healingways Bioidentical Hormone
Replacement Can Include Thyroid Treatments by Josie Tenore, M.D.
The human body contains endocrine glands that produce many hormones other than the famous testosterone and estrogen, and the most notable of these is also the largest: the thyroid gland. This butterfly-shaped organ sits at the base of the throat and is responsible for many functions, including manufacturing protein, deciding how quickly the body uses energy and regulating other hormones.
T
he thyroid is one of the most highly misunderstood glands, and millions of people in the United States, most
of them women, suffer from thyroid dis- ease. Decoding its functions is proving to be controversial. For example, during all phases of a woman’s life, from puberty to menopause, she may experience multiple symptoms that have traditionally been attributed to depression. But now
we are seeing that there may be other explanations for these symptoms, includ- ing improper functioning of the thyroid gland. Dr. Russell Joffe, of the North Shore-Long Island Jewish Health System, states, “In the early 20th century, the best descriptions of clinical depression were actually in textbooks on thyroid disease, not psychiatric textbooks.”
Symptoms of Thyroid Problems Symptoms of an improperly functioning thyroid may include cold hands, thinning hair, dry skin, fatigue, weight gain or loss, slow or rapid heart rate, depressed mood and a general feeling of malaise.
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What You Should Know When thyroid disease is suspected, many doctors commonly order an in- expensive thyroid stimulating hormone (TSH) blood test. When your results are abnormal (either high or low), a remedy is prescribed to balance the thyroid. The problem is that when the test is normal, you may still have problems with your thyroid gland that go undiagnosed. Here is where it gets tricky, be-
cause a standard hormone test may not tell the full story. The thyroid gland manufactures a number of different hor- mones, the principal one being thyrox- ine, or T4. Your brain uses this hormone to tell the hypothalamus gland either to release or shut down its production of TSH. When your thyroid gland is underperforming, the hypothalamus secretes more TSH, the level goes up and the test comes back as abnormal. If the thyroid is hyperactive, the hypo- thalamus is told to stop working and
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