2 Experts Discuss Thyroid Optimization

Dr Keith Nichols and Dave Lee discuss how to optimize thyroid function.
✅ ➜Watch This Next: "Thyroid Optimization" • Thyroid Optimization -...
👉🏻 ➜Links to Dr Keith Nichols: tier1hw.com
👉🏻 ➜Links to Dave Lee:
Website: www.advancedfundamentalhealth.com
Bookings: www.calendly.com/advancedfundamentalhealth
Email: [e-mail]
📘 ➜e-book: "Acne on TRT", by Dermatologist Dr. Steven Devos MD PhD:
trtandhormoneo...
📘 ➜e-book: "The Ultimate Guide to TRT Cream" Why Compounded Testosterone Cream is the BEST option for TRT, by Dr. Steven Devos MD PhD: www.trtandhorm...
🏋🏼 ➜Best workout split on TRT: trtandhormoneo...
🔶 ➜JOIN this channel to get access to perks:
/ @trtandhormoneoptimiza...
🧪 ➜Use this link to get a 5% discount on your first order at online pharmacy NP LABS: compounded Testosterone cream, Pregnenolone and DHEA capsules, Testosterone enanthanate, Mesterolone tablets, Tadalafil capsules, high dose Melatonin, PEPTIDES, and much more:
admin.nplabs.o...
🔴 ➜Shop for Carbon 60 (C60) and Other Age-Defying Products: Use Coupon Code DEVOS10 to receive a 10% discount: www.buckylabs....
🟣 ➜Dr Steven Devos, The Lifting Dermatologist, recommends Misumi Skincare for all ACNE problems. ➜ Shop here: misumiskincare...
#trtandhormoneoptimization #trt #hormoneoptimization
*Disclaimer: This video and comments are meant purely informational! This is not medical advice! If you are looking for medical advice always contact your own doctor.
➡️ ➜Links to the supplements we recommend (for immunity, general health, skin care, and injection materials): drdevos.com/aa...
*Disclaimer: “As an Amazon Associate I earn from qualifying purchases.”
All links should work on the U.S., Canadian and U.K. Amazon stores*
➜➜Subscribe for free information on TRT and Hormone Optimization: goo.gl/ZyfZyN
➜➜Connect with us:
⇨ The Lifting Dermatologist KZbin Channel: goo.gl/QTt7MQ
⇨ Our Facebook Group "TRT and Hormone Optimization":
/ hormoneoptimization
⇨ Our MeWe Group "TRT and Hormone Optimization":
mewe.com/join/...
⇨ The "TRT and Hormone Optimization" - Telegram channel WITH Chat/Discussion: t.me/trthormon...
⇨ Instagram: / trt.hormone.optimization
⇨ Twitter: / stevendrdevosc1

[@TRTandHormoneOptimization]

✅ *➜Watch This Next: "Thyroid Optimization"* kzbin.info/www/bejne/gIWwfpVqntFri9k 📘 *➜e-book: "The Ultimate Guide to TRT Cream" Why Compounded Testosterone Cream is the BEST option for TRT, by Dr. Steven Devos MD PhD:* www.trtandhormoneoptimization.store/listing/e-book-the-ultimate-guide-to 📘 *➜e-book: "Acne on TRT", by Dermatologist Dr. Steven Devos MD PhD:* trtandhormoneoptimization.store/listing/acne-on-trt 🔶 *➜JOIN this channel to get access to perks:* kzbin.info/door/oLNk-4LAYsbfsQwjFWG2gQjoin 🏋🏼 *➜Best workout split on TRT:* trtandhormoneoptimization.store/listing/workout-program-for-men-on-trt

[@bevnae]

So unbelievably valuable. I love it when you two come together.

[@TRTandHormoneOptimization]

@bevnae Thank you *so much* !

[@jwwilliams]

This is cutting edge stuff. I'm having a harder time getting my thyroid optimized then I did getting my testosterone done. It was hard enough finding a doctor that knew anything about testosterone much less thyroid.

[@Joe-sq9tl]

Functional medicine doctor with tradional medicine background is usually the best option. Wrote a message above of a book you may want to look into.

[@shannonsaunders1562]

Where do you live?

[@jwwilliams]

@@shannonsaunders1562 Waco, TX area.

[@shannonsaunders1562]

Sorry, I am not licensed there, Illinois and Utah.

[@sameerhussain444]

This is next level! 🔥

[@Optimization_Coach]

Well done gentleman! Always appreciate hearing from Dave and Keith!

[@liftingdermatologist]

Thanks for watching

[@TRTandHormoneOptimization]

@hormonesmatterPhD Thank you *so much* !

[@thenickrideout]

Powerful information here. I am on combo of NDT & T3- feel 10x better. Dave mentioning the fact of the “last push” in workouts & just general movement resonated fully, that’s what happened with me!

[@leslielamont8032]

Can you say why the T3 on top of NDT? Also appreciate info on what your optimal dosages are?

[@harryjohnson370]

I'd love to hear your dose/protocol

[@danielrd7493]

What’s NDT?

[@thenickrideout]

@@leslielamont8032 for me, my T3 was still suboptimal on NDT alone. Still fully locking down dose- but at 25mcg is where my body temp is normal & symptoms disappear.

[@thenickrideout]

@@danielrd7493 natural desiccated thyroid

[@Mark-ks9jj]

Another brilliant, highly informative video guys - your insights & experience are what is so desperately needed, without the BS sales pitch, like many others on this platform, thank you...

[@TRTandHormoneOptimization]

@Mark-ks9jj , Thank *you* for watching and *commenting* !!👍

[@Marcus-kz7rw]

Very good information ! Everyone interested in thyroid knowledge, should watch this one 🔥👍

[@TRTandHormoneOptimization]

@Marcus-kz7rw , Thank *you* for watching and *commenting* !!👍

[@ricknajera5187]

Great video! The information is outstanding-lots of pearls of wisdom.

[@TRTandHormoneOptimization]

Glad you enjoyed it!

[@ryanbond2490]

Great video! Not sure if I missed it, where do you guys like your patients free T3?

[@shannonsaunders1562]

Agree, men are underserved in this arena. I am also a Dr. Rouzier provider. Optimization is key!

[@texasjherrera]

How would one go about getting a NDT? I’m assuming through a physician, but these days most physicians don’t care about optimal levels of anything. If you’re within range then you’re good to go. What about some of these thyroid glandular supplements from grass fed and finished bovine, is this a decent option?

[@redman-5758]

I’m researching this and it seems the natural versions don’t have a specific amount eg 60mg (1 grain) I think they can work but not as precise as the rx formulas

[@Joe-sq9tl]

There are optimal amounts that are recommended for you to feel optimal. I don't mean what doctors or labs tell you. T3 needs to be upper range or slightly over. T4 mid range and tsh means nothing really. Armor I think a has all 4 thyroid hormone 1 2 3 and 4. Certain foods will cause hypothyroidism people or hashi people issues. Thyroid issues will drive you Test down. So you may not have a test issue can be Thyroid issue alone. Stop the Thyroid Madness is a good book that gives you optimal amount and other things. So these guys definitely are on the right track with this approach.

[@fancypants2007]

Can thyroid supplementation increase SHBG and therefore reduce Free T?

[@daviddavid1057]

Great video again! Thank you guys 👍🏻

[@yognaughtron]

I had really high hashimotos tpo antibodies, which I lowered to close to zero with a carnivore diet. Im still on T4 only, ive tried T3 and NDT both made me hyperthyroid. Increasing my T4 dose just slightly will lead not just to higher body temp, it will make me tired all the time, increase my appetite to unbearable levels and give me brain fog and depression. I think T4 only works great for some people that convert it well to T3. Ive noticed, that blood tests, really are useless when it comes to thyroid. I get them done every few months and Im dialed in now symptoms wise, I feel great and my TSH is fluctuating between 0.5-2 and T3 between 3.5-4.5, T4 stays around 18-20 fluctuating way less. I used to adjust dose based on labs, wince my doctor taught me this, which would always make me hyper or hypo. Going by symptoms is the only way to go.

[@MikeD.-cs5kb]

Great information, thanks! I follow you from Belgium and I appreciate the topics you guys are sharing. I have a high tsh, with symptoms like feeling cold, brain fog, high heart rate, fatigue, I feel terrible, my movements and thoughts are slow and on the op of that I also have a testo crash. My doctor (functional medicine) prescribed me testo (sustanon)/deca and thyroid gland extracts (from pig) it's called erfa thyroid, I have been taking 1/2 tablet (15mg) every morning for 3 days but I feel that it gets worse. I'm going to stop it and ask the doctor for advice, we've already tried cynomel but my condition had gotten worse too. What's curious is that I have symptoms of hypothyroidism but for the moment the treatments are not working and have even made my case worse. I have also been taking hydrocortisone for 3 months (20mg in the morning), without it I won't be able to get up to go to work. Has anyone ever experienced the same thing maybe or is it just me?

[@TRTandHormoneOptimization]

Thanks for your interesting question, @MikeD.-cs5kb Please post your question in our facebook group: facebook.com/groups/hormoneoptimization/ We will answer you there.

[@Henry-uo4xd]

Im hypothyroid and low T as I've been through Mae menopause and it's brutal having permenant low T. Suicidal depression thoughts, extreme heaviness loss of all strength motivation brain fog and ed loss of libidoits endless the bad symptoms are life threatening, worst illness I've ever had. I'm on levythyroxine but it only works a little bit and I've complained to my doctor and asking for T3 but I have to do bloods first. The NHS UK is not what it used to be as I buy my own test as can't afford to go to clinic. That cortisone med maybe affecting how the NDT works. It also has to be taken at right time of day. I couldn't work though absolutely no chance as cannot even do basic tasks at home let alone work unable to concentrate as so weak. Hope you get sorted.

[@MikeD.-cs5kb]

@@Henry-uo4xd Thanks for what you shared. I stopped hydrocortisone a few days after I started testosterone (my doctor told me to take it in the morning) . 6 weeks later I have better mood and libido. I still have brain fog and tinnitus but in overall I'm getting better. Hope you'll get better too

[@The_Morepower]

Hey Dave have you had any experience with improvements in lipids with thyroid supplementation? My TSH was 6.4 and my doctor here in Japan didn't think there was any issue because my lipids were not too far out of "range." So I got some T4 and T3 and started on 50mcg T4 and 25mcg T3 daily, and over a year my LDL went from 166 to 117. TSH went down to 2.4 and a 30% reduction in LDL without any lipid-modifying medications or diet modifications.

[@keithnicholsmd6896]

I specifically state in the video that it improves the lipid profile

[@mattmason4589]

Sounds like you need a little more thyroid medication. 2.4 tsh is still a bit high. 1.0 1.5 would be more optimal and you'll probably feel better

[@dynobreath]

I’ve never had a TSH below 6-7. I was on 5-6 grains of armour. Always in a brain fog when taking thyroid meds.

[@Baloshz]

Hey guyz thx for the amazing video. Are the dosage the same for women ? Do women benefit from the the same kind of thyroid optimisation ?

[@keithnicholsmd6896]

They respond even better. I always say that testosterone to men is what thyroid is the women. Thyroid is vitally important for a woman's optimization

[@Baloshz]

@@keithnicholsmd6896 thx my friend, what about the dosage to start with

[@juliusdileta6161]

Alm on 150 eltroxin thyroid medication and alm on trt

[@OrangeBlossom4x4]

when did you reconcile with Nichols?

[@Kstephens07]

Thought on NDT vs a combination of T4 and T3. The drawback to NDT is you’re married to the the 1:4 ratio while with combination of T3 and T4 you can tailor to your specific needs

[@kentsohnemann1228]

You can always supplement your NDT with a little T3.

[@keithnicholsmd6896]

@@kentsohnemann1228 you're absolutely correct. Great answer as that is correct. But most people and the majority of people don't need that.

[@kentsohnemann1228]

@@keithnicholsmd6896In Europe we can buy Metavive, wich is a product almost like NDT. The good about Metavive is that you can choose Thyroid origin from Pigs or Cows. And they have different T4 to T3 ratios. So you can combine the products to fit your needs for T4 and T3.

[@rodmartin62]

I was prescribed trt and thyroid at age 59. I put on a lot of muscle but I also had brain fog. I decided to stop the thyroid after about a month and the brain fog went away. I also felt a little off balance when I would run and change direction. When I stop thyroid that went away as well. I’ll be 62 next month and more muscular than I’ve ever been in my life and I feel great. I’d like to optimize my thyroid but why did it make me feel the brain fog and have the balance issues? And I also tried DHEA too and it caused cystic acne on my hips and shoulders. I stopped the DHEA and the acne finally went away completely but the cysts took a while to actually heal. Why did that happen? 🤪

[@dolarrius]

Interesting 🤔

[@TheAltabear]

Great video as usual!. If you're taking NDT, for optimization, does it cause your natural production to stop?

[@TRTandHormoneOptimization]

Yes it does, TSH will drop... but not to zero, so there will be some remaining own production.

[@TheAltabear]

@@TRTandHormoneOptimizationThanks - now can you just stop the NDT if you need to, and your normal production will come back?

[@keithnicholsmd6896]

@@TheAltabear yes sir just like with testosterone

[@Quintanaroo2117]

Sure wish I could afford to see Dr Keith! Being a disabled veteran he just isn't in my budget.

[@TRTandHormoneOptimization]

Like really?

[@keithnicholsmd6896]

We give an almost 50% discount for military, police, and firemen.

[@Quintanaroo2117]

@@keithnicholsmd6896 , that's awesome. Thank you for replying Dr. Nichols.

[@Sober_Thoughts]

When you say t4 is crap are you referring to levo?

[@ridethelightning9]

I love in Florida. I've been on trt since 2018. How do I find NDT

[@gif24gt60]

What about high rt3?

[@keithnicholsmd6896]

Correct causative issue or issues. You overcome rT3 by taking thyroid to increase free T3

[@Hash1985]

What dose of armor thyroid do you start with? How much and how often do you titrate up?

[@Kstephens07]

If you’re slightly hypo half a grain and then slowly titrate up

[@smarttrainingnutrition1046]

I feel my metabolism is terrible for my size and activity level. Going to get some blood work done. What do I want my Thyroid hormones to be and if I’m still symptomatic do I go ahead and supplement Thyroid regardless and if so what should a starting protocol be? Thanks guys

[@lv1985aa]

Nice video. I was listening to another podcast where a doctor said the blood level of Free T3 is different than tissue level of T3 so it isn’t reliable. Any thoughts on that?

[@keithnicholsmd6896]

All studies done with thyroid and raising free T3 levels correlates with symptomatic improvement better than TSH or T4. So there is a correlation with serum levels and clinical improvement.

[@lv1985aa]

@@keithnicholsmd6896 perhaps that’s why FT3 tends to decrease on T4 monotherapy? I also notice FT3 decreases on T3 monotherapy unless labs are taken right after swallowing the pill. That lends credibility to the notion that combination therapy is better since FT3 does seem to go up with the combo.

[@keithnicholsmd6896]

@@lv1985aa we explained your situation in the video, and what happens when you take only T4 is that a decreases your thyroid production of T3 and T4 and when you take only T3, it also decreases your thyroid production of T3 and T4. If you just take T3, which has a very short half-life then when that runs out, you don’t have any T4 to convert to T3, so you’re right it will go down. When you take just T4, and if you don’t convert very well to T3, then you’re not going to raise T3 very much by just taking T4. It’s best to take both T3 and T4 together.

[@martinnichols45]

Ok then , why not directly supplementing with Cytomel ( T3) when TSH is high instead of NDT ?

[@keithnicholsmd6896]

Because when you take Cytomel, which is T3, only you're going to shut down your thyroid's production of T4 and T3 and when you do that you're not going to have any T4 to convert into T3 once the cytomel is metabolized. It also has a very short half-life so once the cytomel runs out you don't have any T4 that you produced on your own to be converted into T3.

[@brandonyoung4910]

My thyroid readings are odd. Don’t feel hypo. TSH 3.84 Free t4 1.2 Free t3 3.3 T3 uptake 35% Thyroglobulin below 1 Thyroid peroxidase antibodies 1

[@keithnicholsmd6896]

Please refer to the TRT versus HRT video but nonetheless since you're not symptomatic you don't have to do it. See there's two approaches in one approach you treat symptoms related to a deficiency and the other approach you optimize levels so that you never have symptoms of deficiency and you maintain maximum benefits of the hormone as you age. So there are really two ways to approach it. Wait till you have symptoms treated or prevent ever having symptoms of an efficiency and maximize levels to maximize benefits.

[@brandonyoung4910]

@@keithnicholsmd6896 thanks doc! I had one big symptom which was an emergency room visit with afib in December: they took labs and my TSH had shot up to 6 randomly. Only ever tested it between 2.7 and 3.8 on my own lab work. Figured I would have to get this under control.

[@justbeige7787]

@@keithnicholsmd6896 Free T4 - 10.4pmol/L, TSH 1.6mIU/L and Free T3 - 2.5 pmol/L. Symptoms include cold hands feet and overall, don't sweat with any exercise, dry skin on my hands, sleeping issues, feeling overall low and lethargic. Have been on TRT for 8 months thinking that would be the cause but sadly the mental and physical issues are still there. Thoughts?

[@christianbennett2900]

Trying to find papers or book from Tomas Kelly that Dr. Nichols refered to but am unable to find. Would anyone have information or be able to share a link to find his work?

[@keithnicholsmd6896]

It's Tammas Kelly. "The Art and Science of Thyroid Supplementation for the Treatment of Bipolar Depression " Amazon books

[@juliusdileta6161]

Iam hypo thyroid inactive

[@philliphans]

I'm curious to know what is your testosterone dose

[@mikebreler9724]

When you add exogenous thyroid, does that cause your thyroid gland to reduce or shut down your natural production even more? Thanks.

[@keithnicholsmd6896]

It will decrease your thyroid's production, but it won't shut it down unless you take suppressive doses. But the reason you would take it in the first place is because you're already not making enough. Just like with testosterone.

[@kentsohnemann1228]

Wont taking even small amounts of NDT just lower your own production over time, so you end up the same place as before starting supplementing, or even lower ? When taking Progesterone, it works like an add on om top of your own production. Do you think it work in the same way with NDT ?

[@keithnicholsmd6896]

No, when you stop thyroid, you go back to producing what you normally would've been producing had you not taken thyroid. Just like with testosterone

[@Hash1985]

Do you recommend dosing once a day or twice a day?

[@kentsohnemann1228]

Normal peak is 24-02

[@malekmalek9064]

👍

[@liftingdermatologist]

Dank je, man

[@TRTandHormoneOptimization]

@malekmalek9064 , Thank *you* for watching and *commenting* !!👍