Hypothyroidism: The Problem and Solution
to me by one of my patients early in my career as a physician. Such a bold state- ment made me think that she must have really been through a number of doctors who had not been able to help her as she struggled with:
A "
• Severe fatigue: couldn't get up and moving in the morning and this severe fatigue continued throughout the day • Fifty-pound weight gain and an inabil- ity to lose this weight • Hair loss and greying hair • Overall body chill (needing sweaters even in summer) with noticeable and consistent cold hands and feet
re you going to be one of those doctors who tells me my thyroid is normal?" This question was poised
• Constipation ( bowel movements 1-2 times a week) • Dry skin
• Red bumps on the back of her arms • Depression
After discussing her history further, I
could see why she had grown so frustrated. She had been to seven different doctors in the past three years with the same com- plaints and each one of them had brushed aside her complaints, but did not offer any real solutions. One told her that she had to stop eating so much junk food, one told her that she was depressed, one told her that she needed to stop reading things on the internet, one told her that she was under too much stress. By the time she got to me, she was really feeling hopeless and
questioning her instinct about what her body was telling her. No wonder she felt so disenfranchised
from traditional medicine. She clearly had every symptom of thyroid dysfunction but traditional TSH-based evaluations always returned "normal" results. Yet her health continued to decline dramatically. Once an energetic, vibrant woman with a hus- band and two kids, who was active in her church as well as working full time as a teacher, she could no longer work and had trouble even caring for the family she loved.
She had done a lot of reading on the internet and really believed that thyroid dysfunction could explain these symptoms. However, until now, no one believed her. After doing a more thorough work-up for
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