Subclinical hypothyroid, and how it affects the body in perimenopause and menopause

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Subclinical hypothyroid, and how it affects the body in perimenopause and menopause

Рет қаралды 9,120

2 жыл бұрын

Subclinical hypothyroidism and how it affects the body in perimenopause and menopause // Feeling sluggish and slow while also gaining weight? Frustrated that your thyroid was normal? Could you have subclinical hypothyroid? In this video, I explain what subclinical hypothyroid is, and why this could be causing symptoms such as low energy and hair loss. I also explain the goals of treatment for low thyroid and how low thyroid can affect perimenopause and menopause.
#hypothyroid #subclinicalhypothyroid #HeatherHirschMD
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• Subclinical hypothyroi...

Пікірлер: 46

@hottinbe Жыл бұрын

Everything else I've read says that subclinical hypothyroidism is when TSH is elevated but T3 and T4 are still normal (vs the other way around, which is what is stated in this video).

@shadymotel11 11 ай бұрын

This confused me too. I’m skeptical of the video based on that fact being swapped, as I don’t want to take incorrect information in

@georginarandolphgirl66 2 жыл бұрын

Thank you for this video. Months ago I started to feel very off and more fatigued, depressed, gained alot of weight in a short time, couldn't tolerate the cold, insomnia worsened and anxiety. My doctor increased my antidepressant which helped my anxiety but nothing else so I asked him to have blood test done and my TSH was 5.8 (0.4-4.0)is our lab range and my T4 & T3 were very low normal. C reactive protein was quite elavated as well as liver enzymes, prediabetic and elavated cholesterol. I have low energy, sore joints, sore and weak muscles and I break a sweat doing the easiest things. I also have crohns and take a gastroresistent antiinflammatory for my colon and I had a full hysterectomy almost 10 years which triggered me into major depression, anxiety disorder and insomnia. I just don't feel right and have low appetite most of the time and hate getting up. My doctor finally said that he would take my blood again in September because I had covid in July and it could affect my numbers plus it's a few months from last blood test. Thyroid issues run on my fathers side of the family as well as diabetes, heart disease, stroke etc I read that a low dose thyroid medication helps some people and some it didn't do anything. I am just so tired of not feeling good.

@MsKati30 2 жыл бұрын

I seriously cannot believe that this video popped up right now! I was feeling so tired and yucky that I thought it was due to my progesterone. My doctor found that I have a low free T3 level and since I’ve been replacing it, I feel GREAT! ❤️ Sidebar. 100 mg of Prometrium was not quite enough to balance out my 0.075 estradiol patches, but 200 mg made me DIZZY despite taking it at night. I am now on 200mg compounded progesterone capsules- but have concerns based on many of your other videos/podcast episodes concerning compounding. I would love some other options to research on my own and present to my doctor during my next visit in a few weeks. Thank you so much for all that you do, and I am definitely going to be signing up for the paid subscription. This has been quite a journey for me over the course of the past year, so it is wonderful to have all of this information at my fingertips

@heatherhirschMD 2 жыл бұрын

Really lights up my heart that you have found this so helpful. I think that the compounded progesterone is probably OKAY - sometimes it is necessary due to side effects. Thanks for your support and you are doing GREAT!

@age93 Жыл бұрын

My dr suggested my menstrual cycle changes could be as I’m getting older… I’m 28 😑 I went to her with large pieces of tissue, not clots, that I passed during menstruation. Ever since I was hospitalized with sepsis shock, endocarditis, and meningitis in 2018, my health hasn’t been right. I have so many symptoms of hypothyroidism but tests are always “normal”. Thinking there’s adrenal fatigue and an autoimmune disorder in there as well.

@francine2169 2 жыл бұрын

Love your Channel! Dr. Hirsch can you PLEASE tell me if a dry, burning, tingling tongue is a symptom of Menopause? If so what helps this issue? (or please do a video on unusual symptoms of menopause).

@heatherhirschMD 2 жыл бұрын

Great idea!!

@dinawanless8226 2 жыл бұрын

Yes this is a symptom of menopause it happened to me

@onewomansjourney760 Жыл бұрын

You could have adrenal function issues with abnormal cortisol levels.

@kellyk206 2 жыл бұрын

Great video. Can you comment on doctor suggesting use of compounded desiccated thyroid medication? She has suggested that “normal” thyroid levels are not “optimal” and that many people need to supplement their thyroid.

@Sweetest_of_Seven 2 жыл бұрын

Great info! My doctors (cardiologist and my gynecologist) have refused to test more than my TSH even though my labs have changed over the past 18 months… 2.3, 3.44, and the 4. I’ve been having many of the symptoms progressively over the last couple of years 😐 I’m frustrated… I am willing to pay out of pocket for the testing. Do you know why some doctors refuse??

@heatherhirschMD 2 жыл бұрын

I see this comment a lot. It probably has to do with a few things 1. not know what to do with those labs an 2. the cost of health care rising ... Its so unfortunate. Keep being proactive! It's such a small thing in the grand scheme of things! You got this!

@Sweetest_of_Seven 2 жыл бұрын

@@heatherhirschMD also, I’ve been binging on your videos and I have a question… should I get my hormones checked by a blood test and not saliva? Also… my gynecologist put me on bio identical cream after a saliva test and it includes progesterone 😐 she knows I had a hysterectomy at age 29, I’m now 50. I have menopause (or thyroid or something else) symptoms I HAD ALL OF MY SYMPTOMS BEFORE SEEING MY GYNECOLOGIST… heart palpitations, hair loss, dizziness/woozy feeling, brain fog, fatigue, insomnia and I’m sure there is more but after my saliva test she put me in the cream and told me I had “adrenal fatigue “ and sent me on my way with a list of supplements 🙃 UGH!!! I now know from your videos that BHT is not ideal! MY BIGGEST QUESTION… since I had my uterus removed over 30 years ago is HRT the safest thing for me to be doing…? By the way, cardiologist did multiple EKG’s, a echocardiogram, and I wore a heart monitor for 7 days… all came out good and just told me I have pvc/pac’s. I still have random heart palpitations and upper torso vibrations and I’m frustrated with basically just getting a pat on the back and pushing me out the door 😩 Any suggestions would be greatly appreciated… even just links to other videos you have that could help guide me on this adventure.

@sonaldivekar1829 2 жыл бұрын

Doctors are fooling you ..or is it free? In India we get T3, T4 and TSH in a state thyroid test!

@crh251 Жыл бұрын

@@Sweetest_of_Seven, my TSH was 2.5, then 3.55 and now it’s 4.45. My doctor just brushed over it so I’m going to find someone to do a full panel on me. I could do my own labs, but then no one will prescribe the meds.

@ThrewOutMyHalo Жыл бұрын

My blood is fine is the TPO that's at 57.1, 60 is what they would diagnose me at. So frustrating.

@KM-lu7nh 2 жыл бұрын

I've read and also been told by people with thyroid issues that you can have a thyroid issue even if your TSH, T3 & T4 values are in range. What are your thoughts?

@Panji2000 2 жыл бұрын

My doctor at Kaiser refused to do T3 and T4 . My TSH1.3 .

@heatherhirschMD 2 жыл бұрын

Sorry about that, I know sometimes that happens.

@LDiamondz Жыл бұрын

Go to another doctor. My GP checks t3, t4, tsh, free t3, reverse t3, and free t4. My old endocrinologist wouldn't do it, so I asked my GP. Gynecologists might do them, too. Doesn't hurt to ask.

@oliviabarry7188 2 жыл бұрын

Hello, love your channel, very informative. Can you do a video on acid reflux in perimenopause and is Estrogen dominance causing it. My estradiol is 1175 😢 and my doctor said not to worry about it. I can't get any help here in Ireland. Its like they don't know much about hormones / perimenopause.

@dannyjamesbrooks115 2 жыл бұрын

Am permanently cured from thyroidism with Dr iyaremoses on KZfaq herbal medicine

@mariabyrne1954 Жыл бұрын

I couldn't even get my gp to perscribe HRT here in Australia....however I've looked into natural methods of doing without my hormones there's lots out there dr westen Child's is a good one on Thyroid

@lbf1231 2 жыл бұрын

Thank you for the video! I am on Synthroid .25. My doctor ordered a TSH WITH FT4 REFLEX. She added T3 by my request (thanks to your video!). Is that it for the thyroid tests? Is there a regular TSH? ( I am 57 and take 1 mg estradiol tablet and 100 mg of progesterone capsule daily) Losing weight is impossible. Thank you.

@shyb7847 Жыл бұрын

I tested my thyroid 2 years ago my TSH level was at 2.39. Now it's at 5.1. I thought my BC was the problem with what I have been going through. I'm only 29 but I feel like trash I have to go back for more blood work 🥴

@vanessac1965 Жыл бұрын

Birth control could affect the thyroid theoretically

@ankoorsen4316 6 ай бұрын

Hi Doctor , My wife(29 yrs) is 10 weeks 4 days pregnant and her TSH is 7.29, T4 : 0.86 ng/dl. Blood Group B-, BP-120/70, B.W - 59 Kg. Hemoglobin : 9.80 gm/dl. ICT - negative. This is our first pregnancy, and we are worried about her elevated TSH levels. She was prescribed Thyroxine 25 mcg/day. Is this the right dosage? (cause we googled 2 mcg/kg/per is avg requirement), As we mentioned it is our first pregnancy we are really worried, So we would be really appreciate more insight on this issue. Thanks in advance .

@crh251 2 жыл бұрын

My TSH is 3.55. I know it’s not ideal, but my doctors won’t give me a full thyroid panel either.

@onewomansjourney760 Жыл бұрын

You can order your own labs now through various lab companies.

@crh251 Жыл бұрын

@@onewomansjourney760 , now I’m at 4.45. I’m finding a new doctor. I could order my own labs, but the problem is if I need medication.

@LDiamondz Жыл бұрын

@@crh251Yes, you need medication. Get your TSH, T3, T4, FREE-T3, Free-4 checked. Find a doctor who will work with you on your symptoms and NOT just the lab reports. Typically, they put you on a TSH medication, but many times, adding some T3 will treat the symptoms way better. Like weight gain, tiredness, foggy brained, etc,

@quinnsilver987 2 жыл бұрын

I have Hashimoto’s thyroiditis and hypothyroidism. I’m 41 and can’t tell weather my night sweats and insomnia is the start of peri menopause or related to my thyroid condition? How can you tell the difference? Is there blood test I can ask for to test for peri menopause?

@dannyjamesbrooks115 2 жыл бұрын

Am permanently cured from thyroidism with Dr iyaremoses on KZfaq herbal medicine

@LDiamondz Жыл бұрын

Yes, there is. It's a blood test for female hormones. Have them check thyroid, too. You can definitely get hypothyroidism in perimenopause, menopause and beyond. You can be perimenopausal AND a hypo thyroid.

@niamhbyrne4036 Жыл бұрын

What do think is the best medication for hypothyroidism thanks 🙏

@onewomansjourney760 Жыл бұрын

Natural desiccated thyroid hormone medication like NP Thyroid, Armour, compounded.

@jondoigh450 2 жыл бұрын

Hi Dr Hirsch. I’m age 51 female and have been post menopausal 3 years. Been on Estrace vag cream only for my symptoms. My TSH has been fluctuating from 3.5 to 6.06 for past 4 years (T3/T4 normal). Dr always says subclinical and doesn’t treat it. My symptoms have gotten awful and my newest TSH is 6.5. I just started oral HRT/ but am I doing the wrong thing? Should I be getting my thyroid treated first?

@onewomansjourney760 Жыл бұрын

You definitely need your thyroid treated. You can be treated for thyroid issues at same time taking hormone replacement therapy. I take natural desiccated thyroid NP Thyroid & not Synthroid! Synthroid almost literally killed me & I know many women it's caused horrible health issues.

@LDiamondz Жыл бұрын

@@onewomansjourney760 You're right. Synthroid ruined my bones and I felt horrible. Too bad my doctor didn't take my problem seriously, he told me synthroid or generic versions were the best. 20 years on it, not good.

@MGyoutube307 20 күн бұрын

I have subclinical hypothyroidism. Around 5 almost 6. I read that under 10 can have risk to treat, bone loss and heart disease long term. I got .25mg but scared to take it because I don’t want anxiety, hair loss or bone loss. Now, these doctors said optional is around two and I should take the hormone. But I don’t like meds but I want to feel optimal too. So not sure if I want to try it but don’t want side effects. So I just deal with it. Idk. Do you try it??? I had a couple of doctors prescribe for me. So I think you should be able to get a prescription if you wanted…