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Hypothyroidism Type 2:
A New Way of Looking at an Old Problem
© 2008 by Nenah Sylver, PhD
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Hypothyroidism Type 2:
A New Way of Looking at an Old Problem
This article originally appeared in the
December 2008 issue of Townsend Letter.
The Basics of An Epidemic
What do chronic pain, diabetes, heart disease, menstrual difficulties, and sleep apnea have in common? As physician Mark Starr points out in his extensively researched book, Hypothyroidism Type 2: The Epidemic, there’s an excellent chance that this apparently disparate collection of disorders—among literally dozens, if not hundreds—indicate abnormally low thyroid function.
The thyroid is a butterfly-
Thyroid underactivity, commonly called hypothyroidism
In his book, Starr explains the differences between Types 1 and 2.
With Type 1 Hypothyroidism, the thyroid does not produce sufficient amounts of hormone to maintain "normal" blood levels of hormones, which in turn will maintain normal blood levels of thyroid-
With Type 2 Hypothyroidism, the thyroid gland produces "normal" amounts of hormone, but the cells are unable to utilize the hormone properly. Some experts call this thyroid hormone resistance (which may be regarded as similar to insulin resistance).
Laboratory tests showing inadequate bloodstream levels of thyroid hormone make it easy to diagnose Type 1 hypothyroidism. However, lab tests fail to detect Type 2 hypothyroidism, because despite adequate bloodstream hormone levels, the cells are unable to accept and utilize that hormone (for a variety of reasons, which I'll address in a moment). Since the main problem lies with the cells that are actually utilizing the hormone, a different approach needs to be taken when testing for (and to a certain extent, when treating) Type 2 hypothyroidism.
Since many more people suffer from Type 2 than Type 1 hypothyroidism, and because Type 2 is widely misunderstood and misdiagnosed, this article will focus on Type 2: its manifestations, the best way to diagnose it (it's not with lab tests), and its treatment. For this article, I have drawn heavily from Mark Starr's book, Hypothyroidism Type 2: The Epidemic.
Dr. Starr became interested in the subject for both personal and professional reasons. More than a dozen years ago, he embarked on a quest to heal his own chronic pain, fatigue and allergies after receiving no relief from the majority of physicians with whom he consulted. Professionally, while treating thousands of people who suffered chronic pain alongside a wide range of disorders, he discovered a pattern. The underlying cause or contributing factor to their pain was low thyroid function. Dr. Starr's book is the result of over a decade's worth of intensive research and writing about the history, problems, politics, personnel, literature, case studies, and treatment related to hypothyroidism. I had the opportunity to visit Starr's new clinic, which is near my home, so at the end of this article I will also give a brief description of his practice.
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Hypothyroidism Type 2: A New Way of Looking at an Old Problem