companion guide - Thyroid Pharmacist

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COMPANION GUIDE
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So now you’ve read the book? Where should you start?
I’ll tell you my approach, and how I came to figure out what was working for me. Please
note, the information presented below does not replace the recommendation of your
physician, pharmacist, individual test results, best practices and is meant for educational
purposes only.
1. First, if you can afford it, get some testing done.
a. The recommended tests are listed at the end of this guide.
b. If you do not have a physician that will order the tests for you, see the list of
direct to consumer lab tests in the resource guide.
c. The tests, as well as the quizzes in the book will direct you where to go as far as
infections and imbalances go.
2. The next step would be to start reducing your inflammation by removing things that are
toxic.
a. Refer to the Intolerances Chapter on how to do an elimination diet. Generally,
the worse off your gut, the more restrictive elimination diet will be needed.
b. Basic elimination diets include grains like rice, potatoes, etc, and eliminated
gluten, dairy, eggs, soy…Some people have reported eliminating their TPO
Antibodies after removing gluten, dairy or all of these foods. Three months is
generally long enough to know if this is all you need. If that doesn’t work, you
can progress to the advanced elimination diet.
c. Advanced elimination diets should kick off with an elemental diet or a modified
elemental diet to reduce intestinal inflammation and remove small intestinal
bacterial overgrowth
d. If you have a history of GI problems you should start with the more advanced
elemental diet. Having an abnormal tongue is an indication of poor GI function.
e. Please see the recipes for an elemental diet.
f. You can then start adding foods in and testing for reactions
3. After you have finished the elimination diet, start fermented foods and probiotics. You
may get die-off reactions! If they are too severe, cut back on the dose or start AnatabineAnatabine detoxifies LPS, the toxin released by bacterial die-off.
4. Once you have completed the elimination/reintroduction diet, your next step should be
to detoxify. Alkalizing the body is an important strategy for detoxification. Please see the
acid/alkaline food guide
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5. Next, while you work on your gut, also work to remove triggers and toxins like excess
iodine, fluoride, and chlorine, based on the Five R’s discussed in the book.
6. Healing foods and healing supplements should be incorporated
7. Find out everything you can about autoimmunity and Hashimoto’s. Your root cause may
not be the same as mine. I provide a list of recommended reading in the resources
section
8. Still have questions? Contact me @ www.thyroidlifestyle.com
HOW DO YOU KNOW A CHANGE IS AN IMPROVEMENT?
I use the P-D-S-A approach: Plan-Do-Study-Act
Plan: First I plan out what one small change I am going to make, for how long, and how I
will measure the results I get. I note down my baseline TPO antibodies and my ratings on
symptoms (see Thyroid Journal)
Do: I then actually make the change. No hesitations, no cheating. I don't take up anything
new, I stick to the plan.
Study: After I carry out the plan, I repeat my TPO antibodies (up to one time per month)
and redo my symptoms rating in the Thyroid Journal
Act: Based on my results, I decide if I should Adopt, Adapt or Abandon the intervention. If
it makes me feel better, I adopt it and write it down in the “Makes me Feel Better” column
(see worksheet). I abandon the intervention if I feel worse on it, and I note it down in the
“Makes me Feel Worse” column. If the intervention needs some tweaking (change in dose,
removing one more thing, etc.), I will Adapt it and repeat the test.
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TESTING
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TESTS AT A GLANCE
THYROID FUNCTION TESTS
! TSH
! TPO Antibodies
! Thyroglobulin Antibodies
! Free T4
! Free T3
! Reverse T3
DEPLETIONS
! Alkaline Phosphatase
! B12
! CBC with Differential
! B12
! Ferritin
! Spectracell Mineral Testing
! Mineral Hair Analysis
IMMUNE FUNCTION
! CD4+/CD8+ Ratio
! Th1/TH2 Stimulant Challenge
INFECTION
! Antibodies to viruses, bacteria, parasites
! Stool Test
ADRENAL FUNCTION
! Adrenal Saliva Profile
! Adrenal Antibodies
! Fasting Blood Glucose
GUT FUNCTION
! Symptoms Questionnaire
! Elimination Diet
! IGA FOOD INTOLERANCE SCREEN
! Hydrogen Breath Test
! Stool Test
! ALCAT
! IGG FOOD SENSITIVITY PANEL
TRIGGERS
! Triggers Assessment
! Iodine Intake Assessment
! Iodine Urine Test
TOXINS
! Liver Function Tests
! Mineral Hair Analysis
! Assessment
MY THYROID JOURNAL
Date:
Thyroid Medications:
Brand:_____________________
Dose:_____________________
Other Medications:
____________________________________________________________________________________________________________
____________________________________________________________________________________________________________
____________________________________________________________________________________________________________
_______________________________________________________________________________________________________
My Numbers
Test Name
TSH
TPO
Free T3
Free T4
Basal Temperature (Day 1-10)
Blood Sugar (Fasting)
Blood Pressure
Pulse
Weight
Cortisol
Alkaline Phosphatase
Vitamin D
Ferritin
Stool Test
Date Of Test
Test Results
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Comments
6"
SUBJECTIVE TRACKING: Symptom scale 1 low 10 high
Drowsiness:
Hair Loss:
Cold Intolerance:
Inability to Lose Wt:
Sadness:
Mental Fog:
Forgetfulness:
Joint Pain:
Acne:
Acid Reflux:
Stomach Pain:
Morning Fatigue
Irritability
Palpitations
Night Sweats
Emotional Lability
Weight Loss:
Nervousness:
Anxiety:
Feeling Hot:
Trouble Sleeping:
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MY NOTES AND OBSERVATIONS:
____________________________________________________________________________________________________________
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____________________________________________________________________________________________________________
____________________________________________________________________________________________________________
____________________________________________________________________________________________________________
____________________________________________________________________________________________________________
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MY CURRENT INTERVENTIONS
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Selenium 200mcg
Biotin/_____________
Glutamine:________
B12:/______________
Low GI Diet
Th1/Th2 Stimulants
Gluten Free
Dairy Free
Soy Free
Fermented Foods
Acupuncture
Probiotics
Adaptogens
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Coconut Kefir
Betaine/Pepsin
Digestive Enzymes
Licorice
FODMAPs/Low Residue
Green Smoothie
Acupuncture
Paleo Diet
Homemade Broth
Gelatin
Grain Free
Egg Free
Tomato Free
__________________________
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Zinc 30mg
Vitamin A Rich Juices
Antibiotic
Body Ecology
Sugar Free
Vitamin D3
Omega 3 FA
Iodine Restriction
Stopping Estrogens
Parasite Cleanse
Liver Cleanse
Anatabine
Curcumin
__________________________
MY NOTES AND OBSERVATIONS:
____________________________________________________________________________________________________________
____________________________________________________________________________________________________________
___________________________________________________________________________________________________________
____________________________________________________________________________________________________________
____________________________________________________________________________________________________________
___________________________________________________________________________________________________________
MY NEXT INTERVENTION
____________________________________________________________________________________________________________
____________________________________________________________________________________________________________
___________________________________________________________________________________________________________
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Makes Me Better
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Makes Me Worse
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DIETS
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SPECIALIZED DIETS FOR GI HEALING
The diets look intimidating. I know I had to transition gradually into them because it took
me a year to part with fruit, a year to part with eggs…this really hindered my progress.
What I didn’t know then is that pathogenic flora ferment fructose and undigested proteins,
and that once I rebalanced my intestinal flora I would be able to add foods back in gradually.
Proteus bacteria feed on undigested protein. Since Hashimoto’s patients have a difficult time
digesting proteins, inadvertently we feed the bacteria with every meal. The bacteria multiply
and swarm, attach to our intestinal lining and create intestinal permeability.
Protein, however, is a necessary building block for the human body and we need protein to
achieve and sustain good health.
Free amino acids provide protein in a form that has been pre-digested to individual amino
acids and is absorbed directly. Free amino acids satisfy your body’s needs for building blocks
and at the same time starves the pathogenic bacteria.
Your options are: pure elemental diet (protein, fat, carbohydrate absorption issues) or
protein targeted elemental diet or semi-elemental diet.
Commercial elemental diets are available but are very expensive but have many artificial
ingredients and iodine. Low fat/high carb versions can worsen adrenal fatigue. Therefore the
recipes I recommend are low in carbohydrates and high in fat, and are actually ketogenic, in
that the body begins to burn fat instead of carbohydrates for energy. *Note: Candida can
survive on fat, so be sure that Candida is not an issue before attempting this diet.
Introduction
Gradually introduce the elemental diet into your life. For example, start of with having an
elemental smoothie for breakfast, followed by a regular meal at lunchtime and dinner. The
next day, replace both breakfast and lunch with an elemental diet and so forth.
As you transition to the full elemental diet, expect to have some die-off symptoms including
headaches, white coating on your tongue and changes in stool function. Die-off goes away
after 5-7 days, and the elemental diet has been successful when followed for 2-3 weeks.
ELEMENTAL RECIPES
Semi-Elemental Smoothie Diet
Semi elemental diets use a hypoallergenic protein such as pea protein or rice protein. Not
everyone can tolerate either of these proteins, but following this type of diet may be a good
starting point for someone with mild-moderate bowel problems, for someone who is
underweight or for someone who is not ready to go on the elemental diet. You always have
the option to step down to a protein modified diet or elemental diet or step up to a less
restrictive diet.
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My favorite recipe
• Now Foods Pea Protein (1 scoop)
• 2 stalks of celery
• 1 cup of lettuce (avoid spinach and other goiterogens)
• 1 can coconut milk
• 1 avocado
• Juice of one lime
*Note: digestive enzymes may still be needed with this shake, especially those for protein
digestion
Protein Modified Elemental Diet
If difficulty tolerating protein, I have found the following recipe to be helpful
• 1-2 tablespoons free amino acids (Jo Mar Labs- Pure Form 21 Blend)
• 2 stalks of celery
• 1 small bunch of mint
• 1 avocado
• 1 cup coconut mil
• ½ teaspoon alcohol free vanilla
• Stevia to taste
• Juice of one lime
*The lime, mint and stevia disguise the free amino acid taste
*Digestive enzymes for proteins will not be needed with this recipe
Pure Elemental Diet
For a basic home-made elemental diet recipe, please see Dr. Allison Siebecker’s recipe here.
http://www.siboinfo.com/uploads/5/4/8/4/5484269/homemade_elemental_diet_options.
pdf
I have modified the original recipe to mask the taste of the amino acids which have a terrible
bitter taste.
My modified elemental recipe
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Free Amino Acids (I use Jo Mar Labs -Pure Form 21 Blend, www.jomarlabs.com)
Unsweetened Cranberry juice-masks the taste of the free amino acids
Stevia
Water
Coconut Oil (I use Trader Joe’s Brand)
Herbal (no caffeine) tea
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Step 1: Calculate your daily protein need…
http://lowcarbdiets.about.com/library/blproteincalculators.htm
-Rough estimate is taking your weight in pounds and dividing by two to get the grams of
protein. (f.e. a 100 lb person would need about 50 grams of protein per day).
Step 2:
Determine your daily caloric needs: http://www.calculator.net/caloriecalculator.html
Step 3: Each tablespoon of free amino acids contains 12 grams of protein.
Based on your protein requirements, mix the appropriate amount of free amino acids with
water. Add unsweetened cranberry juice and stevia to taste, and consume three times per day
in place of meals
Step 4: Fat is an essential nutrient and should make up the rest of your calories. After
determining remaining caloric amount, add appropriate amount of coconut oil to a cup of
hot water with some herbal (non-caffeinated tea) sweetened with Stevia. Wait until mixture
cools to appropriate drinking temperature and sip in between your elemental smoothies.
1 tablespoon of amino acids=48 calories=12 grams
1 tablespoon of coconut oil=120 calories=14 grams
Step 5: If you are going to consume this modified elemental diet without any other foods,
make sure to supplement with vitamins and minerals. Nutrient 950 by Pure Encapsulations
has a copper, iron and iodine free version.
Your schedule may look like this
8am-tea with oil
9am-amino mix
11am-tea with oil
12-amino mix
2-tea with oil
3-amino mix
5-tea with oil
6-amino mix
8-tea with oil
Warning: This recipe has not been clinically or formally tested. The safety, tolerability and
effectiveness are unknown.
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13"
DETOXIFICATION RECIPES
ALKALINE BROTH
2 quarts filtered water
Pinch of sage
3 stalks celery or bok choy
3 carrots
1 large onion
1 small beet, peeled
2 cloves garlic, minced
1 cup fresh spinach leaves
¼ cup fresh parsley, finely chopped
Wash all vegetables. Do not peel if organic (except beets). Coarsely chop all the vegetables.
Cover with water in a non-aluminum pot; add sage. Bring to a boil, reduce heat and allow to
simmer, covered, until broth has a rich flavor, about 20 minutes . Strain and drink hot or
cold. *For a heartier broth, remove ½ veggies, blend in blender or food processor, and
return to soup.
BIELER BROTH (may restore alkaline reserves and improve liver function)
Celery, cut into chunks
Green Beans
Zucchini and yellow squash, cut into chunks
Spinach
1 generous handful parsley
1 small handful of cilantro
Wash veggies. Combine equal amounts of the above vegetables and steam in a steamer
basket. Make sure the water is below the level of the vegetables. Steam for a few minutes,
until vegetables are cooked but still slightly crunchy. Combine vegetables, water, and herbs
in a blender and puree until smooth to the consistency of pea soup (you may add more water
or broth for a thinner consistency, if desired).
BORSCHT
2 cups finely shredded cabbage
2 cups boiling water
½ cup chopped onion
2 Tbsp olive oil
2 tsp caraway seed
1 tsp honey, if desired
3 Tbsp lemon juice
Salt and pepper to taste
1 pound cooked small beets, peeled, chopped (save the cooking water)
1 quart chicken or vegetable stock (wheat-free)
Cook the cabbage for ten minutes in boiling, salted water. Cook the onion in the oil for a
few minutes, without browning. Drain the beets, saving the cooking liquid, and finely chop.
Add the chicken or vegetable stock to the onions. Upon boiling, add the cabbage and its
cooking liquid back in. Add the beets, one cup of beet cooking liquid, caraway seeds, honey,
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14"
and salt and pepper. Simmer for ten minutes, skimming carefully. Remove the soup from the
heat. Add lemon juice and heat just to the boiling point. Serve with dill weed garnish. Eat
soup hot or cold.
VEGGIE BROTH
2 quarts filtered water
2 cups spinach
2 cups broccoli
3 cups celery stalks
1 zucchini
Chop up all the veggies. Place in a pot with the water, bring to a boil, cover and simmer for
20-30 minutes.
Strain the liquid and drink the broth. You can drink this anytime during your cleanse.
HEALING RECIPES
Bone broths have been touted for their healing effects on the intestinal tract.
Shopping List
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30 Organic chicken drumsticks, or other meat with bones
2 bags of organic celery
3 lbs. of organic carrots
6 organic onions
1 container of non-iodized sea salt
10 green or yellow zucchinis
6 15 oz. cartons of organic pumpkin (better than cans)
1 head of broccoli
1 head of cauliflower
1 jar of extra virgin coconut oil
duck fat or leaf lard (optional)
To make the stock
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6.
Place 4-5 chicken drumsticks in large pot
Add 3 stalks of celery, one onion, 8-10 carrots
Add ½ teaspoon of sea salt
Fill to the top with water
Turn on heat on high until soup comes to a boil
After boiling turn to low-medium and let simmer for approximately one hour, until
soup is fragrant and meat comes off the bones
7. Stain out the liquid and carrots.
8. Peel meat off bones (optional)
9. Throw out bones, celery, onions -they are too difficult to digest at this point
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To make soup
Soups are very basic, and have only 4-5 ingredients
1. Stock
2. Well cooked pureed vegetable of choice (we start with carrots)
3. Sea salt to taste
4. 1 tablespoon of coconut oil
5. Pureed well cooked meat (optional)
Simply, mix, heat and enjoy whenever you are hungry. One batch of stock should last about
2-2 ½ days. Do not worry about calories, times of day or whether you are getting enough
variety for now. You can add a new vegetable every other day, and the vegetables can be put
into the stock pot, steamed, or sautéed in fat before they are pureed (coconut oil, duck fat,
leaf lard) until well cooked.
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Food$Introduction$Delayed$Response$Chart!
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Digestion/$
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Nasal$or$Chest$ KidneyABladder$ Energy$
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Skin$Function$
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Note:!!Please!reintroduce!only!one!new!food!at!a!time.!!Ingest!it!twice!in!the!same!day!&!then!wait!two!full!days!to!see!if!you!have!a!
reaction.!!Assess!your!response!over!the!next!48A72!hours.!!You!may!insert!different!headings!on!this!chart!to!correspond!with!
whatever!signs!or!symptoms!that!you!may!display.!!Important!indicators!which!must!be!charted!include:!digestion,!bowel!function,!
and!energy!level.!!If!you!require!more!space!use!the!back!of!this!sheet!and!clearly!mark!the!day,!the!food!and!your!symptoms.!If!you!
are!unsure!if!you!had!a!reaction,!retest!the!same!food!in!the!same!manner.!(From!the!Institute!of!Functional!Medicine)
Servings / day
Fats & Oils
2 T!.....Avocado
1 T!.....Pesto (Olive oil, cheese
1½ T!..Coconut milk (⅓ c light)
free)
8!........Olives, black or green
1 t!......Oils, cooking or unrefined: Coconut (virgin), Olive (extra
virgin), Ghee
1 serving = 45 calories, 5 g fat
Butter
Margarine
Mayonnaise
Processed oils
ELIMINATE
Salad dressings Canola
Shortening
Grapeseed
Oils:
Pumpkin
Almond
Safflower
Sesame
Soybean
Sunflower
Walnut
Non-starchy
Vegetables
Artichoke
Asparagus
Bamboo shoots
Bean sprouts
Bell peppers
Bok choy
Broccoli
Brussels sprouts
Cabbage
Carrots
Cauliflower
Celery
Chard/Swiss Chard
Cucumbers
Greens (beet,
dandelion, collard,
kale, mustard, turnip)
Green beans
Jicama
Leeks
Lettuce
Servings / day
Mushrooms (Crimini
Shiitake)
Okra
Onions
Radish
Shallots
Spinach
Squash, summer
Vegetable juice (¾ c)
Fermented vegetables
(kimchi, sauerkraut)
1 serving = ½ c cooked, 1 c raw, 10- 25 calories, 5 g carb
Servings / day
Nuts & Seeds
3 T!.....Coconut (unsweetened)
2 T!.....Flax seed, ground
Avoid the following as directed by your healthcare provider:
Cayenne
Eggplant
Peppers (bell, chili, hot) Tomatillo
Chili powder Paprika
Pimento
Salsa
Tomato
1 T!.....Pine nuts
The Comprehensive
Elimination Diet
1 serving = 45 calories, 5 g fat
Almonds
Brazil nuts
Cashews
Hazelnuts
Peanuts
Pecans
ELIMINATE
Pistachios
Sunflower seeds
Pumpkin seeds Walnuts
Sesame
Nut butters
Servings / day
Protein
Plant Protein: (organic, non
GMO preferred)
1 oz!...Burger alternatives:
mushroom, veggie, no
soy
Animal Proteins (very lean
cuts or organic)
1 oz!...Fish (fresh, frozen, wildcaught, not farm raised)
1 oz!...Meat: buffalo, elk, lamb,
venison, wild game
1 oz!...Poultry (skinless chicken,
turkey, Cornish hen)
2sm!...Sardines
1 oz!...Seafood, no shell fish
Protein Powder:
Check label for #grams/scoop
(1 protein serving = 7 g)
Rice, pea, hemp protein, no
soy, whey, or egg white
* all measurements in single serving sizes
Legumes
1 serving = 110 calories, 15 g carb, 7 g pro
ELIMINATE (if not vegetarian)
Soybean products (soy sauce, soybean oil in processed foods;
tempeh, tofu, soy milk, soy yogurt, textured vegetable protein)
Low-fat
Dairy/ Alternatives
Nato
TVP
Servings / day
8 oz!...Milk alternatives: rice, coconut
8 oz!...Dairy-free coconut yogurt or kiefer
2 oz!...Vegan style rice milk cheeses
1 serving = 70-100 calories, 12 g carb, 7 g pro
Butter
Cheese
Cottage cheese
Cream
ELIMINATE
Frozen yogurt
Ice cream
Milk
Milk alternatives:
nut, hemp, soy
Yogurt
Non-dairy creamers
Servings / day
Vegetables
1 c!.....Acorn squash, cubed
½md!.Potato, white
1 c!.....Beets, cubed
½ c!....Potato, white (mashed)
1 c!.....Butternut squash, cubed ½ c…Winter roots or squashes,
½ c!....Green peas
(acorn, beet, butternut,
⅓ c!....Plantain (½ whole)
parsnip, pumpkin, turnip)
1 c!.....Snow peas
1 serving = 80 calories, 15 g carb
ELIMINATE
Potato (if avoiding nightshades)
Corn
Servings / day
Fruits (No sugar added)
1 sm !Apple
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½ c!....Applesauce
(unsweetened)
4!........Apricots, fresh
½!.......Banana, med
¾ c!....Blackberries
¾ c!....Blueberries
12!......Cherries
3!........Dates or Figs
½ c!....Fruit juice
15!......Grape
½ sm!.Mango
1 c!.....Melon
1 sm!..Nectarine
1 c!.....Papaya
1 sm!..Peach
1 sm!..Pear
¾ c!....Pineapple
2 sm!..Plums
1 sm!..Pomegranate
3 md!.Prunes
2 T!.....Raisins
1 c!.....Raspberries
2 sm!..Tangerines
2 T!.....Dried fruit
1 serving = 60 calories, 15 g carb
ELIMINATE
Orange juice
Oranges
½ c!....Cooked dried peas, beans, or lentils
¾ c!....Bean soups
⅓ c!....Hummus or other bean dips
½ c!....Fat-free refried beans
1 oz serving = 50-100 calories, 7 g pro
ELIMINATE
Beef/veal
Frankfurters
Soy:
Canned meats Pork
Tofu
Cold cuts
Sausage
Tempe
Eggs
Shellfish
Miso
Servings / day
Starchy
Servings / day
Grains
Amaranth*
Basmati rice*
Buckwheat/kasha*
Millet*
Potato flour*
Quinoa*
Rice*
Sorghum*
Tapioca*
Teff*
Serving = ⅓-½ c
½ c!....Cereal, cooked (rice)
¾ c!....Cereal, ready-to-eat (rice)
⅓ c!....Quinoa*
⅓ c!....Rice*
1 sl.!...Rice bread*
2!!.......Rice cakes (brown)*
3-4!.....Rice crackers*
⅓ c!....Rice noodles or pasta*
* = Gluten free
1 serving = 75-110 calories, 15 g carb
Barley
Corn
Oat
Rye
ELIMINATE
Spelt
Triticale
Wheat
© 2012 The Institute for Functional Medicine
SUPPLEMENTS
www.thyroidlifestyle.com
18#
Recommended Supplements
#
Name
Rationale
Side Effects
Omega 3 or Cod
Liver Oil
Selenium 200mcg
Reduce inflammation, improve skin
condition
Antioxidant, reduce TPO antibodies, helps
covert T4 to T3
Can have blood
thinning effects
Toxicity reported at
excessive doses,
garlic smell sign on
excessive dose
Vitamin E 400IU
Antioxidants, works synergistically with
Selenium, improves skin
Required for T4 to T3 conversion
Can have blood
thinning effects
May cause copper
deficiency in doses
>30mg/day.
Zinc
Vitamin D 5000IU Reduce inflammation autoimmune
symptoms
Probiotics or VSL
#3
B12
Adrenal
adaptogens (Daily
Stress Formula)
Lactobacillus deficiency; LB crates enzymes
that aid digestion and absorption, help
improve immune function, helps to balance
out the pathogenic flora
Proper development of villi, protein
digestions, many others
Help support adrenal function
Nausea, vomiting,
die-off reaction
Bright yellow urine.
www.thyroidlifestyle.com
Notes
Make sure to rule out Iodine deficiency. Can
make hypothyroidism worse if Selenium is
given in overt iodine deficiency
Take on an empty stomach along with Vitamin
E
Will not be absorbed properly from
multivitamin
Liquid deficiency test: swish around in mouth
Picolinate version is absorbed best. Take with
Vitamin C and with food.
Deficiency due to impaired absorption with
Hashi’s, Celiac, seen as low Alkaline
Phosphatase on CBC-can improve
Ideally you should get it from the sun, but
supplements can be a secondary. Can measure
levels
Probiotic levels can be measured by Stool test
(CDSA)
Sublingual B12 may be better absorbed,
especially is GI issues
19#
Magnesium
Helps restore DHEA levels
Diarrhea, sleepiness
Licorice
Antiviral properties and helps stretch
cortisol levels in cases of adrenal fatigue
Chromium
Required nutrient for thyroid function
Anatabine
Alkaloid found in tobacco, helps to detoxify
LPS, reduces inflammation
May increase blood
pressure. Avoid if
already blood
pressure
May cause
drowsiness
May impact liver
function tests.
Should monitor
Proteolytic
Enzymes
Reduce circulating immune complexes, of
proteins that may become allergenic, reduce
antibodies
Increases SIgA- helps clear out pathogenic
bacteria from the body
Saccharomyces
Boulardii
Thytrophin PMG
Betaine with
Pepsin
Curcumin
Glutamine
N-Acetyl Cysteine
Ferritin
Take three times-four times per day
Take between meals
Reduces antibodies, helps rebuild the thyroid
Helps digest proteins
Burning in throat,
not to be used with
ulcers!
Reduces inflammation
Helps repair intestinal lining
Helps restore gut lining, antioxidant, liver
function, helps eliminate pathogenic bacteria
Iron deficiency, low Ferritin levels, hair loss
Becomes depleted by fluoride. Most people
show deficiency.
Agitation
Stomach pain if take
on empty stomach
May cause
constipation
Should be combined with other antibiotics.
Dosages higher than stated on package may
need to be used
Dosage of up to 9 tablets per day
Take with meals containing protein
May be poorly absorbed. Look for formulations
that make it more absorbable.
Take witb food!
Wait at least 4 hours between thyroid
medications. Should be taken after meals,
Vitamin C, acid production helps promote
absorption. *Caution with overdose
Note:#Hyperlinks#will#take#you#to#recommended#products#
www.thyroidlifestyle.com
20#
RESOURCES
!
Recommended Reading
Hashimoto’s Thyroiditis by Izabella Wentz
Body Ecology Diet by Donna Gates
Adrenal Fatigue by James Wilson
The Hormone Cure by Sara Gottfried
Drug Muggers by Suzy Cohen
Digestive Wellness by Liz Lipski
Breaking the Vicious Cycle by Elaine Gottschall
Gut and Psychology Syndrome (GAPS) by Natasha Campbell-McBride
Blood Sugar Solution by Mark Hyman
Recommended Products
Pure Encapsulations brand supplements
Anatabloc-Supplement that reduces TPO Antibodies www.anatabloc.com
Lady-Comp Fertility Monitor
VSL-3- high potency probiotics www.vsl3.com
Now Foods Pea Protein
Let’s Do Organic Creamed Coconut
NuNaturals Nustevia Alcohol Free Stevia
Omega J8006 Juicer
Home Reverse Osmosis Drinking Water System
• Removes Fluoride and other toxins
• Fits under kitchen sink
• Produces 50 gallons of purified drinking water per day
Thirty Acre Farm-Real lactofermented vegetables
http://thirtyacrefarm.com/
Tula’s CocoKefir-fermented coconut water and coconut “yogurt”.
http://www.cocokefir.com/
Self-Order Lab Testing
www.thyroidlifestyle.com
22#
ZRT Labs allows patients to order their own labs. All blood tests done through noninvasive saliva, urine or blood spot testing. Available tests include TSH, free T3, TPO
antibodies and urinary iodine www.zrtlab.com/
MyLabsForLife offers access to a variety of blood tests including alkaline
phosphatase, TPO Antibodies, celiac panel, PCB Exposure, reverseT3, Selenium, food
sensitivity panel. Patients can order their own lab tests and are sent to LabCorp
locations for blood draws. www.mylabsforlife.com
Recommended Websites/Blogs
www.thyroidrootcause.org
www.thyroidlifestyle.com
http://thyroid.about.com/
www.mercola.com
http://scdlifestyle.com/
http://realsustenance.com/about/##
http://www.adrenalfatigue.org#
www.scdlifestyle.com##
www.gaps.me##
www.thyroidchange.org##
http://hopeforhashimotosdisease.blogspot.com##
Still have questions?
Please contact me through www.thyroidlifestyle.com. I am available for general
questions and provide fee-based consultations for complicated issues and case reviews.
www.thyroidlifestyle.com
23#