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Q. Dr Kolbaba, throughout my life, I’ve been told I may have a thyroid problem. Even though I test normal on blood evaluations, is it possible I could have an undetected thyroid issue? I do have fatigue challenges and I could stand to lose a few pounds. I would love to get your opinion.
Jan, Naperville, Illinois
Yes, you can have an under performing thyroid function, and pass the typical thyroid blood test’s reference ranges. Clinical reference ranges and how they are interpreted allows for many misdiagnosed cases of sub-clinical thyroid disorders, world-wide. A closer look at some of your symptoms would be our first step in the process. A person can have low level symptoms that they attribute to age, family history and many other reasons that remain unreported to their doctor.
We certainly want to distinguish between your thyroid gland and your adrenal gland, as both are integrated with each other, along with your pancreas, anterior pituitary gland and the hypothalamus.
The common symptoms of an under performing thyroid gland are as follows:
Fatigue, especially in the morning, headaches, weight gain, slow wound healing, cold intolerance, infertility challenges, low sex drive, skin challenges, mood swings and constipation…just to name a few.
The symptoms of an over used stress gland, like your adrenals, may manifest themselves in some of the following ways:
Fatigue, especially in the afternoon, muscle weakness, low blood pressure, dizziness when standing up, blood sugar challenges, craving of salty foods, dilated pupils and sensitivity to light, and a lingering tiredness after a physically rigorous event.
I hope you can appreciate why we need to get to the bottom of this and help get you back to a higher level of health. Otherwise, this “low level” “sub-clinical” condition will progress into a more dramatic disease state, full of all of its terrible prospects. We need to create a baseline with you, to assess your present state more completely. An *Adrenal Stress Index test is a must, along with a detailed thyroid function test, and a Nutritionally Based Comprehensive Physical Exam.
Please be assured, there are many conservative nutritional approaches that can be used to get you back on top of your game, Jan. I hope you are up for it! I look forward to looking back with you… being more energetic and strong!
*Saliva testing is a convenient, inexpensive and most accurate means of assessment done in the privacy of your own home. We are able to measure the actual free biologically available progesterone, estrogen, testosterone and DHEA in the tissues of your body using saliva testing. See our Office Brochure.