Hypothyroid Symptoms

It’s important to understand there are many hypothyroid symptoms which may go unrecognized. Just because a person has a normal TSH level, they may still have hypothyroidism. Many patients, including myself, have suffered with hypothyroidism even with normal TSH levels. Since TSH may be an unreliable measure of hypothyroidism, its important to look at hypothyroid symptoms.

A good doctor will look at hypothyroid symptoms as well as certain lab tests to diagnose hypothyroidism. Once a patient is on the right treatment, their hypothyroid symptoms should improve considerably.

Here is a list of hypothyroid symptoms collected from patients and advocates 1 2. Hypothyroid symptoms can vary from person to person, therefore not all symptoms apply to everyone. If you have many of the symptoms, especially low body temperature, consult a good doctor.

Body Temperature and Metabolism

  • Low body temperature (below 98.2-98.4 at 3pm)
  • Easily gain weight
  • Difficulty losing weight
  • Difficulty tolerating cold
  • Feeling cold when others are comfortable
  • Cold hands and feet
  • Raised body temperature

Energy, Motivation, and Exercise

  • Fatigue or loss of energy
  • Feeling tired even after a full nights sleep
  • Sleeping more than average
  • Less stamina than others
  • Less energy than others
  • Nodding off easily
  • Requires naps in the afternoon
  • Exhaustion
  • Difficulty working a full-time job
  • Inability to stand on feet for long periods
  • Complete lack of motivation
  • Long recovery period after any activity
  • Inability to hold children for very long
  • Arms feeling like dead weights after activity
  • Bizarre and debilitating reaction to exercise
  • Slowing to a snail’s pace when walking up slight grade

Mood and Mental Focus

  • Depression
  • Feeling uninterested in life
  • Seasonal blues
  • Memory loss
  • Fuzzy-thinking
  • Difficulty following conversations
  • Brain fog
  • Anxiety
  • Headaches and migraines
  • Less ability to cope in relationships
  • Difficulty concentrating
  • Forgetfulness
  • Irritability
  • Intolerance of others


  • Candida
  • Lactose intolerance
  • Inability to eat in the mornings
  • No appetite
  • Constipation
  • Colitis
  • Extreme hunger, especially at nighttime
  • Nausea

Hair, Skin and Nails

  • Irregular periods
  • Dry skin, brittle nails
  • Brittle hair, itchy scalp
  • Hair loss, thinning hair
  • Bumps on legs
  • Breakout on chest and arms
  • Hives
  • Thinning outer eyebrows, or no eyebrows
  • No hair growth, breaks faster than it grows
  • Broken/peeling fingernails


  • PMS moodiness, bloating, heavy periods, and cramps
  • Irregular periods
  • Reduced sex drive or no sex drive
  • Fertility issues including lack of ovulation
  • Inability to get pregnant
  • Miscarriages


  • Puffy face, around eyes, neck, wrists and/or hands
  • Hoarse voice
  • Bruising or blood clotting problems
  • Elevated levels of LDL cholesterol
  • Heightened risk of heart disease
  • Swollen lymph glands


  • Asthma or allergies that suddenly appear or get worse
  • Persistent cold sores
  • Sleep apnea which can be associated with low cortisol
  • Air hunger which feels like you can’t get enough air
  • Osteoporosis
  • Joint and muscle pain
  • Handwriting nearly illegible
  • Internal itching in ears
  • Ringing in ears
  • Fluid retention
  • Swollen legs that prevent walking
  • Low blood pressure issues
  • High blood pressure issues
  • Varicose veins
  • Tightness in throat
  • Plantar fascitis
  • Cold gluteus maximus


  1. http://www.womentowomen.com/thyroid-health/hypothyroid-symptoms-2/
  2. http://www.stopthethyroidmadness.com/long-and-pathetic/
Miss LizzyHypothyroid Symptoms
Can I have hypothyroidism with normal TSH?

Can I have hypothyroidism with normal TSH?

Can I have Hypothyroidism with Normal TSH Lab Results?

Absolutely. Many patients report having hypothyroidism with normal TSH. It’s important to understand, TSH is actually a test of the pituitary gland, not the thyroid. 1 Even though many doctors have used TSH to measure thyroid function over the last 40 years, this does not mean it is accurate. Consequently, patients can have hypothyroidism with normal TSH. This was the case for me, and many others. As a result, I do not use TSH as the measure of thyroid function.

How Common is Undiagnosed Hypothyroidism?

In case you’re wondering just how common it is to have an undiagnosed thyroid condition here are some interesting statistics:

  • According to as many as 13 million Americans — or 10% of the population — have an undiagnosed or under-treated thyroid disorder due to the inaccuracy of the TSH test.   2
  • Another study says over 20 million (1 in 20) Americans have a thyroid disorder 3
  • Hypothyroidism affects women more than men.
  • 1 in 8 women will develop a thyroid disorder 4

You’ve probably seen friends who are hypothyroid and didn’t realize it. They are the ones who are tired all the time. They can’t lose weight no matter what they do. Perhaps you’ve heard them complain about being cold, especially cold hands and feet. Their face and neck may look puffy. When yu talk with them, they may seem foggy, slow or disconnected. If you know someone who fits this description, they might have undiagnosed hypothyroidism. Give your friend lots of love and compassion. Tell them there is help. If that friend sounds like you, be kind to yourself and know there is hope for getting treatment. First they must understand that even if their doctor told them they were fine, they can still have hypothyroidism with normal TSH.

Why is the TSH test unreliable?

For myself and many others, the TSH test was not reliable. Consequently, I was not treated properly for hypothyroidism and lived a miserable existence. Read my story. Before relying on the TSH test, consider the following:

  • Dr. Utiger, the creator of the TSH test said that body temperature is a better test of thyroid function than TSH.  5
  • During the day TSH levels can vary as much as 200%
  • Normal ranges of TSH are disputed
  • During pregnancy a woman’s pituitary gland can be damaged, a condition known as Sheehan’s Syndrome. When this damage happens the result is that the TSH looks normal even though the patient has hypothyroidism.
  • TSH measures hormone levels in the blood, rather than tissue levels 6
  • Some patients cannot convert inactive T4 to active T3. TSH does not measure this conversion issue. 7
  • TSH does not measure cellular receptor hormone resistance. 8
  • Adrenal fatigue is not measure by TSH. 9
  • Paradoxically, a low TSH may occur with a low thyroid function. 10

I have sadly come across very few doctors who can accept the fact that a normal or low TSH may still occur with a low thyroid… as a result of the (TSH) test, thousands are denied treatment.
– Barry Durrant Peatfield

What is the Consequences of Inaccurate TSH?

People are misdiagnosed for hypothyroidism based on what doctor’s believe to be normal TSH result. Consequently these patients go untreated, continuing to experience a myriad of life hindering hypothyroid symptoms. Patients like myself feel emotionally hopeless because we know something is wrong, yet we cannot get proper treatment. Some patients are told by doctors “it’s all in your head” and “you just need therapy” when in fact hypothyroidism with a normal TSH is real and treatable. Your health matters, you don’t have to suffer with symptoms of hypothyroidism.

How Can I Get Treatment for Hypothyroidism with Normal TSH?

If you have symptoms of hypothyroidism but your doctor says your TSH is fine, have hope! You could still have hypothyroidism with a normal TSH.

First, I would ask my doctor to run a wider range of thyroid tests including:

Next I would ask my doctor to treat me based on hypothyroid symptoms and body temperature. It’s important to note, if a doctor will not run these tests or won’t acknowledge symptoms, I would find another doctor immediately. I would not waste any emotions trying to educate a doctor who has a different viewpoint.

Why is Body Temperature Important for Hypothyroidism?

In addition to the above lab tests, body temperature has long been a helpful measure of thyroid function. According to Dr. Broda Barnes (1), measuring basal body temperature was the most accurate testing method. Dr. Barnes explains that a temperature below 97.8 indicates Hypothyroidism, a temperature above 98.6 indicates hyperthyroidism. In addition, body temperature test can be used to monitor the treatment of hypothyroidism. As low temperatures rise up to 98.2, hypothyroid symptoms will disappear.

According to Dr. Barnes, more information can often be brought to the physician with an ordinary thermometer than with all other thyroid test combined. Read more about how to measure and track body temperature. In my experience, tracking body temperature is essential for understanding thyroid health and medicine. Learn more about body temperature and what it can mean.

With all this information, its easy to see how patients can have hypothyroidism with normal TSH, and how to find treatment.

Miss LizzyCan I have hypothyroidism with normal TSH?
Lab Tests for Hypothyroidism

Lab Tests for Hypothyroidism

It’s important patients order the right lab tests for hypothyroidism, adrenal fatigue, and related conditions, otherwise, patients may go untreated. While TSH test has been used as the main test for hypothyroidism over recent years, it is not a reliable measure of thyroid function. Below is a list of lab tests recommended by patients and doctors.  1 2 3 4.


The following is a primary list of lab tests for hypothyroidism run by my doctor. These lab tests provided a baseline for diagnosing hypothyroidism and related conditions. In addition, these primary lab tests are the ones we run regularly to monitor my thyroid health. To help monitor and assess treatment, I find it helpful to track lab test results, body temperature and medicine doses.

FREE T3 Lab Test

Free T3 is the workhorse of all thyroid hormones, measuring the free, unbound levels of triiodothyronine in the bloodstream. It’s important to remember that Free T3 is considered more accurate than Total T3. In hyperthyroidism Free T3 is typically elevated. In hypothyroidism, Free T3 is typically low. 5

According to Stop the Thyroid Madness 6, at the optimal dose of natural desiccated thyroid, with no lingering hypothyroid symptoms and with healthy adrenals, patients tend to have a Free T3 at the top of the range.

On natural desiccated thyroid (lower than 3 grains), with the Free T3 high or above range, and continuing hypothyroid symptoms or even hyper-like symptoms, patient could have adrenal fatigue.

For patients who are not on thyroid medication, a lab test showing high Free T3 could mean they have Hashimoto’s disease or Graves disease. Whereas for patients who are not on thyroid medicine and have hypothyroid symptoms, a lab test showing Free T3 mid to lower range could mean hypothyroidism.

Free T3 Results by Miss Lizzy Hypothyroid Advocate

FREE T4 Lab Test

Free T4 measures the available and unbound T4 hormone. For patients on natural desiccated thyroid medicine with healthy adrenals, a normal lab test will show Free T4 at mid to high range, and Free T3 at the top end of the range. Hypothyroidism generally occurs with Free T4 in the low range, and Free T3 at mid-range or slightly high.

Reverse T3 (RT3) Test

The RT3 test must be done at the same time as the Free T3 in order to calculate the ratio with the results and measurements. According to Thyroid-Rt3.com, divide Free T3 by reverse T3. The amount should be 20 or greater. If it’s less then that you have a RT3 problem. If it’s vastly smaller or larger you may have to move the decimal point to get the units right.

FT3 should be twenty of more times higher than RT3.  (Stop the Thyroid Madness book  page 162-163 for more.)

24-Hour Cortisol Saliva Test for Adrenal Fatigue

This lab test is done at home to evaluate cortisol levels during a 24 hour period. This test helps patients determine if they have adrenal fatigue. In addition the lab test will show the times during the day when adrenal function is too high or too low. Patients with healthy adrenal function will have the follow results:

  • 8 am will be at the very top of the range
  • 11 am-noon in the upper quarter of the range
  • 4-5 pm will be mid-range
  • 11 pm to midnight at the very bottom of the range

It’s important to remember, the rise and fall pattern of cortisol reflects the a person’s energy throughout the day. In simple terms, we have more energy in the morning, yet as the day goes on our energy tappers down slowly until bedtime. When the cortisol pattern is off, it greatly affects our energy and sleep patterns in the following ways:

  • Low morning cortisol may make it hard to wake up, especially before 9 AM.
  • Low afternoon cortisol may cause patients to require a nap.
  • High bedtime cortisol may make it hard to fall asleep.

Two weeks prior to the 24 hour saliva test, make sure to stop all adrenal supplements.

Order the 24 Hour Saliva Test from TrueHealth Labs

Antithyroglobulin Test

According to About.com, testing for thyroglobulin antibodies (also called antithyroglobulin antibodies) is common. If you have already been diagnosed with Graves’ disease, having high levels of thyroglobulin antibodies means that you are more likely to eventually become hypothyroid. Thyroglobulin antibodies are positive in about 60 percent of Hashimoto’s patients and 30 percent of Graves’ patients.

B-12 Test

According to Stop the Thyroid Madness, B12 can can be low in hypothyroid patients due to low stomach acid. The normal range for B12 is 200-900 pg/ml. Though Stop the Thyroid Madnesss indicates a healthy range is on the high end.


The ferritin test measures the level of ferritin, the major iron storage protein in the body 7. The results may vary slightly among laboratories, but in general, normal ferritin levels are 12-300 nanograms per milliliter of blood (ng/mL) for males and 12-150 ng/mL for females.

According to Stop the Thyroid Madness, if your Ferritin result is less than 50, your levels are too low and can be causing problems…as well as leading you into anemia as you fall lower, which will give you symptoms similar to hypo, such as depression, achiness, fatigue. Optimally, females shoot for 70-90 at the minimum and men 100-130.

Elevated Ferritin, can indicate inflammation, rheumatoid arthritis, liver disease, hyperthyroidism, adult Still’s disease, type 2 diabetes, leukemia, Hodgkin’s lymphoma, iron poisoning or frequent blood transfusions.

For at least 12 hours before testing and as much as 5 days  before testing, stop taking iron supplements for best accuracy.

Iodine Loading Test

While iodine is an important nutrient for thyroid and whole body health, iodine deficiency is a primary cause of Hypothyroidism. Learn more about iodine. In The Iodine Crisis by Lynne Farrow, the 24 Hour Iodine Loading test is recommended for assessing iodine sufficiency.

People undergoing the test are deemed to be deficient in iodine if they excrete less than 90% of the iodine loading dose. 8

Sodium Test 

The sodium test is often part of the Basic Metabolic Panel. The right amount of sodium is important for health. Blood sodium can also be part of an electrolyte panel.

Normal results for this test are 135-145 mEq/L 9, however Stop the Thyroid Madness noted that healthy folks report 142 and even slightly higher.

Thyroid Peroxidase Antibody (TPO) Test

The TPA antibodies work against thyroid peroxidase and the enzyme that plays a part on the conversion of T4 to T3. TPO antibodies can indicate Hashimoto’s disease. In 95% of patients with Hashimoto’s thyroiditis TPO antibodies are detectable. While in 50-80% of patients with Graves disease TPO antibodies are detectable. 10

TSH Lab Test

TSH is a measure of the pituitary function, therefore it is not an accurate measure of thyroid function. Learn more about why TSH can be unreliable. Here is how TSH can be used in thyroid treatment to:

  • Help determine hypothyroidism only if it’s in the high range.
  • Understand the relative range for you.
  • Diagnose a pituitary problem, not a thyroid problem. Especially if low TSH is accompanied by low Free T3.

Vitamin D test

As explained by Dr. Mercola 11, there are two vitamin D test. The 1,25(OH)D and the 25(OH)D. The correct test is 25(OH)D, also called 25-hydroxyvitamin D. The lab test ranges for 25-hydroxyvitamin D are:

  • Deficient > 50 ng/ml
  • Optimal 50-70 ng/ml
  • Treating Cancer and Heart Disease 70-100 ng/ml
  • Excess > 100ng/ml

Low vitamin D can contribute to thyroid problems 12.

Serum Iron

According to Healthline 13, the serum iron test measures how much iron is in your serum. This test can help your doctor figure out if there is a problem with your iron levels (high or low) resulting in symptoms such as fatigue, weakness, difficulty concentrating, and moodiness.  Though its a less common test.

Stop the Thyroid Madness suggests a value of about 110 for women, and the 130′s for men, based on what they’ve seen on hundreds of lab results. 14

TIBC (Total iron binding capacity) test: measures whether a protein called transferrin, produced by the liver, has the ability to carry iron in the blood. Used to determine anemia or low body iron. If your result is high, and in the absence of chronic disease, you may be anemic. With healthy amounts of iron, this test will be low in the range—about 1/4th above the bottom number.



Aldosterone is a hormone that is produced by the adrenal glands to help maintain the balance of fluids and electrolytes in our bodies through the kidneys. In addition, aldosterone affects blood pressure, as well as regulating salt (sodium) and potassium in the blood. If aldosterone production is not functioning properly, there can be serious consequences to the heart, kidneys and electrolyte balance. 15

According to GlobalRph.com 16, the normal range for Aldosterone is 4-31 ng/gl.  Low range results indicate adrenal insufficiency.

Stop the Thyroid Madness suggests for women to test aldosterone in the first week of the menstrual cycle, or up until the beginning of the second week. This phase of the menstrual cycle is when progesterone is at its lowest. By the end of the second week in the menstrual cycle progesterone begins to rise. Progesterone can falsely drive up aldosterone.

DHEA test

DHEA is a natural steroid and precursor hormone produced by the adrenals. The truth is that — for the women who need it — adrenal support with DHEA supplementation can make a big difference. I’ve seen it help patients get going again when they feel like they’ve hit rock bottom. But it’s never as simple as just popping a pill. For me personally, supplementing with DHEA was not the right fit but for others it can be effective. On WomentoWomen they like to see estrogen, progesterone, and DHEA in the upper quadrant of normal.

Folate Test 

Folate or Folic acid, is a b-vitamin which can be low in hypothyroid patients. The normal reference range of folic acid in the blood is 2.7 to 17.0 nanograms per milliliter (ng/mL). Low levels of folic acid may indicate anemia, malabsorption, or malnutrition. 17

RBC Magnesium Test

While a lack of magnesium in normal diets can cause low thyroid function, it can be solved with proper diet and supplements. Magnesium deficiencies are common, especially in well-developed countries where processed foods are a part of the diet. Seven out of every ten Americans is likely to have a magnesium deficiency, causing many problems including underactive thyroid (hypothyroidism). 18

Signs of magnesium deficiency include weakness, extreme thirst, muscle cramps, muscle twitching, poor memory, confusion, Type II Diabetes, high blood pressure, fatigue, anxiety and more. 19

For RBC Magnesium results, Stop the Thyroid Mandess suggests a good range is mid to high. 20

Renin Lab Test

Aldosterone and renin tests are used to evaluate if adrenal glands are producing appropriate amounts of aldosterone. The test is also used to distinguish between the potential causes of excess or deficiency. Aldosterone may be measured in the blood or in a 24-hour urine sample, which measures the amount of aldosterone removed in the urine in a day. Renin is always measured in blood.

Low renin can mean primary aldosteronism (Conn syndrome) or Cushing Syndrome. While high renin can mean Secondary aldosteronism, or Adrenal insufficiency.  21


The plasma zinc test can establish zing deficiency. While the plasma zinc test is good at detecting major zinc deficiency, it is not as good at catching minor zinc deficiency. When this happens, a patient can have “normal” zinc results but still be zinc deficient. The optimal range for plasma zinc is 3.8 – 22.9µmol/L ( 90-150µg/dl).


The ACTH Stimulation test assesses the function of adrenal glands stress response to ACTH (adrenocorticotropic hormone). This test is used to diagnose primary or second adrenal sufficiency, Addison’s disease, and related conditions. 22

For details about range, see the simple diagnostic chart.

T7, Total T3, Total T4, Uptake, or any other thyroid labs

These tests are unnecessary 23

When talking with a good doctor, it’s important to know which lab tests for hypothyroidism and track the results over time!


  1. StoptheThyroidMadness.com
  2. The Iodine Crisis by Lynne Farrow
  3. Adrenal Fatigue by Dr. James L. Wilson
  4. Mary Shomom at About.com
  5. http://thyroid.about.com/od/gettestedanddiagnosed/a/bloodtests.htm
  6. StoptheThyroidMadness.com
  7. http://www.medicinenet.com/ferritin_blood_test/article.htm
  8. http://www.townsendletter.com/Jan2013/iodine0113.html
  9. http://www.healthline.com/health/sodium-blood#Results
  10. http://thyroid.about.com/od/gettestedanddiagnosed/a/bloodtests.htm
  11. http://articles.mercola.com/sites/articles/archive/2002/02/23/vitamin-d-deficiency-part-one.aspx
  12. http://www.wellnessresources.com/health/articles/low_vitamin_d_contributes_to_thyroid_problems/
  13. http://www.healthline.com/health/serum-iron#Overview
  14. http://www.stopthethyroidmadness.com/lab-values/
  15. http://pcos.about.com/od/normalmenstrualcycle/f/aldosterone.htm
  16.  http://www.healthline.com/health/aldosterone#Overview
  17. http://www.healthline.com/health/folic-acid-test#UnderstandingtheResults
  18. http://www.progressivehealth.com/thyroid-magnesium.htm
  19. http://naturalsociety.com/16-magnesium-deficiency-symptoms-signs-low-levels/
  20. http://www.stopthethyroidmadness.com/lab-values/
  21. http://labtestsonline.org/understanding/analytes/aldosterone/tab/test/
  22. http://en.wikipedia.org/wiki/ACTH_stimulation_test
  23. http://www.stopthethyroidmadness.com/lab-values/
Miss LizzyLab Tests for Hypothyroidism
Find a Good Doctor for Hypothyroid Treatment

Find a Good Doctor for Hypothyroid Treatment

How Do I find a good doctor?

The single biggest question patients have in getting treatment for Hypothyroidism and Adrenal Fatigue is “how do I find a good doctor?” Many patients do not even realize that doctors have different points of view and experiences. As a result when a doctor doesn’t share the patients point of view or is unwilling to listen that patient may go untreated for hypothyroidism. This is totally preventable when patients find a good doctor.

What do I Look for in A Good Doctor?

The first step in getting treatment for hypothyroidism is to find a good doctor. When researching doctors, look for someone who will do the following:

  • Treat based on hypothyroid symptoms and lab results for FREE T3 and FREE T4 (not just TSH)
  • Prescribe medicines such as Natural Desiccated Thyroid Medicine (Armour or WP Thyroid)
  • Or Prescribe T3-only medicine such as Cytomel or Liothyronine as needed
  • Increase medicine dose based on body temperature, and elimination of hypothyroid symptoms
  • Run lab tests for vitamin deficiencies, iron levels, hormone imbalances and adrenal fatigue
  • Make you feel like they are on your side and willing to listen

What kind of Doctor do I avoid?

To find a good doctor, avoid any doctor who says or makes you feel this way:

  • It’s all in your head.
  • You don’t have a thyroid problem. Your TSH labs are normal.
  • You may be depressed, overweight and tired, but it’s not your thyroid.
  • I won’t treat you.

Please keep in mind, doctors should be treated with kindness and respect. Doctors don’t know everything but a good doctor is willing to work with you. Your health matters, and you are your biggest advocate. Trust yourself. But don’t waste energy on a doctor who isn’t willing to help.

Understanding the Different Types of Doctors

There are many types of doctors who treat hypothyroidism. Endocrinologists, Family Practice, Integrative Medicine Doctors, sometimes OB/GYN. However, its important to find a good doctor who truly understands the depth and complexity of hypothyroidism and does not use a “one-size-fits-all” treatment approach. Often I hear of patients how are prescribed Levothyroxine or Synthroid by their Endocrinologist, who will not prescribe anything else. The patients are still very hypothyroid and don’t realize they need different treatment.

Doctors who practice Integrative Medicine are a great starting place in your search. In the experience of myself and many other patients, we did not find help from Endocrinologists or Family Practice doctors. Though if we could find an Endocronolist or Family Practice doctor who is willing to treat based on Step 1 above, then certainly that would be a good start.

Interview Your Doctor

Your doctor should be on your team. While trying to find a good doctor, you can save yourself tons of time and frustration with this one simple step. Call the doctor’s office and do a pre-interview with someone on the staff. Ask for an advice nurse or just ask the front desk.

The most discouraging experience from patients, myself included, is waiting months for an appointment with a new doctor only to find out the doctor isn’t the right fit. Save yourself from this misery. Take 5 minutes, call the doctor’s office and ask the following questions in a nice manner:

  • Does the doctor treat Hypothyroidism by symptoms?
  • Will the doctor test Free T3, Free T4, adrenal fatigue, vitamin deficiencies and hormone imbalance?
  • Is the doctor open to prescribing natural desiccated thyroid medicine like Armour or WP Thyroid?

If the office can’t answer these questions or isn’t willing to help, then just move along to the next doctor.

Where to Find a Good Doctor 

Through my research, I have collected the following resources for good doctors.

Dr. Charles Brummer

My doctor is Charles Brummer, M.D. in Northampton Massachusetts. It may take some time to get an appointment with Dr. Brummer, but he is thorough and listens.


A patient name Jill recently shared that she had great success by going to the Hotze Health & Wellness Center in Texas. After years of living undiagnosed by doctors, Jill is getting good treatment for hypothyroidism and adrenal fatigue. At the Hotze Health and Wellness Center, Jill said that she was “treated like gold.” The doctor listened to her symptoms and explained what was happening to her body on a level she understood. The doctor is treating her with Armour, a low dose of DHEA and a low dose of Cortisol and she is seeing great improvements.

If you try the Hotze Health and Wellness Center let me about your experience.

Hotze Health and Wellness Center

Support Groups 


To see a growing list of good doctors and Iodine Literate Practitioners join my Facebook page. If you don’t see a doctor in your area feel free to ask others for suggestions. If you have a good doctor please share as well. Everyone needs our help. Click here to join my Facebook group.


NTH is a private group to which you can request to join. They are wealth of knowledge with a comprehensive Good Doctor list from patients around the USA. To join this group you need a Yahoo account. Click here to join.


From the groundbreaking site Stop the Thyroid Madness, the Facebook group is knowledgable and active. Click here to join.


Start by asking friends for a good doctor. Tell them what you are looking for in a doctor. Try asking specialists like massage therapists, herbalists, chiropractors, etc.. Or asking at your local health food store. You’re looking for a doctor or physician’s assistant who is considered to be open-minded and has a great reputation.

Other Places to Find a Good Doctor


Broda Barnes was a leader in educating and treating patients with Hypothyroidism. Doctors trained by Broda Barnes, or believe in his viewpoint will understand the importance of using desiccated thyroid in treatment. Visit the website


Try contacting the pharmaceutical companies who make natural desiccated thyroid medicine and ask if they have a list of doctors in your area who often prescribe their medicine. NP Thyroid is manufactured by Acella Pharmaceuticals, Armour is manufactured by Forest Laboratories, Naturthroid by RLC Labs.


Ask your local pharmacist (not the clerk at the counter) if they know doctors in your area who prescribe natural desiccated thyroid medicine.

Miss LizzyFind a Good Doctor for Hypothyroid Treatment
The Importantance of Body Temperature

The Importantance of Body Temperature

Many doctors use body temperature to help assess thyroid function. Many doctors also disregard low body temperature. It’s important to educate yourself on the importance of body temperature. Patients can learn much about their well being simply from track body temperature correctly and regularly. For me, tracking body temp is the cheapest, easiest way to know that my thyroid medicine is working.

According to Dr. Broda Barnes (1), measuring basal body temperature is the most accurate testing method. He explains that a temperature below 97.8 indicates Hypothyroidism, a temperature above 98.2 indicates hyperthyroidism. In addition, when treatment is given for hypothyroidism the body temperature test can be used to monitor the treatment. As low temperatures rise to 98.2, hypothyroid symptoms will disappear.

Dr. Barnes also said “more information can often be brought to the physician with an ordinary thermometer than with all other thyroid test combined”.

Body temperature is such a simple idea. Before getting thyroid treatment my body temperature was very low. At its worst, my temperature was 95.5 degrees. And no this is not normal! Over the years I asked doctors about my low body temperature but was told it was fine. Little did they I was not fine. I felt awful and low body temperature was part of the reason.

How Temperature Effects the Body

What happens when body temperature goes above 98.4-98.6 degrees? We have a fever and typically feel awful. The higher the temperature, the worse we feel. If high temperature doesn’t feel good, consider what happens when body temperature is below normal? It seems logical that we would also feel bad with low body temperature. Patients report feeling tired, sluggish, foggy, cold, and all the other hypothyroid symptoms.

Many patients, myself included, have been told by doctors that low body temperature is fine. But this is not true. Low body temperature can be a very clear sign of hypothyroidism and is the first step in diagnosis.

How to Track Body Temperature

Here are  simple instructions from Broda Barnes…. Men, children, and woman (who are past menopause) can take this test anytime. Women who are still in child-bearing years should track temperature on the second or third day of their period. 

  • Preferably use a glass thermometer orally, under the tongue. These are most accurate.
  • Shake down the thermometer the night before, and place on your night table. Take temperature first thing in the morning before getting out of bed
  • Record your temperature (use this nice PDF chart from the Wolfe Clinic).
  • Repeat for several days to see if the temperature changes. Keep in mind, a big fluctuation is common and could be a sign of adrenal fatigue! One day the temperature might be 97.8 and then next 97.0, this is important information.
  • According to Dr. Barnes the morning (basal) temperature should average 97.8 to 98.2 to indicate normal thyroid function.
  • Taking afternoon temperature is also important. Take temperature again at 2-3pm and track results.
  • A normal afternoon temperature range is 98.4-98.6.

Understanding Body Temperature

Dr. Broda Barnes and Dr. James Wilson explain how to test thyroid and adrenals through body temperature precisely. Checking your body temp at 3pm when the body is at it’s warmest will give you quick insight. Here is a chart explaining what body temperatures could mean:

Body temperature is important for diagnosing and treating hypothyroidism.

If you have low body temperature take these results to your doctor! If your doctor doesn’t believe in the body temperature thyroid connection find another doctor.


Miss LizzyThe Importantance of Body Temperature
Children Can Have Hypothyroidism with Normal TSH

Children Can Have Hypothyroidism with Normal TSH

Just like adults, children can have hypothyroidism with normal TSH.

When my son Jack was nine years old I realized that his struggle with weight gain, inability to focus at school, and low energy may be caused by hypothyroidism. That it wasn’t just a matter of just eat less, pay more attention, and try to exercise more. Looking into his eyes, Jack had the dull flat look of hypothyroidism. I know this look all too well.

Weight Gain is a Clue to Hypothyroidism

In an effort to slow the weight gain, my son tried my diet of no grain, no flour and minimal sugar. He was a real trouper about this very limited meal plan. As an example for breakfast he would eat eggs, potatoes and lettuce. For lunch, he had smoothies made with frozen fruit, chocolate and stevia for sweetener. For dinner, he would have a hamburger without a bun. While the diet was limited, I tried to make the meals fun and satisfying for Jack.

Most normal people on this kind of diet would lose weight. But not Jack. Difficulty loosing weight makes hypothyroidism so frustrating. Even when we eat a very healthy diet, weight loss can be almost impossible. However, by doing this paleo-like diet, it helped me realize that Jack didn’t have an issue eating too much. He had  underlying hypothyroidism. Until we solved the hypothyroidism, weight loss was going to be hard.

When Doctors Misdiagnose Because of TSH

In the past Jack’s primary care doctor said his TSH labs were normal, therefore he didn’t have hypothyroidism. The doctor never told me the actual TSH result, and they didn’t run any other tests. At the time, I accepted the normal diagnosis even though I should have known better.

However, with the weight gain issues and other hypothyroid symptoms, I knew that patients can have hypothyroidism with normal TSH. Rather than try to debate the thyroid results with Jack’s primary care, instead I took Jack to the doctor who helped me with hypothyroidism, Dr. Brummer.

Dr. Brummer ran a full panel of tests for Jack. Even though we don’t rely upon TSH, Dr. Brummer said Jack’s TSH was a 6. He said this was the very high end of a normal range, whereas a range of 2.5 is more normal. Finally we had a diagnosis that made sense.

As a mom, it was heartbreaking to watch my child gain weight uncontrollably and have low energy. When other kids played at recess he would sit on the sidelines because he didn’t have the stamina to keep up.

Hypothyroidism Treatment for Children 

Just like adults, children can be treated for hypothyroidism with medicine. Dr. Brummer agreed to prescribe natural desiccated thyroid medicine for Jack, know that we preferred NDT over T4 only medicine like Synthroid.

Since starting natural desiccated thyroid medicine for hypothyroidism, Jack’s health, well being and childhood is so much better. Now he is better able to manage his weight on a normal, non-restricted diet. He said he now has energy to play at recess and enjoys keeping up with the other children.




Miss LizzyChildren Can Have Hypothyroidism with Normal TSH
Health Tracking is Vital for Treating Hypothyroidism

Health Tracking is Vital for Treating Hypothyroidism

I’ve accepted the fact that either I am health obsessed or a hypochondriac. That said, if I’ve learned anything trying to heal from hypothyroidism and adrenal fatigue, its that good health is a practice which takes effort, research and intention. In doing so I have become a bit of a health detective.

For example, I use a spreadsheet to track every day of my life; charting my medicine, mood, weight, body temp, cycle, PMS, energy, hair loss, even sex drive (yep, I track it!). I start on Day 1 of my cycle and track every day until the next Day 1. It’s amazingly informative!

Otherwise life just blends together and its sometimes hard to see progress or setbacks. Like tracking point on Weight Watcher’s, writing it down helps me see what’s happening. It’s not about judgement either, tracking is about awareness and observation.

By tracking I discovered a big mood shift in my cycle, but didn’t see the monthly pattern. When I started tracking I realized this mood swing happened like clockwork on Day 19. On Day 18 every month, I felt great. And then suddenly on Day 19, I would feel the weight of the world on my shoulders. I would feel sad and have difficulty coping even with everyday chores. Sometimes I could actually feel my mood slipping as the day progressed on Day 19. Then as quickly as it started, the mood would lift around Day 24. I never connected it with PMS because it came so much earlier in my cycle.

When I showed this pattern to my doctor he suggested we run hormone lab tests. Sure enough, he learned my estrogen and progesterone levels dramatically flip on Day 19, which created the mood swing. He prescribed bioidentical estrogen creme for days 16-24 of my cycle, and sure enough, no more mood swings. Also I learned if I start the estrogen creme to late (like Day 18) or end too early (like Day 22) the mood swing hits me hard. Incredible isn’t it?!

Tracking also helped me realize when I overstimulated my adrenals by increasing my thyroid medicine too much.

But I know, we are all so tired already, how will manage to do this too? My advice is just do your best and forgive yourself what you cannot do. I am reading the The Four Agreements, A Practical Guide to Personal Freedom, by Don Miguel Ruiz. It’s a great book and I especially like what Ruiz writes about crime and punishment. When there is a crime it is punished once, but in our minds we punish ourselves over and over for years. He explains happiness is directly related to quieting the inner judge, and then attempting to do our best. If you track a little and that’s your best, then great. If you are too tired to track today, maybe you will tomorrow. Whatever it is, do your best.

In case you are curious, here is a section of my tracker from 2009 (done in Pages, but will open in Excel). The notes can be as loose or detailed as you like. Download a copy and take a look.


Miss LizzyHealth Tracking is Vital for Treating Hypothyroidism