Women's International Pharmacy E-Newsletter

Thyroid Awareness is a very important topic so we decided to take this opportunity to review three new books related to thyroid disease. You can also access our Connections newsletter entitled "Hypothyroidism: Is 98.6° Really Normal?" here: http://www.womensinternational.com/thyroid.html.

Book Review: Hypothyroidism, Health & Happiness: The Riddle of Illness Revealed
by Steven F. Hotze, MD
Written by Carol Petersen, RPh, CNP- Women's International Pharmacy
Hypothyroidism, Health & Happiness

A recent article in Nature Reviews Endocrinology titled "Paradigm shifts in thyroid hormone replacement therapies for hypothyroidism" reviewed studies in which patients received standard thyroxine (T4) therapy or a combination of T4 and l-tyronine (T3). While some studies showed poor resolution of various symptoms with T4 only, and some studies showed that patients prefer the combined therapies, the conclusion the authors came to is that T4 supplementation with TSH monitoring is still the standard course of treatment for hypothyroidism. That's not much of a paradigm shift.

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Book Review: Heart Attacks, Heart Failure and Diabetes: Prevention and Treatment
by Mark Starr, MD
Written by Carol Petersen, RPh, CNP- Women's International Pharmacy
Heart Attacks, Heart Failure and Diabetes: Prevention and Treatment

Dr. Mark Starr, the author of a classic book titled Hypothyroidism Type 2: The Epidemic, recently published a book called Heart Attacks, Heart Failure and Diabetes: Prevention and Treatment.

You might ask "why is this relevant to thyroid disease?" The reason is that Dr. Starr relies heavily on the research of Dr. Broda Barnes, a pioneer in the treatment of thyroid disease, for this new book. Dr. Barnes detailed much of his research in Hypothyroidism, the Unsuspected Illness, a book published in 1976 that continues to be a mind opener for anyone interested in thyroid issues. Dr. Barnes also published a lesser known book that same year called Solved: the Riddle of Heart Attacks. (For more information on Dr. Barnes' life work, visit www.brodabarnes.org.)

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Book Review: Hashimoto's Thyroiditis: Lifestyle Interventions for Finding and Treating the Root Cause
by Izabella Wentz, PharmD, FASCP
Written by Carol Petersen, RPh, CNP- Women's International Pharmacy
Hashimoto's Thyroiditis: Lifestyle Interventions for Finding and Treating the Root Cause

Hashimoto's Thyroiditis, which is considered an autoimmune disease, is the leading cause of hypothyroidism. However, the very simplistic approach taken by the current medical ideology is to use only one form of relatively inactive thyroid, T4 (thyroxine), for treatment and to rely on a problematic single test, TSH (thyroid stimulating hormone), to guide treatment. This approach falls extremely short of providing adequate treatment to those who suffer the consequences of Hashimoto's disease.

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Compounded Thyroid Medication Options
Written by Kathy Lynch, PharmD - Women's International Pharmacy

People with low thyroid function often turn to compounders in their search for additive-free thyroid medications. Many are sensitive to the fillers and binders used in the manufacturing of compressed thyroid tablet formulations. Patients with autoimmune thyroid problems, for example, may respond better to corn-free thyroid preparations. Others with lactose-intolerance will want thyroid medications that are lactose-free.

Women's International Pharmacy has been compounding thyroid capsules in a variety of oils for years. We are able to compound liothyronine (T3) and levothyroxine (T4) as separate compounds, or in combination with each other. These bioidentical thyroid hormones are synthesized in the laboratory from a non-animal source. They contain T3, T4, or both, compounded with a small amount of oil (usually olive) and encapsulated in gelatin capsules, with vegetarian or dye-free options.

We also compound desiccated porcine thyroid capsules in much the same manner. Desiccated porcine thyroid powder (lactose-free) contains a fixed ratio of T3 to T4. Each powder lot comes with a certificate of analysis for the concentration of T3 and T4.

All compounded medications require a prescription from a licensed medical practitioner. If you are interested in compounded thyroid hormone capsules, feel free to call and speak with one of our many knowledgeable pharmacists.



Staff at Women's International Pharmacy


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In This Issue
Hypothyroidism: Is 98.6ยบ Really Normal?
Book Reviews
Compounded Thyroid Medication Options

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