When the media totally gets it wrong

When the media starts talking about a topic you are acutely aware of or one that's personal to you, you are more aware of when they get it wrong. In my case, birth advocacy and thyroid disease awareness are two subjects that are close to my heart and something I know a lot about.

So it's utterly depressing and maddening when you come across an article that is just so bad and misleading that you want to scream at the top of your lungs.

When the news does a terrible job covering a topic you're
intimately familiar with, it makes you wonder how
they handle all the other stuff.
Photo credit: jayofboy/freeimages

This one - The Daily Mail's "Australian woman gives herself a Cesarean section" - is pretty horrendous. You immediately conjure up images of serious peril; something has gone horribly wrong and she's in dire straits with no sign of help anywhere, right? Wrong!

Apparently, this is an article about a maternal-assisted cesarean (definitely not the same as performing the surgery on yourself, as the Mail implies), something that is verrrrrry slowwwwwwly catching on in the birth community. By slowly I mean probably at a snail's pace, because we still don't hear very much about it. The woman, disappointed over the fact that she could not have a VBAC with the twins she was carrying, decided that she wanted more of an active role in the birth and presented her case to her OB, who - not surprisingly - flatly refused. Apparently after he did more research, (gasp!) he changed his mind. (double gasp!)

"'(The doctor) was quite willing once he realized the risk of infection wasn't as high as he perhaps first thought,' Mrs. Wolffe said.'"

Amazing. An OB that listened the patient, while still yielding to necessary medical intervention, and they both had a positive outcome. I am speechless.

However, that's not the problem. Further down in the article, a video accompanies it captioned 'Live Cesarean: graphic 2013 video of birth broadcast on Twitter." Okay… except that's not the Australian woman's birth they're showing. In fact, it's from a hospital in Texas, something the Mail doesn't exactly explain beforehand and most people from their UK readership didn't pick up on (including, apparently, all the American accents in the room).

How this had anything to do with this woman's birth is beyond me, but it sure makes for great fodder for readers to totally attack her - everything from her looks, to her birthing practices, to a "DIY birth" (which it obviously was not). Some even criticized the weight of the babies, for whatever reason. At any rate, it did nothing to advocate for alternative choices in birth and only made the mother look like a total freak (if you trust the people commenting).

Thanks for totally misleading your readership, Daily Mail. Not that that's anything new, apparently…

Dr. Samadi's commentary on Fox left a lot to be desired,
namely the idea that there is more than one way of
treating thyroid disease - not to mention that many
doctors are neither well-versed in or willing to treat more
complicated cases.

January is Thyroid (Un)Awareness Month
Like bajillions of other Americans, I have thyroid disease, and it's a topic I've written about a lot. I've also basically forced myself to get educated on it in order to understand what was happening to my body, because I found that my doctors were not always that knowledgable. Apparently these guys are no exception.

Dr. David Samadi is apparently one of Fox News' resident doctor experts, which in and of itself isn't bad - except he's a urologist commenting on thyroid disease. Since the two aren't obviously related, I was puzzled why he was weighing in on the subject. While I realize they have time constraints on the broadcast, they really do reflect a serious problem with misinformation and an overall lack of education on the subject, which can often leave patients untreated or improperly medicated.

While I do give him points for mentioning more than just the TSH, it's important to know what to do with the results. Just this week I heard a patient say how enthusiastic their doctor was about ordering tests, even though she'd admitted there were some she had never heard of, but then also admitted she had no idea what to do with the results of the bloodwork. That doesn't help you very much as a patient, but at least she was being honest.

Another expert, NYU Medical School internist Dr. Mark Siegel, gives a very watered-down, extremely over-simplified and perhaps even dismissive explanation. His commentary also left a lot to be desired, and outraged a number of people in the comments who have firsthand experience with the disease.

"Here's the good news…[this] is so treatable… if you have low thyroid, I can give you something called levothyroxine. [It] just replaces the thyroid and you're back to normal. It's a great, great medication." 

Yes. Well. If you do well on levo, that's your business. Not everyone does, and while some prefer the name brand equivalent, Synthroid, some would rather choose neither and use Armour Thyroid instead - but you usually won't catch a single mainstream physician mentioning that in an article about hypothyroidism. Whether it's intentional or not, Synthroid is usually the only drug mentioned, which misleads patients into thinking Armour has been pulled from the market or simply doesn't exist anymore.

And wouldn't it be great if it were "just" that easy! Just pop a pill and you'll feel like a million bucks in no time. For some, it works great and they're on their way, but for others, it's a constant battle to get a physician to treat them adequately and even take them seriously.

When you catch them screwing up on a topic you're familiar with, it almost makes you wonder what they're telling you about all the other stuff.

Thyroid disorders: overcoming the myths and bad advice and getting treatment

"As your doctor, I know
much more than you do.
So why don't you just
trust me? You're
just the patient!"

Some of my family members have been bugging me to see an endocrinologist to treat my Hashimoto's Disease. I've thought about it, but honestly, am not looking forward to it. After my post on "Stupid Crap My Doctor Says," and reading this article, you might understand why.

The article, called "Understanding Thyroid Problems," is ironic - because it's written by someone who doesn't understand. As a writer, I strive to make sure I understand the topic I'm writing about and I want it to be accurate - but apparently this person doesn't. Her method of dealing with her Hashimoto's - complete with fatigue and stubborn weight gain - is to exercise more and drink more coffee.

Her headline strikes a very dismissive tone - she mentions people who "peddle" advice and it's clear she thinks well-educated thyroid advocates (whom she even quotes in the article) are not responsible enough to register an opinion. In other words, "You're not a doctor so I'm not going to trust anything you say. I'm going to ask my physician!" 

Well, that's fine - except the doctors she interviews for her article are even more dismissive. One mentioned what is basically subclinical hypothyroidism - and suspects that many patients aren't really hypothyroid at all.

"A review of the literature shows up to half of people with a TSH in the 3 to 4 range either don't have hypothyroidism at all or have only the earliest phase, where there's no clear benefit from treatment," he explains.

In other words, it's all in your head. Here, take this anxiety pill. And while you're at it, there's one for depression, too. Now go home.

Like I've said before, and like many sites do say, you are not the same as someone else. Because your TSH is higher than mine doesn't mean you will feel worse than I do. I haven't read any of the studies he's referencing, but I suspect that patients are on such a low dose that yeah, it doesn't really work. But unfortunately the patient is allowed such little autonomy in matters of their own health that we may never know what works for them because we simply won't allow them to ever reach that point.

Based on the author's information, you have to have a TSH as high as 10 to 15 before it's worth treating. (But... I thought 5.0 was the high end? What about that?) Interestingly, mine was around 2 something and my physician said it "still wasn't where he wanted it to be." Thank God I don't have a doctor who thinks I should only be treated when my TSH is exploding off the chart.

Dr. Worst-Case-Scenario goes on:

"There's no compelling evidence that medication helps patients whose TSH is in the 5.0 to 10.0 range," says Dr. Daniels, though if you have other problems, such as infertility or depression, your doctor might suggest medication. Similarly, for those who also have Hashimoto antibodies, the decision to treat may depend on other factors. If you have debilitating symptoms or develop a goiter (a protrusion of the thyroid itself), "it might make sense to try medication for a few months," says Dr. Daniels. "Occasionally symptoms improve; often they don't."

I'm not an expert, but I don't consider a TSH as high as ten "subclinical." It means you are full-blown hypo at that point, I would think, but again, it's different for everyone. I can't imagine the number of couples who have struggled needlessly with infertility because some jerk endocrinologist painted everything as a disaster and refused to treat.

If your TSH is that high, I'd suspect you're too damned tired to care about being infertile, because you're too tired to have sex in the first place. I'd also like to ask him why I felt better once starting thyroid medication when my TSH was quite low, by his standards.

When they start talking about medication options, of course synthetic hormone is mentioned first. Even though natural desiccated thyroid has been in existence for centuries, the author mentions those "natural advocates who tout" the product as if it's snake oil. And in piling one myth on top of another, the doctor says, "There's a perception (read: all in your mind) it's natural because it's animal-derived, but the potency can vary." Yeah, about that. Apparently the potency can vary in synthetic medications as well.

The author's closing blow is to be "wary of on-line advice." What, like the crap she dished up in her article? Perhaps there is a grain of truth in that, but it's probably the same for any medical problem. And unfortunately the information put out by many major advocacy groups (like The American Thyroid Association) and doctors is often laced with the same errors she claims everyone else is. Their top recommendations often include, "Your TSH is fine. You do not have a problem. Come back in six months to a year and we'll reevaluate you. Synthroid is your only option, but I'm not going to disclose that they are a major sponsor of our website."

The author admits to a family history of Hashimoto's disease, but says even if her levels "had nudged up a bit" she'd "still opt out of treatment." Not exactly sure why, but perhaps she doesn't mind - or doesn't understand - how the thyroid slowly gets destroyed over time until the damage is done and you're completely hypothyroid. Perhaps one of the great endocrinologists she interviewed recommended that she do nothing, because, after all, it probably won't work - right?

The bottom line is that people treat their doctors like they are gods. Unfortunately, some doctors think they are, too. No one - not even your physician - is perfect. When they're willing to admit it, that's great. When they're not - but instead are reluctant to try new things, accept new and different ideas, or at the very least, listen to their patients - they stand to make people a lot sicker instead of better.

In closing, I'd make the following recommendations based on my own experience:

• Read all you can. Medical journals, support and message boards, books, articles, even patient blogs that detail their experiences and frustrations. It might be eye-opening in the following ways:

1) you'll learn more about your body, and that's never a bad thing

2) You could learn about possibly new and unusual symptoms that you're experiencing

3) You'll get more support from people who've been there, rather than be told "You're just imagining it!" or  dismissing you

4) You'll learn about the disparity of information out there about other treatments, like natural desiccated thyroid, supplements and other methods

5) You might just find out certain groups and people are not always acting in your best interests

6) You'll find out there are a lot of myths, conflicting ideas and misinformation about thyroid disorders that just won't go away!

7) You'll be exposed to possibly cutting-edge studies and information that your doctor won't, which could really help your diagnosis 

8) And most importantly, you'll be a more informed patient who can weed out the good from the bad advice you might be hearing

• Get copies of all your blood work and keep them on file for comparison purposes. It's nice to know what your numbers are and where you stand. This could also include pharmacy records, so you can see what dosage you were on when and gauge how you felt at the time. 

• Keep a journal of your symptoms. Compare it with your medical records. 

• Don't be afraid to ask questions and demand answers. Your doctor works for you, not the other way around. He is not the boss of you, or your "daddy," so don't be afraid to speak up and advocate for yourself. 

• Be wary of those who say you should only take T4 meds (like Synthroid). Know and understand the intricacies and quirks of synthetic medications and they, too, have their faults. Know also that many organizations are supported heavily by the makers of Synthroid, which is a conflict of interest. 

• Conversely, be wary of anyone who says you should only take Armour Thyroid (or other natural desiccated thyroid). I'm in the middle of the road on this - even though I take Armour, it might not work as well for some as it does for others. The same goes for T4 - many people do well on synthetic medications. But many also do not, and are only taking it because it seems like the right thing to do. If you've ever taken both and have a way to compare, only then can you decide which one is right for you. Along with the point right above this, be aware of those who try to discourage you from taking Armour and why they discourage you - either because they believe in the myths or because of financial incentives from drug manufacturers. 

• If you feel that your doctor isn't adequately addressing your concerns, don't be afraid to fire him (or her) either. If at all possible, try to find someone who - while not perfect - pays attention to YOU and how you feel, rather than boss you around or dismiss your thoughts and ideas. 

• Most of all, be patient. It's not going to happen overnight, and medication changes are bound to be necessary. Take the opportunity to educate others around you; it can be a frustrating journey, and if necessary, don't be afraid to have a good cry once in awhile. Don't give up! 

More reading:
Don't worry, no good deed goes unpunished: thyroid advocate Mary Shomon ripped this article to shreds. Read it here!

How thyroid disorders can affect postpartum health and the breastfeeding relationship

When you have a baby, you're tired. Your hormones are out of whack, your periods are wonky, you might feel like crap and your hair falls out. Is it from "just being a tired mom" (said by your OB rather condescendingly) or is it because of something else?

When I was three or four months postpartum, I noticed weird stuff going on in my neck. As a side sleeper, I could no longer sleep that way without discomfort and even some pain. It was mildly uncomfortable to swallow, even though it wasn't the same as a typical sore throat pain. My neck swelled up and I thought I had some kind of virus, so I went to the doctor.

The physician's assistant thought maybe I had mono, so she ordered a blood test. It came back negative, but in the meantime she put me on antibiotics. After I took one pill, I thought, Wait a minute, mono is a virus, not bacterial. What the heck am I taking these for? I threw them out.

Another thing she told me: Stop breastfeeding for a while in case your baby gets what you have.

No way was I doing that. I knew my baby would be protected because I was nursing exclusively, and who's to say he wouldn't get it anyway?

I went at least another year before finding out why I felt half-dead most of the time, and probably another year on top of that before starting medication. I couldn't help but wonder, how many other "tired moms" go that long and then some with doctors throwing antidepressants at them, and everyone else patronizingly telling them, "Oh, you're just tired! Get more rest!"

In retrospect, I know now that I had postpartum thyroiditis, where the thyroid gland is affected by a surge of hormones and gets inflamed. In some cases it can last weeks or even months, and then go back to normal. In others, it makes you hypothyroid, and is under the umbrella of autoimmune thyroid disorders, or Hashimoto's disease.

Thyroid disorders can also make you feel depressed, on top of what you might already be feeling as a new mom who is struggling to adjust to changes or new additions in the family. In addition, another possibly huge impact on the new mother is how it can interfere with the breastfeeding relationship. I am bolding this simply because I feel that perhaps this is one component to lower breastfeeding rates, and perhaps the root of some women's difficulties with breastfeeding, that has perhaps been overlooked.

One of the signs is decreased milk volume in breastfeeding women. Considering how prevalent thyroid disorders are, it almost makes you wonder if this is one of the causes behind why some women are unsuccessful at breastfeeding and never really know why. And, according to the La Leche League, little if any research has been done on it - not only do many doctors not have a sound understanding of the mechanics of breast milk production, supply and demand, but seemingly few of those doctors truly understand thyroid disorders, either, sadly. This unknown factor in a mom's health could mean the difference between treating her condition properly or going years without knowing the true underlying cause of why she "couldn't nurse" her babies.

I posed this question of many thyroid patients recently and came up with interesting responses: I asked them if they ever had trouble breastfeeding, and if so, did they find out why? Some never had problems, others were, at one time, able to nurse very well and then suddenly production declined as they had more children. I noticed this myself: with my first, I could pump like crazy, but almost nothing with my second or third children. One said she was successfully able to nurse twins and then, in a later child, had supply issues. And some women said they tried everything - and nothing worked.

Breastmilk production is stimulated by prolactin, which is produced in the pituitary gland. Not coincidentally, the pituitary gland is also responsible for producing TSH, or thyroid stimulating hormone.

In reality, "any woman who has been pregnant can have postpartum thyroiditis," according to thyroid advocate Mary Shomon's website. There is the chance that the thyroid will return to normal in some women, but in others it can lead to a more persistent form of thyroid disorder, whether Hashimoto's or eventually full-blown hypothyroidism.

More reading:
Hashimoto's and Postpartum Thyroiditis
Thyroid problems after pregnancy: A look at postpartum thyroiditis
The impact of thyroid dysfunction on lactation - La Leche League

Stupid crap my doctor says

I've said before that when it comes to getting my thyroid problems sorted out, my doctor's not too bad. He was totally open to me going to Armour Thyroid, hasn't said anything really objectionable and doesn't treat me like I'm crazy, which is a plus. Apparently, I'm really lucky in that department, though, because some people have an insanely hard time connecting with a doctor who knows what the hell they're doing.

"What the heck does the
thyroid gland do? Most physicians
will tell you 'it controls metabolism,'
which is what we all learned in
medical school. That statement is
basically the same as saying, 'It's
really complicated and I don't
understand it.'" - Dr. Rob Lamberts

A friend of mine is 43 and exhibits a ton of symptoms: facial swelling, celiac disease, tiredness and a bunch of other stuff. I told him to switch doctors, and he said he already had - five times. His regular physician told him, "Well, you're getting old...."

When I first went to my OB for bloodwork, I knew something was wrong but wasn't sure what. After my results came back, he simply stated, "Your antibodies are elevated." When I asked him what that meant, he said, "It just means you'll eventually have to go on medication." Thanks for elaborating!

I've mentioned several times in past posts how a friend was told to "fake it" by her doctor when she was concerned about low sex drive and her thyroid function. He also told her to stop drinking pop (even though she doesn't) and to 'get off the couch.' Why, I'd love to, if only I wasn't so tired all I wanted to do was sleep. All. day. long.

I once got into a rather heated Facebook debate with a nurse practitioner who, along with her physician husband, thinks many of the people in her practice use it as an excuse. She went on about the TSH, and eventually changed her tune and shut up when I told her you can have high antibodies, hypo symptoms and a totally normal TSH, all at the same time.

I asked others and they told me this:

Amber: "The old "eat less, move more" mantra. I've eaten 900-1200 calories a day and exercised for 10-12 hours a week for months on end, and have still, little by little, kept gaining weight."

Beth: "That none of my symptoms...PMS, depression, weight gain, insomnia, anxiety - were thyroid-related. This was the same guy who said that a TSH of 9 was within normal limits and that Armour is unreliable."

LynnSue: "'You have Hashimoto's, but we don't keep track of your antibodies because it doesn't really mean anything and there is nothing we can do about it.' I was told this by SEVERAL doctors, most of them endocrinologists....My highly esteemed endocrinologist told me that my slow, steady weight gain was "middle age" (I'm 51) and that many of her female patients have chosen to get liposuction. 'I'm telling you that off the record,' she said. She never, ever tested by B-12 in the 15 years I was with her, even though Hashi's patients are often deficient in it. When I got it tested on my own (through my GP) and showed her the deficient results, she said, 'Well, I guess that one slipped under the radar.'"

Jessica: "I had the opposite of LynnSue. 'You have crazy high antibodies and 'normal' numbers otherwise. Go see a rheumatologist. I can't help you.'"

Rebecca: "'What you had before your thyroid was removed was Grave's Disease, but now it's called Hoshimoto's.' Seriously! 'All your levels are checking out fine so its not anything to do with your endocrine system. It's something else and nothing I can help you with further."

(Note: I've heard some people speculate that endocrinologists no longer know how to deal with thyroid problems because they're all seeing diabetes cases - which is a complication from hypothyroidism, by the way....)

Lisa: "'Eat 500 calories a day and try to work out more.' Keep in mind I was already lifting weights five times a week and going bald....Two of the four morons told me to eat 500 calories. I also was an anorexic/bulimic for years who recovered with Atkins. The others just thought I was tired from being a mom. Grrr..."

Terah: "'You have Hashimoto's, your TSH is below 2. Let's wait and see what happens.'" (And in the meantime, it's totally okay for you to feel like crap... we'll just wait for you to continue to fall apart, 'k?)

Michele: "'Thyroid problem? What thyroid problem? Your TSH is fine.'"

Kira: "'Here...take this Prozac..it will raise your serotonin and make you feel way better...it's not your thyroid.' Four days later, had a grand mal seizure and lost my four front teeth and developed a systemic blood poisoning from the infection that set in...Yeah, thanks, doc."

Pamela: "I was also told that my complete and total exhaustion, muscle pain, ataxia and weight gain was because I was a mom with a four-month-old...(ring a bell?) By the time my doc agreed to test me, my T3 and T4 levels were ZERO. He said he'd never seen numbers that low. This was 17 years ago. It's been a long, wild ride since then."

Lorrie: "I suffered 'tonsilitus' every year of my life until I finally found a doctor who knew the minute he saw me that I had Graves Disease (at age 43)... Then there was the cardiologist my doctor sent me to for a stress test... without even looking at my folder announced the reason I was sent to see her was because I was 'lazy.' (after two surgeries and gaining 60 pounds)

Suzie: "Me: 'Could your numbers be normal, but you still have symptoms?' Endo: 'No, that's impossible!' followed by a condescending head shake....'It's functional. Here is 7 mgs of Xanax. Also, here is Abilify, Zoloft, Paxil, Lexapro, Risperdal, Ambien, Adderall, Ritalin, etc. and an application for SSI!"

Nadia: "'People's bodies change a lot as they get older; it's normal that you're putting on weight and feeling tired - just eat less and exercise more!' At the time, I was 23, eating vegetarian and mostly raw food, working as a waitress and going to the gym 2-3 times a week!"

Yvonne: "'Your symptoms have nothing to do with you being hypothyroid; I want you to see a psychiatrist,' who consequently diagnosed me with somatization disorder (all in my head syndrome). My GP ate his words last month when he said, 'Your remarkable improvement on NDT can no longer be ignored.'" (emphasis mine)

Terah: "My first endo said, 'So you have a few symptoms. You don't need medicine for something that is going to slowly kill off your thyroid anyway.' (Hashi's) Then she went on to say since I was getting older that there was no need to have sex so the lack of sex drive was a benefit. I could not have made that one up!"

Dear Lordy be. I'm not even sure what to say about that one.

If this is your doctor's approach to treating your symptoms, run, run, far away! 


More reading:
Why an endocrinologist or thyroidologist should probably not be your thyroid doctor
The many myths of hypothyroidism - Dr. Kenneth Blanchard 
What's wrong with these doctors? 

I'm on thyroid meds, but why aren't they working?

Without my Synthroid and six cups
of Starbucks, I'm worthless in the
mornings! Just ignore that eye twitch.
Photo credit: freeretroclipart.com

This is one question I've asked myself sometimes in the last eight months since I've been taking meds. At first, when they worked, it was like the crack high I've never experienced. I had enough energy to do ski hills, three times, hiking for hours all over the place. My poor family would be dragged along in my pursuits to do things bigger! better! faster! and as I sat, fidgety and tapping my foot, I would stand up and say, "I have to go run on the treadmill!" Where the heck did that come from?! My husband would look at me like, "Who abducted my wife and replaced her with you?"

I asked a fellow bus stop mom and Synthroid user if she felt good. She said she was tired all the time, among other things, and was surprised when I told her those were all symptoms of hypothyroidism. I'm not even sure she knew what many of the symptoms even were, so I wondered, how does she know if her meds are even working or not? She went on to tell me that she's been on the same dosage since her first child was born, like 11 years ago.

I wasn't going to give her medical advice, but it almost sounded like she needed a dosage adjustment to me. Eleven years is a long time to be on the same dose, especially if you've had a baby and are still having symptoms. Every month I get mine filled, a nice warning label appears on the bottle: "This medicine may need adjustment if you are pregnant." If you've had a baby, that can definitely throw things off.

Menopause can also mess things up, as many women blame it for symptoms like depression, low sex drive and fatigue - when, in fact, their thyroid function is low. This can explain why some women still exhibit symptoms even while on hormone replacement therapy.

It's also important to remember that even though your TSH might be "within normal limits," it might be high for you. You are not the same person as someone else, and lowering it even a few points could make a world of difference. Some references say especially women should have "at least a TSH" done every year once they reach 35, but in my opinion I'd want more than just that: because the damage could already be occurring. If you have Hashimoto's like I do, you may benefit from treatment before your TSH even shows a real problem.

Some other things that come to mind that are possibly worth looking into if your meds aren't working:

• You haven't been on them long enough. For me, when they were really working, it worked well. But honestly, I sometimes wonder if I didn't give it enough time to really do its thing. On one hand, it's been eight months, but on the other, it sometimes takes quite a while before finding the right dose that works for you. I can't say I feel bad all the time, and can't honestly expect to feel perfect every single day. One thing I remember reading in Dr. Mark Starr's book - for some people, it can take awhile for everything to "unclog" once they start on meds. I think it's very easy to give up too easily because it is often a pain in the ass to reach that perfect point, and when you're as motivated as a snail to begin with, it's bad enough as is it.

• You're on generic instead of name brand. For some people, there is a difference, despite what your doctor thinks. Your thyroid is like a computer: if you're running software for a PC but you have a Mac, it ain't gonna work very well, or for too long. It might be okay for a little while, and then suddenly things start to go haywire. But, it's different for everyone.

• If you're on Armour, know that the product was reformulated several years ago. Because they changed the type of fillers they use to bind the pill, some people cannot digest it and break it down to effectively use the medication. Some people have tried it sublingually, some break it in half, some crush it - it might take some tinkering if you suspect this problem, so don't give up. Some people also split their pills in half and take several doses throughout the day with great success.

• You aren't taking it correctly. This one seems like a no-brainer, but maybe not for everyone. Although some people report no problems, most medical literature and pharmaceutical inserts will tell you to avoid eating for an hour after taking your pill. Certain products, like anything containing calcium, should not be taken for up to four hours after taking it. Some people, including myself, take it in the early morning hours (since we're already awake to go pee or tuck a kid back into bed). You should also avoid anything containing estrogen or iron when you take your thyroid medicine for maximum absorption.

• You're on the same dose for too long. I've noticed that if I needed a raise in dose, it was going to happen within about 2-3 weeks after the initial dosage. On a couple occasions if I waited too long to raise, it was like I experienced all the old symptoms and then some, like I was crashing big-time.

• Janie Alexander at the Stop the Thyroid Madness website says patients are often afraid to raise their dose - and I can understand why, to some extent. Splitting a pill in half might not hurt just to try it - but don't do too much. I'm not giving medical advise, but I've often doubled my dose with good results, depending on the dose I started with (for instance, I'd rather double a 30 mg dose than a 60 mg one!). It's important to increase gradually and not by too much, like when I wanted to go from 60 to 75 mg of Armour and thought I was going to die. I guess I know now where my personal threshold is...

• To complicate things even more, Janie suggests that even though you are experiencing hyper- symptoms, it could be more from things like adrenal fatigue. Cutting and pasting because it just makes much more sense when she says it:

"Yes, a doctor can guide you to  go too high with desiccated thyroid and you’ll have hyper symptoms. You would then want to decrease your amount. But even more common is having hyper-like symptoms (anxiety, shakiness, fast heart rate, etc), especially on doses lower than 3 grains, because of underlying low-functioning adrenals (i.e. not enough cortisol), or even a low Ferritin or iron—-each and/or both of which can be quite common in hypothyroid patients. So it can be wise to get both your iron and cortisol levels checked."

And if that wasn't complicated enough, some don't even believe that adrenal fatigue is even possible. One doctor poo-poohs it and says that accepting a diagnosis from an unqualified practitioner can make you sicker - while the "real diagnosis" of depression and fibromyalgia - go untreated. (By the way, depression is a common symptom of hypothyroidism, and many believe there is a connection between fibromyalgia and low thyroid function. Just thought I'd throw that in.)

• You would do better on Armour Thyroid. If T4 only meds don't work for you anymore, perhaps you need to switch to something else and see how it works.

More reading:
Mistakes patients (and their doctors) make - Stop the Thyroid Madness 
Adrenal fatigue/exhaustion

You've lost that lovin' feeling

If you've ever opened a spam email, seen an infomercial or traveled down the vitamin aisle at the pharmacy, you have probably seen the (often ridiculous) products marketed to men to the improve their sex drive. The commercials for Levitra and similar products are vomit-inducing for sure, and kind of make me laugh - what about all those women with low sex drive? Who are these women that men are trying to please by rushing out to order libido enhancers?

The claims they make are laughable - and I can't believe reputable pharmacies are actually selling this crap. But what I want to know is, where are the female enhancement pills? Why does no one seem to care about that?

According to one 2008 study, upwards of 40 percent of women report having a low sex drive. While the Levitra ads are geared towards people reaching retirement age, studies indicate young women have this problem, too. Many think that use of antidepressants and birth control can be to blame - Paxil, for one, is a known killer of the sex drive. Apparently, many of the women in the study also reported being depressed - and noticed a further decrease in libido when using antidepressants.

Guess what? Depression and low sex drive can also be signs of a thyroid disorder! Of course, the article doesn't mention the word "thyroid" as a cause anywhere. Many popular medical sites often do not include low sex drive as a symptom; in fact, one site suggested it was only a problem in men.

Women are often embarrassed to talk about sexual problems with their doctors, and many times it's blamed on lifestyle: busy, working full time, raising children, "you're tired!" Nah, I don't think so. While it can certainly contribute to that, it often doesn't get to the root of the problem. And if your care provider doesn't know it's a symptom, they're more likely to brush you off.

Awhile back I blogged about a friend who's doctor insisted she "stop drinking too much soda pop" in response to her noticeable weight gain, even though she doesn't drink pop, she said. As far as her excruciatingly low sex drive, her doctor's advice was to "fake it." How horrifying.

So, we market millions of dollars worth of junk medicine to men in an attempt to restore their "function," but women get relegated to the back burner - perhaps even ignored and brushed off - when it comes to their sexual problems. 'Just blame it on kids!'

Ladies, just another reason to get your thyroid tested. And men, skip the worthless enhancement pills and get yours checked, too!

More reading:
Low Sex Drive and Thyroid Disease
Sex Drive 101 for Thyroid Patients
Low sex drive in women

Understanding and diagnosing thyroid problems

I feel like crap all the time and I want to know why! 

Considering that there are anywhere from 20 to 27 million people with thyroid disorders in the US alone, you might wonder, Do I have this? I used to think it was mostly something that old people got - before really talking to people about it, my elderly grandma was the only one I knew who had this condition. I didn't know anything about it: where the thyroid was, what it looked like, or why we even had one. What is it good for, anyway?

The answer: just about everything! It's amazing to think that such a small part of the body could be responsible for so much - basically every system in the body is regulated by the thyroid gland, a butterfly-shaped organ located at the base of the throat. We'd like to think that when something goes wonky with a part of our bodies that we'd know about it, but that's not always the case.

For an organ so small, it does have a major job to do: it affects all the other glands of the body, which in turn regulate our other body systems. So if something is off with the thyroid gland, you can bet other things will follow sooner or later.

Since I'm no endocrinologist, and the study of the thyroid can get rather complicated, I'll try and simplify it as much as possible. In fact, even some doctors don't really have a full understanding of how it works, which can be extremely frustrating for patients. While my primary doctor is okay, at least he is open to trying other forms of medication and ordering regular blood tests. Some people complain that their doctor won't even let them order a simple blood test to check things out. Seriously?! I think it's because they're afraid of what they'll find, and even more, they won't know what to do with the information they receive.

I found one such article that sums that up pretty well:

What the heck does the thyroid gland do? Most physicians will tell you “it controls metabolism,” which is what we all learned in medical school. That statement is basically the same as saying “it’s really complicated and I don’t understand it.” - Dr. Rob Lamberts 

If you don't know much about your condition, and your doctor doesn't really know, either, then that can mean months, years, even - of feeling like crap when you don't have to.

The thyroid is responsible for our metabolism, which, by definition is "The chemical processes that occur within a living organism in order to maintain life." Sounds pretty important! In a nutshell, it affects every cell in the body and how it uses energy. It does this by absorbing iodine from our food supply to produce essential thyroid hormones.

The thyroid is controlled by the pituitary gland, which is really why when you have a TSH test (Thyroid stimulating hormone) done, it's more a determinant of how the pituitary is functioning. You can have a completely normal TSH result and yet still have symptoms, which is why some people go undiagnosed for years - but more on that later. The thyroid converts this iodine into important thyroid hormones - thyroxine (T4) and triiodothyronine (T3). In a normally functioning thyroid, the body converts the T4 (storage hormone) into T3 for energy. As a result, the body produces much less of the "business" hormone T3, because otherwise you would be hyperthyroid - when the thyroid is "sped up." This can happen either on its own or if you are being improperly treated with medications.

When thyroid levels become too low, the pituitary produces more TSH, which in turn makes the thyroid produce more hormones. As a result, someone with hypothyroidism would often - but not always - have a high TSH.

If you've felt like crap for years or are wondering if you're hypo, there is quite an extensive list of symptoms, depending on who you consult. Unfortunately, many of the lists can say completely different things, which I always found confusing and frustrating. Don't ever underestimate the power of your thyroid gland to screw things up; if in doubt, google it and see for yourself.

Symptoms can include:
• feeling cold all the time
• low energy and fatigue, wanting to sleep all the time
• hair loss, loss of outer eyebrow hair
• depression or feeling extremely unmotivated
• low sex drive (more on that later!)
• dry skin
• constipation
• swelling, especially in the face
• pain and stiffness in your joints
• heavier (or sometimes lighter) than usual periods
• infertility or repeated miscarriages
• brain fog and/or memory loss
• muscle cramps and aches
• irritability
• weight gain, even with diet and exercise
• increased cholesterol
• consistently low body temperature
• shortness of breath
• dry, brittle nails
• dizziness and headaches
• migraines
• easily upset or emotional, scares easily
• choking easily
• feeling lumps or sensations in your throat

It's important to note that in some people, symptoms creep up very gradually, and are often dismissed as something else - we often contribute many of these things to "just getting old." Well, I call BS!

I went to several websites to come up with somewhat of a comprehensive list of symptoms for this list, because many times they are very inadequate. I have also consulted my father-in-law's Physicians Desk Reference and noticed, almost amused, that according to their list you'd practically have to be dead before they'd stand up and take note. There's a difference, to them, between symptoms and "signs" - symptoms are things you complain about and only you notice going on inside you, and signs are those outward things (like near heart failure, she says sarcastically) that a doctor can see going on. For example, goiter, or enlarged neck, would be a "sign." (But who really wants to have to wait until their neck swells up like a balloon? Oh wait... been there, done that...)

Granted, everyone is different, and not everyone will experience a full range of symptoms, or even close. Some can have relatively high TSH numbers and feel great; others, like myself, can be in the "normal range" and still feel like crap. I had to laugh when I consulted the almost pathetic list at Wikipedia - which lists a set of common and uncommon symptoms. Some were indeed abnormal and rare, and others on that uncommon list were actually quite common! What the heck?

Even more annoying is when patients give the run down of complaints to physicians who don't  know what all the comprehensive symptoms even are. Apparently, yes - shortness of breath can be a symptom of hypo and not just hyperthyroidism; and yet often I was feeling like I literally needed to gasp for breath. My doctor assumed it was anxiety; I told him I was not anxious. I explained how I would literally have to stop for breath just while reading a bedtime story to my kids. How is that anxiety?

Considering how prevalent hypothyroidism is, I don't know why more doctors don't do regular panels on their patients just to prevent them from falling through the cracks. Some don't know what the full range of symptoms are and just think it's normal for them. Some don't know their family history, some don't understand how it can affect them and what it means for their diagnosis. While it can affect men as well, it is more commonly inherited from mother to daughter.

It's important to not only understand the basics of how your thyroid works and what it should be doing, but take a proactive role in finding a physician who will take your complaints seriously. If possible, it's very helpful to know your family history, know your treatment options and know your rights as a patient so you can feel your best.

January is Thyroid Awareness Month!

What a perfect time of year to have "Thyroid Awareness Month" - the weather is usually cold, dreary and generally yuk outside, and a time when most people are just ready for spring to hurry up and get here. Is it just the weather making you feel unmotivated and crappy, or could it be your thyroid?

Thyroid disorders affect millions of Americans. Are you
one of them? 

As a recent newcomer to the thyroid scene, I have talked to many, many people who have thryoid problems and are on medication. Some of those same people, I've noticed, are taking meds and yet have no idea what their thyroid does or how important it is to their overall health. Others are merely vaguely aware of basically feeling like shit more often than not, but aren't really sure why. There's no time like the present to evaluate your overall health, take stock in how you feel and discovering that perhaps there is a reason for  why you feel the way you do.

Hypothyroidism can affect both men and women, and can often be the root cause of many other underlying illnesses and problems in the body - from weight gain and general tiredness, to arthritis, high cholesterol, diabetes, depression, repeated miscarriages, infertility, low breast milk supply, among other things.

Some quick facts on thyroid diseases:

• Thyroid disease is the most common endocrine disorder.
• Eight out of ten (80 percent) diagnosed thyroid cases are hypothyroid; 20 percent are hyperthyroid.
• 27 million people in the US, and approximately 200 million worldwide, have a thyroid disorder.
• Of that 27 million, about half are considered undiagnosed.
• As of 2010, sales of Synthroid, the most popular drug used to treat hypothyroidism, went up 18.1% to $123 million.