DrRic Saguil's short presentation on Thyroid Disorder with yoga as a controlling measure while waiting for medical intervention to work.

1. The Thyroid

2. Facts
• Ancestral origin developed as animals left sea
• Active starting from fetal age “week 4”
• Secreting at fetal age “week 18”
• Responsible for packaging iodide and
transporting it into the cell
• Also houses parafollicular cells (calcitonin)
• Shields the parathyroid gland (parathormone)

3. Post thyroidectomy testing:

4. Salmon Calcitonin

5. pathology
• Hypothyroidism –underactive
• Hyperthyroidism-overactive
• Subclinical Hypothyroidism-underactive

6. Hypo
• Age
• Infections (viral)
• Surgical
• Auto “digestion” (auto immunity s/e)
• Radiation (2011 Tohuko Earthquake/Tsunami)
• Cancer
• Drugs (lithium)

7. Hypo symptoms
• Fatigue/weakness
• Weight gain
• Depression
• Low voice
• Constipation
• Poor memory
• Intolerance to cold
• Brittle nails, dry skin, coarse/thin hair
• Irregular mense (>5-7 d)

8. Long term Hypo
• Intellectual disability/social out casting
• Psychological labeling
• Myxedema coma
• Heart failure +/-

9. hyper
• Autoimmune (early phase)
• Pregnancy
• Foods
• Infection/inflammation
• Iatrogenic

10. Hyper symptoms
• Nervousness/anxiety
• Weight loss
• Insomnia
• Irregular heart beat
• Diarrhea
• Hyperhydrosis, rash, thin falling hair

11. Long term Hyper
• Heart enlargement
• Myxedema (thick skin shins/feet)
• Graves ophthalmopathy
• Psychological labeling

12. “Subclinical” Hypo
• “Wastebasket Dx”
• Blood tests normal
• All the symptoms of Hypo
• Some studies show females > 60 = 20%

13. Long term Subclinical Hypo
• Social withdrawal
• Psychological labeling
• Withdrawal from western medicine (+)
• Small % go onto Hypo

14. Imbalances in a nutshell
• T4 (thyroxine)
• T3 (triiodothyronin)
• TSH (thyroid stimulating hormone)

15. T4
• The cool molecule created by land animals to
carry iodide throughout the blood and deliver
to the cell-most attached to TBG
• Most thyroxine is bound (but free is included
in the total)
• Free is “active” can be calculated
(FreeThyroxineIndex)
• Free T4 (0.9-1.8ng/dL)

16. T3
• Less in amount but also attached to TBG
• Seems to have greater effect on the way the
body utilizes energy
• Better to get free T3 (240-450pg/dL)

17. Exogenous hormone
• Levothyroxine sodium (levothyroid, levoxyl, synthroid)
• Dessicated thyroid (armour/nature thyroid)
• Armour=corn fed/Nature=grass fed)
• Compounded Armour
• Liothyroinine sodium (cytomel)
• Liotrix (thyrolar)
• Compounded Liotrix
• The New England Journal of Medicine 1999;340:424-429, 469-470

18. TSH
• Hormone secreted by the pituitary gland
• Increase means brain thinks thyroid slow
• Decrease means brain thinks thyroid fast
• Supersensitive TSH (1-1.5mIU/L)
• THR (thyroid releasing hormone for pituitary
loop function)

19. Thyroid antibodies
• Thyroid peroxidase antibody
• Antithyroglobulin antibodies
• Problem: what is causing the antibodies to
attack?
• Further investigation (Naturopathy)

20. Goitrogens
• Cabbage
• Brussel sprouts
• Broccholi
• Califlower
• kale

21. Iodine
• Supplanted by the government in salt, and in
some countries flour and cooking oil
• Potassium iodide created after dash diet
• Lack of can cause goiter or low production
thyroid
• Poor nutrition bringing back low iodine
• Chlorine, florine, bromine compete