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Welcome everyone to another episode of The Opticast and What is Going On?
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We have two guests on camera on a plain Tuesday.
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This is not normal.
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You guys know Tuesday is the day for me to either talk about the thyroid or birex or some other shit like that.
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But mostly for the past few weeks, we've been doing a series called Should You Do Steroids?
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Over 20 weeks, just asking the question, should you do steroids, compounding every single factor that there is, the finances, the social aspect, the physiological aspect, the psychological, all of these things that you need to consider.
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But today, I've got something special for you guys.
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If you're coming from Paul's channel, you already watched the first episode.
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If you're not coming from Paul's channel, you already know who Paul is.
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And if you don't know who Paul is, you need to watch the first interview that we did with Paul because I did a two-minute introduction that was absolutely perfect, and I don't need to reharsh it all over it here.
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Again, unless Paul wants me to.
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So today, we're gonna do something a little bit different.
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On the previous uh podcast, the one that we did with um with Paul after the podcast, we were talking and me and Paul were like, you know, let's let's talk a little bit about the thyroid.
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Paul was like, I want to know a little bit more about certain things on this topic.
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I was like, would love to help your audience.
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Uh, so let's chat.
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Let's do one episode talking to your audience on your channel.
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Let's do one episode talking to you guys over here.
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So, what we're doing today is continuing that conversation from there.
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Now, Paul, I have a little bit of a problem with memory because I kind of did a lot of heavy drugs when I was still a fucking child.
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And uh my brain just doesn't remember exactly what the fuck we talked about.
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I know that we ended with us talking about, I know that we started talking about like the cascade and how it got exactly the thyroid works.
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And then on the on the towards the end, we talked a little bit about supplementations and things like that.
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But I wanted to know, like, was there anything like off the gate that you were like, I kind of want to know about this, like any any any any any starting point here for us?
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Well, you kind of like one of the things that stuck with me is you you basically and I'm not trying to I'm paraphrase here, but you're basically saying that armor thyroid's trash.
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The the desiccated pig thyroid.
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And I I wanted to continue and talk about that a little bit more because it's it is used quite frequently.
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I see it.
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It seems to be what doctors prescribe.
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When I when I send when I send clients in, you know, like, hey, you might want to go talk to your doctor about your thyroid issue, um, it it's it's it's it's crazy to me.
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Like doctors will just check TSH and then I'm and I'm like, well, let's get some let's let's check everything.
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Let's reverse T3, uh thyroid T3 uptake, your T4, free T3, all the all of these other uh you know, full full thyroid panel basically.
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It's wild to me that doctors don't check that.
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They just prescribe armor thyroid based off of TSH.
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But then we'll we'll see things more, and I'm like, well, maybe you should press them more on why this specific marker might be off.
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But it seems like armor thyroid is is the first line of defense that everybody, every doctor prescribes.
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So there's a there's there's a lot to unpack there, especially with like TSH.
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Because TSH is such a misunderstood test.
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On Thursday, we're having a masterclass just that for everybody on Thursday, 12 p.m.
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EST.
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So you guys can go on my Instagram, there's gonna be a link there.
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You guys just hop on.
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We're gonna be doing a masterclass on uh thyroid.
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And the first lecture we're talking a lot about TSA, the second one as well, which is happening next week, it's free for you guys as well.
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But the issue with uh with TSH is that like TSH is very misunderstood.
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Like some people think that it's useless.
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Uh so they're like free T3 is the only thing that matters.
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Other people worship it, like the medicine world that tends to just see it as the one true verdict about like what is happening in your body, when in the reality is neither one of those things.
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For certain things, it's extremely useful.
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Like if you want to catch a failing gland, Paul, the TSH is the best test that there is.
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Because the TSH test moves with a magnitude of over a hundredfold for every single movement that the T3 does.
Load full transcript
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So you also have to remember the free T4 is going to protect, the free version is going to be protected, like we talked about with uh TBG on the previous episode.
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So that uh free fraction is gonna stay there.
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So a lot of people they say, like, hey, my TSH is elevated, but my free T4 and my free T3 look fine.
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What's going on?
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My doctor doesn't know what to do.
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And I'm like, well, your doctor didn't really understand that the issue is that the the pituitary is literally screaming for more thyroid production.
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At one point, the gland is gonna fail.
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And once the gland fails, then you're like, oh, now I see the TSH was screaming for that.
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No, the TSH was screaming for that all along.
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So it's very good to catch a failing gland.
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Now, what if your issue is conversion?
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What if it's the T the T4 is not converting to T3?
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Well, your TSH gland is gonna be fine.
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So the TSH stays normal, but the free T4 is gonna start dropping.
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The free T3 still stays elevated for a little bit of time because of the protection of the free fraction, but that is a sign that the conversion is failing.
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You have plenty of T4, the T3 is not not being like uh presented, so to speak, is not being activated.
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And that's because the gland mostly produces the storage hormone.
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Every single organ in your body pretty much produces the active form of a hormone, the thyroid, it just produces the storage form of it.
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And then you need to activate it.
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So I just want to say that to say the TSH is not useless.
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Also, when people talk about the TSH, like the TSH is important because it is measuring things as a proxy.
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So it's kind of like a waist measurement for a bodybuilder.
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It's not the most important thing in the world, but come on, it's a pretty good proxy.
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Like if you say that someone has, you know, fucking 60, like fucking 70 inch circumference on the shoulders, but a 32-inch waist, you know they're ripped.
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You know they look really fucking good.
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So, in the same way with the with the tests, it becomes uh similar in that direction where the the TSH is generally gonna be talking about the gland.
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The problem is, like we talked about before, the brain actually has its own supply of thyroid hormone.
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So D2, which is the enzyme that's gonna convert T4 into active T3 in the tissues, it exists in brown fat tissue, it exists in skeletal muscle, and it also exists in the pituitary specifically.
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It's different in the pituitary from the rest of your body because in the pituitary, as soon as the enzyme D2 transforms T4 into T3, it clips itself for destruction so that you don't end up with too much T3.
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So it's a protective mechanism.
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The problem is the pituitary doesn't have that clipping mechanism.
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So your D2 stays active, which means you always have plenty of hormone in the pituitary before you start not having plenty of hormone in the rest of your body.
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So for that issue, the TSH becomes extremely limiting.
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Also, TSH is uh basically a shout, it's a screen saying, hey, thyroid, make more hormone, right?
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It's the test that we measure measures the quantity of TSH.
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It does not measure the quality of TSH.
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And within quality, there's also substructures of that.
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So TSH is very, very complex.
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You actually have TSH receptors all over your body.
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You have TSH receptors in your bones.
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Most people think it's just in the pituitary.
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It's not.
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But like I said before, it's a radio.
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So it doesn't transmit information back.
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It doesn't say, hey, tissues are starving.
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Pituitary, yell to the thyroid to produce more T4.
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It doesn't do that.
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So it's only a radio.
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It only sends signal from the pituitary down to the bones, right?
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So there's some limitations, there's some good things, but I've I've seen certain you know this person, and everybody knows, so I'm not gonna say who it is, but they literally said in a in a post in April, I believe, because I I'm talking about this post, they said TSH is completely fucking useless.
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It's not.
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Uh, it's it's it it can't be.
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It is a piece of information, especially when you get to like older people, especially when you're dealing with women or with children, TSH becomes very, very, very important.
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Okay.
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So there's there's that thing.
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Now, the the issue with like guiding TSH is the test.
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To to understand how the TSH became the test, you kind of have to
understand the history, right?
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Like we talked a little bit about the history of my sedema, right?
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You have in in the 1800s, if you have hypothyroidism, you're gonna you're gonna be gone.
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Like you're gonna die.
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There's no other solution for you.
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Doctors, they can watch it happen, but they can't do a single thing about what is happening, okay?
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1891, after a bunch of other people, this guy comes on and he has this brilliant idea, based off of other people's ideas, of getting a sheep gland, killing a sheep, getting that gland, mushing it up, and then injecting in that woman.
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That woman ended up to live.
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So in the in in 1800s, 1891 was the last time that my cedema was terminal disease.
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Now, when you look at like, okay, what did they give that person?
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They gave it the gland.
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So, okay, now this is tied into the question that you asked here.
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Because what is in the gland, Paul?
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The gland has it all.
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It has T4 and it has T3.
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So, for people to remember, I said in the previous episode, and it's true, the first instance of hormonal replacement therapy in history actually comes from the thyroid.
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And when you look at the first sentence of hormonal replacement therapy, the one that saved people from dying, it was combination therapy from day one.
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T3 was in the picture.
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Now, look at what happens, right?
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The desiccated thyroid, it ran for pretty much about a century, right?
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On desiccated pig glands.
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Armor was actually not a pharmaceutical company, it was a slaughterhouse.
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They just had access to lots of animals, lots of glands.
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So they just saw the quick money and they just decided to do that, right?
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No, nobody studied the thyroid of these animals to know if this was a good idea, by the way.
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It's just that we saw it working, people were dying, let's fucking stop the bleed, right?
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It's it's kind of like the idea.
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If you do a tactical emergency casualty course, you know the phrase stop the bleed, that's the same idea here.
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You just pack the holes, seal the wounds, tourniquet the limbs, and just move on, right?
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Now, there is there are certain flaws with the desiccated, right?
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First, first thing, in in 1914, Edward Kendall he synthesizes uh T4 for the first time.
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So uh Harrington had synthesized it in 1926 after that, but the early forms they absorbed very, very poorly.
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So we had to change that.
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We had the the the molecule was basically available on the shelf, just like a bunch of of other drugs that we know that exist and are promising, but you can't buy them, you can't actually use them.
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So, in from like 1949 to like 1955, levothyroxine literally does arrive, right?
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So now you have T4.
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It's great, it's a subtraction, right?
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And the the the the in in in 1956, right, the year right after that, that's when cytomel became a thing.
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That's when C3 became a thing.
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So literally a year after.
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So the question is like, why did the TSH became the test then?
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Okay.
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Well, the person that created the TSH test actually won a Nobel Prize because of how important the test is.
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So again, like the people that say the TSH is useless, it's really not.
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The the in in 1970, uh, there's two things that happened.
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One, there was a discovery of conversion.
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So the finding was uh that you can read this in a paper by Beyond in 2012, but the finding was that basically like the body's gonna convert T4 into T3.
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So why do we need a T3?
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Plus, Kendall just synthesized T4.
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Like, we don't need to add Cytomel to the picture.
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Cytomel, you need to take it multiple times a day.
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It's very complicated, like it's just it doesn't make any sense.
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Plus, at this time in 1970, the TSH test became a thing.
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It was available.
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So until 1970, all of the dosing of desiccated thyroid was made off of vibes, pretty much.
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It was body temperature, reflex test.
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You know the reflex test that they hit your knee?
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It's actually to see like your thyroid function and whether the calcium uh is actually channeling through and everything, like one of the things that it measures it, right?
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But the problem is like the the the you you basically have two generations.
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The first two generations are very, very bad.
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They can't tell you whether you are hypothyroid or hyper.
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That's how
insensitive they are.
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So it was a fraction of like two points.
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Whereas right now, the fourth generation is actually at a fraction of point in terms of uh sensitivity, really, really good.
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Problem is you have one test now.
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So what happens when you get all of those people in 1970 that were taking desiccated thyroid and you do the test?
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Holy shit, a bunch of these people were literally hyperthyroid.
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So we over-treated these people.
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So that is the problem with desiccated.
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What is the problem with desiccated?
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Okay, specifically to just be very, very clear.
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Number one, it's standardized on iodine.
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So it's it's not standardized by hormone content.
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So that's not what they're measuring inside of the pill.
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It it it it it it's uh the potency is going to swing batch to batch because it is measured of it is a measured of iodine.
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Number two, the the biggest one, it actually comes from a fixed pig ratio.
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So a pig's thyroid is going to produce four four to one as a ratio of T4 to T3, whereas a human is 14 to 1.
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So a human taking desiccated thyroid not only is unable to like figure out which potency they're using because it's just measured on iodine, but also they are not able to uh actually have something that looks like human replacement because you are using an animal fixed gland form.
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And the problem is that people were assuming they're like, oh, but it has T3, right?
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It's it's armor, it's fucking awesome, right?
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Yeah, bro.
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Yeah, but like the the the armor and thyroid, they are they are literally unapproved medications.
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I don't know if people know that, but they got we are allowed to use them given a 1938 grandfather clause that lithium also passed with that, that doesn't require us to basically prove that these medications are safe and effective.
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So uh armor thyroid doesn't need to.
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That's why you can buy it outside of medical settings uh because of that.
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Now, what's the problem with that?
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The problem is you can't dose it correctly.
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You're like, oh, but I measured it and when I did my blood work, it was fine.
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Yeah, but you just got a new batch.
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Did you do blood work again?
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Like, no, you didn't.
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Plus, you have a bunch of T4.
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Remember that excess of T4 is gonna downregulate D2.
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So it why would you, if you want conversion, why would you put a fuck ton of T4 in there?
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It's just gonna bottleneck the whole thing.
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So for you to understand how bad desiccated is, in 2025, the FDA actually moved to pull desiccated thyroid off the market.
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So that's like 1.5 million Americans that are on desiccated thyroid right now as of 2024, but you can't precisely dose it.
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Plus, it has been uh it has been uh uh recalled so many freaking times that it's just it's just absurd.
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It's just absurd.
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But it but it also does tell us that, like, hey, this whole story, like T3, like how did T3 become exiled because it started with T3?
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Well, it's it's just that T3 got a bad name for for the for the for the potency of it.
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So given that some people would take it and their heart rates would go up, they assumed, they didn't test this until 2025, but they assumed that because the heart rate is going up, that this is causing heart damage.
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And it's also from the standpoint of like, hey, why would you just tell people to take drugs one way or another?
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Yes, it's pharmacokinetics and pharmacodynamics, but also adherence.
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So it's much easier to have someone take one T4 pill and then just move on, right?
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Problem is, as we know, as we come finding out later on with Bionico and his group, is that conversion doesn't happen naturally.
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So that's the issue that like desiccated solves, but the problem is it's very improper dosing.
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It still hasn't been fixed.
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Uh, the the the the ratio that it did that it exists and it cannot be fixed because it's coming from an animal that has a fixed dosing.
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So if you wanted to do combo therapy, the best way to do it would be to do actual T4 plus actual T3 and then do that in a ratio of four to one.
00:14:47.279 --> 00:14:51.200
That would be the most similar to a human uh uh replacement dose right there.
00:14:51.600 --> 00:14:53.200
Yeah, so the four to one ratio.
00:14:53.360 --> 00:14:54.879
Yeah, sorry if I misquoted you earlier.
00:14:54.960 --> 00:15:00.080
I just no, no, you're talking about I I hear constantly from people that TSH is a useless.
00:15:00.559 --> 00:15:08.000
I don't normally check TSH, but there are, like I said, there are certain instances in which it's very important in the same way that I don't propose that you should use T4, right?
00:15:08.080 --> 00:15:09.840
This
whole time I'm telling you you shouldn't use C4.
00:15:10.080 --> 00:15:16.960
There's three instances in the literature in which you have to use C4, and if you use C3, you're gonna fuck something up pretty badly to the point of costing someone their life.
00:15:17.200 --> 00:15:19.360
So it it just depends.
00:15:20.080 --> 00:15:21.759
Yeah, so so that makes total sense.
00:15:21.840 --> 00:15:27.600
So it it is one of the pieces of data that we need to look at, but it's better to look at all the data.
00:15:27.840 --> 00:15:31.519
Exact, exactly, exactly that, which is which is like how I was talking about blood work.
00:15:31.600 --> 00:15:36.960
I don't I don't remember if we went really deep on blood work here, but like when I'm reading blood work, I'm reading it as a story.
00:15:37.039 --> 00:15:38.080
I'm just asking questions.
00:15:38.159 --> 00:15:38.960
I'm just a listener.
00:15:39.039 --> 00:15:40.960
I'm just asking what, like, hey, what are you telling me?
00:15:41.039 --> 00:15:42.399
Like, oh, the gland is doing this.
00:15:42.720 --> 00:15:44.000
I wonder what iron is doing.
00:15:44.080 --> 00:15:46.960
And then I look at your fertility and it's like, whoa, fertility is also messed up.
00:15:47.039 --> 00:15:50.960
Okay, fertility, LDL, and your sleep are messed up, and you also don't have energy.
00:15:51.039 --> 00:15:51.919
That's really fucking weird.
00:15:52.000 --> 00:15:53.440
Like, there must be something going on here.
00:15:53.600 --> 00:15:54.720
Just asking, asking questions.
00:15:54.799 --> 00:16:05.600
I feel like this is one of the ways that I'm teaching people in the academy in these live lectures because I feel like most people they just look at the sheet and it's like if there's a red value, they Google, how do I make the red value green?
00:16:05.759 --> 00:16:08.080
And that's how you make people pursue reverse T3.
00:16:08.240 --> 00:16:13.679
So reverse T3 is super fucking interesting because it's a marker of what your body has decided.
00:16:13.840 --> 00:16:15.679
But people treat it as a verdict.
00:16:15.840 --> 00:16:18.639
So, like, I see people asking, like, hey, my reverse T3 is too high.
00:16:18.720 --> 00:16:20.000
Should I bump on my T3?
00:16:20.159 --> 00:16:22.639
And I'm like, that won't do anything.
00:16:22.879 --> 00:16:28.320
As a matter of fact, all of the thyroid courses that I've taken, they teach reverse T3 wrong, every single one of them.
00:16:28.399 --> 00:16:34.559
And I actually went back on every single one of them and I found the quotes on every single slide of every single one of them, and we're gonna be pulling these apart.
00:16:34.639 --> 00:16:40.240
But people say that reverse T3 is an inactive isoform that blocks T3 at the entrance of the receptor.
00:16:41.919 --> 00:16:46.960
How can an inactive thing perform an action blocking?
00:16:47.279 --> 00:16:50.080
How can that's that's contradictory?
00:16:50.320 --> 00:16:50.559
Exactly.
00:16:50.639 --> 00:16:51.360
It's contradictory.
00:16:51.679 --> 00:16:59.519
The problem is like with the you can see this in Huberman's podcast on the episode that he did on the thyroid, 281 lines on a transcript.
00:16:59.679 --> 00:17:04.480
He breaks down multiple physiological patterns, and every time he breaks out physiological patterns, he cites people.
00:17:04.640 --> 00:17:10.079
As a matter of fact, when he gets to the growth hormone person, he cites the paper, the date, and he spells out the name of the author.
00:17:10.240 --> 00:17:12.480
You know how many citations he does for the thyroid?
00:17:12.640 --> 00:17:13.119
Zero.
00:17:13.279 --> 00:17:13.920
No one does.
00:17:14.079 --> 00:17:17.200
You look at people's courses on the thyroid, people have zero citations.
00:17:17.359 --> 00:17:20.960
Just on this first lecture, we're covering 16 papers that we're doing on Thursday.
00:17:21.039 --> 00:17:26.480
And that's because people are not asking questions to validate whether what they know is true or not.
00:17:26.640 --> 00:17:28.880
And that's why we're finding a bunch of these mistakes.
00:17:29.119 --> 00:17:32.240
So with reverse T3, it's inactive.
00:17:32.400 --> 00:17:33.119
It can't do anything.
00:17:33.200 --> 00:17:37.920
It doesn't sit at the base of the receptor mimicking T3 and then blocking the T3 from getting there.
00:17:38.079 --> 00:17:39.599
As a mat, how do we know that?
00:17:39.839 --> 00:17:43.680
Well, we did a study in which we injected people with reverse T3.
00:17:43.839 --> 00:17:45.599
Guess what happened to their free T3?
00:17:46.160 --> 00:17:46.960
Nothing.
00:17:47.359 --> 00:17:54.640
Because reverse T3 is just a measure of your stress, your cortisol, your temperature, your your recovery, right?
00:17:54.880 --> 00:17:56.960
It's it's it's a it's a measurement of multiple things.
00:17:57.039 --> 00:17:59.279
It's not, it's a measurement of your environment.
00:17:59.440 --> 00:18:13.119
It's literally telling if your reverse T3 is high, is literally just your body telling us, like, hey, given the environment, I think that the best solution for you right now, the best course of action is to downshift everything to make sure that we're gonna have enough energy to survive this for longer.
00:18:13.279 --> 00:18:15.759
So that's why your reverse T3 goes up when you start dieting, right?
00:18:15.839 --> 00:18:22.640
And it's uh when people start chasing the marker as opposed to chasing understanding what the marker is actually telling you, that's when you create a problem, right?
00:18:22.720 --> 00:18:24.160
And that's the same thing with TSH.
00:18:24.240 --> 00:18:27.440
When you're looking at like, oh, the TSH is screaming, but the thing Glenn is not doing anything.
00:18:27.519 --> 00:18:28.799
I'm like, what can't you see?
00:18:28.960 --> 00:18:30.799
You can't see the quality of the TSH.
00:18:31.119 --> 00:18:35.119
So that's when we need to start thinking beyond what the papers are telling us.
00:18:35.359 --> 00:18:52.960
Edward, like fucking Edward uh Murray, he didn't discover uh uh uh that you could inject uh desiccated thyroid into a person because there was a paper or an academic uh convention in London, which there was one a few years before that he drew some things from, but he didn't wait until there was a paper to make a decision.
00:18:53.119 --> 00:18:54.960
He just went there and fucking did it.
00:18:55.119 --> 00:18:56.400
What's the worst that's gonna happen?
00:18:56.559 --> 00:18:58.960
The woman is gonna die, she's gonna die anyways.
00:18:59.200 --> 00:19:06.160
So I find that in in my courses, what I try to do is to teach people what I call a healthy extrapolation, which is what I try to do here.
00:19:06.240 --> 00:19:12.000
It's like, hey, don't be don't be like the doctor that like if there isn't a guideline, oh my hands are tied, there's nothing I can do.
00:19:12.160 --> 00:19:14.079
You're dying, oh, you have a hole in your chest.
00:19:14.240 --> 00:19:15.599
Let me look at the guidelines.
00:19:15.759 --> 00:19:16.480
There's nothing here.
00:19:16.559 --> 00:19:17.839
I'm sorry, you're gonna die.
00:19:18.000 --> 00:19:19.279
And the person is like, what the fuck?
00:19:19.359 --> 00:19:21.599
Just fucking spitting blood and just dying and all this shit.
00:19:21.680 --> 00:19:23.920
Um, it's it's it's it's it's the same situation, right?
00:19:24.000 --> 00:19:29.519
So I just think it's when it comes to blood work, the way that we teach blood work is very wrong.
00:19:29.680 --> 00:19:34.720
We teach it as just like, here are 20 markers, memorize what they are, what they do, and go ahead.
00:19:34.799 --> 00:19:36.799
And I'm like, no, I want to know about the historical context.
00:19:36.880 --> 00:19:48.960
I want to know about why the fuck does Quest and Lab Corp use different TSHs and why can I send the same client to both of these locations on the same day, which is a test that I did, and on one lab they're hypothyroid and in the other lab they're normal.
00:19:49.200 --> 00:19:56.160
Why is it that I can send an uh an anti-TG test and get a positive antibody and then do it another day and get a negative one?
00:19:56.319 --> 00:19:58.000
Like that is something that I'm interested in, right?
00:19:58.079 --> 00:20:06.160
And I feel like those are the questions that Paul, you you, you know these questions because you're you're staring at blood work all day long and you're like, this doesn't make any fucking sense.
00:20:06.319 --> 00:20:07.039
This is crazy.
00:20:07.200 --> 00:20:12.799
And I I feel like maybe, Paul, maybe what we should start doing is posting on Instagram, you know, just being like, hey guys, what what is the solution?
00:20:12.880 --> 00:20:16.799
This because there's always gonna be one or two smart bands that are gonna say, Oh, this is super easy.
00:20:16.880 --> 00:20:19.359
I know exactly what it is without any context whatsoever.
00:20:19.440 --> 00:20:37.119
But yeah, that's just a I, you
know, I I you know my background, but I worked years in computer science, and this is a problem I see a lot of times, and it it seems to be a problem in the medical industry, is and you hit the nail on the head, is nobody stops to ask why, and there's no critical thought.
00:20:37.200 --> 00:20:39.759
They're just reciting something they read in a text.
00:20:39.839 --> 00:20:43.839
They don't they don't there's no critical thought applied to anything.
00:20:44.079 --> 00:20:44.480
Yep.
00:20:45.039 --> 00:20:45.599
Yeah, yeah.
00:20:45.759 --> 00:20:56.160
And you know, look, I'm you're way ahead of me on this shit, but it's uh I think it's just a general thought process that you need to apply to everything you do in in life.
00:20:56.319 --> 00:20:58.319
You know, just don't take things at face value.
00:20:58.480 --> 00:21:05.759
That first level thinking is what you know, what what I you know, what they call it, but you d dig a little deeper, ask why.
00:21:06.079 --> 00:21:06.559
Yeah.
00:21:06.799 --> 00:21:07.839
Yeah, no, absolutely.
00:21:07.920 --> 00:21:09.200
I I I agree with that a lot.
00:21:09.359 --> 00:21:18.720
I think especially with the thyroid, is because it's uh it's it seems to be a very simple story that you can just break down as like, oh, hypothalamus, pituitary, gland, blood, good to go.
00:21:18.880 --> 00:21:20.960
And it's like it's not even a chain, y'all.
00:21:21.039 --> 00:21:25.039
Like we teach people as is being a chain, but we already covered this in the first uh episode with you.
00:21:25.200 --> 00:21:28.160
Like it's like the hypothalamus is the middle of the equation.
00:21:28.319 --> 00:21:29.440
It's literally a loop.
00:21:29.599 --> 00:21:31.039
Like you can't have a starting point.
00:21:31.119 --> 00:21:38.160
We can teach, we pedagogically we can have a starting point, but we can't teach it as the physiological starting point, which is what we do, you know.
00:21:38.319 --> 00:21:40.480
And these these things they have consequences, Paul.
00:21:40.559 --> 00:21:49.119
Like people are telling to and fro this is a big myth that I'm gonna lay uh that I'm gonna destroy on next week on this lecture.
00:21:49.200 --> 00:21:52.319
But people talk about you know the gut doing a big chunk of the conversion.
00:21:52.720 --> 00:21:54.720
Problem is the gut doesn't have diodenasis, right?
00:21:54.799 --> 00:21:56.240
Like we talked about in the first episode.
00:21:56.400 --> 00:21:59.279
Now, what happens if you believe that the gut has diodenasis?
00:21:59.359 --> 00:22:02.720
You get some Someone who's hypothyroid, their gut is also messed up.
00:22:02.799 --> 00:22:06.400
And now you believe that you need to treat the gut first before treating the thyroid.
00:22:06.480 --> 00:22:10.160
And when you treat the gut, the thyroid is gonna fix on its own because it's gonna fix the conversion.
00:22:10.319 --> 00:22:12.799
So you spend six months to a year fixing that person's gut.
00:22:12.960 --> 00:22:16.160
You know it takes a long time to fix someone's gut and make sure that the issues don't come back.
00:22:16.319 --> 00:22:17.839
So you take six months to a year, and guess what?
00:22:17.920 --> 00:22:18.960
Their thyroid is still the same.
00:22:19.039 --> 00:22:19.279
Why?
00:22:19.440 --> 00:22:21.440
Because you believe the wrong physiological story.
00:22:21.599 --> 00:22:28.880
You made that person lose a year of their lives because you bought a course that didn't read the fucking paper that they were talking about.
00:22:29.039 --> 00:22:31.519
It's like fuck, ideas do really have consequence.
00:22:31.599 --> 00:22:34.400
And that's one of the things that I feel like we need to do better in this space here.
00:22:34.799 --> 00:22:41.119
Going back to what you were saying before, I mean, I guess logically it makes sense that it would be a loop because it needs feedback, right?
00:22:41.359 --> 00:22:41.680
Exactly.
00:22:41.759 --> 00:22:42.480
It does need feedback.
00:22:42.559 --> 00:22:42.720
Yeah.
00:22:42.799 --> 00:22:42.880
Yeah.
00:22:43.039 --> 00:22:45.680
The tissues, the tissues need to uh uh relay their status.
00:22:45.839 --> 00:22:48.000
You that they need to read the status of the body.
00:22:48.079 --> 00:22:59.279
And like I said, with with regards to like cross like hormone crosstalk, this is where I feel like it gets really, really interesting because the the hormones they actually like talk to talk to another.
00:22:59.599 --> 00:23:08.240
So like if you think about like there there's there's three levels of crosstalk with uh with your hormones with regards to like sex hormones, for instance, right?
00:23:08.319 --> 00:23:17.920
You have your your your uh conversion, you have your transport, and you have your fucking uh like the axis is all like wired up together, right?
00:23:18.160 --> 00:23:22.559
So, for instance, like we talked about with with estrogen, uh raising your TBG, right?
00:23:22.720 --> 00:23:26.799
Your estrogen is literally affecting what is happening to your thyroid.
00:23:27.200 --> 00:23:30.000
Pregnancy nearly doubles your TBG, right?
00:23:30.079 --> 00:23:35.359
So it's just like a normal thing that happens with life, it's gonna change your thyroid as uh scenario for like a really, really long time.
00:23:35.519 --> 00:23:38.079
But also, estrogen also speeds up conversion.
00:23:38.240 --> 00:23:43.440
So D1 is about like 30, like higher up is like mixed with that uh TBG effect.
00:23:43.519 --> 00:23:45.279
So your D1 also goes up.
00:23:45.440 --> 00:23:50.400
But then like you think about outside of estrogen, well, testosterone also supports conversion, right?
00:23:50.720 --> 00:23:55.440
Because when you inject castrated rats with testosterone, their D1 activity in the liver goes up.
00:23:55.519 --> 00:24:01.599
So you know that it's like actually like talking back to the hormones as opposed to just like talking to them, right?
00:24:01.759 --> 00:24:04.799
You you also have things with
like pregnenolone and all these things, right?
00:24:04.880 --> 00:24:11.200
Because with with you you just you just think like with the if you have a low thyroid, you're basically slowing down the entirety of the system, right?
00:24:11.359 --> 00:24:16.880
So you have a slow clearance, which a slow clearance is gonna raise your uh your estrogen, right?
00:24:17.039 --> 00:24:23.119
So when you raise your estrogen, you're gonna raise your TBG, which if you have an impaired gland is gonna lower your free thyroid.
00:24:23.200 --> 00:24:25.759
If you don't have an impaired gland, you're gonna be fine, just like the pregnant women.
00:24:26.079 --> 00:24:30.559
But it just it really does depend on the the hormones, they're literally talking to themselves.
00:24:30.720 --> 00:24:34.799
And like we like we talked about the the gh and the the IGF-1 loop, right?
00:24:34.880 --> 00:24:41.359
They're both coming from pit one, which is that cell that's gonna be the TSH-making cells and the GH-making cells is pit one.
00:24:41.599 --> 00:24:44.640
It's literally coming out of the same cell, so they're literally intertwined there.
00:24:44.720 --> 00:24:51.039
And the thyroid is literally permissive for the GH because, well, we know that a hypothyroid kid, they literally stop growing.
00:24:51.200 --> 00:24:56.720
One of the signs of a kid that has hypothyroidism is that their weight continues expanding, but their growth rate actually stagnates.
00:24:56.799 --> 00:24:57.759
So that's a a good sign.
00:24:58.000 --> 00:25:00.880
You get that plus bad grades, your kid has a thyroid problem.
00:25:01.039 --> 00:25:03.680
And then, like we said, the GH is gonna unmask a thyroid problem, right?
00:25:03.759 --> 00:25:07.759
Like 36% of people needing to hop on replacement or raise their doses after that.
00:25:07.839 --> 00:25:16.240
It's not because the gh caused the problem, it's just it revealed that the conversion was an issue before it and it just like pressed the uh the the pedal to the metal, so to speak, right?
00:25:16.400 --> 00:25:22.880
But like the the the reality is that like all these, these things are they're they're talking to each other, right?
00:25:22.960 --> 00:25:28.319
So like when you think of the uh T3 and the and the bone, right?
00:25:28.400 --> 00:25:33.119
Like your bone has its own, like it's it's bone is not like a the like a skeleton dead.
00:25:33.200 --> 00:25:37.839
We associate bone with dead tissue, but it's actually living tissue, and there's two crews in your bones.
00:25:38.000 --> 00:25:46.480
One of them is gonna be uh basically it's gonna be uh this uh like the osteoblasts are gonna build, very easy to remember, osteoblast build with a B.
00:25:46.720 --> 00:25:50.400
And then you're also gonna have osteoclasts, which are gonna crash everything.
00:25:50.480 --> 00:25:52.640
They're gonna destroy all of this shit, right?
00:25:53.039 --> 00:25:56.720
Health is literally the balance between osteoclasts and osteoblasts.
00:25:56.880 --> 00:26:00.799
The thyroid sets the remodeling tempo of these two, right?
00:26:00.960 --> 00:26:04.480
And then if you run it out, it's literally an inverted U U curve, right?
00:26:04.559 --> 00:26:08.799
Whereas like too little thyroid, you have bad remodeling, too much you have bad remodeling.
00:26:08.960 --> 00:26:15.680
But the excess thyroid is gonna speed up the osteoclasts, lack of it is gonna uh basically give you more osteoblasts, right?
00:26:15.759 --> 00:26:18.160
So the hormones are all talking to one another.
00:26:18.319 --> 00:26:23.119
It's not like the brain just sends a signal to to your muscle and just says, make more T3.
00:26:23.359 --> 00:26:25.359
Create a contract, like it that's it's not how it works.
00:26:25.519 --> 00:26:29.599
It's literally a communication that's happening with with all of these uh at the same time, you know.
00:26:30.400 --> 00:26:34.000
The body is amazing how it how it regulates things.
00:26:34.799 --> 00:26:35.519
It's crazy.
00:26:36.240 --> 00:26:45.519
Yeah, it's really cool because like with certain one of these things, like you expect the TSH to go up and the T3 to go down, but it doesn't immediately because the body has a way to protect that.
00:26:45.680 --> 00:26:47.440
Because remember, your body has a reservoir.
00:26:47.599 --> 00:26:50.000
People are saying, like, oh, the gland is stupid, it just makes T4.
00:26:50.079 --> 00:26:52.000
No, the GLAN is stupid because it just follows order.
00:26:52.079 --> 00:26:54.559
But in making T4 is actually the smart thing about it.
00:26:54.720 --> 00:27:03.680
Making T4 is what allows you to not piss off all of your T3 as soon as it's conjugated, as soon as it's transformed into T3, because otherwise it would be too small, right?
00:27:03.759 --> 00:27:06.480
So you have T4 and it's gonna stay there for longer.
00:27:06.640 --> 00:27:08.400
Also, it's a reservoir of months.
00:27:08.559 --> 00:27:13.279
Like you you use about like one unit, I think of about a hundred or a thousand.
00:27:13.440 --> 00:27:20.000
So it takes like it takes like half a year or some shit, like crazy numbers to like go over all of your supply.
00:27:20.160 --> 00:27:25.200
So it's literally like you see the TSH going up, it's gonna take about like six months for the T4 to start coming down.
00:27:25.279 --> 00:27:27.839
So there's all of these like regulatory patterns and stuff.
00:27:28.000 --> 00:27:36.799
And it's really interesting because we talked about like iodine and selenium and how you can have iodine and poisoning, selenium poisoning, but the body has a fantastic way of protecting against those, man.
00:27:36.880 --> 00:27:41.599
It's uh it's one of the reasons why for iodine and selenium now I pretty much just do food.
00:27:41.759 --> 00:27:47.440
I don't do supplementation for those pretty much because the body has a way to protect against the supplementation overload.
00:27:47.519 --> 00:27:56.799
I mean, I mean against the food overload, which is why you can eat a fuck ton of oysters and not get selenosis, which is why you can eat a bunch of fucking sushi and not get kelp poisoning from the iodine, right?
00:27:57.039 --> 00:28:02.000
Problem is if you actually do that in supplementation, you're not doing like six times the recommended range.
00:28:02.160 --> 00:28:07.039
Like when selenium was recalled, it was over 200 times the reference range.
00:28:07.279 --> 00:28:09.680
So, like that is gonna fuck you up, right?
00:28:10.640 --> 00:28:19.200
The only instance in which this happened was in our far northern region in China that there was a flood that transported the selenium contents from one part of the soil into the rice.
00:28:19.279 --> 00:28:24.720
And then once they started eating rice, the the incidence of uh thyroid disease went up like sevenfold.
00:28:25.279 --> 00:28:26.559
Yeah, it went up like sevenfold.
00:28:26.640 --> 00:28:27.839
It was fucking crazy.
00:28:28.160 --> 00:28:43.519
There's something I wanted to ask you about, and I paraphrase here, so I apologize if I've got this wrong, but I recall seeing some of your content in the past and you talking about people in the bodybuilding community who are performance and enhanced.
00:28:43.839 --> 00:28:50.400
If if I recall what you were saying, that you were advocating for most of them using some sort of T3 supplementation.
00:28:50.880 --> 00:28:51.920
Yes, yes, I am.
00:28:52.079 --> 00:29:01.519
I am because okay, so so the first thing that we gotta understand is the the the the the the issue that people have is that they don't want to use T3 because they think T3 burns muscle.
00:29:01.680 --> 00:29:10.640
So if I'm gonna stand up here and I'm gonna say you should take T3 in the offseason where they're trying to build muscle, I have some some uphill battlehead that I need to that I need to do here.
00:29:10.720 --> 00:29:20.640
So the three- I'm probably guilty of saying that because I had a poor experience with T3 on contest prep, but I was using 100 micrograms in my defense, so it was way too much.
00:29:20.880 --> 00:29:22.240
Did you feel like shit?
00:29:22.640 --> 00:29:25.279
I lost a shit ton of muscle and felt like shit.
00:29:25.599 --> 00:29:30.559
There's a lot a lot of that actually comes from substrates and cofactors that you can prevent that from happening with that.
00:29:30.720 --> 00:29:35.279
But like people don't really consider the what changes in the environment once you add T3 in a picture.
00:29:35.359 --> 00:29:39.599
So like T3 is gonna burn your CoQ10 reserves more frequently and more often.
00:29:39.759 --> 00:29:49.279
So like for a guy who's on like regular stuff or like just mitochondria uh biogenesis, um, something like fucking a little bit of like 100 milligrams of CoQ10 is gonna be fine.
00:29:49.440 --> 00:29:51.359
200 if you also want the hard stuff.
00:29:51.599 --> 00:29:56.319
By the way, the hard stuff is mostly like just really, really like low grade
evidence.
00:29:56.400 --> 00:29:58.720
Like that's the stuff that we praise CoQ10 for.
00:29:58.799 --> 00:30:01.359
It's literally the lowest leverage of like where that shit is coming from.
00:30:01.519 --> 00:30:06.319
I think we have better evidence even on like PQQ and cognitive enhancement than we have for that.
00:30:06.640 --> 00:30:08.559
But we do we do a lot of myths in our space, right?
00:30:08.640 --> 00:30:16.799
Like we have the whole like KK vitamin K to route the calcium out of the arteries, but then when we try that in studies, we see that it has no effect whatsoever.
00:30:16.960 --> 00:30:19.359
So it's like there are certain interesting things here.
00:30:19.440 --> 00:30:21.920
Now, I'm not saying that we shouldn't take vitamin K, right?
00:30:22.000 --> 00:30:22.799
I'm not saying that at all.
00:30:22.880 --> 00:30:26.400
I think it's a great insurance policy and it does make sense mechanistically, so let's fucking do it.
00:30:26.480 --> 00:30:30.400
Nobody's fucking trialing bodybuilders, they're trialing people eating fast food three times a week.
00:30:30.559 --> 00:30:34.160
Not the same thing as doing two grams of gear uh every week for 10 years.
00:30:34.240 --> 00:30:36.720
I I I would uh I would think so, you know.
00:30:36.880 --> 00:30:41.440
But so so we think that the the the issue is that T3 burns muscle, right?
00:30:42.000 --> 00:30:49.359
I need to say that the the the risk is real, but the risk is called thyrotoxic myopathy.
00:30:49.519 --> 00:30:56.720
So thyrotoxic myopathy is just full-blown hyper thyroidism, which does waste muscle.
00:30:56.880 --> 00:30:58.079
You can measure that, okay?
00:30:58.240 --> 00:31:04.000
It's gonna be hitting your big fibers the first and the fastest and the hardest, which is why like it hurts so much.
00:31:04.079 --> 00:31:08.160
That like you can literally watch muscle being melted off if you have if you're in thyrotoxic territory.
00:31:08.400 --> 00:31:11.039
So uh you have turnover rate, right?
00:31:11.200 --> 00:31:13.039
That's that's one thing here with muscle, right?
00:31:13.119 --> 00:31:15.119
You have a breakdown and buildup.
00:31:15.279 --> 00:31:19.759
And if you add T3, you're you could potentially be speeding up that breakdown thing, right?
00:31:19.920 --> 00:31:22.000
Uh T3 is gonna be speeding up that breakdown.
00:31:22.160 --> 00:31:24.720
T3 is also gonna flip the that destruction machinery.
00:31:24.880 --> 00:31:31.599
So the more T3 you add in the picture, the more you're gonna have the destruction of the muscle cells of the the crude that's gonna break the tear down as well.
00:31:31.839 --> 00:31:35.039
And you're you're you're gonna have like hyperthyroid wasting.
00:31:35.200 --> 00:31:37.519
So the the the assumption here, it actually works.
00:31:37.680 --> 00:31:40.799
The assumption that T3 burns through muscle, I think it works.
00:31:40.960 --> 00:31:46.000
Uh, you can read this in a paper, Sabatino, Sanbatino, something like that, in like the 2020s.
00:31:46.240 --> 00:31:48.000
You wrote a paper breaking all of this down.
00:31:48.160 --> 00:31:50.880
But okay, there's a couple of issues with the premises.
00:31:51.279 --> 00:32:00.720
So the when you add T3, the the the the breakdown it nearly tripled in one of the studies that we have, but it's a dose-dependent fashion.
00:32:01.359 --> 00:32:04.720
Up to 50 micrograms, you see no markers of breakdown at all.
00:32:05.119 --> 00:32:09.519
Once you get to 60, you see some, 75, you see some, 100, you definitely see some.
00:32:10.559 --> 00:32:19.200
Paul, this is in an untrained person who doesn't train at all, who doesn't eat enough protein, and doesn't take fucking loads of anabolics.
00:32:19.599 --> 00:32:23.279
Okay, so like, yes, in that context, it does tear about muscle.
00:32:23.440 --> 00:32:25.599
The other issue is that uh it's called FOXO3.
00:32:25.759 --> 00:32:29.119
We're very familiar with FOXO4, but FOXO3 is a demolition crew.
00:32:29.279 --> 00:32:31.440
T3 induces FOXO3, right?
00:32:31.599 --> 00:32:38.960
So when that uh T3, when that goes up, it's gonna bump a bunch of other proteins, and uh this is going to drive autophagy.
00:32:39.200 --> 00:32:46.000
So you literally create that whole like cycling of like the the the autophagy, the AMPK, all of that side of things, right?
00:32:46.240 --> 00:32:51.680
The problem is here, people are smuggling a couple of things under the premise here, and that's the issue, right?
00:32:51.759 --> 00:32:54.319
So the first is the dose smuggle that's going on.
00:32:54.480 --> 00:32:58.880
Every scary point that I talked about is true, but it's also about thyrotoxic territory.
00:33:00.000 --> 00:33:01.359
What's the thyroid range?
00:33:01.440 --> 00:33:02.319
Like three to four?
00:33:02.640 --> 00:33:03.599
What's my proposal?
00:33:03.759 --> 00:33:04.480
Four to five?
00:33:04.559 --> 00:33:06.799
If you're in prep, you can bump like six to seven.
00:33:07.119 --> 00:33:08.880
What is thyrotoxic territory?
00:33:09.599 --> 00:33:10.240
Twenty-eight?
00:33:11.359 --> 00:33:14.319
Like, we're nowhere fucking near that territory at all.
00:33:14.559 --> 00:33:15.039
Like what?
00:33:15.200 --> 00:33:18.000
And it's totally based by person, it's not based by the dose.
00:33:18.160 --> 00:33:21.920
So I, when I'm taking 50 micrograms of T3, I'm at five.
00:33:22.640 --> 00:33:29.119
I have other people that when they're like Todd Lee, he takes six micrograms of T3 and he's like 4.3 or some shit.
00:33:29.359 --> 00:33:31.680
Like six micrograms doesn't do anything for me, you know?
00:33:31.759 --> 00:33:33.200
So it's really, really person dependent.
00:33:33.359 --> 00:33:34.960
The other one is the numbers, right?
00:33:35.119 --> 00:33:36.960
That that that that I told you, like that's the burn, right?
00:33:37.279 --> 00:33:39.759
I'm proposing like five to six, not like fucking 28.
00:33:40.079 --> 00:33:50.240
But there's also a fasting trick here,
which when you when you measure uh a fasting uh athlete, you measure their free T3 levels, their free T3 levels go up, uh go go up.
00:33:50.480 --> 00:33:55.359
T3 plus starvation, you actually don't see muscle loss in the presence of exercise.
00:33:55.519 --> 00:33:56.480
So that is interesting.
00:33:56.640 --> 00:33:58.240
Also, this is not one arm.
00:33:58.400 --> 00:34:03.519
When we say that uh T3 speeds up the cycling, it sets the tempo of this stuff.
00:34:03.680 --> 00:34:08.079
We are saying that it sets up the tempo of breakdown, yes, but also buildup.
00:34:08.239 --> 00:34:11.280
So you can't say that it's going to just cause the buildup of this.
00:34:11.440 --> 00:34:11.840
Why?
00:34:12.000 --> 00:34:18.239
What would what about the T3 molecule have you modified that now makes it so that it only attaches one side of your mitochondria?
00:34:18.320 --> 00:34:19.360
That doesn't make any fucking sense.
00:34:19.440 --> 00:34:22.719
It doesn't work like that in bone, in brain, in anything.
00:34:22.800 --> 00:34:24.079
Why would it work like that in muscle?
00:34:24.159 --> 00:34:26.960
So you have to make an argument as to why it would work like that in muscle.
00:34:27.199 --> 00:34:32.079
Now, hypothyroid also falsifies the own argument, right?
00:34:32.239 --> 00:34:36.559
Because if low T3 spared muscle, hypothyroid people would be jacked.
00:34:36.639 --> 00:34:39.760
Uh, but it turns out they actually waste a bunch of type two fibers.
00:34:39.840 --> 00:34:41.599
This is seeing that same sabotino study.
00:34:41.679 --> 00:34:42.719
I wish I remembered a date.
00:34:42.800 --> 00:34:46.079
Um, but it's uh you you you you you just don't see that happening.
00:34:46.320 --> 00:34:49.679
Also, we know that T3 is required to build muscle.
00:34:49.840 --> 00:34:58.719
Like we we we literally know that the satellite cell commitment in hypothyroid people, like it needs the induction of that myo D protein that we talked about.
00:34:58.880 --> 00:35:06.000
If you have no T3 signaling, you literally have no satellite cell saying build up from this damage signal that we have.
00:35:06.159 --> 00:35:18.719
In other words, you are not gonna build muscle, which is why hypothyroid people have very little muscle, similar to hyper, but for a completely different cause, in the same way that you have extreme fatigue in hypothyroidism and also hyperthyroidism, but for different reasons.
00:35:18.880 --> 00:35:22.800
One, you're burning the end of the week, the other one, you don't have anything left to burn, right?
00:35:22.880 --> 00:35:25.199
So it's it's it's it's it's working kind of like that.
00:35:25.280 --> 00:35:29.360
And then like even the damage of T3, like that's the other thing that people don't realize.
00:35:29.440 --> 00:35:36.719
Like, one, okay, let's say you went on T3, let's say that all of the research that I've been talking about, hundreds of papers, they're all fucking wrong, and you're the only person that's right.
00:35:36.880 --> 00:35:38.079
And you lost muscle.
00:35:38.239 --> 00:35:40.239
Okay, you're gonna gain that muscle in like fucking a month.
00:35:40.320 --> 00:35:43.280
So it's it's uh it's a limited trial that you can run, it's not gonna be anything.
00:35:43.440 --> 00:35:44.559
Uh also, how long did you think?
00:35:44.719 --> 00:35:45.840
That's what happened to me, man.
00:35:46.000 --> 00:35:48.239
I I overdid it on contest prep.
00:35:48.320 --> 00:35:53.280
I got down to like 190 pounds, which is crazy for me.
00:35:53.519 --> 00:36:01.440
I was 100 micrograms of T3, and then like within eight weeks of being back after the show, I gained like 60 pounds back.
00:36:01.519 --> 00:36:02.159
It was crazy.
00:36:02.400 --> 00:36:02.880
Yeah, yeah.
00:36:02.960 --> 00:36:18.239
But if you had the thyroid dialed in, you would have an additive effect because we know the like growth hormone bumps up that like amino acid uptake from that study that they did, uh injecting of IGF 1 into an arm, and you see that IGF 1 go, well, sorry, um, amino acid uptake goes up like 71%.
00:36:18.719 --> 00:36:22.239
You know that testosterone bumps muscle protein synthesis by 27%.
00:36:22.800 --> 00:36:25.360
The question then is how much does T3 contribute here?
00:36:25.519 --> 00:36:28.559
T3 actually bumps up muscle protein synthesis higher than testosterone.
00:36:28.639 --> 00:36:29.199
It's 29%.
00:36:29.920 --> 00:36:32.400
Yeah, it increases protein metabolism, correct?
00:36:32.719 --> 00:36:34.480
Yeah, yeah, exactly, exactly.
00:36:34.639 --> 00:36:46.559
So it's uh when you when you when you look into like uh the the the context of an of an enhanced person, all of the benefits that you get from the T3, which we can we can we can talk about it, but we already talked about so many of them.
00:36:46.639 --> 00:36:54.719
But it's like if there is no risk, if the argument is actually smuggling a premise that doesn't really fucking work, if we tested this and it doesn't really happen, like what what the fuck is the point?
00:36:54.800 --> 00:36:55.679
Like what is actually happening?
00:36:56.480 --> 00:36:58.639
Completely changing my perspectives on all of this.
00:36:58.880 --> 00:36:59.280
I love it.
00:36:59.360 --> 00:36:59.599
I love it.
00:36:59.679 --> 00:37:00.960
That's that's what we're here for, right?
00:37:01.039 --> 00:37:04.079
We're here to challenge one another and and and and grow out of that.
00:37:04.239 --> 00:37:16.079
But it's just it's one of the few things that you can run an experiment on because like I decided that I I uh I'm gonna I was gonna run 50 micrograms for my offseason and I'm I'm running 36 micrograms right now.
00:37:16.159 --> 00:37:18.960
I want to see if I gain more muscle on 36 versus 50.
00:37:19.039 --> 00:37:20.159
I don't think it's gonna happen.
00:37:20.320 --> 00:37:21.840
I really don't, but I'm gonna try out.
00:37:21.920 --> 00:37:28.239
Like, I'm gonna lose fucking half a year trying this experiment
for other people to see, and it's just an end uh equals one.
00:37:28.400 --> 00:37:34.719
But I do think that, like, hey, if it takes like two to five weeks for your access to bounce back, why don't you just give it a try?
00:37:34.960 --> 00:37:44.880
I have so many fucking testimonials in a folder just about T3 that people are like, they literally started, and the next day or same day, they're literally like, what the fuck is going on?
00:37:44.960 --> 00:37:48.320
I had someone hop on one of my calls a few days ago with all my clients.
00:37:48.400 --> 00:37:51.840
We do like these office hours every week, and then the clients just hop in and talk.
00:37:52.000 --> 00:38:01.440
And one of my clients hopped in, Brian Trinari, and he was like, Nathan, I don't know if this is placebo, but I I just uh I feel like my whole life I've been living in like slow motion.
00:38:01.599 --> 00:38:05.519
Kind of like the the the handbrake is on and now shit just works.
00:38:05.599 --> 00:38:20.079
And I'm like, Yeah, the first time that you with ADHD that are taking 70 milligrams of amphetamines and you take T3 and you realize that you can get away with two milligrams, holy shit, that's a completely fucking different game changer, man.
00:38:20.159 --> 00:38:26.880
It's uh yeah, it's uh which is which is why like since all of these they are like uh they are related, right?
00:38:26.960 --> 00:38:41.679
Like since the the T3 is permissive for the IGF one, since the T3 bumps muscle protein since it's additive on top of and more than testosterone does, my HRT is actually testosterone, growth hormone, and T3.
00:38:42.159 --> 00:38:48.639
So when I say that someone got, you know, gained 30 pounds on that, they're gained 30 pounds on testosterone, growth hormone, and TRT.
00:38:48.800 --> 00:38:50.000
Um, that's that's what we're doing.
00:38:50.079 --> 00:38:59.840
So uh usually that's gonna be something like 25 milligrams of tests a day to start with, uh 12 micrograms of T3 twice a day to start with, and about two to three units of growth hormone max.
00:39:00.000 --> 00:39:02.239
Most of my guys are using under six units, man.
00:39:02.320 --> 00:39:04.400
I I I'm the only one that can use a fuck ton.
00:39:04.480 --> 00:39:09.360
And even I decided to stop using or using significantly less just because I can't fucking find it.
00:39:09.440 --> 00:39:12.639
So uh that's uh well I can't find it for a price that is reasonable.
00:39:12.800 --> 00:39:16.639
I can find it for a dollar a unit, which I'm not gonna do, but yeah.
00:39:16.800 --> 00:39:28.960
Yeah, there's uh yeah, for for for T3, I feel like we we just don't understand how T3 does the things that it does directly in the muscle, which is if we did, it would just be so clear that it's permissive for muscle growth.
00:39:29.119 --> 00:39:31.519
And when I talk to bodybuilders, I get messages like this every day.
00:39:31.599 --> 00:39:37.199
They're like, dude, I was working with a coach, they put me
on T3, I wanted to continue on because I felt so good and they took me out.
00:39:37.280 --> 00:39:39.920
Uh, I felt like shit, and now I'm doing it things on my own.
00:39:40.000 --> 00:39:41.920
I listened to you, I started taking T3, bro.
00:39:42.000 --> 00:39:42.559
I feel so good.
00:39:42.639 --> 00:39:43.679
Thank you so much for that.
00:39:43.920 --> 00:40:00.000
Like, it's if thyroid disease is such a such a tricky thing that you can't really tell just by blood work because your blood work could be perfect and you could be hypothyroid in the tissues, then giving it a fair try is one of the most like reasonable things you can do.
00:40:00.159 --> 00:40:02.480
Because it's just like you can't just go by blood work.
00:40:02.559 --> 00:40:11.920
You can't just go by feelings alone, because when you measure people that are just symptomatic, the majority of people that are hypothyroid, they only have one symptom or two on one of the studies that we measured.
00:40:12.000 --> 00:40:15.199
And people that are not hypothyroid, they have more symptoms.
00:40:15.360 --> 00:40:20.400
So, like when you think about fatigue, hair loss, cognitive issues, mood issues, it's very vague.
00:40:20.480 --> 00:40:24.400
Like you go to a TRT clinic, they're talking about testosterone having the same benefits there as well.
00:40:24.639 --> 00:40:26.800
The problem is that all of those are indirect.
00:40:27.039 --> 00:40:28.960
These are all direct, right?
00:40:29.039 --> 00:40:31.119
So that's that's the difference here on what we're doing.
00:40:31.280 --> 00:40:40.800
Also, D's are gonna travel like in terms of like you're picking a certain number off a list, and if it matches more than what the guidelines say, then you're eligible for hopping on TRT.
00:40:40.960 --> 00:40:42.960
Here, it's significantly more complicated.
00:40:43.039 --> 00:40:48.159
You you need the symptomatic picture, you need the history of the person, you also need their labs to be able to figure something else.
00:40:48.320 --> 00:40:54.800
And sometimes, in some cases, you also need a biopsy, you also need a which is just a needle, people scare because they hear the word biopsy.
00:40:55.039 --> 00:41:01.920
Like if you have a cancer, a thyroid cancer, which by the way, it's not like in general, like majority of people, it's literally nothing.
00:41:02.079 --> 00:41:09.199
So much so that in Korea, they started scanning people's thyroids, everyone, uh the entire nation, in order to prevent thyroid cancer.
00:41:09.360 --> 00:41:11.760
And guess how much they were able to prevent thyroid cancer?
00:41:11.920 --> 00:41:14.000
Nothing, because the cancer is mostly benign.
00:41:14.159 --> 00:41:20.559
So there's a lot of context involved in the thyroid conversation that I feel like we just don't have and we don't take uh into consideration.
00:41:20.639 --> 00:41:28.559
But like even with TRT, like my TRT is not just taking testosterone, it's also estrogen management, lipids, and and blood pressure and hematocrate and prolactin, right?
00:41:28.639 --> 00:41:32.559
And and TBG and free T3 and all free T4 and all of these things, right?
00:41:32.639 --> 00:41:35.599
So it's all it's all connected, and that's what I wish that people understood.
00:41:35.679 --> 00:41:43.199
But again, like that is why I created the academy, because I can't teach you all of that in a two-hour lecture about the thyroid or a one-hour lecture.
00:41:43.280 --> 00:41:45.760
Like you do most courses, 15 minutes to two hours.
00:41:45.920 --> 00:41:48.079
Like you can't, I can't teach you all of this stuff there, right?
00:41:48.159 --> 00:41:49.679
So we need to like go week over week.
00:41:49.760 --> 00:41:51.360
I'll give you one or two papers to read.
00:41:51.440 --> 00:41:57.760
We're gonna break those papers out, actually read them, actually understand, and start thinking in terms of what we can do beyond the research.
00:41:57.920 --> 00:42:07.360
And the cool thing is that once you get to the end of the curriculum, we're gonna do a tracing of the history of the thyroid, and you're gonna notice that the whole field is moving towards where we already are, which is a really cool thing to find out.
00:42:07.519 --> 00:42:10.000
It's like, oh fuck, they're coming back to T3 monotherapy.
00:42:10.079 --> 00:42:11.119
That's really fucking cool.
00:42:11.199 --> 00:42:13.679
Because it's uh it was kind of there from the beginning, you know.
00:42:13.920 --> 00:42:15.840
So you don't use T4 at all?
00:42:16.639 --> 00:42:20.719
No, because T4 is gonna the a large amount of T4 is gonna uh it's there for what?
00:42:20.880 --> 00:42:22.480
Like, what do I need a log for?
00:42:22.559 --> 00:42:26.000
Like, why do I need to take Tonga Ali if I'm injecting testosterone?
00:42:26.239 --> 00:42:26.880
Right.
00:42:27.440 --> 00:42:27.920
Yeah, right.
00:42:28.239 --> 00:42:30.639
Now, some people are like, well, but the body produces, so you need it.
00:42:30.719 --> 00:42:35.440
It was like, well, you are then the same crowd that is gonna inject HCG alongside your TRT, uh, which is fine.
00:42:35.519 --> 00:42:38.239
But you gotta remember HCG also only takes care of one arm.
00:42:38.320 --> 00:42:41.519
You actually need AGMG to get Sertoli and Litex cells, right?
00:42:41.599 --> 00:42:44.559
So uh it's also wrong in how people do it, but it's costs.
00:42:44.639 --> 00:42:51.760
It's it's so fucked up how people do it, because it's like they're not doing HCG to maintain the most natural way to do it, they're doing it to maintain fertility because they're afraid of it.
00:42:51.840 --> 00:42:55.119
But when you just add HMG, it just comes back like a fucking 72 days.
00:42:55.199 --> 00:42:56.719
It's it's fucking it's crazy.
00:42:56.800 --> 00:42:59.920
I've never had uh to take someone off of uh TRT to get them pregnant.
00:43:00.000 --> 00:43:02.400
I I I think it's super uh I never have either.
00:43:02.559 --> 00:43:03.360
Yeah, it's super
rare.
00:43:03.440 --> 00:43:09.039
And I always find it interesting when I when I'm talking to someone and they're like, Man, I've been off for like eight months, I feel like shit, and we're still not pregnant, and everything.
00:43:09.119 --> 00:43:11.199
And I'm like, why didn't you just talk to me first?
00:43:11.360 --> 00:43:16.159
Like, I've not one I've run I think we run similar fertility protocols.
00:43:16.239 --> 00:43:22.000
I've never once had somebody who couldn't get their their girl pregnant while on even on blast.
00:43:22.400 --> 00:43:23.360
Yeah, yeah, 100%.
00:43:23.679 --> 00:43:26.000
Dude, my my motility and my markers are fucking great.
00:43:26.079 --> 00:43:29.360
I have 300% above what's needed to get someone pregnant.
00:43:29.599 --> 00:43:31.280
I measured them mid-blast.
00:43:32.239 --> 00:43:32.559
Yeah.
00:43:32.800 --> 00:43:34.480
Yeah, even on blast, I've had that.
00:43:34.639 --> 00:43:36.159
Man, this is this is fascinating.
00:43:36.239 --> 00:43:38.400
I really appreciate you sharing all this with me.
00:43:38.480 --> 00:43:42.079
This is uh makes me realize how how many blind spots I have.
00:43:42.320 --> 00:43:43.360
And I, you know, I knew it.
00:43:43.440 --> 00:43:46.159
I'm not I'm not like a a thorough expert by any means.
00:43:46.320 --> 00:43:47.039
I know enough.
00:43:47.199 --> 00:43:48.400
Just the bare minimum.
00:43:48.719 --> 00:43:50.559
I think like most coaches out here.
00:43:50.800 --> 00:43:53.199
This is uh fantastic information that you're doing.
00:43:53.440 --> 00:43:56.559
You're the only person I know of actually in the community that's doing this.
00:43:56.880 --> 00:43:59.760
Yeah, there are certain people on there who are talking about it a little bit.
00:44:00.159 --> 00:44:00.559
Bit more now.
00:44:00.639 --> 00:44:02.559
The thing that I'm That's why I wanted to talk to you.
00:44:02.800 --> 00:44:07.440
Yeah, the thing that I'm noticing a lot is one, okay, this is a public form, right?
00:44:07.519 --> 00:44:10.239
So uh whatever I put out there is now belongs to everybody else.
00:44:10.400 --> 00:44:11.599
Now it doesn't belong to me anymore.
00:44:11.679 --> 00:44:12.719
That's how art works.
00:44:12.960 --> 00:44:26.400
People are taking a lot of the things that I'm saying and they're making it into something that I didn't say, uh, which is normal whenever you start talking about a subject, but like I never told people to just start taking T3, and I never said that everybody needs T3, and I never said that T4 is useless, I never said TSH is useless.
00:44:26.480 --> 00:44:28.400
Like it there's a little bit of nuance, right?
00:44:28.480 --> 00:44:31.840
Like I have a whole stack of supporting T3 action inside of the cell.
00:44:32.000 --> 00:44:34.320
That is the important part, not just the T3, right?
00:44:34.400 --> 00:44:36.960
Because if it can't be active inside of the cell, what the fuck is the point?
00:44:37.199 --> 00:44:38.880
So um that is one of the issues.
00:44:39.039 --> 00:44:41.920
The other issue is that people are still regurgitating.
00:44:42.000 --> 00:44:47.119
I I find people saying the same exact lines, quoting the same exact figures when those figures don't exist in the literature.
00:44:47.360 --> 00:45:04.639
Any person that tells you 60% of conversion happens in the liver, 20% happens in the gut, and the other 20% happens in the tissues, not only is that wrong, but that clean number doesn't exist because the number actually varies, it fluctuates depending on which tissue you're talking about and which phase of the year and how that person's environment is, right?
00:45:04.719 --> 00:45:05.920
So you can't even say that.
00:45:06.159 --> 00:45:09.760
It's uh Well, that's what you get from a Chad GPT search.
00:45:10.000 --> 00:45:21.760
Yeah, yeah, and all but but it but but also and that's the most concerning part because a lot of these people they are they are actually doing courses, they're actually doing mentorships, they're actually paying people for this information, and the information is not up to date in any way, shape, or form.
00:45:21.840 --> 00:45:24.960
Like there's some information that hasn't been updated since fucking 1950.
00:45:25.119 --> 00:45:41.440
But like when you look at when you look at the citation of uh suck, I don't remember which specific part of the thyroid is, but you look at uh you look at Dom Cooza, you look at uh uh J3U, you look at Pro IQ, you look at ECA, Justin Mahaley, uh physique, you look at all everybody.
00:45:41.599 --> 00:45:44.880
The only people that cite uh something is J3U.
00:45:45.039 --> 00:45:49.599
And when they cite it, they actually cite a book, which is like an airport book, it's not even an academic book.
00:45:49.760 --> 00:45:51.920
And I'm like, fuck, that's the problem right there.
00:45:52.079 --> 00:45:56.000
We don't think we need to check the evidence because we assume that we already know where we're gonna find.
00:45:56.400 --> 00:46:08.000
Because we're so like I feel like we're so interested in learning about peptides and and and PEDs and all this type of stuff, that I'm like, guys, the primary tool that you have is the human body, right?
00:46:08.079 --> 00:46:13.280
Like, wouldn't we want to leverage that first and foremost before uh playing with anything else?
00:46:13.440 --> 00:46:23.280
Plus, like I said in the first episode, you have a compound for your for your insulin, one for your GH, one for your testosterone, one for your cortisol, one for your cognition, one for your sleep, one for your mood.
00:46:23.360 --> 00:46:25.119
And I'm like, T3 touches all of them.
00:46:25.199 --> 00:46:28.320
Why didn't you start with T3 and then just see what remained?
00:46:28.480 --> 00:46:31.840
Because that is telling you that the issue was not the T3, it was something else, right?
00:46:31.920 --> 00:46:33.119
It's just the process of elimination.
00:46:33.199 --> 00:46:34.000
It's super easy.
00:46:34.159
--> 00:46:38.480
So having T3 first is very important, but I do encourage people to read the papers.
00:46:38.559 --> 00:46:41.519
Like when I'm putting a post on Instagram, I actually read the papers that I'm putting out.
00:46:41.679 --> 00:46:43.360
I make mistakes, people make mistakes all the time.
00:46:43.440 --> 00:46:45.199
I posted a mistake that I made a few days ago.
00:46:45.280 --> 00:46:48.079
I talked to Anthony Castor about him when I was talking about senescent cells.
00:46:48.159 --> 00:46:52.000
I made the mistake of telling specific uh numbers on where things come from in the thyroid.
00:46:52.079 --> 00:46:56.400
I even, I even found something, uh T3 acetoglucurinide, glucuronide.
00:46:56.639 --> 00:46:57.440
That doesn't exist.
00:46:57.519 --> 00:47:06.800
I actually have that in one of my notes as learning uh what happens in the conjugation and the tagming of the sulfatase of T3 in the in the in the gut.
00:47:07.039 --> 00:47:09.679
And I just found out that that number doesn't exist, it doesn't come from anywhere.
00:47:09.760 --> 00:47:11.440
I literally hallucinated myself.
00:47:11.599 --> 00:47:21.119
I was probably listening to the lecture and I listened to a number and they start if they continue talking, and I just wrote the number of the thing that they were talking about under that same point, like without realize.
00:47:21.360 --> 00:47:25.760
Like these mistakes, these things happen, but it's why we need to check ourselves or have someone who's checking.
00:47:25.920 --> 00:47:29.280
I'm doing the checking Thursday, the 27th, 12 p.m.
00:47:29.440 --> 00:47:32.480
EST, you guys can show up to the check and we're gonna be answering two questions.
00:47:32.639 --> 00:47:36.239
On Thursday, the first question we're gonna be answering is should we even give a shit?
00:47:36.320 --> 00:47:37.599
Like, how big is this problem?
00:47:37.760 --> 00:47:39.519
Like, how big is the thyroid thing, even?
00:47:39.599 --> 00:47:43.760
Because it is this is not just a minority, like the majority of our people are just like drug users, bodybuilders, whatever.
00:47:43.840 --> 00:47:44.800
And it's like, how big is the thing?
00:47:44.880 --> 00:47:48.719
And what we're gonna find out is that that question is not easy to be answered at all.
00:47:48.880 --> 00:47:54.320
Counting people with thyroid problems is not the same as counting how many people have broken tibias out there.
00:47:54.480 --> 00:47:57.360
It's not a clear fact that you can hold with your hands, right?
00:47:57.440 --> 00:48:09.840
So that's the first thing that we're gonna do, but we're gonna see how massive this issue is, especially in terms of the grade of like how big the problem is globally in the US and specifically in our population that we deal with because it starts becoming significantly higher.
00:48:10.000 --> 00:48:13.840
On the next week, we're gonna look at the problem of the scale and how we manage this.
00:48:14.079 --> 00:48:16.960
So when we're thinking about thyroid, what is the story that we tell?
00:48:17.039 --> 00:48:21.199
What is the, oh, it goes on the hypothalamus, the pituitary, the thyroid, the blood, and then it goes on, right?
00:48:21.360 --> 00:48:27.440
None of these people mention a single thing about conversion, none of these people mention a single thing about activation, transport, binding, and all these types of things.
00:48:27.599 --> 00:48:28.960
That is all of the shit that's missing.
00:48:29.039 --> 00:48:31.119
That is what we're gonna be telling on the next week.
00:48:31.199 --> 00:48:34.559
We're gonna be putting all people's names on the board, including myself, because I fucked up plenty.
00:48:34.639 --> 00:48:44.880
Uh, and uh, we're gonna be seeing where I fucked up so that you don't have to fuck up and going over every single one of those and what is the good that comes out of the stories that we learn, what is potentially harmful, and what is actually really fucking bad.
00:48:44.960 --> 00:48:48.320
Like you're gonna get someone in trouble from believing the normal stories.
00:48:48.480 --> 00:48:51.039
And if you want to learn the right story, you're gonna join the Academy.
00:48:51.119 --> 00:48:52.800
The link is on my website, the link is down below.
00:48:52.960 --> 00:48:54.639
Paul, thank you so much for your time.
00:48:54.800 --> 00:49:00.880
I really appreciate the opportunity to talk to you and uh, you know, give a little bit back to our communities here when it comes to the thyroid and everything.
00:49:01.039 --> 00:49:03.360
Guys, if you wanna, if you wanna find us, you already know.
00:49:03.440 --> 00:49:05.119
Well, it's uh it's gonna be on Instagram.
00:49:05.280 --> 00:49:08.639
Myself, OptimalAthan, Paul Paul Burnett on Instagram.
00:49:08.880 --> 00:49:10.719
Go to his community, take his course.
00:49:10.800 --> 00:49:12.239
I've taken his course, I can vouch for it.
00:49:12.400 --> 00:49:16.639
Great course if you're starting out wanting to learn a little bit more about PDs and the the foundation of everything.
00:49:16.800 --> 00:49:17.920
Great opportunity right there.
00:49:18.000 --> 00:49:21.119
And I'll see all of you guys on Thursday for a masterclass.
00:49:21.199 --> 00:49:35.840
And I'm super fucking excited to get you guys inside of the Academy, which is the brand new, brand new branch of the Opti Lab, completely different from the engine one-on-one education, actual papers, sitting down, going back and forth, and actually seeing what the evidence really says compared to what is everybody else saying.
00:49:36.000 --> 00:49:37.199
I'll catch you guys in the next one.
00:49:37.360 --> 00:49:40.880
Tomorrow, QA video, Friday, new interview, Thursday, the Academy.
00:49:40.960 --> 00:49:42.000
I'll catch you guys in the next one.
00:49:42.079 --> 00:49:42.800
Peace out.