Hashimoto's - How Often Should I Have My TSH Checked? - Dr. Martin Rutherford

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the Holy grail of the medical community relative to your thyroid dysfunction and we're going to talk about TSH and Hashimoto's. TSH, it's kind of interesting. I've been in this for a long time, probably since the very beginning of the understanding that Hashimoto's was causing most of these thyroid problems. I've had the opportunity to be involved in the evolution of thought on several things. Well, should you take thyroid medication, should you not? The TSH isn't enough. You don't bother to do it because it really doesn't tell you anything other than about the immune system and the whole evolution of understanding TSH. Eventually, I'm going to do a talk on thyroid peroxidase enzymes, the TPO enzymes, and just the evolution of thought on all those. Just keep that in mind, if you saw something in some of my other videos that are going to contradict what I say right now, because it's kind of the latest stuff.

Thyroid stimulating hormone, basically people come in and they go, "I have low thyroid" and I go, "you have low thyroid, or do you have low thyroid stimulating hormone?" Because low thyroid stimulating hormone means that you have high thyroid function and vice-a-versa, and without getting into all of that, it seems counterintuitive but when your thyroid, the important point is, is when your thyroid function is going down, you're not making as much thyroid hormone. There's this part of your brain that sends out a signal to another part of your brain to send out something called thyroid stimulating hormone, TSH to stimulate this lazy thyroid, or this thyroid is being destroyed so that it makes more hormone. When you have high TSH, it's because your thyroid is like this, and it can't make hormone and it's trying to stimulate it to make more hormone.

That's a key understanding, now, historically in the beginning, TSH was mainly a function, of our understanding was, it was a function of hypothyroid, which was the medical understanding for the last hundred years. However, it's taken on kind of a new understanding in that a thyroid in Hashimoto's thyroid tissue is being damaged. If I could show you some pictures, I should do that. If I could show you some pictures of a thyroid being damaged, it's being excised and it's being that, it would blow your mind as to how it looks and as the damage that's being done, and every time you're getting attacked, sometimes you're getting a little teeny bit of damage. Sometimes you're getting full blown damage. Those of you are having swelling. Those of you are having swelling that goes up and down. You're getting a lot of anxiety, you're getting a lot of damage.

The TSH can be used to measure that damage. One of the things that thyroid stimulating hormone can tell you, if you get it measured regularly, is how much damage being done. It's pretty simple. If you've been at this for 10 years and your TSH has been going like that every year, it goes higher and higher and higher. That means every year from the one time that you got, let's say from 2019 to 2020, it went higher. There was damage taking place over that entire period of time. You're the person who they continue giving you a higher dosage of thyroid medication.

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