per cent of the 300 thyroid patients that I have treated over the last four years have been men. Although the majority of my patients are in the over-fifty range, I have treated teenagers with a diagnosis of mild hypothyroidism, who have responded well to the appropriate treatment.
One of the commonest symptoms of an underactive thyroid — and one which greatly concerns us — is tiredness or fatigue. This is a result of the slowing down of all the body’s systems and organs.
Many patients with an underactive thyroid gland comment that they ‘wake up some time after their eyes are open!’. The thyroid is the body’s internal clock and when the gland is inefficient or under-active the metabolism does not usually recover from the effects of sleep until around mid-day.
The Thyroid Hormones
The thyroid gland releases two hormones which in turn influence virtually every cell in the body. These two essential hormones are thyroxine (T4) and triiodothyronine (T3). The T4 and T3 denotes the umber of iodine atoms in the hormone molecules, iodine being the chief constituent of the thyroid hormones.
Only T3 is chemically active at cell level, the non-active T4 is converted to T5 only when required. There exists around 50 times more T4 than T3 in the blood, and the two hormones are linked to, and transported in the blood by carrier proteins. It is only when the hormones are free of the protein (at which time they are measured in the blood as free T4 and free T3) that they become chemically active.
The thyroid is controlled by the pituitary gland. The pituitary responds to a low level of blood thyroid hormones by releasing thyroid stimulating hormone (TSH).
The pituitary gland is under the control of the hypothalamus. This part of the brain releases thyrotrophin releasing hormone (TRH) which regulates pituitary activity.
Figure 1: Thyroid control
Calcitonin
This hormone is also released by the thyroid. Its function is to regulate the blood level of calcium by reducing excessively high levels.
What are the Symptoms of Hypothyroidism?
As the thyroid influences every system, organ and muscle in the body, the potential list of symptoms is enormous. The pattern of symptoms a sufferer may experience depends on human individuality, which results from heredity, diet, immune efficiency and stress levels. Our genetic predisposition also plays an important role in influencing the systems and organs that may be disturbed by a thyroid deficiency.
However, there are certain leading symptoms that are common to the greater majority of patients, these are included in the table below.
Common symptoms of hypothyroidism
How is Hypothyroidism Tested?
Modern blood testing is seen as an essential component in diagnosing hypothyroidism. Doctors measure the amount of thyroxine (T4) and triiodothyronine (T3) to assess how well the gland is working. (They also measure free T4 and free T3.) Many doctors and researchers also measure the amount of TSH or thyrotropin in your blood stream. TSH is released when there is too little T4 so the more TSH you have in your body the more underactive your thyroid (and the less TSH the more overactive your thyroid).
However, blood testing is a controversial method of testing for hypothyroidism as many people experience the symptoms of low grade hypothyroidism, yet show apparently normal blood test results. Moreover, many sufferers do not fit into the medical catagories doctors expect. For example, many young hypothyroid patients are not overweight, but are often underweight. Despite the fact that the majority of patients being treated for hypothyroidism by the medical profession fall into a broad ‘overweight middle-aged female’ category, men and women of all ages can develop thyroid problems at any time in their life. As there are over 100 symptoms caused by thyroid deficiency each patient can show a unique combination of symptoms; even a case of mild hypothyroidism can give rise to between 10 and 20 different symptoms in each patient.
Blood test results are created by comparing the patient’s amount of thyroxine, triiodothyronine and TSH against standard test ranges. However, the normal ranges do not always reflect what is optimum for the patient.
In order to explain this clearly let’s look at a fictitious Helen. If Helen has a thyroxine (free T4) level of 12, this would be seen by her practitioner as normal. (The medical standard range for a normal level of thyroxine is between 10 and 25.) However, for Helen to feel healthy and well her optimum level of thyroxine should be 18. This means that her test may meet the medical standard but it is still too low for her. Consequently, Helen continues to suffer from the diverse symptoms of hypothyroidism even though her GP has told her that everything is normal and she does not have a thyroid malfunction.
The only reliable method to assess and understand the ‘normal’ levels of thyroid hormones for each patient is to request blood thyroid profiles when they are symptom free. This is rarely done. Thyroid testing is not usually required for insurance examinations and healthy patients do not normally request blood tests. I believe that apart from severe thyroid disease, blood test evidence is only of value in thyroid diagnosis when used in conjunction with the elements mentioned below.
As there is no archetypal patient with ‘typical symptoms’ and the modern blood test is unreliable, many people suffer needlessly from hypothyroid symptoms. If you feel you may be suffering from a mildly underactive thyroid it is important to base any diagnosis on three elements:
1 Morning temperatures
2 Symptom assessment
3 Blood test results
In Part Two of this book I will show you how to use each of these elements accurately and safely (in conjunction with a health practitioner) so that you can begin to recover from your mild hypothyroidism.
CHAPTER TWO ‘Why do I Feel so Tired?’
The Thyroid Gland and Your Fatigue
‘Why am I so tired?’ is a question many of you may have asked your doctor or health practitioner. We all feel tired after exercise or a hard day at work — but the
