Last week we talked about how hormones are regulated in the body. I gave an example of the Thyroid hormone system. Here, again, to refresh your memory: The hypothalamus senses more thyroid hormone is needed so it tells the pituitary. The pituitary sends and order for thyroid hormone called Thyroid Stimulating Hormone or TSH. The thyroid gland receives the order and releases a bunch of T4 (the less active form) and a small amount of T3 (the more active form). T4 is coupled with (TBG)
Thyroid Binding Globulin and it is sent out into the bloodstream. (Without a binding globulin the hormone would be immediately used so it would not reach its target). T4 and its chaperone then travel to target cells, mostly in the liver where the T4 is separated from the TBG leaving the T4 in its “FREE” form. It can then be converted to the more active T3 so it can do its job. When there is enough T4 in the blood the hypothalamus recognizes this and will then tell the pituitary to slow down or stop the orders for thyroid hormone to be released.

Most often in conventional medicine only TSH is tested. If the TSH is too high then your Thyroid is hypo, or underactive. If TSH is too low they your Thyroid is hyper, or overactive. The insurance companies pay for TSH testing and believe that is all that is needed to adequately treat people. (Due to space constraints I’ll only be discussing hypothyroid issues. (You can contact me if you’d like to discuss hyperthyroid conditions.)

In recent years the testing of “Free” T4 has become more prevalent in conventional medicine. (Years after we in “alternative” health care have been testing for it.) The use of Free T4 plus TSH to evaluate the Thyroid has helped more women who in the past would not have had satisfactory results but using these tests are still very limiting. A big issue is that the “normal” range of TSH on lab tests is usually between 0.5 and 4.5 or 5.5. That means that you would not even be considered as having a problem if your TSH was between that range despite having any or all the symptoms of hypothryoidism. (Dry skin & hair, brittle nails, overweight/ hard to lose weight, fatigue, poor sleep, depression, menstrual/menopause problems, constipation sometimes alternating with diarrhea.)

The conventional philosophy is- with hypothyroid give synthetic thyroid hormone and bring the TSH down and the problem is solved. Unfortunately, despite the TSH coming into “normal” range people may get a bit better but are often still suffering with the symptoms since the lab test is being treated and not the patient. I have had patients who had TSH values of 2.5 and still had symptoms. When we addressed other issue the patients felt better and decreased their need for Thyroid hormone because we were addressing the cause and making their Thyroid glands work better.

Other tests can give a more complete picture so the core problems may be addressed. There can be problems converting T4 into T3. There can also be problems with not having enough “Free” or unbound T4 or T3 so the hormones do their jobs inefficiently. These problems are sometimes due to nutritional deficiencies or other hormonal imbalances as all hormones have effects on other hormones.

For instance, when a woman’s estrogen levels change it can change the amount of Thyroid Binding Globulin and change the “Free” T4 levels. Another, more complex issue occurs when the target cells themselves limit access to the hormone. This often happens when a person is taking external hormone.

The cells are exposed to higher levels of circulating hormone than they were used to and the cell receptors or doorways used by the hormone shut down making the hormone replacement less effective. Another issue that deals with the body making the hormone less effective is a more serious issue know as Hashimoto’s Autoimmune Thyroiditis. It is where the body sees the thyroid gland and hormone as an enemy and attacks. This causes the thyroid to work poorly if at all. Stress, nutritional and Adrenal imbalances can also cause a conversion of T4 to another hormone called “Reverse T3” which worsen hypothyroid symptoms.

All of these things can be dealt with in most cases but unfortunately the tests needed are not being done except by some broad-minded MDs, Endocrinologists and alternative practitioners. A complete panel for the Thyroid should include TSH, Free T4, T3 uptake (this is inversely related to Thyroid Binding Globulin), Free T3 and Reverse T3 are nice to have and Anti-Thyroid antibodies and TPO peroxidase will tell if there is an autoimmune condition. Iodine status testing should also be performed.
Just be aware that there are more tests and treatments out there than being offered by conventional medicine or paid for by your insurance. If you want an opportunity to get better you should make sure you are getting the best care whether or not insurance pays for it. Anyway, next week we’ll hear about the Adrenals and how it affects stress, sleep, moods, etc. Until then… It’s your life. It’s your health! (You decide whether you’re worth the investment!)

Doc Visconti’s office is located near the Citrus Tower. If you have any questions regarding this or any other health related topics, please contact us.

I started back lifting weights again recently after a 6 month stretch without due to a shoulder injury. My shoulder is not 100% yet but it is able to do the work I’m putting it through since I am being smarter this time. I have been plagued with a bum shoulder for the last 1 ½ years after I injured it… being stupid. I knew the rules and didn’t follow them. I was over enthusiastic one day doing heavy yard work and didn’t listen to my body when my shoulder didn’t feel right about half way through. Most injuries
happen to “weekend warriors”, people who don’t do much activity most of the time but then try to do something more strenuous that their bodies are not used to. Your body is an amazing machine and can do things all the way until old age (ask my idol Jack LaLane who is 95 and still works out 2 hours every day). What the body can’t do is be asked to perform at levels that it is not prepared to do on a moments notice. It would be like taking a race car that has been sitting for years with rotting tires, old
oil, leaky seals, etc. and taking it out to the track and racing it.

Something is bound to happen, and not a good thing at that. But, if you replace the tires, changed the gas and oil, fixed the seals and tuned it up –that car could go out and perform almost as well as it did in it’s day. Maybe not enough to keep up withthe newer models but it would be “respectable”.

There are ways we can perform “respectably” again: First is to get back into shape. Now, I’ll give a little latitude to those of you who have never been in shape but there are people know as personal trainers who can guide you on how to do it in a safe and effective way. There are others of you who don’t have as much of an excuse. You know who you are former high school and college athletes, former cheerleaders and track stars, former swimmers and tennis players. You slowly let yourself get away from some of those hobbies that made you feel and look great. Life started to get a bit more complex, you heard the little voice that said, work out tomorrow or you can start again next week. Then a week became a month, that became a year, then a decade. Now weaker, non-motivated and 20+ pounds later you say I wish I could be like that again but are overwhelmed at how to do it. Here’s the easy part: JUST START!

Do the opposite of the little voice telling you to put down the second helping of potatoes or the one that said I’ll wait for 5 minutes for a closer parking spot so I don’t have to walk. After that go back to what you did before. If you played tennis then get a raquet and some balls and go. Part of why people fail at something new is because they don’t know the culture, they don’t know how to incorporate it into life. You already know those things because they were in your life before and they used to be fun. Now for the big BUT: DO NOT TRY TO DO THE THINGS YOU USED TO BE ABLE TO DO!!!

You are older and weaker than you were and your body is not used to the stress even a light exertion will cause. Start slowly and don’t push it. Do not wait until your body becomes sore swinging the racket the first few times as you will not know how much you actually worked the muscles until the next day or two. A thing that will greatly reduce the risk that you will hurt yourself and that will enable your body to respond better is to warm up for at least 5 minutes before you start.

Light jumping jacks, marching in place, swinging your arms and torso are all things that will help. Moving your joints in a full range of motion in circles will also help warm and lubricate the joints. Only stretch lightly before you work out. Deeper stretching should only be done after a good warm up and at the end of the workout as cold muscles are like cold rubber bands, they don’t like to be stretched and they may break if you stretch too much. Stretching after exercising will help the muscle regain
flexibility faster and will enable the muscle to recover faster. Drinking plenty of water and eating proteins will also help recovery and healing of muscle. Don’t do the same exercise every day, especially in the beginning. When we do strenuous exercise it breaks down muscle fibers. It is only when we rest the muscles in between workouts that the muscle repairs itself and makes itself stronger in preparation for the next workout. So give yourself at least one if not two or three days rest between, especially if you have not done the activity in a very long time or are older. You can do a different, lighter exercise between the more strenuous activities to improve your health and work you body in another way.

Get back into the shape you were or the shape you want to be. Don’t give into that little “voice of sabotage” telling you that you can’t or you deserve a rest. Get your old chassis back on the track but tune it up before you start racing again. You will have less illness and injury, need less medication and feel better than you have in years. It’s your life. It’s your health.

Doc Visconti’s office is located near the Citrus Tower. If you have any questions regarding this or any other health related topics, please contact us. On Facebook? Like us at the “Visconti Acupuncture & Natural Medicine” page for interesting information and updates on natural health!