1 00:00:00,040 --> 00:00:02,840 Well, hello ladies and gents. Robert Sykes, Keto, savage.com. 2 00:00:02,840 --> 00:00:06,200 And today I've got special guest Doctor Amy Horniman on the line 3 00:00:06,200 --> 00:00:10,960 and we do a deep dive into thyroid health and function. 4 00:00:11,280 --> 00:00:13,760 This is a topic that I get a lot of questions on from both 5 00:00:13,760 --> 00:00:15,800 clients and just the general community. 6 00:00:16,400 --> 00:00:17,560 Maybe they're doing everything right. 7 00:00:17,560 --> 00:00:19,680 Nutritionally speaking, their training's dialed in, but 8 00:00:19,680 --> 00:00:22,200 they're not seeing the results they want and they think it may 9 00:00:22,200 --> 00:00:24,640 be hormone related or thyroid related. 10 00:00:25,120 --> 00:00:27,440 And I really wanted to just peel the curtain back on what the 11 00:00:27,440 --> 00:00:31,720 thyroid is, what it does, how to medicate properly for thyroid, 12 00:00:31,720 --> 00:00:35,400 thyroid function if need be, what test to get done, how 13 00:00:35,400 --> 00:00:38,840 frequently get those tests done, and just all things proper 14 00:00:38,840 --> 00:00:42,040 thyroid health and function. So if you are in that category, 15 00:00:42,360 --> 00:00:44,320 if you have got everything dialed in it or not seeing the 16 00:00:44,320 --> 00:00:46,720 results that you want, that may be the reason. 17 00:00:47,240 --> 00:00:51,240 So grab your pen and notepad, take some notes, take this 18 00:00:51,240 --> 00:00:53,200 information and act upon it if need be. 19 00:00:53,480 --> 00:00:56,040 I've got no doubt that you will take something from this so that 20 00:00:56,040 --> 00:00:59,000 for the delay, sit back, relax and enjoy the conversation with 21 00:00:59,000 --> 00:01:11,760 Doctor Amy Horneman and we are live. 22 00:01:11,760 --> 00:01:13,600 Doctor Amy Horneman, how are you today? 23 00:01:14,480 --> 00:01:15,880 I'm good, Robert. How are you doing? 24 00:01:15,960 --> 00:01:18,160 I'm doing wonderful. How was your Christmas? 25 00:01:18,160 --> 00:01:20,080 We're recording this like couple days after Christmas. 26 00:01:20,800 --> 00:01:22,880 Oh yeah, it was low key, low key. 27 00:01:22,880 --> 00:01:25,440 So I didn't have a bunch of people bringing cookies over, 28 00:01:25,440 --> 00:01:29,200 which is always good for for the nutritional aspect as you know. 29 00:01:29,400 --> 00:01:31,960 Yes, yes. The temptation of the holidays 30 00:01:31,960 --> 00:01:36,160 gets a lot of people and just simply bypassing that, keeping 31 00:01:36,160 --> 00:01:39,720 it low key and staying on top of your nutrition is makes 32 00:01:39,720 --> 00:01:41,320 everything much easier going into New Year's. 33 00:01:42,040 --> 00:01:43,640 It just does. It really does. 34 00:01:44,360 --> 00:01:47,400 So I want to do little back story here. 35 00:01:47,400 --> 00:01:48,840 I've had several people on the podcast. 36 00:01:48,840 --> 00:01:50,880 I've been on your podcast. Many of the people that I've 37 00:01:50,880 --> 00:01:55,640 brought on have been, you know, experts in hormonal health, both 38 00:01:55,640 --> 00:01:59,720 male and female and many of which have background in thyroid 39 00:01:59,720 --> 00:02:01,800 health. And The thing is, like, I've 40 00:02:01,800 --> 00:02:04,080 recorded so many podcasts, I don't even know what episode 41 00:02:04,080 --> 00:02:05,920 this is going to be, like 600 something. 42 00:02:05,920 --> 00:02:08,919 But people, clients, people I talked with, they asked me these 43 00:02:08,919 --> 00:02:11,200 questions about thyroid health specifically. 44 00:02:11,720 --> 00:02:14,720 And I I say yeah, I had talked about it a little bit on this 45 00:02:14,720 --> 00:02:17,280 podcast with so and so and a little bit on this podcast with 46 00:02:17,280 --> 00:02:20,720 so and so I would love for this recording that we're doing right 47 00:02:20,720 --> 00:02:25,560 now to be like my stand alone, go to like if anybody has any 48 00:02:25,560 --> 00:02:31,000 thyroid questions I just simply say check out Episode X with Amy 49 00:02:31,000 --> 00:02:33,200 and you'll all, all your questions will be answered. 50 00:02:33,200 --> 00:02:36,120 So can we do that? Yes, let's do it. 51 00:02:36,360 --> 00:02:37,640 I love it. Perfect. 52 00:02:37,840 --> 00:02:41,600 Before we dive into all things thyroid, what makes you an 53 00:02:41,600 --> 00:02:43,000 expert in thyroid health to begin with? 54 00:02:44,520 --> 00:02:50,760 Well, we can go back something like let me see, 30 years and at 55 00:02:50,760 --> 00:02:52,440 one point in time I was competing. 56 00:02:52,440 --> 00:02:56,120 We talked about that on my podcast as well with you and I 57 00:02:56,120 --> 00:02:58,920 was competing in fitness and figure competitions and as you 58 00:02:58,920 --> 00:03:01,400 know, as your listeners know, it's rigorous, it's it's a 59 00:03:01,400 --> 00:03:03,800 strict diet, you're going to the gym. 60 00:03:03,800 --> 00:03:06,320 Back then, it was twice a day, cardio twice a day. 61 00:03:06,840 --> 00:03:10,400 And I had done plenty of these. I'd I'd done plenty of shows. 62 00:03:10,800 --> 00:03:13,160 I had done photo shoots. I was doing fitness modeling. 63 00:03:13,400 --> 00:03:16,200 So I had dieted down over and over and over again and I knew 64 00:03:16,200 --> 00:03:19,200 how my body was responding or should respond. 65 00:03:20,240 --> 00:03:22,560 And this one particular show, I was getting ready for the Mr. 66 00:03:22,560 --> 00:03:26,720 Pittsburgh and checking in with my coach, you know, stepping on 67 00:03:26,720 --> 00:03:29,320 the scale, giving the weekly updates. 68 00:03:30,160 --> 00:03:34,600 And I would step on the scale and it would be up 5 lbs, ten 69 00:03:34,600 --> 00:03:38,040 pounds, 15 lbs. As you know, you start going, 70 00:03:38,040 --> 00:03:41,120 wait a minute, I'm not doing anything wrong here, you know, 71 00:03:41,120 --> 00:03:43,520 do we have to change the diet? Do I have to be more strict? 72 00:03:43,520 --> 00:03:45,720 Do I have to go to the gym three times a day? 73 00:03:45,720 --> 00:03:47,880 It didn't biologically make sense. 74 00:03:48,200 --> 00:03:50,880 Even if you don't believe in calories in, calories out, 75 00:03:50,880 --> 00:03:54,680 which, you know, we don't. But there still is an in general 76 00:03:54,680 --> 00:03:56,960 rule that when you're eating chicken, broccoli, asparagus and 77 00:03:56,960 --> 00:03:59,840 a sweet potato and hitting the gym twice a day, the scale 78 00:03:59,840 --> 00:04:04,480 shouldn't be going up. So I was, I mean just, I was 79 00:04:04,480 --> 00:04:06,120 really frustrated. Obviously. 80 00:04:06,120 --> 00:04:09,160 I was perplexed, but I did what we all do. 81 00:04:09,160 --> 00:04:12,360 I went to my doctor and I said, you know, here's what's going on 82 00:04:12,360 --> 00:04:15,360 with me. I'm also very tired, but the the 83 00:04:15,360 --> 00:04:18,680 scale going up is just it's it's driving me crazy. 84 00:04:18,680 --> 00:04:22,480 This shouldn't be happening. And they did some tests and they 85 00:04:22,480 --> 00:04:25,800 came back with your normal, everything is fine. 86 00:04:25,800 --> 00:04:27,760 So if you saw me, I'm just doing air quotes right now. 87 00:04:27,760 --> 00:04:30,320 Normal. Everything is fine. 88 00:04:31,520 --> 00:04:33,360 Then I left there and of course I was frustrated. 89 00:04:33,360 --> 00:04:35,520 I'm like, wait, this doesn't. No, I'm not. 90 00:04:35,520 --> 00:04:37,840 Normal things aren't fine. This isn't right. 91 00:04:38,360 --> 00:04:40,560 And I kept plugging away, getting more and more strict 92 00:04:40,560 --> 00:04:46,000 with the diet, and got on the scale again. 25 lbs now, 25 lbs 93 00:04:46,000 --> 00:04:50,960 heavier while I'm in competition prep mode did not make sense. 94 00:04:51,320 --> 00:04:53,480 Now I'm becoming depressed. Now I'm actually starting to 95 00:04:53,480 --> 00:04:57,160 lose hope, and I kept going to different doctors. 96 00:04:57,160 --> 00:04:59,480 So Dr. #2, it's all in your head. 97 00:04:59,480 --> 00:05:02,640 Dr. #3, eat less and exercise more. 98 00:05:02,640 --> 00:05:04,360 That one I love. So I'm like that. 99 00:05:04,960 --> 00:05:09,240 Yeah, it's not even possible at this point to eat any less or to 100 00:05:09,280 --> 00:05:12,800 exercise any more than what I'm already doing. 101 00:05:13,400 --> 00:05:17,920 Then doctor number 456, all within the medical gaslighting 102 00:05:17,920 --> 00:05:20,120 terminology, right? It's in your head. 103 00:05:20,120 --> 00:05:21,840 You're just getting older. I was in my 20s. 104 00:05:22,480 --> 00:05:24,040 Everything's fine. You're normal. 105 00:05:24,040 --> 00:05:28,360 You're normal. Finally, one doctor touches my 106 00:05:28,360 --> 00:05:32,480 throat and says swallow, This is Dr. #7 touches my throat and 107 00:05:32,480 --> 00:05:35,120 says swallow. And she says you have 108 00:05:35,120 --> 00:05:37,880 hypothyroidism, you have a goiter, you have a nodule on 109 00:05:37,880 --> 00:05:39,200 your thyroid. We're going to, we're going to 110 00:05:39,200 --> 00:05:43,200 do an ultrasound. And we also found out that yo, 111 00:05:43,200 --> 00:05:46,560 you have Hashimoto's, the autoimmune form of low thyroid 112 00:05:46,560 --> 00:05:48,680 function. So I was pumped up. 113 00:05:48,680 --> 00:05:52,360 I'm I I left the office. I'm like, yes, I have a 114 00:05:52,360 --> 00:05:55,840 diagnosis. She gave me a pill that I 115 00:05:55,840 --> 00:05:57,960 thought, this is it, I'm going to lose the weight. 116 00:05:57,960 --> 00:05:59,800 I'm going to feel better. This is awesome. 117 00:06:00,480 --> 00:06:03,640 And I gave it five months and did not lose a pound. 118 00:06:04,120 --> 00:06:06,080 Did not lose a pound. I was think I'd be more and more 119 00:06:06,080 --> 00:06:09,680 depressed. I mean, just, you know, you you 120 00:06:09,680 --> 00:06:12,080 go to the gym, you start to wear sweatshirts because you feel 121 00:06:12,080 --> 00:06:15,280 like everyone's judging you. Oh yeah, she used to compete and 122 00:06:15,280 --> 00:06:17,600 she used to do fitness modeling. And now look at her. 123 00:06:18,040 --> 00:06:20,520 She's hitting those doughnuts a little bit too hard. 124 00:06:20,520 --> 00:06:23,240 She couldn't do it and that wasn't the case. 125 00:06:23,240 --> 00:06:26,920 And so, you know, a lot of just self loathing and blaming and 126 00:06:26,920 --> 00:06:30,960 and shame came with that. And you know, I dealt with it 127 00:06:30,960 --> 00:06:33,880 for five months and I kept hearing the name of this 128 00:06:33,920 --> 00:06:35,720 functional practitioner. Back then it wasn't even we 129 00:06:35,720 --> 00:06:36,840 didn't even use the term functional. 130 00:06:36,840 --> 00:06:40,880 It was integrative alternative, whatever the terminology was 131 00:06:40,880 --> 00:06:43,240 back then. And I kept hearing the same name 132 00:06:43,240 --> 00:06:46,880 over and over and over again. I'm like, OK, maybe I need to go 133 00:06:46,880 --> 00:06:48,720 see this guy. This is a message. 134 00:06:49,360 --> 00:06:52,440 So I went. He sat with me for 90 minutes. 135 00:06:52,560 --> 00:06:54,920 That was crazy. I mean, every other doctor spent 136 00:06:54,920 --> 00:06:57,200 5 minutes with me. He sat with me for 90 minutes 137 00:06:57,720 --> 00:07:01,000 and he did all this tests, all this testing, and he had it all 138 00:07:01,000 --> 00:07:03,280 out in front of him, laid out. And he's going through my 139 00:07:03,280 --> 00:07:06,000 symptoms and asking me how I'm feeling and pairing that up with 140 00:07:06,000 --> 00:07:08,040 the testing. And he's saying, well, here's 141 00:07:08,040 --> 00:07:11,040 what we need to do. You know, you're on Synthroid, 142 00:07:11,040 --> 00:07:13,080 which is T4 only, and we'll talk about that. 143 00:07:13,640 --> 00:07:16,960 You're on Synthroid and that's the inactive thyroid hormone, 144 00:07:16,960 --> 00:07:19,680 and that's all you're on. And here you have a conversion 145 00:07:19,680 --> 00:07:21,280 problem. And so we need to change up the 146 00:07:21,280 --> 00:07:22,440 medication. We need to add in some 147 00:07:22,440 --> 00:07:24,280 supplements, let's change up your diet a little bit. 148 00:07:25,320 --> 00:07:27,480 And it worked. And the pounds came off. 149 00:07:27,480 --> 00:07:29,920 I mean, it took, took time. It took like 6 months to a year. 150 00:07:30,160 --> 00:07:33,600 But I got back to being me and back to being myself. 151 00:07:33,880 --> 00:07:34,920 Now. At the time, I was in 152 00:07:34,920 --> 00:07:40,360 Pittsburgh, PA, a major medical hub for for, you know, UPMC 153 00:07:40,360 --> 00:07:41,840 health system. It's huge, huge. 154 00:07:41,840 --> 00:07:44,720 It's like, you know, Mayo Clinic, Cleveland Clinic, UPMC. 155 00:07:45,440 --> 00:07:50,040 And I thought to myself, if I'm in this large town with a major 156 00:07:50,040 --> 00:07:52,800 medical system, all of these specialists that I went to go 157 00:07:52,800 --> 00:07:57,920 see metabolic specialists and no one can give me an answer. 158 00:07:58,360 --> 00:08:00,720 How many other people are out there suffering? 159 00:08:00,960 --> 00:08:04,600 How many people are stopping at doctor number 2345? 160 00:08:04,600 --> 00:08:07,920 After five doctors, you're like, well, you know, probably right 161 00:08:07,920 --> 00:08:10,920 there, I mean five different doctors are telling me that I'm 162 00:08:10,920 --> 00:08:12,440 normal. Maybe I'm normal, maybe it is my 163 00:08:12,440 --> 00:08:15,240 fault. And and that's what changed my 164 00:08:15,240 --> 00:08:18,920 career path because I thought, you know, this is unacceptable, 165 00:08:19,280 --> 00:08:23,520 first of all. And in if I am in this on this 166 00:08:23,520 --> 00:08:26,440 roller coaster, how many other people are as well. 167 00:08:26,720 --> 00:08:31,080 So that's why I changed careers, got multiple degrees, and I'm 168 00:08:31,080 --> 00:08:33,440 here doing specializing in thyroid hormones. 169 00:08:34,000 --> 00:08:34,679 I love it. I love it. 170 00:08:34,679 --> 00:08:37,760 So when you were able to recover over that six month year span, 171 00:08:38,120 --> 00:08:40,320 did you change anything else? Like, did you change your 172 00:08:40,320 --> 00:08:42,240 nutrition, your training? Or was it pretty much just 173 00:08:42,240 --> 00:08:44,760 exclusively shifts in thyroid function? 174 00:08:46,360 --> 00:08:49,080 Oh gosh, that was so long ago. I remember doing some changes to 175 00:08:49,080 --> 00:08:52,000 my nutrition, but since I had that pretty much on points, 176 00:08:52,680 --> 00:08:56,040 there wasn't any, there wasn't major changes that that needed 177 00:08:56,040 --> 00:08:57,760 to occur. And I get patients like that all 178 00:08:57,760 --> 00:09:02,000 the time because they're really, they normally come to see me on 179 00:09:02,000 --> 00:09:04,280 a really good diet. You know, sometimes we have to 180 00:09:04,280 --> 00:09:06,760 tweak it, especially if we're seeing some insulin resistance 181 00:09:06,760 --> 00:09:10,120 or whatever change up the carb content, the macros. 182 00:09:10,120 --> 00:09:15,880 But but I was pretty good. It really came down to getting 183 00:09:15,880 --> 00:09:19,520 my thyroid optimized and doing some nutrient support, some 184 00:09:19,520 --> 00:09:22,040 different supplements to do nutrient support that he put me 185 00:09:22,040 --> 00:09:24,600 on as well that that move the needle. 186 00:09:25,400 --> 00:09:28,560 So if somebody is going through something similar, they've got 187 00:09:29,280 --> 00:09:31,560 let let's say they've got their macros dial in, let's say their 188 00:09:31,560 --> 00:09:34,200 training is optimized. What would be some telltale 189 00:09:34,200 --> 00:09:37,880 signs that hey, it's beyond that, it's somewhat hormonal, 190 00:09:38,560 --> 00:09:41,160 it's thyroid related, like is it going to be mostly just them 191 00:09:41,160 --> 00:09:42,840 seeing the weight not coming off? 192 00:09:43,080 --> 00:09:45,760 Is it like a certain phenotype with how they feel? 193 00:09:47,040 --> 00:09:50,480 It it, it can be a multitude of symptoms or it can just be a 194 00:09:50,480 --> 00:09:54,360 couple. So the big thyroid red flags 195 00:09:54,680 --> 00:09:58,920 are, yes, weight gain or just the inability to lose. 196 00:09:58,920 --> 00:10:02,680 A lot of people will stay stagnant at a higher weight that 197 00:10:02,680 --> 00:10:04,720 they've they've put on the weight, they're staying 198 00:10:04,720 --> 00:10:07,520 stagnant. They're doing all of the things 199 00:10:07,520 --> 00:10:10,000 that should really work, the diet, the exercise, the 200 00:10:10,000 --> 00:10:13,760 biohacking, the whole thing. And and it's not coming off. 201 00:10:14,080 --> 00:10:18,920 There's also fatigue and this is kind of more like a you can't 202 00:10:18,920 --> 00:10:21,600 get through your day fatigue, that crushing fatigue. 203 00:10:21,600 --> 00:10:24,800 It's it's where you're staring at the couch at 2:00 in the 204 00:10:24,800 --> 00:10:28,440 afternoon going please like if I can just have 1/2 an hour to lay 205 00:10:28,440 --> 00:10:29,960 down, like I can't get through my day. 206 00:10:30,520 --> 00:10:36,120 Constipation, hair loss, low libido, just loss of motivation 207 00:10:36,120 --> 00:10:38,800 in general. And it it becomes really hard to 208 00:10:38,800 --> 00:10:41,880 work out when thyroid problems go for a really long time and 209 00:10:41,880 --> 00:10:44,760 they're not caught. A lot of times I'll hear people, 210 00:10:45,200 --> 00:10:48,240 my patients will say, you know, I really try to work out, but if 211 00:10:48,240 --> 00:10:52,520 I do a 1520 minute hard workout, I'm done, I'm done for the day, 212 00:10:52,520 --> 00:10:54,640 I'm done for the next three days. 213 00:10:55,040 --> 00:11:00,880 Recovery times are really low, dry skin, brittle nails. 214 00:11:00,920 --> 00:11:03,280 I mean those are the big ones you have to think of when we're 215 00:11:03,280 --> 00:11:07,760 talking hypothyroidism, think hypo, low and slow. 216 00:11:08,200 --> 00:11:11,440 So if you think of all the different processes of your body 217 00:11:11,600 --> 00:11:16,440 slowing down South gastric motility, IE Constipation, 218 00:11:16,600 --> 00:11:20,080 energy down, mitochondrial function low and slow ATP 219 00:11:20,080 --> 00:11:25,200 production down, metabolism down, hair growth down, mood, 220 00:11:25,600 --> 00:11:28,400 depression. Low mood is a big one too. 221 00:11:28,960 --> 00:11:32,000 And a lot of times people will be prescribed antidepressants 222 00:11:32,000 --> 00:11:34,120 instead. Again, that's another symptom of 223 00:11:34,560 --> 00:11:37,800 low and slow thyroid. What are Is it like an age 224 00:11:37,800 --> 00:11:41,120 demographic where this seems to be more prevalent, or is it just 225 00:11:41,320 --> 00:11:43,280 across the board, all all different ages? 226 00:11:45,680 --> 00:11:49,520 There's a little bit of a of a demographic component to it, so 227 00:11:49,520 --> 00:11:55,200 it does hit women more than men, Although whenever I see my men 228 00:11:55,200 --> 00:11:58,200 get hit with hypothyroidism, Hashimoto's, it always effects 229 00:11:58,200 --> 00:12:00,600 their testosterone levels. So we can go down that rabbit 230 00:12:00,600 --> 00:12:02,920 hole and talk about that, but women more than men. 231 00:12:03,440 --> 00:12:08,320 And it's because testosterone is actually very autoimmune 232 00:12:08,320 --> 00:12:10,960 protective. So testosterone can reduce 233 00:12:11,560 --> 00:12:13,200 antibodies. So whether we're talking about 234 00:12:13,200 --> 00:12:16,720 Hashimoto's autoimmune thyroiditis or we're talking 235 00:12:16,720 --> 00:12:19,920 about different autoimmune conditions like celiac or 236 00:12:20,120 --> 00:12:23,960 Crohn's disease or rheumatoid arthritis, testosterone is very 237 00:12:23,960 --> 00:12:26,320 protective. So men in general, even if 238 00:12:26,320 --> 00:12:29,240 you're a male with low testosterone, you still have 239 00:12:29,240 --> 00:12:32,680 more than a female with low testosterone. 240 00:12:33,120 --> 00:12:37,240 So as our testosterone levels drop and we just have less in 241 00:12:37,240 --> 00:12:42,000 general that makes us more prone to autoimmune conditions to that 242 00:12:42,000 --> 00:12:44,360 Hashimoto's light switch turning on. 243 00:12:44,760 --> 00:12:49,440 And then the other things that we'll see is pregnancy, hormonal 244 00:12:49,440 --> 00:12:54,880 shifts, big life stressors that will turn that switch on as 245 00:12:54,880 --> 00:12:56,400 well. So it tends to hit women more 246 00:12:56,400 --> 00:13:02,160 than men and I would say it tends to show up more in late 247 00:13:02,160 --> 00:13:05,640 30s to 60s. But I mean believe me, I will 248 00:13:05,640 --> 00:13:09,760 get patients in their 20s, I'll get patients in their in their 249 00:13:10,640 --> 00:13:13,840 70s, they just finally want to be optimized. 250 00:13:13,840 --> 00:13:16,640 So you know, those are the outliers, but I would say mainly 251 00:13:16,640 --> 00:13:19,840 between if we had the baby, I'd say between 40 and 65. 252 00:13:20,520 --> 00:13:25,840 For the for the guys you know their testosterone's likely for 253 00:13:25,960 --> 00:13:29,360 for many of them is going to start declining at a gradual 254 00:13:29,360 --> 00:13:32,960 rate as the age not near the drop off that women around 255 00:13:32,960 --> 00:13:38,080 menopause see with that slight drop off in males over time. 256 00:13:38,320 --> 00:13:42,080 Any issues that they experience with regards to fatigue, low 257 00:13:42,080 --> 00:13:45,400 energy, low recovery, things of that nature, low libido, they 258 00:13:45,400 --> 00:13:48,040 can most likely attribute that to that drop in testosterone. 259 00:13:48,040 --> 00:13:51,000 Not so much thyroid related. There may be thyroid function 260 00:13:51,000 --> 00:13:53,080 there, but their their first bets probably going to be 261 00:13:53,080 --> 00:13:55,920 testosterone related, right? Definitely. 262 00:13:55,920 --> 00:13:59,000 But we always want to check the thyroid because, yeah, as you 263 00:13:59,000 --> 00:14:02,520 know, as you've talked about, I mean low testosterone, it it 264 00:14:02,520 --> 00:14:05,000 goes down just as we age. But then just all the 265 00:14:05,000 --> 00:14:07,240 environmental and lifestyle factors that can plummet our 266 00:14:07,240 --> 00:14:11,080 testosterone further, you know, food quality, the whole deal. 267 00:14:11,080 --> 00:14:13,480 We can go into again, a whole rabbit hole there. 268 00:14:13,920 --> 00:14:17,200 But we always want to go back and check thyroid function 269 00:14:17,200 --> 00:14:21,280 because what if the thyroid being the master gland, it's at 270 00:14:21,280 --> 00:14:23,880 the top and it's regulating sex hormones. 271 00:14:24,360 --> 00:14:27,800 What if that's low And then we just start piling on TRT, which 272 00:14:27,800 --> 00:14:29,920 I have no problem with. I love testosterone replacement. 273 00:14:30,400 --> 00:14:34,560 We start giving that guy TRT testosterone, and you know, he's 274 00:14:34,560 --> 00:14:37,440 just not getting better and that number just isn't going where it 275 00:14:37,440 --> 00:14:39,960 should. Let's go back and look at the 276 00:14:39,960 --> 00:14:41,840 thyroid and make sure that there's not an underlying 277 00:14:41,840 --> 00:14:44,160 problem. I think sadly, a lot of these 278 00:14:44,160 --> 00:14:48,120 new TRT clinics that are popping up are just simply prescribing 279 00:14:48,120 --> 00:14:51,760 testosterone and they're not looking at thyroid function at 280 00:14:51,760 --> 00:14:53,520 all. So if you're going to get any 281 00:14:53,600 --> 00:14:56,200 any hormone replacement therapy, I would recommend getting a full 282 00:14:56,200 --> 00:14:59,360 gamut of tests across the spectrums that you can tease out 283 00:14:59,360 --> 00:15:02,720 any variables there. And and I'll add to that too, 284 00:15:02,720 --> 00:15:06,120 the other thing that I've heard from my male patients that have 285 00:15:06,120 --> 00:15:10,560 gone to the the clinics, like you say, they'll actually be 286 00:15:10,560 --> 00:15:14,480 told they'll they'll they'll be tested and they'll be an obvious 287 00:15:14,480 --> 00:15:17,640 thyroid condition, low thyroid function. 288 00:15:17,880 --> 00:15:21,280 But then they're told all you need is testosterone that will 289 00:15:21,280 --> 00:15:24,680 take care of your thyroid. I'm like, wait a minute, great, 290 00:15:24,680 --> 00:15:26,960 Can we rewind? Can we do both so that we can 291 00:15:26,960 --> 00:15:29,240 help this guy? I mean, just giving testosterone 292 00:15:29,240 --> 00:15:32,840 is great, but it's not going to automatically bring up your your 293 00:15:33,320 --> 00:15:36,400 free T3 to an optimal level. So that's the other thing that I 294 00:15:36,400 --> 00:15:38,960 want your listeners to be aware of if they hear that. 295 00:15:39,240 --> 00:15:42,520 Totally, and it makes sense with the female demographic. 296 00:15:42,520 --> 00:15:45,200 If testosterone is protective towards thyroid function, 297 00:15:45,560 --> 00:15:47,480 they're going to have significantly lower levels at 298 00:15:47,480 --> 00:15:49,600 baseline even in the younger demographic. 299 00:15:49,600 --> 00:15:52,480 So that can be just an easier gateway for that thyroid 300 00:15:52,480 --> 00:15:56,040 malfunction to take hold. Exactly, exactly. 301 00:15:56,040 --> 00:15:57,640 And even hormonal shifts, Puberty. 302 00:15:58,120 --> 00:16:00,720 You know, sometimes that Hashimoto Switch will turn on 303 00:16:00,720 --> 00:16:03,280 during puberty. Sometimes it'll turn on the the 304 00:16:03,280 --> 00:16:07,880 PS puberty, pregnancy, hairy menopause, and then menopause. 305 00:16:08,800 --> 00:16:13,240 That's when we'll see a large majority of of symptoms start to 306 00:16:13,240 --> 00:16:15,560 resent themselves and women because of those hormonal 307 00:16:15,560 --> 00:16:17,320 shifts. What do you think the the 308 00:16:17,320 --> 00:16:22,360 primary catalyst is for this thyroid malfunction in society 309 00:16:22,360 --> 00:16:26,600 these days is coming from? That's a great question. 310 00:16:26,600 --> 00:16:29,800 I've I've thought about this a lot actually and and especially 311 00:16:29,800 --> 00:16:35,000 with autoimmune and we're seeing a almost a a surge of autoimmune 312 00:16:35,000 --> 00:16:37,720 conditions in general Hashimoto's and and the like. 313 00:16:38,520 --> 00:16:45,840 And I really think it comes down to we are living in a world now 314 00:16:45,960 --> 00:16:49,240 where we've lost control of the quality of food. 315 00:16:49,840 --> 00:16:54,000 I mean, I'll even go so far as to say unless you're landing it 316 00:16:54,000 --> 00:16:57,040 and farming it yourself and if you can, God love you, right? 317 00:16:57,880 --> 00:17:01,320 That's the only way you have total control unless you're 318 00:17:01,400 --> 00:17:03,720 you're you're raising your cows and you're going out and killing 319 00:17:03,720 --> 00:17:08,240 deer, which you know we do to. But to a point, you know, I I 320 00:17:08,240 --> 00:17:10,520 still have to buy organic fruits and vegetables, 'cause I'm not a 321 00:17:10,520 --> 00:17:12,359 good gardener, I'll I'll kill everything. 322 00:17:12,359 --> 00:17:16,000 So I have to rely on the fact that that is labeled organic and 323 00:17:16,000 --> 00:17:18,960 that there's no overspray from the farm next door who uses 324 00:17:19,000 --> 00:17:22,880 pesticides and you know that it that it really is organic. 325 00:17:22,880 --> 00:17:26,640 And I I think we just the soil composition, we're losing 326 00:17:26,640 --> 00:17:30,200 nutrients, we're we're losing micronutrients that are required 327 00:17:30,200 --> 00:17:33,120 for thyroid function and for overall protection and support 328 00:17:33,120 --> 00:17:34,680 of our body and our immune systems. 329 00:17:35,200 --> 00:17:37,880 So I just think if we, if we just look at the quality of our 330 00:17:37,880 --> 00:17:42,200 food right now, I mean there's a huge answer right there that's 331 00:17:42,200 --> 00:17:45,000 going to spur on a ton of autoimmune conditions, the 332 00:17:45,000 --> 00:17:47,840 toxins in our environment. I mean, come on, we all know the 333 00:17:47,840 --> 00:17:49,720 stats. We've heard these stats that we 334 00:17:49,720 --> 00:17:53,360 can look at an umbilical cord and find what is it, something 335 00:17:53,360 --> 00:17:56,200 like 150. I might be low, maybe it's 250 336 00:17:56,600 --> 00:18:01,560 different toxins in in the umbilical cord before the baby 337 00:18:01,560 --> 00:18:05,640 even enters the world and gets exposed to the air and the water 338 00:18:05,640 --> 00:18:08,800 and the the Glade plugins that mom and dad have in the house, 339 00:18:09,880 --> 00:18:12,160 they're already loaded down with toxins. 340 00:18:12,160 --> 00:18:15,160 I mean, what is that going to do to our bodies? 341 00:18:15,160 --> 00:18:16,880 What's that going to do to our immune systems? 342 00:18:16,880 --> 00:18:18,680 It's going to throw everything off. 343 00:18:19,400 --> 00:18:22,720 So yeah, I would say food quality, toxins, stress levels 344 00:18:22,720 --> 00:18:28,000 nowadays, lack of sleep, EMF, exposure, all of the things that 345 00:18:28,440 --> 00:18:31,120 that your audience hears you talk about. 346 00:18:31,400 --> 00:18:34,640 Just put that all in a bucket and there you go. 347 00:18:34,680 --> 00:18:37,240 There's your answer as to why we're seeing more thyroid 348 00:18:37,240 --> 00:18:38,640 problems and autoimmune conditions. 349 00:18:39,480 --> 00:18:41,680 Yeah, we definitely live in a pretty toxic environment. 350 00:18:41,680 --> 00:18:44,440 You have to yeah, once. Once you start diving down the 351 00:18:44,440 --> 00:18:48,120 rabbit hole, like you often times start with nutrition that 352 00:18:48,120 --> 00:18:51,040 leads you to all the environmental exposures, the the 353 00:18:51,320 --> 00:18:53,560 shampoos, the conditioners, everything that you're putting 354 00:18:53,560 --> 00:18:57,160 on your body with the skin being the receptor to all that. 355 00:18:57,160 --> 00:19:00,480 I mean it it the rabbit hole goes very deep for sure. 356 00:19:01,560 --> 00:19:04,480 If somebody is aware of all those things and they're doing 357 00:19:04,480 --> 00:19:08,200 everything quote UN quote right and they're still experiencing a 358 00:19:08,200 --> 00:19:12,520 lot of these issues with autoimmune hyper hypo, what what 359 00:19:12,520 --> 00:19:15,000 gives? There's just simply a imbalance 360 00:19:15,000 --> 00:19:16,880 in the dosage that they're taking in. 361 00:19:16,880 --> 00:19:20,360 Or what would be the fix if they're still experiencing a lot 362 00:19:20,360 --> 00:19:24,320 of this chronic fatigue? You mean if they're already, 363 00:19:24,320 --> 00:19:26,760 let's say they're already diagnosed and they're being 364 00:19:26,760 --> 00:19:30,280 treated kind of like I was, I put on some kind of thyroid 365 00:19:30,280 --> 00:19:31,200 treatment? Yeah. 366 00:19:31,200 --> 00:19:35,240 Is it just simply incorrect treatment patterns on on their 367 00:19:35,360 --> 00:19:37,160 prescriber's part or what's going on there? 368 00:19:38,160 --> 00:19:41,600 Yes, many times it is. So like I told my story, I was 369 00:19:41,600 --> 00:19:46,680 put on on T4 and now T4 is the is is inactive. 370 00:19:46,880 --> 00:19:52,760 So your thyroid gland makes 2 thyroid hormones T4 and T3T4 is 371 00:19:52,760 --> 00:19:55,280 inactive. T3 is active. 372 00:19:55,280 --> 00:19:59,440 So T your your receptor sites on your cells only have a 373 00:19:59,440 --> 00:20:04,080 connection for T3. They do not have a a lock and 374 00:20:04,080 --> 00:20:08,040 key mechanism for T4. So that T3 has to get to the 375 00:20:08,040 --> 00:20:10,840 cell and make a connection and turn it on, whether turning on 376 00:20:10,840 --> 00:20:14,560 your metabolism or your. Your mitochondria, your energy, 377 00:20:14,560 --> 00:20:18,320 whatever it is, you need that T3 at the cell level to turn it on. 378 00:20:18,880 --> 00:20:23,400 So if we give someone T4, and in my case, I had what was called a 379 00:20:23,400 --> 00:20:30,800 conversion problem, meaning that T4 has to become T3 in order for 380 00:20:30,800 --> 00:20:32,200 it to get to the cell and turn it on. 381 00:20:32,800 --> 00:20:36,800 I didn't convert well. So multiple things come into 382 00:20:36,800 --> 00:20:39,760 play when we're talking about conversion, insulin resistance, 383 00:20:39,760 --> 00:20:43,800 estrogen dominance, underlying infections, micronutrients, 384 00:20:43,800 --> 00:20:47,640 deficiencies like magnesium, iodine, selenium, vitamin D 385 00:20:48,160 --> 00:20:52,800 there's a a slew and even genetic snips can can be present 386 00:20:52,800 --> 00:20:55,360 that impairs the conversion of T4 to T3. 387 00:20:55,600 --> 00:20:59,520 So when you're not converting very well, you need a dose 388 00:20:59,520 --> 00:21:01,040 change, you need a medication change. 389 00:21:01,040 --> 00:21:04,200 And in my case, I needed to add in T3. 390 00:21:04,200 --> 00:21:08,280 And actually ultimately during my journey I found out that I 391 00:21:08,280 --> 00:21:12,080 don't convert at all. So I am actually on T3 only. 392 00:21:12,080 --> 00:21:15,920 I just take the active thyroid hormone T3. 393 00:21:15,920 --> 00:21:20,080 If you give me T4, bad things happen, all the symptoms come 394 00:21:20,080 --> 00:21:23,120 back. So it could be that you need a 395 00:21:23,160 --> 00:21:27,480 dose change, a Med change, a complete overhaul. 396 00:21:28,240 --> 00:21:31,360 We need, you know, we might meet, need to bring you to T3 397 00:21:31,360 --> 00:21:34,000 only or maybe use a little bit of T4 with T3. 398 00:21:34,240 --> 00:21:37,680 It's very unique to each individual, but it's about 399 00:21:37,680 --> 00:21:41,080 sitting down and finding out why are these symptoms still 400 00:21:41,080 --> 00:21:44,680 present. If you're being treated, why are 401 00:21:44,680 --> 00:21:47,200 they still present? And then that leads us to are 402 00:21:47,200 --> 00:21:50,720 you being treated properly? And if not, let's change that up 403 00:21:50,720 --> 00:21:54,760 so that we can give your body the hormones that your body 404 00:21:54,760 --> 00:21:57,680 needs. But at the same time, of course, 405 00:21:57,720 --> 00:22:01,560 look at nutrient deficiencies and what you're eating and 406 00:22:01,560 --> 00:22:03,600 nutrition so that you're doing it all together. 407 00:22:03,600 --> 00:22:06,040 Because we certainly don't want to fall into that mindset of, 408 00:22:06,600 --> 00:22:09,800 OK, well, just, you know, give me that T4 and T3 and I'll be 409 00:22:09,800 --> 00:22:11,600 good to go and I can eat whatever I want, 'cause now I'm 410 00:22:11,600 --> 00:22:15,400 going to have a good metabolism. No, it has to all work together. 411 00:22:16,040 --> 00:22:16,800 Right. Totally. 412 00:22:16,880 --> 00:22:19,200 What? What are some like when when 413 00:22:19,200 --> 00:22:22,240 someone goes into a clinic, they're getting these these labs 414 00:22:22,240 --> 00:22:23,960 drawn. What do they need to make sure 415 00:22:23,960 --> 00:22:27,640 they're testing for so that they can cover the full spectrum and 416 00:22:27,640 --> 00:22:29,280 ensure that there's not any blind spots? 417 00:22:30,400 --> 00:22:32,760 This this is the important part exactly. 418 00:22:32,760 --> 00:22:39,640 So the testing is the key. And in my case, like I said, I I 419 00:22:39,640 --> 00:22:42,760 wish I could see what tests they actually did on me. 420 00:22:42,760 --> 00:22:46,240 Back then when I was seeing doctor doctors number one 421 00:22:46,240 --> 00:22:50,080 through 7 who all told me I was fine, My guess is that they only 422 00:22:50,080 --> 00:22:54,040 tested TSH. Now TSH is a thyroid test, but 423 00:22:54,040 --> 00:22:57,520 is it is a pituitary hormone. It's thyroid stimulating hormone 424 00:22:57,800 --> 00:23:00,360 and it's released by your pituitary and it signals the 425 00:23:00,360 --> 00:23:03,640 thyroid gland to produce more thyroid hormone, more T4 and T3. 426 00:23:04,600 --> 00:23:06,400 See, because your thyroid gland will produce both. 427 00:23:06,400 --> 00:23:08,880 It'll produce the inactive and the and the active form. 428 00:23:09,600 --> 00:23:14,960 And if TSH goes up, it's kind of like it's it's screaming at the 429 00:23:14,960 --> 00:23:17,720 thyroid. It starts talking louder and 430 00:23:17,720 --> 00:23:20,160 then it gets even louder and then it starts screaming at the 431 00:23:20,160 --> 00:23:22,040 thyroid. Hey, you're not doing your job. 432 00:23:22,040 --> 00:23:24,160 Let's do this. Let's produce T4 and T3. 433 00:23:24,160 --> 00:23:26,560 Come on. So when we're looking at TSH and 434 00:23:26,560 --> 00:23:29,560 it's high, that's a no brainer. OK, Obviously this person has a 435 00:23:29,560 --> 00:23:31,640 thyroid problem. The brain is signaling the 436 00:23:31,640 --> 00:23:33,280 thyroid to make more, and it's not listening. 437 00:23:34,080 --> 00:23:38,040 But if TSH is in the normal range or even in the functional 438 00:23:38,040 --> 00:23:41,960 medicine optimal range, we still have to test further. 439 00:23:42,000 --> 00:23:46,720 So we want to test the free T4, Free meaning unbound it's ready 440 00:23:46,720 --> 00:23:49,720 to be. In T4's case, it's ready to be 441 00:23:49,720 --> 00:23:54,320 converted to T3. We want to test free T3. 442 00:23:54,720 --> 00:23:57,680 We want to test the unbound form of the active thyroid hormone 443 00:23:57,680 --> 00:24:00,360 that is present in your blood ready to attach to your cell. 444 00:24:01,400 --> 00:24:03,800 We also want to test something called Reverse T3. 445 00:24:03,880 --> 00:24:06,920 Now Reverse T3 is the anti thyroid hormone. 446 00:24:07,360 --> 00:24:11,680 It acts like a bouncer at your cell door and if Reverse T3 gets 447 00:24:11,680 --> 00:24:15,480 too high, and I don't mean flagged high on your labs, I 448 00:24:15,480 --> 00:24:19,240 mean high per functional medicine optimal ranges which we 449 00:24:19,240 --> 00:24:22,080 can talk about. But if Reverse T3 goes up and 450 00:24:22,080 --> 00:24:25,520 starts climbing, now you have these bouncers right outside 451 00:24:25,520 --> 00:24:28,160 your cell door telling T3 that it can't get in. 452 00:24:28,240 --> 00:24:30,280 No, you can't come here, you can't attach to the cell, you 453 00:24:30,280 --> 00:24:34,560 can't do your job. And and that's a test that it's 454 00:24:34,560 --> 00:24:37,320 very interesting for me to hear this over and over again from, 455 00:24:37,320 --> 00:24:39,080 from my patients and from my community. 456 00:24:39,360 --> 00:24:41,600 Their doctors will tell them it's not needed. 457 00:24:41,920 --> 00:24:44,760 Oh, that's only needed in a clinical setting. 458 00:24:44,760 --> 00:24:48,840 Meaning like if you're dying in the ICU or the ER, then we'll 459 00:24:48,840 --> 00:24:53,640 test your Reverse T3, to which my argument is, well, OK, 460 00:24:53,640 --> 00:24:57,920 Reverse T3 is a survival mechanism built into our bodies. 461 00:24:57,920 --> 00:25:02,480 Thank God we have it. Because when we are injured or 462 00:25:02,480 --> 00:25:06,840 or biting for our life, Reverse T3 will go up because our bodies 463 00:25:06,840 --> 00:25:10,080 are so smart and our bodies know that when you're trying to 464 00:25:10,080 --> 00:25:13,000 survive, you don't need to burn fat and you don't need to feel 465 00:25:13,000 --> 00:25:16,480 good and you don't need to grow your hair, you need to survive. 466 00:25:16,480 --> 00:25:22,240 So Reverse T3 will shut down all of those other systems to funnel 467 00:25:22,240 --> 00:25:25,720 the body's energy to healing and survival. 468 00:25:26,000 --> 00:25:28,240 But here's the problem, and here's what I would argue with 469 00:25:28,240 --> 00:25:29,920 these docs that say that it's not needed. 470 00:25:30,560 --> 00:25:33,480 What if you're walking around trying to live life, raise a 471 00:25:33,480 --> 00:25:37,400 family, do your job, you know, do some errands, whatever, and 472 00:25:37,400 --> 00:25:39,600 your Reverse T3 is high. So you're walking around in 473 00:25:39,600 --> 00:25:43,080 survival mode, your body thinks it's dying, and you're going to 474 00:25:43,080 --> 00:25:46,560 feel like you're dying because that Reverse T3 is too high. 475 00:25:46,560 --> 00:25:48,800 So we always, always, always have to test that. 476 00:25:49,400 --> 00:25:51,920 And then we want to look at TPO and TGA antibodies. 477 00:25:51,920 --> 00:25:54,400 These are the markers for Hashimoto's. 478 00:25:54,400 --> 00:25:57,960 This just tells us, do you have an autoimmune condition? 479 00:25:57,960 --> 00:26:01,040 Do you it? Does your body think that your 480 00:26:01,040 --> 00:26:06,160 thyroid gland is a bad guy, is an invader and regularly sends 481 00:26:06,160 --> 00:26:08,600 out soldiers to destroy the invader? 482 00:26:09,280 --> 00:26:11,920 Do we want to know? We want to know if your body is 483 00:26:11,920 --> 00:26:14,760 kind of just a little bit confused and thinks your thyroid 484 00:26:14,760 --> 00:26:16,760 is a bad guy and it cracks me up. 485 00:26:16,760 --> 00:26:18,880 I will. I will actually see those that 486 00:26:18,880 --> 00:26:22,200 get tested. I'll see doctors test one out of 487 00:26:22,200 --> 00:26:25,240 the two Hashimoto markers. I'm like, you know, there's two 488 00:26:25,240 --> 00:26:27,240 markers for this. Let's test both of them. 489 00:26:27,680 --> 00:26:31,000 So you really want to get that full testing, that full picture 490 00:26:31,000 --> 00:26:34,880 of your thyroid in order to properly address and treat? 491 00:26:35,880 --> 00:26:39,800 So just to just to clarify, there's six tests total TSH, 492 00:26:39,800 --> 00:26:45,600 free TS3, free TS4, what were the last two? 493 00:26:46,600 --> 00:26:47,600 Reverse. T3. 494 00:26:48,800 --> 00:26:54,920 Yeah, so free T4, free T3 and then yes reverse T3 and then TPO 495 00:26:54,920 --> 00:26:58,560 and TGA antibodies those are the main ones. 496 00:26:58,560 --> 00:27:02,880 Some some practitioners will test total T4 and T3 which is 497 00:27:02,880 --> 00:27:04,560 fine. I mean, those are just add-ons, 498 00:27:04,560 --> 00:27:07,480 but it really it's the free versions of those thyroid 499 00:27:07,480 --> 00:27:08,720 hormones that are most important. 500 00:27:09,040 --> 00:27:12,640 So if you're getting any type of initial HRT treatment, or if you 501 00:27:12,640 --> 00:27:14,960 have any issues with your thyroid whatsoever and you're 502 00:27:14,960 --> 00:27:19,760 not testing those six, then you need to really suggest to your 503 00:27:19,760 --> 00:27:22,120 doctor that you need to test for those or find a new Doctor, 504 00:27:22,120 --> 00:27:24,400 basically. Exactly. 505 00:27:24,400 --> 00:27:26,640 And that's actually my rule. So if your doctor says no to 506 00:27:26,640 --> 00:27:28,960 testing, it's time to find a new Doctor. 507 00:27:28,960 --> 00:27:34,040 Because if they won't even test you as their patient to really 508 00:27:34,040 --> 00:27:37,080 see what's going on inside you, and especially if you have 509 00:27:37,080 --> 00:27:40,400 symptoms that you're like, hey, this is reducing my quality of 510 00:27:40,400 --> 00:27:44,360 life and ruining my life, they should care enough to dig deep 511 00:27:44,360 --> 00:27:46,560 and really figure out what's going on with you. 512 00:27:46,560 --> 00:27:48,720 And if you don't test, then you don't know. 513 00:27:49,040 --> 00:27:51,280 Totally. And these are all tests that 514 00:27:51,280 --> 00:27:56,240 people could also get through third party like LabCorp or 515 00:27:56,240 --> 00:27:58,960 Quest Diagnostic Center if they wanted to go totally outside the 516 00:27:58,960 --> 00:28:01,440 realm of a family doctor, correct? 517 00:28:01,880 --> 00:28:04,120 Absolutely, Yeah, you can order your own labs. 518 00:28:05,000 --> 00:28:08,160 The problem is, and it's a great place to start, just to kind of 519 00:28:08,160 --> 00:28:12,480 get that snapshot and see, you know, do I have something going 520 00:28:12,480 --> 00:28:15,000 on. The problem is if you what if 521 00:28:15,000 --> 00:28:17,240 you do what? If you do have something going 522 00:28:17,240 --> 00:28:20,800 on, well at least you know. Now I have to find someone that 523 00:28:20,800 --> 00:28:24,720 can address what I'm seeing in these labs and address the the 524 00:28:24,720 --> 00:28:27,880 low function properly. And you mentioned a few times 525 00:28:27,920 --> 00:28:31,720 within the the range of functional health care, ideal 526 00:28:31,720 --> 00:28:33,800 optimal range. A lot of people don't realize. 527 00:28:33,800 --> 00:28:36,960 But the when when they go get a lab test and it says OK, you're 528 00:28:36,960 --> 00:28:40,560 in range and doesn't flag it red unless it's out of that range, 529 00:28:40,560 --> 00:28:43,360 That range is oftentimes totally skewed by what the general 530 00:28:43,360 --> 00:28:46,680 populations range is, which shouldn't take much convincing 531 00:28:46,680 --> 00:28:48,680 to know that the general population is not a very healthy 532 00:28:48,680 --> 00:28:52,360 demographic anyways. Bingo, exactly. 533 00:28:52,360 --> 00:28:57,680 So when we when you look at your labs and you see that that range 534 00:28:57,680 --> 00:29:02,520 off to the side, if you are below that range or above that 535 00:29:02,520 --> 00:29:04,960 range, you'll get, you'll get the little L, the little H it'll 536 00:29:04,960 --> 00:29:08,680 be red like you said. And that standard lab value 537 00:29:08,680 --> 00:29:13,400 range was taken from the general population, no one at any point 538 00:29:13,400 --> 00:29:18,400 of time weeded out the obese, the sick, the diabetic heart 539 00:29:18,400 --> 00:29:22,000 disease, nothing. They just took a general 540 00:29:22,000 --> 00:29:24,040 population standard lab value range. 541 00:29:24,480 --> 00:29:29,840 And in functional medicine we say give me your fit, your 542 00:29:29,840 --> 00:29:33,800 healthy, your badass people that are rocking life at the age of 543 00:29:33,800 --> 00:29:35,200 50. Sixty 7080. 544 00:29:35,800 --> 00:29:37,320 Let's test them, see where they're at. 545 00:29:37,320 --> 00:29:39,120 And that's where we want everyone else to be. 546 00:29:39,120 --> 00:29:41,360 So that's how we get the functional medicine optimal 547 00:29:41,360 --> 00:29:44,120 range. It's It's more narrow than the 548 00:29:44,120 --> 00:29:48,880 standard lab value range. Is that range available to the 549 00:29:48,880 --> 00:29:50,280 public? Like, can they go somewhere 550 00:29:50,280 --> 00:29:52,760 online and figure out what that ideal range is for their 551 00:29:52,760 --> 00:29:57,680 demographic? I've never seen it just kind of 552 00:29:57,920 --> 00:30:00,160 put out there except from functional practitioners. 553 00:30:00,160 --> 00:30:03,760 Like we have a a free guide that gives all the tests that you 554 00:30:03,760 --> 00:30:06,960 need to get and and then here's the optimal ranges where you 555 00:30:06,960 --> 00:30:09,040 should be. I mean even including, you know, 556 00:30:09,080 --> 00:30:12,560 testosterone and SHBG and estradiol for women and getting 557 00:30:12,560 --> 00:30:16,000 into the hormones. But yeah, it's not like a widely 558 00:30:16,160 --> 00:30:17,960 published thing that you could Google. 559 00:30:17,960 --> 00:30:21,040 You'll have to get it from a a practitioner, A functional 560 00:30:21,040 --> 00:30:22,360 practitioner. Gotcha. 561 00:30:22,880 --> 00:30:25,040 Now when people get these lab tests back, they see that 562 00:30:25,040 --> 00:30:26,360 they're out of the optimum range. 563 00:30:26,360 --> 00:30:30,760 They start incorporating some form of thyroid medication, HRT 564 00:30:30,760 --> 00:30:36,320 in some form or fashion. What delivery vehicles for that 565 00:30:36,880 --> 00:30:39,840 do you find to be the most beneficial for the, the, the 566 00:30:39,840 --> 00:30:41,760 masses? Like there's all different forms 567 00:30:41,760 --> 00:30:43,840 of medication now, different delivery vehicles, different 568 00:30:43,840 --> 00:30:46,320 modalities for administering it. What do you find to be the most 569 00:30:46,320 --> 00:30:50,440 consistently you know on track and effective? 570 00:30:52,640 --> 00:30:57,280 The one that's going to work for you, So the one that's going to 571 00:30:57,280 --> 00:30:59,320 work for you and the combination that's going to work for you. 572 00:30:59,360 --> 00:31:02,360 So I I I'll answer that but I have a little story to to 573 00:31:02,520 --> 00:31:05,600 preclude it. So I gave a talk to a group of 574 00:31:05,600 --> 00:31:10,760 integrative Wellness physicians and it was we, we were talking 575 00:31:10,760 --> 00:31:14,200 all about the testing and why it's important to do all the 576 00:31:14,200 --> 00:31:16,560 testing, why we need to look at reverse T3, why you need to 577 00:31:16,560 --> 00:31:18,400 incorporate that in every time you test the patient. 578 00:31:19,000 --> 00:31:23,440 And then I talked about being in the Synthroid box, meaning the 579 00:31:23,440 --> 00:31:24,880 T4 only box. That's what I got. 580 00:31:24,880 --> 00:31:26,840 I got, I got my T4 sent on my way. 581 00:31:26,840 --> 00:31:30,040 It didn't work. And I said my, my argument to 582 00:31:30,040 --> 00:31:33,720 these practitioners was, OK, if someone comes in and they're 583 00:31:33,720 --> 00:31:35,840 depressed and you'll give them an antidepressant and if that 584 00:31:35,840 --> 00:31:37,160 one doesn't work, you'll give them another one. 585 00:31:37,160 --> 00:31:39,480 If that one doesn't work, you'll tag on another one and they'll 586 00:31:39,480 --> 00:31:42,120 be on two or three and then plus an antipsychotic and a sleeping 587 00:31:42,120 --> 00:31:47,480 pill. But you won't do anything but T4 588 00:31:47,600 --> 00:31:51,080 for a thyroid patient. And we have so much more out 589 00:31:51,080 --> 00:31:53,000 there. We have the natural desiccated 590 00:31:53,000 --> 00:31:56,880 thyroid medications that those are derived, they're they're pig 591 00:31:56,880 --> 00:32:02,160 thyroid gland dried up. They have around 80% T 4 and 20% 592 00:32:02,160 --> 00:32:05,880 T three meant to mimic our own thyroid gland and mimic our own 593 00:32:05,880 --> 00:32:10,280 thyroid production. We have T3 through those, thank 594 00:32:10,280 --> 00:32:13,080 God people like me that don't convert, or people that just 595 00:32:13,080 --> 00:32:16,760 need a little bit more T3 because they have a low free T3. 596 00:32:17,120 --> 00:32:21,720 We have that available in addition to the T4 medications. 597 00:32:21,920 --> 00:32:25,600 Why aren't we finding what's going to work for that person 598 00:32:25,600 --> 00:32:29,680 and using all of these different modalities and the one doc 599 00:32:29,680 --> 00:32:32,520 raises his hand and goes? That's all we've learned. 600 00:32:33,520 --> 00:32:37,480 And I said well cool, thanks for being honest. 601 00:32:37,480 --> 00:32:40,720 But can we now branch out and really help these people. 602 00:32:41,080 --> 00:32:43,240 And so it's a really about finding what's going to work for 603 00:32:43,240 --> 00:32:46,720 that individual person. I honestly I will combine 604 00:32:46,720 --> 00:32:50,760 anything based on what I see in their labs based on maybe their 605 00:32:50,760 --> 00:32:53,680 past experience. So if they didn't do so well on 606 00:32:53,680 --> 00:32:56,880 one type of medication, we'll go over here and we'll try this one 607 00:32:57,240 --> 00:32:59,520 and we'll combine it and we'll look at the numbers. 608 00:32:59,520 --> 00:33:04,120 And so it really is, I mean I all the thyroid meds are 609 00:33:04,120 --> 00:33:07,160 basically in pill form. So if we're talking you know, 610 00:33:07,160 --> 00:33:10,240 injectable or trophy or something like that, like we can 611 00:33:10,240 --> 00:33:12,880 talk about with hormones when we're talking about thyroid 612 00:33:12,880 --> 00:33:15,480 medication, it's it's pretty much all oral pill form. 613 00:33:15,800 --> 00:33:18,240 It can be compounded, but it doesn't have to be. 614 00:33:18,240 --> 00:33:21,160 It just depends on the sensitivity of that person to 615 00:33:21,440 --> 00:33:24,240 different fillers or whatnot or if they have celiac disease. 616 00:33:24,240 --> 00:33:27,360 But but yeah, it's all oral forms, but it's just about 617 00:33:27,360 --> 00:33:31,760 finding what that blend is that's going to work for you. 618 00:33:31,800 --> 00:33:35,080 Now for branching into the hormones, that's where we can 619 00:33:35,080 --> 00:33:38,720 go, OK, testosterone. I love injectable. 620 00:33:38,720 --> 00:33:41,880 I love. I don't love cream, but I I love 621 00:33:41,880 --> 00:33:45,200 injectable. For men and women, cream is kind 622 00:33:45,200 --> 00:33:48,160 of hit or miss. It's based on the patient. 623 00:33:48,480 --> 00:33:50,960 Not really a big fan of pellets 'cause it tends to Jack your 624 00:33:50,960 --> 00:33:53,240 hormones up too high, especially my ladies. 625 00:33:53,240 --> 00:33:55,680 They'll go into a male level of testosterone and lose their hair 626 00:33:55,680 --> 00:33:57,240 and then they'll crash down the other side. 627 00:33:58,240 --> 00:34:00,560 Estradiol. Injectable's fine. 628 00:34:00,560 --> 00:34:03,440 Most people can't tolerate it. I like the patch or cream, 629 00:34:03,960 --> 00:34:08,600 progesterone, oral or cream. I mean, we can really get even 630 00:34:08,600 --> 00:34:10,960 more nuance when we get into the hormone world. 631 00:34:10,960 --> 00:34:14,440 But Thyroid World is mostly just oral pill, but there's a bunch 632 00:34:14,440 --> 00:34:18,080 of different blends we can do. Now in regards to the thyroid 633 00:34:18,080 --> 00:34:22,719 medication, how often should someone be like, say they go in, 634 00:34:22,719 --> 00:34:26,159 they get their initial labs drawn, they get prescribed a 635 00:34:26,159 --> 00:34:29,639 certain dose and form of this oral medication. 636 00:34:30,199 --> 00:34:34,000 How often do they need to be testing to see what that's doing 637 00:34:34,000 --> 00:34:37,040 to their levels going forward, at least initially? 638 00:34:37,719 --> 00:34:40,360 Yeah, Yeah. Initially, initially we want to 639 00:34:40,360 --> 00:34:45,440 test minimum every 90 days because hormones kind of take 640 00:34:45,440 --> 00:34:48,400 that long to shift. Now in some people we might test 641 00:34:48,400 --> 00:34:52,080 the six week mark once we start them on a regimen and we want to 642 00:34:52,080 --> 00:34:55,960 see are we moving in the right direction, then we'll we'll test 643 00:34:55,960 --> 00:34:59,760 a little bit sooner, but minimum has to be 90 days because we're 644 00:34:59,760 --> 00:35:02,000 still tweaking. You know we're still building up 645 00:35:02,000 --> 00:35:03,680 those hormones. We're making sure that the 646 00:35:03,680 --> 00:35:05,320 numbers are moving in the right direction. 647 00:35:05,320 --> 00:35:07,040 We're making sure that the patient is getting symptom 648 00:35:07,040 --> 00:35:10,440 relief at the same time and then maybe making some dose changes 649 00:35:10,440 --> 00:35:14,760 along the way just to tweak it. Once a person is optimized then 650 00:35:14,760 --> 00:35:18,040 we can start spacing it out. So really, once we get them 651 00:35:18,560 --> 00:35:22,360 optimized or close to optimize, we'll do once every six months 652 00:35:22,840 --> 00:35:25,240 for a little while and then maybe even just once a year once 653 00:35:25,240 --> 00:35:28,040 they're really just kind of floating on their own. 654 00:35:28,440 --> 00:35:31,040 And once that person is optimized and they're not going 655 00:35:31,040 --> 00:35:36,400 through any drastic life change like massive change in stress or 656 00:35:36,400 --> 00:35:39,880 pregnancy or anything of that nature, is it realistic to 657 00:35:39,880 --> 00:35:43,800 assume that they're likely going to be pretty even keel for the 658 00:35:43,800 --> 00:35:47,520 most part or will that shift quite a bit going forward as 659 00:35:47,520 --> 00:35:49,360 well? Because I've got some clients, 660 00:35:49,840 --> 00:35:53,120 one in particular comes to mind, and it seems as though she's 661 00:35:53,120 --> 00:35:58,600 constantly going back between Hyper and Hypo, and everything 662 00:35:58,600 --> 00:36:00,880 seems to be relatively consistent from an environmental 663 00:36:00,880 --> 00:36:03,400 standpoint. So it seems as though they just 664 00:36:03,400 --> 00:36:04,800 don't have the medication dialed in. 665 00:36:06,320 --> 00:36:11,200 Yeah, well, it kind of does come down to what you said it Are 666 00:36:11,200 --> 00:36:15,040 there are there stressors going on, you know, emotional, 667 00:36:15,040 --> 00:36:18,920 physical, even just over exercising different things like 668 00:36:18,920 --> 00:36:21,080 that. Are there, is there something 669 00:36:21,080 --> 00:36:24,680 going on that throws them off? Because I do find most of the 670 00:36:24,680 --> 00:36:29,240 time once you kind of hit that optimized state, you've hit your 671 00:36:29,240 --> 00:36:33,360 stride until just like you said Robert, until something happens, 672 00:36:33,360 --> 00:36:38,760 a hormonal shift or a woman goes into menopause or you know a big 673 00:36:38,760 --> 00:36:43,520 life stressor occurs for the most part where they land in 674 00:36:43,520 --> 00:36:47,960 optimization land is kind of where they can can stay for a 675 00:36:47,960 --> 00:36:51,760 while. So for your client, gosh, I 676 00:36:51,760 --> 00:36:54,600 don't know I would we would have to look at everything like what 677 00:36:54,600 --> 00:36:55,880 about hormones? Is she? 678 00:36:55,920 --> 00:36:59,280 Is she maybe shifting and moving into that paramenopause, 679 00:36:59,280 --> 00:37:03,040 Menopause state that That's kind of throwing her off or cortisol? 680 00:37:03,040 --> 00:37:04,720 And I'm sure you're looking at all this, but I'm just 681 00:37:04,800 --> 00:37:07,840 spitballing off the top of my head to think of different 682 00:37:07,840 --> 00:37:09,320 factors. I would say it has to be 683 00:37:09,320 --> 00:37:11,800 something. Yeah, yeah. 684 00:37:12,000 --> 00:37:17,080 Are you seeing like in your female demographic that once are 685 00:37:17,080 --> 00:37:20,040 you seeing a lot of the issues resolved once you get the 686 00:37:20,040 --> 00:37:24,800 thyroid fixed up, so they don't have to necessarily use HRT in 687 00:37:24,800 --> 00:37:26,800 tandem with that? Are you pretty much seeing a 688 00:37:26,800 --> 00:37:31,640 benefit from HRT in tandem with thyroid medication across the 689 00:37:31,640 --> 00:37:33,240 board? It's hard to say across the 690 00:37:33,240 --> 00:37:35,000 board because everyone's going to be different. 691 00:37:35,000 --> 00:37:37,800 But I guess a better way to phrase the question is do you 692 00:37:37,800 --> 00:37:39,880 have are most of your clients that are taking thyroid 693 00:37:39,880 --> 00:37:44,800 medication also on some form of HRT or the HRT issues often 694 00:37:44,800 --> 00:37:48,480 times resolved just because of the thyroid the thyroid fix? 695 00:37:49,400 --> 00:37:53,320 Most are on HRT as well, because here's the thing. 696 00:37:53,320 --> 00:37:55,720 And I just got this question earlier today too. 697 00:37:56,480 --> 00:38:00,240 You know, what do we fix first, the thyroid or or the hormones? 698 00:38:00,240 --> 00:38:04,760 I say we both, we're doing both. So in optimizing the thyroid 699 00:38:04,760 --> 00:38:08,800 that can have an effect on the hormones, it absolutely can 700 00:38:08,800 --> 00:38:13,280 improve hormone production. So if we're looking at someone 701 00:38:13,280 --> 00:38:18,040 who's 35 years old, her thyroid's in the toilet, she 702 00:38:18,040 --> 00:38:22,200 still has, you know, decent amounts of progesterone, 703 00:38:22,200 --> 00:38:26,200 estradiol, still cycling and and maybe her testosterone is 704 00:38:26,200 --> 00:38:32,480 slightly on the low side, We can do thyroid and her testosterone 705 00:38:32,480 --> 00:38:35,160 will probably come up and progesterone, estrogen will will 706 00:38:35,160 --> 00:38:38,800 balance out a little bit and possibly even move into the 707 00:38:38,800 --> 00:38:40,760 optimal range. And she won't have to even think 708 00:38:40,760 --> 00:38:44,600 about hormone replacement until she gets closer to 709 00:38:44,600 --> 00:38:48,280 perimenopause, Menopause. But then if if we're looking at 710 00:38:48,280 --> 00:38:52,480 someone that's really over the age of 40, I mean I I would 711 00:38:52,480 --> 00:38:56,440 place money on the fact that if someone is suffering with 712 00:38:56,440 --> 00:39:01,920 symptoms and they have a thyroid problem, if if you're over the 713 00:39:01,920 --> 00:39:05,840 age of 40 and we only do thyroid, we're we're missing the 714 00:39:05,840 --> 00:39:11,520 mark and we're not going to get you to that fully optimized 715 00:39:11,520 --> 00:39:14,480 state that we could if we brought in hormones. 716 00:39:14,480 --> 00:39:19,040 Hormones give us life and they have such a variety of of 717 00:39:19,160 --> 00:39:21,600 different effects on the body including longevity and 718 00:39:21,600 --> 00:39:24,800 protection too. So we have to think about the 719 00:39:24,800 --> 00:39:27,840 immediate effect of reduction of symptoms. 720 00:39:28,080 --> 00:39:30,840 So whether it's, you know, hot flashes, vaginal dryness, 721 00:39:30,840 --> 00:39:35,120 insomnia, even progesterone helps with T4 to T3 conversion. 722 00:39:35,120 --> 00:39:38,480 We talked about testosterone's effect on on antibodies. 723 00:39:38,480 --> 00:39:40,680 Testosterone gives us the libido, protects our muscles, 724 00:39:40,680 --> 00:39:44,160 protects our heart. There's so many benefits to 725 00:39:44,160 --> 00:39:47,280 hormones, it almost seems silly to just push those aside and 726 00:39:47,280 --> 00:39:49,920 say, oh, we'll just let thyroid do everything. 727 00:39:49,920 --> 00:39:53,280 Yeah, we know you're 45 years old, but the thyroid will just 728 00:39:53,280 --> 00:39:56,240 take care of it. No, it is the master gland. 729 00:39:56,240 --> 00:40:00,920 But let's also address the low hormone function with the tools 730 00:40:00,920 --> 00:40:03,640 that we now have. We have bioidentical hormone 731 00:40:03,640 --> 00:40:06,960 replacement therapy that mimics the hormones that were once 732 00:40:06,960 --> 00:40:09,040 being made properly by your body. 733 00:40:09,480 --> 00:40:12,840 So let's do that, because we have that option now to really 734 00:40:12,840 --> 00:40:16,080 get you feeling your best. It's funny, there's this big 735 00:40:16,080 --> 00:40:19,200 push, as there should be, for us all to kind of return to some 736 00:40:19,200 --> 00:40:24,000 degree of what human existence was like before all the chaos 737 00:40:24,000 --> 00:40:27,480 ensued before the the foods that we have, the environmental 738 00:40:27,480 --> 00:40:30,040 factors, the toxins. So we're a lot of people that 739 00:40:30,040 --> 00:40:33,000 are in the know are moving towards kind of like this, you 740 00:40:33,000 --> 00:40:36,760 know, traditionalist view of, you know, homesteading, tapping 741 00:40:36,760 --> 00:40:39,720 into your local community for food, growing your own food, 742 00:40:39,720 --> 00:40:43,600 hunting for food, getting outside more, trying to be more 743 00:40:43,600 --> 00:40:44,840 in line with your circadian rhythm. 744 00:40:45,280 --> 00:40:48,560 So we're doing all of those things, but yet within the 745 00:40:48,560 --> 00:40:52,000 biohacking sphere in which those are all popular, there's like 746 00:40:52,000 --> 00:40:58,200 this equally strong push to incorporate HRTTRT thyroid 747 00:40:58,200 --> 00:41:01,840 medication, which is very counter to what we as a species 748 00:41:01,840 --> 00:41:03,800 were doing, you know, 500 years ago. 749 00:41:04,840 --> 00:41:08,880 Is that ever, I mean, is that simply just a result of us 750 00:41:08,880 --> 00:41:11,800 having more knowledge and truly being able to optimize more? 751 00:41:11,800 --> 00:41:16,960 Is there any chance that you see that the the need for that 752 00:41:16,960 --> 00:41:20,880 declining as we become more conscious of our environmental 753 00:41:20,880 --> 00:41:22,560 factors and toxins and nutrition? 754 00:41:22,560 --> 00:41:25,160 Or is it simply a matter of, look, we now know so much more 755 00:41:25,160 --> 00:41:28,560 than we ever did. If one truly wants to optimize, 756 00:41:29,160 --> 00:41:31,000 eat all the right foods. Put yourself in the right 757 00:41:31,000 --> 00:41:33,280 environment. But your best bet is going to be 758 00:41:33,280 --> 00:41:37,800 to include HRT to some extent and thyroid medication to some 759 00:41:37,800 --> 00:41:39,360 extent, pretty much across the board. 760 00:41:41,560 --> 00:41:43,320 I had a couple different thoughts as you were talking. 761 00:41:43,320 --> 00:41:46,040 So the the initial thought that popped into my mind was we're 762 00:41:46,040 --> 00:41:48,400 living longer. You know what, we we have a 763 00:41:48,400 --> 00:41:52,120 longer lifespan. So we're having, we're actually 764 00:41:52,520 --> 00:41:55,040 getting the opportunity to experience low hormone function 765 00:41:55,040 --> 00:41:59,080 where our ancestors didn't because they were dead before 766 00:41:59,440 --> 00:42:04,640 menopause. But at the same time, yes, we 767 00:42:04,640 --> 00:42:09,120 are living longer. But yes, I do agree with you 768 00:42:09,720 --> 00:42:15,200 that if we really dig deep and if, if you are capable of doing 769 00:42:15,200 --> 00:42:17,000 all the things that you just said, you know, growing your own 770 00:42:17,000 --> 00:42:19,880 food, hunting for food, harvesting, living off the land, 771 00:42:19,880 --> 00:42:23,040 getting out in sunlight, getting out in nature, resetting your 772 00:42:23,040 --> 00:42:28,360 circadian rhythm, it's possible that you won't need the hormone 773 00:42:28,360 --> 00:42:32,840 replacement therapy as early as those who aren't doing those 774 00:42:32,840 --> 00:42:36,000 lifestyle changes. But you're still going to live 775 00:42:36,000 --> 00:42:38,960 longer. And and really, it comes down to 776 00:42:39,000 --> 00:42:43,840 a personal decision. I really don't like the idea of 777 00:42:43,840 --> 00:42:45,360 aging. I don't know if you've known 778 00:42:45,360 --> 00:42:46,960 that you're we're about the same age, right? 779 00:42:46,960 --> 00:42:50,320 So you start looking at these stars, you know, like, like the 780 00:42:50,320 --> 00:42:53,960 stars that we grew up with. And you look at them and you're 781 00:42:53,960 --> 00:42:57,120 going, man, they look old. Oh, wait a minute. 782 00:42:57,120 --> 00:42:59,720 They're my age. Crap. 783 00:43:00,960 --> 00:43:02,840 And you, you know, you start thinking like, OK, I'm getting 784 00:43:02,840 --> 00:43:07,560 older. I want to look, feel and perform 785 00:43:07,560 --> 00:43:10,080 my best till the day I leave this earth. 786 00:43:10,720 --> 00:43:14,080 And if that means hormone replacement, I'm going to do it. 787 00:43:14,080 --> 00:43:16,120 But that's my choice. I mean, you might have someone 788 00:43:16,120 --> 00:43:20,880 that that says, you know, I really just want to be fully. 789 00:43:20,880 --> 00:43:23,400 I'll use the word natural. I don't know how how 790 00:43:23,960 --> 00:43:29,400 encompassing that is, but I want to be natural and age naturally 791 00:43:29,880 --> 00:43:32,160 and if my hormones decline, so be it. 792 00:43:32,160 --> 00:43:34,720 I'm just, you know, moving along like my ancestors did. 793 00:43:35,120 --> 00:43:38,720 Then yeah, by all means, do all that you can to improve your 794 00:43:38,720 --> 00:43:40,640 quality of life. And maybe that doesn't involve 795 00:43:40,640 --> 00:43:43,200 hormones and that's your choice. But I I do. 796 00:43:43,200 --> 00:43:45,280 I think it comes down to a a personal choice. 797 00:43:45,280 --> 00:43:48,800 I think you have the potential to stave off hormonal decline if 798 00:43:48,800 --> 00:43:51,120 you're doing all the things and you're and you're doing it at an 799 00:43:51,120 --> 00:43:53,640 early age. You can't just start like at 45, 800 00:43:53,640 --> 00:43:57,040 like you have to start in your 30s really making these changes 801 00:43:57,320 --> 00:43:59,440 to stave off that hormonal decline. 802 00:43:59,920 --> 00:44:02,480 But it's one of those things that's going to happen if you're 803 00:44:02,480 --> 00:44:07,240 going to live past the age of 50, I mean it or 40, it's going 804 00:44:07,240 --> 00:44:08,520 to happen. Yeah. 805 00:44:08,520 --> 00:44:10,880 I mean, it makes sense to me that one is going to be able to 806 00:44:10,880 --> 00:44:14,680 perform more optimally with these exogenous therapies. 807 00:44:15,520 --> 00:44:19,040 And I think it really just boils down to when you want to make 808 00:44:19,040 --> 00:44:20,920 that shift, if you want to make that shift. 809 00:44:20,920 --> 00:44:25,040 And then if you do decide to make that shift, to do so with 810 00:44:25,080 --> 00:44:30,760 all of the data and truly test from a full spectrum standpoint. 811 00:44:30,760 --> 00:44:33,720 Because so many people are are kind of going into this 812 00:44:34,120 --> 00:44:37,640 haphazardly and it's causing them more long term issues than 813 00:44:37,640 --> 00:44:38,800 not. But I think if everything's 814 00:44:38,800 --> 00:44:43,360 truly dialed in, it's got more of a protective effect than an 815 00:44:43,360 --> 00:44:46,760 adverse effect. Yes, yes, yes. 816 00:44:46,800 --> 00:44:49,520 And if it's dumped properly, just like you said, we're not, 817 00:44:49,520 --> 00:44:52,560 we're not just throwing hormones at you, not testing. 818 00:44:52,560 --> 00:44:56,320 I I had someone the other day and she posted in my in my 819 00:44:56,360 --> 00:44:58,640 Facebook group, my public Facebook group and she said 820 00:44:58,640 --> 00:45:01,520 well, I'm seeing this. She used the term integrative. 821 00:45:01,760 --> 00:45:05,760 I'm seeing this integrative practitioner and you know she 822 00:45:05,760 --> 00:45:10,440 has me on all these hormones, but I don't know, I don't think 823 00:45:10,440 --> 00:45:14,560 they're working and we haven't tested them in like 6 or 8 824 00:45:14,560 --> 00:45:16,920 months. Wait a minute, you can't throw 825 00:45:16,920 --> 00:45:20,720 someone on hormone therapy and then not check their hormones. 826 00:45:21,280 --> 00:45:24,920 Like that really has to be done. And I answered earlier about 827 00:45:24,920 --> 00:45:26,960 thyroid. Yes, thyroid we can kind of push 828 00:45:26,960 --> 00:45:29,520 to maybe once every six months once you're optimal. 829 00:45:29,520 --> 00:45:32,600 But hormones, no, we need to stay on top of that. 830 00:45:32,600 --> 00:45:34,720 We need to make sure that you're on the right dose, in the right 831 00:45:34,720 --> 00:45:38,000 combination and and really continuously kind of tweak that 832 00:45:38,440 --> 00:45:41,320 for individuals. So that's the other problem is 833 00:45:41,320 --> 00:45:45,240 you really don't want to just throw the hormones in and then 834 00:45:45,240 --> 00:45:48,960 call it a day and not be testing and and be overseen by someone 835 00:45:48,960 --> 00:45:50,760 that knows what they're doing with hormones too. 836 00:45:51,440 --> 00:45:56,360 And most of these experts in the field that are truly taking a 837 00:45:56,360 --> 00:45:59,760 holistic approach and looking at everything, looking at the 838 00:45:59,760 --> 00:46:02,600 environmental factors, having a conversation around nutrition 839 00:46:02,920 --> 00:46:05,720 and not just simply writing a script, they're probably, I 840 00:46:05,720 --> 00:46:07,960 don't want to generalize, but I'm going to a little bit. 841 00:46:08,640 --> 00:46:12,200 They're probably not going to be your standard of care. 842 00:46:12,840 --> 00:46:16,320 Typical family doctor that people are getting from their 843 00:46:16,320 --> 00:46:19,480 insurance providers. Right, exactly. 844 00:46:19,480 --> 00:46:20,920 And and I'm glad you brought that up. 845 00:46:22,160 --> 00:46:23,840 We kind of do have to address that now. 846 00:46:23,880 --> 00:46:29,080 If if you're lucky enough to be with a PCP and OBGYN that is 847 00:46:29,080 --> 00:46:31,560 open minded that will test all the things that will treat you. 848 00:46:31,560 --> 00:46:34,960 However the believes and is knowledgeable in the thyroid and 849 00:46:34,960 --> 00:46:36,760 bioidentical hormones, that's awesome. 850 00:46:36,760 --> 00:46:40,520 But it's so rare. It is so rare because when we 851 00:46:40,520 --> 00:46:45,840 look at what doctors are taught in Med school about the thyroid, 852 00:46:45,840 --> 00:46:48,000 it's it's a very small amount of time. 853 00:46:48,000 --> 00:46:50,440 It's about the same amount of time to get on nutrition in Med 854 00:46:50,440 --> 00:46:52,080 school, a very small amount of time. 855 00:46:52,080 --> 00:46:55,360 And then they are. And you have to remember this as 856 00:46:55,360 --> 00:46:58,240 a patient. They are also driven by the drug 857 00:46:58,240 --> 00:46:59,680 companies, whether you like it or not. 858 00:46:59,680 --> 00:47:01,920 There's an amazing movie out on Netflix. 859 00:47:01,920 --> 00:47:04,560 I think it's called like pain, pain hustlers or painkillers. 860 00:47:04,880 --> 00:47:08,080 There's a series and there's a movie and they they both go into 861 00:47:08,880 --> 00:47:12,400 the the opioid epidemic and really where it started and how 862 00:47:12,400 --> 00:47:16,240 these these drug reps were being pushed back in the day to 863 00:47:16,240 --> 00:47:18,600 incentivize doctors and doctors would follow that. 864 00:47:18,600 --> 00:47:21,640 They would, they would literally prescribe only that drug because 865 00:47:21,640 --> 00:47:23,040 hey, they were getting massive kickbacks. 866 00:47:23,040 --> 00:47:26,120 Now that's kind of died down a little bit through the years, 867 00:47:26,120 --> 00:47:29,040 but it's still present. So we still have Med schools 868 00:47:29,040 --> 00:47:32,040 being funded by the makers of Synthroid and then it becomes, 869 00:47:32,040 --> 00:47:34,200 you know, wink, wink. You know that that's all you 870 00:47:34,200 --> 00:47:36,520 have to do is prescribe Synthroid to your hypothyroid 871 00:47:36,520 --> 00:47:39,520 patients, right. But that's the only therapy that 872 00:47:39,520 --> 00:47:42,320 they need, right. And so that's what they're being 873 00:47:42,320 --> 00:47:44,960 taught. So yes, you get that, you get 874 00:47:44,960 --> 00:47:47,640 that rare doctor that thinks outside the box, awesome. 875 00:47:47,640 --> 00:47:51,280 But most of the time what I see and and what my patients bring 876 00:47:51,280 --> 00:47:55,840 to me their experience and when they when they get to me is that 877 00:47:55,840 --> 00:47:58,720 they've had that five to seven minute insurance based provider 878 00:47:58,720 --> 00:48:02,120 visit and they were told that they were normal and they were 879 00:48:02,120 --> 00:48:04,320 told that they, you know can't test reverse T3. 880 00:48:04,320 --> 00:48:07,080 We don't do that. Oh, no, We don't give T3 because 881 00:48:07,800 --> 00:48:10,680 it'll, you know, 'cause bone loss or whatever falsity that 882 00:48:10,680 --> 00:48:13,120 these docs still believe, You know, same with hormones. 883 00:48:13,120 --> 00:48:14,800 We don't give hormones because it'll cause cancer. 884 00:48:14,800 --> 00:48:16,840 OK, How many 16 year olds do you know with cancer? 885 00:48:16,840 --> 00:48:20,760 Right. So it's unfortunate that yes, in 886 00:48:20,760 --> 00:48:25,920 order to get really good treatment and get optimized, you 887 00:48:25,920 --> 00:48:28,680 probably will have to pay out of pocket for that. 888 00:48:29,240 --> 00:48:32,480 I think as a society, we've been so conditioned to believe that 889 00:48:33,160 --> 00:48:35,800 our insurance will do it. Our insurance will pay for 890 00:48:35,800 --> 00:48:37,520 everything. I have insurance, I pay my 891 00:48:37,520 --> 00:48:41,400 premiums, and therefore I should get amazing treatment. 892 00:48:41,400 --> 00:48:43,840 Well, no, because those docs are run by the insurance company 893 00:48:43,840 --> 00:48:47,640 too, and they are told what to do and they have a coda and 894 00:48:47,640 --> 00:48:49,520 they. My sister's a conventional Dr. 895 00:48:49,520 --> 00:48:52,840 she's a geriatrician. She is overbooked all the time. 896 00:48:53,240 --> 00:48:58,440 That hospital or whoever runs her practice books her schedule. 897 00:48:58,440 --> 00:49:00,880 And you have these old people coming in for a 5 minute visit. 898 00:49:01,880 --> 00:49:04,160 They can barely get in the room in 5 minutes and she has 5 899 00:49:04,160 --> 00:49:05,600 minutes to spend with them. They are. 900 00:49:05,680 --> 00:49:08,320 These docs are driven by the insurance companies whether you 901 00:49:08,320 --> 00:49:11,000 like it or not. So I'm glad you brought that up 902 00:49:11,000 --> 00:49:14,320 'cause it kind of does come down to you need to find a specialist 903 00:49:14,320 --> 00:49:16,760 and you might have to pay out of pocket, but is your health worth 904 00:49:16,760 --> 00:49:18,560 it? Yeah, it's definitely a broken 905 00:49:18,560 --> 00:49:20,880 system. So if somebody's listening to 906 00:49:20,880 --> 00:49:24,440 this and they're convinced that their underlying issues are 907 00:49:24,440 --> 00:49:28,240 thyroid related, hormonal related, what is the best next 908 00:49:28,240 --> 00:49:31,360 step for them to find this well vetted specialist? 909 00:49:31,360 --> 00:49:35,520 Do they do they, is it like a a resource, a website that they 910 00:49:35,520 --> 00:49:38,400 just need to type in, you know, functional health, integrated 911 00:49:38,400 --> 00:49:41,200 medicine in my area, Like what? What is the best plan of attack 912 00:49:41,200 --> 00:49:44,480 for them? That's a great question. 913 00:49:45,920 --> 00:49:48,560 Yeah. I mean, I would say, honestly, 914 00:49:48,560 --> 00:49:51,320 this sounds cliche, but almost listen to podcasts, right? 915 00:49:51,320 --> 00:49:54,960 So you bring on experts like myself, like other hormone 916 00:49:54,960 --> 00:50:00,160 experts, listen to them and see if you jive with that person and 917 00:50:00,160 --> 00:50:02,880 and then maybe go that route because you'll you'll actually 918 00:50:02,880 --> 00:50:07,360 be able to hear the beliefs of that hormonal thyroid expert 919 00:50:07,880 --> 00:50:12,400 instead of just going to a a person because they have the 920 00:50:12,400 --> 00:50:14,320 term functional or integrative in their name. 921 00:50:14,320 --> 00:50:17,800 That doesn't always mean that they're an expert in thyroid and 922 00:50:17,800 --> 00:50:19,320 hormones. They might be a gut expert. 923 00:50:19,520 --> 00:50:22,360 They might be a mold expert or heavy metal expert. 924 00:50:22,520 --> 00:50:24,760 And then they say, Oh yeah, we can fix your thyroid too. 925 00:50:24,760 --> 00:50:27,640 And I've seen this as well. In my practice, I've seen 926 00:50:27,640 --> 00:50:32,880 patients spend thousands if not 10s of thousands of dollars on 927 00:50:32,880 --> 00:50:35,640 functional medicine because they have the term functional but 928 00:50:35,640 --> 00:50:38,360 they didn't specialize in thyroid and hormones, so they 929 00:50:38,360 --> 00:50:42,240 didn't even test thoroughly. And you know, I mean the 930 00:50:42,240 --> 00:50:44,640 functional world, it's great. It's great that we have it. 931 00:50:44,640 --> 00:50:45,960 It's great that we have all these experts. 932 00:50:45,960 --> 00:50:48,400 But as the consumer, as the patient, you also have to be 933 00:50:48,400 --> 00:50:52,240 very careful, do your due diligence, ask questions, I 934 00:50:52,240 --> 00:50:56,480 mean, you know, get on the phone with the office or or do you 935 00:50:56,480 --> 00:50:58,720 know a discovery call. Most people have discovery calls 936 00:50:58,720 --> 00:51:01,800 where where they talk to you for a while, where's the questions 937 00:51:01,800 --> 00:51:04,240 ask. Do you, do you believe in T3 938 00:51:04,240 --> 00:51:06,160 therapy? Do you do all of this testing? 939 00:51:06,160 --> 00:51:09,920 Do you do bioidentical hormone replacement and and if any of 940 00:51:09,920 --> 00:51:12,360 those anything that we talked about if they say no to reverse 941 00:51:12,360 --> 00:51:18,560 T3, no, I only do armor thyroid, no, I only do T4 then then 942 00:51:18,560 --> 00:51:21,120 that's not right for you then then you got to run and you got 943 00:51:21,120 --> 00:51:22,840 to keep going. Yeah, totally. 944 00:51:22,840 --> 00:51:25,320 No one's going to care about your health as much as you, so 945 00:51:25,320 --> 00:51:28,120 you have to do the due diligence for sure, not just expect to 946 00:51:28,120 --> 00:51:31,600 rely on your PCP to be like the one stop shop. 947 00:51:32,680 --> 00:51:35,640 The cool thing about a lot of these functional health and 948 00:51:35,640 --> 00:51:39,320 Wellness clinics that are, you know, jumping on podcasts and 949 00:51:39,320 --> 00:51:41,880 putting themselves out there and and really taking the time to do 950 00:51:41,880 --> 00:51:45,280 it the right way. They have done a really good job 951 00:51:45,280 --> 00:51:46,880 of removing a lot of the barriers to entry. 952 00:51:46,880 --> 00:51:50,320 Like they accept patients from all over the place that you 953 00:51:50,320 --> 00:51:52,440 don't have to have a physical location. 954 00:51:52,800 --> 00:51:54,960 Like how is your, how is your clinic set up? 955 00:51:54,960 --> 00:51:56,720 Like how how do you typically see clients? 956 00:51:56,720 --> 00:51:58,120 What's your typical avatar look like? 957 00:51:59,240 --> 00:52:02,120 It's all telehealth and yes, just like you said, we can 958 00:52:02,120 --> 00:52:06,480 prescribe to all 50 states including some some of Canada as 959 00:52:06,480 --> 00:52:09,400 well. So that really allows us. 960 00:52:09,400 --> 00:52:12,840 And that was my ultimate goal when I started my practice was 961 00:52:13,640 --> 00:52:17,560 to not just be able to treat locally to to build the team up 962 00:52:17,560 --> 00:52:21,400 so that we can help everyone because you know it's it's tough 963 00:52:21,400 --> 00:52:23,960 when you're well. I was going to say it's tough 964 00:52:23,960 --> 00:52:26,680 when you're in a small town, but it's tough when you're in LA and 965 00:52:26,680 --> 00:52:30,440 you can't even find a a decent functional practitioner that 966 00:52:30,440 --> 00:52:34,600 knows the thyroid hormones. So we do all telehealth, doesn't 967 00:52:34,600 --> 00:52:37,320 matter where you are. You sit, sit at home, sit in 968 00:52:37,320 --> 00:52:40,200 your living room, jump on a call, and we do everything for 969 00:52:40,200 --> 00:52:41,640 you. Your meds are sent to your 970 00:52:41,640 --> 00:52:44,080 pharmacy, shipped from a compounding pharmacy, the whole 971 00:52:44,080 --> 00:52:46,880 deal. So that's really what I that's 972 00:52:46,880 --> 00:52:49,600 how I like to practice, because that just allows us to help so 973 00:52:49,600 --> 00:52:51,720 many more people. Do you feel like you lose 974 00:52:51,720 --> 00:52:53,720 anything by it not being in person? 975 00:52:53,720 --> 00:52:56,520 Like, are you able to get all the information you need with 976 00:52:56,520 --> 00:52:59,320 that telehealth, you know, conference call? 977 00:53:00,440 --> 00:53:02,960 No, definitely, definitely because I mean you're you're 978 00:53:02,960 --> 00:53:07,560 face to face with them so you can even see their, I mean with 979 00:53:07,560 --> 00:53:10,480 thyroid we can see like the swelling in the face, the edema, 980 00:53:10,480 --> 00:53:13,760 the edema in the neck. You know, you can kind of see a 981 00:53:13,760 --> 00:53:18,200 person's behavioral patterns. Are they more on the anxious 982 00:53:18,200 --> 00:53:21,520 side, are they more on like the slow depressed side? 983 00:53:21,800 --> 00:53:25,360 I mean you can tell a lot from from a video conference. 984 00:53:25,680 --> 00:53:30,320 And I think, you know, COVID really brought the the ease of 985 00:53:30,320 --> 00:53:33,440 being on Zoom to the masses where it used to be. 986 00:53:33,440 --> 00:53:36,360 That belief system of I need to find someone in my town that I 987 00:53:36,360 --> 00:53:39,440 can walk in their door and sit down and talk to them face to 988 00:53:39,440 --> 00:53:41,600 face. And it's like COVID came along 989 00:53:41,600 --> 00:53:45,200 and we were forced to break out of that mindset and break out of 990 00:53:45,200 --> 00:53:47,360 that mold. And now I think a lot of people 991 00:53:47,360 --> 00:53:51,920 of all ages are are more comfortable doing telehealth 992 00:53:51,920 --> 00:53:54,120 consultations. I have patients in their 80s. 993 00:53:54,360 --> 00:53:55,640 I had one. I had one woman. 994 00:53:55,640 --> 00:53:57,640 She was 82 and she's like, that's it. 995 00:53:58,240 --> 00:54:00,840 I want to live the rest of my years the best I can possibly 996 00:54:00,840 --> 00:54:02,920 be. I'm tired of being tired. 997 00:54:02,920 --> 00:54:04,720 I'm tired of this. I'm tired of all the symptoms. 998 00:54:04,720 --> 00:54:08,560 And so yeah, we treated her and she's she's rocking life right 999 00:54:08,560 --> 00:54:09,800 now. That's awesome. 1000 00:54:09,800 --> 00:54:11,080 Good for her. Good for her. 1001 00:54:11,720 --> 00:54:14,920 So where do people go to find out more about you and and your 1002 00:54:14,920 --> 00:54:19,240 clinic and just dive deeper. Like, if they're wanting to move 1003 00:54:19,240 --> 00:54:21,520 to the next step, get their thyroid checked, get their 1004 00:54:21,520 --> 00:54:25,960 blood, blood work drawn, and just dive deeper into this fear 1005 00:54:25,960 --> 00:54:27,600 you you're working with male and female, right? 1006 00:54:28,200 --> 00:54:30,160 Definitely. Yep, male and female. 1007 00:54:30,640 --> 00:54:33,480 So you can go to Doctor Amy horneman.com. 1008 00:54:33,560 --> 00:54:37,680 On the website you will see a book, a call button, and so you 1009 00:54:37,680 --> 00:54:39,680 can fill out the application book, a call. 1010 00:54:39,680 --> 00:54:43,240 We'll go over everything that you've tried and been through 1011 00:54:43,240 --> 00:54:45,720 and and what you're doing now and whether you're diagnosed, 1012 00:54:45,720 --> 00:54:47,680 undiagnosed, your symptoms, everything. 1013 00:54:48,080 --> 00:54:50,760 And we'll really, you know, figure out the best approach for 1014 00:54:50,760 --> 00:54:53,880 you. And then you can listen to me on 1015 00:54:53,880 --> 00:54:57,320 the Thyroid Fixer podcast. Robert was on my podcast too and 1016 00:54:57,320 --> 00:54:59,800 we have over, gosh, 370 episodes now. 1017 00:55:00,040 --> 00:55:02,360 So I dive a lot into thyroid and hormones. 1018 00:55:02,360 --> 00:55:05,480 Obviously having other experts on as well as is talking about 1019 00:55:05,480 --> 00:55:07,600 it myself. So you can hear me talk even 1020 00:55:07,600 --> 00:55:10,800 more about thyroid and then the Girl Fix Your Thyroid Facebook 1021 00:55:10,800 --> 00:55:14,000 group that is an open group for the public. 1022 00:55:14,200 --> 00:55:17,240 You can even jump on there and post your labs if you're like, 1023 00:55:17,240 --> 00:55:20,040 you know, I ordered these labs for myself. 1024 00:55:20,040 --> 00:55:23,200 Everything that Robert and Amy talked about and I'm just not 1025 00:55:23,200 --> 00:55:26,320 sure, go ahead and post them in there with your symptoms. 1026 00:55:26,320 --> 00:55:29,000 And I'm in there. My nurse practitioners are in 1027 00:55:29,000 --> 00:55:30,960 there. The community is amazing. 1028 00:55:30,960 --> 00:55:33,760 I mean some of my, my patients who are optimized are in there 1029 00:55:33,760 --> 00:55:36,440 answering too and they answer just like I would cause they've 1030 00:55:36,440 --> 00:55:40,160 been trained basically by me. So they're in there answering as 1031 00:55:40,160 --> 00:55:41,600 well. So if you just even want to jump 1032 00:55:41,600 --> 00:55:44,040 in there and get kind of an idea of what's going on with you, you 1033 00:55:44,040 --> 00:55:45,480 can do that. Awesome. 1034 00:55:45,480 --> 00:55:46,760 I'll certainly link that to that. 1035 00:55:47,240 --> 00:55:51,680 One more question for you. What would you say is good 1036 00:55:51,720 --> 00:55:54,600 preventative care? Proactive care, if someone is 1037 00:55:54,600 --> 00:55:57,680 not really experiencing these issues, don't necessarily have 1038 00:55:57,680 --> 00:56:01,160 any, you know, markers out of range. 1039 00:56:01,560 --> 00:56:03,600 This is a kind of a selfish question because I'm asking it 1040 00:56:03,600 --> 00:56:05,440 in part for myself. My my hormones are all out of 1041 00:56:05,440 --> 00:56:07,000 whack right now post competition prep. 1042 00:56:07,000 --> 00:56:09,640 But in general, I've got a pretty good solid baseline. 1043 00:56:10,040 --> 00:56:12,920 Are there, like some common denominators with just nutrient 1044 00:56:12,920 --> 00:56:16,160 deficiency that you see? And it's kind of a little 1045 00:56:16,160 --> 00:56:18,560 question too, because there's a lot of deficiencies with our 1046 00:56:18,560 --> 00:56:20,480 modern diet. But like for me, for instance, 1047 00:56:20,480 --> 00:56:22,120 who is eating all the right foods? 1048 00:56:22,440 --> 00:56:24,840 What are some preventative things that I can do to just 1049 00:56:24,840 --> 00:56:28,240 ensure my thyroid stays functioning at a high rate going 1050 00:56:28,240 --> 00:56:31,240 forward? Iodine, magnesium. 1051 00:56:31,240 --> 00:56:34,240 So if it wasn't you before you brought you into the to the 1052 00:56:34,240 --> 00:56:37,240 equation, I would say you got to be gluten free. 1053 00:56:37,480 --> 00:56:40,520 So the general population you have to be gluten free. 1054 00:56:40,800 --> 00:56:46,000 And then I I really do believe in in a lower carbohydrate 1055 00:56:46,000 --> 00:56:49,960 lifestyle because as you've talked about many times 1056 00:56:50,400 --> 00:56:53,560 overconsumption of carbs, highly inflammatory, high insulin will 1057 00:56:53,560 --> 00:56:56,520 will inflamed the thyroid, it'll bring up reverse T3, it'll cause 1058 00:56:56,520 --> 00:56:59,120 all kinds of issues. We know that gluten is an 1059 00:56:59,120 --> 00:57:02,040 autoimmune attack Mimicker. So when we eat gluten we kick up 1060 00:57:02,040 --> 00:57:05,280 those soldiers, we we build those antibodies to further go 1061 00:57:05,280 --> 00:57:08,120 out and attack the thyroid. So that's that's the in general 1062 00:57:08,120 --> 00:57:09,760 answer. Now we move a little bit further 1063 00:57:09,760 --> 00:57:11,400 into you. I know you're already doing 1064 00:57:11,400 --> 00:57:13,720 that. So now we have to go deeper. 1065 00:57:13,720 --> 00:57:15,920 So I would say iodine is fantastic. 1066 00:57:15,920 --> 00:57:19,680 Iodine gets a bad rap in the thyroid world because there are 1067 00:57:19,680 --> 00:57:22,880 practitioners out there that overused it and they sent people 1068 00:57:22,880 --> 00:57:26,160 into a hyper stage and it wasn't good. 1069 00:57:26,160 --> 00:57:28,880 So we definitely want iodine in the mix because it's very 1070 00:57:28,880 --> 00:57:30,640 supportive. Every cell in your body needs 1071 00:57:30,640 --> 00:57:34,360 iodine just like it needs T3, and you use just enough for 1072 00:57:34,360 --> 00:57:36,840 support. It supports the immune system, 1073 00:57:36,840 --> 00:57:39,600 it kills viruses, it helps convert T4 to T3. 1074 00:57:39,600 --> 00:57:43,160 It helps support your thyroid. Magnesium is another big one 1075 00:57:43,160 --> 00:57:46,320 like a multi mag, not just mag citrate, that just helps you 1076 00:57:46,320 --> 00:57:49,640 poop every day, not just mag listening, you know you want 1077 00:57:49,640 --> 00:57:53,240 that that multi spectrum magnesium that helps with T4 and 1078 00:57:53,240 --> 00:57:56,760 T3 conversion. Selenium gets overdone quite 1079 00:57:56,760 --> 00:57:59,480 often by the thyroid community because they'll they'll read in 1080 00:57:59,480 --> 00:58:03,040 a blog that selenium is amazing for the thyroid and it is. 1081 00:58:03,040 --> 00:58:06,480 But then they end up taking 200 to 400 milligrams of selenium a 1082 00:58:06,480 --> 00:58:08,960 day and they push it too high which can also push up the 1083 00:58:08,960 --> 00:58:11,680 reverse T3. So we want you know just enough 1084 00:58:11,680 --> 00:58:13,920 selenium like 100 micrograms a day. 1085 00:58:14,280 --> 00:58:18,360 That's pretty much all you need. Iodine, magnesium, selenium, 1086 00:58:18,600 --> 00:58:20,520 keeping up your vitamin D levels. 1087 00:58:21,720 --> 00:58:24,840 I'm trying to think of anything else really that's those are the 1088 00:58:24,840 --> 00:58:27,440 main things controlling stress. Obviously we want, we want to 1089 00:58:27,440 --> 00:58:31,000 look at insulin and cortisol, but for you I would I would just 1090 00:58:31,000 --> 00:58:34,640 get into those those nutrients too. 1091 00:58:34,960 --> 00:58:38,600 I've got a little hack for iodine, so I've been, you know, 1092 00:58:38,640 --> 00:58:42,000 as as I've been eating less with this prep and reverse, I've been 1093 00:58:42,000 --> 00:58:44,000 trying to find ways to keep my food interesting. 1094 00:58:44,400 --> 00:58:49,120 And I bought several bags of this freeze dried bulk help. 1095 00:58:49,560 --> 00:58:51,880 So it's just seaweed, but it's like an incredible source of 1096 00:58:51,880 --> 00:58:54,360 iodine and I'll just sprinkle that like as a seasoning on top 1097 00:58:54,360 --> 00:58:56,280 of my food. It's getting got a nice crunch 1098 00:58:56,280 --> 00:58:59,040 to it, but it's like one of the highest sources of naturally 1099 00:58:59,040 --> 00:59:01,280 occurring iodine and it tastes really good. 1100 00:59:01,280 --> 00:59:02,600 So let's sprinkle that on everything. 1101 00:59:03,440 --> 00:59:05,600 Oh, that's good. I do like that It it does taste 1102 00:59:05,600 --> 00:59:06,280 good. You're right. 1103 00:59:06,760 --> 00:59:08,760 So it's a good little snack. It is. 1104 00:59:08,760 --> 00:59:11,160 It is. Well, Doctor Amy Horneman, I've 1105 00:59:11,160 --> 00:59:13,720 learned a ton. I've always enjoyed chatting 1106 00:59:13,720 --> 00:59:15,240 with you. I come out of the conversation 1107 00:59:15,240 --> 00:59:17,360 much more enlightened as a result. 1108 00:59:17,360 --> 00:59:21,160 And I I truly do think this is a great episode for me to just 1109 00:59:21,160 --> 00:59:23,120 point people to that have questions on thyroid. 1110 00:59:23,120 --> 00:59:25,640 Because like I said, I've got little bits and pieces of 1111 00:59:25,640 --> 00:59:28,600 thyroid discussion sprinkled throughout the 600 plus podcast 1112 00:59:28,600 --> 00:59:30,920 episodes I've done. But having just a one stop shop 1113 00:59:30,920 --> 00:59:34,720 where people can go know what test to get, know what they can 1114 00:59:34,720 --> 00:59:39,000 do pro proactively and reactively if necessary is key. 1115 00:59:39,000 --> 00:59:41,400 So I can't thank you enough for taking the time on the deep dive 1116 00:59:41,400 --> 00:59:44,200 here. My pleasure, my pleasure. 1117 00:59:44,640 --> 00:59:46,520 Thank you. I will definitely link out to 1118 00:59:46,520 --> 00:59:49,640 your site Your social. Did you say your social earlier? 1119 00:59:50,320 --> 00:59:54,200 Oh, social is, you know, all social platforms on at Doctor 1120 00:59:54,200 --> 00:59:57,160 Amy Horneman. So you can you can find me 1121 00:59:57,840 --> 00:59:59,920 anywhere under Doctor Amy Horneman. 1122 01:00:00,440 --> 01:00:03,360 Well, I will certainly do that. I'll send that to everybody and 1123 01:00:03,480 --> 01:00:06,920 you have a wonderful 2024. Do you have any big, big plans 1124 01:00:06,920 --> 01:00:10,280 for 2024 or just keep grinding like you are? 1125 01:00:11,280 --> 01:00:13,760 Now keep grinding. I'm doing a a big move. 1126 01:00:13,760 --> 01:00:17,040 I'm moving to Iowa to be closer to the deer that I hunt. 1127 01:00:17,960 --> 01:00:20,600 So yeah, doing a doing a big move. 1128 01:00:20,600 --> 01:00:23,400 But other than that, just, you know, keep rocking this. 1129 01:00:23,400 --> 01:00:24,880 I love. I love talking to people like 1130 01:00:24,880 --> 01:00:26,720 yourself. I love doing my podcast. 1131 01:00:26,720 --> 01:00:29,640 I love being on podcast. So yeah, we're just going to 1132 01:00:29,640 --> 01:00:31,720 keep doing what we're doing. Well, let me know when you get 1133 01:00:31,720 --> 01:00:34,240 so, because the Iowa deer are much bigger than the Arkansas 1134 01:00:34,240 --> 01:00:36,720 deer, so I'm going to have to come up there and and go hunting 1135 01:00:36,720 --> 01:00:38,960 with you. You are more than welcome to, 1136 01:00:39,080 --> 01:00:40,240 absolutely. Awesome. 1137 01:00:40,240 --> 01:00:42,200 Well, until next time. Until then, you take care and 1138 01:00:42,200 --> 01:00:44,640 have a great 2024. Sounds good. 1139 01:00:44,720 --> 01:00:45,560 You too. Bye, bye.