Starting 01/30/23 - Temporary Address: 21803 N Scottsdale Rd Scottsdale, AZ 85255, Suite 200

Do you struggle with any of the following symptoms?

What is hyperthyroidism?

Hyperthyroidism is a thyroid condition in which your thyroid is overactive. This indicates that your thyroid is overproducing too much thyroid hormone, known as thyroxine.

In hyperthyroidism, your metabolism is put on overdrive, which is why many patients often experience some common symptoms like diarrhea, unintentional weight loss, and an increase in appetite. 

What are other symptoms associated with hyperthyroidism?

Symptoms that may be associated with an overactive thyroid include unintentional weight loss, anxiety, diarrhea or loose bowel movements, increased appetite, nervousness, hair loss, irregular periods, irritability, sensitivity to heat, increased sweating, palpitations, rapid heartbeat, and insomnia.

While some individuals with hyperthyroidism may experience severe symptoms, others may experience little to no symptoms. 

How do I test for hyperthyroidism?

It is important to see a practitioner who will take a full medical history and assess your symptoms and complete a thorough physical examination.

Your practitioner will order lab tests to assess your thyroid function. These tests usually include a comprehensive thyroid panel including TSH and your free thyroid hormones T4 and T3.

Your Physician may also think it is warranted to assess for an autoimmune cause of your thyroid condition and will run other markers including anti-thyroid peroxidase, thyroglobulin stimulating immunoglobulin, and thyroglobulin antibody.

Along with a thyroid panel, your physician may assess other important markers including iodine, iodine/creatinine ratio, and order thyroid imaging to get a full picture of your thyroid function.

Your physician may also order a lipid panel to assess your cholesterol and triglyceride levels are hyperthyroidism may be linked to low cholesterol and triglyceride levels. 

Example of HIGH Thyroid levels on lab work before Thyroid treatment:

What causes hyperthyroidism?

There are several factors that could cause hyperthyroidism. The most common cause of hyperthyroidism is Graves Disease, an autoimmune attack on the thyroid. Other potential causes of hyperthyroidism may include:

Who is at increased risk for developing hyperthyroidism?

Hyperthyroidism is more common in females than males, affecting 2 out of every 100 females and 2 out of 1,000 males. Hyperthyroidism is also more common in:

How do you treat hyperthyroidism?

The treatments for hyperthyroidism vary depending on your symptoms and your lab and imaging results.

Oftentimes, anti-thyroid medications are prescribed which will prevent your thyroid from making an excessive amount of hormones. Some of the treatments for hyperthyroidism may include: 

What happens if I don't treat my hyperthyroidism?

Because your thyroid plays a major role in your metabolism, if it's not regulated or stable, it can wreak havoc on many of your other body systems. Some complications may include:

  1. Cardiac problems:
    1. Being in a hyperthyroid state can make your heart work faster and harder, causing palpitations and increased heart rate. This is why its so important to follow your physician's instructions in frequent lab testing and follow-up. While these complications can be seen in hyperthyroid patients, it can als  occur in hypothyroid patients who are on too much thyroid medication.
  2. Thyroid Storm:
    1. This is a potentially life-threatening condition when your body releases too much thyroid hormone putting you into a hypermetabolic state. Some symptoms may include sudden fever, deliria, rapid pulse and sweating. This is a medical emergency and you must seek immediate care.
  3. Weak brittle bones:
    1.  An excess amount of thyroid hormone can impair your body's ability to absorb calcium. Your bones become weak when they don't obtain enough calcium and can put you at great risk for fractures and osteoporosis. 
  4. Infertility
    1. Excess thyroid hormone can interfere with a females menstrual cycle and can cause her to experience infertility. 
  5. Ophthalmic problems:
    1. Certain patients who have hyperthyroidism due to Graves Disease may experience eye problems. If untreated, these problems may lead to loss of vision.

Can hyperthyroidism cause hypothyroidism?

Yes. If you're on too much anti-thyroid medication or have had part of your thyroid removed, its likely that you will become hypothyroid.

Hypothyroid symptoms may include weight gain, hair loss, constipation, fatigue, joint pain, cold intolerance. Frequent follow-ups and lab testing with your Physician can help you keep your thyroid better managed. 

Are you experiencing these symptoms?

Have you been diagnosed with Hashimotos Thyroiditis but are unsure of the following steps you should take? Have you been put on thyroid medication but still not feeling better?

Are you still suffering from brain fog, weight gain, hair loss, constipation, fatigue? Hashimotos Thyroiditis is an autoimmune condition in which your immune system attacks your thyroid, often causing hypothyroidism.

Symptoms of Hashimoto's Thyroiditis may include dry skin, hair loss, constipation, weight gain, muscle weakness, swelling in your extremities, joint stiffness, brain fog, and fatigue.

We take an Integrative approach

At NES, we take an integrative approach to your thyroid health. We will inquire about your complete medical history to further investigate how your autoimmune condition manifested so we can remove any obstacles to cure.

Many factors can contribute to an autoimmune attack on your thyroid. Through extensive bloodwork, imaging, and physical exam, we will be better able to provide the appropriate treatment for you.

How we treat your Hashimoto's

Screening questions, labs, and imaging may be required before initiating therapy at your doctor's visit. Some patients diagnosed with Hashimoto's Thyroiditis may present with normal thyroid labs and imaging and may not require thyroid medication.

Depending on your thyroid lab values and antibody levels, your doctor will work with you by initiating dietary, lifestyle, supplement, and medication therapies.

Your doctor will follow up every few weeks with lab tests to make sure you are responding well to the initiated therapies.

Example of Hashimoto's levels on lab work before treatment:

What is hypothyroidism?

The thyroid gland is a small endocrine gland that sits directly under the atom's apple. Structurally, it looks like a butterfly and plays a highly critical role in your body. It controls body temperature, metabolism, energy, and weight.

People can develop thyroid disease for several reasons, such as genetic predisposition, autoimmunity, toxin exposure, nutrient deficiencies, and infections. It is most commonly seen in women, and often it is diagnosed between the ages of 20-40.

Symptoms of thyroid disease include weight gain, fatigue, hair loss, depressed mood, loss of eyebrows, hoarseness of voice, and dry skin. Routine blood work can help identify a thyroid problem, and more comprehensive testing can help you learn if your thyroid gland is working optimally.

A thyroid ultrasound can help you learn about the size of the gland if it contains any nodules (growths on the thyroid gland; can have one or many) and if there are signs of autoimmunity (your immune system attacking the gland).

Generally, a normal thyroid gland should not be felt in your neck. If your neck is swollen or enlarged, it is a good idea to get it checked out!

Learn how to optimize your hormones by understanding what they do in your body. An optimal thyroid gland can help ensure that your body temperature is well regulated has a thriving metabolism where you can quickly lose weight and feel energetic and happy.

How NES can optimize your hormones to treat your hypothyroidism

At NES, we help you learn about these endocrine glands and educate you on how these hormones work in your body. We also help you understand how hormones work together and create a treatment plan that is completely individualized to your needs.

We test for markers that contribute to the underlying cause of thyroid diseases such as nutrient deficiencies (ex. Selenium, Zinc, Vitamin B12/Folate, Vitamin C, Vitamin D), detailed thyroid markers such as antibodies (ex. TPO antibody, TGB antibody, TSI) and thyroid hormones (ex. T4, T3, fT4, fT3, RT3). 

What our process typically looks like

At your doctor's appointment, your doctor will order a comprehensive thyroid panel. Examples of markers that may be run include TSH, FT3, FT4, Anti-TPO, thyroglobulin, ferritin, zinc, iodine. 

By assessing these markers, your doctor will be better able to determine whether you're a candidate for thyroid medication and evaluate for nutrient deficiencies or excesses that could exacerbate your condition.

This information is helpful in generating treatment recommendations for you.

The treatments will also usually consist of diet and lifestyle recommendations, supplement recommendations, stress management recommendations, medications, possible imaging, referrals to specialists, future lab recommendations, and next steps for follow-up.

Want to know more about hypothyroidism? Read this article!

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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