In this episode of The Dr. Rob Show, we give an overview of Hypothyroidism.

In our stressed out society, hypothyroidism is an ever present condition affects more then 20 million Americans.  Losing weight can be difficult if thyroid function is not considered and properly addressed.

However, the diagnosis and treatment of hypothyroidism is currently a fairly controversial topic.  There are 3 main types of hypothyroidism, which are listed below.

3 Main Types of Hypothyrodism: 

Primary Hypothyroidism
Hashimoto's Thyroiditis
Sub-clinical Hypothyroidism

Symptoms of Hypothyroidism: 

There are a wide variety of symptoms associated with hypothyroidism.  Below is a list of some of the more common symptoms associated with hypothyroidism.

Fatigue
Weight gain
Inability to lose weight
Constipation
Hair loss
Insomnia
Depression
Anxiety
Carb cravings
PMS
Heavy periods

Lab Testing for Hypothyroidism: 

Part of the controversy surrounding hypothyroidism involves testing.  Most often, a TSH level is the only test done to evalute thyroid function.  The TSH test can be a decent screening test, as it is intended to be; however, many people go undiagnosed because of the large reference range.  Depending on the lab, the reference range for TSH is 0.45 uIU/mL to 4.5 uIU/mL.  Ideally, the TSH should be less then 2.0 uIU/mL.  Below is a list of blood tests that could be done when diagnosing or managing someone with hypothyroidism.

Blood Tests:

TSH (should be less then 2.0 )
Free T3 (should be greater then 3.5)
Free T4
Reverse T3
Anti-TPO (screen for Hashimoto’s)
Anti-Thyroglobulin
TSI (for hyperthyroid)
Iodine

If you are interested in getting lab testing done, we offer specific lab panels.  To see our panels, click here.

Treatment Options for Hypothyroidism: 

Due to chronic stress, Below are lists to provide an idea of the many options that may help to minimize symptoms and improve overall quality of life.

Prescription Options for Hypothyroidism: 

Dessicated Thryoid (porcine)

Nature Throid
WP Thyroid
Armour

Compounded T4/T3
T4 mono-therapy medications (not ideal in our opinion)

Synthroid
Levoxyl
Levothyroxine

Supplement Options for Hypothroidism

Iodine (maybe)
Selenium
Zinc
Liver support
Adrenal support
Probiotics