If you’re having symptoms of Graves’ disease after thyroidectomy, the problem may not be Graves.  July 14th, 2016  The thyroid is a small butterfly-shaped gland in the front of your neck that is responsible for most of the systems in the body. When it goes out of whack it produces a multitude of negative side effects and symptoms.   One disease that wreaks havoc on the endocrine system is Graves’ disease. Graves’ disease is an autoimmune disease that affects the thyroid. With Graves’ disease, the immune system attacks the thyroid causing the thyroid to overproduce thyroid hormones, resulting in hyperthyroidism.    Some symptoms of hyperthyroidism or overactivity are     Weight Loss    Dry Skin    Dry Skin    Dry Hair    Dry Hair    Cold Hands    Hot / Red Hands    Cold Feet    Hot Feet    Cold Intolerant    Heat Intolerant    Anxiety    Shaky Hands    Trembling     Causes of Thyroid Disease   Some researchers believe that thyroid disease may begin with hormones like estrogen. When estrogen becomes dominant in the body, it pushes progesterone down and increases the bodies inflammation response. What causes estrogen dominance? Estrogen can get out of control when the body becomes stressed. So, it’s important to keep stress levels down, eat properly and exercise. In fact, some doctors say that with proper nutrition, rest and exercise some thyroid diseases can be reversed or at least very well controlled. For some patients though, Graves’ disease needs more effective medical intervention, like surgical reduction or a complete removal of the thyroid. Some patients elect to have radioactive iodine treatment to destroy or “ablate” some of the thyroid tissue in the hopes that the thyroid gland will cease the overproduction of hormones that cause a hyper state.      Thyroidectomy is said to end Graves’ disease, however, yet for some patients, having their thyroid removed may not be the end of their symptoms.   According to Dr. Kresimira Milas, “once a patient has their thyroid removed there is less than a one or two percent chance of the grave’s disease returning.” Dr. Milas said,  “after surgery Graves’ disease is essentially cured, the thyroid is gone so the immune system has no target, and so the grave’s disease is gone in that respect.”   However, some remaining thyroid tissues that surround the voice nerve or the parathyroids can grow back sufficiently enough to cause an overactive thyroid state again. This is why it’s important for thyroid patients to follow up with their endocrinologists for blood work that would detect a recurrence of Grave's disease in that one or two percent of patients.      So, if only 1 or 2% of patients can have a recurrence of Grave's disease, why do patients still have symptoms?    Unfortunately for many patients even after Graves’ disease has been surgically controlled, they still have symptoms of the disease. This is true for most thyroid patients regardless of what thyroid disease they may have. The problem is when patients explain their symptoms to their doctors they’re left feeling unheard and often times made to feel as though they are “hypo”- chondriacs instead. Pun intended. These symptoms are REAL, but, not for the reasons patients think.  Patients may unknowingly be blaming their thyroid symptoms on the wrong cause. Once a patient has had their thyroid ablated or completely removed, they are considered surgically hypo and require daily thyroid hormone replacement. So, while your grave’s disease is gone, you are now thyroid-less and that is a whole new condition in and of itself. Being without a thyroid can also cause hyper symptoms, leaving patients to believe they still have Graves’ disease or that their immune system is attacking other parts of their body. But the real culprit is less sinister and quite surprising.  Most patients with thyroid disease do not produce enough stomach acid, and when you are hyper you are getting too much, while patients who are now hypo are likely not producing enough. When patients don’t produce enough stomach acid the body cannot absorb nutrients or break down protein. When proteins are consumed, your stomach uses the stomach acid and enzymes to break it down into amino acids, these are the essential building blocks your body needs to nourish various parts of your body. But if you don’t have enough stomach acid these proteins are not broken down or absorbed. I liken this to a car that is not cared for, when it has deficiencies like a dirty fuel filter, no gas or not enough coolant in the radiator, it will knock and ping and show signs of the deficiency. Just like the human body, when it doesn’t get enough nutrients the systems of the body cannot perform their functions optimally causing negative side effects and often times painful symptoms. This new side effect is call avitaminosis. It’s a real condition that causes a multitude of side effects that mimics Graves’ symptoms.     These Symptoms are Your Body’s Way of Getting Your Attention   Unfortunately, doctors don’t treat patients nutritionally, they treat you structurally, so they do what they can and this often leads to prescribing more medications that only mask the root cause which is  nutrient-deficiency . So, while thyroid patients are eating healthfully they are literally starving because the nutrients are not being broken down or absorbed. This deficiency leads to a landslide of symptoms that patients and doctors cannot explain. Symptoms like fatigue, excess hair shedding, brain fog, muscle aches and pain, and much more. In fact, many patients even report having, leaky gut syndrome, acid reflux, GERD, heartburn or even IBS, inflammatory bowel syndrome.   Symptoms of Low Stomach Acid -   ·       Cramping  ·       Heartburn  ·       Nausea  ·       Acid reflux  ·       GERD  ·       Constipation  ·       Diarrhea  ·       Infection  ·       Bad breath  ·       Weak hair and nail  ·       Hair loss  ·       Dry skin  The irony here is that while a patient’s body is starving for nutrients, even with a normal diet, it has an amazing capacity to convert everything to weight gain, another unfortunate side effect. I guess the old adage is true when your dieting and your body thinks it’s starving it won’t lose weight.  So, what can you do about it?  There are a few things that you can do to help improve stomach acid and help your body replenish the nutrients it’s deficient in.    How to address Low Stomach Acid –    While there are some natural remedies to help with low stomach acid, they are not cures and there is no scientific evidence to show how much they improve it. But as always check to see what is right for you before trying any of the following.  1.    Apple Cider Vinegar with Mother – Mix 2 tbsp. with ¼ cup of warm water and a tsp of honey. Goes down easy and tastes pretty decent.  2.    Digestive Enzymes – You can get a good “OTC” digestive enzyme. Dr. Axe recommends taking two tablets before a meal and suggests that you can take this in addition to the Apple Cider Vinegar with Mother.  3.    Chew Your Food Thoroughly and Eat Smaller Meals  – By chewing your food thoroughly, at least 30 times, you can aid your body in better digesting. And by eating smaller meals you utilize the stomach acid more effectively.  Because people with hypothyroidism have problems with their digestive tract, they also have difficulty in absorbing minerals, in addition to breaking down food in their stomach. And without proper nutrient supplementation, hypothyroid patients have been seen to complain about the way they feel, oftentimes leading to overmedication, which can lead to  hyperthyroid symptoms , that mimic graves’ disease. Symptoms like rapid heart rate, night sweats, anxiety, insomnia, and so on.  The following nine minerals are needed for thyroid support, along with their roles in support of thyroid gland performance.  ·        Magnesium   ·        Boron   ·        Zinc   ·        Iodine   ·        Selenium   ·        Iron   ·        Molybdenum   ·        Copper   ·        Manganese   Without these minerals, the body cannot function properly and it cannot convert T4 to T3 adequately. There are, however, more essential vitamins that are needed in addition to these minerals and thyroid hormone replacement, vitamins A, B-12, thiamine, vitamin D, riboflavin, and vitamin C that patients require in order to rid themselves of negative side effects that interrupt their quality of life.  If patients really want to see an improvement in their thyroid symptoms it’s important to make sure that the nutritional needs are being met. Just medicating with thyroid hormone or synthetic thyroid hormone (like levothyroxine sodium) can result in a less than satisfactory treatment of hypothyroidism.  There are multiple supplements currently on the market to help patients improve energy by focusing on the thyroid, but most don’t contain all the nutrients or minerals thyroid patients need to really feel a difference in their energy, stamina, and overall well-being. But there is one that does and it’s making waves across the world. ThyVita®is an innovative support in thyroid treatment and is GMO-free, Gluten-free, Vegetarian, and Vegan-friendly with no added animal hormones. It not only supports your thyroid, but it was created specifically for patients with and without a thyroid!   ThyVita® provides total body support, it not only supports healthy thyroid function in those who have a thyroid, it helps the body convert T4 to T3 more effectively in those who don’t. In fact, ThyVita is achieving remarkable results not only in thyroid patients but also patients with diabetes and fibromyalgia. It even helps decrease inflammation in the body, helps your body absorb nutrients, and some patients report their C-Reactive protein levels have decreased and the only change in their diet was ThyVita®. To learn more about ThyVita® you can visit their website at  www.ThyVita.com   If you’re not sure why you’re having symptoms be sure to speak with your doctor and get tested for your thyroid function. If you’ve already been diagnosed talk with your doctor before starting a homeopathic remedy or vitamin supplement.         Learn More Here: Danielle Lin Health Radio    http://daniellelin.com/2018/06/28/rebecca-ireland-gaining-weight-not-sleeping/         References:     Dr. Axe – 5 Steps to Naturally Heal Low Stomach Acid    Dr. Kresimira Milas MD -    https://www.youtube.com/watch?v=OtRb2AOemB4     Albion Research Notes No. 26. Vol. 4    Dr. Northrup.com/thyroid-disease/    Rebecca Ireland –    Life After Thyroidectomy    - ©2018

Thyroidectomy is said to end Graves’ disease, however, for some patients, after having their thyroid removed it may not be the end of their symptoms. According to Dr. Kresimira Milas, once a patient has their thyroid removed there is less than a one or two percent chance

      Is Thyroid Disease Putting you at a Higher Risk for Atrial Fibrillation?  July 14th, 2016  Thyroid cancer generally has a very good prognosis, with a five-year survival rate of 98%. However, standard treatment for this type of cancer usually involves a complete thyroidectomy and radioiodine treatment, which is followed with thyroid hormone suppression therapy. The goals of suppressive therapy are to replace thyroid hormone while suppressing pituitary TSH, since it can promote the growth of cancerous thyroid cells. While many patients must go on replacement thyroid hormone for the rest of their life, some concerns have been raised about the potential negative cardiovascular effects that patients face after thyroidectomy.  Recent estimates show that about 56,870 new cases of thyroid cancer will be diagnosed in 2017.This type of cancer is generally diagnosed at a younger age than many other types of adult cancer, and about 75% of thyroid cancer cases are found in women. Interestingly enough, atrial fibrillation is diagnosed more in women as well, although the CDC notes that this may be because women tend to live longer than men do.      What is Atrial Fibrillation?   Atrial fibrillation is a type of irregular and often fast heart rate that has the potential to increase your risk of heart failure, stroke, and a number of other cardiac complications. When atrial fibrillation occurs, the two upper chambers of your heart beat irregularly and chaotically, and they are out of sync with the bottom two chambers of the heart. Atrial fibrillation that doesn’t go away may require treatment since it can lead to complications like blood clots.  While many people are unaware that they have atrial fibrillation, some of the signs and symptoms that may be noticed with atrial fibrillation include:   Weakness  Fatigue  Heart palpitations  Shortness of breath  Dizziness  Difficulty exercising  Chest pain  Lightheadedness  Confusion   Studies are beginning to show a definite link between thyroidectomy and atrial fibrillation. Not only do you have a higher risk of atrial fibrillation after your thyroidectomy, you may also be more susceptible to some of the complications that may come along with it, such as blood clots and stroke.  One study showed that patients previously diagnosed with thyroid cancer were twice as likely to develop atrial fibrillation. Other studies have also shown a higher than normal risk of atrial fibrillation in patients after thyroidectomy, particularly those who are treated with suppressive therapy. Researchers are beginning to learn more about the risk of atrial fibrillation after thyroidectomy, and it’s important for you to understand this risk and what can be done to minimize it.      What Causes Atrial Fibrillation After Thyroidectomy?   Since multiple studies show that there is a link between thyroidectomy and an increased risk of atrial fibrillation, what causes this increased risk in thyroidectomy patients? One theory on what causes an increased risk of atrial fibrillation after thyroidectomy is the risk of suppression induced hyperthyroidism. Hyperthyroidism increases the risk of atrial fibrillation in people who have subclinical hyperthyroidism and suppressed TSH levels by about 40%.  A recent study presented at the Cancer Survivorship Symposium also showed that there’s a long-term cardiovascular risk, including a higher risk of atrial fibrillation, ischemic stroke, and coronary heart disease, in patients treated with levothyroxine after a thyroidectomy. Long-term administration of levothyroxine has the ability to cause hyperthyroidism in patients, increasing the cardiovascular risks.   Who is at Risk for Atrial Fibrillation Post Thyroidectomy?   Patients being treated with suppression therapy have the highest risk of atrial fibrillation after a thyroidectomy. However, age may also come into play, since the risk of atrial fibrillation is known to increase with age. Other risk factors for atrial fibrillation include:   High blood pressure  Heart disease  Obesity  Family history  Chronic conditions, such as metabolic syndrome, lung disease, diabetes, and kidney disease  Consuming alcohol    Other Causes of Atrial Fibrillation   Many different abnormalities or damage to the structure of your heart can result in atrial fibrillation. A simple echocardiogram, which is a painless test that uses ultrasound waves to take pictures of the heart, can be used to rule out structural problems. Once structural problems to the heart have been ruled out, doctors are better able to treat the condition. Some of the most common causes of atrial fibrillation include:   Metabolic imbalances, such as an overactive thyroid  High blood pressure  Abnormal heart valves  Heart attack  Lung disease  Viral infections  Exposure to stimulants, such as alcohol, caffeine, medications, or tobacco  Coronary artery disease  Congenital heart defects  Sleep apnea  Previous heart surgeries  Stress due to illness, surgery, or pneumonia    Is it Possible to Prevent Atrial Fibrillation?   After thyroidectomy, you may need to take suppressive therapy for a lifetime. Taking the right dosage amount of your medication can be instrumental in preventing atrial fibrillation. Take some other measures to live a heart-healthy lifestyle can also help prevent atrial fibrillation. Some preventive steps you can take on your own include:   Keeping your weight at a healthy level  Eating a diet that is heart-healthy  Avoiding alcohol, smoking, and caffeine  Reducing your stress levels, since anger and intense stress levels can cause problems with your heart rhythm  Increasing the amount of routine physical activity that you engage in  Being cautious about your use of over-the-counter medications, since some cough and cold medications (specifically, decongestants) have stimulants in them that can result in a rapid heartbeat. In fact, it’s generally recommended that all thyroidectomy patients avoid taking decongestants.       Treating Atrial Fibrillation in Thyroidectomy Patients   The treatment for atrial fibrillation can vary depending on how bothersome the symptoms are, how long you’ve had the problem and the underlying cause. Treatment goals for atrial fibrillation include blood clot prevention, decreasing stroke risk, and controlling the rate or resetting the heart’s rhythm. The strategy chosen by your doctor can depend on various factors, including whether you’re able to take medications to help control the heart rhythm and whether you have any other heart problems. More invasive treatments, such as surgery or using catheters, may be used in some cases.  In thyroidectomy patients, suppressive therapy resulting in hyperthyroid symptoms is often the underlying cause of atrial fibrillation, so in many cases, adjusting your thyroxine doses and better controlling suppression may be enough to reduce the problems with atrial fibrillation.  When symptoms become bothersome, your heart’s rhythm may need to be reset to normal. Certain medications can be used to restore the heart’s normal rhythm. Antiarrhythmics may be given orally or intravenously. In most cases, this is done in a hospital while your heart is continually monitored.  Electrical cardioversion may be used to reset the heart to the normal sinus rhythm when medications don’t provide results. This involves delivering an electrical shock to the heart, momentarily stopping the heart’s electrical activity. After the shock, the heart should go back to the normal rhythm on its own. You’ll be sedated for this procedure, and most patients do not feel the shock.  After electrical cardioversion or restoring the heart’s natural rhythm with medications, anti-arrhythmic medications may be prescribed to prevent atrial fibrillation in the future. These medications may include Propafenone, Dofetilide, Sotalol, Amiodarone, and Flecainide. Medications may also be prescribed to control your heart rate. Digoxin is often used to control heart rate, but since it doesn’t work as well during activities, you may require the addition of beta blockers or calcium channel blockers.  In some cases, conservative treatments for atrial fibrillation don’t work. When this happens, your physician may recommend doing a procedure that eliminates the faulty pathway that causes the disruption of electricity in your heart, getting the heart back to its normal rhythm. One option is catheter ablation. Many people who experience atrial fibrillation have “hot spots” that work like abnormal pacemaker cells, firing rapidly and making the upper chambers of the heart quiver instead of beating normally. A catheter ablation involves having long, thin tubes inserted into the groin, and those tubes are directed carefully to the heart. Electrodes on the tips of the catheters can be used to eliminate these faulty pathways, scarring this tissue to normalize the erratic signals coming from these areas This corrects the problem without using implantable devices or medications, and most patients are able to get back to their normal activities in just a few days.  Since individuals with atrial fibrillation have a higher risk for blood clots and stroke, you may need to take blood-thinning medications as well. Warfarin is a commonly prescribed option, but you’ll need to be monitored by your doctor while on this powerful medication. Newer anticoagulants (blood thinners) are also available, and they are often less dangerous than Warfarin and just as effective. I personally take two baby aspirin each day to reduce this risk.      Tips for Improving Heart Health After Thyroidectomy   Taking care of your heart is always important, and because of the increased risk for cardiovascular problems after a thyroidectomy, focusing on heart health becomes even more crucial. Making lifestyle changes that improve the overall health of the heart can help, as can taking measures to prevent conditions like heart disease and high blood pressure. Some of the tips I’ve learned to keep my heart as healthy as possible include:   Eating a Heart-Healthy Diet  – A heart-healthy diet should be low in salt, low in fats, and rich in whole grains, vegetables, and fruits. My LAT diet focuses on heart-healthy eating, and it is based on suggestions from a well-known cardiologist.    Keeping Weight in Check  – It’s tough to keep your weight in check after a thyroidectomy, which is why I recommend my LAT diet. Being overweight increase the risk of heart disease and other cardiac complications, so eating a healthy diet and working to maintain a healthy weight go hand in hand.   Exercise Regularly  – Increasing physical activity can also promote better heart health and will make it easier to keep your weight in check. Just make sure you talk to your doctor before you start a new exercise program.   Ensure Cholesterol and Blood Pressure Levels are Controlled  – High cholesterol and high blood pressure can increase your risk of heart problems, so it’s important to make healthy lifestyle changes and take any medications as they are prescribed to ensure your cholesterol and blood pressure levels are controlled.   Follow-Up with Your Physicians  – Following up regularly with your physicians is also important. Any problems you have can be monitored and your doctors can be on the lookout for any new developments. If you are dealing with atrial fibrillation and your symptoms get worse, it’s important to tell your doctor.   Make Sure You’re Getting Essential Vitamins and Minerals  – Vitamin and mineral deficiencies can cause serious heart problems and since you already have a higher risk of atrial fibrillation after a thyroidectomy, deficiencies can make the problem occur if they become severe. Ensuring that you get essential vitamins and minerals is crucial to your heart health. Taking a supplement, such as ThyVita ®  can help you make sure that you’re getting the vitamins and minerals you need to support heart and overall health.  If you experience heart palpitations or tachycardia, make sure you notify your doctor or head to your local emergency room. Many different health problems can cause these symptoms, so it’s essential to be checked out so your medical care team can find the root cause of the problem.        Source:   https://thyroidresearchjournal.biomedcentral.com/articles/10.1186/1756-6614-2-4    https://academic.oup.com/jcem/article-lookup/doi/10.1210/jc.2015-2782    http://circep.ahajournals.org/content/6/5/952    http://www.bmj.com/content/345/bmj.e7895    http://emrc.mui.ac.ir/sites/emrc.mui.ac.ir/files/Journal_Club/Increased%20Risk%20of%20Atrial%20Fibrillation%20After%20Treatment.pdf    http://www.targetedonc.com/publications/targeted-therapy-news/2017/march-2017/levothyroxine-linked-to-heart-risks-in-patients-with-thyroid-cancer    https://www.cancer.org/cancer/thyroid-cancer/about/key-statistics.html    https://www.mayoclinic.org/diseases-conditions/premature-ventricular-contractions/basics/definition/CON-20030205    https://www.mayoclinic.org/diseases-conditions/atrial-fibrillation/symptoms-causes/syc-20350624

Thyroid cancer generally has a very good prognosis, with a five-year survival rate of 98%. However, standard treatment for this type of cancer usually involves a complete thyroidectomy and radioiodine treatment, which is followed with thyroid hormone suppression therapy.

      Is there a connection between thyroidectomy and nutrient deficiencies in thyroid patients?  August 26th, 2016  Have you had a thyroidectomy and suddenly developed frightening symptoms of a racing heart that led you to the ER? Well, you're not alone. Recent studies have theorized a possible link between levothyroxine and the deterioration of intestinal flora.  Levothyroxine is absorbed into the body through the small intestines in the same way that vitamin D3, magnesium, potassium and calcium are absorbed, this is why patients are advised to wait four hours before taking any vitamin supplements. Vitamins like, calcium and magnesium can bind to the hormone and prevent the body from absorbing it. But what happens to our good gut bacteria when we take medication every day?  Studies have proven that when patients take antibiotics certain medications can interfere with the good bacteria in your gut (the bacteria that helps you digest your food and absorb nutrients) there is a possibility that levothyroxine may do the same thing. Many patients who have had a total thyroidectomy (TT) complain of low potassium levels as well as low magnesium and Vitamin D after surgery. In fact, nutrient deficiency is common among patients with thyroid disease in general and is the root cause of most thyroid symptoms. These low vitamin levels can contribute to fatigue, heart rhythm abnormalities, and even higher blood pressures.  Thyroid cancer used to be considered rare, but with a higher incidence of the disease and the occurrence of thyroidectomy increasing, more and more patients are coming forward with their experiences and Doctors are starting to listen. Though side effects are different for everyone, nutrient deficiencies seem to be a common symptom for many who suffer from thyroid disease. and a thyroidectomy. Could this deficiency be caused by a lack of gut flora from everyday use of synthetic thyroid replacement hormones? Until more scientific studies are available to substantiate what patients believe to be fact, one can only rely on their Dr's to check their blood levels to make sure their calcium, magnesium, Vitamin D, and potassium levels are within normal ranges to prevent cardiac episodes and symptoms of depression.   Luckily there is one vitamin supplement that was created to help your body absorb more nutrients in order to help to ease these debilitating symptoms. ThyVita Women's Ultra and Thyvita Vitality not only replenishes your body of lost nutrients, it boosts your immune system and provides you with  all day, natural energy  so   patients don't have to suffer anymore. In fact, it works so well patients report being able to return to a normal lifestyle and actually feel a difference when taking it. ThyVita's patent-pending formula actually helps restore vitamin levels in your body alleviating many of the symptoms thyroid sufferers feel like fatigue, brain fog, muscle pain and so much more. ThyVita even has ingredients that help with fibromyalgia, A1C and leveling out triglycerides.   Because ThyVita has a higher bioavailability than most OTC supplements, you're really getting your money's worth and it's certified GMO-free, gluten-free, Vegetarian, Vegan-friendly, allergen-free and has no bovine ingredients, it's really a step up from other OTC multi-vitamins and thyroid supplements. In fact, ThyVIta isn't just for your thyroid, it's total body support.  Learn more    **As always check with your Doctor or Pharmacist before starting any new supplements or holistic remedies.**

Have you had a thyroidectomy and suddenly developed frightening symptoms of a racing heart that led you to the ER? Well you're not alone. Recent studies have theorized a possible link between levothyroxine and the deterioration of intestinal flora.