Second Nature Care Blog

Still Having Thyroid Symptoms After Hormone Replacement?

[fa icon="calendar'] Jun 23, 2020 11:48:23 AM / by Isadora Guggenheim


Is this you?  Tired even after you've had a good night's sleep, irritable, little to no motivation?  Even if you were diagnosed with hypothyroidism and you have been prescribed thyroid medication and your labs come back normal you may still have an underlying thyroid issue due to a hypothalamic dysfunction. Or something else like: elevated lead, EBV/Mono or Mycoplasma Pneumonia or food allergies. We offer comprehensive labs to check your thyroid/adrenals, viral loads, food allergies, heavy metal toxicity and much more so we can pinpoint your root cause of disease. 

What is hypothalamic dysfunction?  Where is my hypothalamus?  

The hypothalamus is part of the diencephalon that lies beneath the thalamus at the base of the cerebrum. It forms the floor and part of the lateral wall of the third ventricle in the brain.  Cells in the hypothalamus called hypothalamic releasing and inhibiting hormones act directly on the pituitary gland to activate and control the regulation of water balance, body temperature, sleep, thirst, hunger and sexual development in puberty. This network called the hypothalamic-hypophyseal portal system produces thyroid-stimulating hormone releasing hormone which then activates the release of thyroid-stimulating hormone (TSH) from the pituitary gland.  When this system is impaired individuals get hypothalamic obesity disorder. This affects all of your metabolic hormones like: leptin, insulin, cortisol and melatonin which makes you cranky, sleep-deprived, swollen and fat.  You can't lose weight unless the hypothalamic dysfunction is addressed with specific medicines.  

In a recent study of 50 obese patients, 68% had symptoms that were characteristic of hypothalamic obesity disorder.  72% of the patients had normal thyroid levels.  

The most common hypothalamic symptoms from this study were:

  • Fatigue (76%)
  • Temperature dysregulation (68%)
  • Weight change (88%)
  • Changes in sleep (70%)
  • Pain (72%)
  • Mood disorders (80%)
  • Libido issues (38%)
  • Sympathetic or parasympathetic complaints (64%)
  • These symptoms persisted after sufficient hormone replacement therapy

To add insult to injury many doctors diagnose these patients with malingering borderline personality disorder, adrenal depletion or uncharacterized disorders when the real culprit is a hypothalamic dysfunction. Soley treating the thyroid fails unless you address the hypothalamic pathways that affect satiety/hunger and metabolism.  

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We use a more effective treatment protocol that involves daily exercise, gentle metabolic detox, a Mediterranean diet or low inflammatory foods, GOOD GUT products, meds for anxiety, depression or obsessive-compulsive disorder, melatonin and specific formulas for the hypothalamic pathways. We prescribe NatureThroid with T3 and T4. Our patients lose weight with our multi-pronged approach. Some of our patients correct their hypothalamic obesity condition with the HCG diet. Call to find out more details.  

We have safe, effective and low cost medicines to correct your hypothalamic obesity disorder. Short consults are affordable. 

If you are having these symptoms you need our help.  Call us and let's get you back in control of your health.

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Topics: Body Health, Women's Health

Isadora Guggenheim

Written by Isadora Guggenheim

Isadora Guggenheim, ND, FNP, RN, MS, CNS, LMT, owner of Second Nature Naturopathic Care, LLC
For all appointments: Tel: 845 358-8385 Fax: 845 358-2963