Hypo-thyroidism: The Unsuspected Illness

By Broda Barnes and Lawrence Galton – 32 Q&As - Unbekoming Book Summary

I was referred to this book by Carol Petersen (thank you Carol.)

We can add it to the Hormone Series:

• Hormones

• Beyond Surgery

• Natural Progesterone

• Safe Uses of Cortisol

Let’s start with an analogy.

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Analogy:

Imagine the human body as a complex orchestra, with various instruments representing different organs and systems. The thyroid gland is like the conductor of this orchestra. When the conductor (thyroid) is fully engaged and directing properly, all the instruments play in harmony, creating beautiful music (good health). However, if the conductor is sluggish or not fully present, the music becomes discordant. Some instruments might play too softly (like a slowed metabolism), while others might be out of sync (like irregular heartbeats or menstrual cycles).

The audience (doctors) might focus on individual instruments that seem to be playing incorrectly (treating symptoms), not realizing that the real issue is with the conductor. Traditional tests are like listening to a single instrument, which might sound fine on its own but doesn't reveal the overall disharmony. The basal body temperature test and clinical observation are like listening to the entire orchestra to assess the conductor's performance.

Thyroid therapy, in this analogy, is like helping the conductor regain their full capabilities. As the conductor improves, the entire orchestra begins to play in harmony again, creating beautiful music (restored health) across all sections. Just as a skilled conductor can bring out the best in each instrument, proper thyroid function can optimize the performance of every system in the body, leading to overall well-being.

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12-point summary of the book

1. Hypothyroidism is more prevalent than previously thought, affecting an estimated 40% of the population. It can manifest in various ways beyond classic severe cases like myxedema or cretinism, often presenting as milder, subclinical forms.

2. Thyroid function impacts multiple body systems. It affects cardiovascular health by influencing heart strength and circulation. Respiratory function is impacted through susceptibility to infections and conditions like emphysema. Mental health is also significantly affected, with hypothyroidism often mimicking psychiatric disorders.

3. Standard laboratory tests, including the basal metabolism test, often fail to detect mild cases of hypothyroidism. This leads to underdiagnosis and misdiagnosis, with many patients labeled as having psychosomatic issues when they actually have thyroid dysfunction.

4. The basal body temperature test, advocated by Dr. Broda O. Barnes, is proposed as a more reliable indicator of thyroid function. A consistent temperature below 97.8°F (36.6°C) upon waking is considered indicative of hypothyroidism.

5. Thyroid therapy can have wide-ranging benefits. It can improve heart health by normalizing blood pressure, and improving circulation. It also helps in managing various chronic conditions, including arthritis and diabetes complications.

6. Hypothyroidism can be misdiagnosed as psychosomatic disorders due to its varied symptoms. These can include fatigue, depression, anxiety, cognitive difficulties, and even symptoms resembling psychosis or dementia in severe cases.

7. Proper thyroid function is crucial for fertility, pregnancy, and child development. Hypothyroidism can lead to menstrual irregularities, difficulties in conceiving, increased risk of miscarriage, and developmental issues in children.

8. Thyroid dysfunction leads to increased susceptibility to infections, particularly respiratory infections. This is due to the thyroid's role in maintaining the immune system and the body's overall metabolic rate.

9. There's a strong link between thyroid function and weight management, energy levels, and temperature regulation. Hypothyroidism often leads to weight gain and chronic fatigue. Cold sensitivity is a key symptom, with hypothyroid individuals feeling cold in environments others find comfortable.

10. Thyroid therapy may help manage conditions like hypertension, diabetes complications, and rheumatic pain. In some cases, it improved the effectiveness of other treatments, such as cortisone for arthritis.

11. Historical patterns of disease have shifted. While infectious diseases have decreased, there's been an increase in chronic conditions like heart disease, cancer, and emphysema. The book suggests many of these may be linked to undiagnosed thyroid issues.

12. Dr. Broda O. Barnes' work significantly contributed to understanding thyroid function. His research spanned several decades, challenging conventional views on thyroid health and treatment. He advocated for clinical observation and the basal body temperature test over sole reliance on laboratory tests.

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Hypo-thyroidism (1976)

The Unsuspected Illness

By Broda Barnes and Lawrence Galton

Hypothyroidism: Barnes, Broda: 9780690010299: Amazon.com: Books

32 Questions & Answers

Question 1: What is hypothyroidism and how does it manifest in the body?

Hypothyroidism is a condition characterized by low thyroid function. It can manifest in various ways, affecting multiple systems of the body. Common symptoms include fatigue, cold sensitivity, weight gain, depression, menstrual disorders, and increased susceptibility to infections. The severity of symptoms can range from mild to severe, and they may develop gradually, making it difficult for individuals to recognize the decline in their health.

The manifestations of hypothyroidism can vary significantly from one person to another. In some cases, low thyroid function may primarily cause fatigue, while in others, it may lead to recurrent severe headaches or a complex of symptoms. Other possible manifestations include skin problems, memory disturbances, concentration difficulties, and even paranoid symptoms. Due to this variability, hypothyroidism can often go unrecognized, and patients may be misdiagnosed with psychosomatic issues or labeled as hypochondriacs.

Question 2: How does the thyroid gland function and what is its role in overall health?

The thyroid gland produces hormones that regulate metabolism and affect virtually every system in the body. When functioning properly, it helps maintain energy levels, body temperature, and proper functioning of various organs. Thyroid hormones play a crucial role in growth, development, and overall health maintenance. A deficiency in thyroid function can lead to a wide range of health issues, affecting everything from mental health to cardiovascular function.

The thyroid's influence extends to multiple bodily systems. It affects the skin, hair, and nails, with thyroid deficiency potentially leading to retarded growth in these areas. Thyroid hormone is essential for normal nervous system functioning and reaction time, with hypothyroidism potentially causing slow reactions and mental sluggishness. It also impacts muscle health, bone healing, and has interrelationships with other endocrine glands. In hypothyroid women, menstrual disturbances are frequently present, and both men and women may experience impaired sexual function and libido.

Question 3: What is the connection between thyroid function and heart disease?

There is a significant connection between thyroid function and heart disease. Hypothyroidism can lead to the development of atherosclerosis, which restricts blood flow to vital organs, including the heart. Low thyroid function is associated with increased risk of coronary artery disease and heart attacks. Additionally, thyroid therapy has been shown to help prevent and even reverse some aspects of heart disease in hypothyroid patients.

The link between thyroid function and heart health is further evidenced by the effects of hypothyroidism on the cardiovascular system. Thyroid deficiency tends to reduce the strength of the heartbeat, decreasing the amount of blood pumped out with each beat. In severe cases of hypothyroidism, studies have shown that blood circulation throughout the body may be reduced by as much as 40 percent. Even in milder cases, this reduction in circulation can lead to less oxygen reaching the tissues, contributing to fatigue and other symptoms associated with both hypothyroidism and heart disease.

Question 4: How have patterns of death and disease changed over time, according to the book?

The book suggests that patterns of death and disease have shifted over time. While infectious diseases were once a major cause of death, their impact has decreased. Instead, there has been an increase in deaths from conditions such as heart disease, cancer (particularly lung cancer), and emphysema. This change is attributed in part to improved sanitation and medical care for infectious diseases, but also to changes in lifestyle factors and potentially undiagnosed thyroid issues.

The shift in disease patterns has brought new challenges to healthcare. As people live longer due to better control of infectious diseases, they become more susceptible to chronic conditions that may be influenced by thyroid function. The book implies that many of these chronic conditions, which are now leading causes of death, may be exacerbated by or even result from undiagnosed hypothyroidism. This suggests that addressing thyroid health could potentially impact the prevalence and severity of these modern health concerns.

Question 5: What insights did the autopsy studies in Graz, Austria provide?

The autopsy studies in Graz, Austria revealed important insights about the prevalence of thyroid issues. These studies showed that a significant percentage of the population had undiagnosed thyroid problems, which were only discovered post-mortem. This finding suggested that many people were living with untreated hypothyroidism, which could have contributed to various health issues and potentially premature death.

These autopsy findings highlighted the challenge of diagnosing thyroid issues in living patients. The fact that thyroid problems were only discovered after death indicates that current diagnostic methods may be insufficient for detecting all cases of hypothyroidism. This underscores the importance of considering thyroid function as a potential factor in a wide range of health issues, even when standard tests may not indicate a problem. The Graz studies thus emphasize the need for a more comprehensive approach to thyroid health assessment in clinical practice.

Question 6: How has the incidence of lung cancer changed over time?

According to the book, the incidence of lung cancer has increased significantly over time. It has become one of the leading causes of death, particularly in industrialized nations. This increase is attributed to various factors, including smoking and environmental pollutants. The book also suggests that thyroid dysfunction may play a role in increasing susceptibility to lung cancer.

The rise in lung cancer rates represents a shift in disease patterns from infectious diseases to chronic conditions. This change reflects both the success in controlling many infectious diseases and the emergence of new health challenges related to modern lifestyles and environments. The potential link between thyroid function and lung cancer susceptibility adds another layer of complexity to understanding and addressing this growing health concern. It suggests that improving thyroid health could potentially be a factor in lung cancer prevention strategies.

Question 7: What is the relationship between thyroid function and respiratory diseases like emphysema?

The book indicates a strong relationship between thyroid function and respiratory diseases like emphysema. Hypothyroidism is associated with lowered resistance to infections, which can lead to recurrent respiratory infections. These infections, over time, can cause damage to the lungs and airways, potentially leading to the development of chronic conditions like emphysema.

In the case of emphysema, the book describes a process where mucus accumulation in the airways leads to narrowing and inflammation, a condition known as chronic bronchitis. This can progress to emphysema when the alveoli (air sacs in the lungs) become compromised, leading to shortness of breath. The book suggests that addressing thyroid function could potentially help prevent or mitigate the progression of these respiratory conditions by improving the body's ability to fight infections and maintain healthy lung tissue.

Question 8: How can thyroid dysfunction affect emotional and behavioral problems?

Thyroid dysfunction, particularly hypothyroidism, can have significant effects on emotional and behavioral health. The book mentions that many patients with problems labeled as psychosomatic or those classified as hypochondriacs are often victims of unrecognized hypothyroidism. This suggests that low thyroid function can manifest as a variety of psychological symptoms that may be misdiagnosed as primary mental health issues.

Specific emotional and behavioral problems associated with hypothyroidism include depression, irritability, and a tendency towards seclusion. In severe cases, the book mentions that acute or chronic mania, melancholia, or dementia might develop if the condition is left untreated. The book also notes that thyroid therapy can often relieve these mental symptoms, highlighting the importance of considering thyroid function when addressing mental health concerns. This connection between thyroid health and mental well-being underscores the complex interplay between physical and psychological health.

Question 9: Is there a link between thyroid function and susceptibility to infectious diseases?

Yes, the book indicates a strong link between thyroid function and susceptibility to infectious diseases. Hypothyroidism is associated with a weakened immune system, making individuals more prone to various infections. This increased susceptibility is particularly noted in respiratory infections, which can occur more frequently and with greater severity in people with low thyroid function.

The relationship between thyroid function and infection resistance is multifaceted. Thyroid hormones play a crucial role in maintaining the body's overall metabolic rate, which includes the functioning of the immune system. When thyroid function is low, the body's ability to mount an effective immune response may be compromised. Additionally, the book suggests that hypothyroidism can lead to changes in the respiratory tract, such as increased mucus production, which can create an environment more conducive to bacterial growth and viral infection. Addressing thyroid function can therefore be an important aspect of improving overall resistance to infectious diseases.

Question 10: What is the connection between thyroid function and migraine headaches?

The book suggests a connection between thyroid function and migraine headaches, although it doesn't provide extensive details on this specific relationship. Migraines are mentioned as one of the many possible manifestations of hypothyroidism, indicating that low thyroid function can potentially trigger or exacerbate migraine headaches in some individuals.

While the exact mechanism of how thyroid dysfunction contributes to migraines is not fully explained in the given text, it's important to note that thyroid hormones affect multiple bodily systems, including the nervous system and blood circulation. These factors could potentially influence the occurrence of migraines. The book's emphasis on the varied manifestations of hypothyroidism suggests that addressing thyroid function could be a consideration in the treatment of recurrent or severe headaches, including migraines.

Question 11: How does thyroid function impact weight management and obesity?

Thyroid function plays a crucial role in weight management and can significantly impact obesity. The book explains that hypothyroidism often leads to weight gain, as the lowered metabolic rate caused by insufficient thyroid hormone makes it difficult for the body to burn calories efficiently. This can result in a gradual increase in body weight, even when caloric intake remains constant or is reduced.

Conversely, proper thyroid function is essential for maintaining a healthy weight. The book suggests that addressing thyroid deficiency through appropriate treatment can often lead to weight loss without the need for strict dieting. This is because restoring normal thyroid function helps to normalize metabolism, allowing the body to burn calories more effectively. However, it's important to note that the book also cautions against viewing thyroid therapy as a simple solution for weight loss, emphasizing that it should be used to treat genuine thyroid deficiency rather than as a weight loss aid for those with normal thyroid function.

Question 12: Who was Dr. Broda O. Barnes and what was his contribution to thyroid research?

Dr. Broda O. Barnes was a prominent researcher and physician who made significant contributions to the understanding of thyroid function and its impact on overall health. The book presents him as a pioneer in recognizing the widespread prevalence of hypothyroidism and its varied manifestations. Dr. Barnes conducted extensive research over several decades, studying the effects of thyroid therapy on a wide range of health conditions.

One of Dr. Barnes' most notable contributions was his advocacy for the use of the basal body temperature test as a more reliable indicator of thyroid function than standard laboratory tests. He also emphasized the importance of clinical observation in diagnosing thyroid issues, arguing that many cases of hypothyroidism were being missed due to overreliance on laboratory tests. Dr. Barnes' work challenged many conventional views on thyroid health and treatment, and he continued to research and write about thyroid function throughout his career, leaving a lasting impact on the field of thyroid health.

Question 13: How has the understanding of thyroid-related illnesses evolved historically?

The understanding of thyroid-related illnesses has undergone significant evolution over time. Initially, thyroid disorders were recognized only in their most severe forms, such as myxedema and cretinism. These extreme cases were relatively rare, leading to the belief that thyroid problems were uncommon. However, as research progressed, it became clear that thyroid dysfunction could exist in milder forms and manifest in a variety of ways.

The book highlights how this evolving understanding led to the recognition of hypothyroidism as a more prevalent condition than previously thought. Researchers like Dr. Barnes played a crucial role in expanding the knowledge of thyroid function and its impact on overall health. This shift in understanding moved away from viewing thyroid disorders as rare, extreme conditions to recognizing them as potentially common issues that could affect a wide range of bodily functions. The historical progression also included changes in diagnostic methods, moving from reliance solely on visible symptoms to the incorporation of various tests, including the basal body temperature test advocated by Dr. Barnes.

Question 14: What are the effects of thyroid therapy on various health conditions?

According to the book, thyroid therapy can have profound effects on a wide range of health conditions. For cardiovascular health, thyroid therapy has been shown to help prevent and even reverse some aspects of heart disease in hypothyroid patients. It can improve circulation, strengthen heart function, and potentially reduce the risk of heart attacks and other cardiovascular issues.

In terms of respiratory health, thyroid therapy can help improve resistance to infections, potentially reducing the frequency and severity of respiratory illnesses. The book also mentions positive effects on mental health, with thyroid treatment often alleviating symptoms of depression, anxiety, and other psychological issues associated with hypothyroidism. Additionally, thyroid therapy can impact weight management, energy levels, and overall metabolic function. The book emphasizes that proper thyroid treatment can lead to improvements in various symptoms and conditions that may not have been previously associated with thyroid function, highlighting the wide-reaching effects of thyroid hormones on the body.

Question 15: Why are laboratory tests limited in diagnosing thyroid problems?

The book presents several reasons why laboratory tests are limited in diagnosing thyroid problems. One primary issue is that standard thyroid function tests, including the basal metabolism test, often fail to detect hypothyroidism, especially in milder cases. This means that many individuals with genuine thyroid deficiency may have normal test results, leading to missed diagnoses.

Another limitation is the variability in what is considered a "normal" range for thyroid hormone levels. The book suggests that these ranges may be too broad, potentially classifying some individuals with suboptimal thyroid function as "normal." Additionally, the book emphasizes that thyroid function can fluctuate, and a single test may not capture the full picture of an individual's thyroid health. Dr. Barnes and others advocated for a more holistic approach to diagnosis, combining clinical observation with tests like the basal body temperature test, which they believed could provide a more accurate assessment of thyroid function than standard laboratory tests alone.

Question 16: What is the basal body temperature test and how is it used to assess thyroid function?

The basal body temperature test is a method advocated by Dr. Broda O. Barnes for assessing thyroid function. This test involves measuring the body's temperature immediately upon waking, before any physical activity. The premise is that the body's basal temperature, when measured correctly, provides a reliable indicator of metabolic rate, which is directly influenced by thyroid function.

According to the book, Dr. Barnes considered a consistent basal temperature below 97.8°F (36.6°C) to be indicative of hypothyroidism. He argued that this test was more accurate in detecting thyroid dysfunction than standard laboratory tests, particularly in cases of mild hypothyroidism. The basal body temperature test was seen as a simple, non-invasive way for individuals to monitor their thyroid function at home. However, it's important to note that while Dr. Barnes and his followers found this method valuable, it is not universally accepted in mainstream medicine as a definitive diagnostic tool for thyroid disorders.

Question 17: How does thyroid function affect fertility and pregnancy?

Thyroid function plays a crucial role in fertility and pregnancy. The book indicates that hypothyroidism can significantly impact reproductive health in both men and women. In women, low thyroid function can lead to menstrual irregularities, difficulties in conceiving, and an increased risk of miscarriage. For men, hypothyroidism may affect sperm production and sexual function.

During pregnancy, proper thyroid function is essential for the healthy development of the fetus. The book suggests that maternal hypothyroidism can lead to various complications, including an increased risk of birth defects and developmental issues in the child. Dr. Barnes emphasized the importance of addressing thyroid function before and during pregnancy to ensure the best outcomes for both mother and child. He advocated for thyroid screening and treatment as part of prenatal care, believing that many pregnancy complications could be prevented or mitigated by addressing thyroid deficiencies.

Question 18: What is the relationship between thyroid function and mental health?

The relationship between thyroid function and mental health is significant and multifaceted. The book emphasizes that hypothyroidism can manifest in various psychological symptoms, often leading to misdiagnosis of primary mental health disorders. Common mental health issues associated with low thyroid function include depression, anxiety, irritability, and cognitive difficulties such as poor concentration and memory problems.

In more severe cases, the book mentions that hypothyroidism can even lead to symptoms resembling psychosis or dementia. Dr. Barnes and other researchers noted that many patients diagnosed with psychiatric disorders showed improvement when treated for thyroid deficiency. This underscores the importance of considering thyroid function in the evaluation and treatment of mental health issues. The book suggests that addressing underlying thyroid problems could potentially alleviate or resolve certain mental health symptoms, highlighting the intricate connection between thyroid hormones and brain function.

Question 19: How does thyroid dysfunction impact energy levels and fatigue?

Thyroid dysfunction, particularly hypothyroidism, has a profound impact on energy levels and is a common cause of chronic fatigue. The book explains that thyroid hormones play a crucial role in regulating metabolism and energy production at the cellular level. When thyroid function is low, the body's overall metabolic rate decreases, leading to a reduction in energy production and utilization.

This decrease in metabolic activity manifests as persistent fatigue, often described as a feeling of exhaustion that is not relieved by rest or sleep. The book notes that many individuals with undiagnosed hypothyroidism struggle with chronic fatigue, finding it difficult to maintain normal levels of activity. This fatigue can affect all aspects of life, from work performance to personal relationships. Dr. Barnes and others observed that proper thyroid treatment often led to significant improvements in energy levels, allowing individuals to regain their vitality and engage more fully in daily activities.

Question 20: What is the connection between thyroid function and cold sensitivity?

The connection between thyroid function and cold sensitivity is a key aspect of thyroid health discussed in the book. Hypothyroidism is strongly associated with an increased sensitivity to cold temperatures. This occurs because thyroid hormones play a crucial role in regulating body temperature and metabolism.

When thyroid function is low, the body's ability to generate heat and maintain a stable internal temperature is compromised. As a result, individuals with hypothyroidism often feel cold even in environments that others find comfortable. They may require more layers of clothing or higher room temperatures to feel warm. The book suggests that this cold sensitivity can be one of the early and persistent symptoms of thyroid dysfunction. Dr. Barnes and other researchers noted that addressing thyroid deficiency through appropriate treatment often led to improvements in temperature regulation, with patients reporting a decreased sensitivity to cold as their thyroid function normalized.

Question 21: How does thyroid dysfunction affect child development?

Thyroid dysfunction can have significant impacts on child development. The book emphasizes that hypothyroidism in children can lead to various developmental issues. In severe cases, untreated thyroid deficiency can result in cretinism, a condition characterized by stunted physical and mental growth. However, milder forms of hypothyroidism can also affect a child's development in less obvious ways.

Children with undiagnosed or untreated hypothyroidism may experience slower growth rates, delayed puberty, and difficulties with cognitive development. The book suggests that addressing thyroid deficiency in children through appropriate treatment can help normalize growth patterns and improve cognitive function. It's important to note that thyroid function plays a crucial role in brain development, particularly in early childhood, making early detection and treatment of thyroid issues in children especially critical.

Question 22: Is there a link between thyroid function and rheumatic pain?

The book indicates a significant link between thyroid function and rheumatic pain, particularly in the context of arthritis. Dr. Barnes and other researchers observed that many patients with rheumatic conditions, including various forms of arthritis, often had underlying thyroid deficiencies. They found that addressing these thyroid issues through thyroid therapy could lead to improvements in rheumatic symptoms.

One interesting aspect mentioned in the book is the relationship between thyroid function and the effectiveness of corticosteroid treatments for arthritis. The book notes that some patients with low thyroid function failed to respond to cortisone treatment for their arthritis. However, when these patients were given thyroid hormone in addition to cortisone, their arthritis symptoms improved. This suggests a complex interplay between thyroid function, inflammation, and the body's response to anti-inflammatory treatments in rheumatic conditions.

Question 23: How does thyroid function impact the immune system?

Thyroid function has a significant impact on the immune system, according to the information provided in the book. Hypothyroidism is associated with a weakened immune response, making individuals more susceptible to various infections, particularly respiratory infections. The book suggests that people with low thyroid function may experience more frequent and severe infections compared to those with normal thyroid function.

The relationship between thyroid function and immunity is multifaceted. Thyroid hormones play a role in maintaining the body's overall metabolic rate, which includes the functioning of the immune system. When thyroid function is low, the body's ability to mount an effective immune response may be compromised. Additionally, the book mentions that hypothyroidism can lead to changes in various bodily systems, including the respiratory tract, which can create environments more conducive to bacterial growth and viral infection. Addressing thyroid deficiencies through appropriate treatment can help improve immune function and increase resistance to infections.

Question 24: How were thyroid-related conditions treated historically?

Historically, the treatment of thyroid-related conditions has evolved significantly. The book mentions that in the early days of thyroid research, only severe forms of thyroid dysfunction, such as myxedema and cretinism, were recognized and treated. These extreme cases were relatively rare, leading to the belief that thyroid problems were uncommon.

As understanding of thyroid function improved, treatment methods evolved. The book discusses the use of thyroid extracts, which became a common treatment for hypothyroidism. However, there were challenges in determining appropriate dosages. Some physicians initially used very high doses, which led to adverse effects, particularly in patients with heart conditions. Over time, more cautious approaches were developed, with recommendations for starting with lower doses and gradually increasing as needed. The book also mentions the development of synthetic thyroid hormones, although it focuses more on the use of natural thyroid extracts in Dr. Barnes' work.

Question 25: What is the Broda O. Barnes Research Foundation and its purpose?

The Broda O. Barnes Research Foundation is mentioned in the book, although detailed information about its specific structure and activities is not provided. The foundation is associated with Dr. Broda O. Barnes, a prominent researcher and physician who made significant contributions to the understanding of thyroid function and its impact on overall health.

The purpose of the foundation, as implied in the book, is to continue and promote the research and clinical approaches developed by Dr. Barnes. This includes advocating for a more comprehensive understanding of thyroid function and its wide-ranging effects on health. The foundation likely supports research into thyroid-related health issues, promotes education about thyroid function and its impact on various health conditions, and possibly works to advance diagnostic and treatment methods for thyroid disorders, particularly focusing on the clinical approaches and theories developed by Dr. Barnes during his career.

Question 26: How does thyroid therapy affect cholesterol levels?

According to the book, thyroid therapy can have a significant impact on cholesterol levels. Dr. James C. Wren's five-year study of 347 patients showed that thyroid therapy led to a substantial reduction in cholesterol levels. The mean cholesterol levels in the study fell by 22 percent. This reduction in cholesterol is important because high cholesterol is a risk factor for atherosclerosis and heart disease.

The book also mentions that even in patients who were not considered hypothyroid by standard laboratory tests, thyroid therapy was effective in lowering cholesterol levels. This suggests that thyroid therapy might be beneficial for managing cholesterol levels even in individuals who don't meet the conventional criteria for hypothyroidism. The ability of thyroid therapy to lower cholesterol levels is one of the mechanisms by which it may help prevent or manage heart disease.

[Unbekoming: Remember this is 1975, and virtually nobody knew that the cholesterol/statin racket, was a racket. Read this for more info.]

Question 27: What is the relationship between thyroid function and blood clotting?

The book indicates that there is a significant relationship between thyroid function and blood clotting. According to Swiss investigators mentioned in the book, hypothyroidism is associated with accelerated blood clotting. This increased tendency for blood to clot can be a risk factor for heart attacks, as clots can block narrowed, atherosclerotic arteries.

Importantly, the book notes that thyroid therapy can help normalize blood clotting activity. When patients with hypothyroidism receive appropriate thyroid treatment, their blood clotting activity returns to normal levels. This normalization of clotting activity is another mechanism by which thyroid therapy may help reduce the risk of heart attacks in individuals with hypothyroidism.

Question 28: How does thyroid therapy affect blood pressure in hypertensive patients?

The book discusses the impact of thyroid therapy on blood pressure, particularly in hypertensive patients. It mentions that in some cases of hypertension, thyroid therapy can lead to a reduction in blood pressure. This effect is beneficial as it reduces the workload on the heart.

The book cites the experience of Dr. Pericles Menof in South Africa, who reported that many of his hypertensive patients improved with thyroid therapy. However, it's noted that patients whose hypertension was due to kidney disease did not benefit from thyroid therapy. The author also shares personal experience of seeing many patients with mild, moderate, and even severe hypertension respond positively to thyroid therapy. One case study mentioned is of a 25-year-old man whose elevated blood pressure normalized with thyroid treatment, allowing him to discontinue antihypertensive medication.

Question 29: What is the relationship between thyroid function and fatigue?

The book emphasizes a strong relationship between thyroid function and fatigue. Hypothyroidism is described as a common cause of undue fatigue. This chronic tiredness associated with low thyroid function can have significant impacts on an individual's daily life and overall health.

The importance of addressing fatigue through thyroid therapy is highlighted in the context of heart health. The book suggests that for a chronically tired person with hypothyroidism, activities that would be manageable for a person with normal thyroid function might constitute overexertion. This overexertion could potentially trigger a heart attack. By treating the underlying thyroid deficiency and alleviating fatigue, thyroid therapy may help reduce the risk of such cardiac events. The book presents this as part of a rational approach to preventing heart attacks in individuals with hypothyroidism.

Question 30: How does thyroid therapy affect diabetic patients?

The book provides significant information about the effects of thyroid therapy on diabetic patients. It suggests that thyroid therapy can be beneficial for diabetics, particularly in managing complications associated with diabetes. The author mentions a study where thyroid therapy was administered to diabetic patients without disrupting their diabetes management. In fact, the diabetes seemed to be under even better control with fewer hypoglycemic reactions when patients were on thyroid therapy.

Importantly, the book highlights that thyroid therapy may help prevent or control atherosclerosis in diabetic patients. It notes that the incidence of atherosclerosis-related deaths in diabetics has increased over time, despite better control of diabetes itself. The author suggests that thyroid deficiency might be a common factor contributing to atherosclerosis in both diabetic and non-diabetic individuals. The book reports that in the author's experience, thyroid therapy has been effective in preventing diabetic complications for over two decades.

Question 31: How can hypothyroidism be misdiagnosed as a psychosomatic disorder?

Hypothyroidism can be misdiagnosed as a psychosomatic disorder due to the wide range of emotional and behavioral symptoms it can produce. The book mentions that many patients labeled as having psychosomatic problems or classified as hypochondriacs are often victims of unrecognized hypothyroidism. This misdiagnosis occurs because the symptoms of hypothyroidism can closely mimic those of various mental health conditions, including depression, anxiety, and even more severe psychiatric disorders.

Dr. Martha Schon's study, mentioned in the book, found that patients with untreated thyroid deficiency could easily be mistaken for neurotics. These patients exhibited symptoms such as fatigue, irritability, nervousness, emotional explosiveness, and oppositional tendencies. They also experienced physical symptoms like vision disturbances, speech difficulties, and diffuse muscular pain. The similarity of these symptoms to those of neurotic disorders can lead to misdiagnosis, especially if physicians are not alert to the possibility of thyroid dysfunction. Additionally, the book notes that standard thyroid function tests may fail to detect hypothyroidism, particularly in milder cases, further contributing to the likelihood of misdiagnosis as a psychosomatic disorder.

Question 32: What are the common misconceptions about hypothyroidism?

One of the most prevalent misconceptions about hypothyroidism is that it only manifests in severe forms like myxedema or cretinism. The book emphasizes that hypothyroidism can exist in milder degrees and atypical forms that differ greatly from these extreme cases. This misconception has led to many cases of hypothyroidism being overlooked or unrecognized, as medical professionals may not be alert to its varied manifestations.

Another common misconception is that standard thyroid function tests can reliably detect all cases of hypothyroidism. The book points out that these tests, including the basal metabolism test, often fail to detect hypothyroidism, especially in milder cases. This has led to confusion and misdiagnosis, with many patients suffering from unrecognized hypothyroidism despite negative test results. The book suggests that the basal body temperature test may be a more accurate indicator of thyroid function than standard laboratory tests.

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