Thyroid Program

Why Patients Choose Us ?

There are many reasons that patients come to see Dr. Bronner. While many sufferers of hypothyroidism and Hashimoto’s go for years with little to no relief, despite being treated with medication, and having normal test results it doesn’t have to be that way! Much of the time patients report feeling better in as little as two weeks.

  1. Managing thyroid disorders takes more than just taking medications.
  2. We focus on the immune system, the most common mechanism for thyroid disorders in the United States. In the United States 90 percent of hypothyroid cases are due to Hashimoto’s thyroiditis whereby an antibody is created to the Thyroid peroxidase and or Thyroglobulin. It is an autoimmune disease that attacks and over time destroys the thyroid gland which means thyroid hormone has to be replaced.
  3. We take an entire body approach: Many factors come into play when thyroid dysfunction occurs. We have to evaluate hormone, immune imbalance, adrenal and blood sugar imbalance, and digestive health.
  4. We use advanced lab testing to guide and direct our treatment. We look at many factors to properly asses your thyroid status and metabolism. This means that your treatment protocol is based off your imbalances, not just what the ‘typical’ thyroid patient has. Thyroid resistance syndrome, whereby you create reverse T3, is a lot like insulin resistance. Your cells are not receiving the active thyroid hormone called FT3 or triiodothyronine.
  5. Hashimoto’s can lead to other autoimmune diseases If untreated Hashimoto’s can eventually lead to other autoimmune diseases such as: neurological disorders rheumatoid arthritis, multiple sclerosis, Type I diabetes or other autoimmune diseases.

Hypothyroidism-Educational Video regarding testing and treatments.

What is Hypothyroidism?

Hypothyroidism is a condition in which the body lacks sufficient thyroid hormone. Since the main purpose of thyroid hormone is to manage metabolism, it is understandable that people with this condition will have symptoms associated with a slow metabolism. Over five million Americans have this common medical condition. In fact, as many as ten percent of women may have some degree of thyroid hormone deficiency.
Hypothyroidism is more common than you would believe...and, millions of people are currently hypothyroid and don't know it!

Causes

There are two fairly common causes of hypothyroidism. The first is a result of previous (or currently ongoing) inflammation of the thyroid gland which leaves a large percentage of the cells of the thyroid damaged (or dead) and incapable of producing sufficient hormone. The most common cause of thyroid gland failure is called autoimmune thyroiditis (also called Hashimoto's thyroiditis), a form of thyroid inflammation caused by the patient's own immune system. The second major cause is the broad category of "medical treatments"

Subclinical Hypothyroidism

The medical definition of subclinical hypothyroidism is a hypothyroid condition—often asymptomatic—in which free thyroxine (T4) is normal and thyroid stimulating hormone (TSH) level is between 5 and 25 mU/L, or, if a thyrotropin-releasing hormone (TRH) test is conducted, there's a greater than normal elevation in TSH response. Symptoms described in patients with subclinical hypothyroidism include greater than average incidence of problems with muscles and nerves, such as weakness, muscle fatigue, and tingling extremities. And the level of 5 as a bottom "cutoff" is actually also being questioned.

In January of 2001, the American Association of Clinical Endocrinologists (AACE) released a statement that said: "Even though a TSH level between 3.0 and 5.0 uU/ml is in the normal range, it should be considered suspect since it may signal a case of evolving thyroid underactivity."

And some practitioners actually believe that levels above 2 are evidence of developing hypothyroidism. In particular, there are practitioners who believe that a normal TSH level, with the presence of elevated thyroid antibodies, may trigger hypothyroidism symptoms, and may warrant treatment.

How Common is Subclinical Hypothyroidism?

Using the TSH of 5 as a bottom cutoff, it's estimated that on average, approximtely 8 percent of women, and 4 percent of men are subclinically hypothyroid. The prevalence is much higher with age, and 15 percent of women and 8 percent of men over the age of 60 are subclinically hypothyroid.

Given the AACE's belief that TSH over 3 may be suspect, the number of people who may be subclinically hypothyroid is likely to be far greater than currently thought.

The risks of untreated subclinical hypothyroidism include:

  • Increased risk of heart attack and atherosclerosis
  • Increased risk of elevated cholesterol and high triglycerides
  • Increased risk of depression, anxiety, and panic attacks
  • Increased risk of miscarriage.
  • Increased risk of developmental delays in infants born to mothers who were subclinically hypothyroid during pregnancy

Symptoms of Hypothyroidism

  • Fatigue
  • Weakness
  • Weight gain or increased difficulty losing weight
  • Coarse, dry hair
  • Dry, rough pale skin
  • Hair loss
  • Cold intolerance (can't tolerate the cold like those around you)
  • Muscle cramps and frequent muscle aches
  • Constipation
  • Depression
  • Irritability
  • Memory loss
  • Abnormal menstrual cycles
  • Decreased libido