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Overviews
Clinicians
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Edward M Lichten, MD, PC
Lichten EM
"LICHTEN's
PEARLS
1. Measure
TSH, T3-free, T4-free, TBG, TPO, Reverse T3, on those with
fatigue, cold hands/feet, weight gain and fibromyalgia.
2. Measure
cortisol and DHEA levels in saliva at 7 am, 11 am, 4 pm and 10pm
for those having problems stabilizing thyroid replacement.
3. Measure
serum cortisol, pregnenolone, progesterone, and DHEA-S in the AM.
4. Screen
for iodine and selenium deficiency in hair analysis.
5. Replace
thyroid slowly and immediately. Add cortisol in low doses if
indicated by saliva test or clinical parameters.
6. Replace
minerals, protein, iodine, pregnenolone and progesterone when
appropriately noted on special urine, blood and clinical tests."
LABORATORY TESTS: Without measuring
all the following tests, we cannot determine if the cause of
thyroid dysfunction is in the pituitary (aging), the thyroid , in
related to development of systemic antibodies or is purely a
mineral and/or vitamin deficiencies (iodine, selenium, calcium,
magnesium, vitamin D).
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TSH:
Thyroid stimulating hormone: measures pituitary dysfunction
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T4 free: Measures availability of
thyroxine, representing 75% of thyroid hormone
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T3 free: Measures availability of
triiodothyronine: the active thyroid hormone
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TBG: Thyroid binding globulin: Elevated
in states of sex hormone excess
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TPO: Thyroid peroxidase: indirect
measure of iodine and selenium deficiencies
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Reverse T3: Levels elevated when
synthetic thyroid has triggered production of blocking
hormone deactivating needed T3 (triodothyronine).
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Thyroid Antibodies: Present in Grave's
disease. Antibodies to TSH hormone.
“And since
everyone in the United States eats insufficient iodine sources
(seaweed), eats bread loaded with Bromide, drinks water with
Chloride and Fluoride it is no wonder that the needed iodine is
displaced by elements of similar electronic configuration. Note
that the discontinuation of iodine in bread leavening resulted in
a 400% increase in thyroid disease in the subsequent 50 years. I
load all my patients with 10 mg (not micrograms) of mixed iodine
daily.”
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