Barbell Medicine Podcast Episode #305: Hyperthyroidism
Aug 23, 2024
In this lively discussion, Dr. Baraki and Dr. Feigenbaum dive into hyperthyroidism, illuminating its effects on metabolism and overall health. They unpack symptoms, diagnostic challenges, and various forms of the condition, like Graves' disease. The duo explores treatment options, including medications and radioiodine therapy, while touching on how thyroid hormones affect exercise performance. With a blend of humor and expertise, they even warn against T3 overdosing, leaving listeners both informed and entertained.
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Critical Bodybuilder Case Introduction
- A 28-year-old male bodybuilder was found unresponsive with severe symptoms including jugular venous distension and cardiogenic shock.
- He required ventilation and pressors, with a complex history involving supplements and unclear substances.
Broad Differential for Cardiogenic Shock
- Cardiogenic shock in a young person has many possible causes including myocarditis, toxic exposure, and endocrine issues.
- Thyroid-related causes should be considered, especially with abnormal hormone levels and when infections and ischemia are ruled out.
T3 Toxicosis Heart Failure Case
- The patient had low TSH, low free T4, but very high free T3, revealing T3 toxicosis.
- He admitted to taking exogenous T3 and other bodybuilding substances causing acute heart failure that rapidly improved after stopping T3.