54

Hashimoto’s Case Study: 50+ Pound Weight Loss on Naturethroid + AIP + LDN

If you have Hashimoto's or Hypothyroidism and weight loss feels impossible, then you need to read this patient case study.

​This is a case study from my office and I want to share it with you guys so you know that feeling better is NOT impossible. 

​It's not uncommon for me to receive emails like these: 

Patient case study on naturethroid and AIP

But for many patients out there suffering in the insurance model it can be difficult to get the care they need. 

So let's talk about what it takes to lose 50+ pounds, drop 40 inches and reduce Hashimoto symptoms by almost 100%. 

**Update 12/2/16:  Patient now down to 191.2 pounds from starting weight of 250. 50+ pounds lost over 9 months so far with pictures below and progress below:

You can find the exact same program this patient used to get these results by clicking here here. ​

Melanie side view 9 month follow up
Melanie side view before after 9 months

**Update 8/22/16: This patient has now lost 40+ pounds and over 40+ inches...

Melanie thyroid metabolism reset results side

More...

Hashimoto's Weight Loss Case Study

​Here is the bottom line:

This patient has a family history of thyroid problems (all of which were under treated or misdiagnosed), and ever since she was a child she had issues with weight, fatigue and decreased energy.

At an early age she underwent radioactive iodine ablation, but 30% of her thyroid remained functioning as estimated by her Doctors at that time. 

Despite this ablation and because of her "normal" lab values she was only placed on a low dose of levothyroxine and felt terrible for about 20 years.

Over this time period she gained weight while on Levothyroxine so she eventually stopped taking the medication. 

​She was kicked around from Doctor to Doctor until she was at her highest weight of 270 pounds. 

Not satisfied with this result she took matters into her own hands and was able to lose 30 pounds by changing her diet and adding in exercise despite feeling exhausted 24/7.

She was able to do this with a keto type diet but eventually hit a plateau and was unable to lose any further weight around 250 pounds. ​

Even after losing this weight she still didn't feel well. ​

Optimal vs Normal Thyroid Lab Tests: Why she was under treated for years

The most interesting part of her story is that she was only ever treated with a low dose of Levothyroxine despite seeking care from multiple endocrinologists and primary care physicians.

She was always told her lab tests were "normal" but after her insistence she was finally given some thyroid medication even though it didn't make a difference.

And this is where things get very interesting. 

One of the primary reasons that she was never treated correctly is because her Doctors were most likely using the "standard" reference range for determining if her thyroid was functioning optimally. 

​What they were missing is the body's remarkable ability to maintain serum levels of thyroid hormone despite missing 70% of her thyroid. 

So let's see what her labs looked like knowing that she only has about 30% thyroid function: ​

Thyroid resistance lab results
Leptin resistance labs

As you can see the majority of her lab tests do fall within the "normal" range with the exception of her CRP and thyroglobulin antibody levels. 

But let's go over ​the rest of the labs to help you understand the difference between "optimal" and "normal" and why she had great results when we finally replaced the deficient thyroid hormone in her body. 

​List of abnormal lab results: 

  • Suboptimal TSH: When not on thyroid medication optimal TSH levels should be < 2. In fact I've never seen a healthy patient with a TSH > 1.0 (you can read more about why TSH levels can be inaccurate here
  • ​High Reverse T3: Indicating poor thyroid conversion. Reverse T3 should generally be < 15 for optimal thyroid function. 
  • Elevated thyroglobulin antibodies: Indicating a component of autoimmune thyroiditis contributing to poor thyroid function. You can read more about how to lower antibody levels here
  • High fasting insulin: Fasting insulin should be < 5. High levels contribute to weight gain and weight loss resistance and may make reverse T3 levels higher. 
  • Elevated CRP: Indicating inflammation is present in the body, optimal levels should be as low as possible. 
  • High leptin levels: High levels make TSH less accurate and promote high reverse T3 levels.

Compare this evaluation to the previous notion that she was completely "normal". 

Using these functional and optimal reference ranges it's easy to see that she is in fact NOT normal and that she has multiple hormone abnormalities contributing to both her symptoms and weight loss resistance.

So what is happening in her body and how does this explain her symptoms? 

Most likely she was suffering from tissue level hypothyroidism since her ablation at a young age which contributed to her initial weight gain. 

Putting her on thyroid medication at that time was probably the best option for her but unfortunately she was placed on a low dose of the wrong type of thyroid medication.

As a result of her under treated thyroid for many years her body was put in a situation which allowed for her to develop multiple other hormone imbalances: Leptin and insulin resistance.

These hormone imbalances lead to further weight gain and contributed to poor thyroid conversion and ultimately high levels of reverse T3.

Because her Hashimoto's was never addressed (beyond the addition of thyroid hormone) she most likely also had further damage to the 30% of her functioning thyroid gland over time.

​Ultimately she finally presented to me with these lab results and symptoms. 

​It's also important to note that when we discuss serum levels of thyroid hormone we are more concerned about how much thyroid hormone is getting into the cells not necessarily how much thyroid hormone is floating around in the serum. 

"Normal" levels of thyroid in the blood does NOT mean that the tissues are getting enough thyroid hormone and this was certainly the case in this patient. 

Her serum levels of free T3 and free T4 remained relatively preserved but she remained quite symptomatic.

​For this reason the most sensitive measure of thyroid function is the relationship between Free T3 and Reverse T3

And this patient is just screaming that she is hypothyroid with a ratio of 0.128!

​The secret to diagnosing and treating many hypothyroid patients is this ratio because it will identify most hypothyroid patients when all other lab tests are "normal". 

Treatment Plan + How to Approach a patient like this

The most important part of this patients evaluation is her management.

What I mean is how we treat her.

Many patients believe that if they can get all the "right" tests that their Doctor will finally treat them appropriately or change their medication or increase their dose.

This rarely happens.

And when it comes to getting results like this patient you really need to find someone who is willing to not only order and interpret the right tests but to also provide appropriate treatment. ​

So how do you approach a patient like this with multiple problems who is severely under treated? 

You have to take a comprehensive approach that includes treating the following areas:

​If these areas are not all addressed at some point then you're not really treating the problem. 

And this is a REALLY important point: 

Make sure you don't get what I call "thyroid tunnel vision".

This is the idea that every problem that exists in your body is related to your thyroid and the solution is to simply change/increase/swap thyroid medications.

​Patients tend to fall into this category especially when they have extra weight to lose. 

They wrongly assume that increasing their thyroid medication will result in significant weight loss.

At most changing or adding in thyroid medication will result in a 5-10 pound weight loss. 

If you have more weight to lose this extra weight is most likely related to other factors.

Let me use this patient as an example:

I've been treating this patient for 9+ months and over this period she has had significant weight loss and almost complete resolution in her symptoms.

But what is interesting is that her hypothyroid symptoms were almost completely gone within the first 3 months of her treatment, but she only lost 20ish pounds or so during that time.

The remainder of her weight loss came in months 3 through 9 and without changing her thyroid medication.

She was able to lose this weight because during those months we focused on the other hormone imbalances that were a result of decades of low thyroid function but not directly due to thyroid hormone itself. 

Unfortunately replacing ​thyroid hormone will help with symptomatic relief but rarely ever does it result in significant weight loss because adding T4 and T4 doesn't alter insulin/leptin levels very much. 

This means appropriate treatment must include evaluation and management of these other hormone imbalances if weight loss is the goal. ​

  • Bottom line: When searching for a provider to help with your Hashimoto's/Hypothyroidism make sure your provider also understands hormone imbalances that contribute and potentiate weight gain and weight loss resistance. 

T4 vs NDT & Reverse T3 ​

​Why did this patient respond so well to naturethroid when she didn't respond to levothyroxine previously?

A big part of the reason has to do with conversion mechanics between T4 only medications and T4/T3 combination medications in physiologic conditions. 

T4 only medications (like Levothyroxine, Synthroid and Tirosint) can work for some people but fall short in patients who have high levels of inflammation or insulin/leptin resistance.

One of the primary reasons for this is because the body must convert T4 into either T3 (active thyroid hormone) or reverse T3 (inactive thyroid metabolite) and this conversion process is influenced by factors like inflammation.

If the body is in a state of inflammation then providing more T4 (in the form of thyroid medication) is like adding fuel to the fire: your body will take the T4 and turn it right into reverse T3 making hypothyroid symptoms worse.

You can read more about this process in detail here or here.

​So how is T4 only medication different NDT formulations like naturethroid?

​Natural desiccated thyroid preparations contain a combination of T4 and T3 together. Each grain of naturethroid contains 38mcg of T4 and 9 mcg of T3. 

The benefit of adding T3 to T4 dosing is that the T3 can directly bypass the conversion pathway and has direct action on the nuclear receptors of your cells.

That means that you don't have to worry about your body converting T4 into reverse T3 because by providing T3 directly you have bypassed that pathway.

​So generally the more inflammation, autoimmunity, stress, and hormone imbalances a person has the better they will do on T3 formulations of thyroid hormone. 

​Hopefully this is making sense to you! 

So how do you find the right dose? ​

Naturethroid Dosing and Self Titration - How to Dose your Medication

​I started this patient on a base dose of Naturethroid and included a self titration dose. 

If you've never heard of self titration let me explain:

This is the idea of slowly but steadily increasing your dose every 10-14 days (depending on the patient) based on a combination of symptoms, lab results and other factors (like resting heart rate/body temperature). 

The benefit of self titration allows for a slow and steady increase in thyroid hormone over weeks to months. This allows the body to adapt to thyroid hormone and prevents sudden and abrupt changes to thyroid dosing. 

While self titrating I have my patients keep track of their basal body temperature and resting heart rate so we can monitor how effective the thyroid dosing is to ensure that we do not use too much thyroid medication. 

​The patient in this case study titrating her dose up to a total of 2.5-3 grains of naturethroid (around 195mg). 

Some patients need the addition of T3 (cytomel, liothyronine or SR T3) in addition to their NDT but this patient did well on NDT monotherapy. ​

As I mentioned previously as she increased her dose many of her hypothyroid symptoms disappeared over the first 3 months or so. ​

​Finding the Best Diet: AIP vs Nutritional Ketosis vs other diets

Diet is critical to treating and reversing Hashimoto's and if used correctly it can also directly impact insulin and leptin levels. 

What you need to realize though is that changing diet is usually not enough to impact weight significantly, especially if you have hypothyroidism.

I've written about the various diets you can use to help reduce antibodies and inflammation here.

In this particular patient I started her on the autoimmune protocol (or AIP diet). 

AIP protocol

I generally don't recommend this type of restrictive diet for most patients this case is unique in that she had multiple autoimmune conditions including idiopathic thrombocytopenic purpura (AKA ITP) in addition to Hashimoto's.

Because of this I started her on the AIP diet and she did have a favorable response with a reduction of inflammation and a decrease in joint pain over time. 

Some patients wrongly believe that simply switching to the AIP diet will result in weight loss. While the AIP may result in reduced inflammation which may improve T4 to T3 conversion, generally patients do not experience significant weight loss with dietary changes alone. 

This is especially true in patients with other hormone imbalances.

​Prior to working with me this particular patient had tried the ketogenic diet or nutritional ketosis. 

Nutritional ketosis after AIP

​This particular diet is high in fat and low in both protein and carbohydrates. Very low carbohydrates promote fat breakdown and part of this metabolic break down is the production of ketone bodies (assuming carbohydrates are low enough). 

This particular diet can be helpful for those with insulin and leptin resistance if used correctly. ​

So did switching to AIP in this patient result in her weight loss? 

Most likely not, but it certainly helped. 

At the end of the day make sure to tailor your diet to the needs of your body, energy levels, adrenal function and thyroid function. 

Using LDN for Autoimmunity and Inflammation​

​LDN can act as an immune modulator and help to reduce inflammation in some patients with autoimmune disease. 

It doesn't work in every patient but I've found it to be particularly helpful in patients with autoimmune disease and chronic pain/chronic joint pain.

Studies have shown that LDN can be useful in various autoimmune conditions ranging from multiple sclerosis to fibromyalgia.

​In low doses naltrexone may help to regulate immune function and balance multiple different neurotransmitters which translates to symptomatic benefit in many patients. 

LDN can also be used as a novel anti inflammatory agent which may help promote thyroid conversion and thyroid function overall. 

​In addition to all of these other benefits naltrexone can help promote weight loss through hypothalamic changes which mediate body set point and appetite triggers. 

In this particular patient LDN was used to help reduce inflammation and joint pain.

At one point during her therapy she attempted to take herself off of the LDN and noticed a flare up of chronic pain and joint inflammation, due to this she was placed back on the medication and has been on it since. ​

​The Right Nutrients to Help Thyroid Function

Replacing lost nutrients is very important to proper thyroid function.

Over 13 nutrients are required for proper thyroid production, conversion and cellular activation (you can read about all of them here). 

As a reminder:

Supplements can certainly help improve and reduce symptoms of hypothyroidism and Hashimoto's if used correctly and targeted towards specific nutrient deficiencies.

To get the best possible results supplements and nutrients should be used to augment existing therapies and dietary changes. 

In this specific case this patient needed and did well on the following nutrients (she has been on various supplements through the 9 months of treatment but these have remained consistent):

Detoxing Endocrine Disrupting Chemicals

Detoxification of endocrine disrupting chemicals is an important part of treating Hashimoto's and Hypothyroidism.

EDC's are everyone nowadays, and it's almost impossible to avoid them.

What's worse is that some of them are fat soluble and hide away in your fat cells.

Then, once you start burning fat as an energy source, they are released and can sometimes cause worsening thyroid function and halt weight loss. 

To eliminate these toxins I had this particular patient start with weekly FAR IR sauna therapy in addition to high intensity strength training and high intensity aerobic interval training to promote sweating and toxin elimination. 

Sauna therapy combined with this type of exercise promotes hormone balance, helps burn more calories and helps eliminate waste through sweating and triglyceride elimination.  ​

Recap of Treatment and Therapies

Proper weight loss therapies result in a steady 5-10 pounds of weight loss each and every month. 

Some patients wrongly believe that weight loss needs to be rapid and noticeable within 2-4 weeks and this is not accurate. 

Weight gain is a slow and steady process (usually) and weight loss is the exact same.

As long as you stay dedicated and consistent weight loss will be the same. ​

Let's recap ​the initial treatment: 

Medications

Supplements

Diet

Detox

Naturethroid

DSF

AIP

Sauna

LDN

Zinc

Ketosis

HIST

Selenium

Vitamin B12

Probiotic

​Initial 3 month Results:

30 Pound weight loss, 27 inches lost, 80% reduction in symptoms, improvement in hormonal balance by blood tests.

​For the next 3 months we are going to work on reducing and reversing Insulin resistance, balancing out testosterone levels and helping her lose another 30 pounds. 

Elevated insulin and CRP

I expect her to continue to lose 10 pounds per month on average until her body reaches a physiologic balance. ​

Updates: 

I will plan to keep this updated every couple of months with more progress to give you a realistic idea of how long it takes to reverse Hashimoto's and achieve long lasting weight loss.

Leave your questions or comments below!

I want to know if you've had success with weight loss with your Hashimoto's, why or why not? What has worked for you and what hasn't?

Update #1 6 month results (8/22/16):

​Patient has now lost 20+ inches and another 15+ pounds. 

She continues to do well and has managed to lose the weight and more importantly KEEP it off using this treatment plan. ​

The following are email screenshots including her results and measurements: 

Melanie thyroid metabolism reset program starting weight
Melanie thyroid metabolism reset program most recent results
Update #2 9 month results (12/2/16):
melanie measurements at 9 months

This patient continues to lose weight and inches. 

She broke through her goal of losing 200 pounds and is now down to 191.2 pounds from a starting weight of 250.

Her initial waist was 39.5 inches and she is down to 30.5 inches.

In addition she is now exercising, has more energy and has remained consistent with her supplements and medications.

I hope you've found this case study to be helpful and inspiring. 

​I know that losing weight may seem difficult or even impossible if you have Hashimoto's or Hypothyroidism but it doesn't have to be. 

You can lose this kind of weight too as long as you target your hormone imbalances. 

The most important part of this patients weight loss was targeting her leptin and insulin levels and treating those.

Replacing her thyroid hormone resulted in resolution of her symptoms, but her weight and inches didn't fall off until we addressed these issues.

​You can see other case studies of patients just like you losing weight as well, just take a look around the site. 

Do you have any questions about this case study? 

Leave them below in the comments section! 


Dr. Westin Childs
 

I'm Dr. Childs and I write these posts. I'm a physician that specializes helping patients lose weight, have more energy and FEEL better. My practice focuses on hormone imbalances, thyroid issues and weight loss resistance. My goal is to provide the BEST information out there on the internet that is both actionable and trustworthy. Get my free ebook: Hashimoto's Diet Guide here. You can also find more about my personal journey back to health here.

Click Here to Leave a Comment Below 54 comments
Kelly - May 30, 2016

I have been reading about bone broth fasting as well – I have both Hashimoto and Celiac – I am determined to start feeling better.

Reply
    Dr. Westin Childs - May 31, 2016

    Hey Kelly,

    I am a huge fan of fasting. I just don’t recommend it to Hashimoto and hypothyroid patients until they are on a good dose of thyroid medication and their adrenals have been addressed. I have a set of different fasting protocols I use, bone broth fasting is one of them – but really you can do it many different ways. Fasting in general is great for gut health (whether you add bone broths or not).

    Reply
Jo - May 31, 2016

What cause the high C-Reactive protein ? And is Eligin (new prescription of B-12 in pill form ) any good . Can you suggest a good B-12 supplment without having to take shot ?

Reply
    Dr. Westin Childs - May 31, 2016

    Hey Jo,

    CRP is a non specific inflammatory marker. It indicates stress and inflammation somewhere in the body. CRP is useful in that you can monitor the response to treatment, as you treat the problem CRP should go down.

    I usually don’t recommend oral B12 supplements. Eligin is 1,000mcg of cyanocobalamin (a pretty low dose to be honest). I prefer to use 5,000mcg of methylcobalamin every 7 days on my patients, because thyroid hormone helps with B12 absorption through HCL – and since most people are undertreated, they also have B12 deficiency. If you can’t get IM injections of B12 then you can try this supplement: http://amzn.to/1U8XzE9

    Reply
Susan - May 31, 2016

My father has I T P. It’s a terrible disease

Reply
Tammy - May 31, 2016

What do you recommend for low iron and ferritin in regards to supplements.Scheduled for an iron transfusion Friday and the iron pills make me nauseated and constipated.

Reply
Paula - May 31, 2016

I’ve done the AIP and lost 40 lbs. But just recently I switched from .75 mcg of Levothyroxine to 1 grain of Naurethroid. I started with 1/2 grain. But in your blog you note the doses of Naturethroid in mg’s so I’m confused. Also since the switch I don’t feel better I feel worse. I’m sure it has something to do with the dose of Naturethroid I’m on now maybe it needs to be increased. It’s too long and complicated to type out my last labs before switching but my TSH was 2.50 and my T3 was on the low side.

Reply
    Dr. Westin Childs - May 31, 2016

    Hey Paula,

    1 grain of naturethroid = 65mg of naturethroid = ~38mcg of T4 and 9mcg of T3. Compare that dose to your 75mcg of T4 and you can see why you probably feel worse. Most doctors believe that T3 is 4x stronger than T4, which leads to underdosing when converting from T4 to NDT. I disagree with this based off of my own experience, but you are kind of at the mercy of whatever Doctor is treating you.

    I would also point out that I have a handful of patients that do better on T4 over NDT. I suspect there are just some super converters out there and they do great on T4 medication alone. You may be one of these or you may just be simply under dosed – hard to say.

    Reply
      Paula - June 1, 2016

      Thank yiu so much Dr. Childs! I will pass this along to my health practitioner!

      Reply
      jill - June 3, 2016

      Is there a way to tell if you’ll do better on T4 than NDT through bloodwork? I feel Naturethroid caused me to gain weight. I’ve been on it for about 3 years. First 2 grains a day. Now I’m on 97.5 mg + 5 mg cytomel.

      Reply
Ashley - May 31, 2016

I wish I could find a Dr who would listen to any of this! Anything I come into the office and tell him/them they brush it off give me my 150 levothyroxine script and send me on my way.. And I leave every Dr visit in tears and feeling hopeless. Even tho I’m 27 skin is a mess, hair rapidly thinning and weight out of control despite my struck diet and exercise, my labs are “normal” so they just tell me if power walking isn’t working I should start running and diet better! This is with horrible knee problems and sciatica.

Reply
    Dr. Westin Childs - May 31, 2016

    Hey Ashley,

    You aren’t alone, that’s for sure. That’s also why I don’t recommend seeking care in the conventional medical system – all of the doctors practice the exact same, AKA the ‘standard of care’. They have no reason to practice otherwise because it puts them at increased risk, so they will only ever prescribe synthroid and treat based off of the TSH.

    Reply
Jane Ridley - May 31, 2016

Hello
I read your articles with great interest. I have a question please. I was diagnosed with Hashimotos 20 years ago. I have no thyroid function; the disease had distroyed my thyroid by the time I was diagnosed. I take 125mg of levothyroxine per day. I weigh 62kilos. I’m 1.62m tall. I exercise by walking my dog for between 1-2 hours per day and I’ an active gardener. I’m keen to know how your recommended diet can help my general health. I suffer from intermittent IBS and try to follow a low gluten diet. I’d appreciate your comments very much. By the way I live in UK.

Reply
    Dr. Westin Childs - May 31, 2016

    Hey Jane,

    I don’t recommend this diet to many patients, it’s very restrictive and I don’t think it’s sustainable long term. Her weight loss came from her hormone balancing. I wouldn’t recommend you try this diet for weight loss (many have in the past and it doesn’t work unless you are on the right type and dose of thyroid medication).

    There are many options out there for IBS + Hashimoto’s.

    Reply
Cindy - May 31, 2016

Dr. Westin,

I’ve noticed a significant amount of intestinal/gut issues mentioned in articles you reference/recommend. I’m curious if there are no intestinal/gut issues present or any history of such issues in a Hypo/Hashimoto sufferer could following one of the recommend eating plans (or food suggestions)and altering it (eating items on the “not allowed” list because of other medical issues related to autoimmune problems) cause issues to develop?
thanks!

Reply
    Dr. Westin Childs - May 31, 2016

    Hey Cindy,

    Gut issues are very common in undertreated hypothyroid patients (and patients with hashimoto’s) because thyroid hormone helps with intestinal peristalsis. To answer your question, yes you may not to be that restrictive if you don’t have gut issues personally. In general I’m not a fan of very restrictive diets because they aren’t sustainable in the long term, and sometimes transitioning off of them is difficult. It is highly individual to the patient.

    Reply
Maria - May 31, 2016

Dr. Childs Changed My life!
I’m his patient since January 2016 and I’m in the best shape physically and mentally ever, we still working
With my hormones but since I started his program
And dietary protocol for my hashimoto’s my body looks different and the best .. I’m almost symptoms free.

Thank you Dr. Childs

P.S I Tryed everything and seen thousand doctors and endocrinology specialist ! Nobody ever treated my case
Like This young Doctor who in less than two months fixed me and found the right diet and treatment for my case. I can’t be more greateul

Reply
    Dr. Westin Childs - May 31, 2016

    Hey Maria,

    Thank you for the kind words! I’m so happy with your progress and a lot of it is because you’ve been able to stick with it! Keep up the good work 🙂

    Reply
    Kelly - May 31, 2016

    I couldn’t agree more – Dr. Childs treats each of us as an individual and anything less will not work!

    Reply
Christine Hunt - May 31, 2016

I started working with a functional medicine doctor in March 2016. Had all the blood saliva tests done. On 60mg Armour (which tests show now, I need to reduce to 30 mg, but I begged her not to lower for one more prescription, since I feel like I have almost low to normal energy right now, when I have been at zero energy for about 10 years). My concern is I am 110 lbs over weight and have been obese for 20 years. I dont over eat and I have quit most all things on your list to give up. (no corn soy soda artificial sweetener packets, peanuts, coffee, black tea, fruit juices, most all grain, most all dairy, no smoking or alcohol) (I have not have as much success as I would like giving up 100% of sugar and sweets, but I dont over due them either) BUT not 1 pound lost.
I don’t exercise hardly at all. But will be starting to walk daily now that the weather is warmer. But, I dont feel like THE chemical has been hit to release the fat. I do Intermittant fasting, simply because I am not usually hungry till noon each day. I am 53, and wake often during the night, but until I get a little more energy I don’t want to use what little I have doing High Intensity Exercise. I’m very discouraged. Not 1 pound lost. I am very sad.

Reply
    Dr. Westin Childs - May 31, 2016

    Hey Christine,

    The quality of practitioners varies out there. It sounds like you are starving for thyroid hormone and yet your current practitioner is basing your dosing off of your labs (If I’m understanding your situation correctly). Losing weight for you isn’t about diet and exercise, it’s about balancing your hormones and until that happens you won’t lose weight. You need to look at leptin and insulin levels, but ordering the tests won’t be helpful if your doctor doesn’t know how to treat them.

    Reply
Carissa - June 1, 2016

Dr. Childs,

After 6 years of battling Hashimoto’s I have finally found an endocrinologist who is working with me to treat the symptoms rather than just making sure my hormone levels are correct. I am starting to loose weight and have more energy, but my sex drive is still extremely low. I have tried naturopathic treatments such as Maca and Goat Weed, I exercise, practice yoga, and have seen a therapist to rule out anxiety as the problem. I have been using the Nuva Ring for years now and know that this can affect libido, but my doctors will not take me off of it because it regulates my body better than anything else. Do you have any recommendations about birth control and libido?

Thanks!

Reply
    Dr. Westin Childs - June 2, 2016

    Hey Carissa,

    That’s great! I don’t recommend using artificial hormones to prevent or manage menstrual issues due to the increased risk of breast cancer, stroke, etc. You may want to have your free and total testosterone levels checked in addition to considering changing your birth control method.

    Reply
Lisa Bolanos - June 2, 2016

Lupus, Hashimoto’s, and Celiac’s along with sides of psoriasis, high blood sugar and pressure. I am gluten free. My TSH is 1.5 and I am still fatigued and fat. Will AIP help with metabolic syndrome? I am desperate to lose weight and get some energy. I take 175 of Synthroid and weekly injections of methotrexate.

Reply
    Dr. Westin Childs - June 2, 2016

    Hey Lisa,

    It might, but it also might not. For the majority of patients that see me diet isn’t enough to reverse their condition (but that doesn’t seem to stop them from trying for years!). If diet hasn’t worked for you in the past that’s a good indicator you need more advanced intervention to reverse the condition. You most likely also need to have your thyroid medication adjusted/changed, in addition to managing insulin resistance, etc.

    Reply
Luke - June 3, 2016

Thanks for providing this information, Dr Childs. I hadn’t realised that balancing hormone function was a key part of achieving weight loss in many cases. Your article is a welcome balance to those who promote a ‘one size fits all’ approach!

Reply
annu - August 11, 2016

Dr. Childs i am on 1 1/4 grains of armour thyroid and still have lots of hypo symptoms. My labs are within the normal range TSH 1.75. FT3 2.5 and FT4 0.9. My Endo does not want to increase the dosage as she thinks my labs are perfectly normal. Do you have any recommendation for a endocrinologist or any doctor who can treat thyroid disease in Sugar Land, Texas who can treat me based on my symptoms not just labs. Thanks you!

Reply
Lynn Strode - August 20, 2016

Are you in Arizona? I need help, I am miserably tired and sick. Unfortunately on disability, but feel so untaken care of by my many doctors. Would you please let me know if I can afford to see you? I would try to make it work because I can’t afford not to see you

Reply
Susan wilmert - August 23, 2016

Hi Dr. Childs.

I live in Las Vegas, was wondering if you take on new patients?

Struggling with HOSHIMOTOS for 17 years, most recent TSH 22.9
I have been on list to finally see ENDO DR.

BUT I have been really wanting a thyroid specialist. Was thinking The Thyroid INSTITUTE in Los Angeles, California.
You may be closer.
Thank you
Susie

Reply
Jen - August 25, 2016

I started out battling this 4 years ago. I have Hashimotos and currently take 2 grains of Nature throid a day. When I began I started out on 100 levothyroxine, and last year my endo was willing to have me try Nature throid. I started out on one grain, and now up to two. She was also very encouraging when I asked about seeing a holistic dr. to check on hormone issues that may be coming into play as she admitted she doesnt specialize in that. I am estrogen dominan, progesterone and testosterone low. Ive been put on a compound of test/progest cream. My adrenal saliva test came back normal which was surprising to me, and they said to see optimal results i may need to go to 3 grains. My struggle is I feel great, some shortness of breath, a little hair thinning with dosage increase, but not really anything else. However, I have gained 30 lbs over 4 years and cant get a pound to come off. I only gained after going on the Nature throid, is an increase to 3 grains going to cause more weight gain? Im debating going back to levo. My holistic dr. Said 3 grains may be the break through to help lose weight. What are your thoughts?

Reply
Laura Stango - August 25, 2016

Good evening from Norfolk in the UK
I had been taking Levothyroxine for 25 years and NEVER felt 100%
I am now self medicating on NDT much to my GP’s disgust. I had recently been feeling so unwell, brain fog, extreme tiredness and couldn’t function from around 2-4 pm, agonizing joint pain, hair falling out, nails breaking and horrible dry skin… I felt a mess. Although I am 65 yrs of age I like to think I am not old ( laughs).
My health is improving slowly but I still feel so unwell.

My GP is not supportive and will not listen to me as my blood tests are ‘normal’.
I have been taking NDT and supplementing vits.
My weight has increased by 70 lbs and I have attended Weightwatchers and slimming world. I only ever manage to lose 2/3 lbs. it is so depressing …. HELP!

Reply
    Dr. Westin Childs - August 25, 2016

    Hey Laura,

    I definitely don’t recommend self dosing as there are many nuances to taking thyroid medication that can cause issues if you aren’t careful. I know it can be difficult if you live in the UK so I’ve created some info here you can take a look at: https://youtu.be/Cy5ep4BhT5Q

    Reply
Misty - August 25, 2016

Was diagnosed with Hashimoto’s 7 years ago & it has been a real struggle. Long story short they started me on Synthroid did horrible. Begged them to switch me to Armour they did but gained 120lbs in 4 months when they did!! Didn’t change a thing either, endo said it must be my fault so I dropped him & now my gyno doctor is helping me. She put me on 146 Naturethyroid 4 months ago feel some better lost 5 lbs, still feel tired, & body still hurts all over constantly. Where do we go from here!! Tired of being tired & hurting all over. They say it is fibromyalgia. Never hurt till I came down with Hashimoto’s. Please help me. Thank you.

Reply
    Dr. Westin Childs - August 26, 2016

    Hey Misty,

    You will need a full evaluation to determine what is going on in your body and to do that you will need to find someone very knowledgable to help guide you. I would seek someone out local if possible.

    Reply
Lynell Jonker - August 26, 2016

Hi,
I read about the thyroid meds but what did you do about the insulen?

Reply
Robin - December 4, 2016

I read that LDN can cause weight gain. Is this true in some instances?

Reply
Kristen - December 10, 2016

I am in dire need of help. I have many autoimmune issues such as Fibromaylgia, celiacs-been gluten free for 4 years. And now finally for about sic months being treated for hypothyroid. I eat like a supper model take many supplements including liqD3 levels still at 17. Probiotic which def helps , digestive enzymes cause I was going to the bathroom 7 times a day even with being gluten free. I have tried AIP and did see a 10 weightloss but have went back to normal eating. I am soy free and very limited dairy as well. I am on Levo/syntroid and I AM STILL LOSING HAIR AND UNABLE TO LOSE A POUND. I didfasting for a month and lost nothing. Please help

Reply
    Dr. Westin Childs - December 10, 2016

    Hey Kristen,

    The first place to start is by finding someone to help manage your hormone levels like I outlined in this post. Without that it will be very difficult to lose weight.

    Reply
Shantelle - January 8, 2017

I don’t even know where to begin. My husband is a GP and has sent me to so many Endocrinologist and not one has been able to help me. I came across your video and was in tears. I felt for once someone understood what I have been going through for years. I’m 38 and can barely get out of bed some days. I literally have tears because I hurt all over. I fight fatigue the minute I wake up then insomnia throughout the night. My hair is falling out by the handfuls and I can’t get my words out of my mouth. It’s not a way to live. I feel I’m just existing at this point. I’m so frustrated which leds to depression because I haven’t been able to find a physician to help me. I have children and a business of my own. I need my life back.

Reply
    Dr. Westin Childs - January 8, 2017

    Hey Shantelle,

    Unfortunately as long as you follow the standard of care “treatment with levothyroxine until you have a normal TSH” you will probably not feel completely better. The research is pretty clear that some people just do much better with T3 added to their medication (some more than others), but as long as you see endo’s and PCP’s who treat this way you will likely never experience significant improvement. There is enough information in my case studies for another physician to understand how to treat if they were interested, and you are in a good spot in that you could effectively get the right medication if necessary.

    Reply
      Jennifer - January 14, 2017

      I started out battling this 4 years ago. I have Hashimotos and currently take 2 grains of Nature throid a day. When I began I started out on 100 levothyroxine, and last year my endo was willing to have me try Nature throid. I started out on one grain, and now up to two. She was also very encouraging when I asked about seeing a holistic dr. to check on hormone issues that may be coming into play as she admitted she doesnt specialize in that. I am estrogen dominan, progesterone and testosterone low. Ive been put on a compound of test/progest cream. My adrenal saliva test came back normal which was surprising to me, and they said to see optimal results i may need to go to 3 grains. My struggle is I feel great, some shortness of breath, a little hair thinning with dosage increase, but not really anything else. However, I have gained 30 lbs over 4 years and cant get a pound to come off. I only gained after going on the Nature throid, is an increase to 3 grains going to cause more weight gain? Im debating going back to levo. My holistic dr. Said 3 grains may be the break through to help lose weight. What are your thoughts?

      Reply
        Dr. Westin Childs - January 14, 2017

        Hey Jennifer,

        In reality the increase in your dose up to 3 grains will likely not cause any significant weight loss. The only way you will lose that weight is if you target the hormone imbalances that caused it to begin with and increasing thyroid hormone does not do that.

        Reply
Renada - January 26, 2017

Dear Dr. Westin,
This article was fascinating!! Especially after finding out I have a low functioning Thryroid! Thank you for such an informative article!!
Renada

Reply
HCG DIET: How I Lost 12 Pounds (And Developed A Cyst) - January 26, 2017

[…] superfoods such as bee pollen and spirulina, while experimenting with a ketogenic diet. Explains Dr. Westin Childs, this particular diet is high in fat and low in both protein and carbohydrates, and can be helpful […]

Reply

Leave a Reply: