What tests will you run?

FAQ

If a patient comes to you seeking mental health assistance, what will their experience be like?

“They will be heard and acknowledged. We will look for potential nutrient deficiencies or toxicities and other barriers that can contribute to poor mental health.”

Testosterone

Testosterone is the main male sex hormone, but it’s important for women as well, in smaller amounts. Testosterone helps maintain muscle mass and bone strength, enhances sex drive and helps with overall sense of well-being and zest for life. Overall, lower testosterone levels are being found among men in the general population. In men, testosterone levels decline about 10% every decade, but sometimes the levels drop sooner or more severe than they should. Environmental factors play a large role and low testosterone in men is commonly overlooked. Some of the warning signs of low testosterone levels include infertility, decreased muscle mass, depression, weight gain, decreased sex drive, and fatigue. There are many natural approaches to balancing hormone levels and supporting men and women in being healthy.

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.

DHEA

DHEA (Dehydroepiandrosterone) is primarily produced in your adrenal glands alongside cortisol, but it’s also produced in the brain and the gonads (Ovaries, testes). DHEA is the precursor to testosterone and even estrogen. Stress and aging are the two main reasons DHEA declines. Low DHEA can lead to low sex drive, muscle and joint pain, reduced bone density, depression and weight gain.

Sometimes, women can suffer from high DHEA called masculinization such as deep voice, facial hair or male-patterned baldness. In men, it can also lead to feminine traits, such as increased breast tissue and testicular wasting. Other possible symptoms include fatigue, sweating, and acne.

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

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

“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

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

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

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

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

Dr. Emina jasarevic, nd | Naturopathic physician