Wellness

Thyroid Antibodies: Why Test?

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Thyroid antibody lab tests are tests often overlooked by physicians when checking for thyroid disease. This is unfortunate because when caught early, the amount and length of time the thyroid is being attacked could be decreased. If you are interested in learning more about thyroid health, click here for my last post. Hang with me here and we will talk about why thyroid antibody tests are important and if you should have yours checked.

What are Antibodies?

An antibody is a protein made by plasma cells in response to an antigen, or a substance the body thinks is a “bad guy”. Each antibody can bind to only 1 antigen in order for the immune system to attack and destroy that antigen. So, obviously, thyroid antibodies set up an attack on the thyroid gland, each one in a different way.

Anti-thyroperoxidase (TPO) antibodies are the most common and are associated with Hashimoto’s Thyroiditis along with anti-thyroglobulin (Anti-Tg) antibodies. Thyroid Stimulating Hormone (TSH) Receptor (TSHR-Ab) antibodies are associated with Graves’ Disease.

Did you know that thyroid antibodies can be present before other thyroid hormones are out of “normal” range?  

So, if I ask you if you’ve had your thyroid labs check and you are like, “yep, my doctor says my thyroid is good”, it is usually only a TSH level that is checked. This lab test can only give us a small picture of what is going on with the thyroid or maybe not tell us anything at all. Antibodies can be present for years before we see a change in the TSH level. This is super frustrating because if antibodies are present, they can slowly destroy the thyroid over time. This will eventually cause the thyroid to not be able to produce hormone efficiently, then causing the change in TSH.

Thyroid antibodies can produce symptoms even when there is no hypothyroidism detected. Symptoms can include fatigue, anxiety, depression, weight gain, general poor feeling and potential for miscarriage. So no, you are not crazy when you tell your doctor you think there is something else going on even though your labs don’t show it.

Thyroid antibodies with a normal TSH can be an early warning sign of Hashimoto’s Thyroiditis, an autoimmune disease. It is estimated that 90% or more of those with hypothyroidism have Hashimoto’s disease. But, not all of those with Hashimoto’s will have elevated antibodies and will need a thyroid ultrasound if symptoms persist. I am one of the few with hypothyroidism and not Hashimoto’s. If there are antibodies present and an elevated TSH, Hashimoto’s is likely in the later stages.

Why are doctors not testing antibodies?

After reading the information above, you may be asking this same question. Right? Many general medicine practitioners don’t think that an autoimmune disease can be treated and reversed. Therefore, there is no need to know if antibodies are present because it doesn’t change their treatment plan. The root cause doesn’t really matter. They will treat the thyroid if the labs show that it makes sense. Or, if they are aware of autoimmunity, they want to suppress the immune system causing more problems and side effects.  

If I have antibodies will I always have antibodies?

There is no cure for autoimmune disease. Once autoimmunity is present, there is always a potential for your immune system to attack your own cells causing problems. There is, however, a way to support the immune system, reverse or decrease autoimmunity and prevent further attack on the body. Nutrition and lifestyle play a large role in supporting the immune system and this topic deserves multiple blog posts! And, just so you know, I care about the root cause and it does matter!

Antibody levels will change in response to underlying causes, like stress, food sensitivities and infections. It is important to also look at the big picture of how you are feeling. If you have antibodies, it is great to have them checked occasionally with your other labs because it can tell you if your interventions are working or if you are maybe having a flare up and need to try something different.

Who should have thyroid antibodies tested?

If your doctor is already doing blood work to check your thyroid health, I recommend asking for a full thyroid panel, which will include antibody tests. It is great to get these labs done and see the full picture from the start. If this isn’t being done, here are some reasons you may want to ask for thyroid antibody tests:  

  • You have another autoimmune disease like celiac disease, multiple sclerosis, Sjogren’s, etc. Once you have an autoimmune disease, you are 3x more likely to develop another one.

  • You have classic symptoms of a thyroid issue but your TSH continues to come back in the “normal” range.

  • You have a close family member with an autoimmune disease, especially Hashimoto’s or Graves’ disease.

  • You’ve been diagnosed with hypothyroidism or hyperthyroidism but have not had antibody tests done.

Antibodies can be an important piece of information when we are looking at thyroid health and thyroid diseases. They do matter and they can be decreased with immune system support. Antibodies can be present long before the thyroid is showing signs of attack and decreased function. As always, be aware of symptoms and be diligent in finding a doctor who will listen to you.

In health,

Lin

Thyroid Awareness Month: What You Should Know

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January is Thyroid Awareness Month so I wanted to bring a little more awareness to this growing group of diseases and overall thyroid health throughout this month. Have you ever heard of thyroid disease? Do you know what your thyroid is and what it does? Did you know that Hashimoto’s Thyroiditis is one of the most prevalent autoimmune diseases? In this post I’ll talk more about the thyroid gland, thyroid diseases, thyroid testing and and why it is all important.

I wish I had known way more about thyroid health much sooner than when I was diagnosed with hypothyroidism. The more I’ve learned and read about hypothyroidism, the more I’m convinced it started after my pregnancy, which was 8 years prior to my diagnosis. I dealt with postpartum depression as well as some other bouts of depression, anxiety, stubborn weight that doesn’t come off easily, thinning and dry hair, and mood issues. I still deal with some of these occasionally but it’s so much better than it was. You can read more about my story in this post. Determination to figure out how to feel better is what drove me toward integrative and functional nutrition, especially working with others with thyroid disease.

According to The American Thyroid Association, more than 12% of the American population will develop a thyroid condition at some time in their life. That is about 1 out of every 8 Americans, with women being 5 to 8 times more likely to develop thyroid disease. But, they say that up to 60% of those with thyroid disease are unaware of their condition. That is a very large percentage! Undiagnosed thyroid disease can lead to many health problems including cardiovascular disease, osteoporosis and infertility. That is why thyroid awareness is so important!

What is the Thyroid Gland?

The thyroid is a butterfly-shaped gland in the middle of the neck that produces hormones. It plays a major role in metabolism and growth and development. It controls our body temperature, how efficiently our body burns energy, and our menstrual cycles just to name a few. Basically, thyroid hormones affect every cell and organ in the body.

The thyroid gland produces thyroid hormones T3 (triiodothyronine) and T4 (thyroxine or tetraiodothyronine). The body needs more T3, the active form, but produces more T4, which must be converted into T3. There is a potential of underlying causes not allowing proper conversion of T4 to T3, which can cause hypothyroid symptoms.

Then there is thyroid stimulating hormone, or TSH, which is produced by the pituitary gland. Its job is to signal the thyroid to release hormones, which will depend on the amount of hormones already circulating in the blood. It all needs to work together properly for optimal thyroid function.

What is Thyroid Disease?

There are different types of thyroid diseases where too little or too much thyroid hormone is produced. There are also autoimmune thyroid diseases that attack the thyroid gland. I’ll briefly discuss hypothyroidism, hyperthyroidism, Hashimoto’s Thyroiditis and Graves’ Disease.

Hypothyroidism is where the thyroid gland does not produce enough thyroid hormone, or is underactive. It is much more common than hyperthyroidism. Symptoms of hypothyroidism include weight gain, sensitivity to cold, fatigue, brain fog, anxiety, depression, constipation, dry and brittle fingernails, loss or thinning of hair, irregular menstrual cycles, edema and puffiness, joint aches, and trouble sleeping. I suffer(ed) from many of these symptoms and didn’t realize they were all related.

Hyperthyroidism is an overactive thyroid or where the thyroid produces too much hormone. Symptoms include unexplained weight loss, rapid heart rate, excess sweating, irritability, and shaky hands.

Hashimoto’s thyroiditis is an autoimmune disease, meaning the immune system attacks its own healthy cells. With Hashimoto’s, the immune system attacks the thyroid gland and produces antibodies against the thyroid eventually causing the thyroid to not produce hormone properly. It is estimated that around 90% of those with hypothyroidism have Hashimoto’s.

Graves’ Disease is also an autoimmune disease, where the immune system attacks the thyroid gland. The antibodies produced in Graves’ Disease cause the thyroid gland to grow and produce too much thyroid hormone. It can also cause problems with the eyes, called Graves’ Ophthalmopathy.

What Tests Detect Thyroid Disease?

TSH (thyroid stimulating hormone) - This is the most common thyroid test run when checking for thyroid function. The lab range is controversial. Most functional medicine doctors looking for a lower number than conventional medicine ranges for optimal symptom improvement.

Free T3 - the amount of T3 hormone circulating in the bloodstream

Free T4 - the amount of T3 hormone circulating in the bloodstream

Reverse T3 - produced from T4 but blocks the action of free T3 so it can not be used.

The following antibody tests are used to diagnose autoimmune thyroid disease.

TPOAb - thyroid peroxidase antibody

TgAb - thyroglobulin antibody

A full thyroid panel should include all of these tests. The reverse T3 may be an add-on test and not included in the panel.

Takeaways

With as many as 60% of Americans unaware that they have a thyroid disease, it is important to be aware of symptoms and to have a regular screening done by your physician. Many women present to their doctor with symptoms of a thyroid disorder but are referred to other specialists or are treated for their individual symptoms rather than looking at the thyroid. If you are like me, you don’t even realize that the thyroid can be to blame.

If you aren’t sure if your doctor is checking any thyroid labs when you do blood work, ask. If you aren’t sure if your doctor is running all of the appropriate thyroid labs, ask. If your doctor is dismissing your symptoms or prescribing medications for your individual symptoms, find a second opinion and someone who will listen. Know your body, know your symptoms and take control of your health.

Comment below on anything you’d like to know more about with thyroid health. Want to learn more about what I do? Schedule a free call here.

In health,

Lin

Inflammation: What You Need to Know and How to Reduce It

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Inflammation is a word that gets thrown around a lot in the nutrition world. Maybe you’ve heard of inflammatory diseases or an anti-inflammatory diet? I was pretty unaware of inflammation until it affected me. I first found out about my inflammation about a year ago after tests run by a functional medicine clinic. I started going there because of some problems I was having that I couldn’t figure out. My inflammatory marker, CRP, was high and I was also having insulin resistance, which goes hand-in-hand with inflammation. I was completely shocked that I was dealing with insulin resistance but it was starting to make much more sense. There were things happening in my body causing problems that I didn’t know about. That’s just my story but it also may sound a lot like your story.  

So, what exactly is inflammation and how does it work in our body? There is a lot of information when it comes to inflammation and it can be very sciency! Is that even a word? Yep, pretty sure it is. Let’s break this information down to help make sense of it. And, just the juicy tidbits instead of all the blah, blah, blah stuff. I personally like the blah, blah, blah stuff but I’m a geek.

What is Inflammation?

Inflammation is the body’s natural immune response to a stimulus, usually to protect itself from harm. Inflammation can be good and bad, also known as acute and chronic. Acute inflammation happens when we get a cut and our body sends out the defenses to heal the wound. This is good and is shorter in duration. We need inflammation to survive. Chronic inflammation happens when our immune system is consistently in the “on” switch causing a release of chemicals that cause damage leading to disease. This is bad and long term. Chronic inflammation is responsible for pain and tissue destruction in disease.

What Causes Inflammation?

In working to figure out how to calm chronic inflammation to heal, we must understand the causes of inflammation. According to integrative and functional Dr. Mark Hyman, the list of causes isn’t very long. His list of causes of inflammation:

  • Poor diet: mostly sugar, refined flours, processed foods and inflammatory fats such as trans fats.

  • Lack of exercise

  • Stress

  • Hidden or chronic infections with viruses, bacteria, yeasts or parasites

  • Hidden allergens from food or environment

  • Toxins such as mercury and pesticides

  • Mold toxins and allergens

 I would also add to this list:

  • Excessive exercise

  • Gut dysbiosis or imbalance of good and bad bacteria (often caused by diet and medications)

  • Negative thoughts and emotions

Inflammation is very individual and it can be hidden to some. It can present in different ways, even in people with the same disease. The key is for health practitioners to work with an individual to find their specific inflammatory triggers by digging into their health history and testing to get more specific information. Testing can be very helpful when we talk about food allergies or sensitivities, toxins and chronic infections. There are also a few tests that can determine inflammation in the body with C-reactive protein (CRP) being most common. This is the test I had run. Mine was 1.2 with optimal (according to my practitioner) being <0.3 so it wasn’t terrible but wasn’t awesome. If you suspect inflammation, ask your doctor for this test with your next set of labs.

What Diseases are Correlated with Chronic Inflammation

Inflammation is at the root of many common and chronic conditions. It can slowly cause problems with many systems in our body. We usually don’t know about the inflammation until major issues and symptoms show up. If it is a chronic disease, you can bet there is underlying systemic inflammation that needs to be dealt with. Here is a small list of inflammatory diseases:

  •   Metabolic disorders

    • Type 2 Diabetes, sleep apnea, heart disease, fatty liver disease

  • Cancers

  • Neurological Disorders

    • Alzheimer’s Disease, Parkinson’s Disease, ALS

  • Autoimmune diseases

  • Bone, muscular and skeletal disorders

    • Osteoporosis, osteoarthritis

  • GI disorders

    • IBS, IBD, Chron’s, Colitis (microscopic and ulcerative)

  • Mental disorders

    • Depression, anxiety, ADD/ADHD, Autism spectrum disorders

Symptoms of inflammation include

  • Brain fog

  • Swelling

  • Headaches and migraines

  • Insulin resistance

  • Fatigue

How Can You Reduce Inflammation?

There are a number of strategies that can help to reduce inflammation in the body. Let’s talk about the heavy hitters that can give you a big bang for your efforts.

1. Eat real food. Yes, I said it. Eat real, high-quality food, lots of colors, lots of flavors and things you can pronounce. Anti-inflammatory diets can be helpful in reducing inflammation as the name would suggest. See your dietitian (or me =) ) for guidance starting an anti-inflammatory diet.

2. Decrease inflammatory fats and oils and increase anti-inflammatory fats and fatty foods. This could go with #1 but I like it on it’s own. Inflammatory oils are often found in processed packaged foods like chips, crackers, frozen meals, and shelf-stable peanut butter. Get my free guide to healthy fats here.

3. Exercise, but not too much. Studies have shown that exercise can protect against chronic diseases. Over-exercising can cause more stress on the body leading to increased inflammation.

4. Control blood sugar levels. Decrease or eliminate sugar and processed carbohydrates, eat at regular intervals and include protein and healthy fat with meals and snacks.

5. Address food sensitivities. This can reduce inflammation quickly. An elimination diet can help with finding food sensitivities but you can have a sensitivity to even the healthiest foods you eat. See my post on the MRT food sensitivity test and the LEAP program for more information.

6. Address nutrient deficiencies. Talk to your physician or dietitian about testing for nutrient deficiencies, and more than just vitamin D and B12. If this isn’t an option, a high-quality multivitamin and mineral supplement is never a bad idea to fill in the gaps. I also like a high-quality vitamin D with vitamin K-2 supplement for most of us.

7. Relax, de-stress and get adequate sleep. Is this a joke? No, no it’s not. Lack of sleep increases stress. Stress, as mentioned above, can cause inflammation. Find your favorite ways to relax. Maybe yoga, meditation, bubble baths, music, more time with friends, a vacation. Allow yourself this time. Get on a better sleep routine and aim for 8 hours a night. Read my post on the importance of sleep.

8. Minimize toxic burden. Decrease exposure to plastics, pesticides, oxidative fats, pollutants, and harsh chemicals. What goes on your body and on/in your food is important also.

I hope this gives you some good, useful information. I am definitely not saying that everyone is dealing with chronic inflammation that is causing problems. I am saying that if you have a chronic condition or generally don’t feel well, taking some action to reduce inflammation can make a big difference. I would also take away that your lifestyle now can play a role in your health later down the road. I know it is a lot of information to digest so feel free to leave me your questions. You can also schedule a free 15 minute discovery call with me if you would like to learn more about working with a registered dietitian.

Lin

My Gluten-Free Journey

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"Sometimes it's the journey that teaches you a lot about your destination." - Drake

 

Hey everyone! I’m back to writing after taking the summer off to be with my kiddo and travel and figure some things out. Honestly, I’ve also been struggling with what to write and how to write it. I’ve been pulled in lots of directions personally and professionally with health and nutrition and it is probably time for me to start to niche down more, even with my writing. My experiences have fueled my passion to help others. Others that are like me when I was dealing with health issues I didn’t know as much about, lost and not sure where to turn.

Previously, I was writing more about intuitive eating, which I’ve really loved on a personal level. I may still write more about it here and there but my heart is pulling me in a different direction with the types of clients I want to see and the work I want to do. If you want more on IE, let me know and I can point you in the direction of some great IE dietitians!

I am getting more into the integrative and functional side of nutrition as well as the food sensitivity piece. Basically, getting to the root cause of illness and using a more natural approach to health and healing. I am finding that a lot of people with autoimmune diseases, GI disorders, acne, chronic inflammation among other problems are really struggling to feel better with conventional medicine alone. Lifestyle and nutrition, among so many other things, can play a huge role in symptom improvement in these areas but it’s hard to know where to start. I am learning so much and have so much more to learn that it has been a bit overwhelming but exciting at the same time.

So, as I’m doing more writing and working on creating new recipes, you will probably see me reference gluten-free, grain-free, dairy-free, AIP, etc because it is where I am and will hopefully help others out that might be needing the same. I have been gluten-free for almost a year now and I thought I would share with you why and how it is going for me.

Last summer I was diagnosed with hypothyroidism, or an underactive thyroid. I got the call from my doctor’s office and was told that my medication was called in and I would go back in 6 weeks for more bloodwork. I was given no other information, not even when or how to take the medication, which I don’t think is abnormal. BTW, the medication is pointless if you aren’t taking it correctly so it’s a pretty important piece to tell someone that is just starting on it, right? So, I made it my mission to learn more (not an area I have done much work with), do what I could to help myself, and seek out another opinion.  

I started reading books and listening to podcasts about thyroid health and learned so much. I, thankfully, did not have thyroid antibodies so I did not have Hashimoto’s thyroiditis but I treated it as such until I had a better handle on my levels and what it all meant. This was when I decided to remove gluten from my diet.

As some of you who may have done similar things know, it was a hard adjustment. I also went mostly dairy-free and later, pulled a few other things out. The hardest adjustment for me was traveling and eating out. We don’t eat out frequently but it is the perfect date night for my husband and I or just a night that I don’t have to worry about feeding all 4 of us who eat very differently. I just make sure I check out menus before we go and do the best that I can. We traveled to Belize not long after I went gluten-free and that was much harder than I expected but we made it work…but not without a few breakdowns.  

I wasn’t sure if going gluten-free was going to help my hypothyroidism and I’m still not 100% sure that it did because I can’t necessarily correlate the two things. What I did notice was that it improved my Raynaud’s disease over the winter. I didn’t have near as many episodes, even though I was out walking my dog in the cold almost daily. I also avoided the painful bumps I get on my fingers called chilblains, until later in the season. Unfortunately, once they start it is hard to get them to go away. The biggest improvement I saw was with my mood and anxiety. Again, not 100% better but enough to say that I was prepared to continue with my gluten-free lifestyle and it’s been about a year since I started.

That is briefly my gluten-free journey. One of my biggest hurdles is calming all the negative talk and worry in my head. I worry about what others think because I don’t have celiac or another diagnosis that absolutely warrants a gluten-free diet. I worry about other dietitians judging me. I worry about what to say when someone at a restaurant asks if I need gluten-free for an allergy…because I don’t but I don’t want to discredit those who do. I worry about if the little bit of gluten I ingest by accident is causing me problems that I can’t see.

I also worry about the content I'm writing and the recipes I’m creating and what you all might think because they are now gluten-free. #Truth. It doesn’t mean that I think everyone should be gluten-free or that it is a cure-all. But, this is where I am and where I’m going right now. Feel free to leave any questions or comments below or shoot them over in an email. 

Thanks for following along! 

Lin

Food Sensitivities and LEAP Therapy

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“Some things cannot be taught; they must be experienced. You never learn the most valuable lessons in life until you go through your own journey.” 
― Roy T. Bennett

Hey everyone, I am going to switch things up a bit with this post. I love talking about intuitive eating and similar topics and will continue to discuss those as they are super important so stay tuned for more. But, I'd like to shift gears for a bit and talk about food sensitivities and a program I will be using in my practice called LEAP Therapy. It uses MRT, or mediator release test to test for specific sensitivities to foods and/or chemicals. I'm super excited because I recently finished my training and am now a CLT, or Certified LEAP Therapist.

I posted the quote above because my personal health issues and experiences have pushed me to learn more about the integrative and functional side of nutrition. This means really digging down to the root cause of health conditions and diseases. Food sensitivities can be one of the reasons for some health problems and symptoms, which are often overlooked. So, I will tell you a little more about food sensitivities, who might be affected, and why MRT and LEAP therapy are recommended. I will also link to their website for more great information. It's about to get a little sciency up in here. 

What is a food sensitivity?

A food sensitivity is a type of immune reaction in the body to toxic substances, in this case, specific foods or chemicals. The immune cells release mediators, or inflammatory chemicals, which cause inflammation and other symptoms such as fatigue, joint pain, diarrhea, or skin issues to name just a few. A food sensitivity is not the same as a food allergy. Food sensitivities are an IgG immune reaction. Food allergies are an IgE immune reaction. Simply put, they involve different things and different cells. A food allergy can cause immediate symptoms and those symptoms can be life-threatening. A food sensitivity causes delayed symptoms, sometimes up to 72 hours after ingesting the food. The delayed onset of symptoms can make diagnosing the food sensitivity very difficult. These are also both different from a food intolerance like lactose intolerance. 

Are you still with me? Just hang on a little longer.

Who might be affected by a food sensitivity?

There are some common conditions where food sensitivities are most likely in play. Determining the culprits can have a huge effect on the condition, symptoms, and quality of life. Here are some of the most common conditions where the MRT and LEAP therapy can be very useful:

  • IBS-d (diarrhea predominant)

  • Migraines

  • Fibromyalgia

  • Arthritis, especially rheumatoid arthritis

  • Lupus

  • Celiac disease

  • Hashimoto's disease

  • Chronic fatigue

  • Skin issues like eczema

  • Acid reflux

  • ADD/ADHD

If it's autoimmune or inflammatory, food sensitivities are good to get checked out.

What is the MRT? 

MRT is the mediator release test that can determine the specific food sensitivities. It measures the quantity of mediators (inflammatory chemicals causing problems) released when exposed to 170 different foods and chemicals. It then breaks the foods into green (non-reactive), yellow (moderately reactive) and red (reactive) categories. The foods it tests for can range from common sensitivities like wheat and corn to ones you might not suspect like spinach and blueberries. There are multiple chemicals it tests for including food dyes and ibuprofen as well as naturally occurring chemicals like tyramine and caffeine. If you are really struggling to find answers with your condition, the MRT takes the guesswork out of figuring out what foods will make you feel the best. 

What is LEAP Therapy

LEAP (lifestyle eating and performance) therapy uses an individually tailored "ImmunoCalm diet" based off of the MRT results. It is broken down into phases starting with your least reactive foods for a few weeks, then adding in other tested foods then untested foods one at a time. This allows for the immune system to calm down with the hope that more foods can be better tolerated down the road. It isn't a quick process and you might feel worse before you feel better but it is worth it if your quality of life improves. The LEAP therapist, aka me, is there to help you through the process, design your eating plan and phases, give lots of help and support and get you the best results as quickly as possible. 

So you might be wondering if I plan to do the MRT and the answer is yes. I am actually pretty excited about it. I have been going to a functional medicine clinic because I am hypothyroid, have reynauds disease (neither of which are autoimmune), can't seem to lose weight, am constantly puffy and bloated and I've been dealing with some really bad back and hip pain for over a year. After running some tests my labs showed that I am pre-diabetic, have markers of inflammation in my body (can affect insulin resistance and blood sugar as well as cause fluid retention), and am low in some nutrients. I have tried an elimination diet but it is really hard for me to pinpoint trigger foods when I add them back in. I suspect I have a problem with chicken, corn and dairy but to be honest, I'm not really sure and it's really hard to determine if feeling tired today is due to something I ate 3 days ago. 

So yes, I am going to do the MRT to pinpoint any foods and/or chemicals that are causing my body problems that I can't figure out. I really hope it's not coconut or avocado or almonds or bananas. Otherwise, I think I can deal.

So that is a little bit more about my new CLT title and why I decided to do it. I am very excited to help people that really need the help. I'm excited to put puzzle pieces together to get to the bottom of a condition and use nutrition to heal. I will be back with my results and how things are going. Meanwhile, feel free share this with others and to comment with any questions you have and I'll do my best to answer those. 

Lin