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Okay. So we're getting questions on selenium suddenly over the recent weeks. And I don't know if a month or two, and I have been seeing selenium show up more and more and more in the vitamin lists of the patients who come in and SU to my office. And so the question is, should I be taking selenium for Hashimoto's and the answer is again yes and no. I say again, because I say that a lot, the, the answer is again, yes and no. Selenium has been shown to it can be pretty interesting. It can be pretty, pretty helpful. In certain cases, you have to understand if I get a a hundred people to come in here with Hashimoto's, they're all slightly different. They all have slightly different triggers. They also are at different stages of disease where some of may have hardly any damaged their thyroid.

Others are like a 10, like you can't touch your thyroid. It swells, it goes down and everything in between. So that has, and then, and then, and then there are 39 different triggers for Hashimoto's. If you wonder why you're having a hard time figuring things out, these are many of the reasons. Okay. And, and, and so, and so different parts of their system are being affected, who who's who's pancreas has been affected. Who's not, who's got oral tolerance problems who doesn't that type of stuff. So you have to have like an organized way of going about it because you have all that going on in and enter selenium, okay. Into that whole mismatch. And under, I would say, mild to moderate symptoms. I think selenium in and of itself probably gives you some advantage. And it, it, it's been shown to dampen immune inflammation to the thyroid, and it's been shown to be able to correct thyroid stimulating hormone numbers.

And that's, what's interesting about it is it's been a it's it's shown to get high numbers low down and low numbers up. So that's pretty wild and it's pretty cool, but, but, but depending on you, depending on how many triggers you have going, depending on how much inflammation you have, and if you got a lot of inflammation, it's going to take a little bit more than the daily dose of selenium that's on the bottle. And by the way, they put the, the doses that they put on those bottles are low. You know, usually, well, maybe I shouldn't say this, but usually usually the dosing needed for that particular person who has Hashimoto's is higher than what they put on the bottles. However, I don't know what yours would be. Okay. So don't go dosing up because I said that and cause I don't know where, where you would stop based on, I don't have all this information in front of me.

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Can emotional trauma cause Hashimoto's or other thyroid problems? 

Okay. So the answer is yes for that. So that, so the mechanism is this, so Hashimoto's first is a auto-immune problem. So there's a, there's an order of the way you would look at this and you would look at it first that, okay. Hashimoto's is an automated problem. So anything that flares up autoimmunity can can perpetuate Hashimoto. So, so stress is one of the, you know, 39 or 40 different triggers for Hashimoto's once you have it, but can it cause it so, and, and, and other hypothermia and other thyroid problems, so you to get some, let me step back to their 90, 95% of, of, of thyroid problems are Hashimoto's if you haven't watched any of our videos or if you don't know that I mean, I almost never see an actual, just hypo thyroid.

There's there's always gonna be something that's going to cause it. And so so I kinda throw down, I kind of lumped them in because a lot of you have hypothyroid just don't know that you have Hashimoto's maybe, maybe, maybe they ran it and the antibodies haven't come up yet, but the antibodies can be down for seven years before you before you actually are able to have them come up enough to diagnose you with Hashimoto's. So my answer is going to be kind of in my world. I'm kind of like, if you're going to have you got a thyroid problem and it's not grace, it's probably Hashimoto's. And if it's hypothyroid, you may have just not figured out your Hashimoto's yet. Now I say all that for a reason. Okay. Because the way that it happens is you have to have the genetic in code mint for, I think it's HLAB, I don't think it's 27, but you have to have the, you have to have the genetic code that says that you to your immune system, that you can get Hashimoto's.

So it has to be in your genetic code. Now you don't have to get it. Okay. But there are numb numerous triggers that will ultimately initially set off the chain of events where your thyroid will be alerted to the fact that it can now attack your thyroid. Okay. And emotional trauma is up there. And the re, and so I've had a number of people, literally I'll say hundreds, and that's not even close to an exaggeration and maybe a very gross understatement. I've had hundreds of people come in here who, after a significant stress and a significant trauma. I mean, I've had some, I got, I had somebody come in here was, you know, husband shot right in front of him, had other people come in here.

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Did your doctor miss your Hashimoto's diagnosis?  I'm seeing this a lot lately. I've been seeing a lot for, for ever since I've been doing this for sure. And I'm still surprised at how little, the understanding of Hashimoto's has not trickled. And I use the word trickled, not trickled down into the endocrinology field or the medical field yet. I see bits and pieces of it getting in there. I see more people testing for it, but the answer is yes. I mean, you go to the doctor. Okay. And the doctor is on a time schedule, very few or not. I mean, if they're taking your insurance, they're on a time schedule just for the record. Okay. Because that's see so many patients and they have to do their notes. And so, so they're going to look at your thyroid symptoms.

They may not be familiar with their, with the fact that you have thyroid symptoms. Here's the typical medical model for Hashimoto's you go to the doctor and they don't know that you have Hashimoto's. So they treat you for all the symptoms. So they gave you a medication for anxiety. Cause they don't cause they don't look for it. They, they may not be familiar with all the symptoms. Maybe they run a panel for thyroid. Maybe they don't even run a thyroid panel because they don't get yet that these are thyroid symptoms. I see this all the time and then they treat all the other symptoms. They give you something for your constipation and they give you something for your anxiety and they give you something for the fibromyalgia pain that you might be developing from it. And maybe they gave you something for your headache and your migraine and all these things.

So they're literally treating all of the different symptoms of one problem with a lot of different drugs. So that's number one number two, they may be familiar with it. There are more doctors in all fairness becoming more and more familiar with it. And ultimately that they I'm sorry to laugh. They they test for it and then they find it. And then it's off to the races. I mean, I've heard so many things just in the last couple of weeks, I've heard, well, your thyroid antibodies are, are, are, are 600. And but it doesn't really mean anything. You seem to be, you know, just that your TSH is off. I'll give you thyroid hormone medication and we'll watch it. Your thyroid peroxidase enzyme should be like under nine. And if you're, if they're not, you have Hashimoto's and now you have an autoimmune problem.

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What is a Hashimoto's flare up?

Okay. So the question for the day is what is a Hashimoto's flare up? So Hashimoto's who man Hashimoto's can print that sentence off in so many different ways. It's crazy. And it can have so many different triggers and the numbers can be all over the place. And so there's a variety of things that would, that would tell you if, if your, your particular Hashimoto's syndrome is first unstable, it has to be unstable for you to get flare ups. And what that means is that the immune system has reached the level of attacking your thyroid at a high level, at a very high level. And, and, and so there's like 40 triggers, and you're going to have a number of them if you have Hashimoto's. And as these triggers start to continue to be incurred by you, as life goes on your immune system is going to become more and more reactive to them.

And not, everybody's not everybody's, but, but the person who has a flare up there, your immune system is very reactive to it. It might be because you have a viral infection, a lot of these triggers can, can create a more susceptible patient. And it could be that you actually have a viral infection in your thyroid. It can be any number of different viruses. It could just be that your, that your th one system, which is the system that attacks most of the time that that could be overactive. And the point being what you're going to be experiences is, is a combination of hypo and hyper thyroid symptoms. And so those hypo and hyper thyroid symptoms are going to be, the hypo is going to be, I'm overweight. My hair's falling out. My skin is dry. My back. I've got constipation, I'm fatigued.

I can't get out of bed. I'm good days. I have bad days on my good days. I do everything I can't do in a bad days. And I crash and my hair is falling out. I think I said that one already. And then intermittently what's going to happen is you're going to get hyper symptoms when you're getting the hyper symptoms is when you are having a degree of flare up, some are mild and some are off the charts and that's harp anxiety, panic attacks, heart palpitations, nights, sweats insomnia, inward tremors. Those are the main ones. Okay. Now it, as it starts to really ramp up in those people who have those symptoms. Now you can start getting actual physiological abnormalities from your, your, your reflexes will become hyper reflexive. You'll your heart. Like I said, will start pounding. Maybe you'll start sweating.

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Does Hashimoto's cause nodules?  

That's kind of a complex kind of vicious cycle type of a situation where the answer is kind of yes and no, it's actually more yes than it is now. So basically nodules are mostly created from intermittent bursts or consistent vers of too much thyroid stimulating hormone. And so, and then they create a situation in which you develop too much thyroid tissues. You're making too many thyroid tissues. So you're, you're chronically have this, this high thyroid stimulating hormone that is creating a lot of T4, some T3 and over stimulating the, the the thyroid to do that. And then you're just making too much thyroid tissue, too many thyroid cells. That's really what it is. And, and, you know, you, I don't know how much you want to talk about the cancer aspect of it, but it's, it's very little, it can happen, but like 99% of, of nodules are probably too much thyroid stimulating hormone.

But having said that you have Hashimoto's, which is not depending on who you are reading or listening to a researching 85, 90, 95, a hundred percent of all hypothyroidism. And and so, and, and the correct term for it is, is Hashimoto's hypothyroiditis. They're all thyroiditis is they're almost all hypothyroidism. And and so, and so basically the Hashimoto's like literally ramps that up. It literally ramps because every time you get an attack directly on your thyroid, that makes more thyroids. That makes more that makes more thyroid hormone. So that makes more thyroid hormone. Thyroid hormones made into cells. If it's a big demand, it could be damaging cells before damages cells that can actually be growing them. But what ha what will happen in that case is eventually you go into hypothyroidism and then your brain starts telling yourself that you're your thyroid to make more thyroid hormone.

And then, and then, and then you, you start so you go up and down, basically you go up and down between making, making a lot more thyroid hormone, a lot more tissue, you get the nodules and you go up and down between making a ton, having a lot of thyroid hormone being made with the auto-immune attack that attacks your thyroid, that the tissues are damaged, that vomits a lot of thyroid hormone out into the tissues that can contribute until the damage is over, and then it goes down and then you go back into hypothyroid. So, so it's, it's a vicious vicious cycle. So the answer is yes. I mean, it contributes to it if I honestly, I mean, I guess, I guess from a practical let's say clinical perspective. If I'm interviewing a patient and they tell me that they have enlarged thyroid it's, it's tender, it's not tender. They have, they've been diagnosed with nodules to me, they're autoimmune thyroid until proven innocent. So I would say the vast majority of time, there is a relationship between Hashimoto's and, and thyroid nodules.

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So the question today is can depression because by low thyroid to low thyroid. Okay. And then most of the low thyroid that comes in to my office, 90% of it or more is actually Hashimoto's thyroid disease. Hashimoto's thyroiditis, Tasha motor was euthyroid most of the, most of it well, would be euthyroid euthyroid means that it's it's, it's normal and you're asking about love. So, yes. And I'm gonna go from more from the perspective, if you have actual hypothyroidism, which almost nobody has an actual hypothyroidism, usually that's your diagnosis. There's a good chance that Hashimoto's is lurking somewhere in your, in your physiology, but hypothyroidism slows everything down so you can, you know, so just from that perspective, your brain needs proper oxygen to to function properly. If you get hypothyroidism, hyperthyroidism can cause you to have low blood pressure, low adrenal function.

It can even create a situation where you have trouble managing your blood sugar. You're getting a low blood sugar function and the brain needs proper oxygen, which you're not getting. If your blood pressure is low, it needs proper oxygen, which you're not getting. If your, if your adrenals are low and it needs proper blood sugar. And so from the physiological perspective, your frontal lobe is where you get depression and hypothyroidism will, will slow a number of days. It'll give you constipation hypothyroidism aspect is, is like the number one cause of constipation. It's number two, probably number two costs after stress. And so so that can cause poor digestive function. And then that can cause intestinal permeability. And then that can cause these toxins called lipopolysaccharides they're bacterial toxins. They can get out and they can cause depression. So from that perspective, if you had just a straight hypothyroid.

Yeah, I mean, I mean depression and, and poor brain function is one of the most common symptoms of, of poor thyroid function. If you have Hashimoto's which 90 or 95% people who who've been diagnosed with hypothyroid ism actually have they actually have Hashimoto's then the deal with that is Hashimoto's itself decreases blood supply to your whole brain, but we're, but depression mostly occurs in your frontal lobe and and it increases to the frontal lobe and, and then it all, and then it does all the other things that hypothermia does. It alters the function of being able to control your blood sugar and it can, and it can give you hypo hypoadrenalism and so that your, so that your adrenals are pumping the blood up to your head. And so a very common, very, very, very, very common for somebody who has hypothyroidism to have depression.

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So there's been a lot said on the microbiome. I actually talked to somebody yesterday who hadn't heard about the microbiome, that was kind of unusual because most of the people were coming to me today. I've seen, have been all over the internet, trying everything. And when it didn't work, you know, that's where they call us. So so microbiome project microbiome project was 2005 to 2010. It was amazing. I actually have a colleague who was involved in that project. There was 18 people on that project. And and that's where they came to understand that the microbiome, that three to five pounds of bacteria in your intestines was a mindbogglingly important to our overall health go figure, you know, we're eating, it goes, we digest it. It goes into our intestines and it creates a bouncing bacteria. How could that possibly be affecting our health so much?

But you know, when you tell somebody that your microbiome could be causing the pressure in your microbiome could be causing inflammation, it could be the reason that you can't lose weight. It could be the reason they have anxiety. It could be part of the reason that when it breaks down, you're having pain in your joints, or if you're in pain throughout our body. And you know, a lot of people, particularly back then even practitioners would kind of roll their eyes, but they're, nobody's rolling their eyes. Now, the microbiome is a big deal for everybody. Okay. one of our, I think one of our successes here was that my colleagues know, took great notice in the clinical application of the microbiome relative to the types of conditions that my colleagues and I treat, which is like, I call them the, I actually off-camera.

We call them the mystery disease patient because it's the patient who's come in and all the labs are normal and they'd been everywhere. And it was more mystery disease back in the nineties and two thousands than it is now. But, but the person who just has every single symptom known to humanity and where does it begin? And this, this goes back to the leaky gut, but this goes beyond that and the myth. And here's the thing about, about the microbiome and Hashimoto's, it's bad enough that the United States of America has the worst microbiome of any country on earth. And, and that is a fact that is a study that was done in the microbiome project back in 2005 to 2010. And they took biopsies of virtually every single country's average microbiome for five years, they compared them. And the United States was worse because we just eat like crap and we're stressed out of our minds.

And so but to take that one step further, the microbiome of the Hashimoto's patient is totally different from even the average microbiome of the of the of the, of the normal population in the Hashima for I'm, first of all, how she Meadows contributes to creating a bad microbiome. The hypothyroid aspect of Hashimoto's slows everything down. So you don't digest your food, right?

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How much iodine for Hashimoto's. We haven't talked about this one for a long time, as long as I have known Dr. Datis Kharrazian and have been going through his classes, who I think was the first one who came out and said no iodine for Hashimoto's and, and, and kind of blew up the alternative thyroid world. Because up until then everybody was giving iodine for thyroid disease. And back then, that was because most people were not being diagnosed with Hashimoto's. Ever since then I've never given anybody iodine. And since then, the number of studies that have come out to back that up has probably, it's probably more than 50. And yet I, I had a, a colleague who is specializes in Hashimoto's and goes to all these same classes. And he called me the other day and said, you're not gonna believe it. I went to this class from a reputable, I think, reputable groups. I'm not going to name their name right now though, because they start, they were teaching during the group to give Asha modus patients, iodine. They, the, the evidence is crystal clear. No iodine, when you, you there, the confusion is you need iodine to make T3 and T4. If you're watching this video, I'm assuming, you know, T3 and T4 are the thyroid hormones.

If you don't know that

T3 and T4, the thyroid hormones and they're made out of, so the T is, is tyrasine. So there's a chemical, right? T his tire scene. And then the four is four molecules of iodine. And then the three is three molecules of iodine. So it's made out of iodine. There's this enzyme called thyroid peroxidase enzyme proxies. So it takes hydrogen peroxide out of your system. It sucks iodine out of your blood. It puts them together. And that's how you make thyroid hormone in your thyroid. So logically you would say, okay, I need iodine, but what happened was, was this, this, this Hashimoto's it. I don't think it's just that Dr. Kharrazian started to be the first doctor to say, listen, all of this is all of this is Hashimoto's. All of these hypotheses are Hashimoto's and the Mayo clinic agrees with this now. And, and I think because I've been doing this for a long time now, and it just seems to be exploding.

It's starting to can go through Hashimoto's is expanded. It's going through generations, generations. We're starting to see it in two and three and five and seven year olds. It's pretty scary, frankly, but the bottom line is, is I would say it's probably relatively new issue over the last 20 years or so. And, and so prior to that, it was mostly hypo thyroid. So people gay people, I then they felt better because they had low iodine. They weren't making enough thyroid hormone. They felt better, but if you take it, when you have Hashimoto's, the thyroid peroxidase enzyme that I talked about now starts getting more fuel from another source. So it's bringing, taking iodine out of your blood to make this T4, but now you're giving it iodine. Well, it doesn't need more iodine because it makes you give it more iodine. It's going to start making more more thyroid hormone and classically people are going to get jittery.

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Today's going to be can Hashimoto's mimic M S and the answer is absolutely there's. There's no question about it. Because Hashimoto's can come in so many different forms. I mean, you have to understand that when your thyroid goes down, when your thyroid function goes down, it affects every single cell in your body. And depending on which cells are, let's say more beat up, or maybe more genetically susceptible you're gonna, you're gonna experience those symptoms. So, so the point being that everybody's gonna experience the same symptoms, Hashimoto's affects so many more specific organ systems. It affects your brain. It affects your, your gut. It affects mood. It affects endocrine function. I'm starting to see now that a lot of the endocrine doctors who are doing female hormonal work are also running full thyroid panels along with their hormone panels.

So the point is, is Hashimoto's it can create all of the, all those types of symptoms. I am S when I used to be more strictly chiropractic in those years, I used to get a lot of people who came in and thought they had Ms. And they actually had actually had spinal problems. They actually had irritation of the nerves in their neck and irritation in the nerves in your low back, because when you have early Ms signs, when you start getting them some tingling in your hands and your legs together, your neurologist is going to test you for Ms. To, for, you know, that's, that's like the earliest signs of Ms. If you have Hashimoto's, oh my God, can you get numbness and tingling in your hands and your feet? Yeah, you can get that.

There's it should, it should be, it should be easy to delineate

That from fibromyalgia, from Ms. If your doctor knows what tests to run, because there's, there's pretty specific tests for Hashimoto's. And could you have both together? The answer is yes. Can you have, but they're specific tests, Hashimoto's, and their specific testing for Ms. Relative to antibodies against myelin basic proteins, which is the myelin that wears away around the nerves that creates the symptoms of multiple sclerosis. And certainly there's different stages of, of, of tissue damage in the brain that can be imaged with MRIs. So, so you, so you can, you can kind of separate that out.

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Hashimoto's do teenagers get it? Are they different than adults? What do they experience? So i'll. Try to hit all of those. So yes, teenagers get it um. I i have a. I have some paperwork on someone. I'm, going to be consulting in the next few days and they're 17.

Just for the record, we have seen a lot of teenage hashimoto's, um and and the two and and and and and we've, even seen it younger than 10.. So hashimoto's is seems like it's evolving through genetic lines and it's showing up earlier and earlier i don't know if it's because more, we're.

Aware of it, if the testing is better because it's, not particularly better, but if we're looking at the ranges better um it's. So but it feels to me like it's, just promulgating itself more through through through our patient populations through society.

So yes, people get it and 17. What i have seen is um is those seminal moments in life seem to set it off. Um like puberty uh, the teenagers seem to blow up, especially the ones that go to college. They seem to blow up their freshman year in college and it's like duh, so they already have the genetic propensity to to develop.

Uh hashimoto's, and now they go to college and they're, like their schedules, are a little bit off. Maybe they don't, go to sleep at ten o'clock every night and get up at like six o'clock in the morning and take their shower and dutifully go off to their classes.

Just saying that there's, a small group of college students like that, maybe they are eating in the cafeteria. Maybe they're eating gluten all over the place. Maybe they're partying a little bit on a friday or saturday night.

Maybe their blood sugars are all over the place because they're. You know they're, not eating. Well, their circadians are rid of their sleep. Is all over the place because it's college and so that's, and then there's, the stress of the freshman year and and the in and being on your own and trying to find classes.

Just that whole thing is uh is very stressful, and so i i see a lot of hashimoto's blow up in in that particular period of time and so um and the other thing i see blow it up is just stress in a sense That, if that teenager is in a difficult situation at home, with um stress from maybe a recent divorce - or you know those types of things, these seem to trigger them, but i mean i mean the ultimate answer is yeah: they get it.

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