Foundational Thyroid Support—The First Approach Contributed by Dr. Chris D. Meletis NDwww.DrMeletis.com This last month, I lectured at an Advanced Hormone Module to 400 medical providers in Chicago, I have been immersed in the latest medical literature relative to thyroid
Foundational Thyroid Support—The First Approach
This last month, I lectured at an Advanced Hormone Module to 400 medical providers in Chicago, I have been immersed in the latest medical literature relative to thyroid health. The clinical evidence is clear that prior to offering thyroid replacement, identifying underlying triggers for thyroid dysfunction is a must. The First Approach ideally incorporates ensuring that the adrenal function is sufficient as defined by adequate cortisol levels such as an optimal 4x cortisol level, along with DHEA sulfate and pregnenolone levels. Relative to specific nutritional supplements ensuring that there are sufficient ferritin levels of at least 70 to 100 is a must, along with adequate serum selenium of at least 90 mcg/L. In addition making sure that zinc status is optimal is foundational, as low zinc can also lower both T4/T3 levels. Iodine is certainly a must as well, with a minimum of 150 mcg daily, with at least 1000 mcg per day a common initial therapeutic dosing. It has also been noted that 40% of hypothyroid patients are B12 deficient, with my favorite form of B12 being methylcobalamin.
Always asking the clinical question of why a tissue or gland has become insufficient is foundation. Optimizing nutritional status is always the first step, while making sure that an acute or chronic adrenal stress response has not down-regulated the TSH and Free T4 and Free T3 is an absolute consideration. As we all know, thyroid hormone levels are dynamic as reflected in the 2007 survey published in the Archives of Internal Medicine, values spontaneously returned to normal in more than 50% of patients with abnormal TSH levels when the test was repeated at a later date.
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