease. Iodine could be another one taking iodine, maybe you taking an iodine, multivitamin. It has iodine in it for autoimmune thyroid disease. That's one of the top. That's one of the top triggers for it. So you may be going along and everything's fine. And, and and, and then and then you expose yourself to one of these and then the immune system flares out to make a complex immune problem. Simple, the immune system, flares up inflammation, inflammation causes your antibodies to flare up.

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