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Part 2: Healthline and the NIH are wrong, the #1 Cause of Weight Gain is Inflammatory foods

Inflammatory foods must be eliminated from the diet to allow the body to heal from the inside out.

This is a topic I am very passionate about. I think the head-in-the-sand approach of many health institutions is keeping Americans sick and that breaks my heart.


What NIH and Healthline Blame for Weight Gain


I challenge the NIH and their #1 cause of weight gain which they say is: "People gain weight when they eat more calories than they burn through activity. This imbalance is the greatest contributor to weight gain. Jul 28, 2021"

While there is some truth that eating too much and no activity will cause weight gain, there is no way that I buy into that this is the #1 Cause of Weight Gain, rubbish and hogwash!


From Healthline which promotes itself as "the" online health guidance site; "What is the biggest cause of weight gain?

"You eat too many calories. Overeating remains a prominent cause of weight gain. If you take in more calories than you burn per day, you'll likely gain weight ( 39 ). Oct 7, 2019" Again absolute garbage as an answer.


Why don't I agree?


In academia, there's an old saying that says those who can't do, teach. I think it's very similar for those who give outdated opinions and hide behind research, if you're not on the front line talking to people and seeing their struggles you lose touch.

These researchers and government entities have lost touch. Unfortunately for us, they are the ones "educating" government agencies, Medicare, the president, and the public on health care and where our tax dollars should be spent.

We are spending $12,000 per person, per year on healthcare. And I might be preaching to the choir here, but I doubt that a majority of this audience is spending anywhere near that because you are invested in prevention and taking care of yourself.

I'm going to tell you right now, that the #1 Cause of Weight Gain, Heart Disease, and various cancers is inflammatory foods. Until we start looking at the quality of food vs. just the quantity of food, like these organizations do, we are going to continue to be a sick overweight nation. And having the best health insurance in the world won't be able to save your life or improve your health.


Understanding Inflammatory Foods

Inflammation – it's a word we often hear, but its impact on our health can be profound and far-reaching. Let's look into what inflammatory foods are and how they wield their influence within our bodies.


Defining Inflammatory Foods

Inflammatory foods are those that have the potential to trigger an inflammatory response in the body. These can include processed foods high in refined sugars, unhealthy fats, and artificial additives. Common culprits also encompass gluten, dairy, eggs, certain nightshade vegetables, and highly processed oils.

When we consume these inflammatory triggers, our body's immune system perceives them as threats, setting off a cascade of reactions designed to protect us. Unfortunately, this defensive response can become chronic, leading to persistent inflammation throughout the body.


The Impact of Chronic Inflammation

Chronic inflammation isn't just uncomfortable; it's a silent saboteur of our well-being. An ongoing state of inflammation has been linked to a myriad of health issues, including arthritis, fatigue, weight gain, and autoimmune disorders.

In the case of arthritis, inflammation can exacerbate joint pain and stiffness, making even simple movements a challenge. For those battling fatigue, chronic inflammation can hijack energy levels, leaving individuals feeling perpetually drained and depleted. When it comes to weight inflammation affects cells and organs changing the underlying function.  In autoimmune disorders, such as rheumatoid arthritis or Hashimoto's thyroiditis, inflammation plays a pivotal role in triggering and perpetuating the immune system's attack on the body's tissues.


A Personal Testimonial:

Let me share a brief anecdote that beautifully illustrates the transformative power of identifying and eliminating inflammatory foods. One of my clients, let's call her Sarah, had been struggling with persistent joint pain and fatigue for years. Despite numerous doctor visits and medications, relief remained elusive.

Upon conducting comprehensive testing and uncovering Sarah's specific inflammatory triggers, we crafted a personalized dietary plan focused on eliminating those culprits. Through dedication and perseverance, Sarah began to experience remarkable improvements. Joint pain subsided, energy levels soared, and she found a newfound sense of vitality in her days. It was a testament to the profound impact that addressing inflammation at its root can have on overall health and well-being.

Understanding inflammatory foods is the first step towards reclaiming control over our health journey. By identifying and mitigating these triggers, we pave the way for greater vitality, resilience, and freedom of chronic inflammation.

Remember, if you're struggling with persistent health challenges, you're not alone, and there is hope. Together, we can uncover the underlying causes of inflammation and chart a course toward lasting wellness.


Testing for Inflammatory Foods

When it comes to addressing inflammation and its impact on our health, knowledge truly is power. In every one of my programs, I routinely remove common inflammatory foods that are known as specific triggers for inflammation and removing them allows healing to begin. That's when personalized testing plays a crucial role in your journey toward optimal well-being. We go from a general anti-inflammatory eating approach to a specific personalized approach to finding the culprits for that individual.


The Importance of Personalized Inflammatory Food Testing

Imagine trying to navigate a maze without a map – you may stumble upon the exit eventually, but the journey is uncertain and has unnecessary detours. Similarly, attempting to address inflammation without identifying its specific triggers can lead to frustration and ineffective interventions.  In my opinion is the main reason people yo-yo with their weight.

Personalized testing allows us to pinpoint the exact foods and substances that provoke an inflammatory response in our bodies. By uncovering these triggers, we gain invaluable insights into our unique biochemical makeup and can tailor our dietary choices accordingly. This targeted approach not only accelerates healing but also minimizes the risk of unintended setbacks.

You’ve probably heard me say this before, I adhere to a simple yet profound principle: "If there's no testing, it's guessing." I believe in the power of precision nutrition – harnessing cutting-edge technology to unravel the mysteries of inflammation and guide our clients toward lasting wellness.


Exploring Different Testing Methods

There are several approaches to testing for inflammatory foods, each offering its unique advantages and insights. Two common methods include food sensitivity tests and elimination diets.

·        Food Sensitivity Tests: These tests analyze blood samples to identify specific antibodies produced in response to inflammatory foods. By measuring immune system reactions, these tests can pinpoint potential triggers for inflammation with remarkable accuracy.

·        Elimination Diets: Another effective strategy involves systematically removing suspected inflammatory foods from your diet for a set period, typically several weeks. By carefully reintroducing these foods one at a time and monitoring for any adverse reactions, you can identify individual triggers and tailor your dietary choices accordingly.

In my office I use both methods because each offers valuable insights, I invite you to talk to me to determine the most appropriate approach for your unique needs and circumstances.


Seeking Nutritional Guidance for inflammatory foods

In the complex landscape of inflammation and dietary triggers, professional guidance is invaluable. A qualified functional nutritionist can help you navigate the intricacies of testing and interpretation, ensuring that you receive accurate and actionable insights.

Whether you're considering food sensitivity testing or embarking on an elimination diet, partnering with a knowledgeable practitioner ensures that you receive personalized support every step of the way. From test selection to result interpretation to dietary recommendations, our team is dedicated to guiding you toward optimal health and vitality.

A quick note about inflammatory food testing, please be careful. Ask to see a sample test result before buying. Many DIY inflammatory food tests on the market aren’t worth your time and money. As an example, frequently these tests will give results like the person is gluten sensitive but not sensitive to wheat. That’s the first sign of an unreliable test.


Differentiating Inflammatory Foods from Allergic Reactions

In the nutritional realm of dietary health, it's crucial to distinguish between inflammatory responses and allergic reactions to foods. While both can manifest as adverse reactions within the body, their mechanisms and implications differ significantly.


Clarifying the Distinction Between Food Sensitivity and Allergy

Allergic reactions to foods typically involve an immediate and often severe response from the body's immune system. This hypersensitive reaction occurs when the immune system mistakenly identifies a harmless substance (such as a food protein) as a threat and mounts a rapid defense. Symptoms can range from mild itching and hives to life-threatening anaphylaxis, necessitating immediate medical attention.

In contrast, inflammatory responses to foods are more subtle and insidious. These reactions involve the activation of the body's innate immune system, leading to low-grade inflammation that may persist over time. Unlike allergies, which elicit an immediate and overt response, inflammatory reactions can be more difficult to pinpoint and may manifest as a range of chronic health issues.


Emphasizing the Differences Between Sensitivity and Allergy

Understanding the disparities between allergies and inflammatory responses is essential for effective dietary management. While allergies demand swift avoidance of specific foods to prevent severe reactions, addressing inflammatory triggers requires a more nuanced approach. By identifying and eliminating inflammatory foods, individuals can mitigate chronic inflammation and its associated health consequences, such as arthritis, fatigue, autoimmune disorders, and weight gain.


Examples of Common Inflammatory Foods:

So, what are some examples of inflammatory foods and their potential effects on health? Let's explore a few:

1.     Processed Foods: Laden with refined sugars, unhealthy fats, and artificial additives, processed foods are notorious for promoting inflammation within the body. Regular consumption of these dietary offenders can contribute to systemic inflammation and increase the risk of chronic diseases, including heart disease and type 2 diabetes.

2.     Gluten: Found in grains such as wheat, oats, barley, and rye, gluten is a protein that can trigger inflammatory responses in susceptible individuals. For those with celiac disease or non-celiac gluten sensitivity, consuming gluten-containing foods can lead to intestinal inflammation, digestive issues, and systemic symptoms.

3.     Dairy: While dairy products are a dietary staple for many, they can provoke inflammatory responses in individuals with lactose intolerance or dairy sensitivities. Components such as lactose, a milk sugar, and casein may trigger immune reactions and contribute to symptoms such as bloating, gas, and skin problems. Most inflammatory foods are because of a protein found in that food.

4.     Nightshade Vegetables: Some individuals may experience inflammatory reactions to nightshade vegetables, such as tomatoes, peppers, eggplants, and potatoes. These plants contain compounds known as alkaloids, which may exacerbate inflammation and worsen symptoms in certain individuals, particularly those with arthritis or autoimmune conditions.


By becoming mindful of these common inflammatory foods and their potential effects on health, individuals can take proactive steps toward reducing inflammation and optimizing their well-being.

Understanding the nuances between inflammatory responses and allergic reactions empowers individuals to make informed choices about their dietary habits. While allergies demand immediate avoidance of specific foods to prevent severe reactions, addressing inflammatory triggers requires a more nuanced approach. By identifying and eliminating inflammatory foods, individuals can mitigate chronic inflammation and its associated health consequences, paving the way for a life of vibrant health and vitality.


The Silent Inflammation-Autoimmune Connection

In our body's immune system, inflammation serves as both a protector and a potential problem-maker. While acute inflammation plays a vital role in defending against pathogens and promoting tissue repair, chronic or "silent" inflammation can silently wreak havoc on our health, particularly in the realm of weight gain and autoimmune conditions.


Exploring the Link

Silent inflammation, characterized by low-grade and systemic inflammation, has emerged as a silent accomplice in the development and exacerbation of these conditions. Unlike the overt inflammation associated with injuries or infections, silent inflammation operates stealthily, often without visible symptoms. Yet, beneath the surface, it sets the stage for immune dysregulation and the onset of unhealthy cell membranes.


Unraveling Molecular Mimicry and Immune Dysregulation

Two key players in the intricate interplay between inflammation and autoimmunity are molecular mimicry and immune dysregulation.

Molecular Mimicry: This phenomenon occurs when the body's immune system mistakenly identifies self-tissues as foreign invaders due to their structural similarity to pathogens or other external invaders. As a result, the immune system launches an attack on its tissues, leading to tissue damage and the development of autoimmune diseases.

Immune Dysregulation: In autoimmune diseases, the delicate balance of the immune system is disrupted, leading to an overactive or dysregulated immune response. This dysregulation can manifest as the production of autoantibodies, inflammation within tissues, and the destruction of healthy cells and tissues.


Insights into Dietary Interventions

While the connection between silent inflammation and autoimmune conditions may seem daunting, there is hope on the horizon. Emerging research suggests that dietary interventions can serve as powerful tools for modulating inflammation and alleviating autoimmune symptoms.

By adopting an anti-inflammatory diet rich in whole, nutrient-dense foods and low in inflammatory triggers, individuals can help quell silent inflammation and support immune balance. Key components of an anti-inflammatory diet include:

·        Fruits and Vegetables: Packed with antioxidants, vitamins, and phytonutrients, fruits and vegetables are potent allies in combating inflammation and supporting immune health.

·        Healthy Fats: Omega-3 fatty acids found in fatty fish, flaxseeds, and walnuts possess anti-inflammatory properties that can help soothe inflamed tissues and promote immune balance.

·        Whole Grains: Opting for whole grains such as quinoa, brown rice, and oats over refined grains can help stabilize blood sugar levels and reduce inflammation in the body, when we know someone can tolerate them.

·        Herbs and Spices: Turmeric, ginger, garlic, and cinnamon are just a few examples of herbs and spices renowned for their anti-inflammatory properties.

In addition to dietary modifications, lifestyle factors such as stress management, adequate sleep, and regular physical activity play integral roles in supporting immune balance and mitigating inflammation.

By addressing the underlying drivers of silent inflammation and immune dysregulation, individuals can take proactive steps toward managing autoimmune conditions and reclaiming their health and vitality.


Empowerment through Action

Embarking on a journey towards improved health and well-being can be both exhilarating and daunting. If you're feeling overwhelmed by the prospect of navigating dietary changes, know that you're not alone. At Norwin Wellness and Healthy Weight Over 45, we understand the challenges that come with embracing a new way of eating, and we're here to offer guidance, support, and encouragement every step of the way.


Empathizing with Your Journey

First and foremost, it's essential to acknowledge and honor the emotions that may arise as you embark on this transformative path. Whether you're grappling with uncertainty, frustration, or fear of the unknown, know that these feelings are entirely valid. Transitioning to a new dietary approach can feel like navigating uncharted waters, but remember that every small step forward is a victory worth celebrating.


Reiterating Our Mission

Our mission is simple yet profound: to guide our clients toward improved energy, confidence, and well-being. We believe that optimal health is not a destination but a journey, and we're committed to walking alongside you as you embark on this transformative quest.


Practical Tips for Getting Started with An Inflammatory Diet

1.     Keep a Food Journal: Keeping a food journal can be a powerful tool for gaining insight into your body's unique responses to different foods. Take note of any symptoms or changes in how you feel after eating certain foods, as well as your overall dietary patterns. This valuable information can help identify potential triggers for inflammation and guide your dietary choices moving forward.

2.     Gradually Eliminate Suspected Inflammatory Foods: Rather than overhauling your entire diet overnight, consider taking a gradual approach to eliminating suspected inflammatory foods. Start by focusing on one or two food groups at a time, gradually phasing them out while introducing nourishing alternatives. This gradual transition can help ease the adjustment process and make sustainable changes more achievable.

3.     Seek Support: Remember, you don't have to navigate this journey alone. Reach out to Dr. Susan Plank and her team, for expert guidance and personalized support. Additionally, lean on your family members, friends, and online communities for encouragement, accountability, and camaraderie. Surrounding yourself with a supportive network can make all the difference in staying motivated and empowered along the way.

As you embark on this journey towards identifying and eliminating inflammatory foods, trust in your inner strength and resilience. Embrace each step forward as an opportunity for growth and transformation, knowing that you have the knowledge, support, and determination to thrive. Together, let's cultivate a sense of empowerment and possibility as we journey towards optimal health and well-being.


As we draw near the end of our exploration into the world of inflammatory foods, it's essential to reflect on the key insights we've uncovered and the transformative potential that lies within each of us.

Throughout this journey, we've delved into the profound impact that inflammatory foods can have on our health and well-being. From contributing to chronic conditions like arthritis and autoimmune disorders to sapping our energy and vitality, these dietary culprits wield considerable influence over our lives. Yet, armed with knowledge and awareness, we possess the power to reclaim control over our health destiny.


Encouraging Proactive Steps

Now more than ever, it's time to take proactive steps toward identifying and addressing dietary triggers for inflammation. Whether it's keeping a food journal, gradually eliminating suspected inflammatory foods, or seeking support from healthcare professionals and loved ones, every action we take brings us one step closer to optimal health and vitality.


Reiterating Our Commitment

At Norwin Wellness and Healthy Weight Over 45, our commitment to empowering clients on their journey to improved health and vitality remains unwavering. We believe in the transformative power of personalized nutrition and lifestyle strategies tailored to your unique needs and goals. With our guidance and support, you have the opportunity to unlock your full potential and embrace a life of vibrant health and well-being.


Best Next Steps to Take

Ready to take the next step towards a healthier, happier you? We invite you to schedule a Best Next Step Consultation with Dr. Susan Plank to explore personalized nutrition and lifestyle strategies for addressing inflammation and achieving sustainable weight loss. Together, we'll develop a roadmap to success that honors your individuality and empowers you to thrive.

And remember, your voice matters! We'd love to hear from you. Whether you have questions, thoughts, or success stories to share, we invite you to engage with us in the comments section or reach out to us directly. Your feedback fuels our mission and inspires us to continue making a positive impact in the lives of others.


Thank you for joining us on this journey toward optimal health and vitality. Together, let's embrace the power of empowerment, community, and possibility as we chart a course toward a brighter, healthier future.


By Dr Susan Plank December 18, 2024
Focus on Happiness First When was the last time you truly felt happy? Not just "content" or "okay," but genuinely joyful, energized, and confident in your body and life choices? If it feels like it’s been too long, you’re not alone. Many of us put happiness on the back burner, thinking we’ll get to it "someday" after we fix everything else. But here’s the truth: your happiness is not a luxury—it’s your foundation. The path to restoring happiness begins with meeting your body’s needs and taking intentional steps toward better health. When your body isn’t functioning at its best, it’s hard to feel happy. Low energy, bloating, or the constant worry about chronic conditions can weigh on your spirit. But the good news is that with small, focused steps, you can make a big impact. This isn’t about striving for perfection. It’s about progress and reclaiming your self-respect and joy, one step at a time. Let’s dive into how you can create a health-focused plan that restores your happiness and sets you up for success. 4 Steps to Renewed Health in 2025 Step 1: Recognize Your Chronic Health Needs (Start Where You Are) To take control of your health and happiness, you need to understand your starting point. This means recognizing the chronic health conditions or symptoms that may be holding you back. Once you know what your body needs, you can begin to address those needs with targeted actions. Blood Sugar Issues (Pre-diabetes, Diabetes, or Energy Crashes) Blood sugar imbalances can sap your energy, leave you feeling irritable, and even impact your mood. Whether it’s the afternoon energy crash or waking up groggy despite a full night’s sleep, stabilizing blood sugar is essential for long-term happiness. Nutritional Goal: Focus on balancing your meals with protein, fiber, and healthy fats. These nutrients help prevent blood sugar spikes and crashes, keeping your energy and mood steady throughout the day. Actionable Tip: Swap out a high-carb breakfast (like a bagel or cereal) for something balanced, like eggs and avocado or a protein smoothie with spinach and almond butter. Self-Respect Link: By stabilizing your blood sugar, you’ll feel more in control of your energy, making it easier to stay productive and enjoy your day. Digestive Health (Bloating, IBS, Constipation) Your gut health plays a huge role in your happiness. Did you know that your gut produces about 90% of your serotonin, the “happiness hormone”? When your digestion is off, it’s not just uncomfortable—it can affect your mood, sleep, and overall well-being. Nutritional Goal: Add gut-friendly foods like fermented options (sauerkraut, kimchi, or dairy-free yogurt) and high-fiber foods (vegetables, fruits, and whole grains) to your meals. Actionable Tip: Start your day by drinking 8-12 ounces of water to kickstart your digestion, and include a serving of vegetables with lunch and dinner. Self-Respect Link: Feeling lighter, less bloated, and more comfortable in your body boosts confidence and helps you approach life with more positivity. Antacid Use (GERD, Acid Reflux) If you regularly rely on antacids for heartburn or reflux, it’s worth considering the long-term effects. Chronic antacid use can deplete essential nutrients like magnesium, calcium, and B12, which are crucial for energy, mental clarity, and bone health. Nutritional Goal: Replenish depleted nutrients by incorporating magnesium-rich foods (like leafy greens, nuts, and seeds), and focus on meals that are less acidic. Actionable Tip: Swap out one processed snack each day for a handful of raw almonds or baby carrots with hummus. Reduce acidic beverages like coffee or soda by replacing them with herbal tea or water infused with cucumber or mint. Self-Respect Link: Taking control of your nutrient intake helps your body heal and reinforces your worthiness to feel strong and healthy. Step 2: Set Specific, Achievable Goals Based on Your Needs Once you’ve identified the areas you want to address, it’s time to set actionable goals. The key is to make these goals specific and realistic. Trying to overhaul your entire lifestyle overnight can lead to burnout. Instead, focus on small, consistent changes that build momentum. Use the SMART Method for Goal setting: Specific: Be clear about what you want to achieve. Measurable: Choose goals you can track. Achievable: Set goals that are realistic for your current lifestyle. Relevant: Tie your goals to your health and happiness priorities. Time-bound: Give yourself a deadline to stay focused. Examples of SMART Goals: For Blood Sugar: Walk for 10 minutes after dinner each night to improve blood sugar regulation and digestion. For Digestive Health: Add one serving of high-fiber vegetables (like broccoli or spinach) to your lunch every day this week. For Antacid Use: Replace one acidic beverage, like soda or coffee, with herbal tea each afternoon this week. By setting clear and realistic goals, you’re creating a roadmap to success. Each step forward brings you closer to feeling happier, healthier, and more in control of your life. Step 3: Prioritize Nutritional Changes for Your Happiness Your body needs fuel to function, and the quality of that fuel matters. Proper nutrition isn’t just about looking good—it’s about feeling good, both physically and emotionally. Small, intentional changes to your diet can dramatically impact your mood, energy, and overall happiness. Why Nutrition Is Key: Balanced blood sugar = steady energy and fewer mood swings. Healthy digestion = reduced bloating and discomfort. Replenished nutrients = better mental clarity and vitality. Actionable Nutritional Tips for Common Health Concerns: Blood Sugar: Include whole foods and avoid processed sugars. Focus on complex carbs, like quinoa and sweet potatoes, paired with protein to avoid spikes. Nutrient Focus: Chromium-rich foods like broccoli and eggs can help regulate blood sugar levels. Digestive Health: Incorporate probiotics (found in fermented foods like kimchi and miso) and prebiotics (found in foods like onions, garlic, and bananas) to nourish your gut bacteria. Reduce processed foods and artificial sweeteners, which can disrupt gut balance. Antacid Use: Replenish B12 and magnesium with foods like salmon, eggs, and spinach. These nutrients are often depleted with chronic antacid use. Address lifestyle factors, such as reducing large meals late at night, to naturally lower acid reflux symptoms. Step 4: Track Progress and Celebrate Wins It’s easy to overlook the small wins when you’re focused on long-term goals. But celebrating progress—no matter how small—is essential to staying motivated and building self-respect. Track What Matters: Blood Sugar: Keep a simple log of your meals and energy levels to identify patterns. Digestive Health: Journal what you eat and how your gut feels to pinpoint triggers. Antacid Use: Track days when you’ve reduced or eliminated antacid use and note how you feel. Celebrate Small Wins: Ate a high-fiber lunch today? Celebrate! Went for a walk after dinner? High-five yourself. Replaced a sugary drink with water? That’s a win worth acknowledging. Each small success reinforces the message to yourself: I am capable. I am worth the effort. The Big Picture: How Goal Setting Restores Happiness and Self-Respect When you take steps to meet your body’s needs, you’re not just improving your physical health—you’re also fostering a sense of pride and self-respect. By setting and achieving even the smallest goals, you prove to yourself that you’re capable and deserving of care. Connecting Health to Happiness: Balanced blood sugar = more energy and focus. Healthy digestion = less discomfort and more confidence in your body. Replenished nutrients = a brighter mood and better mental clarity. Self-Respect Through Action: Each time you take a step toward better health, you’re sending yourself a powerful message: I am worth the time and effort it takes to feel good. I deserve to feel happy, strong, and confident. Taking control of your health isn’t just about addressing symptoms—it’s about reclaiming your happiness and self-respect. Start today with one small step, and watch how those small changes build into a life filled with more energy, joy, and confidence. You’ve got this.
By Dr Susan Plank December 4, 2024
Enjoy Christmas Cookies Guilt Free
By Dr Susan Plank December 4, 2024
Why Thyroid Health is So Complex The Thyroid’s Big Role Imagine a tiny, butterfly-shaped gland sitting low on your neck, almost hidden, yet working around the clock to keep your body functioning smoothly. That’s your thyroid—a small powerhouse responsible for some of the biggest functions in your body. From how quickly you burn calories to how your heart beats, the thyroid is involved in almost every system. It’s the body’s “thermostat,” helping you maintain a healthy metabolism and providing the energy your cells need to function. The thyroid releases hormones, primarily T4 and T3, which regulate your body’s energy levels, mood, weight, digestion, and even your skin’s texture. When your thyroid is working well, you feel energized, mentally sharp, and balanced. But when it’s off, you might notice big changes: sudden weight gain or loss, fatigue that sleep doesn’t fix, digestive troubles, mood swings, or a constant chill in your bones. Because it’s tied to so many functions, thyroid health can affect how you feel day in and day out. The Problem with “One-Size-Fits-All” Testing When people start feeling “off” in ways they can’t explain, they often visit their doctor, who might order a thyroid test. But here’s where things can get tricky: most traditional doctors only test TSH, the thyroid-stimulating hormone. TSH acts as a “signal” that tells the thyroid to produce more hormones when needed. If TSH is high, the thyroid may be underactive; if it’s low, the thyroid may be overactive. However, this single test barely scratches the surface of what’s going on. TSH alone doesn’t tell us how much actual thyroid hormone (T4 and T3) is available for use by the body, or if the thyroid hormone is being properly converted and utilized by your cells. It’s like trying to assess how a whole factory operates by only looking at one worker on the line. While TSH gives us a hint, it doesn’t account for conversion issues (how T4 is transformed into active T3), autoimmune factors (when your immune system mistakenly attacks the thyroid), or how much T3 is getting into the cells where it’s needed most. Many people who struggle with thyroid-related symptoms are told their TSH is “normal” and left wondering why they still feel unwell. Connecting Symptoms with Testing Thyroid health is nuanced, and our bodies send signals that something’s off in subtle ways. That’s why specific thyroid tests can be game-changers , allowing us to detect underlying issues even when TSH appears normal. If a person is dealing with fatigue, weight gain, or mood shifts, these are more than just “signs of getting older” or “stress.” They can be red flags for underlying thyroid issues, especially if they’re consistent or worsening. By testing beyond TSH—looking at Free T4, Free T3, Reverse T3, and thyroid antibodies—we can get a clearer picture of thyroid function and whether it’s actually supporting optimal health. This is where the magic of personalized testing comes in, giving us insights into the conversion and availability of active thyroid hormone, potential autoimmune issues, and hidden stressors. When we connect these tests with real-life symptoms, we open up the possibility of real solutions, so you can feel like yourself again. Key Thyroid Tests to Know About TSH (Thyroid-Stimulating Hormone) What it Measures: TSH, or Thyroid-Stimulating Hormone, acts as a “messenger” between your brain and thyroid gland. When the brain detects low levels of thyroid hormone, it sends TSH to prompt the thyroid to release more hormone into the bloodstream. Think of TSH as the supervisor in the factory, keeping tabs on production levels and signaling when adjustments are needed. Why It’s Important but Not the Whole Picture: While TSH levels provide a clue about thyroid health, they only tell part of the story. High TSH might mean your thyroid is underactive (hypothyroid) and struggling to produce enough hormones, while low TSH could indicate an overactive thyroid (hyperthyroid). However, TSH doesn’t show us what’s happening inside the thyroid or how well the hormone it produces is being used by your body. In fact, it’s possible for TSH to appear “normal” even if you’re dealing with low energy, unexplained weight gain, or other thyroid-related symptoms. TSH is a starting point, but by itself, it’s not enough to reveal the full picture of thyroid function. Free T4 (Thyroxine) What it Measures: Free T4 is one of the two main hormones produced by the thyroid, and it serves as a “storage” form of thyroid hormone. It’s considered inactive because the body needs to convert T4 into T3 to fully benefit from it. Free T4 gives us a better sense of how much hormone your thyroid is actually producing and releasing. Why T4 Matters: Since T4 is essentially a “reservoir” of thyroid hormone, it’s a good indicator of overall thyroid production. But here’s the catch: having plenty of T4 doesn’t guarantee that it will be converted into the active T3 form that your cells need for energy and metabolism. If T4 levels are high but conversion is poor, you may still feel sluggish, foggy, or struggle to manage your weight. By measuring Free T4, we get insight into whether the thyroid is producing enough hormone and if there may be issues in converting that hormone into its active form. Free T3 (Triiodothyronine) What it Measures: Free T3 is the active form of thyroid hormone. When your body converts T4 into T3, it creates the fuel that powers metabolism, energy, and cell growth. Measuring Free T3 helps us see how much active thyroid hormone is available for use by the body’s cells. Importance of T3: T3 is the real workhorse when it comes to thyroid health—it’s what gets the job done in terms of energy, mood, and metabolism. Even if T4 levels are normal, low T3 levels can leave you feeling tired, sluggish, and unmotivated. Low T3 can slow down your metabolism, making weight gain a struggle and energy feel in short supply. Conversion Issues: Some people’s bodies have difficulty converting T4 into T3 , which is why they may still experience thyroid symptoms despite “normal” levels of T4 or TSH. This conversion issue can be caused by factors like chronic stress, inflammation, nutrient deficiencies, or even specific medications. If you’re struggling with symptoms of thyroid imbalance, low Free T3 might be a sign that the conversion process needs a boost. For those with conversion issues, a comprehensive approach to thyroid health can make all the difference, ensuring that their body gets the active hormone it needs to thrive. The Often Overlooked but Critical Tests Reverse T3 (RT3) What it Measures: Reverse T3 (RT3) is a form of T3 that’s inactive, meaning it can’t be used by the body’s cells to fuel metabolism or produce energy. It’s almost like a decoy hormone—chemically similar to T3, but without the same effects on metabolism and energy. Stress, Illness, and Reverse T3: When the body is under stress or dealing with illness, inflammation, or even prolonged calorie restriction, it may convert more T4 into Reverse T3 rather than the active T3. This shift is actually a protective mechanism. During times of physical stress, the body “slows down” by producing RT3 to conserve energy, which in theory allows you to heal and recover. However, in today’s world, many people experience chronic, ongoing stress from factors like work demands, inadequate sleep, or underlying infections. In these cases, consistently high RT3 can actually keep the body in a low-energy state, making it harder to feel energized or maintain a healthy weight. What High Reverse T3 Indicates: Elevated Reverse T3 is a red flag for underlying issues like chronic stress, inflammation, or nutrient deficiencies that hinder proper thyroid function. High RT3 can be a sign that the body is struggling to convert T4 into usable T3, leaving you with symptoms of low thyroid function, even if other thyroid hormones appear normal. Identifying high RT3 levels can be key to addressing hidden barriers to thyroid health, like nutrient gaps or ongoing stress that may need to be managed differently. Thyroid Antibodies (TPO and TG) TPO Antibodies: Thyroid peroxidase (TPO) antibodies indicate that the immune system is attacking the thyroid. Elevated TPO antibodies are often seen in Hashimoto’s thyroiditis , an autoimmune condition where the immune system mistakenly attacks thyroid cells. Over time, this can reduce thyroid function and lead to hypothyroidism, but it may take years before this shows up as abnormal TSH or T4 levels. Thyroglobulin (TG) Antibodies: Thyroglobulin (TG) antibodies are another type of immune marker that can appear when the body is in attack mode against the thyroid. High TG antibodies can be found in both Hashimoto’s and Graves’ disease (another autoimmune thyroid condition that often causes hyperthyroidism). This test helps to clarify whether autoimmune activity is impacting your thyroid and which type of autoimmune thyroid condition might be present. Why These Tests Matter: Many doctors skip antibody testing, focusing solely on TSH and sometimes Free T4. But failing to test for TPO and TG antibodies can mean missing the early stages of an autoimmune thyroid condition. Early detection can be invaluable, giving you the chance to address potential triggers, such as chronic stress, infections, or dietary factors, before they worsen. Autoimmune thyroid conditions are progressive, so identifying antibodies early can be the difference between addressing a problem head-on or struggling with symptoms for years without understanding why. T3 Uptake and Total T3 What They Measure: Total T3 measures the total amount of T3 (active thyroid hormone) in the bloodstream, but it includes both “bound” and “unbound” T3. Bound T3 is attached to proteins, which makes it inactive and unavailable for immediate use. Unbound (or “free”) T3 is the form that cells can actually use. T3 uptake measures how much T3 is unbound, giving insight into how available active thyroid hormone is to your cells. Context for Understanding Binding Issues: Certain factors can increase the levels of binding proteins in the blood, which means more T3 is bound and less is available for the body to use. High estrogen levels, for instance, increase binding proteins. This can be a particular issue for women who take birth control pills or hormone replacement therapy, as these can raise estrogen levels and reduce the amount of free T3. Similarly, chronic stress and certain medications can elevate binding proteins, effectively trapping T3 in an inactive state and leaving you with low-energy symptoms even if thyroid hormone levels appear “normal.” Testing both T3 uptake and Total T3 provides a more complete picture of how much active thyroid hormone your body actually has at its disposal. By identifying these binding issues, you can better understand whether hormonal imbalances, stress, or medications might be interfering with your thyroid health and take steps to address them. What Your Doctor Might Not Be Telling You The Limitations of Standard Testing Many conventional doctors rely solely on Thyroid-Stimulating Hormone (TSH) testing when evaluating thyroid health. While TSH can be a useful starting point, it only captures a small part of the thyroid puzzle. TSH measures how well the brain and thyroid communicate, but it doesn’t give insight into whether your thyroid hormones are actually being produced, converted, or used effectively by your body. Without looking at other key markers—like Free T4, Free T3, Reverse T3, and thyroid antibodies—traditional testing can miss some critical pieces, especially if you have symptoms despite a “normal” TSH result. For instance, if your body is struggling to convert T4 into active T3 or if you’re experiencing autoimmune thyroid activity, a TSH test alone won’t capture these nuances. This often leads people to hear that “everything is normal” when, in fact, their body is crying out for help in ways that go undetected in standard tests. The limitations of traditional testing can leave you without answers—and without relief. Why Doctors Might Overlook These Tests So why aren’t more comprehensive thyroid tests ordered routinely? There are a few reasons for this: Insurance Limitations: In many cases, insurance providers only cover TSH or basic T4 testing. This can make it challenging for doctors in conventional settings to justify ordering additional tests, as they may be restricted by insurance requirements. Patients who want a deeper dive into thyroid health often find themselves navigating the complexities of out-of-pocket testing. Lack of Training in Functional Medicine: Many doctors are trained to focus on specific lab markers to make quick assessments, rather than investigating deeper, root causes. Functional medicine practitioners are trained to take a more holistic approach, which includes looking at a broad range of thyroid markers to identify underlying issues that contribute to symptoms. Conventional, “Quick Fix” Approaches: In traditional medicine, the primary treatment for thyroid issues is often medication. If a patient’s TSH is high, a doctor may prescribe synthetic thyroid hormone to bring TSH down to a normal range. This quick fix can provide relief for some, but it doesn’t always address the full range of thyroid dysfunctions, particularly if the problem is with hormone conversion or autoimmunity. In these cases, simply balancing TSH doesn’t address the root cause, leaving many patients stuck in a cycle of unresolved symptoms. The Importance of a Holistic Approach A holistic approach to thyroid health goes beyond simply managing symptoms. It considers the complex ways that stress, inflammation, diet, lifestyle, and genetics interact to influence thyroid function. Functional medicine practitioners can work with you to interpret a broader range of thyroid labs, dig deeper into possible causes of your symptoms, and offer a personalized, sustainable plan to support thyroid balance. Whether you’re experiencing fatigue, weight changes, mood swings, or other symptoms, asking for a comprehensive thyroid panel is an empowering step toward better health. A functional approach might also include recommendations for lifestyle adjustments, stress management, dietary support, and addressing potential nutrient deficiencies that affect thyroid health. If your current doctor doesn’t order these tests, you might consider seeking out a functional medicine practitioner or requesting these specific tests directly. Your thyroid is a critical player in your overall health, and a holistic approach can give you the full picture you need to start feeling like yourself again. Interpreting Results – What’s Optimal vs. What’s “Normal” “Normal” vs. “Optimal” Ranges When you get thyroid lab results, you’ll typically see a reference range alongside each marker. These ranges represent what’s considered “normal” for the general population. However, these ranges are often quite broad, meaning you could fall within “normal” limits but still experience symptoms like fatigue, weight gain, or mood changes. For example, one person may feel perfectly energized with a TSH of 2.0, while another person with the same TSH level might feel sluggish and low on energy. Many practitioners in functional medicine use “optimal” ranges that are narrower than traditional lab ranges. The idea behind optimal ranges is to identify early dysfunction, helping to catch thyroid issues before they become more serious. This can be especially helpful for those who already experience symptoms but are repeatedly told that their thyroid is “normal” based on standard lab interpretations. Why Optimal Ranges Matter Using optimal ranges, rather than broad, general ones, can make a world of difference for those struggling with thyroid symptoms. Here’s a quick breakdown of some optimal ranges to consider for key thyroid markers: TSH (Thyroid-Stimulating Hormone): Optimal range is often between 1.0 and 2.5 mIU/L. Although many labs consider up to 4.5 mIU/L as normal, higher values could indicate a struggling thyroid even if you don’t technically fall into the hypothyroid range. Free T4 (Thyroxine): An optimal range for Free T4 is generally around the mid- to upper-third of the lab’s reference range. Free T4 reflects the “storage” form of thyroid hormone, so having enough T4 available is crucial for healthy hormone conversion and function. Free T3 (Triiodothyronine): Ideally, Free T3 should also fall within the mid- to upper-third of the lab’s range. This is the active form of thyroid hormone, which directly influences your energy levels, metabolism, and mood. Even with normal TSH and T4, a low Free T3 could explain why you’re feeling “off.” Reverse T3 (RT3): For Reverse T3, an ideal level is often under 15 ng/dL. High levels may indicate that your body is under stress or dealing with inflammation, leading to slower metabolism and energy conservation. Thyroid Antibodies (TPO and TG): Ideally, these should be as low as possible, as any detectable antibodies can indicate autoimmune activity. Functional practitioners often aim for zero or near-zero levels, especially in those with autoimmune thyroid conditions like Hashimoto’s or Graves’ disease. It’s worth noting that these optimal values may vary depending on your individual needs, symptoms, and health goals. The goal is to identify the range where your body feels its best—not just what’s statistically average. How to Approach Your Doctor with Test Results If you’ve been told your results are “normal” but you still feel unwell, it can be helpful to approach your doctor with a few key strategies: 1. Share Your Symptoms Clearly and Specifically: When discussing results, try to list specific symptoms (like fatigue, hair loss, weight gain, or low mood) rather than general complaints. This makes it easier for your doctor to understand how thyroid health is impacting your life. 2. Ask About Optimal Ranges: Bring up the concept of “optimal” vs. “normal” and ask if your results could be evaluated with a narrower focus. It may be helpful to mention that many functional medicine practitioners use tighter ranges to identify early thyroid dysfunction. 3. Request Additional Testing if Needed: If certain tests (like Free T3, Reverse T3, or thyroid antibodies) weren’t included in your initial panel, politely request them, explaining that you’d like a comprehensive look at your thyroid health. Emphasize that you’re motivated to understand your health and explore all potential contributors to your symptoms. 4. Consider a Second Opinion: If your doctor is resistant to exploring further testing or optimal ranges, it’s okay to seek a second opinion or consider a consultation with a functional medicine practitioner. This can be a valuable step toward understanding your thyroid health in depth. Using your lab results to understand your unique thyroid profile is an empowering way to take charge of your health. By knowing the difference between what’s “normal” and what’s truly optimal for your body, you can advocate for the care you need and feel your best every day. Taking Action for Thyroid Health Supporting your thyroid isn’t just about medication or lab tests—it’s also about creating a lifestyle that nurtures this vital gland and helps it function optimally. While medications can play an important role, especially for those with diagnosed thyroid conditions, simple daily habits and specific nutrients can be powerful allies for thyroid health. Lifestyle and Dietary Tips Your lifestyle choices can make a big difference when it comes to maintaining or restoring thyroid health. Here are some foundational habits to consider: Manage Stress: Chronic stress is one of the biggest disruptors of thyroid health, as it leads to increased cortisol levels, which can interfere with thyroid hormone production and conversion. Incorporating stress-reduction practices, like meditation, deep breathing, yoga, or even a calming walk in nature, can help support thyroid balance. Anti-Inflammatory Diet: Since inflammation is a common trigger for thyroid dysfunction, especially in autoimmune thyroid conditions, an anti-inflammatory diet can be incredibly helpful. This includes focusing on whole, unprocessed foods like fruits, vegetables, lean proteins, healthy fats (like those from fish, nuts, and seeds), and minimizing refined sugars and processed carbs. Consider adding antioxidant-rich foods like berries and leafy greens to further combat inflammation. Regular Exercise: Consistent physical activity helps regulate hormones and improve metabolism, which is directly linked to thyroid function. Aim for moderate, enjoyable activities that reduce stress rather than high-intensity exercise, which can sometimes exacerbate stress in those with thyroid issues. Supplements to Support Thyroid Health There are specific nutrients that your thyroid relies on for optimal performance. However, it’s essential to work with a practitioner when considering supplementation, as balance is key, and too much of certain nutrients can actually hinder thyroid health. Selenium: This mineral plays a crucial role in converting T4 (the inactive form) into T3 (the active form of thyroid hormone). It also helps reduce inflammation, especially in people with autoimmune thyroid conditions. Selenium can be found in foods like Brazil nuts, fish, and eggs, but your practitioner can help determine if you might benefit from a supplement. Iodine: Iodine is a critical component of thyroid hormones, and your thyroid can’t function without it. However, it’s important to note that excess iodine can be just as problematic as a deficiency, potentially triggering or worsening autoimmune thyroid conditions. It’s best to consult with a healthcare provider before adding iodine supplements, especially if you’re already consuming iodized salt or iodine-rich foods. Zinc: Zinc supports thyroid hormone production and helps balance the immune system, which can be especially helpful for those with autoimmune thyroid issues. Zinc is found in foods like shellfish, meat, and pumpkin seeds. If you choose to take a supplement, be mindful of the dose, as too much zinc can interfere with the absorption of other essential minerals. An excellent thyroid support supplement is Thyrostim . These nutrients, when taken thoughtfully and under the guidance of a practitioner, can make a meaningful difference in how your thyroid functions. The Benefit of Regular, Comprehensive Testing Even if you’re feeling well, it’s wise to keep an eye on your thyroid health with regular, comprehensive testing, especially if you have a family history of thyroid issues or if you experience recurring symptoms like fatigue, weight changes, or mood fluctuations. Routine thyroid testing allows you to catch subtle changes early, before they become more challenging symptoms or conditions. Comprehensive thyroid panels, which include TSH, Free T4, Free T3, Reverse T3, and antibody tests, provide a detailed picture of how well your thyroid is functioning. By monitoring these markers, you and your healthcare provider can take action early, adjusting lifestyle, diet, or supplements as needed to maintain balance. Taking a proactive approach with routine testing, healthy lifestyle choices, and the right nutrients empowers you to support your thyroid and enjoy the energy, mood stability, and overall wellness that comes with balanced thyroid health. Remember, when it comes to thyroid care, small, consistent actions can lead to big, positive results. Conclusion: Empowering Yourself with Knowledge and Action Navigating thyroid health can feel overwhelming, especially when standard testing leaves so many questions unanswered. But understanding the full picture of comprehensive thyroid testing gives you a powerful advantage. By uncovering details beyond TSH alone, you’re better equipped to identify underlying issues, connect symptoms to specific thyroid markers, and develop a targeted, effective plan for feeling your best. Remember, your health journey should be as unique as you are. If you’re experiencing symptoms or struggling with unresolved health issues, know that there are options beyond conventional testing and treatments. You deserve a plan that reflects the complexity of thyroid health—one that addresses not just your lab values but also your energy, mood, metabolism, and overall well-being. If you’re ready to take the next step, consider exploring a functional approach to thyroid health. Schedule a consult to learn about customized thyroid testing, or join an upcoming webinar to dive deeper into thyroid wellness. Knowledge is empowering, but it’s the actions you take from that knowledge that truly make a difference. Embrace the process, trust your body’s signals, and remember that true wellness is possible with the right tools and support. You deserve answers, and you deserve a health plan that meets your unique needs.
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