The Tragedy of Thyroid Hormone Replacement

The Medical Destruction of Women's Health

Preface by Dr. Paul Goldberg:

As both a practitioner and a former Professor I have for many years criticized Medicine’s indiscriminate prescribing of hormones of many types, particularly thyroid hormone in the form of Synthroid, Armour Thyroid, Naturthroid and Levothyroxin. At the Goldberg Clinic, we can conservatively state that well over 70% of the adult women coming to us for help for a variety of chronic diseases have been prescribed and are taking thyroid hormone replacement. This is being prescribed by both standard medical physicians and even more so by so called Functional/Alternative/Complimentary Physicians.

The article below which I wrote a number of years ago explains the dangers of the reckless prescribing of hormones rather than looking for and addressing the causes of disease. Low thyroxin output is not a cause of itself…it is a symptom whose causes should be identified and addressed to help bring about a return to health, not the ultimate destruction of the Thyroid Gland that occurs by ongoing usage of the hormone. The success of taking the time to identify and address causes in such cases is illustrated by the patient interviews presented within the article. 

Sacrificing Women's Glandular Vitality

During a recent week at the Goldberg Clinic we saw six new female patients, three of whom were on Synthroid, a synthetic thyroid hormone drug. This was not an unusual week. For many years I have noted, with great alarm, the large numbers of women, some only in their twenties and thirties, who are being placed by medical physicians on thyroid hormone replacement.

The amount of glandular abuse I have observed over the past thirty years, that has been done to women via the medical profession is appalling. Needless hysterectomies lead the list. Unnecessary destruction of the thyroid gland is also much too common. This occurs medically via “replacement therapy” i.e. having the patient take thyroid hormone causing the patient’s own gland to degenerate over time or by surgical extraction or by the practice of having the patient drink a radioactive iodine solution which is attracted to the gland and destroys it. In cases of hyperthyroidism, after the patient’s thyroid gland is excised or radiated to destruction then the patient becomes hypothyroid and so enters into a lifetime contract of medical care along with bondage to the pharmaceutical industry for thyroid replacement hormones.

In hypothyroid conditions it is a one-two punch…the patient comes into the physician’s office complaining of chronic fatigue and/or weight gain. A blood test is done and if the test comes back with elevated thyroid stimulating hormone (TSH), then bingo, a prescription is written for Synthroid or Armour Thyroid without investigating why the thyroid is not working well or giving consideration as to what the long term effects of taking the drug might be.

Synthroid (short for “synthetic thyroid”) is one of the top five prescribed drugs in the United States. The physician assumes that since the thyroid appears to be making insufficient thyroxin that a drug should be employed as a replacement. Rarely is the question asked “why is the thyroid not producing sufficient thyroid” followed by “how can we address the causal factors leading to poor thyroxin output to restore the gland / body to optimal function?”

The endocrine glands work as an integrated system. If there is a problem(s) there are causes behind it that need to be addressed. Yes, it is easier to simply say “take this pill”…but at what great cost to the patient?

The thyroid gland controls metabolic rate…it is a governor of the body. It secretes both thyroxin (T4) and triodothyronine (T3) in order to do this. Whether we are going to be mentally stable, energetic, heal well and have good resistance to disease or be depressed, fatigued, heal poorly and become overweight (among other things) depends upon a well functioning thyroid gland.

Hypothyroid: Goldberg Clinic Case Study

Taking Synthroid causes the Thyroid, the gland that controls so much of what makes us alive and vital, to atrophy, until the gland loses its ability to function, making the patient permanently dependent on the drug. In addition many women taking Synthroid continue to suffer with symptoms of fatigue, depression, overweight, poor libido, rapid aging, etc as well as developing new complications from the drug itself.

Hypothyroid: Goldberg Clinic Case Study

This need not be the case. Over the past thirty-five years I have worked with many women who chose to address their overall poor health and under active thyroid by addressing causal factors. Each case is different but in general the following factors are important to evaluate.

  • Sleep deprivation (many women have chronically exhausted themselves through lack of sleep).
  • Over activity leading to “glandular burnout”
  • Emotional stress (hard on the endocrine system if chronic and ongoing)
  • Nutritional imbalances. The thyroid gland is highly dependent on nutrients from the blood stream e.g. iodine and specific amino acids in order to function.
  • Toxicity from the wrong or excessive food, environmental contaminants, etc.
  • Poor gastrointestinal functioning leading to poor quality blood to feed the thyroid with. Attention here to dietary reform, gut rest and appropriate probiotics.
  • Allergies and autoimmune issues
  • Lack of sunlight
  • Loneliness
  • Mental depression leading to physical depression of the glandular system
  • Inter-relationships with other glands of the body, particularly the adrenal glands.

In all cases, a careful individualized work up is essential as each patient differs from the next. A thorough interview and appropriate lab tests help sort these matters out followed by having the patient follow a detailed health plan…not simply to “treat” the thyroid, but to address their full health picture.

Over time the thyroid degeneration that occurs with Synthroid is irreversible, but we have had cases where women who had been on the drug were able to come off it successfully and restore their health.

Patients should always first make every effort to address causal factors and take health-promoting steps prior to resorting to drugs for an answer since even the natural form of thyroid replacement leads to gradual loss of thyroid function. Pharmaceuticals can always be taken later but restoring the thyroid gland to a high level of health after being on drugs for an extended period is not always possible. 

Women should be vigilant not to accept the all too quick medical approaches that often lead down the road of permanently impaired health. Looking for causes rather than for “treatments” is the place to start.

Paul A. Goldberg MPH, DC, DACBN, DCBCN
Causes Identified… Causes Addressed… Health Restored

The Facade of Functional/Alternative Medicine

Paul A. Goldberg, MPH,DC,DACBN,DCBCN
The Goldberg Clinic for Chronic Disease Reversal

Functional Medicine, a form of Alternative Medicine, has acquired increasing interest among medical practitioners looking to boost their incomes by taking advantage of the public’s concern with the failures and dangers of Conventional Medicine. Patients generally fail to understand, however, that Functional Medicine is simply another form of medicine, developed primarily by entrepreneurs in the supplement and related industries to increase the sale of products, services and seminars. Despite considerable hoopla, Functional Medicine is but a variation of conventional medical practice oriented to the medical treatment of disease as opposed to identifying and addressing causes.

In Conventional Medicine, patients are classified by symptoms or pathology and symptomatically treated with pharmaceutical agents, leaving causes untouched and the patient burdened with the toxic effects of the drugs employed. Functional Medicine retains the same template of disease treatments and adds additional treatments to those already being given, further burdening the body. Lip service is given to causal identification but in practice this rarely occurs due to their conventional medical understanding of what disease causation is.

Giving credit where credit is due, some Functional Medicine Literature shows considerable knowledge of Clinical Nutrition. I employed one of their textbooks, in University Clinical Nutrition and Gastroenterology Courses I taught for many years.

Their practitioners, however, are primarily Medical Physicians who know little to nothing regarding even Basic Nutrition let alone Advanced Clinical Nutrition other than salesmanship in vending supplements which is part of the Functional Medicine Curriculum. Clinical Nutrition is not part of their training or clinical experience and to simply tack it on after a seminar or two is comparable to a Medical Student becoming a General Surgeon after observing a couple operations.

In practice we repeatedly have patients come to us for assistance after failing to improve or having worsened in Functional Medicine Offices where the Physician has added alternative treatments to an array of pharmaceuticals including prescription hormones. Functional Medicine Practitioners trained in Medicine cherry pick a few applications pioneers in Clinical Nutrition and Hygiene developed over the past hundred years and add what looks like modernity but the outcome is Conventional Medicine mixed with Madison Avenue. If you mix poison with honey you simply get poisoned honey.

Seeking out root causes has been key to our practice of Bio-Hygiene for forty years combining Clinical Epidemiology, Hygiene, and Clinical Nutrition. Functional Medicine as an institution gives the notion of causality a nod but in practice their practitioners employ a non-causal based approach, which is part and parcel of the practice of Medicine.

This is to be expected. Years of Medical Training focused on treating symptoms cannot be changed by a few weekend seminars. The dynamics of medical practice do not allow the time to address causal factors with patients allotted six minutes per visit nor does the Medical Physician’s years of indoctrination orient them to do so. Whirling patients in and out of examination rooms destroys any possibility of a causal based practice, which takes considerable effort, patience and time.

Taking a causal oriented approach begins with the practitioners initial academic training and on their Clinical Experiences. Certainly hospital based practices run contrary to a causal based approach as is being involved in HMOs and PPOs where profit is measured in physician minutes expended. Clinical Epidemiology, Clinical Nutrition and Hygiene Essentials are bypassed as is the value of in-depth interviews, careful hands on physical examinations, thorough laboratory testing and tying the pieces together with the detective skills that thorough and early training and experience in clinical epidemiology and hygiene foster.

We find the absolute need to allot new patients one and a half hours of two doctor’s time for the first visit and a full hour for re-examinations. Even with that we often devote additional time as understanding the chronically ill patient whose case is complicated by years of pharmaceuticals and surgeries requires focusing on the person’s entire life. All the years of living that contributed to the patient’s constitution before they even saw us must be considered…not simply naming their current signs and symptoms and handing out drug prescriptions and/or a litany of supplements.

Why do Alternative /Functional Medicine Practitioners Fail To Employ A Causal Based Approach?

When Functional Medicine Physicians speak of addressing causes they are referring to their medical “diagnoses” which in truth represents symptoms. Common diagnoses from Functional Medical Practitioners purported to be causes are symptoms, including the following  “diagnoses” frequently utilized:

Hypothyroidism- Tragically, thousands of women and men are unnecessarily placed on thyroid replacement therapy (TRT) each year. We have calculated that over 70% of the new female patients seen at our clinic are on Synthroid, Naturthroid or other Thyroid Replacement Therapy (TRT). That many (not all) of these patients had low thyroxin levels is true but this is insufficient reason to give them hormone replacement, which represents a serious threat to the function of the glandular system and constitutes a symptom-based approach. We also encounter patients with low thyroxin levels but rather then place them on TRT, which leads to glandular degeneration and destruction of the gland, we investigate what factors are causing the thyroid level to drop, what are the underlying causes. Often times it is due to hygienic factors such as lack of sleep, poor diet, emotional stress and sunlight deprivation. When these causal factors are addressed in a timely manner not only does the thyroid return to normal function (as opposed to progressive degeneration under the Functional Medicine Approach) but also the patient’s entire health picture vastly improves (see example of this in the video to the right). On the contrary, when Functional Medicine Practitioners throw TRT at a patient their issues compound, the thyroid gland degenerates and the causes of ill health and low hormonal output go untouched. To read more about this highly promoted yet tragic and widespread form of malpractice see http://www.goldbergclinic.com/blog/2014/10/21/sacrificing-womens-glandular-vitality

Yeast Overgrowth – Yeast (e.g. candida albicans) is a normal inhabitant of the body particularly the GI tract, normally staying in balance due to bacterial competition. Yeast overgrows due to medical prescriptions of steroids, antibiotics, hormones in the food supply, a high sugar diet, lowered resistance due to emotional stress, sleep deficiency, overwork and other lifestyle factors. Anything that runs the body down will fuel yeast overgrowth. These are the causes to be identified and addressed, not the yeast organism. The Alternative/Functional Medicine approach to name the yeast as the cause and “treat” the patient with anti-fungals such as Ketoconazole, Nystatin and the toxic drug Diflucan, known to cause liver damage is a pathway leading to disappointment and disaster.

We have had patients come to us “diagnosed” with “Candida” placed on Diflucan for months, even years by  “Functional Medical Practitioners”, something even conventional practitioners would be loathe to do. Others place their “yeast patients” on an assortment of herbs and potions to “kill the yeast”. “Anti-yeast” diets are of value only if the problem stemmed from dietary issues, which often is not the case. Yeast is not the cause of ill health… factors that lower body resistance are and these are rarely addressed by the Functional Medicine Practitioner.

“Dysbiosis” – Much of the Public has an imbalanced intestinal environment due to an assortment of factors. The Alternative/Functional Medicine Practitioner labels the patient with “dysbiosis” and ‘treats” them with a hodge podge of enzymes, HCL stimulants, probiotics, herbal formulations and other nostrums unrelated to the etiological factors involved and thus the dysbiotic state in time generally worsens. This need not be the case when causes are addressed and the appropriate conditions for rejuvenation of the GI tract are provided.

Adrenal Fatigue – Most chronically ill patients are likely to have overtaxed adrenal glands. Prescription Drugs including steroids, negative emotions, loneliness, and a myriad of other factors that tax the entire body also stress the adrenals. The Functional / Alternative Practitioner administers herbs, cortisol, licorice, adrenal gland extracts, etc., to a body already overwhelmed. The patient did not develop the problem due to a licorice or adrenal gland extract deficiency. The causes of bodily fatigue must be identified and appropriate Bio-Hygienic steps employed to restore normalcy. Health cannot be restored by pills alone. http://www.goldbergclinic.com/blog/2016/8/31/adrenal-fatigue-a-common-but-misunderstood-condition

Gluten -  Gluten as found in wheat and other grains have become a scapegoat to blame health problems on among many Functional/Alternative Practitioners. Some have even become “gluten specialists”. No need. Eliminate Gluten and after a few weeks look for improvement. Many improve simply because by eliminating gluten most junk foods are eliminated. That said, by blaming gluten alone we overlook the many other factors likely at play.

Small Bowel Overgrowth- A common condition treated by Functional Medicine Practitioners with antibiotics. Unfortunately the condition returns in most cases shortly afterwards. A thorough search for causal factors is important, as is understanding that Small Bowel Overgrowth is a symptom that can be related to many different causes. http://www.goldbergclinic.com/blog/2017/4/18/small-intestinal-bacterial-overgrowth-sibo

Vitamin D deficiency – We are a sun-deprived nation largely due to medical warnings to avoid sunlight. Ironically Medical Practitioners now write prescriptions for 50,000 units of Synthetic Vitamin D constituting at that level a drug, which carries risks of its own. The wise step is to obtain sunlight in a reasonable fashion something we assess patients for and train them to implement. Vitamin D is not a Vitamin but a hormone produced by the body in the presence of sunlight. “Vitamin D” Deficiency is a reflection of sunlight deprivation which disables the body from producing “Vitamin D” and deprives it of other benefits including protection from many forms of cancer which simply taking pills from the Functional Medicine Practitioner alone cannot provide.

Bio-Identical Hormone Replacement Therapy (HRT) -

Functional Medicine Practitioners know the public is eager for quick solutions to complex health issues. HRT fits the bill. Virtual instantaneous reversal of the aging process with no effort or so it appears. Entry way to the fountain of youth or so it seems. In response to issues such as hot flashes, moodiness, depression, low sex drive, impotence, fatigue, thinning bones and other signs of ill health out comes hormone creams and pills. All that glitters is not gold, however, as patients eventfully discover.

Standard Medical practitioners previously widely prescribed HRT in forms such as Premarin. This largely stopped after Epidemiological Studies revealed it was associated with significantly increased cardiovascular risk. Bioidenticals will in time we believe be found to present the same if not greater risks. Whether the hormone is derived from a pig or from soy or yam it is still a hormone. Pushing these hormones as being safe because they are plant derived is deceptive.

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Hormone levels decline with age. This gradual reduction should occur with minimal discomfort in a healthy individual. When the person is in poor health existing symptoms are exacerbated as aging proceeds. Administering exogenous hormones ignores the underlying causes of symptoms. Taking Estrogen also increases the risk of estrogen-based cancers. The short-term relief some experience is soon outweighed by unpleasant side effects and new problems that are created.

Just as the Functional Medicine Practitioner pushes estrogen (and progesterone) for women it pushes testosterone for men often still in their thirties, forties and fifties. In good health these men will produce sufficient testosterone. Many healthy men in their sixties, seventies and even eighties still produce levels of testosterone sufficient to meet their needs without the dangers of taking it exogenously which includes testicular atrophy and potential prostate issues.

Low hormone levels are not a cause of poor health; they are a symptom of poor health. Underlying causes should be identified and addressed. In doing so we have seen patients attain healthy hormone levels for their ages and also achieve excellent health and vitality through an individualized program of healthy living that imbibing drugs can never accomplish. To see examples of this go to www.goldbergclinic.com. These before and after pictures represent women and men who have been Re-Created through individualized health care programs (without the use of hormones) focusing on causes rather than symptoms. For further information on the dangers of HRT go to: http://www.goldbergclinic.com/blog/2017/4/4/anti-aging-medicine-and-bio-identical-hormones-quick-fix-or-slippery-slope.

Diet Mania –Diet roulette has become common for both laypeople and Functional Medicine Practitioners. GAP diet, FodMap diet, Ketogenic Diet, Raw Food diet SCD diet, High Protein, High Carb, Low Carb, Low Protein, Makers Diet, Paleolithic diet etc., etc. the list is endless and the diets employed come and go, bandied about as the individual goes from one diet to the next experiencing frustration and disappointment. Dietary Factors are important but food intake must fit the individual and not the other way around. It is easy for the Functional Medical Practitioner to hand out diet sheets with whatever is in vogue at the moment as opposed to the time taking task of doing a detailed Nutritional Evaluation based on the individual. This involves looking at the full scope of nutrition i.e. not only food intake (diet) but factors involving digestion, absorption, assimilation, cellular excretion and elimination, a time consuming process that Medical Practices have neither the time, training or experience to delve into. http://www.goldbergclinic.com/blog/2017/7/26/diet-maniadiet-confusiondiet-frustration

Functional Medicine Practitioners confuse symptoms with causes. Addressing symptoms e.g. low hormone levels, gluten intolerance, dysbiosis, adrenal fatigue, yeast overgrowth and low hormone levels as if they were causal factors as opposed to symptoms of underlying causes leads to frustration and failure. In addition, treatment programs including hormone replacement therapies, anti-fungals, glandular supplements and ill fitted dietary schematics places the patient at risk of serious side effects and missing the opportunity to obtain good health by taking a causal based approach.

The Bio-Hygienic™ Approach we developed and employ has its roots in Hippocratic Principles, developed long before “Functional Medicine.” A Bio-Hygienic™ approach to health is not an add on to medical practice but a primary way to directly uncover and address disease causation.

Bio-Hygiene evaluates patients physiologically, biochemically and bio-mechanically incorporating clinical epidemiology, nutritional biochemistry and thorough lifestyle analysis. It is aimed at uncovering functional disturbances and the reasons behind them. Functional and Standard lab analysis along with a detailed case history are employed to uncover causal factors and Clinical Nutrition and Hygienic Measures are utilized to address them. This is an effective pathway to reverse chronic disease avoiding any form of treatments or medicine although it requires considerable effort on the part of both patient and doctor. Patients sometimes enter our office thinking we are a Functional Medicine practice. They are mistaken. Bio-Hygiene is not any form of medicine.

I am well acquainted with Functional Medicine and have lectured Alternative / Functional Medicine Practitioners on topics involving autoimmune, gastrointestinal disorders and Clinical Nutrition. I was involved in the development of Functional Laboratory Testing Education over thirty years ago as a consultant to two major laboratories focusing on functional laboratory evaluation. If a practitioner understands laboratory procedures and their application in conjunction with the case history and physical examination, they can help uncover causes and monitor progress. Functional Medicine on the other hand, while employing many of the same laboratory tests we have long employed, uses them to implement treatments with drugs and supplements. This makes them fundamentally no different from standard medical practice.

For those with chronic illness the world of “Functional Medicine” can hold allure. The patient who suffered under Conventional Medical Practice seeks a saving grace. They fail to understand, however, that they are going from Dweedle Dee to Dweedle Dum with the same template being applied.

As a young man with Rheumatoid Disease in my 20’s I learned that Alternative Medicine in its varied forms (such as Functional Medicine today) was and is not fundamentally different from standard medical practice still treating symptoms unrelated to causes. Throwing supplements and additional drugs into the mix does not change its nature. Functional Medicine in essence is a marketing device to attract patients disillusioned with Conventional Medicine yet wishing to remain in a medical comfort zone.

There are today a plethora of Alternative Medicines in addition to “Functional Medicine” including:

  • Anti-Aging Medicine
  • Holistic Medicine
  • Functional Medicine
  • Naturopathic Medicine
  • Complementary Medicine
  • Integrative Medicine

All kinds of medicine presenting themselves as alternatives under the guise that they represent a better approach with their particular variety of medicine.

The Appeal of Alternative/Functional Medicine

Functional Medicine promotes itself as an improved or “complimentary” form of medicine. The jump from Conventional Medicine to Functional Medicine is a small jump allowing the patient to continue medical treatments, just different or additional ones. Beyond the hoopla and glitter, the various forms of Functional and Alternative Medicine are a facade based on the same faulty premise i.e. the naming of symptoms followed by “treatments” to address those symptoms. Call the plethora of alternative/functional medicine approaches by any name but a rose is still a rose, treatments are still treatments and the treatment of chronic disease vs. addressing disease causation are polar opposites. Causes of ill health need to be identified and addressed directly followed by the establishment of the right conditions for health renewal to evolve. Medical and Alternative Medical Treatments fail to accomplish this.

Use Our Medicine Rather Than Their Medicine!

Conventional Medicine initially viewed Alternative/Functional Medicine as a threat but has now chosen to assimilate it. Medical Giants e.g. The Cleveland and Mayo Clinics have opened departments of “Functional or Complimentary Medicine” leading a gullible public to believe they are in a place to get the best of both worlds when in fact they remain in the same world of treatments.

Patients are informed they have yeast overgrowth, the MTHFR Gene, Gluten intolerance, and other canned answers. “Diagnoses” are followed by prescribing herbs, supplements animal glandulars, parasite cleansers, detoxifiers, etc., Treatments and more treatments by “specialists” who received their education in weekend seminars. The Bioidentical Hormone craze is hawked, canned diet plans come and go and the individual jumps on board. Confusion and frustration follow.

Confusion is debilitating. I bear this in mind everyday working with patients bewildered by the avalanche of what they read on the Internet along with misinformation from Alternative Practitioners.  Most patients I’ve worked with over the past four decades have taken a myriad of approaches prior to coming to us. Their “alterternative/functional medical” list of treatments often exceeds the long list of drugs they are taking.

 The More The Merrier

The current trend is to employ both pharmaceutical agents and “Functional Medicine” treatments. The thinking is that the more approaches one takes i.e. a plethora of drugs accompanied by mountains of herbs, diets, probiotics, vitamins, chelation therapies, “bio-identical” hormones, ionic foot baths, anti-depressants, etc., the better the chance of recovery. The reality is to the contrary.

In plying the chronically ill patient with more toxic “alternative” treatments in addition to prescription drugs, the patient is driven further into illness and farther away from health. The result of the numerous “natural treatments” physicians dispense in order to warrant the  “functional, alternative” titles” is that health issues are compounded. More treatments are not the answer. The correction of causal factors must be specific to the patient and not merely entail throwing a myriad of additional treatments at an already overburdened body.

Functional Medicine’s slippery slope presents two major inherent hazards:

  1. A medical physician is trained to treat disease with drugs. This is embedded into every physician’s psyche and it is improbable if not impossible for this treatment model to be drilled out. Likewise patients are indoctrinated in being medicated. It is therefore easy to add more medications under the guise of “alternative medicines” to the pharmaceuticals already prescribed.

    Hippocrates the “Father of Medicine” did not emphasize medicines (let alone drugs) for the “treatment of disease.” The notion of giving potions for symptoms came later in the School of Asclepius, a competitive camp from which Conventional (Allopathic) Medicine evolved. Functional Medicine bears little resemblance to the Hippocratic School. Functional Medicine is driven by a symptom/treatment orientation regardless of how “holistic” the practitioner might profess to be as a result of a seminar sponsored by a supplement company they took on a cruise ship. New tests and alternative treatments are added to their pharmaceutical armory but the approach and results remain the same.
     
  2. To maintain Medical Licensure requires the practitioner to practice Conventional Medicine. To not follow medical protocol is to risk malpractice charges. The practitioner can add “alternative therapies”, “supplements”, “bio-identical hormones” etc., to their antibiotics, steroids, hormones, Synthroid, immunosuppressants and anti-depressants, but remains held to medical standards. The physician that gave pharmaceuticals as a standard practitioner still gives those pharmaceuticals as a “ functional medicine” practitioner but with yet more pills. The physician attends a weekend seminar on Bio-identical Hormones and on Monday advertises he or she is a Functional Medicine Practitioner to gain a competitive edge. Giving a probiotic along with an antibiotic or St. Johns Wort with Prozac or IV Chelation or Ozone Therapy or Ionic Foot Baths does nothing for the patient till at last as the disease becomes further ingrained and the patient fails to get well he says “I tried everything”.

Functional/Alternative Medical practitioners advocate a hodge podge of treatments. The difference between nature, hygiene and treatments is blurred in the public’s eyes. Physicians such as Television Personality “Dr. Oz” make careers of touting a plethora of “natural” potions and pills continuing to promote a treatment mentality.

What the chronically ill person needs is not “alternative medicine” but an alternative to medicine.

Functional Medicine and other forms of Alternative Medicine might prevent some from closing the door on hope but it also prevents them from returning to good health and taking control of their destiny. Alternative/Functional Medicine approaches take us down the same path of naming diseases and treating symptoms… a path going in the wrong direction.

The Goldberg Clinic For Chronic Disease Reversal
Causes Identified…Causes Addressed…Health Restored

Reversing Hypothyroidism, Chronic Fatigue, Migraine Headaches, Depression

Case Study: Hypothyroid, Migraine Headaches, Chronic Fatigue,  Depression | July 2018

Laura presented with Hypothyroidism, Migraine Headaches, Chronic Fatigue and Depression. Her Endocrinologist prescribed Synthroid (see article on the dangers of Synthroid and other thyroid hormone replacements). She was also prescribed Celexa, Norytriptyline and Imitrex to treat Migraine Headaches.

After ten months of care at the Goldberg Clinic, Laura's Thyroid Lab work is normal (see below and right). She is drug free. Her energy and mood are significantly improved. Migraine headaches have reduced by 75-85%. 

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Comments:

In Hypothyroid conditions, the patient often presents to their Medical Doctor's office complaining of chronic fatigue and/or weight gain. A blood test is done and if the test comes back with elevated thyroid stimulating hormone (TSH) or low Thyroxine, a prescription is written for Synthroid, Armour Thyroid, NaturThroid or Levothyroxine. This is done without investigating why the thyroid is not working well or giving consideration as to what the long term effects of taking the drug might be. The patient is rarely told that once they start taking hormone replacement, the Thyroid gland gradually loses its own function making them dependent on thyroid replacement therapy for life. This scenario is exactly what happened in Laura's case and what we see time after time with patients who seek assistance at our clinic. Thankfully, Laura decided not to pursue replacement therapy and instead made the effort with us to address causes and build health. In doing so, she regained her health and restored normal Thyroid function. She is entirely drug free. 

See article: "The Tragedy of Thyroid Hormone Replacement"

 

Reversing Ulcerative Colitis

Zahrah (7 years old) traveled with her parents to the Goldberg Clinic from Ontario, Canada in January of 2018. She was diagnosed medically with Ulcerative Colitis. Her Gastroenterologist prescribed Prednisone but her condition worsened over time. 

Since coming to the Goldberg Clinic in January of 2018, Zahrah's parents report over 75% improvement in her condition. She is drug free and her HsCRP (inflammatory marker) has normalized. Watch the video interview with Zahrah and her parents to the left. 

See before/after labs below.  


Before/After Laboratory Studies

HsCRP is a marker of systemic inflammation commonly elevated in patients with Ulcerative Colitis and other autoimmune disorders. A normal HsCRP reading is less than 3.0 and ideally less than 1.0. Zahrah's initial result was elevated at 4.0. Her current level is 0.3 which is excellent (see report below). 

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Small Intestine Bacterial Overgrowth

Small intestine bacterial overgrowth (SIBO) is a common gastrointestinal disorder that often underlies chronic gastrointestinal symptoms of mal-digestion and malabsorption, including bloating, gas, diarrhea, irregularity, and abdominal pain. It is frequently associated with allergic, autoimmune, and gastrointestinal disorders including Inflammatory Bowel Disease (Crohn's/Colitis).

A Bacterial Overgrowth Test was conducted in Zahrah's case as part of her evaluation. The test is performed by taking breath samples over a two hour period. Elevations in hydrogen and methane gas in the breath are indicative of bacterial overgrowth and fermentation in the gastrointestinal tract. 

Zahrah's initial test result (below and left) revealed a severe bacterial overgrowth. This contributed to digestive disturbances, inflammation and autoimmunity in her case. The new test result (below and right) is normal which is consistent with the many positive changes seen in Zahrah's overall health and function since coming to the Goldberg Clinic.   

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Reversing Crohn's Disease: Two Year Follow Up

Viriato came to the Goldberg Clinic in July 2016 with a medical diagnosis of Crohn's Disease. His Gastroenterologist prescribed Prednisone, Remicaide, Entyvio, Imuran, Humira, Methotrexate and 6MP to suppress his symptoms but his condition gradually worsened over time. He had also had 40 cm of his intestine surgically removed prior to beginning care at the Goldberg Clinic. At his three month follow up visit in 2016, Viriato reported 80% improvement in his overall health. Watch his video interview from 2016 to the left and see his laboratory studies below. 

 

 

Viriato returned to the clinic in July 2018 for his two year follow up visit. He reports 95%+ overall improvement in his condition. His bowels move once daily. He no longer experiences excessive gas and bloating. His energy is excellent. He is drug free. His lab work is normal including the inflammatory indices and hemoglobin level (see below). Watch Viriato's video interview from July 2018 to the left and see his laboratory studies below.

 

 

COMPLETE BLOOD COUNT: BEFORE AND AFTER

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BEFORE/AFTER LAB WORK: Small Intestine Bacterial Overgrowth

Small intestine bacterial overgrowth (SIBO) is a common gastrointestinal disorder that often underlies chronic gastrointestinal symptoms of mal-digestion and malabsorption, including bloating, gas, diarrhea, irregularity, and abdominal pain. It is frequently associated with allergic, autoimmune, and gastrointestinal disorders including Inflammatory Bowel Disease (Crohn's/Colitis).

A Bacterial Overgrowth Test was conducted in Viriato's case as part of his evaluation. The test is performed by taking breath samples over a two hour period. Elevations in hydrogen and methane gas in the breath are indicative of bacterial overgrowth and fermentation in the gastrointestinal tract. 

Viriato's initial test result (below and left) revealed a severe bacterial overgrowth. This contributed to digestive disturbances, inflammation and autoimmunity in his case. His new test (below and right) shows substantial improvement which is consistent with the many positive changes he reports in his overall health since coming to the Goldberg Clinic.   

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CURRENT INFLAMMATORY MARKERS: CRP AND SEDIMENTATION RATE (May 2018)

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