3. Reverse T3: A patient may test normal for T4 and T3, but still display hypothyroid symptoms, due to excess production of rT3. Stress and extreme exercise can both elevate rT3 levels and suppress TSH and T3 production.

4. Basal Body Temperature (Normal = 97.8 -98.2º F): A ther- mometer is tucked into the underarm for ten minutes immedi- ately after waking in the morning and before rising from bed. Practitioners who use this test maintain that 2-5 consecutive days of readings below 97.8 º indicates hypothyroidism. Ac- cording to Langer, this test is clinically more accurate than blood tests in patients whose symptoms suggest hypothyroid- ism, but whose blood work says otherwise.

5. TRH (used with caution in asthma and ischaemic heart disease patients; should not be used in pregnant women) Although TSH testing has largely replaced this test in conventional medicine, there is recent evidence that this may be a valuable diagnostic


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tool in many SCH patients showing high-normal TSH and low- normal or low Free T4.

6. Autoimmune Antibodies [AgAb antibodies (antithyroglobulin) and TPOAb (thyroperoxidase antibodies)] –It is most prudent, along with standard thyroid testing, to test for Hashimoto’s thyroiditis. It is important to test specifically for the blood proteins that the body produces against the thyroid gland when this condition exists. Those who are celiac or gluten sensitive are especially prone to developing Hashimoto’s, and those with chronic hives often have elevated thyroid antibodies.

The Hypothyroid Diet Follow the following dietary guidelines to support healthy

thyroid function. Eliminate beef (unless organic, grass fed), pork, lamb, and pro-inflammatory refined sugars, dairy, grains, and gluten (in wheat, barley, and rye; a TH imposter that the immune system attacks with antibodies). Consume: (1) only modest quanti- ties of otherwise very healthy organic soy, walnuts, and organic cruciferous vegetables (cabbage, cauliflower, kale, broccoli, Brus- sels sprouts; these foods reduce the amount of iodine available for synthesizing T4 and T3); (2) only healthy, anti-inflammatory fats (coconut and olive oils, high omega-3 fatty acids in wild-caught fish, avocados, sprouted chia/flax/hemp seeds; almonds/walnuts/ Brazil nuts soaked overnight); (3) iodine-rich organic seaweed (kelp, dulse, nori) (Note: iodine intake exceeding 800 mcg/day can lead to SCH); (4) high amounts of mineral- and fiber-rich vegetables and low-sugar berries; and (5) chicken, turkey, and eggs.

Thyroid awareness, thorough thyroid testing, and diet modi- fication are critical first steps to reversing hypothyroidism. Watch for Part 2 of this article, which will address the dietary supplements and other lifestyle choices that can set you on the path to true, long-term thyroid wellness.

The statements in this article have not been evaluated by the Food and Drug Administration and are not intended to take the place of a physician’s advice.

Submitted by J. Erika Dworkin, Certified Lifestyle Educator and Nu- trition Consultant and co-owner of the Manchester Parkade Health Shoppe (860.646.8178, 378 Middle Turnpike West, Manchester, CT,, trusted since 1956. Erika is available to speak to groups. All statements in this article are research-based and references are available upon request. See ad on page 5.

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