Fundamentals of Naturopathic Endocrinology by Dr. Michaël Friedman. Published by CCNN Press.

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Diseases of the Thyroid Glands and Restorative Medicine Treatments

Thyrotoxicosis

  • High levels of T4 and T3, caused by hyperthyroidism. Does not mean that the thyroid is toxic or symptomatic.
  • Symptoms include: palpitations, jitters, insomnia, irritability, weight loss or occasionally weight gain due to excess eating, heat intolerance, fatigue, brittle hair, light flow during menses, warm moist skin, hyperdefecation.

Hyperthyroidism

There are three main types of hyperthyroidism: Graves’ Disease, Toxic Multinodular Goiter, and Toxic Adenoma.

 


Graves’ Disease

  • The most common cause of hyperthyroidism.
  • Autoimmune disorder in which antibodies destroy TSH receptors, causing the thyroid to overproduce thyroid hormone.
  • Ophthalmopathy (thyroid eye disease) and pretibial myxedema, a skin disorder, are found in this condition.
  • Graves’ disease patients, as with hyperthyroid patients, can develop eyelid retraction and a distinctive stare.

Toxic Multinodular Goiter

TMG develops an autonomic function and it secretes thyroid hormones within the nodules.

Toxic Adenoma

Presents itself with a benign tumor that leads to excessive activation of TSH receptors. Rare cases of hyperthyroidism are TSH pituitary adenomas.

Signs and Symptoms of Hyperthyroidism

  • Palpitations
  • Weight loss
  • Insomnia
  • Weight loss
  • Fatigue
  • Chest pain
  • Breathing difficulties
  • Anxiety
  • Fever
  • Tachycardia
  • Increased bowel motility
  • Excess sweating
  • Autoimmune manifestations: exophthalmos, periorbital edema, swollen conjunctivi, diploplia, onycholysis, and pretibial dermopathy.

Conventional Medical Treatment

Conventional treatment of hyperthyroidism includes propylthiouracil (PTU), radioiodine (RAI), and surgery. PTU blocks conversion of T4 to T3. RAI is the conventional treatment of choice for Graves’ disease. Patients treated with radioactive iodine will no longer be hyperthyroid, but usually will be hypothyroid for life.
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