Iodine Deficiency Disorders

http://www.youtube.com/watch?v=hMjKmi12UX0&feature=related Dr Sherri Tenpenny outlines the many disorders from iodine deficiency IAOMT 2007 L.V.
0:00:00 I'm Paul Rubin and Im chair of the educational committee also Ive served for many years on the environmental committee and Im pleased to announce our next speaker. Dr sherri Tenpenny is an osteopathic physician from Cleveland Ohio. Her team of physicians and accupuncturists and osteo meds too focus on four specialized areas including bio-medical treatment of autistic and vaccine injured children. She has published articles for magazines newspapers and internet sites on the hazards of vaccines. As president of the board of directors for the Washington DC based nonprofit the american association for health freedom dr Tenpenny is an outspoken advocate for free choice in health care including the right to refuse vaccination. Let's give a warm IAOMT welcome for dr Tenpenny . Its interesting how to come to this meeting and Im very honoured to be here . 0:01:00 I've been doing integrative medicine since 1994 when my business partner and colleague dr Dave Francis[?] died of cancer at the age of thirty two. And when Dave died I said well gee I needed to get back to my osteopathic roots and do more preventive and holistic medicine and not just patch people up in the ER, for which Im board certified in emergency medicine and I did that for about twelve years. Interestingly enough the first conference that I attended was one by dr Diederik Clinheart[?] about oral dental things. And it was the very first introduction into integrative medicine that I did with Ive subsequently been told and found out that was quite a dive into the deep end of the pool. And what I found from that meeting was that, my first thought was that dentist really hold the keys to a healthy body literally in their hands and most of their training is just about digging holes and filling them with toxic wastes. So it's so neet to be here with a group of people that kind of understand that and know that there are other ways to health. 0:02:00 And to be present in this group I feel that Ive come full circle to the initiation of what my first introduction into integrative medicine was. So I was asked to speak on a topic I present frequently about iodine and there's several other topics that I talk on frequently that many of you may know but this is one that I do a lot for for the medical associations whether be AAM or AKM about iodine and the underutilized element that this is in our health. And just to give sort of a background of a little bit of chemistry - and I said earlier to Rich that I was glad that this was an eleven o'clock in the morning meeting, cuase this is going to be quite a bit of biochemistry and physiology to give everybody a little time to get a little coffee and get awake before they before he went through this - so just to give a backdrop just to where the halogen live on the periodic table of of elements, you can see that theres fluorine and chlorine and bromine and then this great big molecule of iodine that's here and just for relationship that's where the mercury molecule sits on the periodic table. 0:03:00 So as this one is missing you can absorb all of these much smaller ones into the body and thats some of the things that were going to talk about. Now iodine defeciency disorders are really quite pervasive. And they can occur in any sort of age group from fetal deficiencies, neonatal, child and adolescent and adults. And we're gonna spend quite a bit of time talking about this issue, that iodine deficiency related to hypothyroidism and hyperthyroidism and how we may have missed some very important things in terms of treating our patients. That iodine deficiency disorders refers to all ill effects due to iodine deficiency. In 1990 the world health organization estimated that twenty eight point nine percent or almost a third of the
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global population of the world is iodine deficient. That eleven point two million had overt cretenism and forty three million had mental impairment due to lack of iodine. Many of those in third world countries and endemic sort of areas. Therefore iodine deficiency diseases are the leading cause of preventable metal retardation in the world. 0:04:00 Which I think is really quite profound. We don't have it so much here - we're gonna talk a little bit about why that is - but that there still are some borderline problems that are not assessed from a from a full evaluation. I got really interested in this whole topic of iodine probably in two thousand and four when I read this paper by dr Jack Kessler, who's from Symbollon, a company that's in Boston. And this was a paper called The effect of supraphysiologic levels of iodine and patients with cyclic mastalgia. And when I explain that to patients I always say of course a man would come up with that title, right, because what does that really mean: my breasts hurt around my periods. But we have to say that in a very formal way to make it a very appropriate for publishing in a paper. And it was published in a breast journal and it was a very very well written paper and documented the fact that iodine deficiency was so impactful on the health of breast tissue. And I had never heard that before, I mean this is paper was published in two thousand four that was brand new information to me I hadn't heard it at that time. 0:05:00 And so I subsequently went down the entire pathway of looking at all the associations between iodine breast disorders, iodine and thyroid disorders and the associated link between low iodine, low thyroid, fibrocystic breast disease and other disorders of the breast and the missing link was iodine. I subsequently pulled over four hundred papers from the conventional medical literature that date back as far as nineteen seventy six that these associations have been known and either overlooked or ignored or simply not talked about very much. And after I read that paper, I stumbled across this that was put out by the national cancer institute that said that the incidence of breast cancer increases with age. And that as we get older the lifetime risk of developing breast cancer is one in eight women. So when I give this talk, a much more boiled down talk, to a community in community lectures (they usually like an after-dinner talk to me maybe eight people sitting around the table) and Ill say to the women that are there look to your left, look to your right: 0:06:00 one of you is going to have a run-in of some kind of breast cancer somewhere in your lifetime. This was put out in two thousand and two and since that time I've read many more papers that are talking about the incidence of breast cancer becoming maybe one in four in some places even one in three. So because of the integrated background that I have in that we practice medicine in our clinic based on an anatomy, physiology, biochemistry model and coupling on some of the things we heard earlier this morning it's like what's the underlying cause of that? Is it just that people have bad luck? Or is there something that might be missing? Despite nearly one hundred years of iodonized salt, iodine deficiency still exist in the US. Cause usually when I start talking about this talk that's the first thing that comes up: well we use iodine
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in our salt and doesn't that really take care of it. It really doesn't. And let me show you why. When the first NHANES study (the national health nutrition examination survey) took place between nineteen seventy one and nineteen seventy four, it found that two point six percent of US citizens were iodine deficient. 0:07:00 That was back in the seventies. When they repeated that study, when NHANES III came out, it was conducted between 1988 and 1994, it found that eleven point seven percent of all citizens where iodine deficient. Now that's a pretty big increase when you consider a global population in this country of about three hundred million people now we're getting close to that number, I mean that's a large percentage of our population that is overtly iodine deficient and this doesn't even to take into consideration the people who have low iodine or are just mildly deficient in iodine and the sort of syndromes they might get with that, these are overt iodine deficiencies. So why is iodine deficiency increasing? If we have iodonised salt, where else do we get iodine if we may not be consuming it anymore and maybe contributing to the deficiency. Well we cut down on our salt consumption. Whether it be iodonised salt or non iodonised salt, cause of all the things about high blood pressure we shouldn't be taken in salt. It's really the sodium were concerned about. But we take out all of the salt because the of the fears and de concerns about hypertension. 0:08:00 Eggs are good sources of iodine and we decreased egg comsumption because we are so concerned about cholesterol and i think eggs get a really bad rap. I mean they're a wonderful food, they're a wonderful whole food. I do believe that eggs have gotten a really bad rap in terms of elevating cholesterol because they're are a lot of other things that elevate cholesterol not just eggs. We don't eat fish anymore and that's another good source of iodine, because we're so concerned about mercury and the mercury toxicities in all the different fish. We don't really have access to and I don't think anybody in this crowd really has a great big appetite in a big serving of seaweed and kelp at dinnertime on their plates. So we don't have a lot of sea vegetables and I personally think that a lot of the iodine, a lot of the low breast-cancer incidence reporting that comes out of Japan, that the Japanese, the Taiwanese and some of the Chinese having the lowest levels of breast cancer in the world, I really don't think, I personally don't think, that that has a lot to do with the amount of soy that they take in, which is what we've been told. 0:09:00 I really think it has a lot to do with how much iodine they take in. Because they have large appetite and diet with a lot of sea vegetables and sea animals. Theyre living on an island particularly in Japan where the salt from the ocean particularly the iodine because it's actually a gas - falls onto their soil, they have higher concentrations of iodine in their soil. So the women there have a much higher level of iodine indemically and that's actually been shown in some of the research studies. When those women in Japan move to the United States and we see that they're increase of breast cancer goes up, I think that a lot of that has to do with what we're talking about here. That their iodine consumption goes way down. We've got a lot of soil depletion here in the United States and the minerals are decreased by accelerated deforestation and soil erosion. Food grown in iodine deficiency regions do not
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provide enough iodine for people and livestock living in that area. There's an acute iodine deficiency in the soils around the globe particularly around the great lakes basin. 0:10:00 For those of you that grew up around that area you know back in the twenties the actually called that the goiter belt, because the soils are so depleted. We do now get vegetables and froods that are shipped in from all parts of the country but things in that area here still really quite depleted. There was a study that was done back in the early eighties -and I apologize I don't remember who it was that did this -, but they laid a map of the iodine deficiency around the great lakes area and superimposed a map of the incidence of breast cancer in those areas and there was a huge overlap. You'll see as we go through this is a little bit more the relationship between iodine and breast health. But what about the salt thats in all the processed foods? I mean, you know, I tell my patients that, when they go to the grocery store, that the only rows that they're allowed to go down: theyre supposed to eat around the outside edges. That's where all the fruits and vegetables and dairies are. And the only two roads that they're allowed to go down are the ones that have toilet paper and laundry detergent.That's it. Other than that, stay around the outside edges. Those are the only rows. 0:11:00 Because all of those processed foods, things that come in boxes, things that come in cans, all have a lot of salt in them. So because of that salt shouldnt our iodine levels be up? Well it's not necessarily iodine salt. And the availability of iodonised salt even in the iodonised salt that they buy in the grocery store, varies because of the manufacturing processes. There's a variable amount of iodine added during that process. The loss of iodine during salt impurities makes it sometimes difficult - depending on where they harvested the sodium fluoride to bind the iodine up to it during the process. Uneven distribution of iodine within the salt batches and within individual packages. The loss of iodine during cooking because iodine is really a halogen which affects more like a gas and so when you cook with iodonised salt, up to fifty to seventy percent of that is released from the water as you're cooking. Loss due to do open containers sitting on the kitchen counter ranges from ten to one hundred percent. And iodine is released more in more humid areas. 0:12:00 Places with higher humidity have lower amount of iodine in their iodonised salt. This came from a world health organization manual that talked about all of these things it wasn't anything that but I just sort of made up: that's where this came from, from Emory university. So how much iodine do we really need? I mean that's really been a discussion that I think needs to be brought into the forefront with more research that hasnt a really been completed for all these years and I'm gonna show you that. This is a short history of how much iodine I think that we really need. Iodine deficiency as a risk factor for goiter has been known since at least eighteen twenty. In nineteen sixteen doctor David Marine conducted trials in Akron Ohio which is right down the street from where I'm from in Cleveland. I frequently tell my patients about this saying that when they first did this research it was right at the street from us in Akron. He looked at two groups and I believe they were
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somewhere between eight hundred and twelve hundred girls in each one of the groups. In one group they were treated with potassium iodide, 0:13:00 the other group was none treated. And they followed them for several years. And the treated group that had the potassium iodide only two of those girls had developed goiters and in the control group two hundred and fifty had developed goiters. So from that studie back in nineteen sixteen they decided that the best way to get iodine into the diet was through iodinised salt. And in nineteen twenty-four iodonised salt began to be used in the US and it was first used in Michigan. And Im kind of a big history fan and I really like the history of medicine and I think that when we understand things like this of where we came from and what's going on with that it has a little bit more substance in reality to us. Several years later after nineteen twenty four when they started using iodonised salt there was an epidemiological study that concluded that if less than five percent of the given population used iodonised salt deluca, than five percent of that population developed a goiter, the amount of iodine was sufficient for the body. And it was just left from the early nineteen thirties it really hasnt gone on from there. 0:14:00 Since that time the only impact of iodine that anybody ever talks about or discusses, is iodine in the thyroid. And its been determined that the thyroid needs about a hundred and fifty micrograms per day for adequate functioning. And that's all that's ever talked about. If you talk to endocrinologist I mean that's what they say. Iodine thyroid iodine thyroid. They forget that the iodine is necessary for many other parts in the rest of the body. And the other thing that's really important about that studie is, this was overt iodine deficiency is all that was considered. The impact of mild to moderate iodine deficiency was not a consideration then or now. And today the RDA for total body iodine load has never been determined. And I showed you that paper that I originally got involved with this by doctor Jack Kessler [?], when I first read the papers I was so impressed and when I started pulling out all the different articles from the medical study I called him up and I subsequently said to him, and weve laughed about this is, that he didn't notice at the time but he was going to be my new best friend. 0:15:00 And Ive called and talked to him and talked to him, the guy has two Phd's in lipid iodine chemistry and is really an amazing resource about all the stuff with iodine. Because their company Symbolon right now is in phase three clinical trials with bringing to market a pharmaceutical grade patented stable iodine product for use with cyclic mastalgia. And they have clinical trials going on in various parts of the country. And how they're following this,the results of their clinical trials, has to do with pain scores and pain syndromes scores and cards in clinical exams. Well since two thousand and four dr Kessler and I have got to be really good friends we've talked about this a lot and about the fact that even though the iodine is important for many other tissues in the body, that Ill show you in a minute, there's never really been any studies that have been done to develop and determine what the total RDA requirement is for the body. So how does that iodine get into the tissues? 0:16:00 I mean is it just a passive diffusion, and how do we get it in there? Well on the surface of the thyroid there is this glycoprotein called the sodium iodine symporter,
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NIS for short. And what that does it imports the iodine thats in the circulation or something that weve eaten into the thyroid and then makes the thyroid hormone from there. Interestingly enough, the NIS or the symporter, has been found in many different tissues in the body. Disproving the previously held view that it is a thyroid specific protein. What the NIS does is it pomps the iodine into the other cells of the body. And this came from an independent endocrinology review that is very thourough and I've put all these references in youre handout materials and I hope that you can read them, I that the print is rather small. And if anybody would like any additional, any of these resources, that they want a little bit better, you can send me an email and Id be glad to send the stuff to you . So for the rest of the body the NIS, the symporter mediates active iodine transport into the following tissues. 0:17:00 Pancreas, liver, mucosa gastriatic (lining of the small intestine and the large intestine), the nasal pharynx, lacrimal glands, choroid plexus, auxilary body for dry eyes, skin, mammary glands and salivary glands. And I wanted to make it with a yellow high light up there because that's the dental conference of to show you that iodine is really important for saliva. And when I hear patients that come in a lot and they talk about that sicca syndrome, dry eyes, dry mouth, all those things, than I really look really hard for iodine efficiency. The two things that I found it works really well for that in women is I look for an iodine deficiency, most of the time I find it. And when theyve got dry eyes and very dry mouth, they need to have some iodine. 0:18:00 The other thing that works really well, is a little progesterone cream. And if women are already using progesterone cream and they have a little, just a little bit, thats left over on their fingers, and they put it around very lightly underneath their eyes on that very thin skin, thats right underneath their eyes, that little bit of progesterone brings in some moisture into tissues and that can help a lot with dry eyes. So these were some of the other organs in the body that are required to have iodine but we don't even know how much. Because all we know is the hundred and fifty micrograms for the thyroid. The activity of the symporter at the surface of the cells of the thyroid is increased in the presence of TSH, the thyroid stimulating hormone. When the TSH goes up what is pumping iodine into the cells which is not quite the physiology that we were taught and we are going to talk about that a little bit more in a minute. This slide sort of shows you - I did this a while ago and I apologize, theres a couple of misspelled words in this and I couldn't change it on the slide - but this is kind of what the surface of a thyroid cell looks like. And the TSH, the thyroid stimulating hormone, goes and stimulates that symporter to drive the iodine into the cell. And as it puts the iodine in, it pumps the sodium out and what people may not realize, I tell my patients all the time, is what T4 is when you order a thyroid test
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0:19:00 And you order T4, what that is is tyrosine, the amino acid tyrosine, plus four molecules of iodine. Thats what our thyroid hormone is mostly made out of. So TSH starts the proces and puts the iodine into the cell, it couples up with tyrosine here and then it also affects the thyroid peroxidase iodinization here, and here, and here. So you get tyrosine plus [ four iodine] and we end up with T4 down here. Thats normally what happens. And so if you start adding iodine in, the TSH goes up a little bit in response to that, because of the presence of the iodine. Because the TSH is driving it into the cells. When youre iodine depleted, and I mean very depleted, very long standing that this happens over a long period of time. What ends up happening is that selectively this process goes up to T3. 0:20:00 Because the T4 is the inactive form of the hormone and it floats around in the bloodstream, it goes into the cell [editor: not the thyroid cell, but any other body cell], at that point one of those iodines is snipped off by a selenium dependant enzyme and were going to talk about that in a minute. And the active form af the thyroid hormone is T3. T3 is preferentially made in the presence of low iodine, because thats the one that your cells need. And so it saves that step. So if you see this sort of process happening, think low iodine. And when you think about it, and were going to talk a little bit about hyperthyroidism in just a minute, when you think about it, when you see patients that have had hyperthyroidism, which is very low TSH because they try to shut off this process [editor: of making T4] but youve already preferentially activated that pathway [editor: to T3 production without T4 production], you have low TSH, high T3. What is the conventional treatment for that? They give radioactive iodine to kill the thyroid. Maybe what we should give is just non radioactive iodine and heal the thyroid. 0:21:00 I think it's something else that we maybe have been not taught the full story on that. So in a couple of these slides right onto here Ive added since Ive submitted this, so some of these will not be in your hand out and again if you want any additional of these slides that arent in there please just email me and I'll be glad to send them to you. When you get a thyroid blood test frequently you get the TSH, free T4, free T3, total T4, total T3, and we always order anti thyroid peroxidase antibodies. We always order TPO antibodies. Because thyroid peroxidase antibodies, the presence of those, tells you that you got Hashimotos disease. And Hashimotos disease is frequently, sometimes theyre low thyroid, high thyroid, low thyroid, high thyroid and it can be a little bit hard to regulatethat. So those are the battery of tests that we usually get. The serum T4 and T3 are really non specific indicators of iodine deficiency. They will not really change up or down unless the patient is severly iodine deficient. 0:22:00 So I guess what I'm trying to get across to you is when you do these sorts of things or you see them in your patient and you're seeing hypo- or hyperthyroidism really look for the underlying
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cause, which is the low iodine. With iodine deficiency, T4 will frequently be low and TSH will rise. And as soon as we see that as clinicians or physisians, we say: hypothyroidism, heres your thyroid medicine. Well maybe we need to take a step back and say well, what cause people to get into that scenario in the first place. The T3 levels can be variable, sometimes theyll be high because the body preferentially leads to the T3 because that is the active form. And again, this reference came from the World Health Organisation Unicef, and the international council for iodine deficiency diseases. And this is a publication that is put out there by the World Health Organisation, that you really have to dig through, you really have to dig through the conventional medical stuff, and the conventional medical textbooks to find this.
0:23:00 But its pervasively known out there, particularly because theres so much iodine deficiency disorders in third world countries, that the world health organization monitors. Now in addition to iodine, and this is something that I've come across when I was putting together some research for this particular talk and some other things that I've been working on, I started thinking of selenium and iodine as sister molecules. I dont give one without the other. I really think that theyre really really important for a lot of reasons. Selenium deficiency may have a profound effect on thyroid hormone metabolism and possibly on the thyroid gland itself. There is a selenium dependant enzyme called type I deidonase, its a selenium dependant enzyme that plays a major role in converting that T4 to T3 in the periphery [editor: meaning: not in the thyroid]. So TSH goes up [editor: she says down] and stimulates [your thyroid hormone or] your thyroid to make T4. T4 floats around out there in the bloodstream and end up going into the cells. Its activated at that level by a selenium dependant enzyme. And its the T3 that is what drives your engine. So without the selenium that doesn't happen very well. 0:24:00 When you see a patient and you decide that they may be selenium deficient for a variety of reasons: maybe youve ordered a blood test, we use a company called [..] in our office, we use their blood tests a lot, we really like their methodology of how they measure things. Sometimes we think of selenium as being a big anticancer / anti oxidant sort of mineral and so we add selenium in. And if youre adding selenium only in, and youre not aware whether or not the patient is iodine deficient, these are some things that can happen. That enzyme increases in the cells, and starts transporting more T4 [editor: she says T3, but on her slide it says T4] into the cell, which drops T4 in the bloodstream, which conventional doctors, or those that arent aware of this, will start thinking that the selenium is making that person be more hypothyroid. And it's really not it's just a physiological response. If the patient in addition to being selenium depleted and you're putting the selenium in, if theyre also iodine depleted there won't be any iodine to go through that process with the symporter
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0:25:00 to replace the T4. So the T4 drops and everybody is thinking the patient is becoming hypothyroid, and they're really just selenium and iodine deficient. The TSH will go up because it's trying to capture whatever iodine happens to be floating around out there so we'll see this combination of low T4, elevated TSH, which by definition we often think of that as hypothyroidism. But if you take a step back from that, really what they are is selenium and iodine deficient in the large percentage of the patients. So when you see these two things together, and this came from the journal of endocrinology in nineteen ninety seven, so this information's been around for a while, that prolonged selenium deficiency coupled with iodine deficiency may lead to tissue hypothyroidism and impaired brain function. That's really important stuff. To really think about those two minerals or those two substance going together. Iodine is the halogen and selenium is the mineral [editor: she says iodine] and how important they are for all other areas of the body. 0:26:00 So the reason for that is, we sort of talked about it a little bit but I take it one step further, one of the things that selenium does, selenium deficiency lowers the concentration of glutathione peroxidase in the thyroid. [..]So you need the selenium there for the glutathione peroxidase. Glutathione peroxidase detoxifies the thyroid gland. In the process of all those steps of making thyroid hormone one of the by products of that is hydrogen peroxide. Thats one of the byproducts of it. What selenium does, it acts like a little sponge and takes away that hydrogen peroxide. So when a person is also [editor: next to being selenium deficient] iodine deficient, and that accumulation of hydrogen peroxide without the selenium, it causes the thyroid cells to die. And you subsequently get low thyroid of hypothyroidism. The other thing that you get is that Hashimotos that back and forth and back and forth, sometimes high, sometimes low, sometimes high, sometimes low. And you hear patients that have all the sluggish sort of stuff of hypothyroidism which is 0:27:00 cold hands, cold feet, dry skin, hair falling out, cold, constipation, inability to lose weight. They switch from that to the, Im feeling really anxious and really hyper and I cant sleep at night and you know just really really feeling anxious. That's swinging back and forth is very indicative of Hashimotos. So heres a real pearl to kind of think about. That even mild selenium deficiency can contribute to the development of autoimmune thyroid diseases. Let me say that again: even mild selenium deficiency can contribute to the development of autoimmune diseases in the thyroid. There are many articles in the conventional medical literature, this is just one of them that was recently published in two thousand and six talking about selenium and thyroiditis in the journal of endocrinology saying that those two things are really really connected and if you do have a patient that has Hashimoto theres a whole lot of other things to think about, including mercury
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toxicity to thethyroid. 0:28:00 That's one of the things that can happen, you got this mercury stuff here that just sort of falls down into the thryoid through your lymphatics. So you can have a mercury issue at the thyroid, you can have a low selenium level with the thyroid and you can have a low iodine level with the thyroid. All of those things kind of couple together. There have been many reports in the conventional literature that says that just by adding selenium, that forty percent of patients with Hashimotos disease will recover. Their anti bodies will go away and they will recover, just from selenium. So we've talked about a lot of the things that the selenium does. These are a couple of things that Im making the assumption that many of you know this - but I added this in just in case there is a few that did not. If you order a TSH or order a lab tests for thyroid stimulating hormone, most of the labs will still come back with a normal range of being zero point five to five point five micrograms per deciliter. I mean thats really what they call the normal range. 0:29:00 About 2002, the american college of clinical endocrinologists - which is a separate group from the american college of endocrinologist Theyve said we're going to treat patients clinically enough just by the lab test. Well in about two thousand two, the american college of clinical endocrinologist said that TSH range is far too big. We are under treating many patients that have hypothyroid symtoms, all those things that I mentioned, but they've got a TSH of four and so conventional doctors wont treat them. Theyll say, well your lab tasts are normal, even though if youd checked down the list, theyve got every symptom of low thyroid . So they narrowed that range to zero point three to three point three which I think is really much more appropriate in our practice we really think there's a difference between normal optimal in a really perfect range to say that everything is in balance between iodine and the selenium and the different hormones in your body and we like to see the TSH somewhere between point one and one point five and thats sort of our target goal. Now we don't always like hammer off of that but if we see patients, if their TSH is going up to 0:30:00 two point five, three, three point three and its getting up to that upper edge of that optimal range there than we really will start looking at those iodine issues, selenium issues, what else is going on making their thyroid sort of toxic. I think that there's some things that we need to rethink about with thyroid disease. And I know this slide isnt in there, and any of these slides that are not in your handout, that I added because I came across this great papers after it already submitted these slides. If we have a mildly elevated TSH from about a two point five or a three, three point five that would still be in the normal range but it's getting to the upper end of the optimal range but
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you've got a T4 and a normal T3. What I think about that is that this is really an iodine deficiency issue because T3 and particularly those patients are complaining about depression and fatigue and they cant lose weight and they cant think clearly and theyve got all this brain fog sort of stuff. What I think is this is really an iodine problem: the TSH is going up because it's trying to capture all the iodine thats floating around out there 0:31:00 As best as it can and its trying to put it into the tissues particularly for the thyroid. so I'll start researching and I'll start looking and well start doing some testing which well talk about in a few minutes to look for low iodine. T3 thats in the perifory does not like cross the blood-brain barrier and provide the brain with thryoid hormone. It's made locally in the tissue of the brain itself so it's not derived from circulating T3, so that tells me there's really an iodine deficiency going on in the brain area. And that's really came from this iodine deficiency disorders, this whole book on the thyroid manager, this chapter, if you guys are really interested in finding out reading a lot of this thyroid manager dot org website [editor: http://www.thyroidmanager.org/ ] has about I think this comes from chapter twenty all of this information came from chapter twenty. Theres about forty different chapters on there that are from this textbook that will give you that information. 0:32:00 So when I see just that TSH going up, T3 and T4 are staying pretty normal but clinically patients have low thyroid symptoms: cold, constipation, dry skin, all those different things. That I thinking low iodine and I start looking at between iodine and selenium. Now if they have a high TSH and a low T4 and a variable T3, by definition that is, we call that what? Hypothyroidism, right? T4 has gone down, TSH is gone up, maybe the TSH is 8, 9, 10, its really really high. So we say wow this person doesn't have enough thyroid right, well I say what they really need is more substrate. They need more iodine to be able to make the thyroid hormone. They may need more tyrosine on board to have that. They may need a little bit more selenium. Not necessarily an adjustment in their synthroid or through their armour. So maybe we arent always treating hypothyroid conditions normally and we need to take a step back and look beneath that of what the from a biochemistry standpoint is missing. 0:33:00 And then the opposite one of that: really low TSH and a really high T3, whenever we see we see that it's like wow this is hyperthyroidism. We have to do something to stop that like right away. You don't want the fact that to go on for the long term I mean long term meaning six months, a year, something like that untreated, because when it's really goes up then what you've got the cardiovascular symptoms you have to worry about, to worry about osteoporosis, lot of different things that with long-term hyperthyroidism. But instead, because what the bodies trying to do is to say I'm so iodine deficient that I'm gonna by-step that he T4 step and go right to T3, because that's the active form. And it's the protective mechanism in the body. What we do with that is we test them to see whether selenium levels are down than start putting in some selenium to stabilize the tissues. And then ever so slowly start adding iodine back in. And all of that treatment for hyperthyroidism that's the way they did it back in the forties, its all in the medical literature, this is nothing new it's been around for a long time it's just that we don't really go in that direction very often.
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0:34:00 So we start with a very low low dose of iodine, to start to re-regulate the system. The magnesium is really important to stabilize the thyroid and zinc really helps to stabalise it too. We have, I mean between me and one of the other doctors in my office doctor Sherl [?] most of the at the top she treats a lot of good about eighty percent for practices kids and all the , she and I treat most of the adults, she treats a lot of, about 80% of her practice is kids. And all the kids on the autism spectrum disorder go to her. I see most of the adults. Between the two of us we have at least - we're to put together a case report now - that we've got ten patients now with frank overt hyperthyroidism by every definition of the book, and that over a three to four month period of time we've been able to completely reverse that. By making changes in their diet: getting rid of all the stuff like aspartame and all the stuff they shouldn't be doing anyways, taken out white sugar, white flour and all those acidic sort of molecules and starting to slowly ad back in selenium and iodine. We've got ten cases now weve completely reversed. 0:35:00 So at some point we're gonna write a whole case report. Maybe put in the Townsend letter [?] or somewhere. To get the information out to everybody. So I just want to show you that from our own clinical experience, we've been able to do this and make this work. So here's three pearls that you might want to write down 'cause I know theyre not in there. The pearl is: Treat patients with Hashimotos with selenium 200 mcg twice a day to remove the peroxide thats accumulating in there in the gland that is possibly contributing to their Hashimotos. And once that starts and I would do that for probably about a month or two. And once they start to improve from a clinical standpoint, start to add in just a little bit of iodine at a time. Pearl number two is: Whenever you see an elevated TSH think iodine deficiency first. Don't think they need more thyroid hormone or they need more Synthroid or they need more Armour , Thyrolar [?] or whatever your medication of choice is. Look to see if there's a underlying cause for this. 0:36:00 Now it may turn out that iodine and the selenium turn out ok and they do need their medication, it may turn out to be that way. But look for the underlying cause first. [Pearl 3] And then if the patient is treated with selenium and their symptoms and their lab tests get worse if you're using selenium in a multivitamin or for whatever reason that youre using it, it's probably because theyre iodine deficient like we talked about. That the selenium will make the T4 go down, as the T4 goes down the TSH goes up to capture more iodine, and that looks like - on paper - - we've even been taught to interpret that as hypothyroidism. So that's just another another way to do that. So what's the relationship between low iodine and breast pathology? Because this is a real passion of mine. We do a lot of breast thermography in our office and we have an entire program that we've put into place, and I so appreciated the first presented this morning talking about the dental amalgam connection with the breast pathologies, I thought that was really great and we're going to be using more of the porphyrin[?]and looking at too. And when we see patients that come back with 0:37:00 abnormal thermograms. So what is it the connection here. Well this goes back to at least nineteen sixty-seven and the
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reports that came out of JAMA in nineteen sixty seven that said an iodine deficiency in rats causes tissue hyperplasia and atypia in the mammary tissue. So this is stuff thats been around for a long time at that they see that when the tissue start to lose their substrate to keep them healthy they start to degrade a break down. And I know that for myself cause Im an osteopathic physician you know osteopathy, when of the tenants in the basic principles of osteopathic medicine is that the body has the ability to heal in repair itself when you put the missing biochemistry, the missing physiology, put the biochemistry back in. So we look at biochemistry first because all those biochemistry things are what are necessary to run your physiology if you have an adequate biochemistry, good physiology, that peels of into that you need good structure-function relationships. And osteopathic principles are about structure function relationships like 0:38:00 many of the chiropractors are. First go, and I explain this to patients as: if youve got a door hanging on crooked in the door jam, it's not gonna work very well. So you have a structure function relationship when the door is crooked, it wont swing very well. And if you straighten out the structure and that function of the door can work really much better. So you got structure function relationships. So instead of just saying jee, the body just sort off like breaks down ande deteriorates, thats just what happens when you get old. And we really want to look at those underlying biochemistry physiology and anatomy associations. And this ones been around since the nineteen sixties. And Im going to show you a few more those. And this is why it kinda breaks my heart when you think about those connections of all of those women. At least one in eight possibly going higher, that could have had these sort of things elements added back into their system to make them healthier, maybe the statistics wouldn't be so bad. In nineteen seventy-six epidemiological data suggest that the relationship between regions of known endemic goiter known to be related to low iodine 0:39:00 increase breast disease. And that was in the Lancet nineteen sixty-seven: in cancer causes control into thousands of this early in a little bit more recent things. In seventy nine it was shown that estradiol treated rats leads to pathological changes in the breast tissue including cystic changes. Periductal fibrosis and lobular hyperplasia. And those are in rats who where iodine deficient. When you put more estrogen in there, whether the estrogen is birth control pills, HRT, bio-identical hormones, xeno-estrogens from the environment. When theres low iodine in there, it increases breast pathology. Just by definition. This has been around for a long time. Ghent and Eskin did their studies between nineteen seventy five and nineteen eighty nine and showed that more than thirteen hundred patients with a variety of breast pathology and observed that iodine led to improvement rate of forty to seventy percent of the subjective pain problems and the objective fibrosis symptoms over that period of time. 0:40:00 Thats huge! And it's something that should be common knowledge and not something that I got to dig out of old medical journals somewhere. I mean this is something that we should be knowing and should be using. There were the studies that were in ninety five, ninety six and ninety seven that show the histiological changes can be reversed in the breast tissue with introduction of iodine. Rat studies demonstrated that iodine suppresses the formation of breast tumors. And then this one is really important that iodine absorption and organification occurs in the
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same first in the same ductile epithelium where the majority of breast cancers occur. If that's being absorbed in the same place and that's deficient and whatever else is causing those tissues to break down: environmental chemicals, mercury, lead, arsenic, I mean there was a paper that came out just recently that showed that what there's more than two hundred known chemicals that are in breast milk nowadays, theyve determined, more than two hundred chemicals are laden into the breast. The breast is fat tissue, hydrophilic, it's going to accumulate all of those things. 0:41:00 So if you've got a deficiency of iodine in those tissues, the risk of those chemicals and heavy metals causing damage goes up exponentially. So how much iodine is needed to have healthy breasts? We keep talking about a hundred and fifty micrograms for a healthy thyroid, right, what about healthy breasts? Well breast tissues actually like a sponge for iodine. Studies have shown that a minimum amount of iodine to protect the breast for fibrocystic disease and cancer is twenty to forty times more. And needed to prevented goiter. In other words the breasts needs,instead of a hundred fifty micrograms, it needs somewhere between three thousand and four thousand micrograms a day for healthy breasts. That came from an article from nineteen ninety three, so again this is information that's been around for a while. And there's no RDA for the body. We need to figure that out. Iodine in diseased breast tissue, the incidence of fibrocystic changes among women is reported now to be more than sixty percent of women have fibrocystic disease in Nebraska. 0:42:00 And we define that either by lumpy breasts, dense breasts, tender breasts around your period or actual cystic changes that can actually be seen on an ultrasound. About five percent of those are considered to be risk factors for developing breast cancer and that these changes respond and reversed in the presence of three to six milligrams of three thousand to six thousand micrograms a day taken for three to four months. And that was from doctor Kessler's original paper that caught my attention and [] led me down this path to do more research in this area. It's like wow in three to four months we can reverse all that. Reverse all those things that I just showed you. That is astonishing. People need to know about this. So what about iodine in the salivary glands? Well we found that there is a symporter on the thyroid thats also been found in salivary glands. Iodine concentration in the salivary glands can reach thirty to forty times that seen in plasma. Fluoride and bromide inhibit iodide transporter into the saliva 0:43:00 Thyocyanate inhibited iodine transport and utilization in the salivary glands. Thyocyanate most commenly in most of the patients you are going to see probably mostly going to come from cigarette smoke. It's also found a little bit in these foods: cabbage, broccoli, almonds, horseradish and corn. But the food contributors have found to be inconsequential, so that's really not a big deal. The specificity of salavary thyocyanate is a marker for cigarette smoke and is not affected by those foods and that was from a pubmed article. So it's really about the cigarette smoking where they get exposed to that and inhibit that iodine going into the gland
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and I think contributes to a lot of the dry mouth syndromes. So what about some concerns about excess iodine. You know we were always so afraid that we might go about that hundred and fifty micrograms, while we've shown that at least in the breast tissue we need three to four thousand micrograms, what about that? And if you ask any endocrinologist they get they say well this is this whole thing about exces iodine that came from 1948. With this Wolff / Chaikoff report and they keep talking about the Wolff-Chaikoff syndrome. 0:44:00 I dont know if any of you heard of that? Heard that before? [] That was a research publication thats all that conventional medicine has on this. It says that, the Wolff-Chaikoff syndrome, if you take too much iodine in, it will shut down the thyroid, and if you shut down the thyroid, then youll end up with more problems than you started. Well [] this report came from 1948 that they said: this critical high threshold, known as the Wolff-Chaikoff effect, increased iodine will shut down the patient and make them be hypothyroid and youll cause all kinds of problems. The part that we all kind of missed, all of kind of doctor types kind of missed, is that the very next year, they came up with an other study that said that the maximum duration of that inhibitory affect of iodine was about fifty hours so in a two day period of time theres a self mechanism, an escape mechanism, that starts, and the thyroid takes off and starts running again on its own. Jee, we mist that. 0:45:00 And because we missed that, so many patients are running around out there with hypothyroid symptoms because they're low [] iodine. So how much iodone is really safe to take? Well there's really no big consensus on that. And the reason is because we don't have a total body RDA yet. Which would be really important for us to find out. You cant do an iodine test from a blood sample and the reason is because iodine doesnt stay in the blood stream for very long. When you take it in as a supplement, when you take it in as a food, []as soon as it gets absorbed through your gastral intestinal tract, it gets into your blood stream it is within the first six hours absorbed into all the primary tissues. Its absorbed in the thyroid, in the breast and all those other ways that we mentioned. So it's really not possible to get an accurate blood test. I mean its sort of like trying to get an accurate mercury test from a blood specimen, it just he just can't happen because mercury doesn't stay in the blood for very long goes off into the tissues. 0:46:00 With iodine it's the same thing because it doesnt stay in the blood very long. Skedaddles off into into the t issues and anything that's extra gets thrown off into the urine. It's a water-soluble molecule and it goes off into the unrine. We, clinically have used on and off for years that spot iodine test using a drop of Lugols iodine on the skin. Is any of you familiar with that? Just a few. How that works, and its a kwalitative test at best, and thereve been a lot of people that have said, written papers that said: it really doesnt work, things like that. But just from clinical experience its a down and dirty way of something you can do in your office. Is that you get a drop of Lugols iodine and we, what we do is, we get our compounding pharmacist tuberculum syringes filled with iodine which is one little drop of iodine in their. We get like a bunch of them you know its like a pill bottle that's that big, a brown pill bottle with the white top on it that's about that big and we'll get like thirty at a time that theyll mixed up for us in the tuberculin 0:47:00 Syringes. It will have one little drop in there, no needle, just a drop. And theyll send them over to our office in this brown thing so it keeps the iodine from breaking down cause its in a brown bottle. And we give them out to patients with an instruction sheet that says that first thing in the
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morning, you put that drop of iodine right here on your wrist or a non haired, thin skinned area, and sort of rub it together. Do it over your bathroom sink cause you dont want to stain it on anything, cause it is iodine. When you rub it together, it takes maybe ten seconds for it to dry, and once its dry you really cant rub it off. I mean if you tried really hard, you really cant. And so, I have them do it here on their wrist, so they can watch it. And when they first put it on there, its that iodine: very dark, gold color of what iodine is. And it should stay that dark for at least twelve hours , preferably eighteen hours. Now Ive had patients that have put that on there and I have them do it here for because they can watch it, 0:48:00 they can see how fast the color changes. It goes from a dark golden, it gets a little bit lighter and turns kind of a brown color and fades away. When it gets to that real thin brown sort of color I consider thats mostly absorbed. You can't rubb it off and it has to go somewhere and the assumption is that it gets absorbed into your system. Well it's a qualitative test, its just sort of a down-and-dirty measurement because there's not a really great way to always measure for iodine deficiency. We use it as a screening test. Well have patients take it home and if they put that drop on there and the next time they look at it its like three hours later and they see no trace at all of any color left there at all, then I go on the assumption of saying, well maybe we better look a little bit closer a little bit farther to see what your iodine deficiency is. Its an easy thing that all you guys, all you dentists can do in your office, easilly, just to kind of screen patients for that. The next test level up is a spot urin test. 0:49:00 This is the once that the IDD, the international society for iodine deficiencies use worldwide, is a spot urine first thing in the morning. That's one that they'd will run at the hospital, people can get that done, through their insurance, insurance will pay for that. And again it sort of gives you an estimate, it tells you know [] the iodine that you take in as a food, goes into your system in about six hours. So somebody ate a snack, say like at then o'clock [], iodine in there should have either been absorbed into their tissues in within six hours. To get the spot urine first thing in the morning to kind of say okay, what level is? Do you have enough? Do you have enough iodine in your body that youre sufficient? that any extra just kind of goes off into the urine and or is it really really really really low, that there's nothing left over as spillage. So your first morning spot urine can give you some idea, again qualitatively, for your patients are. The twenty-four urine tests is one that we use a lot and we use doctor's data for. It's inconvenient, patients don't like to stay home for twenty four hours. 0:50:00 But it really is measured of dietery intake. It's the spot urine in the morning plus they take four, the equivalent of about fifty milligrams of iodine as a supplement and they collect their urine throughout a twenty four-hour period of time. The theory behind how the test is supposed to work, we've had lots of discussions about this, doctor Kessler and David [?] and you know all those who have worked on this for several years now, is that if you put fifty milligrams in, and your body is completely saturated, what is left over goes out in the urine. So if you put fifty milligrams in and in your twenty four hours urine, about forty five milligrams come out then there's two ways to look at that: either you just don't absorb it but since its a water soluble molecule you know you probably do absorb. Then if you put fifty and forty five comes out then
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you've got probably as much iodine as you need. If you put fifty and five comes out, where did the rest of it go? Well considering the fact that it only goes directly into tissues 0:51:00 it had to had gone to a place like that. [editor: it you take fifty and almost fifty comes out again, you might also have an absorptio problem: there might not be enough NIS in your tissues]. So we use that test frequently, its sort of a screening test. Again I don't think that it's a hundred percent accurate and [] the reason is for that is because I think that different people's bodies will absorb different amounts. And if you have obese patients theyre going to absorb more. If you have dense breasted large women theyre going to absorb more. But it will give you an idea of how depleted they really are. It will give you a place to kind of go by. And this is sort of what the results look like when they come back. [] This is their spot morning in the morning, and you can see that by the that by the iodine deficiency disorder level by the world health organization, that's the reference range, [] they're kind of in the middle of the reference range on their spot. Then when they load they only got forty two percent out of what they put in, so I would look at that and say that patient has some depletion issues if that correlates clinically with their symptoms. I only do this test from symptomatic basis. 0:52:00 Here was another one that this patient actually on their spot urine I mean, theyre way down here at the lower end on their spot urine: point then would be the bottom end of this. Point eighteen, I would say even on their spot urine that they're pretty low. When we did the loading test on that, and they have fifty four percent out, I would say that those two things correlate if it goes along with their symptoms. So, how much iodine is safe and how do you kind of put this back in to peoples systems.And there is considerable controversy about the maximum a dose and when its ingested in excess of the RDA. A lot of people have some things that they talked about that with that. And the reason is, is that the thyroid chemistry is complex and a clear lineair dose response relationship between iodine intake and thyroid function and breast pathology doesn't exist. So I look at iodine treatment, its kind of like a drug, I mean, you have to individualize it to the patient, you have to watch for side effects [editor: detox reactions], there are things that you have to do. You know it's not just like taken you know 0:53:00 say vitamin C over-the-counter or vitamin E or something like that. You've got a lot of flexibility of vitamin D you've got a lot of flexibility. There are some things that may come up that you have to be aware of. Braverman whos the big iodine researcher in the whole country, what he said in his textbook is that, [] almost all patients remained normal thyroid in the presence of large amounts of iodine. So are there some potentials for some side effects? And I say yes and I've seen them and you just have to sort of deal with them. One of the things is something called iodism, and this is what people say that you know I'm allergic to iodine and I can't take it. Well it's a mildly toxic syndrome resulting from the use of iodine, []this is what is by definition what iodine allergy is called. I have a sort of an issue with that I'll talk about in a minute, that it's a mildly toxic syndrome from their use of iodine. I it's the iodine and Ill explain it to you in just a second. Its defined in the textbook as rashes, 0:54:00 Acne, stomatitis, unpleasant metallic taste in the mouth, gastritis, nausea, headache, lot of salivation, fatigue, coryza, runny nose, sneezing, conjunctivitis, laryngitis, bronchitis. That's in
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the textbook what they call iodism. They they say that if you have any of those things you're allergic to iodine and you can't take it. Well I came up with to something a little bit different, after looking at a little bit more research. And the reason is, is because there are no reported cases from anaphylaxis alone and no in-vitro test that can reliably document these in tolerances to iodides. And if iodine is important to every cell of the body, in particular for your breasts, and your thyroid, [] how can it be that you can take that? Well so I think that this kind of a working theory. And this is because I did a lot more research into that whole toxicity list that I just, thats on there. And that iodism may really be a cellular displacement of bromine, fluorine and chlorine by 0:55:00 while you're replenishing the iodine. If we go back to that original table of elements that I showed you from the beginning and we had bromine, chlorine, chlorine and the big iodine down there at the bottom. If you [] have missing iodine, then you're more likely to absorb those smaller molecules. Well, look at this, bromine toxicity, look at thesymptoms that bromine toxicity is: skin rashes, acne, loss[?], metallic taste in the mouth, wasn't that one of the things they talked about iodism? Well if youre displacing bromine by putting more iodine in, youre releasing the bromine. Aren't those some of the symptoms that you're gonna get? [] I wont read all this to you, its in your hand out. Of all the different places that bromine comes, one of the main one is probably brominade di-ethers [?], which is a really nasty fire retardant that have been out lawed I think in four states now because of the effect on breast health and a lot of the different organs in the body. All of these astma medications have bromine in them and bakery products have bromine because they've decided that 0:56:00 you know, when we were kids growing up, they used to talk about wonder bread that had all those minerals in it, and had iodine in it, well they took the iodine out, replaced it with bromine, so now in a lot of those substances in a lot of these you get bromenated vegetable oils out there in all of the soft drinks and all the bakery products have bromines, so we're getting more more more more bromine all the time. And if by definition even by the ENHANES study we're getting less and less and less iodine we're absorbing more bromine and not as much iodine. When you start bringing that iodine up, the bromine has to go away. And I think that a lot of the the bromine, [] releasing the toxicity of bromine from the body is being blamed on an iodine allergy, which [] really isn't there. Fluroine toxicity the same thing it goes along with those symptoms: skin rashes, headaches, stomatitis from fluoride, those are the medications and things that have been removed from the market, or are actually are still out there, because they have fluorine in them. [editor: lets not forget your toothpaste or even your tap water] And chlorine toxicity causes that sinus inflammation and taste disturbances. And that comes from Splenda [editor: sweetener] and public drinking water and hot tubs and propelland spray cans and swimming 0:57:00 Pools. So as we get low iodine, we get more absorption of bromine, fluorine and chlorine as we start bringing iodine up this stuff has to come out. So the key to that is to add iodine in very slowly, very slowly. One of the big suppkements on the market is iodoral thats [] about twelve point five milligrams of the iodine. I think that's a lot and a lot of times well get patients one a week for a
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while if we think they're very toxic. Sometimes with Lugols iodine that's about twelve milligrams in the drop [editor: 15% Lugols] , it's not real stable, it's not always consistent, we will start with one drop a week. And if you start getting any of these symptoms that starts showing up there as side-effects: stop, more water, cause its water-soluble stuff, until the symptoms go away. [editor: opinions of this differ, some people on the curezones Iodine Supplementation Support Forum by VWT Team have experienced that high levels of iodine work faster in detoxing the other halogens and with less side effects] The other thing that we do is, before we start adding any iodine in at all, we check, we want to do something was selenium. We really want to make sure that the body is pretty saturated with the selenium. 0:58:00 [] So well look for the selenium deficiency either on a regular blood test but we will look at it from like spectra cell test I talked about, that we used to lot. And we try to keep the total amount of iodine that people use at less than about three thousand micrograms or three milligrams a day for a while. You know you can go up from there, and I think that that's safe to go up from there, if patients need it. But I think initially youre going to end up with more side effects if you go above that does dose. So, be sure that the patients is loaded with selenium for at least six to eight weeks before starting iodine. We always also have them take L-tyrosine because tyrosine and iodine together is that what makes your thyroid hormone. And we add a little magnesium because that facilitates the binding there. The tyrosine usually five hundred milligrams twice a day, is what we recommend. And we start with the selenium two hundred micrograms twice a day and we'll do that for about six to eight weeks before we start adding in the iodine in just normal routine paces. 0:59:00 We start slowly, remember that where side effects occur, those were most deficient. So I think that the more the deficient you are that suddenly you start putting in a bunch of iodine, and the TSH is going to go way up and you are going to start running the iodine into the tissues through that symporter, and kicking out the bromimium, fluorine and chlorine at a really high rate. And I don't think that you need to do that, I think that you can do it really slowly. One other thing is that, that ends up happening, is if you see any of those side effects you can stop it for a week and start it at a lower dose. Symptoms usually resolve within forty eight to seventy two hours when you stop it. People start feeling better. If they start having hypothyroidism than support their thyroid too. You know you can use it with national sorts of things, if theyre already on Synthroyd, Armour thyroid, you can increase that just a little bit. And the other thing that I had that happens and I had this happen to me when I was to taking the iodine to replenish my pot, is that I got a lot of gastritis from that detoxification stuff that was going on. And [] you get that metally taste in your mouth. 1:00:00 And I got a lot of almost like heartburn indigestion. And what corrected that, and we've been using this a lot for patients, is giving them chlorophyll tablets that they can get that Standard Process, I like their brand a lot, they can chlorofyll just at the health food store. And chlorofyll acts like a sponge and it goes in and just lays in the intestinal track it's not absorbed into your system. And it acts like a spunge, just sucking up that bromine, fluorine and chlorine stuff that's
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coming out of their body. And I always warn patients you know it will make your poop bright green. Because if they suddenly start getting not feeling as well because your detoxing them and then they get bright green poop, now they're really wondered what's happening to them. So I say no no no that's the chlorophyll absorbing the stuff and getting it out of your system. And that really really works if they get any side effects from that. So I have about two minutes left. You know I'm really a big advocate about activism. And that's why I'm involved with the american association for health freedom and all the different stuff that I've done. And I just think that everybody needs to get active. Just everybody you need to 1:01:00 pick something you're passionate about whether it's the mercury filling issue, whether it's vaccines, whether it's the environment ,whether it's animal rights, whatever it is get really involved with it. And what can you do about it. Find an organization and get involved. Get involved because these really are life-and-death issues. In these mandatory things that are happening to our environment are really upon us and we need everybody to get active. Stay informed, I got great material, it's on my website, theres great materials that are out there. You know set aside, you know a couple of hours a week to get informed and get this information out to your patients. Right now we still have a right to choose, we may not always, because what Ron Paul said they'll run pop [?]. Whe we give the government the power to make medical decisions for us, we in essence except the state owns our body. He said that a long time ago. And I think that we need to be vigilant about that. A lot of you guys talked about state medical boards and things like that. Get out, get actively involved, find an organization you can be a part of. 1:02:00 And spread the word. You know we have all kinds of stuff in our office, stuff on our website that you can hand out to patients. Get these things into the hands of your patients, they trust you, they believe in what you're doing and they want to be behind you and support you and with that: thank you.
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INDEX
Breast cancer ................................................. 4 Breast health ................................................ 12 amount of iodine ...................................... 14 iodine ....................................................... 13 Bromine ......................................................... 1 Chlorine.......................................................... 1 Fluorine.......................................................... 1 Goiter ............................................................. 5 Hyperthyroidism what is that ................................................. 7 Iodine Allergy ..................................................... 17 Deficiency .................................................. 7 Detox........................................................ 18 in bread .................................................... 18 in tissues ................................................ 5, 6 iodism ...................................................... 17 low ............................................................. 7 Most defecient ......................................... 19 scared of ................................................... 14 Total body RDA ...................................... 15 Iodonised salt ................................................ 3 Japanese ........................................................ 3 Mercury ......................................................... 1 Pearl 1 .......................................................... 12 Pearl 2 .......................................................... 12 Pearl 3 .......................................................... 12 Salt ................................................................. 2 Selenium deficiency .................................................. 8 function thyroid hormone .......................... 7 without iodine ............................................ 8 Sodium iodine symporter (NIS) ..................... 5 Soy ................................................................. 3 T3 T4 iodine def ind ............................................. 7 T4 what is it .................................................... 7 Wolff-chaikoff ............................................. 14
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Iodine Deficiency Disorders

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http://www.youtube.com/watch?v=hMjKmi12UX0&feature=related Dr Sherri Tenpenny outlines the many disorders from iodine deficiency IAOMT 2007 L.V.

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