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The thyroid gland is a large gland situated in the front part of the neck, just below the Adam's apple.
The thyroid gland then releases T4 and T3 hormones, which enter the bloodstream and affect the metabolism of the heart, liver, muscle and other organs.
The pituitary gland regulates the level of thyroid hormones in the blood and increases or decreases the amount of TSH released.
The thyroid gland secretes thyroid hormones, which control the speed at which the body's chemical functions proceed (metabolic rate). Thyroid hormones affect many vital body functions: the heart rate, the respiratory rate, the rate at which calories are burned, skin maintenance, growth, heat production, fertility, and digestion.
T4, the major hormone produced by the thyroid gland, has only a slight, if any, effect on speeding up the bodys metabolic rate.
Many factors control the conversion of T4 to T3, including the body's needs from moment to moment and the presence or absence of other illnesses. To produce Thyroid hormones, the thyroid gland needs iodine, an element contained in food and water.
As thyroid hormones are used, a small amount of the iodine contained in the hormones is released, returns to the thyroid gland, and is recycled to produce more thyroid hormones. Oddly, the thyroid gland releases slightly less of the thyroid hormones if it is exposed to high levels of iodine transported to it in the blood. The pituitary gland slows or speeds the release of TSH, depending on whether the levels of thyroid hormones circulating in the blood are getting too high or too low. The thyroid gland also produces the hormone calcitonin, which may contribute to bone strength by helping calcium to be incorporated into bone.
Dosage and administration30 drops=3 sprays, 3 times a day, directly into the mouth or in a small amount of water. Doses3-times a day, 30 drops = 3 sprays direct into the mouth or in a small amount of water. Thyreoidinum 200CHhypothyroid conditions, metabolic abnormalities, overweight syndrome with obesity, loss of energy, weaknesses, susceptibility to cold, respiratory infections, recurrent sickness due to low immunity, difficulty breathing, suffering from muscle cramping, low back pain, easy bruising, mental sluggishness, very poor memory, inability to rationalize or think, transient headaches, emotional stability and mood swings with anxieties.
Thyreoidinum 12DHhypothyroid conditions, metabolic abnormalities, overweight syndrome with obesity, loss of energy, weaknesses, susceptibility to cold, respiratory infections, recurrent sickness due to low immunity, difficulty breathing, suffering from muscle cramping, low back pain, easy bruising, mental sluggishness, very poor memory, inability to rationalize or think, transient headaches, emotional stability and mood swings with anxieties, disorder in thyreogenic function.
Fucus vesiculosus 6DHcontains iodine, which may stimulate the thyroid, helpful in weight loss when obesity is associated with a thyroid that is underactive due to insufficient iodine, thyroid enlargement in obese subjects, for cough, asthma, haemorrhoid, boils, goiters, stomach ailments, urinary diseases, reducing the incidence of tumors, ulcers and headaches, struma, normalize metabolism.
Lachesis 30DHindicated for inflammations and haemorrhages of the skin and mucosa, menopausal complaints, glandular diseases, infectious diseases and blood poisoning, phlebitis, angina pectoris, cardiac and circulatory insufficiency, neuralgia, rheumatism, spasmodic conditions, paralysis, behavioural disorders, and congestive and hormonal headaches. Lachesis 200CH:indicated for inflammations and haemorrhages of the skin and mucosa, menopausal complaints, glandular diseases, infectious diseases and blood poisoning, phlebitis, angina pectoris, cardiac and circulatory insufficiency, neuralgia, rheumatism, spasmodic conditions, paralysis, behavioural disorders, and congestive and hormonal headaches, disorder of all glander, shrinks glander tumor.
Lycopus Virginicus 6DHtendency to swollen glands when ill, lowers the blood pressure, reduces the rate of the heart and increases the length of systole to a great degree, hypertrophy of the thyroid gland, goiter appears as an abnormal enlargement of the thyroid gland in the neck, autoimmune thyroiditis, excess iodine, other hormonal disorders, hyperthyreoidose. Chininum Arsenicosum 12DHloss of appetite, asthma, neuralgia, sepsis, weakness of thyroid, parathyroid and hormones. Helpful information and resources for thyroid patients also Creating awareness for Thyroid.
Sure, as with most medications and drugs today we are led to believe that all we have to do is pop a pill and somehow it just magically works as expected and everything will be OK. Instead, we ARE going to be covering the practical experience… the good, the bad, and the ugly of thyroid medications and how they actually work in the “real world”. When working with clients, we sometimes spend a good amount of time discussing what options might work best for them.
And in most cases, I find they are using the wrong medication… or using the right medication in the wrong way. I’ve personally had dozens of clients who have seen drastic improvements just by changing to a source of thyroid hormone more appropriate for them. When it comes to thyroid medications and supplements, there’s no one best option that works for everyone. The type of medication or supplement that would work best for you can be quite individualized depending on the underlying problems that are driving your thyroid condition. And oftentimes determining what works best for you requires a little experimentation to see what your body responds to best. In cancer treatment, it’s not uncommon for doctors to try multiple anti-cancer drugs or even combinations of drugs until they find what works the best for a specific type of cancer. If you’re unsure of which category your supplement or medication falls under, you should ask your doctor or do a little research and look at the manufacturer’s website. T4-only medications like Synthroid and Levothyroxine are by far the most commonly prescribed thyroid medications used today. Unfortunately, these are pretty much the worst options too, which means that they are doing millions of people a great disservice.
We’ll have to dig deep here, because by themselves, T4-only medications tend to cause more problems than they solve. For example, when your thyroid gland becomes blocked resulting in a significant drop in your T4 level.
Or if you have a goiter or enlarged thyroid and we need to slow the production of thyroid hormone produced by your gland in order to allow your thyroid gland to unload its stored thyroid hormone slowly.
T4 is the inactive form of thyroid hormone that must first be converted into the active T3 version of thyroid hormone before your body can actually use it. Unfortunately, almost all hypothyroidism sufferers quickly develop liver dysfunction, which impairs your ability to convert your T4 medication into usable T3 thyroid hormone efficiently.
I talk about this in detail along with simple ways to fix this in this post on How to Heal Your Thyroid By Healing Your Liver. In other words, for most hypothyroidism sufferers, T4-only medications are more often than not useless, and oftentimes dangerous.
Yet, this is the most common reason why you may still be experiencing all of the same thyroid symptoms even after long term use of your T4 thyroid medication… and even when your thyroid labs are within the “normal” range.
For example… the following study showed that the test subjects using T4-only medications experienced worse thyroid symptoms than test subjects that received no treatment whatsoever.
Yet, the medical system still continues to push T4-only medications as the best available option. When your liver can’t convert T4 into useable T3, then what happens to all that T4 you’re medicating with?
Keep in mind that your thyroid gland produces both T4 and T3… so this can result in a further drop in your useable T3. This is oftentimes the main reason why many feel worse after using T4-only medications or fail to improve no matter how much T4 they use.
Desiccated thyroid has been used for well over 100 years and was the thyroid medication of choice long before synthetic T4-only medications were designed in a lab. One of the biggest benefits of desiccated thyroid is that the thyroid hormone it contains is far better matched to what your thyroid gland naturally produces.
Your thyroid gland produces both T3 and T4, making T4-only medications quite unnatural from a physiological perspective.
For many of my clients who come to me using T4-only medications and have not tried desiccated thyroid, I generally recommend that they start there.
And it’s typically easier to get a prescription for desiccated thyroid than some other options. But unless you are working with someone qualified to understand your lab results and help you in more depth, desiccated thyroid is generally a safe option. And research studies continue to show that compared to T4-only medications patients prefer desiccated thyroid.
However, there are also problems with desiccated thyroid as well which is why some people don’t respond well to them.
But it’s important to understand that if you don’t respond well to desiccated thyroid, it’s not “typically” an issue with the medication itself.
It’s typically an underlying issue with you that needs to be fixed, which I’ll explain in a second.
As I mentioned, some people don’t respond well to desiccated thyroid for a couple of reasons. Many hypothyroidism sufferers respond negatively to desiccated thyroid because they are very sensitive to the active T3 thyroid hormone it contains. For many, using a thyroid medication or supplement containing T3 can cause elevated heart rate, heavy breathing, and feelings of stress and anxiety.
Elevated stress hormones are by far the most common cause when it comes to not being able to tolerate T3. Because when you become hypothyroid your body compensates by over-activating your stress response.
In other words, too much T3 will amplify the effects of adrenaline causing those symptoms of increased heart rate, anxiety, and other high stress symptoms.

This is one reason why you might want to be careful when using thyroid medication containing active T3 when you’re already in a stressed state. But as I mentioned, this is not a problem with the medication, it’s a problem with you that needs to be corrected by properly de-activating your stress response.
Another problem with desiccated thyroid medications is that some people can’t digest and absorb them properly. And when you can’t digest and absorb the thyroid hormone from your medication, you tend to experience little to no positive benefits.
Oftentimes this is due to various fillers and binders used in the production of the tablets. For example, with Armour Thyroid, some people cannot break down the cellulose (fiber) component within their digestive tract, so it just passes through and is excreted without being absorbed.
The bottom line is… if you can’t absorb the thyroid hormone, it’s not going to do you much good. Oftentimes it is very similar to standard desiccated thyroid medications but with certain tradeoffs.
One of the biggest benefits of using a compounded pharmacy is that they have the ability to customize or adjust the strengths or ratios of T3 and T4 outside of what is commercially available with desiccated thyroid medications. So, in a perfect world where you knew the perfect ratio of T3 and T4 that works best for you, it could be made to order. Another benefit of compounded thyroid is that compounding pharmacies can also control the additional inactive ingredients that are added to the formula which you might be sensitive to as well.
This can be a benefit to people with severe allergies to certain ingredients commonly used in many types of thyroid medications. Like desiccated thyroid, compounded thyroid also oftentimes contains fillers, binders, and time release components that can negatively affect your ability to digest and absorb the hormones. And even though compounded thyroid can be customized to your needs, it is rarely if ever done properly.
And in reality, the amount of thyroid hormone you may need at any given time can change depending on a number of variables from seasonal climate changes to changes in your stress levels. For example, I had a client who over the course of three months made a miraculous recovery. Then after her father passed away unexpectedly, the amount of stress she was under set her back significantly. While we can’t always control stress, we can learn how to compensate for it through proper diet and supplementation. And after making some adjustments to her diet and thyroid hormone, this particular client was able to stabilize her thyroid function and prevent further regression. The inability to adjust the dosage is really a problem with most types of thyroid medications including desiccated thyroid. Unless your doctor is willing to work with you and take the time to properly monitor how you’re responding to your thyroid medication, it can be difficult to find a single dosage of thyroid that works best year round. There is a common problem among compounding pharmacies in that they typically do not do a good job producing a standardized product.
In other words, there tends to be variations in the actual amount of thyroid hormone from batch to batch.
In my experience in working with clients using compounded thyroid, it’s not the most reliable option. In many cases, my clients have had to switch from a compounded thyroid medication to something more reliable and the results in some cases have been remarkable.
T3 as mentioned above is the active or useable form of thyroid hormone on which you and your cells thrive. Because T3 is the useable form of thyroid hormone and doesn’t need to be converted by your liver it has a much better chance of being used by your cells. Or in other words, T3 generally works better, makes you feel better, and is much more effective at improving your thyroid function and health. T3 is also found in both desiccated thyroid and almost always in compounded thyroid, so this applies to those types of thyroid medications as well. Similarly to compounded thyroid, using T3 alone provides a much greater degree of flexibility with adjusting your dosage. This really allows you to completely fine tune your dosage to meet your specific individual needs… including the timing of when you take it and how often you need to take it during the day. There’s a general fear of T3 in the medical community making it more difficult for patients to get it prescribed. Working with my own clients, I’ve found that most doctors are completely opposed to the idea of giving T3 to their patients. Some of my clients’ doctors are open to the idea but simply don’t know how to because they are entirely uneducated on how to use and prescribe it. And based on the dozen or so of my clients who have been prescribed a T3-only medication by their doctor, only two were using it properly. It is this general unawareness and uneducated use of T3 that accounts for the vast majority of negative responses that patients experience when using it.
As mentioned with desiccated thyroid, some people with poor diet and who compensate with a large over-production of adrenaline can’t tolerate much T3. Too much T3 at one given time can make you very sensitive to adrenaline resulting in almost hyper-thyroid like symptoms… elevated heart rate, sometimes heart palpitation, anxiety, feel extremely stressed, etc. You may simply need to adjust the dosage properly while you address your over-active stress response through proper diet. It’s also important to note that with certain heart conditions, T3 should be used with extreme caution and generally in very small amounts while being closely monitored by your doctor.
Keep in mind that your heart does depend largely on T3 to remain healthy and function properly. But when the heart is in a weakened state, stimulating it too much with too much thyroid hormone can sometimes overstress the heart. Or is it going to take something as serious as cancer before finding the right medication or supplement for you becomes a priority? Tom Brimeyer  is the founder of Forefront Health and the creator of the popular Hypothyroidism Revolution program series. This site is for informational purposes only and should not be considered a substitute for consulting your physician regarding medical advice pertaining to your health.
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Original Editors - Dana Johnston from Bellarmine University's Pathophysiology of Complex Patient Problems project.
People with hyperthyroidism may present with a variety of symptoms depending on the person’s age, the quantity of excess hormones, the period of time the person has been sick, and the presence of a comorbid condition [3]. In addition to the signs and symptoms previously mentioned, two key features of people with Graves’ disease are an enlarged thyroid gland (goiter) and exophthalmos which occurs in approximately 50% of people with the disease [3].
In a patient with untreated, incorrectly treated, or undiagnosed hyperthyroidism, a stressful situation, such as surgery, labor, MI, pulmonary embolism, or medication overdose may cause an acute episode of thyroid over activity to occur. Approximately 70% of people with hyperthyroidism will develop weakness in the proximal muscles, such as the hips, which is accompanied by myopathy. Beta blockersBeta blockers such as propranolol are often used to treat the adrenergic symptoms of hyperthryoidism, such as tachycardia, palpitations, heat intolerance, and anxiety. The most common cause of hyperthyroidism is Grave’s disease, which accounts for approximately 85 percent of cases. Lymphocyctic and Postpartum are both types of thyroiditis that last for a short duration of time. The approach taken to treat hyperthyroidism depends on the cause of the disease, the severity of the patient’s symptoms, and the presence of other medical conditions.
Antithyroid drugs: methimazole (Tapazole®) or propylthiouracil (PTU)Antithyroid drugs work by blocking the thyroid gland’s ability to make new thyroid hormone.
Radioactive iodineAnother way to treat hyperthyroidism is to damage or destroy the thyroid cells that make thyroid hormone. Surgery Partial or subtotal thyroidectomy is an effective way to treat hyperthyroidism caused by Graves disease and single or multinodular thyrotoxicosis. Anytime a therapist discovers unusual swelling or enlargement (with or without pain), tenderness, hoarseness, or dysphagia they should refer out. If your patient experiences fever, rash, arthralgia, or other side effects of antithyroid drugs, notify their physician because it may be possible to use another form of treatment.
Watch for signs of hypoparathyroidism such as muscular twitching, tetany, numbness, and tingling around mouth, fingertips, or toes if patient is post thyroidectomy. When working with patients who have been given RAI, be aware their saliva is radioactive for 24 hours following their treatment. Some patients with Graves’ disease suffer from heat intolerance, making exercising in a hot pool a contraindication to therapy.

Many patients with hyperthyroidism suffer from cardiopulmonary complications often leading to atrial fibriliation, CHF, and increased risk of a MI.
1.) Myositis Associated with the Decline of Thyroid Hormone Levels in Thyrotoxicosis: A Syndrome?
Learn about the shoulder in this month's Physiopedia Plus learn topic with 5 chapters from textbooks such as Magee's Orthopedic Physical Assessment, 2014 & Donatelli's Physical therapy of the shoulder 2012.
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Prostaplex is a safe medication without side effects, and does not interfere with other medications.
Specializing in thyroid and metabolism disorders, Tom’s work has impacted over 50,000 people spanning more than 60 countries.
She takes levothyroxin is that one good or bad I am willing to try something that won’t hurt her body . We are not responsible for any loss, injury, or damage that allegedly arises from any information published in this website. T4 and T3 are thyroid hormones that are responsible for regulating a person’s basal metabolism and increasing metabolic activity and protein synthesis [1]. It is often difficult to detect the disease in older adults because they do not present with many of the typical signs and symptoms.
Exophthalmos is an abnormal protrusion of the eyes which occurs as tissue and muscles behind the eye become inflamed causing the eyelids to retract [2]. This event is known as thyroid storm, a rare complication of hyperthyroidism that is characterized by a high fever, tachycardia, dehydration, delirium, and extreme irritability [1]. They both tend to occur in the shoulder, causing limitations in a person’s ROM, which may progress and lead to adhesive capsulitis. Beta blockers are used as the first line of treatment before surgery, radioactive iodine, and antithyroid drugs.
They are sometimes used before surgery or during pregnancy when other medications are ineffective or contraindicated. Hyperthyroidism is normally associated with suppressed TSH, with the exception of TSH-secreting pituitary adenoma.
It is an autoimmune disease in which an antibody that works against the thyroid stimulating hormone (TSH) receptor causes an increase in T4 production [3][1]. Postpartum thyroiditis occurs in around 5-10% of women in the first 3-6 weeks after delivery.
The three main treatments used are antithyroid medication, radioactive iodine, and surgery.
These drugs are the choice of therapy during pregnancy or breastfeeding, for children under the age of 12 years, for people with severe Graves’ disease, and as a pretreatment for older adults, cardiac patients, or patients with toxic nodular or multinodular goiter before radioactive iodine or surgery. Hypoparathryoidism may result 1-7 days after thyroidectomy if there are complications during the surgery resulting in unintentional removal of part of the parathyroid glands.
When working with these patients it is important to take the necessary precautions if the patient is coughing or expectorating. This patient would still be able to participate in aquatic therapy in a warm pool; given the patient’s body temperature is being monitored. The study concluded myositis after correction of thyrotoxicosis may constitute a syndrome that should be assessed for inhyperthyroid patients complaining of myalgias after starting treatment.
The alert is based on 32 case reports of 22 adults and 10 children--12 of the adults died and five needed liver transplantation; one of the children died and six needed liver transplantation. Hyperthyroidism in anorexia nervosa: Case report and review of the literature [electronic resource]. Physiopedia is not a substitute for professional advice or expert medical services from a qualified healthcare provider. Its function is to produce thyroid hormones which is responsible for regulating metabolism and organ function. An excess amount of thyroid hormone leads to an increased metabolic rate, which affects almost every system in the body [2]. Graves' disease, an autoimmune disease, is the most common type of hyperthyroidism, comprising approximately 85% of cases [1]. Instead, they will often appear to have other illnesses, such as heart disease, depression, or dementia. They are also used in conjunction with antithyroid drugs to treat amiodarone induced hyperthyroidism. This condition usually occurs in people over age 40 that have had a goiter for an extended period of time. It is common for a person to experience hypothyroidism briefly before the condition resolves. About half of the people treated with antithyroid drugs have a later recurrence of hyperthyroid activity. Ideally, a small portion of the functioning thyroid gland is left to avoid permanent hormone replacement. Typically heat intolerance is associated with thyroid storm, and will normally not occur in clients attending therapy in outpatient settings.
Therapeutic interventions using ultrasound, joint mobilizations, stretching, and strengthening may be performed once the thyroid gland is regulated.
Myositis Associated with the Decline of Thyroid Hormone Levels in Thyrotoxicosis: A Syndrome?. Older people also tend to act more apathetic than hyperactive, and are more likely to have cardiovascular problems [1]. Once the underlying hyperthyroidism is treated, chronic periarthritis will usually resolve as well. This medication should be used with caution in the elderly, patients with heart disease, COPD, or asthma.
Iodides are not used routinely to treat hyperthyroidism because of paradoxical increases in hormone release that can occur with prolonged use. Relapse is higher in smokers, patients with large goiters, and patients with positive thyroid-stimulating antibody levels at end of therapy. This high cure rate has led to approximately 70% of adults in the United States now given this form of treatment.
Complications of surgery include damage to the parathyroid glands leading to hypocalcemia, and damage to the nerves that control your vocal cords causing your voice to become hoarse. Who can I go to that will be able to help me naturally that will work with me and my low income?
In addition to tachycardia, fatigue and weight loss which are commonly seen in adults over 70, people younger than age 50 will also typically display hyperactive reflexes, increased perspiration, heat intolerance, tremor, nervousness, polydipsia, weakness, increased appetite, dyspnea, and weight loss despite normal food intake [2]. Calcium channel blockers can also be used to reduce the heart rate in patients who are unable to tolerate beta blockers.
When test results are uncertain, measuring radioactive iodine uptake (RIU) can confirm the presence of hyperthyroidism and differentiate among causes of hyperthyroidism. Major side effects include rheumatoid-like arthritis and agranulocytosis, which usually resolve after 10 days of discontinuing the drug. RIU studies are elevated in Grave’s disease and nodular thyrotoxicosis but are very low in people whose hyperthyroidism is caused by thyroiditis.
Emotions can also become affected, causing a person’s moods to cycle between a euphoric state and acting hyperactive to feeling depressed and acting delusional [1].
Eventually the thyroid will normalize with replacement therapy consisting of a thyroid hormone supplement taken once a day. Non-thyroid factors There are other underlying health problems that can both mimic low-thyroid symptoms and also complicate thyroid function. Candida overgrowth, leaky gut syndrome, adrenal fatigue, and other metabolic problems should all be investigated. There are many variables to consider, and it's important to remember that everyone is different. You can also consider a free webcam or phone evaluation to answer your questions from a functional medicine perspective. William Cole, DC, graduated from Southern California University of Health Sciences in Los Angeles, California.
He has his post-doctorate education and training in Functional Medicine and Clinical Nutrition. Cole consults in the Pittsburgh area and phone or webcam consultations for people around the world.

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