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More About This Book

Overview

The Most Comprehensive Resource Available on the Diagnosis and Treatment of Hypothyroidism

For millions of Americans, hypothyroidism often goes untreated ... or is treated improperly. This book, thoroughly researched by the nation's top thyroid patient advocate—a hypothyroidism patient herself—provides you with answers to all your questions, including:

  • What is hypothyroidism?
  • What are the warning signs, symptoms, and risk factors?
  • Why is getting diagnosed often a challenge, and how can you overcome the obstacles?
  • What treatments are available (including those your doctor hasn't told you about)?
  • Which alternative and holistic therapies, nutritional changes, and supplements may help treat hypothyroidism?

Product Details

  • ISBN-13: 9780060740955
  • Publisher: HarperCollins Publishers
  • Publication date: 2/15/2005
  • Edition description: Revised
  • Pages: 624
  • Sales rank: 86,143
  • Product dimensions: 5.31 (w) x 8.00 (h) x 1.00 (d)

Meet the Author

Diagnosed with a thyroid disease in 1995, Mary J. Shomon has transformed her health challenges into a mission as an internationally known patient advocate. She is the founder and editor in chief of several thyroid, autoimmune, and nutrition newsletters, as well as the Internet's most popular thyroid disease website, www.thyroid-info.com. She lives in Kensington, Maryland.

Read an Excerpt

Living Well with Hypothyroidism Rev Ed

What Your Doctor Doesn't Tell You... That You Need to Know
By Shomon, Mary J.

HarperResource

ISBN: 0060740957

Chapter 1


What is Hypothyroidism?


They do certainly give very strange, and newfangled,
names to diseases.
--Plato

The thyroid is not a particularly well-known or well-understood organ in the body. Some people have a vague idea of the thyroid as something in the neck that, when malfunctioning, makes you gain weight or develop a goiter. That's about all the information marry people can muster.

The thyroid gland, however, is an essential organ, governing basic aspects of nearly every facet of your health. In the long term, you can't live without the hormones produced by your thyroid. Those hormones regulate the body's use of energy, an essential function to life and health.

What Is The Thyroid?


The thyroid gland is shaped a little like a butterfly, and is located in the lower part of your neck, in front of your windpipe. You'll know generally where the thyroid is located if you think of it as sitting behind the Adam's apple, which usually sticks out farther from a man's neck than from a woman's.

The name "thyroid" comes from the Greek word, thyreoeides, meaning "shield-shaped." The two "wings" of the butterfly are known as the lobes of the thyroid, and the areaconnecting the two lobes is known as the isthmus. It's a small gland, and normally weighs only about an ounce.

Roughly speaking, a gland is a discrete and separate soft body made up of a large number of vessels that produce, store, and release-or secrete-some substance. Your thyroid is one of these glands.

Some glands secrete their products outside the body, some inside. Those that secrete their products on the inside of the body and, more specifically, secrete hormonal and metabolic substances, are known as endocrine glands. The thyroid is an endocrine gland, as are the parathyroids, the adrenal gland, the pancreas, and the pituitary gland. Diabetes, like thyroid disease, is considered an endocrine disorder. A doctor who specializes in treating patients with endocrine problems is called an endocrinologist.

Hormones are internal secretions carried in the blood to various organs. The thyroid's main purpose is to produce, store, and release two key thyroid hormones, triiodothyronine (T3) and thyroxine (T4). Thyroid cells are the only body cells that are able to absorb iodine. The thyroid takes in iodine, obtained through food, iodized salt, or supplements, and combines that iodine with the amino acid tyrosine, converting the iodine/tyrosine combination into T3 and T4. The "3" and the "4" refer to the number of iodine molecules in each thyroid hormone molecule. A healthy, functioning thyroid produces about 80 percent T4 and 20 percent T3. T3 is considered the biologically active hormone and is several times stronger than T4.

The T3 and T4 thyroid hormones travel through the bloodstream throughout the body helping cells to convert oxygen and calories into energy. Thyroid hormones control metabolism-the process by which oxygen and calories are converted to energy for use by cells and organs. There's not a single cell in your body that doesn't depend on thyroid hormone for regulation and for energy in some form.

The thyroid produces some T3, but the rest of the T3 needed by the body is actually formed from the mostly inactive T4 by the removal of one iodine molecule, a process sometimes referred to as T4 to T3 conversion, or by the more scientific term mono-deiodination. This conversion of T4 to T3 can take place in some organs other than the thyroid, including the hypothalamus, a part of your brain.

Now that you have some idea of what the thyroid is and its location and function, let's look in more detail at how it fits into the overall functioning of the body.

The Thyroid Gland: Setting the Pace


When the thyroid works normally, it produces and secretes the amount of T4 and T3 necessary to keep many bodily functions at their proper pace. However, the thyroid does not do this alone. It works instead as part of a system that also includes the pituitary gland and the hypothalamus. The pituitary gland is another endocrine gland, located at the base of your brain.

Here's how the system works. The hypothalamus constantly monitors the pace of many of the body's functions. It also monitors and reacts to a number of other factors, including outside environmental factors such as heat, cold, and stress. If the hypothalamus senses that certain adjustments are needed to react to any of these factors, then it produces thyrotropin-releasing hormone, (TRH).TRH is sent from the hypothalamus to the pituitary gland. The pituitary gland then produces a substance called thyrotropin, which is also known as thyroid-stimulating hormone (TSH). The pituitary gland also monitors the body and can release TSH based on the thyroid hormones in the blood. TSH is sent to the thyroid gland, where it causes production, storage, and release of more T3 and T4.

Released thyroid hormones move into the bloodstream, carried by a plasma protein known as thyroxine-binding globulin (TBG).

Now in the bloodstream, the thyroid hormone travels throughout the body, carrying orders to the various bodily organs. Upon arriving at a particular tissue in the body, thyroid hormones interact with receptors located inside the nucleus of the cells. Interaction of the -hormone and the receptor will trigger a certain function, giving directions to that tissue regarding the rate at which it should operate.

When the hypothalamus senses that the need for increased thyroid hormone production has ended, it reduces production of TRH, the pituitary decreases production of TSH, and production of the thyroid hormone, in turn, decreases. By this system, many of the body's organs are kept working at the proper pace. Continues...

Excerpted from Living Well with Hypothyroidism Rev Ed by Shomon, Mary J. Excerpted by permission.
All rights reserved. No part of this excerpt may be reproduced or reprinted without permission in writing from the publisher.
Excerpts are provided by Dial-A-Book Inc. solely for the personal use of visitors to this web site.

First Chapter

Living Well with Hypothyroidism Rev Ed
What Your Doctor Doesn't Tell You... that You Need to Know

Chapter 1


What is Hypothyroidism?


They do certainly give very strange, and newfangled,
names to diseases.
--Plato

The thyroid is not a particularly well-known or well-understood organ in the body. Some people have a vague idea of the thyroid as something in the neck that, when malfunctioning, makes you gain weight or develop a goiter. That's about all the information marry people can muster.

The thyroid gland, however, is an essential organ, governing basic aspects of nearly every facet of your health. In the long term, you can't live without the hormones produced by your thyroid. Those hormones regulate the body's use of energy, an essential function to life and health.

What Is The Thyroid?


The thyroid gland is shaped a little like a butterfly, and is located in the lower part of your neck, in front of your windpipe. You'll know generally where the thyroid is located if you think of it as sitting behind the Adam's apple, which usually sticks out farther from a man's neck than from a woman's.

The name "thyroid" comes from the Greek word, thyreoeides, meaning "shield-shaped." The two "wings" of the butterfly are known as the lobes of the thyroid, and the area connecting the two lobes is known as the isthmus. It's a small gland, and normally weighs only about an ounce.

Roughly speaking, a gland is a discrete and separate soft body made up of a large number of vessels that produce, store, and release-or secrete-some substance. Your thyroid is one of these glands.

Some glands secrete their products outside the body, some inside. Those that secrete their products on the inside of the body and, more specifically, secrete hormonal and metabolic substances, are known as endocrine glands. The thyroid is an endocrine gland, as are the parathyroids, the adrenal gland, the pancreas, and the pituitary gland. Diabetes, like thyroid disease, is considered an endocrine disorder. A doctor who specializes in treating patients with endocrine problems is called an endocrinologist.

Hormones are internal secretions carried in the blood to various organs. The thyroid's main purpose is to produce, store, and release two key thyroid hormones, triiodothyronine (T3) and thyroxine (T4). Thyroid cells are the only body cells that are able to absorb iodine. The thyroid takes in iodine, obtained through food, iodized salt, or supplements, and combines that iodine with the amino acid tyrosine, converting the iodine/tyrosine combination into T3 and T4. The "3" and the "4" refer to the number of iodine molecules in each thyroid hormone molecule. A healthy, functioning thyroid produces about 80 percent T4 and 20 percent T3. T3 is considered the biologically active hormone and is several times stronger than T4.

The T3 and T4 thyroid hormones travel through the bloodstream throughout the body helping cells to convert oxygen and calories into energy. Thyroid hormones control metabolism-the process by which oxygen and calories are converted to energy for use by cells and organs. There's not a single cell in your body that doesn't depend on thyroid hormone for regulation and for energy in some form.

The thyroid produces some T3, but the rest of the T3 needed by the body is actually formed from the mostly inactive T4 by the removal of one iodine molecule, a process sometimes referred to as T4 to T3 conversion, or by the more scientific term mono-deiodination. This conversion of T4 to T3 can take place in some organs other than the thyroid, including the hypothalamus, a part of your brain.

Now that you have some idea of what the thyroid is and its location and function, let's look in more detail at how it fits into the overall functioning of the body.

The Thyroid Gland: Setting the Pace


When the thyroid works normally, it produces and secretes the amount of T4 and T3 necessary to keep many bodily functions at their proper pace. However, the thyroid does not do this alone. It works instead as part of a system that also includes the pituitary gland and the hypothalamus. The pituitary gland is another endocrine gland, located at the base of your brain.

Here's how the system works. The hypothalamus constantly monitors the pace of many of the body's functions. It also monitors and reacts to a number of other factors, including outside environmental factors such as heat, cold, and stress. If the hypothalamus senses that certain adjustments are needed to react to any of these factors, then it produces thyrotropin-releasing hormone, (TRH).

TRH is sent from the hypothalamus to the pituitary gland. The pituitary gland then produces a substance called thyrotropin, which is also known as thyroid-stimulating hormone (TSH). The pituitary gland also monitors the body and can release TSH based on the thyroid hormones in the blood. TSH is sent to the thyroid gland, where it causes production, storage, and release of more T3 and T4.

Released thyroid hormones move into the bloodstream, carried by a plasma protein known as thyroxine-binding globulin (TBG).

Now in the bloodstream, the thyroid hormone travels throughout the body, carrying orders to the various bodily organs. Upon arriving at a particular tissue in the body, thyroid hormones interact with receptors located inside the nucleus of the cells. Interaction of the -hormone and the receptor will trigger a certain function, giving directions to that tissue regarding the rate at which it should operate.

When the hypothalamus senses that the need for increased thyroid hormone production has ended, it reduces production of TRH, the pituitary decreases production of TSH, and production of the thyroid hormone, in turn, decreases.By this system, many of the body's organs are kept working at the proper pace.

Living Well with Hypothyroidism Rev Ed
What Your Doctor Doesn't Tell You... that You Need to Know. Copyright © by Mary Shomon. Reprinted by permission of HarperCollins Publishers, Inc. All rights reserved. Available now wherever books are sold.

Customer Reviews

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See All Sort by: Showing 1 – 20 of 29 Customer Reviews

  • Anonymous

    Posted July 12, 2005

    13 Million People Need This Book.

    There's an epidemic of hypothyroidism in this country, affecting at least 13 million men, women and children. Many of these patients have been frustrated by their doctors' failure to properly diagnose or effectively treat them. Mary Shomon is the ideal patient advocate -- a hypothyroid patient who has not only been there and done that but also been motivated to thoroughly research this subject and present health-saving information in plain English. Shomon is also one of the few thyroid experts who has clearly identified soyfoods, soy milk and soy infant formula as contributors to the epidemic of thyroid problems experienced in this country. This is the #1 book I recommend to clients with thyroid disease or thyroid-related health problems such as infertility, fatigue, brain fog and weight gain.

    6 out of 6 people found this review helpful.

    Was this review helpful? Yes  NoThank you for your feedback.   Report this reviewThank you, this review has been flagged.

  • Anonymous

    Posted October 17, 2007

    First year thyroid patient

    Great book to get started with. I know very little about thyroid disorders and 'Living Well with Hypothyroidism' helped me learn the basics of thyroid related problems and what I should expect throughout my treatment. I knew something was wrong with my body but my doctors dismissed my symptoms as being something else. It was my thyroid all along! Shomon's book is extremely helpful especially since she is a thyroid patient herself.

    2 out of 2 people found this review helpful.

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  • Posted April 26, 2010

    Living Well with Hypothyroidism is a must read!!

    I have almost read this entire book cover to cover and I have learned so much about hypothyroidism. I have been living with this condition for several years, popping my Synthroid pill every morning and never giving it much thought. Mary Shomon presents a comprehensive look into hypothyroidism - the potential causes, symptoms, medications, etc. She puts everything right out there. She understands that every person is different and does not push a single viewpoint. I am experiencing some side effects from synthroid and from what I learned from this book, I am ready to make a switch (I didn't know I had options before I read this book). It is a must read for anyone who wants to learn more about this condition.

    1 out of 1 people found this review helpful.

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  • Anonymous

    Posted April 4, 2000

    Jam-packed with useful information!

    I think I have read every thyroid book on the market and didn't expect this one to contain any life-changing information... I was VERY pleasantly surprised! I not only learned a great deal (Mary Shomon writes from a patient's standpoint and gives a wonderful perspective on the subject), but I enjoyed simply reading the book. I especially appreciated the suggestions provided by others who, like me, are suffering from Hypothyroidism. The resource section at the end of the book is outstanding - absolutely one of the best compilations you'll find. I have frequented Mary's website often, and this book is another extension of her work. Thank you, Mary - we appreciate you!

    1 out of 1 people found this review helpful.

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  • Posted April 21, 2012

    THIS IS A MUST READ FOR ALMOST EVERYONE!!!

    Too many people are affected by misdiagnosed illnesses out there, that could have been corrected with their thyroid being treated for hypothyroidism. I am one of them. Dozens of specialists from different fields, too many pills, doctors wanting to do surgery, when all I needed was for ONE to LISTEN to what was going on with my body, REALLY LOOK at indepth bloodwork, and say everything points to HYPOTHYROIDISM.Finally one says, "No one has put you on thyroid medicine?!" Nope. With in a few days my body was responding!!! This doctor thinks we might be able to take me off those other meds ( for high cholestrol, migraines, & fibromyalgia ) in 3 months. The way I feel after just 1 month, I think she just might be right!

    If not you, it can be a loved one or a friend that is being affected by hypothyroidism. People do not understand what the thyroid is much less how much it effects your body and its functions! I lost several years to it. Too many Doctors do not understand it and its symptoms! But they will act like they do!

    Mary Shomon's book is a gift of knowlege that I wish doctors would read. You can use this knowledge to give yourself a fighting change in the " practicing art of medicine" and please, keep searching for a doctor who will LISTEN to you!! This book can help you to finally be able to have a life that is "Living Well With Hypothyroidism"

    Ms. Shomon relieves you, that you are not crazy, not alone,and that there are just TOO MANY doctors out there that do NOT understand the thyroid!! THANK YOU!!! Those crazy symptoms and complaints, that list that seems endless, can all be from hypothyroidism. Her information is clear, and not heavily full of medical jargon, so the average person stays involved reading gaining valuble knowledge. Getting this book is well worth the investment!

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  • Anonymous

    Posted May 25, 2009

    I Also Recommend:

    9780446690614

    Caught my eye for certain! Apropro!

    This book helped me in ways I would not have thought possible, and with this new insight gave me the courage to request the much needed referral to an endocrinologist I should have been seeing 2+ years ago!

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  • Anonymous

    Posted January 6, 2002

    I am not lossing my mind

    I have been in treatment for hypothyroidism since 1994, I have never had my doseage increased and have complained about the nagging feeling in my throat. I knew I needed to change doctors but now I know what to look for in a doctor. Thanks you, this book was very helpful and written for everyone to enjoy.

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  • Anonymous

    Posted April 17, 2000

    What a Wonderful Book!

    I felt like I belonged. Any questions you have are answered. The book gives encouragement because you know other people are going through what you are going through. You aren't lone in your suffering anymore.

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  • Anonymous

    Posted April 2, 2000

    A Must Read!

    This is the must read book for people with any type of thyroid disease, but especially those of us who are hypothyroid. It is the single, most comprehensive source I have seen in my 43 years of struggling with this illness. No doctor, no single web site, no article, nor any other book so simply and easily provides the solid, researched information as is found here. The author herself is a thyroid patient. This woman knows what she's talking about, and she fairly presents all sides to various aspects of treatment. I can't recommend this outstanding book enough.

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  • Anonymous

    Posted April 11, 2000

    OUTSTANDING BOOK OF INFORMATION

    I am a Thyroid Patient and would like to rate this book. The book includes everything you need to know to be knowledgeable about Thyroid Disease, from symptoms to how to feel well. Information is provided in a well organized format. If you're new to Thyroid Disease this book is an excellent introduction. If you're more experienced with Thyroid Disease, this is a great book to have because it provides a lot of information that your doctor doesn't tell you. And in plain English that you can understand! A worthwhile book to read for anyone with Thyroid Disease.

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  • Anonymous

    Posted March 27, 2000

    An important book...

    Whether you're newly diagnosed or an old hand at dealing with hypothyroid disease, this author's radical notion that we deserve to live WELL with our disorder is important and empowering. Mary Shomon discusses many controversial issues that most traditional doctors would prefer to avoid, including: who is really at-risk for developing hypothyroid disease, remaining symptomatic with 'good' lab results, unfounded medical biases that interfere with the development of appropriate treatment plans and the efficacy of T3 therapy. This book combines frequently complicated medical and scientific research with absorbing personal accounts by people who have hypothyroidism in a readable, understandable format. And, consistent with Mary's overall message, she includes an indispensible 17-point plan for living WELL with hypothyroidism. This is the book we've been waiting for!

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  • Anonymous

    Posted March 26, 2000

    Excellent reference for hypothyroidism!!!

    Outstanding book on hypothyroidism! I received the book as soon as it was published, and have read it a number of times and have referred back to it a numerous times with concerns I had. A must book for everyone with hypothyroidism!

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  • Anonymous

    Posted March 26, 2000

    Helping Yourself

    Finally, a book that explains how to help yourself live a healthier, happier lifestyle even though suffering with this debilitating disease. Living Well With Hypothyroidism gives us hope and answers. This book is written so anyone can understand it. Wouldn't it be wonderful if more Doctor's would read this book... they would learn from it! Thank you Mary!

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  • Anonymous

    Posted March 26, 2000

    CAN'T FIGURE OUT WHAT'S MAKING YOU SICK?

    This book is resourceful, well written, and, will tug at you if you have been through the tremendous pain of being diagnosed hypothyroid or know someone who has. It gives tips on therapies, alternative treatments, and the myths and rumors that abound in the medical community about this insidious, yet little known disease. If you are sick and can't find a reason why, and have been diagnosed with depression (even if there's nothing to be depressed about) check out this book. It won't be the answer to everyone, but will be a godsend to those it helps.

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  • Anonymous

    Posted March 26, 2000

    cant put the book down

    Wow Finally a person who understands Hypothyroidism. I finally felt like i wasnt alone anymore. I have been fighting this hypo for 7 years and now with all the information i can and will feel better. I took some of the information with me to my doctor and now he has started me on cytomel and i am feeling better. Also he listens now even if I am in the normal Lab range if I am above 2 he will up my medication. Thank you Mary for writing a wonderful book and now many hypo will understand there are alot of us out there and we are not crazy. please everyone that is hypothroid buy this wonderful book. PSS I have lost 3lbs.

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  • Anonymous

    Posted March 14, 2000

    Deserves to be a best-seller

    This book deserves to be a best-seller because of the incredibly helpful information it gives to thyroid patients and those who suspect they might have thyroid problems. It advocates patients taking charge of their health, finding a doctor who will consider alternative treatments, and making other changes in their daily lives to increase their well-being. For the first time since being diagnosed with hypothyroidism ten years ago I feel hopeful that I stand a chance of feeling better in the future.

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  • Anonymous

    Posted January 9, 2010

    No text was provided for this review.

  • Anonymous

    Posted July 11, 2011

    No text was provided for this review.

  • Anonymous

    Posted December 28, 2009

    No text was provided for this review.

  • Anonymous

    Posted January 28, 2010

    No text was provided for this review.

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