Are You Still Suffering From Thyroid Symptoms?
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HOUSTON Thyroid Disease HEALTH&WELLNESSCENTER Are You Still Suffering From Thyroid Symptoms? DID YOU KNOW? Even if you are prescribed thyroid 90% of women on thyroid replacement replacement hormones, you could still be suffering from any number hormones are likely to continue suffer- of these thyroid symptoms: ing with low thyroid symptoms! •Feel tired or sluggish T he thyroid is one of the largest endocrine glands, •Can’t lose weight even with exercise found in the neck (under the “Adam’s Apple”). It •Feel cold in hands, feet, or all over controls how quickly the body uses energy, reg- •Increase in weight gain even with ulating the rate of metabolism, makes proteins, and low-calorie diet controls how sensitive the body is to other hormones. •Gain weight easily •Require excessive amounts of sleep Even if your thyroid levels appear normal and you’re to function properly taking your prescriptions, these symptoms may per- •Insomnia sist. In the United States, 4 out of every 1000 women •Night sweats suffer with hypothyroidism. Most of them continue to •Difficult, infrequent bowel move- suffer ever after they receive the standard thyroid hor- ments mone replacement treatment. Why does this happen? •Feel depressed and lack motivation •Morning headaches that wear off as The thyroid hormone replacement model does not the day progresses have a great chance to make you feel better. It simply •Mental sluggishness does not consider the many other factors that thyroid •Brain fog patients suffer with and contribute to how they feel. •Outer third of the eyebrow thins •Thinning of the hair on scalp, face or What’s wrong with the premise behind the use of thy- genitals or excessive falling hair roid hormone replacement alone is that you can make •Dryness of skin and/or scalp up the lost thyroid function by replacing the deficien- •Feel more nervous and emotional cy of hormones with external hormones like Synthroid •Heart palpitations or Armour. It ignores the many factors that are con- •Inward trembling tributing to your body’s unhealthy function in the first •Increased pulse even at rest place. 1
measured, it will usually be found to be elevated, representing low Thyroid Replacement Hormones as thyroid function, and patients are typically diagnosed as having primary hypothyroidism. They are then placed on thyroid replace- the Only Approach are completely ment hormone for the rest of their lives without considering how the other factors in their bodies could be making the problem worse over time but if changed could allow them to feel better. ineffective ! Why did this happen? The issue of the autoimmune attack is not addressed in “normal” medical approaches. Instead, they are T his hormone replacement approach may work for about 10- “considered” to be “managed” properly when the TSH normalizes 20% of hypothyroid patients, but it will fail to produce opti- with the replacement hormones. In a sense, the patient is having mum results with the other 80-90%. their TSH managed, but not the real underlying mechanism for their loss of thyroid function, which is the autoimmune attack against their thyroid. In the replacement model, when the TSH is “normalized” from taking the thyroid replacement hormone, any symptoms that re- main after the normalization of the TSH are attributed to some- thing else. Take for example if your thyroid condition is causing depression (which it commonly does) the doctor will give you antidepres- sants. Why? Because if the thyroid TSH level is now in the “nor- mal” range, your doctor won’t consider the depression to be a symptom of a thyroid condition since your TSH levels are “normal” so it must be something else entirely. It appears logical, but the symptoms could still be coming from poor thyroid function. If you have not had this experience yet, you probably will. You will go into your doctor’s office because you still suffer with the same symptoms, and in an attempt to move you out of the office in the allotted 10 minutes the doctor has been given for your visit, he or she is going to shove an anti-depressant prescription at you and Take for example treating Hashimoto’s Autoimmune Hypothy- tell you that it will help some of the symptoms. roidism with hormone replacement as the sole treatment, is like treating the common cold virus with antibiotics. Antibiotics never In most cases, since the actual autoimmune attack is ignored, over have and never will be effective against the cold virus because an- time you will continue to lose more thyroid cells, and the require- tibiotics don’t kill viruses, yet they are still commonly used. ments for your thyroid replacement hormone will continue to rise. Even more importantly, despite the fact that “TSH is considered For most thyroid sufferers today, the immune system will never managed” with replacement thyroid hormones, Autoimmune be looked at and measured. The immune system, and all things Thyroid patients will continue to have all the symptoms of low that affect the immune system, was a huge missing factor for the thyroid function. causes doctors used to consider for illnesses. In fact, most doctors will not consider anything that falls outside “traditional medicine” If you fail to look at factors affecting your GI system (gastroin- as effective. They fail to look at how diet, GI function, supplemen- testinal system), blood sugar regulation, hormone balance, along tation, and lifestyle alterations can bring greater function to their with taking your thyroid replacement hormone, you could be thyroid patients. making your autoimmune condition worse every day. Following the” traditional medical” approach will only leave you Since the autoimmune mechanism is the most common cause of feeling sick and keep you from the information that you can use hypothyroidism in the United States, you would think that it is to help yourself. commonly screened for. Actually, it is rarely ever checked. This is mostly because the treatment is still thyroid replacement hor- The number one cause of low thyroid function worldwide is iodine mones only. Why run extra tests if you are not going to alter the deficiency; but in the United States the number one cause of low treatment based off the test results? This is considered “waste” in thyroid function is Hashimoto’s Autoimmune Thyroid. Hashimo- the insurance model, which has become prevalent in this country. to’s is an autoimmune attack against thyroid cells, meaning your body’s immune system is targeting and killing your own thyroid tissue! Although Hashimoto’s can cause symptoms of hyperthyroidism, or overactive thyroid, there is a slow, gradual attack against the thyroid. This eventually leads to the loss of enough thyroid cells and function and when the thyroid does not work adequately, in this case because the cells are being destroyed, the pituitary gland (in your brain) increases the production of TSH (thyroid stimu- lating hormone) as an attempt to increase thyroid gland activity. This over activity is what is causing the hyperthyroid symptoms, because your body is working overtime to compensate for the de- teriorating cells. Over time, people with Autoimmune Thyroid’s start to develop the symptoms of low thyroid function, which will prompt them to have their thyroid checked by their doctor. When the TSH is 2
Natural Thyroid Support Your Immune System Y ou may have been to an alternative health doctor or nutri- T tionist looking for some relief from your thyroid symptoms. he immune system has two sides like a teeter-totter. The They may have given you some supplements that contained first side, called our T-Helper 1 System (TH-1 System), is iodine, B Vitamins, and thyroid glandulars to try to improve your our immediate immune system response. It is responsible thyroid function. for an immediate attack against foreign invaders like bacteria or parasites. The cells involved in the TH-1 system are called mac- What’s wrong with this rophages, natural killer cells, and cytotoxic T Cells. It is our front approach? When a pa- line defense. tient is presented with an autoimmune thyroid The other side of our immune teeter-totter is our T-Helper 2 patter, neither nutritional System (TH-2 System). It involves the production of antibodies support specific for the to “tag” onto foreign invaders so our TH-1 system can find and gland, thyroid glandu- destroy the invaders easily. It is our B cells that are responsible for lar therapy, nor thyroid producing the antibodies. hormone replacement do very little to improve Most of the time our TH-1 system will successfully destroy in- the patient’s response vaders before antibodies are ever produced. If the invader is not and physiology. This is destroyed by the TH-1 system immediately, the TH-2 system gets an autoimmune battle. If involved and produces antibodies. These antibodies are like at- we make progress in that taching strobe lights to the foreign invaders. It makes it extremely battle, you will begin to easy for the TH-1 cells to find and kill. feel normal again. In order for the various immune cells of the TH-1 and TH-2 sys- In Hashimoto’s Autoim- tem to communicate and coordinate their function, they produce mune Thyroid, your body little messenger proteins called cytokines. is literally eating your thyroid tissue, and the In an autoimmune condition, like Hashimoto’s Autoimmune Thy- longer you go without roid, the two sides of the immune system teeter-totter become regulating and calming the immune attack, the more thyroid cells terribly imbalanced. It is almost like there is a person on only one you will lose. But not all doctors treat Hashimoto’s like they do side. It is this dysregulation (or poor modulation) in the immune other autoimmune conditions. system, the imbalance between the two TH systems that tricks your body into attacking its own tissue. Traditional Treatiment for Autoimmune This “dominance” of one side of the immune system is also why the hormone replacement model as the sole thyroid treatment Conditions does not usually result in patients feeling better even though lab tests may look normal for a time. W hether a person is diagnosed with Rheumatoid Arthritis, The cytokines that are produced in the autoimmune attack actual- Lupus, or Multiple Sclerosis, the standard medical treat- ly interfere with the thyroid receptor sites from producing normal ment is cortisone, thymectomy, or other immune sup- responses. Therefore, even if you have an adequate amount of pressing drugs. In other words, complete immune system sup- thyroid hormone in the blood stream, the hormones will not pression. The approach is to suppress the immune system as an necessarily bind to your cells and create a normal metabol- attempt to dampen the attack against the body’s own tissue. ic response. This means you still have thyroid symptoms even with normal levels of thyroid hormones circulating in your blood Unfortunately, this treatment creates many side effects and stream. is rarely used to treat Hashimoto’s. In Hashimoto’s, the usual treatment is NO treatment at all. They just completely ignore Normally, when a thyroid hormone binds to a cell, it causes the cell the autoimmune attack against the thyroid. to increase its metabolism and increasing the production of cer- tain proteins inside the cell. This is called a “proteomic response,” The wisest thing to do would be to not completely shut down your which triggers the cell to perform its function. In Hashimoto’s, the immune system; you need an approach that is centered on spe- proteomic response is diminished by the inflammatory cytokines cific immune evaluation and regulation. You need someone who is that are produced as a result of the autoimmune attack against going to analyze your immune system with specific lab panels and the thyroid. make natural changes based on the specifics of your own immune physiology. Therefore, even when the thyroid hormones bind to cell receptors, there is not a very strong proteomic response. This is exactly why Before we can begin to modulate or regulate the immune system, treatment with thyroid replacement hormone only can result in a very specific evaluation must be done. It is terribly dangerous to continuing thyroid symptoms. suppress your entire immune system. It does more than just pro- tect us from foreign invaders like bacteria, parasites, or viruses. It Most doctors do not acknowledge this mechanism. They will try is involved in destroying our own cells to help us eliminate dead to make your lab tests look “normal” with replacement thyroid or old cells. This process is called cellular apoptosis, and if this hormones, and when you tell them you still have the same symp- system fails, cancer develops. toms, they are going to assume the symptoms are coming from somewhere else. Not much consideration is given to how you, the patient, feel or what you are experiencing every day. 3
Next, we usually run a panel that looks at all of your lympho- What makes your Body Attack your Thyroid? cytes (White Blood Cell T Cells) called a Lymphocyte Subpopula- tion Analysis. This gives us insight into the health of your immune system. There are numerous possibilities when we look at these two panels together, and we have strategies and methods to help manage the situations we see. Going Organic F rom the information we derive from these immune panels, we are going to devise an all-natural treatment plan to support your specific immune dysfunction. We use all natural botan- icals and plant extracts that have been shown in peer-reviewed scientific literature to have very specific immune stimulating and modulating/regulating effects. There are many natural substances that have been studied, which have immune stimulating or suppressing properties, but what’s important is the therapeutic use of only those natural substances shown to have a particular affect when applied to a specific im- mune dysfunctional pattern. A ll autoimmune thyroid sufferers start with some sort of ge- netic susceptibility that predisposes them to this disorder. Something that may have a very beneficial immune effect in one At some point, the genes for the disease “turn on,” and your Hashimoto’s patient may have a very detrimental effect in anoth- body begins the attack on your thyroid tissue. Possible triggers er. But there is no way to know this until the immune system has that are known to “turn on” autoimmune attacks are environ- been analyzed! mental compounds such as heavy metals, pesticides, herbicides; hormonal imbalances; stress responses of chemical, physical One of the biggest mistakes I see natural medicine doctors make and emotional nature; antigen responses such as bacteria, vi- is giving autoimmune patients broad spectrum immune support. ruses, mold and parasites; and food allergies and sensitivities. This may seem counterintuitive at first. If the immune system Any one or a combination of these factors related with some ge- netic susceptibility can “turn on” the autoimmune response and lead to the slow, gradual destruction of your thyroid cells. Most importantly, we must understand that once these genes “turn on” we have no way of completely turning them off. Think of these autoimmune genes as a light switch that is turned on and then suddenly breaks. Now we can no longer turn the switch off, but we can modulate or regulate the immune system using a dimmer switch. With the right treatment, we can turn down the dimmer by removing things that are triggering the im- mune system to be overzealous. A Different Perspective to the Thyroid is obviously unhealthy in an autoimmune patient, then providing Sufferer things that are known to help boost the immune system should help, right? Wrong! B ecause of our understanding of functional immunology and functional endocrinology, we take a very detailed look at a It is a totally different game with autoimmune situations. Ideally, Hashimoto’s sufferer. We run special functional lab tests and your TH-1 and TH-2 systems would be balanced and work to- immune panels that actually tell us where the physiology is going gether. This is not the case in autoimmune attacks. The immune wrong, which helps us determine what needs to be done to man- system is malfunctioning to the point that it thinks your own tis- age your condition. sues are foreign invaders. Starting with a comprehensive thyroid panel, including antibodies, It is absolutely critical that only botanicals and natural compounds we see exactly what the source of your thyroid problem is out of that are known to have specific immune responses be used with the 30 (and more) different dysfunctional thyroid patterns with an autoimmune case. With broad spectrum immune support, you Autoimmune Thyroid as the most common pattern we see by far. can actually further stimulate the dominant side of the immune We then run laboratory panels to look for blood sugar disorders, system and make the autoimmune attack worse. This results in hormone imbalances, anemia patterns, and adrenal gland dys- greater tissue destruction, which is why we must base our treat- function. All of these things play a crucial role in affecting normal ment off the details contained in each individual’s immune panels. thyroid function, so we go through your case with a fine tooth comb to uncover all the possible mechanisms that are contribut- If you are wondering what might fall under the category “immune ing to your suffering. support,” I would tell you to avoid supplements that are labeled as “immune support products.” You may have some in your cabinet When we are dealing with Autoimmune Thyroid, the most com- right now. mon pattern, we go even further in our assessment. We may run a cytokine panel to determine which side of your TH-1 and TH-2 Most alternative medicine based patient management is not based teeter-totter is dominant or tipping the scale. on lab testing. At best, treatment in traditional natural medicine 4
is based on old, outdated testing models like checking basal met- abolic temperature, or even worse, solely based off of patient’s Birth control pills are another history. source of estrogen surges. It is a common scenario for wom- In the traditional medical “box,” immune testing becomes irrele- en to go on birth control pills, vant because it does not dictate or change the traditional medi- gain a lot of weight, and get cal management of the patient. In the medical treatment model, depressed. When they get off once it is determined that an autoimmune mechanism is involved, the pill, it does not really help drugs to suppress the immune system are given, bringing with them lose weight or decrease them a multitude of devastating side effects. Long-term immune their depression. Being on the suppression is only going to make you sicker since the immune pill in the first place may have systems purpose is to keep you well. triggered the Hashimoto’s re- sponse against the thyroid. Question the thought process here: Once an autoimmune mech- anism is involved why would you want to suppress the immune The third issue with estro- system completely!? gen and Hashimoto’s is per- imenopause. As women lose However, when we determine that an autoimmune mechanism their feedback loop between is producing your hypothyroid symptoms, we are then going to the pituitary and ovaries, a run our specific immune panels. These include: (1) Lymphocyte consequence of normal aging, Subpopulation Analysis and (2) Cytokine Panel. there are surges of estrogen produced because the pituitary can no longer regulate the ovaries. These surges of estrogens can “turn The results of these two panels are going to give us a clearer un- on” the Hashimoto’s response. When these estrogen surges oc- derstanding of what the immune system dysfunction is, leading to cur, they may trigger an increased autoimmune attack against the applying specific nutritional strategies to calm down the autoim- thyroid, causing thyroid cells to be destroyed. mune attack against your thyroid. The estrogen surges may act like “gas on a fire” and further in- Using our understanding of functional immunology and our re- crease the autoimmune thyroid destruction. This increased de- view of the peer-reviewed scientific literature involving natural struction of the thyroid will result in short-term, high release of plant botanicals and extracts, gives us the most highly effective the thyroid hormones into the blood stream, creating temporary strategies available to support your immune system. Most impor- high thyroid hormone levels. This increases the metabolic rate, tantly, we can do this without all of the side effects of immune and women get hot flashes, insomnia, and irritability. suppressing drugs. These symptoms are usually attributed to a deficiency of estrogen from going through menopause, but often, this is not the case. Along with turning down the dimmer switch on your autoimmune Sometimes it is not the estrogen fluctuations that are causing the attack, long-term success necessitates that we remove any “trig- hot flashes, insomnia, and irritability, but it is the immune at- gers” that are flaring up your immune response. Here are a few tack against the thyroid that is promoted by fluctuations from triggers and some extra information on each. It is always a good the menopause process that creates a temporary hyperthyroid re- idea to learn as much about your body as you can. sponse. Food Sensitivities - We will run additional lab testing to deter- Whenever we see a post-menopausal woman who developed hot mine if there are foods that you eat that are creating an immune flashes, insomnia, and irritability that did not resolve with estro- response. Foods to which you are sensitive to flare up your im- gen replacement therapy, we know we are likely dealing with a mune response every time you eat them, furthering the attack on Hashimoto’s response that turned on with menopause. In these your thyroid, leading to more destruction. cases, many times, we can totally normalize the hot flashes by treating the autoimmune thyroid. Iodine - Even though iodine is a very important nutrient for thyroid function, Insulin Surges - Surges in insulin really promote the Autoim- and even though iodine deficiencies mune Attack on the thyroid. The insulin surges actually stimulate are very common in other parts of the the immune cytokines responsible for your autoimmune attack. world, iodine containing supplements Insulin surges occur in diabetics, pre-diabetics, and hypoglycemic can actually trigger a Hashimoto’s re- patients. sponse. The bottom line is that iodine is a very important supplement, but in Many people get checked by their medical doctor and are told that supplemental form it can make the au- everything is fine. The sheer number of functional hypoglycemics toimmune against the thyroid worse! and insulin resistant (pre-diabetics) people walking around is staggering. Even if you were told your labs were “normal”, the lab There are numerous studies in the sci- ranges they used are not “healthy functional ranges,” and there is entific, peer-reviewed literature that a good chance there is an underlying blood sugar problem. show this connection. Most natural healthcare practitioners, without con- Hypercortisolism - Cortisol is your body’s stress hormone. It is sidering the immune interaction, insist produced when your body’s energy demands increase as a result on giving iodine supplements for thy- of stress – the “Flight or Fight” response. When there is an active roid conditions in much the same way stress response (from chemical, physical, or emotional stress) or as the medical community uses thyroid replacement hormones as a defect in your brain’s ability to modulate stress, you will have a “blanket” treatment for all hypo-thyroid conditions. increased cortisol production. The increased cortisol promotes in- sulin resistance, leading to insulin surges. This will cause your au- Hormone Imbalances - This is especially true when looking at toimmune attack to get worse. estrogens and pregnancy. In the third trimester of pregnancy, a female is TH-2 dominant, and postpartum they have a tenden- Gastrointestinal Infections (GI) - There are a number of GI in- cy to be TH-1 dominant. This fluctuation of hormones is enough fections that promote the autoimmune response. Your gut has to turn on the Hashimoto’s response for some women. It is very a huge number of healthy bacteria that live and produce posi- common to have a woman deliver her baby and then, months lat- tive benefits for normal functioning. When the balance between er, be diagnosed with hypothyroidism. Actually, Hashimoto’s was good and bad bacteria is askew, called dysbiosis, it is known to “turned on” after pregnancy. promote autoimmune inflammatory responses. If we ignore this, 5
our chance of fixing your autoimmune thyroid condition is greatly compromised. There isn’t a “cookie cutter approach” to dealing with autoim- How will I see the Results? W mune thyroid. Until we look at all of the triggers that cause and e are going to know we are making the functional changes promote the autoimmune attack, systematically work at removing we desire because, after treatment, we will be repeating those triggers, and then look specifically at your immune system the tests we used to determine our specific plan of action. with the lab panels we discussed, there is no way to know what We cannot just spend time and effort learning what is wrong and is going on or how to deal with the issues involved. Every case is then just hope our natural treatments made the changes. We have different; every case is special. We will treat you like an individual, to re-test, make alterations in treatment protocols, and re-test not just another patient. again. Not that you will not be feeling better as we make these changes, but we have to measure your changes so we keep moving Not everyone needs every test. From your history, current presen- toward the goals we set together. tation, and initial consultation, we work with each individual to determine what is needed. It is truly an individualized approach. In reality, we may have to make a series of changes before you start “feeling better”, but at every point we have labs to guide As much as it sounds like common sense, one reason other doctors us. Based on your specific case, we are going to have a schedule don’t take this approach is because some doctors just do not know of your re-tests so we can make corrections and know when we what they need to know. They are seriously behind the times, liv- need to move on to the next thing. Sometimes we cannot effec- tively support a particular physiological process until we normalize another first. A lot of doctors will not to do this for you. Most “natural medi- cine” is based off of zero testing, minimal testing, or the wrong testing. Mainstream medicine is going to shove hormones and an- tidepressants at you no matter what the labs say, so there is not a lot of testing done on that end either. Functional changes take time. Remember, our job is not to give you a pill and hope a symptom goes away. Our job is to take a step back, look at the big picture, and systematically support your physiology. The reason you may not have gotten help yet is because no one dug deep enough, was willing to listen, understood your problem, or took the time necessary to make the changes. ing in decades past, using an outdated treatment model which does not work for the majority of people. Or they may not under- stand how to use natural supplements and nutrition. Another reason is that they and the insurance companies do not consider this comprehensive approach and testing “medically necessary.” Medically necessary should include everything that is going to contribute to you having a better functioning body and help you feel as good as you possibly can. You may not have experienced this before, but it should be a “partnership” when you work with a doctor on your health condition. That is the way it’s always intended to be, but unfortunately with historical proof, medicine and healthcare in general have moved away from that. The goal of the case review, consultation, and any initial testing is to tell us what your functional imbalances are, what your immune system dominance is, and what triggers and lifestyle factors are contributing to your problem. Then, we can design a powerful, all-natural, step-by-step approach to help you achieve your de- sired results. What If This Doesn’t Work For Me? Have you ever put together a piece of furniture or a kids’ toy with- out reading the instructions because you thought you could figure T it out on your own? Then, you reached the very end, realized you he number one factor that determines success or failure missed a step, and had to go back and take everything apart be- with a case is how closely the patient follows my recom- cause you missed that one little piece? mendations. Supporting these functional immune, hormone, and metabolic If you do the things I prescribe, then you are going to go down the imbalances has to be done in the proper sequence. We look at road you have been wanting, probably for a long time, which is everything we need to do up front, so we know what sequence we moving toward “normal” again. have to take to help you. 6
completed our initial consultation and made our initial set of rec- ommendations, we will decide on our next step. What about the Cost? Following your initial consultation we will schedule your complete Wellness Evaluation followed by a report of findings where we will O ur initial consultation and case review is $287* (but IF you summarize your findings and make recommendations if we accept schedule your case review within 2 weeks of requesting this your case. article it is only $87). To find the best course of action for your, we will do a comprehensive review of your medical history, If we move forward, we can work together, as a partnership, to tru- medical records and recent labs tests (if available). Then, we will ly improve your condition. Remember, we are going to work at your make health recommendations and work with you to build your pace and take the necessary steps to help reach your goals. Personal Roadmap to a healthy life. This includes a comprehen- Initial Consultation with Dr. Brian Fennelly sive plan of action and steps that both you and us will need to take to get you where you want to be. If you are sick and tired of being sick and tired and would like to take a comprehensive natural and functional treatment Our unique approach steps out of the “medical box,” so we can do approach to enhance your current thyroid treatment, then call what is needed and take the time necessary to help you. Until we us at (713) 947-2772 and schedule your Complete Thyroid Case know the specifics of your case, what tests we need to run, and Review and Consultation. how long it will take to make the necessary functional changes, there is no way to say what the cost is going to be. The $287 cost for the initial consultation will cover the review of your medical history, review of past medical records, review of Everything can be done in steps. The first step involves a case re- recent lab tests (if available), and our consultation and recommen- view and consultation, so we can get to the specifics of your case. dations. There is always a way to make it work out financially. We have DO NOT let your thyroid condition control YOU when answers to financing options available through our office as well as many your suffering are right here. How would you feel finding out years different payment options are available to help minimize your from now that the answer to your problem was right in front of immediate out-of-pocket expenses and limit the impact on your your face all along, and you let it slip through your fingers? financial situation. We can make it work. 95% of Failure comes from not having a system AND a coach/ The smartest choice is to get to the root of the problem and not mentor. Mentor means “doctor lead”. We take our clients through a get “passed through” the medical system, being treated like you Step by Step, ABC, 123 ROADMAP…to take you from where you are don’t understand your own body. NOW to where you want to be! The thyroid hormone replacement is making up for decreased in- ternal thyroid production, but it does not address your immune problem. Immune suppressing drugs are going to create long- term side effects and greater problems in the future. Natural sup- port for the thyroid gland itself is often futile for Autoimmune For more information about hypothyroidism and Hashimoto’s dis- Hashimoto’s Thyroid. ease, visit http://www.thyroidbook.com/. How does Consulting with Dr. Fennelly Work? Every new client we work with begins with a case review and con- Written by Dr. Brian Fennelly, Founder of Houston Health and sultation, as previously mentioned. When you schedule your case Wellness Center review and consultation, we will send you our comprehensive case Edited by Sera Perkins history and dietary & nutritional questionnaire. This will allow us to Layout Design by Wendy Warwas learn everything about your case and your medical history. We will also review all your previous lab tests (if available). We will email you the questionnaires, have you fill in the form, save it, and email it back to our office prior to your scheduled consulta- tion. If you prefer, we can mail you these forms for you to complete and mail back to our office prior to your scheduled consultation, along with any previous labs to our office. Your case review consultation will take approximately 45 minutes to 1 hour. During this consultation we are going to thoroughly discuss your case and also talk about the dietary, lifestyle, and sup- plemental changes we can make immediately to positively impact your condition. We are also going to discuss the specific lab tests that will give us the needed information to uncover the mechanisms or causes of your condition. We will direct you to the proper local labs and have the results sent back to us. How we continue our relationship after our initial consultation and follow-up appointment is completely up to you. After we have Copyright © 2013, Houston Health and Wellness Center 7
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