What is Hashimoto's Thyroiditis?

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So, vitiligo and Hashimoto's. So, vitiligo's a skin disease. It discolors. Those of you who are looking at this already know that, and there's varying degrees of it. And I'm not sure if you're aware that it's pretty much accepted now. The studies are largely, largely, largely pointing to the fact that it's an autoimmune problem, which we have supposed for quite some time because we treat autoimmune cases a lot. And although I haven't traded anywhere near as much vitiligo as other things, I've treated enough of it. And the question is, is vitiligo related to Hashimoto's? So, the answer is yes and no. And what that means is Hashimoto's doesn't cause for to say, vitiligo. You can have vitiligo and not have Hashimoto's. But because of my practice being the way that it is, virtually every vitiligo patient that's ever come in here has had Hashimoto's and other autoimmune conditions.

This is probably a good moment to illuminate that very few people actually get one autoimmune problem. I know myself, I have three active autoimmune problems for sure, potentially four, and I have one antibody against my pancreas that I don't think is a problem. And that may sound confusing to you, but there's a test that you can do to find out if you are diagnosed with, say, lupus, or you're diagnosed with vitiligo, you can do this test and see if you have antibodies to other tissues that if you keep triggering your vitiligo, you keep triggering your Hashimoto's, eventually you're going to express other autoimmune problems if you already have the antibodies. So, the one test I use is Cyrex 5, and it's, and it's Cyrex 5 C-Y-R-E-X 5, and they test all those antibodies.

What's the value of that? The value is that, is to find out if you have those and you keep exacerbating your vitiligo, which we'll get back to in a second. And then all of a sudden you start getting all the symptoms, all these are weird symptoms, and you know that you have antibodies against your thyroid, and you go, "Oh, my God, those are Hashimoto's symptoms, and I got Hashimoto's antibodies." Now you know you've developed Hashimoto.

And here's the other thing about Hashimoto's. So, as long as I've done this, I've seen a growing number of autoimmune conditions that are related to autoimmune thyroid disease Hashimoto's. So, I've seen a ton of people who have Hashimoto's and rheumatoid arthritis, Hashimoto's and pancreatitis, Hashimoto's... I'm sorry, Hashimoto's and diabetes type one, Hashimoto's and celia, Hashimoto's and Crohn's disease Hashimoto's and ulcerative colitis, Hashimoto's and autoimmune gastritis. [inaudible 00:03:15] saying Hashimoto's probably has something to do with polycystic ovarian syndrome, which isn't even necessarily an autoimmune disease, but I mentioned that because of the mechanism.

And the mechanism is this, your thyroid has receptor sites in every single cell of your body. And so, I think Hashimoto's has become so prevalent because the thyroid is so sensitive and it relates to everything else, and then it keeps getting beat up and beat up more than anything. You get stressed, beat up. Your blood sugar goes up, it gets beat up, your blood sugar goes down it gets beat up. You have a food sensitivity, it gets beat up. You have some smoke... I point outside because we had smoke here for... I'm in Reno, we had smoke here for only a week or two this year as opposed to three months like last year. And all of those toxins, boom, boom, boom. And if your thyroid keeps getting attacked and it's uber super sensitive more than anything else, it's going to raise your immune responses more and more and more and more and more and more and more.

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"I'm eating as well as a human being can possibly eat, but I'm still having my Hashimoto's symptoms." And I actually see this a lot. I see it a lot now, because in the day when we first started doing this, and all we knew was ... we told everybody, get off of gluten, casein, soy, corn, and eggs. That's what we did. And those were allergies, they weren't sensitivities. At that time, we weren't even testing for sensitivities. We were just putting people on diets. And eight months later, we'd have them reintroducing foods and it was crazy. And we're much farther along on that.

But now, you're watching me. You're watching a lot of my other colleagues, probably, online. And you're getting a lot of data. People are coming in here much more informed, in a manner. Maybe not as informed relative to the fullness of the topic, the full context of Hashimoto's. But people are coming in here knowing that diet's important. A lot of people. Not everybody, but most people. So people have tried diets. And then you have that person that comes in here and goes, "How much better can I eat?" A lot of vegans, vegetarians, pescatarians. "I'm eating great, and I still feel terrible."

So the first answer to that is, if we ... most patients who come in here who have autoimmune thyroid disease have a thyroid problem. Which is probably the second most common cause for digestive issues. It slows down your digestive system, and then you start not digesting your food properly. Stomach's slowing down, pancreas is slowing down, gallbladder's slowing down. And this is the way you start to develop food sensitivities. The number one cause for that is stress. So a lot of these folks are stressed even though they're ... and they're particularly stressed because they're eating great and they're not feeling good.

And some people are actually coming in and saying, "I feel good. I'm eating this diet. I'm eating as good as anybody. But if I get off of this diet, just one food, all my symptoms come back." So that's a person who already has developed a bunch of food sensitivities and they're managing it by just not eating those foods. But the problem with that is whatever caused all those food sensitivities in the first place ... in other words, your broken down digestive system and whatever caused that. Whether it's because you had stress or because you have a thyroid problem or because you have CBR, whatever it is. There's a number of things that can cause you digestive system to breakdown. You have an ulcer in your stomach, that breaks down the rest of the system. So usually that person's going to have something like that.

And what happens is they keep eliminating the foods and eliminating foods, and they feel better. A lot of them feel better, a lot of them don't. And the reason for both is they still have the broken down digestive system that caused this in the first place. And so they're eliminating foods and they're eating new foods. They're putting the new foods into the old digestive system that's calmed down because you've eliminated ... you're not eating a lot of foods that stir it up all the time. But it's still not a correct functioning digestive system. So now you put a new food in there and you go, oh, that food's not okay. That food's not okay either. So you put that new food in there and then it goes through the digestive process, it doesn't get digested properly. And then it goes through the whole process of becoming a food sensitivity and now you can't eat that.

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So today's topic is can a concussion cause Hashimoto's? So the answer to that is it can trigger Hashimoto's. So Hashimoto's is an autoimmune disease. People who are looking at this probably already know what Hashimoto's is. It's an immune attack against your thyroid. And you can have silent autoimmune disease. You can have silent Hashimoto's for your whole life and never get it.

What has to happen is you have to have some sort of a trigger that triggers your immune system, which is usually already compromised from other things, to flare up and attack the tissue in your body that says you can attack my thyroid, because it's genetically programmed that way. And so when the trigger happens, your immune system flares up, and then that flares up the antibodies to your thyroid and then that tells your immune system to attack the thyroid. And that's how you get autoimmune thyroid disease.

There are multiple triggers. One of the triggers is trauma. So if you get a concussion, or I mean, if you get a broken leg, or if you get in a car accident, you get a whiplash, and then you have a whiplash for weeks or months, or you have a concussion, basically what happens is you immediately get inflammation. Immediately, you get inflammation. In fact, if you get a concussion, it's even worse because if you gain a concussion, listen to this, within five minutes, the inside lining of your gut starts to break down. So those of you who are familiar with leaky gut and you get a concussion within five minutes, leaky gut starts to occur.

Why is that important? Because back to the concussion, the concussion causes inflammatory responses, that raises up the immune responses. And then you can trigger Hashimoto's. So it's a cause. The genetics being triggered by something would be the root cause of it and the concussion would be one of those something.

Another thing that can trigger it is the concussion causes a leaky gut within minutes. Look it up. It's like stunning. Like within minutes. Now you got a leaky gut, now you got toxins leaking out of your gut, you got bad bacteria leaking out of your gut, you got undigested food particles leaking out of your gut. They go a lot of different places. But that is a huge trigger and perpetuator of autoimmune disease.

In fact, it's a new theory that the breakdown of the gut creating overwhelming chemicals and infections and food sensitivities overwhelming your liver and decreasing certain nutrients in that liver that stop us from getting too overzealous immune attacks may be why we're getting so much autoimmunity. And what's the main cause of that? The main cause of that is usually stress or one of these triggers that I'm talking about. So the concussion works in that particular area as well.

So concussion's a trigger basically. Absolutely I have had several concussions myself, and it can not only trigger Hashimoto's, but if you don't know how to take care of your concussion, it can actually also perpetuate the problem until you get the concussion under control for those people who have post-concussion syndrome, which is actually a small percentage of people who get concussions. But that's kind of concussion and Hashimoto's.

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Hashimoto's exercise intolerance or exercising too much. So this is a topic that I have to address quite frequently. One of the main reasons is to my right, and if I point this way about that far, there's about 30 miles is Lake Tahoe, which is one of the biggest beautiful, most beautiful places on earth, and lots of crazy people are up there. Those crazy people are people who run triathlons and run and run, what do you call them? Just decathlons and every athalon that there is. And there's people out there that swim across the lake, which is insane because it's so cold. And I'm tongue in cheek because this is just beyond my comprehension that people could do that. But I get a lot of them, I get a lot of people that are up in there, and they have problems and they're over-training.

I also have people at the other end of the spectrum. I have people at the other end of the spectrum that come in here and if I go through the triggers for autoimmune thyroid disease, and when I get to over-training, they roll their eyes at me like, "Dude, I can't even walk across my living room. You have no problem with me over-training." So just to cover the spectrum there, over-training is a trigger for autoimmune disease, not just Hashimoto's, by the way. If you have any other autoimmune disease, if you have psoriasis, if you have rheumatoid arthritis, if you have celiac, if you have ulcerative colitis, this applies to you too. Over-training is bad.

Exercise is good. So when you exercise, you do a lot of good things. Honestly, between exercise and sleep and diet, you can do so much with a person. And most of my patients can't sleep. Most of my patients can diet and unbelievably some of my patients over exercise. So what happens when you over exercise? So when you're sick, when you have fibromyalgia or when you have chronic fatigue, and as most of my oxygenated patients have some form of that, you're putting a huge demand on your system through the mechanism of primarily inflammation. For all of you out there who goes, "It's all inflammation." It is all inflammation, but what's causing it? Okay, that's the ticket and how do you attack it and what's the order and all that type of stuff. But in the end, inflammation is the bad guy and inflammation covers your whole physiology.

And then depending on what parts of your physiology aren't working well or are available to be more attacked, then you start getting symptoms of that. But it definitely affects the mitochondria in your cells. Inflammation affects the mitochondria in your cells. What are mitochondria? They are the little organelles that are little energy factories in your cells. For those of you who are chemical nerds or biochemical nerds, this is the citric acid cycle, or those of you are not, they're little energy cells. They take your glucose, they take your thyroid hormones, they take your CoQ-10, they take all of these things and they make energy. So when you have them under an inflammatory response, you're generally usually fatigued. But for sure when you get up and start doing things, you're putting a demand on them, whether you're sick or not, you're putting a demand on your cells to create energy.

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Are My Supplements Working? And this is one that, when presented to me, I was actually excited about doing because this is a challenge. I work in a field in which we use diet, lifestyle and a variety of different supplementations from herbs and botanicals to nutraceuticals, to vitamins, to minerals, and so on and so forth, combined with diets. So I work with this every day. It's a very nuanced area and, "Are my supplements working," is something that I hear a lot. People will come in for their first consultation and sometimes... I had a lady there that came in with three bags of supplements. I think it was 31 supplements that she was taking multiple times a day. Multiple was at least two, was at least two times a day. Most of my patients come to me with bad digestive systems to begin with. So throwing 60 some supplements a day or more into a bad digestive system probably reduces the effectiveness of supplementation just for the record, and that's part of it.

Okay, so supplements, let's go A to B on this. First of all, when I'm treating patients, right now, at a point in the evolution of functional medicine and the evolution of my career, it's changed dramatically. It used to be people came in and if I started giving them some supplements, they were like, "Hey, I'm on four to five drugs. What are supplements going to do?" People were more medically oriented. Now people are coming in with laundry lists of supplements and sometimes they're the right supplement, sometimes they're not at the right dosage. But the point is, obviously they're not working for them or they wouldn't be here talking to me about their chronic fatigue, and their fibromyalgia, and their leaky gut syndrome, and their irritable bowel syndrome, and their chronic anxiety, and all that type of stuff.

Why are they not working? All right. So one big reason why they're not working is, and this is always a challenge for me when the patient comes because I use supplements. We have a pharmacy, if you will, of supplements in our front office that we've been fine-tuning and developing for probably a decade and a half at least. And different companies have different strengths in the field. One company has a strength that they're really the guys in glutathione. Other people might really be the company in berberine, other people... and on and on. Okay, so you get the point there. But that company doesn't just do glutathione and this company doesn't just do berberine. They then start to do all of the things that the other companies do, and then they have to tweak it to make their product special. So they'll put a couple of different ingredients in there, which a person may be sensitive to, they may not be sensitive to.

And these are the quality companies I'm talking about. These are the people I know and respect. And these are the companies that you can count on that what they put is in there. And what they say is in there is in there. And the amount that they say is in there is in there. And so we have a whole pharmacy of these. But I have the pharmacy of certain supplements from this company that are the best because those are the best for that company, and then the same thing for the other. So it's hard for the consumer to know that because you haven't been using trial and error on these supplements on very sick people for a long period of time on thousands of cases. So that's one of the reasons that your supplementation may not be doing the job that you think it should be doing.

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Can I get Hashimoto's if I wasn't born with a thyroid? So the answer to that is I don't know exactly for sure the answer to that because I've never met anybody who's been born without a thyroid. Certainly have never treated anybody who's been born without a thyroid.

But let's follow this through because I've also way more frequently gotten the question of if I have my thyroid taken out, can I still have Hashimoto's? The answer to that question is yes. The reason the answer to that question is yes, and this leads to the answer to the question of the day. Can I get Hashimoto's if I don't have a thyroid? The answer to the question of I've had my thyroid taken out, can I get it, the answer is yes.

The reason for that is because you still have thyroid tissue in there when you have it taken out. It's interesting. Years ago, right before I really started getting into all of this, I was invited to be a member of a hospital outreach program where they had several of us. They chose several of us or allowed several of us to go in and watch surgeries. I remember watching a thyroid surgery and I used to do a lot in human anatomy and biochemistry and I used to dissect out a lot of dead bodies. That's a whole nother story. Years and years and years and years and years ago.

But that allowed me to look at that and say after the doctor did his thing, I said, "It doesn't look like, you got all the thyroid out." He goes, "No, no, you can never get all the thyroid out because it's connected here and there. You might change their voice." At the time it wasn't a big deal to me, I just was curious. But later on when I started getting people that came in who didn't have their thyroid, but they had the antibodies and if they ate gluten, they would get all the exacerbations and the heart palpitations and this type of stuff. I started conjecturing back to that thinking these people still have thyroid tissue in there.

Then eventually, and it wasn't until just recently I actually had that confirmed by a doctor who said, "No. No, this is rare that we don't leave at least 10% of the thyroid in there." So the whole thing for the person who gets their thyroid taken out is they still have thyroid tissue. If you still have thyroid tissue, the immune system still... Your genetics still tells your immune system you can attack it. Now the answer to if you never had a thyroid, I would assume that the answer would be, what are my chances of getting Hashimoto's? I would assume that the answer would be zero and none because in my world, understanding physiology the way I think I understand it, you have no thyroid tissue to attack.

So let's say you had rheumatoid arthritis and you rarely get one thyroid... You rarely get one autoimmune problem. So let's say you got rheumatoid arthritis and you keep getting the rheumatoid arthritis and then whatever treatment you're doing isn't working. Then all of a sudden one day start to get a rash on your neck and you get it checked out and the doctor goes, "You know what? You have eczema now or psoriasis." Okay, let's say on your elbows so psoriasis. You go, "Oh crap. Now how can I get that?" Well, you can get it because you have the genetics that tells you you can attack that skin tissue because you keep flaring up the rheumatoid arthritis. If it's not under control, it's going to express the next one, the next genetic propensity that you have.

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There's no medication specifically for Hashimoto's. There are medications in and around Hashimoto's, so I'll go with that. The number one medication that is used, mostly by alternative functional medicine practitioners, is low dose naltrexone. Low dose naltrexone goes in, dampens the inflammation, creates an effect in your system that increases your endorphins, makes you feel better. That can dampen immune responses by just calming that whole system down. It's a favorite for alternative medical doctors. I tried it. For those of you who don't know, I have Hashimoto's. I tried it years ago. I think it made me feel better, but it gave me horrible nightmares and horrible dreams. And I hear that a lot. I've heard that a lot from people who take it. That's number one. That's not for Hashimoto's. In fact, it's a drug that was developed for a whole different thing.

They just happen to see what happened. It's really more like a dampening, increasing endorphins. None of these drugs are made for Hashimoto's. Hashimoto's is a thyroid problem. The drug for Hashimoto's is take a thyroid medication, especially in the mental world, basically their whole solution. We'll come back to that in a second. If there were a drug for Hashimoto's, it would be the one that's already there for autoimmune problems. If you're watching this and you have rheumatoid arthritis, or you have lupus or you have Sjogren's or you have irritable bowel syndrome, not irritable bowel syndrome, ulcerative colitis or something like that, that's autoimmune. What do they give you? They give you a steroid. Because why? Because it decreases and ultimately dampens and maybe even crushes the immune system. It comes with its whole set of side effects, which I don't have to go into.

A lot of you're going, "Ah, I don't want to take a steroid for the rest of my life." And you'd be right. I don't know that it would ever reach the level of taking an immunoglobulin therapy, which is another therapy for autoimmunity. But, the point is Hashimoto's is an autoimmune problem. It's not primarily a thyroid problem. Somebody can go, "It's a thyroid problem." Is lupus a primarily a skin problem? Is rheumatoid arthritis primarily a joint tissue problem? No, they're primarily autoimmune problems. That's why they give you steroids to dampen the immune inflammation.

It's the same thing with the thyroid. I've had patients that have come in and said, "One more thing I wanted to ask you." As I was doing their history, it's like, "I had this thing happen to me and they gave me steroids for 10 days and I felt enormously better. All had my anxiety went, my heart palpitations went." And I said, "Yeah, because for 10 days your immune system was put out of commission. It couldn't flare up and attack you."

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Hashimoto's and COVID. So, we're going to take this from the perspective of what I'm observing, not from "I'm the expert of the universe", or I don't have any axes to grind here, so we're not going to get into anything that I think is going to get me kicked off of the air or whatever it is that we're on here.

So, COVID, so a lot of people are asking me, okay, a lot of people I call and they call me and they say, "Doc, so I have this and I have an irritable bowel syndrome. I'm getting chronic pain, I'm getting joint pain." All the things that I treat, "all the things I got them. I'm seem like I have this or that, migraine headaches and my lungs are a problem." And then, I'll go through my normal consultation. And what I started to have happen, not that... Two years ago, "Oh, and before we're done, I have one more, I just have one more question. I just got COVID, could that have anything to do with it?" So, I think the answer is yes. I don't think that's controversial at this time. I'm reading about long COVID all over the place. And so, I think that my perspective is going to be more of maybe a forecast of what I think you're going to hear.

So, what I'm seeing is this. I'm seeing... I've seen tons of people who got COVID and have developed chronic pain, chronic fatigue, chronic gut problems, chronic anxiety. And in the beginning, the thought process that I was going through was, "Wow, these people sound just like my regular patients who come in with autoimmune problems and chronic anxiety and depression and chronic gut problems and irritable bowel syndrome."

And I thought it's kind of interesting. And then, I started seeing the articles on the health sites, and I have an app where I can access a bunch of health sites that I can go through every day from different newspapers and different journals, and I do so. And I started this look at the histories and they're going, "Oh my God, this long COVID, it's going to be... Or is there such a thing." And that whole thing, that was a couple years ago. Again, I thought, "Man, that looks just like my patients. This sounds like just like my patients." Well, a couple years later now, people are actually saying this long COVID is here. It is long COVID, it's real, it's here to stay. And they're... it's interesting, typical of the medical industry or the medical research industry, they're taking every single symptom and they're trying to find one thing that is causing that symptom.

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Okay, so I've just been informed that somehow we have not covered glyphosates in Hashimoto's. I'm not sure that's a hundred percent correct because it is on my list of the... Well, when I gave the list it was 39 different triggers of Hashimoto's. Now it's 42, but it is on that list.

So most of you know, glyphosates as all the bad chemicals that are on our vegetables and our fruits that are being sprayed on there. Most of you would probably know it as Monsanto, and you would know it as other companies that make these chemicals. You would know it as Roundup. But all these chemicals, they're glyphosates and they're bad. They're toxic, they're poisonous. There have been numerous, numerous studies that they are negative factors for human existence, for human physiology.

But it is listed as a specific trigger for autoimmune thyroid disease. When I say that, if you look at our presentation on the triggers for Hashimoto's, you'll find that, at that point in time, there's 39 of them. Every one of those triggers is on that list because they have been thoroughly researched either in credible labs around the world and even more so through what's called meta-analysis of research.

So what that means is they studied the people who studied these topics of how chemicals affect human physiology or how they affect tissue specifically. The group that studied whether glyphosates affect Hashimoto's did mostly meta-analysis. And here's what that means. It means that they looked at every single study that was ever done on glyphosates and then every single study that was ever done on glyphosates and thyroid tissue. That means that there was positive studies. That means that there were neutral studies. That means that there were studies that said no, there was no thing. When they looked at the meta-analysis, they were reviewing millions of people essentially by the time they looked at all these research projects. This research project was 30 people, and this was 700 and this was on 4,000 and so on and so forth.

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Why does Hashimoto's cause fatigue?  Because, it's your thyroid, that's why. So, your thyroid is... It's funny, I was involved with a group years ago that was in the early stages of trying to figure out fibromyalgia and chronic fatigue. My mentor is... If you've watched many of my videos, is Dr. Datis Kharrazian. He's the guy who figured out that most of these chronic fatigue patients probably had a thyroid problem, but he was the one who took it the extra some said. "I think it's autoimmune thyroid disease." He was met with much skepticism, and I was one of them. But in retrospect, it's like, "Duh, it's your thyroid. It controls your energy." It's like, "If your thyroid goes hypothyroid, and it's not doing its job, you're going to be fatigued." And, it seems so obvious once the brain started to process that.

The basics of it is pretty simple. Your cells have these organs in them, little organelles inside of the cells, and they're called mitochondria. I'm sure a lot of you have heard of them. Some of you have probably even take mitochondrial support and CoQ10 and all this type of stuff. But that's where the energy is made, in those little energy factories in your cell. It's pretty basic. They need proper oxygen. They need proper blood sugar. They need a lack of inflammation, a lack of oxidative stress. In other words, oxidative stress kind of grinds down your cells, and it kind of rusts them out. Inflammation disturbs all function in a cell. It needs all of those things.

And, it needs proper T3. T3 is the end product of the thyroid hormone factory in your thyroid which makes this thyroid hormone called T4. And then, that's broken down into T3, and that's the active form. And when that hooks in to that cell and then it goes in your cell and it gets into those little mitochondria, and this is where for those of you chemistry geeks, this is where the Krebs acid cycle, citric acid cycle is also part of this, where people are taking CoQ10 and all that other stuff. You're going to get energy. You're going to get energy. Hyperthyroid lifts all boats too much and hypothyroid depresses it.

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