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Healing Thyroid Nodules and Goiter

gluten free diets

My name is Dr. Tom Rofrano from the Natural Medicine Clinic in Palm Beach Gardens, Florida. Today, I’m going to talk to you about a patient that came in with a  very, very, very, large thyroid nodule—goiter—and how we were able to help her shrink that by 30% in the first three months— and that’s just for starters.

Thyroid Nodules & Goiter: A Case Study

I’ve been practicing for over 30 years—chiropractic, nutrition, functional medicine—and I’ve seen over one hundred thousand patient visits. Lately it seems like more and more patients are coming in with autoimmune conditions, especially thyroid, a lot of nodules. This is just rampant, and we have a lot of these patients.

We have this one woman in particular, a 60-year-old woman, that came in. She happened to see a YouTube video I did with my wife last year where I was able to help my wife shrink her thyroid nodule by over 50% fairly quickly, and how we did that. She saw this and came in, driving quite a distance to get here.

She had this huge thyroid nodule that was over 9 cm. To give you an idea, my neck is about 13 cm wide, so that’s how big it was. This had been going on for about ten years, and she was just feeling miserable.

You have two ways to go with this. There’s the traditional medical route, which, for some people, that’s fine, they do surgery to remove the thyroid, then you’d be on medication for the rest of your life. She didn’t want to do that. She wanted to see if we could help her treat it naturally.

Whole-Body Analysis

The first thing we do in what we call our Functional & Free Program (a seven step program to identify your underlying root cause and provide long term permanent solutions) is Step 1, a whole-body analysis to determine what tests need to be ordered to figure out what is causing this, because you don’t just get a nodule or goiter for no reason, it’s coming from somewhere. So we do the evaluation to figure out the history and what tests to order to get to some underlying root causes.

As far as this patient’s complaints, besides this goiter, she was completely exhausted, with headaches, brain fog, depression, anxiety, couldn’t lose weight, and she was very bloated and swollen. She had neck, back, and joint pain, insomnia, sinus congestion, the whole gamut of digestive issues, and a lot of skin issues as well. She was just, from head to toe, really struggling.

Determining Root Causes

Basically we look for areas of physical, chemical, and mental stress. Under chemical stress, we test for three things:

  1.     Deficiencies

In her case, she had multiple nutrient deficiencies—nine, to be exact. Vitamins and minerals, plus an iodine deficiency.

Iodine is one of those things that can be very controversial because there are so many experts saying that iodine is terrible if you have thyroid issues or the thyroid autoimmune condition Hashimoto’s Disease, which she has. So, a lot of people say you shouldn’t take iodine at all and avoid it like the plague. People try to find iodine-free multiple vitamins because they’re afraid of it.

On the other hand, if you test for iodine, which we did with her, and it’s low, if someone is deficient (and she was really deficient), then it can be really helpful. As a matter of fact, iodine deficiency is and can be a primary cause of goiter.

So, she was deficient in nine nutrients, plus iodine (one of the lowest levels I’ve seen in iodine, by the way). So that’s one area, deficiencies. Two, we look at toxins.

  1.     Toxins

In her case, she tested high for five heavy metals, including mercury and led. Whereas many thyroid Hashimoto’s patients are iron deficient and anemic, she was the opposite. She had too much iron in her system. Too much iron is very toxic, like any other metal. Extremely toxic and can damage organs and every other part of your body. So her ferritin level, which represents stored iron in your body, was very high.

The third area we look at besides deficiencies and toxins is infections.

  1.     Infections, viruses, bacteria, yeast & parasites

Before she came to me, she’d been to a number of different doctors. She brought in 94 pages of labs and medical records from before she came to see me.

She was positive for many different viruses, including Epstein-Barr, very common with Hashimoto’s and nodules. When I did additional testing, we do comprehensive stool testing, she had bacterial overgrowth in her intestines and she also had yeast overgrowth. I often see yeast overgrowth and Hashimoto’s/nodules together, I mean almost every Hashimoto’s patient we have has yeast overgrowth. That went on with her chronic sinus issues and her skin issues.

Besides deficiencies, toxins, and infections, as if that wasn’t enough—because you don’t want to just find one thing, when someone comes in with an over 9 cm nodule, there’s going to be a lot of things going on—then we look at a fourth category, food sensitivities.

  1.     Food sensitivities/allergies

She was sensitive to ten different foods, plus gluten. She had a very significant gluten sensitivity. She also tested positive for leaky gut.

With these gut infections going on and eating gluten, that can cause leaky gut, which then in turn makes you much more sensitive to all foods, and can cause autoimmune conditions like Hashimoto’s.

In addition to that, she was sensitive to a number of chemicals, including one that she was exposed to on a daily basis working in the cosmetics industry. It was over twelve different specific things we found.

Treating Root Causes

So what do we do from there?

  1.     The FreeDiet™

Basically, I put her on a diet. We call it the FreeDiet because it’s not only gluten free, but it’s free of gluten, grains, sugar, yeast, corn, dairy, soy, legumes, eggs and GMO’s. It’s a diet to help reduce those foods most commonly responsible for inflammation and gut issues and really allow your body to heal.

If you’d like a complimentary copy of the FreeDiet™ – Phase 1, click here. 

  1.     Natural Medicine Formulas

I put her on a number of different supplements to help with these deficiencies she was having. Iodine as well, yes, relatively high doses of iodine. Again, don’t run out and take iodine. You need to test first to figure out if you need it and how much.

So I have her taking that, as well as different herbal remedies to address the yeast overgrowth and very powerful probiotics for bacterial overgrowth. Also, as a supplement to address the elevated heavy metals and iron, I had her start doing infrared sauna to help sweat out these toxins. I also advised she start avoiding exposure to chemicals at work.

She also had adrenal fatigue, adrenal stress, her numbers were really off there, on top of everything there. And her hormones were off—her estrogen and progesterone ratios were way off. I prescribed adrenal adaptogenic herbs to help balance out her adrenals.

  1.     Lifestyle Changes

I recommended some stress-relieving lifestyle changes as well.

The Results

So we put all that together, followed her along, and retested to make sure that things were improving. Just this week, I had her 3-month ultrasound report back, since we’d ordered one initially, and I’m happy to say this over 9 cm nodule/goiter shrunk by 30%. She had three other nodules that all shrank an average of 30%. So overall, the size of the goiter and the nodules averaged 30% reduction in three months, so we’re both thrilled about that.

And this is just the start. I’m planning on continuing on this path, and reaching out, and continuing to see it shrink. She’s obviously thrilled, because number one, all of her symptoms have cleared up, you know, fatigue, aches and pains, headaches, and the 50 other things she came in with. Also, this huge mass on her thyroid that changed her voice, made it difficult to swallow, and, understandably, made her very self-conscious was visibly shrinking, so she’s very happy about that, and I am as well, and all of us here at the Natural Medicine Clinic.

So just know that for any chronic health issue, whether you have thyroid nodules or goiter or Hashimoto’s, or other autoimmune conditions or other chronic health condition, you have a choice. You can choose to live with it, or maybe take medications for this and that, or surgeries, and that’s one choice. Or you can choose health, you can choose to really look into what the underlying causes are, address those, and then be provided solutions to have you get better.

Thanks for joining me today and feel free to subscribe to my YouTube channel if you want notifications of new videos. And if you click on the link to the FreeDiet™ – Phase 1, we’ll send that right over to you. I look forward to giving you further updates. See you next time. Take care.

Healing Hashimoto’s Thyroid Disease [Video]

Today, I’m going to talk to you about healing Hashimoto’s.  For those of you who may not be familiar with it, Hashimoto’s is an autoimmune thyroid condition where your body produces antibodies against your own thyroid tissue. The thyroid starts to get destroyed over time causing typically low thyroid function. It is the most common cause of hypothyroidism in the United States.

Many Are Unaware

Most people aren’t even aware that they have it.  Over 20 million Americans have hypothyroidism, most of which are caused by Hashimoto’s. Many are even unaware that they have that. Most people that have it are women, although some men do have it.

Usually, I’ll tell the story of certain patients I’ve treated with it. But today I’m going to talk about my own experience because I had Hashimoto’s over ten years ago. I was able to clear it up so I’m going tell you about how I was able to do that.

The Symptoms

The usual symptoms that you’ll have with this are fatigue, brain fog, difficulty getting up in the morning, aches and pains, numbness and tingling, carpal tunnel, anxiety, hair loss. These are all very common symptoms, even headaches, plantar fasciitis which is heel pain. And infertility and miscarriages are very common for low thyroid function.  Chronic infections, constipation, and many more symptoms beyond that. As you can see, it can really make you feel terrible.

Why It Goes Undiagnosed

The reason why it mainly goes undiagnosed is typically when you go to a doctor and get lab work, they will check just a few different things like a chem screen CBC, lipids, and TSH. And TSH is not enough to evaluate the thyroid. That’s a pituitary hormone that indirectly measures your thyroid function, but misses most cases.

When patients come in, I’ll order typically six different thyroid values along with everything else and often a TSH will be normal but when I look at the free T3 and free T4, they’re often below optimal ranges and the thyroid antibodies are often elevated, and that’s what indicates Hashimoto’s.

You May Never Find Out Unless…

So, if you’re just getting a TSH and maybe a T4 test and you’re not checking the others and your antibodies, you may never find out. You can go on feeling tired, have hair loss, brain fog, anxiety, depression, and feeling miserable.

What’s even worse than that is if you do go to your doctor and they find it, they’ll usually prescribe synthetic thyroid medication which in my experience, many people don’t do well with. It synthetic T4, and it doesn’t address T3 which many people are low in.

If they do know that you have Hashimoto’s, if they have your antibodies tested usually by an endocrinologist, they’ll say, and this is what happened to me, when I went in back in  2005. When I went in after I tested myself and found out that I had  Hashimoto’s, the endocrinologist told me, “Well, there’s no known cause and no known cure. It continues to get worse, your thyroid will continue to deteriorate over time and your antibodies may go up, they may go down, there’s no sense in even measuring them because it’s not going to get better and you will just continually need more and more Synthroid as you get older because the thyroid will continue to deteriorate. You’ll usually get more nodules and bigger nodules and that’s there’s nothing you can do about it.”

Investigation and Research

That didn’t settle well with me, and I couldn’t accept that. So, I started investigating and researching what causes Hashimoto’s, what causes autoimmune in general because at that time I also tested positive for rheumatoid arthritis antibodies. Usually, when you have one autoimmune, you have another one and one or two or more beyond that.

I thought, there’s something going on, so what can it be? I feel every health condition has a cause, every problem has a solution, so I started researching this. What I found out is it came down to the cause of most autoimmune and chronic health conditions–physical, chemical, and mental stress. So I am going to talk about the chemical stress component. So, breaking that down, I first look at deficiencies.

Nutritional Deficiencies

So, if you have nutrient deficiencies, that can cause your body and immune system to breakdown.  In my case, I was low in vitamin D which is incredible because at that time I lived at the beach and was out on the beach, multiple times a week. And I was extremely low in vitamin D. So, that was a shock. When you’re low in D, that can affect your immune system and it’s been linked with autoimmune conditions. I was also low in magnesium which can cause aches and pains and contribute to numbness and tingling and a lot of other symptoms. Vitamin B12 was another one, I was deficient in and that can contribute to fatigue,  brain, nerve and blood issues.

The Physical Impact of Deficiencies

So in my case at that time, I was having carpal tunnel syndrome and peripheral neuropathy. It got so bad that I wasn’t able to even work on patients for a number of years. I had to hire another chiropractor to come in and did the manual therapy while I did the evaluations and nutrition and functional medicine. So, I figured out the low B12, magnesium and vitamin D, just to name a few. I was someone who ate what I thought was a  healthy diet and was taking supplements but certainly not enough and not the right ones.

Functional & Free

That’s why testing is step one in our treatment program which I call Functional & Free which is a seven-step treatment program to get to the root cause of your condition and provide long-term permanent solutions. Step one is getting an evaluation to find out what’s going on so that’s what I was doing. Another form of chemical stress besides deficiencies is toxins.

Toxins

When I tested heavy metals, I was high in arsenic and mercury which are nerve toxins. Again, the numbness, tingling, carpal tunnel, ulnar neuropathy. As far as arsenic,  I was eating a healthy diet which included a lot of rice. I went to the Chinese restaurant, the next door at my office, and I would load up on it. I would get mixed vegetables with rice. I would skip the chicken and would get me extra rice instead.

I thought that was healthy. So, I was eating lots of rice multiple times a week. I was also drinking this detox shake which was rice protein. The healthy hypoallergenic detox shake was at the time made from rice protein. It turns out, it just loaded with arsenic, go figure.

Pathogens / Infections

The third form of chemical stress is pathogens, meaning infections like bacteria, viruses, parasites, and yeast. After doing a comprehensive stool testing, I had yeast overgrowth. I had a lot of antibiotic use when I was a kid. My father was a medical doctor so I was often on antibiotics for all kinds of things.

I had parasite also. Infectious disease specialists say that it doesn’t happen in the United States. Well, I had one. I think I picked it up in Rio de Janeiro, when I was in chiropractic college in early to mid-twenties. A friend and I went down there for spring break to Rio. I guess we thought we were going to pick up women but instead I picked up a parasite!

That wasn’t expected, and all these years I was living with chronic digestive issues, feeling terrible. So when you have yeast and you have parasites, it ramps up your immune system and you’re constantly, your immune system is trying to fight this off. And meanwhile, it can start attacking your own cells, in my case, the thyroid, and joints.

Food Sensitivities

The fourth cause of chemical stress is food sensitivities. So, getting food sensitivity testing is one option, that’s what I did. You know, in my case, I was sensitive to many different foods but gluten was a big one, dairy, yeast, legumes, among other foods. So, that can cause inflammation, leaky gut and in turn, be a trigger for autoimmunity. The immune system is fighting off these foreign invaders, these food reactions.

Mental Stress

On mental stress, I had adrenal fatigue issues that I found after testing so I was treating that.  At the same time, I was taking digestive enzymes, natural remedies to clear up the parasites, the yeast, and replacing all these nutrients. Over time, I started to get better and my thyroid antibody, started to go down and down and down, and by the spring of 2009, they were completely down to normal. So, it took many months of investigating and finding all this out but I recovered and it’s been about ten years that my thyroid and rheumatoid arthritis antibodies have been in normal range.

Using Research and Experience to Help Others

Since then I’ve used this information I learned on research and figured out to help many other patients.  One of the more common things patients come in with over the last many years is thyroid issues, Hashimoto’s. So and when I see that, I just go through the Functional & Free protocol. Do the evaluations to get the underlying root cause. So, besides clearing up all these sources of chemical stress like the sensitivities, the toxins, clearing those out, addressing adrenal fatigue, and, parasites, yeast overgrowth.

Benefits of The FreeDiet®

The type of diet, I ultimately figured out works best. So, I was gluten-free for a while and I found out that it did not work so I started avoiding other foods, the most common food allergens. This list I came up with that really worked well for me and ultimately helped get me better was a diet free of not only gluten but gluten, grains, sugar, yeast, dairy, eggs, soy, legumes. Those are the most common food allergens.

I call it The FreeDiet®. And that’s the diet that really helped me. Within this diet is also a candida diet for yeast overgrowth which most everyone that has Hashimoto’s, an autoimmune condition, almost every person I’ve seen is dealing with yeast overgrowth issues. Ramping up that immune system and wreaking havoc on your whole body. So if you and if you want a copy of phase one of The FreeDiet®, I’d be happy to share that with you.

Replacing the Deficiency

And the other thing is replacing deficiencies. So after testing to find out specifically what’s going on like when I was deficient in all those things. The most common recommendations of the foundational nutritional supplements typically recommend for Hashimoto’s and hyperthyroid conditions are our Natural Medicine Formulas.  ActiveMulti, a fish oil supplement, magnesium, probiotics, vitamin D with K2, These are the basic foundational supplements, and there are specific ones beyond that based on testing.

Often selenium is low. Iodine, which is very controversial because so many people out there saying iodine is the devil if you have Hashimoto’s. However, when I tested myself, I was low in it and many other patients I test are low. When we give iodine and that can really help. If you’re low and you replenish that, it helps tremendously. If you don’t need iodine and you take it, it can make thyroid issues worse. So, that’s one thing really needs to be tested before you go and take it.

Lifestyle Matters

So, The FreeDiet® and supplements, are two of the biggest things that help and there’s a lot of different lifestyle issues. Addressing stress and things like that, and if you’re suffering from aches and pains, and physical issues, of course, the manual therapy, the physical aspects of treatment and functional training exercises, are all part of the whole treatment plan.

It’s important to know that if you have an autoimmune condition, Hashimoto’s or any chronic health condition you can get better if you first discover the underlying root causes. Once that is figured out, coming up with a plan to help provide permanent, long-term solutions. You find the cause then you can find solutions to getting better.

So, yes, you can get better. With everything I learned, I was able to do it with Hashimoto’s and a lot of other health issues that I had and fortunately, I’ve been blessed to be able to help so many other patients as well.

Click The FreeDiet® If you would like a copy of the FreeDiet® phase 1 food chart.

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    Content on this website is based upon the opinions of Thomas Rofrano, D.C. and is not considered medical advice. It is designed to be a sharing of knowledge and information from the research and experience of Dr. Rofrano and his community. Dr. Rofrano encourages you to make your health care decisions based upon your research and in partnership with a qualified health care professional. Dr. Rofrano is a chiropractic physician and offers physical and nutritional support and guidance to those seeking alternative or complementary care to traditional medicine. His care is not meant to replace that from your primary doctor and specialists but rather to help you on your path to achieving life-long vibrant health.

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