2

votes

Acute Thyroiditis

Answered on September 12, 2014
Created May 07, 2011 at 6:42 PM

Someone near and dear to me has developed acute thyroiditis and is very, very ill. This is posted with his permission.

Adult male, 72 yo Scientist, PhD -expertise in neurobiology, biochemistry, molecular biology) [As most of you know (per my 4000+ posts on MDA), offering advice is not usually an area of difficulty for me. In this case though, because of his background, my perfectionistic self (not to mention the worried, emotional self) is getting in the way.]

Hx includes T2 diabetes, well-controlled per ADA standards, for the past 30 years on typical ADA diabetic diet.

Dx: Acute thyroiditis

Rx treatment offered: prednisone. Declined treatment.

Onset of illness: 14 days ago

Symptoms:

  • 6 pm every night, throat pain on right side

  • 6 pm every night, sudden sweats

  • 6 pm every night "bone crushing" fatigue

  • daily general fatigue, no appetite, loosing muscle mass

  • daily, sudden poor blood glucose control on the diet that has always controlled his diabetes "well". (I know, I know...)

He used to walk 5-6 miles per day and now is (suddenly) having trouble walking 100 yards. Used to ride his bike 3-4x per week at a moderate pace. Simply can't do it now. Gait has always been sprightly but is now slow- almost halting.... I almost asked why he was limping as he approached me to tell me about the recent illness. Weight loss is apparent. Lack of general vitality is apparent.

His physicians have nothing to offer him aside from "it will either go away or it won't." "It's either a bacterial/viral infection or it's not." He's very willing to try whatever suggestions I have.

Those of you that know me know that typically, I have no problems making suggestions. However, as he is a scientist (expertise in neurobiology, biochemistry, molecular biology) I'm not feeling as confident. And my emotions are clouding my thinking. Trying hard to maintain some emotional distance by focusing on the intellectual side of this but seeing the significant changes in him since I last saw him 7 days ago has really thrown me for a loop.

Where to start? While dietary changes may or may not cure him, moving his diet in the direction of paleo, primal, perfect health diet will give him the best possible nutritional support from which can only be of benefit. It's definitely more nutrient dense and biologically appropriate than his current grain based ADA diabetes diet.

Seems that a whole animal (including organs, broth etc) diet, possibly with with "safe starch" additions as tolerated by blood glucose along with some plants would be the way to go. Now to just find the best way to share that information and best supporting evidence.

What references would you want to supply if you found yourself in my shoes?

Paul Jaminet's book Perfect Health Diet? (I have read it; seems like an excellent choice)

Robb Wolf's book? (which I haven't read)

The Primal Blueprint is excellent for many but not scientific enough in this case.

Offering him both a book to read and making a power point with the most pertinent additional information would be the way to go - that or writing up the info in a short report.

The most pertinent of the following and will also be passed along: http://180degreehealth.blogspot.com/2011/03/protein-closer-look.html

http://blog.cholesterol-and-health.com/2011/03/anyone-doing-paleo-without-liver-bones.html

Thoughts? Good references to pass along? Recommendations regarding any of the above books or other resources?

Any help is greatly appreciated.

ETA: Information provided will not be construed as medical advice etc etc :)

Eecc48184707bc26bce631485b5b7e34

(4764)

on September 07, 2013
at 01:28 AM

Loving this link. I'll use this to look up original references and pass it on to him. All, of course, while trying not to freak out: "Thyroidal infections are potentially life threatening with an overall mortality of up to 8.6 percent."

3b7e6c77a5412587152c9e3f22b41c2a

(434)

on June 07, 2011
at 06:07 AM

That is so sad, Katherine. Life is so fragile. There's no guaranteed best way for us to act. Best of luck going forward.

Eecc48184707bc26bce631485b5b7e34

(4764)

on June 04, 2011
at 02:50 PM

Moving forward, Dr. S, hasn't been that interested in dietary changes, did eventually take the prednisone, which is helping symptoms, has been told by his doc that his thyroid will eventually quit functioning and he'll need to go on thyroid replacement and is fairly ok with it. He continues to loose some weight and muscle mass. His energy seems to have taken a dive. Yet he's reporting that he feels very good and I'm glad for that. It's really hard though. Thanks for asking!

Eecc48184707bc26bce631485b5b7e34

(4764)

on June 04, 2011
at 02:46 PM

Wow. Yeah, I have a similar story which is why this weighs heavily. A dear lifelong friend, the younger sister of my best friend was bipolar. While I was hemming and hawing on talking to her about nutrition - specifically Stoll's fish oil studies (which had amazing results), she committed suicide. Devastating.

3b7e6c77a5412587152c9e3f22b41c2a

(434)

on June 01, 2011
at 03:48 PM

So, how's he doing?

79648d1e9f1a8d25d9450a8a1d18fe64

(395)

on May 13, 2011
at 12:02 AM

Thanks for the clickable link Dex...

06d21b99c58283ce575e36c4ecd4a458

(9948)

on May 09, 2011
at 01:19 AM

Katherine, roaming around, I found the following re: Lyme's in Colorado. http://www.jonahhorowitz.com/2009/07/lymes-disease-i.html Lyme's Disease does not sound fun.

06d21b99c58283ce575e36c4ecd4a458

(9948)

on May 08, 2011
at 02:29 AM

Oh, there is in Colorado. I know I lived there. There are not many cases but there are definitely some.

Eecc48184707bc26bce631485b5b7e34

(4764)

on May 08, 2011
at 01:09 AM

We have Lyme disease here in GA (making it a real possibility) but apparently there isn't any in CO or MT.

06d21b99c58283ce575e36c4ecd4a458

(9948)

on May 07, 2011
at 10:08 PM

http://www.aldf.com/lyme.shtml The American Lyme Disease Foundation points out that from infection to symptoms is 3 to 30 days. Does that timeline fit his outing to Colorado and Montana and outward symptoms?

06d21b99c58283ce575e36c4ecd4a458

(9948)

on May 07, 2011
at 09:25 PM

yeah, I saw that also.

Eecc48184707bc26bce631485b5b7e34

(4764)

on May 07, 2011
at 09:08 PM

Thanks Zooko. I appreciate your input. Too often, I let "perfect be the enemy of good enough". Must chill. :D

06d21b99c58283ce575e36c4ecd4a458

(9948)

on May 07, 2011
at 08:26 PM

In rereading his symptoms, about pain in neck and sweats, I found this http://www.suite101.com/lesson.cfm/19330/2900/3 that references these symptoms for Hyperthyroidism...not hypo mostly from bacteria or virus

Eecc48184707bc26bce631485b5b7e34

(4764)

on May 07, 2011
at 08:10 PM

He has not. I was wondering (see above) about insect born disease. This is a real possibility. You guys are making my day.

06d21b99c58283ce575e36c4ecd4a458

(9948)

on May 07, 2011
at 07:58 PM

http://www.rumormillnews.com/cgi-bin/archive.cgi?read=51356 for a clickable link to Pam's comment

79648d1e9f1a8d25d9450a8a1d18fe64

(395)

on May 07, 2011
at 07:52 PM

Dr. James Howenstine, a Lyme Disease expert, states, “Profound dysfunction of the hypothalamus, pituitary, adrenal, thyroid glands and gonads is very common in mycoplasmal, fungal, and anerobic bacterial infections. www.rumormillnews.com/cgi-bin/archive.cgi?read=51356 He goes on to say, “There is considerable evidence that many patients with Chronic Fatigue Syndrome, Fibromyalgia, and Lyme disease have an infectious disease. Lyme disease needs to be considered in every patient with a chronic illness.”

06d21b99c58283ce575e36c4ecd4a458

(9948)

on May 07, 2011
at 07:49 PM

Dr K on these boards wants his patients to be at 70 to 100ng/mL serum Vit D3. Upping his Vit D3 dosage to 10000IU a day will give a boost his immune system..ie to activate his killer T cells to go out and kill whatever invading organism he has more efficiently.

06d21b99c58283ce575e36c4ecd4a458

(9948)

on May 07, 2011
at 07:45 PM

http://www.medhelp.org/posts/Lyme-Disease/Lyme-disease-and-Hashimotos-thyroiditis/show/1041927 See this posting and the comments regarding Lyme Disease and Hash thyroditis.

Eecc48184707bc26bce631485b5b7e34

(4764)

on May 07, 2011
at 07:43 PM

Additionally, he travels internationally quite frequently though recent trips have been rather 'tame' - ie Italy. Thanks so much for the links. That's exactly the sort of thing that's helpful.

Eecc48184707bc26bce631485b5b7e34

(4764)

on May 07, 2011
at 07:40 PM

Thanks so much for your help Dexter. It's much appreciated. Answers to your questions: 1)has been testing and tx'ing 25(OH)D for two years and has been maintaining said level at 50-55 ng/mL with a combination of sun (we live in Atlanta and he does see tropical sun in our winter) and 2,000 IU D per day. 2)no foods have changed. covered that ground thoroughly. As I ponder Jaminet's information, I can't help but think of a possible infectious agent - perhaps from an insect bite, a virus, a bacteria... He does hike a lot in the woods and was recently in Colorado and Montana.

Eecc48184707bc26bce631485b5b7e34

(4764)

on May 07, 2011
at 07:35 PM

I'll pull out the worthwhile science from Stone's article and pass it on, as there is some in there. But in general, I fully agree.

06d21b99c58283ce575e36c4ecd4a458

(9948)

on May 07, 2011
at 07:05 PM

Am not a fan of Matt Stone and his recs. KGH and others are not either.

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4 Answers

3
3b7e6c77a5412587152c9e3f22b41c2a

(434)

on June 04, 2011
at 05:27 AM

You know what, Katherine? I've been doing the thing that I warned you against. A guy I know and like and respect tremendously was diagnosed with ALS over a year and a half ago. All this time I've been trying to build up the perfect collection of evidence and advice to offer him. Meanwhile, his disease has quickly progressed and is likely to kill him soon. :-(

Anyway, I've found a few more indications that a ketogenic diet could retard the progression of ALS:

  1. ???Maiming mitochondria in familial ALS - Nature Medicine,??? http://0-www.nature.com.skyline.ucdenver.edu/nm/journal/v10/n9/abs/nm0904-905.html.

  2. ???ScienceDirect - Mitochondrion : Mitochondrial dysfunction and its role in motor neuron degeneration in ALS,??? http://0-www.sciencedirect.com.skyline.ucdenver.edu/science/article/pii/S1567724905000346.

  3. ???ScienceDirect - European Journal of Internal Medicine : Nutrition and Alzheimer???s disease: The detrimental role of a high carbohydrate diet,??? http://0-www.sciencedirect.com.skyline.ucdenver.edu/science/article/pii/S0953620511000045.

Perhaps it is already too late for my friend. :-(

Hopefully this research by Seneff et al. will help others in the future.

Eecc48184707bc26bce631485b5b7e34

(4764)

on June 04, 2011
at 02:50 PM

Moving forward, Dr. S, hasn't been that interested in dietary changes, did eventually take the prednisone, which is helping symptoms, has been told by his doc that his thyroid will eventually quit functioning and he'll need to go on thyroid replacement and is fairly ok with it. He continues to loose some weight and muscle mass. His energy seems to have taken a dive. Yet he's reporting that he feels very good and I'm glad for that. It's really hard though. Thanks for asking!

Eecc48184707bc26bce631485b5b7e34

(4764)

on June 04, 2011
at 02:46 PM

Wow. Yeah, I have a similar story which is why this weighs heavily. A dear lifelong friend, the younger sister of my best friend was bipolar. While I was hemming and hawing on talking to her about nutrition - specifically Stoll's fish oil studies (which had amazing results), she committed suicide. Devastating.

3b7e6c77a5412587152c9e3f22b41c2a

(434)

on June 07, 2011
at 06:07 AM

That is so sad, Katherine. Life is so fragile. There's no guaranteed best way for us to act. Best of luck going forward.

1
3b7e6c77a5412587152c9e3f22b41c2a

(434)

on May 07, 2011
at 08:16 PM

Hello Katherine:

I'm sorry to hear about the scary problem that your friend has. I hope things get better quickly.

I don't have particular knowledge of the thyroid, but I've read many papers related to ketogenic diet, and so if you suggest a ketogenic diet to your friend and he has some specific concern about it then maybe one of the papers that I've read would apply.

So, keep us posted.

And maybe don't stress too much about getting everything perfect. Maybe tell your friend those things that you do already know and then you can come back around later with more information about specific concerns or ideas that he has.

Regards,

Zooko Wilcox-O'Hearn

Eecc48184707bc26bce631485b5b7e34

(4764)

on May 07, 2011
at 09:08 PM

Thanks Zooko. I appreciate your input. Too often, I let "perfect be the enemy of good enough". Must chill. :D

3b7e6c77a5412587152c9e3f22b41c2a

(434)

on June 01, 2011
at 03:48 PM

So, how's he doing?

1
79648d1e9f1a8d25d9450a8a1d18fe64

(395)

on May 07, 2011
at 07:47 PM

Has he been tested for Lyme's?

06d21b99c58283ce575e36c4ecd4a458

(9948)

on May 07, 2011
at 10:08 PM

http://www.aldf.com/lyme.shtml The American Lyme Disease Foundation points out that from infection to symptoms is 3 to 30 days. Does that timeline fit his outing to Colorado and Montana and outward symptoms?

06d21b99c58283ce575e36c4ecd4a458

(9948)

on May 08, 2011
at 02:29 AM

Oh, there is in Colorado. I know I lived there. There are not many cases but there are definitely some.

Eecc48184707bc26bce631485b5b7e34

(4764)

on May 07, 2011
at 08:10 PM

He has not. I was wondering (see above) about insect born disease. This is a real possibility. You guys are making my day.

79648d1e9f1a8d25d9450a8a1d18fe64

(395)

on May 07, 2011
at 07:52 PM

Dr. James Howenstine, a Lyme Disease expert, states, “Profound dysfunction of the hypothalamus, pituitary, adrenal, thyroid glands and gonads is very common in mycoplasmal, fungal, and anerobic bacterial infections. www.rumormillnews.com/cgi-bin/archive.cgi?read=51356 He goes on to say, “There is considerable evidence that many patients with Chronic Fatigue Syndrome, Fibromyalgia, and Lyme disease have an infectious disease. Lyme disease needs to be considered in every patient with a chronic illness.”

06d21b99c58283ce575e36c4ecd4a458

(9948)

on May 07, 2011
at 07:58 PM

http://www.rumormillnews.com/cgi-bin/archive.cgi?read=51356 for a clickable link to Pam's comment

Eecc48184707bc26bce631485b5b7e34

(4764)

on May 08, 2011
at 01:09 AM

We have Lyme disease here in GA (making it a real possibility) but apparently there isn't any in CO or MT.

79648d1e9f1a8d25d9450a8a1d18fe64

(395)

on May 13, 2011
at 12:02 AM

Thanks for the clickable link Dex...

1
06d21b99c58283ce575e36c4ecd4a458

(9948)

on May 07, 2011
at 07:16 PM

Two resources: William Davis at Trackyourplaque http://www.trackyourplaque.com/blog/?s=thyroiditis and this http://www.paleoforlife.org/success/thyroiditis

It would appear that a truly ketogenic diet with 80-85% % fat 15-20% protein plus supplementation with Vit D3 would be an excellent start to getting your friend back to health. Lots of eggs, bacon, liver, heart, kidneys, fatty steaks, fatty leg of lamb, bone broth, lots of coconut oil and perhaps ghee...not butter.

I would also see if you can get a history of foods he ate prior to his sudden change..looking for a change in his normal eating...looking for some sort of food poison that is attacking his thyroid. When he was ok, did he go out and pick some wild mushrooms?

Eecc48184707bc26bce631485b5b7e34

(4764)

on May 07, 2011
at 07:43 PM

Additionally, he travels internationally quite frequently though recent trips have been rather 'tame' - ie Italy. Thanks so much for the links. That's exactly the sort of thing that's helpful.

Eecc48184707bc26bce631485b5b7e34

(4764)

on May 07, 2011
at 07:40 PM

Thanks so much for your help Dexter. It's much appreciated. Answers to your questions: 1)has been testing and tx'ing 25(OH)D for two years and has been maintaining said level at 50-55 ng/mL with a combination of sun (we live in Atlanta and he does see tropical sun in our winter) and 2,000 IU D per day. 2)no foods have changed. covered that ground thoroughly. As I ponder Jaminet's information, I can't help but think of a possible infectious agent - perhaps from an insect bite, a virus, a bacteria... He does hike a lot in the woods and was recently in Colorado and Montana.

06d21b99c58283ce575e36c4ecd4a458

(9948)

on May 07, 2011
at 07:49 PM

Dr K on these boards wants his patients to be at 70 to 100ng/mL serum Vit D3. Upping his Vit D3 dosage to 10000IU a day will give a boost his immune system..ie to activate his killer T cells to go out and kill whatever invading organism he has more efficiently.

06d21b99c58283ce575e36c4ecd4a458

(9948)

on May 07, 2011
at 07:45 PM

http://www.medhelp.org/posts/Lyme-Disease/Lyme-disease-and-Hashimotos-thyroiditis/show/1041927 See this posting and the comments regarding Lyme Disease and Hash thyroditis.

06d21b99c58283ce575e36c4ecd4a458

(9948)

on May 09, 2011
at 01:19 AM

Katherine, roaming around, I found the following re: Lyme's in Colorado. http://www.jonahhorowitz.com/2009/07/lymes-disease-i.html Lyme's Disease does not sound fun.

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