MKSAP: 34-year-old man with episodic palpitations
Test your medicine knowledge with the MKSAP challenge, in partnership with the American College of Physicians.
A 34-year-old man is evaluated for episodic palpitations of 8 months’ duration. The palpitations last 5 to 10 minutes and then resolve spontaneously. They are usually associated with sweating and anxiety. Medical history is significant for thyroidectomy for medullary thyroid carcinoma diagnosed at 12 years of age. His father has also undergone thyroidectomy for medullary thyroid cancer. His only medication is levothyroxine.
On physical examination, blood pressure is 164/92 mm Hg, pulse rate is 106/min, and...
Source: Kevin, M.D. - Medical Weblog - July 29, 2017 Category: General Medicine Authors: < a href="http://www.kevinmd.com/blog/post-author/mksap" rel="tag" > mksap < /a > Tags: Conditions Endocrinology Source Type: blogs
DIY Thyroid, Part 3: Thyroid Hormone Replacement
This is part 3 of a video series on managing your thyroid on your own because most doctors refuse to incorporate new ideas and insights into thyroid health. They refuse, for instance, to assess your T3 status and help correct it, refuse to help deal with hypothyroidism even if you have gained 18 pounds and have no energy (offering an antidepressant before they acknowledge a thyroid cause), or insist that levothyroxine is the only form of thyroid you should take. If you receive such bad information and cannot find a supportive healthcare practitioner to help you achieve ideal thyroid status, then DIY Thyroid—get it do...
Source: Wheat Belly Blog - June 17, 2017 Category: Cardiology Authors: Dr. Davis Tags: Undoctored Wheat Belly Lifestyle diy health diy healthcare hypothyroid t3 t4 TSH Weight Loss Source Type: blogs
Thyroid Testing — Is your doctor missing something?
Similar to the gas pedal in your car, the thyroid controls the “speed” of your metabolism. It fine-tunes the function of virtually every tissue in the body, from the lowly cells responsible for creating fingernails to the nerve cells in the brain that guide memory and thought.
Your thyroid hormone level has to be just right. Too high and you are anxious and lose weight despite eating like a horse. Too low and no matter how meticulous your diet or how many calories you cut back, you fail to lose weight or gain weight. Just right and your efforts are rewarded by natural weight loss when nutrition is managed properly. Thy...
Source: Wheat Belly Blog - May 30, 2017 Category: Cardiology Authors: Dr. Davis Tags: Thyroid disease Undoctored Wheat Belly Lifestyle energy fatigue healthcare insomnia Weight Loss Source Type: blogs
Alzheimer's Health, Why You Should Get the Thyroid Checked by a Doctor
I wish I could shout this from the mountain top: when Alzheimer's or dementia present, get the thyroid checked.By Bob DeMarcoAlzheimer's Reading RoomAbout a year ago,I read an article on hypothyroidism and posted it to this blog. The article described the symptoms of hypothyroidism and how it is associated with an increased risk of Alzheimer's disease in women only.The symptoms of hypothyroidism include: forgetfulness, weight gain, depression, dry skin, and fatigue. Alzheimer's care and the thyroidAll of these symptoms were present in my mother. As a result, I asked our personal physician to check my mother's thyroid....
Source: Alzheimer's Reading Room, The - May 29, 2017 Category: Neurology Tags: alzheimer's care dementia care dementia help for caregivers family caregiving help alzheimer's help with dementia care memory care searches related to thyroid Source Type: blogs
DIY Thyroid
If the doctor refuses to perform a full thyroid assessment, it is typically due to ignorance or laziness, not to concern over your safety. If you encounter resistance, the answer is simple: DIY THYROID–do it yourself. Get a full thyroid assessment on your own without the doctor.
Among the mistakes made by conventional doctors:
Not recognizing common symptoms of thyroid disease
Not understanding that as much as 35% of the population have varying degrees of hypothyroidism (low thyroid hormone levels)
Thinking that iodine intake is adequate
Regarding TSH as the only test required to assess thyroid while ignoring, for ...
Source: Wheat Belly Blog - May 28, 2017 Category: Cardiology Authors: Dr. Davis Tags: Undoctored Wheat Belly Lifestyle at home labs direct to consumer diy health diy healthcare Dr. William Davis hypothyroid iodine reverse t3 t4 thyroid antibodies TSH Source Type: blogs
DIY Thyroid
Doctors very commonly refuse to fully explore thyroid status, even if you have clear-cut symptoms of thyroid dysfunction/hypothyroidism such as inappropriately cold hands and feet, fatigue, and unexplained weight gain. They declare, for instance, that your TSH of 3.8 MIU/L is just fine, even though you know that this level of hypothyroidism is sufficient to block weight loss and add substantially to cardiovascular risk.
Or, also commonly, your doctor has prescribed levothyroxine and refuses to assess your free T3 and reverse T3 status to explore other facets of hypothyroidism.
Doctors are trapped in an old thyroid paradig...
Source: Wheat Belly Blog - May 21, 2017 Category: Cardiology Authors: Dr. Davis Tags: Undoctored Wheat Belly Lifestyle bowel flora diy health fingerstick fish oil free t3 gluten grains hashimoto's hypothyroid iodine lab tests microbiome omega-3 t4 vitamin D Source Type: blogs
MKSAP: 74-year-old woman with altered mental status
Test your medicine knowledge with the MKSAP challenge, in partnership with the American College of Physicians.
A 74-year-old woman is evaluated in the emergency department for several hours of altered mental status. She is from out-of-state and is visiting with relatives. One of her young relatives was recently ill with gastrointestinal symptoms. The patient developed anorexia 3 days ago and vomiting 2 days ago. She has been unable to tolerate any liquid or solid foods for the last 24 hours. Medical history is significant for type 2 diabetes mellitus, hypertension, hyperlipidemia, and hypothyroidism. Medications are aspi...
Source: Kevin, M.D. - Medical Weblog - February 18, 2017 Category: Journals (General) Authors: < a href="http://www.kevinmd.com/blog/post-author/mksap" rel="tag" > mksap < /a > Tags: Conditions Diabetes Source Type: blogs
CMS Releases New Prescription Drug Cost Data
On August 18, 2016, the Centers for Medicare and Medicaid Services (CMS) released new prescription drug data, physician-level data on prescriptions for drugs paid for by Medicare Part D in 2014. This new data set “describes the specific medications prescribed for 38 million Medicare Part D enrollees, who represent about 70 percent of all Medicare beneficiaries.” This is the second annual release of the data.
According to Niall Brennan, CMS Chief Data Officer, “With this data release, patients, researchers and providers can access valuable information about the Medicare prescription drug program. Today’s release jo...
Source: Policy and Medicine - September 1, 2016 Category: American Health Authors: Thomas Sullivan - Policy & Medicine Writing Staff Source Type: blogs
Is Your Thyroid Really Running the Show?
A while ago, I wrote to you about thyroid function and the role it plays in managing your metabolism. This is so important that I wanted to mention it again. If you are taking the proper steps, and have removed all of the toxic grains from your diet, but still aren’t losing the weight you desire, maybe you should consider having your thyroid checked.
Is your little thyroid sensitive?
The thyroid gland sits on the front of your throat like a miniature bow-tie. Of all endocrine glands, the thyroid gland is the most susceptible to autoimmune damage. When the immune system is unable to distinguish proteins in th...
Source: Wheat Belly Blog - August 20, 2016 Category: Cardiology Authors: Dr. Davis Tags: Dr. Davis News & Updates Thyroid disease Weight loss Wheat allergy Wheat Belly Lifestyle blood sugar diabetes grains Wheat Belly Total Health Source Type: blogs
From health disaster to health success
Andrea endured a lot of health problems, never receiving any real answers from doctors, although plenty of medications were prescribed. Then she stumbled on the Wheat Belly lifestyle:
“I learned in 2005 (27 years old) after having my 2nd child that I was hypothyroid. I was put on Levothroid. I complained often to my doctor that I felt no different a few months after starting this prescription. They ordered some labs and adjusted my dosage. Still no changes. I still felt extremely forgetful, sluggish, unable to concentrate. Instead of losing weight, I gained weight very easily. This went on for years!
“I was ne...
Source: Wheat Belly Blog - February 10, 2016 Category: Cardiology Authors: Dr. Davis Tags: Wheat Belly Success Stories eczema fatigue gluten grains hair loss rash Thyroid toenail fungus Weight Loss Source Type: blogs
Their Cheating Hearts - Latest Allergan Settlement Is a Reminder of Merger Participants' Sketchy Pasts
A Huge, but Sketchy Merger The announced merger and "tax inversion" of Pfizer and Allergan would be one of the largest corporate marriages in US history. It has drawn more than its share of criticism. For example, per the Los Angeles Times, former US Senator and Secretary of State, and current presidential candidate Hilary Clinton said "this proposed merger, and so-called inversions by other companies, will leave U.S. taxpayers holding the bag." By creating the world's largest drug company, it could certainly further consolidate the US and global pharmaceutical market and raise already high drug prices. W...
Source: Health Care Renewal - November 24, 2015 Category: Health Management Tags: Allergan crime deception fraud impunity kickbacks legal settlements obstruction of justice Pfizer RICO Source Type: blogs
What is the diagnosis in this woman with an enlarging neck mass?
Test your medicine knowledge with the MKSAP challenge, in partnership with the American College of Physicians.
A 78-year-old woman is evaluated for a rapidly enlarging neck mass that has been present for 4 weeks and is associated with neck discomfort, dysphagia, and hoarseness. The patient has had Hashimoto thyroiditis and hypothyroidism since age 24 years and has been taking levothyroxine since that time.
Physical examination reveals an older woman in severe distress. Temperature is 39.4 °C (102.9 °F), blood pressure is 145/75 mm Hg, pulse rate is 110/min, and respiration rate is 16/min; BMI is 23. Pulmonary examinati...
Source: Kevin, M.D. - Medical Weblog - August 15, 2015 Category: Journals (General) Authors: mksap Tags: Conditions Endocrinology Source Type: blogs
Jennifer overcoming the mental health impairment of grains
You may remember Jennifer from her story describing her first 3 weeks on the Wheat Belly lifestyle: http://www.wheatbellyblog.com/2015/06/wheat-and-grains-make-you-sick/
Jennifer now provides us with an update on her progress:
“The difference 9 months makes. The top two are from last year. The bottom two are 4 weeks ago and 2 weeks ago. I wanted to give you an update.
“I am still dealing with some underlying health issues, however doing much better. I no longer have to take a slew of prescriptions –no Symbicort, rarely have to take nasal allergy spray or Zyrtek, have completely titrated myself off of p...
Source: Wheat Belly Blog - July 25, 2015 Category: Cardiology Authors: Dr. Davis Tags: Wheat Belly Success Stories allergy Depression gluten grains hypothyroidism sinusitis Source Type: blogs
Sydne an example of Wheat Belly Total Health done right
Sydne took the information in Wheat Belly Total Health to heart and is enjoying a dramatic turnaround in health.
“My family and friends know me well enough to know that I NEVER share photos of myself. As a matter of fact as my thyroid dysfunction worsened over the years, I tried very hard to stay out of all photos. The issues with my thyroid dysfunction (hypothyroidism) went on for more than 15 years and became worse as time went on. I went from doctor to doctor seeking answers, to no avail. I cannot tell you how much I suffered during this time, mostly in silence except when I was alone. Those are the times I would...
Source: Wheat Belly Blog - July 16, 2015 Category: Cardiology Authors: Dr. Davis Tags: Wheat Belly Success Stories Source Type: blogs
I lost the wheat, but didn’t lose the weight: Updated version
Yes, it happens: Rid your life of all things wheat and you get relief from acid reflux, joint pain, and high blood sugars . . . but not weight loss.
While most people enjoy rapid and dramatic weight loss with wheat elimination due to the loss of the appetite-stimulating effect of gliadin-derived opiates, the loss of repetitive glucose-insulin provocation of amylopectin A, the reduction of inflammation from the combined effects of gliadin/wheat germ agglutinin/amylopectin A, and reversal of the leptin-blocking effect of wheat germ agglutinin, this doesn’t happen to everybody. Or you lose, say, 20 pounds, only to have...
Source: Wheat Belly Blog - May 7, 2015 Category: Cardiology Authors: Dr. Davis Tags: Wheat Belly Lifestyle carbohydrates gluten grains insulin low-carb Thyroid Weight Loss whey Source Type: blogs
