ATLCX (Episode 39): Dr. Michael Ruscio | All Things Thyroid (Thyroid 201)
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In Episode 39 of “Jimmy Moore Presents: Ask The Low-Carb Experts,” we’ve got a Walnut Creek, CA-based functional medicine physician named Dr. Michael Ruscio taking on the topic “All Things Thyroid (Thyroid 201).” The thyroid gland serves one of the most under-appreciated and yet totally misunderstood functions within the human body. If someone is dealing with excessive weight on their body, you might hear them say something along the lines of it being due to having a bad thyroid. But there’s got to be more to it than that, right? What is at the root cause of why your thyroid might not be functioning at optimal levels? And what steps can be taken to fix these thyroid issues without resorting to taking potentially harmful prescription medications?
That’s what we explored with Dr. Ruscio (listen to my interview with him in Episode 407 of “The Livin’ La Vida Low-Carb Show”) in this episode. He specializes in the subject of thyroid health which is why he joined us to talk about “All Things Thyroid (Thyroid 201).” You might recall we had the great Chris Kresser on to talk about this subject back in Episode 10 to give a Thyroid 101 introduction to the topic. But Dr. Ruscio helped us dig even deeper into answering YOUR most pressing questions about thyroid health and how it relates to your healthy low-carb, Paleo lifestyle. If you want to get a taste for what his teaching style is like, then be sure to check out his YouTube channel for lots of informative videos on this subject and more. Dr. Ruscio joined us in in EPISODE 39 to discuss the topic “All Things Thyroid (Thyroid 201)” that aired LIVE on June 13, 2013.
Listen to Dr. Michael Ruscio share about thyroid health: There are a myriad of symptoms related to hypothyroidism The thyroid impacts the metabolic function in every cell Fatigue, weight gain and feeling cold are typical symptoms Your cells take in calories and burn them as fuel to energize you The byproduct of this process is the production of heat If you are cold, tired and overweight indicates thyroid issues When your stomach cells don’t have enough energy, gut issues happen A functional medicine doctor simply can order functional tests But the testing companies have gained too much of a stronghold People are diagnosed with adrenal fatigue, but not getting it addressed Thyroid is a secondary symptom to something else going on Sometimes people push the envelope so far with worrying over thyroid Most of the patients he sees aren’t doing very well in their health Many people who have thyroid issues have Hashimoto’s You have to have your antibodies tested to know for sure Antibodies will rise many years before there are actual symptoms Look at TPO and thyroglobulin to rule out autoimmunity What Hashimoto’s is and how it develops In iodine suffient areas, the common thyroid issue is Hashimoto’s Autoimmune issues are really on the rise in industrialized countries Your immune system starts to attack your thyroid tissue 20-25% with Hashimoto’s also has pernicious anemia Vitamin B12 deficiency is a leading cause of fatigue Maybe increase your carbohydrates in 25g increments (self-experiment) See where you feel the best and stick to that Stick with non-grains as much as possible for carbohydrate foods What the purpose of adding back in carbohydrates to diet again Some studies have shown going too low in carbs suppresses thyroid Go to PubMed and enter the PMID number of the study: 7064875 The weight between the groups didn’t change much despite diet changes The low-carb group in these studies tend to be low-calorie, too Perhaps the thyroid issues more about calorie-restriction When calories are the same, low-carb tends to lower thyroid function At the end of the day, does it make a difference if you feel good? You’re not going to irreparable thyroid damage by eating low-carb Hashimoto’s is the biggest threat to your thyroid gland There’s a metabolic adaptation with low-carb nutrition Obese and normal weight people tend to have similar thyroid function Overweight people can lose weight even when thyroid numbers worsen Find what works for you and then do that to be healthy Go to PubMed and enter the PMID number of the study: 15870128 You may not see a big weight loss by fixing thyroid function It’s sad low-carb is too quickly dismissed over thyroid concerns Go to PubMed and enter the PMID number of the study: 20534769 High-carb diets raise leptin levels which leads to thyroid damage Perhaps eating an adequate calories with low-carb will fix issues Whether thyroid dysfunction can impact your LDL particle levels LDL particles can increase, but all other risk markers improve Dr. Christopher Gardner did a great job showing this in his study If thyroid function is impaired, it can drive up LDL production They used to check for thyroid when a patient had high cholesterol Whether Armour or Nature thyroid is better to take It can become a moot point when you determine what’s causing issues Throwing hormones at an inflamed body doesn’t really fix anything How normal thyroid function is supposed to operate Inflammation in the body will steer T3 to Reverse T3 (inactive form) Why people have thyroid numbers that look good, but have symptoms Thyroid is either a function problem or an autoimmune issue Function is a problem of conversion from T4 to T3 The most common is autoimmune where there is damage to thyroid There’s a lot of overlap in symptoms which makes this difficult The biggest culprits involved in developing thyroid issues He doesn’t personally use much Armour in his practice Janie Bowthorpe was mad when they changed the Armour formula He’s like the “Dr. House” helping difficult thyroid cases Poor gut health will make you much more susceptible to problems Methylenetetrahydrofolate reductase (MTHFR) can make you hypersensitive We’ve added folate to processed foods because natural form destroyed Supplementing a methylated form of folate to make less reactive Sensitive to perfumes or foods can be an indication of MTHFR issues The body will absorb and use what it needs of iodine supplementation There are people at risk from taking high doses of Fix your sodium iodine symporter system If you have autoimmunity, DO NOT TAKE HIGH DOSES OF IODINE! This will cause true damage to your thyroid that is significant If you don’t have Hashimoto’s or Graves, then maybe it’s okay Warnings over bromide is not as critical with real food diet Just don’t go over your RDA of iodine and you should be fine Whether it is possible to come off of all thyroid medications If you’ve had Hashimoto’s for a long time, meds necessary for life However, if the thyroid issues are minor, perhaps you don’t need it A personal decision to determine if it makes you optimally healthy It’s not as damaging as taking a statin long-term for cholesterol Studies using thyroid hormone for weight loss have been dismal Physical health signs to look for in finely tuning thyroid hormone Look at the thyroid hormone panel to the optimal end of the range You need to be in the middle, 50% of the reference range TSH: 1.5-3.0, T4: 6-12, Free T4: .8-1.8, T3: 3.0-4.5 or 300-450, Free T3: 3.3-4.2, Reverse T3: 9-35, T3/Reverse T3 Ratio: 10-14 Medication can help get you into these reference ranges Looking at the inflammation, infection that might be underlying What impact the HCG diet can have on your thyroid function HCG can work very well for people, but do everything else before this Get yourself as healthy as you can using natural, real food strategies She may need to bump up her calories after 500-calorie HCG regimen Doing low-calorie long-term can screw up your set points His sister who did HCG and had a gut infection that impeded her He doesn’t always follow the conventional guidelines put out there With pregnancy, there is a post-pardum, pregnancy-induced autoimmunity As the immune system shifts around, the mother develops Hashimoto’s This is the main issue with pregnancy and hypothyroidism Selenium has been shown to lower the issues related with Hashimoto’s There are potential benefits to the fetus adding in selenium Selenium therapy lowers antibodies and improves post-pregnancy issues Whether one Brazil nut daily will improve thyroid levels to normal Brazil nuts are the best source of getting selenium in your diet He’d rather use a low-dose antioxidant with patients to put fire out Selenium doesn’t necessarily work well for everyone If you have an infection, selenium can be less beneficial You need to have a consistent 200 mcg to get the benefits you need The Brazil nut is the best-tasting vitamin in my supplements It’s a good idea to filter your water to keep the fluoride out You want to avoid the halogens that compete with iodine binding sites When thyroid isn’t optimum, you can fall apart with your health This is either an infection or an MTHFR polymorphism Get a stool profile through Metametrix to test for gut infections Also get a blood-borne infections test to look for viruses These can provoke autoimmunity responses that leads to hypothyroid He’ll be looking into Australian infectious labs You can e-mail him at Office@DrRuscio.com What his position is on taking glandular extracts to support thyroid There’s not a lot of published science on this yet It’s plausible it could make sense, but it probably won’t fix the issue You’ve got to address what is driving the autoimmunity Keep digging deeper to see what is causing the issues to begin with Pregnenolone is the “mother hormone” to create other hormones It does not have a direct effect on your thyroid hormone, though In a roundabout way, it may help by balancing out cortisol levels Whether taking thyroid medications can cause acne issues LabCorp and Quest do the MTHFR test, but doctors may not know about it Grave’s have such a limited time window to intervene to fix it He had 5 Grave’s patients over a two-week period You have to suppress the hypothyroidism to prevent damage Using high doses of L-Carnitine can help buy you some time It’s his mission to help save people to not destroy their thyroid The bio-identical hormone therapy doctors push hormones quickly When you give hormones, it inhibits the natural production of it Always try to optimize your own natural production first Once you dial in diet, exercise and lifestyle, consider hormones then You probably won’t need much of a dose if you fix everything first Things may not come back completely if you stay on long-term Check out Dr. Michael Ruscio’s amazing educational YouTube videos The hypothyroidism book he is writing that will release in 2014 The seminars he’s doing for fellow functional medicine professionalsSUGAR-FREE, LOW-CARB PEANUT BUTTER CUPS
NOTICE OF DISCLOSURE: http://cmp.ly/3
There are five ways you can listen to Episode 39:
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Did Dr. Michael Ruscio answer all of your most pressing questions about thyroid health? Give us your impression about what you heard in the show notes section of Episode 39. Next week’s show features a Paleo/low-carb friendly family medicine physician named Dr. William Graham taking on an interesting topic: What Are “Normal” Lab Values? This is such a confusing subject for so many people and I can’t wait to hear what Dr. Graham has to share about what we SHOULD be looking for in our lab values as opposed to the average of all the sick people who go see their doctor. You WON’T want to miss this one, so start getting me your questions for him by writing to AskTheLowCarbExperts@gmail.com. And be sure to LISTEN LIVE to EPISODE 40 on Thursday, June 20, 2013 at 7PM ET by calling 712-432-0900 and use the access code 848908!
Here’s the upcoming guest expert schedule I have lined up:
June 27, 2013: Dr. Bill Wilson – Anxiety, Bipolar & The CARB Syndrome
NO PODCAST ON JULY 4, 2013–Independence Day
July 11, 2013: Dr. Nannette Yount – Ketones & Brain Health
NO PODCASTS July 12-August 7, 2013–Jimmy on vacation
August 8, 2013: Kris Gunnars – Food Addiction 101
NO PODCAST August 15, 2013–Jimmy attending AHS13 in Atlanta
August 22, 2013: Dave Asprey – TBA
August 29, 2013: John Kiefer/Dr. Rocky Patel – TBA
Spread the word about this podcast: PLEASE REVIEW THE SHOW ON ITUNES!