An online continuing education course for nurses, medical health professionals and others interested in understanding Hashimotos Thyroiditis disease, causes, symptoms, lab tests and treatment options from both a holistic and Western medicine approach.
Hashimotos Thyroiditis is named after Dr Hakaru Hashimoto in 1912. Dr Hashimoto described in a paper originally published in Germany a set of symptoms specific to autoimmune thyroiditis.
According to the American Thyroid Association, it is estimated that over 12 percent of the general population has a thyroid disorder, and up to 60 percent of those with thyroid disease are unaware of their condition. This includes thyroid cancers, nodules, hyperthyroid and hypothyroid disease.
There are three types of hypothyroidism: primary, secondary and tertiary. In secondary hypothyroidism, your pituitary gland isn’t stimulating your thyroid to produce enough hormones. In other words, the problem isn’t with your thyroid. The same is true with tertiary hypothyroidism- the hypothalamus does not produce enough TRH, or thyrotropin releasing hormone. TRH plays and important role in stimulating the pituitary to produce enough TSH, thyroid stimulating hormone.
In primary hypothyroidism, your thyroid is being stimulated properly. However, it isn’t able to produce enough thyroid hormones for your body to function properly. This means that your thyroid itself is the source of the problem. The most common cause of primary hypothyroidism is Hashimotos thyroiditis. Hashimotos thyroiditis is estimated to be the cause of over 90 percent of primary hypothyroidism.
The goal of this continuing education program is to educate all levels of providers and those interested on the autoimmune disease known as Hashimotos thyroiditis. This course will discuss how Hashimotos is diagnosed. An overview of lab tests and how they are used to diagnose and treat Hashimotos will be covered. A comprehensive holistic approach to diagnosis, treatment, and natural modalities will be covered, including nutrition, exercise and stress reduction in the treatment of this disease. Pharmacological interventions will also be discussed.
Note - The student should have a thorough understanding of thyroid anatomy and physiology before taking this course. The course “Thyroid gland overview” covers the necessary anatomy and physiology needed and is highly recommended before taking this course.
Upon completion the participant will be able to:
- Differentiate between autoimmune hypothyroidism and other non-immune hypothyroid diseases
- Verbalize the current understanding of the pathogenesis of Hashimoto's thyroiditis
- Identify Hashimoto's symptoms
- Identify the population segment most likely to develop Hashimoto's thyroiditis
- Discuss importance of ruling out other conditions that may be mimicking or contributing to Hashimoto's thyroiditis
- List and interpret lab tests used in initial diagnosis of Hashimoto's and why these test are done
- List environmental and internal factors contributing to Hashimoto's and why these are triggers
- List additional lab tests after Hashimoto's diagnosis
- Explain salivary cortisol levels and why this test is important in management of Hashimoto's thyroiditis
- Explain why these tests are performed and how they are used to provide a comprehensive, holistic approach to disease management
- Identify lifestyle and risk factors that contribute to the development of Hashimoto's thyroiditis
- Explain how a holistic approach to Hashimoto's thyroiditis results in the increased quality of life versus a pharmacological only approach
- List the pharmacological medications and supplements used in Hashimoto's thyroiditis
- Identify medications and supplements used according to lab results and why they are used
- Explain the elimination diet and how this diet calms the immune response
- Explain “leaky gut” and how this contributes to the immune response
Chapter 1: Hashimoto’s Thyroiditis
- What is Hashimoto’s Thyroiditis
- How is Hashimoto’s diagnosed- symptoms, lab tests
- Lab Tests used to diagnose Hashimoto’s
- How is Hashimoto’s thyroiditis different from other hypothyroid diagnosis
- What population group is most likely to develop Hashimoto’s
Chapter 2: Interpreting Test Results
- How to interpret test results: TSH, TPO antibodies, thyroglobulin antibodies, free T4, freeT3, Reverse T3
- Additional functional medicine criteria for diagnosis
- Rule out other diseases or conditions mimicking Hashimoto
- How exposure to antigens and intestinal permeability trigger Hashimoto’s
- When definite diagnosis of Hashimoto’s, what additional testing to support the thyroid gland in healing- zinc level, salivary cortisol level, ferritin, liver function(alkaline phosphatase)D3, stool tests, Mannitol-Lactulose Intestinal Permeability test, iodine test, MTHFR (methylenetetrahydrofolate reductase) genetic defect, and additional testing-Celiacs, Zonulin and food sensitivities.
Chapter 3: Environmental Triggers
- External triggers – halogens-fluorine, iodine, bromine and how they influence the thyroid gland
- Chemical triggers – pesticides, estrogen disruptors , heavy metal exposure
Chapter 4: Internal Triggers
- Adrenal/thyroid connection
- Stress response and how stress changes the physiology of the body
Chapter 5: Treatment of Hashimoto’s
- Pharmacological interventions
- Supplements to enhance thyroid function
- Elimination diet- what it is and why
- Stress reduction techniques and how they work
- Exercise- types
Chapter 6: Outcome and Prognosis
- Hashimoto’s requires long term therapy and effort to attain and maintain maximum health
- Expected outcome of holistic and/or pharmacologic only interventions