Recently, I interviewed Reghan, and we discussed holistic strategies for managing Graves’ disease, how to think about diet and lifestyle changes, which natural supplements to consider, and more. If you would prefer to listen to the interview you can access it by Clicking Here.
Dr. Eric Osansky: Welcome, welcome. I’m with Reghan here, as we are going to be doing a Save My Thyroid audit that focuses on Graves’ Disease. Thank you so much for joining us, Reghan.
Reghan:
Thank you. I’m glad to be here.
Dr. Eric:
I’m really excited to talk about your Graves’ journey and give you some helpful advice along the way. Can you let everyone know how long you’ve been dealing with Graves’?
Reghan:
I first got diagnosed in around May/June of this past year, but my journey to get my diagnosis took over nine months between seeing a bunch of different doctors, doing blood tests, MRIs, ultrasounds. My doctors and I haven’t really pinpointed a direct point of when the Graves’ could have started, but I could have been dealing with it for five years, and we just are getting a diagnosis right now.
Dr. Eric:
Is there any family history of any thyroid or autoimmune thyroid conditions?
Reghan:
No, but I do have family with other autoimmune diseases. No one else has thyroid issues.
Dr. Eric:
Okay. Are you currently taking any antithyroid medication for Graves’?
Reghan:
No, I am not. I have an endocrinologist who tried to prescribe me one, but I was worried about the health side effects. They seemed very harsh, so I am trying to hold off until I finish college. I am a senior right now in college. If I want to take a thyroid medication, I want to be in the best hands and not away at school and worried about it.
Dr. Eric:
I understand. Are you doing anything naturally to help manage the symptoms?
Reghan:
Yeah, I am probably about 75% gluten-free at the moment. I take supplements. I take Vitamin D, Omega-3, turmeric, and a probiotic. I try to cut out any refined sugars and add more protein to my diet.
Dr. Eric:
Okay. Wonderful. As of now, not this very minute, but overall, what are some of the more common symptoms you’ve been experiencing?
Reghan:
I don’t seem to have too many crazy symptoms. Something I have is hand tremors that go off and on. Sometimes, I won’t be shaking, but this morning, my mom felt my hands, and she felt that I was shaking. Besides that, my thyroid and my neck are a little bit enlarged.
Dr. Eric:
Symptoms aren’t too bad. Having some tremors. Do you know if you have an elevated resting heart rate? I don’t know if you measure your heart rate.
Reghan:
I don’t measure my heart rate regularly, but I’m pretty sure it’s not. Every time I go to a doctor, they’ve never said it was an issue.
Dr. Eric:
No heart palpitations?
Reghan:
No.
Dr. Eric:
That’s good. How long ago since your last thyroid panel?
Reghan:
I got bloodwork done about three/four weeks ago.
Dr. Eric:
It’s an endocrinologist you’re working with?
Reghan:
Yes.
Dr. Eric:
Either way, but especially with endocrinologists, they don’t reveal a lot of information in most cases. Did they mention if your thyroid hormones—T3/T4—are actually elevated?
Reghan:
Yes. I previously had bloodwork in January, where my levels were extremely high. When I got bloodwork in May and June, my levels have gone down a little bit, but they’re still consistent with Graves’.
Dr. Eric:
Just wanted to make sure. You’re not really subclinical as far as your blood test? You just don’t have a lot of symptoms overall, but your thyroid hormone levels are still elevated as of the last test.
Reghan:
Yes.
Dr. Eric:
If you could paint a perfect picture, 6-12 months from now, how would you like your health to be?
Reghan:
I ideally would really like to keep doing the holistic method I’m doing with my diet and lifestyle changes. That will help lower my thyroid hormone levels. That’s my big issue. My body doesn’t react well to medication. I want to be able to put off the medication if possible and be able to manage it holistically just by lifestyle changes.
Dr. Eric:
In your opinion, is there anything preventing you from restoring your health? Are there any potential roadblocks?
Reghan:
No. At the moment, I’m in college. I go to the University of Alabama. The school is not located- I want to wait until I’m finished with my senior year if I wanted to go the medication route and if the holistic medicine I’m doing isn’t working.
Dr. Eric:
Okay. Sounds good. I had you prior to this fill out a form. Some of your biggest health challenges: keeping your weight healthy, preventing your hyperthyroidism from progressing, keeping your T levels down. All of these are really good goals. Have you worked with a natural healthcare practitioner at all?
Reghan:
No, I have not. I am working on getting a nutritionist to work with. It’s more just looking at what other people have said works for them holistically. Reading books and doing my research.
Dr. Eric:
Just out of curiosity, how did you find out about me? I don’t know if you remember.
Reghan:
My mom has been doing a lot of research on thyroid health and holistic methods, people who have really seen results from doing it. She came across your name and sent it to me.
Dr. Eric:
Cool. She has more of a natural mindset as well?
Reghan:
Yes.
Dr. Eric:
That’s awesome. You’ve made some diet changes, trying to eat a healthy diet. How about stress? Going to college, it doesn’t matter what stage in life you’re at. Being an adult in the workforce after school. How would you say currently stress is as well as over the last year or two? Like you said, this has been developing over time.
Reghan:
I am going back to school in two weeks. At the moment, my stress level is very low. I am not doing too much stuff that would stress me out. I work at night. I’ve been at the beach all summer, which is a very relaxing place for me. When I go back to school, I’m a naturally anxious person, so I tend to be a little more stressed in school. I’m trying to destress at the end of the day and focus on that every single day.
Dr. Eric:
Are you doing anything specifically besides going to the beach, which I’m sure is very relaxing, for stress?
Reghan:
I try to get out for an hour a day to exercise, whether it’s going for a run or a walk. That really helps me get to a good mental place, so I’m less stressed at the end of the day.
Dr. Eric:
How is your sleep now? How is it when you are in school?
Reghan:
My sleep is good. I’ve never had issues with my sleep. I naturally wake up early in the morning, like 7am/8am, and I go to bed usually around 10pm/11pm. Once I go back to school, that probably will change because of the environment I’m in.
Dr. Eric:
Even when you’re in school, it sounds like you’re not sleep-deprived. You do your best to get a good night’s sleep.
Reghan:
No.
Dr. Eric:
Good. As far as testing, you mentioned you had a thyroid panel done. I assume they tested antibodies? Do you know if that’s how they came up with a diagnosis? Did they do an uptake scan?
Reghan:
Yes, I did an uptake scan probably mid-May. That was with my endocrinologist. He already thought that I had Graves’, but we got that to confirm. I got bloodwork with that as well.
Dr. Eric:
Did he mention anything about radioactive iodine or thyroid surgery, or just pretty much talking about medication?
Reghan:
Mainly medication. I wanted to avoid doing any thyroid ablating, anything that I would have to be on life-saving hormones for the rest of my life.
Dr. Eric:
Yes, I definitely agree with that. Any other blood testing that you have done? I assume they probably did at least a metabolic panel, a CBC. Have you had Vitamin D tested or an iron panel or B12 or any blood sugar markers?
Reghan:
No, not recently. I probably had in past bloodwork, but not in the recent four times I’ve gone. They just have been strictly to look at my thyroid hormone levels.
Dr. Eric:
Have you ever had any functional medicine testing such as adrenal or saliva testing or dried urine testing or stool testing?
Reghan:
No.
Dr. Eric:
How about environmental toxins? We live in a toxic world. It’s not getting any better. Do you do anything- Diet-wise, you try to eat organic at home. I don’t know if in college, it might be more challenging. Do you do anything else? Do you do regular conventional care products or cleaning products?
Reghan:
I have been trying to drink more out of glass cups and not do as many plastics. That was one big thing. As far as shampoo and conditioner, body care stuff, I have been using what I have always used. I haven’t really changed that.
Dr. Eric:
At your age, I’m hoping that you don’t have any silver fillings, mercury amalgams. I know it’s not that common these days. Any root canals?
Reghan:
No.
Dr. Eric:
Is your oral health pretty good?
Reghan:
Yes.
Dr. Eric:
My next question has to do with mold. Do you live in the dorms?
Reghan:
I did live in a dorm my freshman year, and it was probably 100 years old. There was black mold. At one point, I had black mold in my bloodstream, and I had to be on some special probiotic to help fix whatever was going on. This was from drinking the water that wasn’t cleaned properly.
Dr. Eric:
How long ago was this?
Reghan:
This was about two/three years ago. It’s my freshman year. So almost three years ago.
Dr. Eric:
Did you get tested for mold? You took the probiotics and got the recommendation.
Reghan:
I did a bloodwork panel, and they said this happens. If you live in an older dorm, this can happen more frequently. I am not really sure. There could be mold in your bloodstream or your body, so they just put me on an extra-strength probiotic, and it fixed the issue.
Dr. Eric:
Thankfully, you’re no longer in the dorms. Hopefully, where you are, not that you can’t have mold in an apartment or house. I have a daughter who currently is at NC State in the dorms. There is that concern. Thankfully, you’re not in that environment.
Reghan:
No.
Dr. Eric:
Before giving my feedback, any questions you have for me?
Reghan:
At this moment, no. I am more interested in what you have to say from your medical perspective. I know you focus more on holistic medicine. I want to know what your opinion is and how I can change my lifestyle based on what you think and not just based on this stuff I’ve read. I feel like I’ve read all these different opinions on what I should do. I would love to hear it from someone who really knows what they’re talking about.
Dr. Eric:
Sure. You’re doing a number of good things. You’re cleaning up the diet. You’re active, going for a run or walk every day. Is it on a daily basis?
Reghan:
Yeah, usually a daily basis. Weather-contingent, I will usually do an hour and a half walk or run per day.
Dr. Eric:
Taking care of your sleep. Those are some good things. Definitely want to continue doing things from a diet and lifestyle standpoint.
With exercise, I would make sure not to overdo it, but the walking should be fine. With hyperthyroidism, if you have an elevated resting heart rate, which I know you don’t monitor, and you feel okay from a symptomatic standpoint other than tremors, I would be cautious with running. I am not saying not to run.
One thing I do have my patients focus on is resistance exercise, doing some type of weight-bearing exercise. It doesn’t have to be with weights; it could be using your own body weight or with bands. You said the University of Alabama?
Reghan:
Yes.
Dr. Eric:
I’m sure they have a pretty extensive fitness place if you wanted to use their equipment. You don’t absolutely have to do that. With hyperthyroidism/Graves’, low muscle mass is common as well as low bone density. Doing some weight-bearing exercises definitely could be helpful.
There’s no single diet that fits everyone perfectly. I do have a book that recently came out called The Hyperthyroidism Healing Diet, which actually has three different diets. I talk a lot about AIP. Might be a little bit challenging for you to follow while at school. Even following a regular paleo or modified paleo diet. Maybe you are currently following something similar to that.
The #1 thing I would make sure to try to focus on eating is whole healthy foods. Trying to avoid refined foods and sugars. Might be a bit of a challenge when in college. Since you’re not in the dorms, I don’t know how it works. Do you not have a meal plan? Do you get your own food and do your own cooking?
Reghan:
I do not have a meal plan. I just do my own cooking. I have been looking into doing Thrive Market. There is a box of protein that gets sent to my house. I have been trying to look into stuff that could promote me buying healthier foods and keeping my diet going. I know it will be hard when I get back to school. I will try my best to keep everything pretty much the same as what I’m doing right now.
Dr. Eric:
With the meal plans and eating at the cafeterias at school, not that they don’t have some healthy food, but usually not organic. At least not at NC State. Just try your best with your diet. Check out my book if you haven’t already. I also have a lot of information on the podcast and my website.
I asked you about thyroid hormones still being elevated. When I dealt with Graves’, I didn’t take antithyroid medication, so I can relate with you not wanting to take that. Some of my patients do choose to take it, and that’s fine. You want to do something. Have you taken bugleweed or L-carnitine?
Reghan:
No. I have looked into getting bugleweed. I just went to a supplement store near me, and they didn’t have it. I was going to order it, but I haven’t gotten around to it.
Dr. Eric:
It’s not a common supplement, so it’s not a shocker that it wasn’t in the health food store. You can definitely get it online. It doesn’t work for everybody, but I would say 70-75% of people, it works for.
L-carnitine in higher doses, like 2,000-4,000mg according to the research, also helps block the entry of thyroid hormone into the cell.
Whether it’s bugleweed or L-carnitine, and some people take both, you want to do something to lower thyroid hormone levels. I took motherwort, too, but I was experiencing heart palpitations. If you are not experiencing that, you might be fine with just bugleweed or L-carnitine. Definitely something to keep in mind, which it sounds like you are.
Toxic load. Keep up the good work. Glass, trying to minimize plastics as much as you can. Maybe look into some natural products that you use on an everyday basis. It doesn’t mean that you need to switch everything. Slowly make a transition to more natural products to reduce your toxic burden.
When it comes to Graves’, it’s more of an immune system condition than a thyroid condition. You need to lower your thyroid hormone levels to keep you safe and make sure it doesn’t affect the heart and bones, which it does when it’s elevated. At the same time, you want to do things to improve the health of your immune system: finding and removing triggers, correcting underlying imbalances. Diet and lifestyle definitely play a big role in that.
Sometimes, you need to dig deeper. This is where potentially working with someone, like a functional medicine practitioner, may be something to look into in the future. If you can’t do that now, especially with college, focusing on diet and lifestyle. Looking into certain types of testing. It depends.
We didn’t do a comprehensive health history here. With most of my patients, I will do some type of adrenal testing. I’ll do more blood testing that you mentioned. If you didn’t get Vitamin D, that’s a good marker to start out with blood test-wise because healthy levels of Vitamin D, above 50, is important for an optimal immune system. A lot of people are deficient in Omega-3 fatty acids, so you could do a fatty acid panel. Did you say you’re taking Omegas? You said turmeric and a probiotic.
Reghan:
Yes, I’m taking Omega-3 and Vitamin D.
Dr. Eric:
Okay. You haven’t tested for Vitamin D?
Reghan:
No.
Dr. Eric:
Eventually, you might want to test. Maybe your levels are optimal; maybe it’s less than optimal. Don’t want it to get too high. Do you know how much off the top of your head of Vitamin D you’re taking?
Reghan:
No. The bottle I have recommends taking two supplements, but I take one a day.
Dr. Eric:
I would eventually retest when you get a chance. Diet and lifestyle. If you’re doing that while managing the symptoms. If things head in the right direction, that’s great. It might head in the right direction because you’re taking bugleweed, and you really won’t know until eventually you get to a point where you may not have to be on bugleweed.
That’s what happened with me when I dealt with Graves’. I was on bugleweed but also doing other things to improve my health. While taking bugleweed, my thyroid numbers would go on the hypo side, which was a sign that I didn’t need as much bugleweed and was able to wean off. if you don’t get to that point, then you know there are still things you need to do to address the underlying cause.
That’s where working with someone to do some testing besides the testing that the endocrinologist does. That’s what I do, but other practitioners do it as well. There are other functional medicine practitioners, including I’m sure in Alabama. A lot of others like me work remotely. Something to consider.
Definitely makes sense to do as much as you can from a diet and lifestyle standpoint. Try to keep that up while you’re in school, which you mentioned you will try to do.
Before we wrap up, are there any last questions on your end?
Reghan:
No, I don’t think so. I really appreciate what you’ve had to say. I’m going to take it to heart and really do some of your suggestions. I’m going to go on Amazon right now and get some bugleweed. When I do my next blood test, which I’m doing in the next two weeks, if I start taking it, it will hopefully lower my hormones.
Dr. Eric:
Have realistic expectations. It will take some time. if you start taking it tomorrow, for example, you might not see it decrease the next blood test if you are getting it in two weeks. It might be the one after that. Keep realistic expectations with that.
Also keep in mind, which you might already know. There is a lot of free information out there. You have to be careful about the free information. I have my podcast, which this will be on. My books, I have two specifically on hyperthyroidism. Those obviously aren’t free, but they’re low cost, and they do give a lot of good information as well. If you’re not in a position to work with a functional medicine practitioner, definitely check out the podcast as well as the articles on my website and the books.
Reghan:
Okay, great. Thank you so much.
Dr. Eric:
All right, thank you so much, Reghan.