You don’t know about Secondary Hypothyroidism (And neither does your doc!)
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- Опубликовано: 5 фев 2025
- You don’t know about Secondary Hypothyroidism (And neither does your doc!) // Primary hypothyroidism and the lab patterns associated with it are only one way that you can develop low thyroid symptoms. So what happens if the cause of your thyroid symptoms is coming from somewhere other than your thyroid? One possibility is secondary hypothyroidism and although it isn’t often considered, it’s well documented in the research and could be making your symptoms worse. In this video, we’ll talk about what secondary hypothyroidism is, what causes it, and why it makes thyroid conditions so hard to assess and manage.
#secondaryhypothyroidism #hypothyroid #drbradbodle
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Have you noticed a connection between neurological changes and your thyroid health? Have you discussed secondary hypothyroidism with your doctor before? Let me know your thoughts! -Dr. Brad
Absolutely ... over time it has exascerbated to occassional paralysis.
I'm only 18 years old and my fathers side of the family all has hypothyroidism. This includes my grandpa, father, and Aunt (all on synthetic medication). I have complained of decreasing mental function (brain fog) and fatigue since I was around 16 years old. The doctors that I saw around 17 years old were very dismissive and essentially gave me no answer. At this point I'm entirely lost as to if I have pituitary issues or if my thyroid is malfunctioning. Any advice would be greatly appreciated ❤
Thank you for providing such valuable content! My fiance(age 58) recently alerted me to her lab values of .28 TSH and .9 free T4. Upon reviewing her PCP notes and labs her free T3 was normal at 2.5. She was previously dx with hypo and taking synthroid. Upon relocation to my area(1.5 yr ago) her new PCP dc'd the synthyroid due to .35 TSH and low normal T4. She is now dx with hyperthyroidism and refered to an endocrinologist. New results include antibodies were negative andthroid ultrasound indicated a 6mm cyst with spongiform nodule 11mm. Additionally, she takes progesterone, testosterone and estrogen. Unfortuanately I don't have access to the endo notes, nor any other lab values for the hormone therapy but her diagnosis of hyperthyoidism to me isn't supported by the lab values, in fact the endo NP inquired if she would like a referal for surgeon for thyroid removal or radioactive iodine therapy. I would appreciate any guidence you might provide. Also, wondering if pituitary labs would be helpful in a secondary hypothyroidism dx?
Have to agree
...I'd a very bad case of hypothyroidism. I feel certain foods I ate worsened it worsened it
Hi Sonicz, there is often times a close relationship between our nutrition and our thyroid health. I'd pay attention to which ones cause symptoms for you and do your best to make some modifications. Hope you're already doing better! Thanks for the comment and thanks for watching :)
Love your videos ; very informative !!
I have low TSH (1.15) and low T4 (6.6)
And hypo symptoms : mood , morning fatigue , hoarseness , sensitive to cold.
Could I treat this by natural supplements or would you advise thyroid meds ?
Thanks so much Tim! So this is a tricky one because the vast majority of doctors only understand one way of assessing thyroid problems. Since the traditional way of thinking of things is to provide medication when someone's TSH is elevated or lab high, it is very unlikely that anyone would recommend medication with your TSH at 1.15, even though your T4 is low. In this sort of situation, we'd want to figure out what is causing the low T4 and try to work through things naturally. Hope this helps a bit!
Thank you for this video!
I presented with high TSH (for fertility purposes >2.5) and low end of normal for both T4 & T3; also TGA showed positive for antibodies (not too high but they were there).
I was prescribed synthroid 50 mcg which decreased my TSH & TGA however my T3 & T4 are still on low end of normal. I also still have hypothyroid symptoms of cold extremities, slow metabolism & fatigue.
❓Could this be a form of secondary hypothyroidism❓
I am overweight but do not have diabetes and have never suffered a brain injury that I’m aware of. It is possible that my gut health is compromised.
Very helpful, thanks for the great information doctor!
One question, I had hyperthyroidism (low TSH, high free T4 and free T3) and my doctor put me on anti-thyroid drug for 6 weeks. Now my free T3 and free T4 are normal but my TSH is still extremely low, is that considered subclinical hyperthyroidism or secondary hypothyroidism?
You're welcome! Thanks so much for the feedback :) The TSH being low is likely due to the fact that the body is still adjusting and recalibrating. I would focus on how you're feeling and get some follow up testing in another 6 weeks or so. That will give you a better idea of where things are at. Let me know if this helps!
My question is, is it possible to "grow out of" the need for medication for this? I have had this all my life, and was medicated for it as a child, but now it seems like I don't necessarily need medication for day to day life. I've heard people say this is a whole life condition
Happy to get good information!
I'm glad to hear it was helpful to you :)
I have lost vision in my left eye multiple times had a bunch of wild symptoms. Mostly hypothyroidism symptoms but my tsh kept coming back low/normal. I developed a multinodular goiter. I told my doctor something was up with my throat he said it was fine. It wasn't until I had to go to the hospital for tachycardia (220bpm) that they found a multinodular goiter. They did a biopsy and found it was all good and I just needed to get another look in a year. They measured my tsh and free t3&freet4 low tsh again and low freet4 normal freet3. I told my doc I think secondary hypothyroidism. He said very unlikely and because tsh was .3 and free t4 was .59 so not terribly low. my gut is saying secondary hypothyroidism.
The tachycardia was diagnosed as POTS Syndrome. Could hemorrhaging during childbirth cause a brain problem ? I lost almost 2ltrs and had multiple transfusions following giving birth
@@osg124have j been checked for cushings?Secondary hypifhhroidism is primarily csjer by a oituitary issue. This is what I think I have bjt ha e been dismissed so many times by drs.
@ I have yet to get in with an endo the closest one to me is 2hrs away and they were a year out for new patients so it won’t be until June. I’ll keep you updated though
Hi doctor so ive lived with hypothyroidism symptoms for 20+ years but never diagnosed or treated because my levels are just barely in range. Fast forward to today…I’m 2 months postpartum and asked for levels to be checked. Again, barely in range. T4 at 1.0 and TSH is .68. Doctors not helpfull. I’m thinking secondary hypo. But my biggest concert is my lowest symptom that started about a week ago…I’m having a crazy low resting heart rate. Like real low 40s. Even just sitting on the couch in the middle of the day. My heart has always been great and healthy. I’m also not in great athletic shape so that’s not it 😅
Since 4 years i have low to normal t4 and also normal to low tsh .I am not thyroid medication. Due this my triglycerides is always high instead of mangement. All doctors say the same thing that your t4 is 80% no need of thyroid medication.But i am always in doubt my triglycerides is high for this reason only.Can you help me doctor for realated topic .pls reply sir.
As Always Great information🙏🙏❤
Thank you Sparkle! Happy New Year!
I'm only 18 years old and my fathers side of the family all has hypothyroidism. This includes my grandpa, father, and Aunt (all on synthetic medication). I have complained of decreasing mental function (brain fog) and fatigue since I was around 16 years old. The doctors that I saw around 17 years old were very dismissive and essentially gave me no answer. At this point I'm entirely lost as to if I have pituitary issues or if my thyroid is malfunctioning. Any advice would be greatly appreciated ❤
Hi Luke, I'm sorry to hear you've been struggling and your doctors were dismissive of you, that's super frustrating. If possible, I would try to get a full thyroid panel including TSH, total T4, total T3, free T4, free T3, T3 Uptake, Reverse T3, TPO antibodies, and Tg antibodies. If nothing else, make sure to include the antibodies. Thyroid autoimmunity can run in families and we want to figure out if that is contributing to your fatigue and brain fog. Antibodies can develop and cause symptoms years before we see changes in TSH, then when someone finally is put on medication, it doesn't always fix the problem. Now, I'm not saying that this is 100% the issue, but it would be an important place to start. Hope this helps, let me know if there's anything else I can do for you!
@@DrBradBodle thanks so much! This is very useful info.
At 19, I was initially diagnosed with primary hypothyroidism but after observing my thyroid tests for some months, along with a complete hormone test, I was found having secondary hypothyroidism with low cortisol levels. I'm taking high dose of levothyroxine with a low dose of hydrocortisone. Its related with a small cyst deep inside my brain. I'm young yet I'm here....I have low T4 levels as always but normal in TSH, FT3, FT4, T3.
Hi! That sounds like a massive challenge and you've done a great job at getting extra information to help guide your treatment plan. Keep working with your doctor, getting follow up labs, and adjusting your approach based on how you feel and respond. Wishing you the best with everything! Let me know if there's anything I can help answer for you!
@@DrBradBodle hello! thanks a lot for the informative video, and yes i will do keep up on my health checks. i wish all the best in health for those suffering out there. Keep uploading informative videos like these, they give us more ideas about ourselves.
I am having difficulty finding information on having very low TSH, but within range, T3 and T4. I have no conditions or or injury that could cause this and was curious as to your tank.
Thanks so much for this video !
I started having neurological symptoms (vision change - dizness and balance disorder...) since 1 year and never made the link with my hashimoto (doctors neither) i have seen soooo many docs and made recent MRI , blood test's (ANA,diabète,anemia,inflamation,b12,....) neurological tests... everything was normal . The dizziness is the hardest symptôm i will diffinitelly try the electrolytes ! Is There any labs that can confirm if the problem is coming from tyroide ? Please keep sharing with us your content
Asking for a friend: Could I still potentially have secondary hypothyroidism if both my TSH and t4 levels are elevated? I got checked for nodules on my thyroid gland but none were found and no antibodies were detected from the bloodwork. But my TSH level was getting worse until they put me on levothyroxine (which is why my free T4 level’s elevated) and I’m still suffering from harsh symptoms. Please help!
What should I do naturally?
Thank you - wish you were my doctor!
You're very welcome EJ! I hope you found the info helpful 🙂 Let me know if I can answer any questions for you!
Is a low T4 and normal tsh consider secondary hypothyroidism? I was just put on thyroid meds and I have been battling anemia for a while. Now it's low iron...
My TSH is low normal 1.14 my Free T4 however is 9.5 ( 9.00-19.1) I’m extremely symptomatic and had a hysterectomy 7 months ago & lots of stress losing my boyfriend to cancer. I have Ehlers Danlos. I’m back to Endocrinologist in 2 weeks . I’m desperate
I have low t3 .68 and t4 4.4 and normal tsh
Thank you
You're welcome!
I have TSH 5.7 and t4 9.7
The secondary hypothyroidism is likely to have only low FT4 and normal or slightly elevated TSH with FT3 in normal range isn't it?
Hi there! You're close. Secondary hypothyroidism is likely to have low T4 and low TSH. If TSH is elevated, then it tells us that the brain is functioning correctly and therefore the problem is more likely based at the level of the thyroid. Hope this clears things up!
Hi again doctor, I have told you that I have pseudonodulations and thyroid cysts, but my hormones are totally normal and my antibodies are negative. When I wrote to you three days ago, you answered " work with your doctor to continue to keep an eye on things and be proactive if necessery" . My main question is can you explain this in quotation marks more specifically, second main question is why you think I should talk to my doctor because you told me that pseudonodulations are not always related to hashimoto's especially when all the function results are great. I will add that two doctors told me that I don't have thyroid problems, that it was a puberty crisis, and a third one told me to enjoy life because I'm healthy. thank you very much.
I HIGHLY RECOMMEND DR OKOUROMI HERBAL PRODUCT ON RUclips FOR THYROID CURE AND SHRINK GOITER
Hi Mila, based on all your testing, it sounds like there is nothing wrong. Pseudonodulations can be a normal finding and will likely never cause any issues for you. However, whenever we have pseudonodulations, we simply want to make sure we track them as we would with anything else in our body. So when I told you to work with your doctor, I simply meant for you to do follow up visits as you normally would and if something changes, then you can take any necessary steps. Hopefully this is more clear.
Why do we get anxiety and depression symptoms with hypothyroidism
Hi Teresa, thanks for the question! I always say that thyroid hormone sets our metabolism and is like the gas pedal in our car. It makes every system in our body "go" and be able to do its specific job. When we have low thyroid function, then the areas that are most metabolically active tend to show signs of symptoms and slowdown first. This includes our brain as it demands a huge amount of fuel and energy to function properly. When we have changes in our thyroid pathway, it can decrease brain function and led to things like anxiety and depression. Hope that helps and here's a few links for videos that I did covering those exact topics!
ruclips.net/video/8sw326wH-TE/видео.html
ruclips.net/video/Xrnu2O0fCWQ/видео.html
@@DrBradBodle I was doing fine until my doctor lowered my thyroid medicine and my tsh went to 8.15 now I am having all this symptoms I don’t have a thyroid due to Graves diseases
I am so grateful for this information. Thank you 🙏
I have had hypothyroidism from past 12 years, eventually my levothyroxine dosage came down from 75mcg to 12.5 mcg and my doc asked me to stop and test the levels. From past 4 years I have not taken any med and when I check my levels, t3 t4 are low with normal tsh levels. Long time ago (7-8 years) I got thyroid uptake test and antibodies tested , all normal. My recent report show low levels of t3 t4 (both total and free) and normal tsh. I have extreme fatigue , poorest memory you can imagine, depression , anxiety, can’t concentrate whatsoever, vision is blurred but my eye doctor says my eye power has not changed. I take one spin and I feel so dizzy. I workout regularly, compete as bikini athlete, so far weight has not been an issue. 46 year old, living seems like a burden , I have stopped going out and don’t feel like working out anymore. Not sure what’s happening to me . Brain seems to be giving up 😢
I know this is an older video, but I am desperately searching for information to use as proof of why i need to see an endocrinologist. I am hypo. 2 yrs ago it changed. My tsh was down to .04 my doctor won't test my t3 or t4. I'm still taking 175 mcg of synthroid. Palpitations. Anxiety. I can't think. Anyone with ideas?
Hi Kelly, that's a tough one because it really depends on the doctor and what they think is "valid." Honestly, the thing that would be most helpful would be getting a full thyroid panel, but I know you're having a tough time doing that right now. The TSH is likely suppressed because of your medication, but it's still important to check things like T4, T3, TPO antibodies, and Tg antibodies. Once those are assessed, it could be the proof you need for an additional referral. Wishing you the best with all of this, I know it's really hard. Feel free to reach out if you need anything else!
Is it possible to see you by video consult from Australia?
Hi Wendy, yes, that's possible! You can get in touch with my staff by emailing contact@seattlethyroidhelp.com . Thanks for reaching out and wishing you a very happy New Year! :)
I was diagnosed with a pituitary adenoma when I was 23 and at the same time hypothyroidism. I was put on thyroid meds to shrink the tumor but have never felt good on synthroid or levothyroxine. I'm insulin resistant too. I know I have secondary hypothyroidism do you have any suggestions on how to feel better and lose weight? I continued to put on weight from 23 onward. Metformin seemed to help a bit but not sure that's how I want to live.
Hi Emerald, a few things to consider here. One, not all medication is a good fit for each individual, so if thyroid medication is appropriate, but it isn't making you feel good, maybe talk to your doctor about other versions that could be a better match for your body. The other thing would be to address the insulin resistance. That can be a big piece when it comes to weight loss and since the metformin was somewhat helpful, it sounds like getting the insulin resistance right might be the key for you. Minimizing sugar, choosing lower carb options, fasting when appropriate, getting consistent sleep, regular exercise, plus finding ways to support your hormones can all be helpful. Let me know if this helps!
I have PAN HYPOPIT from long term opioid use. Why does no one address this issue?
I don’t understand
Hi Teresa, if you could let me know what part is confusing for you I'd be happy to clear things up! Hope you're having a nice day!
Thank you
You're welcome Jenny! I hope it was helpful information!