Thyroid & Histamine: Understand Their Connection

Dr. Amie Hornaman

Hey, Dr. Mill, thank you so much for having me.

Meg Mill, PharmD, AFMCP

It’s great to have you here. Before we get started, could you just give us a little bit of background on how you got to be the thyroid fixer?

Dr. Amie Hornaman

Like many of us in this functional world, it was a pain-to-purpose story. I was in my 20s, and I was competing in fitness and figure competitions, where anyone who doesn’t know you have to diet down says you’re on a very strict diet. Chicken, fish, broccoli, and asparagus. You’re hitting the gym twice a day. I mean, it’s very, very regimented. Of course, you have to check in with your coach. The goal is to lose body fat, maintain your muscles, and step on stage in a bikini, presenting your athletic best self. It sounds crazy when I say it out loud. I don’t know what we were thinking back then, but I did it anyway multiple times, knew how my body was supposed to react, and this one particular show was getting ready for the scale. Kept going up. I did my weigh-ins. I had to check in with my coach. I get on; it’s up 10 pounds. What the heck? I started thinking, okay, maybe I need to eat less, exercise more, go to the gym three times a day, and do more cardio every time I get on the scale. It would keep going up, to 25 plus pounds.

I stopped weighing at 25. I was tired all the time. My hair has been falling out, and I constipated the whole time. I went to my doctor with these symptoms. I went to seven different doctors with the symptoms, and they all told me I was normal. Everything’s fine. It’s all in your head. Just eat less and exercise more. I got the whole medical gaslighting barrage of things that could be other than my thyroid. Who knows? Even if they tested properly, I would love to go back in time and see what they tested. I bet money it’s not all the tests that we need to have done to see the full function of our thyroid, but they kept telling me I was normal, and then I got frustrated. I was crying in my car. I downplay it now in retelling the story, but when I think back, I have lost hope. I mean, I thought this was going to be my life, and I’ll never compete again. I’ll never feel like myself again. Am I going to go bald? Am I? Am I going to have enough energy to even get through my day? What’s going on with my body??  At that time, I thought, I’d take any diagnosis just to have a label and a term for what was going on inside me. But then I found functional medicine now. Back then, and I mean, I’m dating myself, but back in my 20s, I’m 49 now. We didn’t have the term functional.

It was an integrative alternative. But I kept hearing about it. I kept hearing the name of this one practitioner. How like the universe starts telling you or God starts telling you, Go see this person, go see that person. I said, Okay, finally I will go and meet with this functional practitioner. He saved my life. He did all the testing, he did the proper treatment, and he diagnosed me with hypothyroidism slash Hashimoto’s. I had the autoimmune form of hypothyroidism, which is Hashimoto’s, and I got better and got my life back. Now that was over a couple of years, but that’s what changed my life, and that’s what changed my career path because I knew I was in a major city with a major. I was in Pittsburgh with a major medical system, basically ruling the town, supposedly with the best doctors ever. No one could diagnose me now; no one knew what was going on with my body. I thought, okay, if I’m going through this, how many other people, especially women, are going through this and they’re giving up? They’re giving up doctor number three, doctor number five, and doctor number six. They’re just resigning their lives to be miserable. No, I couldn’t accept that. That’s why I changed my career. I’m here with you today, talking all things thyroid.

Meg Mill, PharmD, AFMCP

That’s a great story. I think when you have that personal journey, it makes such a difference in the way you approach it because you’re approaching it from a heart-centered place of knowing how people are feeling in these situations. One of the things that you mentioned when you were talking about it was that you weren’t getting the test. Before we get into the connection between histamine and thyroid, let’s first just do a thyroid 101. We’re getting some information about what testing you should be doing. Because in the medical system, that is another thing that’s handled wrong. We’re not getting the full picture of the full testing.

Dr. Amie Hornaman

Absolutely. Anyone out there listening, if you say out loud that my doctor said my thyroid is normal, I want you to stop because I guarantee you the only test they did was test H. That’s a thyroid-stimulating hormone, and that is a pituitary hormone. Yes, we test it because if it’s screaming off the charts, then it’s obvious that you have a thyroid problem. But we don’t stop there because that TSH could be normal. It could even be optimal in the functional medicine world. But that doesn’t mean that you don’t have an issue. We have to test further. Now, the second test that you might have in your labs is free T4 and free T4. Again, it’s one that we add to the testing, but it’s not going to tell us the whole picture because T4 is the inactive thyroid hormone. It has to turn into the active thyroid hormone, has to convert over and become T3 to get to your cells, and to turn on all of your cells, whether it’s metabolism, energy, hair, or, like we’re going to be talking about today, histamine reactions, histamine intolerance, it has to get to the cell like a lock and key and turn that on.

But to do that, it has to convert. When you think about it, why are we testing an inactive hormone? Why aren’t we testing the active thyroid hormone? Well, we do in functional medicine, but conventional medicine normally does not. You might have Asian-free T4 in your labs, and you might have been told over and over again, Susie, that there’s nothing wrong with your thyroid. You are normal. Everything is fine. You’re leaving the office the same way I did, thinking, Wait a minute, I don’t feel fine. I do not feel normal whatsoever. We have to take the test further. This is where we go into free T3, which is the active thyroid hormone, and reverse T3, which is the anti-thyroid hormone. reverse T3.  I love using analogies, so bear with me. Reverse T3 is like the bouncer at a club. We want to make sure that there aren’t too many bouncers outside of your cell door, telling T3 that it can’t get in. If your reverse T3 is high, it puts your body in survival mode, so it will slow down all functions of the body. you’ll feel low and slow. You’ll be gaining weight. You’ll be constipated, and you’ll have low energy. Your hair will fall out. All of the things. Then we want to test. This is the most important point of this summit. We want to test for Hashimoto’s. That is TPO. very peroxidase and TGA thyroid globulin antibodies. that tells us whether or not you have the autoimmune form of hypothyroidism, or if you even have the beginning stages of Hashimoto’s, which essentially means that your thyroid is being attacked by your own body. Another analogy I’ll throw out at you is soldiers. You have these little soldiers in your body, and they’re confused. They think your thyroid is a bad guy. They go out, attack it, and beat it up. As we look at your thyroid over time, as it gets beaten up every day, it starts to get jagged, and it starts to get smaller. Of course, I mean, listen, if somebody came to your house and beat you up every day, you’re not going to work properly. You’re not going to get your work done, and you’re not going to feel good. You’re not going to be very productive or energetic. Same thing with your thyroid. When it’s getting beat up, it’s not going to produce the thyroid hormones T4 and T3 that it should be producing. That’s why we want to know if you have Hashimoto’s so we can address that and do things to stop your thyroid gland from getting beat up.

Meg Mill, PharmD, AFMCP

That’s so important. I can’t tell you how many people I’ve worked with who have had Hashimoto’s antibodies that have been on medication for over a decade and were never tested. They come in, and we’re like, I’ll test them and test their antibodies. We realize it’s a whole different dynamic than they ever thought. So it is; it’s just a shame what we’re saying. We’re not diving into some of these dynamics now.

Dr. Amie Hornaman

It is. The antibodies are often false negatives. Even if you’ve had them done in the past and you say, Oh no, they came back as a zero, get them done again. The other rule is that, of course, we have functional optimal ranges for all of those. Just because you fall into that standard lab value range of vast, like the side of a barn, we want you in that narrow bull’s eye range. That’s where you’re going to be optimal. We have optimal ranges for each test. But the thing to remember with the antibodies is that we want them at zero. If they come back and you’re like, Well, I have 20 TPO antibodies, but the cutoff is 34. I guess I don’t have Hashimoto’s. No. You have 20 soldiers that are beating up your thyroid just because that lab test says that you have to have 34 soldiers. I don’t even know where some of these random numbers come from; where do they even get them? Well, we do know they got it from a whole group of sick people, but 34, like, who chose that? How about zero? How about we go for zero antibodies? That way, you have no soldiers beating up your thyroid.

Meg Mill, PharmD, AFMCP

Yes, and that’s important. Everyone should listen up, because I hear that happens very often. Let’s now move in a little bit more into the histamine dynamics. Hypothyroidism, as we know, contributes to an increase in mast cells. Then, subsequently, we can increase histamine levels. Histamine intolerance can then contribute to autoimmune thyroid disorders. We have this whole dynamic going on. Can we talk a little bit about this? I feel like this is one of those things that we like, like the chicken and the egg thing.

Dr. Amie Hornaman

Yes, exactly. I will often have patients come in with either full-blown mast cell activation syndrome, or, as we’ll call it, histamine intolerance, where they’re getting the hives; they’re getting an increased histamine reaction; they’re getting an allergic reaction to things, the environment, food. certain smells, whatever it is in their lives, they are very reactive. You and I might be able to be in a room with a Glade plug-in, and we know it’s not great for us, but it’s not; we’re not freaking out. They can walk in the room, and boom, they are reacting immediately to that foreign artificial smell. I get the full spectrum. What I see is that when we again get to those root causes, no one is properly addressing them, so no one’s properly testing them, but they’re also not properly treating them. 

Essentially, they’re in this state of low thyroid function. Yes. We can say, oh sure, they’re on medication, but that medication isn’t bringing them into optimal health. They’re still operating in a hypo-low and slow thyroid state. As you said, that increases the mass. It can increase the number of mast cells. It can also increase the mast cells’ release of histamine. We get excess histamine in the body. then the other thing that we find is if it’s not if the hypothyroidism isn’t doing that, specifically the low thyroid function. This can be Hashimoto’s or non-Hashimoto’s thyroiditis, just low thyroid function. The other thing that we see is a reduction in the DAO enzyme. When we have that reduced breakdown of histamine, it’s just not working very well. that starts to have a feedback loop. Remember how we talked about reverse T3? We don’t want that much. We want T4 to convert to T3. That reduction in the deer enzyme starts interfering with T4-to-T3 conversion. Sometimes we’ll see the reverse T3 go up. Now, if you think about this, We can break this down even further and go slower.

If you think about it, the body is in survival mode. You have a person who’s already dealing with histamine intolerance. They’re getting all these reactions. They don’t know why. Why am I breaking out in hives? Why do I have a rat? Why do I have a random rash on my body? Why can’t I walk into my sister’s house without freaking out? Now the body’s in survival mode too. Now everything is shut down, the body goes, and it just literally wants to survive. Now they’re gaining weight, and now they’re losing hair on top. I mean, it’s just that it becomes this vicious cycle of a pretty miserable life. It comes down to whether we looked at the thyroid properly, tested the thyroid properly, and treated the thyroid properly. I’m not saying that’s the only thing that’s needed, but, my God, we have to start there. Now, when we do all the other treatments or interventions that your other guests have talked about on here, they’re going to work. You’re not just going to be throwing darts and going, Wait a minute, that works for other people. Why isn’t that working for Susie? Oh, because she has a screwed-up thyroid. Because her thyroid is low and slow. Now that all of these treatments are going on, why aren’t they working? We have to start here. We have to start with the master gland.

Meg Mill, PharmD, AFMCP

Yes, the slow, sluggish thyroid slows everything in the body. Body. Yep. We start to see that when we’re looking specifically at Hashimoto’s, the root cause is often gut health. addressing that.  Can we talk about some of the dynamics specifically that occur there?

Dr. Amie Hornaman

Gut and thyroid. Yes absolutely. Many of you have already heard that your immune system starts in your gut. Whenever we see anything happening in the gut, Candida H. Pylori, even just an imbalance of the flora in the gut, we see a decrease in immunity. Now how does that tie to autoimmune disease? Whenever we’re talking about anything autoimmune, those soldiers, by supporting your immune system and calming down inflammation, you calm down those soldiers. You can reduce the number of soldiers. You can keep them in their barracks so they don’t go out and attack. But we have to look at the gut as that source of immunity. Let’s say we’re treating someone, and you’ve seen this in your practice too. The patient comes in, and we start treating their thyroid. They’re not getting better. We’re looking at the numbers, and those numbers look good. You should be feeling better. Why aren’t you feeling better? Why aren’t your antibodies going down? We might even be using something like a low dose. Now check some black human seed oil to bring the antibodies down. They’re not going down. What’s going on? then we move into some gut testing, and then we see it on that GI, no matter the age.

There’s the Candida there. I mean, it just lights up on a GI test now, and we go okay. Now this makes sense. We’re bombarding you with the same thing, which is what I talked about earlier about starting with the thyroid. We’re starting with the thyroid. We’re retreating, and we’re optimizing that for now. We’re finding these gut issues going on. Now we have to go back. We have to start healing that so that the immune system can build back up. I mean, I also have to mention that some of that some of that T4 to T3 conversion does happen in the gut. We’ll also see an increase in reverse T3 and a decrease in the conversion of the inactive thyroid hormone to the active thyroid hormone when there are gut issues. But the main thing I focus on with the gut is supporting that immune system so we can calm down that autoimmune attack. The other thing we know about autoimmunity is that if it is left unchecked or untreated, we don’t look at it; we just let it run rampant. Autoimmune begets autoimmune. Where we see one, we see more than one. that can move into psoriasis, rheumatoid arthritis, and a variety of other celiac diseases. Other autoimmune conditions, if it does that, and then we start seeing celiac, well, that comes back to the small intestine. Yes. But still, you have a reduction in nutrient absorption and amino acid absorption. It is all circling and circling and circling to say you have to treat your gut to have a good immune system for your thyroid to work properly. We’re waiting for T4 and T3 conversions to happen.

Meg Mill, PharmD, AFMCP

I often see people who also like layering on top of that, because then we know that the dough enzyme is in the gut. then we also see, often, people who have these histamine issues and additionally have histamine-producing bacteria in the gut. So, you may be talking more about the loop—that feedback loop with the histamine. You could be having certain, in addition to all of the Candida, parasites and things like that sometimes are specific back to it is sometimes surprising people. Well, I don’t know whether you see this too, but they don’t. Maybe they can have symptoms because that is a symptom of histamine. Tons with thyroid, the slowing down of motility. But some people don’t even have those symptoms. They think, well, I don’t have any of these symptoms. I’m, I’m not COVID. I don’t feel bloated; I don’t. then, we have to go back and still look at it. then all the other symptoms start to fall into place too. It can be a missing piece in places. We don’t even think about it being missing.

Dr. Amie Hornaman

Exactly. Now, that’s very true. Very true.

Meg Mill, PharmD, AFMCP

Now let’s talk about what you should start to do about it. I guess the first question that I have is: if you see someone who, I think, has histamine intolerance and a thyroid issue, do you do anything differently to start?

Dr. Amie Hornaman

I mean, not. I would say, as there’s a variety of antihistamine supplements I like. I don’t like using antihistamines. I like using the histamine-reducing and histamine-blocking supplements that are out there. I know many of your guests have their supplements. I’ll use designs for it. There’s a variety of them out there that are fantastic, so that’s going to come in and start easing the symptoms. Now, if that particular patient knows that they are low, then we can address that specifically. But when it comes to the thyroid, that’s where we dive deep. That’s where I get down to the nitty-gritty. Let’s take the scenarios because your listeners may be in different boxes with their thyroids. We’ll take the undiagnosed person. That person just has a boatload of symptoms. They’ve been told that they’re normal. Everything is fine. First, we have to test them thoroughly. If we see that they do have Hashimoto’s, then we want to see what spectrum they are on and how far down the beaten-up rabbit hole their thyroid is. Do they need thyroid hormone replacement, which we’ll get to in a second?

Do they need that, or can we do things like a gluten-free diet? Can we change their diet to reduce histamine-producing foods and go gluten-free at the same time? Can we add in something like black human seed oil to reduce the inflammation and reduce the antibodies, and maybe control their Hashimoto’s and push it into remission without the need for thyroid hormone replacement? Maybe. But if they’re far down that rabbit hole, then we do all those things that I just mentioned. But we also bring in thyroid hormone replacement. When we’re talking about veteran hormone replacement, it’s very personalized and nuanced for that individual. There are a variety of different paths that we can go down. There are natural desiccated thyroid medications in your arm or your MP that contain 80% T4 and about 20% T3. These are rough numbers, just to get an understanding of what’s in them. Now, that’s all well and good, not how many patients come in. They said, Well, I only want to do something natural. They want to go on armor. I say, well, it’s still made by a drug company, so it’s not 100% natural.

It’s not like we’re going out and killing the pig, drying out the thyroid gland, and putting it in a capsule for you. Still, maybe a drug company has some fillers in it. We can certainly use it if your reverse T3 isn’t high. If you reverse T3 is high, we don’t want to pile on that T4, so then we might move over out there. They’re called synthetics, but I like calling them bio-synthetics because they are still identical to what your thyroid gland makes. The T4 and the T3 separately. This is your Levo synthroid terraced. then over in the T3 category, we have Linus irony slash the brand name, site, and email. We can use those as well, blended in different doses to match what we’re seeing in your labs. If you have that low T3, then we add in some T3. We compare that loss, irony, and T3 with armor. We compare that lousy line of irony and T3 up with synthroid Levo Terra Sen. It’s all about finding the combination and the dose to address what we see in the labs and pair that up with how you feel.

We always have to go back to the patient and say, How are you feeling? What are your symptoms? then build out that personalized treatment plan based on all of that information. Now, I know that that sounds like a lot. You might have to hit replay a couple of different times to take notes on all that. Now here’s just a little snippet. But through the theme throughout, that is, if your doctor says no to testing, it’s time to get a new doctor. If your doctor will only use T4, it’s time to get a new doctor because only 2% of those with hypothyroidism do well on T4, and only 98% need T4. I’m going to go one step further. If you’re working with a functional practitioner who only uses armor or anti-thyroid, and I’ve heard this, I can say this with confidence because I’ve heard it and I rolled my eyes at it. You also leave because what if that’s not for you and they are stuck in their box? Just like conventional documents are stuck in the synthroid box, we’re only going to test them and we’re only going to treat them with synthroid. You also don’t want to be with a functional or integrative doctor. It says we only treat with armor. You want the treatment that is right for you. I want you to remember as well that thyroid hormone replacement is exactly that. It’s replacing hormones that are no longer being properly made by your body. I completely understand not wanting to go on multiple prescriptions and not wanting to look like your grandma with ten different prescription bottles on your counter. I get that, and many scripts are written that are Band-Aids. You’re going to get that antihistamine prescription, and then you might get an antidepressant too. then a sleeping pill on a Staten, when we replace thyroid hormones, that’s a different category. We’re giving your body back hormones that were once made in proper amounts, but they’re just not doing it now. At no point in time are you Prozac deficient, or at no point in time are you statin deficient. But you could be T3 or T4 deficient. That’s where we bring in the actual treatment—the medication treatment—to address it.

Meg Mill, PharmD, AFMCP

When do you have a lot of people who resist going on hormone replacements?

Dr. Amie Hornaman

Not once they get to me; once they get to me, they’re usually the ones who’ve suffered with symptoms for long enough. They’re at the end of their row. They’re just done with the suffering. They’re done. They realize and recognize that it’s time to do something about it.

Meg Mill, PharmD, AFMCP

Sometimes when we’re looking at that conversion from T4 to T3, we see those nutrient deficiencies, so we’re seeing things like zinc or selenium or things. Do you find that a lot of people can reverse that by optimizing nutrients, or do you feel like you still usually need some help?

Dr. Amie Hornaman

Not once did they get to me, probably beforehand. If they were caught earlier in the game, then it could be that scenario of, Hey, let’s reduce the antibodies; let’s address nutrient deficiencies. But once I see them, they are just suffering. It’s one of those, like, do you want to go another six months and maybe get better? Or do you want to start the healing journey now? , it. It’s just where I see my people on the spectrum. But like I said, I think, yes, there are groups of people that, if you catch them at a certain time in their thyroid journey, you could do that and get results and possibly keep them off. Sorry. Hormone replacement.

Meg Mill, PharmD, AFMCP

Okay. Do you see a lot of and know I’m asking you a lot, but because I know you work with thousands of people that have this, do you see a lot of people being able to reverse the antibodies?

Dr. Amie Hornaman

yes.  Yes, definitely. Absolutely. Sometimes just black humans see it; sometimes it’s LDN; sometimes it’s a combination of both. It’s always a gluten-free diet addressing underlying viruses that might be kicking it up addressing stress because we know that stress will kick up antibodies as well and increase those. as long as we’re doing all the things.

Meg Mill, PharmD, AFMCP

Okay. But what you’re saying then is that we can see the reversal of the soldiers attacking most of the time. But depending on how much damage has already been done, I think this is a key point: depending on how much damage has already been done to the thyroid, you’re beyond potentially just adding nutrients to help conversion or production because of the previous damage.

Dr. Amie Hornaman

If we just use made-up numbers, for instance, when the thyroid gland was 100% healthy, let’s just say it produced again, making it up 100 units of T4 and 20 units of T3. Or we’ll go 80, 20, 80 units of T4 and 20 units of T3. then it starts getting beat up, it starts to shrink, and it starts to get all jagged and icky. then it’s spitting out every day: 60 units of T4 and ten units of T3. Okay, now we’ve reduced our capacity to work and our working productivity by 30%. That 30% could equal a 20-pound weight gain, a 30% reduction in energy throughout the day, or a 30% reduction. how often you poop every day. I mean, it can affect the body. then if we keep going with it and let it go further, and those antibodies are out there and they’re beaten up, Now, by the time they come to see us, they’re at 40% T4, 5% T3, and 10% T3. Now you’re at 50% reduction capacity. It’s going to be a long road to feeling good again if we just keep going. The natural route. I mean, yes, we could reduce the antibodies and put them into total remission then. Yes, the thyroid gland can technically regrow. But again, how long have you got? How much of a life do you have? Because I know time’s ticking. I’m Creston 50, and I’m thinking, Oh my God, what do I still have to do in this world??  I want to feel my best throughout it. I do not have six months to a year to hear my language. I piss around trying to heal things as I feel like garbage. I want to feel my best. If it means taking hormones I’ll do that. That’s just my take. Now again, I respect and love anyone out there who is healing their thyroid naturally. If you can catch those people early, by all means. But then sometimes I might see those people after they’ve tried different protocols and they go, Yes, no, I can’t do this anymore. I just want to feel better. I’m like, I get it. Yes. Yes. Because your thyroid is at half capacity and it’s not coming back.

Meg Mill, PharmD, AFMCP

Yes. Those are good points because I think that can be confusing too. Because in the natural world, we sometimes divide. You made a good point. That’s why I wanted to make sure people understood. Because I think we sometimes divide the natural space and the conventional space. It’s like, well, I want to be natural, and synthroid is conventional. I don’t want to do that route, or I want to be conventional, so I don’t want to do it, and I feel like a lot of times, in certain cases, it can be the integration of both. and I think that’s exactly what you’re saying. It’s not; it depends on your unique situation and what you need. Everybody’s going to be a little bit different.

Dr. Amie Hornaman

Exactly. Yes.

Meg Mill, PharmD, AFMCP

Exactly. With people with histamine just to sometimes when we see people put often on antihistamines when they have histamine intolerance, do you ever see any issues with people on long-term antihistamines with thyroid issues?

Dr. Amie Hornaman

yes.  Absolutely. It starts again. It starts reducing conversion. We’ll see a reduction in T4 to T3 conversion and an increase in T3 and reverse T3. Yes, it can affect, and here’s the thing. You shouldn’t be on any over-the-counter medication long-term. I mean, we can even see that some dogs use puppies for histamine control. I’m thinking, Okay, wait a minute. You are reducing your stomach acid. You’re increasing your risk of esophageal cancer, all to maybe control your history with a PPI. They want you for the long term. Are you kidding me? This was the same thing for antihistamines. Anything that is in over-the-counter medication non-hormonal.  We want to clarify. We had the hormones bioidentical that we replaced. Then we have the bandage, and all the antihistamine in the antihistamine is a bandage. I mean, I think it’s fantastic if your kid runs into poison ivy. I mean, listen, that’s what they’re out there for—throwing that Hannah histamine so his eyeballs don’t swell up. But to do something like that every day is prevention. That’s not prevention. That’s not addressing what’s going on in your body.

Meg Mill, PharmD, AFMCP

Yes. I’ve had people come to me on that too, like, let’s say zero tech is something you’re supposed to take once a day, taking 2 to 3 zero tech a day and still not being controlled. All we’ve had to do is do some gut-healing work and get supported in the right ways. And I couldn’t stop all of it. so, I do think that’s a good point. Sometimes it’s necessary for a certain period, for identification, or the management of symptoms. But yes, not the band. Again, we just follow that Band-Aid solution because often there’s a place for them, especially in people that have this too and towards or have mast cell activation where you need to bring down that. But we also always agree that we need to find the root cause of why this is happening. And addressing that. yes.  Well, thank you. your information has been so helpful. You’ve given us such great information. Can you tell our audience where they can find you?

Dr. Amie Hornaman

Absolutely. Online, you can find me at dramiehornaman.com. You can listen to my Thyroid Fixer podcast. We also have a Facebook group that you can join, the Call Girl Fix Your Thyroid Facebook group. In there, you can post your labs. If you’re not sure if you’re still reeling from everything that we just went over, you’re like, I don’t know, do I have a thyroid problem? Do I not have a thyroid problem? I’d like somebody to look at these. You can post your labs. I am in there reading that the members of the group are amazing. They’ll help you out too. They’ll jump in with all their knowledge. That’s another great place for resources and help.

Meg Mill, PharmD, AFMCP

Great. Well, thank you so much for joining us today, Dr. Amie.

Dr. Amie Hornaman

Thanks, Meg.

Meg Mill, PharmD, AFMCP

Thanks. Have a great day, everyone.