Learn The Secrets Of Thyroid Tests

Jen Pfleghaar, DO, ABOIM

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Summary

Learn what labs to request for a comprehensive thyroid panel including TSH, free T3, free T4, and thyroid antibodies
Understand the importance of vitamin D levels and hormone checks in assessing thyroid health
Gather knowledge on additional tests like saliva cortisol and organic acid testing for insights into adrenal and gut health

Transcript

Disclaimer This transcript was generated using artificial intelligence and may contain typographical errors. If you have questions, suggestions, or corrections, feel free to contact us at [email protected]

Jen Pfleghaar, DO, FACEP

Hi everyone, it is Dr. Jen. Welcome back to another mini talk. So we are going to talk about thyroid lab. So this one you might want to listen to again. You might want to save it. You might want to get a pen and paper out. Now we are going to talk about what labs you want to ask for when you are asking for a full thyroid panel. So the concern here would be your looking at the signs and symptoms of hypothyroidism or hyperthyroidism, and you are concerned that this is a problem. So we want to make sure we are getting the full workup. So first, we want to start with Basic Thyroid-Stimulating hormone TSH, free T3, free T4 and you want to make sure they are three. We are looking at the unbound levels. We want to look at vitamin D. You are going to ask for a vitamin D level because a low vitamin D level can affect thyroid production. You want to look, ask for thyroid antibodies and you want to make sure that you get two of them, the TPO antibodies and the thyroglobulin antibodies. So if we are concerned for Hashimoto’s, most are going to show in the TPO antibodies, but the thyroglobulin antibodies, you also want to check and make sure. Okay. You can get TSI also thyroid-stimulating immunoglobulin if you want to check for Graves. You want to get a reverse T3. And the importance for this is to see if you are shunting all of that active thyroid hormone that T3 to reverse T3 or not. You can also add on serum iodine. You could ask for hormones. I think that is important because our other hormones do play with the thyroid hormones a lot. So these would be progesterone, estradiol, DHEA, testosterone, and sometimes DHT and we would want to check those hormones for females on day 19 to 21 of your cycle.

Epstein-Barr Panel. So EBV, a full panel that would be important to look for some underlying root causes. You could also dive into tick-borne illnesses and check for things like Lyme, Babesia, Bartonella. So that would be maybe more advanced, but that would be something on your radar. Also, saliva cortisol is so important and that is something that is such good insight to what is going on with that adrenal thyroid access to saliva cortisol, and having someone to go over that with you would be very important. Something like a stool study like GI effects, I really like. That will tell you if you have a leaky gut. If there are certain things that we need to take out that is causing an imbalance in the gut health for the dysbiosis. Organic acid testing is helpful. Also, that can look for yeast overgrowth and other things going on with the GI tract and also look at a little bit of the vitamins status, like B vitamins.

So I hope those are helpful. Those are the basic labs that you want to go in and ask for. So we get a full picture because thyroid, just looking at a thyroid stimulating hormone, it is just it is not enough, especially if you are symptomatic. Right. It might be fine if you are feeling 100% good ut if you are having some of those symptoms, which there are a lot of symptoms the thyroid can affect all of our body systems. So if something is off, always good to test out gas and it is great to investigate because if we can catch something early, especially an autoimmune disease if we can catch it earlier, the earlier the better. We can reverse it, we can change it, and you can just live your best life. So I hope that was helpful for you and I hope you feel empowered when you are going in to talk about your health, talk about how you feel. That is what is important. I want everyone to feel empowered after listening to the summit to take control of your health. Thank you so much for listening. Feel free to share this with anyone that you think it would help.

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