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Sticking Out Our Necks | Issue #59 -- July 2002
"We're Patients...Not Lab Values!

from Mary J. Shomon, Author of Living Well With Hypothyroidism, Living Well With Autoimmune Disease, and The Thyroid Diet Success Guide

IN THIS ISSUE:

  • Synthroid Approved By FDA
  • Saliva and Urine Tests for Thyroid Disease?
  • Synthetic Vs. Natural Thyroid Drugs -- Are Synthetics More "Stable?"
  • Thyroid-Related Sex Drive Problems
  • Thyroid-Related Hair Loss
  • Conjugated Estrogen/Progestin Risks
  • Overcoming Thyroid Disorders
  • The Estrogen/HRT Controversy
  • More Levoxyl Recalls
  • Thyroid Cancer Survivors’ 5th International Conference
  • Test Your TSH at Home
  • Help Losing Weight
  • Iodine During Pregnancy Can Help Reduce Risk of Goiter in Iodine-Deficient Areas
  • Undiagnosed Sensitivity To Gluten -- More Common in Autoimmune Thyroid Patients -- May Cause Loss of Coordination
  • Autoimmune Thyroid Disease Linked to Vitiligo
  • Subclinically Hypothyroid Women With Infertility and/or Menstrual Problems Should Receive Thyroid Treatment
  • Thyroid Replacement Therapy Can Lower Homocysteine
  • Calcification and Solitary Nodules Present Greater Risk of Being Thyroid Cancer
  • T3 After Thyroidectomy or Prior to Thyroid Cancer Scan May be Unnecessary
  • Obesity and Hyperthyroidism Linkage Explored
  • Relapse Rates After Antithyroid Drugs for Graves' Disease
  • New England Journal Researchers Followup on T3 Use
  • T4 Plus T3 Best Achieves Normal Levels in Blood and Tissues
  • Living Well With Autoimmune Disease: Chapter 1
  • Do You Have Chronic Fatigue or Fibromyalgia?
  • Welcome to the fifty-ninth issue of "Sticking Out Our Necks!" my thyroid disease news report. This newsletter is copyrighted by Mary Shomon, and cannot be legally reproduced without permission. Feel free, however, to forward a single copy to someone who might be interested in reading the newsletter or subscribing to it in the future.

    ON THE WEB: My Thyroid Disease Information Source and News Report home page is located at http://www.thyroid-info.com, and I also run a comprehensive Thyroid Disease site at About.com, which you can visit at http://thyroid.about.com.

    SEND NEWS! If you see something thyroid-related in the news or on the web, please feel free to let me know, send me a note, or forward the URL to me if it's on the web. My email is news@thyroid-info.com, regular mail is P.O. Box 0385, Palm Harbor, FL 34682, fax is: 425-977-1175

    TO SUBSCRIBE, UNSUBSCRIBE AND CONTRIBUTE: This news report is distributed via Yahoogroups, and is never sent unsolicited. (Note: Your email address is sacred and will not be sold or made available to ANYONE!) To subscribe to the email version of "Sticking Out Our Necks" visit the Thyroid Disease News Report Subscription Center, at http://groups.yahoo.com/group/ThyroidNews OR you can send a blank message to ThyroidNews-subscribe@yahoogroups.com. To unsubscribe, send an email to ThyroidNews-unsubscribe@yahoogroups.com. To contribute information, thoughts or ideas for the newsletter, write to me, the editor, Mary Shomon personally, at news@thyroid-info.com.

    FULL TEXT PRINT SUBSCRIPTION: Full text and additional articles from "Sticking Out Our Necks" are available in the 12-page bi-monthly print edition, available only by subscription. Subscribers receive a 12-page issue every other month, packed with information and special features of interest to thyroid patients, plus additional special reports and inserts throughout the year. For secure online ordering via credit card, phone, fax, or mail orders, see http://www.thyroid-info.com/subscribe.htm.

    Or call our toll-free subscription, Mondays through Fridays, 9 a.m. to 5 p.m. Eastern time, at 1-888-810-9471, to subscribe. Subscriptions are $25 US ($35 non-US) for a year.

    MY BOOK: "Living Well With Hypothyroidism: What Your Doctor Doesn't Tell You...That You Need to Know, was published March 2000, by HarperCollins, and is a bestseller now in its 13th printing. Amazon.com named it one of the Top 40 Health Bestsellers of both 2000 AND 2001! The Los Angeles Times calls it "a first-rate book." The book is available in your local bookstores. For more information and online orders, see http://www.thyroid-info.com/book.htm.

    FOR PHONE ORDERS IN THE U.S., call Politics and Prose Bookstore, 800-722-0790.

    FREE CHAPTER ONLINE: To read a free chapter online from "Living Well With Hypothyroidism," go to http://www.thyroid-info.com/book.htm.

    SYNTHROID APPROVED BY FDA!!

    As I mentioned in my special report that went out last week, on July 24, 2002, it was announced that Synthroid was approved by the U.S. Food and Drug Administration (FDA). The approval came nearly two years after the initial deadline, and almost five years after the FDA initially called for new drug applications for levothyroxine drugs. The approved Synthroid is not a reformulation from the pre-approval version, according to company spokespeople. The size, colors and shape of the pills are also the same. The only difference is that the new pills are now stamped “Synthroid” and not “Flint.”

    Despite being the top-selling levothyroxine, Synthroid is the fourth levothyroxine drug to receive FDA approval. Jerome Stevens’ product Unithroid was the first approved, and was the only one the received approval within the FDA's original August 2000 deadline. King Pharmaceuticals' product Levoxyl -- Synthroid's chief competition -- was approved May of 2001. A generic levothyroxine Levo-T, manufactured by Mova, was approved in March of 2002. With Synthroid's approval, the only remaining major levothyroxine drug still awaiting approval is Forest Labs' Levothroid.

    Read a more detailed story on the Synthroid approval
    at my About.com Thyroid site.

    Abbott Press Release -- Read Abbott's press release announcing the Synthroid approval

    Synthroid Information Center -- A comprehensive chronological history of Synthroid, featuring dozens of articles covering Synthroid's research controversies, class action lawsuits, the FDA new drug application process, and other issues related to the controversial drug is available at my About.com Thyroid site.

    Thyroid Drug Database -- For information about various thyroid drugs, see the new database now.

    The Best Thyroid Drug? -- Given this latest development, are you more confused than ever over what is the "best" thyroid drug for you? Is it Synthroid, Unithroid, Armour, Thyrolar, or perhaps something else entirely? Find out how you can discover which drug is actually best for you.

    Don’t Feel Well On Your Current Thyroid Drug? -- If you are on Synthroid or another thyroid drug, but are finding that you are not feeling well, be sure you read "Living Well With Hypothyroidism." The book walks you through the various steps you can take -- including talking to your doctor knowledgeably about the different thyroid drugs and dosages, as well as the array of alternative approaches – that can help you feel your absolute best. Visit the site for more information, and to read a free chapter.


    SALIVA AND URINE TESTS FOR THYROID DISEASE


    In the work I do as a patient advocate, I regularly receive questions from patients, requesting information that they are not simply getting from their practitioners or other information sources. I’ve created a new “Ask an Expert” feature so you can find out the answers to the most common and important questions from some of the world's top experts in thyroid disease, autoimmune conditions, weight loss, and more.

    Here’s one question that comes up frequently.

    Question: Are saliva or urine tests for thyroid disease accurate?

    Answer: Drs. Richard and Karilee Shames answer...

    It is our contention that the saliva tests for thyroid are not yet as reliable as the saliva tests for female or adrenal hormone levels. The technology is more recent, and the technical problems are still being worked out to the satisfaction of careful practitioners.

    Any new tests are worth a try as part of your overall diagnostic regimen, which should also include appropriate blood testing (insist on the Total T-3 test and not TSH being the primary indicator), regular basal temperature testing, and close monitoring of changing symptoms.

    The urine tests, on the other hand, have a longer history of reliability and effectiveness. This is especially true if the tests are done at high-quality laboratories such as Vitamin Diagnostics in Cliffwood Beach, New Jersey, or especially the Broda Barnes Foundation in Trumbull, Connecticut. We have seen people whose blood tests were reported normal by top-name conventional laboratories only to finally obtain the diagnosis and treatment they have long needed when the hypothyroidism finally showed up on the urine tests.

    In summary, we recommend the urine testing if a simple blood test shows normal and you have significant symptoms, low basal temperature, family history, or associated illnesses. (July, 2002)
    * * *

    Dr. Richard Shames has practiced for over 30 years, written and lectured widely on thyroid-related topics, and is considered an expert in the field. He practices in San Rafael, CA. Karilee Shames has been an assistant professor of nursing, and has led thyroid support groups for many years. In addition to writing their popular book, Thyroid Power, they are regular contributors to Thyroid-Info.com, and provide a service offering thyroid coaching education sessions to consumers nationwide by telephone. For more information, see their site,
    www.Thyroidpower.com.


    MORE “ASK AN EXPERT!”

    Synthetic Vs. Natural Thyroid Drugs -- Are Synthetics More "Stable?"
    Are natural thyroid drugs really less consistent or stable than the synthetics? Drs. Richard and Karilee Shames share their thoughts.

    Thyroid-Related Sex Drive Problems
    What sorts of things -- medicine, supplements, mind and body approaches -- can be done for a flagging libido? Drs. Richard and Karilee Shames offers practical suggestions.

    Thyroid-Related Hair Loss
    Why do thyroid patients lose hair, and is there anything that you suggest can be done? Drs. Richard and Karilee Shames offer ideas for this sensitive issue.

    Conjugated Estrogen/Progestin Risks
    In light of the July 2002 announcements about the findings of health risks of conjugated estrogen/progestin drugs, what are your thoughts for thyroid patients? David Brownstein, MD, author of “The Miracle of Natural Hormones,” answers.


    ASK THE EXPERTS A QUESTION YOURSELF!


    While questions cannot be acknowledged or answered personally, you can submit a question for the "Ask the Experts" section, for possible response by an expert practitioner. Email: news@thyroid-info.com with the subject “Ask an Expert” Question.


    OVERCOMING THYROID DISORDERS


    brownthy.jpg - 14463 BytesDid you know that Armour thyroid can actually have a diuretic effect, and it’s thought that this particular characteristic may account for some of its ability to relieve symptoms?

    Do you know that Armour thyroid contains T2 and T1 – and what these components may actually do in your body?

    Do you know what a “Poor T4 Converter” is, and how to tell if you may be one?

    The answers to these questions and more are in an interview with popular thyroid expert David Brownstein, MD, who talks about his new book, “Overcoming Thyroid Disorders” at my online interview.

    Overcoming Thyroid Disorders is an innovative book that has quite a bit of interesting information that can be of help to patients. Find out about it at Amazon.com.


    THE "ESTROGEN" AND HRT CONTROVERSY: DIFFERENT SIDES OF THE DISCUSSION PRESENTED

    This month, the media was non-stop coverage of the findings from the Women's Health Initiative (WHI) study that indicated that hormone replacement therapy (HRT) using Prempro (and combination of conjugated estrogen and a synthetic progesterone) is not recommended for women. The study showed that the drug presented a small but increased risk of breast cancer, heart attacks, heart disease, blood clots and strokes in the women tested, who were post-menopausal women of an average age of 63.

    Many women's health and hormone experts, as well as natural medicine experts, do NOT feel that this study is particularly valid, or that the proposed alternatives -- such as soy -- are the answer either.

    Find out more from:
    • Elizabeth Vliet, MD, author of Screaming to Be Heard
    • Donna Hurlock, MD, an Alexandria, Virginia-based women's hormone expert
    • Dr. David Brownstein, author of The Miracle of Natural Hormones
    • Natural medicine guru Andrew Weil, MD
    • Experts on soy
    • Anthropologist and herbal expert Viana Muller, Ph.D.
    Read the article now.


    MORE LEVOXYL RECALLS

    On the heels of last month’s announcements of recalls, King Pharmaceuticals, manufacturer of Levoxyl, has announced further recalls of Levoxyl. The Levoxyl – which is from the old formulation of Levoxyl that was replaced by the FDA-approved formulation -- is being recalled because it lacks stability prior to its expiration dates. This recall affects almost 3 million tablets, in 50, 75, 88 and 100 microgram dosage sizes. According to the manufacturer, most of the pills should not reach consumers. However, since it appears that some of the pills are still in the distribution pipeline, patients should be aware of the recall.

    For more information, read my article now.


    THYROID CANCER SURVIVORS PLAN 5TH INTERNATIONAL CONFERENCE OCTOBER 11 – 13, 2002 IN LOS ANGELES, CALIFORNIA

    The Thyroid Cancer Survivors’ 5th International Conference will take place October 11-13, 2002, at the Los Angeles Athletic Club, 431 West 7th Street, Los Angeles, California. Sponsored by the national nonprofit organization ThyCa: Thyroid Cancer Survivors’ Association, Inc., this educational and supportive event offers more than 50 sessions for people newly diagnosed with thyroid cancer, survivors of many years, and their family members.

    Thirty prominent physicians involved in thyroid cancer care and research will headline the agenda. Representing the many specialties involved in thyroid cancer care, including endocrinology, surgery, pathology, and nuclear medicine, these physicians will address issues ranging from diagnosis and treatment to research advances and future trends in thyroid cancer care. Physicians participating include experts from the Hospital of the University of Pennsylvania, M.D. Anderson Cancer Center, Memorial Sloan-Kettering Cancer Center, National Institutes of Health, Ohio State University, UCLA School of Medicine, University of Colorado Health Sciences Center, University of Southern California, Washington Hospital Center, and other major centers.

    Over 50 sessions will offer information for people with all types and at all stages of testing, treatment, and followup. An informal, give-and-take format will give participants the chance for in-depth discussion of issues related to thyroid cancer care.

    Workshops will focus on coping with the emotional and practical impacts of thyroid cancer, self-care, well-being, health insurance and employment issues, as well as caregivers’ needs and the perspectives of long-term thyroid cancer survivors.

    The conference, which runs from October 11-13, 2002, opens 9 a.m., Friday, October 11th. Workshops and roundtables will be held Friday, October 11; Saturday, October 12; and Sunday, October 13.

    The cost of the conference is $45; family and guests are $30. Participants can register onsite or in advance. Discounts are available for early registration, and for ThyCa members. Scholarships are available.

    Registration material and conference details are available on ThyCa’s web site. For more information, e-mail to thyca@thyca.org or visit the
    Thyca Conference Website.


    TEST YOUR TSH AT HOME

    tshprod.jpg - 26607 BytesIf you're not having luck convincing your physician to conduct a thyroid test, or your HMO or insurance only covers one or two thyroid tests a year and you want more frequent testing, consider home tests from BIOSAFE Laboratories. Last year, Biosafe received FDA approval for consumer use of its Thyroid Stimulating Hormone (TSH) test, the first time a TSH test has been approved for at-home use. The Biosafe home TSH test requires a nearly painless micro-sample (one to three drops) of blood taken from your finger at home - no long and painful blood draws from your arm at a lab! You mail in your test kit in the provided container, and results are mailed back to you quickly. A home TSH test from Biosafe is $39.95. Click here for more information or call 1-800-768-8446 EXT 123, to order.


    TRYING TO LOSE WEIGHT? YOU NEED "A WEIGHT OFF MY MIND: THE THYROID/AUTOIMMUNE DIET NEWS!"


    If you're not receiving the free email newsletter, "A Weight Off My Mind" -- the thyroid and autoimmune diet newsletter, you are missing newsletters jam-packed with information about weight loss, metabolism, thyroid disease's impact on weight, and much more!

    Here are the stories from this month’s issue:
    Be sure not to miss one valuable weight loss tip! If you haven't subscribed, sign up now, so you don't miss any more valuable diet and weight loss information relevant to thyroid patients. Sign up by sending an email to: news@thyroid-info.com with "Subscribe Diet" in the subject.



    THE THYROID DIET SUCCESS GUIDE

    To help you get started on the right track in your effort to lose weight, I've compiled the in-depth information so many people regularly ask for into a special "Thyroid Diet Success Guide." The "Thyroid Diet Success Guide" features information about why it's harder for thyroid patients to lose weight, insulin resistance, the role of the adrenal system, and lots of practical suggestions to help you finally enjoy weight loss success. Just a few of the key features in the 35-page Guide include:
    • Weight Loss Secrets for Thyroid Patients
    • The Thyroid/Weight Loss Connection - Some Theories
    • How To Lose Weight With Hypothyroidism
    • Weight Loss Success: How I Lost 25 Pounds in 12 Weeks
    • The Ultimate Thyroid Exercise Program
    • Conjugated Linoleic Acid (CLA) Overview
    • Choosing the Right Weight Loss Program
    • The Habits of Successful Weight Loss
    • How Much Weight Do You Really Need to Lose?
    • Popular Weight Loss Myths
    • Seeing Results with Weight Loss and Exercising
    The "Thyroid Diet Success Guide" features a diet plan that you can follow, and specific information on exercises, and many other tips and resources. The Success Guide will help you get on the right track, with information that has actually helped other thyroid patients -- including me -- to effectively lose weight!

    NEW: Online Secure Ordering!

    legalus.gif - 3069 BytesOrder online now, securely, using Visa, Mastercard, American Express or your Discover card, via secure processing with CCNow.

    DISCOUNT FOR ONLINE ORDERING!
    US ORDERS: $12, plus $2 shipping and handling, for U.S. online orders
    OUTSIDE US: $12, plus $7 shipping and handling, for international online orders.

    Buy Your Thyroid Diet Guide Online Now
    Order by Mail
    To order, U.S. residents can send a check for $15 (which includes shipping and handling) made out to "Sticking Out Our Necks" to:

    Mary Shomon's "Thyroid Diet Success Guide"
    P.O. Box 0385
    Palm Harbor, FL 34682

    For an order form to pay by check or credit card, visit
    http://www.thyroid-info.com/dietbook.htm

    Phone Orders
    Or call our toll-free order line during weekday business hours at 888-810-9471 to order using your credit card.

    SPECIAL OFFER: Everyone who orders the Thyroid Diet Success Guide by August 31st will receive a free pocket-sized "Mini-Guide" that summarizes the key diet tips in a portable, easy-to-carry format.


    KEY THYROID NEWSBRIEFS

    Here are recent thyroid-related findings and newsbriefs. Full text of news stories are included in the "Summer 2002 In-Depth Thyroid News Roundup Report," which is sent free to everyone who subscribes to the print edition of Sticking Out Our Necks in July or August of 2002. Subscribe by August 31st for $25 a year (U.S., $30 non-U.S.), and you’ll still have time to receive the July/August issue! See
    http://www.thyroid-info.com/subscribe.htm or call 1-888-810-9471.

    GENERAL THYROID NEWS

    Iodine During Pregnancy Can Help Reduce Risk of Goiter in Iodine-Deficient Areas
    Researchers studied women in a slightly iodine-deficient area and found that in areas with marginal iodine-deficiency, iodide is recommended in pregnancy and during breastfeeding. A low dose is considered effective at preventing goiter, but a higher dose is more effective.
    Source: Antonangeli L, et. al. "Comparison of two different doses of iodide in the prevention of gestational goiter in marginal iodine deficiency: a longitudinal study." Eur J Endocrinol 2002 Jul;147(1):29-34.

    Undiagnosed Sensitivity To Gluten -- More Common in Autoimmune Thyroid Patients -- May Cause Loss of Coordination
    Sensitivity to gluten -- a component of grain that is the basis for the condition known as celiac disease -- can also cause a loss of coordination known as ataxia. Ataxia can cause balance problems and difficulty walking.
    Source: American Academy Of Neurology Press Release, http://www.aan.com, 4/30/2002

    Autoimmune Thyroid Disease Linked to Vitiligo
    Researchers found that autoimmune thyroid disease is significantly more common in vitiligo patients.
    Source: Zettinig, Georg et. al., "Anti Nuclear Antibodies Affect the Thyroid Gland Volume: A Cross Sectional Study in Patients with Vitiligo," Abstracts, 84th annual meeting of the Endocrine Society, June 2002

    HYPOTHYROIDISM

    Subclinically Hypothyroid Women With Infertility and/or Menstrual Problems Should Receive Thyroid Treatment
    Women with menstrual problems and/or infertility have a higher likelihood of also having a low-level hypothyroid condition. Researchers found that women who are infertile and/or have menstrual disturbances who are subclinically hypothyroid should receive thyroid hormone replacement therapy.
    Source: Christ-Crain, Mirjam et. al., "Placebo-Controlled L-T4 Treatment Normalizes Elevated Prolactin Levels in Patients with Subclinical Hypothyroidism," Abstracts, 84th annual meeting of the Endocrine Society, June 2002

    Thyroid Replacement Therapy Can Lower Homocysteine in Overt and Subclinical Hypothyroid Patients
    Since homocysteine levels are a known risk factor for atherosclerosis and stroke -- and hypothyroidism is a heart disease risk factor as well – researchers explored the connections and found that thyroid hormone replacement therapy helps to lower homocysteine levels in both overt and subclinically hypothyroid patients.
    Source: Comlekci, Abdurrahman. "Beneficial Effects of Thyroxine Replacement Therapy on Plasma Homocysteine Levels in Overt and Subclinical Hypothyroid Patients." Abstracts, 84th annual meeting of the Endocrine Society, June 2002

    THYROID CANCER

    Calcification and Solitary Nodules Present Greater Risk of Being Thyroid Cancer
    Researchers have found that when calcification is seen in a solitary nodule, there is a high risk of malignancy, and surgery should be recommended -- regardless of the findings of a fine needle aspiration.
    Khoo ML, Asa SL, Witterick IJ, Freeman JL., "Thyroid calcification and its association with thyroid carcinoma." Head and Neck Surgery 2002 Jul;24(7):651-5

    T3 After Thyroidectomy or Prior to Thyroid Cancer Scan May be Unnecessary
    According to experts, the typical practice of giving triiodothyronine (T3) drugs after thyroidectomy or during withdrawal of levothyroxine (T4) for patients with differentiated thyroid cancer may not be necessary. Most patients reach the TSH level above 30 around two weeks after surgery or levothyroxine withdrawal. Rather than T3 therapy, the experts suggested that patients have TSH monitored 2-3 times per week beginning 10 days after surgery or levothyroxine withdrawal.
    Source: Abstracts, 84th annual meeting of the Endocrine Society, June 2002

    GRAVES' DISEASE / HYPERTHYROIDISM

    Obesity and Hyperthyroidism Linkage Explored
    While it is not common to find obesity among hyperthyroid patients, researchers found that among those patients who do gain weight, there may be some resistance to regulators that typically cause weight loss in other patients.
    Source: Matawaran, Bien J et. al. "Obese Hyperthyroidism among Filipino Patients," Abstracts, 84th annual meeting of the Endocrine Society, June 2002

    Relapse Rates After Antithyroid Drugs for Graves' Disease
    Researchers found that the type of antithyroid drugs used have no effect on the relapse rates for Graves’ patients. Interestingly, this study also shows that patients may be able to achieve fairly significant relapse periods using antithyroid drugs for Graves disease.
    Source: Nedrebo, Bjorn G et. al., "Graves' Disease: Drug Regimens and Predictors of Outcome." Abstracts, 84th annual meeting of the Endocrine Society, June 2002

    READ THE FULL TEXT OF THESE NEWS STORIES
    You can read the full text of these news stories in the July/August issue of "Sticking Out Our Necks" print edition. Subscribe by July 31st, and you’ll still have time to receive the July/August issue! See our subscription page or call 1-888-810-9471 to subscribe.

    T3 TREATMENTS

    New England Journal Researchers Followup on T3 Use
    Drs. Bunevicius and Prange, the authors of the groundbreaking 1999 New England Journal of Medicine study of the use of supplemental T3 in hypothyroidism, revisited the issue in several followup studies. The studies found that patients on additional T3 had definite improvements in both thinking and mood. Another study looked at hypothyroidism after thyroidectomy for Graves' disease, and again found that combination replacement with T4 plus T3 improves mood compared to T4-only treatment.
    Sources: Bunevicius R, Prange AJ. “Mental improvement after replacement therapy with thyroxine plus triiodothyronine: relationship to cause of hypothyroidism.” Int J Neuropsychopharmacol 2000 Jun;3(2):167-174
    Bunevicius R, Prange AJ. “Thyroxine vs. Thyroxine Plus Triiodothyronine as Treatment for Hypothyroidism.” Abstracts, 84th annual meeting of the Endocrine Society, June 2002

    T4 Plus T3 Best Achieves Normal Levels in Blood and Tissues
    Animal studies found that optimal thyroid function was only achievable using T4+T3 combination drugs that mimicked the normal thyroid gland secretion of the animals. This led researchers to extrapolate that the findings may also be applicable to humans.
    Source: Hector F Escobar-Morreale, Hector F. et. al., "Animal Models of Replacement Therapy for Primary Hypothyroidism: T4 Alone, or T4+T3?" Abstracts, 84th annual meeting of the Endocrine Society, June 2002

    If you are not receiving the Sticking Out Our Necks bimonthly print newsletter, you are missing out on essential thyroid news. But...there's still time to order your subscription and receive the July/August print issue.

    The July/August issue includes important stories such as:
    • What To Do When Your Hair is Falling Out?
    • Could You Have Alopecia?
    • Do You Need Potassium Iodide in Case of Nuclear Attack?
    and many others.

    Plus, subscribers receive the free 8-page "Summer 2002 In-Depth Thyroid News Roundup Report," which features 45 news reports on thyroid disease, with research references. Some of the important news stories included in that special report include:
    • A Third of Patients Become Obese After RAI
    • Overweight Frequently Have Undetected Endocrine Problems
    • Low-Calorie Diets Cause Reduced Thyroid Function
    • T3 Treatment for Obesity?
    • Hyperthyroidism Increases Carbohydrate Cravings
    • Obesity and Hyperthyroidism Linkage Explored
    • Thyroid Disease and Its Effects on Blood Pressure
    • Iodine Use During Pregnancy
    • Gluten Sensitivity and Loss of Balance/Coordination
    • Thyroid Linked to Vitiligo
    • Subclinically Hypothyroid Women With Infertility and/or Menstrual Problems Should Receive Treatment
    • Thyroid Hormone Treatment Can Help Subclinical Hypothyroidism
    • New Cause of Congenital Hypothyroidism Discovered
    • Calcification and Solitary Nodules Present Greater Risk of Cancer
    • Head And Neck Cancers Rising Among U.S. Kids
    • T3 after Thyroidectomy or Prior to Thyroid Cancer Scan May be Unnecessary
    • Graves' Disease With Thyroid Cancer
    • Relapse Rates After Antithyroid Drugs for Graves' Disease
    • Total Thyroidectomy Recommended As Standard Graves' Treatment Outside U.S. Controversies Over RAI Examined
    • Effects of Suppressive Goiter Treatment on Osteoporosis Risk
    • Moderately Low TSH May Point to Nodular Disease
    • Hashimoto's Thyroiditis Can Show Up As Knee Pain
    • Cigarette Smoking and Hashimoto's Thyroiditis
    • New England Journal Researchers Followup on T3 Use
    • T4 Plus T3 Best Achieves Normal Levels in Blood and Tissues
    • Thyroid Surgery Under Local Anesthesia?
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    A one year subscription is only $25. Order online now, securely, using Visa, Mastercard, American Express or your Discover card, via secure processing with CCNow, and receive a year's subscription (6 bimonthly 12-page issues), plus the special 8-page Summer Thyroid News Roundup Report, which features 45 important thyroid-related news stories! Newsletter Order Information Page



    A LOOK INSIDE "LIVING WELL WITH HYPOTHYROIDISM"

    "Living Well With Hypothyroidism," in its 13th printing, now has its web information organized in one handy place. Visit http://www.thyroid-info.com/book.htm and you’ll an overview and table of contents, with links to:
    • Free Intro Chapter Online
    • Reviews
    • How to Get Your Copy

    Amazon.com has named "Living Well With Hypothyroidism" one of its top 40 health bestsellers for both 2000 and 2001, and if you don’t already own your own copy, you need to get one, if you are hypothyroid, have Hashimoto’s disease, or are on thyroid hormone replacement due to thyroid surgery, radioactive iodine, or antithyroid drugs.

    Title: "Living Well With Hypothyroidism: What Your Doctor Doesn't Tell You. . . That You Need to Know"
    Author: Mary J. Shomon
    ISBN number: 0380808986
    List price: $13.50 (US dollars)
    Published by: HarperCollins

    TO GET A COPY

    Available at your local bookstore everywhere in the U.S. and if they don't have a copy, ask them to order you one!


    LIVING WELL WITH AUTOIMMUNE DISEASE
    CHAPTER 1: INTRODUCTION

    Here is an excerpt from Chapter 1 of my new book, “Living Well With Autoimmune Disease,” coming out in early October.

    “You need this book if:
    • You have a variety of vague but troublesome symptoms and want to investigate your risk factors for autoimmune disease, and whether your symptoms fit any particular patterns.
    • You have family members with autoimmune conditions, and you want to reduce your own risk wherever possible.
    • You have been diagnosed with an autoimmune disease, and want to have a better understanding of your condition, and what autoimmunity really means.
    • You have been diagnosed with an autoimmune disease, and are not receiving optimal treatment -- conventional and/or alternative -- for your condition, and are looking for more information in order to feel well.
    • You have an autoimmune disease, but want to avoid developing related conditions in the near or long-term.
    • You are an open-minded health practitioner who wants to understand patients’ perspectives on autoimmune conditions, as well as some of the cutting-edge ways other practitioners are dealing with these conditions.
    Living Well With Autoimmune Disease will help you go beyond treatments that merely manage symptoms, to discover cutting-edge approaches that can actually reduce and even reverse the autoimmune response, reduce or eliminate symptoms, and in some cases, even cure autoimmune conditions entirely.

    After reading Living Well With Autoimmune Disease, you will…
    • Have the knowledge, and an important tool – the Autoimmune Disease Risks and Symptoms Checklist, featured in chapter 15 – to help you get a proper diagnosis.
    • Better understand what it means to have an “autoimmune” disease, and the impact the autoimmune process has on current and future health.
    • Have far greater insight into what environmental, genetic, hereditary, nutritional, and mind-body factors make us more or less susceptible to autoimmune disease.
    • Know the key symptoms, diagnostic procedures and conventional treatments for the most common autoimmune diseases.
    • Learn about the most innovative and promising new and alternative treatments for key autoimmune diseases -- for example, the diet that can completely cure some cases of diabetes, or the antibiotic therapy that offers hope for rheumatoid arthritis sufferers – treatments that you are not likely to hear about from your doctor.
    • Find out where to go – how to find the best doctors, books, patient organizations, experts, websites, resources -- for more information on conventional and alternative treatments for key autoimmune conditions.
    • Meet some of our most innovative practitioners and hear about their truly cutting-edge theories and practical approaches to slowing, stalling -- even reversing -- the autoimmune disease process.
    Living Well With Autoimmune Disease offers practical support and advice to move beyond simply “living with” a condition, to actively working to balance and strengthen your own immune system. In this book, you’ll find the tools you need to take a proactive role in improving your own health, and perhaps even preventing further autoimmune attacks on the body..."
    To read more of Chapter 1 of Living Well With Autoimmune Disease online, go to
    http://www.thyroid-info.com/autointro.htm Order your advance copy from Amazon.com now!. (You are not billed until the book is shipped!)

    Living Well With Autoimmune Disease is coming in early October from HarperCollins. The book is a complete guide to understanding the mysterious and often difficult-to-pinpoint autoimmune disorders -- and finding the conventional and alternative keys to diagnosis, treatment, recovery...and even prevention or cure.

    For more information, see:

    THE AUTOIMMUNE REPORT IS COMING!
    For a free monthly newsletter on autoimmune diseases, launching this summer, plus advance information on monthly updates on autoimmune disease news, and more information about the book, sign up for the free "Autoimmune Report," by sending an email to news@thyroid-info.com with the subject: Subscribe Autoimmune.




    NOTES FROM MARY

    My latest challenge has been to really apply myself to eating well. I’d “fallen off the wagon” so to speak during the Spring, and now I’m back on my Thyroid Diet again, and thankfully have lost almost 10 pounds since the second week of June. Down a size, clothes are fitting better – and the best part is to really get over the carb-cravings. I can pass up a French fry in a heartbeat these days! Now the challenge is to get motivated to do a more regular exercise program. Floating around in the pool is a lot of fun, but it’s not exactly building a lot of muscle lately! Perhaps I should take up water aerobics! ;-)

    DO YOU HAVE CHRONIC FATIGUE OR FIBROMYALGIA? If so, you can share your personal stories to be included in my new book, Living Well With Chronic Fatigue and Fibromyalgia, which will be the third in my “Living Well…” series with HarperCollins. Do you have a story about difficulty getting diagnosed, frustrations with symptoms, great doctors and practitioners who have helped you, conventional and alternative treatments that have worked, books and sites you recommend, organizations you think patients should join, etc? I’d love to hear from you! (Remember, your privacy will be protected, and your name will not be used in the book unless you specifically request it.) Write to me at news@thyroid-info.com with the subject “CFS/FMS Book Story”

    Live well,

    Mary


    "Sticking Out Our Necks" email edition is published monthly by Mary Shomon. Please invite your friends to subscribe! Send them a copy with your recommendation. "Sticking Out Our Necks" is copyright 1997-2003 by Mary Shomon.

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