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FAQ

What Causes Hypothyroidism?

Chronic Stress & Adrenal Fatigue

The adrenal glands take the leading role when it comes to managing stress through the production of cortisol. Research shows that adrenal fatigue has an impact on thyroid function. Even at a mild degree of deficiency, adrenal fatigue can negatively affect thyroid hormone conversion, utilization, and production. For example, high stress can cause too much cortisol in the circulation which promotes inflammation around the thyroid, and this reduces thyroid receptor responsiveness. Therefore, when treating thyroid issues with medicine or therapy it’s important to address the adrenals, this connection, and to care for them both effectively.

Hashimoto’s Hypothyroid

90% of cases of hypothyroidism are due to an autoimmune attack on the thyroid gland by either thyroperoxidase antibodies (TPOAb) or by thyroglobulin antibodies (TgAb), a condition called Hashimoto’s thyroiditis. What this means is that the body creates immune cells that attack the gland so that its function – and a person’s health – declines over time. This condition can be triggered by gluten in gluten-sensitive individuals. Similarly, in these people, gluten avoidance for at least 3 months may help lower antibody levels to a normal range.

Thyroid Conversion Disorder

In some cases, the conversion of T4 into T3 doesn’t function properly due an enzyme issue or otherwise. Test results will show normal levels of TSH and T4 but severely low levels of T3. Commonly, in these cases, patients are often told by their doctors that their thyroid function is “normal” even though they do not feel normal! This is also why some patients who receive medication or therapies that only supplement T4 levels may feel like the treatment is ineffective.

Thyroid Hormone Resistance

Thyroid hormone resistance can be thought of in the same way as insulin resistance is in diabetics. In this condition, the body’s cells are unresponsive to thyroid hormones. In these individuals, T3 and T4 levels can be normal but TSH levels are elevated.

Nutritional Deficiencies

For proper function and the creation of thyroid hormones, the thyroid gland requires the trace minerals iodine, selenium and zinc as well as an amino acid, thyroxine. Deficiency in any of these nutrients can create symptoms of hypothyroidism. Iodine is found in iodized salt and sea vegetables (such as nori and dulse flakes). I have come to find that iodine deficiency is more prevalent than previously given credit for (a 24 Hour Urine Iodine Challenge Test can determine this). The trace mineral Selenium is abundantly found in Oysters and Brazil nuts, and Zinc is rich in pumpkin seeds and beef. Thyroxine is the amino acid building block of thyroid hormones and can be found in most sources of protein.

Heavy Metal Toxicity and Mercury

The thyroid hormone and the heavy metal mercury have strikingly similar biochemistry. The long term exposure of this metal wreaks havoc on the thyroid gland and a person’s health, with these negative effects typically being experienced by dental patients who have currently have or previously had mercury amalgams. Sometimes it is prudent to screen for heavy metal toxicity and high levels of mercury that may be causing thyroid suppression. Heavy metal testing, followed by Chelation Therapy for removal of mercury from deep tissue stores is one naturopathic way to treat the underlying hypothyroid condition.

Central Hypothyroidism

In rare cases, disorders of the pituitary gland or hypothalamus in the brain may be an underlying cause for central Hypothyroidism (AKA secondary or tertiary hypothyroidism). There are usually other concerning symptoms (beyond the list seen on this page) that would warrant imaging and more advanced hospital testing.

What and Where is the Thyroid Gland?

Your thyroid gland is a butterfly-shaped organ in the front of your neck. The thyroid plays an important role in your body’s energy and metabolism. The thyroid gland takes up trace minerals, such as iodine, selenium and tyrosine, and uses these to make thyroid hormones triiodothyronine (T3) and thyroxine (T4). These hormones circulate through the liver, brain and several other organs in the body as part of the endocrine system. If the thyroid is not functioning properly, you can develop health problems.

If you have the following health concerns – It could be your Thyroid:

Fatigue
Anxiety or Panic Attacks
Depression
Constipation
Unexplained weight gain
Generalized swelling
Puffy eyes & face
Muscle aches or pain
Muscle weakness
Joint pain, joint stiffness or swelling
Hair loss
Low sex drive
Asthma & allergies
Migraines

Recurrent miscarriage / Infertility
Lack of ovulation
PMS
Decreased memory
Irritability
Decreased Concentration or ”Brain Fog”
Dry Skin, Dry Hair
Carpal tunnel syndrome
High cholesterol
Low heart rate
Insomnia
Hives
Loss of outer 1/3 of eyebrows

Do You Offer Seasonal Allergy Tests?

Dr. Emina offers an in-office blood test, following an initial consultation. This test is sent to the lab for objective blood screening of IgE allergic reactions to local Okanagan environmental allergens.

Natural Treatment for Seasonal Allergies:

Based on your allergy test results, we are able to help desensitize you to your allergens in one of two ways:

Individually compounded medicines are created and compounded by the pharmacy based on your results. Sublingual Immunotherapy (SLIT) works by delivering low dose drops of these allergens at frequent intervals, two to three times a day, under the tongue to build up the body’s tolerance over time. It is an ideal treatment for patients with an aversion to needles, like young children and those with busy schedules that can’t make appointments for shots. Sublingual immunotherapy has been recognized as an efficient and effective treatment for allergies by the World Health Organization and has been used extensively in Europe for over 15 years.
Low Dose Allergen Therapy is a novel and convenient way to desensitize the body to common allergens. Ultra Low Dose Enzyme Activated Immunotherapy is a novel and effective option in the treatment of all forms of allergies. Patients who have used this therapy have found it to be cost effective and enjoy the fact that no further testing is required in order to commence therapy. With less frequent injections, it is time-saving and preferred by many patients, especially those who are weary of needles. It is a very safe therapy, when compared to conventional injections (that can be life-threatening).

What are Adrenal Glands?

The adrenal glands are tiny hats, one each, that sit atop your kidneys and secrete hormones to help you deal with and manage stress. The outer part of the glands, called the cortex, releases cortisol, for our stress response and metabolism control, as well as aldosterone to regulate blood pressure. The inner part of the glands are the medulla where adrenaline is released, another part of the stress response.

When your central nervous system perceives stress, it stimulates the adrenal glands to release their hormones as a part of the “fight or flight” response. This can happen several times throughout the day and can vary depending on your lifestyle. For example, an alarm clock startling you out of sleep will trigger this response, as will less sudden stressors like feeling overwhelmed by your overflowing email at work or worrying about finances or family members. In the early stages of stress, this response is actually beneficial. It can improve mental clarity, focus and energy. But over time, the benefits start to fade, and the consequences of chronic stress take over.

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“I believe that the greatest gift you can give your family and the world is a healthy you.”
– Joyce Meyer

“One touch of nature makes the whole world kin. ”
– William Shakespeare

“Begin with little things daily and one day you will be doing things that months back you would have thought impossible.”
– Swami Satchidananda

“There is more wisdom in your body than in your deepest philosophies.”
– Friedrich Nietzsche

“When you want something, all the universe conspires in helping you to achieve it.”
– Paulo Coelho

A fit body, a calm mind, a house full of love. These things cannot be bought – they must be earned.”
– Naval Ravikant

“The art of healing comes from nature, not from the physician.Therefore the physician must start from nature, with an open mind”
– Paracelsus

“I don’t count my sit-ups; I only start counting when it starts hurting because they are the only ones that count.”
– Muhammed Ali

Dr. Emina jasarevic, nd | Naturopathic physician