Podcasts about TSH

For most people, donor eggs is at the bottom of the list. It is not where you wanted to land. And if your clinic is recommending it, something in you is saying there has to be more to look at first. Here is what we see every week. The donor egg recommendation rarely arrives after a complete workup. It arrives after looking at the AMH, the FSH, the follicle count, maybe a basic semen analysis, and maybe being told your TSH is normal. Those numbers are real. The diagnosis is real. What gets called complete is the question. This episode is the 11 specific things we most often find skipped before the recommendation gets made. Pull it up. Take notes. Bring it to your next appointment. The 11 patterns: 1. Thyroid, the full panel, not just TSH 2. The gut, including H. pylori 3. Hidden food sensitivities 4. Medications you are already on that affect fertility 5. The vaginal microbiome 6. The seminal microbiome 7. The male partner's full bloodwork 8. Sperm DNA fragmentation 9. Vaginal and seminal cross-contamination between partners 10. The nervous system and HPA axis 11. Liver function and hormone clearance These are the tests that sit outside the standard fertility workup. A 2024 study in Archives of Gynecology and Obstetrics found that ovarian reserve markers like AMH do not significantly predict natural conception in women with regular cycles. The donor egg recommendation comes from one snapshot, not the full investigation. If this is the first episode you have landed on in this series, go back and listen to "Told Donor Eggs Are Your Only Option? Ask This First," then "How Long Should I Try With My Own Eggs Before Donor Eggs?" then "The Gut Findings Your Clinic Did Not Look For," and "Multiple Failed IVF And Told Donor Eggs?" This episode brings all of it together. WHAT YOUR CLINIC MISSED The companion guide walks through all 11 of these patterns in more detail, so you can take it to your next appointment and ask the questions. Email hello@fabfertile.ca, subject line MISSED, and we will send you the guide. FUNCTIONAL FERTILITY SECOND OPINION A free 45-minute call where I review your labs, your history, and your partner's results with you. You leave knowing what your biology has been telling you and what your next decision could be. Email hello@fabfertile.ca, subject line FERTILE, or book here. ABOUT THE HOST I'm Sarah Clark, founder of Fab Fertile and host of Get Pregnant Naturally, a podcast with over one million downloads. My functional fertility team works with couples navigating low AMH and failed IVF, reviewing functional lab results, gut microbiome, food sensitivity, vaginal microbiome, nutrigenomics, HTMA, DUTCH, toxin testing, and bloodwork alongside nervous system work, to help identify patterns that may not have been considered. We work alongside your medical team, not instead of them. Sarah Clark, founder of Fab Fertile, host of Get Pregnant Naturally (1M+ downloads), and author of Fabulously Fertile. If this episode helped, leave a review on Apple Podcasts. It is how other women find this work. TIMESTAMPS 00:00 The Donor Egg Recommendation and What Gets Called Complete 01:00 Who's Reviewing Your Case at Fab Fertile 02:00 Thyroid: The Full Panel, Not Just TSH 03:00 The Gut and H. pylori 04:00 Hidden Food Sensitivities 05:00 Medications That Affect Fertility 06:30 The Vaginal Microbiome 08:00 The Seminal Microbiome 08:30 The Male Partner's Full Bloodwork 09:00 Sperm DNA Fragmentation 09:30 Cross-Contamination Between Partners 11:00 The Nervous System and HPA Axis 11:30 Liver Function and Hormone Clearance 13:00 The Functional Fertility Second Opinion

Your body after a baby was never a calorie problem. It is a metabolic one. In this Her Stack episode I am walking you through exactly how to restore your metabolism so body composition follows. The goal is not weight loss. The goal is metabolic restoration. Body comp is downstream. I am breaking down the four drivers that actually run body composition (insulin, thyroid, sleep, growth hormone), the four pillars to address them (nutrition, lifestyle, supplements, peptides), and the exact peptide sequencing for women. Plus my honest take on GLP-1s including semaglutide, tirzepatide, and retatrutide, where they actually fit, and why microdosing makes more sense than chasing the scale. I also share what nobody talks about. Eating less postpartum often makes body composition worse. Breastfeeding is sequencing, not failure. Growth hormone is the layer women never hear about, so they plateau and blame their age when it was a fixable signal the whole time. Join The LongHer Life for women-specific guidance on peptides, hormones, and longevity.   I TALK ABOUT: 00:00 Welcome back to the Her Stack series 00:53 Updates: working with me one-on-one and my new peptide planner 06:15 Why body composition not weight, and why metabolism not calories 07:01 The four drivers and four pillars framework 09:00 Driver 1: Insulin resistance and why stubborn middle fat is an insulin problem, not a calorie problem 11:30 Driver 2: Thyroid, and why TSH alone misses Free T3 (the worker hormone) 14:50 Driver 3: Sleep, cortisol, and the loop back to insulin resistance 19:32 Driver 4: Growth hormone, the layer nobody talks about that's blunted postpartum and through aging 22:19 The labs to actually ask for: fasting insulin, Free T3, IGF-1, DHEA-S, plus a 2-week CGM 24:30 Pillar 1: Nutrition (protein floor of 120g, leucine at every meal, food order, fiber, and why you should NOT under-eat) 28:06 Why leucine flips the muscle-building switch 35:00 Pillar 2: Lifestyle and biohacking (lift 3x a week, walk 7-10k steps, zone 2, cold and heat, red light, and the fringe tier honestly) 45:30 Pillar 3: Supplements (creatine, magnesium glycinate, myo-inositol, omega-3, berberine, and breastfeeding sequencing) 51:01 Berberine, AMPK, and "nature's metformin" 55:30 Pillar 4: The peptide stack starts here with AOD-9604 56:00 AOD-9604, the growth hormone fragment, why I am personally taking it right now 01:02:00 MOTS-c, the "exercise in a molecule" mitochondrial peptide 01:05:00 5-Amino-1MQ and releasing the brake on fat cells 01:07:00 Sermorelin, the gentle GH entry (what a secretagogue actually is) 01:10:00 CJC-1295, Ipamorelin, and Tesamorelin for post-weaning GH restoration 01:13:00 The GLP-1 honest take: semaglutide, tirzepatide, and the retatrutide question 01:14:00 Why retatrutide is called the triple agonist and where it fits (and where it doesn't) 01:19:27 Recap and wrap-up   RESOURCES: Work with me one-on-one on your peptide stack and protocol. The Her Stack Planner, the first peptide tracking journal built around female biology. Free Peptide Masterclass for Women. Join The LongHer Life for women-specific guidance on peptides, hormones, and longevity.   LET'S CONNECT: Instagram, TikTok, Facebook Shop my favorite health products Listen on Spotify, Apple Podcasts, YouTube Music

Deprescribing thyroid and other meds in older adultsCan I safely take serrapeptase for longer than four weeks?I want to take nattokinase but isn't there a 'clot dislodging' risk?Could you discuss C. difficile and how to treat it?

Most people with elevated thyroid antibodies are told, “Don't worry, your thyroid is fine.” But what does the research actually say?In this episode of Reversing Hashimoto's, Dr. Anshul Gupta explores the hidden impact of thyroid antibodies, including their connection to thyroid tissue destruction, infertility, miscarriage, hormonal imbalances, brain fog, autoimmune disease, and long-term health risks. Learn why normal TSH levels don't always mean optimal thyroid health, how thyroid antibodies affect the entire body, and what current research reveals about their significance.Dr. Gupta also shares practical strategies for lowering thyroid antibodies and a real patient success story that demonstrates what's possible when the root causes of autoimmune thyroid disease are addressed.If you've been told your antibodies don't matter, this episode may change the way you think about your thyroid health.

In today's LIVE-TALK podcast, we chat about our recently published series of books.  We highlight Dr. Blevins' prolific writing output in the PWN self-published book series, with five titles on pituitary adenomas, diabetes insipidus, Cushing's, hypopituitarism, and pituitary disorders; a TSH-producing tumor book (in editing); a prolactinoma volume heading to the publisher; and an acromegaly book planned.

For years, an indeterminate thyroid biopsy meant diagnostic surgery but molecular testing is now changing that reality entirely. On this episode of the BackTable ENT podcast, Dr. Ashley Agan interviews endocrinologist Dr. Erik Alexander about how molecular testing and a systematic, layered approach to thyroid nodule evaluation are reducing diagnostic surgeries and enabling more individualized patient care. --- Get the BackTable apphttps://www.backtable.com/app --- This podcast is supported by Veracytehttps://www.veracyte.com/ --- Timestamps 00:00 - Introduction02:48 - Incidence, Presentation, and Workup of Thyroid Nodules 06:26 - Hormonal Impact and Indications for FNA 10:49 - FNA workflow and Bethesda Categories 16:10 - Role of Molecular Testing for Indeterminate Nodules19:59 - Evolution of Molecular Testing and Afirma 23:51 - Basics of DNA based Testing and RNA based Testing 28:34 - Comparing DNA based and RNA Based Testing 32:10 - Utility of Molecular Testing and Sampling Techniques 35:55 - Cost Coverage and Practical Limits39:20 - Clinical Implications and Future Impact42:00 - Final Takeaways --- More about this episode Together they walk through the full evaluation pathway, including ultrasound risk stratification using the TI-RADS criteria, the role of TSH testing, and how FNA indications have shifted from biopsying every solid nodule to a more selective, risk-adapted approach. The discussion covers the Bethesda classification system and addresses why the one-third of patients landing in indeterminate categories (Bethesda III, IV, and V) have historically been the most challenging and most overtreated group. The conversation then explores molecular diagnostics as an additional layer of risk assessment, highlighting key differences between DNA-based mutation panels and RNA-based expression classifiers. Dr. Alexander also discusses practical considerations like insurance coverage, sampling technique, turnaround time, and the future potential of molecular testing to move beyond diagnosis toward individualized prognosis. --- Resources American College of Radiology: TI-Rads Guidelines https://edge.sitecorecloud.io/americancoldf5f-acrorgf92a-productioncb02-3650/media/ACR/Files/RADS/TI-RADS/TI-RADS-Assessment-Categories.pdf American Thyroid Association - Nodule Guidelineshttps://pmc.ncbi.nlm.nih.gov/articles/PMC4739132/ Bethesda System for Reporting Thyroid Ctyopathology https://www.ncbi.nlm.nih.gov/books/NBK278969/table/thyroid-nod-canc-eld.T.bethesda_system_f/ --- BackTable ENT & Allergy is the go-to podcast for otolaryngologists, allergists, and head and neck surgeons. Download the free BackTable app to get early access to new episodes, cases, and courses curated by physicians in your specialty. ► https://www.backtable.com/app

Scarica Gratis il Protocollo GeoPaleo Tiroide Sana  >>>⁠QUI⁠ Per anni ci hanno raccontato che il problema fosse semplicemente “la tiroide lenta”.TSH alto? Compressa a vita. Fine della discussione.Ma oggi sempre più studi parlano di: intestino, autoimmunità, glutine, infiammazione cronica, permeabilità intestinale, vitamina D, selenio, Paleo Diet e protocollo AIP.E allora la domanda diventa inevitabile: e se il problema NON fosse soltanto la tiroide?In questo video:Hashimoto e autoimmunitàintestino e permeabilità intestinaleglutine e latticiniPaleo Diet e AIPvitamina D, selenio e zincoinfiammazione cronicaperché molte persone continuano a stare male NONOSTANTE la terapia: 

You have done IVF more than once. Maybe twice. Maybe three times. Maybe more. Each cycle they tweaked the protocol. Higher dose. Lower dose. Different stimulation drug. Different trigger. Added growth hormone. Added DHEA. Mini IVF. Dual stim. Each cycle the protocol changed. And now they are telling you donor eggs. Here is the question this episode is about. They changed the protocol every time. Did anyone look at what was already in your body when each of those protocols arrived? That is what this episode is about. The layer underneath every protocol. In this episode: - Protocol vs system: what your clinic was trained to adjust, and what nobody adjusted across any of your cycles - Why the donor egg conversation arrives after the only variable your clinic was trained to address has been exhausted, not after a full review of your body - The thyroid, iron, B12, vitamin D, inflammation, gut, cortisol, mineral, vaginal microbiome, and blood sugar markers that did not change between cycle 1 and cycle 5 - Why we look at ferritin against 80 to 100 going into IVF, not the lab reference of 15 - What a 2024 study in Archives of Gynecology and Obstetrics found about ovarian reserve markers and natural conception — and why donor eggs gets recommended on markers the literature itself does not support If this is the first episode you have landed on in this series, go back and listen to "Told Donor Eggs Are Your Only Option? Ask This First," then "How Long Should I Try With My Own Eggs Before Donor Eggs?" and "The Gut Findings Your Clinic Did Not Look For." This episode builds on all three. ——— WHAT YOUR CLINIC MISSED The full thyroid panel, not just a TSH. The iron panel that flags ferritin against the fertility target. The gut microbiome testing your REI does not order. The inflammatory markers they tell you are normal. And the male side that almost nobody investigates. Email hello@fabfertile.ca, subject line MISSED, and we will send you the guide. ——— FUNCTIONAL FERTILITY SECOND OPINION A free 45-minute call where I review your labs, your history, and your partner's results with you. You leave knowing what your biology has been telling you and what your next decision could be. Email hello@fabfertile.ca, subject line FERTILE, or book here. ——— ABOUT THE HOST I'm Sarah Clark, founder of Fab Fertile and host of Get Pregnant Naturally, a podcast with over one million downloads. My functional fertility team works with couples navigating low AMH and failed IVF, reviewing functional lab results, gut microbiome, food sensitivity, vaginal microbiome, nutrigenomics, HTMA, DUTCH, toxin testing, and bloodwork alongside nervous system work, to help identify patterns that may not have been considered. We work alongside your medical team, not instead of them. Sarah Clark, founder of Fab Fertile, host of Get Pregnant Naturally (1M+ downloads), and author of Fabulously Fertile. ——— If this episode helped, leave a review on Apple Podcasts. It is how other women find this work. ——— TIMESTAMPS 00:00 The Protocol Changed Every Time. Did Anyone Change You? 01:00 Who's Reviewing Your Case at Fab Fertile 02:00 Protocol vs System: The Layer Underneath Every IVF 03:00 What Your Body Brought to Every Cycle 04:30 What the 2024 Research Says About AMH 06:00 The Markers That Did Not Change Between Cycles 07:30 Why Multiple Tests Are Not One Test 09:00 The Donor Egg Recommendation With Half the Data 10:30 The Functional Fertility Second Opinion

Welcome back to our weekend Cabral HouseCall shows!   This is where we answer our community's wellness, weight loss, and anti-aging questions to help people get back on track!   Check out today's questions:    Kay: Hi Dr. Cabral, Thanks for your very informative and interesting podcasts. How would you advise a post-menopausal 60 y.o family member if they tested low in ferritin (39.4 ng/mL)? I've read that this biomarker shows how much energy your body's cells have and low levels would result in symptoms like fatigue, low energy/easily tired and excessive hair shedding. This family member suffers from these symptoms. Other biomarkers revealed low AM cortisol and low LDL-C/ApoB ratio (1.1) and low basal metabolic rate of 1143 kcals/day. Although her TSH tested normal (1.3 uIU/mL), she's been on levothyroxine 75 mcg to manage hypothyroid. Her high-sensitivity CRP was not optimal at 1.49 mg/L and she has a family history of heart disease. What would you recommend for this family member? Thanks      Earl: I am currently on 20 mg of lisinopril daily. Also, my GFR is 62. Would either of these be a concern when considering creatine?       Alesi: Dr.Cabral, can you please explain Alpha-gal syndrom? Why does it happen, how to confirm it by testing and how would you approach it? Is it treatable? Thank you      Peter: Hello, Dr.Cabral. I am an integrative health practitioner and would like to thank you for helping me understand the underlying causes of human imbalances. There is one thing that makes no sense to me though…regarding IgG testing, why would you recommend to test every year? Why doesn't suffice to test once and simply stay away from intolerant food items? Why would these intolerances change? Also, in my country there are IgG4 vs IgG1-3 testing options, what are the differences? Thank you very much for your time and knowledge you share with us.       Dipali: Hi I want to start 7 days detox plan, I already did your minerals and heavy metal test, I got my results back. My question is I am taking berberine, oregano oil and magnesium citrate,( I am prediabetic my Hba1c is 6.2)do I need to stop before starting detox method. Thanks       Thank you for tuning into today's Cabral HouseCall and be sure to check back tomorrow where we answer more of our community's questions!      - - - Show Notes and Resources: StephenCabral.com/3774 - - - Get a FREE Copy of Dr. Cabral's Book: The Rain Barrel Effect - - - Join the Community & Get Your Questions Answered: CabralSupportGroup.com - - - Dr. Cabral's Most Popular At-Home Lab Tests: > Complete Minerals & Metals Test (Test for mineral imbalances & heavy metal toxicity) - - - > Complete Candida, Metabolic & Vitamins Test (Test for 75 biomarkers including yeast & bacterial gut overgrowth, as well as vitamin levels) - - - > Complete Stress, Mood & Metabolism Test (Discover your complete thyroid, adrenal, hormone, vitamin D & insulin levels) - - - > Complete Food Sensitivity Test (Find out your hidden food sensitivities) - - - > Complete Omega-3 & Inflammation Test (Discover your levels of inflammation related to your omega-6 to omega-3 levels) - - - Get Your Question Answered On An Upcoming HouseCall: StephenCabral.com/askcabral - - - Would You Take 30 Seconds To Rate & Review The Cabral Concept? The best way to help me spread our mission of true natural health is to pass on the good word, and I read and appreciate every review!  

Fontes do episódio aqui:⁠https://portal.afya.com.br/podcasts/afya-news/05-06-2026Nesta sexta-feira, analisamos atualizações em endocrinologia reprodutiva, uma revolução na terapia celular oncológica e o papel dos jogos sérios no julgamento clínico. Abordamos as diretrizes atualizadas da American Thyroid Association, que estabelecem valores de referência por trimestre para TSH e T4, priorizando o rastreamento direcionado. Detalhamos os dados promissores da nova terapia CAR-T in vivo da Legend Biotech para linfoma não-Hodgkin, que gera as células de defesa diretamente dentro do corpo do paciente. Por fim, discutimos no Radar um estudo do JAMA que comprova como o jogo eletrônico Night Shift reduziu erros médicos e a subestimativa de traumas em idosos na emergência. Afya News. Informação médica confiável e atualizada no seu tempo.

If you are focusing on improving your FatMax in 2026, you're likely wasting time and money. Not only is fat a more expensive substrate to burn than carbohydrate (you get less energy for the same amount of oxygen by oxidising fat), but the Fatmax number you see in your lab report is mostly noise and very little signal.  In today's episode of That Triathlon Show I'll explain exactly why that is, but I'll also give you a tool to evaluate any test or measure that you might (or might not) want to be tracking, from Time Trials to VO2max, HRV and various biomarkers like ferritin and testosterone.  HIGHLIGHTS AND KEY TOPICS:  What is Fatmax and Maximal Rate of Fat Oxidation?  How reliable is Fatmax testing?  How to measure the noise of a test using the Coefficient of Variation (CV) How to calculate the Smallest Detectable Change (SDC) of any test or measure Why the SDC of Fatmax is the equivalent of you having to go from 300 to 384W for your 20-minute power to be able to say that this was real improvement and not just noise (!!)  CVs and CV ranges for common tests and measures used in triathlon, Ironman and other endurance sports, including Time Trials, Time To Exhaustion, VO2max, lactate and ventilatory thresholds, economy and gross efficiency, lactate concentration, Critical Power and W', HRV, ferritin, testosterone, TSH and more Why carbohydrate is a 7% more efficient energy substrate than fat, and why you should be oxidising carbs in your next Ironman.  DETAILED EPISODE SHOWNOTES:  We have detailed shownotes for all of our episodes. The shownotes are basically the podcast episode in written form, that you can read in 5-10 minutes. They are not transcriptions, but they are also not just surface-level overviews. They provide detailed insights and timestamps for each episode, and are great especially for later review, after you've already listened to an episode.  The shownotes for today's episode can be found at https://scientifictriathlon.com/tts700/ LINKS AND RESOURCES:  Full bibliography in the shownotes: https://scientifictriathlon.com/tts700/ WHAT SHOULD I LISTEN TO NEXT? If you enjoyed this episode, I think you'll love the following episodes, related to sports science and (the third episode listed) fat adaptation and performance.  The replication crisis in sports science with Joe Warne, PhD | EP#468 The Skeptic's Guide To Sports Science with Nicholas Tiller, PhD | EP#239 High carbohydrate, low carbohydrate, or periodised carbohydrate intake with Louise Burke, PhD | EP#236 You can find our full episode archives here, where you can filter for categories such as Triathlon Training, Racing, Science & Physiology, Swimming, Cycling, Running etc. You can also find separate archives for specific series of episodes I've done, specifically Q&A episodes, TTS Thursday episodes, and Beginner Tips episodes.  LEARN MORE ABOUT SCIENTIFIC TRIATHLON:  The Scientific Triathlon website is the home of That Triathlon Show and everything else that we do Contact us through our contact form or email me directly (note - email/contact form messages get responded to much more quickly than Instagram DMs) Subscribe to our Newsletter Follow us on Instagram Learn more about our coaching, training plans, and training camps. We have something to offer for everybody from beginners to professionals.  HOW CAN I SUPPORT THAT TRIATHLON SHOW (FOR FREE)?  I really appreciate you reading this and considering helping the show! If you love the show and want to support it to help ensure it sticks around, there are a few very simple things you can do, at no cost other than a minute of your time.  Subscribe to the podcast in your podcast app to automatically get all new episodes as they are released. Tell your friends, internet and social media friends, acquaintances and triathlon frenemies about the podcast. Word of mouth is the best way to grow the podcast by far!  Rate and review the podcast (ideally five stars of course!) in your podcast app of choice (Spotify and Apple Podcasts are the biggest and most important ones). Share episodes online and on social media. Share your favourite episodes in your Instagram stories, start a discussion about interesting episodes on forums, reference them in your blog or Substack.  SPONSORS: Precision Fuel & Hydration produce our favourite gels, sports drinks, and electrolyte and carbohydrate products here at That Triathlon Show and Scientific Triathlon. Use the free Fuel & Hydration Planner to get a personalised plan for your carbohydrate, sodium and fluid intake in your next event, and get 15% off your first 2026 order by using the code TTS2026 at checkout. Rouvy is hands down the most complete indoor cycling platform for triathletes. Among their thousands of beautiful bike courses from all around the world, all filmed in stunning quality, they have over 75 IRONMAN and IRONMAN 70.3 race courses plus 20+ Challenge Family courses, so you can pre-ride your race from home. Real gradients, real visuals, and real feel! Head to rouvy.com and use the code TTS to get your first month free on top of a 7-day free trial. Effortless Swimming produce the best swim goggles for triathletes and open water swimmers. Their NanoClear anti-fog lenses give you clear, fog-free vision that lasts and doesn't wear off. Don't let foggy or leaky goggles ruin another swim. Go to shop.effortlessswimming.com and use the code TTS15 to get 15% off your goggles, and get a free two-month Effortless Swimming course membership.LEARN MORE ABOUT SCIENTIFIC TRIATHLON: The Scientific Triathlon website is the home of That Triathlon Show and everything else that we doContact us through our contact form or email me directly (note - email/contact form messages get responded to much more quickly than Instagram DMs)Subscribe to our NewsletterFollow us on InstagramLearn more about our coaching, training plans, and training camps. We have something to offer for everybody from beginners to professionals. HOW CAN I SUPPORT THAT TRIATHLON SHOW (FOR FREE)? I really appreciate you reading this and considering helping the show! If you love the show and want to support it to help ensure it sticks around, there are a few very simple things you can do, at no cost other than a minute of your time. Subscribe to the podcast in your podcast app to automatically get all new episodes as they are released.Tell your friends, internet and social media friends, acquaintances and triathlon frenemies about the podcast. Word of mouth is the best way to grow the podcast by far! Rate and review the podcast (ideally five stars of course!) in your podcast app of choice (Spotify and Apple Podcasts are the biggest and most important ones).Share episodes online and on social media. Share your favourite episodes in your Instagram stories, start a discussion about interesting episodes on forums, reference them in your blog or Substack. Hosted by Simplecast, an AdsWizz company. 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In today's podcast episode, I'm joined once again by thyroid expert and author Paul Robinson for a listener-led thyroid Q&A session. After our first thyroid conversation was so well received, I invited members from my Facebook community to submit their biggest thyroid-related questions, and we covered a wide range of topics surrounding hypothyroidism, Hashimoto's, T3 therapy, reverse T3, thyroid labs, symptoms, body temperature, hormone balance, and more. Some of the questions discussed in this episode include: • Is reverse T3 testing important? • How low is too low for TSH? • Why do some people with Hashimoto's struggle to convert T4 into T3? • What do high thyroglobulin and anti-thyroglobulin antibodies mean? • How can you support better T4 to T3 conversion? • Why do some people worsen on natural desiccated thyroid? • Can T3 dosing schedules change as healing occurs? • Can BHRT change thyroid medication needs? • Is there a connection between hypothyroidism, Hashimoto's, and migraines? • Can you still have hypothyroid symptoms with a “normal” body temperature? • What markers can help identify reverse T3 issues when testing is unavailable? • How can symptoms, pulse, blood pressure, and temperature help guide T3 dosing? This conversation is educational, nuanced, and filled with practical insights for those navigating thyroid symptoms and thyroid treatment. Paul Robinson is the author of: • The Thyroid Patient's Manual • Recovering with T3 • The CT3M Handbook Whether you are newly diagnosed, struggling despite “normal labs,” or wanting a deeper understanding of thyroid physiology and treatment approaches, I hope this conversation helps you feel more informed and empowered. Paul Robinson is a thyroid patient and thyroid patient advocate. Paul wrote 'The CT3M Handbook' as a companion book to 'Recovering with T3' to explain more about raising cortisol levels if needed. And Paul wrote his third book ‘The Thyroid Patient's Manual'. This book covers all types of thyroid medications (T4, T4/T3, NDT, and T3). His newest book "Articles on Hypothyroidism" combines the best of what Paul has discovered on his 35 year thyroid journey. Find out more about Paul here; https://paulrobinsonthyroid.com/ YouTube - @RecoveringwithT3 Instagram - / paulrobinsonthyroid Books; The Thyroid patients manual https://a.co/d/9VwgyLx The CT3M handbook https://a.co/d/iR5Zayv Recovering with T3 https://a.co/d/1035MD3

You've heard about hot flashes. Maybe you've even had them. But the hormone shift that's quietly dismantling your mood, your metabolism, your sleep, and your sense of self? That started years before menopause and most women have no idea. In this solo episode, Dr. Terri DeNeui maps the full three-decade hormone timeline every woman needs to understand: the testosterone loss that begins in your 30s (and its devastating, and overlooked connection to depression), the progesterone decline that hits like a wall in your 40s, and the estrogen fluctuation that makes the late 40s and early 50s the most miserable stretch for many women. She also makes the case for thyroid as the most underdiagnosed piece of the puzzle and explains why a normal TSH doesn't mean your thyroid is actually working. Along the way, she takes on the antidepressant default, sharing her own doctoral research showing that women who optimized their testosterone resolved their depression entirely and the birth control pill habit that well-meaning gynecologists are still prescribing after 40, despite a very real and elevated stroke risk. This episode is for women in their 30s, 40s, and 50s who've been told their labs are fine but know something is wrong and for anyone who wants to understand what's actually happening before settling for symptoms management. What you'll discover: Why testosterone, not estrogen is the first hormone women lose, and what that means for mood, focus, and body composition [04:50] The doctoral research that changed how Dr. Terri thinks about depression in women and antidepressants [05:17] Progesterone: the calming hormone that disappears in your 40s and why heavy, painful cycles are a deficiency not a life sentence [07:19] Why birth control pills after 40 carry serious stroke risk and what to use instead [08:50] The estrogen fluctuation that makes the late 40s and early 50s the hardest stretch for most women [09:43] Why "normal" lab ranges are based on a sick, unhealthy population and where you actually want your numbers [19:44] Thyroid: the most underdiagnosed condition in older women and why TSH alone doesn't tell the full story [16:33] T4 vs. T3 — and the key enzyme most women are quietly losing as they age [17:26] Why women need hormone optimization across the full lifespan not just to manage symptoms during the transition [14:04] The bottom line: your hormones don't just affect how you feel during menopause they shape every decade of your health. Finding a clinician who understands optimization, not just symptom management, changes everything. The Dr. Terri Show is presented by EVEXIAS Health Solutions. For more, visit: https://www.evexias.com Connect with Dr. Terri:

Your clinic told you donor eggs. You walked out wondering how much time you actually have left. Whether waiting six months means missing your window. Whether trying with your own eggs one more time is brave or stupid. The honest answer is longer than your clinic implied. And the window is not your AMH number. In this episode: - Why a 2024 study in Archives of Gynecology and Obstetrics found that ovarian reserve markers like AMH do not significantly predict natural conception in women with regular cycles - What the 90-day window before ovulation actually is, and why the eggs you work with six months from now are not the eggs you are working with today - The inputs your clinic's timeline assumed would not change: mitochondrial function, inflammation, iron, B12, zinc, vitamin D, cortisol patterns, toxic load - The clinical pattern we see over more than a decade of cases: month zero to six is where the picture comes into view, twelve to eighteen months is where it can start to move substantially - Why some pictures do not move, and why that is still a reason to look before you decide If this is the first episode you have landed on in this series, go back and listen to "Told Donor Eggs Are Your Only Option? Ask This First" and then "The Gut Findings Your Clinic Did Not Look For." This episode builds on both. ——— WHAT YOUR CLINIC MISSED The full thyroid panel, not just a TSH. The iron panel that flags ferritin. The gut microbiome testing that your REI does not order. The inflammatory markers no one notices. The male side that almost no one investigates. Email hello@fabfertile.ca, subject line MISSED, and we will send you the guide. ——— FUNCTIONAL FERTILITY SECOND OPINION A free 45-minute call where I review your labs, your history, and your partner's results with you. You leave knowing what your biology has been telling you and what your next decision could be. Email hello@fabfertile.ca, subject line FERTILE, or book here. ——— ABOUT THE HOST Now in its eighth year, Get Pregnant Naturally was one of the first podcasts dedicated to the functional fertility approach for low AMH and failed IVF. Hosted by Sarah Clark, founder of Fab Fertile, author of Fabulously Fertile, and host of a podcast with over one million downloads. Fab Fertile is a functional fertility team that works with couples to review the lab work most fertility clinics do not run: gut microbiome, food sensitivity, vaginal microbiome, nutrigenomics, HTMA, DUTCH, full thyroid panel, the iron panel, and inflammation markers, alongside nervous system work. Each week Sarah brings you what the team sees across more than a decade of cases. Sarah Clark, founder of Fab Fertile, host of Get Pregnant Naturally (1M+ downloads), and author of Fabulously Fertile. ——— If this episode helped, leave a review on Apple Podcasts. It is how other women find this work. ——— TIMESTAMPS 00:00 The Donor Egg Recommendation and the Real Question 01:00 Who's Reviewing Your Case at Fab Fertile 01:30 AMH Is Not the Countdown Clock 03:00 The 90-Day Window Before Ovulation 04:30 What Actually Changes In 90 Days 07:00 The Fab Fertile Method: What We Investigate 08:30 Why Some Cases Do Not Shift 09:30 The Functional Fertility Second Opinion

Discover 7 key signs of a slow thyroid and learn how to distinguish between Hashimoto's and general hypothyroidism. Plus, discover natural ways to support thyroid health and address common thyroid problems naturally.

In this Her Stack series episode, I open up about maternal mental health, postpartum anxiety, and the invisible biological load mothers carry long after the six-week checkup is over. This episode is not just for the newly postpartum mother. It is for the mother whose kids are four, eight, fifteen, and still asking herself why she does not feel like herself. I share why motherhood structurally changes the brain, hormones, and nervous system, and why so many mothers are left feeling anxious, foggy, depleted, or unlike themselves without ever being properly screened or supported. I walk you through the science of the postpartum neurosteroid withdrawal, the gray matter changes that persist for years, and the five-system map underneath maternal brain fog. Then I break down the full four-pillar protocol I use with my one-to-one clients: foundational nutrition, lifestyle and biohacking tools, the supplement layer including some of the most under-discussed compounds for the maternal brain, and the advanced peptide layer including Semax, Selank, NAD+, and bioregulators. This is the episode every mother needs. Send it to one. Join The LongHer Life for women-specific guidance on peptides, hormones, and longevity. I TALK ABOUT:  02:00 - My free peptide masterclass for moms next week 04:10 — Why maternal mental health is not just a six-week postpartum issue 06:30 — The numbers every mother should know (and the screening gap that explains everything) 08:20 — How pregnancy structurally changes the brain (Nature Neuroscience, 2017) 11:40 — The neurosteroid withdrawal nobody warned you about, and the FDA's $34,000 drug that proves it is real 13:50 — Pillar 1: DHA, protein, ferritin, blood sugar stability, and methylated Bs for the maternal brain 22:40 — Pillar 2: Protected sleep cycles, morning sunlight, vagal nerve activation, and red light to the brain 28:00 — Yoga nidra and NSDR as the workaround for mothers who cannot engineer a protected sleep cycle 32:45 — Simplifying routines, meals, outfits, and planning to reduce mental load 35:00 — Co-regulation: Why one hour of real adult conversation is medicine 38:40 — Creatine for maternal mental health, depression support, and cognitive fatigue in sleep-deprived moms 40:50 — Saffron and inositol for postpartum mood, anxiety, racing thoughts, and the "can't shut off the brain" symptoms 42:15 — Magnesium L-threonate, glycine, vitamin D, and low-dose methylene blue for sleep, brain fog, mitochondrial support, and nervous system balance 45:25 — Why peptides are an advanced layer and should come after nutrition, lifestyle, and supplement foundations 46:10 — Semax and Selank for anxiety, cortisol support, BDNF, dopamine, brain fog, memory, and maternal brain support 50:00 — NAD+ and bioregulators (Cortagen, Cerluten, Epithalon) for maternal energy, neuronal support, circadian rhythm, melatonin, sleep, and long-term brain health 58:15 — Why postpartum anxiety and depression need different kinds of support, and why SSRIs work for some mothers and not others 1:00:00 — Why lingering symptoms matter and which labs mothers should check RESOURCES: Labs to ask your provider for: TSH, free T3, free T4, reverse T3, ferritin, vitamin D, DHA panel Join The LongHer Life for women-specific guidance on peptides, hormones, and longevity. Free Peptide Masterclass for Moms: Join the waitlist for the next live class. The Her Stack Planner: The first peptide tracking journal built around female biology. Crisis support: 988 in the US, 988 in Canada PRODUCTS MENTIONED: Supplements DHA (omega-3) Creatine monohydrate Saffron (Crocus sativus extract) Inositol (myo + d-chiro blend) Glycine Magnesium L-threonate (BiOptimizers code: BIOHACKINGBRITTANY) Vitamin D Lion's mane mushroom Bacopa monnieri Methylated B vitamins (methylcobalamin, methylfolate, P5P) Methylene blue (low dose, pharmaceutical USP only) Peptides Semax Selank NAD+ options NOVOS code: BIOHACKINGBRITTANY Nuchido TIME+ code: BIOHACKINGBRITTANY Nasal spray (Synchronicity Health code: BIOHACKINGBRITTANY) Bioregulators Cortagen Cerluten Epithalon LET'S CONNECT: Instagram, TikTok, Facebook Shop my favorite health products Listen on Spotify, Apple Podcasts, YouTube Music

If you've been trying everything to fix your thyroid or iron issues — medications, supplements, protocols, lab optimization, detoxes, gut healing, hormone balancing — and you still don't feel well… this episode may explain why. In this episode of the Thyroid Answers Podcast, Dr. Eric Balcavage breaks down why so many thyroid and iron protocols fail, even when lab values improve. You'll learn why "optimizing" TSH, T3, ferritin, iron, cortisol, hormones, or micronutrients often doesn't create lasting results… and why the real issue may have nothing to do with deficiency or dysfunction at all. Dr. Balcavage explains the concept of state-based physiology — how your body shifts between resilience, chronic strain, and defensive survival states based on stress load and available capacity. He also explains why many common thyroid and iron patterns are actually adaptive responses, not broken physiology. If you've been stuck chasing protocols, supplements, medications, or temporary improvements that never seem to last… this episode will help you understand why. What You'll Learn: • Why thyroid and iron protocols often stop working over time • Why optimizing lab values doesn't always improve symptoms • The difference between adaptive physiology and dysfunction • Why low T3 and iron dysregulation are often stress adaptations • How short-term symptom improvement can become a long-term trap • Why some people react poorly to supplements, hormones, or medications • The connection between inflammation, metabolism, and capacity • What "state-based physiology" means and why it matters • The three primary physiologic states: resilience, chronic strain, and overload • Why the same supplement or medication can help one person and harm another • How chronic stress changes thyroid conversion and iron regulation • Why more T3, iron, detoxing, or supplementation may worsen symptoms • The hidden problem with protocol-based medicine and optimization culture • Why symptoms and labs are often signals… not the root problem • How to begin reducing load and rebuilding physiologic capacity Learn More About Dr. Eric Balcavage Dr. Eric Balcavage is the co-author of The Thyroid Debacle and the creator of: • State-Based Medicine™ • The Adaptive Thyroid Model™ • The Strategic Thyroid Solution™ His work focuses on helping patients and practitioners understand thyroid physiology through the lens of metabolic stress, adaptation, and whole-body regulation. Dr. Balcavage's new book, Is This The Hill? releases later this year. Get on the waitlist to learn more and get exclusive bonus content here: drericbalcavage.com/hill   Connect With Dr. Eric Balcavage Website: https://www.drbalcavage.com Instagram: https://www.instagram.com/drericbalcavage Facebook: https://www.facebook.com/drericbalcavage YouTube: https://www.youtube.com/@drericbalcavage If you enjoyed this episode, be sure to subscribe, leave a review, and share it with someone who's been stuck chasing protocols, supplements, or lab optimization without lasting results.

Have you been told your thyroid is normal, but you are still gaining weight, losing hair, exhausted by 3 PM, and living in a fog? If you have done everything right, clean eating, consistent exercise, and supplements, and nothing is working, this episode may finally give you the answer you have been looking for. It is not you. It is your thyroid.In this episode, Dr. Shivani Gupta sits down with Dr. Amie Hornaman, functional medicine thyroid specialist, host of The Thyroid and Hormone Fixer Podcast, and author of the new book The Thyroid Fix. Dr. Hornaman spent years being dismissed by six different conventional doctors before a seventh finally diagnosed her with hypothyroidism. Even then, the standard T4-only prescription left her no better. Backed by decades of clinical experience and the science of T3 conversion, reverse T3, and the thyroid-adrenal-hormone triangle, she breaks down exactly why so many women are undertreated and what to do about it.Dr. Hornaman shares her own story of gaining 40 pounds while competing in figure competitions and eating nothing but chicken, broccoli, and asparagus, and how it led her into functional medicine and eventually to building one of the most trusted thyroid practices in the country. Dr. Shivani also shares her personal journey from subclinical hypothyroidism to Armour Thyroid to discovering that even natural NDT was not fully working for her body. If you are a woman over 35 navigating perimenopause, unexplained weight gain, brain fog, or fatigue, and your doctor keeps telling you that you are fine, this episode is for you.WHAT YOU'LL LEARNWhy a normal TSH does not mean your thyroid is optimized, and the 5 tests every woman actually needs to ask for, including reverse T3 and TPO antibodiesThe T4-to-T3 conversion problem: why Synthroid and levothyroxine fail many women, and why T4-only treatment keeps you stuck in a low-energy, weight-gain cycleWhy natural desiccated thyroid like Armour and NP Thyroid is not automatically the answer, and how 80 percent T4 in NDT can still push you into reverse T3 lockdown modeHow perimenopause hormones trigger thyroid dysfunction, and the adrenal-progesterone-estrogen-TBG cascade that most doctors are not addressingThe Ayurvedic and lifestyle foundation: why calming inflammation, supporting digestion, and reducing cortisol are non-negotiables before thyroid hormone replacement can workDr. Hornaman's FIX Method, including the supplement, nutrition, and hormone replacement framework that has helped thousands of women get their lives backRESOURCES MENTIONED:The Inflammation Code (book)Fusionary Formulas Supplements — use code CODE15 for 15% off your first order https://fusionaryformulas.com/?utm_source=Show+Notes&utm_medium=Show+notes+&utm_campaign=Podcast+promo&utm_id=The+Inflammation+Code+Podcast7-Day Inflammation Detox ChallengeWork with Dr. Shivani — Free Discovery Call

What if your "normal" thyroid labs aren't telling the full story? In this eye-opening episode of The Girlfriend Doctor Show, Dr. Anna Cabeca sits down with renowned integrative pharmacist and thyroid expert Dr. Izabella Wentz to uncover the powerful connection between gut health, IBS, autoimmune disease, and thyroid dysfunction — especially Hashimoto's. Dr. Wentz shares her deeply personal journey from debilitating IBS, anxiety, fatigue, and Hashimoto's thyroiditis to healing through root-cause medicine. Together, Dr. Anna and Dr. Wentz explore why so many women are told their thyroid labs are "normal" while they continue struggling with weight gain, brain fog, bloating, constipation, inflammation, hormonal shifts, and exhaustion. You'll learn why gut permeability ("leaky gut"), chronic stress, infections, food sensitivities, and microbiome imbalances may be silently driving autoimmune thyroid disease — and the practical steps you can take to begin healing. In this episode, you'll discover: Why thyroid antibodies matter — even when TSH appears "normal" The hidden connection between IBS and Hashimoto's How stress hormones disrupt the gut barrier and immune system Common root causes including parasites, H. pylori, SIBO, mold, and food sensitivities The truth about bloating, constipation, diarrhea, edema, and inflammation Functional medicine testing that may uncover what conventional medicine misses Nutrition, supplements, and gut-healing strategies that can support thyroid recovery If you've ever been told "everything looks fine" while your body says otherwise, this conversation is for you. Listen now and share this episode with someone who needs answers, healing, and hope.   Key Timestamps 00:00 — Why thyroid symptoms are often missed in women 04:30 — Dr. Wentz's personal journey with IBS and Hashimoto's 11:15 — The gut-autoimmune-thyroid connection explained 18:40 — Post-COVID rise in autoimmune conditions and chronic fatigue 24:50 — Functional medicine testing for IBS and thyroid symptoms 33:10 — Stress, cortisol, and "leaky gut" 41:20 — How intestinal permeability triggers autoimmune disease 49:45 — Food sensitivities, bloating, edema, and inflammation 58:30 — Gut-healing protocols and favorite supplements 01:06:20 — Why women are more prone to IBS and Hashimoto's 01:14:00 — The importance of self-advocacy and listening to your body   Memorable Quotes "You may have been told your thyroid is normal, but there's something else going on — and the biggest culprit can be in the gut." — Dr. Anna Cabeca "Don't let people tell you it's all in your head." — Dr. Izabella Wentz "There will often be a disruption of the gut barrier years before an autoimmune diagnosis appears." — Dr. Izabella Wentz "To heal the human, we have to address the gut." — Dr. Anna Cabeca "Stress hormones can unlock the door to intestinal permeability and chronic inflammation." — Dr. Anna Cabeca   Connect With Guest Check out Dr. Izabella's new book: IBS: Finding and Treating the Root Cause of Irritable Bowel Syndrome Instagram: https://www.instagram.com/izabellawentzpharmd/ YouTube: http://www.youtube.com/@ThyroidPharmacist  Facebook: https://www.facebook.com/ThyroidLifestyle/ Website: https://thyroidpharmacist.com/   Connect With Dr. Anna Website: Dranna.com Instagram: https://www.instagram.com/thegirlfrienddoctor/ YouTube: https://www.youtube.com/@thegirlfrienddoctor TikTok: https://www.tiktok.com/@drannacabeca Facebook: https://www.facebook.com/thegirlfrienddoctor  

If you're taking levothyroxine for hypothyroidism but still struggling with fatigue, brain fog, weight changes, or unstable thyroid labs, this episode could change the way you think about thyroid treatment. We're diving into one of the biggest medication debates in thyroid care today: liquid levothyroxine versus traditional tablets. Why do some patients feel dramatically better after switching formulations, even when their dosage stays the same?In this episode, we break down how levothyroxine is absorbed, why coffee, supplements, gut issues, and acid reflux medications may interfere with thyroid medication effectiveness, and why liquid formulations like Tirosint-SOL and Thyquidity are gaining attention among thyroid experts. We'll also explore who may benefit most from liquid levothyroxine, including people with Hashimoto's, digestive disorders, fluctuating TSH levels, or persistent symptoms despite “normal” labs.You'll also learn the real-world pros and cons of both options — including convenience, dosing precision, side effects, insurance coverage, and cost — so you can have a more informed conversation with your healthcare provider. 

Your Free T3 Is in Range — and That's the Problem Women are diagnosed with thyroid conditions at far higher rates than men — but what if the real thyroid crisis isn't being diagnosed at all? In this episode, Dr. Terri breaks down the overlooked, under-tested, and misunderstood reasons why women's thyroid systems fail, and why the standard lab panel almost every clinician runs is only telling half the story. From the gut's central role in hormone conversion, to the three minerals most women are chronically deficient in, to the enzyme that stress quietly dismantles — Dr. Terri maps out a comprehensive picture of thyroid dysfunction that goes far beyond what most patients hear at a routine checkup. If you've ever been told "your thyroid is normal" but you're still cold, fatigued, foggy, or stuck — this episode was made for you. This episode is for women who've been dismissed with a normal TSH, anyone on Synthroid or levothyroxine who's still symptomatic, and clinicians ready to expand their thyroid testing approach. What you'll discover: Why women are more vulnerable to thyroid conversion failure — and how hormones, gut health, and chronic stress all play a compounding role [6:21] The ferritin threshold that makes or breaks T4-to-T3 conversion — and what to do if you fall in the "gray zone" [9:24] How selenium deficiency can cause thyroid cells to literally burst from the inside out — and the direct link to Hashimoto's most doctors miss [15:39] The full comprehensive thyroid panel you should be asking for: TSH, free T4, free T3, and TPO antibodies [21:31] Why a free T3 "within range" is not the same as optimal — and what the bell curve data actually reveals about all-cause mortality risk [22:47] The deiodase enzyme most clinicians never discuss — and why synthetic T4 medications may be making conversion even harder [27:34] If your thyroid labs come back "normal" but you're still symptomatic, the problem isn't you — it's the range. -- The Dr. Terri Show is presented by EVEXIAS Health Solutions. For more, visit: https://www.evexias.com Connect with Dr. Terri:

In this episode, Dr. Abby breaks down the gap between traditional thyroid screening and functional thyroid screening. Learn why checking just TSH if not the best approach, the reality behind common thyroid conditions, and the exact nutrients your body needs to thrive.Key Takeaways & Clinical Pearls1. The Essential 5-Part Thyroid Lab PanelChecking only TSH doesn't show the full picture. Dr. Abby recommends requesting these five:TSH: The brain's signal to the thyroid.Free T4: Your inactive storage hormone (cash in the bank).Free T3: Your active metabolic hormone (cash in your pocket).Reverse T3: The body's emergency brake, triggered by high stress or gut issues.Thyroid Antibodies (TPO & TgAb): Markers showing if the immune system is attacking your thyroid.2. Thyroid Conditions ExplainedHypothyroidism: Underactive thyroid function causing low energy, constipation, and a sluggish metabolism.Hyperthyroidism: Overactive thyroid function causing anxiety, a racing heart, and heat intolerance.Hashimoto's: An autoimmune condition that targets the thyroid. Because it is heavily tied to gut health and systemic inflammation, you cannot fully heal it without addressing the gut-immune connection.3. Nutrients to Build & Convert HormonesSelenium: The ultimate converter. Eating 2 Brazil nuts a day provides a clinical dose to help convert T4 into active T3 and calm antibody flares.Zinc: Crucial for TSH production and tissue absorption (always balance with copper).Tyrosine & Iodine: The physical building blocks of thyroid hormone, best sourced from clean fish and sea vegetables.Adrenals / Nervous System: Chronic stress stops active T3 conversion, making stress management foundational for thyroid healing.Connect with Dr. AbbyDr. Abby is accepting new functional health patients for extensive lab reviews, hormone mapping, and lifestyle consulting at Thrive Medical WNY (available in-person and virtually).Practice: Thrive Medical WNYBooking Link: Booking Link Here]Instagram: @dr.abbyborkowski

本集節目內容為各個台灣選手在世界各地征戰的賽況介紹，包含 1. 職業網球賽事： Ø ATP挑戰賽&WTA125賽，曾俊欣、何承叡、李冠毅、徐傳恩、吳芳嫺、梁恩碩、卓宜萱、卓宜岑等人出賽。 Ø ITF巡迴賽，陳彥丞、葛藍喬安娜、曹家宜、李亞芯、李亞軒、楊亞依、許家瑄、鄭筑云、蔡宇甯、花苡恩等人出賽。 2. BWF羽聯賽事： Ø 超級500泰國羽球公開賽，周天成、蘇力揚、陳子睿、林煜傑、林芷均、楊筑芸、胡綾芳、鄭宇倢、葉宏蔚、詹又蓁等人參賽。 Ø 超級100寶雞羽球大師賽，王渝凱、洪秉輔、劉富軒、林宥宇、陳宥銨、陳勝發、邱紹華、陳鈺媗、劉巧芸、陳柏元、宋奕萱等人出賽。 3. WTT桌球賽事： Ø 土耳奇伊斯坦堡支線賽，李昱淳、簡彤娟、彭郁涵、鄭先知等人參賽。 Ø 葡萄牙拉各斯支線賽，洪敬愷、張佑安、徐絃家、林彥均、李昱淳、簡彤娟、彭郁涵、鄭先知、陳忞昕等人參賽。 4. 台語時間，每週介紹幾個簡單的台語詞， **Ø 百行孝為先 Pik-hīng hàu uî sian：在眾多的人類品德與行為中，孝順父母、尊敬長輩是排在第一位、最為根本的。孝道是做人的基礎。 ** Ø 勸恁有孝千萬句，袂曉有孝豬狗牛Khǹg lín iú-hàu tshian-bān kù, bē-hiáu iú-hàu ti káu gû：千言萬語奉勸人孝順父母，不懂得孝順就像豬狗牛。 Ø 欠錢怨債主，不孝怨爸母Khiàm tsînn uàn tsè-tsú, put-hàu uàn pē-bú：自己欠別人錢，還反過來埋怨債主來討債；自己不孝順，還反過來抱怨父母對自己不好。比喻不知反省，只會把責任推到他人身上。 Ø 飼囝無論飯，飼爸母算頓Tshī kiánn bô-lūn pn̄g, tshī pē-bú sǹg tǹg：父母養育兒女，不會去計較孩子的飯量，兒女奉養父母時，卻會計算父母吃了幾頓飯。這句話說明有些人養育子女和奉養父母時心態上的差異，以及兄弟輪流奉養父母時常常斤斤計較的現象。 Ø 在生無人認，死後歸大陣Chāi-seⁿ bô-lâng jīn, sí-āu kui tōa-tīn：長輩在世時，晚輩無人聞問、不願奉養，甚至將其視為負擔；待長輩過世後，平常難得一見的子孫或親戚，卻全體聚集回來搶奪遺產。這句話用來比喻「生前不盡孝，死後爭家產」的醜態。通常與另一句俗諺「在生一粒豆，較贏死了拜豬頭」相對應，強調長輩在世時的關心與孝順，遠比死後鋪張祭拜更有價值。 自以為是運動員的子路，希望以運動員的角度出發，觀察球場上的變化，然後跟大家一起討論喇低賽，不管打的好壞，永不放棄，這就是運動員的精神。一場球賽就就像人生的縮影，時而順遂時而艱辛，不管如何讓我們注入運動的熱血與拼勁，朝著目標努力邁進。 歡迎提供各式意見，讓這個新的節目有更多元的發展。 大家可以在相關的 Podcast APP 收聽我們的節目，希望大家可以介紹給喜愛運動的朋友們。 如果喜歡我們的節目，也希望大家可以在 Apple Podcast 專區給我們五顆星。 有興趣合作的廠商歡迎私訊或email聊聊 email：baseballuncle543@outlook.com IG：baseballuncle543 FB：大叔野球543 －－－－以下為 SoundOn 動態廣告－－－－ #高雄 正義站&黃線捷運計劃，平面車位3房全新完工 實品屋預約鑑賞中。 正義站通勤南科，未來捷運串連衛武營、Lalaport。 正義公園，風景入門廳。 陽明國中自由學區07-7801988 洽澄清路227號 https://sofm.pse.is/9587ax -- Hosting provided by SoundOn

Hey Rockstars! I have another guest with me on the podcast, Connie Nightingale! Connie is a functional health and performance coach specializing in lab interpretation, hormone balance, and total body optimization. Her approach bridges fitness, nutrition, and root-cause health, helping clients go beyond “normal” labs to truly feel their best.Some topics from today's episode include:⭐️Connie's background as a functional health and performance coach specializing in lab interpretation and hormone balance⭐️How lab ranges are based on population data and may not reflect individual health⭐️The significance of testing timing (female hormones and menstrual cycle phases) for accurate interpretation⭐️The value of monitoring trends over time for better health insights and how to spot hidden health issues using lab trends before symptoms appear⭐️The impact of lifestyle on hormone health, especially during menopause and perimenopause⭐️The dangers of overprescribed hormones and the importance of personalized HRT protocols⭐️Starting with lifestyle modifications before medication adjustments⭐️The importance of taking active participation in health—tracking, questioning providers, and understanding lab data⭐️The potential to reverse or improve health conditions through informed actions and lab insights⭐️Key panels: CBC, CMP, lipid profile, thyroid (including TSH, free T3, free T4, antibodies), sex hormones (estrogen, progesterone, FSH, LH)Join the Kickstart Round 14! Kickstart is a guided group coaching experience designed for busy, high-achieving women over 40 who are done with yo-yo dieting and ready to implement proven, sustainable methods for fat loss and strength—tailored to their individual bodies and lifestyles. https://www.rockthatfitness.com/kickstartIf you have a chance, please rate and review the podcast so more women just like you can learn more about the Rockstar way! I appreciate you for your support and love ❤️Connie's Links:Website: https://www.connienightingale.com/Instagram: https://www.instagram.com/conniebegonnie/YouTube: https://www.youtube.com/channel/UC7duTyr-etc9gaobjJC19TAFacebook: https://www.facebook.com/conniebegonnieRock That Fitness Links:⭐️Link to join Rock That Fitness Membership Today https://www.rockthatfitness.com/rock-that-fitness-membership⭐️Join the Rockstar Fit Chicks Weekly Newsletter  https://rockthatfitness.kit.com/e10d0c66eb⭐️Check Out Our Exclusive Offer for Extensive Lab Work with Marek Health ⁠https://www.rockthatfitness.com/rock-that-fitness-marek-health⭐️Head to the Rock That Fitness Instagram Page https://www.instagram.com/rockthatfitness/ ⭐️Music from Uppbeat (free for Creators!):https://uppbeat.io/t/cruen/we-got-thisLicense code: RBWENWHGXSWXAEUE

The donor egg recommendation rarely comes after a complete workup. It comes after AMH, FSH, and an antral follicle count. That is usually where the investigation stops. In this episode, Sarah Clark walks through what is missing from the workup before women are told donor eggs are their only path: the full thyroid panel, not just TSH. Stool DNA testing for H. pylori, parasites, and food sensitivities. The vaginal microbiome. The male partner's blood work, which most clinics do not run. The nervous system patterns most REIs do not connect to fertility. Sarah shares Rebecca's case as a proof point. Rebecca was 27. Her AMH was 0.04 ng/mL. POI diagnosis. Told donor eggs were her only option. Her stool DNA testing revealed H. pylori and a parasite. Her food sensitivity testing showed gluten, dairy, and egg intolerance. She had adrenal insufficiency, thyroid imbalance, mineral depletion, and toxic load on her workup. Her eczema, migraines, and asthma were not separate issues. After targeted work, she conceived naturally in month five. Outcomes vary. Rebecca's case is one of many we use to illustrate what completing the workup can look like. This episode is for the woman sitting with a donor egg recommendation who is not ready to agree before she understands what was actually evaluated. The goal is clarity. Not opposition to your clinic. Not a guarantee of any outcome. Clarity on what your workup did not include, so that whatever you decide next gets made on the full picture. What this episode covers: The diagnosis is real. The investigation is incomplete. Why TSH alone is not a thyroid panel. H. pylori, hidden food sensitivities, and the gut inflammation driver. Eczema, migraines, and asthma as fertility signals. The male partner's workup should include beyond a semen analysis. Nervous system patterns most REIs do not connect to fertility. Next steps: Access the free guide: What Your Clinic Missed. The guide walks through the markers that the Fab Fertile team reviews before a donor egg recommendation. Email hello@fabfertile.ca, subject line MISSED. Book a Functional Fertility Second Opinion. We'll review your labs, your history, your full picture, and your partner's picture together, so you know what your biology has been telling you and what your next decision should be informed by. Email hello@fabfertile.ca, subject line FERTILE, or book here. About the Host I'm Sarah Clark, founder of Fab Fertile and host of Get Pregnant Naturally, a podcast with over one million downloads. My functional fertility team works with couples navigating low AMH and failed IVF, reviewing functional lab results, gut microbiome, food sensitivity, vaginal microbiome, nutrigenomics, HTMA, DUTCH, toxin testing, and bloodwork alongside nervous system work, to help identify patterns that may not have been considered. We work alongside your medical team, not instead of them. Subscribe to Get Pregnant Naturally for weekly episodes on fertility optimization, IVF preparation, and the lab work your doctor probably isn't running. Timestamps [00:00] The Donor Egg Recommendation and the Investigation Underneath It [01:00] The Diagnosis Is Real. The Investigation Is Incomplete. [02:00] Sarah's POI Story and Why Fab Fertile Exists [03:00] Rebecca's Case: POI at 27, AMH 0.04, ng/mL Told Donor Eggs Were Her Only Option [04:00] Functional Lab Testing Before a Donor Egg Decision [05:00] What We Found: H. pylori, Parasites, Food Sensitivities, Adrenal Insufficiency, Thyroid [06:00] Eczema, Migraines, Asthma: Not Separate Issues From Fertility [07:00] Rebecca Conceived Naturally in Month Five [08:00] What Your Clinic Missed: The Markers Before a Donor Egg Recommendation [09:00] Why a Standard REI Workup Cannot Answer Why Your Numbers Are What They Are [10:00] Medical Gaslighting and the Permission to Investigate Further [11:00] The Functional Fertility Second Opinion: How It Works  

If you have ever been told your thyroid is "normal" while you are exhausted, gaining weight, losing hair, constipated, freezing cold, and barely making it through the day, this episode is going to hit a nerve. Because the truth is, thyroid care is still failing women in a big way. Too many doctors are only testing TSH, stopping there, and missing the full picture completely. In this episode, I sit down with my friend Dr. Amie Hornaman to talk about why thyroid treatment is still so broken, especially for women in midlife. We go into one of the most important parts of this whole conversation: advocacy. Because when it comes to thyroid health, no one is coming to save you. You have to know what to ask for, what to test, what patterns to look for, and how to push for better care. If you have been dismissed, under-treated, or told your labs are fine while your body is clearly telling a different story, this episode will give you language, clarity, and a much better understanding of what may actually be going on. In this episode, we cover: Why thyroid care has not improved nearly enough for women Why testing only TSH is not enough The thyroid labs women need to ask for What free T3, free T4, reverse T3, TPO, and Tg antibodies actually tell you Why T4-only thyroid medication often does not work well How reverse T3 can put the brakes on your metabolism Why thyroid dysfunction can affect blood sugar, insulin, fertility, and sex hormones The connection between perimenopause, menopause, and new thyroid issues Why many women are being under-medicated for hypothyroidism How to advocate for yourself and find a practitioner who actually understands thyroid care Who this episode is for This episode is for women who suspect they have a thyroid issue, have already been diagnosed with hypothyroidism or Hashimoto's, or have been told their thyroid is "fine" even though they feel anything but fine. It is especially helpful for women in perimenopause and menopause who are dealing with fatigue, weight gain, brain fog, low mood, constipation, hair loss, or feeling like their body has suddenly stopped working the way it used to.   Dr. Amie Hornaman Grab a copy of Dr. Amies NEW BOOK: The Thyroid Fix: The No-Nonsense Guide to Fix Fatigue, Fogginess, and Fat That Won't Budge on Amazon     Sponsors Try Mito Q Hormone and metabolic control mitoq.com/karenmartel Code: MARTEL10 Get 30% off BATCH Gummies. Go to hellobatch.com/HORMONE and use code HORMONE at checkout. Get 15% off Masszymes By BiOptimzers products at bioptimizers.com/hormone with coupon code HORMONE.     Are you in perimenopause or postmenopause and struggling with symptoms—but not getting the support you deserve? At Midlife Solutions, we specialize in hormone optimization for women in midlife. Our all-female clinical team offers telehealth care across all 50 U.S. states, with the ability to prescribe bioidentical estrogen, progesterone, testosterone, and thyroid medication.   Book your FREE Hormone Discovery Call Find out what's really driving your symptoms and what your next best steps are.   Visit the website: https://karenmartel.com   Shop the Midlife Solutions Store Over-the-counter bioidentical hormone creams and oils — no prescription needed. Including: • Progesterone • Estrogen Face Cream • Vaginal Moisturizer and more!   Take the Hormone Quiz Discover hidden hormone imbalances that could be driving your symptoms. Get personalized results (and yes, they may surprise you).   Women's Peptide Weight Loss Program Clinically guided, hormone-aware weight loss for midlife women.   Midlife RESET HRT Program A complete, supportive approach to hormone replacement therapy in midlife.   Your host: Karen Martel Certified Hormone Specialist, Transformational Nutrition Coach, & Weight Loss Expert   Karen's Facebook Karen's Instagram

Diagnosis, workup, and the four-step treatment protocol for thyroid storm. Hosts: Annaliese Elam, MD Brian Gilberti, MD https://media.blubrry.com/coreem/content.blubrry.com/coreem/Thyroid_Storm.mp3 Download Leave a Comment Tags: Critica Care, Endocrine, Thyroid Storm Show Notes I. Pathophysiology & Diagnosis Definition: Life-threatening hypermetabolic state resulting from decompensated thyrotoxicosis. Hormonal Profile: Absolute levels of total T₄/T₃ often mirror uncomplicated thyrotoxicosis; storm is driven by rapid rate of rise, increased catecholamine sensitivity, or increased free T₄/T₃ concentrations. Clinical Presentation: Hyperpyrexia (e.g., 104.2°F) Tachycardia/Arrhythmias (e.g., 155 bpm) Altered Mentation: Agitation, delirium, or psychosis; often the primary differentiator between “storm” and “compensated” hyperthyroidism Warm, moist skin Precipitating Events: Infection, trauma, or surgery Parturition Abrupt cessation of antithyroid medications Burch-Wartofsky Point Scale (BWPS): ≥ 45: Highly suggestive of Thyroid Storm 25–44: Suggestive of impending storm < 25: Storm unlikely Note: High sensitivity but low specificity; can be skewed by unrelated febrile illness. II. Laboratory & Ancillary Findings Thyroid Panel: Characteristically low TSH with elevated free T₄ and T₃. Metabolic Abnormalities: Mild hyperglycemia (catecholamine-induced insulin inhibition) Mild hypercalcemia Elevated LFTs and leukocytosis Cardiovascular: EKG may show sinus tachycardia or atrial fibrillation with rapid ventricular response. III. Management: The Four-Step Blocking Strategy Step 1: Sympathetic Blockade (Beta Blockers) Agent of Choice: Propranolol Mechanism: Non-selective blockade; in high doses, inhibits peripheral conversion of T₄ to T₃. Dosing: PO: 60–80 mg every 4–6 hours IV: 0.5–1 mg over 10 minutes Critical Pitfall: Avoid in patients with acute decompensated heart failure with systolic dysfunction; risk of cardiovascular collapse. Step 2: Inhibition of Hormone Synthesis (Thionamides) Agent of Choice: Propylthiouracil (PTU) preferred over Methimazole in life-threatening storm. Mechanism: Blocks synthesis of new hormone and inhibits peripheral T₄-to-T₃ conversion (decreases T₃ by ~45% in 24 hours). Dosing: 200–250 mg PO every 4 hours Step 3: Inhibition of Hormone Release (Iodine) Agents: Potassium iodide (SSKI) or Lugol’s solution Critical Timing: Must wait at least 60 minutes AFTER thionamide administration. Rationale: Immediate iodine administration provides substrate for new hormone synthesis (Wolff-Chaikoff effect bypass), potentially worsening thyrotoxicosis. Step 4: Inhibition of Peripheral Conversion & Adrenal Support Agent: Glucocorticoids (Hydrocortisone) Mechanism: Inhibits peripheral T₄ to T₃ conversion and treats potential relative adrenal insufficiency. Dosing: 300 mg IV loading dose, followed by 100 mg IV every 8 hours IV. Supportive Care & Avoidance Measures Hyperpyrexia Management: Acetaminophen is the standard of care Avoid Aspirin: Salicylates displace thyroid hormone from thyroid-binding globulin (TBG), increasing free T₄/T₃ levels Volume Resuscitation: Aggressive IV fluids; patients are often profoundly dehydrated May require 3–5 liters of isotonic crystalloid per 24 hours Take Home Points I. Diagnostic Essentials Clinical Diagnosis: Based on hyperpyrexia, cardiovascular dysfunction, and altered mentation. Key Differentiator: Altered mentation (agitation, delirium, psychosis) is often the sole finding distinguishing “storm” from “compensated” thyrotoxicosis. Burch-Wartofsky Point Scale (BWPS): ≥ 45: Highly suggestive of storm. 25–44: Suggests impending storm. < 25: Storm unlikely. Note: High sensitivity, low specificity (e.g., hyperthyroid + flu can score > 45). Triggers: Infection, trauma, parturition, or abrupt cessation of antithyroid drugs. II. The Four-Step Blocking Strategy Beta Blockade (Propranolol): Dose: 60–80 mg PO q4–6h or 0.5–1 mg IV over 10 min. Action: Blocks symptoms and inhibits peripheral T4 to T3 conversion. Caution: Avoid in acute decompensated heart failure with systolic dysfunction. Thionamides (PTU): Dose: 200 to 250 mg every four hours. (note: some resources suggest a loading dose beforehand) Action: Preferred over methimazole; blocks new hormone synthesis and peripheral T4 to T3 conversion. Iodine (SSKI/Lugol’s): Timing: Must wait ≥ 60 minutes AFTER thionamide dose. Action: Blocks hormone release. Pitfall: Early iodine provides substrate for new hormone synthesis, worsening the condition. Glucocorticoids (Hydrocortisone): Dose: 300 mg IV load, then 100 mg IV q8h. Action: Blocks conversion and provides adrenal support. III. Critical Supportive Care Hyperpyrexia: Use Acetaminophen. NEVER Use Aspirin: Displaces thyroid hormone from binding proteins, acutely increasing free T4/T3 levels. Volume: Aggressive fluid resuscitation; patients may require 3–5 L/day due to profound dehydration. Read More

Andrea Donsky is a registered holistic nutritionist with 20+ years of experience, a published menopause researcher, the co- founder of Morphus, the host of this podcast, Menopause Reimagined, and the author of Nourishing Menopause (Simon & Schuster) and Unjunk Your Junk Food.In this episode, Andrea sits down with Dr. Amie Hornaman, "The Thyroid Fixer," to unpack what happens to your thyroid in perimenopause and menopause. If you've been told your labs are "normal," but you still feel exhausted, foggy, freezing cold, and like your body isn't your own, this conversation is for you. Dr. Amie introduces a term every woman over 40 should know: thyropause.What you'll learn:Why so many perimenopause symptoms are actually undiagnosed thyroid issuesWhat thyropause is and why Hashimoto's often switches on after 40The five thyroid labs to ask your doctor for (and what to do if they refuse)Why T4-only medications like Synthroid may not be enough on their ownHow to find a provider who actually understands thyroid hormone replacementChapters:0:00   Why your thyroid tanks after 40 (thyropause explained)2:00   Welcome back to Menopause Reimagined & meet Dr. Amie Hornaman5:10   What the thyroid actually does (from hair loss to heart rate)8:45   Hypothyroidism vs hyperthyroidism: which one hits women hardest12:00  Thyropause: the perimenopause and Hashimoto's connection16:15  1 in 8 women? Why the real number is closer to 1 in 419:25  Medically gaslit: Andrea's story of being dismissed by her doctor23:40  The thyroid tests your doctor probably isn't ordering (TSH, free T3, reverse T3, TPO, TG)28:30  T3 vs T4: why Synthroid alone may not be enough33:45  Why you can stay on thyroid medication for life (and why that's okay)38:10  Finding the right dose: the trial-and-error reality42:25  Inside The Thyroid Fix book and Fixer Formulas supplements47:00  Where to find Dr. Amie and grab the bookLinks:The Thyroid Fix: The No-Nonsense Guide to Fix Fatigue, Fogginess, and Fat That Won't Budge https://amzn.to/3PrfxvrLearn more about Dr. Amie Hornaman here: https://dramie.com/Send us Fan Mail ======Morphus: Menopause Reimagined

Are you doing "all the right things" but still gaining weight, losing hair, feeling exhausted, foggy, anxious, or stuck in your body? Your thyroid may be the missing piece. In this powerful episode of The Girlfriend Doctor Podcast, Dr. Anna Cabeca welcomes Dr. Amie Hornaman—also known as "The Thyroid Fixer," founder of the Advanced Thyroid and Hormone Clinic, host of The Thyroid Fixer podcast, and author of The Thyroid Fix: The No Nonsense Guide to Fix Fatigue, Fogginess and Fat That Won't Budge. Together, Dr. Anna and Dr. Amie unpack why thyroid dysfunction is so often missed in perimenopause and menopause—and why a "normal" TSH may not tell the whole story. They discuss Hashimoto's, weight-loss resistance, hair loss, fatigue, iodine, T2, reverse T3, thyroid antibodies, hormone shifts, stress, environmental toxins, and why women must advocate for a complete thyroid panel. In this episode, you'll learn: Why fatigue, hair loss, depression, constipation, cold intolerance, and stubborn belly fat may point to thyroid dysfunction The full thyroid panel Dr. Amie recommends beyond TSH How perimenopause and menopause can trigger or worsen Hashimoto's Why T4-only medication may not work for every woman The role of iodine, selenium, magnesium, vitamin D, black cumin seed oil, and T2 Why thyroid optimization is a longevity strategy—not just a weight-loss conversation Dr. Amie also shares her personal journey of misdiagnosis, thyroid recovery, PCOS, and navigating endometrial cancer with courage, honesty, and functional medicine wisdom. Listen now and remember: you are your best health advocate—and there is always one next right step. Key Timestamps 00:00 — Why thyroid symptoms often show up in menopause 04:20 — The top symptoms of thyroid dysfunction 08:30 — Hashimoto's, autoimmunity, and hormone shifts 16:40 — The full thyroid panel every woman should know 27:00 — Iodine, thyroid antibodies, and detox reactions 36:30 — Dr. Amie's personal thyroid misdiagnosis story 46:00 — Thyroid dysfunction and weight-loss resistance 55:00 — Optimizing thyroid hormones at every age 1:04:00 — PCOS, progesterone, and endometrial cancer 1:14:00 — T2, metabolism, and mitochondrial support Memorable Quotes "From head to toe, the thyroid runs the show." — Dr. Amie Hornaman "Women are being dismissed when it really is a thyroid problem that can be treated." — Dr. Amie Hornaman "We don't want normal. We want optimal." — Dr. Anna Cabeca "The thyroid is a longevity optimizer, not just an aesthetics conversation." — Dr. Amie Hornaman "You are your best advocate for your health." — Dr. Anna Cabeca Connect With Dr. Amie Hornaman Book: The Thyroid Fix: https://www.simonandschuster.com/books/The-Thyroid-Fix/Dr-Amie-Hornaman/9781668225424 Website: https://dramie.com Supplements: https://betterlifedoctor.com/annacabeca Use code: DRANNA for 10% off Instagram: https://www.instagram.com/dramiehornaman/ YouTube: youtube.com/@DrAmieHornaman Facebook: https://www.facebook.com/AmieHornaman Connect With Dr. Anna Cabeca Website: https://dranna.com Instagram: https://www.instagram.com/thegirlfrienddoctor/ YouTube: https://www.youtube.com/@thegirlfrienddoctor TikTok: https://www.tiktok.com/@drannacabeca Facebook: https://www.facebook.com/thegirlfrienddoctor

In this episode of Hope Natural Health, Dr. Erin Ellis talked about the common and frustrating disconnect between "normal" thyroid lab results and the very real symptoms of thyroid dysfunction that many women experience. She dives deep into why the standard TSH screening often misses the full clinical picture and explores the hidden gaps in conventional thyroid testing.   In this episode, you will learn: Why TSH is a brain signal not a thyroid hormone and why a "normal" result doesn't mean your thyroid is functioning optimally. How the body struggles to turn T4 (storage) into Free T3 (active hormone) due to stress, gut issues, and nutrient deficiencies. How chronic stress can signal your body to actively block your thyroid receptors. The importance of testing TPO and TG antibodies to catch autoimmune activity that TSH screens completely overlook. Why "average" isn't the same as "optimal" and how tighter functional ranges can help identify the root cause of fatigue, brain fog, and weight stalls. How cortisol, estrogen, and gut health directly influence your thyroid performance.   Resources Mentioned: The "Why Am I So Tired?" Assessment: A 10-minute clinical framework to help identify your hormone patterns: https://whyamisotired.hopenaturalhealth.com/ Book a discovery call for a comprehensive testing and personalized plan: https://hopenaturalhealth.com/   For more on Dr. Erin: Join The Hope Circle Community: https://hormonehealingproject.drerinellis.com/communities/groups/the-hope-circle/home?invite=69120d498b7e3f60397656b8 Work with Dr. Erin here: https://p.bttr.to/3E88ps4 Buy Dr. Erin's Supplements here: https://drerinellis.com/shop Get the Period Productivity Planner here: https://www.amazon.com/dp/B0BBYBRT5Q?ref_=pe_3052080_397514860 Download the FREE Menstrual Cycle Nutrition Guide here: https://detox.drerinellis.com/ Watch The Free Video "7 Hormones Affecting Your Weight Loss Goals" here: https://weightloss.drerinellis.com/ Let's Be Friends: Follow Dr. Erin on Instagram: https://www.instagram.com/dr.erinellis/ Follow Dr. Erin on Facebook: https://www.facebook.com/drerinellisnmd Follow Dr. Erin on TikTok: https://www.tiktok.com/@dr.erinellis?lang=en Join the Free Hope Circle Community: https://hormonehealingproject.drerinellis.com/communities/groups/the-hope-circle/home?invite=69120d498b7e3f60397656b8 Bookmark Dr. Erin's Website: www.drerinellis.com Subscribe to Hope Natural Health on YouTube: https://www.youtube.com/channel/UChHYVmNEu5tKu91EATHhEiA Follow Hope Natural Health on FB: https://www.facebook.com/hopenaturalhealth Sign up for Newsletters here: https://booking.hopenaturalhealth.com/widget/form/VUubL7MNYELduwQL8ssI

How are hypothyroidism and Hashimoto's related to your risk of having high cholesterol and heart disease? What symptoms have you normalized that might actually be your body asking for help?In this Thyroid Thursday episode, I share what recently happened when my Dad landed in the hospital and ultimately needed open-heart surgery for a triple bypass after doctors found major arterial blockages. This is a vulnerable episode for me, but it comes with great advice on handling unexpected life events and how they relate to your own health management. So get ready for some deep emotions, but also deep insights into why it's never too late to start taking our health more seriously.I talk about the fear and overwhelm of getting to Florida in time, what it was like watching him go through surgery and early recovery, and how grateful I am that he's doing well now. From this experience, there are 6 big lessons that changed how I'm showing up in my life and work. As I go through them, I also invite you to think of areas in your own life and health journey that can use some immediate action today.Since this is Thyroid Thursday, we can't finish an episode without getting a little clinical and science-y. I talk a little bit about the thyroid–heart connection and how the thyroid is closely connected to cholesterol. I explain why, when someone has high cholesterol, I want to see a full thyroid panel (not just TSH), and why treating cholesterol without addressing thyroid function can miss the root issue.I close with a reminder to get the right testing and support now, listen to your body early, release perfectionism, and focus on consistent compassion and action—because we can't buy back time. And as always, getting your stress and emotional well-being under control is one of the best things we can do to support our overall health today.Disclaimer: This information is being provided to you for educational and informational purposes only. It is being provided to educate you about how to take care of your body and as a self-help tool for your own use so that you can reach your own health goals. It is not intended to treat or cure any specific illness and is not to replace the guidance provided by your own medical practitioner. If you are under the care of a healthcare professional or currently use prescription medications, you should discuss any dietary changes or potential dietary supplement use with your doctor, and should not discontinue any prescription medications without first consulting your doctor. This information is to be used at your own risk based on your own judgment. If you suspect you have a medical problem, we urge you to take appropriate action by seeking medical attention.In This Episode:[1:55] What happened with my dad's triple bypass surgery[4:50] Your genetics are NOT your destiny[7:20] Taking care of your health now helps you out later in life[9:15] Get clear on one area of your health that you need to improve now[10:07] Get in tune with your body's cues and know when something is off[15:15] Processing vs. bypassing emotions (feel the hard stuff)[20:40] Get clear on what actually matters to you[24:15] I'm breaking up with perfectionism[28:10] The thyroid-heart connection and how this affects cholesterolConnect with Sophie: Instagram: @shetalkshealthWebsite: shetalkshealth.comApply to work with us: www.shetalkshealth.com/callThyroid Breakthrough Call: https://thyroidhealthaudit.shetalkshealth.com/thyroid-health-auditThe Mineral Reset (HTMA): https://shethrives.shetalkshealth.com/htma-packageMineral Mocktail (get your energy back now!: https://shetalkshealth.com/mineral-mocktail-guide/Stop guessing with your thyroid & Get Answers Now: https://ace.shetalkshealth.com/home-frontGofundme link: gofundme.com/f/help-felix-promote-artery-checks-for-a-healthier-future/fb/o?attribution_id=sl:fe4ed664-b414-4114-8cce-518492516f2d&ts=1778546466&utm_campaign=natman_today_topbar_ios&utm_medium=customer&utm_source=copy_link

Save your seat in the free Thyroid and Hormone class https://fixyourthyroid.com/natalie  If you are a woman in midlife who has been told everything is fine when you know in your body that something is NOT fine, this episode is going to change everything. I have Dr. Amie Hornaman, The Thyroid Fixer, back on the show, and we are going somewhere we have never gone before. One in eight women will develop a thyroid condition in her lifetime. Eighty-eight percent of us are metabolically unhealthy. And yet most doctors run ONE test, look at one number, tell us we are normal, and send us home with an antidepressant. Meanwhile we are gaining weight, losing our hair, can't sleep, can't think, can't lose a pound to save our lives, and being told it is just stress, just aging, just menopause. Today we are tearing that apart. Dr. Amie saw SEVEN doctors before she was finally diagnosed. She is now licensed to prescribe thyroid and bioidentical hormones in all 50 states and most of Canada. She built the Better Thyroid and Hormone Institute, hosts The Thyroid (and Hormone) Fixer Podcast, and has helped thousands of women globally finally get answers. We go DEEP on: Why the standard TSH-only test misses almost everyone, and the six tests you need to ask for by name THYROPAUSE: Dr. Amie's term for what happens when thyroid dysfunction collides with perimenopause and menopause (and why so many women are being treated for the wrong one) The T4-only medication trap: why Synthroid and levothyroxine fail an estimated 98% of patients Reverse T3, the silent saboteur that blocks your active thyroid hormone from getting into your cells Natural desiccated thyroid, the controversy, FDA scrutiny of animal-derived medications, and where Dr. Amie stands T2: the FORGOTTEN thyroid hormone with 30+ years of research that burns fat at the mitochondrial level, does not suppress your own thyroid, does not jack up your heart rate, does not require a prescription, and is showing up in studies as a potential anti-obesity treatment What Ozempic, Wegovy, and Mounjaro are actually doing to your thyroid (and why some women lose ZERO weight on GLP-1s no matter how high they push the dose) The estrogen, progesterone, testosterone, cortisol, and insulin connection: why you cannot fix the thyroid without addressing the whole hormonal system Antibody-support strategies: gluten elimination, black cumin seed oil, low-dose naltrexone, and thymosin alpha Iodine titration cautions, medical gaslighting, and what to say when your doctor refuses to run the full panel The Monday morning action plan: exactly what to do this week if you suspect your thyroid is the missing piece This is not a thyroid 101 episode. This is the conversation I wish every midlife woman was given the day her labs came back normal. You are not broken. You are not crazy. And you are not alone. Sign up for the free Thyroid and Hormone class https://fixyourthyroid.com/natalie    Connect with Dr. Amie: Podcast: The Thyroid (and Hormone) Fixer Instagram: @dramiehornaman Book: https://thyroidfixbook.com/ Live lab-review class https://fixyourthyroid.com/natalie  Better Thyroid and Hormone Institute: dramiehornaman.com   APPROXIMATE TIMESTAMPS: 00:00 — The medical gaslighting that is keeping midlife women sick 06:00 — The full thyroid panel: the six tests to ask for by name 12:00 — Introducing THYROPAUSE: where thyroid meets menopause 20:00 — How estrogen, progesterone, testosterone, and cortisol all impact your thyroid 28:00 — Why T4-only medication (Synthroid, levothyroxine) fails 98% of patients 34:00 — Natural desiccated thyroid, FDA scrutiny, and individualized dosing 40:00 — T2: the forgotten thyroid hormone that burns fat without touching your gland 48:00 — Who should consider T2 (and why it does not require a prescription) 52:00 — What Ozempic and the GLP-1s are actually doing to your thyroid 58:00 — How to protect your thyroid if you are currently on a GLP-1 62:00 — Lifestyle non-negotiables: morning sun, protein, resistance training, sleep, blood sugar 67:00 — Your Monday morning action plan if you suspect your thyroid is the missing piece   Catch the full episode on YOUTUBE HERE: https://bit.ly/MidlifeConversationsYouTube   Learn More About Dr. Amie Hornaman  Instagram ➜ https://www.instagram.com/dramiehornaman Website ➜ https://fixyourthyroid.com/natalie      Thank you to our show sponsors:  MITOQ: Take control of healthy aging and longevity. Get 10% off using code NATALIEJILL at checkout on https://www.mitoq.com/  BIOPTIMIZERS: Get the digestive enzymes I take with every meal here https://www.bioptimizers.com/nataliejill Free Gifts for being a listener of Midlife Conversations! Mastering the Midlife Midsection Guide: https://theflatbellyguide.com/ Age Optimizing and Supplement Guide: https://ageoptimizer.com   Connect with me on social media! Instagram: www.Instagram.com/Nataliejllfit Facebook: www.Facebook.com/Nataliejillfit   For advertising inquiries: https://www.category3.ca/  Disclaimer: Information provided in the Midlife Conversations podcast is for informational purposes only. This information is NOT intended as a substitute for the advice provided by your physician or other healthcare professional. Do not use the information provided in this podcast for diagnosing or treating a health problem or disease, or prescribing medication or other treatment. Always speak with your physician or other healthcare professional before making any changes to your current regimen.  Information provided in this podcast and the use of any products or services related to this podcast does not create a client-patient relationship between you and the host of Midlife Conversations or you and any doctor or provider interviewed and featured on this show. Information and statements may have not been evaluated by the Food and Drug Administration and are not intended to diagnose, treat, cure, or prevent ANY disease. Advertising Disclosure: Some episodes of Midlife Conversations may be sponsored by products or services discussed during the show. The host may receive compensation for such advertisements or if you purchase products through affiliate links. Opinions expressed about products or services are those of the host and/or guests and do not necessarily reflect the views of any sponsor. Sponsorship does not imply endorsement of any product or service by healthcare professionals featured on this podcast.

Today, I'm joined by the incredible Dr. Amie Hornaman, a leading thyroid expert and author of the brand new book, The Thyroid Fix. In our conversation, Dr. Hornaman opens up about her personal struggle with undiagnosed thyroid disease—a journey marked by frustrating medical gaslighting and the dismissive “you're normal” diagnoses from doctor after doctor. She reveals how that experience led her to become a passionate advocate for women (and men) suffering from thyroid dysfunction and a pioneer in holistic, root-cause approaches to healing. Episode Timestamps: Introduction and show purpose ... 00:00:00 Dr. Hornaman's personal story and medical gaslighting ... 00:05:05 Journey to functional medicine and importance of symptom-based care ... 00:11:00 Recognizing key thyroid-related symptoms ... 00:14:51 Wearables and tracking thyroid-related trends ... 00:17:18 Understanding thyropause and hormone fluctuations after 40 ... 00:19:31 Impact of thyroid function on overall longevity and health ... 00:23:43 T4-only medication debate and need for personalized treatment ... 00:36:19 Why T4-only persists in conventional practice ... 00:40:40 T2, metabolism, mitochondrial health, and iodine ... 00:45:21 GLP-1 medications, thyroid optimization, and weight loss stories ... 00:50:16 Personalization of thyroid numbers and treatment ... 00:53:46 Functional versus conventional thyroid lab ranges ... 00:54:59 Thyroid's connection to mood and mental health ... 00:56:42 When lifestyle alone can't restore thyroid health ... 00:58:39 Biggest myth: TSH and T4-only standard of care ... 01:07:59 Our Amazing Sponsors: O₃RACLE by Wizard Sciences — A daily ozonated oil capsule designed to support immune balance, cellular communication, and antioxidant production without clinics, machines, or complicated routines; learn more at wizardsciences.com and use code NAT15 for 15% off. Quantum Upgrade - Supports nervous system balance without wearables or apps—just effortless, 24/7 quantum energy streaming. With 21+ studies showing measurable improvements in stress and cellular function, it's easy to try for yourself. Visit quantumupgrade.io/NAT and use code NAT15 to start the free 15 day trial. MassZymes by BiOptimizers – A full-spectrum digestive enzyme formula with 4x more protease to help break down protein into usable amino acids so your body actually benefits from what you eat—try it risk-free with a 365-day money-back guarantee and save 15% at bioptimizers.com/bionat with code BIONAT. Nat's Links: YouTube Channel Join My Membership Community Sign up for My Newsletter Instagram Dr. Bill Lawrence Episode

In this powerful episode, Dr. Fiona Lovely welcomes back her friend and colleague, Dr. Amie Hornaman—known globally as "The Thyroid Fixer." Dr. Amie is a functional medicine expert, host of the top-rated The Thyroid Fixer podcast, and author of the new book The Thyroid Fix: The No-Nonsense Guide to Reclaiming Your Health. Together, they pull back the curtain on why conventional medicine continues to fail women when it comes to thyroid and hormone health. Dr. Amie shares her journey of being misdiagnosed and how that fueled her mission to help women stop wishing on a rainbow for their health to improve. She explains why relying solely on TSH and T4 is a dangerous gamble, revealing that the real story lies in free T3 and reverse T3. Listeners will learn why T4-only medication like Synthroid often falls short and how to advocate for proper testing and treatment. The conversation also explores the forgotten thyroid hormone T2, its role in burning fat without losing muscle, and how GLP-1 medications intersect with thyroid function. Dr. Amie provides scripted, respectful language for women to use with their doctors, including a powerful "nuclear option" to ensure their concerns are documented. Episode Highlights: Why TSH is a misleading marker and which two tests truly matter for thyroid health. The problem with T4-only medication and why it can backfire. How to approach your doctor without overwhelming them—three bullet points, no life stories. The fascinating role of T2 in metabolism and weight loss. A candid discussion on thyroid nodules, unnecessary surgeries, and patient advocacy. Tune in to learn how to become the CEO of your own health, because waiting for your doctor to catch up is no longer an option.   Thank you to our sponsors for this episode: Women in perimenopause and menopause talk about wanting the same things — less bloating, no afternoon crash after eating, steady energy. MassZymes is perfect for helping your body's ability to actually process what you eat. MassZymes uses a full-spectrum blend of 18 enzymes. That means you're getting more out of the food you eat. Plus, it works across different stomach acid levels, which can really matter as we age. Here's what you get when you go to bioptimizers.com/lovely and use code LOVELY: 15% off your entire order AND a free bottle of Masszymes — BiOptimizers' best-selling digestive enzyme — added to your order automatically when you use our exclusive code.

In this episode, Dr. Eric Osansky welcomes back Dr. Amie Hornaman to discuss her new book, The Thyroid Fix. Together, they dive into the most common misconceptions surrounding hypothyroidism and Hashimoto's, including why so many people continue to experience symptoms despite being told their thyroid labs are “normal.” Dr. Amie shares her personal motivation for writing the book and explains how she hopes to empower people to better understand their thyroid health and advocate for themselves.Dr. Amie breaks down what a complete thyroid panel should include, why testing only TSH is often insufficient, and the important roles of free T3 and reverse T3 in thyroid hormone conversion and metabolism. The conversation also explores autoimmune triggers, hormone fluctuations during pregnancy and menopause, the connection between stress and thyroid dysfunction, and why testosterone may play a protective role against autoimmunity. They also discuss T2 supplementation, common nutrient deficiencies, iodine, ashwagandha, and the growing conversation around GLP-1 medications.The episode closes with an encouraging discussion about hope, healing, and the importance of individualized thyroid care. Dr. Amie emphasizes that taking thyroid hormone replacement is not a failure and explains when Hashimoto's may potentially be reversed or put into remission. If you want a clearer, more balanced understanding of Hashimoto's, thyroid hormones, and what optimal thyroid health really looks like, you'll get a lot out of this episode. Free resources for your thyroid healthGet your FREE Thyroid and Immune Health Restoration Action Points Checklist at SaveMyThyroidChecklist.comHigh-Quality Nutritional Supplements For Hyperthyroidism and Hashimoto' s Have you checked out my new ThyroSave supplement line? These high-quality supplements can benefit those with hyperthyroidism and Hashimoto's, and you can receive special offers, along with 10% off your first order, by signing up for emails and text messages when you visit ThyroSave.com. Do You Want Help Saving Your Thyroid?Get free access to hundreds of articles and blog posts: https://www.naturalendocrinesolutions.com/articles/all-other-articles Watch Dr. Eric's YouTube channel: https://www.youtube.com/c/NaturalThyroidDoctor/videos Join Dr. Eric's Graves' disease and Hashimoto's group: https://www.facebook.com/groups/saveyourthyroid Take the Thyroid Saving Score Quiz: https://quiz.savemythyroidquiz.com/sf/237dc308 Read all of Dr. Eric's published books: http://savemythyroid.com/thyroidbooks Work with Dr. Eric: https://savemythyroid.com/work-with-dr-eric/ 

What are the experts saying about thyroid cancer treatment in 2025?  Maybe it's time to discuss deescalation of aggressive surgical care for lower risk thyroid cancers.  We can accept that less surgery may be appropriate in select cases, including more thyroid lobectomies versus total thyroidectomies, consider less invasive approaches such as percutaneous ablation techniques, and utilize more observation with active surveillance.  Early assessment of treatment may allow appropriate reduction in use of radioactive iodine ablation and more relaxed routine monitoring can reduce surveillance burden to patients and providers. Hosts:  - Amanda Doubleday, DO, MBA, Assistant Professor, Waukesha Surgical Specialists, ProHealth Care.  Affiliated with University of Wisconsin School of Medicine and Public Health, Department of Surgery.  - Simon Holoubek, DO, MPH, Assistant Professor, University of Wisconsin School of Medicine and Public Health, Department of Surgery.  - Alexander Chiu, MD, Assistant Professor, University of Wisconsin School of Medicine and Public Health, Department of Surgery.  - Rebecca S Sippel, MD, FACS, Professor and Chair of Division of Endocrine Surgery, Vice Chair of Academic Affairs and Professional Development, University of Wisconsin School of Medicine and Public Health, Department of Surgery.  Learning Objectives:- Risk stratification system now includes 4 categories: low, low-intermediate, high-intermediate, and high-TSH suppression targets are simplified:  below the normal range if there is structural or biochemical disease and in the normal range if disease free. - Thyroid lobectomy is recommended for tumors < 2cm cT1N0 tumors and can be considered for tumors 2-4 cm. - Micro-Papillary Thyroid Carcinoma (

In this masterclass, I'm pulling back the curtain on everything I teach inside my eight-week program Ignite and distilling it into one power-packed masterclass. If you've been doing "all the things" and still feel like your body isn't responding, this one is for you.   What We Cover: The difference between metabolism, metabolic health, and hormonal changes — because they are not the same thing, and confusing them is costing you results. The top 5 struggles women come to us with: Metabolic dysfunction (gaining weight, energy crashes, cravings) Hormonal chaos (mood swings, anxiety, irritability) Sleep disruption (why 1–4 AM wake-ups are telling you something) Loss of body confidence and identity Information overload and no clear strategy Why your symptoms are the messenger, not the root cause — and how to start asking the right questions of your doctors, trainers, and yourself. Blood sugar & insulin — the most underutilized tool for stabilizing blood sugar isn't a supplement. It's strength training. Protein: the non-negotiable macro — how much you actually need (hint: most women are underestimating), how to hit 30–40g per meal, and why food prep beats meal prep every time. Building muscle in your 40s, 50s & 60s — what progressive overload actually means, why cardio classes are not your best investment, and the five non-negotiables for real body recomposition. Why eating less and pushing harder is working against you — and what to do instead. Thyroid health & Hashimoto's — what to ask your doctor to test (beyond TSH), why antibodies matter, and how Christine got her Hashi's into remission. The scale is the last metric we use — progress photos, tracking your lifts, and measuring what actually matters. Food noise, GLP-1s & the wellness marketing machine — how to cut through the noise and find what your body actually needs. Key Takeaways: Your muscle mass impacts your metabolism more than your age does One poor night of sleep is enough to dysregulate hunger hormones and increase cravings Consistency over perfection — nail one habit before adding another Stop cutting carbs; your thyroid needs them The boring basics work. My most successful clients are my most "boring" ones. You don't need more equipment — you need more education about your body   Mentioned in This Episode: Andrea Donsky's book Nourishing Menopause and her research on 103 symptoms of perimenopause/menopause Dr. Bill Campbell's body composition lab at the University of South Florida MyFitnessPal for macro tracking Jill Harris as a client case study (9 lbs lost, Hashimoto's into remission over 3 years) Vitract / Tiny Gut Health for stool/microbiome testing   Let's dive in! Thank you for joining us today. If you could rate, review & subscribe, it would mean the world to me! While you're at it, take a screenshot and tag me @jennpike to share on Instagram – I'll re-share that baby out to the community & once a month I'll be doing a draw from those re-shares and send the winner something special! Click here to listen: Apple Podcasts – CLICK HERESpotify – CLICK HERE This episode is sponsored by: withinUs | Use the code JENNPIKE20 at withinus.ca for a limited time to save 20% off your first order and 20% off your first subscription order St. Francis | Go to stfrancisherbfarm.com and save 15% off your all your orders with code JENNPIKE15  Eversio Wellness | Go to eversiowellness.com/discount/jennpike15 and save 15% off every order with code JENNPIKE15 /// not available for "subscribe & save" option Free Resources: Free Perimenopause Support Guide | jennpike.com/perimenopausesupport Free Blood Work Guide | jennpike.com/bloodworkguide The Simplicity Sessions Podcast | jennpike.com/podcast Get 20% on thewalkingpad.com using code "JENNPIKE20" Metabolic Guide | jennpike.com/metabolic-guide Get discounts at happybumco.com using code "JENNPIKE" *code doesn't apply with Black Friday sale* Programs: Ignite: Your 8-Week Body Transformation Program | https://jennpike.com/ignite The Peri & Menopause Project  - Join the Waitlist | jennpike.com/theperimenopauseproject Synced Virtual Fitness Studio | jennpike.com/synced Services: Work With Jenn | https://jennpike.com/work-with-jenn/ Functional Testing | jennpike.com/testing-packages Business Mentorship | The Audacious Woman Mentorship:  jennpike.com/theaudaciouswoman Connect with Jenn: Instagram | @jennpike Facebook | @thesimplicityproject YouTube | Simplicity TV Website | The Simplicity Project Inc. Have a question? Send it over to hello@jennpike.com and I'll do my best to share helpful insights, thoughts and advice.

Low AMH, high FSH, two miscarriages, told donor eggs were her only option. At 43, she conceived naturally. Here's what her clinic missed before the donor egg recommendation. This episode is for the woman sitting with a donor egg recommendation. Low AMH or high FSH on the chart. Failed IVF or recurrent miscarriage in the history. A clinic that said the numbers leave you no other options. Sarah Clark walks through the case of a 43-year-old client whose REI told her IVF or donor eggs were her only realistic path. Her FSH was 13.6. Her AMH was low. She had two pregnancy losses behind her. The diagnosis of diminished ovarian reserve was not wrong. The numbers were what they were. What had not happened was a structured investigation of why those numbers looked the way they did and whether the rest of the picture had been missed. Eighteen months later, she was pregnant naturally with her own eggs. What the clinic had not investigated was a long list. Her TSH was 3. Accepted as normal, but well above the range her own REI would have flagged before IVF prep. A full thyroid panel was never run. Her stool DNA test showed H. pylori, an infection that impairs nutrient absorption and drives inflammation. She had been gluten-free everywhere else for years, but she had been taking a weekly communion wafer every Sunday without realizing it counted. The cabergoline she was on was lowering her cholesterol and impairing her ability to make sex hormones. Her male partner had not been worked up. His semen analysis showed low volume and low concentration. His blood sugar was elevated. His kidney markers showed stress. The vaginal microbiome had not been tested. The seminal microbiome had not been tested. Her night sweats and disrupted sleep had been mentioned and dismissed. Her case is not a guarantee that anyone else will get the same outcome. Every case is different. The patterns we found in hers may not be the patterns in yours. But the principle holds: a diagnosis of diminished ovarian reserve, low AMH, or high FSH is a starting point for further investigation, not a complete picture of what is possible. What this episode covers: Why low AMH and high FSH are not the complete picture when donor eggs are recommended Why a TSH of 3 is not normal for fertility even when a clinic accepts it How H. pylori, hidden gluten, and gut infections affect egg quality and miscarriage risk What a full male partner workup looks like when there has been pregnancy loss or implantation failure What a structured second opinion covers when you have been told IVF or donor eggs are your only path This episode is for you if: You have low AMH, high FSH, or a diminished ovarian reserve diagnosis You have had a failed IVF cycle, recurrent miscarriage, or implantation failure You have been told donor eggs are your next step and you are not ready to agree before you understand what was actually evaluated You are in your late 30s or 40s and want to understand whether natural pregnancy with your own eggs is still possible Timestamps: [00:00] Low AMH, High FSH, Donor Eggs Recommended at 43 [01:30] Functional Fertility Testing vs Standard REI Workup [03:00] Thyroid and Fertility: Why TSH 3 Is Not Normal [04:30] Cabergoline, Cholesterol, and Sex Hormone Production [06:00] H. pylori, Hidden Gluten, and Gut Infections in Low AMH Cases [08:00] Vaginal Microbiome and Implantation in Recurrent Miscarriage [09:30] Male Partner Workup: Seminal Microbiome and Sperm Health [11:00] Night Sweats, Sleep Disruption, and the Nervous System [12:30] Constipation, Liver Function, and Hormone Clearance [14:00] Pregnant Naturally at 43: The 18-Month Timeline Take action: If you have been told donor eggs are your only option and you want a structured review of your timeline, your labs, and your IVF history before the next decision, the Functional Fertility Second Opinion is where that review happens.

Your labs came back clean. Your doctor says your blood work is “normal.” Your weight is “fine.” But your energy is dropping, your thinking feels slower, and there's a ceiling you keep bumping up against. This episode is for that specific situation. It's far more common among high-performing executives and founders than most people realize.Julian walks through exactly how he thinks about it: why standard blood work can't see what's actually happening, the four layers he maps before ordering a single test, and the phased approach he uses to create clarity before adding anything new. If you've been told everything looks normal, but you know something isn't right, this one is for you.— Episode Chapter Big Ideas (timing may not be exact) —0:00 – Welcome & the "normal labs but feeling off" situation 1:54 — Who Julian is & what Executive Health does2:37 — Why "normal" doesn't mean optimal 3:01 — What a standard annual physical actually measures 4:52 — What standard blood work doesn't measure6:15 — Why your TSH in range doesn't mean your thyroid is functioning optimally 7:37 — Why a single morning draw misses the full rhythm of cortisol 9:19 — Why fasting glucose isn't enough10:54 — Why health sovereignty matters 11:31 — The four diagnostic layers Julian maps first12:40— Layer 1: Energy Timeline14:03— What energy patterns actually signal15:13 — Layer 2: Cognitive Quality16:27 — Decision fatigue as an early signal of declining biological capacity18:03 — Layer 3: Lifestyle Load21:38 — Why accumulated stress without recovery creates a compounding deficit22:22 — Layer 4: Environmental Inputs:23:10 — Morning light, circadian rhythm, and why most executives are running a circadian deficit25:02 — Why seven hours of sleep can still leave you depleted25:59 — Overlooked signs of sleep debt26:45 — Constant stimulation and the cost of a nervous system that never downregulates28:34 — The three-phase approach overview: Stabilize, Signal Clarity, Targeted Testing29:23) Phase 1: Stabilize29:56 — Why sleep consistency matters more than duration31:36 — Why sleeping before midnight hits differently34:34 — Meal timing and sleep quality35:31 — Phase 2: Signal Clarity36:34 — Why layering more interventions buries the real problem further37:36 — Phase 3: Targeted Testing38:20 — What targeted testing actually looks like39:00 — Why hormonal health is the foundation40:18 — The skill of slowing down before speeding up40:49 —Why accomplished leaders stay stuck42:04 — Pattern 1: Trusting labs over lived experience43:28 — Pattern 2: Adding tactics instead of creating clarity44:58 — Why complexity feels like progress but often buries the real issue46:15 — Pattern 3: Normalizing subpar performance because external metrics are still moving47:55 — The cost shows up gradually…then suddenly49:11 — The gap between existing and thriving51:06 — How to work with Julian privately— Connect with Julian and Executive Health —LinkedIn — https://www.linkedin.com/in/julianhayesii/X — https://x.com/thejulianhayesDon't let your biology become the bottleneck to the enterprise you're building. Book a private call —https://www.executivehealth.io/contactWebsite — https://www.executivehealth.io/***DISCLAIMER: The information shared is not meant to treat or diagnose any condition. This is for educational, informational, and entertainment purposes. The content here is not intended to replace your relationship with your doctor and/or medical practitioner. Consult your provider before making any decisions.

Send us Fan MailIn this week's Friday Five, I'm breaking down some of the standard blood markers I commonly look at in clinic when somebody is dealing with autoimmune disease, inflammation, fatigue, or hair loss — including alopecia.One of the biggest misconceptions I see is that “normal” blood tests automatically mean everything is functioning optimally. But in reality, many people continue to struggle with symptoms despite being told their results are fine.In this episode, I explain why interpretation matters just as much as the numbers themselves, and why looking at patterns across the body can often reveal far more than one isolated marker.I discuss:• Ferritin, transferrin and the wider iron picture• Why ferritin alone may not tell the full story in inflammatory conditions• Thyroid markers beyond TSH, including Free T3, Free T4 and thyroid antibodies• The role of thyroid hormone conversion in energy, metabolism and hair health• Vitamin D and immune regulation• Zinc and its role in immune resilience, skin and hair health• White blood cells, neutrophils and lymphocyte patterns in autoimmune disease• What triglycerides can tell us about metabolism, blood sugar regulation and inflammation• Why markers like serum B12 or HbA1c may not always reflect the full picture• The importance of interpreting symptoms alongside laboratory testingThis episode is not about becoming fearful of blood tests or obsessing over numbers. It's about understanding the body more deeply and recognising that subtle shifts in markers can sometimes provide important clues long before symptoms become more significant.If you've ever been told “everything looks normal” but still feel that something is off, this episode is for you.

Could your "thyroid problem" actually be an underlying autoimmune condition that is currently being ignored? I sat down with Dr. Heather Stone, a practitioner dedicated to uncovering what's really going on when your labs say you're "fine" but you feel anything but. We dive deep into why the vast majority of thyroid cases are actually Hashimoto's and how environmental triggers like gluten and glyphosate are fueling the fire. You'll learn how to stop being "patted on the head" by conventional medicine and start taking control of your hormones and immune health through comprehensive testing. (00:00) A "normal" TSH range doesn't always mean your thyroid health is functioning optimally. (00:52) Common symptoms of thyroid issues that are frequently dismissed as simple aging or perimenopause. (02:05) The majority of women diagnosed with low thyroid actually have an underlying autoimmune condition called Hashimoto's. (03:33) Shift your focus from the thyroid as the victim to the underlying immune system triggers causing the attack. (04:05) The feedback loops between insulin surges and immune system attacks on your thyroid. (05:56) The specific 12 markers needed for a comprehensive dysglycemia panel to truly assess your metabolic health. (06:39) Two specific antibodies are required to accurately diagnose Hashimoto's disease beyond standard lab tests. (08:21) Gluten sensitivity and glyphosate exposure are significant factors in thyroid-related molecular mimicry. Watch the full episode:https://youtu.be/l-f7xXIn2cw?si=kznm8Jjd5QfQVkfg Full show notes (including all links mentioned): https://jjvirgin.com/drheather Learn more about your ad choices. Visit megaphone.fm/adchoices

In this episode of Keeping Abreast, Dr. Jenn Simmons sits down with thyroid and hormone specialist Dr. Amie Hornaman to dismantle the standard of care that is leaving millions of women dismissed, misdiagnosed, and under treated. They cover what the full thyroid panel actually looks like, why T4-only therapy fails the vast majority of patients, and how the thyroid is connected to every other hormone system in a woman's body.What happens when a competitive athlete starts gaining weight, losing hair, and can't get a single doctor to take her seriously? Dr. Amie found out in her 20s with 40 pounds of unexplained weight gain, six doctors, six dismissals, and one mentor who finally ran the right tests and changed the course of her life and career. If you've ever been told your thyroid is fine while your body is telling you otherwise, this is the episode you've been waiting for.What You'll LearnWhy testing TSH alone is not a thyroid workup and what the five markers are that actually tell the full storyWhat free T3, free T4, and reverse T3 mean and why reverse T3 is the most dismissed marker in the panelWhat thyroid antibodies TPO and TGA reveal about Hashimoto's and why your doctor's normal range is meaninglessWhy 95% of hypothyroid cases are Hashimoto's and why your antibodies may already be elevated even if your doctor says they are notWhy your GLP-1 will stop working if your thyroid is not optimized firstHow estrogen dominance low progesterone high cortisol insulin resistance and low ferritin all interfere with thyroid functionWhy your insurance-based doctor cannot give you proper thyroid care even if they want toWhat the FDA's move against natural desiccated thyroid is really about and who benefitsWhy testosterone is protective against breast cancer and why women are being denied access to itWhat it actually feels like when your thyroid is optimized and how Dr. Amie gets patients thereEpisode Timeline:00:00 Show Intro01:08 How Dr. Amie Became Dr. Jenn's North Star05:02 Pain to Purpose: 40 Pounds and Six Dismissals08:37 Where Conventional Medicine Gets It Wrong16:58 Why Thyroid Disease Is at Epidemic Levels19:14 The Full Thyroid Panel You Actually Need36:43 Why T4-Only Therapy Fails Almost Everyone40:27 The Hormonal Web Nobody Is Addressing45:32 What Thyroid Optimization Actually Looks Like52:22 The FDA Threat to Natural Desiccated Thyroid59:42 Dr. Jenn's Testosterone Gatekeeping Story01:05:22 The Importance of Prevention in HealthcareFind Dr. Amie Hornaman Website: dramie.com | Book: thyroidfixbook.comTo talk to a member of Dr. Jenn's team and learn more about working privately with Dr. Jenn visit: https://calendly.com/stephanie-1031/clarity-callTo get your copy of Dr. Jenn's book, The Smart Woman's Guide to Breast Cancer, visit: https://tinyurl.com/SmartWomansBreastCancerGuideTo purchase the auria breast cancer screening test go here https://auria.care/ and use the code DRJENN20 for 20% Off.Connect with Dr. Jenn:Website: https://www.jennsimmonsmd.com/Facebook: https://www.facebook.com/DrJennSimmonsInstagram: https://www.instagram.com/drjennsimmons/YouTube: https://www.youtube.com/@dr.jennsimmons

Thyroid Symptoms, Normal Labs, and Root Causes: Dr. Kevin Smith on Hashimoto's, Functional Medicine, and Chronic Conditions | Conversations with a Chiropractor Episode Description In this episode of Conversations with a Chiropractor, Dr. Stephanie Wautier sits down with Dr. Kevin Smith, a functional medicine practitioner and founder of the Chronic Conditions Center in Pittsburgh, Pennsylvania. Dr. Smith specializes in helping people better understand the root causes behind chronic health problems, including thyroid dysfunction, gut issues, autoimmunity, chronic pain, inflammation, peripheral neuropathy, insulin resistance, and other complex conditions. This conversation focuses heavily on thyroid health, especially the frustration many people feel when they have symptoms of hypothyroidism, but are told their labs are "normal." Dr. Smith explains why thyroid symptoms can involve far more than a simple TSH reading, and why many cases of hypothyroidism may be connected to Hashimoto's disease, an autoimmune condition that affects the thyroid. Stephanie and Dr. Smith talk through common thyroid symptoms, including fatigue, hair loss, weak nails, digestive changes, sleep issues, brain fog, mood changes, infertility, and skin problems. They also discuss why a deeper look at the body may include the immune system, gut health, liver function, blood sugar, cortisol, sex hormones, inflammation, food sensitivities, unresolved infections, and nutrient status. The episode also explores the difference between managing symptoms and looking for the underlying reasons a person may not feel well. Dr. Smith shares how he uses detailed intake forms, comprehensive lab testing, metabolic questionnaires, food sensitivity testing, lifestyle changes, nutrition, supplements, and retesting to help patients better understand what is happening in their body. This conversation is educational and is not a replacement for personal medical care. If you are dealing with thyroid symptoms, autoimmune concerns, medication questions, or chronic health issues, work with a qualified healthcare provider who can evaluate your individual situation. In This Episode, Discover Common symptoms of hypothyroidism and low thyroid function Why "normal labs" may not tell the whole story The connection between Hashimoto's disease and thyroid dysfunction Why Dr. Smith describes many thyroid issues as immune system issues How the brain, pituitary gland, thyroid, liver, gut, and carrier proteins all play a role in thyroid function Why every cell in the body depends on thyroid hormone for energy regulation How chronic inflammation, blood sugar issues, cortisol, sex hormones, food sensitivities, and infections may affect thyroid physiology Why comprehensive lab testing may reveal patterns missed by basic panels The difference between food allergy testing and food sensitivity testing How lifestyle changes, nutrition, supplements, and retesting fit into functional medicine care Why patients may need to take a more active role in understanding their health Stay Connected & Explore Learn More About Dr. Kevin Smith & Metabolic Solutions: Dr. Kevin Smith / Metabolic Solutions: https://www.metabolicsolutions.net/ Free 2-Minute Metabolic Health Assessment: https://www.metabolicsolutions.net/metabolic-scorecard/ Chronic Conditions Center: https://www.chronicpa.com/ Connect with Conversations with a Chiropractor: Follow Us on YouTube: http://www.youtube.com/@ConversationswithaChiro Follow Dr. Stephanie on Facebook: https://www.facebook.com/wautierwellness Email for show-related inquiries and sponsorships: drstephaniewautier@yahoo.com Want to be a guest on Conversations with a Chiropractor? Send Stephanie Wautier a message on PodMatch, here: https://www.podmatch.com/hostdetailpreview/drstephanie Credits Podcast production by Brand|Sound. Start your podcast journey by emailing brandsoundpodcasts@gmail.com. Chapters 00:00 Introduction to Conversations with a Chiropractor 00:56 Meet Dr. Kevin Smith 01:55 Why Thyroid Health Is the Focus 02:15 Common Symptoms of Hypothyroidism 04:01 When Symptoms Persist but Labs Look Normal 05:13 Looking Beyond Basic Thyroid Testing 05:47 Hashimoto's Disease and Autoimmunity 07:15 Why the Immune System Matters in Thyroid Health 08:25 Thyroid Medication, Unresolved Symptoms, and the Bigger Pathway 09:04 The Brain, Pituitary Gland, TSH, T3, and T4 10:37 The Thyroid as the Body's Energy Regulator 11:48 Brain Fog, Mood, Gut Symptoms, and Cellular Energy 13:16 Triggers That Can Disrupt Thyroid Physiology 15:13 Hypothyroidism vs. Hyperthyroidism 16:14 Intake Forms, Questionnaires, and Foundational Labs 18:14 What Dr. Smith Looks for in Lab Work 19:53 Insurance, Coverage, and the Limits of Symptom Management 22:29 Managing Symptoms vs. Looking for Root Causes 23:30 Patients Who Feel Like They Are Out of Options 25:24 Medication Side Effects and Patient Education 27:26 Dr. Google, Food Testing, and Objective Data 29:36 IgG, IgE, and Food Sensitivity Testing 31:48 Delayed Reactions and the Long-Fuse Firecracker Analogy 34:43 Celiac Disease, Crohn's, Colitis, and Autoimmune Patterns 35:48 Treatment Through Lifestyle, Nutrition, and Supplements 37:51 Affordability, Priorities, and Investing in Health 40:23 Owning Your Health and Understanding the Problem 43:26 Chiropractic, Functional Medicine, and Knowing the Right Tool 45:11 How to Find Dr. Kevin Smith 46:26 Working With Patients Outside Pennsylvania 47:34 Final Thoughts and Closing

This podcast episode gives nurses a practical, easy-to-apply overview of common thyroid disorders, focusing on how to recognize and manage both hypothyroidism and hyperthyroidism in clinical practice. It reviews key differences in presentation—such as fatigue, weight gain, and cold intolerance in hypothyroidism versus weight loss, tachycardia, and heat intolerance in hyperthyroidism—while connecting these symptoms to underlying physiology. Nurses will learn important medication considerations, including proper administration of levothyroxine and monitoring for adverse effects with methimazole. The episode also highlights critical safety topics like recognizing thyroid storm, interpreting lab values (TSH, T3, T4), and providing effective patient education. With real-world clinical pearls, this episode helps nurses build confidence in managing thyroid conditions across care settings. Be sure to check out our free Top 200 study guide – a 31 page PDF that is yours for FREE!

¿Te han dicho alguna vez la frase "tus analíticas están perfectas, eso va a ser estrés" pero tú apenas tienes energía para levantarte de la cama?Hoy traigo un caso real de la consulta que, lamentablemente, es el pan de cada día para muchísimas mujeres. Una paciente de 38 años que llegó a mi consulta arrastrando los pies, con caída de cabello, estreñimiento crónico y una "niebla mental" que no la dejaba vivir. Su médico de cabecera la despachó porque su TSH estaba en 5.2 (dentro del "rango normal" del laboratorio). ¿El problema? Nadie miró la foto completa. Nadie le pidió los anticuerpos.En este episodio te cuento paso a paso cómo abordamos este caso en consulta, cómo nos enfrentamos al muro de la invalidación médica y cómo, gracias a la nutrición y al trabajo en equipo con profesionales actualizados, la paciente recuperó su vida.En el episodio de hoy vas a descubrir:Por qué una TSH dentro del rango del laboratorio no siempre significa que tu tiroides funcione de forma óptima.La importancia vital de pedir los anticuerpos antitiroideos (Anti-TPO y Anti-TG).El abordaje nutricional para la Tiroiditis de Hashimoto: cómo desinflamar y qué nutrientes (como el selenio y el zinc) son la "gasolina" de tu tiroides.Cómo gestionar el miedo a reducir ciertos alimentos (como el gluten) sin caer en la mentalidad de dieta restrictiva.Recuerda: No normalices estar agotada. Estar cansada crónicamente no es "lo normal por la edad" ni "lo normal por trabajar". Si tu cuerpo te da señales, escúchalo.Conviértete en un supporter de este podcast: https://www.spreaker.com/podcast/comiendo-con-maria-nutricion--2497272/support.

Live Q&A with Liz & Becca answering the questions - Should you start a GLP-1, estrogen patch, and progesterone cream all at once? (Spoiler: hell no.) What's actually driving a TSH of 7.9 — and why levothyroxine makes it worse? Can you treat H. pylori without antibiotics and antacids? We break down the real protocols, the order to layer interventions, the nutrient depletions nobody warns you about, and why functional medicine looks at gut health, drainage pathways, and root causes before chasing symptoms with prescriptions. Topics: GLP-1 done right, perimenopause hormone replacement, Hashimoto's, thyroid antibodies, gluten and autoimmunity, mastic gum, biofilm disruptors, stomach acid, oral microbiome. Real talk for women tired of the 1-2-3-prescription approach. *** CONNECT:

In this episode of Hope Natural Health, Dr. Erin Ellis tackles one of the most frustrating challenges women face during the transition to menopause: stubborn weight gain. If you've been "doing everything right" eating less and exercising more, only to see the scale refuse to budge, this episode is for you. Dr. Erin explains why this isn't a lack of willpower, but a shift in your internal hormonal and metabolic landscape.   In this episode, you will learn: Understand how declining estrogen and shifting fat distribution change your metabolic needs. Learn why insulin resistance is a hidden driver of weight gain and how to stabilize your blood sugar. Discover why "eating less and moving more" can trigger cortisol to store fat rather than burn it. Identify why a standard TSH test often misses thyroid issues and what markers you actually need. Explore why strength training and walking are more effective than high-intensity cardio for hormone health. Find out which specific hormone and metabolic tests are required to stop guessing and start seeing results.   For more on Dr. Erin: Join The Hope Circle Community: https://hormonehealingproject.drerinellis.com/communities/groups/the-hope-circle/home?invite=69120d498b7e3f60397656b8 Work with Dr. Erin here: https://p.bttr.to/3E88ps4 Buy Dr. Erin's Supplements here: https://drerinellis.com/shop Get the Period Productivity Planner here: https://www.amazon.com/dp/B0BBYBRT5Q?ref_=pe_3052080_397514860 Download the FREE Menstrual Cycle Nutrition Guide here: https://detox.drerinellis.com/ Watch The Free Video "7 Hormones Affecting Your Weight Loss Goals" here: https://weightloss.drerinellis.com/ Let's Be Friends: Follow Dr. Erin on Instagram: https://www.instagram.com/dr.erinellis/ Follow Dr. Erin on Facebook: https://www.facebook.com/drerinellisnmd Follow Dr. Erin on TikTok: https://www.tiktok.com/@dr.erinellis?lang=en Join the Free Hope Circle Community: https://hormonehealingproject.drerinellis.com/communities/groups/the-hope-circle/home?invite=69120d498b7e3f60397656b8 Bookmark Dr. Erin's Website: www.drerinellis.com Subscribe to Hope Natural Health on YouTube: https://www.youtube.com/channel/UChHYVmNEu5tKu91EATHhEiA Follow Hope Natural Health on FB: https://www.facebook.com/hopenaturalhealth Sign up for Newsletters here: https://booking.hopenaturalhealth.com/widget/form/VUubL7MNYELduwQL8ssI

Your TSH is "normal." Your ferritin is "normal." Your glucose is "normal." And IVF still isn't working. Here's why normal lab ranges were never built for fertility and what optimal actually looks like. Most reference ranges are designed to flag disease in the general population, not to optimize egg quality, embryo competence, or implantation. That gap is where a lot of unexplained IVF failure, embryo arrest, and recurrent loss live. In this episode, Sarah Clark walks through the four biomarker categories most often dismissed as "fine" but influence cycle outcomes in women with diminished ovarian reserve, low AMH, high FSH, and failed transfers. What you'll learn: - What "normal" lab ranges actually measure and what they miss - Why fertility-optimized TSH sits closer to 1–2 mIU/L, not 4.0 - Ferritin 80–100 ng/mL and what it means for egg energy and endometrial development - Fasting glucose under 86, insulin stability, and follicular development - Why hsCRP under 1 mg/L matters for implantation and embryo quality - The full thyroid panel most REIs skip: Free T3, Free T4, Reverse T3, TPO, TBG - Male factor inflammation, sperm DNA fragmentation, and recurring infections - The reframe: normal protects against disease, optimal supports conception Timestamps: 00:00 Why "normal" labs don't mean fertility-optimized 00:30 What conventional reference ranges actually measure 01:30 Why DIY fertility optimization stalls without functional lab review 03:00 TSH "normal" vs optimal and the full thyroid panel REIs skip (Free T3, Free T4, Reverse T3, TPO, TBG) 04:30 How thyroid signaling affects egg quality, ovulation, and pregnancy loss 05:00 Ferritin 80–100 ng/mL: the iron range for IVF and egg energy 06:00 Fasting glucose under 86, insulin stability, and follicular development 07:00 hsCRP under 1 mg/L: low-grade inflammation, implantation, and embryo development 07:30 Male factor inflammation, sperm DNA fragmentation, and recurring infections 08:30 Embryo Audit Checklist + Functional Fertility Second Opinion: next steps This conversation is for women navigating diminished ovarian reserve, low AMH, high FSH, embryo arrest, implantation failure, or recurrent pregnancy loss who keep being told their bloodwork looks fine. Not sure what's been fully evaluated? Download the free Embryo Audit Checklist to map your past cycles and labs so you can see what's been looked at and what may have been missed.

Welcome back to our weekend Cabral HouseCall shows!   This is where we answer our community's wellness, weight loss, and anti-aging questions to help people get back on track!   Check out today's questions:    Bettina: Hello Dr. Cabral, I would like your opinion on an EFSA warning about three supplements: Ashwagandha Intenso, Brain Life, and Curcumin C3 Complex. EFSA reports that ashwagandha may affect the immune system and thyroid function, while curcumin may impact the liver, the GI system, and, during pregnancy, contribute to lower birth weight. EFSA sets the maximum daily intake of curcumin at 210 mg for a 70‑kg adult. Brain Life contains 600 mg, and Curcumin C3 Complex contains 1000 mg, which both exceed this limit. I would appreciate your assessment of the safety of these dosages.      Justin: Hello Dr. Stephen Cabral. I just want to start off and say I think you are the most genuine and honest person people can follow right now and I love what you do. I'm about to start the 21 day detox and then plan on moving to the CBO protocol. I'm an ectomorph body type and I work out 3-4 days a week. I know in previous podcasts you have said that my body type needs lots of carbs and protein before and after a heavy lifting workout. I want to continue to try and get some workouts in during this time to keep up my strength and was wondering what you recommend since the meals are separated by 3.5 hours. I know not to workout during the shake fast days and I'm only doing those on the first 2 days since I'm not trying to loose weight. Thanks!      Tricia: Hi Dr. Cabral - At different times of our lives, we all go through very stressful life events. As I've gotten older, I really don't handle stress as well. I'm 56 years old. My father is 95-years old, doing great but I see I'm doing more and more and eventually I will be doing more care giving and running between two houses. I'm preparing my cabinet with your best supplements which all have been amazing and work just like you say they do! So, thank you! I do take the Sleep Support supplement once in a while as needed. During stressful events, would you recommend your Adrenal Soothe at dinner along with full spectrum magnesium then the sleep support at bed? I know how important our sleep is and I just can't turn off my mind when life gets to be too much sometimes. Thank you!      Sienna: Hi Dr. Cabral - thanks for ALL you do! I ran an omega 3 test, apparently I came back in the top 1% lol AA/EPA ratio: 4.3:1 Omega 6:3 ratio is 4.5:1 (it says the ideal is 3.1 - 3.9) Trans Fat index: 0.18% Omega 3 index: 8.33% I did run my cholesterol markers recently: Total Cholesterol 4.8 optimal HDL 1.4 (low-opt) LDL 3.3 (mild elev) Trig: 0.62 (excellent) Ratio: 3.4 (good) Also, TSH 1.1, FT4: 16 BUT FT3 2.3.... HELP! LOW Ferritin (21) I know you explain we dont look at one marker in isolation, but if it were you what would you be looking at (min effort, max dose) I do psyllium husk daily (about 10g) and Omega-3 Support as well as the foundations (DESTRESS) Any concerns with cholesterol? 43, Active, healthy, Female :) (Cant run EL labs) x     Stephanie: Hi Dr Cabral! I was diagnosed with sjogrens and lupus this year and my dr started me on plaquenil. I am 33 years old and I do not want to be on this medication forever but with being child bearing age and looking to start a family in the next year, they require me to be on it during pregnancy. I have been following your podcast for years and use all of equilife's supplements, follow the quarterly detox, etc. I do the daily foundational protocol and the immunity supplements I use are histpro and mushroom supplement. My understanding of autoimmunity is the immune system is overactive. Are these supplements activating my immune system too much? What are your suggestions I do to help be able to put my autoimmune into remission? I deal with mostly fatigue, joint/muscle pain. Thank you.      Thank you for tuning into today's Cabral HouseCall and be sure to check back tomorrow where we answer more of our community's questions!    - - - Show Notes and Resources: StephenCabral.com/3725 - - - Get a FREE Copy of Dr. Cabral's Book: The Rain Barrel Effect - - - Join the Community & Get Your Questions Answered: CabralSupportGroup.com - - - Dr. Cabral's Most Popular At-Home Lab Tests: > Complete Minerals & Metals Test (Test for mineral imbalances & heavy metal toxicity) - - - > Complete Candida, Metabolic & Vitamins Test (Test for 75 biomarkers including yeast & bacterial gut overgrowth, as well as vitamin levels) - - - > Complete Stress, Mood & Metabolism Test (Discover your complete thyroid, adrenal, hormone, vitamin D & insulin levels) - - - > Complete Food Sensitivity Test (Find out your hidden food sensitivities) - - - > Complete Omega-3 & Inflammation Test (Discover your levels of inflammation related to your omega-6 to omega-3 levels) - - - Get Your Question Answered On An Upcoming HouseCall: StephenCabral.com/askcabral - - - Would You Take 30 Seconds To Rate & Review The Cabral Concept? The best way to help me spread our mission of true natural health is to pass on the good word, and I read and appreciate every review!  

Your thyroid controls your energy, your metabolism, your testosterone, your mood, and your ability to think clearly. Most doctors are testing it wrong and treating it wrong, and this episode tells you exactly what to do instead. -Watch this episode on YouTube for the full video experience: https://www.youtube.com/@DaveAspreyBPR Host Dave Asprey sits down with McCall McPherson, a physician associate, TEDx speaker, and founder of Modern Thyroid Clinic, Modern Weight Loss, and the advocacy platform Thyroid Nation. McPherson has been honored on the 2024 and 2025 Inc. 5000 lists and named a 2025 Top 500 Inc. Female Founder. She hosts the Modern Thyroid and Wellness podcast and built her entire practice around thyroid care after being failed by conventional medicine while managing her own hypothyroidism. She treats patients nationwide via telemedicine and has become one of the most trusted voices in functional medicine thyroid care. Dave and McCall expose why standard TSH-only testing catches just 1 to 2 percent of actual thyroid variation, why the medication most doctors prescribe (Synthroid/levothyroxine) fails a massive percentage of patients, and why T3 is the active hormone that mainstream medicine has been trained to fear without good reason. They also get into how fluoride in tap water, bromine in American wheat, mold exposure, dairy, gluten, and oxalates directly suppress thyroid function and drive autoimmunity. If you want to optimize your metabolism, protect your mitochondria, support brain optimization, and stop leaving your longevity on the table, thyroid is the first domino. This is essential listening for anyone serious about biohacking, human performance, anti-aging, functional medicine, supplements, sleep optimization, and using smarter not harder strategies to take control of your biology. You'll Learn: Why testing TSH alone misses thyroid dysfunction in the vast majority of people What a full thyroid panel actually includes and the optimal ranges for T4, T3, and reverse T3 Why T4-only medications like Synthroid fail and what works better How low thyroid directly tanks testosterone and libido in both men and women The environmental triggers destroying your thyroid, including fluoride, bromine, mold, and inflammatory foods How Hashimoto's connects to broader autoimmune risk and what drives it into remission Why kids are being misdiagnosed with ADHD when the real issue is hypothyroidism The supplements and cofactors (selenium, zinc, magnesium, ashwagandha, tyrosine) that support thyroid activation How thyroid optimization connects to metabolism, dementia prevention, cardiovascular health, and economic outcomes When to use T3 only vs. a T3/T4 combination, and how to know if your dose is off Thank you to our sponsors! TRU KAVA | Head to trukava.com and use code DAVE10 for 10% off. BEYOND Biohacking Conference 2026 | Register with code DAVE300 for $300 off https://beyondconference.com Our Place | Stop cooking with toxic cookware and upgrade to Our Place today. With a 100-day risk-free trial, plus free shipping and returns, you can experience this game-changing cookware with zero risk. Visit: fromourplace.com/DAVE Use code: DAVE for 10% off sitewide Puori | Go to Puori.com/DAVE or use code DAVE at checkout to get 32% off your Puori Fish Oil subscription. You save more than $18. Dave Asprey is a four-time New York Times bestselling author, founder of Bulletproof Coffee, and the father of biohacking. With over 1,000 interviews and 1 million monthly listeners, The Human Upgrade brings you the knowledge to take control of your biology, extend your longevity, and optimize every system in your body and mind. Each episode delivers cutting-edge insights in health, performance, neuroscience, supplements, nutrition, biohacking, emotional intelligence, and conscious living. New episodes are released every Tuesday, Thursday, Friday, and Sunday (BONUS). Dave asks the questions no one else will and gives you real tools to become stronger, smarter, and more resilient. Keywords: McCall McPherson, Modern Thyroid Clinic, thyroid testing wrong, full thyroid panel, free T3, reverse T3, Synthroid failure, T3 vs T4, Hashimoto's remission, fluoride suppresses thyroid, thyroid low testosterone, thyroid ADHD, thyroid depression, hypothyroidism misdiagnosis, thyroid and metabolism, thyroid hair loss, functional medicine thyroid Resources: • Learn More About McCall's Work At: https://www.modernthyroidclinic.com/ • Get McCall's Thyroid Guide: https://gift.modernthyroidclinic.com/ • Get My 2026 Clean Nicotine Roadmap | Enroll for free at https://daveasprey.com/2026-clean-nicotine-roadmap/ • Dave Asprey's Latest News | Go to https://daveasprey.com/ to join Inside Track today. • Danger Coffee: https://dangercoffee.com/discount/dave15 • My Daily Supplements: SuppGrade Labs (15% Off) • Favorite Blue Light Blocking Glasses: TrueDark (15% Off) • Dave Asprey's BEYOND Conference: https://beyondconference.com • Dave Asprey's New Book – Heavily Meditated: https://daveasprey.com/heavily-meditated • Join My Substack (Live Access To Podcast Recordings): https://substack.daveasprey.com/ • Upgrade Labs: https://upgradelabs.com Timestamps: 00:00 – Trailer 01:05 – Intro & Guest Background 02:26 – Dave & McCall's Thyroid Stories 05:26 – How Thyroid Hormones Work 12:51 – Why T4-Only Meds Fall Short 23:05 – Why Thyroid Dysfunction Is So Common 23:59 – Fluoride, Bromine & Environmental Triggers 26:39 – Thyroid & Low Testosterone 27:31 – Optimal Lab Ranges for TSH, T4 & T3 36:58 – Mold, Hashimoto's & Autoimmunity 44:44 – Thyroid, ADHD & Mental Performance 49:38 – Supplements for Thyroid Support 51:52 – Vitamin D & Circadian Rhythms 56:30 – T3 Safety Myths & Medical Misinformation 1:00:16 – Key Takeaways & Where to Get Help See Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.