P: 281-298-6742 | F: 281-419-1373|info@TWIHW.com

What are the symptoms of hypothyroidism?

Hypothyroidism usually manifests itself gradually over a period of years with the progressive and insidious development of one or several of the following symptoms:

  • Fatigue
  • Weight Gain
  • Cold Extremities and cold intolerance
  • Decreased mental sharpness (brain fog)
  • Slow speech
  • Depression or mood swings
  • Dry skin
  • Hair loss
  • Sluggish bowel function
  • Fluid retention
  • Headaches
  • Muscle pain (fibromyalgia)
  • Joint pain
  • Tiredness after a full night’s sleep
  • Tingling and/or numbness in extremities
  • Hoarseness
  • Irregular menstrual cycles
  • Miscarriages
  • Infertility
  • Recurrent yeast vaginitis
  • Allergic disorders
  • Recurrent infections
  • Decreased sweating

The following are physical signs of hypothyroidism:

  • The three P’s: pallor, pastiness, puffiness
  • Enlarged tongue with teeth indentations
  • Loss of hair on the lateral third of the eyebrows
  • Decreased body hair
  • Thinning hair
  • Cold extremities & cold skin
  • Dry skin
  • Brittle fingernails with ridging
  • Low blood pressure
  • Slow pulse rate
  • Low basal body temperature
  • Enlarged thyroid gland
  • Elevated cholesterol and triglycerides

By |2018-05-08T09:54:53-06:00May 8th, 2018|

How do I find out more about which program is best for me?

We start by recommending that you speak with one of the wellness consultants. They have been trained to review your symptoms and make a program recommendation that could help you achieve your wellness goals.

Another great way to learn about the various programs is to attend one of our monthly Lunch and Learn events. The event is free and open to the public, attendees are provided with as much information as possible to allow prospective patients to learn about the various programs and costs involved. Due to the amount of information provided the majority of potential patients call back after reviewing the program details and costs provided when ready to reserve their appointment. However, following the event the wellness consultants are happy to answer any questions you have one on one.

By |2018-05-08T09:50:41-06:00May 8th, 2018|

What Are The Common Causes Of Hypothyroidism?

The most common causes of hypothyroidism are:

    hormonal imbalance

    Autoimmune Thyroiditis

    nutritional deficiencies

    some prescription drugs

Hormonal imbalance. Women have hypothyroidism at least four (4) times as frequently as do men. This is commonly due to female hormonal imbalance in midlife which leads to a condition known as estrogen dominance. As the ovaries age, women produce decreasing amounts of progesterone, the hormone of the last half of the menstrual cycle. Progesterone deficiency is the cause of estrogen dominance. Estrogen dominance causes the liver to produce increasing levels of a protein, which circulates in the blood, called thyroid binding globulin (TBG). Even when the thyroid gland is producing sufficient amounts of hormone, TBG will bind to the thyroid hormones, lowering the free, unbound thyroid hormone available for use. This in turn causes a decrease in the metabolic rate, lowering the body’s overall energy level. Birth controls pills, pregnancy and postmenopausal estrogen supplementation all lead to increased TBG. Commonly, women complain that their metabolism changed after one of their pregnancies or when they began birth control pills or supplemental counterfeit estrogen hormones. The male hormone, testosterone, does not increase TBG. In fact, testosterone stimulates the conversion of the inactive thyroid hormone, T4, to the active thyroid hormone, T3, within the cells. This is why men have fewer problems with low thyroid function than do women.

Autoimmune Thyroiditis, also known as Hashimoto’s Thyroiditis, is another cause of hypothyroidism. In this disease, the patient’s own immune system is dysregulated and produces antibodies to the individual’s thyroid gland and to the thyroid hormones circulating in the blood. This immune system disorder is frequently associated with allergic disorders. Low intracellular thyroid function and allergies travel together like thieves in the night. In my practice we have tested thousands of individuals since 1991 to determine the presence of thyroid antibodies. Approximately 31% of our female allergy patients and 18% of our male allergy patients have Autoimmune Thyroiditis. This is far greater than the 5% of individuals in the general population who have this disorder. Autoimmune Thyroiditis prevents thyroid hormone from being properly assimilated into the cells.

Nutritional deficiencies. Less commonly than the above, hypothyroidism may be caused by nutritional deficiencies. The thyroid gland requires iodine for the normal production of the thyroid hormones. In the past, hypothyroidism occurred commonly in the Midwest and in the Great Lakes regions of the United States and was characterized by an enlarged thyroid gland, known as a goiter. This condition was due to low iodine levels in the soil and in fresh water fish. With the advent of iodized salt the incidence of this problem has been dramatically reduced. Goiter areas still exist in many areas of the world. Clinical hypothyroidism may also be caused by a selenium deficiency. Selenium is a trace mineral that plays a critical role in the conversion of the inactive hormone, T4, to the active intracellular thyroid hormone, T3. The soil in the United States is deficient in Selenium. The thyroid gland may produce insufficient amounts of the thyroid hormone due to a variety of underlying genetic defects. These conditions are very uncommon.

Another rare cause of the hypothyroidism is pituitary gland dysfunction. The pituitary gland is located in the brain and regulates the thyroid gland by secreting thyroid stimulating hormone (TSH). When there is not a sufficient amount of thyroid hormone in the blood, the pituitary gland increases the production of TSH. If the pituitary gland is diseased and unable to secrete TSH, then the thyroid gland will not produce thyroid hormone.

Prescription drugs, such as Dilantin, Lithium, and Beta Blockers, used in the treatment of hypertension and heart disease, blunt the effect of the thyroid hormones in the cells of the body, leading to symptoms of hypothyroidism. As mentioned earlier, the counterfeit hormones and horse estrogens, such as Premarin, Ogen, and Cenestin, and birth control pills, which are also counterfeit hormones, raise the level of thyroid hormone binding globulin and prevent the proper uptake of thyroid hormones by the cells of the body.

By |2018-05-08T09:54:53-06:00May 8th, 2018|

What will I need to do once I decide to become a patient?

Once an appointment has been reserved there are several steps that need to be completed to ensure that the doctor has all of the information needed to provide the best care possible. Due to the length of each new patient appointment we do ask for a deposit to schedule, if the appointment is canceled with at least 48 hour notice we refund the deposit. The deposit amount will vary depending on program scheduled. For example, for the most extensive program the deposit is $250.

Our initial paperwork will come via email as a link to complete through Echosign for your security. One part will be requesting your medical history, the length of this one will depend on the program selected. The other will contain forms that must be signed such as an acknowledgement that we are not contracted with insurance companies, Dr. McManus is opted out of Medicare, program specific financial agreement listing the specifics of the program selected, and program specific consent forms. We strive to be as detailed as possible and we are available to answer any questions that may arise during this process. Once we receive all requested forms back the new patient coordinator will take that information and input all the data into the patient record to allow time for the doctor to review the chart prior to the patient getting to the office for their appointment.

All patients are treated individually and for this reason we do not handle any checkouts until after the doctor has seen the patient. During the 90 minute appointment with the doctor she will develop a treatment plan specific to each patient’s needs and will make recommendations for supplementation and prescribe medications as needed. Nutrition is an integral component of each patient’s treatment. Specific guidelines are provided for each program during the initial appointment or scheduled for a later time directly with the nutritionist. For example, patients are given detailed instructions to follow on the weight loss program that is medically supervised, this is the only calorie restrictive diet through TWIHW.

The final step for a new patient appointment is the checkout, the billing admin will review the supplements recommended and confirm the ones that each patient would like to purchase, if any. We then schedule any other appointments needed and collect payment. Follow up appointments are needed as indicated by your medical provider to stay an active patient and will be scheduled with Dr McManus, Dyvette, or Sandra depending on time frame indicated by the medical provider. The providers work as a team to allow for more flexibility for the patient’s schedule.

By |2018-05-08T09:51:01-06:00May 8th, 2018|

What is hypothyroidism?

Hypothyroidism is a commonly overlooked and undiagnosed medical problem that severely impairs an individual’s quality of life. Hypo means low, so hypothyroidism relates to a medical condition manifested by low thyroid gland function or by low thyroid hormone action in the cells. If left untreated, it can lead to a host of medical illnesses. Thyroid deficiency frequently causes chronic fatigue, recurrent headaches, including migraines, recurrent and chronic infections, skin disorders, obesity, menstrual irregularities and infertility, emotional disorders, hypertension, coronary artery disease, cancer and the complications of diabetes.

By |2018-05-08T09:54:53-06:00May 8th, 2018|

What is the difference between bio-identical, natural Armour Thyroid and the synthetic T4 thyroid supplements, Synthroid, Levoxyl and Levothroid?

The thyroid glands from the pigs are removed and desiccated (dried). After the glands are dried, they are pulverized, ground into powder, emulsified and finally, punched into tablets. These tablets contain the exact same thyroid hormone molecules (T3 and T4) that our bodies produce, as well as nutrients from the thyroid gland. Bio-identical, natural thyroid hormone should be thought of as a natural supplement, similar to vitamins, minerals, and nutrients. Drug companies look for chemical substances in nature that have therapeutic and medicinal value. By changing the chemical formula ever so slightly, they create a new synthetic drug, which can be patented and sold at a handsome profit. The pharmaceutical companies then market their drugs by employing salesmen to promote their products to private physicians. Synthetic drugs and counterfeit hormones are not as effective as their bio-identical counterparts. Many synthetic drugs and counterfeit hormones have serious and harmful side effects. For this reason, we prescribe and recommend bio-identical biologically identical hormones, including Armour Thyroid and Bio-identical Hormones. Functional hypothyroidism is a condition which can be easily diagnosed using the proper methods and inexpensively treated. Although the symptoms of functional hypothyroidism are many and diverse, virtually all will improve or resolve when the patient is treated with Armour Thyroid.
By |2019-01-31T13:53:12-06:00May 8th, 2018|

What is the best way to determine if someone has hypothyroidism?

The single most important tool in determining a patient’s thyroid status is a thorough review of the symptoms of hypothyroidism presented. Secondly, the basal body temperature (BBT) must be accurately measured. The BBT is the core body temperature prior to arising from a full night’s sleep. The BBT reflects the body’s metabolic rate and energy production. Remember that energy in our bodies is converted to heat, giving our body a temperature. If our energy production is low, then the temperature of our body will be lower that normal. A normal BBT is between 97.8 and 98.2 degrees. The BBT may be taken in the following manner: Upon retiring, a glass thermometer should be shaken down so that the mercury is below 94 degrees, and placed on the bedside table. When the patient awakens, the thermometer should be placed against the skin under the arm for ten (10) minutes. After this time, record the temperature. Finally, blood test should be evaluated for the presence of thyroid antibodies, the level of the unbound thyroid hormone (Free T4), and the level of the thyroid stimulating hormone (TSH). The blood should be also evaluated to determine if there is elevation of cholesterol and low density lipoprotein (LDL).
By |2018-05-08T09:54:53-06:00May 8th, 2018|

What happens to the thyroid gland as we age?

As we age the thyroid gland, like all the endocrine glands, produces lower levels of thyroid hormones. Because the “normal laboratory range” of thyroid hormones is based upon a population normal, 90%-95% of all individuals will have thyroid levels that fall within the “normal range”. But many people whose thyroid hormone levels fall within the so called “normal” range do not feel normal or healthy. Young healthy individuals have thyroid hormone levels which are high in the “normal range”. Older, less healthy individuals have thyroid hormone levels which are in the lower end of the “normal range”. Over your lifetime your thyroid hormone levels call fall by 50%, with you experiencing a 50% decline in your energy level, yet your thyroid hormone level will remain in the laboratory “normal range”, the low end of the “normal range”, yet still in the “normal range”. Despite the fact that you may have a host of symptoms of hypothyroidism, due to your decline in thyroid hormone production with age, your doctor will tell you that you are in the “normal range”. But you are not feeling normal because your thyroid hormones have declined as you have aged. You do not want your thyroid hormones to be in the “low normal range”, rather you want to keep your thyroid hormone levels in the “optimum range” so that you have good energy and feel healthy.

By |2018-05-08T09:54:53-06:00May 8th, 2018|

What hormones are produced by the thyroid gland?

The thyroid gland produces two hormones: tri-iodothyronine (T3), the active, primary intracellular hormone and thyroxine (T4), the inactive, primary extra cellular hormone. Thyroxine (T4) is produced by the thyroid gland in twenty (20) times the concentration as T3. T4 must be absorbed into the cells where it must be converted to T3 in order for the cells to function at a healthy metabolic rate. If T4 is not properly assimilated into the cells or converted to T3 within the cells, then hypothyroidism results. It is not the level of thyroid hormone in the blood that is important, but rather, how much T3 is present within the cells. This is why blood tests are inconclusive and oftentimes do not correlate with a patient’s clinical symptoms. The thyroid hormone, T3, enables the cells to produce and use energy, which is ultimately converted to heat, giving the body its temperature.

By |2018-05-08T09:54:53-06:00May 8th, 2018|