TELEMEDICINE Thyroid Health Practice with a Functional Medicine Approach
Opening Hours : Monday to Thursday: 9:00-12:00 & 13:00-16:00 Friday: 9:00-12:00
Contact : Tel: 01449 833833 or 07771 448559 - email: firstname.lastname@example.org
Thyroid dysfunction is frequently associated with functional disturbances of the brain such as cognitive impairment1, neurodegenerative disorders2, dementia3, depression, and anxiety4. Transient thyroid dysfunction may also induce neuropsychiatric changes5.
Functional neuroimaging studies suggest a direct association between thyroid and brain activity, therefore, these can provide some clues of underlying mechanisms of thyroid hormones on psychological and physiological effects on the brain.
Specific thyroid hormone enzymes, transporters and receptors are believed to maintain thyroid hormone homeostasis in the brain21–23. Therefore, current laboratory tests for thyroid dysfunction may not accurately measure thyroid hormone status in the brain8,21–23.
Scientists from Korea used functional neuroimaging techniques of positron emission tomography (PET) and single-photon emission computed tomography (SPECT) to study the underlying mechanisms of action of thyroid hormones, the use of sugar and blood flow in the brain. 8
In hypothyroidism, significant decreases in blood sugar metabolism in the brain were identified in 3 parts of the brain [the blue dots]. In hyperthyroidism, a significant decrease was identified in 1 cluster [the red dot]:
They also found a reduced blood flow in one area in hypothyroidism.
Metabolic and perfusion deficits in these area can affect working memory and attention, written word recognition, transient memory retrieval, awareness and imagery of visuospatial input, and priming processes, often compromised in patients with hypothyroidism28.
In a small study thyroid hormone replacement therapy caused a reduction in the somatic complaints and depressive symptoms associated with a restoration of metabolic activity in the brain18.
Another study demonstrated that the blood flow in affected brain areas can be normalised after treating hypothyroidism26.
In patients with hyperthyroidism treatment increased regional activity in these regions and these changes significantly correlated with the anxiety and depressive symptoms13.
These results suggest that thyroid hormones regulate the use of glucose and blood circulation in certain areas of the brain. These findings also demonstrate that the mechanism of neuropsychiatric disturbances in patients with hypothyroidism differs from those with hyperthyroidism.
Pak K, Kim M, Kim K, Kim BH, Kim SJ, Kim IJ. Cerebral glucose metabolism and Cerebral blood flow in thyroid dysfunction: An Activation Likelihood Estimation Meta-analysis. Sci Rep. 2020;10(1):1335. Published 2020 Jan 28. doi:10.1038/s41598-020-58255-5
Thyroid Awareness Week is held to raise awareness of thyroid disease.
Thyroid disorders are relatively rare in infants and children. Nevertheless, being aware of their symptoms is vital to allow early diagnosis and treatment.
We found this very engaging child-friendly video from Thyroid Aware to look into thyroid problems in children:
It is also available as a little e-book: Storybook for Children
For the first time everything required for a unique and bespoke residential program for clients with thyroid health problems will be available under one roof. Ours.
The thyroid system plays a critical role in your metabolism. Along with insulin and cortisol, your thyroid hormone is one of the big three hormones that control your metabolism and weight.
We have been running a successful Thyroid Clinic and learned that accurate testing, supplements and medication is often not enough.
Lifestyle changes are paramount to improve chronic health conditions and cannot be taught in a report or a short consultation.
This is why we created the Thyroid Retreat Days. We want to give our clients all the tools they need to make them feel better, after already implementing medication and supplements.
Our motto is: learning with fun
From healthy breakfasts to dinner party food – you will learn how to make delicious and thyroid friendly food – quickly.
Learn in several very interactive workshops what makes you tired, the links between adrenal fatigue, thyroid health, Hashimotos’ and how to drum up your metabolism.
Have a cosy night in a sumptuous room and wake up refreshed, ready for the next day.
From Mindfulness to Reflexology – a healthy mind makes a healthy body.
Murder Mystery, Bingo and Rat Race are only a few events to keep you entertained.
Download our brochure and call Dena on 01473 218 373 or 01449 833 833 NOW to book your slot.
Finally a study explained why it is very difficult for obese patients to lose weight; as calories are decreased, thyroid utilisation is reduced and metabolism drops. Additionally, there are increased levels of free fatty acids in the serum with chronic dieting, which further suppresses T4 uptake into the cells and further cellular hypothyroidism (8-12).
In a study published in the American Journal of Physiology-Endocrinology and Metabolism, Van der Heyden et al studied the effect of calorie restriction (dieting) on the transport of T4 and T3 into the cell (13). It was found that dieting obese individuals had a 50% reduction of T4 into the cell and a 25% reduction of T3 into the cell due to the reduced cellular energy stores, demonstrating that in such patients standard thyroid blood tests are not accurate indicators of intracellular thyroid levels.
Many overweight individuals fail to lose weight with dieting. While it is always assumed they are doing a poor job of dieting, it has been shown, however, that chronic dieting in overweight individuals results in increased levels of NEFA, which suppresses T4 uptake into the cells (14). This suppressed T4 uptake results in reduced intracellular T4 levels and subsequent T4 to T3 conversion and a reduced metabolism (14-18).
Standard TSH, T4 and T3 testing will not detect this problem. Instead, a free T3/reverse T3 blood test can aid in the diagnosis of reduced uptake of thyroid hormones and intracellular hypothyroidism. It is proving to be the best physiologic marker of intracellular thyroid levels and supplementation with T3 should be considered.