DrKrupka.com

Dr. Krupka (00:01):

So I just had a situation with a patient. I thought I'd discuss it since we recently did a couple of thyroid hormone related videos. Had a patient call in today. We were going over some of her thyroid results. She deals with another practitioner to get her thyroid hormone prescribed. She takes NP thyroid, which is kind of a mix of T4 and T3. So there was a misunderstanding on the part of her practitioner, and it's a good example of what can happen if you don't understand what the different numbers mean.  I'm just going to go over it with you real quick. Because she's taking thyroid hormone, her TSH is very low. Remember, TSH is how you ask for thyroid hormone. If you're taking pretty much everything you need for thyroid hormone, your pituitary doesn't have a reason to ask you to make more, right?

(00:56):

So your TSH is going to go very low. It's perfectly normal. We expect it. In fact, in cases where someone's had thyroid cancer, they'll give them enough T4...

Speaker 1 (00:03):

Autoimmune thyroid problems to some degree autoimmune problems in general, but I'm going to kind of try to keep it to Hashimoto's on this video. But how do they develop? What goes wrong? Can you do anything about it other than just replace hormone? Can you reverse it? Can you get back off thyroid hormone once you've been taking it? Let's tackle those issues in today's video. So I did a video previously about Hashimoto's. What is it? How you test for it? What are the criteria for diagnosing it? I'll put a link to that onto this one, but otherwise, just go back through my blog. You'll find it. It should be posted very close to when I'm posting this one. The intention is to post that one in the following week, post this one, so it shouldn't be hard to find, but assuming you remember all that or you took notes or you've just watched it.

(00:51):

Let's talk about how something like Hashimoto's would develop Hashimoto's. Again, quick reminder, it's antibodies to the...

Back in 2015, not too long ago, in a medical journal called Diabetes…aptly named. There was a research article that just recently came across my desk.  The lead author's last name was Nolan and N-O-L-A-N if you want to look it up.  The article was basically discussing what they present as a new concept that maybe with type 2 diabetes or insulin resistance, maybe the insulin resistance itself is not the enemy.  That's a pretty new concept in conventional medicine. So what they lay out is for the worst cases of type 2 diabetes, the ones that don't respond well to medications, they're obese, they've got substantial insulin resistance...in those cases, maybe we should rethink focusing on insulin resistance as the enemy. So let me find a way to describe this to you that will make some sense. Basically in type 2 diabetes, we have sugar entering the body, then sugar gets in the bloodstream than sugar has to go from the bloodstream into the cells.

There's this cell...