Thyroid Blood Test Normal But Still Feel Rubbish?
It’s common that my patients consult me for nutritional advice who have had a blood test to check for low thyroid function by their GP. They have asked the GP for this test as they feel constantly tired, lethargic after a full nights sleep and gaining weight accompanied by difficulty in losing it.
However, so often the blood test results come back “within normal ranges” and they are faced with still feeling unwell and tired with no help or solution.
Natural health professionals have lots to offer these “walking wounded”, as they are not quite ill enough to get a diagnosis from the orthodox medical profession but still feel unwell and desperately in need of help.
Because we view our patients as a whole and not a just specific symptom we have a superior chance at helping the root cause of the problem through diet, supplements and lifestyle changes. In the case of thyroid issues there are definite patterns as to what happens leading up to initial symptoms. I commonly see stress as a major factor and I will explain why. I also see one of those stresses commonly as having a new baby or having children!
As with most health problems, thyroid issues are multi-factorial which means it can have many causes. It is my job as the naturopath (using the Avatar device to help) to reveal where your major area of concern is and then we can target that first. The interesting thing is that it might NOT be your thyroid directly. Here are some of the “other” factors that might be involved:
• Adrenal glands - The stress glands. When over-worked they suppress the thyroid
• Gut - 25% of thyroid hormone is activated in the gut! Gut problems suppress the thyroid
• Oestrogen inhibits the thyroid hormone, so hormone imbalances suppress the thyroid
• Liver - The liver is responsible for hormone production and detoxification so a congested liver suppresses thyroid function.
Any of these sound like you? So your thyroid might not be directly the problem, it is responding negatively to a problem else where in your body. By giving direct help to the thyroid you are just offering symptom relief that is actually masking the real issue.
For example, hormones used to help the thyroid may mask the stress on the adrenal glands which is the original underlying issue. You might feel somewhat better but you are just patching a symptom and may never fully get better as you aren’t addressing the adrenal problem.
The problem with a Thyroid blood test and why you may still have a thyroid problem even if it's normal
Let me start by explaining the problem with most thyroid blood tests and why they may NOT be showing your thyroid problem up.
Firstly, the range of what is normal may not suit you as an individual. Your personal "normal range" might have been on the higher end of normal levels and as issues have arisen, it has significantly dropped but is still within the GP's normal range. So you have felt a big drop, high to low, but you are still classed as normal on the GP blood test so no help can be given according to them.
Secondly, all of your organs that secrete hormones will do so as best they can to keep blood levels normal. This means that if your thyroid hormone levels drop in the blood, the thyroid will pump out more thyroid hormone to keep it at the same level in the blood.
That makes sense doesn't it?
This next bit is the VITAL part in understanding why you are tired but your thyroid test is normal:
The blood test measures your thyroid levels (and they are fine), but they haven't measured the amount of effort that your thyroid has put in to keep you blood levels good.
So what happens if for some reason, maybe a particularly stressful time in your life, has mean't that your thyroid has had to work really hard, everyday pumping out extra thyroid hormone to keep your blood levels normal and to keep you going?
For example you may have just had a baby, or second or third and you are tired looking after them, but you HAVE to keep going and looking after the family. In my experience mothers tend to really neglect themselves at this time in life by eating really poorly and fuelling with caffeine.
So what will happen in this scenario and others like it? Your thyroid will become increasingly tired but it is still doing the job good enough to keep your blood levels normal. Now you have chronic tiredness so the GP takes a blood test and the results are 'fine'. Behind the scenes you now have an absolutely exhausted thyroid from all the extra work it has had to do.
Picture this analogy as an example.
A woman sets off running at 10 mph and she has to maintain that speed. Ordinarily as she gets tired she sits down, recovers and then off she goes again at 10 mph. But this time she isn’t allowed to sit down and rest, she has to keep going at the same pace.
Now picture some stress coming into the equation, maybe a dog is chasing her!
She now has to run at 12 mph to keep ahead of the dog. The dog then runs off and it’s okay to slow down, but only back to 10 mph! She must run at this pace as it’s her normal “daily life” pace.
We have a speed camera and after a few miles we check her speed and she is still at 10 mph, all is fine.
This equates to a normal thyroid blood test. After 50 miles we check the woman speed again, and yep the speeds all good still at 10 miles per hour.
But lets have a closer look at the woman, she's exhausted, frazzled, sweating, tired and looks thoroughly ill! Due to all the demands of a mum, she continues to power on to keep up the 10 mph speed.
This represents the "normal" thyroid blood test from the GP that shows all is fine even though you feel tired and ill.
Now let's go another 50 miles down the line.
We speed check the runner and she's dropped to 5 mph, a blood test here shows a problem and you get classified as under active or hypothyroid. But you are a long way down the line, you have been feeling ill for ages with no help. Now that you are really ill you can get some help.
But what you might understand from this is that you could have been helping yourself long before that point. Now you are just picking up the pieces rather than working with some health that is still there. You should have listened to the warning signs your body was giving you. Actually, you did listen- you felt ill, tired and over weight but no help was offered!
I hope this has helped with your understanding of thyroid problems. I have found that my Avatar health scan is able to detect "tired" thyroids before they crash and burn and we can put in place nutritional foods plans (blood sugar balancing) and supplements to help recovery. Read on for more information on the Avatar scan.
Let’s look at a list of under active thyroid symptoms:
Hypothyroid symptoms (underactive thyroid)
◦ Dry hair or hair loss
◦ Milky discharge from breasts
◦ Brittle nails
◦ Tingling or numbness in hands or feet
◦ Puffy eyes and face
◦ Coarse skin
◦ Shortness of breath on mild exertion
◦ Low blood pressure
◦ Carpal tunnel system
◦ Exaggerated menopause symptoms or PMS
◦ Increased cholesterol and other blood fats
◦ Loss of outside 1/3 of eyebrow
◦ Autoimmune disease (rheumatoid, Lupus, Crohns etc)
◦ Lumps in breast
◦ Redness in face with exercise
◦ Tendonitis / tennis elbow
◦ Lack of energy in evening
◦ Achey joints and pains
◦ Hoarse voice
◦ Dry skin
◦ Slow heart beat
◦ Weight gain of more than 5 lbs
◦ Dry eyes / mouth
◦ Slow speech and movement
◦ Decrease in memory
◦ Headaches & migraine
◦ Yellow skin in palms
◦ Cold hands and feet
◦ Depression / anxiety
◦ Slow thinking
◦ Reliance on coffee or other stimulants
◦ Gum problems
◦ Raynaud's syndrome (blue and painful fingers when cold)
◦ Low endurance
◦ Throat clearing
◦ Alopecia (hair loss)
◦ Blocked arteries
◦ Heavy periods
◦ Sweating less
◦ Muscle cramps
◦ Hearing worse
◦ Cold intolerance
◦ Feeling fatigued
◦ Baggy eyelids
◦ Sleep apnea
◦ Problems swallowing
◦ Uterine fibroids
◦ Scalloped tongue
◦ Yeast infections
◦ Swelling hands / feet
◦ Low sex drive
◦ Tongue biting
◦ Thick tongue
◦ Cracking skin on heels
◦ Premature graying of hair
How does a thyroid problem start? In my opinion and from what I see in my clinic the most common reason a thyroid problem starts is from an adrenal problem. The adrenals are another organ in the body and they produce two hormones amongst others called adrenalin and cortisol.
So let me keep it simple. The adrenals are very active in times of STRESS.
The stress hormone cortisol actually inhibits the action of the thyroid and suppresses it. So high stress equals low thyroid and tiredness.
Another hormone that has a similar action and inhibits the thyroid is oestrogen, the main female hormone that very often gets out of balance.
Have a look at the symptoms of stressed / burnt out adrenal glands and high oestrogen.
Oestrogen dominance (excess)
◦ Attention deficit disorder
◦ Breast cancer risk
◦ Calcium deposits
◦ Craving of sweets
◦ Dry eyes
◦ Fat gain, especially hips, thighs and back of arms
◦ Fluid retention
◦ Inability to lose weight
◦ Increased sensitivity to sight, sound, emotions
◦ Panic Attacks
◦ Prostate cancer/enlargement
◦ Weight gain
◦ Insulin resistance / diabetes type 2
◦ Allergies, rashes, sinus congestion
◦ Breast tenderness
◦ Cervical dysplasia
◦ Decreased sex drive
◦ Early menstruation
◦ Gallbladder disease
◦ Heavy periods
◦ Increased blood clotting
◦ Large breasts
◦ Mood swings
◦ Excessive vaginal bleeding
◦ Sluggish metabolism
◦ Yeast infections
◦ Anxirty and depression
◦ Auroimmune disorders such as lupus, Hashimotos thyroiditis, Sjogrens
◦ Cold hands / feet
◦ Endometrial cancer
◦ Fibrocystic breasts
◦ Good skin
◦ Hypoglycaemia (low blood sugar, shaky if haven't eaten)
◦ Increased HDL (blood fats)
◦ Loss of scalp hair
◦ Water retention, bloating
◦ Symptoms of low thyroid with normal thyroid on test
Physical symptom tip:
Low thyroid people tend to gain weight on their hips
Stressed adrenal people tend to gain weight on their abdomen
Imbalanced hormone women tend to gain weight on their boobs and bum
Adrenal stress (the organs that give you energy and produce the stress hormones adrenalin and cortisol)
◦ Allergies or asthma that started as an adult
◦ Joint pain
◦ Frequent infections
◦ Chronic fatigue
◦ Hypoglycemia (low blood sugar episodes)
◦ Cravings for sweets
◦ Shakiness relieved by eating
◦ A lot of stress in your life before your symptoms began
◦ Low blood pressure
◦ Dizziness upon first standing
◦ Food cravings or sensitivities
◦ Post partum depression
◦ Poor perspiration
◦ Poor concentration
How will supplements help my thyroid?
One of the thyroid hormones is called “T4”. This is the one that your GP will measure. Believe it or not, T4 is the LESS active hormone, unfortunately, so it isn’t the best one to measure here! T4 might look good on a blood test but the active thyroid hormone is actually T3.
T4 (not very active) ———-> T3 (very active)
Another reason that your blood test might be okay but you feel rubbish is because T4 gets converted into T3 which activates it. Therefore, if you have poor conversion of T4 into T3 then your T4 might look good on a blood test but you could still have low T3 which makes you feel sluggish. Here’s what interesting though, the conversion needs the mineral SELENIUM. So if you are deficient in selenium you will have poor conversion to the active T3 and will feel tired.
Taking a selenium supplement will improve this and you might feel better. Remember this is only one part of the puzzle, don’t go out and just buy selenium! By the way selenium is found in Brazil nuts, so you could eat 4 or 5 brazil per day for a natural source.
T4 ——-> T3 requires SELENIUM
So what can be done at The Perrymount to help you?
When using natural medicine or “Functional Medicine” you are viewed as a whole person, not just a thyroid gland! I personally use a device called the Avatar to help me find which organ(s) we need to support and which supplements will best suit you. As you have already learned it might be the thyroid, adrenals, liver, or bowel.
The supplements used to help you could be vitamins and minerals to correct deficiencies, amino acids to supply your body the ingredients to heal itself, or herbs that are known to support specific organ function.
On top of this, we have food choices and eating plans to use along with other lifestyle changes such as exercise or relaxation advice.
If anything in this article sounds like you and you are interested in help then give us a call on 01444 410944