Incredible speaking voice! Pleasant to listen to and your descriptions and explanations are the best I've been able to understand! 1999 is when I was diagnosed with hypothyroidism. Im still tired, lost and confused. 2016 I had an RNY Gastric Bypass which throws a whole wrench into everything. Im gaining weight, extremely exhausted and extremely anemic
Thank you, I talked with my doctor about some of the things you discussed and I understand your details much better because doctors have a limited time to talk with you now compared to earlier days. Again thank you for the information.
I am 77 doctor my tsh is 15.4 my free t4 0.82 I have high blood pressure diabetes but lately I am having hypoglycemia in the morning muscle weakness redness of my eyes gaining weight 192 but since I don’t have appetite today I weigh 187 my son has schizophrenia taking antidepressants and clozaril can you help me what to do doctor
Up to date, clear, detailed, useable and precise information, as usual, and you have no idea how timely to boot 🙂. Thank you so much for providing all this information.
My functional doctor insisted that I take thyroid replacement because of a T4 conversion issue. I quit drinking alcohol and started feeling super hyper-thyroid. I was hot all the time, shaky, nervous, dropping weight, diarrhea. I quit taking it and felt better.
I thought had posted this comment earlier, but somehow it does not show up - so here it is, and apologies if the first one pops up later. As usual, detailed, clear and useable information and you-have-no-idea-how-timely to boot 🙂 Thank you so much for providing this valuable information
I was able to get off my Armour Thyroid 60 mcg. I was having Hyper symptoms and high pulse. I did my own N=1 experiment (you should check with your doctor, this is just what I did). I weaned off meds slowly. Waited 6 weeks and my doctor tested my TSH only (new doctor). It was high at 14.38. I agreed to test again in 3 months. I took 200 mcg Selenium and 600mg Myo-Inositol. Always take D3 (10,000 IU). I ordered my thyroid lab online so I could get more than TSH. After 3 months my TSH was down to 6.4, Free T3, RT3, and Free T4 were all in the normal range. In older adults it is OK to have higher TSH (i.e. 70 years old a TSH of 7.0 is normal; 80 years old a TSH of 8.0 is normal). I consider my thyroid levels normal. I have Hashimoto's and my TPO levels are still high at 616, but I feel great. Thank you so much Dr. Ruscio.
🎯 Key Takeaways for quick navigation: 00:00 *🩺 Interpreting thyroid lab panels is crucial, as evidenced by a meta-analysis showing 37.1% of individuals didn't need thyroid medication.* 03:59 *📊 Thyroid Stimulating Hormone (TSH) ranges commonly reported on lab results are vital, but be cautious of narrow ranges leading to overmedication.* 07:10 *🩸 Thyroid Peroxidase (TPO) antibody levels indicate Hashimoto's risk, with values above 500 indicating higher risk.* 08:33 *🔍 Only 5% of individuals with positive TPO antibodies develop hypothyroidism, highlighting the importance of understanding risk.* 12:53 *🔄 Sluggish thyroid (subclinical hypothyroidism) can often normalize without medication, with 74% returning to normal thyroid function.* 15:50 *💊 Routine thyroid hormone therapy isn't recommended for subclinical hypothyroidism, as it doesn't improve quality of life or symptoms.* 19:14 *🌿 Supplements like selenium, myo-inositol, vitamin D, and probiotics may support thyroid function and reduce TSH levels in sluggish thyroid cases.* 24:33 *📉 Guidelines help interpret thyroid conditions: TPO antibodies over 500, TSH over 4.5 (up to 7-10) with normal free T4 indicate Hashimoto's and sluggish thyroid.* Made with HARPA AI
Thanks for these helpful recommendations: selenium and 600 myo-inositol 1-8,000 IU vitamin D3, probiotics, lowering stress, adequate calories and carbs. Going dairy free and grain / gluten free helped my thyroid tremendously!
Would love an exploration of data touching on the benefit of intervention (eg T4) on lipid profiles in subclinical hypothyroid individuals with lipid abnormalities. Risk/benefit of statin vs. T4.
Best explanation I've seen on this, can be so confusing given all the different viewpoints out there. From your chart it seems I clearly have a sluggish thyroid. I'll be sure to retest/watch it & take my vitamin D along with probiotics. I wonder your thoughts on how my HRT (estradiol patch) may or may not impact my thryroid levels and if they do, how do you recommend managing.
Whilst hashimotos and hypothyroid I changed diet, supplemented for deficiencies (iodine and vitamin D) and low dose naltrexone and I became hyper on NDT. Had to titrate off NDT and am now asymptomatic. It's been a roller coaster ride for sure thanks to the medical system relying only on TSH.
I've been listening to your channel for more than a year now, and really appreciate the depth of information you provide on your channel. As an older person (69), I am interested in hearing what you think about elevated TSH with normal T3 and T4 in older people. There's a lot of observational research looking at the oldest old. And many of those people have elevated TSH levels (4 - 10). Of course, I know that observational research cannot sort out the personal questions I have as a person with sustained TSH in the 6 - 10 range. I would hope that it means that subclinical hypothyroidism (which you call sluggish thryoid) reduces metabolism, and has a longevity effect. Any thoughts on this?
Learning how my body works and what it needs. Will help me when it comes to any health issues in the future. I will never just rely on a doctors opinion. I am nearly 71 and so far medication free. Most people look after their cars better than their bodies.
My TSH 0.03 Free T4 is 1.4 Free T3 is 2.9 T3 Total is 102 T4. Total is 10.7 Thyroid globulin antibodies 793 Thyroid peroxidase. 502 I take 100mg Levo and 5mg thyroxine Up and down, inside out….. I so freaking confused! Although I respect doctors, some just want to medicate and send you on your way. Plus I hate taking pills. Thanks Judith
Brilliant thankyou.I know my diagnosis in 2006 was completely wrong, and have been on Thyroxine ever since.Now trying to get off it.Thankyou.I wish you were in UK
Based on your revised lab, I am hypo and today started taking levothyroxine. I had just been treated for SIBO and was having solid stools pretty regularly for first time in over 15 years. After taking the levo this am, had diarrhea (only once today). Hoping not the medicine! Such a frustrating condition with the celiac. Previous to celiac diagnosis, I had C-Dif from antibiotic. I might need to remodel my bathroom since so much of my life is spent in there.
I just bought your book and am steadily working through it. What is your opinion about iodine supplements such as kelp? I’m finding conflicting info. Thanks.
All my T4 ft4 T3 and ft3 are on the bottom range or just below it while tsh is always around 2,5-3,5. There is never mention of low t3 t4... with normal tsh. Please what could this indicate? is this definetely not a thyroid problem but gut and other hormone issues or ? How does one diagnose central hypothyroidism?❤
Great info. Very well explained. I was just diagnosed with graves and don't want to take medication for now. Looking to get more infos on natural treatment. Thanks for the video!
Thank you for an informative session! I've been on thyroid medication for over 10 years. After watching the video, I checked my TSH levels over the last 7 years and it's under 2. I originally starting taking due to hair loss and fatigue. Your comment hit home with whether the symptoms were addressed with the medication. When I look back, absolutely not. The fatigue and hair loss has only recently stopped by reducing glucose spikes. I guess I'm part of the 37%. What is the best way to stop taking Levothyroxine? 0.05 mg. Many thanks!
I was diagnosed with Hypothyroidism when I was 27 years old and then diagnosed with Hashimoto's when I was 47. It's been a battle dealing with this issue.
@drruscioDC you need to cover metabolic conversion ratios. FreeT3 at the nucleus of cells is what matters, so you can have hypo symptoms, but have great FT4, but low FT3, which means too little FT3 at nucleus (some FT4 is converting to FT3 in cells). See Gullo et al. These are the types of people whom LT4 therapy does not work for. Depending on the disease, NDT or Cytomel may bandaid well for low FT3, as the person works on the underlying health issue. I've been there with bad conversion ratio (mercury toxic), that went away after ACC mercury detox. Its real.
I have been on thyroid medications for a long time. I was on synthroid for years recently in last 2 years I had to change doctors due to the death of my doctor. I was switched to Levithyroid and levels were lowered from 100mg to 75mg. I started loosing hair very bad. I hurt all over in my joints. I also,I have had chest pain. I went to ER. I was tested for my heart. They couldn't find any heart problems. This has happened 2 or 3 times. I start by feeling nauseated. I'm in real good health. I'm 83 yrs old. I'm wondering if I really need medication for thyroid or should I go back to synthroid?
@@ShellyBomb I had such bad reaction from my hyper meds that I stopped using them. No medical professionals have been able to explain hyper to me in the same way that they all so succinctly are able to discuss hypo!!!!! In desperation, I have recently gone carnivore - will be going for bloods again in 3 weeks time. However, insomnia, tremors, agitation and brain fog are already history 😁
@@sebastianliwinski222Same. I am starting medication today for hyperthyroidism. I suffer from exhaustion, anxiety and depression which can be connected. Lots of other symptoms too.
@@laurykristensen6239 it's all connected!!!, work on your past and emotional health it's all linked, things like unfulfilled dreams and life aspirations etc, it's all connected!!!, your doctor will deny it, however it's all linked!!!
I had a test showing TSH at 6. They said anything 4 and under is normal. Everything else T4, antibodies, T3 was in normal range. I was told by two different doctors that I need a synthetic thyroid replacement.
Look up Dr Ray Peat. From his experience he's never seen anyone comfortable with a TSH above 2. Eat your carbs, cut out PUFA, detox estrogen with vit E, supplement thyroid.
@@sebastianliwinski222 I followed Dr. Brownstein's protocol and it gave me Hashimoto's. I do not take iodine now. I take the supplements that Dr. Ruscio recommends. See his supplement videos. I don't take thyroid meds now. Iodine is toxic beyond 50-200mcg/day.
I had to get on medication 15 years ago. My tsh was 193. Body was shutting down. Thought I either had late stage cancer, or heart failure. Endo said it could take up to a year for my body to "right" itself. It never really did. Synthroid is basically a band aid for me. If I try to skip pills, I feel like I'm right back to myxedema again. My body is RELIANT on this horrible medication. I sometimes wonder if it had been treated earlier, if my overall outcome might have been better.
I was stopped levothyroxine from 150, I took another blood test and the TSH was 39 against 4 so ten times higher than maximum for men. I feel so tired and started by GP at 50 and then 75, but still tired. I did develop anaemia down at 8 haemoglobin it should be 14.
My TSH and T4 lab results are normal but my free T3 is above the high normal range. My hair falls out and my nails are ridged and brittle. I was on 90 mcg of NP Thyroid twice daily, but my doctor has changed it to 45 mcg every 8 hours. I don’t know if my body is converting too much T4>T3, or what is converted doesn’t get fully utilized. What should we be looking at? Thanks for sharing, explaining so clearly, and doing so much to de-mystify how our bodies work!
Hello Dr. Ruscio: Will you be doing a presentation on HYPERTHYROIDISM? I just now found your RUclips channel, so I should probably go look through your videos too. Thank you for this video ...❤️🩹
@@DrRuscioDC Greetings Dr. Ruscio: That's great - I'll keep an eye out for perhaps a video on hyperthyroidism. I subscribed to your channel - so not to miss your great videos. And, thank you in advance re the hyperthyroidism video when time allows. Best from Southern California ~ ❤️🩹
Yes, please do a video on hyperthyroidism. My son was recently diagnosed with Graves Disease. Thyrotoxic Periodic Paralysis put him in the hospital more than once. He is on a beta blocker for racing heartbeat and anti thyroid med. it’s taking forever for him to feel better. The endocrinologist is only looking at TSH and antibodies. He has both hashimotos AND graves antibodies. How is that possible?
I would absolutely LOVE to get an explanation on how can a person who has struggled being underweight all their life and a fast heart rate be diagnosed with hypothyroidism? I haven't found a doctor that has even touched on that subject yet. I asked the functional medicine doctor I went to (that definitely didn't help me) that question and she couldn't give me a straight answer, so if you want to do a video on that, I'd be grateful. The only explanation I found so far was in my herbalism studies. Not from any doctor though.
I’ve always been told to take labs without meds for at least 12 hours. I use NDT and T3. That never made any sense to me. Your meds are out of your body by then. Wouldn’t it make more sense to test while on meds to see how it’s working?
thyroid gland adjust and come back to normal but drs do not give chance snd put the patient on life long medicine , now customers for all life created . I wish dr monitor and suggest life style and food before prescription. This medicine has risk of all type of cancer but before prescribing side effect never discussed either After
I feel sick everyday. I have been on it since 2003. I am on 112 synthroid. I gained weight, loss weight than had weight loss surgery and than gall bladder removed. PPO told me and other drs oh your blood levels are fine. Excerise more eat less is all i have ever heard ever from them. I eat clean and excerise but still feel like shit daily. Body aches, joints and pain, brain fog, memory loss, depression etc./ I am sick and tired of being si ck and tired.
I have hashis. I’ve noticed my TSH and antibodies go up in the winter and down in the spring. Got my vitamin D levels checked and they are normal. My b12 is HIGH oddly enough. My T3 is normal but on the lower end. T4 is fine.
Hi doc, is your book “healthy gut healthy you” still applicable? I want to make sure before buying that it’s not outdated. I’m a Nutrition student practitioner and want to apply your protocols in the clinic.
I think I’m gonna have to listen to this again. I got a little confused. I also had my blood re-drawn two weeks later because I was astounded at my numbers. Does the good doctor give input if we share our numbers?
Everything was normal for me. I had high ldl, late 40s. I was put on armor because of subclinical t3 level of 2.2. My t3 went lower with the 15mg. Now My TSH is suppressed. I've been medicated 2.5 years. I exercise a lot more and with 105mg of armor my t3 is at about 2.5 or so. If I try 120 mg my t3 actually goes barely outside normal range. Is .3 worth $100 out of pocket cost for this drug for the rest of my life? I started taking it thinking it would make weight loss way easier but my weight has stayed stable. My body composition has improved from being much more active though. I've had to also add a drop of iodine and a couple of iron tablets every day so my labs will show what my doctor thinks they should be
Don't do it. I followed Dr. Brownstein's protocol and it gave me Hashimoto's. Watch the supplements video with Dr. Ruscio: Myo-Inositol, Selenium, Black Seed Oil helped me.
It’s also important to check cholesterol. My doctor kept my thyroid meds constant while my FT 4 was normal but TSH was up and down constantly over 6 months. He was convinced the TSH would normalise. Meanwhile my cholesterol kept climbing and instead he offered me statins. I believe unstable thyroid has driven up my cholesterol.
I have an appt w/ endocrinologist in 45 days. It was suggested to me by a friend that I should stop taking Levothyroxine so the new dr can get a ‘true story’. Does this make sense to anyone?
I'm on 50mcg Levothyroxine for over 10 yrs, I'm still freezing in the Winter, wearing 3 layers in the house and when I told my GP she said , "put on another layer." No other suggestions, didn't bother to refer me to an endocrinologist nor give a script for a thyroid scan. My HR is low, but it doesn't bother me. My TSH is 2.54 on 50mcg. But I don't know what the other tests are bc I've not been tested!! GP says she only tests TSH. I'm going to go to a functional medicine doctor.
@SeaStarGazer1111 same with me. My Dr. only had a TSH lab test done. I had to go back and ask to get a Free T3, Free T4 and Thyroid Antibody tests. Unfortunately she didn't request the TPO antibody test but the Thyroglobulin antibody test which now per Dr. Rusio doesn't mean squat in determining if you're hypothyroid. Ugh 😩 I just told my Dr. who is a family Dr. to just send my to an Endocrinologist. Where there I'm hopeful to get the FULL Thyroid Panel test done (FT3, FT4, TPO antibody, and Reverse T3, Reverse T4 if needed ) and any other required tests. Wishing you good luck in finding a resolution.
I fired my GP for not doing a full thyroid panel once a year, only tsh. I changed to a GP in the same clinic. She knew why I switched and she checks tsh, T4 and T3 every year. We need to advocate for ourselves (our health is important to us, if not the doctor) and find a dr who will work with us.
@@KetovoreWayOfLifeThank you & I wish you well also. I’d like to add, in the interim of finding a functional medicine doctor I went to see an Internal Medicine (“DO”) doctor who gave me a script for TSH, T4 & the antibody tests. I mailed a letter asking for T3 3 weeks ago. I got no response! I’m not going back so not going for the blood work she scripted. I’ll wait and see the functional medicine doctor.
@@janetclark5668Lucky you were able to find another GP in same clinic to provide you with the proper tests. I find most doctors in any practice all have the same theories/ideas/policies and don’t go against each other.
What do we do if we have been taking meds for years and don't have an accurate baseline? My tsh was 5.5 not sure about Free T4. Are tests worth it niw, or is it too late ?
After 1 year of levo, endocrinologist also admitted my levels "are normal for someone my age!". 😳🤷🤷 then she increased the dosage by 1 extra pill, 1 day a week. ??
Hello Doctor, I am new to your chanel. I have two questions and I would be very grateful if you could help. My thyroid was a little bit inhomogenous in the ultrasound. Does that always means that a person has a problem or can even a healthy thyroid appear inhomogeneous? And let's say someone has Hashimoto's. If he changes his lifestyle completely and fixes the causes (diet, stress, etc.), can this person also stop taking medication at some point in his life? Thank you very much!
I’m menopausal 52 and now have hyperthyroidism apparently - no symptoms apart from sweating and a little shaky on hands but that’s when I get hot (heart rate normal) weight gain no weight loss - but they want to send me to specialist to get me on beta blockers and medication for thyroid - why do I need to go on medication if I have no symptoms especially beta blockers
Same here I don’t have a thyroid and sometime my Tsh is high 0ne month again my Tsh was normal T4 was high it’s all over the place my anxieties are all day my heart rate is over over 100 I’m so sick and tired of these doctors even the endocrinologist are stupid in Australia they check only for THS And say it’s normal without checking T3 and T4 and they don’t check for reverse T3 And if your in the high end T4 they say it’s normal
Hello, if you're trying to wean off thyroid and retest after first 4 weeks of reducing from 800 mg of thyroxine per week to 500 per week (and low carb, high fat, no sugar, no grain, selenium, magnesium, zinc, iron, gallbladder supplements) and tsh has gone from (UK measurements) 1.9 to 38, t4 from 19 to 11 and t3 from 3.1 to 1.8 (but no real detectable symptoms) , is there absolutely no chance that this could be the thyroid adjusting to the lowered dose and could kick into life or is it an indicator to get the dose back up ASAP! Any advice greatly appreciated. I think it's a sign that the thyroid isn't going to crank back into action but wanted to check before rushing back to higher dose. Any information greatly appreciated and totally understood that it is not specific medical advice for me as an individual.
My TSH is now at 2.23, but my free T4 is still elevated (10.4). I am on synthroid 0.05mg. Should I switch to armor/NDT because my free T4 content is elevated? I have been able to lower my TSH (was 6.36), but still unable to lose weight... im at witts end.
Love my doc but she's not expert in everything. She saw my test and was going to put me on thyroid... but I asked her to wait. 3 months later I was fine. She didnt ask what I did.
Tsh is 48.29 but my t4 1.0 make sense of that? In the time this happened over 6 months my A1c gone from 5.5 to 5.9 cholesterol levels in triglycerides shot up significantly. Insulin resistance would be my guess. Because hdl is now 39 from 50. I am a diabetic and 60 years old. Have had it for a few years diagnosed and untold many years ago without knowing it since fasting glucose is. Normal. But my weight +30 pounds above ideal now only 5 pounds above Ideal. My labs look ridiculous though I feel great and I not fat. I don’t understand myself. I was born with no thyroid gland or tissue but do not have thyroid antibodies. Also hypo gonadal and had cancer of ovatesties. DSD. Not on HRT at the moment but trying to get it . To many dr are scared to try even though I am a walking case of spay neuter for 15 years and the diabetes thing is difficult to manage. I been taking thyroid medication since I was 5 weeks old. I am a lifer.
hi dr. what about those with low tsh low t3 but normal t4? im losing hair via overnight bald patches all over and was prescribed levothyroxine but im worried. thank you.
These types of videos really are just so absolutely bleak for me and truthfully I think that this type of approach actively hurts people who really do need this medication as well as NDT. Only medication made it possible for me to wake up in the morning and enjoy the privilege of being a normal human being. I'm sure you mean well, and obviously know how to read studies. I'm certainly interested in what "medication" was used in the study for sluggish thyroid. I think this approach is what led us to prioritizing levothyroxine over NDT in the first place, and is a reason people such as myself suffer.
Conventional doctors push chemical drugs. Functional Medicine doctors truly help to find the root cause of this autoimmune disease, Instead of masking the symptoms.😊
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Incredible speaking voice! Pleasant to listen to and your descriptions and explanations are the best I've been able to understand! 1999 is when I was diagnosed with hypothyroidism.
Im still tired, lost and confused. 2016 I had an RNY Gastric Bypass which throws a whole wrench into everything. Im gaining weight, extremely exhausted and extremely anemic
@marysiacoombe3446 thank you so much!
On this channel?
Thank you, I talked with my doctor about some of the things you discussed and I understand your details much better because doctors have a limited time to talk with you now compared to earlier days. Again thank you for the information.
Glad it was helpful!
I am 77 doctor my tsh is 15.4 my free t4 0.82 I have high blood pressure diabetes but lately I am having hypoglycemia in the morning muscle weakness redness of my eyes gaining weight 192 but since I don’t have appetite today I weigh 187 my son has schizophrenia taking antidepressants and clozaril can you help me what to do doctor
I also feel extreme fatigue
Up to date, clear, detailed, useable and precise information, as usual, and you have no idea how timely to boot 🙂. Thank you so much for providing all this information.
Thx!
My functional doctor insisted that I take thyroid replacement because of a T4 conversion issue. I quit drinking alcohol and started feeling super hyper-thyroid. I was hot all the time, shaky, nervous, dropping weight, diarrhea. I quit taking it and felt better.
You Truly are a gift to people who are with issues with Thyroid concerns!! GOD Bless you for all you do for all of us!!❤
I thought had posted this comment earlier, but somehow it does not show up - so here it is, and apologies if the first one pops up later.
As usual, detailed, clear and useable information and you-have-no-idea-how-timely to boot 🙂 Thank you so much for providing this valuable information
You're very welcome!
Absolute best information, thank you for taking me to this video. ❤ Gained one more Subscriber.
I was able to get off my Armour Thyroid 60 mcg. I was having Hyper symptoms and high pulse. I did my own N=1 experiment (you should check with your doctor, this is just what I did). I weaned off meds slowly. Waited 6 weeks and my doctor tested my TSH only (new doctor). It was high at 14.38. I agreed to test again in 3 months. I took 200 mcg Selenium and 600mg Myo-Inositol. Always take D3 (10,000 IU). I ordered my thyroid lab online so I could get more than TSH. After 3 months my TSH was down to 6.4, Free T3, RT3, and Free T4 were all in the normal range. In older adults it is OK to have higher TSH (i.e. 70 years old a TSH of 7.0 is normal; 80 years old a TSH of 8.0 is normal). I consider my thyroid levels normal. I have Hashimoto's and my TPO levels are still high at 616, but I feel great. Thank you so much Dr. Ruscio.
🎯 Key Takeaways for quick navigation:
00:00 *🩺 Interpreting thyroid lab panels is crucial, as evidenced by a meta-analysis showing 37.1% of individuals didn't need thyroid medication.*
03:59 *📊 Thyroid Stimulating Hormone (TSH) ranges commonly reported on lab results are vital, but be cautious of narrow ranges leading to overmedication.*
07:10 *🩸 Thyroid Peroxidase (TPO) antibody levels indicate Hashimoto's risk, with values above 500 indicating higher risk.*
08:33 *🔍 Only 5% of individuals with positive TPO antibodies develop hypothyroidism, highlighting the importance of understanding risk.*
12:53 *🔄 Sluggish thyroid (subclinical hypothyroidism) can often normalize without medication, with 74% returning to normal thyroid function.*
15:50 *💊 Routine thyroid hormone therapy isn't recommended for subclinical hypothyroidism, as it doesn't improve quality of life or symptoms.*
19:14 *🌿 Supplements like selenium, myo-inositol, vitamin D, and probiotics may support thyroid function and reduce TSH levels in sluggish thyroid cases.*
24:33 *📉 Guidelines help interpret thyroid conditions: TPO antibodies over 500, TSH over 4.5 (up to 7-10) with normal free T4 indicate Hashimoto's and sluggish thyroid.*
Made with HARPA AI
Thanks for these helpful recommendations: selenium and 600 myo-inositol 1-8,000 IU vitamin D3, probiotics, lowering stress, adequate calories and carbs. Going dairy free and grain / gluten free helped my thyroid tremendously!
What's adequate carbs and calories.... is carb veggies????
Thank you!
It's so helpful information! I could not find it anywhere else!
Excellent information.
Thank you!
My pleasure
Thanks Doc !! Well explained !! You have a GIFT !! 👍
Would love an exploration of data touching on the benefit of intervention (eg T4) on lipid profiles in subclinical hypothyroid individuals with lipid abnormalities. Risk/benefit of statin vs. T4.
💯 Dr. Westinghouse Childs and others have that valuable info. ✨️
Best explanation I've seen on this, can be so confusing given all the different viewpoints out there. From your chart it seems I clearly have a sluggish thyroid. I'll be sure to retest/watch it & take my vitamin D along with probiotics. I wonder your thoughts on how my HRT (estradiol patch) may or may not impact my thryroid levels and if they do, how do you recommend managing.
I need to watch this three more times, I am so confused. Taking notes.
Do you read your labs?
Whilst hashimotos and hypothyroid I changed diet, supplemented for deficiencies (iodine and vitamin D) and low dose naltrexone and I became hyper on NDT. Had to titrate off NDT and am now asymptomatic. It's been a roller coaster ride for sure thanks to the medical system relying only on TSH.
I wish a lot of doctors on YT will talk more about hyperthyroidism too.
Me too ... 🫡
It's because it's less common..
@@sebastianliwinski222MUCH less common haha
Me too.
It would be wonderful but it’s always about Hypo 😢
Good job Doc, well explain
I've been listening to your channel for more than a year now, and really appreciate the depth of information you provide on your channel. As an older person (69), I am interested in hearing what you think about elevated TSH with normal T3 and T4 in older people. There's a lot of observational research looking at the oldest old. And many of those people have elevated TSH levels (4 - 10). Of course, I know that observational research cannot sort out the personal questions I have as a person with sustained TSH in the 6 - 10 range. I would hope that it means that subclinical hypothyroidism (which you call sluggish thryoid) reduces metabolism, and has a longevity effect. Any thoughts on this?
Learning how my body works and what it needs. Will help me when it comes to any health issues in the future. I will never just rely on a doctors opinion. I am nearly 71 and so far medication free. Most people look after their cars better than their bodies.
❤❤ Thank you for such a comprehensive video. I'm seeing Sluggish T at 4.89 to 7.89
TPO 381
All other labs are perfect in range.
130 80 70 BP
101 Glu.
My
TSH 0.03
Free T4 is 1.4
Free T3 is 2.9
T3 Total is 102
T4. Total is 10.7
Thyroid globulin antibodies 793
Thyroid peroxidase. 502
I take 100mg Levo and 5mg thyroxine
Up and down, inside out….. I so freaking confused!
Although I respect doctors, some just want to medicate and send you on your way.
Plus I hate taking pills.
Thanks
Judith
I rm reading ..but confused ... if tsh is 2.70and t3 or t4 is over 10 whats that???@CharlesEastwood-v2e
Brilliant thankyou.I know my diagnosis in 2006 was completely wrong, and have been on Thyroxine ever since.Now trying to get off it.Thankyou.I wish you were in UK
Excellent video.❤
Based on your revised lab, I am hypo and today started taking levothyroxine. I had just been treated for SIBO and was having solid stools pretty regularly for first time in over 15 years. After taking the levo this am, had diarrhea (only once today). Hoping not the medicine! Such a frustrating condition with the celiac. Previous to celiac diagnosis, I had C-Dif from antibiotic. I might need to remodel my bathroom since so much of my life is spent in there.
I just bought your book and am steadily working through it. What is your opinion about iodine supplements such as kelp? I’m finding conflicting info. Thanks.
All my T4 ft4 T3 and ft3 are on the bottom range or just below it while tsh is always around 2,5-3,5. There is never mention of low t3 t4... with normal tsh. Please what could this indicate? is this definetely not a thyroid problem but gut and other hormone issues or ? How does one diagnose central hypothyroidism?❤
Great info. Very well explained. I was just diagnosed with graves and don't want to take medication for now. Looking to get more infos on natural treatment.
Thanks for the video!
Happy to help 🙂
Thank you for an informative session! I've been on thyroid medication for over 10 years. After watching the video, I checked my TSH levels over the last 7 years and it's under 2. I originally starting taking due to hair loss and fatigue. Your comment hit home with whether the symptoms were addressed with the medication. When I look back, absolutely not. The fatigue and hair loss has only recently stopped by reducing glucose spikes. I guess I'm part of the 37%. What is the best way to stop taking Levothyroxine? 0.05 mg.
Many thanks!
I was diagnosed with Hypothyroidism when I was 27 years old and then diagnosed with Hashimoto's when I was 47. It's been a battle dealing with this issue.
I wont to get off thyroid medication ty for your inf..
@drruscioDC you need to cover metabolic conversion ratios. FreeT3 at the nucleus of cells is what matters, so you can have hypo symptoms, but have great FT4, but low FT3, which means too little FT3 at nucleus (some FT4 is converting to FT3 in cells). See Gullo et al. These are the types of people whom LT4 therapy does not work for. Depending on the disease, NDT or Cytomel may bandaid well for low FT3, as the person works on the underlying health issue. I've been there with bad conversion ratio (mercury toxic), that went away after ACC mercury detox. Its real.
I have been on thyroid medications for a long time. I was on synthroid for years recently in last 2 years I had to change doctors due to the death of my doctor. I was switched to Levithyroid and levels were lowered from 100mg to 75mg. I started loosing hair very bad. I hurt all over in my joints. I also,I have had chest pain. I went to ER. I was tested for my heart. They couldn't find any heart problems. This has happened 2 or 3 times. I start by feeling nauseated. I'm in real good health. I'm 83 yrs old. I'm wondering if I really need medication for thyroid or should I go back to synthroid?
What if I have High TSH and High T4, but with no symptoms? Thanks.
Hello Dr Ruscio I was diagnosed with hyperthyroidism and am having dry skin am in Cameroon please help me
Hi Doc, please could you do a similar session on hyperthyroidism? I am soooo in the dark with my crazy thyroid!
Me too ... I need the hyperthyroidism discussion ~ ❤️🩹
@@ShellyBomb I had such bad reaction from my hyper meds that I stopped using them. No medical professionals have been able to explain hyper to me in the same way that they all so succinctly are able to discuss hypo!!!!! In desperation, I have recently gone carnivore - will be going for bloods again in 3 weeks time. However, insomnia, tremors, agitation and brain fog are already history 😁
Same here ... My recent results are: T3/T4 are high... TSH : 0.01 almost undetectable.
@@sebastianliwinski222Same. I am starting medication today for hyperthyroidism. I suffer from exhaustion, anxiety and depression which can be connected. Lots of other symptoms too.
@@laurykristensen6239 it's all connected!!!, work on your past and emotional health it's all linked, things like unfulfilled dreams and life aspirations etc, it's all connected!!!, your doctor will deny it, however it's all linked!!!
Thanks for the info. Just had a question, should we take thyroid medicine on the day we undergo thyroid profile test?
I had a test showing TSH at 6. They said anything 4 and under is normal. Everything else T4, antibodies, T3 was in normal range. I was told by two different doctors that I need a synthetic thyroid replacement.
Look up Dr Ray Peat. From his experience he's never seen anyone comfortable with a TSH above 2. Eat your carbs, cut out PUFA, detox estrogen with vit E, supplement thyroid.
I have the same issue. Did you go on medication? Is it helping?
Outstanding teaching ❤
I really appreciate that. Thank you!
Such great info! Thanks!!!
Make alot of Sense
What about iodine? Isn’t iodine important? Why are we not tested?
Exactly, they used to fix thyroid issues with Lugol's solution, and it worked, even Hyperthyroidism.
@@sebastianliwinski222 I followed Dr. Brownstein's protocol and it gave me Hashimoto's. I do not take iodine now. I take the supplements that Dr. Ruscio recommends. See his supplement videos. I don't take thyroid meds now. Iodine is toxic beyond 50-200mcg/day.
@@sebastianliwinski222I am hyperthyroid and being treated with high doses of lugols iodine.
I had to get on medication 15 years ago. My tsh was 193. Body was shutting down.
Thought I either had late stage cancer, or heart failure.
Endo said it could take up to a year for my body to "right" itself. It never really did.
Synthroid is basically a band aid for me. If I try to skip pills, I feel like I'm right back to myxedema again.
My body is RELIANT on this horrible medication.
I sometimes wonder if it had been treated earlier, if my overall outcome might have been better.
Is it better to go off the medication for an accurate reading for the Expanded Thyroid Panel?
I was stopped levothyroxine from 150, I took another blood test and the TSH was 39 against 4 so ten times higher than maximum for men. I feel so tired and started by GP at 50 and then 75, but still tired. I did develop anaemia down at 8 haemoglobin it should be 14.
Thank you so much for this grest study.
I have been micro dosing very low dose Amour thyroid every other day. Seems to work for me.
My TSH and T4 lab results are normal but my free T3 is above the high normal range. My hair falls out and my nails are ridged and brittle. I was on 90 mcg of NP Thyroid twice daily, but my doctor has changed it to 45 mcg every 8 hours. I don’t know if my body is converting too much T4>T3, or what is converted doesn’t get fully utilized. What should we be looking at? Thanks for sharing, explaining so clearly, and doing so much to de-mystify how our bodies work!
Hello Dr. Ruscio: Will you be doing a presentation on HYPERTHYROIDISM? I just now found your RUclips channel, so I should probably go look through your videos too. Thank you for this video ...❤️🩹
I have admittedly talked more on hypothyroidism, so I'll take note to touch on hyperthyroidism some more in the near future. :)
@@DrRuscioDC Greetings Dr. Ruscio: That's great - I'll keep an eye out for perhaps a video on hyperthyroidism. I subscribed to your channel - so not to miss your great videos. And, thank you in advance re the hyperthyroidism video when time allows. Best from Southern California ~ ❤️🩹
Yes, please do a video on hyperthyroidism. My son was recently diagnosed with Graves Disease. Thyrotoxic Periodic Paralysis put him in the hospital more than once. He is on a beta blocker for racing heartbeat and anti thyroid med. it’s taking forever for him to feel better. The endocrinologist is only looking at TSH and antibodies. He has both hashimotos AND graves antibodies. How is that possible?
I would absolutely LOVE to get an explanation on how can a person who has struggled being underweight all their life and a fast heart rate be diagnosed with hypothyroidism?
I haven't found a doctor that has even touched on that subject yet. I asked the functional medicine doctor I went to (that definitely didn't help me) that question and she couldn't give me a straight answer, so if you want to do a video on that, I'd be grateful.
The only explanation I found so far was in my herbalism studies. Not from any doctor though.
Should bloodwork for thyroid be fasting or non fasting? Thank you!!
I don't feel it matters
@DrRuscioDC in order to obtain accurate levels would it be advisable to not take the medicine on the morning/day of the Thyroid Expanded Panel?
I’ve always been told to take labs without meds for at least 12 hours. I use NDT and T3. That never made any sense to me. Your meds are out of your body by then. Wouldn’t it make more sense to test while on meds to see how it’s working?
Are these measurements alslo in candian measurements???
What is sub clinical hypothyroidism 😊
@Dr Michael what is normal TSH normal T4 and low Free T3 (2.07)
thyroid gland adjust and come back to normal but drs do not give chance snd put the patient on life long medicine , now customers for all life created . I wish dr monitor and suggest life style and food before prescription. This medicine has risk of all type of cancer but before prescribing side effect never discussed either After
I feel sick everyday. I have been on it since 2003. I am on 112 synthroid. I gained weight, loss weight than had weight loss surgery and than gall bladder removed. PPO told me and other drs oh your blood levels are fine. Excerise more eat less is all i have ever heard ever from them. I eat clean and excerise but still feel like shit daily. Body aches, joints and pain, brain fog, memory loss, depression etc./ I am sick and tired of being si ck and tired.
I have hashis. I’ve noticed my TSH and antibodies go up in the winter and down in the spring. Got my vitamin D levels checked and they are normal. My b12 is HIGH oddly enough. My T3 is normal but on the lower end. T4 is fine.
Hi doc, is your book “healthy gut healthy you” still applicable? I want to make sure before buying that it’s not outdated. I’m a Nutrition student practitioner and want to apply your protocols in the clinic.
Is t3 same as free t3???
When I gain weight, lose my hair, suffer with brain fog and mood problems, I don’t need a test after all that.
Me either
I think I’m gonna have to listen to this again. I got a little confused. I also had my blood re-drawn two weeks later because I was astounded at my numbers. Does the good doctor give input if we share our numbers?
My THS was 83.484…. Is this high or low? I’m on levothyroxine, have been since 2000.
Everything was normal for me. I had high ldl, late 40s. I was put on armor because of subclinical t3 level of 2.2. My t3 went lower with the 15mg. Now My TSH is suppressed. I've been medicated 2.5 years. I exercise a lot more and with 105mg of armor my t3 is at about 2.5 or so. If I try 120 mg my t3 actually goes barely outside normal range. Is .3 worth $100 out of pocket cost for this drug for the rest of my life? I started taking it thinking it would make weight loss way easier but my weight has stayed stable. My body composition has improved from being much more active though. I've had to also add a drop of iodine and a couple of iron tablets every day so my labs will show what my doctor thinks they should be
What do you think about using Iodine?
Don't do it. I followed Dr. Brownstein's protocol and it gave me Hashimoto's. Watch the supplements video with Dr. Ruscio: Myo-Inositol, Selenium, Black Seed Oil helped me.
Hello thanks to your nice message doc,
Thank you, your videos aré the Best Ive seen, AND I understand what you aré saying
I appreciate that!
Over 2 tsh l heard its optimal... so is there something l can do if over 2 2.7 ???
It’s also important to check cholesterol. My doctor kept my thyroid meds constant while my FT 4 was normal but TSH was up and down constantly over 6 months. He was convinced the TSH would normalise. Meanwhile my cholesterol kept climbing and instead he offered me statins. I believe unstable thyroid has driven up my cholesterol.
Asked my endocrinologist about estrogen dominance. She said that "has nothing to do with thyroid!" Not true.
I mostly agree with your endo, in that ED will not cause hypothyroid. However, ED can cause symptoms and is something that should be address IMO.
I'm diagnose with hyperthyroidism but have stable T3 and T4?
Diagnosed that way because of low tsh or subclinical hyper symptoms, or both?
My TSH is 0.75
Free T4 is 1.1
TPO
Hi Doc,
How would you interpret a result of TPO greater than 1300, normal free T3, T4 and TSH with a low bmi.
My co worker have it at 24 years old menopause
WhT if t4 or t3 is 10 or 14 ? And tsh 2.7o ???? Is that ok ???
I wish my local doctors watch that video. They are useless and dont pay attention to my labs or symptoms
I have an appt w/ endocrinologist in 45 days. It was suggested to me by a friend that I should stop taking Levothyroxine so the new dr can get a ‘true story’. Does this make sense to anyone?
I had one of my thyroids removed on the 12 of June. Before this, my tests were normal. Last week, my TSH was high. 4.92. why is this?
I'm on 50mcg Levothyroxine for over 10 yrs, I'm still freezing in the Winter, wearing 3 layers in the house and when I told my GP she said , "put on another layer." No other suggestions, didn't bother to refer me to an endocrinologist nor give a script for a thyroid scan. My HR is low, but it doesn't bother me. My TSH is 2.54 on 50mcg. But I don't know what the other tests are bc I've not been tested!! GP says she only tests TSH. I'm going to go to a functional medicine doctor.
@SeaStarGazer1111 same with me. My Dr. only had a TSH lab test done. I had to go back and ask to get a Free T3, Free T4 and Thyroid Antibody tests. Unfortunately she didn't request the TPO antibody test but the Thyroglobulin antibody test which now per Dr. Rusio doesn't mean squat in determining if you're hypothyroid. Ugh 😩 I just told my Dr. who is a family Dr. to just send my to an Endocrinologist. Where there I'm hopeful to get the FULL Thyroid Panel test done (FT3, FT4, TPO antibody, and Reverse T3, Reverse T4 if needed ) and any other required tests.
Wishing you good luck in finding a resolution.
I fired my GP for not doing a full thyroid panel once a year, only tsh. I changed to a GP in the same clinic. She knew why I switched and she checks tsh, T4 and T3 every year. We need to advocate for ourselves (our health is important to us, if not the doctor) and find a dr who will work with us.
@@KetovoreWayOfLifeThank you & I wish you well also. I’d like to add, in the interim of finding a functional medicine doctor I went to see an Internal Medicine (“DO”) doctor who gave me a script for TSH, T4 & the antibody tests. I mailed a letter asking for T3 3 weeks ago. I got no response! I’m not going back so not going for the blood work she scripted. I’ll wait and see the functional medicine doctor.
@@janetclark5668Lucky you were able to find another GP in same clinic to provide you with the proper tests. I find most doctors in any practice all have the same theories/ideas/policies and don’t go against each other.
Great video thank,you
What do we do if we have been taking meds for years and don't have an accurate baseline? My tsh was 5.5 not sure about Free T4. Are tests worth it niw, or is it too late ?
Tha , you all was major significant. ❤😂
Can you speak on fasting and Hashimoto’s.
After 1 year of levo, endocrinologist also admitted my levels "are normal for someone my age!". 😳🤷🤷 then she increased the dosage by 1 extra pill, 1 day a week. ??
Then she better check your levels every 6 months.
Hello Doctor, I am new to your chanel.
I have two questions and I would be very grateful if you could help.
My thyroid was a little bit inhomogenous in the ultrasound. Does that always means that a person has a problem or can even a healthy thyroid appear inhomogeneous?
And let's say someone has Hashimoto's. If he changes his lifestyle completely and fixes the causes (diet, stress, etc.), can this person also stop taking medication at some point in his life?
Thank you very much!
I’m menopausal 52 and now have hyperthyroidism apparently - no symptoms apart from sweating and a little shaky on hands but that’s when I get hot (heart rate normal) weight gain no weight loss - but they want to send me to specialist to get me on beta blockers and medication for thyroid - why do I need to go on medication if I have no symptoms especially beta blockers
Same here I don’t have a thyroid and sometime my Tsh is high 0ne month again my Tsh was normal T4 was high it’s all over the place my anxieties are all day my heart rate is over over 100
I’m so sick and tired of these doctors even the endocrinologist are stupid in Australia they check only for THS And say it’s normal without checking T3 and T4 and they don’t check for reverse T3
And if your in the high end T4 they say it’s normal
I’m on thyroid hormones T3 /T4 for 8 years and I think I pushed to take it. Can I just quit it?
Hello, if you're trying to wean off thyroid and retest after first 4 weeks of reducing from 800 mg of thyroxine per week to 500 per week (and low carb, high fat, no sugar, no grain, selenium, magnesium, zinc, iron, gallbladder supplements) and tsh has gone from (UK measurements) 1.9 to 38, t4 from 19 to 11 and t3 from 3.1 to 1.8 (but no real detectable symptoms) , is there absolutely no chance that this could be the thyroid adjusting to the lowered dose and could kick into life or is it an indicator to get the dose back up ASAP! Any advice greatly appreciated. I think it's a sign that the thyroid isn't going to crank back into action but wanted to check before rushing back to higher dose. Any information greatly appreciated and totally understood that it is not specific medical advice for me as an individual.
My TSH is now at 2.23, but my free T4 is still elevated (10.4). I am on synthroid 0.05mg. Should I switch to armor/NDT because my free T4 content is elevated? I have been able to lower my TSH (was 6.36), but still unable to lose weight... im at witts end.
What is your T3? If T3 is normal or elevated you might check into the question of whether you need medication or not.
Love my doc but she's not expert in everything. She saw my test and was going to put me on thyroid... but I asked her to wait. 3 months later I was fine. She didnt ask what I did.
What you did?
@@lifeandliving1335 iodine , ashwaganda and mrha gum.
@@CarlaGarner-lp5lj after researching I started taking iodine and some trace minerals and herbs .
My TSH is 75 mlU/ml. Should I give up hope to ever be off meds?
Unfortunately yes 😢 but if you're young there's a chance
Tsh is 48.29 but my t4 1.0 make sense of that? In the time this happened over 6 months my A1c gone from 5.5 to 5.9 cholesterol levels in triglycerides shot up significantly. Insulin resistance would be my guess. Because hdl is now 39 from 50. I am a diabetic and 60 years old. Have had it for a few years diagnosed and untold many years ago without knowing it since fasting glucose is. Normal. But my weight +30 pounds above ideal now only 5 pounds above Ideal. My labs look ridiculous though I feel great and I not fat. I don’t understand myself. I was born with no thyroid gland or tissue but do not have thyroid antibodies. Also hypo gonadal and had cancer of ovatesties. DSD. Not on HRT at the moment but trying to get it . To many dr are scared to try even though I am a walking case of spay neuter for 15 years and the diabetes thing is difficult to manage. I been taking thyroid medication since I was 5 weeks old. I am a lifer.
What if my tsh is 15,
my free t3 and free t4 is normal, my tpo antibodies are 157. I have no symptoms, but dr wants me on thyroid meds.
My T-4 and T-3 is normal. My TPO antibodies are 871. This is very high.
Thanks for sharing
You have sympton hair loss?
Not much of my hair is falling out.@@Lymura16
You might check your digestive, nutrient, and allergy status for cause of high TPO.
My sister have it
hi dr. what about those with low tsh low t3 but normal t4? im losing hair via overnight bald patches all over and was prescribed levothyroxine but im worried. thank you.
Liver may not be converting T4 to T3 per other doctors' lectures on RUclips.
My body is on fire inside. It's awful. Then I get chills. Dr put me on medicine hasn't helped?
These types of videos really are just so absolutely bleak for me and truthfully I think that this type of approach actively hurts people who really do need this medication as well as NDT. Only medication made it possible for me to wake up in the morning and enjoy the privilege of being a normal human being. I'm sure you mean well, and obviously know how to read studies. I'm certainly interested in what "medication" was used in the study for sluggish thyroid. I think this approach is what led us to prioritizing levothyroxine over NDT in the first place, and is a reason people such as myself suffer.
I disagree many GP's don't pay enough attention to Thyroid disease..........
Conventional doctors push chemical drugs. Functional Medicine doctors truly help to find the root cause of this autoimmune disease, Instead of masking the symptoms.😊
My TPO is 50 and I am hypothyroid