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118-Paleo Thyroid Solution Article

The document summarizes The Paleo Thyroid Solution book, which provides a comprehensive science-based approach to treating thyroid dysfunction from an autoimmune and metabolic perspective. It discusses how the book's author Elle Russ was able to integrate her personal story of struggling with hypothyroidism despite seeing many doctors, with input from Dr. Gary Foresman. The Paleo Thyroid Solution addresses the most common thyroid disorders, Hashimoto's thyroiditis and hypothyroidism, which are often mismanaged by failing to fully test thyroid levels and treat the underlying autoimmune issues. It promotes following a Paleo diet and lifestyle to support thyroid and overall health.

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136 views3 pages

118-Paleo Thyroid Solution Article

The document summarizes The Paleo Thyroid Solution book, which provides a comprehensive science-based approach to treating thyroid dysfunction from an autoimmune and metabolic perspective. It discusses how the book's author Elle Russ was able to integrate her personal story of struggling with hypothyroidism despite seeing many doctors, with input from Dr. Gary Foresman. The Paleo Thyroid Solution addresses the most common thyroid disorders, Hashimoto's thyroiditis and hypothyroidism, which are often mismanaged by failing to fully test thyroid levels and treat the underlying autoimmune issues. It promotes following a Paleo diet and lifestyle to support thyroid and overall health.

Uploaded by

di
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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The Paleo

Thyroid Solution:
An Overview
By: Gary E. Foresman, MD

September 28, 2016

When asked to consult on a thyroid illness book aimed at the general public, I held a
degree of skepticism, as most of these books tend towards intellectual drivel. However,
upon spending only a few minutes with author Elle Russ, I knew her book would be both
meaningful and heartfelt. Eventually our interviews became the final nearly 60 pages of
this book, The Paleo Thyroid Solution (Russ, 2016). The collective work can change the
lives of all who suffer from thyroid dysfunction or thyroid disease.

The first printing of this book sold out immediately, and although Amazon says it will
take 1-2 months to ship, I believe the second printing will become available by early
October. The book’s popularity comes from Elle’s eloquent manner of relating her
personal story while integrating a comprehensive science-based approach, a component
I assisted with. She recounts dealings with tens and tens of obstinate physicians who
either lacked the knowledge, caring or curiosity to help her with persisting hypothyroid
symptoms despite the prescription of standard labs and meds. I find this situation gut-
wrenching. I deal with the carnage from this kind of mistreatment on a constant basis in
my practice.

The Paleo Thyroid Solution primarily deals with the two most common thyroid
disorders of our day: Hashimoto’s (autoimmune) thyroiditis, and hypothyroidism from
metabolic dysfunction (lowT3 and/or high reverse T3). Both of these disorders are
woefully mismanaged by most internists and endocrinologist/ “thyroid” doctors. The
main reasons for mismanagement come from ignorance of the need to treat the
underlying problem – autoimmunity in Hashimoto’s, and from failure to even measure
the two most important thyroid tests (Free T3 and Reverse T3) in regards to thyroid
metabolic dysfunction.

Furthermore as physicians we must treat the person who has the thyroid dysfunction,
not just the thyroid dysfunction that so happens to have a person! So let’s discuss what a
paleo thyroid solution means:

1. How do I know if I have thyroid dysfunction? Answer: Test


adequately. At the very least Free T4, FreeT3, TSH (Thyroid Stimulating
Hormone – a pituitary hormone) and Reverse T3 as well as Thyroglobulin (Tg)
Ab and Thyroid Peroxidase (TPO) Ab. Thyroid Stimulating Immunoglobulin
(TSI) is measured if hyperthyroid is suspected, and Thyroglobulin itself when
evaluating nodules. Although other tests exist, these are the primary screening
tests. I order ultrasounds when evaluating for nodules and rarely do nuclear
medicine testing any more. Think of Free T4 (levothyroxine) as the unbound,
stable storage form of thyroid hormone that must be converted to Free T3
(liothyronine), the unbound active thyroid hormone that does almost all of the
work. Due to stress, dieting, medicines (including getting prescribed T4), and
many other reasons, your body choses to slow your metabolism by creating
Reverse T3, a hormone that competes with T3 at the nucleus receptor site.

2. What other testing should I consider? Answer: Everything! Although


this might sound vague, people in general are grossly under evaluated for the
conditions that cause their thyroid dysfunction especially not evaluating and
treating thyroid autoantibodies. Truly, Hashimoto’s is not a thyroid disease but a
disease of immune dysfunction affecting the thyroid! These further tests include
but are not limited to: adrenal hormones (cortisol and DHEA-S), A1C and fasting
insulin, ferritin for iron stores, vitamin D, hsCRP, homocysteine—if you are older
than 18, I recommend evaluating inflammation profile and nutrition adequacy
testing like True Health Diagnostic Laboratory (http://truehealthdiag.com), and
often evaluating sex steroid panels.

3. What kind of diet/lifestyle should I consider? Answer: Paleo. Today’s


world presents a toxic soup of endocrine disrupting chemicals in our food and
home care products. Please begin an organic lifestyle and eliminate plastics from
your day to day use, evaluate all cosmetics and cleaning products. Join the
Environmental Working Group (www.ewg.org), a non-profit, non-partisan
organization dedicated to protecting human health and the environment. I am
currently evaluating an app for smartphones called “Think Dirty. Shop Clean”
(found in your smartphone’s App Store), which helps you identify potentially
harmful products by scanning barcodes while shopping. The app provides
alternatives if that product is recognized as unsafe. There are many apps on the
market that assist in making better life-care choices. In terms of diet, eat real
food. Our book gives good, clear information about Paleo diets. Whether treating
autoimmunity or insulin resistance, the only biologically and evolutionarily
sound eating system is Paleo, everything else is just a fad.

4. What kind of thyroid prescription medicine should I take? Answer:


The one that works! If you require thyroid medicines for your condition, there
are a myriad of options! If your doctor says that levothyroxine-specifically brand
name Synthroid (as I find the generics unreliable in most patients) is the only
option, then they are telling you an untruth! If they tell you that Natural
Desiccated Thyroid (NDT – specifically Nature-Throid) is unregulated or
“unreliable”, then they are flat out lying to you, as Nature-Throid is a USP
regulated prescription!! Other options include adding T3 (immediate release such
as Cytomel and/or sustained release from compounding pharmacies). Some MDs
prescribe T3 only but that is far from my first option.
Our book has so much to offer any person who suspects they might have thyroid
dysfunction, there are so many useful hints from someone who has lived
hypothyroidism as well as an MD who knows how to approach it from an integrative
medical perspective.

Your Journey to Health and Healing,


Gary E. Foresman MD

Website: www.middlepathmedicine.com
E-mail: info@middlepathmedicine.com

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