Moody, fatigued, forgetful, gaining weight, and unsure why? Your thyroid hormone levels might be too high or too low.
Traditional doctors often misdiagnose these symptoms as non-thyroid-related issues, and traditionally-trained endocrinologists often use one thyroid test and compare the findings to an outdated "normal" range.
Dr. Borenstein is a functional medicine doctor and thyroid specialist with highly-specialized integrative knowledge. He uncovers the root cause of your symptoms and rejects general reference ranges, aiming to determine which hormone levels are optimal for you and getting you symptom-free.
The thyroid gland is located at the base of your neck and makes hormones responsible for biological functions like sexual function, sleep, and digestion.
Thyroid production issues may cause symptoms like:
Dr. Borenstein will examine any nodules or lumps on your thyroid to determine if they are due to thyroid cancer – a rare condition.
Common root causes behind these symptoms are the thyroid glands under- or over-production of hormones.
Hypothyroidism is an underactive thyroid that cannot produce the thyroid hormones your body needs. Hypothyroidism can lead to:
Losing weight is hard with hypothyroidism. Research has linked hypothyroidism and obesity, which is why Dr. Borenstein is passionate about addressing your weight-loss saboteurs like energy production and basal metabolism. The thyroid gland also controls blood sugar, affecting your feelings of hunger and fullness.
Causes of hypothyroidism include:
Hyperthyroidism is when the thyroid makes too much hormone, which can lead to:
You may not need a psychiatrist – Dr. Borenstein will address your mood swings and fatigue by tweaking your thyroid, other hormones, and nutrient levels until you feel like yourself pre-imbalance.
Hyperthyroidism causes include:
If left untreated, both hyperthyroidism and hypothyroidism can cause gland swelling that leads to a goiter (causing neck swelling and swallowing problems).
Dr. Borenstein will perform a thorough analysis of the following during your first appointment, as they might contribute to your symptoms: medical history, general health, lifestyle, genetic predispositions, and stress levels. Then, he will start diagnostic testing.
Dr. Borenstein will test for your Thyroid-Stimulating Hormone (TSH), which tells the thyroid gland to produce and release hormones into the bloodstream.
Many traditional doctors will stop at this, and unfortunately, there are varying ideas of what a "normal" TSH range is, meaning that your hypothyroidism might go undiagnosed.
Dr. Borenstein will investigate further to optimize your thyroid levels by also testing:
This in-depth testing is crucial, as you may present "normal" levels of TSH despite low T4 and T3 levels and thyroid-damaging antibodies.
Dr. Borenstein sees weight loss as a serious professional accomplishment, and thus might also test and rebalance:
Dr. Borenstein will also:
He will also optimize levels of:
Dr. Borenstein will then test your blood for these raised antibody levels:
He may also test for MTHFR (genetic defects in methylation enzymes) if other protocols aren't showing effects.
Once a root cause of your symptoms has been discovered, Dr. Borenstein will explain which treatment(s) can be used to resolve your thyroid dysfunction.
For example, he will prescribe an anti-viral protocol like Valtrex or Valcyte for a viral infection, or for botanical medicine, a hand-crafted anti-viral Byron White Formula that supports the immune system, the body's homeostatic mechanisms, and detoxification.
Dr. Borenstein prefers to supply and optimize your thyroid levels (very important) in the most non-invasive and natural way possible.
Extracted from dried pig thyroid glands, natural desiccated thyroid is the most common natural thyroid replacement treatment. These drugs are FDA-regulated and proven in a federally-funded study to be safe and effective when used properly. The following drugs regularly undergo rigorous quality-control testing and contain the main thyroid hormone levothyroxine: Armour®, Nature-Throid®, Westhroid®, and WP Thyroid®. Dr. Borenstein also offers Tirosint®, a liquid, hypoallergenic levothyroxine supplement.
Other Thyroid optimization therapies offered include:
Dr. Borenstein might prescribe custom doses of the following to complement hormone replacement:
Low Dose Naltrexone helps normalize immune function and lowers thyroid antibodies. Dr. Borenstein may use Low Dose Naltrexone if your thyroid doesn't respond to other supplements. A premium compounding pharmacy will make your exact dose to use only as long as needed.
Dr. Borenstein has investigated a diet that has helped hundreds of patients treat leaky gut and inflammation. The diet has been successfully prescribed for years and involves removing or restricting inflammatory foods like:
You will also be asked to remove or restrict gum, food with emulsifiers and food thickeners, and NSAID painkillers like naproxen sodium (Aleve), aspirin (Bufferin), and ibuprofen (Advil).
Rather, raise your consumption of:
Dr. Borenstein will monitor your custom protocol and continually check for feedback before adjusting it. He is well-versed in preventing both negative interactions between treatments and contraindications with medications you're taking.
Dr. Borenstein is a functional medicine doctor with 20 years of experience and hundreds of dysfunctional thyroid glands treated. If you're tired of doctors with stale thyroid testing standards, call (212) 262-2412 or contact us here for your first appointment.