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HYPO THYROIDISM

HYPOTHRYOIDISM IS WHEN THE THYROID GLAND IS UNDERFUNCTIONING. WITH LOW THYROID, THE THYROID GLAND IS NOT PRODUCING ENOUGH THYROID HORMONES. SYMPTOMS CAN INCLUDE FATIGUE, HAIR LOSS, DECREASED NAIL GROWTH, EXCESSIVE DRY SKIN, COLD HANDS AND FEET, UNUSUAL WEIGHT GAIN, WEAKNESS, CERTAIN MUSCLE PAINS, EXTREME FATIGUE FOR NO REASON, DEPRESSION, WEAKNESS, PERSISTANT SLEEPINESS WITH ADEQUATE REST, AND DECREASED HAIR GROWTH OF OUTER EYEBROWS. IF A PERSON HAS A THYROID IMBALANCE OR DISEASE INCLUDING LOW THYROID PRODUCTION, THE CONDITION WILL PROGRESS AND NEEDS TO BE TREATED.

THESE SAME SYMPTOMS OF TIREDNESS AND WEIGHT GAIN, MAY OR MAY NOT BE DUE TO A THYROID IMBALANCE. IN FACT, MANY OF THE SYMPTOMS MENTIONED ARE COMMON WHEN PEOPLE DO NOT HAVE LOW THYROID OR ANY THYROID DISEASE. PROPER TESTING AND GIVING DR MILLER YOUR SYMPTOMS AND HISTORY ARE REQUIRED TO DETERMINE WHAT IS WRONG WHEN YOU FEEL BAD. UNFORTUNATELY, SOMETIMES MEDICINE DOES NOT HAVE THE RIGHT TESTS OR MORE ADVANCED MEDICAL INFORMATION, TO DETERMINE THE CAUSE FOR FEELING TIRED AND OTHER ASSOSCIATED SYMPTOMS. REGARDLESS, DR MILLER CONTINUES TO WORK WITH PATIENTS TO FIND MEDICATIONS, SUPPLEMENTS, AND COUNSEL TO HELP EACH PERSON FEEL HEALTHIER.

THYROIDITIS

THYROIDITIS IS INFLAMMATION OF THE THYROID GLAND.

HASHIMOTO'S THYROIDITIS

HASHIMOTO'S THYROIDITIS (ALSO CALLED “AUTOIMMUNE” OR CHRONIC LYMPHOCYTIC THYROIDITIS) IS THE MOST COMMON TYPE OF THYROIDITIS. IT IS NAMED AFTER THE JAPANESE PHYSICIAN, DR HAKARU HASHIMOTO, THAT FIRST DESCRIBED IT IN 1912. TREATMENT IS TO START THYROID HORMONE REPLACEMENT, THYROXINE AND LEIOTHYRONINE. THIS CORRECTS THE HYPOTHYROIDISM COMPONENT, BUT NOT THE ANTIBODY AND INFLAMMATION. THYROID ANTIBODIES MAY REMAIN FOR YEARS AFTER THE DISEASE HAS BEEN ADEQUATELY TREATED BY THYROID HORMONE REPLACEMENT. THERE IS STILL NO PRESCRIPTION FOR THE ELEVATED THYROID PEROXIDASE ANTIBODY, BUT THERE ARE WAYS TO HELP LOWER IT.

THYROID AND WEIGHT LOSS

MANY WOMEN THINK THEIR THYROID MUST BE LOW BECAUSE THEY ARE TIRED AND GAINING WEIGHT OR NOT LOSING. COMPREHENSIVE THYROID LAB VALUES WILL GIVE THE VERDICT. MANY DOCTORS ONLY TEST THE TSH. DR MILLER DOES ENOUGH TESTS TO DIAGNOSE THYROID DISEASE PROPERLY. THERE ARE SOME PEOPLE WHOSE THYROID LAB IS NORMAL AND YET THEY MAY HAVE A SLUGGISH FUNCTIONING THYROID. DR MILLER WILL INTERPRET YOUR LABS AND LISTEN TO YOUR SYMPTOMS AND HELP DETERMINE IF THYROID DISEASE IS YOUR PROBLEM OR IF SOMETHING ELSE IS THE ISSUE. THERE IS NO MEDICAL KNOWLEDGE THAT CAN GIVE THE CAUSE OF ALL LOW THYROID DISEASE. HOWEVER, THERE ARE TREATMENTS.

SUB ACUTE HYPOTHRYOIDISM

WHEN LAB VALUES ARE BORDERLINE NORMAL AND SYMPTOMS ARE PREVALENT, THERE MAY BE SUB ACUTE, OR THYROID ABNORMALITIES NOT SHOWING ON LAB. IF ONLY THE TSH, THYROID STIMULATING HORMONE, IS TESTED, IT IS ONLY JUST PART OF THE PICTURE AND NOT EVEN A THYROID GLAND HORMONE. OFTEN THE MEDICAL COMMUNITY DIAGNOSES SIMPLY BY HIGH TSH ONLY, WHICH CAN LEAD TO NO DIAGNOSIS. IF NODULES, IRREGULARITIES, OR ENLARGEMENT OF THE THYROID GLAND IS NOTICIBLE ON EXAMINATION, A THYROID ULTRASOUND MAY BE NEEDED TO OBTAIN MORE INFORMATION.

HYPERTHYROIDISM

HYPERTHYROIDISM IS WHEN THE THYRIOD GLAND OVER PRODUCES THYROID HORMONES. THE THYROID GLAND IS RESPONSIBLE FOR OUR METABOLISM, THE WAY WE USE ENERGY IN OUR BODIES. THE THYROID AFFECTS MANY FUNCTIONS OF OUR BODY SUCH AS HEART RHYTHM AND RATE, MUSCLES, NERVES, BREATHING, SKIN, HAIR, NAILS, AND ENERGY. WHEN THE THYROID HORMONES ARE OVER PRODUCING OR OVERACTIVE, THEY CAN CAUSE DANGEROUS AND UNCOMFORTABLE SYMPTOMS LIKE FAST OR IRREGULAR HEART BEATS, PSEUDO ANXIETY, SHAKINESS, UNUSUAL WEIGHT LOSS, FATIGUE, SLEEP PROBLEMS, EXOPHTHALMOS (DEVELOPMENT OF "BUG EYES"), AND STAYING AWAKE FOR EXCESS HOURS. ODDLY, MANY OF THE SYMPTOMS LIKE FATIGUE AND LETHARGY ARE COMMON TO BOTH HYPER AND HYPO- THYROID CONDITIONS. SOMETIMES, THERE IS NO “HYPERNESS” EVEN WITH HYPERTHYROID.

THYROID CANCER

THERE ARE SEVERAL TYPES OF THYROID CANCERS NAMED BY THE TYPE OF CELLS WHERE THE CANCER BEGINS. THE MOST COMMON IS PAPILLARY CANCER. THYROID CANCER SYMPTOMS MIGHT BE CHRONIC HOARSENESS, OR MORE COMMONLY, A LUMP ON THE THYROID. IT IS DIAGNOSED FIRST WITH AN ULTRASOUND OF THE THYROID. THYROID CANCER IS 3.2% OF ALL NEW CANCERS AND USUALLY RESPONDS WELL TO TREATMENT.

LAB TESTS

MOST DOCTORS ONLY TEST TSH= THYROID STIMLATING HORMONE. ALL DOCTORS ARE TAUGHT TO CHECK TSH ONLY AND MAYBE T4 FREE. DOCTORS ARE EDUCATED THAT IF THE TSH IS HIGH, THEN GIVE THE PATIENT SYNTHROID. TEST IT LATER AFTER THE PATIENT IS TAKING SYNTHROID OR THE GENERIC LEVOTHYROXINE. IF THE TSH IS IN THE PERFECT LAB TEST RANGE, KEEP THE DOSE THE SAME. IF THE TSH IS OVER THE LIMIT, INCREASE THE PRESCRIPTION BY A HIGHER MILLIGRAM. IF THE TSH IS BELOW THE RANGE (USUALLY .3 – 5), THEN LOWER THE DOSE. REGARDLESS OF HOW THE PATIENT FEELS. IT’S THAT SIMPLE. BUT IT ISN’T. MORE THYROID TESTS WILL GIVE ADDITIONAL INFORMATION.

DR MILLER HAS A LOT OF EXPERIENCE AND ADDITIONAL TRAINING TO EVALUATE AND TREAT THYROID PROBLEMS. WHEN YOU COME TO YOUR APPOINTMENT, BRING ANY PREVIOUS LABS AND THE NAMES AND DOSAGES OF ANY PREVIOUS AND CURRENT THYROID MEDICATION THAT HAS BEEN PRESCRIBED. SOMETIMES PATIENTS IN DESPERATION WILL TAKE SUPPLEMENTS THAT INCLUDE, KELP, IODINE, OR BOVINE THYROID. IF YOU ARE TAKING ANYTHING LIKE THESE, BRING THEM TO YOUR APPOINTMENT. THIS CAN CAUSE DIAGNOSIS CONFUSION, BUT DR MILLER WILL HELP FIGURE OUT YOUR PROBLEMS AND PRESCRIBE TREATMENTS THAT ARE APPROPRIATE TO HELP YOU FEEL BETTER.

MEDICATION

THERE ARE SEVERAL OPTIONS FOR TREATMENT WHEN A PATIENT NEEDS THYROID MEDICATION. THERE ARE SYNTHROID/ LEVOTHYROXINE, CYTOMEL/LIOTHYRONINE, AMOUR, WESTHROID, NATURE THYROID MEDICATIONS AND BIOIDENTICAL T4 AND T3 COMPOUNDED.

DR RUTH MILLER SEEKS TO HELP PATIENTS FEEL THE BEST POSSIBLE.

FOR THESE AND ANY OTHER CONCERNS YOU HAVE ABOUT THYROID IMBALANCES, DR. MILLER WILL BE PLEASED TO ADDRESS YOUR QUESTIONS.



 

       
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Dr. Ruth Miller is pleased to specialize in Bioidentical Hormones and Biodentical Hormone Treatments in Tulsa, Oklahoma.

You will find Miller Health Clinic is one of the most caring Tulsa Family Medicine, Health, and Diet Clinics in the area. We offer full service options for Tulsa Medical Treatments, Weight Loss, Fibromyalgia Treatments, Aesthetic Medicine, Anti Aging, Fatigue, Hypothyroidism, Hair Restoration, Cosmetic Medicine, Bioidentical Hormone Pellets, and Preventative Medicine in Tulsa. Dr. Miller embraces certain treatment options that are alternates or expansions of the traditional practices of Tulsa Cosmetic, Thyroid, and Tulsa Weight Loss Doctors.

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As one of the most unique Tulsa Health Clinics and Tulsa Medical Offices in Oklahoma, Dr. Ruth Miller is passionate about helping each patient at her Tulsa Health Clinic / Tulsa Medical Office. Unlike many Tulsa weight loss clinics, the Miller Health Tulsa weight loss clinic offers individual and group coaching to achieve ideal weight and shape at no charge. Also specializing in ThyroiditisOS

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