Thyroid and Iodine/Iodine Testing and Supplementation: Some Tips
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Some Simple Q & As:
What tests are you using for thyroid assessment?
Consider as a minimum using TSH, free T4, free T3 perhaps with total T3, reverse T3, and antithyroid antibodies.
What are the objective indications (per lab) for the use of thyroid hormone supplementation/replacement?
Elevated TSH, low T4 or T3, antithyroid antibodies
Can a patient have a normal TSH, free T4 and total T3 yet still have laboratory indication for the use of thyroid hormone?
Yes, they might have elevated reverse T3, and/or a compelling clinical picture.
What are the differential indications for T4 versus T4+T3 versus T3 alone?
Patient/doctor preference; fragile patients tolerate T4 better and the half-life is about 7 days in contrast to T3's half life of about 1 day.Ā T3 is the only treatment that works for functional hypothyroidism defined in this instance as elevated rT3.
What nutrients have been shown to promote proper thyroid function?
Iodine/Iodide, tyrosine, zinc and selenium.
What supplemental nutrients have been shown to impair thyroid hormone metabolism?
L-carnitine
The content published on the Nutri-Link website is provided for educational and informational purposes only. It is intended to support knowledge and understanding of nutrition, health, and supplementation, but should not be considered medical advice, diagnosis, or treatment. Information contained within this article should not replace the advice, judgement, or recommendations of a qualified healthcare professional. Individuals should always consult an appropriately qualified practitioner regarding any medical condition, health concern, or before making changes to their diet, lifestyle, medication, or supplement regimen. Never disregard professional medical advice or delay seeking medical attention based on information found on this website.
Michael Ash, DO, ND, BSc(Hons), RNT, is a retired Registered Osteopath, Naturopath, and Nutritional Therapist with over 35 years of experience. He is the founder and former Managing Director of Nutri-Link Ltd, a leading provider of professional-grade supplements and practitioner education. A pioneer in integrative medicine, he has cared for over 10,000 patients and lectured internationally on immuno-nutrition. Michael is a published researcher and editor of Clinical Education and contributor to IHCAN...
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