Please keep on making these videos, you have no idea how much it has helped people from around the world!! I just want to express my deep gratitude to your unconditioned contribution!! Eric's Medical Lectures
This was great, I been tryin to find out about "signs that your thyroid is not working properly" for a while now, and I think this has helped. Have you ever come across - Yannabarn Vanish Thyroid - (search on google ) ? Ive heard some awesome things about it and my work buddy got amazing results with it.
BIG THANKS SIR. I AM A GENERAL PRACTITIONER IN INDIA. THIS SUBJECT IS ALWAYS CONFUSING AS TO UNDERSTAND FORM MEDICINE BOOKS LIKE HARRISON OR DAVIDSON. THIS VIDEO HAS CLEARED ALL MY CONCEPT NOW I CAN UNDERSTAND AND TREAT PATIENT VERY CAREFULLY AND PERFECTLY.
13:20 , you had me here, where you said "differentiated" thyroid cancers... attention to detail is just amazing.. reason behind it is the fact that, if you follow-up a patient with undifferentiated malignancy, thyroglobulin will not be increased.
Thank you very much Doctor Strong! You do a great contribution to many medical students,interns,residents, junior or not so junior doctors around the world.
Subtle (probably unimportant) correction: Wolf-Chaikoff effect refers only to the decreased activity of TPO in by iodide states. Several theories exist on why this occurs. From my short glance at the literature, my understanding is as follows There are three effects (including wolf-chaikoff) that make high iodide useful in hyperthyroidism. 1. It can inhibit TSH signaling (most likely via inhibiting the GPCR) 2. It can saturate the sodium iodide symporter (which is mechanism of protection from radioactive iodide). 3. Wolf-chaikoff effect -- inhibition of TPO activity (possibly by reducing peroxide levels -- perhaps through inhibition of NADPH-oxidase) It's also important to know that all three effects that work together to reduce thyroid hormone levels are subject to "escape" by a healthy thyroid after about 10 days. This is due to downregulation of the sodium iodide symporter, which reduces total intrafollucular iodide, thereby releasing from iodide inhibition.
Dear doctor Eric Strong. I am a medical graduate from Bangladesh. I must admit that your videos helped me immensely. Undoubtedly they are of high quality. But I have some questions. I will be highly grateful if I got the answer: 1. What is the mechanism that ESS causes so many patterns? 2. Would you please tell me which drug causes what change & how? I know if you answered those questions in the video, it would be a long one as well as boring. But I think it isn't so here.
I nearly got discouraged, but going through comments section, I then realized I'm not the only one who noticed- cold stimulates TRH release, and so does stress(emotional and physiological)
Love your video! I have started following a diet for 90 days which will completely cure Hypothyroidism if I follow it the right way. It may take longer than 90 days dependant upon how severe my condition is. I am on thyroid meds for 13 years now and I can't wait to take them off any live my life freely with full of energy and zeal!
Thank you. Exxellent video. Dear Dr. I am Dr. Cekmen.M. from Turkey I am MD and PhD. At the about 9. minute of presentation, You said that ''cold stress can effect negative (-) on the TRH and TSH''. I know that ''cold and emotional stresses stimulates the synthesis or releases TRH and TSH''. Is it possible re-evaluation Please.
I noticed a slight jab there about rT3. If you have a surplus of rT3 after ruling out other pathologies, wouldn't you have a conversion or diodinase inefficiency? If you have a patient on Levothyroxine that's symptomatic it would warrant T3 supplementation. You could check the FT3 sure. As a provider, I'd check the rT3 also so I felt comfortable safely administering T3.
I had a Pt didn’t take his Levothyroxine for a week, the PMH only has HTN and DM. I guess he also has hypothyroidism because his home meds. He was present in ER with hypotension and anemia. He has sepsis but WBC only 4.5, next day became 3. Hgb 4.6, is possible because he didn’t take thyroid hormone that cause all blood components low, WBC low cause low immunity? Bacteremia cause septic shock?
Dear Doctor, I am a medical student from Guyana. I was reading online, and noticed that patients with Secondary/Central Hypothyroidsm can also have, contrary to my understanding, normal TSH levels; I assumed that with pituitary dysfunction, you would have low TSH levels, hence the low thyroid levels. This obviously confuses me, so I'm wondering if you could share some light on whether this is actually possible and if so, how? Since we do have a patient with normal TSH levels, normal FT3 but low FT4 on the wards, and I would like to know what could be the possible etiologies/classification. However, you only have here in your video that patients with normal TSH levels and hyper/hypo thyroid hormone levels can either be classified also as having euthyroid sick syndrome or from some drug's effect, but no mention of a possible secondary cause, so I'm just wondering. Thank You
I am Hyperthyroid patient that seems to need Methimazole like food!In 2017 when I reached 3.3 TSH (I was diagnosed in 2008 at 37) I stopped the Methimazole for 3 month and my TSH completely crashed!🚨What are best tips for me besides Brazil nuts , avoiding gluten which is impossible for me and yes I do limit sugar as well!My recent T4 was 12.2 close to range and I figure I have to get to around 5 but what else should I do!?
thank u so much for such good explanation............can u pls do a lecture on liver cirrhosis pathophysiology including NASH induced one and LFT interpretation..............thank u .........
+Ride2Hell1 I'm planning on doing several videos on the pathophysiology of liver disease (including NASH), but unfortunately can't estimate when I might get to them. However, I do already have a video on LFT interpretation: th-cam.com/video/UrrXITkyb2c/w-d-xo.html
thank u for LFT video ...and will b waiting for liver diseases lecture..i and others truly appreciate ur hard work and dedication ....and once again thank u so much... .
My TSH is high and my FT4 is normal, the doctor asked me to have T3 test. what will be to expect in the t3 test & what does it mean of whatever result may?
The sketch of the brain is from the public domain, as are the figures of the molecular structures. The image of the thyroid gland is from Wikimedia Commons. Everything else is original.
Thank you for your response, Dr. Strong. I am part of the pregnancy consortium at St. Bonaventure University. Our research team is currently working on a review article regarding iodine supplementation and find the figure in this video to be the most complete and informative of any we have come across. We would like to start a conversation with you regarding your opinions of the use of this figure, or using this figure to create a similar figure of our own, in our paper. If you would like to have such a conversation, I can provide my contact information in another comment!@@StrongMed
I had a Parathyroid two removed. I have a nodule on my thyroid. My problem is freezing really cold and then I get a hot flash. They said my thyroid test was fine I don’t understand what’s causing it nobody seems to know but I have it three or four times a day and night. I am 80 year old . I am a diabetic and have a little bit of kidney problems
I've always assumed that TRH isn't often measured because it is almost entirely found in the hypophyseal portal system, and not much can be found systemically. A blood draw from this portal system would be impractical.
hello there Dr strong i hope you are well. I have a question about endocrinology but it's not related to thyroid. what is the physiologic actions of prolactin and oxytocin in men? it seems to me that their only benefit is in women, in men they get released in some diseases and just cause problems. i have looked in some physiology books but they don't mention anything about them in men. thank you very much
Wow awesome explanation. Dr. could i get a link for the ppt file used in the video. It would help me a lot in explaining my students in class. thanks In Advance.
I'm sorry but I cannot offer specific, individualized medical advice here. I recommend speaking with your primary care doctor regarding your test results.
Sir,... We don't have Radioactive Iodine Thyroid Scan to be performed in all Cases of Thyrotoxicosis in our Small City. Whats the Best Practical Approach for us in Patients with High T4 and low TSH? Can We Differentiate Clinically between Graves and Thyroiditis? What will Happen if We prescribe Carbimazole to each and every Patients of High FT4 and Low TSH?
My dr gave me levothyroxine when I complained about being tired and stressed. With no blood test. Then he died. I’ve had minimal blood test sense but I’ve been on the drug for maybe four to six years. Is there any way for me to get off these drugs? I read somewhere that after you take this medicine your thyroid will never work again I hope that’s not the case. any ideas that could help me. I love your channel you’re great
NEVER HAVE I SEEN A VIDEO THIS CLAER, THANK YOU SO MUCH DOCTOR, AM A CUBAN TRAINED SOUTH AFRICAN STUDENT AND THIS HAS HELPED ME ALOOOOOT. YOU DESERVE MY SUBSCRIPTION...GRACIAS. STANFORD MLAMLI TIBE
Doctor.I have hashimoto thyroid and have surgery year 1992 Today Blood Test TSH serum 0.082 L (o.95-3.70 MU/L final Thyroxine T4 (Free serum 20.5 H (8.8-14.4PMOL/L final. I wish to know is my thyroid good or no good Can you pls tell me what does that mean.
The clearest and clinically most relevant thyroid video I've seen on TH-cam.
Please keep on making these videos, you have no idea how much it has helped people from around the world!! I just want to express my deep gratitude to your unconditioned contribution!! Eric's Medical Lectures
Kallmann Choong Thanks! I certainly plan on continuing to make videos for as long as I can carve out the time.
This was great, I been tryin to find out about "signs that your thyroid is not working properly" for a while now, and I think this has helped. Have you ever come across - Yannabarn Vanish Thyroid - (search on google ) ? Ive heard some awesome things about it and my work buddy got amazing results with it.
The best presentation on the clinical aspect of Thyroid gland problem I come across so far. Thanks.
BIG THANKS SIR. I AM A GENERAL PRACTITIONER IN INDIA. THIS SUBJECT IS ALWAYS CONFUSING AS TO UNDERSTAND FORM MEDICINE BOOKS LIKE HARRISON OR DAVIDSON. THIS VIDEO HAS CLEARED ALL MY CONCEPT NOW I CAN UNDERSTAND AND TREAT PATIENT VERY CAREFULLY AND PERFECTLY.
13:20 , you had me here, where you said "differentiated" thyroid cancers... attention to detail is just amazing.. reason behind it is the fact that, if you follow-up a patient with undifferentiated malignancy, thyroglobulin will not be increased.
Amazing! you've saved me hours of reading and understanding on my own! Thank you!!!
Thank you very much Doctor Strong! You do a great contribution to many medical students,interns,residents, junior or not so junior doctors around the world.
Subtle (probably unimportant) correction:
Wolf-Chaikoff effect refers only to the decreased activity of TPO in by iodide states. Several theories exist on why this occurs.
From my short glance at the literature, my understanding is as follows
There are three effects (including wolf-chaikoff) that make high iodide useful in hyperthyroidism.
1. It can inhibit TSH signaling (most likely via inhibiting the GPCR)
2. It can saturate the sodium iodide symporter (which is mechanism of protection from radioactive iodide).
3. Wolf-chaikoff effect -- inhibition of TPO activity (possibly by reducing peroxide levels -- perhaps through inhibition of NADPH-oxidase)
It's also important to know that all three effects that work together to reduce thyroid hormone levels are subject to "escape" by a healthy thyroid after about 10 days. This is due to downregulation of the sodium iodide symporter, which reduces total intrafollucular iodide, thereby releasing from iodide inhibition.
Dear doctor Eric Strong. I am a medical graduate from Bangladesh. I must admit that your videos helped me immensely. Undoubtedly they are of high quality. But I have some questions. I will be highly grateful if I got the answer:
1. What is the mechanism that ESS causes so many patterns?
2. Would you please tell me which drug causes what change & how?
I know if you answered those questions in the video, it would be a long one as well as boring. But I think it isn't so here.
I nearly got discouraged, but going through comments section, I then realized I'm not the only one who noticed- cold stimulates TRH release, and so does stress(emotional and physiological)
Love your video! I have started following a diet for 90 days which will completely cure Hypothyroidism if I follow it the right way. It may take longer than 90 days dependant upon how severe my condition is. I am on thyroid meds for 13 years now and I can't wait to take them off any live my life freely with full of energy and zeal!
How did the diet go?
I really wish to see more n more of such crisp, correct n precise info..thank you so much for posting such a productive content
Greatly appreciate and thankful for very detailed video on Thyroid conditions
I really liked this video! Very clear voice and explanation. So helpful! Thanks!!
Life saviour for clinical investigation interpretation..
Thank for contribution sir
Very thorough and complete. Many thanks.
Thank you. Exxellent video. Dear Dr. I am Dr. Cekmen.M. from Turkey I am MD and PhD. At the about 9. minute of presentation, You said that ''cold stress can effect negative (-) on the TRH and TSH''. I know that ''cold and emotional stresses stimulates the synthesis or releases TRH and TSH''. Is it possible re-evaluation Please.
Great explanation in simple & easy way with all clinical information
🙏🙏
Simple yet thorough! Real helpful. Would love to know how you'd classify thyroid diseases though Eric's Medical Lectures
My Dear, Incredible Job you are doing! Please keep it up!
I noticed a slight jab there about rT3. If you have a surplus of rT3 after ruling out other pathologies, wouldn't you have a conversion or diodinase inefficiency? If you have a patient on Levothyroxine that's symptomatic it would warrant T3 supplementation. You could check the FT3 sure. As a provider, I'd check the rT3 also so I felt comfortable safely administering T3.
This is a very good presentation
Very informative and concise
thanks for the clear and concise presentation
Thank you for making this so clearly and neatly ^_^
Thank you so much for the great explanation :D
Thank you for this video!
This was excellent. Thank you
Thank you for the knowledge!
Very clear and concise
Why only ft4 in hypo and both in hyper?
Whats the difference between ft3 or ft4?. Why cant we only check one or the other?
This video is great! Thank You!
Excellent Video! Thank you!
Please keep on making videos! This was wonderful for me. Thx u a lot! :D
👍🏻, thankyou sir
how about thyroid cancers and nodule tests?
What’s the outro music? Thank u
Keep up the good work! Thank you!
Thank you sir
Very useful. Thanks
Excelente. Muchas gracias!
Thank you
thank you very much for this elegant lecture ma i have the slids please?
I'm sorry, I don't provide slides any more. Far too many people were plagiarizing them.
Thank you once again!
I had a Pt didn’t take his Levothyroxine for a week, the PMH only has HTN and DM. I guess he also has hypothyroidism because his home meds. He was present in ER with hypotension and anemia. He has sepsis but WBC only 4.5, next day became 3. Hgb 4.6, is possible because he didn’t take thyroid hormone that cause all blood components low, WBC low cause low immunity? Bacteremia cause septic shock?
superb....... thank you very much
Dear Doctor, I am a medical student from Guyana. I was reading online, and noticed that patients with Secondary/Central Hypothyroidsm can also have, contrary to my understanding, normal TSH levels; I assumed that with pituitary dysfunction, you would have low TSH levels, hence the low thyroid levels. This obviously confuses me, so I'm wondering if you could share some light on whether this is actually possible and if so, how? Since we do have a patient with normal TSH levels, normal FT3 but low FT4 on the wards, and I would like to know what could be the possible etiologies/classification. However, you only have here in your video that patients with normal TSH levels and hyper/hypo thyroid hormone levels can either be classified also as having euthyroid sick syndrome or from some drug's effect, but no mention of a possible secondary cause, so I'm just wondering.
Thank You
Thnks 4 healthy tips
Is there a KFTs video ?
amazing
great video
Fre T3 value are not standardized so FT4 referred
very nice. salute
I am Hyperthyroid patient that seems to need Methimazole like food!In 2017 when I reached 3.3 TSH (I was diagnosed in 2008 at 37) I stopped the Methimazole for 3 month and my TSH completely crashed!🚨What are best tips for me besides Brazil nuts , avoiding gluten which is impossible for me and yes I do limit sugar as well!My recent T4 was 12.2 close to range and I figure I have to get to around 5 but what else should I do!?
Awesome .. Thanks a lot
Thanks you so much
thank u so much for such good explanation............can u pls do a lecture on liver cirrhosis pathophysiology including NASH induced one and LFT interpretation..............thank u .........
+Ride2Hell1 I'm planning on doing several videos on the pathophysiology of liver disease (including NASH), but unfortunately can't estimate when I might get to them. However, I do already have a video on LFT interpretation: th-cam.com/video/UrrXITkyb2c/w-d-xo.html
thank u for LFT video ...and will b waiting for liver diseases lecture..i and others truly appreciate ur hard work and dedication ....and once again thank u so much...
.
Fantastic
thank you very much ur adivce
good job
My TSH is high and my FT4 is normal, the doctor asked me to have T3 test. what will be to expect in the t3 test & what does it mean of whatever result may?
are the figures in this video original?
The sketch of the brain is from the public domain, as are the figures of the molecular structures. The image of the thyroid gland is from Wikimedia Commons. Everything else is original.
Thank you for your response, Dr. Strong. I am part of the pregnancy consortium at St. Bonaventure University. Our research team is currently working on a review article regarding iodine supplementation and find the figure in this video to be the most complete and informative of any we have come across. We would like to start a conversation with you regarding your opinions of the use of this figure, or using this figure to create a similar figure of our own, in our paper. If you would like to have such a conversation, I can provide my contact information in another comment!@@StrongMed
Thanks
Thank You !!!I It is a very good lecture !!!
thank thank thank u❤❤❤❤
Thank you for posting this!
I had a Parathyroid two removed. I have a nodule on my thyroid. My problem is freezing really cold and then I get a hot flash. They said my thyroid test was fine I don’t understand what’s causing it nobody seems to know but I have it three or four times a day and night. I am 80 year old . I am a diabetic and have a little bit of kidney problems
I'm very sorry to hear about your symptoms, however, unfortunately I can't offer specific, individualized medical advice here.
@@StrongMed thanks anyway
I have T3 , T4 normal level but TSH level is less than 0.4 sir , what does it indicates?? Can u pls tell me .. sir ..!
Go see a doctor, man, it's never ideal to ask for a medical advice online.
I've always assumed that TRH isn't often measured because it is almost entirely found in the hypophyseal portal system, and not much can be found systemically. A blood draw from this portal system would be impractical.
💥💥💥
hello there Dr strong i hope you are well. I have a question about endocrinology but it's not related to thyroid. what is the physiologic actions of prolactin and oxytocin in men? it seems to me that their only benefit is in women, in men they get released in some diseases and just cause problems. i have looked in some physiology books but they don't mention anything about them in men. thank you very much
7😎
like
Thank you
I'm really very thankful.
Thank you
Wow awesome explanation. Dr. could i get a link for the ppt file used in the video. It would help me a lot in explaining my students in class. thanks In Advance.
hey!
Hi my T3 and T4 levels result are normal, TSH are 8
Is this hyper are hypo?
I'm sorry but I cannot offer specific, individualized medical advice here. I recommend speaking with your primary care doctor regarding your test results.
Bob macqucency😅
Sir,...
We don't have Radioactive Iodine Thyroid Scan to be performed in all Cases of Thyrotoxicosis in our Small City. Whats the Best Practical Approach for us in Patients with High T4 and low TSH?
Can We Differentiate Clinically between Graves and Thyroiditis?
What will Happen if We prescribe Carbimazole to each and every Patients of High FT4 and Low TSH?
My dr gave me levothyroxine when I complained about being tired and stressed. With no blood test. Then he died. I’ve had minimal blood test sense but I’ve been on the drug for maybe four to six years.
Is there any way for me to get off these drugs? I read somewhere that after you take this medicine your thyroid will never work again I hope that’s not the case. any ideas that could help me.
I love your channel you’re great
NEVER HAVE I SEEN A VIDEO THIS CLAER, THANK YOU SO MUCH DOCTOR, AM A CUBAN TRAINED SOUTH AFRICAN STUDENT
AND THIS HAS HELPED ME ALOOOOOT.
YOU DESERVE MY SUBSCRIPTION...GRACIAS.
STANFORD MLAMLI TIBE
Thankyou
Thank you for a fabulous video! I wanted to offer one criticism - I believe the cold + leptin stimulate TRH activity no?
👏🏽👏🏽👏🏽!!!
Doctor.I have hashimoto thyroid and have surgery year 1992 Today Blood Test TSH serum 0.082 L (o.95-3.70 MU/L final Thyroxine T4 (Free serum 20.5 H (8.8-14.4PMOL/L final. I wish to know is my thyroid good or no good Can you pls tell me what does that mean.
I'm very sorry, but I can't provide individualized medical advice on here. I recommend discussing your test results with your doctor.
Thanks ur videos r v helpfull and easily understandable.keep it up!
Kidney Fuctions Tests please Dr.Eric.
Thank you. Excellent presentation
Very clear and concise information 👍👍👌
Thank u so much it is really helpful
Do these tests show testosterone levels as well?
Thank you. Amazing video!
Thank you Doctor Strong,
All videos are very helpful
please i need traduction français
Wonderful sir
superlike!, thankyou sir!
Thanks
Phenomenal!
Thank you sir!!!