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Today's topic is Hashimoto's and when to medicate. I'm not a medical doctor, I'm practicing functional medicine, practicing functional neurology chiropractor, and a few other things you don't need to know about, and I also take thyroid medication. I think I can give you pretty good perspective from both sides as to when to take thyroid medication in the functional medicine flow. Here's the classic flow to me. This is how I understand functional medicine and this is the protocol that works pretty good for me. First of all, you've been established as having Hashimoto's, you have positive antibodies, you go to the doctor, the doctor frequently gives you, today they're really sticking the Levothyroxin quite a bit, but other doctors might give you Synthroid or something like that. Then usually a patient feels good for a little while. Not usually, well, sometimes patient feels good for a little while they get a boost in energy, maybe their hair stops falling out. maybe their weight stops going away, or maybe their weight starts going away and their energy gets better. But we usually, we call that the hormone honeymoon. Usually what happens is, after a short period of time, that person will then start reverting back to having all their Hashimoto's symptoms. The reason is because Hashimoto's tissue has been damaged. The thyroid tissue has been damaged by the immune attack and so it wasn't making that much thyroid hormone and the

Levothyroxin, which is T4 kind of gets in there. If you're able to convert your T4 to T3, you feel a lot better and that's kind of how it goes when you go to the medical doctor or to your PCP, to your endocrinologist. Our approach is quite a bit different. The approach with Hashimoto's is, dampen the immune response first. Hashimoto's is first and foremost an autoimmune problem and so it just seems to make a lot of sense to take care of dampening the immune response first. We do all of those things, we find food sensitivities, you do the leaky gut, you do whatever it is you find that person with the first is in a chronic stress response. They have parasites, they have viral infections, whatever it is, it's creating inflammatory responses that are damaging our thyroid, nutrient deficiencies, toxicities, all of these things. Then as that gets better, usually you will see symptoms disappearing and usually they are the hyper symptoms that go away first, heart palpitations for no reason at all, insomnia, night sweats, inward tremors, and those types of things.

Then, because you're dampening the immune inflammation, that starts the thyroid to be able to heal, maybe that's not the best way of putting it, when you dampen the immune inflammation, it stops the attack on the thyroid. It stops damage to the tissue. If the thyroid is not damaged too much, then you may be able to address the protocol with any of a handful of herbs and botanicals that either promote you making thyroid hormone without having to take it, or promotes you to be able to convert thyroid hormone that your thyroid is now being able to make, because it's not attacked.

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