28: What You Must Know About Hashimoto’s Disease with Dr. Brittany Henderson

Brittany Henderson, MD, ECNU is board-certified in internal medicine and endocrinology, with advanced training in thyroid disorders, including Hashimoto’s thyroiditis, Graves Disease, thyroid nodules, and thyroid cancer. Originally from Cleveland, Ohio, she graduated in the top 10% of at her class at Northeastern Ohio Medical University, where she received the honor of Alpha Omega Alpha (AOA). She completed her endocrinology fellowship training under a National Institutes of Health (NIH) research-training grant at Duke University Medical Center. She then served as Medical Director for the Thyroid and Endocrine Tumor Board at Duke University Medical Center and as Clinical Director for the Thyroid and Endocrine Neoplasia Clinic at Wake Forest University Baptist Medical Center. Topics discussed in this episode include:
  • How to interpret my thyroid results?
  • Why did I get this? Is it something I did?
  • Thyroid controls nearly all body systems: heart, weight, brain, bowel.
  • Testing and diagnosis: beyond blood-work
  • TSH is the most common check
  • TSH is like the reading of your electric meter: it tells you big picture for a month, not daily — it is not a fluid system, it changes by the hour
  • TSH is not the cure all for reading thyroid health
  • Full thyroid panel: Free T4 and Free T3 is important — highest in morning, lowest around 2p or 3p in the afternoon
  • There is no one size fits all to Hashimoto’s — there are different types
  • Blood tests: preparing for lab tests
  • ‘Normal’ TSH but a patient does not feel normal
  • Normal TSH range is controversial — .5 to 3 TSH is normal — if on thyroid replacement target 1.5
  • Suppressed TSH
  • Dangers of suppressed TSH for thyroid cancer replacement or those on too much on thyroid replacement — heart failure, osteoporosis
  • T3 symptoms of TSH is kept too low for too long
  • The T4 — T3 relationship
  • T4 is money in savings account — but you cant use it now — T3 is money in your pocket and available now
  • Preferred thyroid replacement — but, issues with synthetic and desiccated
  • The goal — T4 and T3 as stable as possible throughout the day — in light of absorption and interfering food
  • Compounded medications
  • A doctor must listen to the patient
  • Generic levothyroxine and fillers — who is the manufacturer
  • What is better, Nature or Armour?
  • Why do some people do better on various thyroid replacement formulations?
  • Gut biome
  • The environment and thyroid disease
  • Defining leaky gut
  • Avoid foods that gut inflammation thereby worsening auto-immune disease
  • Three food foes: processed foods, sugar, and iodine disruptors
  • Is adrenal fatigue real?
  • Supplements: vitamins and Hashimoto’s
  • Nutrients needed to produce thyroid hormone, such as optimizing iron and selenium
  • Anti-inflammatory vitamins and Vitamin A and Vitamin D
  • Anti-oxidant vitamins — Vitamin B1, Vitamin C, and Glutathione
  • What time of day to take to thyroid replacement medication
  • What happens if you miss a day of thyroid replacement hormone?
  • What does an endocrinologist feel about a patient seeing a Naturopath or an integrative medicine specialist?

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This Post Has 6 Comments

  1. Jim bohinc

    A true leader in the field of Thyroid disease.
    Extreme knowledge base.
    Considered top Endo in multi state area.
    Simply the best

  2. Helga

    Any recommendations for a doctor prescrbing. NDT
    in the Lancaster Pennsylvania area? Thanks

  3. Mary Beth

    Looking for a good thyroid Doctor in the Kalamazoo area.

  4. sandra bowersox

    is there any way at all that i can get in to see you before my january reservation. i am a 72 y.o. female with many years with a dx of thyroid conditions, fibromyalgia, and and i had a level 4 surgery to my neck and back surgery for scoliosis. i am currently in PT. we are working on abdominal/core strength.i have a diastasis. i really need to lose weight. i have lost 12 lbs so far. but it seems like it will come back with a vengence if i dont monitor every bite that i take. anyway, i am so looking forward to our visit. ive got a lot of GI probs as well. i asked dr mills to refer me to an endocrinologist, and he sent me to a dr.jamin patel. i have no idea why he chose dr. patel over you. it took me a long time to get an appt with. so it seems as though im gonna repeat this whole thing?

  5. Jane Murray

    I need to find a good endocrinologist in the Bowie/Annapolis area of Maryland.
    I had a thyroidectomy/and 3 parathyroids removed over 6 years ago. I need a good endocrinologist
    as my doctor retired I don’t care for the doctor who replaced her.
    I never feel good..

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