Author and functional medicine doctor, Datis Kharrazian D.C., tells a story about taking a leading expert on endocrinology and thyroid function to lunch. The esteemed doctor is not only the head of the faculty at a prestigious medical school, but he writes endocrinology textbooks that are used nationwide. During the course of their lunch, the following conversation occurs:
M.D.: “What you say about the immune system and the thyroid is very interesting.”
Dr. K: "Yes, it is."
M.D.: (slowly nodding) "Very interesting indeed."
Dr. K: "Yes, it is."
Dr.K: "Do you know how understanding how the immune system causes thyroid problems will impact endocrinology?" (He's excited to hear the answer because so many Americans are suffering from hypothyroid symptoms and the medical treatment hasn’t changed much from the 1950s.)
M.D.: "Not at all."
Dr. K: "How can that be?"
M.D.: "We're endocrinologists, not immunologists."
This is the age of (over) specialization and many specialists can't see the forest for the trees. In other words, they're trained in one specific area—not how one system interacts with other systems in the body.
A functional medicine practitioner offers the best chance of a successful outcome for thyroid patients because he can puzzle together information from specialties that relate to thyroid function, including endocrinology, immunology and gastroenterology, for example.
After all, thyroid problems are very complex. Every cell has a thyroid receptor so the impact of thyroid hormone is felt throughout the body. This is why thyroid patients complain of such diverse symptoms such as lack of motivation, osteoporosis, gall bladder disease, elevated cholesterol or triglycerides, fatigue, headaches, weight gain, feeling cold all over, hair falling out, dry skin, etc.
Some of these problems are capable of further worsening thyroid symptoms creating a viscous cycle. For example, brain function and thyroid metabolism influence each other: Abnormalities in certain areas of the brain affect thyroid metabolism, which can then exacerbate dysfunction in the brain.
It’s important to understand the different approaches of conventional doctors and functional medicine practitioners when seeking treatment for diseases that are complex.
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