Millions Of People Have This ‘Hidden Disease’… And Doctors Say You’re Fine | Dr. Amie Hornaman

Hinzugefügt: 2026-05-11

[00:00:00]Right here, I'm holding up five pounds of visceral fat. Visceral fat is the nasty fat that wraps around your vital organs that creates pressure and eventually disease. And I have an thyroid expert here, a great friend of mine, Dr. Amy Hordeman. Amy, what is the connection here between thyroid health and fat loss, especially this type of fat, the visceral fat?

[00:00:23]>> So, first of all, the thyroid runs your metabolism. I always say from head to toe, it runs the show of your body. So, it's controlling, it's dictating whether or not you're going to burn. The fat that you grab, you're like, "Oh, I don't like this right here. I'm tight and my clothes are tight here." But the visceral fat, that is what lives on your organs behind the fat that you want to get rid of. That's the fat that causes disease and does its dirty work behind the scenes. We don't think about visceral fat, but we need to because that's what's going to cause disease as we age. That's what's going to kill us sooner. And if the thyroid isn't working properly, your body will lay down fat left and right. I mean, literally, I joke I say you're going to gain weight looking sideways at a brownie. You I mean, you talk a lot about insulin resistance. You literally can gain weight looking at sugar if you are that metabolically broken. Same thing with your thyroid. If your thyroid's in the toilet, you have no control over your metabolism. You could be doing all the things, but you're going to lay down visceral fat on your body.

[00:01:31]>> Gain weight looking at a brownie. It's so You're right. A lot of people feel like they're doing everything right. And that happens. They don't even eat the brownie, but they look at it and they're like, "What's going on here?" And you made a good point. The visceral fat, you can't see it. It's not the fat that you pinch, which is subcutaneous, right?

[00:01:45]>> And that's not necessarily a dangerous fat. This fat that wraps around your organs, that is dangerous. It applies pressure. Of course, we've hear of fatty liver disease. We hear of a fatty pancreas and that's leading to a lot of disease, right? So, a lot of people, they feel like they're doing everything right and their body is still not burning fat.

[00:02:05]You just said if you don't fix the thyroid, you can't burn fat. Go a little bit deeper. What is the connection? How is the thyroid controlling our metabolism? Okay. So the thyroid dictates all hormonal functions. So if we think about the thyroid up top, it's controlling everything below it. So it's controlling every single cell in your body. Your hormone balance, your insulin and glucose balance, your cortisol release, your stress resilience, everything is controlled by the thyroid.

[00:02:32]Now specifically, the thyroid produces two hormones, T4 and T3. T4 is inactive.

[00:02:39]T3 is active. So, it's the T3 that needs to get to receptor sites on your cell, almost like a lock and key. And the T3 finds that that receptor site, inserts the key, turns the lock, and then boom, you have a metabolism. Now, you actually have the ability to burn the food that you're eating as fuel instead of having it stored on your body for later fuel.

[00:03:06]The thyroid dictates that. So, I have seen so many people, and I I was one of them many years ago, that you could be doing literally everything right. I mean, eating a clean diet, glutenfree, watching your carbs, macro counting, going to the gym, lifting heavy, doing biohacking, and nothing will work. In fact, even a GLP1 that people are now taking left and right to lose body fat, I have seen it flat out not work if the thyroid isn't functioning properly. If the thyroid's in the toilet, if the T3 is low, and if something called reverse T3, which is your antiyroid hormone we can talk about, is high, that person's body is in lockdown mode. It doesn't care what their desire is. It doesn't care how much they exercise. It doesn't care how perfect they eat. It doesn't care that they're taking a GLP1. It will hold on to that fat for dear life because it doesn't have the signal from the thyroid to turn on their metabolism.

[00:04:08]>> So, we need to get T3 into the cell is what I'm hearing. And why is it that the gold standard of testing thyroid for thyroid health is not T3 reverse T3, but it's TSH? Mhm.

[00:04:24]>> Explain what TSH is. And let me actually give you this little thyroid here. And you can actually show it to the camera, but is TSH, thyroid stimulating hormone, the gold standard to see how your thyroid is functioning?

[00:04:37]>> Well, it's it's standard of care, gold, I would not give it a gold star whatsoever, but it is standard of care.

[00:04:43]Meaning, when you go into your PCP, your OB/GYN, you go in to talk to your doctor, you say, "Hey doc, I heard this woman on a podcast. I want to get my thyroid tested. They are going to test TSH, thyroid stimulating hormone. Now, what that is is it's a signal from your brain. So, it's literally your brain sensing is there enough thyroid hormone in the body? And then what it does is it sends out a hormone called thyroid stimulating hormone, TSH, to the thyroid gland to basically like poke it, to wake it up. It's like, hey, thyroid, you're not doing a good job. You need to you need to work a little bit better. So now TSH starts to go up a little bit. And then the body starts sensing, oh wow, the thyroid really is not online here.

[00:05:30]Not a good employee. It starts yelling, "Thyroid, let's go, man. Come on, you need to work harder." TSH keeps going above up. So, if the TSH on paper on a lab is screaming at us, you know, if it's a five, a seven, a nine, we go, "Oh my goodness, well, this person obviously has a thyroid problem." But what if it's not?

[00:05:50]>> What if it's within normal range? What if it's within that standard lab value range? Well, we can't stop there because that doesn't tell the whole picture.

[00:06:00]That just tells us what your brain is sensing and and what it's saying to the thyroid. It doesn't tell us how much thyroid hormone this guy's making.

[00:06:10]>> So, when he's pumping out that T4 and T3, doesn't it make sense that we actually test the T4 on the T3? Of course, we want to test the hormone just like we would test estrogen, progesterone, testosterone. Let's actually test the hormones that the thyroid is making to see how much you have. Now, of those hormones, we have to break those down, too. I said already T4 is inactive. T3 is active. We want to look at T4. We want to see how much inactive thyroid hormone you have that almost is like in waiting. It's it's it's has potential to become T3. We want to know how much do you have in your savings account?

[00:06:51]Essentially, T4 is like your savings.

[00:06:54]You can't you can't use a a debit card and take it out of your savings. You have to transfer it to your checking then you can spend it. Well, same thing.

[00:07:01]T4 has to be transferred or converted to T3, i.e. your checking and then you can spend it and then we can use that T3 in our body. So that brings us to testing the free T3, the unbound active thyroid hormone that's going to get to your cells. There's so much more testing that we need to do beyond TSH.

[00:07:24]>> So TSH is the signal to the thyroid to produce the hormone.

[00:07:28]>> Produces T4 inactive.

[00:07:30]>> Yep. needs to be converted to T3 active.

[00:07:33]Without act without that activation, you still might not feel well. You still not might burn fat. You're not going to feel good. You need to get that T3 activated into the cell. You mentioned reverse T3 as as another marker to look at. What is reverse T3 doing inside of the body?

[00:07:50]>> Reverse T3, I would put it equally as important as free T3 for testing. So free T3 and reverse T3, the two most important tests you can get for your thyroid. If you don't have those two markers on, you don't have a complete panel.

[00:08:03]>> Do do most doctors like if somebody goes to their annual doctor appointment and they're doing their thyroid test, are they testing for these markers here?

[00:08:10]>> No.

[00:08:10]>> What What are they testing for? Just >> TSH definitely >> and maybe T4.

[00:08:14]>> Maybe T4. Yeah.

[00:08:16]>> But that's just such a small part of the puzzle here.

[00:08:19]>> In fact, those are the most like >> not important ones.

[00:08:21]>> Not important ones. Like why are we even testing them? But no, you have to request free T3 and reverse T3 and the antibodies that we can talk about. You have to request the specific labs that you want if you actually want to get those tested. So reverse T3 I said already it's the anti thyroid hormone.

[00:08:42]So what it does is and and you know that I know you can appreciate this. Our bodies are so beautifully and wonderfully made. And God knew that in times of crisis when we are in a car accident, we're lying in the ICU or the ER fighting for our life, he built into us this mechanism where reverse T3 will go up specifically because it knows that we don't need to burn fat, make major decisions, feel good, have energy, or even poop every day if we're lying there fighting for our life. So reverse T3 is important because when we're in that situation, we want all of our body's energy shuttled toward healing and survival. The problem is is if reverse T3 is elevated, when we're walking around trying to live life, that sucks. It's like your body feels like you're lying in the hospital, but you're trying to run a business and take the kids to school and and do all the things, but you can't because you literally just feel like you're dying.

[00:09:45]And I've had many patients tell me that they literally feel like they are on their deathbed. It's because their body thinks that they are. So we have to check reverse T3 to see how much of that anti thyroid hormone do you have? Is that blocking T3 from getting to the cell, attaching to its little keyhole and turning on your body? Is reverse T3 outside the cell blocking that? Does your body think that you have that you that you're a bear in hibernation that you are fighting for your life? We want to know that. Now, what reverse T3 also tells us is are you on too much T4 medication? So, the only thing that converts to reverse T3, and I know this might be something that everybody has to rewind and listen to five times, but you'll get it. I promise. And I talk about it in the book. The only thing that converts to reverse T3 is T4. So going back to that standard of care, right? Standard of care for thyroid treatment is you go into your doctor, your doctor tests TSH says, "Okay, then you have a thyroid problem. Here's a pill. You're going to walk out with T4, the inactive thyroid hormone, synthroidid levo. They're going to pat you on the back, wish you good luck, and we'll retest you again in six months."

[00:11:00]>> Meanwhile, you walk out with the inactive thyroid hormone in a pill. It's driving up your reverse T3. It's putting your body into survival mode. And that is why, and I know many people listening to this are going to nod their heads after this statement. That is why so many people say, "Why am I even taking this medication? It doesn't make me feel any better. In fact, I feel worse."

[00:11:22]Exactly. Because you're taking T4 only and your reverse T3 is probably driving through the roof.

[00:11:27]>> Wow.

[00:11:30]At what point here, cuz that's a lot for people to take in who don't know this information.

[00:11:34]>> I know. I know, >> but it's important information.

[00:11:36]>> At what point can people realize that it's it's not their fault.

[00:11:40]>> It's bad information that was given.

[00:11:42]They were not aware. When you know better, you do better. So, what would you say to that person who, you know, it feels like my gosh, like that's me, but it's really not their fault, but it is their responsibility now that they know that. I'd love for you to speak more on that.

[00:11:56]>> I am so happy that you said that because that's the most important message we can give today is that it's not your fault.

[00:12:02]It's not their fault at all. Here's the thing. If we just look at thyroid disorders in general, they occur very, very frequently and they occur from even simple biological processes like pregnancy or parmenopause and menopause, hormonal fluctuations. So, no, that that's not somebody's fault that they're a human being and that their hormones are fluctuating or they decide to have a child. Like, that's not their fault. And it's not your fault that your doctor doesn't know how to test properly, doesn't know how to treat properly. It is what they learned in med school.

[00:12:41]>> Years ago, I talked to a group of integrative wellness physicians and they were transferring, you know, they were the alipathic traditional conventional model and they wanted to open a place in Erie, Pennsylvania, which knew nothing about functional or integrative medicine. They wanted to open an integrative medicine clinic. So, I came in to talk to them specifically about the thyroid. And I was telling them, okay, first of all, here's all the tests that we need to do. You know, we need to test beyond TSH to get the full picture.

[00:13:10]And I said, over here, we need to get out of this synthroidid box that you're all in. That's the only thyroid hormone that you prescribe. I said, if somebody came in with depression, you would try five different anti-depressants, stack on a benzo until you found the right combination for them. But you won't use more than one thyroid medication when we have others available. Why is that? And the one doc raises his hand goes, "That's all we've learned."

[00:13:34]>> So, no, it's not the patient's fault. Is it the doctor's fault? Yeah. They're not being taught thoroughly in med school, but it is their responsibility to go out and learn more. And if they really want to be the best doctor and they really want to help you as a patient live your best life, then they need to expand their knowledge on the thyroid.

[00:13:53]>> Yeah. Now Amy, I have right here a liver.

[00:13:57]The liver I call the MVP of the body, the most one of the most valuable organs in there with the thyroid, of course. Uh those who struggle I see a lot of people struggle on a carnivore diet or a keto diet. Somebody who has the who can't break down fat. We know the liver produces bile. It breaks down fat. Bile is so important for many, many, many reasons. Is there a connection though between liver health and thyroid health?

[00:14:22]Let me just say one more thing here. If that liver is not functioning well, it's hard to burn fat. You store toxins. It's like a sponge for toxins.

[00:14:32]>> You might experience loose stools, diarrhea.

[00:14:35]>> That liver is really important. You might wake up at 2 a.m. 3:00 a.m.

[00:14:39]because that liver is dumping sugar.

[00:14:40]You're raising cortisol. Yep.

[00:14:42]>> So, is there a connection between the thyroid and the liver?

[00:14:45]>> Oh, beautiful connection. Beautiful connection. So the liver is one of the main conversion glands in the body ma one of the main conversion organs. So we convert T4 to T3 in our gut, our liver, >> peripheral tissues and the thyroid gland itself. The liver is one of the main main conversion locations. So, if the liver is clogged, junky, loaded with toxins, we're walking around with non-alcoholic fatty liver disease, how can you possibly convert that T4 to T3?

[00:15:18]So, the liver actually produces enzymes.

[00:15:21]They're deiodinase enzymes and that is specifically what takes that T4 and pulls an iodine molecule off of it and converts it over to T3.

[00:15:31]If we don't have proper enzyatic functioning and our liver can't work the way that it should, you are going to have an elevator reverse T3 because it can't convert.

[00:15:41]>> Then you have another layer, something that you said about it.

[00:15:45]>> We can't, we can't get rid of toxins. We can't push them out of our body. We can't deal with the toxic load that we're being bombarded with on a daily basis. Those toxins are another layer.

[00:15:56]So, it's almost like the liver plays a dual role. Number one, it has to produce those enzymes to convert T4 to T3.

[00:16:03]Number two, it has to filter out those toxins because that is just another category that comes back and affects conversion on its own. So even independent of the liver producing enough enzymes, if we're bombarded with toxins and our liver can't take care of it, that's a whole other factor. So now you're at like a double whammy chance of your body being in lockdown survival mode with an elevator reverse T3. What are some other lies we've been told about fat loss specifically?

[00:16:33]>> Oh, lies about fat loss. Well, I mean the big one is eat less and exercise more for goodness sake because and and I say that and I know that that's so cliche but honestly I still hear it to this day. So in the clinic >> I still hear these women coming in and I heard it 25 years ago during all of my misdiagnosis for my thyroid problem.

[00:16:56]They actually told me to eat less and exercise more. I was getting ready for a bodybuilding show for goodness sake. I brought in my diet on paper. I'm like, "Look, doc, I'm eating chicken, broccoli, asparagus, and I'm doing cardio twice a day. Oh, eat less and work out more." What?

[00:17:10]>> Do more.

[00:17:11]>> Do more. But but these women, they're being told the same thing. They're being told the same thing even in 2026. And that is wrong because you know what they end up doing? They end up starving themselves. They end up taking macro doses of GLP so they don't eat more than 500 calories a day. They end up shutting down their own metabolism. They make their thyroid worse through starvation and overex exercising and driving up their cortisol. And it's a vicious cycle. So that myth is not just a myth.

[00:17:39]It's a dangerous piece of information that women are given.

[00:17:44]>> I I see the same thing even in this day and age. It's unfortunate. You know, the problem with the calorie is calories in versus calories out conversation is that it works in the beginning, right?

[00:17:53]>> You're going to lose some weight, >> right?

[00:17:55]>> But then the body adapts, right? If your body thinks it's in a stressful, fearful state, as you mentioned, reverse T3 will go up because God designed your body that way for a purpose and it doesn't know that you're doing this on purpose because you want to compete for a bodybuilding compos competition or you want to drop 50 pounds. Like stress is stress to the body. When we when we think about thyroid though, because this is a major player here in the metabolism as you referenced, how many people do you think are walking around unknowingly with thyroid issues?

[00:18:25]>> Yes. Okay. So, the stats, the published data that we have right now is 1 in eight Americans, but that's not accounting for the undiagnosed and the misdiagnosed. That's not accounting for the listener listening right now going, "Well, my doctor said my thyroid is normal, but I'm still gaining weight and losing hair and I'm constipated and I'm fatigued." Um, so now maybe bam, maybe it is my thyroid. That's just the totally undiagnosed. Now, the misdiagnosed are the ones who are like, "Um, Susie, you might have subclinical hypothyroidism, but we're not going to give you treatment for that. We're going to give you an anti-depressant instead."

[00:19:05]So, we have this huge subset of people walking around with symptoms. Yes, it is their thyroid, but they're not being acknowledged. I would put the stat one in three.

[00:19:16]>> Wow. Especially with women. Especially with women.

[00:19:19]>> You have a new book coming out tomorrow, The Thyroid Fix, the No Nonsense Guide to Fix Fatigue, Foggess, and Fat That Won't Bud. Jocket.

[00:19:30]We already dove a little bit into the thyroid and talked about labs. What else can they expect to discover when they read or listen to your book?

[00:19:38]>> So, then I built that book. Remember back in in our younger years, the Choose Your Own Adventure books? Yeah.

[00:19:44]>> Remember those? I love those.

[00:19:46]>> I wanted to give my audience, the reader, something totally different than what they're used to in all the other thyroid books on the market. So, I joke. I say, "It's not a diet plan. It's not a workout plan. It's not a recipe book. It's not a sprinkle adrenal fairy dust on your head and do a rain dance and your thyroid will heal, right? It is not that. It is real core science, but in a way where we're just sitting here talking and and I'm your best friend and we're going to figure out your thyroid problem together, but we're going to do it in a way where we go, okay, if this then this. So if your reverse T3 is and I give specifics in there. If your reverse T3 is between a 16 and a 20 and you are on then you move over here and you are on synthroidid or levo only then here's what you need to do. You need to drop your T4 medication and add in T3. I joke. I say it's gonna make the the buttholes of many a doctor pucker because they're going to be like, she's talking about medication and she's actually teaching people what they need.

[00:20:52]>> How dare you, Amy.

[00:20:54]>> That's our job. Well, you guys haven't done a great job at it, so I decided to take into my own hands.

[00:20:58]>> Yes. Yes.

[00:20:59]>> And you know what the bottom line is?

[00:21:00]The patient is so powerful and knows their body far better than any white coat out there. And that's not slamming the white coat. That's not slamming the doctors, but it's putting the power back into the patients hands to know exactly what their Vonyie needs and to be able to ask for it.

[00:21:17]>> You know what's really cool is that we live in a world right now where the patient knows more about the body >> uh >> than the doctor. Like the thyroid, right? They could read your book. They will read your book. Go get the book.

[00:21:32]Once you read it or listen to it, you will know more about your thyroid and your metabolism than your doctor who unfortunately it's not the doctor's fault. It's their standard. They're training it. They're not trained on this.

[00:21:44]>> Yeah.

[00:21:45]>> So, how cool is that that we could empower ourselves and we can make a change and we could feel better. I am curious though, you know how much I love fasting.

[00:21:52]>> Yeah.

[00:21:53]>> I know you love it too.

[00:21:54]>> Yeah.

[00:21:56]>> We see fasting kind of come and go in terms of its popularity, right? 2019 it was super popular and then it kind of died down, but it's always going to be around. It's such a powerful tool. It's been around forever. There's nothing new about fasting. I see people reference fasting as too stressful. Women should not fast. If you have a thyroid condition, you should never fast. And while there is some truth to that message, fasting is a stress. Does it mean that if you have a thyroid condition, a thyroid issue, you should never fast?

[00:22:24]>> No. No. Everybody wants to take these huge polarizing stances on things. It's kind of like, can't we just meet in the middle and figure out a middle ground?

[00:22:32]Yes, we can. So, for fasting, no. I don't like my ladies to do like an OMAD, like a one meal a day, right? Because it is a little bit stressful on the body.

[00:22:43]It can stress the thyroid a little bit.

[00:22:44]And, you know, women just aren't good at getting in their protein in one meal.

[00:22:48]>> True.

[00:22:48]>> It's really hard. It's really hard. So, something extreme like that, no. But, can we meet in the middle? Can we, let's say, do how about a 14-hour fast? maybe a 16, like cap it to 16, ladies. And that's enough time for you to get all of the benefits of fasting, all of the benefits of autophagy without having it increase your cortisol, downregulate your T3 production. Now, it's a little bit different if you're going to be fasting for, let's say, cancer prevention. If you're going to plan out a five to 7 day water fast, that's different. We know that the body's going to take a little bit of hit at that time, but we we're doing it for another purpose, a greater purpose. We also know it'll recover on the other side. But what you and I are talking about right now is the dayto-day practice of fasting. For my ladies out there, I like them to keep it 16 and under. Really?

[00:23:43]>> Yeah. Makes sense. It really does. It gives them enough in their eating window to get enough protein. How much is enough protein? What is your general recommendation? one gram per pound of lean body mass. So whatever your your happy weight, your fighting weight, that's your that's your lean Yeah. your high school weight, that's your lean body mass.

[00:24:00]>> So if somebody watching listening is let's say they weigh 180 lbs, but their ideal body weight is let's say 40 lbs, they should aim to get 140 grams of protein most days is what you're saying.

[00:24:11]>> Yeah. Aim for that. I mean, are you always going to hit it? No. Listen, if you hit 120, that's a win star. Yeah.

[00:24:17]But if you do OMAD one meal a day, you probably will never hit that. I mean, I'm a guy. I'm 6'2 and, you know, over 180 or 180 pounds. I could consume 100 grams of protein in a single meal, maybe 120. Most women cannot, >> right?

[00:24:31]>> And uh it would be very uncomfortable to try to force that in.

[00:24:34]>> Yeah.

[00:24:34]>> Um, you know, with I want to talk about insulin resistance because this is a big piece here. I know from the research I did with my previous book around 93% of Americans have some sort of metabolic dysfunction. And the first thing is hyperinsulinemia which could be happening for many many years before blood sugars begin to shift. What is the connection between the thyroid and elevated levels of insulin specifically hyperinsulinemia?

[00:25:00]>> Oh, it's huge. It's huge. And and I love that stat that you gave in metabolic freedom because I use that all the time.

[00:25:05]I mean, it's mindblowing. It is mindblowing. 93% >> 93 out of 100 people. It's insane.

[00:25:12]>> Crazy. It's crazy. Well, really all you have to do is go to Walmart, go to mall, like you're like, "Yeah, it is >> 93 or the airport. You just see it."

[00:25:19]Yeah. It's unfortunate. Yeah.

[00:25:21]>> Yeah. So, the thyroid again going up to the master gland at the top. I always go up here at the top. The thyroid, I always talk about a thyroid insulin cholesterol triangle. So, I'll pull that in now and then we'll tie it to the rest of the body too. So, the thyroid controls insulin. I have seen so many people with elevated insulin levels on a keto or carnivore diet all because their thyroid is not functioning properly.

[00:25:48]It's like their body doesn't get the signal of what they're doing over here with their food. It it doesn't understand it. It's literally it's it's seeing a steak as a candy bar and it's seeing broccoli as as a I don't a piece of pizza. I mean, it's it's just insane.

[00:26:05]and their pancreas is pumping out insulin left and right. The insulin can't get to the cell. They're totally insulin resistant. They're gaining weight. They're like, I'm doing carnivore. What gives? But it all comes back to the thyroid. Now, the reason why I say the thyroid insulin cholesterol triangle, as you know, as you've talked about, insulin drives elevated cholesterol. Not red meat, not butter, right? It's not the 1990s anymore. We now know that that high glucose, high insulin, sugar, processed foods drives cholesterol. So, we see the thyroid controlling insulin. We see the thyroid also having control over your lipids.

[00:26:38]So, you could very well have an elevated lipid panel. That's a whole other podcast, what's elevated, what's not.

[00:26:44]But, let's say you have wonky cholesterol numbers because your thyroid's off. Is the thyroid >> disregulating your insulin, throwing off your cholesterol? Is it a direct effect?

[00:26:54]Yes. And all of the above. So, again, the thyroid is going to control insulin and cholesterol. Now with insulin when we see that insulin resistance insulin resistance is one of the many factors that drive up reverse T3. So what we were talking about earlier the survival mechanism hormone the hibernation hormone the anti thyroid hormone reverse T3 that is driven high by insulin resistance estrogen dominance vitamin D magnesium iodine selenium deficiencies so certain mineral deficiencies and certain genetic snips can drive up reverse T3 but insulin's insulin resistance right at the top there so again you have another connection just like with the liver you have that direct connection And then you have an indirect connection where yes, the thyroid is going to be low and slow. Insulin signaling is going to be off. That elevated insulin is now going to drive up reverse T3.

[00:27:48]>> It all makes sense to me. I want to dive into uh supplements in a little bit on what you recommend uh which you believe are the best. Kind of mentioning the few there, but before we get there, you know, based off of the book, The Thyroid Fix, can you share with my audience one thing they could remove from what they're doing now that you haven't mentioned to help improve thyroid function? and then one thing they could add for the same uh benefit.

[00:28:09]>> Okay, so one thing they can remove and and and I say this in the book, gluten-free is not a fad. It's not a fad. It's really not a fad. So we want to go gluten-free because the thyroid, it actually when we look at this under a microscope, it has a very similar structure, molecular structure to the protein giadin. So gluten contains a protein called glyadin. We can look at both under a microscope and go, "Wow, those look a lot alike." Well, the antibodies that you have in your body to if you have Hashimoto's, which 95% of all hypothyroidism is the autoimmune form Hashimoto's.

[00:28:51]>> Wow.

[00:28:52]>> So whether you know it or not, if you have a thyroid problem, you have a 95% chance that it is Hashimoto's. Maybe your doctor just didn't test your antibodies. Not sure. Those antibodies are like little soldiers. That your soldiers are are conditioned and programmed to think that your thyroid is a bad guy. They think that this this little guy is is an invader and they go out and they start beating it up. So over time with Hashimoto's, we can actually see the thyroid change under on an ultrasound.

[00:29:24]>> Would it would it look anything like these right here?

[00:29:26]>> Oh yeah. Let's Hey. Okay. So, it's going to get a lot smaller. If I have a nodule, it looks like eaten up. This one looks like >> It does look like It looks like my dog chewed up here.

[00:29:37]>> Yeah, exactly. And that is that's the soldiers destroying your own thyroid gland.

[00:29:43]>> That's the immune the immune system's attacking it.

[00:29:45]>> Your immune system. So, over time, you know, it gets smaller and smaller. The last thing we want to do is build our army and and launch wars every single day >> by yourself. You know, >> on yourself on your own gland. So when we eat gluten, your little soldiers that are programmed to think this is a bad guy, they go, "Oh, hey, there's something coming in the body here that sure does look like the thyroid gland. I don't know, guys. What do you think?

[00:30:15]Should we start?" Yeah, let's go. and they go out and they literally launch an attack on your thyroid, destroying it, making it itty bitty, and they're also building your army. So, just by going glutenfree, which is so easy these days, there's no excuse. Just by going gluten-free, you can lower your antibodies and literally stop the attack on your thyroid.

[00:30:36]>> It's a good tip. Now, what if you're in Europe and it's a different type of gluten there than we have here? Would you be okay with having that sort of gluten? Oh, that's a great question. I don't know.

[00:30:48]>> Now, I know anecdotally every single person I know who has gone to Europe, even some celiacs, they're like, I can eat pasta in Italy.

[00:30:58]>> Pretty incredible.

[00:31:00]>> So, I would argue, yeah, you could because it's not the same denatured Frankenstein type of >> dwarf wheat that we have here.

[00:31:09]>> Exactly. Yeah. Okay. So, if you have a thyroid condition, number one, remove gluten. Remove wheat. go gluten-free as much as possible. Hopefully 100% of the time. That's what you're removing. What can we add in now?

[00:31:21]>> Adding in Well, do you want do you want food or it can be anything?

[00:31:26]>> Let's do food.

[00:31:27]>> Food. Okay. Adding in I don't like people getting their iodine from food. So, I'm not going to say like seaweed or kelp.

[00:31:36]>> Interesting. Why is that?

[00:31:37]>> It's not a complete source. It's And it can't have heavy metals in it, too, which we don't know, which is going to make things worse. You know, truthfully, there's nothing I can think of that they can add in except just protein, which doesn't directly affect the thyroid, but is just so good for the overall I mean, every function. Now, if I I go one step further with the protein, amino acids, >> the amino acid, tyrrosine, elyroine helps the thyroid gland produce more T4 and T3. So, just by eating high amino acid content, i.e. animal-based protein, you're going to be getting more of that amino acid in. But there's truthfully there's not a specific food that I can say like, well, this food will help improve your thyroid function. Not necessarily.

[00:32:21]>> Yeah, I could appreciate the honest answer. So, I like that you distinguish though with the protein like you're talking about animal-based protein. This is very different than plant-based protein.

[00:32:30]>> Yes.

[00:32:30]>> Now, let's transition transition to the supplementation. Um, you know, if you come into my house here, and I'll show you my house after, and you look at my pantry in the kitchen, >> it looks like the vitamin shop.

[00:32:40]I know >> it's like, oh my gosh, you take all this? Well, no. I kind of rotate and targeted and but the average person doesn't have that sort of pantry like you and I have and they have a certain budget that they could afford these supplements. We want to be, you know, understanding of that. So, if somebody could, we choose three supplements to help support thyroid function. We're not talking about specifically uh Hashimoto's or hypo or hyper, but just thyroid health in general.

[00:33:06]>> What would be those three supplements?

[00:33:08]So, I would go with number one, the most controversial, iodine. Number two would be magnesium, which we're all deficient in. Magnesium is vital for T4 to T3 conversion. It's kind of along the same lines as selenium. So, put those two together.

[00:33:22]>> Okay, that's fine. We'll take one little because then the third one I want to add in as elyroine.

[00:33:28]>> Ah, the amino acid talked about amino acid.

[00:33:31]>> Okay, so um we have selenium and magnesium, we have iodine, and we have elyroine, >> right? Iodine.

[00:33:38]>> Yes, >> there's a lot if if people go on the internet and let read blogs on thyroid health and and iodine, you read things that say you should never take iodine if you have Hashimoto's, if you have hypothyroidism. It's going to create a thyroid storm.

[00:33:52]>> Could you break down exactly the role of iodine with the thyroid? He explained it earlier, but a little bit more. And how do you actually use it the right way?

[00:33:59]>> Yes, this is so important. So important.

[00:34:02]Okay, so I just go back to science.

[00:34:04]Iodine on the periodic table kind of going back to seventh grade chemistry work >> periodic table of elements iodine is next to broomemide or bromine chloride chlorine fluoride florine the h hallogen hallide family.

[00:34:21]What we know about the human body is that every single cell also has a receptor site on it for iodine.

[00:34:28]However, if you don't have enough iodine, it those toxic hallides compete for that receptor position.

[00:34:37]>> We are exposed to chlorine, fluoride, and broomemide all every single day.

[00:34:43]Even if you have all the things you have a whole house water filtration system, cool. Do you ever eat out? Do you take a sip of their water? Do you drink the club soda? Do you grab a bottle from the store when you're on a road trip? Of course you do. Even the vegetables, they're they're washed in that water.

[00:34:58]Yeah.

[00:34:58]>> You can't control everything. We all use fluoride toothpaste at some point. I did those little pink pills from the dentist that, you know, fluoride treatments, whatever. We're being exposed every single day. So, we are at huge competition with those toxic hallides that are toxic to your thyroid, but also toxic to your body. I mean, they're carcinogenic. They can cause cancer. So iodine is the only thing that will come in and knock those off of the receptor site on the cell. So right there you go.

[00:35:27]Um yeah, so why wouldn't I take iodine?

[00:35:30]All right. Well, let's take it a step further. Iodine is antiviral, antibacterial.

[00:35:34]Um it it it helps improve my immune system tfold. I mean, I haven't been sick in a couple of years. I take iodine every single day. We know that your thyroid gland needs iodine to produce thyroid hormone, but it also needs that iodine to convert T4 to T3. One of the biggest causes of elevated reverse T3 outside insulin resistance is low iodine. Now, here's the problem. Now, I'll get to the controversy.

[00:35:58]Yes, there are people out there saying, "Oh my gosh, it causes hyperthyroidism and a thyroid storm." Yeah, if you take too much, and I really believe that that's where it got the bad reputation that it has now. Practitioners were starting people off on 25 to 50 milligrams a day. And that is high. That is high. And in certain cases, like Dr. David Brownstein, he's an iodine guru. I love him to death. He talks about using that high of a dose in patients that he had that had cancer and that they were literally detoxing broomemide from their from their breasts onto their bras and night gowns. Well, yeah, there he's using a higher dose for a greater purpose. For us folks, average every day that we just want to support our thyroid and support our immune systems. You could take like six milligrams, 12 milligrams, like keep it on the low end.

[00:36:48]And I love using dropper I like liquid iodine.

[00:36:51]>> You control the dosage. Yeah.

[00:36:53]>> So you can titrate, you can control, you can go up a dose, down a down a drop, whatever. And I really like nent iodine.

[00:37:00]So I I I've been studying this now Ben for like three years because I heard a lot about lugalls which is kind of your OG iodine formula potassium iodine iodide versus a nasent it's a monoatomic nasent iodine and I was looking at both of these types of iodine going all right which one is the best which one is I fell on nasent because it's more bioavailable and it's gentler so the problem with the lugalls is some people will take it and they'll be like whoa Oh, did I just drink five Red Bulls?

[00:37:31]What's happening right now? Okay. Yeah, you went a little It's hit me a little too hard. You did one drop too many.

[00:37:37]That's okay. You back off the next day to the lower dose. But Nason doesn't punch in the face like that. It's It's much more gentle, much better, well tolerated by everybody that I know. And you just do a drop a day and go up by one drop per day in a small amount of water until you reach your desired dose.

[00:37:57]and your body will tell you what that desired dose is.

[00:38:00]>> Speaking of your body telling you things, I I'm a big believer that the body's always communicating to us through symptoms, the body's check engine light. And with the thyroid, what are the what are the top symptoms to pay attention to that your thyroid is maybe whispering but going to scream at you eventually to pay attention? What are those top warning signs the thyroid is showing you that there's something happening underneath the surface here?

[00:38:23]>> Yep. The top ones would be weight gain or the inability to lose weight, hair loss, hair thinning, hair breaking, fatigue, but like extreme fatigue, crushing fatigue. You wake up and you don't feel like you slept. It's 2:00 p.m. and you really really want to take a nap. That crushing fatigue, constipation, >> mood swings, or just low brain function, you know, kind of like that like I just can't find my words. I just can't remember things. I feel really depressed or I'm anxious for no reason. You know that just that low mood, the outer corners of your eyebrows missing >> will start to see this thinning of the outer corners of the eyebrows in people.

[00:39:05]And that's a classic classic sign of hypothyroidism. And then the one that I spot most on celebrities that I just want to reach out and be like, "Let me yell for you, Rachel Ray. Come on, man."

[00:39:15]The the swollen. So the thyroid gland can actually develop nodules and become swollen.

[00:39:22]>> You could see >> you almost see like a fat ring or like a swelling in the neck.

[00:39:27]>> Yeah.

[00:39:27]>> Yeah. Interesting.

[00:39:29]>> And that's a huge visual sign.

[00:39:31]>> Interesting.

[00:39:32]>> So Rachel Ray has that.

[00:39:34]>> I'm telling you, >> Rachel Ray. Somebody tag Rachel Ray.

[00:39:37]Let's get I can help her. Yeah, this is a this is the pro right, Eric.

[00:39:41]>> All right. Fatigue you mentioned as as one of those symptoms symptoms, but like >> tell me more about the fatigue part because >> I think most people feel tired all the time. Yeah. Right. They're they're relying on stimulation, caffeine, 4hour energy drinks. But the type of fatigue that you're explaining is like >> you just crash hard. You can't focus. Is that what you're saying? Like you sleep for eight hours, but you wake up and you're still not restored.

[00:40:04]>> Exactly. Like if you do, we'll have the subset of people that are like, I slept for 8, 10, even 12 hours. I don't have the people that like I can't sleep at all. I I have insomnia, but then I take a nap during the day and their sleep is all messed up. So, it could be either end of the spectrum. But really, independent of the quality of sleep that you're getting, you are just tired like you it's it's that whole body fatigue.

[00:40:29]It's that >> I can't I can't even think about walking right now or working out, doing anything. I mean, I've had I've I did not have it that badly, thankfully, but we've had many a patient that has had to quit their job. They literally could not go to work. I mean, and that's really where the thyroid starts starts affecting other areas of your life. You know, we we talk about the fat, the hair, the aesthetic things that people notice every single day, but just like you mentioned in the very beginning with the visceral fat, there's the longevity aspect with thyroid. There's your increased risk of cancer, increased risk of heart disease and type two diabetes. And then there's just the the social relational aspect of hypothyroidism in that it starts affecting your desire to go out to be with your friends. You don't want to go to happy hour because you're going to be 5 lbs heavier the next day. You don't want to go on vacation with your family.

[00:41:26]You're going to be 10 pounds heavier after you come back from that. You c you can't even think to go to work. You don't have the energy. You don't have the energy to be intimate with your partner. I mean it trickles and it it has these tentacles that starts affecting every single area of your life.

[00:41:41]>> What what's a weird symptom? One weird very weird symptom that most people never relate to the thyroid.

[00:41:47]>> Frozen shoulder.

[00:41:48]>> Frozen shoulder.

[00:41:49]>> Yeah.

[00:41:50]>> Tell me more.

[00:41:50]>> Frozen shoulder. So in the book I go into that in a section where the thyroid has control over the muscle fibers and firing and and communication and nutrient delivery and circulation because if you think about hypothyroid low and slow hypo low and slow think of everything in your body is slowing down.

[00:42:13]So your recovery from an injury is slow, your circulation and nutrients getting certain places is slowed down. So frozen shoulder is a very very common symptom of hypothyroidism.

[00:42:27]Often you know diagnosed as an overuse injury.

[00:42:30]>> Yes.

[00:42:31]>> Or you know whatever lifting you're lifting you're doing CrossFit too much.

[00:42:35]But that can't if it's if it's stacked with the other symptoms that we talked about it can be a sign of hypothyroidism.

[00:42:41]>> Interesting. Makes sense. That makes a lot of sense. Okay. What if somebody suspects it's their thyroid? And I I suspect every single person watching listening is is thinking that right now or most people. What's the first step they should take here?

[00:42:54]>> Get the book and then >> get your thyroid fix.

[00:42:57]>> Learn more right here >> cuz in there it's going to give you all the other step. But no, the >> first step is this. What's the next step after that?

[00:43:02]>> Test.

[00:43:03]>> Test.

[00:43:04]>> Just you know, you got to get the data.

[00:43:06]>> Let's let's run let's run through those labs again. And so, so, hey, grab your note, your notepad, and your pen because she's going to run it down, and there's going to be more than what she shared earlier. Go ahead.

[00:43:14]>> Yep. Exactly. So, on the one-sided piece of paper, I want you to bullet list your symptoms. So, just all of the symptoms.

[00:43:20]That's what you're going to do. That's what you're going to bring into your doctor. Your doctor is going to want to see your symptoms to get the diagnostic codes for the tests that are going to be on the right hand side. So on the right hand side of the paper you're going to write TSH free T4 F re unbound free T4 free T3 reverse T3 and then TPO which stands for thyroid peroxidase antibodies and TG which stands for thyrolobulant antibodies or you might see it as an anti-TGA.

[00:43:53]>> So there's six markers to get there but you're going to write down your symptoms because that's going to let you get to the testing. So, you have the six markers. Rewind this if you need to.

[00:44:02]That's going to be your your next step after you actually re read the book. Um, you know, you you mentioned I've interview interviewed you before and you shared your story before, but there's a lot of people that are watching and listening now who don't really know your story. So, I'd love for take this opportunity for you to share like why are you writing this book? Why are you so passionate about helping so many people reclaim their health, Amy?

[00:44:26]>> Yeah. Well, because I was there. I was there. I was there in your shoes. I was suffering. Now, this is 20ome years ago, but I was doing all the things. I was I was in contest prep mode for a bodybuilding fitness show. I was eating the chicken, the broccoli, the asparagus, and doing the cardio twice a day, which is insanity. But but that is proof that I was literally doing all the things. All the things.

[00:44:50]>> When was this? How long ago?

[00:44:52]>> This was when I was around 22. So, about 30 years ago.

[00:44:55]>> Two. Two years ago.

[00:44:56]>> Oh, yeah.

[00:44:58]years ago.

[00:44:59]>> All right.

[00:44:59]>> But yeah, like 30 years ago. Um I can't believe it's been that long.

[00:45:04]>> Wow.

[00:45:04]>> But yeah, the scale just kept going up now. You can't see it. I'm sitting, but I'm 5'2.

[00:45:11]>> I I'm I'm itty bitty. So, picture an extra 40 lbs on my 5'2 frame. That's uncomfortable. It's depressing.

[00:45:18]Especially when you are doing all the things. And especially when I was seen, you know, in my community at my gym as the girl who competes. I mean, that wasn't my first show. I had done fitness modeling. I had done other competitions.

[00:45:31]I was training other girls to do competitions. So, then it was like, "Oh, she's cheating on her diet, isn't she?

[00:45:38]Look at that." I mean, I was hiding under sweatshirts, hiding my body, embarrassed, frustrated. And that's why I say when it starts affecting other areas of your life. I know that firsthand. I didn't want to go to work.

[00:45:50]I didn't want to have sex. I didn't want to go out. I didn't want to get dressed.

[00:45:54]Like, scrubs were tight. Like I remember working at a at a medical esthetician office and and my scrubs were tight.

[00:46:00]Like that's bad. So I know firsthand what it's like. And I was in a major medical system. And that's the most dis disappointing part. I wasn't in like Podunk USA. I was in the UPMC medical system. That is equivalent to Mayo Clinic, equivalent to Cleveland Clinic, Rochester. This is where all the people go because they think they're going to get the best of the best care. And six doctors told me I was normal and fine.

[00:46:24]Six misdiagnosed me. Six gas led me. One of them told me to eat less and exercise more.

[00:46:31]>> So going through that, like even in my 20s, I knew I'm like, how many people are suffering with this? How many people are suffering the same way I am, who who maybe don't have access to a major medical system or for that matter, even if they do, they're getting misdiagnosed like I was. So that's what led me. I mean, it was it was functional medicine that saved my life. So that's what led me into functional medicine so that I could do this for everyone else.

[00:46:59]>> Wow.

[00:47:02]There's a good percentage of people who feel like their body is just fighting against them, working against them. They feel they feel like their their body is broken. I hear that all the time. I see the YouTube comments, Ben, my body feels broken. Um is is this what aging feels like?

[00:47:17]You know, what would you say to that person who feels that way that that their body is working against them? Is this what aging is going to feel like for the rest of my life? Like what's the message you want to give this person?

[00:47:26]>> Okay. So, we have to remember that our bodies weren't built that way.

[00:47:33]Our creator did not build our bodies broken. They He didn't build it to be fat, foggy, and fatigued our whole life in pain, frozen shoulder, migraines, muscle pain, joint pain, depressed, constipated, overweight, dealing with all these band-aid medications and and frustrations.

[00:47:51]No, we were built to be vital and to live our best life and to be healthy, but we have to do things to make sure that that happens and to make sure that our body falls in line with what it's supposed to. So, I would say to that person, it is not it's not your fault.

[00:48:08]it it please have hope because things can change and just because you're hearing from doctor number one or doctor number seven or doctor number 10 that you're normal and everything is fine if you know deep inside that you're not if you know that this is not how your body was made this is not what you are used to then keep going do take that next step do not stop until you get an answer and a blueprint and a direction of of which way to go to to regain control of your health, to get your body back. It can be done. I I promise you, it can be done. We do it all the time in the clinic. I have another program called Total Thyroid Fix where I teach people exactly what I do in that book. I teach you how to read your labs. I teach you what medication you need. I know this can be done. I know we can give power back to the people. They just have to believe it. So, that it has to start with hope.

[00:49:01]>> You got to have hope that you can change. If I lost hope at doctor number five, which anyone would have said, "Well, sure." I mean, that's logical. I mean, five doctors told you you're normal and everything is fine. If I would have lost hope, I would not be here right now.

[00:49:15]>> Amen. All right. Before I ask you this last question, your book, The Thyroid Fix, comes out tomorrow, as I mentioned, where is the best place for my audience to go get the book?

[00:49:24]>> Oh, Amazon, Barnes & Noble, Target, wherever you wherever you feel like it.

[00:49:29]But if you go to a bookstore, and here's the key. So, we are having a an all day live event on May 16th. So, wherever you go to get the book, if you go to a book store, Barnes & Noble, Target, and I'm I'm taking this off of your idea. I love I love this idea, just for the record, >> and you email your receipt to [email protected].

[00:49:51]D R A infodamy.com.

[00:49:55]What we're gonna do, if you buy it from a bookstore and support those local bookstores, >> we're gonna do an an a twohour intimate Q&A. That's awesome.

[00:50:04]>> Where it's just everybody that buys the book from the bookstore. Now, if you're like, I don't want to go to a bookstore.

[00:50:09]I want to buy it from Amazon. Okay, that's fine. You still get a ticket to the Zoom room of our all day event.

[00:50:16]That's the only way that you're going to interact with me. That's the only way you're going to have your labs read, get questions answered. everybody else is going to watch on YouTube and that's fine, but you want to interact, you want to ask questions and be right there in the room, you got to buy the book before May 16th.

[00:50:32]>> That's a cool opportunity. Yeah, go get it. The book's available on paperback, which I do recommend you go to the bookstore to get.

[00:50:38]>> Uh I usually what I do is I I'll buy the paperback and then I'll get the audio version, uh Audible or Spotify, and I I kind of do both. I read and I listen.

[00:50:46]Then, uh Amy narrated her audio book.

[00:50:48]So, do both. Or if you're more of an audio person, then get the audio. It's it's Amy's voice. Uh and um you know, you get that cool consultation, not consultation, but Q&A with Amy, which is awesome. Uh the last question, you know, the theme of this conversation today, I love it because I'm all about this. I'm all about understanding that God created your body to heal itself and it needs to feel safe. And if it doesn't feel safe, your body will do everything it needs to protect itself, which means you won't burn fat, >> right? which means you have all these symptoms because it's these symptoms are a gift from that innate intelligence.

[00:51:23]>> Yes. Oh my gosh, I say that all the time. I love that you said that >> 100%. We're totally lied.

[00:51:29]>> And what I believe one of the best ways to lower the stress hormones, put your body in a state where it feels safe so it could digest food, it could burn fat, it could produce T3 and let it enter the cell is with gratitude. And I call it vitamin G.

[00:51:44]>> Yes. And you know, gratitude is incredible. It's not a practice. It's a feeling. And what's really amazing about gratitude is the second you feel it, you produce oxytocin, GABA, dopamine, cortisol drops, and your body's in this healing state like automatically. So I I want you to be there right now by asking you the question, what are you grateful for? What do you want to give vitamin G for today, Amy?

[00:52:07]>> Oh my gosh. Well, actually, as you were talking, I felt it.

[00:52:10]>> Yeah. and and I actually just sunk in and I was like, I am just so grateful for the here and now, like to be here with my friend talking about this in this beautiful studio in a beautiful city, like just in the moment. And I think that's the thing that that we miss so much, especially in the rat race that we're in. We're always thinking about the next thing, the next thing we have to do instead of just dropping in and and literally being present. And that is that is what actually sunk into me when you were talking. I'm like, I'm just so grateful to be here with you. Like this is amazing.

[00:52:45]>> Uh it is amazing. I love it. I appreciate you, Amy. Uh this is a fantastic conversation. I always learn when I get to hang out with you. Uh real quick, share with my audience where they could learn more about you, your website, and anything else.

[00:52:56]>> Yes, absolutely. So, drammy.com, dam.com, and then you can go to the book. You can buy the book anywhere, but if you go to thyroidfixbook.com, you'll also see the bonuses on there.

[00:53:07]We're going to leave those up until May 16th as well. So, you can win a year supply of thyroid fixer. You get 20% off fixer formulas. You get access to a private vault of podcasts that haven't been released yet. We all kinds of stuff there. And then you can of course find me on YouTube, on Instagram at dramyhornman.com.

[00:53:26]And our Facebook group, I want to mention that because I mentioned the book too. It's called Just Fix Your Thyroid. And anyone who's been in different Facebook groups, they might roll their eyes like, "Oh gosh, those Facebook groups, they're just a bunch of complainers." I know. I get it, right?

[00:53:40]Like I've been in other Facebook groups, too. And I'm like, "All these people are doing, they're just complaining or they're selling multi-level marketing products. Like, what is this?" I have curated this group. I mean, it is love.

[00:53:52]It is support. It is real advice.

[00:53:56]Nobody's in there selling a multi-level marketing product. Like it is real genuine love, support advice from me, from my NPs, from patients that have been with me for five years that half of them know more than I do now >> at this point.

[00:54:07]>> It's awesome.

[00:54:08]>> So I I really encourage people to join that group, too, because it's a great place. Even if you're like, "Ah, geez, I still don't know if I have a thyroid problem. Maybe get the labs done, pop them in the group, we'll we'll decipher them for you."

[00:54:18]>> That's awesome. We'll we'll put that in the notes. Well, thank you, Amy. Go get the book, everybody. It's out tomorrow if you're listening to this interview on the day of release. It's called The Thyroid Fix with Dr. Amy Amy Hornman.

[00:54:28]Thank you guys for tuning in. Thank you, Amy.