The endocrine system is made up of a collection of glands that release hormones that regulate a variety of bodily functions, including metabolism. The thyroid gland is a large, butterfly-shaped organ found in the center of the neck. The thyroid gland secretes three hormones, known as triiodothyronine (T3), thyroxine (T4), and calcitonin, in response to stimulation from the pituitary gland which secretes a compound, known as the thyroid-stimulating hormone (TSH). However, if the thyroid gland produces too little or too many hormones, it can ultimately cause a variety of health issues, including obesity.
According to the American Association of Clinical Endocrinologists, approximately 27 million people in the United States have thyroid dysfunction. Healthcare professionals found a connection between diabetes and thyroid dysfunction. People with obesity and diabetes have an increased risk of developing thyroid dysfunction compared with the healthy population. Because the thyroid gland regulates metabolism, thyroid dysfunction can cause various metabolic health issues. Thyroid dysfunction can frequently occur due to iodine deficiency, autoimmune diseases, and surgery.
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Research studies demonstrated that thyroid dysfunction can ultimately lead to obesity. Understanding the connection between obesity and thyroid dysfunction can help reduce the risk of developing a variety of other health issues, including cancer. Thyroid dysfunction is associated with changes in body weight and composition, temperature, and energy. In a recent research study, 27,097 participants above 40 years of age with a body mass index (BMI) of at least 30.0 kg/m2, scientists found that thyroid dysfunction was associated with a higher BMI and an increased risk of developing obesity.
Thyroid-stimulating hormone (TSH) levels are higher in people with obesity, according to research studies. Scientists also demonstrated that TSH levels appear to be closely associated with the degree of obesity and BMI. Surprisingly, research studies also found increased T3 levels in participants with obesity. Progressive fat accumulation was associated with an increase in TSH and T3 levels, regardless of insulin resistance and metabolic parameters. The ratio between T3 and T4 was also associated with both BMI and waist circumference in people with obesity, according to the research studies.
Although people with obesity have increased TSH levels, their TSH receptors are frequently less expressed compared with healthy people. The reduced TSH receptor expression can ultimately cause thyroid dysfunction, further increasing TSH and T3 levels. Fortunately, healthcare professionals demonstrated that weight loss can help regulate thyroid function. Thyroid dysfunction can be reversed following weight loss due to diet and lifestyle modifications or surgery. Weight loss can also cause a considerable reduction in both TSH and T3. The decrease in T3 levels during weight loss can also increase energy.
According to research studies, reduced T3 levels can make it difficult to maintain or promote weight loss. Evidence suggesting that TSH and T3 levels increase in people with obesity while TSH and T3 levels are reduced during weight loss supports the hypothesis that changes in thyroid function in people with obesity may be reversible through weight loss. However, it’s frequently challenging to identify participants with obesity who are only affected by mild thyroid dysfunction. Healthcare professionals should suspect thyroid dysfunction in people with obesity that also have increased TSH levels.
Healthcare professionals determined that evaluating the thyroid gland using ultrasound may not necessarily help diagnose possible thyroid dysfunction in people with obesity. As a matter of fact, the moderate increase in TSH levels is frequently associated with an increase in thyroid volume and hypoechogenicity, or the reduced response of an organ using ultrasound, with an ultrasound pattern that suggests Hashimoto thyroiditis. Furthermore, the increased hypoechogenicity in people with obesity is associated with increased cytokines and other inflammatory markers produced by adipose tissue.
The increased cytokines and inflammatory markers can ultimately increase TSH levels, increasing the size of the thyroid and leading to vasodilatation and increased thyroid vessel permeability with increased parenchymal inhibition of the thyroid gland which may be responsible for the hypoechogenicity with ultrasound. Average TSH was demonstrated to be higher in people with obesity compared with healthy people. It is essential to understand that an ultrasound pattern suggesting Hashimoto thyroiditis may also suggest autoimmune diseases associated with thyroid dysfunction and obesity.
The endocrine system is made up of a collection of glands, such as the thyroid gland, which release several different types of hormones that regulate a variety of bodily functions, including metabolism. The thyroid gland is a large, butterfly-shaped organ found in the center of the neck and it plays a fundamental role in the secretion of three hormones, including triiodothyronine (T3), thyroxine (T4), and calcitonin, following stimulation from the pituitary gland, which secretes a compound known as the thyroid-stimulating hormone (TSH). However, thyroid dysfunction can ultimately cause a variety of health issues, including obesity. According to the American Association of Clinical Endocrinologists, approximately 27 million people in the United States have thyroid dysfunction. Because the thyroid gland regulates metabolism, thyroid dysfunction can also cause various metabolic health issues. Thyroid dysfunction can frequently occur due to iodine deficiency, autoimmune diseases, and surgery, according to research studies. Scientists demonstrated a connection between thyroid dysfunction and obesity. – Dr. Alex Jimenez D.C., C.C.S.T. Insight
The endocrine system is made up of a collection of glands that release hormones that regulate a variety of bodily functions, including metabolism. The thyroid gland is a large, butterfly-shaped organ found in the center of the neck. The thyroid gland secretes three hormones, known as triiodothyronine (T3), thyroxine (T4), and calcitonin, in response to stimulation from the pituitary gland which secretes a compound, known as thyroid-stimulating hormone (TSH). However, if the thyroid gland produces too little or too many hormones, it can ultimately cause a variety of health issues, including obesity.
According to the American Association of Clinical Endocrinologists, approximately 27 million people in the United States have thyroid dysfunction. Healthcare professionals found a connection between diabetes and thyroid dysfunction. People with obesity and diabetes have an increased risk of developing thyroid dysfunction compared with the healthy population. Because the thyroid gland regulates metabolism, thyroid dysfunction can cause various metabolic health issues. Thyroid dysfunction can frequently occur due to iodine deficiency, autoimmune diseases, and surgery.
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The information herein on "Functional Neurology: Obesity and Thyroid Dysfunction" is not intended to replace a one-on-one relationship with a qualified health care professional or licensed physician and is not medical advice. We encourage you to make healthcare decisions based on your research and partnership with a qualified healthcare professional.
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Our information scope is limited to Chiropractic, musculoskeletal, physical medicines, wellness, contributing etiological viscerosomatic disturbances within clinical presentations, associated somatovisceral reflex clinical dynamics, subluxation complexes, sensitive health issues, and/or functional medicine articles, topics, and discussions.
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Dr. Alex Jimenez DC, MSACP, RN*, CCST, IFMCP*, CIFM*, ATN*
email: coach@elpasofunctionalmedicine.com
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Dr. Alex Jimenez DC, MSACP, RN* CIFM*, IFMCP*, ATN*, CCST
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