Paul Saladino· MD
but TSH free t3 free t4 reverse t3 and then the two Hashimoto's thyroid antibodies TPO a B and T Gav
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We can't find evidence that holds up here. Proponents are reasoning from mechanism or analogy rather than direct human data, and the most credible skeptics raise objections we can't dismiss.
but TSH free t3 free t4 reverse t3 and then the two Hashimoto's thyroid antibodies TPO a B and T Gav
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unfortunately those doctors aren't just testing the TSH I can't tell you this is the story of everyone's life where they're like well I checked my thyroid it's not that my doctor said it's fine really how do you know do you know because you don't check it I don't believe when anyone says that to me I'm like let me see the bloodwork I bet you someone made a mistake there because it often is the case that those people who are told that it was fine it wasn't
testing the tsh makes no sense because the signal can be sent to the thyroid but then we need to test if the thyroid's doing its job a is it pumping out enough of the stuff and then b is it converting into the thing that matters so there's a couple of steps that are completely missed when a doctor you know is just testing the tsh exactly
the t just testing the tsh makes no sense because the signal can be sent to the thyroid but then we need to test if the thyroid's doing its job a is it pumping out enough of the stuff and then b is it converting into the thing that matters so there's a couple of steps that are completely missed when a doctor you know is just testing the tsh
most people are just going to get a tsh which is a thyroid stimulating hormone level and the reason that is problematic is you know we'll show here in the diagram
the the first thing to mention is that tsh and the levels of thyroid hormones in your body are going to be inversely related and this is confusing for people but it has to do with this negative feedback loop between thyroxine and the brain and the idea is that if your tsh is high traditionally we would think of hypothyroidism the brain is saying hey i'm not sensing enough t4 therefore i'm going to push a little harder from the hypothalamus from the pituitary to the thyroid gland to secrete like you said mostly t4 a little bit of t3 now again this misses a lot of problems because you're missing this whole downstream arm having to do with conversion of t4 into t3 and potentially reverse t3
I think that most of those women may go to their doctor and when they say, "Hey, I want to check myself for a thyroid problem." They'll get one test.