Female, age 42 – Hashimoto’s thyroiditis, chronic fatigue

TT is a 42-year old woman with a history of Hashimoto’s Thyroiditis, Chronic Fatigue, and long-term yo-yo dieting.

Medications: 88mcg Synthroid daily

Supplements: Omega 3 fatty acid 2 gm/daily, thyroid essentials 1 cap/daily, D3 5000 IU/daily

Program goals: “To feel less tired, less achy, and to lose 40 lbs.”

A 5-day food journal was obtained and evaluated prior to starting the SHAPE Program. TT routinely skipped breakfast, and her diet was low on protein as well calories. The majority of her meals were obtained from fast food restaurants. In addition, she craved candy and ice cream and would consume them in the evening while watching television.

Blood work was obtained prior to beginning program, completion of the program, and four months post the SHAPE Program. In addition, baseline Bio Impedance Analysis (BIA) was obtained and repeated every two weeks. Baseline urine was obtained and weekly thereafter.

Starting weight was 173 lbs. TT lost 48 pounds in 4 months. She felt great. Her pain had decreased, and her energy increased dramatically.

What makes TT an interesting case study is that her lab values after finishing the SHAPE Program were very disappointing (see below). What I didn’t realize at the time was TT was cleaning 5-6 houses weekly using harsh chemicals, microwaving her food in plastic (BPA), and cooking with polytetrafluoroethylene (Teflon). Her weight loss combined with these toxic chemicals put a huge strain on her liver. Therefore, in order to support her liver detox pathways, I put together a liver support program. TT added Metagenics Adva Clear, Standard Process AF Beta Food, and Integrative Therapeutics N-Acetyl-Cysteine. Labs were drawn four months later and all her values had improved dramatically. TT taught me an important lesson of the importance of supporting the liver detoxification pathways.

Collection Date11/8/20134/29/20148/6/2014
Glucose (mg/dl)999085
Cholesterol (mg/dl)252273203
HDL (mg/dl)746682
LDL (CALC) (mg/dl)160196113
Non-HDL cholesterol (mg/dl)208207121
Triglycerides (mg/dl)465640

Submitted by Barbara Goshorn, RN

Dr. Todd’s Teaching Assessment

Kudos to Barbara and Dr. Charles for thinking outside the box. Impressive and a lesson for all of us!

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