The Case

Mid January 2021

Dr. Linda Khoshaba

Depression and Anxiety - Underlying symptoms of Thyroid Disease

In mid January 2021, I had an 18 year old female present to my office for help with hormones. Her mother was researching online and came across my office, Natural Endocrinology Specialists, PLLC. She was interested in finding out more information about how she can help her daughter balance her hormones naturally.


Visit №1

Mid January 2021

Visit  №1

During the first visit, the girl reported how she had struggled with anxiety and depression her entire life. Her symptoms were first noticed in 3rd grade. She was put on medication at that time and has been on maximum doses of 2 antidepressant medications. She felt like the anxiety and depression were manageable but then noticed other symptoms appear such as weight gain, changes in body temperature, and she felt more emotional and was getting numerous panic attacks.

She also indicated that she had been on numerous oral contraceptives in the past for having a history of painful periods. The oral contraceptives did not work, so she ended up on a contraceptive injection. This kind of medication is given every 3 months and is used as a birth control shot. Her weight continued to increase the longer she was on this medication.

The treatment recommendations after this initial consult was the following:
1 Discontinue all supplements
2 Get a comprehensive lab workup
3 Test for her adrenal function (Stress response) via a salivary cortisol test
4 Return to clinic for next steps in early February 2021


Visit №2

Early February 2021

Visit  №2

During the second consultation, the information was reviewed. Her lab work indicated that she had significant inflammation, Hashimoto’s thyroiditis (an autoimmune condition) and hereditary markers for high cholesterol and a urinary tract infection for which she had no symptoms.

The treatment recommendations after this initial consult was the following:
1 Continue her medications
2 Dietary recommendations
3 Imaging recommendations to get a cardiac work up and a thyroid ultrasound
4 Return to clinic in March 2021 for next steps 


Visit №3

March 2021

Visit  №3

To be updated in May 2021

Important Note

Important Note

Our goals are to reduce her medications both in strength and dose, create a taper plan to wean off these medications, implement diet and exercise recommendations that can help, treat her underlying causes of thyroid disease and inflammation and watch the outcomes of her feeling better, happier, losing weight and thriving. She is only 18 years old and wants to set up her future for success, preventing other health conditions from developing and helping her by nurturing her body with key nutrients and minerals.

Dr. Linda Khoshaba is the Leading Integrative Health and Hormone Doctor in Scottsdale, Arizona. She has extensive experience working in the field as a Hormone Specialist and Natural Endocrinologist.

7500 E. Pinnacle Peak Rd.
Suite A 109
Scottsdale, AZ 85255
Phone: 480-687-0054
Copyright © 2021 NESAZ. All Rights Reserved.
linkedin facebook pinterest youtube rss twitter instagram facebook-blank rss-blank linkedin-blank pinterest youtube twitter instagram