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Greetings and welcome to my Lyme disease blog, a comfy cozy (and sometimes crazy!) place for cutting-edge information, encouragement and insight into the fastest-growing epidemic disease in the United States. In this blog you will find everything from bug-killing strategies to immune system and hormone help, as well as lifestyle and spiritual suggestions for healing from chronic illness involving Lyme disease. The information contained within this blog is based upon my own healing journey and what I have learned over the past eight years as I have been diligently digging and researching my way back to a better state of health. May you find it to be a source of hope, inspiration and wisdom in your own journey towards wellness.

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Published August, 2009
Written by Connie Strasheim
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Thursday, October 02, 2008

Treating The Thyroid and Adrenal Glands In Lyme Disease

If you're new to the world of Lyme disease and the labyrinths of research that it takes a sufferer into, then you may not know that balancing the endocrine system is important. If not, you will soon learn that fixing endocrine problems is vital for healing, and that giving a little TLC to the thyroid and adrenal glands, in particular, is most important.

Balancing the system is tricky. I don't know if it's even possible as long as infections and trauma are present; however, if you leave your hormones to their own devices amidst such crises, you're likely to really fall apart, or at least feel as though you are. Restoring some measure of balance to a flailing system will enable you to function and fight Lyme disease better.

This usually starts with the adrenal glands. No, I don't mean the thyroid, I mean the ADRENALS. Many physicians and patients start on the wrong end of things by first giving the body thyroid hormone, but this isn't usually how it should be done.

Why? In Lyme disease and chronic illness, the thyroid often malfunctions as a result of the adrenal glands, which are pooped from having to deal with so many bugs, toxins and stress. Treating the thyroid first puts greater stress on the adrenal glands, which then exacerbates the whole endocrine problem. Not treating the thyroid, however, can also stress the adrenals, but if you sense you have adrenal fatigue, it's best to deal with this problem first.

How do you know if you have adrenal fatigue? While some symptoms of hypothyroidism (most chronic Lyme sufferers) and adrenal insufficiency overlap--for instance, fatigue, depression, digestive disorders, pain and cognitive problems are common in both-- if your problem is predominantly with the thyroid, weight gain will be more of an issue (as, when accompanied by adrenal insufficiency, people who are hypothyroid tend to lose weight, as a result of malabsorption). Also, following exercise, the person with adrenal fatigue will be exhausted afterwards, whereas the hypothyroid sufferer may actually feel a bit better. Consulting a complete list of symptoms and performing a few reliable tests will help you to ascertain a diagnosis.

To determine adrenal function, saliva tests, along with a clinical diagnosis, have thus far proven to be most reliable. Forget blood and urine and ACTH-stim tests. Most physicians don't even believe in adrenal insufficiency unless you have a case of Addison's (adrenal failure) because the latter tests are almost always wrong by displaying "normal" results in people whose adrenals are really in trouble. I won't go into other reasons why you shouldn't even bother with such nonsense tests here, but suffice it to say, if you want to know the true state of your adrenals, order a saliva cortisol test from CanaryClub.org, and then learn to interpret the results by visiting the Yahoo! group Adrenal Fatigue, or by ordering G. Poesnecker's book, "Mastering Your Life."

Blood tests for the thyroid can be a tad more reliable than those used for the adrenals, but this depends upon who you are. If your body has trouble uptaking thyroid hormone into its cells; if it cannot convert T4 (inactive thyroid hormone) into T3 (active thyroid hormone), or you have adrenal fatigue, which adversely affects thyroid conversion, tissue uptake and thyroid response, then blood test results will tell you nothing. You may get any kind of results under the sun, which may or may not match the true condition of your thyroid and whether your body is actually using the hormone.

Even if you do a complete blood panel, the results will only reflect the amount of thyroid hormone that is circulating in your blood; they will not reveal how much that your body is actually using. In the case of adrenal insufficiency, the scenario is even worse. You may have high levels of thyroid hormone in your blood, but it's not because your body is producing enough of the stuff; it's because your body lacks the cortisol to help uptake the thyroid hormone into the cells, or cellular receptors are reticent to accept the hormone for other reasons.

Like the adrenal glands, the best way to test for thyroid function is with a do-it-yourself, at home test. This one is even simpler.

Despite what Pharmafia-motivated physicians might tell you, taking your body's basal temperature is actually the best way to determine whether you are hypothyroid. This is done by placing a thermometer under your armpit first thing in the morning, for ten minutes, before you roll out of bed. Do this consecutively for about a week to obtain an average reading. If your temperature is 97.6 F or 36.5 C or less, you may be hypothyroid. This test, along with a clincial diagnosis of symptoms and perhaps a complete blood panel to confirm the diagnosis, is most appropriate. Sometimes, the blood tests help to ascertain a result but should not be used as a stand-alone to diagnose thyroid problems.

So once you have your test results and find a knowledgeable professional to help you interpret them, you can begin treatment.

Treating adrenal insufficiency I have found to be quite tricky. While taking adrenal glandular formulas may help some, not everyone benefits from them. Sometimes, the body rejects those that contain active cortisol, by shutting down its own cortisol production when it senses the presence of bovine or sheep cortisol in the blood. Response to synthetic cortisone may be better but higher doses must be used to compensate for whatever the body decides to stop producing, and synthetic cortisol can cause immune suppression and side effects when dosed improperly (which is a common occurrence). Glandular formulas may do the same, but they tend to be gentler than powerful, synthetic hormones such as hydrocortisone and prednisolone.
Yet, for those with moderately severe or severe adrenal insufficiency, taking a product containing cortisone may be beneficial, provided that appropriate doses (which are usually lower than those typically prescribed) are given.

As a basis, and as I have described in my book, "The Lyme Disease Survival Guide: Physical, Lifestyle and Emotional Strategies for Healing," the adrenals need lots of vitamin C and pantothenic acid, as well as a good, food-based multi-vitamin. Siberian ginseng can be helpful as an adrenal tonic but by itself, will not cure moderate to severe adrenal fatigue (as most supplements). Yet it can be a helpful adjunct to an adrenal fatigue protocol, as can rhodiola, which balances the endocrine system. A good quality licorice, such as Dr. Baschetti's (which is sold by the Clymer Healing and Research Center) can boost the adrenals by causing the body to retain cortisol longer than it normally would, but will not aid in cortisol production. Traditional chinese medicine (TCM), involving the use of other herbs to treat adrenal and other endocrine problems may also be a good solution. Check out C. Willis' TCM adrenal fatigue protocol in the Files section of the Yahoo! group, Adrenal Fatigue.

Finally, avoiding stress, sugar and stimulants are essential for helping the adrenal glands to recover.

Now, on to the thyroid. Fortunately, treating this gland seems to be a bit easier than treating the adrenal glands, but it is not without its complications. As mentioned in my book, some Lyme disease sufferers have trouble converting inactive T4 hormone (which is what most synthetic thyroid hormone supplements are made of), into T3 (active thyroid), and therefore, either pure, bio-identical T3, or a combination product such as Armour (hormone that is made from porcine thyroid glands) must be taken, instead of the synthetic stuff that is so commonly prescribed.

Furthermore,the body, in addition to T4 and T3, also makes T2 and T1, which are slight variants of the other two hormones. These latter two comprise only a small portion of the body's thyroid hormone production, yet tests have shown that they may be more involved in the body's processes than previously thought. For instance, T2 has proven to be more effective in liver and lipid metabolism than T3, and is involved in increasing the metabolism of heart, muscle and brown adipose tissue. While Armour is said to contain only T4 and T3, because it comes from the tissue of a pig's thyroid, it may also include the lesser-known and oft-ignored T2, and T1, which could be of benefit. It most closely resembles, in any case, human thyroid. However, if your body produces excessive amounts of "reverse T3" (this can be ascertained by a blood test), you may want to consider pure, bio-identical T3, but bear in mind that some health care practitioners believe that pure T3 is harder on the heart and liver than Armour.

Some people opt to supplement their diet with iodine. While iodine is necessary for the thyroid, if you take too much, your thyroid may actually decrease the amount of hormone it makes in order to compensate for the excess. (Kind of like the adrenals when they sense the presence of supplemental cortisol in the blood). Hence, if you take a prescription thyroid hormone, it's probably a good idea not to supplement your diet with too much iodine, since the hormone should technically give your body close to what it needs. If you don't take hormone, then you will have to somehow ascertain how much iodine is beneficial for you, which is not necessarily the amount prescribed on the bottle. Pay attention to how you feel at different doses. If you decide to use iodine, choose a high-quality product such as Lugol's. Also, keep in mind that the basis of thyroid hormone is the amino acid L-tyrosine, so you may want to supplement this amino acid, along with iodine and plenty of minerals, which are all involved in thyroid hormone synthesis (especially selenium).

Just one final word about hypothyroidism. Flouride negatively affects thyroid function, so stay away from flouridated water, toothpaste and other sources. Believe it or not, tea is grown in flouride-rich soil, so consider the possibility that your tea (as well as coffee) may suppress your thyroid function. Stick with lemon water, unless you know how your tea is made.


monkey girl said...

When I look at the members of our Lyme Support group, there are many thyroid scars, myself included. Although my thyroid had other issues, super, large, fast growing nodules, almost every chronic lyme sufferer I know has had thyroid issues. Many doctors were more than happy to just take the thyroid out. Such a shame. When I had surgery, the nurse said she saw many thyroid surgeries every month. I just think how many have lyme disease up here in the Northwest and just don't know it yet.

wallace said...

Do you have a tele prompter like Obama? If so you read as beautifully as he does?

I went to the Clymer center and they couldnt sort out my adrenals or anything else so am I a hypochrondriac?

Anyway I think the topic of whether we are turning into hypochrondriacs interests me.

Ghandhi believed that in relying on drugs to get us well we were in some sense being unmanly. It weakened us.

A long time ago they talked about the neuro asthenic personality.

For some of us there comes a time when living simply and giving up taking drugs makes "sense". Anyway thats my space at the moment.

Anyway you addressing the question of becoming a possible hypochrondriac would be very interesting for me at least to hear if you have not already addressed this elsewhere.

I am talking about the spirit but also about reaching for the courage of someone like Ghandhi. Or are we just talking about overcoming trauma which you mentioned?


Connie Strasheim (aka Killabugger) said...

Hi Monkey Girl,

That is sad that doctors are so quick to take a knife to our bodies and cut out what isn't working properly. I imagine that in Lyme disease, the thyroid problems can be varied and many, as what you mention here. What kind of hormone replacement do you take? How has that worked for you?

Yes, it is amazing how many people probably have Lyme and don't know it. I pray that there would be a greater awareness about this disease, and that the government and the powers that be would recognize how much of a problem it really is. Well, someday!

Thanks for your comments!

Connie Strasheim (aka Killabugger) said...

Hi Wallace,

Thanks for the compliment. I am not convinced that my speaking skills are as great as my writing but I'm getting there! (You'll notice I took out the video blog...I'm going to keep them separate for now, but at some point may post them on here again). In the meantime, you can watch all of them at: www.lymecommunity.com or on You Tube.

So why do you think Clymer couldn't help you? Was it because they didn't know you had Lyme disease? How long were you there?

As for the hypochondria question...I am not sure I believe in hypochondria. A person who thinks they are sick is sick simply because they think so. The mind creates symptoms which are real. I suppose a person could imagine symptoms, but if they are perceived as real then the person is sick all the same, I think. Does that make any sense?

And yes, I think trauma factors strongly into any manifestation of so-called hypochondria. The mind has subconscious motivations for making the body sick, and until those are discovered and healed, the person will remain with real, or perceived, symptoms. (And again, I'm not sure there is any difference between the two).

I might agree with Gandhi that drugs weaken us; in the end, they certainly don't heal us. But I do think they can be useful to a certain extent; for instance, I have gone through periods with Lyme where I would not have slept if I hadn't taken a sedative. Nothing else worked, and I mean nothing else! And had I not slept, my body would have broken down further, and so the lesser evil at the time was to take a sedative. That said, benzodiazepene addiction is serious and I have had to suffer the consequences of withdrawal, but I am now in a place where I feel I can handle it, whereas in my sicker days I could not have.

Keep walking the spiritual path, Wallace. I believe it's the highest road to health.

phentermine said...
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Anonymous said...
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bovine thyroid said...

I have hyperthyroidism since I was 15 and I think I got this from lymes. Thank God there is desiccated bovine thyroid, now I'm feeling much better.

Anonymous said...

What a wonderful explanation! !! Unfortunately, getting someone to treat you or even test you is another story altogether!! 27 yrs now and not one straight answer.. I go from hypo to hyper inside of a week.. I agree on Lyme disease link, however much of it is perchlorate toxicity aka fertilizers. It's in all food and water, you can't run from it, in the U.S. anyway.. it's not the food per say, but what is sprayed in/on it, which in turn goes in the groundwater everywhere!!! I wish I could find help, my body is all but shutting down and there's not a thing I can do about it.. I read all these sites. But without a dr to get the ball rolling it's all theoretical.. blessimgs!!!

nurul iman said...

thanks really to the news ... hopefully more successfull.
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