Thyroid Mystery Solved: Hashimoto's and Hypothyroidism Revealed

Check out my programClear Your Thyroid Blocks.

The Case:

• Molly has Hypothyroidism and Hashimoto’s

• She feels exhausted and foggy from the moment she wakes up.

• She’s been taking thyroid medicine for a while and has not noticed much improvement in her energy or mental clarity.

The Investigation

When I met Molly and reviewed her labs, I noticed right away that she was not supported for her thyroid type. This meant that although she was on medicine, her cells were not getting what they needed. I knew exactly where we needed to look to solve her health mystery.

Looking Beyond TSH Levels

When someone is first diagnosed with a thyroid issue, it is usually because they have had a lab test showing their TSH is out of range. But, there is so much more to understanding and treating a thyroid issue than the TSH levels. In this episode, I speak with Dr. Eric Balcavage about this and the intricacies of thyroid function. Dr. Balcavage is the host of The Thyroid Answers Podcast and co-author of The Thyroid Debacle.

To fully understand the impact of a thyroid imbalance, you must look at the journey of thyroid hormones from production to absorption and their critical role in cellular activities. Dr. Balcavage eloquently explains the cellular dynamics, likening cells to people in either manufacturing or defense mode. He highlighted the significance of T3, the active form of thyroid hormone, and how its absorption into cells influences the delicate balance between energy production and cell defense mechanisms. This conversation sheds light on the often overlooked aspect of thyroid health—absorption—and provides valuable insights into why individuals might still experience suboptimal well-being despite having sufficient thyroid hormones. Understanding these nuances is crucial for anyone seeking a holistic approach to thyroid care.

Decoding Functional Thyroid Ranges and Unveiling the Root Causes

One critical aspect often overlooked in medicine is the interpretation of lab values. It is a common misconception that as long as thyroid levels fall within the functional or optimal range, they are deemed satisfactory. This is something I talk about often in this podcast and Dr. Balcavage agrees, emphasizing that optimal ranges don't necessarily equate to appropriateness for an individual's unique health profile. In this episode, we explore scenarios where seemingly normal TSH levels could mask underlying issues, such as inflammation-induced TSH suppression or hypothalamic saturation due to excessive T4 intake.

The pitfalls of solely focusing on T3 supplementation without unraveling the root causes of impaired T4 to T3 conversion are not to be ignored. Dr. Balcavage explains the importance of investigating whether a genuine inability to convert exists or if the issue stems from inflammatory and stress responses, shedding light on the nuanced complexities of thyroid health.

Chronic Stress and “Multisystem Adaptive Disorders”

Stress and other triggers can cause a cell danger response. Dr. Balcavage provides insights into how this response manifests differently based on its duration and the impacted tissues and systems. He further explains that the cell danger response is not unfamiliar to most, as we've all experienced it transiently during times of illness or stress. However, for some, this response becomes chronic, creating a new operating system laden with symptoms and imbalances. This can lead to cellular repercussions—weight gain despite a balanced diet, glucose resistance, hormone dysregulation, and diminished parasympathetic function, among others.

Cumulative stress and poor recovery can also have a major impact which Dr. Balcavage likens to adding incremental weights to a fragile plank. He emphasizes that it's not always the result of a single, dramatic stressor like a specific infection or toxin. Instead, it often stems from the relentless accumulation of life stressors, each contributing to the breaking point. Drawing parallels, we explore scenarios where both constant, gradual stressors and sudden, impactful events can trigger the cell danger response – something he refers to as "multisystem adaptive disorder." Rather than focusing on singular diagnoses, he underscores the importance of identifying ongoing stressors and promoting recovery to facilitate true healing. This is why he believes that fixing the symptoms without addressing the underlying adaptive responses is a misguided approach.

Stress Triggers in Hypothyroidism and Hashimoto’s

I talk a lot about Hahimoto’s four triggers and one of them is stress. However, there are a myriad of stressors to consider. It is essential to dig a little deeper so you can identify and mitigate these stressors. Once these stressors are addressed the next crucial step is switching off the persistent cell danger response.

Dr. Balcavage underscores the critical role of seemingly mundane factors that profoundly influence our physiological state. Breathing, diet, sleep, and mindset emerged as the unsung heroes in the journey towards optimal health. He illuminates the fact that our cells can remain entrenched in a stress response, even after the external stressors diminish, emphasizing the need for deliberate interventions.

Contrary to the allure of quick fixes and flashy supplement solutions, Dr. Balcavage emphasizes the power of foundational lifestyle factors.

Embracing Emotional Fitness

So often, we focus on physical adjustments to our routines without taking into account the importance of our emotional fitness including dealing with emotional stressors and conscious thoughts that can shape our physiological responses. Often, we are unaware of our thought patterns and their impact on our health.

Limiting beliefs and imprints acquired during the formative years of our lives are often embedded in the subconscious during the Theta state. Dr. Balcavage and I explore the significance of unraveling these deep-seated beliefs, emphasizing their influence on the stories we tell ourselves as an important step toward improving emotional fitness.

It’s important to adopt tools tailored to individual needs for managing emotional stress. Whether it's the DNRS method, the map method, meditation, or other techniques, the key is finding what resonates with each person. Recognizing individual emotional triggers and how they show up in our environment; presenting subtle cues that can lead to a patterned emotional response. Dr. Balcavage believes that a shift in the thought process is more powerful and important than simply suppressing symptoms with supplements.

Choosing this paradigm shift allows individuals to approach life events with resilience and a growth-oriented mindset. Dr. Balcavage challenges the idea that good or bad events inherently shape our lives. Instead, he advocates for interpreting these experiences as opportunities for learning and growth. The journey towards emotional fitness involves acknowledging the inevitability of stress, embracing a brief pity party, and then strategically leveraging each experience as a stepping stone toward a better, more empowered life.

Tools for Decreasing Stress

There are many diverse modalities and tools designed to improve our mental, emotional, and energetic health. Everyone’s journey is different so it’s best to try different approaches to find the one that resonates with you.

One approach that Dr. Balcavage shares in this episode is the Apollo Neuro—a wearable device that uses vibrational technology to alter brainwave frequencies. This device, placed on the wrist, serves as an accessible and practical tool for individuals seeking to manage stress, improve sleep, and enhance focus.

Another useful tool that we discuss is breathwork, particularly when done with the guidance of HeartMath. HeartMath is a device that monitors the heart and guides breathing based on your heart rate. This tool really drives home the biochemistry connection to our breath and our stress.

A Holistic Approach

The more we discuss stress and other root causes of thyroid issues, the more it becomes obvious that a holistic approach to health is needed. We can’t just treat the symptoms. We need to consider the interconnectedness of stress, our mind, and our biochemistry in order to navigate our way to optimal health.

Mystery Solved

Taking this holistic approach with Molly meant we had to look at her thyroid type, which was ‘unavailable’. We worked on balancing other hormones and dealt with her stress response.

By approaching her thyroid issues more holistically (and not just treating the symptoms with medication) we were able to get great results.

If you’re dealing with similar issues as Molly, then consider a holistic approach by starting with how your thoughts might be creating a biochemical reaction.

Thoughts don’t just circle around in our heads. Each thought has a frequency and in this world where everything is energy, the frequency really matters because it creates your reality.

When we’re not mindful of what’s happening in our thoughts, we end up with more stress. This additional stress increases the release of cortisol (the stress hormone) which can trigger thyroid issues and cause a Hashimoto’s flare-up. It can also impact other autoimmune diseases because cortisol causes inflammation - and if we are in chronic stress, the cell response becomes normalized.

You can change this. The quickest way to change it is to clear what is not serving you. Start by noticing negative self-talk and then stopping yourself from engaging in negative self-talk. This is key because negative self-talk has a negative vibration as does emotional responses like worry, shame, guilt, frustrati

Shortcut to my thyroid program.

The Case:

• Lucy was experiencing symptoms that went back and forth

• She would experience heart palpitations, hot flashes, and anxiety and then she’d have periods of fatigue

• Her doctor suspected hyperthyroidism and tested her for Graves

I knew that there was reason to investigate further because her symptoms weren’t adding up. When it comes to hyperthyroidism, there’s one person I often turn to - Dr. Eric Osansky, a chiropractor and host of the ‘Save My Thyroid’ podcast.

His interest in hyperthyroidism comes from his personal Graves diagnosis in 2008. He is also the author of 2 thyroid books, ‘Natural Solutions for Hypothyroidism and Graves’ Disease’ and ‘Hashimoto’s Triggers: Eliminate Your Thyroid Symptoms by Finding and Removing Your Triggers’

On this show, we talk a lot about hypothyroidism and how Hashimoto’s can be at play. Many don’t think that Hashimoto’s can also be present when someone has an overactive thyroid (Hyperthyroidism and sometimes Graves’ Disease). It all starts by looking at and understanding TSH levels.

Reviewing the Basics of Thyroid-Stimulating Hormone (TSH)

The thyroid gland is a critical component of our endocrine system, responsible for regulating our metabolism. When it comes to thyroid assessments, most practitioners start by examining the Thyroid-Stimulating Hormone (TSH). Dr. Osansky explained that TSH stands for "Thyroid Stimulation-Communicating Hormone" and is produced by the pituitary gland. This hormone plays a vital role in communicating with the thyroid and serves as a fundamental element of many thyroid evaluations.

When it comes to hypothyroidism, including conditions like Hashimoto's, you'll often see elevated TSH levels. This is because the thyroid hormone in the body is on the lower side. It might be just within the lab's reference range, or it could be overtly low. In response, the pituitary gland sends a clear signal to the thyroid: "We need more thyroid hormone!" This signal takes the form of an increased TSH level, prompting the thyroid gland to produce more thyroid hormone.

Conversely, in the case of hyperthyroidism, it's the complete opposite. With hyperthyroidism, there's an excess of thyroid hormone circulating in the bloodstream, mainly bound to proteins. In this scenario, the pituitary gland signals the thyroid to slow down production. As a result, you'll commonly observe not only low TSH but sometimes an undetectable TSH, especially in conditions like Graves' disease. This undetectable TSH indicates that the pituitary is working hard to halt the overproduction of thyroid hormone. So, while TSH levels can provide valuable insights, they're just one piece of the puzzle. We need to dig deeper into the thyroid hormones to get the full picture.

Comprehensive Thyroid Testing is Always Key

According to Dr. Eric, to reach a proper diagnosis, we must also examine the thyroid hormones, particularly free T3 and free T4. These free hormones offer a more accurate representation of thyroid function. In hyperthyroidism, where the thyroid hormones are typically elevated, examining free T3 and free T4 alone is often sufficient because total hormones will also be elevated. On the other hand, in hypothyroidism, some practitioners prefer to assess not only free hormones but also total hormones to gauge production since a significant portion of thyroid hormone is bound to proteins.

Let's not forget reverse T3, an inactive form of T3. It's a bit of a controversial character in the thyroid world. Some suggest that reverse T3 may act as a blocking agent, especially in hyperthyroidism. Elevated reverse T3 levels are common in this condition, further hinting at its role in dampening excessive thyroid hormone activity.

But the thyroid's complexity doesn't end here. We also need to consider antibodies, which play a crucial role in autoimmune thyroid conditions like Hashimoto's. Plus, keep in mind that it's not just the thyroid at play; the pituitary gland could be throwing a wrench in the works too. Pituitary issues, such as a pituitary adenoma, can also affect TSH levels and the overall thyroid regulation. So, always remember that a comprehensive view is essential when evaluating thyroid health.

What is Hashi-Toxicosis?

Hashi-toxicosis is a fascinating term that combines "Hashimoto's" and "toxicosis." It essentially refers to Hashimoto's thyroiditis with intermittent episodes of hyperthyroidism. When someone has Hashimoto's, the autoimmune attack damages the thyroid gland, causing it to release excessive thyroid hormone into the bloodstream. Consequently, when you get a blood test during such an episode, it can appear as hyperthyroidism. However, it's different from Graves' disease, where specific antibodies continuously stimulate the thyroid gland. In Hashi-toxicosis, these episodes of hyperthyroidism are transient, meaning they come and go. The duration varies from person to person, some experiencing these episodes for a few hours, while others may have them for a few days.

These fluctuations can be triggered by various factors. For some, hormonal changes, like those related to the menstrual cycle or stressful events, can lead to these episodes. It's important to note that the frequency of these flares varies among individuals. Some may experience them frequently, while others only encounter them occasionally. In my own journey, I've had a couple of Hashi-toxicosis flares, both linked to high-stress events – one after moving and the other postpartum. These personal experiences have taught me that hormonal changes can significantly influence the frequency of these episodes. For those who face occasional flares, it can be a bewildering experience.

When I had my first episode, nearly two decades ago, it looked a lot like Lucy's situation. The doctor ran tests during a flare, and my thyroid hormone levels were off the charts. Not just my TSH, but all my thyroid hormones were elevated, which was rather unusual. The doctor even suggested the possibility of thyroid removal. Thankfully, my knowledge about Hashimoto's helped me question this recommendation, as I knew there was more to the story than met the eye.

Get Curious About Unusual Thyroid Results

It's absolutely crucial to explore all the possibilities when dealing with thyroid issues and stop the attack on our thyroid gland. Now, consider a scenario where someone, like Lucy, has a low TSH and elevated hormone levels. If it's not clear whether this is a transient episode, it's essential to retest and, most importantly, assess the antibodies. But what if the antibodies turn out to be negative, including TSI? What else could be behind these hyperthyroid symptoms and unusual lab results?

Dr. Osasnsky introduced the possibility of subacute thyroiditis. This condition often arises from viral infections, such as cytomegalovirus or even, more recently, the effects of COVID. It triggers significant inflammation in the thyroid, resulting in excess thyroid hormone production. Strangely, the presentation mirrors Graves' disease, yet the antibodies are absent. However, in most cases, within two to four months, this hyper phase shifts to a hypo state, and often, the hypothyroidism is temporary, eventually returning to a normal thyroid balance.

One more thing to consider is medication. For example, if someone is taking a high amount of natural or synthetic thyroid, (whether it's levothyroxine or desiccated thyroid hormone) it can cause too much thyroid hormone.

Nodules on the Thyroid and What They Mean

In the world of thyroid health, nodules are a hot topic, and I get a lot of questions about them. One common query is, "Can nodules ever cause hypothyroidism?" Dr. Osansky, explains that nodules typically don't lead to hypothyroidism directly. In fact, most of the time, they don't cause either hyperthyroidism or hypothyroidism.

However, there's a bit of a gray area. In some cases, people with larger nodules, especially those over two centimeters, might experience changes in their TSH levels. Sometimes you'll see a depressed TSH with multinodular goiter, but the thyroid hormone levels will appear normal. So it's not exactly the nodules themselves causing hypothyroidism; it's more like a subtle alteration in the thyroid function. Of course, it's essential to consider that the interpretation can vary among healthcare professionals. Thyroid lab ranges can be quite wide, and what's considered "normal" in conventional medicine may not align with optimal thyroid health. It's always a good idea to work with a practitioner who understands the nuances of thyroid function.

Nodules are surprisingly common, especially as we get older. About 50% of people over 50 have nodules, and the percentage increases with age. While you can't always completely prevent nodules, there are some factors to consider. Hormone imbalances, particularly issues with estrogen metabolism, can contribute to nodule development. So addressing this aspect can be essential.

Tests like the Dutch test can help evaluate estrogen metabolites, and you may need to consult a healthcare provider knowledgeable in thyroid health for this. Insulin resistance can also play a role, and keeping an eye on your hemoglobin A1C and fasting insulin levels can be informative. Iodine is another element that can be both a cause and a potential remedy for nodules. It's a bit of a gray area, and the research isn't entirely clear. However, it's wise to be cautious with iodine supplements, as they can worsen nodules in some cases.

There are some self-care practices like castor oil packs that some people swear by, although there's limited scientific evidence. Ultimately, it's a good idea to monitor nodules with follow-up ultrasound

Introducing my new Clear Your Thyroid Blocks Program - Register today!

https://completenutritionandwellness.com/shop/thyroidblocks.html

The Investigation - Your Thyroid & Autoimmune Blocks

Did you know that you likely have thyroid and/or autoimmune blocks? Don’t worry, most people do and in this episode, I uncover the mysteries about this often-overlooked factor in your quest for optimal health. I've spent two decades working with hundreds of thyroid cases, and I can confidently say that to truly support Hashimoto's and optimize thyroid health, we need to look at it from all angles. It's more than just biochemistry; it's about understanding the emotional and mental aspects of our health journey.

Understanding the Big Picture of Thyroid and Hashimoto’s: Biochemistry Is Crucial, But Not Everything

If you’ve listened to this show before then you know I talk a lot about how biochemistry is a big piece of the Hashimoto’s and thyroid puzzle. Making smart changes to your diet and taking the right supplements are important. However, you also know that there are several things that can be triggers like infections, your environment, gut health, and stress.

In recent years, I've noticed something intriguing. Even when the biochemistry is relatively balanced, people can still experience frustrating thyroid and autoimmune symptoms. Why is that? The answer lies not just in our thyroid or immune system but in our thoughts and beliefs. We all carry various emotional and mental blocks, stemming from our thoughts, emotions, and beliefs. These blocks can hinder our healing journey and often result from early childhood imprints and experiences.

The Power of Childhood Beliefs on Adult Health

The things we learned, saw, and interpreted as children have an impact on our emotional health today. From the time we are born until about age seven, we operate in a different brainwave (theta brainwave). In this state, we absorb information like sponges. We develop beliefs not necessarily from being told explicitly but from what we see, hear, or observe in our parents or caregivers. It's in these formative years that we form many of the beliefs that influence us later in life.

Around the age of seven, we begin to develop a logical mind, transitioning into the beta brainwave that adults primarily operate in. However, the beliefs formed during our early years remain stored in our subconscious minds. As we grow older, these deep-rooted beliefs can conflict with our conscious thoughts, creating an internal struggle between what's in our subconscious and conscious minds.

Changing these deeply ingrained beliefs logically can be challenging. The subconscious beliefs are powerful, often driving our actions and decisions without us realizing it. These beliefs can pertain to health, self-worth, success, relationships, and more.

The Impact of Subconscious Belief on Thyroid Health

You’re probably wondering what all of this has to do with Hashimoto’s and thyroid health. Our thoughts and beliefs, whether consciously acknowledged or not, being in conflict with our conscious puts your body into an upregulated state (aka fight-or-flight mode). When your nervous system is constantly in this state of stress, it negatively impacts your immune system, digestion, and overall well-being. Remember that one of the key triggers for Hashimoto’s is stress.

The Importance of Downregulating the Nervous System

One key piece of finding optimal health on this journey with Hypothyroidism or Hashimoto’s is downregulating the nervous system. When our nervous system is in a state of heightened alert, our bodies prioritize survival over healing. Our immune system takes a backseat, digestion slows down, and detoxification becomes less efficient. Additionally, our cells can become stuck in a stress response, preventing the effective use of hormones, even if you're doing everything right biochemically.

Uncovering the Emotional Stressors

While we address physical stressors like diet and infections, we often overlook emotional stressors. These emotional blocks can persist even after other triggers are eliminated. Our thoughts and beliefs have a significant impact on our physical health. Unfortunately, we're often in a constant state of stress due to these beliefs, which can seriously affect our immune system, Hashimoto's, and our thyroid health.

If you're still struggling with thyroid issues, even after making dietary, supplement, or medication changes, emotional blocks might be the missing piece. Even if you're feeling better due to positive changes in your diet and/or medication, addressing emotional blocks can take you to the next level and accelerate your results.

A New Program to Clear Thyroid Blocks

I'm excited to introduce a new program (starting in November 2023) designed to help you clear these emotional blocks. Clear Your Thyroid Blocks will help you clear these blocks over the course of two 90-minute live, virtual group sessions. You’ll learn the step-by-step method to address thyroid blocks so that you can start breaking them down.

This highly informative program will help you unearth your deep-rooted beliefs around freedom of expression, feelings of not being good enough, shame, guilt, and more. You might be surprised at how many of these blocks you have and how they're affecting your health. The beauty of this program is that there are no additional dietary changes, supplements, or exercise modifications required.

The Power of Clearing Your Thyroid Blocks

This method involves working on the emotional and energetic level to identify and clear thoughts, beliefs, and patterns that perpetuate thyroid symptoms. The great news is that it can be combined with your existing approach. It's not a matter of either focusing on biochemistry or addressing emotional blocks. It's marrying them both for optimal results. We're downregulating the nervous system to create an environment where your body can heal effectively.

Why Positive Thinking Alone Isn't Enough

I want to be clear. The program is not just a lesson in positive thinking because while positive thinking is helpful, it’s often not effective against long held, deep-seated beliefs. Sometimes, affirmations can make you feel worse when they don't align with how you're truly feeling. You might find yourself feeling the disconnect between what you are saying to yourself and how you truly feel - your body and mind know you’re lying to yourself. That’s why you have to go deeper and change the belief on a subconscious level.

In the Clear Your Thyroid Blocks program, we do the deeper dive deep into the roots of your beliefs and clear them. We replace them with beliefs that truly resonate with you so that you genuinely feel and live with more positively. This is how we erase the emotional blocks that have been holding you back for years.

Your Deep Healing Journey Starts Here

I'm excited to offer this program, and I've designed it to be as accessible and affordable as possible. The live sessions will take place on November 2 and November 9, but if you can't attend live, don't worry; the sessions will be recorded and you’ll have lifetime access to the recordings.

Plus, I have a bonus for you! Everyone to signs up for the Clear Your Thyroid Blocks will qualify for a discount on my popular "Roadmap to Hashimoto's and Hypothyroidism" program.

The Healing Power Within You

One of the things that I’ve learned over the decades in this work, and that I’ve shared in the years of this podcast is that our bodies possess incredible healing capabilities. What I also know is that they need the right environment to thrive. So often it’s the constant stress that prevents our bodies from doing what they do best - heal. This program isn't about replacing your existing approach; it's about enhancing it by creating a harmonious environment for healing. I've witnessed the transformation in my own life and the lives of my clients, and I believe this method can help you too. If you're struggling with thyroid issues, Hashimoto's, or any chronic health condition, this program can make a significant difference.

Click here to register forClear Your Thyroid Blocks

I'm thrilled to extend this invitation to you. If you have any questions or need more information, feel free to reach out to me on Instagram or through my website. And if you know someone who could benefit from this program, please share this with them.

Links:

Clear Your Thyroid Blocks Program

https://completenutritionandwellness.com/shop/thyroidblocks.html

Related Podcast Episodes:

138 Revealed! The Equation for Being Healthy and Feeling Good with Hashimoto’s

143 Your Family History Goes Beyond Genetics: A Novel Way to Look at Hashimoto’s

140 Power Up Your Hashimoto’s and Thyroid Healing Journey with Hypnosis, Part 2

139 How to Power Up Your Hashimoto’s and Thyroid Healing Journey with Hypnosis Part 1

Thanks for Listening

If you like what you heard, please rate and review this podcast. Every piece of feedback not only helps me create better shows, it helps more people find this important information.

Never miss an episode - Subscribe NOW to Health Mysteries Solved with host, Inna Topiler on Apple Podcasts, Spotify, Stitcher or Google Podcasts and remember to rate and review the show!

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PLEASE NOTE

All information, content, and material on this podcast is for informational purposes only and is not intended to serve as a substitute for the consultation, diagnosis, and/or medical treatment

In the last episode, we met Justine. As a reminder, here are a few details about her case.

The Case:

• Justine is 44 and dealing with sudden abdominal weight gain.
• She is also experiencing brain fog which is causing her stress. Her PMS is getting worse and she just doesn’t feel like herself.
• She saw her gynecologist who suggested birth control and antidepressants.

The Investigation

If you didn’t hear the first part of this story, please go back and give episode 153 a listen. In that episode, I spoke about Justine’s case with Emily Sadri, an expert in Hormone Replacement Therapy (HRT) and achieving hormonal harmony. Emily is a good friend to the show having previously shared her insights in episodes 141 on Semaglutide (like Ozempic) and Weight Loss and 107 on Birth Control Use with Thyroid Issues.

In the last episode, we talked about the many misconceptions around hormones during perimenopause and menopause. Now, let’s pick up where we left off in the last episode by looking at the timing for hormone support and the physiological restoration protocol (PR protocol).

When to Start Hormonal Support

A question many women ponder is when to start supporting their hormones, especially as they transition into menopause. Emily noted that the dosage and timing of hormone support depend on whether a woman is still having a menstrual cycle regularly or if is their cycle has become irregular, for example, every 3-6 months. For instance, women who are still cycling (i.e., ovulating) might only need a minimal dosage of estrogen (1-2 milligrams) transdermally daily, while others might require more substantial support. The key is to start with a little bump up and track and monitor for changes.

The Importance of Monitoring Hormones

One alarming revelation was the number of physicians who prescribe hormone replacement therapy without regular testing. Traditional doctors are often focused on resolving a singular symptom. So, if the dosage reduces, say hot flashes, then the doctor considers the problem solved. But, solving one symptom is not equal to being in optimal health. Emily and I both believe in the value of consistent monitoring. After all, our bodies are ever-changing, and what worked two years ago might not be effective today.

Estrogen and Progesterone: Misunderstood Roles

A common misconception is that only progesterone affects sleep. However, Emily pointed out that estrogen plays a vital role in our circadian rhythms and sleep cycles. In fact, estrogen is a precursor to serotonin, which in turn is essential for producing melatonin, our sleep hormone. It's crucial to maintain a balance between estrogen and progesterone for optimal health. All the more reason to be monitoring hormone levels once treating them, because the individual may misinterpret or miss the symptoms of a hormone imbalance. And, off-balance hormones can work against each other.

Physiological Restoration: Embracing the Natural Rhythm

Physiological restoration is all about mimicking the body's natural hormonal rhythms. This method called the Physiological Restoration Protocol (PR protocol), can be especially beneficial for women in perimenopause or those transitioning into menopause. This method requires the woman to adjust their daily dosage according to where they are in their cycle but it is not as complicated as it sounds since there are generally just two topical treatments to manage. There is an app that helps make it quite easy. The key is understanding that our bodies are all changing and treatment needs to flow with those changes. It’s a spectrum - we’re not robots, explains Emily. It's all about understanding and supporting the body's innate processes.

Utilizing tools like the Dutch test can offer profound insights into hormonal health. For those navigating perimenopause, the cycle mapping feature can be especially enlightening, painting a picture of your hormone fluctuations throughout the month. However, Emily says that the simple Dutch can be misleading, so you want to also look at the organic acids section to get the full picture.

Starting Hormonal Support Later in Life

If you're approaching your 50s or have already transitioned into menopause, hormonal support may still be a consideration for you, says Emily. While earlier intervention can often provide smoother results, starting hormonal therapy within a decade of your last period can still be advantageous.

Estrogen Metabolism: It's Not Just About Detox

There’s been a lot of talk among functional medicine practitioners about having patients detox when starting an estrogen protocol. This might include supplements like DIM or Calcium D-Glucarate. However, it's crucial to first understand an individual's estrogen metabolism before diving into detoxification. Emily likes to make sure that patients have proper methyl donation and magnesium levels. She may also look at glutathione but more for those in perimenopause (and takes caution with anyone in full menopause, being sure to monitor symptoms). Supplemental support can be important, but every woman is unique, and what works for one might not be effective for another.

Supplements that Emily considers for perimenopausal and menopause on HRT include:

• Fish Oil

• B Vitamins (based on methylation)

• Zinc

• Sulforaphane

In addition to the previously mentioned supplements for peri and menopause:

• D-Glucarate

• Magnesium

• Glutathione

• DIM

• Calcium D-Glucarate

Mystery Solved - Getting Answers from Hidden Hormone Imbalances

Taking in everything that Emily shared, it was time to solve Justine’s hormone health mystery. She was thrilled to hear that there was an explanation for everything that she was experiencing. For so long, she thought she was crazy! She didn’t realize that even small changes in her estrogen can cause such significant symptoms. If you’re going through something similar, please know that you are not alone and you’re not crazy either.

Justine's symptoms led us to explore her hormone levels in detail. We decided to conduct a Dutch test, but not just any run-of-the-mill one-day snapshot. Instead, we opted for a cycle mapping test through Dutch. This involved collecting urine samples daily throughout her menstrual cycle, creating a comprehensive picture of her hormone fluctuations. It was like doing a pregnancy test each day, but with a special card that captured vital data.

What's unique about cycle mapping is that it doesn't just show us hormone levels on one specific day; it reveals the entire hormonal pattern throughout the cycle. We tracked estrogen and progesterone, observing when they surged, dipped, and in between. Additionally, we cross-referenced this data with serum tests, which analyzed her blood for total estrogen and estrogen on specific days (day 12 and day 21) and progesterone on day 21.

The results were illuminating. Justine's estrogen levels were relatively good on day 12, right before ovulation, indicating that her initial hormonal signals were functioning correctly. However, the concern arose when we saw that her estrogen levels didn't rise as expected around day 21. They did increase slightly but lacked the robust curve we typically observe. Interestingly, her progesterone levels were within an acceptable range, albeit a bit on the lower side.

This data highlighted a deficiency in estrogen as the primary issue. To address this, we collaborated with Justine's healthcare provider to prescribe a microdose of estrogen, administered throughout her entire menstrual cycle. This approach aimed not only to boost estrogen levels but also to stimulate estrogen receptors, ultimately supporting the production of progesterone.

Typically, when women experience hormonal changes, especially in perimenopause, they're often offered progesterone without comprehensive testing. However, as Justine's case demonstrated, simply supplementing with progesterone isn't a one-size-fits-all solution. Testing is crucial to understand precisely what each woman's body needs.

Factoring in Thyroid Function to Hormone Replacement Therapy (HRT)

Understanding that hormones and thyroid function are intricately linked, we decided to delve deeper. We conducted a full thyroid panel, which revealed that Justine had suboptimal T3 levels. She wasn't efficiently converting T4 to T3, placing her in the category of a "low T3 thyroid type."

Her T3 levels weren't low enough to warrant T3 medication, but we recognized the importance of enhancing her conversion process. To achieve this, we focused on optimizing her gut and liver health and ensuring she had the necessary minerals, particularly zinc, which is pivotal in hormone conversion.

In parallel, we made dietary changes by introducing anti-inflammatory foods. We also examined her personal care and cleaning products for harmful chemicals, shifting toward natural alternatives. Finally, we addressed her hormone metabolism by supporting methylation usingMethylated B Complex and Calcium D-Glucarate.

One standout addition to our approach wasBrocoProtect, a sulforaphane supplement. Unlike some alternatives that lower estrogen levels, BrocoProtect helps direct estrogen toward the favorable two-hydroxy pathway while minimizing the less desirable four-hydroxy pathway, which can lead to free radical damage and DNA issues.

Happy Ending - Hormone Balance Restored, Symptoms Mitigated

The results were promising and swift. By Justine's next menstrual cycle, she noticed positive changes. Her energy levels improved, stress diminished, and she even observed a reduction i

The Case:

• Justine is 44 and dealing with sudden abdominal weight gain.

• She is also experiencing brain fog which is causing her stress. Her PMS is getting worse and she just doesn’t feel like herself.

• She saw her gynecologist who suggested birth control and antidepressants.

Medications are often the solution offered by traditional medicine but Justine wasn’t interested in going directly down that path. So, she came to me. I noted that she was still getting her regular cycle but suspected that the hormonal changes of perimenopause might be at play here.

The Journey to Hormone Balance

My first step in helping Justine manage her changing hormones was to explore the connection between her symptoms and her hormonal changes. I reached out to Emily Sadri who is an expert in Hormone Replacement Therapy (HRT) and achieving hormonal harmony. You may remember Emily from past episodes, including 141 on Semiglutide (like Ozempic) and Weight Loss and 107 on Birth Control Use with Thyroid Issues.

The Fundamentals: Understanding Perimenopause and Menopause

Despite the fact that half the population goes through menopause, there’s very little information available (and as Emily pointed out, this really should be something taught in school). So, let's lay the foundation with a basic understanding of hormones. Emily does a great job of explaining this in the episode. She shed light on the lifespan of hormones, highlighting that girls typically begin menstruating around the age of 11, which signifies a culmination of a year-long process where the brain and ovaries coordinate to initiate this significant change. Intriguingly, she drew parallels between menopause and puberty, suggesting that they are two sides of the same hormonal coin.

Emily went on to discuss a fascinating aspect of hormonal decline, indicating that there's approximately a 10-year period before menopause when significant hormonal changes occur. She mentioned that the average age of menopause in the United States has been decreasing, from 51 to possibly 49, although precise data can be challenging to obtain due to various factors like contraceptive methods and hysterectomies. She stressed the unpredictability of when an individual might stop menstruating, emphasizing the importance of tuning into one's body and being attentive to subtle changes. Furthermore, she pointed out the availability of straightforward methods to test estrogen and progesterone levels, which can provide valuable insights into hormonal health. This knowledge gap in medical education, particularly regarding hormone testing, was an eye-opener for both of us during our conversation.

One of the most important things to note, with regards to Justine’s case, is the concept of hormonal acceleration, commonly observed between ages 41 and 43, where hormones can undergo rapid changes, often triggered by life events and stress, making it crucial for women to recognize the connection between these symptoms and hormonal fluctuations.

Deciphering Hormone Replacement Therapy

Hormones are the invisible architects of our well-being, influencing energy levels, sleep patterns, and even our emotional states. Achieving the right hormonal balance is paramount for optimal health. One of the ways that women may choose to do this is with Hormone Replacement Therapy also known as HRT. At its core, HRT involves replenishing hormones that our bodies may no longer produce in sufficient quantities. Emily goes into a lot more detail in this episode, so I encourage you to give it a listen.

Why You May Want to Consider Replacing Hormones

As with everything to do with our bodies, we are all different. When it comes to replacing hormones, the choice is up to the individual woman going through menopause. Emily and I discussed several reasons women may want to consider HRT. Here are a few:

• Hormonal Decline: This could be at any time during the 10-year period prior to menopause when there's a significant hormonal decline. Women may experience various symptoms during this time.

• Acceleration of Symptoms: As mentioned, between the ages of 41 and 43, there can be an acceleration of symptoms. This acceleration can manifest as a sudden and pronounced change in hormonal symptoms.

• Stress-Related Symptoms: Stress can play a role in exacerbating hormonal symptoms. Emily mentions that women who have had babies in their early 40s often experience an acceleration of symptoms, possibly due to both age and the stress of childbirth.

Exploring the Varieties of Hormone Replacement Therapy

We dove deep into the various options for HRT, including a frank conversation about the biased studies that have left a lot of women fearing HRT. If you are considering it but have some concerns, I highly recommend you listen to this conversation.

If you are exploring the options of HRT, there are two main types of HRT to consider:

1. Bioidentical Hormones: Bioidentical hormones are hormones derived from plant sources, such as soy or yams, and are designed to have the same molecular structure as hormones naturally produced by the human body, like estrogen and progesterone. They are used in hormone replacement therapy (HRT) because they can be customized to address an individual's specific hormonal imbalances and symptoms. Customization ensures a more tailored and effective treatment under the guidance of a healthcare provider.

2. Synthetic Hormones: Synthetic hormones, unlike bioidentical hormones, have a molecular structure that is not identical to hormones naturally produced by the body. These hormones are often used in conventional hormone replacement therapy (HRT) but may come with more standardized dosages and less flexibility in addressing individual hormonal needs. The use of synthetic hormones can sometimes lead to side effects or limited effectiveness since they don't precisely match the body's natural hormones.

Striking the Balance: Three Approaches to Hormone Replacement Therapy (HRT)

There are three primary approaches to hormone replacement therapy (HRT), each with its own delivery methods and timing. The first approach is called "static continuous," where individuals take a small amount of estrogen and progesterone every day. This can be administered through methods like patches, transdermal creams, or even oral forms. It's often used to alleviate symptoms and can be suitable for post-menopausal individuals.

The second approach involves taking estrogen daily but adding progesterone for only 12-14 days each month. This approach is essential for those with a uterus to reduce the risk of endometrial cancer associated with unopposed estrogen. Some women prefer this method as they find progesterone can make them feel sleepier or moodier when taken continuously.

The third approach is less common but involves a transdermal method that mimics the natural menstrual cycle. It starts with low hormone doses from days one to five, gradually increasing from days five to twelve, then slightly decreasing on days 13 and 14. With the introduction of progesterone, there's another peak around day 21, followed by a decline. Because this approach mirrors the natural hormonal fluctuations of a menstrual cycle it is known as "rhythmic hormone replacement" or "physiologic restoration." The physiological protocol is more complex and requires thorough testing but aims to replicate the peaks and troughs of estrogen and progesterone that play crucial roles in processes like heart health, inflammation and bone turnover.

Exploring Natural Alternatives

We can’t talk about hormone intervention without exploring the role food, supplements, and lifestyle might play in the solution. Emily's insights into alternative approaches, such as lifestyle modifications and natural remedies to manage hormone-related symptoms, align perfectly with our collaborative perspective. Dietary adjustments, stress management techniques, and regular exercise all play a role in promoting hormonal well-being, as Emily elaborated in this episode.

To Be Continued…Case Not Closed

My conversation with Emily was so enthralling that we lost track of time and just kept chatting away. I want to share the entire conversation with you because the information is so important and valuable to all women. However, I know how busy you are and I didn’t want to drop an extra-long episode on you.

So, please join us again next time as we continue to unravel the mysteries of menopause. We’ll dive deeper into the PR protocol, and I’ll share how Justine and I solved her health mystery.

Eliminating Hormone Health Mysteries

Like Justine, many women suffer through perimenopause and menopause because they don’t have the information or a place to ask questions. Let’s change that. You can start by sharing this episode and the next with any woman in your life over 40 who has not experienced menopause. This may be the missing clue in your (or someone else’s) health mystery!

Links:

Resources mentioned

Thanks again to my guest Emily Sadri. You can connect with her on Instagram or check out her website.

Related Podcast Episodes:

141 The Honest Truth about Semaglutide for Weight Loss and Thyroid Health

107 Demystifying Prolonged Use of Birth Control Pills + Thyroid Connection

129 How to Lose that ‘Menopot’ and Sail Through Menopause

096 Demystifying Hormones for Perimenopause and Menopause

110 Demystifying Hormones for Perimenopause and Menopause (Part 2)

Thanks for Listening

If you like what you heard, please rate and review

The Case:

• Mia has been dealing with Hashimoto’s and hypothyroidism for over 2 decades.

• Her Hashimoto’s wasn’t diagnosed until 15 years after her hypothyroidism diagnosis.

• She’s done a great job regaining her health but recently hit a plateau and started to regress.

In my years of clinical practice, I've encountered countless cases like Mia's. Despite her Hashimoto's going undetected for such a long time, she had a remarkable journey to better health. She eliminated gluten and dairy from her diet, optimized her medication, and delved into understanding her Hashimoto's triggers. She also addressed Epstein-Barr Virus (EBV), gut health, and heavy metal detoxification. She even attended retreats focused on limiting beliefs and trauma release.

Despite her efforts, Mia saw her symptoms return including fatigue, weight gain, hair loss, and brain fog, along with rising antibody levels. She hadn't changed her routine, so she sought my guidance to uncover the missing pieces of her health puzzle.

The Multifaceted Approach to Thyroid Health

Having worked with numerous thyroid cases over the past two decades, I've learned that supporting thyroid health requires a multifaceted approach. While biochemistry is crucial, it's not the only piece of the puzzle. Mia had already made significant strides in this aspect, but there was more to explore. Just as you can't eliminate every bacterium during a gut cleanse, we can't address every trigger. Instead, we must focus on what we can, allowing the body to take care of the rest.

Our bodies possess remarkable healing capabilities, but they need the right environment to flourish. Often, our bodies are in a constant state of stress, preventing them from healing naturally. This is why I firmly believe that alongside biochemistry, we must consider our emotions, beliefs, past traumas, thoughts, and even our connection to something greater than ourselves.

Daily Integration of Mind-Body Practices

Mia understood the importance of the mind-body connection and had engaged in programs to address it. However, she, like many, struggled to maintain lasting results without daily integration. I shared a similar experience with a belief workshop I attended. Although I felt lighter and different immediately after the workshop, I didn't consistently practice the techniques provided. Over time, the benefits waned, and doubts resurfaced.

This pattern can apply to you as well. Perhaps you've completed a course or retreat but struggle to apply what you've learned daily. It's easy to get triggered by everyday stressors, from traffic jams to unexpected delays. While activities like meditation and yoga classes help, they often serve as reactive measures. What if we could proactively maintain a state of balance and relation instead of reacting to stress?

Nervous System Regulation for Enhanced Immunity

Maintaining a balanced state enables us to regulate our nervous system. When our nervous system is in check, our immune system functions optimally, even addressing triggers we may have missed. The body possesses innate healing abilities; we just need to get out of our own way.

If you're thinking, "I'm already so busy with life," remember that it's not about doing more; it's about working smarter. By integrating daily practices that enhance our ability to relate rather than react, we can profoundly impact our thyroid health, immune system, overall well-being, and mood.

Five Practices to Lower Stress and Enhance Thyroid Health

In this episode, I go into greater detail on the 5 things that you can do right now to decrease reactivity and deepen your body connection. These practices can have profound effects on your thyroid, and immune system health, as well as your overall mood and general health.

1. Use Your Imagination Positively: Focus on what you want rather than what you don't want. Your thoughts have a profound impact on your body, so be mindful of negativity.

1. Choose Your Language Wisely: Shift from "have to" and "need to" to "choose to" and "want to." This change in perspective can reduce stress.

1. Start Your Day Positively: Pay attention to your first thoughts upon waking. If they're negative, redirect them toward a positive outlook for the day.

1. Practice Mindfulness: Keep a part of your attention on a specific body sensation throughout the day. This keeps you present and less reactive to stressors.

1. Express Yourself: Repressed emotions and an inability to communicate can negatively affect your thyroid. Begin by acknowledging what you wish to express, even if it's in writing, and work towards open communication.

Mia’s Case Study in Turning Her Hashimoto’s Around

Mia and I focused on integrating these practices into her daily life. While the techniques are powerful, they're not time-consuming and can be seamlessly woven into your routine. The results were astounding. In just two months, Mia transitioned from feeling isolated and exhausted to meeting an amazing person, relocating to a better place, securing a higher-paying job, and experiencing increased energy. Her thyroid antibodies decreased significantly, and her T3 levels improved. It was remarkable how quickly and powerfully these changes occurred.

If you resonate with Mia's story, know that there are ways to become aware of and address daily challenges. I'll be hosting a workshop on this topic to help you clear anything that hinders your thyroid health and immune system. The process is easier than you might think. Please reach out to me on Instagram (@innatopiler) for more information.

Your Health Answers Are Within Reach

No matter what health issue you're facing, remember that solutions exist. Sometimes they align with your expectations, while other times, they take a different path. Regardless, don't give up. Your body has incredible potential, and by exploring different angles and daily practices, you can unlock your full health potential.

Eliminating Health Mysteries

For Mia, we were able to find that missing piece of the health puzzle and help her regain her health. Could this be the missing clue for you or someone in your life?

Related Podcast Episodes:

5 Ways to Downregulate the Nervous System and Heal Faster

4 Ways to Calm the Immune System and Support Hashimoto’s

How to Support your Thyroid and Immune System Through Authenticity

Thanks for Listening

If you like what you heard, please rate and review this podcast. Every piece of feedback not only helps me create better shows, it helps more people find this important information.

Never miss an episode - Subscribe NOW to Health Mysteries Solved with host, Inna Topiler on Apple Podcasts, Spotify, Stitcher or Google Podcasts and remember to rate and review the show!

Find out more at http://healthmysteriessolved.com

PLEASE NOTE

All information, content, and material on this podcast is for informational purposes only and is not intended to serve as a substitute for the consultation, diagnosis, and/or medical treatment of a qualified physician or healthcare provider.

Some of the links provided are affiliate links. This means we may make a very small amount of money should you choose to buy after clicking on them. This will in no way affect the price of the product but it helps us a tiny bit in covering our expenses.

The Case:

• Annetta is 40 and is suddenly noticing a lot of gray hair.

• She has been coloring her hair for years and is afraid the chemicals may interfere with her thyroid issues and autoimmunity.

• She’s noticed her hair has also been thinning and looking dryer than normal.

I’ve shared my journey to find chemical-free hair dye in the past because chemicals can be such a big trigger for Hashimoto’s. Check out episodes 121 and 142.

The Investigation

When I met Annetta, I could tell there were a few things at play. She was already turning to more natural products but I knew there was more we could do. I also knew exactly where to look to solve her health mystery.

Hypothyroidism and Hair Health

Hypothyroidism (and Hashimoto's), plays a pivotal role in our hair's health. When our thyroid function is compromised, it can manifest externally through hair thinning, dryness, or even accelerated graying. Addressing the root causes internally is as vital as nurturing our hair externally.

While this is true, for Annetta the graying had been so sudden and in conjunction with the other typical hypothyroidism hair issues. Most people over 40 wouldn’t consider going gray to be a health mystery. Was there anything she could do? I wanted to find out so I connected with Jay Small and Allison Conrad who are experts in the field.

They have developed a natural hair care system that works on restoring hair and scalp health to reduce the appearance of gray hair.

Unlocking the Peptide Potential for Gray Hair Repair

Peptides, notably a clinically effective one highlighted by Jay, are emerging as groundbreaking in the haircare realm. These small chains of amino acids have demonstrated promise in not only slowing the graying process but also aiding in repigmentation. Jay explains that the key is ensuring these peptides reach the hair strand's core. Their formulation does that without causing adverse effects, blending the best of nature and science.

The Importance of Scalp Nourishment

If the skin is the window to our internal health, the scalp is the foundation for vibrant hair growth but most people don’t think of their scalp health that way. Both Jay and Allison stressed the significance of a nourished scalp for thriving hair health. This includes supplying the right nutrients and antioxidants to prevent and slow down oxidative stress which has a big negative effect on the hair follicle.

Something that Annetta mentioned to me was that sometimes when she scratches her head there is residue under her nails. Jay and Allison explain that many people experience this and it can be part of the problem. The aim is to eliminate barriers like dead skin cells and excess oil that can compromise hair health. Innovative solutions (like their scalp scrub) incorporate mild exfoliants and acids and are designed to foster a conducive environment for hair growth. They don’t recommend a more aggressive approach using a scalp brush.

Gray Hair: Prevention and Management

As we age, the emergence of gray hair is inevitable. Yet, the onset and progression of graying can be influenced. Jay and Allison were telling me about their different products but I had to wonder if there was a point of no return when going gray. Allison says that their solutions are effective on hair that is less than 30% gray. Their studies have found that if there is less than 30%, the product can prevent or slow more graying, and even reverse some by enhancing the texture, vitality, and overall health of our hair. However even when there is more than 30%, supporting the scalp and using the products can help slow down the remaining hair’s graying process.

Balancing Act: Ingredients That Count

They are confident in their products because they did a lot of research and selected their ingredients meticulously for the shampoo, serum, scrub and supplements. There was one ingredient on their conditioner list that I wanted to question - silicone. Jay explained that in the realm of silicones, not all are created equal. The positively charged ion of Amodimethicone (which is what they use) prevents build-up, ensuring hair remains healthy and vibrant and most of all smooth but without the build up. I was super happy to hear this and to learn that not all silicones are created equal.

Mystery Solved

The scalp is responsible for so much when it comes to hair and just as we can support our skin and do many things to help the aging process on our skin, we can also do the same for our scalp. From antioxidants to proper moisturizing and targeted support, giving our scalp the needed TLC is imperative for healthy hair and has a big effect on how quickly hair may gray.

This was an important clue to solving Annetta’s gray hair mystery. But, it wasn’t the only clue.

I ran detailed blood work which revealed that she was slightly low in B12 and iron. She also had low vitamin D and zinc.

We knew she had Hashimoto’s but we needed to run a full thyroid panel to get the whole picture. These tests revealed that she is the ‘unavailable’ hormone type.

For more on thyroid types be sure to get an invite to my next training by joining my email list.

This was another big clue because this type has a lot to do with other hormones. We did a DUTCH test and saw that her body was low in progesterone.

Next Steps

We supported her low progesterone to help her body better use her thyroid hormones. We also addressed the vitamin and mineral deficiencies.

Next, we looked at her specific Hashimoto’s triggers. To address these, we started with a gentle detox based on her specific liver pathways that were sluggish.

While doing all of this, she changed the type of color she was using to something that had less peroxide and she added nutrients to support her scalp.

Eliminating Health Mysteries

For Annetta, we were able to find that missing piece of the health puzzle and help her regain her health. Could this be the missing clue for you or someone in your life?

If you are interested in trying any of the AREY products, they were very gracious and provided us with a coupon code for 15% OFF. Please use code INNA15 at checkout.

Links:

Resources mentioned

Thanks to my guests Jay Small and Allison Conrad. You can connect with them at areygrey.com or through their Instagram or TikTok

Remember to use the promo code INNA15 to save 15% on your orders!

Related Podcast Episodes:

121 Hair Dyes and Autoimmunity – What’s a girl to do?

142 Hair Color and Autoimmunity – My Hairprint Journey Continues

149 Experiencing Hair Loss, Thinning, Shedding, Breakage? Here is What to Do Now

111 What Is Your Thyroid Type? (and How to Manage It)

Thanks for Listening

If you like what you heard, please rate and review this podcast. Every piece of feedback not only helps me create better shows, it helps more people find this important information.

Never miss an episode - Subscribe NOW to Health Mysteries Solved with host, Inna Topiler on Apple Podcasts, Spotify, Stitcher or Google Podcasts and remember to rate and review the show!

Find out more at http://healthmysteriessolved.com

PLEASE NOTE

All information, content, and material on this podcast is for informational purposes only and is not intended to serve as a substitute for the consultation, diagnosis, and/or medical treatment of a qualified physician or healthcare provider.

Some of the links provided are affiliate links. This means we may make a very small amount of money should you choose to buy after clicking on them. This will in no way affect the price of the product but it helps us a tiny bit in covering our expenses.

The Connection Between Strep, PANDA/PANS and Strange Behavior in Kids

The Investigation

I’ve helped thousands of patients and have even overcome my own health mystery, but in this episode, I share one of the hardest health mysteries I’ve ever faced because it involved my son Jake. 

As someone who has triumphed over health challenges and now helps others do the same, I believe in the power of sharing our stories - especially this one that shook my world.

Suddenly Everything Mysteriously Changed 

My son Jake was a lively five-year-old gearing up to start kindergarten. It was the summer of 2022, and I noticed shifts in his behavior. He craved more independence, which was only natural as he was growing older. However, alongside this newfound desire for autonomy, something else was brewing.

He started acting out, displaying anxiety, mood swings, and becoming increasingly oppositional. The changes were concerning, but as a loving parent, I attributed them to the whirlwind of transitions he was facing—starting a new school, meeting new people, and adjusting to a different routine. However, as time passed, the signs became more distinct and concerning.

The Symptoms Escalated

In September of 2022, Jake's issues took an even more perplexing turn. He began chewing on his shirt and experiencing frequent urination. I continued to think it might be anxiety and adjusting to his new school environment but deep down, I knew that something was just not adding up. These challenges persisted as the months went by, and his mood swings and oppositional behavior escalated.

Seeking Answers: Behavioral Therapy and Listening Therapy

Determined to help Jake overcome these challenges, I embarked on a journey of exploring various therapies and solutions. Behavioral therapy gave us some valuable tools but didn’t alleviate the symptoms. We then tried listening therapy which is a very cool concept that involved having kids listen to music. Unfortunately, these didn't fully alleviate Jake's struggles.

And, they would continue for months to come. 

The Surprising Strep Connection

Fast forward to February of 2023, a crucial turning point in our journey. My husband Scott woke up with a fever and a bad sore throat. He went to the doctor and had it tested. It came back as a streptococcus infection. He was taking antibiotics and was feeling much better but it occurred to me that the whole family should get tested. We didn’t have any symptoms but knowing how contagious Strep is, I thought it would be good to do the test. 

I was surprised to discover that we all came back positive. Listeners of the show will know that I am hesitant to use antibiotics when not absolutely necessary given the impact they had on my long-term health but in this case, it was imperative. Strep can cause long-term health issues if left untreated. While I, Jake and my daughter Juliette didn’t have any symptoms, the test and and culture showed that we absolutely did have Strep and so we had to treat it. 

Reluctantly, but knowing we had to, I got antibiotics for everyone including Jake. What happened next was beyond interesting. Within days of starting on Amoxicillin, the shift in Jake’s behavior was remarkable. The tantrums ceased, the frequent urination subsided, and Jake's sweet nature returned. It was as if a veil had been lifted, and my son was back.

Seeing this, I now knew exactly what was happening but just didn’t connect the dots right away…

Unraveling the Mystery of PANDAS and PANS

Enter PANDAS (Pediatric Acute-Onset Neuropsychiatric Disorder Associated with Streptococcus) and PANS (Pediatric Acute-Onset Neuropsychiatric Syndrome). These conditions are triggered by infections like Strep, which can lead to autoimmune responses that target the brain's basal ganglia—a region responsible for behavior, emotions, and motor control.

The main difference between PANDAS and PANS is that PANDAS is directly related to the Streptococcus virus whereas PANS is triggered by other viruses or infections. 

It’s so important for parents to note the behavioral changes (which are often reported as happening ‘overnight’) because PANDAS isn’t always preceded by a notable Strep infection. Like Jake, some kids are asymptomatic and just don’t display the sore throat we associate with Strep throat. 

Here are some of the most common symptoms of PANDAS and PANS

• Sudden onset of OCD symptoms

• New and intense fears

• New and intense concerns about things like being clean or putting certain things away

• Stressful thoughts and images.

• Compulsions 

• Repetitive jerky motions or ticks

• Anxiety

• Depression

• Mood Swings

• Acting out or hyperactivity

• Behavioral changes like adopting baby talk

• Frequent urination or bedwetting

• Challenges with fine motor skills like handwriting

• Challenges with memory

• Sleep issues

• Sensory issues (sensitivities to noise, touch, or light)

Additional PANDAS and PANS Triggers

In my quest to fully understand what was going on, I wanted to get Jake in to see an expert. Dr. Nancy O'Hara is the pre-eminent expert and luckily for us, she’s just a 3-hour drive away. She explained that while Strep is a common trigger of PANDAS and PANS, it’s not the only one. In fact, she says the cases she sees are typically triggered by mold, Lyme, or other viruses. So, we kept a close eye on Jake and tested for all of these other potential triggers. 

Dr. O’Hara had us do a parasite protocol with Jake and interestingly, this brought on some stuttering (which was unusual for Jake). We attributed this to the release of viruses harbored within the parasites. This further reinforced the intricate web of triggers affecting Jake's condition. I decided to also start using anti-inflammatories with him like a strong curcumin supplement. This is, after all, an autoimmune disease. Just like Hashimoto’s, it’s important to manage the inflammation and be aware of the triggers in order to manage the disease and avoid flare-ups.  

Advocating for Awareness and Understanding

As I journeyed through this maze of PANDAS and PANS, I realized that these conditions are far less understood and recognized than they should be. Many families, educators, and healthcare providers remain unaware of their existence. This lack of awareness can lead to misdiagnosis, unaddressed challenges, and unnecessary suffering for children and their families. This is what inspired me to share this personal story.  And, why I hope you’ll share it with anyone who has kids, grandkids or works with kids. 

My hope in sharing this personal journey is to shed light on PANDAS and PANS and encourage a broader conversation about these conditions. By sharing our experiences and knowledge, we can empower others to seek answers, find support, and navigate their own health mysteries with determination and hope.

Resources mentioned

Suggested Products

Related Podcast Episodes:

Thanks for Listening

If you like what you heard, please rate and review this podcast. Every piece of feedback not only helps me create better shows, it helps more people find this important information.

Never miss an episode -  Subscribe NOW to Health Mysteries Solved with host, Inna Topiler on Apple Podcasts, Spotify, Stitcher or Google Podcasts and remember to rate and review the show!

Find out more at http://

One of the more common issues I hear from my patients is one I have also dealt with - hair loss, thinning, and breakage. Throughout my nearly 20 years of experience helping people with thyroid and Hashimoto's, I've noticed that along with fatigue, brain fog, and weight gain, hair problems are a common occurrence. In the latest episode, I shed some light on the top reasons for hair loss. But, don’t worry, I also share practical solutions to bring life back to your locks.

Here are the top 5 most common causes of hair issues:

1. Thyroid and Hashimoto’s
2. Nutritional Deficiencies
3. Stress
4. Hormonal Shifts
5. PCOS (Polycystic Ovary Syndrome)

Let’s dive a little deeper into each one and look at ways you can support hair health for each of these root causes (pun intended!) 

Hypothyroidism, Hashimoto’s, and Hair Woes

The thyroid plays a significant role in our overall well-being, including our hair health. Hypothyroidism, where your body produces insufficient thyroid hormone, and Hashimoto's, an autoimmune disease that mistakenly attacks the thyroid, often lead to hair shedding, thinning, and brittleness. To address these issues, it's vital to take a comprehensive approach.

This starts with a thorough understanding of your thyroid status - you have to know your numbers! And, you have to know all of them. Many doctors will only test TSH but that won’t give you the full picture. A full thyroid panel is essential. This includes TSH, Total T4, Total T3, Free T4, Free T3, T3 Uptake, Reverse T3, and thyroid antibodies. A thorough evaluation will help identify any imbalances, especially if Hashimoto's is the underlying cause. And, these results will also help you understand your thyroid type.

Once you know where your thyroid stands, it's time to support it effectively. A personalized approach to thyroid health, combined with measures to calm the immune system, can slow down or halt the attack on the thyroid by Hashimoto's. A well-rounded strategy is key to combating hair issues.

Take Control of Your Thyroid Health

All too often, I meet with patients who only half understand their thyroid status because their doctor is only giving them half the story. That is why I created a free Hashimoto’s training to help you determine your thyroid type and support it with a two-fold approach. In this workshop, I help you navigate your way to the full picture so you can advocate for yourself and your health. Sign up here. 

Gut Health and Hair Loss

The gut is a powerful player in our overall health, and that includes our hair health. What many people don’t realize is that thyroid health impacts gut health because when your thyroid is off, it can slow down gut transit time, leading to constipation and impaired nutrient absorption. Additionally, leaky gut, where the intestinal lining becomes permeable, can further exacerbate hair problems by allowing unwanted particles into the bloodstream. Balancing thyroid health and gut health goes hand in hand. And, when your gut is healthier, your hair is healthier.

Nutrition and Hair Loss

Even when the gut is healthy, hypothyroidism can still lead to poor nutrient absorption. When thyroid hormone levels are inadequate, the hair follicles may not receive the necessary nutrients for proper growth and maintenance. As a result, hair can become dry, brittle, and prone to breakage. Key nutrients essential for healthy hair include iron, zinc, and B12.

Iron is crucial for oxygen transport and is necessary for healthy hair growth. A deficiency in iron can lead to hair loss and thinning. Zinc also plays a vital role in hair health, as it helps with tissue growth and repair, including hair follicles. Additionally, B12 supports the production of red blood cells, which carry oxygen to the hair follicles.

To address nutrient deficiencies, consider adding supplements like Ferrochel Iron, liquid B12 such as the Methyl B Complex from Quick Silver Scientific, or the B12 ND from Premier Research Labs.  For a zinc deficiency, you could try adding Reacted Zinc to your daily routine. However, it's essential to note that addressing nutrient deficiencies goes beyond supplementation. Ensuring proper digestion and absorption of these nutrients is equally vital. Iron-rich foods, a balanced diet, and a well-functioning gut play crucial roles in maintaining healthy hair and overall well-being.

Thinning Hair Caused by Stress

Stress has a significant impact on our body, including hair health. Whether it's emotional stress or physical stress from illness or inflammation, the body's response can lead to hair problems. Cortisol, known as the stress hormone, can play a role in hair loss, specifically a condition called telogen effluvium. In this condition, the hair follicles enter a resting phase, leading to increased shedding and hair loss.

Managing stress is essential for maintaining healthy hair and overall health. Incorporating stress-reducing techniques into your daily routine can make a significant difference. Mindfulness practices, meditation, acupuncture, and hypnosis are valuable tools for reducing stress levels. If you missed our episodes on hypnosis, be sure to go back and check out episodes 139 and 140. Additionally, phosphatidylserine (I recommend PS 150), a supplement that helps lower cortisol levels, can promote better sleep quality and a calmer state of mind.

Hormonal Shifts and Hair Loss

Hormonal shifts, particularly those experienced during perimenopause and menopause, can influence hair health. As estrogen levels decrease, many women experience hair thinning, texture changes, and sometimes even hair loss. These hormonal imbalances can exacerbate existing thyroid-related symptoms, making it a challenging time for those with Hashimoto's.

Addressing hormonal shifts often involves balancing hormone levels and supporting the body during this transition. Bio-identical hormones and hormone-balancing supplements can help alleviate symptoms and improve overall well-being. However, it's essential to make well-informed decisions about hormone replacement therapy and consult with healthcare professionals. Stay tuned and subscribe for more on this in upcoming episodes.

Cause of Hair Loss #5, PCOS (Polycystic Ovarian Syndrome)

For those with PCOS, hair issues are commonly linked to hormonal imbalances, particularly high testosterone and estrogen levels. PCOS is also associated with issues related to blood sugar regulation. Balancing hormones and blood sugar levels are essential components of managing PCOS-related hair problems. One of my favorite supplements for supporting PCOS is Sensitol by Designs for Health. A balanced diet and avoiding dairy may also help with symptoms of PCOS. 

Natural Topical Solutions for Improved Hair Health

Incorporating natural oils like Homa, Amla, or Argan for hair oiling can help combat dryness and brittleness. Hair oiling is a beneficial practice where natural oils are applied to the hair and left for an extended period before shampooing. This can nourish the hair and promote overall hair health.

Choosing hair care products wisely is also crucial for maintaining healthy hair. Avoid chemical hair dyes, as they can harm the hair follicles and leach into your body. Instead, opt for natural hair dye alternatives (learn more about what I use in episodes 121 and 142). 

Topical serums with essential oils like rosemary or basil can promote hair growth and rejuvenate hair follicles.

Positive Mindset and Good Hair

Mindset is a powerful tool for addressing hair issues and overall health. Visualizing your desired outcome and focusing on positive thoughts can influence your body's response. Remember, your body hears everything your brain is thinking, so maintaining a positive mindset can have a significant impact on your journey to better hair and well-being.

Next Steps

Hair issues can be a reflection of underlying health imbalances, and addressing them can lead to positive changes in your overall health and well-being. Remember to consider thyroid and Hashimoto's, nutrient deficiencies, stress management, hormonal shifts, and PCOS as possible contributors to hair problems. Don't

The Case: 

• Donna has had hypothyroidism for 10 years
• Medication helped at first but lately, she’s experiencing fatigue and weight gain. 
• She was finally diagnosed with Hashimoto's which sent her on a Google frenzy and left her overwhelmed by information. 
• She’s got 4 kids, a full-time job, and is trying to manage Hashimoto’s with diet, exercise, and supplements - it's all too stressful. 

When I met Donna and heard about her busy life and her health struggles, I knew the two things were connected. She was doing a lot right by supporting her nervous system and immune system through diet, exercise, and supplements but in truth, they were no match for the stress she was under. Taking care of herself became the straw that broke the stress-camel’s back. 

I knew exactly where to look to help her solve her mystery. 

The Stress of ‘Never Enough Time’

One of the greatest challenges we face in our lives is managing our time effectively. It often feels like there are never enough hours in a day to accomplish everything we need to do. That's why I was thrilled to have Megan Sumrell, a time management expert, on this episode of Health Mysteries Solved. The first thing we tackled is the concept that there is never enough time in the day. 

Megan believes that there is a lot at play here. While many people rush to blame inadequate time planning for their unfinished tasks, our present-day world presents distinct challenges compared to the past. The expectations we impose on ourselves, as well as those imposed by others, have significantly evolved over the years. Looking back on her own journey, Megan acknowledges the tremendous increase in the number of responsibilities she now juggles compared to 15 years ago. 

To overcome this hurdle, Megan suggests that we find a balance between the influx of tasks and our capacity to handle them. It's crucial to reassess how we plan and manage our time, distinguishing between what is realistically achievable and what is not.

Why Managing Tasks Can Be Challenging in Today's World

Megan sheds light on two primary reasons that our task lists never seem to get done. First, she emphasizes the onslaught of distractions, particularly in the form of technology and all of these beeps, bings, and message notifications. She reminds us that, while technology has its benefits, if we don't learn to control it, it can easily control us. Additionally, the instant gratification culture we live in contributes to the perception that we have more to do, even if it's not the case. 

The second reason Megan highlights is the "just in time living" mindset many people operate in, where they only focus on their daily to-do list. Without systems in place to accommodate unforeseen events or changes, any disruption can lead to a cascade of delays and overwhelm.

This was exactly Donna's experience. She found herself buried under an ever-growing pile of to-do lists. Interestingly, Megan challenges the traditional notion of relying solely on to-do lists. While they have their time and place, she doesn't recommend solely depending on them. Megan acknowledges the satisfaction of checking off tasks but suggests that creating a list just to check it off may not be the most effective approach.

Transforming a Task List into an Effective Plan

Megan emphasizes the crucial distinction between a task list and a plan. While a traditional to-do list may contain all the tasks we need to accomplish, it lacks the essential elements of when and how long each task will take. Megan draws an analogy by comparing it to a shopping or grocery list without knowing how much money you have. Similarly, without turning our task list into a plan, we risk over-committing ourselves and not considering the feasibility or efficiency of our tasks.

Megan highlights the importance of budgeting our time just as we would money. By incorporating time constraints and prioritization into our planning process, we can make more informed choices about what tasks to tackle and when. This approach allows us to maximize efficiency, consolidate errands, and focus on what truly matters. Without this level of organization and prioritization, we may find ourselves perpetually trapped on a hamster wheel, feeling busy but not truly productive. And that is stress-inducing!

Mastering Prioritization and Overcoming Overwhelm

Understanding how to prioritize tasks can be challenging, especially when dealing with health issues or experiencing overwhelming thoughts. Megan suggests using a prioritization matrix that combines various approaches. When we find ourselves in a state of panic or anxiety, it's crucial to recognize that it's not a reflection of our intelligence or capabilities. Our brain's chemical reactions during these moments can lead to irrational decision-making. 

Listen to this episode to hear about Megan’s practical exercise that allows us to operate at our highest capacity. This includes a time-limited approach to creating a list and then identifying what truly needs to be done within the next 24 hours and has negative consequences if not addressed. By narrowing down the list to these critical tasks, we can create a focused action plan.

Consulting our calendar, we can determine when to tackle these priority tasks. This approach helps us break free from the overwhelming feeling of urgency by taking a step-by-step approach. By calming our brain, focusing on specific tasks, and creating a plan, we can overcome overwhelm and maintain momentum.

Designing the Perfect Planner: Seeing the Whole Week

When it comes to effective time management, finding the right planner is key. Megan emphasized the importance of using a planner that provides a week-at-a-view layout with hourly slots. This design allows us to see our entire week at a glance, empowering us to assess our available time and commitments. By visualizing the bigger picture, we can strategically plan our days and make informed decisions about our priorities. Having a holistic view of the week enables us to stay organized and focused on what truly matters.

This includes your food. I always talk to my patients about planning the weekly menu. When you do this, you can buy fresh produce and cook in bulk. This saves time and reduces decision fatigue. I also recommend using those daily pill containers for your supplements to keep them straight and streamline the process. 

Planning for Success: Balancing Predictability and Flexibility 

The beauty of weekly planning lies in its ability to strike a balance between predictability and flexibility. By creating a weekly plan, we gain clarity and can allocate dedicated time for important projects and tasks. However, life is full of unexpected changes and challenges. Megan emphasized the need to plan for uncertainty. Whether it's a sudden health issue or a last-minute travel plan, we must be adaptable. Megan's advice was to allocate flexible time blocks or leave room for unexpected events. This approach allows us to manage our time effectively while still being able to adapt to unexpected circumstances.

The To-Don't List: Letting Go of Unnecessary Tasks

One of the most transformative concepts Megan shared was the idea of the to-don't list. It involves identifying tasks that we don't enjoy doing or that can be delegated to others. By starting with these tasks, we can explore creative solutions to eliminate or outsource them. This practice liberates our time and energy, allowing us to focus on what truly matters. It's essential to let go of tasks that don't align with our values or bring us joy. By doing so, we can create more space in our lives for the activities that contribute to our well-being and happiness.

Prioritizing Self-Care: Health and Well-Being First

In our pursuit of productivity and success, we often neglect our own well-being. Megan emphasized the importance of prioritizing self-care and allocating dedicated time for it. Whether it's exercise, healthcare appointments, or practices that support our well-being, our health should always come first. Megan reminded us that it's okay to let some tasks slide temporarily. Just like a new mom focuses on her newborn and lets other things go, we need to prioritize our healing and well-being. When we give ourselves permission to focus on what truly matters, we can navigate life's challenges with more resilience and grace.

The Power of Making Wiser Choices

Mastering time management is about making wiser choices with the limited resource we have: time. By embracing the power of weekly planning, using a planner that suits our needs, planning for uncertainty, and creating a to-don't list, we can find greater balance in our lives. It's essential to prioritize self-care and give ourselves permission to focus on what truly matters. In doing so, we'll experience less stress, greater fulfillment, and the ability to achieve our goals while maintaining our well-being.

To help you implement these insights into your own life, here are some practical tips for effective time management:

1. Start with a planner that provides a week-at-a-view layout with hourly slots. This allows you to see your entire week and allocate time strategically.