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Dr. Amie Horniman

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The Dylan Gemelli Podcast

Episode #7 Featuring Dr. Amie Hornaman, THE THYROID FIXER! The most COMPREHENSIVE Thyroid Analysis Discussion in the Podcast World!

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Yeah. So like you said, many of us are somehow in this health arena because of shit that we went through in our own lives. Right. And my story is no different. So this goes back 20 some years ago. I was competing in figure competitions. I was doing fitness modeling and I had done plenty of these. And I did the whole diet down procedure.

The Dylan Gemelli Podcast

Episode #7 Featuring Dr. Amie Hornaman, THE THYROID FIXER! The most COMPREHENSIVE Thyroid Analysis Discussion in the Podcast World!

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Yeah, I have a rule. If your doctor says no to testing, it's time to get a new doctor.

The Dylan Gemelli Podcast

Episode #7 Featuring Dr. Amie Hornaman, THE THYROID FIXER! The most COMPREHENSIVE Thyroid Analysis Discussion in the Podcast World!

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Because it's no money out of their pocket to write you a lab order. The problem is, is that they don't know what to do with it when it comes back. And that's a huge red flag for you.

The Dylan Gemelli Podcast

Episode #7 Featuring Dr. Amie Hornaman, THE THYROID FIXER! The most COMPREHENSIVE Thyroid Analysis Discussion in the Podcast World!

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Yeah. Okay. So a little biology lesson here. Get your pen and paper though. So T4 is inactive. So our thyroid gland produces two thyroid hormones, T4 and T3. T4 is totally inactive, meaning it has no effect on your body in and of itself, whereas T3 is active. So T4 has to become T3. It has to convert and become T3 in order to get to your cells, to turn on that cell.

The Dylan Gemelli Podcast

Episode #7 Featuring Dr. Amie Hornaman, THE THYROID FIXER! The most COMPREHENSIVE Thyroid Analysis Discussion in the Podcast World!

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So every single cell in your body has a receptor site on it, just like a lock and key mechanism, has a receptor site on it for T3. There are no receptor sites for T4. So in that conversion of T4 to T3, I attribute it to running 10 Tough Mudders in a row. It's really hard for your body to do and there are a lot of obstacles.

The Dylan Gemelli Podcast

Episode #7 Featuring Dr. Amie Hornaman, THE THYROID FIXER! The most COMPREHENSIVE Thyroid Analysis Discussion in the Podcast World!

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So if you're estrogen dominant, insulin resistant, magnesium deficient, vitamin D deficient, selenium deficient, if you have a genetic snip, on and on and on and on, all these other factors that can come into play, then that can prevent T4 from properly converting to T3. So you go, well, okay, how do we know that? We do a test on something called reverse T3.

The Dylan Gemelli Podcast

Episode #7 Featuring Dr. Amie Hornaman, THE THYROID FIXER! The most COMPREHENSIVE Thyroid Analysis Discussion in the Podcast World!

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So if you picture T4 is sitting here, it has two paths it can choose. It can go down this path and become free T3, awesome. It can go down this path and become reverse T3, not so awesome. If it becomes reverse T3, then you are actually starting to block T3 itself from getting to the south.

The Dylan Gemelli Podcast

Episode #7 Featuring Dr. Amie Hornaman, THE THYROID FIXER! The most COMPREHENSIVE Thyroid Analysis Discussion in the Podcast World!

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I was not walking around like a little tiny stick figure with boobs that just had to diet for two weeks. Like I had to diet for the full 12 to 14 weeks every single time. Even if it was a photo shoot, I would prep that same way. And so, you know, I knew how my body was supposed to respond. I'd done it plenty of times. And this one show I was getting ready for was the MPC Pittsburgh, bigger show.

The Dylan Gemelli Podcast

Episode #7 Featuring Dr. Amie Hornaman, THE THYROID FIXER! The most COMPREHENSIVE Thyroid Analysis Discussion in the Podcast World!

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from attaching to that receptor site, turning it on to turn on your metabolism, your brain, your energy, your hair growth, your muscle growth, whatever. T3 can be given in and of itself. So sometimes we have to skip the middleman and we have to give people T3. And sometimes we have to give T3 only. So as it turned out, kind of going back to my story, I was given T4. I said it didn't work.

The Dylan Gemelli Podcast

Episode #7 Featuring Dr. Amie Hornaman, THE THYROID FIXER! The most COMPREHENSIVE Thyroid Analysis Discussion in the Podcast World!

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Five months didn't work. Well, as it turns out, I have a reverse T3 problem. I actually have one copy of both genetic SNPs that really pretty much say, like, you don't convert very well. You don't convert your T4 to T3 very well. So now I found that out after my functional med doc said, you know what, I think you're a T3 only candidate. We're going to do that.

The Dylan Gemelli Podcast

Episode #7 Featuring Dr. Amie Hornaman, THE THYROID FIXER! The most COMPREHENSIVE Thyroid Analysis Discussion in the Podcast World!

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And way back in the day, he changed me to T3 only. And that's what I've been on for decades now. And it's funny, I will do experiments on myself while I'll add in T4. And in a week, I become clinically depressed and gain 10 pounds. So I know I truly do not convert. And what I do is I take that T4, I convert it to reverse T3, and it puts my body in the survival mode. Got it.

The Dylan Gemelli Podcast

Episode #7 Featuring Dr. Amie Hornaman, THE THYROID FIXER! The most COMPREHENSIVE Thyroid Analysis Discussion in the Podcast World!

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So now that is not to say, and I don't want to get, and Dylan doesn't want to get a whole bunch of emails saying, should I be on T3 only? Not everyone should be because I want you to think of it this way. T3 is checking account. T4 is your savings account. You don't want to live off of checking. You don't want to not have a savings account.

The Dylan Gemelli Podcast

Episode #7 Featuring Dr. Amie Hornaman, THE THYROID FIXER! The most COMPREHENSIVE Thyroid Analysis Discussion in the Podcast World!

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You don't want to be living paycheck to paycheck if you can help it, right? We all like to have some savings. Unfortunately, I can't. I have to live off my checking every day. T3 comes in and goes out, comes in and goes out, comes in and goes out. I don't have a storage of T4.

The Dylan Gemelli Podcast

Episode #7 Featuring Dr. Amie Hornaman, THE THYROID FIXER! The most COMPREHENSIVE Thyroid Analysis Discussion in the Podcast World!

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But if we can give you that storage, so like when I'm working one-on-one with someone, I always say, okay, if we have to use T3 only for a little bit to bring down your reverse T3, let's do that. But then at some point, let's bring in the T4 so you can build up your savings account. And we're just going to see if you tolerate it or not. And this is where this nuanced art comes in.

The Dylan Gemelli Podcast

Episode #7 Featuring Dr. Amie Hornaman, THE THYROID FIXER! The most COMPREHENSIVE Thyroid Analysis Discussion in the Podcast World!

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of really like reading labs and looking at a person and looking at all the different things that factor into their conversion and, and dosing them properly and possibly changing things up along the way. I know that's way more than what you wanted, but that is T4 and T3 in a nutshell and kind of how it works in the body.

The Dylan Gemelli Podcast

Episode #7 Featuring Dr. Amie Hornaman, THE THYROID FIXER! The most COMPREHENSIVE Thyroid Analysis Discussion in the Podcast World!

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Yeah, so this is not something that you would run temporarily and then expect to come off of it and be okay.

The Dylan Gemelli Podcast

Episode #7 Featuring Dr. Amie Hornaman, THE THYROID FIXER! The most COMPREHENSIVE Thyroid Analysis Discussion in the Podcast World!

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This is an either or. And this is a question I get. So I'll talk to both sides of the fence, bodybuilders and then people who actually have a thyroid problem. So the people who actually have a thyroid problem, I still get this question. Do I have to take this for the rest of my life? And I say, well, here's the thing.

The Dylan Gemelli Podcast

Episode #7 Featuring Dr. Amie Hornaman, THE THYROID FIXER! The most COMPREHENSIVE Thyroid Analysis Discussion in the Podcast World!

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If your body is truly not producing enough hormone, then yes, you have to replace that hormone. As soon as you stop replacing that hormone, it's going to go back to the levels it was before, possibly lower.

The Dylan Gemelli Podcast

Episode #7 Featuring Dr. Amie Hornaman, THE THYROID FIXER! The most COMPREHENSIVE Thyroid Analysis Discussion in the Podcast World!

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But here's the thing. If your body isn't producing enough anyways, like you have an employee that's not quite doing their job. Are you going to replace that employee? Are you going to hold on to that employee and wish on a rainbow that one day they're going to kick it up a notch and actually do their job? You're probably going to be wasting a lot of time and money if you do the latter.

The Dylan Gemelli Podcast

Episode #7 Featuring Dr. Amie Hornaman, THE THYROID FIXER! The most COMPREHENSIVE Thyroid Analysis Discussion in the Podcast World!

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And I was working with a coach because we can't do this alone. So working with a coach, sending him my progress picks and my weight every week. And this show I'm getting ready for, I'm doing all the things and the scale keeps going up. And every time I get on the scale, it's going up. Well, you know, when you first start,

The Dylan Gemelli Podcast

Episode #7 Featuring Dr. Amie Hornaman, THE THYROID FIXER! The most COMPREHENSIVE Thyroid Analysis Discussion in the Podcast World!

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So it's much better to replace. And then the other analogy that I give that really packs a punch is if you had a child that had type 1 diabetes and that doctor walks in the room and goes, your child is going to have to take insulin the rest of their life. Would you go, oh, yeah, no, I don't really want them to take a medicine the rest of their life?

The Dylan Gemelli Podcast

Episode #7 Featuring Dr. Amie Hornaman, THE THYROID FIXER! The most COMPREHENSIVE Thyroid Analysis Discussion in the Podcast World!

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Because then the doctor will go, well, then your child's going to die. Because insulin is a hormone and it's needed for life. Now, thyroid is a hormone. It is needed for life. You're probably not going to die immediately if you stop taking your medicine, but you're not going to live a great life for the time you have left without thyroid hormone.

The Dylan Gemelli Podcast

Episode #7 Featuring Dr. Amie Hornaman, THE THYROID FIXER! The most COMPREHENSIVE Thyroid Analysis Discussion in the Podcast World!

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So if you truly need it, let's replace it and give you your life back. Flip side, bodybuilders. So this is gonna tie into when we talk about T2, but I'm gonna bring it in now because this was such an impactful interview that I saw. This was, I forget the name of the guy, but he was a bodybuilder trainer to the pros and he did mostly women.

The Dylan Gemelli Podcast

Episode #7 Featuring Dr. Amie Hornaman, THE THYROID FIXER! The most COMPREHENSIVE Thyroid Analysis Discussion in the Podcast World!

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And he said, you know, I don't let my athletes take T3 because exactly what you said, Dylan, it's gonna burn their muscle. it's going to burn fat, but it's going to burn their muscle too. And then they're going to come out the other side of the show with a thyroid problem. And you know, when you see the girls, and this is what has prevented me from ever competing again.

The Dylan Gemelli Podcast

Episode #7 Featuring Dr. Amie Hornaman, THE THYROID FIXER! The most COMPREHENSIVE Thyroid Analysis Discussion in the Podcast World!

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I saw enough of this a few years ago when I was in, you know, like a competing gym. The girls, two, three weeks later after the show, they are 30 to 40 pounds heavier easily. Now, I know there's the rebound effect. But I look and I go, no, they took T3. And now they're off T3 because they're after the show.

The Dylan Gemelli Podcast

Episode #7 Featuring Dr. Amie Hornaman, THE THYROID FIXER! The most COMPREHENSIVE Thyroid Analysis Discussion in the Podcast World!

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And now their thyroid has shit the bed completely and they have no metabolism left whatsoever. So now they actually need thyroid hormone replacement for the rest of their life because they shut down their own thyroid. So this trainer goes, you know, I don't do that. I give T2, which we can dive into more. He goes, T2 does not burn your muscle.

The Dylan Gemelli Podcast

Episode #7 Featuring Dr. Amie Hornaman, THE THYROID FIXER! The most COMPREHENSIVE Thyroid Analysis Discussion in the Podcast World!

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It only burns your body fat and has no negative feedback loop. So we can strategically use T2. Anybody listening that's competing, maybe think about this instead of T3 because it does increase your basal metabolic rate. You know, T3 is fantastic if you really have a thyroid problem.

The Dylan Gemelli Podcast

Episode #7 Featuring Dr. Amie Hornaman, THE THYROID FIXER! The most COMPREHENSIVE Thyroid Analysis Discussion in the Podcast World!

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And you're looking at the scale, you're like, all right, well, I just don't have it dialed in yet. Maybe I need to restrict a little bit more. Maybe I'll kick it up to three times a day at the gym instead of twice a day. You know, I'm doing my fasted morning cardio. Maybe I'll throw an extra one in in the evening or whatever. So you start overthinking and overdoing naturally.

The Dylan Gemelli Podcast

Episode #7 Featuring Dr. Amie Hornaman, THE THYROID FIXER! The most COMPREHENSIVE Thyroid Analysis Discussion in the Podcast World!

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So more prevalent for women. And this is because actually testosterone is very, very protective against autoimmune conditions. And men just have naturally more testosterone than women do. So women are more prone to autoimmune. 95% of all hypo, low and slow thyroid function is Hashimoto's. That's the autoimmune form where your body attacks your thyroid, thinks it's a bad guy.

The Dylan Gemelli Podcast

Episode #7 Featuring Dr. Amie Hornaman, THE THYROID FIXER! The most COMPREHENSIVE Thyroid Analysis Discussion in the Podcast World!

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And so right then and there, you can see the gender difference. So men are going to be more protected. Age-wise, it's the hormonal change ages. So it's puberty, pregnancy, perimenopause, which I call actually thyropause.

The Dylan Gemelli Podcast

Episode #7 Featuring Dr. Amie Hornaman, THE THYROID FIXER! The most COMPREHENSIVE Thyroid Analysis Discussion in the Podcast World!

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So the definition of thyropause is when your thyroid gland hits the bed after the age of 40 due to fluctuating hormones that it pretty much hits every woman out there over the age of 40. But if we go earlier, pregnancy. Okay, it's natural. Women were built to do it. Huge stressor on the body. Rollercoaster of hormones. And that stressor is enough to turn on the Hashimoto's switch.

The Dylan Gemelli Podcast

Episode #7 Featuring Dr. Amie Hornaman, THE THYROID FIXER! The most COMPREHENSIVE Thyroid Analysis Discussion in the Podcast World!

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So if you think about Hashimoto's and hypothyroidism as like a light switch, it's going to stay in the off position for a while. You might have that genetic predisposition for autoimmune. but what's going to turn it on? And that's usually a major stressor, a major hormonal shift.

The Dylan Gemelli Podcast

Episode #7 Featuring Dr. Amie Hornaman, THE THYROID FIXER! The most COMPREHENSIVE Thyroid Analysis Discussion in the Podcast World!

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Yeah, if you're overdoing it. So over-exercising, over-dining is a stressor on the body. So that stressor, well, that over-exercising, over-dining can directly affect the thyroid. So it can be more like a primary hypothyroidism where the thyroid gland just shifts the bed. It just goes, you know what? enough is enough. It has nothing to do with Hashimoto's.

The Dylan Gemelli Podcast

Episode #7 Featuring Dr. Amie Hornaman, THE THYROID FIXER! The most COMPREHENSIVE Thyroid Analysis Discussion in the Podcast World!

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It's not your immune system thinking your thyroid's a bad guy. It's just like, your thyroid's just like, you have used and abused this body enough and it gives you the burp. And then we have the other side where it's Hashimoto's. It truly is Maybe it was over-exercising, over-dieting.

The Dylan Gemelli Podcast

Episode #7 Featuring Dr. Amie Hornaman, THE THYROID FIXER! The most COMPREHENSIVE Thyroid Analysis Discussion in the Podcast World!

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But even that didn't work. And every single time I stepped on that scale, it went up. And I mean that. 25 pounds total. That's when I stopped getting on. I am certain that it went higher than that. But at that point, I didn't want to know anymore. I knew I was out of the show. I knew my body was rebelling against me. And I really just wanted answers as to why.

The Dylan Gemelli Podcast

Episode #7 Featuring Dr. Amie Hornaman, THE THYROID FIXER! The most COMPREHENSIVE Thyroid Analysis Discussion in the Podcast World!

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Maybe it was just, you know, even a death, a divorce, a major life change, whatever, that that stressor was enough to turn it on. So it really could be either. And then we have like that little 2% over here that's radiation, chemotherapy, birth control, ladies, really harms the thyroid, certain beta blockers and medications that can have a direct effect.

The Dylan Gemelli Podcast

Episode #7 Featuring Dr. Amie Hornaman, THE THYROID FIXER! The most COMPREHENSIVE Thyroid Analysis Discussion in the Podcast World!

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So with all autoimmune, I love this question too, by the way, all autoimmune, we have a three-legged stool analogy. This is not like thought of by me. I give credit to Alessio Fasano. He has actually the father of gluten sensitivity and celiac. He talked a lot about it about 10 years ago. And he used this analogy and I love it. Three-legged stool.

The Dylan Gemelli Podcast

Episode #7 Featuring Dr. Amie Hornaman, THE THYROID FIXER! The most COMPREHENSIVE Thyroid Analysis Discussion in the Podcast World!

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So in the one leg, you have that genetic predisposition. Somewhere in your family, there's autoimmune. Type 1 diabetes, celiac, Crohn's disease, whatever. Or Hashimoto's. And then you have the other leg of the stool that is leaky gut. These days, who doesn't have a leaky gut? Gluten exposure, toxins, just kind of eating away at our insides, all the processed foods, chemicals.

The Dylan Gemelli Podcast

Episode #7 Featuring Dr. Amie Hornaman, THE THYROID FIXER! The most COMPREHENSIVE Thyroid Analysis Discussion in the Podcast World!

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And then you have the trigger. So yeah, the theory is if you kick out a leg of a three-legged stool, the stool can't stand. So we have to remove one of those legs. Well, we can't remove the genetic predisposition. We can heal the gut. Really controlling of stressors. I mean, are you going to be like, you know what? I'm not going to get pregnant because I don't want to risk having Hashimoto's. No.

The Dylan Gemelli Podcast

Episode #7 Featuring Dr. Amie Hornaman, THE THYROID FIXER! The most COMPREHENSIVE Thyroid Analysis Discussion in the Podcast World!

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And you're still going to go through perimenopause. None of us are aging like Benjamin Button. So you're still going to lose hormones at some point in time. So really, I mean, how do we avoid it? It is said that, yes, you can do gut healing protocols. You can remove gluten. You can remove all of the toxins coming into the body. And that absolutely can help.

The Dylan Gemelli Podcast

Episode #7 Featuring Dr. Amie Hornaman, THE THYROID FIXER! The most COMPREHENSIVE Thyroid Analysis Discussion in the Podcast World!

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But honestly, in my opinion, it's like if it's coming, it's coming and we deal with it.

The Dylan Gemelli Podcast

Episode #7 Featuring Dr. Amie Hornaman, THE THYROID FIXER! The most COMPREHENSIVE Thyroid Analysis Discussion in the Podcast World!

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Yes and no. So we can push Hashimoto's into remission. If we catch it really early, we can actually do things to keep people off of thyroid hormone replacement. Not that that's a big deal if you have to go on it like we talked about earlier. But yes, we can catch it early and possibly push it into remission. But then at the same time, it's like, I just tell people like, it's okay. So it's okay.

The Dylan Gemelli Podcast

Episode #7 Featuring Dr. Amie Hornaman, THE THYROID FIXER! The most COMPREHENSIVE Thyroid Analysis Discussion in the Podcast World!

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You got to die. We can take care of it though. We can make it so that you don't even realize that you have it. I take my thyroid medication every day. I joke that I live in optimization land. I'm good. I'm fine. I'm living life. It's good. So we can bring people into that world of not suffering, not dealing with all of the hypo symptoms. They can live a fantastic life. It just takes that proper

The Dylan Gemelli Podcast

Episode #7 Featuring Dr. Amie Hornaman, THE THYROID FIXER! The most COMPREHENSIVE Thyroid Analysis Discussion in the Podcast World!

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Thyroid hormone replacement, i.e. medication, that proper dose. And I get this question too a lot. Well, what is your favorite medication? So I say the one that's going to work for you. Right. And the combination that's going to work for you in the dose that's going to work for you. And that's my favorite one.

The Dylan Gemelli Podcast

Episode #7 Featuring Dr. Amie Hornaman, THE THYROID FIXER! The most COMPREHENSIVE Thyroid Analysis Discussion in the Podcast World!

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So I started going to doctors because that's what we do when there's something wrong with our body. We all do it. So I went to my first doctor, and I say first because there were many more to follow. First doctor who told me, and I don't know the tests that were ran back then. I wasn't in this space.

The Dylan Gemelli Podcast

Episode #7 Featuring Dr. Amie Hornaman, THE THYROID FIXER! The most COMPREHENSIVE Thyroid Analysis Discussion in the Podcast World!

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Yeah, good question. So totally different. More people get hit with hypo than hyper.

The Dylan Gemelli Podcast

Episode #7 Featuring Dr. Amie Hornaman, THE THYROID FIXER! The most COMPREHENSIVE Thyroid Analysis Discussion in the Podcast World!

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Hyper is it's kind of like you can sound it out and think about what the symptoms would be. Hyper. agitated, jittery, like you drank too much coffee, weight loss, sweating, insomnia, anxious thoughts. And this is where we'll see the thyroid eye disease where the eyes start to bulge out. Okay. The problem with that, you know, a lot of people are like, give me the weight loss.

The Dylan Gemelli Podcast

Episode #7 Featuring Dr. Amie Hornaman, THE THYROID FIXER! The most COMPREHENSIVE Thyroid Analysis Discussion in the Podcast World!

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Well, no, it starts to affect your heart too. Your heart rate is increased. Your blood pressure is increased. That can be a really dangerous situation.

The Dylan Gemelli Podcast

Episode #7 Featuring Dr. Amie Hornaman, THE THYROID FIXER! The most COMPREHENSIVE Thyroid Analysis Discussion in the Podcast World!

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And normally in hyper, we see it in the autoimmune form of Graves' disease. Okay. Those with hyper tend to swing. They do this pendulum swing. So you might have someone that's like, yeah, I have a Graves disease, but I'm gaining weight and I'm tired all the time. It's like, that's because the pendulum is swinging to the other side.

The Dylan Gemelli Podcast

Episode #7 Featuring Dr. Amie Hornaman, THE THYROID FIXER! The most COMPREHENSIVE Thyroid Analysis Discussion in the Podcast World!

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Most of the time you have Hashimoto's and Graves antibodies at the same time. So you'll swing between those two autoimmune pendulums, you know, sides of the pendulum. And then hypo is exactly what it sounds like too. Hypo low and slow. So low metabolism, low mood, low energy, low gut motility, low cell turnover. Just everything is just flowed down in the body.

The Dylan Gemelli Podcast

Episode #7 Featuring Dr. Amie Hornaman, THE THYROID FIXER! The most COMPREHENSIVE Thyroid Analysis Discussion in the Podcast World!

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Hypo all day long. I would say, I mean, we really, I don't specialize in hyperthyroidism. I might have had two patients in the last five years that we treated for hyper because they were on the pendulum swing. And, you know, it gets, you asked the question earlier, which one is better to treat?

The Dylan Gemelli Podcast

Episode #7 Featuring Dr. Amie Hornaman, THE THYROID FIXER! The most COMPREHENSIVE Thyroid Analysis Discussion in the Podcast World!

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Quite honestly, hypo is because when you're hyper, oftentimes we have to use medication that suppresses your thyroid. And then what's going to happen? You're going to go to the other side and then you're going to be, you know, and then you're going to be too low. And then we're playing this like balancing game. I actually, I don't want this to come across wrong.

The Dylan Gemelli Podcast

Episode #7 Featuring Dr. Amie Hornaman, THE THYROID FIXER! The most COMPREHENSIVE Thyroid Analysis Discussion in the Podcast World!

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I want to preserve someone's thyroid as much as we possibly can. We want to avoid removal or radioactive iodine. There are cases where it has to be done, like in cancer. Like we got to take that thyroid out. It's okay. I got you. We're going to replace your thyroid hormones and you're going to be fine because I know what to expect after a thyroidectomy and I can guide patients that way.

The Dylan Gemelli Podcast

Episode #7 Featuring Dr. Amie Hornaman, THE THYROID FIXER! The most COMPREHENSIVE Thyroid Analysis Discussion in the Podcast World!

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But in the case of Graves' disease, My best friend's mom had it. And she was swinging, left out. She would be on methamazole to suppress her thyroid. Then she'd be over here on Synthroid because she went too low and she would gain the weight and all that. And she wasn't really compliant either. So when somebody got them, like, it's time to just take it out.

The Dylan Gemelli Podcast

Episode #7 Featuring Dr. Amie Hornaman, THE THYROID FIXER! The most COMPREHENSIVE Thyroid Analysis Discussion in the Podcast World!

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Like, it is time to take the thyroid out and we'll put her on thyroid hormone replacement and rebuild those thyroid hormones so that she comes out of that hypostate and that's where she's going to live. Because this pendulum swing is not good for anybody.

The Dylan Gemelli Podcast

Episode #7 Featuring Dr. Amie Hornaman, THE THYROID FIXER! The most COMPREHENSIVE Thyroid Analysis Discussion in the Podcast World!

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I didn't know what to ask for, and that's really why I try to educate people and drill it into them. No, you have to ask for a specific test. So I got some testing done. Yes, they tested my thyroid. They said you're normal. I'm using air quotes here. Normal and everything is fine. So I left there. I'm like, no, I'm not normal. I'm not fine. I'm going to go for this second opinion thing.

The Dylan Gemelli Podcast

Episode #7 Featuring Dr. Amie Hornaman, THE THYROID FIXER! The most COMPREHENSIVE Thyroid Analysis Discussion in the Podcast World!

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Not necessarily. Estrogen dominance can. So if, you know, we see a lot of women battling PCOS, polycystic ovarian syndrome, which is usually like a low progesterone estrogen dominant, sometimes androgen dominant state, but not, no, not so much with testosterone because it's so protective. Where my heart goes out are my dudes who have hypothyroidism or Hashimoto's. It's the other way.

The Dylan Gemelli Podcast

Episode #7 Featuring Dr. Amie Hornaman, THE THYROID FIXER! The most COMPREHENSIVE Thyroid Analysis Discussion in the Podcast World!

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It's that because they have low thyroid function, their testosterone will always be in the toilet. And of course, I mean, as you know and talk about, doctors will say, oh, well, you're normal because your testosterone is a 330, even though you're 35 years old, you know.

The Dylan Gemelli Podcast

Episode #7 Featuring Dr. Amie Hornaman, THE THYROID FIXER! The most COMPREHENSIVE Thyroid Analysis Discussion in the Podcast World!

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Well, yeah, because then if like, let's say we have a guy walking around with Hashi and low testosterone and someone catches the low T, like he goes to one of the puppy milk clinics or whatever, where they prescribe everyone testosterone and he gets the testosterone. I am literally speaking from a patient that I had who's in his 20s. They give him testosterone. The testosterone goes to the 500.

The Dylan Gemelli Podcast

Episode #7 Featuring Dr. Amie Hornaman, THE THYROID FIXER! The most COMPREHENSIVE Thyroid Analysis Discussion in the Podcast World!

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He's on 200 megs a week. That doesn't make sense at all. What is keeping his testosterone low? Oh, look, there's this thyroid problem over here that nobody's addressing. And the thyroid is the master gland. So once you start working on the thyroid, now we can give him the testosterone and we see those levels go up because the thyroid is actually helping the whole system work better.

The Dylan Gemelli Podcast

Episode #7 Featuring Dr. Amie Hornaman, THE THYROID FIXER! The most COMPREHENSIVE Thyroid Analysis Discussion in the Podcast World!

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Yes. Yeah. Depending on where they're at in their journey. So like if they've been on TRT now for like two years, you know, I mean, you know, coming off with that, that's going to be hard. But yeah, if they like just went to the puppy milk clinic and just started on testosterone, it's like, wait, let's stop that.

The Dylan Gemelli Podcast

Episode #7 Featuring Dr. Amie Hornaman, THE THYROID FIXER! The most COMPREHENSIVE Thyroid Analysis Discussion in the Podcast World!

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Let's fix your thyroid first or let's drop your dose and bring your thyroid up the same. Let's see what happens. And then if a guy's 50 years old, it's like, well, dude, your testosterone is not coming back up by just fixing your thyroid, but let's do both.

The Dylan Gemelli Podcast

Episode #7 Featuring Dr. Amie Hornaman, THE THYROID FIXER! The most COMPREHENSIVE Thyroid Analysis Discussion in the Podcast World!

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So I kept going. Went to another doctor. Was told, well, you know what? Your labs look good. It's all in your head. Just eat less and exercise more. And at that point, I'm thinking, oh, my God, I'm going to die if I eat less and exercise more. Right. I was already restricting.

The Dylan Gemelli Podcast

Episode #7 Featuring Dr. Amie Hornaman, THE THYROID FIXER! The most COMPREHENSIVE Thyroid Analysis Discussion in the Podcast World!

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Okay. So first question is a strong yes. I have had many patients come into the practice. They were months and months on a GLP, did not work. And months and months on a GLP add a pharmaceutical level dose, you know, we're talking like, let's say we're talking triseptide, five, 7.5, 10 milligrams, like a dose that you're like, that should have worked. So that doesn't really make sense.

The Dylan Gemelli Podcast

Episode #7 Featuring Dr. Amie Hornaman, THE THYROID FIXER! The most COMPREHENSIVE Thyroid Analysis Discussion in the Podcast World!

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And then we look at their thyroid. It's like, okay, that's why. So yeah, a hundred percent. Now, if we go into, does the GLP hurt or help? we're kind of seeing that it helps if done in the right way. So microdosing GLPs, which I'm a huge fan of, reduction in inflammation.

The Dylan Gemelli Podcast

Episode #7 Featuring Dr. Amie Hornaman, THE THYROID FIXER! The most COMPREHENSIVE Thyroid Analysis Discussion in the Podcast World!

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Well, whenever we take down inflammation in the body, the body's going to work better, whether it's your thyroid, your hormones, whatever. So we are seeing improvements in the gut. with GLPs done the right way, not where it stops your gastric motility completely. It has to be done the right way. We're seeing improvements in gut function. We're seeing improvements in brain function.

The Dylan Gemelli Podcast

Episode #7 Featuring Dr. Amie Hornaman, THE THYROID FIXER! The most COMPREHENSIVE Thyroid Analysis Discussion in the Podcast World!

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We're seeing alleviation of depression and anxiety that is just crazy. So there are so many benefits to GLPs when combined with proper thyroid and hormone replacement that it's kind of exciting, but it's all about doing it the right way.

The Dylan Gemelli Podcast

Episode #7 Featuring Dr. Amie Hornaman, THE THYROID FIXER! The most COMPREHENSIVE Thyroid Analysis Discussion in the Podcast World!

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I was in full show contest prep mode and just really could not restrict any further without completely starving myself and shutting my body down. So I kept going, went to doctor number three, four, five, and six. All of them dismissed me. They all told me I was normal. Everything is fine. Now I'm rushing through this story, but the reality was I was really depressed.

The Dylan Gemelli Podcast

Episode #7 Featuring Dr. Amie Hornaman, THE THYROID FIXER! The most COMPREHENSIVE Thyroid Analysis Discussion in the Podcast World!

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Yeah, so when people use it who don't need it, you're seeing the classic loss of facial fat, the ozempic face. You're seeing women walking around with no butt because they're losing all of their muscle. Right, right. They look anorexic. I mean, let's face it. People are looking horrible because you do lose muscle. So quick story back, gosh, whenever Manjara first came out,

The Dylan Gemelli Podcast

Episode #7 Featuring Dr. Amie Hornaman, THE THYROID FIXER! The most COMPREHENSIVE Thyroid Analysis Discussion in the Podcast World!

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I was like, all right, I'll try it because, you know, I mean, we're biohackers. We'll try anything first before we tell somebody else to do it. So I'm like, I'll try this. I was trying to have five milligrams and yeah, I was losing weight. Had not noticed the muscle loss yet. But then Peter Atiyah comes out with this article.

The Dylan Gemelli Podcast

Episode #7 Featuring Dr. Amie Hornaman, THE THYROID FIXER! The most COMPREHENSIVE Thyroid Analysis Discussion in the Podcast World!

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I was like, you know, we're seeing like a 40% lean muscle loss with these GLPs. I was like, no, it's fine, Peter. We don't have to worry about that. And then I shit you not, it must have been like two to three weeks later. I'm looking at my arms. I'm like seeing my mom's arms. Like there's extra skin. I'm like, really?

The Dylan Gemelli Podcast

Episode #7 Featuring Dr. Amie Hornaman, THE THYROID FIXER! The most COMPREHENSIVE Thyroid Analysis Discussion in the Podcast World!

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Stepco, right? What's happening? And that's exactly what was happening is I was, I was losing lean muscle tissue. So I stopped completely, you know, gained a little bit of weight back, but basically I'm metabolically healthy. So I can, you know, stay within a realm. But then I got off. I wouldn't touch it. I would not touch. I was like anti-GLP all the way. I'm like, this stuff is horrible.

The Dylan Gemelli Podcast

Episode #7 Featuring Dr. Amie Hornaman, THE THYROID FIXER! The most COMPREHENSIVE Thyroid Analysis Discussion in the Podcast World!

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You're going to burn your muscle. But then the microdosing, you know, aspects started digging into that, going down that rabbit hole. And you're right, it's fascinating. And so I was like, okay, I'll come back and I'll try it. I'll try like one milligram, maybe two, not this five. And that's where it's at. It's finding that sweet spot of your microdose where you don't lose your appetite.

The Dylan Gemelli Podcast

Episode #7 Featuring Dr. Amie Hornaman, THE THYROID FIXER! The most COMPREHENSIVE Thyroid Analysis Discussion in the Podcast World!

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And my side note, my lean muscle loss was not due to lack of protein. Yes, you have to eat protein like it's your job if you're taking a GLP, but that wasn't it. It was the GLP's direct effect on my muscle at too high of a dose. Yes. Microdosing, nothing. In fact, I'm actually seeing like, I don't want to say an improvement in my muscle, but almost like I get better pumps when I'm working out.

The Dylan Gemelli Podcast

Episode #7 Featuring Dr. Amie Hornaman, THE THYROID FIXER! The most COMPREHENSIVE Thyroid Analysis Discussion in the Podcast World!

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I'm definitely like keeping and... Putting on, of course, it's really hard to put on muscle at the age of 50, but you can do it. But see, I have a better muscle shape and really overall musculature now than when I competed in my 20s. Really?

The Dylan Gemelli Podcast

Episode #7 Featuring Dr. Amie Hornaman, THE THYROID FIXER! The most COMPREHENSIVE Thyroid Analysis Discussion in the Podcast World!

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You know, I went into the hole wearing big sweatshirts at the gym. I felt judged. I felt like people were talking about me like, oh, she couldn't stay on the diet. You know, she ate too many donuts and is dropping out. And that wasn't the case. I was actually more strict than anyone there. But my body was just rebelling against me. So I finally went to one endocrinologist in Pittsburgh.

The Dylan Gemelli Podcast

Episode #7 Featuring Dr. Amie Hornaman, THE THYROID FIXER! The most COMPREHENSIVE Thyroid Analysis Discussion in the Podcast World!

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Aminos, you know, just just taking in aminos and and really the key. If you're doing a GLP and you lose your appetite or you get any side effect, you get heartburn, you get nausea, you get the fatigue, you lose your appetite, you're on too high of a dose.

The Dylan Gemelli Podcast

Episode #7 Featuring Dr. Amie Hornaman, THE THYROID FIXER! The most COMPREHENSIVE Thyroid Analysis Discussion in the Podcast World!

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You're on too high of a dose. So yeah, I do want you doing, do a protein shake, do a 50 gram protein shake. And ladies, yeah, you can absorb that. It's cool, especially if you bookend it. One really interesting study, I don't know if you've heard of this one, Dylan, but one really interesting study showed that women can absorb over 30, 40 grams of protein if you bookend it.

The Dylan Gemelli Podcast

Episode #7 Featuring Dr. Amie Hornaman, THE THYROID FIXER! The most COMPREHENSIVE Thyroid Analysis Discussion in the Podcast World!

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So beginning of the day, end of day is their best absorption points of having a higher protein meal. So yeah, I mean, I'll do a 50 gram protein shake just to make sure I get that big bolus And I do it more because I get busy during the day and don't get enough food until the beginning and end of the day. But for my GLP peeps out there, yeah, drink.

The Dylan Gemelli Podcast

Episode #7 Featuring Dr. Amie Hornaman, THE THYROID FIXER! The most COMPREHENSIVE Thyroid Analysis Discussion in the Podcast World!

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I don't care if you're not hungry, drink a protein shake. But if you're not hungry, you're on too high of a dose.

The Dylan Gemelli Podcast

Episode #7 Featuring Dr. Amie Hornaman, THE THYROID FIXER! The most COMPREHENSIVE Thyroid Analysis Discussion in the Podcast World!

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Yeah. So I love talking about T2 because, you know, you're going to have people listening to this podcast that they are going to be stuck. Maybe they are on T4 only. Maybe they have a slow metabolism. Maybe they killed their metabolism from abusing T3 because you competed and used it. So if you're in that place of, oh my gosh, my metabolism sucks. I can't burn fat no matter what I do.

The Dylan Gemelli Podcast

Episode #7 Featuring Dr. Amie Hornaman, THE THYROID FIXER! The most COMPREHENSIVE Thyroid Analysis Discussion in the Podcast World!

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I'm trying all the things. This is where T2 can come in. You don't have to have a thyroid problem and take it. So T2 is a thyroid hormone metabolite. If we look at the thyroid gland, like I said earlier, it produces T3 and T4. It also produces T1 and T2. T1 is inactive. We can just kind of set it over here off to the side.

The Dylan Gemelli Podcast

Episode #7 Featuring Dr. Amie Hornaman, THE THYROID FIXER! The most COMPREHENSIVE Thyroid Analysis Discussion in the Podcast World!

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T2 is very active and they compare it to the activity on our metabolism to T3. However, it does not burn muscle. It only burns body fat. It works at the mitochondrial level to produce ATP. So it's going to improve your energy for nice steady energy through the day. It's going to brown white adipose tissues.

The Dylan Gemelli Podcast

Episode #7 Featuring Dr. Amie Hornaman, THE THYROID FIXER! The most COMPREHENSIVE Thyroid Analysis Discussion in the Podcast World!

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Pennsylvania, big. I mean, I was in a huge, major medical system. Think Cleveland Clinic, Mayo Clinic. UPMC Pittsburgh is a major medical system. So I was in this system thinking I'm going to get the best treatment, right? So I'll travel. I'll travel to see this doctor. That's fine. And she touched my throat and she said, swallow. And she said, okay, you have a goiter on your thyroid.

The Dylan Gemelli Podcast

Episode #7 Featuring Dr. Amie Hornaman, THE THYROID FIXER! The most COMPREHENSIVE Thyroid Analysis Discussion in the Podcast World!

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That's why we jump into cold plunges is to brown our white squishy fat that we want to get rid of. So that makes us more metabolically active. It stimulates mitochondrial protein uncoupling, thermogenesis. I mean, that's the basic way of, what is that? Increasing thermogenesis, improving lipid panels, improving insulin sensitivity.

The Dylan Gemelli Podcast

Episode #7 Featuring Dr. Amie Hornaman, THE THYROID FIXER! The most COMPREHENSIVE Thyroid Analysis Discussion in the Podcast World!

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So it does all of these things without that feedback loop on your thyroid. So it's not going to tell your thyroid, You know what? Just stop producing thyroid hormone now because someone is taking thyroid hormone. Your thyroid gland is still going to produce the same amount of thyroid hormone.

The Dylan Gemelli Podcast

Episode #7 Featuring Dr. Amie Hornaman, THE THYROID FIXER! The most COMPREHENSIVE Thyroid Analysis Discussion in the Podcast World!

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But by adding in T2, you're increasing your BMR, your basal metabolic rate, the amount of fat that you're burning at rest. So this comes back to what I heard that interview, the trainer to the pros, say about using T3 versus T2. Now, this was way back in the day, and I have been studying T2 for about 15 years.

The Dylan Gemelli Podcast

Episode #7 Featuring Dr. Amie Hornaman, THE THYROID FIXER! The most COMPREHENSIVE Thyroid Analysis Discussion in the Podcast World!

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I originally started using it because it was only available in like bro science, angry bodybuilding supplement lines. And if I'm sitting across from a 40-year-old woman who's struggling with weight, I can't tell her to go to blowyourfaceoff.com and buy something with a gorilla on it. It's not going to work. She's going to look at me like I got five heads.

The Dylan Gemelli Podcast

Episode #7 Featuring Dr. Amie Hornaman, THE THYROID FIXER! The most COMPREHENSIVE Thyroid Analysis Discussion in the Podcast World!

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So now I was doing that because that was the only way that we could get it. So I'm like, try this. Just trust me. Don't look at the name. Just try it. And I was getting massive results because it was available in supplement form. They didn't need a prescription. So fast forward to,

The Dylan Gemelli Podcast

Episode #7 Featuring Dr. Amie Hornaman, THE THYROID FIXER! The most COMPREHENSIVE Thyroid Analysis Discussion in the Podcast World!

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three years ago, I knew I'm like, it's time that I bring this to market to the masses so that my 40 year old woman can go and buy it from a normal site and feel comfortable about what she's taking. So the very first product that released in my fixer line was thyroid fixer followed by metabolism fixer. I call it thyroid fixer. Because it's after the brand. It's after me.

The Dylan Gemelli Podcast

Episode #7 Featuring Dr. Amie Hornaman, THE THYROID FIXER! The most COMPREHENSIVE Thyroid Analysis Discussion in the Podcast World!

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And it was my flagship product. Not thinking that people would actually get confused and go, do I need a thyroid problem to take it? So Thyroid Fixer does contain T2. Yes, you can take it if you don't have a thyroid problem. And then Metabolism Fixer also contains T2. But T2 is just, it's amazing. It's amazing what it can do for your metabolism where you don't have to increase your T3.

The Dylan Gemelli Podcast

Episode #7 Featuring Dr. Amie Hornaman, THE THYROID FIXER! The most COMPREHENSIVE Thyroid Analysis Discussion in the Podcast World!

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You don't have to beg your doctor for T3. You don't have to abuse T3 if you don't have a thyroid problem.

The Dylan Gemelli Podcast

Episode #7 Featuring Dr. Amie Hornaman, THE THYROID FIXER! The most COMPREHENSIVE Thyroid Analysis Discussion in the Podcast World!

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Nope, not yet. Fingers crossed. But with the new admin coming in, I think we'll be good. The FDA isn't going to be a bunch of assholes and start wiping out our supplement industry.

The Dylan Gemelli Podcast

Episode #7 Featuring Dr. Amie Hornaman, THE THYROID FIXER! The most COMPREHENSIVE Thyroid Analysis Discussion in the Podcast World!

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Yeah, it's been three years now. And I literally built it from what I see in my practice, from what I see on blood work and what I hear from my ladies. So, and we have a men's line too. It's the low testosterone. You know, these women that they have low testosterone, half the doctors out there don't even realize that women have testosterone as a hormone.

The Dylan Gemelli Podcast

Episode #7 Featuring Dr. Amie Hornaman, THE THYROID FIXER! The most COMPREHENSIVE Thyroid Analysis Discussion in the Podcast World!

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I'm looking at your numbers here. It looks like you have hypothyroidism. So I'm going to give you a pill. And I left her office pumped up. I'm like, I have a name. I have a diagnosis. And I got a pill. And it's all going to change, right? It's all going to change. And five months later, nothing changed. There was not one pound dropped on the scale. I was tired. I was depressed.

The Dylan Gemelli Podcast

Episode #7 Featuring Dr. Amie Hornaman, THE THYROID FIXER! The most COMPREHENSIVE Thyroid Analysis Discussion in the Podcast World!

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And they certainly will not prescribe testosterone because these women are getting told like, that's a dude hormone. We can't give that to you. So these ladies are walking around with low testosterone. So I came out with Hormone Fixer that is specifically targeted for women with low testosterone. It will raise your total by at least 20 points.

The Dylan Gemelli Podcast

Episode #7 Featuring Dr. Amie Hornaman, THE THYROID FIXER! The most COMPREHENSIVE Thyroid Analysis Discussion in the Podcast World!

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So it absolutely is a fantastic alternative if you cannot get straight up to your T or you don't want to take it. We have Hashimoto's fixer targeting Hashimoto antibodies. Black cumin seed oil lowers inflammation, reduces antibodies across the board of all autoimmune conditions.

The Dylan Gemelli Podcast

Episode #7 Featuring Dr. Amie Hornaman, THE THYROID FIXER! The most COMPREHENSIVE Thyroid Analysis Discussion in the Podcast World!

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And black cumin seed oil is one of the only, we'll say ingredients, ingredients in a supplement that you can say actually helps prevent cancer because there are a multitude of studies behind it that show that and prove that. So black cumin seed is part of my kind of no-duh supplement line, meaning duh, of course you take it every day. Like you would take vitamin D every day.

The Dylan Gemelli Podcast

Episode #7 Featuring Dr. Amie Hornaman, THE THYROID FIXER! The most COMPREHENSIVE Thyroid Analysis Discussion in the Podcast World!

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Like you would take iodine every day. Like you would take magnesium every day. Like black cumin seed, I feel should be in every person's protocol. And then we just kind of went from there. So then I was getting the guys that I told you about that would have low testosterone. So, I mean, I don't know how you feel.

The Dylan Gemelli Podcast

Episode #7 Featuring Dr. Amie Hornaman, THE THYROID FIXER! The most COMPREHENSIVE Thyroid Analysis Discussion in the Podcast World!

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I should throw this question to you, but tricosterone, Fidoja, you know, I see great things. When you have a man that cannot get testosterone. You know, maybe he can't afford to go to a clinic. Maybe his doctor won't recognize that his testosterone of a 400 is not cool. So we got to give him something that, that can help them over the counter.

The Dylan Gemelli Podcast

Episode #7 Featuring Dr. Amie Hornaman, THE THYROID FIXER! The most COMPREHENSIVE Thyroid Analysis Discussion in the Podcast World!

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So that's where I use tergesterone for Doja, um, beta exosterone. That's for my guys. We use testicular glandular. That's called my nuts fixer. My husband named that. So I had to, I had to, I had to put it out there.

The Dylan Gemelli Podcast

Episode #7 Featuring Dr. Amie Hornaman, THE THYROID FIXER! The most COMPREHENSIVE Thyroid Analysis Discussion in the Podcast World!

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I was losing my hair. I mean, that was kind of a side to all the weight gain that I had put on. So then I kept hearing the name of this functional practitioner. And back then, we didn't use the term functional. It was integrative. It was alternative. So he was just a genius in all things. He was a naturopathic physician. He was an integrative medicine doctor. He was a pharmacist.

The Dylan Gemelli Podcast

Episode #7 Featuring Dr. Amie Hornaman, THE THYROID FIXER! The most COMPREHENSIVE Thyroid Analysis Discussion in the Podcast World!

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Yeah, it's pretty prevalent, actually. So when we're looking at the hormonal cascade of a woman's life, we know that progesterone will go down first, sometimes as early as a woman sees, sometimes 20s if she's having conception issues, but definitely 30s, 40s. Progesterone takes the nosedive first.

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Episode #7 Featuring Dr. Amie Hornaman, THE THYROID FIXER! The most COMPREHENSIVE Thyroid Analysis Discussion in the Podcast World!

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Testosterone usually follows, although sometimes we can get this like weird surge of testosterone in menopause. But when I say surge, I mean, really, a woman will spike to like 40 nanograms per deciliter total. And my cutoff, my optimal for women is 50 or above when it comes to the total. So she'll get almost there, but not quite.

The Dylan Gemelli Podcast

Episode #7 Featuring Dr. Amie Hornaman, THE THYROID FIXER! The most COMPREHENSIVE Thyroid Analysis Discussion in the Podcast World!

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But then she'll drop down low again and then followed by estrogen last. So low testosterone is really prevalent. I honestly, I'm thinking of all the labs that I've seen through the years. And unless she's in her early 80s, it's very rare that I look at a testosterone level and go, well, this looks good. Like nothing, nothing's needed here. It's fine.

The Dylan Gemelli Podcast

Episode #7 Featuring Dr. Amie Hornaman, THE THYROID FIXER! The most COMPREHENSIVE Thyroid Analysis Discussion in the Podcast World!

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And sometimes I even see low T in a woman's 30s and then you have to go, okay, do you want to get pregnant again? Like if not, then we can start replacing this now because it's really low. Or we might actually use like a minuscule dose because you need to have normal testosterone, optimal testosterone levels to get pregnant too. So it's, Yeah, it's very important.

The Dylan Gemelli Podcast

Episode #7 Featuring Dr. Amie Hornaman, THE THYROID FIXER! The most COMPREHENSIVE Thyroid Analysis Discussion in the Podcast World!

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I call it the get shit done hormone. It helps us with everything. It helps with the drive and motivation and getting things done. Women are multitaskers. You know this. We have so much to do during the day. And if we don't have enough testosterone, we're not doing anything.

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Episode #7 Featuring Dr. Amie Hornaman, THE THYROID FIXER! The most COMPREHENSIVE Thyroid Analysis Discussion in the Podcast World!

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You're not going to have the motivation to go to the gym and to get a workout and take care of myself and take care of everybody else and then go to work and clean the house and make the dinner. And we have help with all that. You're just kind of like, no motivation whatsoever. So yeah, it's vital. It's vital. It's my second favorite hormone next to thyroid.

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Episode #7 Featuring Dr. Amie Hornaman, THE THYROID FIXER! The most COMPREHENSIVE Thyroid Analysis Discussion in the Podcast World!

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Well, you know, you just got to educate. So you got to tell them the pros and the cons. And the cons really only come... From overuse. Now, there will be this select few subset of women. And again, if I had to pick maybe three in the last like five to 10 years that have been like this, where you give them a drop of testosterone. And they're breaking out and they're growing a beard.

The Dylan Gemelli Podcast

Episode #7 Featuring Dr. Amie Hornaman, THE THYROID FIXER! The most COMPREHENSIVE Thyroid Analysis Discussion in the Podcast World!

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And it's like, man, and there actually is in the Dutch test, we can test something called 5-alpha reductase. So that's the enzyme that pushes your testosterone to dihydrotestosterone. And if someone has a propensity to push down that pathway hard, then yes, she might get some androgenic symptoms from just a tiny little amount of testosterone.

The Dylan Gemelli Podcast

Episode #7 Featuring Dr. Amie Hornaman, THE THYROID FIXER! The most COMPREHENSIVE Thyroid Analysis Discussion in the Podcast World!

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So he knew the medicine side of things. I kept hearing his name. So finally, I'm like, OK, Lord, OK, I get it. I'm going to go. I'm going to go. So I went and he sat down with me for 90 minutes. All the other doctors, I got like five to seven minute visits, right?

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So for her, we would use hormone fixer actually instead of TRT. But for the majority of women, if you dose it properly, then you're going to be fine. You know, most of the time I hear women come back and like, oh, my God, this is amazing. I have drive. I have motivation. I have a libido again. My husband thanks you as well for fixing my testosterone.

The Dylan Gemelli Podcast

Episode #7 Featuring Dr. Amie Hornaman, THE THYROID FIXER! The most COMPREHENSIVE Thyroid Analysis Discussion in the Podcast World!

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So, you know, and it just improves life across the board. So when women actually experience it, we'll start low. We go slow. We'll start like, cause I want to see how you, you react to the testosterone as well. Yeah. And then we can always increase from there and adjust your dose.

The Dylan Gemelli Podcast

Episode #7 Featuring Dr. Amie Hornaman, THE THYROID FIXER! The most COMPREHENSIVE Thyroid Analysis Discussion in the Podcast World!

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Yes. Progesterone, progestation. So it's vital for fertility. It cycles during our 28-day month, if you're still cycling. Progesterone goes kind of on a wild ride of going high and then going low. And when it goes low, that's the time where you shed, you shed your uterine lining. because that drop in progesterone.

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Episode #7 Featuring Dr. Amie Hornaman, THE THYROID FIXER! The most COMPREHENSIVE Thyroid Analysis Discussion in the Podcast World!

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So it's vital all the way through a woman's life because it also is very protective. So it's anti-prolific, meaning it's protective against cancer and cancer cell proliferation. It helps protect our bones. It helps with bone remodeling. Gosh, it helps T4 to T3 conversion. It just has so many benefits. It helps us sleep. It takes the edge off anxiety.

The Dylan Gemelli Podcast

Episode #7 Featuring Dr. Amie Hornaman, THE THYROID FIXER! The most COMPREHENSIVE Thyroid Analysis Discussion in the Podcast World!

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I always say the classic low progesterone is when a woman goes, Yeah, everybody in my family is asking me why I'm so bitchy all of a sudden. You got low progesterone, that's why. So yeah, progesterone is a beautiful hormone. And then estrogen, since we're talking about all the hormones. Yeah. Estrogen, bone, brain, breast, heart protection. You know, progesterone falls into that category too.

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Episode #7 Featuring Dr. Amie Hornaman, THE THYROID FIXER! The most COMPREHENSIVE Thyroid Analysis Discussion in the Podcast World!

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Estrogen reduces your risk of Alzheimer's by 67%. Like that is huge. It is protective against breast cancer. I don't care what your doctor told you. Hormones don't cause cancer. The benefits are just tremendous. So really, without hormones, we die. So if we look at any mammal, they start that decline into death when they can no longer procreate. And we have figured out ways to extend our life.

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Episode #7 Featuring Dr. Amie Hornaman, THE THYROID FIXER! The most COMPREHENSIVE Thyroid Analysis Discussion in the Podcast World!

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He sat with me for 90 minutes, went over this book of labs that he had ordered and started putting the pieces of the puzzle together and explained to me, oh, this is how your body is working and this is why you're feeling this way and this is what we have to do. And It was my answer. It was the change. It was the thing that I needed to literally get my life back.

The Dylan Gemelli Podcast

Episode #7 Featuring Dr. Amie Hornaman, THE THYROID FIXER! The most COMPREHENSIVE Thyroid Analysis Discussion in the Podcast World!

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Thankfully, we get to enjoy more years. But it is a false assumption that, well, menopause is just now. No, menopause is the beginning of death.

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So as soon as you lose all your hormones, you are at a much higher risk of cancer, Alzheimer's, Parkinson's, cardiovascular disease, type 2 diabetes, obesity, not to mention just, you know, like wrinkling before your time, losing your hair, just all of that. So hormones give us life. Let's replace those hormones so that we can have our best life.

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Episode #7 Featuring Dr. Amie Hornaman, THE THYROID FIXER! The most COMPREHENSIVE Thyroid Analysis Discussion in the Podcast World!

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Yes. Yes. We replace those hormones as they go down. So I don't care if you're 30 and your progesterone's in the tank. Let's do progesterone. Now let's do testosterone. And then eventually when you need estrogen, we're here for you. We'll do that too.

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So we can prescribe them, but you know, Like we talked about on my podcast, I'm totally fine with people getting them from a reputable source like the ones that you mentioned. And let's face it, they're just cheaper. So if you're getting it from a reputable source, I'm fine with that.

The Dylan Gemelli Podcast

Episode #7 Featuring Dr. Amie Hornaman, THE THYROID FIXER! The most COMPREHENSIVE Thyroid Analysis Discussion in the Podcast World!

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And my favorites, BBC 157. For all things, I mean, just any kind of healing you need to do. I'm getting a laser procedure done next Monday. I still have BP. I just ordered from Umbrella. I'm like, fast ship, two-day ship, please. BBC, thank you. So, you know, BPC, GHKCU, and TB500 for any kind of healing stack. Gosh, what else? I still have not used the ipamirelin that you told me I have it.

The Dylan Gemelli Podcast

Episode #7 Featuring Dr. Amie Hornaman, THE THYROID FIXER! The most COMPREHENSIVE Thyroid Analysis Discussion in the Podcast World!

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I haven't started it yet, so I'll report back to you on that. Any of the HGH. But you know peptides better than I do. So I'll call them the basic peptides. And then your knowledge gets into all the crazy areas.

The Dylan Gemelli Podcast

Episode #7 Featuring Dr. Amie Hornaman, THE THYROID FIXER! The most COMPREHENSIVE Thyroid Analysis Discussion in the Podcast World!

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So from that point on, I changed careers. I knew that this is what I wanted to do. I knew that just because I got the runaround in a major medical system, how many other people out there in smaller cities are getting the freaking runaround by the medical system? Something needs to be done. Now, this is 20 some years ago and we're still in the same boat. We're in the same.

The Dylan Gemelli Podcast

Episode #7 Featuring Dr. Amie Hornaman, THE THYROID FIXER! The most COMPREHENSIVE Thyroid Analysis Discussion in the Podcast World!

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Yeah. Sarcotropin. Someone just sent this to me today. And it's an oral. Now, everything that you've ever told... Me and taught me about any kind of, I'm assuming with the name tropin, it would still be under the HGH kind of category.

The Dylan Gemelli Podcast

Episode #7 Featuring Dr. Amie Hornaman, THE THYROID FIXER! The most COMPREHENSIVE Thyroid Analysis Discussion in the Podcast World!

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Sports lane body mass, you know, oral solution to promote normal muscle recovery. Girl swears by this, but I don't know. I mean, would it even work orally like that? What's your opinion?

The Dylan Gemelli Podcast

Episode #7 Featuring Dr. Amie Hornaman, THE THYROID FIXER! The most COMPREHENSIVE Thyroid Analysis Discussion in the Podcast World!

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Now, there are more people like myself, more functional practitioners out there doing the work. But, you know, I mean, I see this every day, Dylan, people in and out of my practice, listen to the podcast, my Facebook group, whatever. Just my doctor won't listen. My doctor won't run the test. My doctor won't treat with anything but T4. And that's what I was given, by the way.

The Dylan Gemelli Podcast

Episode #7 Featuring Dr. Amie Hornaman, THE THYROID FIXER! The most COMPREHENSIVE Thyroid Analysis Discussion in the Podcast World!

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Yep, absolutely. So just go to draimee.com and click the book a call page and you'll get a free call with my team. They're going to go over your whole health history. where you're at, what you're taking, how many doctors you've seen, right? What you've been told, all of the things. And then we'll go over the different options for you based on what you've been through and what you're looking for.

The Dylan Gemelli Podcast

Episode #7 Featuring Dr. Amie Hornaman, THE THYROID FIXER! The most COMPREHENSIVE Thyroid Analysis Discussion in the Podcast World!

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So yeah, we prescribe to all 50 states, most of Canada. You book that call, then we can put you in a program if you do need the thorough testing because your doctor won't order the testing. You need thyroid hormone replacement. You're looking for bioidentical hormone replacement. All of that we can do. We can do the GLPs. We can do peptides as well.

The Dylan Gemelli Podcast

Episode #7 Featuring Dr. Amie Hornaman, THE THYROID FIXER! The most COMPREHENSIVE Thyroid Analysis Discussion in the Podcast World!

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But really, it starts with you just booking a call and finding out what the best path is for you. And we have a really cool lab assessment now. We actually just released it. It's out today. And if you go to draimee.com forward slash labs, you'll be able to take a walkthrough.

The Dylan Gemelli Podcast

Episode #7 Featuring Dr. Amie Hornaman, THE THYROID FIXER! The most COMPREHENSIVE Thyroid Analysis Discussion in the Podcast World!

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Now, I know you might not have all of the labs, but you can get them, you know, order your own or whatever, just so you have that data. And then as you're going through this decoder, you're getting real-time feedback for each one of those lab markers. So we're looking at thyroid and hormones. That's what we focus on in this Decode Your Lab platform.

The Dylan Gemelli Podcast

Episode #7 Featuring Dr. Amie Hornaman, THE THYROID FIXER! The most COMPREHENSIVE Thyroid Analysis Discussion in the Podcast World!

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But it's going to tell you exactly what your labs mean. And we go by those optimal lab value ranges, not just normal. So with all of the markers, whether it's testosterone or whether it's T3, we want you in the optimal range. And that's where you can plug in your value and get real time feedback.

The Dylan Gemelli Podcast

Episode #7 Featuring Dr. Amie Hornaman, THE THYROID FIXER! The most COMPREHENSIVE Thyroid Analysis Discussion in the Podcast World!

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And the motivation and goal is because I just love to talk. Like you and I love this, right? This is probably the best part of our day. It's just having a discussion with somebody else and educating people. And it's about getting this message out, getting the education out, getting the knowledge out and really empowering people with this knowledge of how they can upload with their health.

The Dylan Gemelli Podcast

Episode #7 Featuring Dr. Amie Hornaman, THE THYROID FIXER! The most COMPREHENSIVE Thyroid Analysis Discussion in the Podcast World!

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So I was given, we can dive more into this. I was given a medication called T4, levothyroxine, Synthroid, Tyrosine. It's all in the same category. And I'm going to give you a stat and we can certainly dive more into this. 98% of us need T4 and T3 combined. Only 2%, 2% of the population do well on T4 only. And the reality is in the conventional system, it's flipped.

The Dylan Gemelli Podcast

Episode #7 Featuring Dr. Amie Hornaman, THE THYROID FIXER! The most COMPREHENSIVE Thyroid Analysis Discussion in the Podcast World!

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Absolutely. Yeah. DrAmy.com, D-R-A-M-I-E, is where you can pretty much get anywhere. So you can find the labs, DrAmy.com forward slash labs. You can book a call. You can get to my store from there as well. If you want to grab T2, thyroid fixer, metabolism fixer, anything at all. And the Thyroid Fixer podcast that Dylan was a guest on as well. A lot of good information.

The Dylan Gemelli Podcast

Episode #7 Featuring Dr. Amie Hornaman, THE THYROID FIXER! The most COMPREHENSIVE Thyroid Analysis Discussion in the Podcast World!

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And yeah, just dive in, listen. Facebook, we do have a Facebook group called Just Fix Your Thyroid. That's a great place for people to jump into. You can post your lab. So yeah, you can take the decode. But you can also post your labs in there. And I'm in there. My nurse practitioners are in there. Group experts are in there giving you real time feedback as to what we're looking at.

The Dylan Gemelli Podcast

Episode #7 Featuring Dr. Amie Hornaman, THE THYROID FIXER! The most COMPREHENSIVE Thyroid Analysis Discussion in the Podcast World!

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So it's a it's a huge, loving community. Tons of support with real answers for you.

The Dylan Gemelli Podcast

Episode #7 Featuring Dr. Amie Hornaman, THE THYROID FIXER! The most COMPREHENSIVE Thyroid Analysis Discussion in the Podcast World!

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98% of those with a thyroid problem are put on T4 only and told, good luck. A good little pat on the ass as they're sending you out the door after your five to seven minute visit. And that's the reality of it. So we need a massive change in thyroid treatment.

The Dylan Gemelli Podcast

Episode #7 Featuring Dr. Amie Hornaman, THE THYROID FIXER! The most COMPREHENSIVE Thyroid Analysis Discussion in the Podcast World!

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That's all they've learned. So real quick story. Years ago, I gave a talk at an integrative wellness practice to a bunch of physicians, and they brought me in to talk about the thyroid. So I talked about the importance of proper testing. We talked about free T3, reverse T3. And then I also talked about being in the Synthroid box. Meaning that's all you guys are prescribing.

The Dylan Gemelli Podcast

Episode #7 Featuring Dr. Amie Hornaman, THE THYROID FIXER! The most COMPREHENSIVE Thyroid Analysis Discussion in the Podcast World!

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And I said, you know, it's funny if someone comes in and they're depressed, you'll give them another antidepressant and then you'll try another one and you'll try another one and you'll tag on some Abilify and you'll throw them a benzo for sleeping. But somebody comes in with a thyroid problem, you give them one medication. Why is that?

The Dylan Gemelli Podcast

Episode #7 Featuring Dr. Amie Hornaman, THE THYROID FIXER! The most COMPREHENSIVE Thyroid Analysis Discussion in the Podcast World!

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And when doctor raises his hand and goes, that's all we've learned. Like that is all they have learned. They have learned you check TSH. If TSH is above a 4.5, which is the current cutoff, you give T4. Done. Like thyroid lesson done for the day. Meanwhile, the thyroid is the master gland that controls the whole body.

The Dylan Gemelli Podcast

Episode #7 Featuring Dr. Amie Hornaman, THE THYROID FIXER! The most COMPREHENSIVE Thyroid Analysis Discussion in the Podcast World!

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In my opinion, it should be like a three month course in medical school, but it's not.

The Dylan Gemelli Podcast

Episode #7 Featuring Dr. Amie Hornaman, THE THYROID FIXER! The most COMPREHENSIVE Thyroid Analysis Discussion in the Podcast World!

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No, no. And that's what kills me. No. So doctors, and I've heard this, gosh, from a multitude of patients, obviously. And if I could, I should really write a book on just like shit patients hear from their doctor that is wild. But I've heard doctors say T3 is going to give you a heart attack. It's going to cause bone loss. That's a common misconception that has been debunked.

The Dylan Gemelli Podcast

Episode #7 Featuring Dr. Amie Hornaman, THE THYROID FIXER! The most COMPREHENSIVE Thyroid Analysis Discussion in the Podcast World!

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So that's, you throw that out the window. I mean, I have heard things like, doctors literally telling patients you're going to die. If you take T3, I've heard patients being fired because they asked for T3. I mean, every wacky thing that you can possibly imagine, I have heard come out of a doctor's mouth to a patient and my jaw drops on the floor. No, insurance will cover it.

The Dylan Gemelli Podcast

Episode #7 Featuring Dr. Amie Hornaman, THE THYROID FIXER! The most COMPREHENSIVE Thyroid Analysis Discussion in the Podcast World!

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I pick my T3 up from Walgreens and my copay is $20. Like, That's it. It's all about getting the doctor to understand how to properly treat the thyroid. And the thyroid is such a nuanced, beautiful gland. It really takes someone in the know. We cannot one size fits all this treatment. And that's what conventional medicine tends to do.

The Dylan Gemelli Podcast

Episode #7 Featuring Dr. Amie Hornaman, THE THYROID FIXER! The most COMPREHENSIVE Thyroid Analysis Discussion in the Podcast World!

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Yeah, yeah, yeah. So we dive to the root cause. So if you think about, and you're right, Dylan, I don't want to bash all docs because my sister's a doctor. Like, I get it that conventional medicine is a beautiful thing. If you have an infection, if you need your knee repaired, you know what I mean? Like, we need that.

The Dylan Gemelli Podcast

Episode #7 Featuring Dr. Amie Hornaman, THE THYROID FIXER! The most COMPREHENSIVE Thyroid Analysis Discussion in the Podcast World!

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But when it comes to hormone balancing, the endocrine system, you actually don't want to go to an endocrinologist. So we'll get into that. So functional medicine, instead of putting Band-Aid drugs like a statin, instead of putting Band-Aid drugs on someone, we actually figure out the why. So, okay, hey, I have high cholesterol. My doctor said I'm diabetic. What's going on? I restrict my carbs.

The Dylan Gemelli Podcast

Episode #7 Featuring Dr. Amie Hornaman, THE THYROID FIXER! The most COMPREHENSIVE Thyroid Analysis Discussion in the Podcast World!

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What's happening? I'm gaining weight no matter what I do. I'm tired. I'm losing my hair. I don't poop every day. That's not cool. I can't sleep. So why? Okay, well, we could give you a sleeping pill and an antidepressant and a statin and a blood pressure medicine and all the things to band-aid all of those symptoms. Or we could figure out why this is happening inside your body.

The Dylan Gemelli Podcast

Episode #7 Featuring Dr. Amie Hornaman, THE THYROID FIXER! The most COMPREHENSIVE Thyroid Analysis Discussion in the Podcast World!

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And I always go right to the master gland first. I'm going to check that first. And then at the same time, look downstream. Okay, where are your sex hormones? Where's your insulin? What's your glucose control? How's your nutrient status? How are you eating? Are you sleeping? All of that. But we have to start with the thyroid.

The Dylan Gemelli Podcast

Episode #7 Featuring Dr. Amie Hornaman, THE THYROID FIXER! The most COMPREHENSIVE Thyroid Analysis Discussion in the Podcast World!

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So that's really what functional medicine is, is it's diving into what's at the root of these symptoms. And let's fix the root cause instead. It could be your gut, it could be your adrenals, but let's get to the root cause. And really functional medicine training is just taking all of that

The Dylan Gemelli Podcast

Episode #7 Featuring Dr. Amie Hornaman, THE THYROID FIXER! The most COMPREHENSIVE Thyroid Analysis Discussion in the Podcast World!

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knowledge and going deeper i was trained to now i had the thyroid experience even before i went through functional medicine training right based on my own experience and then training under my functional medicine doctor who became my mentor but what i learned too is you know just all the different gut testing and how to read that and look at that and then we have functional testing like salivary cortisol to check your adrenal function we have the dutch test to check hormones

The Dylan Gemelli Podcast

Episode #7 Featuring Dr. Amie Hornaman, THE THYROID FIXER! The most COMPREHENSIVE Thyroid Analysis Discussion in the Podcast World!

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So there's all these other really cool things that we can look at beneath the surface in functional medicine.

The Dylan Gemelli Podcast

Episode #7 Featuring Dr. Amie Hornaman, THE THYROID FIXER! The most COMPREHENSIVE Thyroid Analysis Discussion in the Podcast World!

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Yeah. So I did my master's in clinical nutrition. Then I did my doctorate in clinical nutrition.

The Dylan Gemelli Podcast

Episode #7 Featuring Dr. Amie Hornaman, THE THYROID FIXER! The most COMPREHENSIVE Thyroid Analysis Discussion in the Podcast World!

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Well, as you know, you're going through it right now. It's like it's fun learning about something that you love. It's fun learning how to even explain to a client, you know, let's look at your labs and let's unpack these and what do they mean? And you know what? I'm sorry. I'm going to counter your statement.

The Dylan Gemelli Podcast

Episode #7 Featuring Dr. Amie Hornaman, THE THYROID FIXER! The most COMPREHENSIVE Thyroid Analysis Discussion in the Podcast World!

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You don't have to have credentials to be able to look at a set of labs and know what they are telling you. And in fact, I am huge in training people to read their own labs. So, I mean, I have a whole program that, listen, if you're not ready to work one-on-one with us, that's cool, but you better learn what your labs say for you so that you can be your best patient advocate.

The Dylan Gemelli Podcast

Episode #7 Featuring Dr. Amie Hornaman, THE THYROID FIXER! The most COMPREHENSIVE Thyroid Analysis Discussion in the Podcast World!

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You can advocate for yourself and you can have an educated discussion with your doctor if he or she is bulky and, you know, arguing back at you like, wait a minute. No, this is within normal limits. You go, no, no. I learned that this number needs to be here and that's the optimal range. And so therefore, what that tells me is that I'm on too much T4, not enough T3.

The Dylan Gemelli Podcast

Episode #7 Featuring Dr. Amie Hornaman, THE THYROID FIXER! The most COMPREHENSIVE Thyroid Analysis Discussion in the Podcast World!

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And I 100% believe that people can learn to read their own labs and know what they need to do to change.