Tag Archives: thyroid

How to Treat a reverse T3 Problem

Over the years I've suspected I had a thyroid problem, and I always thought it would be so simple. Find the right doctor to test appropriately and then go on natural thyroid replacement, namely Armour.

But now I know that Armour is roughly 80% T4 and 20% T3 and since my T4 levels are high, taking Armour would not be the right solution. I might feel better for a little while, maybe because my body would be getting some T3, but eventually I would feel worse because my body would be getting too much T4.

So… the course of treatment suggested at Stop the Thyroid Madness is to take a prescription drug called Cytomel. This page explains how this reverse T3 problem is treated with Cytomel. Cytomel is a name brand product… the generic is not recommended by patients at Stop the Thyroid Madness. Apparently the generic is less effective, some say they felt nothing different when taking it.

In reading this page at Stop the Thyroid Madness, I learned some things that need to be in addressed before I even  even consider starting on Cytomel (T3). “You will also need to correct what is causing the excess T3 in the first place, whether ferritin/iron or adrenals. Without correcting these, you will be asking for trouble with the very powerful T3.”

Correcting Adrenal Dysfunction

I've been taking my temperature faithfully for the past week, and will continue to do so because it is an effective way to confirm what is happening on with adrenal and thyroid function. I believe I have stabilized my adrenals because my temperatures are steady from day to day. In the past seven days I've had mostly 98.3°F.

Correcting Low Ferritin Levels

You should also be looking at Iron Binding Capacity (TIBC), UIBC, Iron Serum and Iron Saturation percentage, and The Stop the Thyroid Madness site talks about low ferritin/iron levels.

Here are my results from September 30:

  • Iron Binding Capacity (TIBC) 284  range 250-450
  • UIBC 130  range 150-375 (mine is lower than the range)
  • Iron, Serum 154  range 35-155
  • Iron Saturation 54%  range 15-55
  • Ferritin 195 range 130-150 (mine is higher than the range)

In looking at these three sources, I have found that the numbers should look like this: Thyroid RT3: Iron, Adrenals Web Ferritin and Iron; Stop the Thyroid Madness Ferritin, Iron and Hypothyroidism.

  • Iron Binding Capacity (TIBC) 259 is good 250-450
  • UIBC 165 is a good number 150-375
  • Iron, Serum 154  should be at least 90 range 35-155
  • Iron Saturation should be between 35% and 45%
  • Ferritin should be 70-90

My ferritin levels are high.

Stop the Thyroid Madness says this about high ferritin:

What if I find my ferritin is super high? High levels of ferritin can point to an iron overload, such as the inherited disorder called hemochromatosis, which you can read about here. Your doctor will usually direct you to give blood in order to lower these harmful higher levels. With hemochromatosis, you can have a low TIBC or UIBC.

Are men different than women in their iron lab results? Yes. Men normally have higher levels of ferritin than women without having an infection. It’s common to see healthy men with a ferritin over 100.

Well, I'm not a man, and my ferritin is 195, almost double what is seen in a “healthy” man, so I'm thinking my level is “super high”.

And my UIBC is low, but I don't think I have hemochromatosis. I went in to have more blood drawn this past Friday, and two tests we are running are to look for inflammation. One is CRP (C-Reactive Protein), the other is ESR (SED Rate).
 

According to Dr. Kruse, the Leptin Reset will fix this reverse T3 problem. I am hoping it works for me. I would still like to get the Cytomel from my doctor in case I decide to try the protocol outlined here. I spoke with my doctor's partner last week since she is on vacation, and he is reluctant to prescribe T3. He does not think I have thyroid problems, because I do not have two of the most common symptoms: cold hands and feet, and hair loss. I am a little frustrated by this because I believe I've had low thyroid issues for at least two decades, and when you don't address thyroid problems your adrenals have to take up for them, which eventually exhausts them. So I believe it would be a mistake to continue to only address my adrenals, without looking into my thyroid.

On the other hand, maybe the Leptin Reset will fix me right up. I found this very interesting explanation for what Leptin Resistance is, how to fix it and the signs of Leptin Resistance and Leptin Sensitivity in the comments at Dr. Kruse's blog: Leptin for Dummies.

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What is a reverse T3 problem?

I mentioned I would tell you more about the Reverse T3 “problem”. I really don't know all that much more about it, but I've learned enough that I can explain somewhat coherently what I understand to be happening. I don't know why it's happening, but my understanding is that my body is not converting my T4 into T3, but into Reverse T3. This gives me the symptoms of hypothyroid, even though my T4 is higher than the range, which should make me feel hyperthyroid.

Here is an article from Wikipedia:

Reverse triiodothyronine (3,3′,5′-Triiodothyronine, reverse T3, or rT3) is a molecule that is an isomer of triiodothyronine (T3). It is derived from thyroxine (T4) through the action of deiodinase.

rT3, unlike T3, does not stimulate thyroid hormone receptors. However, rT3 binds to these receptors, thereby blocking the action of T3. Under stress conditions, the adrenal glands produce excess amounts of cortisol. Cortisol inhibits the conversion of T4 to T3, thus shunting T4 conversion from T3 towards rT3. As a consequence, there is a widespread shutdown in T3 binding across the body. This condition is termed Reverse T3 Dominance. It results in reduced body temperature, which slows the action of many enzymes, leading to a clinical syndrome, Multiple Enzyme Dysfunction, which produces the effects seen in hypothyroidism. Effects include fatigue, headache, migraine, PMS, irritability, fluid retention, anxiety and panic.

Here are some links that you can study to learn more about this issue.

Okay, in reading the article from Wikipedia, it says “under stress conditions, the adrenal glands produce excess amounts of cortisol”. When I had my saliva testing done in May, my cortisol levels were low. However, according to the Stop the Thyroid Madness site, high cortisol comes before low cortisol:

When biological stress is excessive, such as being on the inadequate treatment of T4-only or being held hostage to the lousy TSH lab test (both which keep you underdosed or hypo), your adrenal glands produce high amounts of cortisol to help you cope with ongoing hypothyroidism and lingering symptoms and conditions. The excess cortisol inhibits the conversion of T4 to T3,  and instead produces even larger amounts of RT3, creating an RT3 problem.

When biological stress is ongoing, your adrenals will eventually become fatigued, dropping from high cortisol to a mix of high and low, or all low,  and those low levels put you into the problematic state of adrenal fatigue, which causes chronic anxiety, poor coping skills, paranoia, easy nausea, sensitivity to light or sounds, psychological issues, etc. When you don’t make enough cortisol, thyroid hormones can pool high in your blood. So your body responds by converting the T4 to excess RT3.

I have been through a great deal of stress this entire year. Apparently at some point in time (maybe for years?) my body was producing high cortisol to keep me going, but because the stress kept up my adrenals became even more fatigued and dropped to all low levels. It seems this is when I began to wake in the middle of the night with panic and anxiety. The practitioner who explained my saliva test results told me my adrenals were in a maladaptive state.

This site shows a series of diagrams of The Physiological Effects of Stress on the Body. The diagrams show the stages of Adrenal Fatigue, which range from Stage 1 to Stage 7. I would say I've been at Stage 4 for a while, and beginning to veer into Stage 5; however, I am supporting my adrenals so I hope to not deteriorate any further. The problem is that my thyroid is not being supported, so I am essentially “underdosed” and my hypothyroid symptoms are worsening.

With the mention of leptin resistance, I have been studying Dr. Jack Kruse's website and blog, where he has a program for resetting leptin resistance to leptin sensitivity. I believe I am leptin resistant just by the description he offers, plus Dr. Kruse says, “A high reverse T3 is a biochemical marker for leptin resistance.” Also, regarding Vitamin D,  “Many current day leptin resistant folks find out their vitamin D levels are low when they finally test for it.” My blood tests came back showing I'm below the normal range. I would never have guessed living in sunshine blessed Arizona.

Last but not least… how do you find if you have a reverse T3 problem? You must have these two tests done using blood from the same draw:

  • Reverse T3
  • Triiodothyronine, Free (or Free T3)

When you have the results of those tests, go to this page to learn the mechanics behind and how to figure the ratio: WHAT IS MY REVERSE T3 RATIO (HOW TO CALCULATE YOUR FREE T3 : REVERSE T3 RATIO)

Or, if you want to have the ratios calculated automatically, there is a calculator at the Stop the Thyroid Madness website here: reverse T3 ratio calculator.

You're looking for your ratio to come in less than 20, to indicate a reverse T3 problem.

My Reverse T3 was 329, and my Free T3 was 4.4. Note that the reverse T3 is a whole number, while Free T3 has a decimal point. Because of this, we need to convert the Free T3 number into a whole number. The site I mentioned above explains more.

We convert my Free T3 number into a whole number by multiplying it by 1000. Thus my ratio:

4.4 x 1000 = 4400

4400 / 329 = 13.37  (under 20, not good)

This post feels to me to be a hodge-podge of information. It is hard to coherently put everything together that I've learned, and there is more that I want to document.

Maybe just look at this as documentation of my research on this topic.

In the end what does this mean for me? When I started writing this post, I thought there was no way to fix a reverse T3 problem with diet, but then I started learning more about the leptin reset program. The “diet” is definitely GAPS friendly, just a few tweaks from full GAPS.

Any thoughts?

 

 

 

 

GAPS DIET JOURNEY is a participant in the Amazon Services LLC Associates Program, an affiliate advertising program designed to provide a means for sites to earn advertising fees by advertising and linking to AMAZON.COM. GAPS DIET JOURNEY is an affiliate for several companies and may be compensated through advertising and marketing channels. Therefore, this post may contain affiliate links.

I Don’t Have Graves’ and Trying to Reduce Stress

Well, it turns out I don't have Graves' Disease. At least that is the consensus of my doctor's front office staff, and this site:  ClinLab Navigator. If it's really true, that's a good thing, since that means I don't have an autoimmune disease. I say, “if it's really true” because as I've learned, the opinion of patient experts, those “in the trenches” can be far different than the medical field's. For example, when I asked my doctor if I had a reverse T3 problem, she shook her head sadly and said “no”. But according to the ratio between by Free T3 and Reverse T3, I do have a reverse T3 problem.

I've been doing a lot of research over the past week. I've been reading about leptin resistance over at Dr. Jack Kruse‘s website and blog, and have no doubt that I have leptin resistance. My husband keeps asking me, “What's leptin?” and I can't really tell him. I'll be researching and learning more, and I'm starting here: Mark's Daily Apple: A Primal Primer: What is Leptin?

But I'm getting ahead of myself… last weekend I found out why I'm getting more tired and exhausted. In one of the groups I'm on, a lady posted saying she was feeling more fatigued and it could have been me writing, our problems and situation so similar. She and I started on hydrocortisone about the same time, started to feel better as a result of being on it, we had recently spent an entire Saturday in bed, we both have the reverse T3 problem, we both are waiting on medication… the answer she received was that when she started on the HC it allowed her body to use more thyroid function, but waiting so long to get medicated with T3 has caused her to become more hypothyroid. So that answered why I've felt so much worse lately, and I decided I need to get moving on the next step. Medication. Even though I don't want to, I don't want to, I don't want to!

I tried to get myself to call my doctor's office on Monday, but never could work up my nerve. Finally I called on Tuesday, and asked when she would be back from vacation, and was told it would be November 21st. Then I told them that she had said she would start me on T3, and I'd like to let her know I have decided I do want to get started on it. They told me she does call to check in on occasion and they would let her know. They also at this time let me know that my test results for Graves' came back negative.

Later that day I received a call from the doctor's office, they told me my doc had not written anything on my chart about starting me on T3, so her partner was looking over my records and wanted to know if I was on any thyroid medications when taking the tests. I told them I wasn't.

I had a terrible night and hardly slept at all and was so wiped out I could not get to work on Tuesday. Not to mention my vehicle which went up in smoke on October 4th is still broken down, and I don't have my own vehicle to drive but dependent on my husband's vehicles which he uses interchangeably and so I never know from one day to the next which one I'll be using. He was supposed to get the flat fixed for me. I ended up working from home on Tuesday. On Tuesday night, while applying my hydrocortisone I realized that in beginning to use a different sized syringe on Monday I had accidentally given myself twice as much HC Monday night, hence my inability to sleep. And I realized I had probably been overdosing myself by just a little bit all day Tuesday. I had trouble sleeping Tuesday night also.

I dragged myself to work on Wednesday, finally getting there around 11:30! Actually my husband drove me in, I was so exhausted and he still had to get the tire fixed on his van so that I would be safe driving it.

When I finally arrived at work I went to my boss' office and proceeded to tell her what had been going on for the last few days, and also I told her I had an idea for something that I hoped would help me reduce some of the stress I'm having. I'll tell you honestly what caused me to consider this idea is that I've been looking into the leptin reset idea and I couldn't figure out in my mind how I could do it and still get up at 4am.

I told my boss, since I have 50 days of vacation accrued, and I accrue two days every month, what did she think about my going to six hour days, and taking two hours vacation each day? I work four days a week, so this would mean I would be taking one vacation day a week. I could do this for a year and still have vacation time left. I can't ever take a regular vacation for a week or two weeks, so this would make the powers that be happy that I'm not accruing a ton of vacation, and maybe this will give me some much needed relief. She was more than thrilled at my suggestion, and told me I wouldn't be any good at work or at home unless I take care of myself, and she even told me to set my own hours! Isn't that wonderful?

The only trick is going to be how am I going to get my work done in six hours, when it seems I have been unable to do so in eight hours? When I spoke to my boss, I assumed the T3 medication would be in my hands within days. I figured I'll soon be able to think more clearly, so I will be able to concentrate and I'll be able to work more efficiently and will be able to get my work done in six hours without any problem.

Later in the day I called the doctor's office to ask them if they would fax my results over and they said they would.

They never did, so on Thursday I called back and while they had me on the phone they told me they wanted more tests run, since they had looked at my labs and my T3 “looks stable” so they didn't think I needed T3 after all. Uh, hello? I have a reverse T3 problem, people. So I asked the lady if she would please have whoever is looking into this for me to please look into reverse T3 problem. And I briefly explained that I have too much T4, my body isn't converting it into T3 but reverse T3 which is why I am having the hypothyroid symptoms.

After that conversation it felt like my brain went on vacation for about ten minutes. I couldn't think, I couldn't concentrate. Essentially I heard, “We're not going to prescribe this medication for you, so there is no hope of your improving” and it really made me feel helpless and deflated.

Later in the day I faxed over information about reverse T3 and asked the doctors to please review the information. I have not heard back from them, and I did not call the laboratory to see if I was supposed to get blood drawn. If they want me to have more blood drawn, I will agree, but they need to at least test me for the two tests necessary to get the ratio. Reverse T3 and Free T3.

I've spent the weekend trying to relax. I've known this, but the Stop The Thyroid Madness book tells us it is so important to laugh. I caught part of a movie on satellite television last weekend and I laughed and laughed and decided to order it so that I could watch the whole movie. I should warn you there is some profanity and adult humor, it is National Lampoon's Christmas Vacation. National Lampoon's Christmas Vacation  My youngest son and I watched it this weekend and an hour into the movie he said he had to take a break because his face was hurting from laughing so much. I showed my husband a few parts that were funny and he laughed, and he agreed to watch it with me sometime soon.

Speaking of my husband… he has been home the last three nights and I have been able to sleep well without worrying about where he is. We also have been discussing my health situation a lot, and we have come to the conclusion that his main business is literally killing us both, so he has agreed to finish up the jobs he has outstanding and then become super selective about taking any work, while concentrating on his other business.

So I am slowly but surely removing some of the stressors in my life, which should help me heal.

 

 

GAPS DIET JOURNEY is a participant in the Amazon Services LLC Associates Program, an affiliate advertising program designed to provide a means for sites to earn advertising fees by advertising and linking to AMAZON.COM. GAPS DIET JOURNEY is an affiliate for several companies and may be compensated through advertising and marketing channels. Therefore, this post may contain affiliate links.

Graves’ Disease – My Diagnosis Part 2

UPDATE: October 25, 2011. My antibody test came back <0.51 which according to my doctor's office, and this site: ClinLab Navigator, my results are negative for Graves' Disease.

Yesterday I told you about my diagnosis, and some of the misgivings that went along with learning that I have Graves' Disease.

I was pretty bummed out and stressed over what to do. What to do. What to do.

If you've been faithfully reading my blog, you'll know that I feel a lot of angst that GAPS alone has not healed me thoroughly. I was doing so awesome the first year. It will be two years in December, and the stress I have been through this entire year has been extremely detrimental to my health. I also don't feel that GAPS alone is going to take care of my thyroid issue that has been ongoing, at least for a decade, if not longer. I had hoped to find a natural way to heal, (meaning that I would rather not take prescription medication) but according to Mary Sholom it is unlikely.

Also, Bee, who I get the impression is pretty radically against medications (I could be wrong on that but that is my impression) has a page with information on thyroid and adrenal malfunction. Knowing this makes me feel a little better that I'm just not giving up and giving in.

For one thing, if I could quit my job and if my stress at home suddenly vanished, I would most definitely go on doing nothing but GAPS because that is my typical way to handle things. Shove my head right into the sand – which is what I've been doing all these years except for the two times I did actually ask for testing from “regular” doctors. And it's probably a good thing they did nothing because they likely would have prescribed Synthroid. Unfortunately, I cannot quit my job, because currently I am the main breadwinner. I am actually hoping and praying my husband quits his main business because it has caused both us much stress and anguish in 2011. He has been working as hard as he could, going without sleep and running on pure adrenaline and I have been worried sick about him. His schedule for the entire year has been like this:

  • Work 7 days a week
  • 2-3 hours of sleep three nights a week
  • 4-5 hours of sleep two nights a week
  • 8-10 hours of sleep one night
  • At least one all-nighter each week
  • One day a month collapse and sleep 12-24 hours

He has lost far too much weight, he looks gaunt and sickly. I have never seen him look this bad and I honestly don't know how he keeps going. I have been trying to get him to stop, and finally I started to think maybe he's sick and can't stop himself. And in fact, I had started to think that he had hyperthyroidism because he does have many of the symptoms! And here I turn out to have the very thing I suspected of him. I am hoping to get him to at least have some blood work done.

But back to me… yesterday I mentioned that my naturopath is not too keen on the amount of HC I'm on. She thinks it's “pretty high” but from my research I am just slightly above the recommended low dose. There is a way to find out if I'm at the right dose, and that is to take my temperature. I need to take my temperature three times a day, after being awake for three hours to get an average. For example, if I get up at 4am, I'm to take my temperature at 7am, 10am and 1pm. When my temperature is within a certain range (I'm seeing .1 in one place and .3 in another so I'm not exactly sure which is right or how I'm confused) for five days, I'm at the correct dosage to support my adrenals. This from the Stop the Thyroid Madness site:

You can determine your thyroid and adrenal status by following Dr. Rind with a temperature graph. You simply take your temp 3 times a day, starting three hours after you wake up, and every three hours after that, to equal three temps. (If you have eaten or exercised right before it’s time to take your temp, wait 20 more minutes.) Then average them for that day. Do this for AT LEAST 5 days. If your averaged temp is fluctuating from day to day more than .2 to .3 (says Rind in a telephone conversation with me), you need adrenal support. Your daily average temps should lean towards the .2. Summary: If your temps are fluctuating but overall low, you need more adrenal support and thyroid. If your temps are fluctuating but averaging 98.6, you just need adrenal support. If it is steady but low, you need more thyroid and adrenals are likely fine. (We note that mercury thermometers are the most accurate.)

For those already on cortisol, the above temperature test (comparing at LEAST 5 days of averages) is ideal to know if you are on enough. In other words, if each averaged temp is more than .2-.3 from each other (and several are .3 apart), you are not on enough cortisol, patients have learned.

That is pretty awesome if you ask me. If thyroid or adrenal issues are suspect, one can determine what is going on by taking one's temperature! However, please do not self-diagnose as adrenal dysfunction can be caused by low or high cortisol, and thyroid dysfunction can be hypo-or-hyper as I've learned. Which really to be honest with you blew me away to learn that I have the opposite problem of what I've suspected for years.

I have lots more to say on this. Like the post I promised to talk about the reverse T3 problem. But that will have to wait for another day. I've also come up with a plan to hopefully relieve some stress at my job, but I'll tell you about that another day, too.

Yours Truly,

Starlene

 

GAPS DIET JOURNEY is a participant in the Amazon Services LLC Associates Program, an affiliate advertising program designed to provide a means for sites to earn advertising fees by advertising and linking to AMAZON.COM. GAPS DIET JOURNEY is an affiliate for several companies and may be compensated through advertising and marketing channels. Therefore, this post may contain affiliate links.

Kimchi, Ruby and Plain Sauerkraut

Graves’ Disease – My Diagnosis Part 1

UPDATE: October 25, 2011. My antibody test came back <0.51 which according to my doctor's office, and this site: ClinLab Navigator, my results are negative for Graves' Disease.

My diagnosis of Graves' Disease is based on the results of my blood tests which indicates my Thyroxine (T4) Free is high. The range is 0.82 – 1.77 and I'm at 1.85.

Synthroid is only T4, is a synthetic drug and is commonly the drug of choice for doctors to prescribe when a patient has hypothyroidism. I am opposed to taking Synthroid as I have heard for years it does not work well and leaves the patient with many symptoms of hypothyroidism. One of the first things I told my doctor is that I did not want to take Synthroid, but instead wanted to take Armour. Armour contains mostly T4 with some T3 which works a lot better for many people.

I was pretty shocked to hear that I have Graves' which is hyperthyroidism, since I have symptoms of hypothyroidism. I have thought for years that I had hypothyroidism, and here now I find that I have the opposite problem. And I learned that Armour would not be the medication that I would need to take.

I went in on Friday to have more blood taken as there is a third antibody test [Thyrotropin Receptor Antibody] that can be done which will tell us that I do have Graves' and it will allow us to monitor my treatment.

I'm learning for hyperthyroidism, or Graves', the treatment of choice is only T3. Since my body is not converting T4 into T3, I have to take T3 to get the T3 that I need to stop the hypothyroid symptoms. This is my best explanation in layman's terms.

I haven't had a lot of time to research, but I have been doing what I can and have been reading Stop the Thyroid Madness: a Patient Revolution Against Decades of Inferior Treatment which I would definitely recommend that you get a copy of if you think you have thyroid issues.

After my doctor's appointment I felt pretty bummed out because my doctor was unable to tell me why I don't have the symptoms of hyperthyroidism. She also stated that I do not have a reverse T3 problem. And yet with more research, I find that I do indeed have a reverse T3 problem. I will try to explain this a bit more in a later post. She did mention that she could prescribe T3 (which would be a product called Cytomel). This will address my reverse T3 problem. I was feeling frustrated that I have to be in this position, to either educate her, or move on to try and find another doctor, but at the Stop the Thyroid Madness site I learned that she is actually considered by their standards to be a “good doc” with a “bonus”. Here is their criteria. A good doctor:

  • willingly prescribes natural desiccated thyroid (or T3-only when you need to lower your RT3 levels)
  • uses the labs free T3 and free T4
  • is willing to let you dose by the elimination of symptoms rather than the inadequate TSH
  • And a real bonus is one who understands adrenal dysfunction and how to treat it

She does prescribe natural dessicated thyroid and T3 only. She does test free T3 and free T4. I know she doesn't go by TSH. She does understand adrenal dysfunction and has her own concept of how to treat it, but we differ slightly. She has told me several times already that she thinks I'm on a “pretty high dose” of HC. I say nothing, she doesn't push, she just makes the statement. I don't plan to stay on this dose for the rest of my life, and this amount seems to be working well for me.

So, I think I will just need to learn to work with her. It just feels stressful, although I did work up my nerve and speak my mind about needing to have some control over my treatment. She asked me if I had any questions on what my labs were reporting, and her choice of treatment. It was really hard to make myself say anything, but I finally said I did have a question. I told her that I would like to do some research and consult with my friends, and what was going to happen if I decided to do something different than what she wanted me to do? She said that was my right to do so. She was very nice in how she said that, completely calm and soothing. I responded, “Well, I can't write my own prescriptions though,” and she responded, “You'll tell me what you want to try and I will help you get that.” On that, I reached over and shook hands with her and said, “Deal.” She seemed surprised by my actions.

I left her office with the two products she recommended. This time it cost me $41 (the first visit I left with one product and I do not recall its cost but I could not use it as it lowers cortisol). When I got home I found these products will not be helpful to me. The first was a thyroid cofactor from a very reputable company, but the product enhances production of T4! If you have followed me thus far, you know I have too much T4, so I don't want to take something that promotes it. Also, it contains Ashwagandha Root, a product that is helpful to already strong adrenal glands, and we already know mine are in a weakened state. The second product was a brown bottle without any clue as to what it contained inside, and after I left the office I realized I should find out the ingredients list! It also contained Ashwagandha, among other things so I won't be taking that either. Unfortunately as it was to be used at bedtime to help me sleep. I was looking forward to trying it.

Also at the Stop the Thyroid Madness site they mentioned that naturopath's have a tendency to push the products that they sell in the office. So far this seems to be my experience. Armed with this information, I will try to be stronger next time and take the names of the products she wants me to take but to research them once I get home and see if they will work for me or not. A close friend of mine told me she just tells them she is on a limited budget and she will need to research the product first. This is a very real truth for me as we are in a bind financially.

Tomorrow I will tell you more of what I am doing. I was making one post but it was turning into a novelette.

Thanks for staying with me this far. I want to say if you think you have an adrenal problem, please look into getting a saliva test before you do anything else. Ideally you take six samples of saliva to get a good idea to how your body is functioning. These tests can be purchased online some starting at around $100.

Now, for a GAPS moment. I have been out of sauerkraut for the last two weeks! Shame, shame on me! I have just been so awful busy and tired and actually this weekend I have been worn out. I worked overtime at work again, and then on Friday I went six places! The bank, I got my hair cut, a thrift store right by the hair salon that I'd never seen before, two grocery stores, got my blood drawn and I got my old lab reports from my old doctor's office. I guess that's seven places.

I made a point to spend most of yesterday in bed and I slept well last night, but have been tired today. I did however, force myself to make three jars of sauerkraut. I usually like to use my mandolin but this time I told myself it was either use the food processor or I wasn't getting anything done. It was a much faster process, I was able to use a blade that cut the cabbage thinly like I prefer and I made a batch of one green and one purple cabbage, two green cabbages and a third batch that was supposed to be kimchi but instead was loosely based on the recipe since I didn't have all the ingredients. Here's a photo of the three jars in the cupboard:

Kimchi, Ruby and Plain Sauerkraut

GAPS DIET JOURNEY is a participant in the Amazon Services LLC Associates Program, an affiliate advertising program designed to provide a means for sites to earn advertising fees by advertising and linking to AMAZON.COM. GAPS DIET JOURNEY is an affiliate for several companies and may be compensated through advertising and marketing channels. Therefore, this post may contain affiliate links.