Hepatic hypothyroidism can be misdiagnosed as Hashimoto’s or a T-3 conversion problem by functional medicine. They may gaslight you with unnecessary thyroid supplements, thyroid diets or extra T3.
At the 2018 annual meeting of the American Association of Clinical Endocrinologists in Boston, Dr. W. Timothy Garvey spoke on strategies for using weight loss medications. Dr. Garvey discussed 4 general principles:
Why use weight loss medications?
Obesity is a chronic disease that involves interactions among genetic, environmental and behavioral factors. Obesity is treated with medications just like other chronic diseases such as diabetes, hypertension or hyperlipidemia. The regulation of energy intake is mediated by peripheral signals from fat cells, the gastrointestinal tract and the pancreas that act on hypothalamic pathways and higher cortical centers. Obesity medications act along these pathways to decrease appetite and cravings and increase satiety. The addition of a medication for weight loss produces greater weight loss and weight maintenance compared to lifestyle therapy alone.
When should weight loss medications be prescribed?
Weight loss medications are prescribed for patients with a BMI > 30 kg/m2 or with a BMI > 27 kg/m2 if there is a weight-related comorbidity such as hypertension, diabetes or dyslipidemia. Medications should always be used with an effective diet plan.
What are the therapeutic targets of medication assisted weight loss?
Therapeutic targets for weight loss are the reduction of comorbidities. Improvements in type 2 diabetes, hypertension and dyslipidemia can be see with a little as 3-5% weight loss. Where other comorbidities such as fatty liver disease and sleep apnea require 10-15% weight loss to see an improvement.
Which medications should be used?
Currently, there are eight medications approved by the Food and Drug Administration (FDA) for weight loss.
*Approved for short term use
†Approved for long term (chronic) use
In selecting the optimal weight loss medication for an individual patient, clinicians should consider differences in efficacy, side effects, cautions, warnings and drug interactions along with the patient’s medical history. These factors are the basis for individualized weight loss therapy.
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Hepatic hypothyroidism can be misdiagnosed as Hashimoto’s or a T-3 conversion problem by functional medicine. They may gaslight you with unnecessary thyroid supplements, thyroid diets or extra T3.
Hepatic hypothyroidism is not a thyroid disorder and is not treated with thyroid medications, thyroid supplements, or a thyroid diet.
Hepatic hypothyroidism is not a thyroid disorder. Officially known as "intrahepatic hypothyroidism" thyroid tests are normal and the root cause is a fatty liver.
Hepatic hypothyroidism is not a thyroid disorder. Thyroid tests are normal and thyroid supplements or taking extra T3 does not work. Medical gaslighting occurs when hepatic hypothyroidism is misdiagnosed as a thyroid disorder.
The thyroid diet won’t help hepatic hypothyroidism because it is not a thyroid disorder. In fact, thyroid diets don’t even help people who do have a thyroid disorder because you can’t eat for your thyroid.
Worldwide rates of obesity have reached pandemic levels. Excess body fat, especially belly fat or visceral adipose tissue increases the changes for fatty liver disease also known as non-alcoholic fatty liver disease, or NAFLD.