If your T4 is being preferentially shunted into reverse T3, instead of T3, you might feel like you have the symptoms of hyperthyroidism. The standard treatment for hypothyroidism is to give T4 - a synthetic version of this hormone. Most patients will convert that T4 via D1 and D2 into T3. It will go on to have all the biologic effects and it will also suppress TRH and TSH and the body will come back into line.
View the Show Notes Page for This Episode
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In this special episode of The Drive, Peter provides a comprehensive overview of the various endocrine systems: the thyroid system, the adrenal system, and the sex hormone system (for both men and women). He walks through the basic biology and the feedback cycles that regulate the production of these hormones and discusses the various options for the treatment of hormone deficiencies. In addition, Peter delves into hormone replacement therapy (HRT), providing nuanced insights into its appropriate usage and the clinical approach he adopts when working with patients.
Peter supplements these explanations with whiteboard illustrations. For a more complete understanding, we highly recommend watching these videos over just listening. The videos can be found on our YouTube channel or on the show notes page.
We discuss:
- The thyroid system [2:15];
- The adrenal system [15:45];
- The female sex hormone system [27:00];
- The male sex hormone system [40:00]; and
- More.
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