MYF 39 | Low Thyroid: How To Find & Fix The Root Cause
Welcome to Episode 39!
In episode 39, we’re teaching you everything you need to know about thyroid health while trying to conceive. Screening for thyroid issues before and during pregnancy is NOT routine practice for conventional medical providers in the U.S. But we consider this one of the most important preconception tests a woman can receive and we advocate for universal screening, especially because not all cases of low thyroid function cause obvious symptoms. In this episode you’ll learn what your thyroid does and why it’s so important for fertility, pregnancy, and baby’s development, the symptoms and possible underlying causes of thyroid dysfunction, how to get the right testing and interpretation for your thyroid labs, available treatment options for low thyroid and how to choose the one that's right for you, and how to investigate and address the root cause of your thyroid issues so you can actually heal your body instead of just manage your symptoms.
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Resources we discuss
Food sensitivities podcast episode: #33
Blood sugar podcast episode: #5
Environmental Working Group Produce Guide: Dirty Dozen & Clean 15
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4:10 What your thyroid does and how it works
9:40 Types of thyroid dysfunction and possible root causes
10:35 Autoimmune condition (Hashimoto’s thyroiditis)
11:25 Pituitary and/or HPA axis dysfunction
12:10 Sex hormone imbalances – elevated estrogen or testosterone – and birth control use
13:15 Gut dysfunction – infections, dysbiosis, leaky gut, food sensitivities
14:45 Environmental toxins
15:10 Nutrient deficiencies – iodine, selenium, zinc, iron
16:50 Why your thyroid is so important to fertility, pregnancy, and baby’s health
21:00 Symptoms of low thyroid function (hypothyroidism)
24:30 Symptoms of elevated thyroid function (hyperthyroidism)
27:40 Which markers should be included on a thyroid panel and how to interpret the results
TSH 0.3 - 2.5 mIU/L
Free T4 >1.0 ng/dl
Free T3 > 3.0 pg/ml
Reverse T3 – rT3:FT3 ratio should be less than 10:1
31:20 Common issues that arise with testing and lab interpretation
33:45 Medication options for low thyroid function
35:40 Figuring out what’s causing YOUR low thyroid function and what to do about it
37:10 Nutrient status testing and repletion– ferritin, iodine, selenium, zinc, and vitamin D
44:55 Blood sugar dysregulation and insulin resistance – glucose, insulin, A1c, HOMA-IR
47:00 Hormones and HPA axis function – DUTCH test
48:25 Gut health and food sensitivities – GI-MAP stool analysis and MRT food sensitivity test
50:20 Dietary triggers – trying a gluten-free, dairy-free, and refined sugar-free diet
52:50 Elimination protocols – Whole30 and AIP
55:30 Environmental toxins – plastics, personal care products, pesticides, water, cookware
64:40 Even with Hashimoto’s, you’re not doomed to be sick forever!