The Functional Medicine Approach To Hypothyroidism And Hashimoto’s Disease

there's a strong connection between hashimoto's and gluten a large number of patients that have hashis also have genes that make them more predisposed to gluten sensitivity and celiac disease welcome to doctors pharmacy i'm dr mark hyman and that's pharmaceutical and ffar macy a place for conversations that matter and if you struggle with low thyroid which by the way affects one in five women and one in ten men this conversation is going to matter to you and we're lucky to have my colleague my friend dr george pepe nicolao from the ultra wellness center here in lenox massachusetts talk about this very common and often very poorly treated condition welcome oh mark thanks for having me it's always a pleasure okay so let's get into it we're going to talk today about a very specific kind of thyroid dysfunction which is probably the most common type of thyroid dysfunction called hashimoto's thyroiditis now that is an autoimmune disease that gets treated in a way that really isn't that great for most of the people because they don't feel that great even if they're treated by the traditional endocrinologist so no first what is hashimoto's sounds like some kind of japanese dish and and what is the consequences of that for people who have it uh and how do we approach it yeah so as you said it affects a vast number of people in our country 27 million americans have thyroid dysfunction and 12 more are likely to get it every year hashimoto's is the most common cause of that dysfunction particularly hypothyroidism and hashimoto's is an autoimmune process what is autoimmunity it's when your body's immune system starts making antibodies against your own tissue and in this particular case it's the thyroid and this is the most common autoimmune disease in america it is right it is it is we don't really treat it as an autoimmune disease no we treat it as hypothyroidism right so when a and there are probably many women and we speak mostly about women because they make up to a large number of the patients we see with hashimoto's so um and a large number of these women do not feel better when they're treated and they and they get diagnosed with hypothyroidism without ever being tested for hashimoto's and the reason being is i think the big disconnect in conventional medicine and that is that it's not it's seen as a thyroid condition yeah and it's really an autoimmune condition that affects the thyroid yeah and in that in that setting in that with that mindset in that paradigm the the thought is well it doesn't really matter where the hypothyroidism comes from because the belief is is that there's nothing to impact that immune response against the thyroid we just though in conventional medicine you just sort of let that immune response continue functioning continue flaming until the thyroid is burnt out yeah and then the person is on whatever dose of thyroid medication will get their thyroid number their tsh into the normal range yeah and that's considered good medicine yeah one problem one problem there's a lot of women running around with a normal tsh that still feel like crap that's right that's right so a lot of people there's something going on our diagnosis by the way half of people with low thyroid are not diagnosed oh yeah okay so that's a problem in itself and if you're talking about 20 of women it's a lot of people and 10 of men it's a lot of people that's one problem the second problem is like you said we treat it by just giving people thyroid replacement without actually dealing with the root cause of why their thyroid isn't working in the first place and it's like the same way we treat all other autoimmune disease which is we say oh there's inflammation let's give you an anti-inflammatory drug right whether it's advil or steroids or chemotherapy drugs or immune immune suppressants that are super powerful and cause cancer and overwhelming infection and death in many people like we don't go what's the cause of inflammation so george with hashimoto's which is again so common what causes the autoimmune disease in hypothyroidism in this particular kind of autoimmune disease there are there are thought you know there's no clear understanding of the exact mechanisms that cause the immune system to go awry there are some there are some there are some theories and there are some associated conditions one of the one of the uh strong um thoughts is that uh again uh i should go go back i'm you know i want to i want to get this in a more clear model um autoimmune diseases tend to cluster if you have one you're much more likely to have another the the reason why hashis is most most prevalent is that there's a strong connection between hashimoto's and gluten a large number of patients that have hoshis also have genes that make them more predisposed to gluten sensitivity and celiac disease gluten therefore is seen as a pretty strong trigger to hashimoto's yeah now i would say if you're thinking about what's the what's the one thing that you can do if you think you have hashies go gluten-free or check your antibodies or check your energy i've checked antibodies for years on these patients because i i think this is a pretty well established phenomenon in the literature it's not like no you can go on pubmed which is the national library of medicine look it up hashimoto's gluten you'll come up with plenty articles and yet your traditional endocrinologist don't even look at it and i checked antibodies on every patient with hypothyroidism with hashimoto's and about 30 of people have some level of antibodies they might have celiac but they have some level and and so tell us why is gluten so connected to autoimmune disease gluten is very similar when so what gluten can do is it can trigger something called leaky gut but in most cases i would say that a person who develops thyroid disorder particularly hashimoto's probably already has a disordered gut probably already is experiencing some amount of dysbiosis or imbalance in their gut microbiome um they're and therefore experiencing some level of inflammation in their gut and if you have that inflammation then you're already going to be disturbing the the permeable membrane that's responsible it's the gatekeeping system for nutrients to go in and for toxins and for the bad guys to be kept out that's probably already disrupted gluten which is very prevalent in art processed foods does one more thing it triggers something called zonulin which is the gatekeeper zonulin is the the compound that's responsible for opening and closing the gates that allow good nutrients and compounds to enter in and then closes to make sure you keep out bacteria viruses and toxins that's right and i think with with when you start to create uh leaky gut with the gluten it creates inflammation throughout the body and it can attack different organs and some people can get rheumatoid arthritis someone gets psoriasis some people get hashimoto's thyroiditis because when gluten enters in there's the leaky gut now the immune system sees it as a foreigner and it begins making antibodies against it unfortunately those antibodies are very are also made against the thyroid because the gluten structure is very similar to the thyroid so you get this sort of molecular mimicry that causes the immune system to become confused and now it's making antibodies against your thyroid and studies have shown that you know people with hashimoto's when they cut out gluten their thyroid antibodies come down their autoimmunity gets less absolutely and i would also in regards to the testing and looking particularly as something called thyroid peroxidase antibody because that's the antibody that's made it's against it's made against this enzyme that the thyroid makes it's responsible for making thyroid hormone it also makes it can also make an antibody against thyroglobulin which is another compound that the thyroid makes that is also responsible for making thyroid hormone when you test them if it's positive that's great but it is also it's also possible that you'll get false negatives and that commonly and if i really think a person has hashes they're displaying all the signs and symptoms then i will retest them and i might even do it after a gluten challenge if the patient has been gluten um i will do that just to make sure we make we confirm the diagnosis yeah so it's really it's really important to think about all the factors that cause autoimmunity because it could be it could be gluten that's the most common but you know functional medicine we don't just look at one thing we look at all the triggers and there's a lot there's a lot of things that cause inflammation in autoimmunity so can you take us down the road what are the some of the other big ones well i would say this this is a more complicated one to bring up but pregnancy so a lot of the patients that come to me with thyroid dysfunction come after pregnancy or they come years after pregnancy and they say it was after i delivered my first child it was eight months later that i developed hashimoto's thyroiditis now there are different thyroiditis that you can develop but hashis can occur after pregnancy and it is the mechanisms that are there are largely immune dysfunction they're related to immune dysfunction there's large spikes and drops in estrogen that's been linked to the triggering of the immune dysfunction that leads to hashies and there's also this idea that when a woman has a child in utero you have to suppress your immune system and after the baby is born you get an immune rebound and this results in a dysfunctional imbalance in an appropriate immune response and you develop antibodies against the thyroid now i'm going to say you know there's also other things you know that we're learning about and the thyroid is sort of like the canary in the coal mine right it's one of the most sensitive organs it's a gland that regulates our metabolism and our mood and our sexual function and our you know weight and our muscle mass and skin health and hair health i mean we'll go over some of the symptoms that people can have but triggered by mercury you know toxins heavy metals yeah so we can't ignore those exactly so what's happening is that there's this incredible flood of of environmental chemicals that we've been exposed to that our toxic load is so high and mercury and heavy metals and many others interfere with thyroid function and they they're they're known as autogens like antigens but they're autogenes they cause autoimmune disease these environmental toxins are really been well documented to do this and yet and most doctors who are endocrinologists will not check for your level of toxic load or a level of mercury and they don't treat that and that's what we do and in functional medicines we look for some of these underlying causes so it can be gluten it can be leaky gut it can be the environmental toxins it could be heavy metals it can be other viruses viruses viruses it can be it can be stress related um you know the stress has a huge impact on all of the um endothelial linings particularly the gut and the brain and can cause leaking of the gut and brain which will then trigger an autoimmune condition exactly and so the question is you know from a functional medicine perspective we don't just say oh you have low thyroid take thyroid we go you know what is happening in terms of the causes and then how do we address those directly whether it's gluten or heavy metals or whatever and then how do we help the thyroid work better and and you know in traditional medicines like once you once you have thyroid issues you don't though you don't bother trying to think about reversing it or stopping it and particularly if you get it early you can actually reverse and get the antibodies down yeah and i think it's really i think it's really important and what i said earlier is that the thyroid hypothyroidism particularly hashimoto's thyroiditis is a thyroid is a it's a body problem it's a systemic problem that affects the thyroid right and that's how i approach it when i when somebody comes to me because even if i get their antibodies down you know that will have an impact that will actually allow their thyroid to function better because now it's not under this assault under this attack but there are other organ systems that are that impact the thyroid and so when you have a woman that comes in and she's got three kids and she has lots of stress when she's having hormonal imbalances you're now talking about the adrenal gland being involved and cortisol being involved you're talking about estrogen and and progesterone balance you're talking about high levels of testosterone if that woman tends to have pcos or that's biocystic ovarian syndrome right and if we don't address those along with the thyroid then they're never going to feel better it's sort of a comprehensive approach absolutely it's a comprehensive approach and and we we don't look at all the factors we don't look at other hormones like sex hormones adrenal hormones i mean if your adrenals are shot from chronic stress your thyroid is not going to work properly and if you take too much thyroid or the right amount of thyroid your body might feel like you had too much because your adrenals can't keep up and aren't working so you have to deal with all of that you have to deal with the gut you have to go with a leaky gut yeah you have to deal with nutrition i mean i mean there are some key nutritional deficiencies that are linked to low thyroid function can you can you go through what what those are well one of the you know so what's it's interesting the first thing that people will think of is iodine but you know iodine isn't necessarily the problem i just want to i just wanted to bring that one up right away because iodine can be somewhat controversial there's actually been studies in um in china that showed that people with lower iodine or deficient iodine levels actually have less thyroid disease and hashimoto's than those that have higher iodine levels but other ones that that would be involved would be vitamin d vitamin d plays an important role in thyroid function selenium plays a very important role in thyroid function yeah as does zinc and magnesium absolutely and and selenium is for example necessary to convert t4 to t3 which is the active hormone and we need we need for example vitamin d to help bind the thyroid hormone at the nucleus to have the effect on gene transcription so these are all critical steps so iodine zinc selenium and omega-3 fats vitamin d and when we test when we when i test patients i will routinely test them for selenium levels and vitamin d levels and i can tell you that eight out of ten women are deficient in vitamin d and low in selenium and and that definitely becomes part of the equation i i would say that you know for our listeners that if you're a woman or a man who is being treated for hypothyroidism and has never felt well on their thyroid medication despite getting their tsh level into the normal range now for some doctors that they may still be going by the the archaic value of you know 4.45 to 4.5 and not the functional value of you know 1.5 to 2.5 yeah so you know you're that you might not even be looked at in the right range if you're one of those people and this is the conversation because there's so much more to be looked at there's targeted nutrients that you've just mentioned i mean selenium can drop your thyroid antibody levels yes just like getting off of gluten yeah and reduce the autoimmunity yeah so these are all important things and they're foods they contain these things so there's like thyroid boosting foods right we have selenium which is in fish and brazil nuts you have zinc which is in pumpkin seeds and oysters you have omega-3 fats which are in fatty fish you have vitamin d where you can have that in herring and porcini mushrooms although you probably need to get sun or vitamin e to get enough uh you know iodine can be from eating fish and seaweed so there's a lot of ways to get these nutrients to help regulate our thyroid and most of us are insufficient or deficient in these at some level yeah hey everybody it's dr hyman thanks for tuning into the doctor's pharmacy i hope you're loving this podcast it's one of my favorite things to do and introducing you all the experts that i know and i love and that i've learned so much from and i want to tell you about something else i'm doing which is called mark's picks it's my weekly newsletter and in it i share my favorite stuff from foods to supplements to gadgets to tools to enhance your health it's all the cool stuff that i use and that my team uses to optimize and enhance our health and i'd love you to sign up for the weekly newsletter i'll only send it to you once a week on fridays nothing else i promise and all you have to do is go to forward drhymon.com picks to sign up that's drhyman.com forward slash picks p-i-c-k-s and sign up for the newsletter and i'll share with you my favorite stuff that i use to enhance my health and get healthier and better and live younger longer now back to this week's episode so paying attention to your diet is very important and again it tends that when i have patients that are struggling with thyroid they're also struggling with their nutrition and they'll tend to have diets that are higher in carbohydrate higher in processed foods higher in sugars they'll have carb cravings again because it's related to the host of systemic issues around the adrenal around gut function uh and around uh carbohydrate metabolism and insulin resistance that can occur okay that all makes tremendous sense and then the question for for people listening is probably well how do i know if i have low thyroid function what like what are the symptoms and then and then what are the tests that i should get to diagnose it and is my doctor gonna do the right ones or do i need to go to a functional medicine doctor to figure it out yeah so the common symptoms are going to be you're going to feel fatigued you're going to have potentially weight gain you're going to have harder bowel movements maybe constipation you're going to have potentially you're going to be depressed you may have apathy you're going to experience potential hair loss your eyebrows will get thinner at the ends of the eyebrow you may notice that your nails get a bit harder your skin gets drier those are some of the colors skin dry cracked nails fluid retention muscle cramps a little sex drive yeah pressure in the morning they go away fatigue in the morning it's a big one yeah if you can't get going in the morning that's a big one yeah so all these weird vague symptoms you think oh this is just like normal aging or i'm just working too hard or you know these are just little things that don't seem like life-threatening problems but they are because we know that people with untreated even sub-clinical hypothyroidism just mild hypothyroidism have a far higher risk of heart attacks and other serious concepts and in the case of hashis it should also be noted that when you first get develop hashimoto's your thyroid is under attack and one of the first things it does it starts releasing an abundance of thyroid hormone so your initial symptoms the hashimoto's could be hyper maybe like hyperthyroidism yes and then as you as your disease progresses even if you're being treated and probably because you're being treated inappropriately you're going to experience cycles of hypothyroidism and hyperthyroidism hypo and hyper because it will if you're not paying attention to your diet and you continue eating gluten and other inflammatory foods that's going to variably trigger your immune system so that you'll have you know you'll have you'll trigger your immune system because you've had a you know beer and pizza and then now you go on a good diet now you know i you know i had a bad weekend i'm gonna eat well and then you find over the next couple weeks while you're avoiding gluten you're avoiding other inflammatory foods that you feel better so there's this cyclical behaviors that happen and i only bring that up because hyperthyroidism and those symptoms can be part of what you experience in hashis at the onset and also throughout the treatment if we don't address these other issues and so you you can go to the doctor with these symptoms and what are the tests they're gonna do what's the first test you're gonna do if you can get them to test your thyroid right they're going to check your tsh which is your thyroid stimulating hormone that's released by the pituitary gland to tell the thyroid to make more thyroid hormone and if you have low thyroid then you're going to have very high level of tsh that's right so they just checked tsh or thyroid stimulating hormone which is a hormone that comes from your pituitary gland communicates with the thyroid gland to make hormone and if your thyroid gland is not working that's going to create more tsh to try to pump more thyroid out but we're learning that even what we thought were quote normal levels are not optimal no that even you know we thought if you look at the reference range it's five and if it's over five they might say oh you maybe have a little bit of thyroid issues well we know from the american college of endocrinology that the reference range should be maybe three or three and a half and i would probably say it should be one you know one or two at the most even over two i don't like to see and then they don't check all the other tests that actually are important and and there are so many other ways that you have to look at the thyroid to understand its true function and what you're dealing with so what are the other tests we would do at the center for future i mean check for a free tea a free t3 which is your free thyroid t3 that's the active hormone so when your thyroid makes thyroid hormone it makes two it makes um thyroid it makes t4 and it makes t3 t4 is not the active form it's t3 t4 goes to your body and it's converted in the liver and the muscles in the intestine in the heart to t3 t3 is the active form and that is then going to enter the cells and have its result it's it's it's important impact on in a cellular metabolism so we check for free t4 free t3 and something called reverse t3 reverse t3 is an active t3 and it acts as a as a um like a brake it's a brake it's a braking system uh and basically when you for any reason you have too much t3 t4 will get converted to reverse t3 and reverse t3 is sort of this inert t3 that won't have any impact and that sort of is a breaking system and all and reverse t3 is also a marker for inflammation it can be elevated when people have significant inflammation inflammation or chronic illness right and again and it can block your thyroid and you can look like you have normal levels but actually you're really functionally hypothyroid even though your low other levels may be normal exactly and that's something very very rarely checked and then there are there are antibody levels that we treat so we check the thyroid peroxidase antibody and that's the main antibody that we check it's probably the most sensitive for diagnosing uh hashimoto's yeah so we check yeah the thyroid antibodies like thyroid peroxidase antithyroglobulin antibodies and and what i've learned over the years is people can have completely normal tsh normal t3 normal t4 and they can have sky-high antibodies absolutely and and most traditional doctors one never even bother getting there because unless the tsh is elevated they don't look and second is if if you have elevated antibodies it means there's an autoimmune process going on you better get on it before it gets too far and often these patients feel much better when they get on thyroid replacement once they start having antibodies but there there's a lot of efforts that people are doing and that we i mean there are a lot of efforts that that people are are doing to try to reverse hashimoto's and and often very successfully in bringing the antibodies down using a more functional medicine approach with diet lifestyle the right supplementation and and detoxification hormonal balance and all the things we're talking about right i mean it's not always that easy but it's possible and and i think if you get on it early it's it's it's much easier before your thyroid is burned out so um you also want to look at other things right you want to look at other tests that reflect your nutritional status because your thought right so what are the kinds of things we'd like measure to see if people are getting the right thyroid nutrients yeah so we measure a lot of for we always look at nutritional deficiencies but specifically the thyroid we want to look at iodine levels sometimes we'll do a spot iodine a 24 hour urine iodine is usually the best then we'll also look at selenium levels and we'll look at zinc and magnesium levels those are those are the the major and vitamin d those are the major nutrients that i will look for when i'm trying to assess whether somebody has the nutrients they need for the thyroid function yeah it's super important because you know you want to optimize nutrition and and you want to make sure you're not doing certain foods that might be a problem you know one of the things i've found is that everybody's into these green juices and they sound like they're great but you know if you're if you're if you're juicing a lot of raw kale kale is a you know has these goitrogens in them that basically can block thyroid function so kale is great but cooking cruciferous vegetables good you don't want to have too much of the the raw stuff there was a yeah it was a woman apparently you heard that that you know these cruciferous vegetables were good for her and she decided to eat two pounds of raw bok choy every day which is a cruciferous vegetable as a chinese vegetable and she put herself in a hypothyroid coma after eating two pounds of raw bok choy a day so be careful of those you know green juices a soy can also be a goitrogen so you want to be be careful if you're eating a ton of soy but it's really not in the normal amounts you need in your normal diet yeah so it's okay don't be freaked out about it but it's really just you know don't be juicing kale all day long so this is really a common issue it causes a lot of suffering it's not diagnosed in half the people if it is diagnosed it's poorly treated in probably half the people and even their levels may not be normal because the doctor might not check t3 they might not do right all the full profile of testing to see what's going on and and when you see someone with hashimoto's rather than just like slapping them on with like synthroid which is a typical prescription you know what what is our approach overall to dealing with this autoimmune condition and what are the kinds of things we do from a dietary lifestyle point of view and and how do we then uh do the right supplementation and then if we need thyroid medication what do we do so to get all that information i will do some of the tests that we talked about earlier and looking for some of those nutrients but also do additional testing as we talked about earlier we look for leaky gut we look for dysbiosis in the gut we look for you know potential sources of that inflammation that we were talking about or potential sources for autoimmunity in the gut that we had talked about earlier i'll also do hormone testing because the the balance of hormones is very critical for for most of the patients that i'm dealing with so we'll do some advanced hormone testing uh we'll also look and that hormone testing will include adrenal function and it will include a you know a four-point salivary cortisol test so we can know what your cortisol is doing all day long i i will i commonly find in my patients that are coming to me with uh difficulties treating their thyroid with known hashimoto's or not known hashimoto's that there is it's just never the thyroid it's always going to involve the gut it's always involving the adrenals so we'll do that advanced adrenal testing and we'll also look to make sure that the hormones are balanced so we'll do advanced hormonal do the testing but once you want to start in the treatment with the diet and the lysosomes so immediately you know i definitely will talk to patients about going gluten-free if they're not already gluten-free i want them to be dairy-free because casein can also trigger an immune response um in some patients as well those are those are going to be critical pieces then we really want to work on reducing inflammation so there's some basic things like you know omega omega 3 fatty acids are very important in reducing inflammation so we want to make sure that we're doing that to reduce inflammation i want to really support their detoxification because that detoxification is really important for getting rid of the ex any excess thyroid hormone that's being built up because your your detoxification system is impacted by your hypothyroidism your thyroid does play a role in helping your liver detoxify um get rid of all the toxins that are building up that you're making and all that you're also taking in every day so i want to support detoxification and i will do that with n-acetyl cysteine which is a precursor to glutathione i'll do it with high doses of vitamin d i'll also do it with glutathione itself and when i use glutathione i will typically use it liposomally um or as a cream because it's best absorbed that way yeah so those are those are some of those things i will do um i think i'm like you know replacing those minerals like giving them zinc and selenium doing it as a multivitamin fish oil getting them vitamin d just the basic stuff makes such a difference for people huge yeah and then you can get fancy with some of the other stuff but i think that you know getting people on this elimination diet an anti-inflammatory diet and some of these one of the things that is when you see the elimination diet is definitely removing you know gluten dairy corn soy um egg yeast uh and sometimes even legumes when we put the patient on that diet typically within six to eight weeks they're already feeling better particularly if we've added some of those other nutrients we know support the thyroid that's right so really we need a more comprehensive approach absolutely you know i've um years ago i you know i saw so much thyroid issues in my practice and i saw how poorly it was handled and i saw how many people were suffering and how many people weren't diagnosed and they didn't get the right test they didn't know what to eat they didn't have the right supplements and so i actually created this thing called the ultra thyroid solution which is an online ebook that you can order and you just google ultra thyroid solution and it provides really a road map for how do you know what right test to do how do you know what the symptoms are how do you know which foods to eat which nutrients to take if you need thyroid hormone replacement what should you take do you need just like synthroid or should you be taking a combination you need you know pig thyroid or free t3 or vt4 what are you doing with the thyroid replacement so there's there's a bit of a nuance there yeah there's there's a lot there's so much that we can really you know a lot of you know a lot of important offshoots to this conversation um balancing i think one of the things that i also focus on is balancing that immune system so you know i i mentioned the high dose vitamin d you know that is really important for balancing the immune system along with the glutathione um and getting your gut healthy and under control so i i really think going back to getting that immune balance is really important and one of the tests that i do is something called a dio3 which looks at a gene that is responsible for making the enzyme that converts t3 to t4 and some people have a gene that doesn't work yeah and if you can't convert t3 to t4 then traditional t4 therapy which is the first line of therapy for hypothyroidism isn't going to work for you that's right and so so that's another test that we do and it's readily available so it's very nuanced it's very personalized very specific and everybody's different especially once every year get synthroid that's it goodbye we'll see you later and if you don't feel better i don't know why and that's what and that's exactly the the the message i get from my patients that come to me with thyroid disorder and hashimoto's is that they've been told you're fine your numbers are normal everything's okay and everything's not okay that's right i mean if you if you are diagnosed with low thyroid function if you are taking cardio replacement and you still don't feel great you're not crazy you're not it's just that your doctor may be missing something and that's really why we do what we do here at the ultra wellness center that's why we practice functional medicine because it goes deep it's personalized it looks at your whole system not just one thing and we and we treat the whole the whole shebang of everything that can go wrong to get you optimized including your adrenals including your sex hormones including your leaky gut including environmental toxins including your nutritional deficiencies all of which impact your thyroid and so it's really a really beautiful elegant approach that you've outlined and i think george you know we are so lucky to be able to practice here at del toronto center we're now seeing people virtually uh we can see people from all over the world you can go to ultrawellnesscenter.com learn more about what we're doing but you know you don't have to suffer and i think that's really why we do this work because so many people suffer needlessly when there are solutions i mean look we can't end hunger and war and you know end all viruses which we like to do but this stuff we know how to fix and and people don't have to suffer and it just breaks my heart when i see so many people struggling unnecessarily and that's really my mission in life is to end needless suffering and i'll tell you i i picked you know hashis and thyroid conditions for women are huge and it's one of the most satisfying conditions i treat because it's the entree into so many other parts of their health and we're able to work on things that have frustrated them for so many years and the functional medicine model does work and and and this is a particular disease process that i love to treat women and see them in their years of frustration and really you know reach their optimal health energy levels libidos um enjoy their life again there you go it's all about enjoying life well thank you george for being on the dexter's farm if you struggle with some of these symptoms with thyroid issues be sure to uh take a deep bliss podcast again share with your friends and family on social media leave a comment tell us how you maybe cured your hashimoto's we'd like to learn and subscribe wherever you get your podcast and we'll see you next week on the doctor's pharmacy

Channel: Mark Hyman, MD

Views: 73,349

Keywords: hashimoto's disease, hypothyroidism, functional medicine, hormonal health, thyroid, george papanicolaou, mark hyman, the ultrawellness center, healthh podcast

Id: 87m9uPxdkcU

Length: 35min 2sec (2102 seconds)

Published: Mon Mar 15 2021