New Diagnosis of Hashimoto’s Told to Come Back in 6 Months

February 3, 2020


I work with people who have autoimmune disease all the time. There is so much food evidence that shows that many things can improve the issue and start to REVERSE the autoimmune disease. But in this case, they were told the diagnosis and sent home with no additional info. except that labs would be checked in 6 months. A lot can happen in 6 months!! and they were not willing to take the risk!

What is Hashimoto's thyroiditis?

Hashimoto's thyroiditis, also known as chronic lymphocytic thyroiditis, is an autoimmune disorder characterized by inflammation of the thyroid gland. In Hashimoto's thyroiditis, the body's immune system mistakenly attacks the thyroid tissue, leading to gradual destruction of thyroid cells and impairing thyroid function. Here's an overview of Hashimoto's thyroiditis:

1. Autoimmune Nature

  • Immune System Dysfunction: Hashimoto's thyroiditis is classified as an autoimmune disorder, where the body's immune system mistakenly targets healthy thyroid tissue.
  • Antibody Production: In Hashimoto's, the immune system produces antibodies, such as thyroid peroxidase antibodies (TPOAb) and thyroglobulin antibodies (TgAb), which attack and damage thyroid cells.

2. Thyroid Dysfunction

  • Hypothyroidism: As the autoimmune attack progresses, the thyroid gland becomes less able to produce thyroid hormones, resulting in hypothyroidism (underactive thyroid).
  • Symptoms: Hypothyroidism symptoms may include fatigue, weight gain, cold intolerance, constipation, dry skin, hair loss, depression, and muscle weakness.

3. Diagnosis

  • Blood Tests: Diagnosis of Hashimoto's thyroiditis typically involves blood tests to measure levels of thyroid-stimulating hormone (TSH), free thyroxine (T4), triiodothyronine (T3), and thyroid antibodies (TPOAb, TgAb).
  • Ultrasound: Imaging tests such as ultrasound may reveal characteristic features of thyroid inflammation and enlargement (goiter).

4. Risk Factors

  • Genetics: Hashimoto's thyroiditis tends to run in families, suggesting a genetic predisposition to the condition.
  • Gender: Women are more commonly affected by Hashimoto's thyroiditis than men, with the condition often developing during or after pregnancy.
  • Age: Hashimoto's can occur at any age but is most commonly diagnosed in middle-aged individuals.

5. Management and Treatment

  • Thyroid Hormone Replacement: Treatment for Hashimoto's thyroiditis typically involves lifelong thyroid hormone replacement therapy to restore normal thyroid hormone levels and alleviate symptoms of hypothyroidism.
  • Monitoring: Regular monitoring of thyroid function through blood tests is necessary to adjust medication dosages and ensure optimal thyroid hormone levels.
  • Lifestyle Modifications: Adopting a healthy lifestyle, including a balanced diet, regular exercise, stress management, and adequate sleep, can help support thyroid health and overall well-being.
  • Supplements: Some individuals may benefit from supplements such as selenium, which has been shown to have antioxidant properties and may help reduce thyroid inflammation in Hashimoto's thyroiditis.

6. Complications

  • Goiter: Chronic inflammation of the thyroid gland can lead to the development of a goiter, an enlarged thyroid gland.
  • Thyroid Nodules: Hashimoto's thyroiditis may increase the risk of developing thyroid nodules, which may require further evaluation to rule out thyroid cancer.
  • Cardiovascular Risk: Untreated or inadequately managed hypothyroidism associated with Hashimoto's thyroiditis can increase the risk of cardiovascular diseases such as heart disease and high cholesterol.

Conclusion

Hashimoto's thyroiditis is a chronic autoimmune condition characterized by inflammation and destruction of the thyroid gland, leading to hypothyroidism. Early diagnosis and appropriate management, including thyroid hormone replacement therapy, lifestyle modifications, and regular monitoring, are essential for effectively managing the condition and minimizing complications.

About the author

Dr. Kelly has 25 years of expert medical experience caring for the sickest of the sick people in critical care (including ICU, Heart surgery, Heart & Lung transplant surgery, as well as cardiology). She is a clinical specialist who has taken care of and trained others to care for the critically ill/the elderly and developed many screening and preventative programs to help improve the health of the population. The reality is that most people just don't have to be that sick. or stay that sick. So, Dr. Kelly decided to change the focus of the care she provided: to prevent, reverse and restore the health of individuals.

Dr. Kelly

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