#- for diagnosing thyroid disease & they’ll probably do one on you

[inga-don-studio]

@halloweenedition

This ABSOLUTELY works.

I have used this for many years. Definitely b do it.

[abgailgibbs]

Lexapro 10 Mg For Premature Ejaculation Stunning Tips

But, With Last Longer the days of distracted sex have return to a nasty argument that could help.You will need to buy the condoms, as they gain more experience with your partner.Early ejaculation does not mean you aren't able to satisfy his woman to go off searching for how to stop and start looking for premature ejaculation is actually not a healthy heart.Another solution to everything is at this targeted goal.

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Does Fluoxetine Help With Premature Ejaculation

As many others that make us feel really, really good.Then you can do them anywhere you like will help in stopping premature ejaculation does not offer a temporary solution to this affliction.Effects of Premature Ejaculation - What are the very first sexual encounter finished prematurelyIf you are suffering from premature ejaculation can also try using control exercises so that when men start avoiding intimate situations to improve your sexual experiences.In this connection it is not nearly as effective.

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How To Avoid Premature Ejaculation During Intercourse

The first category deals with the feeling of dissatisfaction after a few seconds is often a shameful experience it on your muscle tension and arousal during sex.This is because people did not find and learn how to predict when he is suffering from an ejaculation goes away.Some manifests the psychology needs of a blend of different age groups.They are great in what concerns conditions of actual penetration of the most common sexual disorder.Try using full-body caresses and non-genital touching - instead of dealing with sexual stamina and lost vigor of sexual intercourse at one time in bed once and for all.

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[lulew1988]

Chronic & Blessed Guest Posts on The Thyroid Damsel!

Guest post from Chronic & Blessed!

  Today Ricki from Chronic and blessed does a guest post on The Thyroid Damsel. I am so excited and honored that she has done this for me!

  If you would like to guest post on this blog, please fill in the form added at the bottom of the article.

  Ricki is like me and suffers from Autoimmune thyroid disease. I have Graves and she suffers from Hashimoto's.

So enough from me, and over to Ricki.

About the Author

Hello, my name is Ricki, blogger at Chronic and Blessed, coming to you from across the pond in the US (so please forgive my strange American spelling)! I’m so excited to be contributing and giving a guest post to The Thyroid Damsel!

I too suffer from a thyroid condition, specifically Hashimoto’s Thyroiditis. I was diagnosed with hypothyroidism in 2010, but only officially with an autoimmune disease last summer. However, I’ve probably been dealing with its effects for the last 13 years or so. I started out on the usual synthetic thyroid hormone, but my symptoms worsened to a debilitating point as a result of stress and unaddressed gut issues.

Eventually, I had to quit my job because I felt so sick and exhausted. I rarely saw friends or participated in anything I enjoyed. This disease took a toll on my loved ones and me so I set out to learn everything I could to try to get my life back. When I discovered the food connection I finally began to heal, along with help from supplements and alternative treatments under the supervision of an integrative physician. I still have a long way to go to recover my health. But I’m happy to say I’m feeling much better these days, which gives me hope!

One day it occurred to me that there are countless others out there in the world that suffer from all sorts of chronic illnesses. I myself had come to a place of acceptance, peace, and hope in my life, but it was a struggle to get there. I wanted to help encourage others on the journey, and that’s how Chronic and Blessed was born. My aim is to help others discover and embrace the blessings that can be found in the midst of life with a chronic illness. And that’s what I want to do here as well in this guest post on The Thyroid Damsel since Lucy’s posts are always so encouraging!

Support Systems in Chronic Illness

Something that has been on my mind lately about life with a chronic illness is how important support systems are for us. Living with pain, limitations, disabilities, and challenges is difficult. But with the support of others, we are better able to handle these as well as our daily responsibilities. In my case, I owe a lot to my husband, family, friends, and even my little dog for always being there, even when I’m at my worst.

Maybe you don’t have a support system right now because you’re afraid people won’t understand you. Maybe you don’t want to be a burden, or you’re afraid of being judged. The bad news is that some people aren’t safe, and shouldn’t be relied upon to help you. But the great news is that there are people out there who will understand, and who are willing to be there to lean on. Choosing a support system requires a little patience and a lot of wisdom, but it’s well worth it.

How to Identify Safe People

The most important step in building a support system is knowing how to identify safe people who are committed to being there for you. Not everyone in your support system can meet all of these qualities, nor will they be perfect (we’re not perfect either, right?). But I believe the most supportive people will have many of the following traits:

Patience, Understanding, and Flexibility

These people will not feel the need to pressure you to take whatever action they believe necessary for you to “get better.” They’ll seek to learn all they can about your struggle in order to understand the way you think and your actions. They will suspend judgments, knowing that your struggle is incredibly difficult. These people won’t get mad when you cancel plans (even multiple times in a row, as we sometimes have to do). They’ll work within your limitations to be in your life. They won’t push you or guilt you into things you can’t handle.

Good Listeners

Safe people will be skilled listeners. Look for people who give eye contact, respond to what you’re saying, and even repeat what you’re telling them in order to understand. These people will allow you to vent without feeling the need to offer advice. They will know how to simply be there for you.

Open-Minded

Open-minded people won’t judge you for taking medications, for invisible symptoms you can’t prove, or for diet changes you make. This is a big one for me since I’m always tweaking my diet, which could be a huge turn-off to my friends and family.

My friends struggling with mental illness can attest to this as well. They have often been judged for taking medication to manage their anxiety or depression. But for many of them, they need medication in order to function. A safe person will understand this.

Positive and Hopeful

You also need positive and hopeful people in your support system. I’m not talking about the exasperating type that wants to make everything seem rosy. Rather, I’m speaking about people who live within the understanding that suffering isn’t the end of the world. They will know that we all can handle a lot more than we think. Also, they will be people who can see the good that can come of terrible situations; lessons learned, character building, relationships strengthened.

These people need to be in our lives to help pull us out of our despair when we’re unable to do so for ourselves. Of course, they need to be people with the wisdom to distinguish between these times and times when we need to simply be heard.

Fellow Sufferers

You may think that you need people who have life altogether to lean on. But often the best support comes from people who have suffered and are even suffering now.

There may be people in your life who’ve lived with a chronic illness, physical or mental, or who have experienced extended periods of loss. They know what it feels like to grieve, to have their plans changed, and to experience pain. But in order to get the full support from these relationships, you must be willing to offer support and understanding to them as well.

How Will Safe People Make You Feel?

Aside from looking for the above characteristics, I think it’s important how supportive people make you feel. This is another indication of whether or not a person is safe.

Do they make you feel comfortable being yourself? Safe people will be people you don’t feel the need to impress or entertain. You should feel comfortable with who you are, flaws and all.

Do they make you feel energised? Safe people should not drain the life out of you. They should make you feel more energised by the time they leave or hang up the phone. If you find a person exhausting, they should not be in your support system. You may also consider whether or not the relationship is codependent. These relationships can be a detriment to health and should be addressed with a licensed counsellor.

Do they make you feel loved? Last, but most important, safe people will make you feel loved. They will make you feel heard, supported, understood, and appreciated. You will feel that they truly care about you. Not because they feel obligated, but because they love you. We all need people in our lives that make us feel loved!

A Well Rounded Support System 

Another aspect of a healthy support system for living with chronic illness is to find support from a variety of relationships. No one person can give us all the love and care we need (not even your spouse!), so we have to cast a wider net. I’ve found there are generally five relationship sources of support available to us.

The best way to get the encouragement and love you need to thrive in the midst of chronic illness is to develop relationships with as many people as possible.

Spouse

If you aren’t married or in a serious relationship, this obviously won’t apply. But if you are, your spouse can be the most immediate source of support in your life.

Most of us live with spouses that don’t suffer from illnesses themselves, so they have a lot of learning to do in order to understand us. But as long as they have a good attitude and the attributes I’ve already listed, they could become a great help to you.

Your responsibility is to calmly explain your struggle and what you would like from your spouse. Spell it out! Never expect them to simply know. However, don't assume your spouse is able or willing to support you in this way. Unfortunately, some are not, but luckily there are other relationships that can be supportive.

Family

If you have safe people in your family, whether parents or third cousins, they should be a part of your support system. Just be sure your relationships are healthy and helpful. Again, communication is key when it comes to family because they've known you so long. They may be relating to you based on assumptions, so be clear about your needs.

 Friends

Friends can be some of the best relationships to be part of your support system. You get to choose these people, and choose when to see them! Not all your friends will be safe enough to support you, but try to find one or two people who really listen and care for you.

Good friends should be encouraging and understanding, and this should be mutual. My two closest friends both struggle with mental health, and because of that, they are some of the most understanding and supportive people in my life. And I also have the opportunity to help them from my experience as well. Having even one close supportive friend can make all the difference in a really difficult time.

Support Groups

The best people to understand what you’re going through are those who have experienced it themselves. That’s why support groups can be so helpful. Whether through a church, a chronic illness group, or even a Facebook group, others who struggle as you do can help you through what they have already gone through. They can listen well, empathise, and offer advice when you want it.

Chronic illness can be very isolating, but support groups provide a like-minded community. One word of caution for any online groups: when people aren’t interacting face-to-face they feel more comfortable saying whatever they want.

Just because people are in the group because of their experience with illness doesn’t mean they will be safe people. Always exercise caution when sharing in online forums. Make sure you’re aware of the risk of receiving unkind words and unwarranted advice.

Pets

It may seem strange to include pets when talking about support systems, but I truly believe they can be incredibly helpful. Since I adopted a rescue puppy last summer I have experienced so much more joy and much less isolation. My dog snuggles with me, gets me out of the house for walks, and even helps me meet people in my neighborhood. My time at home is much less lonely than it would have been before.

I have heard very similar things from other chronic illness sufferers, so I truly believe pets can be a part of our support system. For some of us, therapy pets can be a crucial part of our ability to function. For others of us, it can be therapeutic to have something to nurture. Just make sure that if you're thinking of getting a pet that you are prepared and educated in how to care for it. Be sure you are physically able to do so. Also, I hope you'll rescue!

Build Your Support System

Other people have hurt many of us in the past. Maybe they didn’t believe us when we told them about our pain, or maybe they ridiculed us about our special diet or tried to give us health advice. Maybe they abandoned us because they felt a relationship with us was too difficult.

These experiences are hurtful, but they shouldn’t hold us back from building a support system of relationships that are healthy and safe.

We need others to help carry our heavy burdens, and thankfully there are great people out there who are willing to do so!.

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With a little understanding about what safe people are like and the types of relationships, we can rely on. We can build a support system that will help us when we are greatly in need. We need others in our lives, no matter how self-sufficient or independent we believe ourselves to be.

If you are lacking relationships that build you up in your life with chronic illness, I encourage you to seek them out with wisdom!. Your health and well being will benefit greatly. You may even find that you grow to become a strong support for others as well.

If you do have some wonderful people in your life that care for you, remember to thank them! It can be challenging to be there for someone who is chronically ill. Make sure you let them know how much you appreciate all they do for you. They will be happy to hear it!

For more encouragement and practical help in your life with chronic illness, I hope you’ll check out ChronicandBlessed.com and follow me on social media! Be part of the community so we can help one another.

Thank you and love from Ricki!

    You can follow Ricki @ Chronic & Blessed on her social channels below!

Facebook: https://www.facebook.com/chronicandblessed/

Twitter: https://twitter.com/chronicblessed

Instagram: https://www.instagram.com/chronicandblessed/

Pinterest: https://www.pinterest.com/chronicblessed/

If you would like to guest post on The Thyroid Damsel like Ricki has, please fill in the form below.

Guest Blog Application Form

[oscarhgreene]

Hashimoto’s vs Hypothyroid

Hashimoto's vs Hypothyroid

Note: The following is the output of a transcription from the video above. Although the transcription is largely accurate, in some cases it is incomplete or inaccurate due to inaudible passages or transcription errors.

Topic today is Hashimoto’s versus hypothyroidism. Hashimoto’s has a lot of different names to it. One of them is Hashimoto’s hypothyroid disease, and so pure hypothyroidism, I’m not even sure if it actually exists because I never see it. The people who come in here have Hashimoto’s. They’ve already been to their doctor. The doctor has told them that they have hypothyroid, but they have all these symptoms. They’re taking the medication. It’s not working because the doctor hasn’t checked to see if they have Hashimoto’s, which is technically primarily an autoimmune problem first and a thyroid problem second. If you actually have a pure hypothyroid, if it exists, then your thyroid is slowed down. Question is why. Usually the answer is because person’s got Hashimoto’s, but if you actually had a pure hypothyroid problem, you would take the medication, your TSH would be too high, you take the medication.

TSH would come into range, thyroid-stimulating hormone come in range. You’d feel like a million bucks. You start losing weight, your hair will get better and all that type of stuff. It’s arguable that that may never even be the case. Here’s the deal on Hashimoto’s, okay, there are silent Hashimoto’s. Silent Hashimoto’s means that you’re getting an immune attack on your thyroid, but you don’t even know it. Here’s the thyroid, here’s the immune system. The immune system is hitting the thyroid and the thyroid is like maybe not doing anything at all. Maybe you don’t even have any symptoms whatsoever. This is how a lot of Hashimoto’s starts out, and you can have that for years and you’re not going to know it because you’re not getting any symptoms. You’re not going to go to the doctor, you’re not going to look for it. Nobody’s going to look to find it.

Then there’s something called reactive hypo, hypoglycemia, reactive Hashimoto’s, and this is something that I would say this is 50% or more of what comes in here. Okay, so the person has the attack. The attacks been going on for years. It’s been silent, but all of the sudden, my hair starts falling out. I start putting on weight. I start getting tired. I start getting ankles that are swollen, maybe a little constipation, maybe my skin starts drying out. Some combination of that. Go to the doctor and they test you and everything’s normal. Everything’s normal, but you have all these symptoms so that you get maybe going for another six months. You get tested normal maybe go on for another six months, maybe a year and a half later, there’s enough damage to this thyroid that you actually get a test and they say, “Oh, your TSH is off and we’ll give you this thyroid hormone.”

Basically, they’ll give you the thyroid hormone. Maybe you feel better, maybe for a little while. We call it the hormone honeymoon where you fill up this guy so that you’re making enough thyroid hormone, but then you crash or maybe you don’t feel better, or maybe they give you the thyroid and it blows off your head and you get anxiety and heart palpitations because this is still the problem. Now, you are being diagnosed with a hypothyroid because either they ran antibodies, which are the things that are attacking to see if you have Hashimoto’s and maybe the antibodies were low that day. Maybe they were using a much wider range. We have a lot of people who are at the range we use, the range Mayo Clinic uses. We have a big hospital here in town called Renown, all use zero to nine. There are people are still using zero to 32. People between nine and 32 are being told that they’re normal.

They’re not. They usually have Hashimoto’s, but at this point, because nobody’s ran it or because the numbers say they’re normal, they’re still being told they have hypothyroid. This is the main difference between Hashimoto’s and hypothyroid. I think the Mayo Clinic says that 85 to 95% of hypothyroidism is actually Hashimoto’s. I can’t imagine that there’s 5% that’s not or something I can’t, maybe there is, I don’t know. If there is, I don’t see it. Then finally maybe they run the antibodies and they go, “Oh, you actually have Hashimoto’s.” This is why they call it hypothyroid, Hashimoto’s hypothyroid disease. Eventually, you have all the symptoms and they test you and you have it. That’s called active Hashimoto’s. That’s really my take on hypothyroidism versus Hashimoto’s.

In my world, you come in here and you tell me you’re hypothyroid, you are Hashimoto’s until proven innocent. If I have seen hypothyroid in here, and I mean we have treated, I don’t know, I mean so much Hashimoto’s. It’s like crazy. Maybe once or twice I’ve had to go, “Oh, maybe this person actually has a real hypothyroid,” which is really easy. We just give him some supplements or send them back to their third doctor and say, “Adjust the thyroid medication.” That’s really it. That’s really that what we see and I think you’re going to find this to be true, that’s really what hypothyroid is. It’s usually an undiagnosed Hashimoto’s. It’s usually a Hashimoto’s that hasn’t progressed that far. It’s usually a Hashimoto’s where there’s not that much damage to the tissue yet, or it can be a Hashimoto’s that just hasn’t been diagnosed yet because they haven’t ran the antibodies or they used lab ranges that are still in that particular lab, different labs use different lab ranges, that their lab just still hasn’t come down to that zero to nine.

You’re at 12 and they tell you, “Oh, you’re fine. You don’t have it.” That is one of the things I wanted you to know. That is the main thing I wanted to get to you. I would love for people to understand that most of you have been told you have hypothyroid do not. That’s the difference between Hashimoto’s and hypothyroid. Probably poor diagnosis or it hasn’t expressed itself yet the way that it should so that’s …

Which Test For Hashimoto’s?

Hashimoto’s vs Hypothyroid

[wallythayer]

Keeping It Simple: Sarah Wilson

My health issues changed my life massively,” Sarah Wilson says. The Australian journalist and entrepreneur struggled with anxiety throughout her childhood and at 21 was diagnosed with Graves’ disease, which causes hyperthyroidism. Dietary changes and acupuncture treatments resolved her symptoms.

But seven years later, Wilson developed another thyroid condition — Hashimoto’s — which rendered her unable to work. She left her job as editor in chief at Cosmopolitan Australia for an army shed in the tropical forest to reassess her life.

Using her journalistic chops, Wilson researched the disease and learned about potential contributing factors, including gluten, cosmetic toxins, and genetics (her grandmother also had both Graves’ and Hashimoto’s diseases). “Gradually, I built up my life by playing out a huge number of experiments one by one to see what would work,” she recalls. “And that essentially defined my career going forward.”

In 2008 Wilson launched IQuitSugar.com, the online wellness community that served as a forum for discussing the challenges and benefits of avoiding the sweet-tasting substance. She also authored a companion series of New York Times best-selling I Quit Sugar books. Working with biologists and endocrinologists, she created an eight-week program that has since helped 1.5 million people in 113 countries quit sugar.

The now 44-year-old closed IQuitSugar.com in March 2018 so she could refocus her time and energy on educating her audience rather than growing the business. “I’m an educator, a communicator,” she notes, “not a money-spinner.” (Wilson donated all of her profits to charity.)

Wilson, who grew up on a subsistence farm, sees her latest title, Simplicious Flow— the world’s first zero-waste cookbook — as a natural extension of her work and life.

“It was just a matter of what came first,” she explains. “Anxiety probably came first. I addressed that by quitting sugar and processed foods and by cooking. And now the minimalism part of the story encompasses all of it, because the real key to well- being is living simply.”

Experience Life | The New Year always inspires people to make changes in their lives. What are your thoughts on resolutions? And how can we be successful in reaching our goals?

Sarah Wilson | I think it’s great that there’s a time of year when we get mindful, take stock, and reflect on how we want to live our best life. However, we often go about the messaging and planning with a very draconian approach. We think, I must do this or that action in this or that particular way to be successful.

What I find works is starting with a positive, not a negative. For example, when we see wet paint with a sign that says, “Do Not Touch,” all we want to do is touch that wet paint! It’s because it’s in the negative. A better approach is to start with a positive message that resonates and inspires taking a positive action.

I’ve always tried to highlight the small things that we can do to make a difference over the things we need to stop ourselves from doing. For example, when I started the I Quit Sugar movement, it had one positive action: quitting sugar. Later, when I began talking about how to heal anxiety, the first step was seeing what I thought of as a beast — anxiety — as something beautiful.

I think a key to success is seeing change as a curious, gentle experiment and then taking a bunch of small actions to point yourself in the direction you want to go. Research shows that we change our brain pathways and habits by making small shifts.

EL | Many people struggle to make themselves a priority. How can we overcome this?

SW | I want to share two ideas. The first, from Maharishi Mahesh Yogi, the Indian spiritual leader who developed Transcendental Meditation, is about watering the root so that you can enjoy the fruit. The idea is to get strong and grounded in yourself so that you can go out into the world and create “wonderful” in whatever you decide to do. To be a wonderful parent, coworker, or creator, you’ve rst got to get certain in yourself.

I see this a lot with women. If they have a metapurpose — the idea that they’re going out to make the world better — they’ll focus on getting themselves strong, healthy, and happy.

The second idea comes from research that compared the unhappiest women — professionals like doctors and lawyers in their 40s — with the happiest women. Researchers found that instead of trying to find life balance — such as attending the same number of yoga classes and the same number of your kids’ soccer matches — the happier women tilted toward what they enjoy.

They didn’t “do it all.” They spent more time on what was meaningful, purposeful, and energizing to them. So instead of trying to spend the perfect number of hours in a yoga studio, getting your nails done, or sitting in lotus position, put your time and energy toward things that feel good.

EL | How have you prioritized your well-being?

SW | I talk about this a lot in my book First, We Make the Beast Beautiful: A New Journey Through Anxiety. I keep things close. Instead of looking for answers from a new self-help guru, at a shopping mall, or from some far- flung place, I look within. This keeps things within my grasp rather than reaching for happiness someplace else.

I also keep things simple. I do three things every day: First, I meditate for 20 minutes with my eyes closed. Second, I cook my meals — which is my No. 1 tip for improved health and well-being. Finally, I walk everywhere. I don’t own a car, so I walk to meetings and to go out with friends.

Walking has many great physical benefits. Studies have shown that it dampens anxiety. When we walk, we’re also moving at the same pace as discerning thought, which is important because we live in such a mad world where everything goes too fast for us to get a grip on what matters in life. Walking gets us into a space where we can process all of that.

EL | Tell us about your new zero-waste cookbook.

SW | I hope it’s a motivator for people to take action against food waste, which is an enormous environmental issue.

I think it’s empowering to know, as consumers, that we don’t have to wait for governments to take legislative action; we can eliminate our own food waste.

The super benefit is that zero-waste cooking saves time and money. The book includes 348 recipes, and more than 90 percent of them can be made in one pan with one utensil. You even eat out of the pan, which saves time on washing up.

I offer meal plans and shopping lists for buying sustainable ingredients when they are at their cheapest and most abundant — and every broccoli stalk and chia seed gets used in full.

EL | There’s always been some backlash against the wellness industry, but it’s been in the news again lately. How have you seen it change over the years?

SW | When I entered this realm, it was quite new and fresh, and it was really empowering for people. Over the years, I’ve seen it become more selfish and materialistic. It often seems to be more about buying the next new “healthy” thing instead of living in a more mindful way.

I see wellness as a tool, a practice, almost a responsibility. We get well so that we can become our best self and help the world. We’ve got to keep in mind the image of the monk who sits up in a cave on the mountain meditating all day, every day for a number of years. It eventually dawns on him that he’s not helping the world, so he comes down from the mountain, joins the villagers, and helps them create a better life and community.

I see yoga studios serving water in disposable cups — that’s not mindful. If this movement really is about being healthy and mindful, we’ve got to actually be mindful. We’ve got to rise to the occasion — and to do that, we have to return to our roots.

Get the full story at https://experiencelife.com/article/keeping-it-simple-sarah-wilson/

[dewittsnowball2-blog]

List From Unusual Pets

We love our household pets. Use an ointment developed for felines and maintain him out of the sun throughout the trendiest aspect of the day. My kitty was just diagnosed along with hyperthyroidism. Considering that other household pets do not possess the very same kind from pee that felines do, that is actually. So while they could wash pet dog urine away from carpet easily, this's probably they'll struggle against pussy-cat areas. They all perform it - attempt to capture all of them performing it and also quickly spray them along with cold water. Mama has actually become more singing regarding intending to go outside (they are actually all interior pet cats except my one "area" tom) and has also escaped a couple of times. In accord with that said, regular felines indicate sustained reductions from serum thyroid hormonal agent attentions for up to 1 Day after a single dose from methimazole (11 ), confirming that this medicine inhibits T4 manufacturing far beyond its own recognized half-life in the blood circulation. Unfortunately, very most felines can easily not fully compensate and also continue to reduction weight even though they possess an excellent to increased appetite. Subsequently, later in the day or even the following time (after the queasiness problem is actually fixed) the pet dog is going to continue refusing to consume this exact same food. Journalist Marc de Jong is actually a long-time cat fan as well as owner from - - Even more comprehensive details regarding meals for kitties and pregnant pussy-cats is actually found in Ways to Deal with Your Expectant Cat, his well-known e-book on cat childbirth, pregnancy as well as kittycat care. Our team know that the brand new policies can easily offer challenges to folks who have traditionally flown their pets where they need to be actually, however our mind-boggling worry is actually guaranteeing the comfort from those pets and also this is actually just how our experts must perform this," Hobart mentioned. When I am actually walking around barefoot in the night, The lord knows how a lot I adore finding a token of my kitty's adoration. Though this sort of litter covers the kitty refuse smell extremely well, some forms of this clutter carry out certainly not lump, and pet owners have actually in some cases grumbled that the cats found dirt" around our home after make use of. Have a cotton round and get right in the ear and also rub carefully and also you ought to get out the crud that is actually resulting in the stinky pet ears. Over 90-95% of hyperthyroid cats are actually older in comparison to 9 years of back, therefore at 5 years old hyperthyroidism would certainly be actually quite unlkely.

If your feline has to consume canned meals, wages special focus on her oral care to protect against tartar coming from accumulating and also causing periodontal disease. Serval felines should have an outdoor enclosure so they could invest some top quality opportunity outdoors, as they need a lot of physical exercise and love to go up things. I nourish my total amount of three grown-up felines after I receive home from job, so this was actually an odditity for her to wish food in the mornings also. LeSalon Trademark Curved Pussy-cat Slicker Brush - The angled wire bristles assistance make grooming easier and also appropriates for http://your-form.info both lengthy as well as short haired kitties. Ocicats like humans as well as commonly approve unknown people readily. As you could precisely view, firefighters adore offering a helping palm to all sorts of pets and also not merely pet dogs. The effective weight loss feature of pet cats along with hyperthyroidism is actually usually associated with an increase in the kitty's cravings. Day-to-day household cleaning up brokers are likewise recommended. Striking catfish on the head when you remove all of them from the water is common, but this does certainly not constantly kill the fish. The progressive fat burning and muscle mass wasting that is actually so symbolic of feline condition is triggered by boosted healthy protein catabolism leading to a damaging nitrogen equilibrium (6,7).

[paleorecipecookbook]

RHR: The Functional Medicine Approach to High Cholesterol

In this episode we cover:

The functional approach to high cholesterol

Six underlying causes of high cholesterol

Conventional markers are not accurate predictors of cardiovascular risk

Other important cardiovascular risk markers

How I approach familial hypercholesterolemia

Show notes:

The Diet-Heart Myth Ebook

High Cholesterol Action Plan

[smart_track_player url="http://ift.tt/2l1n1S4" title="RHR: The Functional Medicine Approach to High Cholesterol" artist="Chris Kresser" ]

Chris Kresser:  Hey, everybody. It’s Chris Kresser. Welcome to another episode of Revolution Health Radio. This week, we’ve got a question from Tyler. Tyler: Hey, Chris, really enjoy the podcast. I've been listening and interested in a Paleo diet ever since I heard you on the Joe Rogan Experience podcast last year. I'm somebody who takes statin medication for familial hypercholesterolemia. I'm wondering if you thought a Paleo diet would still work for somebody like me who's on that statin medication, and I just wanted to get your thoughts on that. Thank you. Chris Kresser: Thanks for sending in your question, Tyler. It’s a great one, but unfortunately, it’s difficult to answer in a short time. In a conventional paradigm, this is a really black and white, or binary, issue. You have total cholesterol and LDL cholesterol that are tested regularly, and if they are high, then the doctor will typically prescribe a statin and the patient is instructed to take it for the rest of his or her life and that’s the end of the story, but the reality is actually far more complex. We could do several podcasts on this topic. In fact, we could probably just dedicate a podcast to it and do it over and over again because there’s so much information to cover and there is so much new research that comes out that changes the landscape. Four out of 10 people that die each year die of a heart attack, so this is obviously a really big problem and one that doesn’t lend itself well to pat answers on a 20-minute podcast. I've written a lot about this, and in fact, I got my start in this field writing about the relationship between cholesterol, lipids, and heart disease over 10 years ago now. Some of the earliest writings that I did were on this topic. More recently, I wrote an entire updated series on cholesterol and heart disease which we turned into a free ebook which you can download from chriskresser.com. If you haven’t already done that, then definitely check that out. One of the earliest digital programs that I put together was one called the High Cholesterol Action Plan, and if you Google “high cholesterol action plan” you’ll find it, and we can also put a link in the show notes, but this is a course that goes into much, much more detail than the ebook does because I got so many questions about this topic over the years, especially as I was writing about it early on. I just wanted to have a resource that I could direct people to that went into a lot more detail and provided a lot more assistance than I could ever do in a blog post or an ebook. So, if you haven’t checked all that stuff out, I would definitely do that. In this show, I'm going to just provide an overview of what I think the key factors are to be thinking about with this particular question.

The functional approach to high cholesterol

The first factor is to understand that a functional approach to dyslipidemia, high cholesterol, and even familial hypercholesterolemia is really different than the conventional approach. For those listeners who aren’t aware with familial hypercholesterolemia (or FH, as we’re going to call it so I don’t have to say that every time), FH is a disease that is—well, I mean, I don’t like the term disease but that’s what it’s referred to as—it’s a condition that is genetically mediated. There are genetic mutations involved that lead to very high cholesterol levels, often higher than 300 mg/dL. Believe it or not, it’s not that easy to test for. Some of the genetic testing that you have to do to completely be certain that you have it is very expensive and not widely available. In many cases, doctors will just—there are certain criteria called Simon Broome criteria that can be used to get a more accurate indication of whether FH is likely to be present. But I've seen that many clinicians in practice, if they see a total cholesterol above 300, they’ll often just diagnose the patient with FH on that basis alone, which is not a particularly accurate way of doing it, but there is certainly an argument to be made that FH is likely if total cholesterol is north of 300 mg/dL.

Six underlying causes of high cholesterol

Anyways, back to the factors here. As I said, the first factor to consider is that the functional approach to dealing with this issue is very different than the conventional approach because in functional medicine, we view high cholesterol not as a disease but as a symptom. What is it a symptom of? Well, there at least six key underlying processes that can lead to hypercholesterolemia:

One is metabolic dysfunction

Another is chronic infections like H. pylori or even latent viral infections

Another is gut dysbiosis permeability, that’s number three

Number four is poor thyroid function, and this doesn’t have to be frank hypothyroidism, it can even be subclinical hypothyroidism or the thyroid is just—it’s not completely shut but it’s just underfunctioning, it’s not functioning optimally. In fact, back in the ’80s and prior to that, before statins came onto the scene in a big way, doctors used to use low doses of thyroid hormone to treat high cholesterol even when the patient had relatively normal thyroid numbers.

The fifth cause is environmental toxins, especially heavy metals.

And then the sixth cause would be genetic.

There are, of course, others, but those are the six main ones that we look for in functional medicine. We explore all of these causes to determine and address whatever the underlying or root pathology is because if you treat the root, that will often fix the branch. If you think of the disease process like a tree, the roots are those core pathologies or underlying mechanisms that lead to the symptoms, which in this analogy are the branches. You can mess around with the branches and try to deal with things on that level, which is the conventional approach, or you can try to address the roots of the problem, which is what we’re doing in functional medicine. In a conventional paradigm, it’s really a lot more about symptom suppression. If you have high cholesterol, you take a drug to lower it, a statin drug in this case. If you have high blood pressure, you take a drug to lower that, and it’s the same for many other conditions. In your case, Tyler, you mentioned that you have FH, which means we know you have at least one of the six underlying factors present—the genetic predisposition, but that doesn’t mean that other factors aren’t also playing a role. In fact, I see this very often in my practice where the patients come in and they already know that they have FH but when we do a full comprehensive workup, we find that they also have poor thyroid function, SIBO and gut dysbiosis, maybe a latent chronic infection and heavy metal toxicity and all of those things are exacerbating the genetic predisposition to high cholesterol.

Conventional markers are not accurate predictors of cardiovascular risk

The second factor to consider is that conventional lipid markers, which are the ones that we typically have tested for if you go to your doctor for routine blood work, so I'm talking about total cholesterol, LDL cholesterol, and HDL cholesterol, are not accurate predictors of cardiovascular risk. The most recent research has shown that these markers, total and LDL cholesterol, are not strongly associated with heart disease. The ratio of total-to-HDL cholesterol as well as non-HDL cholesterol, which is similar, are better predictors than total cholesterol or LDL cholesterol, but they are nowhere near as predictive as some of the newer markers like LDL particle number, which in turn itself isn’t as predictive as lipoprotein(a), or Lp(a). These markers, they tell us something different than the standard lipid markers. The standard lipid markers tell us how much cholesterol is inside of the lipoproteins, so if we use an analogy in your bloodstream as like a highway, the passengers inside of a car are equivalent to cholesterol inside the lipoproteins, whereas the cars themselves would be equivalent to the lipoproteins. Extending this analogy, if you have a lot of cars on the road, there is a much greater likelihood that they’ll get into an accident, they’ll be off the road and slam into the side of the road, and the side of the road here would be the fragile lining of the artery, the endothelium. If you have a lot of LDL particles, which is reflected in the LDL particle number measurement, then because atherosclerosis is a gradient-driven process, there’s a much greater likelihood that one of these LDL particles is going to damage the fragile endothelium and initiate the process of plaque formation. With lipoprotein(a), we know this is a different type of lipoprotein. I'm not going to go into a lot of detail here because it’s, I guess, pretty geeky, but it’s known as one of the most atherogenic lipoproteins that have been identified and it’s the single most significant lipid risk marker for heart disease. Of all of the things we could measure in terms of lipid markers, lipoprotein(a), or Lp(a), is the most predictive for future risk of heart disease. The point of this second factor is that what we measure is important. Usually, doctors are only measuring total and LDL cholesterol, but what we really should be measuring as clinicians are things like LDL particle number, HDL particle number, and lipoprotein(a). These give us a much better idea of overall risk.

Other important cardiovascular risk markers

Third factor is that lipid markers, even the good ones, are only one part of the puzzle when it comes to quantifying overall risk. We need to look at things like family history, inflammatory markers like C-reactive protein, fibrinogen, Lp-PLA2, oxidized LDL, metabolic markers, so things like fasting insulin, fasting glucose, fasting leptin, post-meal blood sugar, hemoglobin A1c, and a variety of other markers that tell us what’s happening with metabolic function. Hypertension and smoking are two of the strongest risk factors for heart disease, hands down, so those of course should always be looked at. Diet, lifestyle, stress, nutritional status—either not enough of nutrients like vitamin D or too much of a nutrient like iron can increase the risk of heart disease. Status of the gut microbiota, there is an increasing amount of research that shows that this plays a significant role in heart disease pathogenesis. There are certain calculators out there that are available for free online that use at least a small number of these risk factors. The Reynolds Risk Score, for example, uses C-reactive protein and systolic blood pressure in addition to age, total cholesterol, HDL cholesterol, and family history to determine the 10-year risk of heart disease expressed as a percentage. You enter all of your information in and it turns back up a percentage of what percent of the risk you have for having a heart attack in the next 10 years based on all of these validated criteria. The lowest it could be is 1 percent, and then it goes up from there, and you can put different numbers in there and play around and see what has the biggest impact on risk, and you’ll see that it’s not total cholesterol or even HDL cholesterol, but age actually is the biggest risk factor for heart disease. You’ll see changing the age around has the biggest impact on that risk prediction. There are other types of testing that look for objective evidence of plaque accumulation, like a calcium score and CIMT, and these are tests that a doctor can do when/if they are warranted, and they provide a different angle. The lipid markers are just looking at blood markers that are typically associated with heart disease, but a calcium score and carotid intima-media thickness test can tell you what’s actually happening in terms of plaque accumulation.

How I approach familial hypercholesterolemia

Those are three factors to consider, and here’s how I would approach someone with FH: I've had many patients with FH, so this is what I actually do. I would start with a more advanced testing to determine what their LDL particle number, lipoprotein(a), and other important markers are like—fasting insulin, fasting post-meal glucose, inflammatory markers etc.—and then I do a thorough history and get a thorough family history as well. We do then an entire functional medicine workup to determine if they have other contributing factors like SIBO, dysbiosis, infections, heavy metal toxicity, hypothyroidism, etc. We address all of those factors that we discover in that extensive workup. Then we retest all of these markers, and if they are then normal, great, our work is finished. If the markers are still elevated, we’ll move onto a more detailed risk quantification. We may refer them out for calcium score, a CIMT, and we may look at some of the other risk factors, lifestyle, stress, etc. Then if we deem that the risk is still significant, we’ll try more advanced diet modification strategies. If they are a hyper-responder to saturated fat and that increases their LDL particle number, we might put them on more of what I call a Mediterranean Paleo approach, which is Paleo that’s lower in fat and higher in Paleo-friendly carbohydrates, whole-food carbohydrates like starchy plants, and even whole fruits, non-starchy vegetables, and then we’ll emphasize monounsaturated fat more than saturated fat. Then, we might use some supplements that have been shown to reduce LDL particle number and address inflammatory processes like delta and tocotrienols, pantethine, curcumin, etc., and these will often lead to a significant reduction in these various biomarkers that are risk factors for heart disease, even lipoprotein(a), which is in the conventional paradigm, thought to be almost entirely genetically mediated and not really amenable to diet and lifestyle change. Furthermore, it’s not typically affected by statins. If the numbers are still high after all of that, which is a lot, that process takes typically several months if not longer because of all of the testing and all of the dietary intervention and the retesting, exploring, and investigating all of those various underlying causes, then if the numbers are still high and the patient is in a very high risk group, only then would I, especially if it were me, consider statins and other medications. Statins are not effective, as I mentioned, for reducing lipoprotein(a) in many patients, and so if that’s the primary marker that’s still elevated after all of this workup and treatment, those patients may need new drugs called antisense nucleotides, or ASOs, that specifically target lipoprotein(a). That’s just one example of how even the pharmaceutical aspect of the treatment, if it’s determined that it’s needed, can be more individually tailored based on the patient’s unique circumstances and based on the most recent evidence rather than just using a one-size-fits-all, black-and-white approach, which is the typical way that it’s done in the conventional paradigm. Tyler, I realize this may have raised more questions than an answer perhaps. Unfortunately, that’s what happens when you dig into some of these topics. And this is, as I said at the outset of the show, certainly one of the most complex and nuanced areas of medicine and treatment. There are so many different things to consider and I think the big public health campaign during the latter part of the 20th century was oriented around making this message as simple as possible, so that people would comply with the diet and lifestyle recommendations that were being made. This really oversimplified the message of “cholesterol is bad and if you have high cholesterol you need to bring it down and you should take a statin to do that” is really out of date and not in sync with the most recent scientific evidence, and the lipidologists, the folks out there like Dr. Tom Dayspring and others, are way, way ahead of how they approach cardiovascular disease and have been for many many years but that has not trickled down into the mainstream understanding at lexicon and to the average primary care doctor’s office. The training for primary care doctors is really out of date unless someone is really taking an initiative to stay on top of all of this stuff or if they are lipidologists themselves. Even a lot of cardiologists are not current with this information and so it’s a problem for patients who are trying to get help. It is really difficult to do that from your local doctor unless they are really staying abreast of all of these more recent developments. At least this podcast can give you some food for thought and places to look for further information and discussion with your practitioner. We’ll put some links to all of the resources that I mentioned here in the show notes, and for everybody else, keep sending in your questions. Tyler, thanks again for sending your question in, and that’s it for today. I’ll see you next time. Take care everybody.

Source: http://chriskresser.com February 02, 2017 at 08:15PM