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Arizona Thyroid Institute | Dr. Chris Heimlich DC, DACNB | Scottsale, AZ

Patient-Centered, Whole-Person, Functional Metabolic Care For Hashimoto's and Low Thyroid

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  • About Us
    • New Patient Info
      • New Patient Forms
    • Dr. Heimlich
    • Why Do I Still Have Thyroid Symptoms?
  • Contact Us
  • Patient Reviews
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    • Schedule A Full Evaluation
    • Schedule A Free Phone Consultation
  • Blog

[Did Your Doctor Consider This?] Part 2: High TSH With Normal T4 and T3

A research study published in December 2012 sheds some light on a phenomenon we see often …

A patient has elevated TSH but normal T4 and T3.

If that person also has symptoms of fatigue do they have hypothyroidism?

By standard definition any elevation of TSH indicates hypothyroidism. Usually this elevated level of TSH corresponds with a decrease in T4. That is the way it normally works in the body.

In this case it may not be a thyroid problem at all.

One of the things we look at in all our patients is dysglycemia (abnormal blood sugar).

Many thyroid patients have undiagnosed pre-diabetes and as this newly published article points out, pre-diabetes can lead to elevations in TSH.

And guess what?

Pre-diabetes causes many of the same symptoms as low thyroid.

So most patients that go to the doctor with fatigue and the doctor sees elevated TSH then they immediately get put on thyroid hormone.

The underlying blood sugar problem never gets fully investigated and the patient continues to suffer with symptoms because a lab marker was treated and not the patient.

That is why we take a whole person approach and make sure we understand the problems and mechanisms so we can help our patients feel and function well.

References:

Indian J Endocrinol Metab. 2012 Nov-Dec; 16(6): 958–961. doi: 10.4103/2230-8210.102999

Previous Post: « Years of Suffering with Graves’ Disease, Hypothyroid, Hashimotos Natural Relief
Next Post: #1 Reason to Still Have Symptoms While Being Treated for Low Thyroid with Medication »

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"I would recommend this to anyone that is having thyroid issues"

My name is Margie and I have been coming to Dr. Heimlich’s office for about two months now. And I have to say that I am seeing some significant results. I came here with feeling tired, sluggish; brain fog, light-headedness, dizziness, overweight, and I’ve seen results in all of those areas.

I am able to think clearer, I am able to get up from desk and not have any light headedness, have more energy and I can keep up with my children, which is huge for me, and get through my day and not feel so tired.

I was gone for five days, on vacation, and I was able to do the things that you recommended, even on vacation, and keep up with my children, which was at amusement parks, beach, all that kind of stuff. In the past I would have been very tired and needed caffeine to get through it and not anymore.

My coworkers are noticing more color, more vibrancy, and I look less sluggish to them as well. Yes, the mental fog, the unclear thinking, just always needed caffeine to get rid of that and not anymore, it’s gone. Which is wonderful.

I would recommend it to anyone that is having those same issues. Sometimes had spots or blurry vision, but that has stopped now as well.

- Margie
Scottsdale, AZ

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