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Is Thyroid Dysfunction to Blame for your Weight Gain?

5/17/2023

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You've probably heard about thyroid function and how it relates to energy production and weight management but how do you know if that is something that you need to work on, test, or diagnose? If you have dealt with energy issues, weight gain problems, hair or skin issues or even mood changes the thyroid gland is involved in some way, but is it the main problem? 
     
All About the Thyroid
     The thyroid gland is a butterfly-shaped gland located in the neck that produces hormones that regulate metabolism, growth, and development, playing a critical role in the body's overall hormonal balance. It is part of the endocrine system and produces hormones that help regulate metabolism and other important bodily functions. The thyroid gland produces two main hormones:
triiodothyronine (T3) and thyroxine (T4). These hormones are produced by specialized cells in the thyroid gland called follicular cells, which secrete them into the bloodstream. The production of T3 and T4 is regulated by the hypothalamus and the pituitary gland. The hypothalamus produces thyrotropin-releasing hormone (TRH), which signals the pituitary gland to release thyroid-stimulating hormone (TSH) into the bloodstream. TSH then stimulates the follicular cells of the thyroid gland to produce and release T3 and T4. T4 is the most abundant thyroid hormone produced by the thyroid gland, and it is converted into T3 in the liver and other tissues. T3 is the more biologically active form of the hormone, and it is responsible for most of the metabolic effects of thyroid hormone.
     The release of T3 and T4 is tightly regulated by a negative feedback loop. When the levels of T3 and T4 in the bloodstream are too low, the hypothalamus and pituitary gland increase their production of TRH and TSH, to stimulate the thyroid gland to produce more hormone. When the levels of T3 and T4 are too high, the hypothalamus and pituitary gland decrease their production of TRH and TSH, to reduce the production of thyroid hormone. Overall, the process of thyroid gland function and the release of T3 and T4 is complex and tightly regulated by the hypothalamus, pituitary gland, and thyroid gland.

     The most common thyroid disorders are hypothyroidism (an underactive thyroid), hyperthyroidism (an overactive thyroid), and thyroid cancer. Hypothyroidism is typically diagnosed through blood tests measuring levels of thyroid hormones and thyroid-stimulating hormone (TSH), while hyperthyroidism may require additional testing such as radioactive iodine uptake. Some recent research has suggested that autoimmune dysfunction may play a role in the development of thyroid disorders, particularly Hashimoto's disease (a type of hypothyroidism) and Graves' disease (a type of hyperthyroidism). A 2020 study published in the Journal of Clinical Endocrinology & Metabolism found that individuals with autoimmune thyroid disease had a higher prevalence of additional autoimmune conditions, suggesting a possible shared underlying mechanism. (Source: Journal of Clinical Endocrinology & Metabolism)

Functional Medicine
     Functional approaches to treating thyroid disorders may include optimizing nutrient intake, using supplements such as probiotics or selenium, and addressing underlying root causes such as gut dysfunction or chronic stress. A 2018 systematic review of randomized controlled trials found that dietary interventions such as gluten-free or low-glycemic-index diets may be effective in reducing symptoms of Hashimoto's disease. (Source: Journal of Alternative and Complementary Medicine)
     One peptide that has been studied in relation to thyroid function is thymosin alpha-1 (Tα1). Tα1 is a naturally occurring peptide that is involved in immune regulation and has been shown to have potential therapeutic effects in a variety of conditions, including autoimmune diseases. A 2018 study published in the Journal of Endocrinological Investigation found that Tα1 treatment improved thyroid function in rats with induced hypothyroidism. However, it's important to note that animal studies do not always translate to humans, and more research is needed to determine the potential benefits and risks of Tα1 and other peptides for improving thyroid function in humans. BPC-157 is another amazing peptide that can help treat the stomach issues and nutrient absorption that happens with hypothyroid function and Hashimoto's disease. This amazing peptide can help to repair and regenerate tissue while reducing inflammation and load on the immune system. This can be a great addition to a Hashimoto's disease program. 
     One study published in the Journal of Clinical Endocrinology and Metabolism in 2004 found that elevated levels of C-Reactive Protein (CRP) were associated with an increased risk of hypothyroidism in women. Another study published in the European Journal of Endocrinology in 2010 found that elevated levels of CRP were associated with a decreased response to thyroid hormone replacement therapy in individuals with hypothyroidism. A more recent study published in the Journal of Thyroid Research in 2019 found that elevated levels of CRP were associated with an increased risk of developing autoimmune thyroid disease, such as Hashimoto's thyroiditis.

Treatment Options
     While the exact mechanisms behind the relationship between inflammation and thyroid function are not fully understood, it is thought that inflammation may contribute to the development of autoimmune thyroid disease and interfere with thyroid hormone production and regulation. Semaglutide and GLP-1 peptides can play a great role in improving weight and cellular function needed during thyroid dysfunction. This new field has continued to grow in terms of research and patients getting a weekly injection (1/4 mg for four weeks then 1/2 mg for four weeks and progress to 2.4 mg), have effects on the hypothalamus to upregulate sympathetic function raising bmr by 15% of body weight reduction. Conventional medical treatments for thyroid disorders may include hormone replacement therapy, anti-thyroid medications, or surgery. While these treatments can be effective, they may also have side effects such as weight gain, insomnia, or anxiety. A 2016 study published in the Journal of Alternative and Complementary Medicine found that acupuncture may be a safe and effective alternative treatment for hyperthyroidism. (Source: Journal of Alternative and Complementary Medicine)
     The most common medications used to treat thyroid disorders are thyroid hormone replacement therapies, which are designed to replace the deficient thyroid hormone levels in the body. For individuals with hypothyroidism, or an underactive thyroid, the most commonly prescribed medication is Levothyroxine. Levothyroxine is a synthetic form of T4 that is taken orally in a pill form. Once ingested, it is converted into T3 in the body, providing the necessary hormone replacement for individuals with an underactive thyroid.
     For individuals with hyperthyroidism, or an overactive thyroid, there are several treatment options available. One common treatment is radioactive iodine therapy, which involves taking a pill or liquid containing radioactive iodine. The iodine is taken up by the thyroid gland, and the radiation destroys the overactive cells in the gland, reducing the production of thyroid hormone. Another treatment option for hyperthyroidism is antithyroid medication, which works by preventing the thyroid gland from producing excess hormone. These medications, such as Methimazole or Propylthiouracil, are taken orally in pill form. In addition to medication, some individuals may benefit from lifestyle changes to support thyroid function. This can include dietary changes to support thyroid health, such as increasing intake of iodine-rich foods like seaweed and seafood, as well as reducing exposure to environmental toxins that may interfere with thyroid function. It's important to note that medication and lifestyle changes should always be discussed with a healthcare provider, and treatment plans should be individualized based on a person's specific health needs and concerns.
Diet and exercise can play a key role in supporting thyroid health. Research has shown that adequate intake of nutrients such as Iodine, Selenium, and Vitamin D are important for thyroid function. In addition, regular exercise can help improve thyroid function and metabolic health. (Source: Journal of Thyroid Research) 
  • Iodine: Iodine is a mineral that is essential for thyroid function, as it is required for the production of thyroid hormones. A deficiency in iodine can lead to hypothyroidism, while excess iodine can cause hyperthyroidism. A 2019 systematic review of 17 studies found that iodine supplementation improved thyroid function in individuals with mild to moderate iodine deficiency.
  • Selenium: Selenium is a trace element that is also essential for thyroid function, as it is required for the conversion of the thyroid hormone T4 to T3, the more active form of the hormone. A 2018 systematic review of 19 studies found that selenium supplementation improved thyroid function in individuals with autoimmune thyroiditis, particularly in those with low selenium levels. (Source: European Thyroid Journal)
  • Vitamin D: Vitamin D is a fat-soluble vitamin that is important for bone health and immune function, among other things. Some research has suggested that low vitamin D levels may be associated with an increased risk of thyroid disorders. A 2019 systematic review of 23 studies found that vitamin D supplementation improved thyroid function in individuals with hypothyroidism, particularly in those with low vitamin D levels.
  • Exercise: Regular exercise can help support thyroid function and metabolic health, particularly when combined with a healthy diet. A 2019 systematic review of 17 studies found that exercise interventions such as aerobic or resistance training improved thyroid function in individuals with hypothyroidism. (Source: International Journal of Endocrinology)

     Overall, optimizing nutrient intake through a nutrient-dense diet and supplementation, as well as engaging in regular exercise, may help support thyroid health. However, it's important to work with a healthcare provider who can help determine the appropriate dosages and recommendations based on individual needs and medical history.

Want to hear more from Dr. Derrick Hines? Click the button below to listen to The Pain and Performance Podcast!
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Hair Loss and Solutions for Healthy Hair Growth

5/15/2023

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​Hair Loss is common in many people today, often time resulting from stress or other outside factors. Research has made natural, healthy hair growth attainable. The following tips will help you get to the root of your hair loss and solve it!
Potential Causes for Hair Loss
     Dihydrotestosterone (DHT) is a hormone that is produced from testosterone by the enzyme 5-alpha reductase. DHT is known to play a significant role in the development of androgenetic alopecia, which is the most common form of hair loss in men and women. In androgenetic alopecia, hair follicles become sensitive to DHT and shrink in size over time. This process, known as miniaturization, can eventually lead to hair follicles becoming dormant and ceasing to produce new hair. The exact mechanism by which DHT causes miniaturization is not fully understood, but it is thought to involve the shortening of the anagen (growth) phase of the hair cycle and the induction of inflammation. There are a number of treatments available for androgenetic alopecia that aim to block or reduce the effects of DHT. One commonly used medication is finasteride, which inhibits the activity of 5-alpha reductase and thereby reduces the amount of DHT in the scalp. Another medication is minoxidil, which is thought to promote hair growth by increasing blood flow to the scalp and stimulating hair follicles.

     Stress is known to affect various physiological processes in the body, including those involved in hair growth and pigmentation. When the body experiences stress, the adrenal glands release hormones such as cortisol and adrenaline, which can affect the hair growth cycle and lead to hair loss or thinning. Research suggests that chronic stress can have a significant impact on hair growth. A study published in the Journal of Investigative Dermatology found that mice exposed to chronic stress exhibited a shorter anagen (growth) phase of the hair cycle and increased hair follicle apoptosis (cell death), leading to hair loss. Another study published in the British Journal of Dermatology found that individuals with alopecia areata (an autoimmune disorder that causes hair loss) had higher levels of psychological stress than healthy individuals. In addition to hair growth, stress can also affect hair color. The pigment that gives hair its color is called melanin, and its production is regulated by specialized cells called melanocytes. Research suggests that stress can lead to a decrease in melanocyte function, resulting in premature graying or loss of hair color.  A study published in the journal
Nature found that stress-induced activation of the sympathetic nervous system (which regulates the "fight or flight" response) led to depletion of melanocyte stem cells in mice, resulting in hair graying. Another study published in the Journal of Investigative Dermatology found that individuals with higher levels of perceived stress had a greater likelihood of premature graying. Overall, the available research suggests that stress can have a significant impact on hair growth and pigmentation. Managing stress through relaxation techniques such as meditation, yoga, or deep breathing exercises may help support healthy hair growth and prevent premature graying.

Peptides for Hair Health
     GHK-Cu is a small peptide composed of three amino acids (glycine, histidine, and lysine) and a copper ion. It is naturally occurring in the human body and plays a role in various biological processes, including wound healing and tissue repair. Recent research suggests that GHK-Cu may also be effective in promoting hair growth. One study published in the International Journal of Trichology found that GHK-Cu increased the proliferation of dermal papilla cells (DPCs), which play a crucial role in hair follicle growth and development. Another study published in the Journal of Cosmetic Dermatology showed that a topical solution containing GHK-Cu improved hair growth in men with androgenetic alopecia (male pattern baldness). In terms of absorption, GHK-Cu is a small molecule that can penetrate the skin barrier and reach the hair follicles when applied topically. However, its effectiveness may depend on the concentration and formulation of the product, as well as individual factors such as skin type and hair condition. A study published in the Journal of Drugs in Dermatology evaluated the absorption and bioavailability of a GHK-Cu-containing topical solution in healthy adults. The results showed that GHK-Cu was rapidly absorbed into the skin and reached peak levels within two hours of application. The authors concluded that topical GHK-Cu may be an effective solution for hair loss and thinning. Another study published in the Journal of Cosmetic Dermatology evaluated the efficacy of a shampoo containing GHK-Cu in women with thinning hair. The results showed a significant improvement in hair thickness and density after 90 days of use. Overall, the available research suggests that GHK-Cu may be a promising ingredient for promoting hair growth. However, more studies are needed to confirm its effectiveness and optimal use in hair care products.

     C60, also known as fullerene, is a carbon molecule that has been studied for its antioxidant properties. Antioxidants are known to protect cells from damage caused by free radicals, which can contribute to aging and disease. A study published in the Journal of Nanobiotechnology found that topical application of C60 in a solution of olive oil led to increased hair growth in rats. The study authors suggested that this effect may be due to the antioxidant properties of C60, which could help protect hair follicles from damage. Another study published in the Journal of Investigative Dermatology found that C60 may have potential benefits for skin health. The study authors found that C60 nanoparticles were able to penetrate the skin and reduce the production of reactive oxygen species (ROS), which can contribute to skin aging and damage. While these studies suggest that C60 may have potential benefits for hair growth and skin health, more research is needed to fully understand its effects in these areas. It is important to note that C60 is a relatively new area of research and its safety for human use is not yet fully established. As with any new supplement or treatment, it is recommended to consult with a healthcare professional before using C60 for hair growth or skin health.

Non-Conventional Therapies for Hair Loss
     It is important to note that while these biotechnologies have shown promise in improving hair health, more research is needed to fully understand their effects and determine their optimal use. It is recommended to consult with a healthcare professional before using any of these technologies for hair health.

  • Low-Level Laser Therapy (LLLT): LLLT involves the use of low-level lasers or light-emitting diodes (LEDs) to stimulate hair growth. A review of studies published in the Journal of Clinical and Aesthetic Dermatology found that LLLT was effective in promoting hair growth in both men and women with androgenetic alopecia (a common form of hair loss).
  • Infrared Therapy: Infrared therapy involves the use of infrared light to improve hair health. A study published in the Journal of Cosmetic Dermatology found that infrared therapy improved hair thickness and density in women with androgenetic alopecia.
  • Platelet-Rich Plasma (PRP) Therapy: PRP therapy involves the use of a patient's own blood plasma, which is enriched with platelets, to promote hair growth. A systematic review of studies published in the Journal of Cosmetic Dermatology found that PRP therapy was effective in promoting hair growth in both men and women with androgenetic alopecia.
  • Scalp Micropigmentation (SMP): SMP involves the use of a tattooing technique to create the appearance of fuller hair on the scalp. A study published in the International Journal of Trichology found that SMP was effective in improving the appearance of hair density and coverage in patients with androgenetic alopecia.
  • Pulsed Electromagnetic Field (PEMF) Therapy: PEMF therapy involves the use of low-frequency electromagnetic fields to stimulate hair growth. A study published in the Journal of Cosmetic and Laser Therapy found that PEMF therapy was effective in promoting hair growth in men with androgenetic alopecia.
  • Sauna Therapy: Sauna therapy involves exposing the body to heat, which can improve circulation and promote detoxification. While there is limited research specifically on sauna therapy and hair health, a study published in the Journal of Investigative Dermatology found that regular sauna use was associated with a lower risk of developing alopecia areata (an autoimmune condition that causes hair loss).​

Want to hear more from Dr. Derrick Hines? Click the button below to listen to The Pain and Performance Podcast!
Listen Here!
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    Derrick Hines, D.P.T. is the owner of Acadiana Pain and Performance Rehab. The information in this blog is personal opinion and not to be used as medical advice.

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