Thyroid Mystery Solved: Hashimoto's and Hypothyroidism Revealed

Get ThyroLove NowUse promo code 'podcast' for 10% offThe Case:Ariella has Hashimoto’s and hypothyroidism and has been struggling with her weight since her diagnosis. Everything that had worked in the past for weight management was not working.She tried very low-calorie diets but knew that it was neither sustainable or healthy.When I met Ariella, I saw how much she was struggling and I knew exactly where we needed to look to solve her health mystery. Before we review Ariella’s case and introduce you to our guest expert, I know some of you have come here looking for the link to Ignite+! Here is the link: https://completenutritionandwellness.com/shop/ignite.html Be sure to use promo code IGNITE to save 10% The InvestigationI hear about the struggles of weight management from my Hashimoto’s and hypothyroid clients all the time so I know how frustrating it can be because it is so much more complicated to navigate. That’s why I was excited to connect with Michael Antonelli. He is a leading expert in functional nutrition and wellness, with a wealth of knowledge in the realm of thyroid health. He is also the founder of Healthgevity, a nutraceutical company. He has a passion for uncovering effective strategies for metabolic optimization so I knew he was the perfect person to discuss Ariella’s case with.Why It’s Hard to Lose Weight with Hypothyroidism and Hashimoto’sThe battle against weight gain with Hashimoto's extends beyond thyroid support. Slow metabolism, hormonal imbalances, water retention, fatigue – each a piece of the intricate puzzle. If you find yourself ticking off these challenges, you're not alone. Michael Antonelli sheds light on the complex web of factors, from blood sugar intricacies to the downstream effects on adrenal glands. It's not just about shedding pounds; it's about unraveling the complexities and finding personalized solutions. Understanding these nuances empowers you to reclaim control over your well-being.Navigating the Blood Sugar Balance with Hashimoto’sBalancing blood sugar is a cornerstone in our journey toward better health. I often encounter people who've heard about blood sugar but might not grasp its significance fully. It's more than just a buzzword; it's a vital component of our well-being.Michael Antonelli sheds light on the importance of maintaining blood sugar levels within a specific range. Think of it as orchestrating a symphony—timing and balance matter. For those practicing intermittent fasting or relying on small meals throughout the day, the goal is to keep glucose levels steady. This steady supply fuels our bodies optimally, ensuring they perform at their best.But what causes blood sugar spikes, and why are they problematic? Michael explains that these spikes can result from various factors, such as skipping meals or consuming high-sugar or high-carb foods without adequate protein or fat. The body responds with insulin production to lower the elevated blood sugar. While this might provide a temporary energy boost, it initiates a cascade of metabolic challenges, contributing to weight gain or resistance.What’s the Difference Between Brown Fat and White Fat?Many people don’t realize that there are different types of fat and that each plays a different role in weight gain and weight loss. Brown Fat: This is the active player, a metabolic powerhouse buzzing with mitochondria. Think of it as the body's go-to for sustainable energy. Activating brown fat is so much more than weight loss as it influences everything from clarity of thought to overall vitality.White Fat: On the flip side, we have white fat—a storage unit designed for emergencies. The challenge with white fat is convincing the body to part ways with this resilient fat. White fat is what we are targeting with weight-loss practices like cold exposure, intermittent fasting, exercise, and calorie restriction. What we’re really doing is trying to awaken the elusive brown fat and restore metabolic equilibrium.In short, brown fat is the energetic performer, which contrasts sharply with the emergency reserves of white fat. We can reprogram the body's response system through movement and diet so that it releases excess fat stores, paving the way for a harmonious equilibrium. Understanding and managing the two types of fat isn’t just about weight loss, it provides a more holistic way to reclaim mental clarity, reduce fatigue, and even improve our mood. Understanding Insulin Resistance in Hashimoto’sInsulin resistance is a term that a lot of people use without a clear understanding. What’s important for people with Hashimoto’s and hypothyroidism to note is that they can be susceptible to insulin resistance. In this episode, Micheal and I get back to the basics and look at the impact it has on those with hypothyroidism. Insulin's Role: Insulin, the blood sugar maestro, orchestrates glucose entry into cells. However, in conditions like clinical hypothyroidism, this harmony falters. Reduced sensitivity to insulin results in elevated blood sugar, paving the way for weight gain and metabolic challenges.The Hypothyroid Connection: Literature suggests a strong link between hypothyroidism and insulin resistance. Understanding this connection is pivotal. Hypothyroidism hampers insulin's effectiveness, creating a domino effect that extends beyond mere blood sugar regulation.Metabolic Health: It's not just about insulin; it's a symphony of hormones—leptin, ghrelin, adiponectin—each playing a crucial role in metabolic health. Navigating these intricacies is key to unlocking the secrets of optimal well-being.When most people think about insulin resistance, they go to the standard advice of "just avoid carbs". It’s not that simple. Michael and I break down this common recommendation, exploring the nuances and offering a more comprehensive perspective on managing insulin resistance. It's time to empower ourselves with knowledge and embrace holistic solutions for lasting well-being.Demystifying Leptin and GhrelinLeptin and ghrelin are hormones that often hold the key to weight management because they control appetite and satiety. Leptin, produced by fat cells, regulates weight, energy, and even influences insulin sensitivity. Balancing leptin levels is crucial for metabolic and reproductive health (especially for those navigating fertility challenges with hypothyroidism).Ghrelin, another player in appetite and energy balance, influences growth hormone release, fat storage, and stress response. Lifestyle choices can have a big impact on these hormones. Opt for a high-fiber, low-glycemic diet, balance healthy carbohydrates and fats, and consider small, frequent meals. Exercise is also key as it contributes to hormonal harmony. Supplements play a role and when combined with exercise and healthy eating, they form a powerful approach to help you reach and maintain your hea...

Get ThyroLove NowUse promo code 'podcast' for 10% offWinter can be a challenging time, especially for those with autoimmunity like Hashimoto's. The usual advice for boosting immunity may not apply, and some commonly recommended supplements can even trigger flare-ups. In this episode, I’m sharing the essential strategies to stay healthy this winter without causing a Hashimoto's flare-up.   Staying Updated on Immune Protocols Staying abreast of the latest immune protocols is crucial. In this episode, I'll share my most recent Hashimoto's-safe immune protocols, incorporating the newest research and insights to help you navigate the winter season with confidence.   Tailored Advice for Autoimmunity Generic immune-boosting advice may not be suitable for those with Hashimoto's or other autoimmune conditions. Understanding the nuances of your overactive immune system is key. In this episode, I explain more in-depth why following standard recommendations can potentially exacerbate your condition and explore a more personalized approach.   Cautionary Note: Immune-Boosting Supplements to Steer Clear of with Hashimoto's Standard recommendations, such as Echinacea, Astragalus, Reishi, and Elderberry, can potentially trigger adverse reactions for those with autoimmunity. These supplements, often included in various immune formulations, may inadvertently stimulate an already overactive immune system, leading to potential flare-ups. To ensure your wellness regimen is tailored to your specific needs, it's advisable to avoid these immune-boosting herbs and supplements. Always scrutinize product labels to confirm their absence in the formulations you're considering, as even seemingly benign formulations may contain these ingredients.    Choosing the Right Supplements The good news is that not all immune-boosting supplements are off-limits! After years of finding answers for myself and my Hashimoto’s and immune-compromised clients, I’ve carefully curated a list of safer options, including:   Vitamin C: An often-overlooked powerhouse for immune support. Vitamin D: Essential for winter, with dosage recommendations based on individual needs. Zinc + Quercetin: A dynamic duo for prevention and healing, with a crucial tip on maintaining mineral balance. Garlic: A potent, quick-acting option with guidelines on when and how to use it. Liposomal Glutathione: An immune balancer and antioxidant to help support your body's defenses. Specialized Pro-Resolving Mediators (SPM): Aids in taming inflammation and balancing the immune system.   Bonus Protocol for Optimal Winter Recovery For those seeking a detailed roadmap to navigate through illness and help prevent Hashimoto's flare-ups, here's an exclusive bonus protocol designed to be followed for 7-10 days or until you experience improvement *please be sure to always check with your medical doctor before starting any new protocol*:   Vitamin C (5000-6000mg per day): Administer in divided doses, whether you prefer the effervescent delight of C+BioFizz dissolved in water or the convenience of capsules like Stellar C. If you encounter loose stools, consider the refrigerated Liposomal Vitamin C, aiding absorption through mucous membranes.   Vitamin D Supreme (10,000 IU per day): Vital during winter, adjust the dosage based on individual needs. For those with difficulty absorbing vitamin D, alternatives like Emulsi D3 Synergy or Hi Po Emulsi D are recommended.   Zinc (1 capsule twice per day): Integrate zinc into your daily routine with meals, supporting immune function.   Quercetin and Nettles (3 capsules twice per day): Enhance zinc's efficacy by facilitating its entry into cells, aiding in virus deactivation. Take with any meals for optimal absorption.   Allimax (3 capsules twice per day): Leverage the power of this patented allicin extract with high potency, odorless and effective against bacteria, yeasts, and other pathogens. Use when symptomatic, exposed to illness, or feeling under the weather.   SPM Supreme (3 gel caps twice per day): Optimize your immune response by balancing inflammation. This higher dose is particularly beneficial during illness, reducing the risk of post-viral complications and autoimmune flares.   Therasomal Glutathione (4 pumps morning and night): Support your immune system's equilibrium and ward off post-viral complications. This regimen, especially beneficial for those with Hashimoto's, helps prevent viral-mediated autoimmune flare-ups.   When I am feeling sick, I use this protocol for 7-10 days. Not only can it potentially reduce the duration of illness, but it can also serve as a preventive measure against Hashimoto's flare-ups. Your health is a priority, and this personalized approach aims to guide you through a winter recovery with resilience and vitality.   Note: Ensure you're subscribed to my newsletter for exclusive bonuses and additional health insights.   Links to Suggested Products:  Allimax Trizomal Glutathione Liposomal Glutathione Zinc

Get ThyroLove NowUse promo code 'podcast' for 10% offCheck out my program Clear Your Thyroid Blocks. The Case:  Molly has Hypothyroidism and Hashimoto’s She feels exhausted and foggy from the moment she wakes up.She’s been taking thyroid medicine for a while and has not noticed much improvement in her energy or mental clarity.The Investigation When I met Molly and reviewed her labs, I noticed right away that she was not supported for her thyroid type. This meant that although she was on medicine, her cells were not getting what they needed. I knew exactly where we needed to look to solve her health mystery. Looking Beyond TSH Levels When someone is first diagnosed with a thyroid issue, it is usually because they have had a lab test showing their TSH is out of range. But, there is so much more to understanding and treating a thyroid issue than the TSH levels. In this episode, I speak with Dr. Eric Balcavage about this and the intricacies of thyroid function. Dr. Balcavage is the host of The Thyroid Answers Podcast and co-author of  The Thyroid Debacle. To fully understand the impact of a thyroid imbalance, you must look at the journey of thyroid hormones from production to absorption and their critical role in cellular activities. Dr. Balcavage eloquently explains the cellular dynamics, likening cells to people in either manufacturing or defense mode. He highlighted the significance of T3, the active form of thyroid hormone, and how its absorption into cells influences the delicate balance between energy production and cell defense mechanisms. This conversation sheds light on the often overlooked aspect of thyroid health—absorption—and provides valuable insights into why individuals might still experience suboptimal well-being despite having sufficient thyroid hormones. Understanding these nuances is crucial for anyone seeking a holistic approach to thyroid care. Decoding Functional Thyroid Ranges and Unveiling the Root Causes One critical aspect often overlooked in medicine is the interpretation of lab values. It is a common misconception that as long as thyroid levels fall within the functional or optimal range, they are deemed satisfactory. This is something I talk about often in this podcast and Dr. Balcavage agrees, emphasizing that optimal ranges don't necessarily equate to appropriateness for an individual's unique health profile. In this episode, we explore scenarios where seemingly normal TSH levels could mask underlying issues, such as inflammation-induced TSH suppression or hypothalamic saturation due to excessive T4 intake. The pitfalls of solely focusing on T3 supplementation without unraveling the root causes of impaired T4 to T3 conversion are not to be ignored. Dr. Balcavage explains the importance of investigating whether a genuine inability to convert exists or if the issue stems from inflammatory and stress responses, shedding light on the nuanced complexities of thyroid health. Chronic Stress and “Multisystem Adaptive Disorders” Stress and other triggers can cause a cell danger response. Dr. Balcavage provides insights into how this response manifests differently based on its duration and the impacted tissues and systems. He further explains that the cell danger response is not unfamiliar to most, as we've all experienced it transiently during times of illness or stress. However, for some, this response becomes chronic, creating a new operating system laden with symptoms and imbalances. This can lead to cellular repercussions—weight gain despite a balanced diet, glucose resistance, hormone dysregulation, and diminished parasympathetic function, among others.Cumulative stress and poor recovery can also have a major impact which Dr. Balcavage likens to adding incremental weights to a fragile plank. He emphasizes that it's not always the result of a single, dramatic stressor like a specific infection or toxin. Instead, it often stems from the relentless accumulation of life stressors, each contributing to the breaking point. Drawing parallels, we explore scenarios where both constant, gradual stressors and sudden, impactful events can trigger the cell danger response – something he refers to as "multisystem adaptive disorder." Rather than focusing on singular diagnoses, he underscores the importance of identifying ongoing stressors and promoting recovery to facilitate true healing. This is why he believes that fixing the symptoms without addressing the underlying adaptive responses is a misguided approach. Stress Triggers in Hypothyroidism and Hashimoto’s I talk a lot about Hahimoto’s four triggers and one of them is stress. However, there are a myriad of stressors to consider. It is essential to dig a little deeper so you can identify and mitigate these stressors. Once these stressors are addressed the next crucial step is switching off the persistent cell danger response.Dr. Balcavage underscores the critical role of seemingly mundane factors that profoundly influence our physiological state. Breathing, diet, sleep, and mindset emerged as the unsung heroes in the journey towards optimal health. He illuminates the fact that our cells can remain entrenched in a stress response, even after the external stressors diminish, emphasizing the need for deliberate interventions.Contrary to the allure of quick fixes and flashy supplement solutions, Dr. Balcavage emphasizes the power of foundational lifestyle factors. Embracing Emotional Fitness So often, we focus on physical adjustments to our routines without taking into account the importance of our emotional fitness including dealing with emotional stressors and conscious thoughts that can shape our physiological responses. Often, we are unaware of our thought patterns and their impact on our health. Limiting beliefs and imprints acquired during the formative years of our lives are often embedded in the subconscious during the Theta state. Dr. Balcavage and I explore the significance of unraveling these deep-seated beliefs, emphasizing their influence on the stories we tell ourselves as an important step toward improving emotional fitness.It’s important to adopt tools tailored to individual needs for managing emotional stress. Whether it's the DNRS method, the map method, meditation, or other techniques, the key is finding what resonates with each person. Recognizing individual emotional triggers and how they show up in our environment; presenting subtle cues that can lead to a patterned emotional response. Dr. Balcavage believes that a shift in the thought process is more powerful and important than simply suppressing symptoms with supplements. Choosing this paradigm shift allows individuals to approach life events with resilience and a growth-oriented mindset. Dr. Balcavage challenges the idea that good or bad events inherently shape our lives. Instead, he advocates for interpreting these experiences as opportunities for learning and growth. The journey towards emotional fitness involves acknowledging the inevitability of stress, embracing a brief pity party, and then strategically leveraging each experience as a stepping stone toward a better, more empowered life. Tools for Decreasing Stress There are many diverse modalities and tools designed to improve our mental, emotional, and energetic health. Everyone’s journey is different so it’s best to try different approaches to find the one that resonates with you.One approach that Dr. Balcavage shares in this episode is the Apollo Neuro—a wearable device that uses vibrational technology to alter brainwave freque...

Get ThyroLove NowUse promo code 'podcast' for 10% offShortcut to my thyroid program. The Case:  Lucy was experiencing symptoms that went back and forthShe would experience heart palpitations, hot flashes, and anxiety and then she’d have periods of fatigueHer doctor suspected hyperthyroidism and tested her for GravesI knew that there was reason to investigate further because her symptoms weren’t adding up. When it comes to hyperthyroidism, there’s one person I often turn to - Dr. Eric Osansky, a chiropractor and host of the ‘Save My Thyroid’ podcast. His interest in hyperthyroidism comes from his personal Graves diagnosis in 2008. He is also the author of 2 thyroid books, ‘Natural Solutions for Hypothyroidism and Graves’ Disease’ and ‘Hashimoto’s Triggers: Eliminate Your Thyroid Symptoms by Finding and Removing Your Triggers’On this show, we talk a lot about hypothyroidism and how Hashimoto’s can be at play. Many don’t think that Hashimoto’s can also be present when someone has an overactive thyroid (Hyperthyroidism and sometimes Graves’ Disease). It all starts by looking at and understanding TSH levels. Reviewing the Basics of Thyroid-Stimulating Hormone (TSH) The thyroid gland is a critical component of our endocrine system, responsible for regulating our metabolism. When it comes to thyroid assessments, most practitioners start by examining the Thyroid-Stimulating Hormone (TSH). Dr. Osansky explained that TSH stands for "Thyroid Stimulation-Communicating Hormone" and is produced by the pituitary gland. This hormone plays a vital role in communicating with the thyroid and serves as a fundamental element of many thyroid evaluations.When it comes to hypothyroidism, including conditions like Hashimoto's, you'll often see elevated TSH levels. This is because the thyroid hormone in the body is on the lower side. It might be just within the lab's reference range, or it could be overtly low. In response, the pituitary gland sends a clear signal to the thyroid: "We need more thyroid hormone!" This signal takes the form of an increased TSH level, prompting the thyroid gland to produce more thyroid hormone.Conversely, in the case of hyperthyroidism, it's the complete opposite. With hyperthyroidism, there's an excess of thyroid hormone circulating in the bloodstream, mainly bound to proteins. In this scenario, the pituitary gland signals the thyroid to slow down production. As a result, you'll commonly observe not only low TSH but sometimes an undetectable TSH, especially in conditions like Graves' disease. This undetectable TSH indicates that the pituitary is working hard to halt the overproduction of thyroid hormone. So, while TSH levels can provide valuable insights, they're just one piece of the puzzle. We need to dig deeper into the thyroid hormones to get the full picture. Comprehensive Thyroid Testing is Always Key According to Dr. Eric, to reach a proper diagnosis, we must also examine the thyroid hormones, particularly free T3 and free T4. These free hormones offer a more accurate representation of thyroid function. In hyperthyroidism, where the thyroid hormones are typically elevated, examining free T3 and free T4 alone is often sufficient because total hormones will also be elevated. On the other hand, in hypothyroidism, some practitioners prefer to assess not only free hormones but also total hormones to gauge production since a significant portion of thyroid hormone is bound to proteins.Let's not forget reverse T3, an inactive form of T3. It's a bit of a controversial character in the thyroid world. Some suggest that reverse T3 may act as a blocking agent, especially in hyperthyroidism. Elevated reverse T3 levels are common in this condition, further hinting at its role in dampening excessive thyroid hormone activity. But the thyroid's complexity doesn't end here. We also need to consider antibodies, which play a crucial role in autoimmune thyroid conditions like Hashimoto's. Plus, keep in mind that it's not just the thyroid at play; the pituitary gland could be throwing a wrench in the works too. Pituitary issues, such as a pituitary adenoma, can also affect TSH levels and the overall thyroid regulation. So, always remember that a comprehensive view is essential when evaluating thyroid health. What is Hashi-Toxicosis?  Hashi-toxicosis is a fascinating term that combines "Hashimoto's" and "toxicosis." It essentially refers to Hashimoto's thyroiditis with intermittent episodes of hyperthyroidism. When someone has Hashimoto's, the autoimmune attack damages the thyroid gland, causing it to release excessive thyroid hormone into the bloodstream. Consequently, when you get a blood test during such an episode, it can appear as hyperthyroidism. However, it's different from Graves' disease, where specific antibodies continuously stimulate the thyroid gland. In Hashi-toxicosis, these episodes of hyperthyroidism are transient, meaning they come and go. The duration varies from person to person, some experiencing these episodes for a few hours, while others may have them for a few days.These fluctuations can be triggered by various factors. For some, hormonal changes, like those related to the menstrual cycle or stressful events, can lead to these episodes. It's important to note that the frequency of these flares varies among individuals. Some may experience them frequently, while others only encounter them occasionally. In my own journey, I've had a couple of Hashi-toxicosis flares, both linked to high-stress events – one after moving and the other postpartum. These personal experiences have taught me that hormonal changes can significantly influence the frequency of these episodes. For those who face occasional flares, it can be a bewildering experience. When I had my first episode, nearly two decades ago, it looked a lot like Lucy's situation. The doctor ran tests during a flare, and my thyroid hormone levels were off the charts. Not just my TSH, but all my thyroid hormones were elevated, which was rather unusual. The doctor even suggested the possibility of thyroid removal. Thankfully, my knowledge about Hashimoto's helped me question this recommendation, as I knew there was more to the story than met the eye. Get Curious About Unusual Thyroid Results It's absolutely crucial to explore all the possibilities when dealing with thyroid issues and stop the attack on our thyroid gland. Now, consider a scenario where someone, like Lucy, has a low TSH and elevated hormone levels. If it's not clear whether this is a transient episode, it's essential to retest and, most importantly, assess the antibodies. But what if the antibodies turn out to be negative, including TSI? What else could be behind these hyperthyroid symptoms and unusual lab results? Dr. Osasnsky introduced the possibility of subacute thyroiditis. This condition often arises from viral infections, such as cytomegalovirus or even, more recently, the effects of COVID. It triggers significant inflammation in the thyroid, resulting in excess thyroid hormone production. Strangely, the presentation mirrors Graves' disease, yet the antibodies are absent. However, in most cases, within two to four months, this hyper phase shifts to a hypo state, and often, the hypothyroidism is temporary, eventually returning to a normal thyroid balance.One more thing to consider is medication. For example, if someone is taking a high amount of natural or synthetic thyroid, (whether it's levothyroxi...

Get ThyroLove NowUse promo code 'podcast' for 10% offIntroducing my new Clear Your Thyroid Blocks Program - Register today! https://completenutritionandwellness.com/shop/thyroidblocks.html The Investigation - Your Thyroid & Autoimmune Blocks  Did you know that you likely have thyroid and/or autoimmune blocks? Don’t worry, most people do and in this episode, I uncover the mysteries about this often-overlooked factor in your quest for optimal health. I've spent two decades working with hundreds of thyroid cases, and I can confidently say that to truly support Hashimoto's and optimize thyroid health, we need to look at it from all angles. It's more than just biochemistry; it's about understanding the emotional and mental aspects of our health journey. Understanding the Big Picture of Thyroid and Hashimoto’s: Biochemistry Is Crucial, But Not Everything If you’ve listened to this show before then you know I talk a lot about how biochemistry is a big piece of the Hashimoto’s and thyroid puzzle. Making smart changes to your diet and taking the right supplements are important. However, you also know that there are several things that can be triggers like infections, your environment, gut health, and stress. In recent years, I've noticed something intriguing. Even when the biochemistry is relatively balanced, people can still experience frustrating thyroid and autoimmune symptoms. Why is that? The answer lies not just in our thyroid or immune system but in our thoughts and beliefs. We all carry various emotional and mental blocks, stemming from our thoughts, emotions, and beliefs. These blocks can hinder our healing journey and often result from early childhood imprints and experiences. The Power of Childhood Beliefs on Adult Health The things we learned, saw, and interpreted as children have an impact on our emotional health today. From the time we are born until about age seven, we operate in a different brainwave (theta brainwave). In this state, we absorb information like sponges. We develop beliefs not necessarily from being told explicitly but from what we see, hear, or observe in our parents or caregivers. It's in these formative years that we form many of the beliefs that influence us later in life.  Around the age of seven, we begin to develop a logical mind, transitioning into the beta brainwave that adults primarily operate in. However, the beliefs formed during our early years remain stored in our subconscious minds. As we grow older, these deep-rooted beliefs can conflict with our conscious thoughts, creating an internal struggle between what's in our subconscious and conscious minds. Changing these deeply ingrained beliefs logically can be challenging.  The subconscious beliefs are powerful, often driving our actions and decisions without us realizing it. These beliefs can pertain to health, self-worth, success, relationships, and more.   The Impact of Subconscious Belief on Thyroid Health You’re probably wondering what all of this has to do with Hashimoto’s and thyroid health. Our thoughts and beliefs, whether consciously acknowledged or not, being in conflict with our conscious puts your body into an upregulated state (aka fight-or-flight mode). When your nervous system is constantly in this state of stress, it negatively impacts your immune system, digestion, and overall well-being. Remember that one of the key triggers for Hashimoto’s is stress.  The Importance of Downregulating the Nervous System One key piece of finding optimal health on this journey with Hypothyroidism or Hashimoto’s is downregulating the nervous system. When our nervous system is in a state of heightened alert, our bodies prioritize survival over healing. Our immune system takes a backseat, digestion slows down, and detoxification becomes less efficient. Additionally, our cells can become stuck in a stress response, preventing the effective use of hormones, even if you're doing everything right biochemically. Uncovering the Emotional Stressors While we address physical stressors like diet and infections, we often overlook emotional stressors. These emotional blocks can persist even after other triggers are eliminated. Our thoughts and beliefs have a significant impact on our physical health. Unfortunately, we're often in a constant state of stress due to these beliefs, which can seriously affect our immune system, Hashimoto's, and our thyroid health. If you're still struggling with thyroid issues, even after making dietary, supplement, or medication changes, emotional blocks might be the missing piece. Even if you're feeling better due to positive changes in your diet and/or medication, addressing emotional blocks can take you to the next level and accelerate your results. A New Program to Clear Thyroid Blocks I'm excited to introduce a new program (starting in November 2023) designed to help you clear these emotional blocks. Clear Your Thyroid Blocks  will help you clear these blocks over the course of two 90-minute live, virtual group sessions. You’ll learn the step-by-step method to address thyroid blocks so that you can start breaking them down. This highly informative program will help you unearth your deep-rooted beliefs around freedom of expression, feelings of not being good enough, shame, guilt, and more. You might be surprised at how many of these blocks you have and how they're affecting your health. The beauty of this program is that there are no additional dietary changes, supplements, or exercise modifications required. The Power of Clearing Your Thyroid Blocks This method involves working on the emotional and energetic level to identify and clear thoughts, beliefs, and patterns that perpetuate thyroid symptoms. The great news is that it can be combined with your existing approach. It's not a matter of either focusing on biochemistry or addressing emotional blocks. It's marrying them both for optimal results. We're downregulating the nervous system to create an environment where your body can heal effectively. Why Positive Thinking Alone Isn't Enough I want to be clear. The program is not just a lesson in positive thinking because while positive thinking is helpful, it’s often not effective against long held, deep-seated beliefs. Sometimes, affirmations can make you feel worse when they don't align with how you're truly feeling. You might find yourself feeling the disconnect between what you are saying to yourself and how you truly feel - your body and mind know you’re lying to yourself. That’s why you have to go deeper and change the belief on a subconscious level. In the Clear Your Thyroid Blocks program, we do the deeper dive deep into the roots of your beliefs and clear them. We replace them with beliefs that truly resonate with you so that you genuinely feel and live with more positively. This is how we erase the emotional blocks that have been holding you back for years. Your Deep Healing Journey Starts Here I'm excited to offer this program, and I've designed it to be as accessible and affordable as possible. The live sessions will take place on November 2 and November 9, but if you can't attend live, don't worry; the sessions will be recorded and you’ll have lifetime access to the recordings. Plus, I have a bonus for you! Everyone to signs up for the Clear Your Thyroid Blocks will qualify for a discount on my popular "Roadmap to Hashimoto's and Hypothyroidism" program.  The Healing Power Within You One of the things that I’ve learned over the decades in this work, and that I’ve shared in the years of this pod...

Get ThyroLove NowUse promo code 'podcast' for 10% offIn the last episode, we met Justine. As a reminder, here are a few details about her case. The Case:  Justine is 44 and dealing with sudden abdominal weight gain.She is also experiencing brain fog which is causing her stress. Her PMS is getting worse and she just doesn’t feel like herself.She saw her gynecologist who suggested birth control and antidepressants.  The Investigation If you didn’t hear the first part of this story, please go back and give  episode 153 a listen. In that episode, I spoke about Justine’s case with Emily Sadri, an expert in Hormone Replacement Therapy (HRT) and achieving hormonal harmony. Emily is a good friend to the show having previously shared her insights in episodes  141 on Semaglutide (like Ozempic) and Weight Loss and  107 on Birth Control Use with Thyroid Issues.In the last episode, we talked about the many misconceptions around hormones during perimenopause and menopause. Now, let’s pick up where we left off in the last episode by looking at the timing for hormone support and the physiological restoration protocol (PR protocol). When to Start Hormonal Support A question many women ponder is when to start supporting their hormones, especially as they transition into menopause. Emily noted that the dosage and timing of hormone support depend on whether a woman is still having a menstrual cycle regularly or if is their cycle has become irregular, for example, every 3-6 months. For instance, women who are still cycling (i.e., ovulating) might only need a minimal dosage of estrogen (1-2 milligrams) transdermally daily, while others might require more substantial support. The key is to start with a little bump up and track and monitor for changes. The Importance of Monitoring Hormones One alarming revelation was the number of physicians who prescribe hormone replacement therapy without regular testing. Traditional doctors are often focused on resolving a singular symptom. So, if the dosage reduces, say hot flashes, then the doctor considers the problem solved. But, solving one symptom is not equal to being in optimal health. Emily and I both believe in the value of consistent monitoring. After all, our bodies are ever-changing, and what worked two years ago might not be effective today. Estrogen and Progesterone: Misunderstood Roles A common misconception is that only progesterone affects sleep. However, Emily pointed out that estrogen plays a vital role in our circadian rhythms and sleep cycles. In fact, estrogen is a precursor to serotonin, which in turn is essential for producing melatonin, our sleep hormone. It's crucial to maintain a balance between estrogen and progesterone for optimal health. All the more reason to be monitoring hormone levels once treating them, because the individual may misinterpret or miss the symptoms of a hormone imbalance. And, off-balance hormones can work against each other. Physiological Restoration: Embracing the Natural Rhythm Physiological restoration is all about mimicking the body's natural hormonal rhythms. This method called the Physiological Restoration Protocol (PR protocol), can be especially beneficial for women in perimenopause or those transitioning into menopause. This method requires the woman to adjust their daily dosage according to where they are in their cycle but it is not as complicated as it sounds since there are generally just two topical treatments to manage. There is an app that helps make it quite easy. The key is understanding that our bodies are all changing and treatment needs to flow with those changes. It’s a spectrum - we’re not robots, explains Emily. It's all about understanding and supporting the body's innate processes.Utilizing tools like the Dutch test can offer profound insights into hormonal health. For those navigating perimenopause, the cycle mapping feature can be especially enlightening, painting a picture of your hormone fluctuations throughout the month. However, Emily says that the simple Dutch can be misleading, so you want to also look at the organic acids section to get the full picture. Starting Hormonal Support Later in Life If you're approaching your 50s or have already transitioned into menopause, hormonal support may still be a consideration for you, says Emily.  While earlier intervention can often provide smoother results, starting hormonal therapy within a decade of your last period can still be advantageous. Estrogen Metabolism: It's Not Just About Detox There’s been a lot of talk among functional medicine practitioners about having patients detox when starting an estrogen protocol. This might include supplements like  DIM or  Calcium D-Glucarate. However, it's crucial to first understand an individual's estrogen metabolism before diving into detoxification. Emily likes to make sure that patients have proper methyl donation and  magnesium levels. She may also look at  glutathione but more for those in perimenopause (and takes caution with anyone in full menopause, being sure to monitor symptoms). Supplemental support can be important, but every woman is unique, and what works for one might not be effective for another.Supplements that Emily considers for perimenopausal and menopause on HRT include: Fish Oil B Vitamins (based on methylation) Zinc SulforaphaneIn addition to the previously mentioned supplements for peri and menopause: D-Glucarate Magnesium Glutathione  DIM  Calcium D-GlucarateMystery Solved - Getting Answers from Hidden Hormone Imbalances Taking in everything that Emily shared, it was time to solve Justine’s hormone health mystery. She was thrilled to hear that there was an explanation for everything that she was experiencing. For so long, she thought she was crazy! She didn’t realize that even small changes in her estrogen can ...

Get ThyroLove NowUse promo code 'podcast' for 10% offThe Case:  Justine is 44 and dealing with sudden abdominal weight gain.She is also experiencing brain fog which is causing her stress. Her PMS is getting worse and she just doesn’t feel like herself.She saw her gynecologist who suggested birth control and antidepressants. Medications are often the solution offered by traditional medicine but Justine wasn’t interested in going directly down that path. So, she came to me. I noted that she was still getting her regular cycle but suspected that the hormonal changes of perimenopause might be at play here. The Journey to Hormone Balance My first step in helping Justine manage her changing hormones was to explore the connection between her symptoms and her hormonal changes. I reached out to Emily Sadri who is an expert in Hormone Replacement Therapy (HRT) and achieving hormonal harmony. You may remember Emily from past episodes, including  141 on Semiglutide (like Ozempic) and Weight Loss and  107 on Birth Control Use with Thyroid Issues. The Fundamentals: Understanding Perimenopause and Menopause Despite the fact that half the population goes through menopause, there’s very little information available (and as Emily pointed out, this really should be something taught in school). So, let's lay the foundation with a basic understanding of hormones. Emily does a great job of explaining this in the episode. She shed light on the lifespan of hormones, highlighting that girls typically begin menstruating around the age of 11, which signifies a culmination of a year-long process where the brain and ovaries coordinate to initiate this significant change. Intriguingly, she drew parallels between menopause and puberty, suggesting that they are two sides of the same hormonal coin.Emily went on to discuss a fascinating aspect of hormonal decline, indicating that there's approximately a 10-year period before menopause when significant hormonal changes occur. She mentioned that the average age of menopause in the United States has been decreasing, from 51 to possibly 49, although precise data can be challenging to obtain due to various factors like contraceptive methods and hysterectomies. She stressed the unpredictability of when an individual might stop menstruating, emphasizing the importance of tuning into one's body and being attentive to subtle changes. Furthermore, she pointed out the availability of straightforward methods to test estrogen and progesterone levels, which can provide valuable insights into hormonal health. This knowledge gap in medical education, particularly regarding hormone testing, was an eye-opener for both of us during our conversation. One of the most important things to note, with regards to Justine’s case, is the concept of hormonal acceleration, commonly observed between ages 41 and 43, where hormones can undergo rapid changes, often triggered by life events and stress, making it crucial for women to recognize the connection between these symptoms and hormonal fluctuations. Deciphering Hormone Replacement Therapy Hormones are the invisible architects of our well-being, influencing energy levels, sleep patterns, and even our emotional states. Achieving the right hormonal balance is paramount for optimal health.  One of the ways that women may choose to do this is with Hormone Replacement Therapy also known as HRT. At its core, HRT involves replenishing hormones that our bodies may no longer produce in sufficient quantities. Emily goes into a lot more detail in this episode, so I encourage you to give it a listen. Why You May Want to Consider Replacing Hormones As with everything to do with our bodies, we are all different. When it comes to replacing hormones, the choice is up to the individual woman going through menopause. Emily and I discussed several reasons women may want to consider HRT. Here are a few: Hormonal Decline: This could be at any time during the 10-year period prior to menopause when there's a significant hormonal decline. Women may experience various symptoms during this time.Acceleration of Symptoms: As mentioned, between the ages of 41 and 43, there can be an acceleration of symptoms. This acceleration can manifest as a sudden and pronounced change in hormonal symptoms.Stress-Related Symptoms: Stress can play a role in exacerbating hormonal symptoms. Emily mentions that women who have had babies in their early 40s often experience an acceleration of symptoms, possibly due to both age and the stress of childbirth.Exploring the Varieties of Hormone Replacement Therapy We dove deep into the various options for HRT, including a frank conversation about the biased studies that have left a lot of women fearing HRT. If you are considering it but have some concerns, I highly recommend you listen to this conversation. If you are exploring the options of HRT, there are two main types of HRT to consider: Bioidentical Hormones: Bioidentical hormones are hormones derived from plant sources, such as soy or yams, and are designed to have the same molecular structure as hormones naturally produced by the human body, like estrogen and progesterone. They are used in hormone replacement therapy (HRT) because they can be customized to address an individual's specific hormonal imbalances and symptoms. Customization ensures a more tailored and effective treatment under the guidance of a healthcare provider.Synthetic Hormones: Synthetic hormones, unlike bioidentical hormones, have a molecular structure that is not identical to hormones naturally produced by the body. These hormones are often used in conventional hormone replacement therapy (HRT) but may come with more standardized dosages and less flexibility in addressing individual hormonal needs. The use of synthetic hormones can sometimes lead to side effects or limited effectiveness since they don't precisely match the body's natural hormones. Striking the Balance:  Three Approaches to Hormone Replacement Therapy (HRT) There are three primary approaches to hormone replacement therapy (HRT), each with its own delivery methods and timing. The first approach is called "static continuous," where individuals take a small amount of estrogen and progesterone every day. This can be administered through methods like patches, transdermal creams, or even oral forms. It's often used to alleviate symptoms and can be suitable for post-menopausal individuals. The second approach involves taking estrogen daily but adding progesterone for only 12-14 days each month. This approach is essential for those with a uterus to reduce the risk of endometrial cancer associated with unopposed estrogen. Some women prefer this method as they find progesterone can make them feel sleepier or moodier when taken continuously. The third approach is less common but involves a transdermal method that mimics the natural menstrual cycle. It starts with low hormone doses from days one to five, gradually increasing from days five to twelve, then slightly decreasing on days 13 and 14. With the introduction of progesterone, there's another peak around day 21, followed by a decline. Because this approach mirrors the natural hormonal fluctuations of a menstrual cycle it is known as "rhythmic hormone replacement" or "physiologic restoration." The physiological protocol ...

Get ThyroLove NowUse promo code 'podcast' for 10% offThe Case:  Mia has been dealing with Hashimoto’s and hypothyroidism for over 2 decades. Her Hashimoto’s wasn’t diagnosed until 15 years after her hypothyroidism diagnosis. She’s done a great job regaining her health but recently hit a plateau and started to regress.   In my years of clinical practice, I've encountered countless cases like Mia's. Despite her Hashimoto's going undetected for such a long time, she had a remarkable journey to better health. She eliminated gluten and dairy from her diet, optimized her medication, and delved into understanding her Hashimoto's triggers. She also addressed Epstein-Barr Virus (EBV), gut health, and heavy metal detoxification. She even attended retreats focused on limiting beliefs and trauma release. Despite her efforts, Mia saw her symptoms return including fatigue, weight gain, hair loss, and brain fog, along with rising antibody levels. She hadn't changed her routine, so she sought my guidance to uncover the missing pieces of her health puzzle. The Multifaceted Approach to Thyroid Health Having worked with numerous thyroid cases over the past two decades, I've learned that supporting thyroid health requires a multifaceted approach. While biochemistry is crucial, it's not the only piece of the puzzle. Mia had already made significant strides in this aspect, but there was more to explore. Just as you can't eliminate every bacterium during a gut cleanse, we can't address every trigger. Instead, we must focus on what we can, allowing the body to take care of the rest. Our bodies possess remarkable healing capabilities, but they need the right environment to flourish. Often, our bodies are in a constant state of stress, preventing them from healing naturally. This is why I firmly believe that alongside biochemistry, we must consider our emotions, beliefs, past traumas, thoughts, and even our connection to something greater than ourselves. Daily Integration of Mind-Body Practices Mia understood the importance of the mind-body connection and had engaged in programs to address it. However, she, like many, struggled to maintain lasting results without daily integration. I shared a similar experience with a belief workshop I attended. Although I felt lighter and different immediately after the workshop, I didn't consistently practice the techniques provided. Over time, the benefits waned, and doubts resurfaced. This pattern can apply to you as well. Perhaps you've completed a course or retreat but struggle to apply what you've learned daily. It's easy to get triggered by everyday stressors, from traffic jams to unexpected delays. While activities like meditation and yoga classes help, they often serve as reactive measures. What if we could proactively maintain a state of balance and relation instead of reacting to stress? Nervous System Regulation for Enhanced Immunity Maintaining a balanced state enables us to regulate our nervous system. When our nervous system is in check, our immune system functions optimally, even addressing triggers we may have missed. The body possesses innate healing abilities; we just need to get out of our own way. If you're thinking, "I'm already so busy with life," remember that it's not about doing more; it's about working smarter. By integrating daily practices that enhance our ability to relate rather than react, we can profoundly impact our thyroid health, immune system, overall well-being, and mood. Five Practices to Lower Stress and Enhance Thyroid Health In this episode, I go into greater detail on the 5 things that you can do right now to decrease reactivity and deepen your body connection. These practices can have profound effects on your thyroid, and immune system health, as well as your overall mood and general health.   Use Your Imagination Positively: Focus on what you want rather than what you don't want. Your thoughts have a profound impact on your body, so be mindful of negativity.   Choose Your Language Wisely: Shift from "have to" and "need to" to "choose to" and "want to." This change in perspective can reduce stress.   Start Your Day Positively: Pay attention to your first thoughts upon waking. If they're negative, redirect them toward a positive outlook for the day.   Practice Mindfulness: Keep a part of your attention on a specific body sensation throughout the day. This keeps you present and less reactive to stressors.   Express Yourself: Repressed emotions and an inability to communicate can negatively affect your thyroid. Begin by acknowledging what you wish to express, even if it's in writing, and work towards open communication.   Mia’s Case Study in Turning Her Hashimoto’s Around Mia and I focused on integrating these practices into her daily life. While the techniques are powerful, they're not time-consuming and can be seamlessly woven into your routine. The results were astounding. In just two months, Mia transitioned from feeling isolated and exhausted to meeting an amazing person, relocating to a better place, securing a higher-paying job, and experiencing increased energy. Her thyroid antibodies decreased significantly, and her T3 levels improved. It was remarkable how quickly and powerfully these changes occurred. If you resonate with Mia's story, know that there are ways to become aware of and address daily challenges. I'll be hosting a workshop on this topic to help you clear anything that hinders your thyroid health and immune system. The process is easier than you might think. Please reach out to me on Instagram (@innatopiler) for more information. Your Health Answers Are Within Reach No matter what health issue you're facing, remember that solutions exist. Sometimes they align with your expectations, while other times, they take a different path. Regardless, don't give up. Your body has incredible potential, and by exploring different angles and daily practices, you can unlock your full health potential. Eliminating Health Mysteries For Mia, we were able to find that missing piece of the health puzzle and help her regain her health. Could this be the missing clue for you or someone in your life?    Related Podcast Episodes: 5 Ways to Downregulate the Nervous System and Heal Faster 4 Ways to Calm the Immune System and Support Hashimoto’s How to Support your Thyroid and Immune System Through Authenticity   Thanks for Listening If you like what you heard, please rate and review this podcast. Every piece of

Get ThyroLove NowUse promo code 'podcast' for 10% offThe Case:  Annetta is 40 and is suddenly noticing a lot of gray hair. She has been coloring her hair for years and is afraid the chemicals may interfere with her thyroid issues and autoimmunity. She’s noticed her hair has also been thinning and looking dryer than normal.  I’ve shared my journey to find chemical-free hair dye in the past because chemicals can be such a big trigger for Hashimoto’s. Check out episodes  121 and  142. The Investigation When I met Annetta, I could tell there were a few things at play. She was already turning to more natural products but I knew there was more we could do. I also knew exactly where to look to solve her health mystery. Hypothyroidism and Hair Health Hypothyroidism (and Hashimoto's), plays a pivotal role in our hair's health. When our thyroid function is compromised, it can manifest externally through hair thinning, dryness, or even accelerated graying. Addressing the root causes internally is as vital as nurturing our hair externally. While this is true, for Annetta the graying had been so sudden and in conjunction with the other typical hypothyroidism hair issues. Most people over 40 wouldn’t consider going gray to be a health mystery. Was there anything she could do? I wanted to find out so I connected with Jay Small and Allison Conrad who are experts in the field. They have developed a natural hair care system that works on restoring hair and scalp health to reduce the appearance of gray hair. Unlocking the Peptide Potential for Gray Hair Repair Peptides, notably a clinically effective one highlighted by Jay, are emerging as groundbreaking in the haircare realm. These small chains of amino acids have demonstrated promise in not only slowing the graying process but also aiding in repigmentation. Jay explains that the key is ensuring these peptides reach the hair strand's core. Their formulation does that without causing adverse effects, blending the best of nature and science. The Importance of Scalp Nourishment If the skin is the window to our internal health, the scalp is the foundation for vibrant hair growth but most people don’t think of their scalp health that way. Both Jay and Allison stressed the significance of a nourished scalp for thriving hair health. This includes supplying the right nutrients and antioxidants to prevent and slow down oxidative stress which has a big negative effect on the hair follicle. Something that Annetta mentioned to me was that sometimes when she scratches her head there is residue under her nails. Jay and Allison explain that many people experience this and it can be part of the problem. The aim is to eliminate barriers like dead skin cells and excess oil that can compromise hair health. Innovative solutions (like their scalp scrub) incorporate mild exfoliants and acids and are designed to foster a conducive environment for hair growth. They don’t recommend a more aggressive approach using a scalp brush. Gray Hair: Prevention and Management As we age, the emergence of gray hair is inevitable. Yet, the onset and progression of graying can be influenced. Jay and Allison were telling me about their different products but I had to wonder if there was a point of no return when going gray. Allison says that their solutions are effective on hair that is less than 30% gray. Their studies have found that if there is less than 30%, the product can prevent or slow more graying, and even reverse some by enhancing the texture, vitality, and overall health of our hair. However even when there is more than 30%, supporting the scalp and using the products can help slow down the remaining hair’s graying process. Balancing Act: Ingredients That Count They are confident in their products because they did a lot of research and selected their ingredients meticulously for the shampoo, serum, scrub and supplements. There was one ingredient on their conditioner list that I wanted to question - silicone. Jay explained that in the realm of silicones, not all are created equal. The positively charged ion of Amodimethicone (which is what they use) prevents build-up, ensuring hair remains healthy and vibrant and most of all smooth but without the build up. I was super happy to hear this and to learn that not all silicones are created equal. Mystery Solved The scalp is responsible for so much when it comes to hair and just as we can support our skin and do many things to help the aging process on our skin, we can also do the same for our scalp. From antioxidants to proper moisturizing and targeted support, giving our scalp the needed TLC is imperative for healthy hair and has a big effect on how quickly hair may gray.This was an important clue to solving Annetta’s gray hair mystery. But, it wasn’t the only clue. I ran detailed blood work which revealed that she was slightly low in B12 and iron. She also had low vitamin D and zinc.We knew she had Hashimoto’s but we needed to run a full thyroid panel to get the whole picture. These tests revealed that she is the ‘unavailable’ hormone type.For more on thyroid types be sure to get an invite to my next training by joining my email list. This was another big clue because this type has a lot to do with other hormones. We did a DUTCH test and saw that her body was low in progesterone. Next Steps  We supported her low progesterone to help her body better use her thyroid hormones. We also addressed the vitamin and mineral deficiencies. Next, we looked at her specific Hashimoto’s triggers. To address these, we started with a gentle detox based on her specific liver pathways that were sluggish. While doing all of this, she changed the type of color she was using to something that had less peroxide and she added nutrients to support her scalp.  Eliminating Health Mysteries For Annetta, we were able to find that missing piece of the health puzzle and help her regain her health. Could this be the missing clue for you or someone in your life? If you are interested in trying any of the AREY products, they were very gracious and provided us with a coupon code for 15% OFF. Please use code INNA15 at checkout. Links: Resources mentionedThanks to my guests Jay Small and Allison Conrad. You can connect with them at areygrey.com or through their Instagram or TikTokRemember to use the promo code INNA15 to save 15% on your orders!  Related Podcast Episodes:  121 Hair Dyes and Autoimmunity – What’s a girl to do?  142 Hair Color and Autoimmunity – My Hairprint Journey Continues  149 Experiencing Hair Loss, Thinning, Shedding, Breakage? Here is What to Do Now

Get ThyroLove NowUse promo code 'podcast' for 10% offThe Connection Between Strep, PANDA/PANS and Strange Behavior in Kids The Investigation I’ve helped thousands of patients and have even overcome my own health mystery, but in this episode, I share one of the hardest health mysteries I’ve ever faced because it involved my son Jake.  As someone who has triumphed over health challenges and now helps others do the same, I believe in the power of sharing our stories - especially this one that shook my world. Suddenly Everything Mysteriously Changed  My son Jake was a lively five-year-old gearing up to start kindergarten. It was the summer of 2022, and I noticed shifts in his behavior. He craved more independence, which was only natural as he was growing older. However, alongside this newfound desire for autonomy, something else was brewing.   He started acting out, displaying anxiety, mood swings, and becoming increasingly oppositional. The changes were concerning, but as a loving parent, I attributed them to the whirlwind of transitions he was facing—starting a new school, meeting new people, and adjusting to a different routine. However, as time passed, the signs became more distinct and concerning. The Symptoms Escalated In September of 2022, Jake's issues took an even more perplexing turn. He began chewing on his shirt and experiencing frequent urination. I continued to think it might be anxiety and adjusting to his new school environment but deep down, I knew that something was just not adding up. These challenges persisted as the months went by, and his mood swings and oppositional behavior escalated.   Seeking Answers: Behavioral Therapy and Listening Therapy   Determined to help Jake overcome these challenges, I embarked on a journey of exploring various therapies and solutions. Behavioral therapy gave us some valuable tools but didn’t alleviate the symptoms. We then tried listening therapy which is a very cool concept that involved having kids listen to music. Unfortunately, these didn't fully alleviate Jake's struggles.   And, they would continue for months to come.    The Surprising Strep Connection Fast forward to February of 2023, a crucial turning point in our journey. My husband Scott woke up with a fever and a bad sore throat. He went to the doctor and had it tested. It came back as a streptococcus infection. He was taking antibiotics and was feeling much better but it occurred to me that the whole family should get tested. We didn’t have any symptoms but knowing how contagious Strep is, I thought it would be good to do the test.    I was surprised to discover that we all came back positive. Listeners of the show will know that I am hesitant to use antibiotics when not absolutely necessary given the impact they had on my long-term health but in this case, it was imperative. Strep can cause long-term health issues if left untreated. While I, Jake and my daughter Juliette didn’t have any symptoms, the test and and culture showed that we absolutely did have Strep and so we had to treat it.    Reluctantly, but knowing we had to, I got antibiotics for everyone including Jake. What happened next was beyond interesting. Within days of starting on Amoxicillin, the shift in Jake’s behavior was remarkable. The tantrums ceased, the frequent urination subsided, and Jake's sweet nature returned. It was as if a veil had been lifted, and my son was back.   Seeing this, I now knew exactly what was happening but just didn’t connect the dots right away… Unraveling the Mystery of PANDAS and PANS Enter PANDAS (Pediatric Acute-Onset Neuropsychiatric Disorder Associated with Streptococcus) and PANS (Pediatric Acute-Onset Neuropsychiatric Syndrome). These conditions are triggered by infections like Strep, which can lead to autoimmune responses that target the brain's basal ganglia—a region responsible for behavior, emotions, and motor control.   The main difference between PANDAS and PANS is that PANDAS is directly related to the Streptococcus virus whereas PANS is triggered by other viruses or infections.    It’s so important for parents to note the behavioral changes (which are often reported as happening ‘overnight’) because PANDAS isn’t always preceded by a notable Strep infection. Like Jake, some kids are asymptomatic and just don’t display the sore throat we associate with Strep throat.    Here are some of the most common symptoms of PANDAS and PANS Sudden onset of OCD symptoms New and intense fears New and intense concerns about things like being clean or putting certain things away Stressful thoughts and images. Compulsions  Repetitive jerky motions or ticks Anxiety Depression Mood Swings Acting out or hyperactivity Behavioral changes like adopting baby talk Frequent urination or bedwetting Challenges with fine motor skills like handwriting Challenges with memory Sleep issues Sensory issues (sensitivities to noise, touch, or light) Additional PANDAS and PANS Triggers In my quest to fully understand what was going on, I wanted to get Jake in to see an expert. Dr. Nancy O'Hara is the pre-eminent expert and luckily for us, she’s just a 3-hour drive away. She explained that while Strep is a common trigger of PANDAS and PANS, it’s not the only one. In fact, she says the cases she sees are typically triggered by mold, Lyme, or other viruses. So, we kept a close eye on Jake and tested for all of these other potential triggers.    Dr. O’Hara had us do a parasite protocol with Jake and interestingly, this brought on some stuttering (which was unusual for Jake). We attributed this to the release of viruses harbored within the parasites. This further reinforced the intricate web of triggers affecting Jake's condition. I decided to also start using anti-inflammatories with him like a strong curcumin supplement. This is, after all, an autoimmune disease. Just like Hashimoto’s, it’s important to manage the inflammation and be aware of the triggers in order to manage the disease and avoid flare-ups.   Advocating for Awareness and Understanding As I journeyed through this maze of PANDAS and PANS, I realized that these conditions are far less understood and recognized than they should be. Many families, educators, and healthcare providers remain unaware of their existence. This lack o...