Do You Have An Iatrogenic Thyroid?

Iatrogenic Thyroid conditions are created when every ill a person has is blamed on the thyroid.

While screening patients for thyroid disease, physicians often order labs measuring only thyrotropin-stimulating hormone (TSH) levels in patients. Sometimes labs will show increased thyrotropin-stimulating hormone (TSH) levels in patients whose free thyroxine (T4) levels are not below normal. This state, termed “subclinical hypothyroidism,” is most commonly an early stage of hypothyroidism.

The symptoms experienced by the patients are caused by factors involved in five other patterns of Hypothyroidism described in Dr. Kharrazian’s book, “Why Do I Still Have Thyroid Symptoms? When My Lab Tests Are Normal”. None of which improve by thyroid drugs or supplements. The following bullet points introduces the patterns and their primary causes:

  • Hypothalamic – Pituitary – Thyroid Axis (Hypothyroidism Secondary to Pituitary Hypofunction)
    • Primary Cause
      • Pituitary gland fatigue
      • Active Stress Response
      • Ischemic Penumbrae of Parasympathetic Withdrawal
        • Decreased blood flow to Hypothalamus, Pituitary and Brain
        • Hormones traveling through the blood stream needed for production of Thyroid Stimulating Hormone (TSH) never get to the pituitary
    • Secondary Symptoms
      • Symptoms of Low Thyroid
  • Thyroid Hormone Underconversion
    • Primary Cause
      • Oxidative stress
      • Inflammation in the body
      • Immune reactions
      • Detoxification processes
    • Secondary Symptoms
      • Symptoms of Low Thyroid
  • Thyroid Hormone Overconversion
    • Primary Cause
      • Insulin resistance
      • Polycystic Ovarian Syndrome (PCOS)
      • Low DHEA
      • Increased androgens
      • Increased Testosterone
    • Secondary Symptoms
      • Fatigue
      • Weight gain
      • Hair loss
      • Symptoms of Low Thyroid
  • Thyroid Resistance
    • Primary Cause
      • Elevations in cortisol
      • HPA axis
      • Adrenal Uncoupling
    • Secondary Symptoms
      • Symptoms of Low Thyroid
  • Thyroid Hormone Binding Elevation
    • Primary Cause
      • Birth Control
      • Oral Contraceptives
      • Hormone Replacement Therapy
    • Secondary Symptoms
      • Symptoms of Low Thyroid

No part of the body can be understood separate from the whole. Patient experience varicose veins or hemorrhoids, inflammation, blood sugar imbalances, stress in their lives and are using birth control throughout their life. Never once thinking that these may be may be the cause of symptoms they are trained to associate with the low thyroid.

If these condition remain untreated and unchanged, within a few years in some patients, overt hypothyroidism develops, with low free T4 levels as well as a raised TSH level. Thus becoming a “real” Thyroid problem. Unfortunately, for most they will have been prescribed Thyroid medications for years because no one bother to consider any other factors. Thus, creating an Iatrogenic Thyroid.

Alternative and Functional Medicine Iatrogenesis

Unfortunately, Alternative and Functional not exempt from creating iatrogenic problems for their patients. Hundreds of Alternative and Functional Doctors, Nutritionists and Herbalists have attended the Mastering the Thyroid class. Yet, they have failed to incorporate the course material.

Alternative and Functional Medicine Doctors are not exempt from creating Iatrogenic problems for their patients.

Patients have read Thyroid Self-help books come into their offices demanding to be treated for Hypothyroid symptoms. Too often after failing to respond to Hypothyroid drugs and/or supplements from previous Doctors. What is the definition of insanity? Doing the same thing over and over expecting the results to change. Like somehow, supplements from a different supplement company are going to miraculously work this time.

Are the Alternative and Functional Medicine Doctors capable of understanding the five Patterns of Hypothyroidism. Absolutely! Yet Professional and Social Media peer pressure keeps them from acting independently.


How easy would it be to follow the information. Dr. Kharrazian lays it all out in his book. Alas, his focus is on the brain and is not able to recognize the factors that cause the five Patterns of Hypothyroidism and neither are those following him.

If you are doing the same thing over and over expecting your health to change.  Ask yourself. Are you ready for a different approach? If you are call today. 530-615-4083


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