Case Study 1: Improving Thyroid Health

Patient Background:

  • Age/Sex: 30 y/o female
  • Symptoms: Fatigue, constipation, hair loss, difficulty losing weight,
    cold intolerance (cold hands/feet), myalgia
  • Initial Diagnosis: Hashimoto’s Thyroiditis
  • Medical History: Pulmonary embolism d/t OCP, lactose intolerance

Treatment Journey:

A. Initial Treatment Response:

  • Implemented supplemental support for thyroid antibodies
  • Transitioned from Synthroid to Tirosint and adjusted medication dosage
  • Provided dietary recommendations

B. Mid-Treatment Response:

  • Added supplemental recommendations to support female hormonal imbalances and PMS
  • Made further adjustments to Tirosint dosage

C. Ongoing Developments:

  • Achieved stabilization of thyroid and female hormone levels.
  • Continued efforts in addressing constipation and enhancing stress management techniques.

Pertinent Labs:

The graph shows the levels of a thyroid hormone (TSH) in the blood over time. It starts very low in March, spikes up in April, then goes down and up again slightly, ending a bit higher in January the next year. The goal is usually to keep this hormone level steady, so the graph helps to check if treatment is working right.
The graph shows levels of Anti-TPO, a marker for thyroid inflammation, over time. It starts really high, then goes down and levels off, but has a small rise toward the end. Lower numbers usually mean less inflammation, so this suggests some improvement.
This graph is tracking two different thyroid hormones in the blood over several months. The blue line, which starts higher, represents fT3. It begins high, drops a bit, and then stays pretty level. The green line is fT4, which also drops at first, then holds steady. Ideally, both lines should be stable within a certain range, which would mean the thyroid is working as it should. The graph shows that after some changes, both hormone levels are mostly stable, which is a good sign.

Final Outcome:

  • Patient Feedback:feeling better overall & happy with stabilization of thyroid labs. Still struggling with constipation.
  • Health Improvements:Periods normalized & PMS improved, weight loss, improved energy.
  • TSH: more stability/in optimal range on same dose of Tirosint for 6 months.

NES Holistic Approach:

  • Personalized Care:Tailoring treatment based on individual needs and lab results.
  • Focus on Thyroid Health: Regular monitoring of thyroid hormone levels for optimal management.
  • Empathetic Support: Addressing patient concerns holistically, including dietary, hormonal, and stress-related aspects.
Important Note:
  • Individual Variation: Treatments are customized based on unique symptoms, lab results, and personal health histories to achieve the best possible outcomes.
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

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