Lesberensonmd.com



Denis Wilson MD – Sub - Laboratory Hypothyroidism Low Body Temp and use of T3Handout compiled – Les Berenson MD Wilson’s Syndrome (reversible low temperature with normal thyroid tests) is about 10 more common than Hypothyroidism (low temps with high TSH)That makes T3 an extremely economical and convenient solution to many difficult problems for a lot of peopleTypical Symptoms - Wilson’s Temperature Syndrome can cause all these things, and be easily recognized and treated. Dr. Wilson has been teaching these principles for >25 years, and yet allopathic physicians and endocrinologists often don’t recognize it.Weight gain (inappropriate)FatigueDepressionMigraines (and other Headaches)PMSIrritability and anxietyFluid retentionHair loss and Dry skin and hairInsomniaConstipation & Irritable bowel syndromeAnxiety and Panic attacks Asthma and AllergiesIrregular periodsDecreased memoryDecreased concentrationDecreased motivation and ambition Low sex driveMuscle and joint achesCarpal tunnel syndromeFibromyalgiaHives, itching, acneBruisingDecreased healing after surgeryHeat and cold intoleranceLet’s suppose that Wilson’s Temperature Syndrome is not the only cause of migraine headaches, but let’s suppose for a minute that it is the most common cause (which it is). This also holds true for persistent fatigue, inappropriate depression, PreMenstrual Syndrome, decreased memory and concentration, decreased motivation and ambition, mood swings, insomnia, and many of the symptoms that have been listed. What the TSH is missing - Hypothermia (low temperature) can cause mental dullness, and forgetfulnessThyroid function should be checked in patients with Panic Disorder and Generalized Anxiety DisorderObesityPMS - In one study, 75% of the women with PMS had subclinical hypothyroidism. There was complete resolution in over 60% of them when treated with T4Low Libido, sexual dysfunctionWomen with edema; Fluid retention causes fibromyalgia like symptomsHeadaches (exacerbating factor for migraine headaches)Carpal Tunnel syndromeIrritable Bowel SyndromeInsomniaHair lossTreatment resistant depressionTypical stressors that can lower body temperatureChildbirth (No. 1 cause)? Divorce? Death of a loved one? STRESS - Job or family stress? Surgery or Accidents? Heavy metal toxicity (e.g., mercury)? Bromine, Fluorine, ChlorineHigh TSH indicates low thyroid hormone supply. When your TSH is normal and Temperature is low then you likely have a conversion problem converting T3 T4. Your thyroid’s purpose is to provide a normal metabolic rate and normal temperature. T4 is 4X weaker and 3X longer-acting than T3. 80% of T3 is produced and regulated inside cells and is invisible to blood tests.Many people treated with thyroid medication Synthroid feel worse, as the synthetic T4 may compete with your body's natural T4 for cellular receptor sites.Armour Thyroid which contains both T4 and T3. T4 can sometimes make the symptoms worse because if a person is already having trouble utilizing T4 then giving them more T4 can sometimes push them even further in the wrong direction with the wrong medicineIf you have taken Thyroid medication and don’t feel well then this conversion block using T3 may be the source of your problem. There are several ways to encourage conversion T3 T4Provide specific Herbal and Nutritional supportDecrease T4 and reverse T3, by weaning T4 medicine (Synthroid, Levothyroxine) or by using T3 (Herbal formula with T3 and Iodine or compounded T3) Decrease stressDetoxify, diet and exerciseHow to Measure the TemperatureDon't measure temp just in AM as the Temp during night and awakening is similar to a normal person’s thyroid picture. Measure during day when supposed to be highest as opposed to at night. (see graph below)Dr. Wilson recommends measuring the temperaturesBy mouth with a thermometer. Use a Geratherm thermometer (liquid metal). Avoid mercury and ideally automatic thermometers (may not be as accurate)Every 3 hours - 3 times a day, starting 3 hours after wakingFor several days (not 3 days prior to the period in women since its higher then) for diagnosis.Check your temperatures when you feel your best and your worst, to see the correlation.Every day during treatment. For each day, add the 3 temperatures together and divide by 3 to get average.If your temperature consistently averages below 98.6 then you may be suffering from Wilson’s Temperature Syndrome.Here is a convenient?temperature chart?you can print out and use to record your temperaturesSuggested workup for low thyroid symptoms and low body temperatureTSH can rule out primary hypothyroidismMultichemistry blood tests can rule out kidney disease, diabetes, liver problems, plete blood counts can rule out anemia, infection, leukemia, and so on.Consider adrenal fatigueEKG, good baseline to haveLifestyle measures for low body temperature - About 70% with low temperatures and normal thyroid blood tests can normalize their temp. using foregoing lifestyle measures aloneStress-reduction, declutter, simplifyRegular, moderate exercise, especially short sprintsDetoxification, saunaOrganic foods (to avoid pesticides and toxins)Avoid gluten, aspartame, excess alcoholGet adequate rest, good multi-vitamin and nutritionIodineSelenium, ZincIronTyrosineCertain thyroid and adrenal support botanicals (see below for description)Herbs and nutrients in Dr. Wilson’s herbal formula:Iodine - T3 can sometimes go up significantly just by adding iodine. Some practitioners report that the majority of their patients with low temperatures and normal thyroid tests will feel better and respond with higher temps when given 2–48 mg/day. for a number of months (in combination with Selenium, herbs). Iodine RDA is 150 μg/day.Side effects: <10% of people will respond adversely to high dose iodine.A few may become hypo or hyperthyroid. Therefore your thyroid tests need to be monitored.With iodine, if TSH goes up and T4 goes down but T3 does not go down and patient is not feeling worse, then it is not likely hypothyroidism. Thyroid Tests usually normalize in 6–9 months. Zinc and Iron - Zinc is important in the production of TSH and the conversion of T4 to T3Iron deficiency decreases T4 to T3 conversion, increases RT3 (reverse T3) and reduces T3 levels inside cells)Selenium (100-800 mcg/day) - Increasing doses of iodine have been shown to inc. thyroid autoimmunity in mice, and high dose iodine plus selenium has been shown to reduce this problem. Selenium is reported to support glutathione (major anti-oxidant in body) production.Bladderwrack (Fucus Vesiculosis, Kelp) - Bladderwrack is a good source of iodine and other substrates and help makes T4). Non-iodine compounds in seaweed may also be very helpful in thyroid related disorders such as Hashimoto’s thyroiditis and used for centuries in Asian cultures for both hypo and hyperthyroidsm.Guggul (Commiphora Myrrha) - Guggul supports iodine uptake and T4 to T3 conversion.Blue Flag (Iris Versicolor) - was used extensively (1830–1940) to treat thyroid disordersLate 1800’s it was made into a pharmaceutical called Iridin for hypothyroidismCommercially it’s used to detoxify land and used to move “sluggish body fluids”Thyroid & Adrenal hormones often go together. When one struggles the other hormone is stressed as well. Adrenal support can often help people tolerate T3 therapy. Some doctors do not like to give T3 without supporting the adrenals first.Adrenal Support Herbs - Some will need T3, botanicals, & nutrients to inc. temp.More severe cases will need T3-only therapySiberian Ginseng (Eleutherococcus senticocus) – helps optimize adrenal response. Excellent for stress-related exhaustion and emotional disturbances.Holy Basil (Ocimum sanctum) – helps to normalize hyperglycemia, corticosterones, and adrenal hypertrophy from chronic stress.Rose Root (Rhodiola rosea) –adaptogen and anti-stress herbTreatment: goals: The stronger effect of the T3 will hopefully normalize the temperature and eliminate the symptoms of slow metabolism. Every effort must be made to minimize the unsteady effect of the T3 in order to minimize the chance of side effects such as fluid retention, shakiness, irritability, and palpitations. There is a minimal cardiovascular risk BUT huge benefit to treatment*Treatment:In the same way we treat “depression” with no lab test, a therapeutic trial is given to see if symptoms go away and then used for a few months and weaned off. The symptoms should be corrected as well as a normalization of temperature off treatmentAfter 25 years seeing this syndrome - Dr. Wilson recommends 2 basic treatments: A) Herbal formula he created with Iodine, T3 and herbs that support the Thyroid gland conversion (see herbs mentioned above)B) Compounded sustained-release T3 (keeps levels as steady as possible, but more involved) To keep T3 levels as steady as possible check with your Dr. : Use well-made sustained-release T3 designed to be taken every 12 hoursTake the T3 every 12 hours on time, not even 3 minutes lateYour Dr. may want to Increase the T3 doses quickly, & wean off the T3 doses more slowlyDr. Wilson recommends you be off the T3 long enough between cycles Some will need T3, botanicals, & nutrients to increase the temperature.More severe cases will need T3-only therapy. * Dr. Wilson evaluates whether the patient can tolerate T3 (Cardiovascular risk)Can you run around the block, and do you feel OK when your pulse rate goes up? Ever had any cardiac problems (e.g., MI within the past 2 months) or blood pressure issues?Herbs can help some non-candidates (hypertension, arrhythmias) become candidates.Low magnesium levels may interfere with a person tolerating T3 therapy well.Adrenal support can help people tolerate T3If you have low adrenal function (e.g., orthostatic hypotension, never sweats, or cortisol is low on a saliva test) your Dr. may consider adrenal support herbs for a couple of weeks before treatment (can really help). Otherwise, some people may feel worse on the T3 instead of better.Three most important instructions for patientsTake the T3 on time, take it exactly on time. Program your phone to alert youWrite down pulse rate every morning.Pay attention to any disagreeable awareness of the heartbeat.Additionally Stop increasing T3 and call doctor if: A) Pulse is >100 b.p.m., or B) Feeling palpitationsUse a reliable compounding pharmacist. There have been times when patients were not getting good results with the T3 therapy until they switched to another pharmacy and then they began getting better resultsMost common side effects of T3 therapyFluid retentionAchinessJitterinessIrritabilityDull headacheIncreased awareness of heart beatUsually due to unsteady T3 levels from not taking the medicine on timeA) - In Patient menu see link to a free online copy of a book that patient's can read to see if you identify with WTS.B) Are Synthetic Thyroid Drugs, Like Synthroid, Actually Making Your Condition Worse? By Dr. Joe Mercola DO - August 01, 2011 drugs-like-synthroid-actually-making-your-condition-worse.aspx ................
................

In order to avoid copyright disputes, this page is only a partial summary.

Google Online Preview   Download