Thyroid Pharmacist Healing Conversations with Dr. Izabella Wentz

In this episode of the Thyroid Pharmacist Healing Conversations podcast, Dr. Izabella Wentz interviews trauma therapist Dr. Nadine Macaluso (“Dr. Nae”), the real-life inspiration behind Naomi Belfort's character in the movie The Wolf of Wall Street. Her personal story led her to dedicate her work to helping people break free from trauma bonds and reclaim their health and identity. Together, they explore how relational trauma can impact the stress response and inflammation, why empathetic “healer” personalities may be more vulnerable to predatory partners, and what it takes to leave safely and rebuild after a toxic, controlling relationship. What you’ll learn in this episode: What a trauma bond actually is (and what it isn’t). A trauma bond isn’t “bonding over shared trauma” – it’s a toxic, emotionally attached relationship where one partner seeks power and control and the other loses autonomy. Dr. Nae explains how these bonds can exist between romantic partners, friends, bosses, and even within families. Why “empaths and healers” are often targeted – and why it’s not your fault. Many women in trauma bonds score high in agreeableness and conscientiousness: empathy, loyalty, strong morals, and the willingness to work things through. In an unhealthy dynamic, those strengths get weaponized – and the victim often gets blamed (including by herself). The “Romeo mask” vs. “Dirty John” behavior pattern. Dr. Nae breaks down intermittent reinforcement: the cycle where a partner is cruel and controlling much of the time, then returns to being charming and loving just enough to reignite hope. That “hope hook” keeps people stuck far longer than they ever expected. Red flags that aren’t romantic, but controlling. Jealousy framed as “love,” constant tracking/texting, broken promises, boundary-pushing, and “all my exes are crazy” stories can be early warning signs. If it feels too good to be true, Dr. Nae shares why it often is. How to leave safely (without tipping your hand). Leaving can be the most dangerous time. Dr. Nae explains why planning matters, emphasizing the need for securing documents, money, credit, legal support, and trauma-informed care behind the scenes while acting normal – then making a safe exit. What healing looks like after you leave. Getting out is a relief, but it can also bring grief, C-PTSD symptoms, anxiety, depression, and physical inflammation from prolonged stress. Dr. Nae shares why real recovery includes turning the mirror back toward yourself, with nervous system regulation, attachment healing, and identity rebuilding. Tune in to learn more about trauma bonds, relational safety, and the healing path back to yourself. Be sure to subscribe to the Thyroid Pharmacist Healing Conversations podcast so you don’t miss an episode! Sign up for the Thyroid Pharmacist Weekly Thyroid Solutions Newsletter here: https://thyroidpharmacist.com/gift/  For the full list of resources and products mentioned in this episode, and to get the full episode transcript, see complete show notes here: https://thyroidpharmacist.com/articles/podcast/ Learn more about your ad choices. Visit megaphone.fm/adchoices

In this episode of Thyroid Pharmacist Healing Conversations, Dr. Izabella Wentz interviews functional medicine pioneer Dr. Tom O’Bryan to explore why chronic inflammation is the root mechanism behind most autoimmune and degenerative diseases, including Hashimoto’s thyroiditis. Together, they unpack how immune activation is driven by factors like gluten sensitivity, environmental toxins, mold exposure, gut permeability, and endotoxins – often long before symptoms appear. Dr. O’Bryan explains why suppressing inflammation without addressing these triggers can stall healing, and how modern testing can uncover the hidden drivers that conventional labs miss. What you’ll learn in this episode: Why inflammation isn’t the root cause – it’s the root mechanism. Dr. Tom explains why chronic inflammation is the common denominator behind 14 of the 15 leading causes of death, and why the real question isn’t how to suppress inflammation, but what your immune system is trying to protect you from. The surprising reason gluten affects nearly 87% of people with Hashimoto’s. Even without digestive symptoms, gluten can drive autoimmune thyroid inflammation. One exposure can elevate antibodies for months, which is why “cheat days” can quietly undo progress. How toxins silently erode immune tolerance, starting before birth. We discuss how glyphosate, phthalates, mold, and other environmental toxins can impair fertility, brain development, and immune balance, even in people living seemingly “clean” lifestyles. Why outdated lab tests miss the real drivers of autoimmunity. Dr. Tom shares how newer silicone chip–based testing has dramatically improved accuracy – revealing food sensitivities, endotoxins, brain inflammation, and toxic burden that conventional tests often miss. Why healing works best when you remove obstacles one at a time. Instead of overwhelm, Dr. Tom recommends a simple approach: identify your biggest immune triggers, then address them gradually – one hour per week – to create sustainable, long-term healing. Tune in to learn how removing immune triggers – not suppressing symptoms – can transform long-term health. Be sure to subscribe to the Thyroid Pharmacist Healing Conversations podcast so you don’t miss an episode! Sign up for the Thyroid Pharmacist Weekly Thyroid Solutions Newsletter here: https://thyroidpharmacist.com/gift/  For the full list of resources and products mentioned in this episode, and to get the full episode transcript, see complete show notes here: https://thyroidpharmacist.com/articles/podcast/ Learn more about your ad choices. Visit megaphone.fm/adchoices

In this episode of Thyroid Pharmacist Healing Conversations, Dr. Izabella Wentz interviews functional medicine health coach and Hypothyroid Chef founder Ginny Mahar about creating sustainable daily rituals for thyroid health. Drawing from her personal Hashimoto’s journey and professional culinary background, Ginny shares how food, lifestyle, and mindset work together to support healing – without overwhelming patients or requiring perfection.' Together, they explore the thyroid trifecta of care, the Eight Daily Rituals of Thyroid-Healthy Living, and how nutrition, gut health, sleep, stress management, and movement all influence thyroid hormone function. Ginny also debunks common myths around goitrogenic foods and explains how thyroid-friendly eating can be personalized, nourishing, and enjoyable. What you’ll learn in this episode: Why medication alone rarely resolves thyroid symptoms. Ginny explains the “thyroid trifecta” – medical care, nutrition, and lifestyle – and why relying on TSH and levothyroxine alone often leaves patients stuck with fatigue, brain fog, and inflammation. The eight daily rituals that support sustainable thyroid healing. From sleep and stress management to movement, detox support, and nourishment, Ginny walks through her “Eight R’s” framework and explains how small daily habits compound into real, lasting change. How to approach thyroid-friendly eating without overwhelm. Ginny shares how anti-inflammatory, nutrient-dense eating can be made easy, why personalization matters more than perfection, and how elimination and reintroduction diets can be used as tools (not life sentences). Why gut health plays such a central role in thyroid function. Because thyroid conditions increase the risk of gut issues, impaired nutrient absorption, and medication malabsorption, daily gut support is a cornerstone of healing. The truth about goitrogenic foods and common thyroid myths. Ginny breaks down why cruciferous vegetables are often misunderstood, when they might be problematic, and how cooking, quantity, and iodine status change the conversation entirely. How food can be both medicine and joy. Healing doesn’t require bland meals or culinary misery. Ginny shares how flavor, pleasure, and connection in the kitchen actually support consistency and long-term success. Tune in to learn how small, daily choices can lead to lasting thyroid healing. Be sure to subscribe to the Thyroid Pharmacist Healing Conversations podcast so you don’t miss an episode! Sign up for the Thyroid Pharmacist Weekly Thyroid Solutions Newsletter here: https://thyroidpharmacist.com/gift/  For the full list of resources and products mentioned in this episode, and to get the full episode transcript, see complete show notes here: https://thyroidpharmacist.com/articles/podcast/ Learn more about your ad choices. Visit megaphone.fm/adchoices

In this episode of Thyroid Pharmacist Healing Conversations, Dr. Izabella Wentz interviews nutrition consultant and educator Caitlin Weeks about how a carnivore-style diet helped put her Hashimoto’s into remission after years of fatigue, digestive issues, and so-called “normal” thyroid labs. Together, they explore why some people with autoimmune thyroid disease feel worse on plant-heavy diets, how anti-nutrients and gut irritation can drive symptoms, and why personalized nutrition – not one-size-fits-all advice – is essential for healing. What you’ll learn in this episode: Why a carnivore-type diet can act as a powerful reset for Hashimoto’s: Caitlin shares how removing plant foods (and eating meat) helped calm gut irritation, bloating, and constipation and coincided with her thyroid antibodies dropping from the 600s into single digits. How “normal” thyroid labs can mean undiagnosed autoimmune disease: Caitlin explains why she was dismissed for years due to a normal TSH, and how testing thyroid antibodies was the key to finally identifying and addressing Hashimoto’s. The link between vegetables, anti-nutrients, and gut inflammation: This conversation explores how compounds in veggies, such as oxalates and lectins, may aggravate gut inflammation, bloating, and pain in sensitive individuals, particularly those with autoimmune conditions. Why diet alone is not enough for healing: From shifting away from punishing exercise to addressing stress, toxic environments, and self-expectation, Caitlin explains the non-diet lifestyle changes that supported true recovery. Who may benefit most from trying the carnivore diet, and who should proceed cautiously: Digestive issues, IBS, bloating, histamine intolerance, and stubborn thyroid antibodies may all be clues that the carnivore diet could help – but preparation, personalization, and context matter. Tune in to learn whether less plants and more nutrient-dense foods could be the missing piece in your Hashimoto’s healing journey. Be sure to subscribe to the Thyroid Pharmacist Healing Conversations podcast so you don’t miss an episode! Sign up for the Thyroid Pharmacist Weekly Thyroid Solutions Newsletter here: https://thyroidpharmacist.com/gift/  For the full list of resources and products mentioned in this episode, and to get the full episode transcript, see complete show notes here: https://thyroidpharmacist.com/articles/podcast/ Learn more about your ad choices. Visit megaphone.fm/adchoices

In this episode of Thyroid Pharmacist Healing Conversations, Dr. Izabella Wentz interviews functional medicine physician Dr. Vincent Pedre about the hidden root causes of IBS, gut inflammation, and chronic digestive symptoms that often precede autoimmune disease. Together, they explore how stress physiology, nervous system dysregulation, environmental toxins, mold exposure, microplastics, and mitochondrial dysfunction can damage the gut – even in people who are already gluten-free and eating “clean.” Dr. Pedre also debunks common myths about coffee and gut health, sharing how high-quality, clean coffee can be enjoyed without triggering reflux or inflammation. What you’ll learn in this episode: Why IBS is often the first warning sign of deeper immune dysfunction. Dr. Pedre explains how years of gut inflammation can dysregulate the immune system, increase intestinal permeability, and eventually contribute to autoimmune conditions like Hashimoto’s – long before labs reveal antibodies. How stress and nervous system dysregulation quietly sabotage digestion – even when you feel “fine.” Chronic stress suppresses vagal tone, lowers stomach acid and enzyme production, and slows gut motility. Your body always tells the truth. The hidden gut disruptors most people never test for. Mold exposure, parasites, yeast overgrowth, microplastics, and environmental toxins can damage the gut lining and microbiome, even without classic digestive symptoms. Why elimination diets don’t always lead to true healing. Removing foods can reduce symptoms, but true healing often requires repairing the gut barrier, addressing toxin load, supporting mitochondria, and calming the nervous system. The truth about coffee, gut health, and thyroid symptoms. Coffee itself isn’t the enemy – poor-quality beans, mold contamination, pesticides, over-roasting, and plastic exposure are. Dr. Pedre shares information on coffee that is cleaner and gentler on the gut. How targeted therapies can dramatically speed gut healing. Dr. Pedre shares how phospholipids, peptides, sauna therapy, and mitochondrial testing are helping patients tolerate foods again – often in months instead of years. Tune in to learn how to heal your gut at the root – and reclaim your health. Be sure to subscribe to the Thyroid Pharmacist Healing Conversations podcast so you don’t miss an episode! Sign up for the Thyroid Pharmacist Weekly Thyroid Solutions Newsletter here: ⁠https://thyroidpharmacist.com/gift/⁠  For the full list of resources and products mentioned in this episode, and to get the full episode transcript, see complete show notes here: ⁠https://thyroidpharmacist.com/articles/podcast/ Learn more about your ad choices. Visit megaphone.fm/adchoices

In this episode of Thyroid Pharmacist Healing Conversations, Dr. Izabella Wentz interviews integrative psychiatrist Dr. James Greenblatt about a whole-body, root-cause approach to depression. They discuss why many people don’t fully improve on medications alone, the lab work most clinicians skip (vitamin D, B12, ferritin, full thyroid panel), and how digestion, amino acids, omega-3s, hormones, and environmental factors (gluten/celiac, mycotoxins, infections) shape mood. They also clarify nutritional lithium (lithium orotate) versus prescription lithium, how to approach thyroid-aware monitoring, and why very low total cholesterol is a red flag in stubborn depression and suicidality. Listeners will walk away with practical labs, supplement considerations, and a step-wise framework that can complement therapy and medication. What you’ll learn in this episode: Why depression isn’t a “Prozac deficiency.” Modern research has moved beyond a single-neurotransmitter theory, and depression can stem from many biological drivers: nutrient gaps, hormone shifts, gut issues, toxins, infections, and genetics. Addressing these foundations often makes therapy and medications work better, and sometimes reduces the need for them. The lab work most people never get (but should). They walk through vitamin D, B12, iron/ferritin, and a full thyroid panel as accessible first steps, then expand to amino acids, fatty acids, copper/zinc balance, celiac screening, and targeted functional tests. Optimal, not just “normal,” ranges matter, especially for B12 and vitamin D. Digestion is destiny for neurotransmitters. You can eat protein all day, but low stomach acid and weak digestive enzymes mean you won’t liberate the amino acids needed to make serotonin, dopamine, and more. Correcting HCl and enzyme deficits can lift mood by restoring raw materials, particularly in those with reflux, thyroid issues, or trauma histories that push the nervous system out of “rest-and-digest.” The quiet saboteurs: gluten, mycotoxins, infections, and very low cholesterol. Celiac disease/gluten intolerance can drive global malabsorption – along with anxiety, depression, and even eating-disorder patterns. Mold/mycotoxins and post-infectious syndromes (PANS/PANDAS, Lyme, post-viral) can inflame the brain. And very low total cholesterol (often genetic) correlates with depression and higher suicide risk. Nutritional lithium, clarified. Lithium orotate (low-dose “nutritional lithium”) is different from high-dose lithium carbonate. At low milligram doses, it has been utilized for mood stability and even dementia risk reduction in emerging research. For thyroid health, it is important to monitor labs, personalize dosing, and distinguish carefully from prescription lithium, as dose and monitoring make the difference. Medications: a both/and approach. Antidepressants can be appropriate and lifesaving for some; others can successfully taper when foundations are optimized. The aim is personalization: start with biology (labs, nutrients, digestion), layer therapy and meds as needed, and keep revisiting root causes as you heal. Be sure to subscribe to the Thyroid Pharmacist Healing Conversations podcast so you don’t miss an episode! Sign up for the Thyroid Pharmacist Weekly Thyroid Solutions Newsletter here: https://thyroidpharmacist.com/gift/  For the full list of resources and products mentioned in this episode, and to get the full episode transcript, see complete show notes here: https://thyroidpharmacist.com/articles/podcast/ Learn more about your ad choices. Visit megaphone.fm/adchoices

In this solo episode of Thyroid Pharmacist Healing Conversations, Dr. Izabella Wentz explores the often-overlooked connection between thyroid dysfunction and mental health. Drawing from both clinical experience and her own personal journey with Hashimoto’s, Dr. Wentz explains how symptoms like anxiety, depression, panic attacks, OCD, and mood instability can be rooted in thyroid autoimmunity – even when standard thyroid labs appear “normal.” Listeners will learn why relying solely on TSH testing can miss critical clues, how thyroid antibodies can directly affect brain function, and why nutrient deficiencies, poor T4-to-T3 conversion, and blood sugar instability can all contribute to emotional distress. This episode offers a compassionate, root-cause-focused perspective for anyone who has felt dismissed or misdiagnosed on their healing journey. What you’ll learn in this episode: Why mental health symptoms are often misdiagnosed when thyroid labs look “normal.” Many doctors rely solely on TSH testing, which can remain in range for years even while autoimmune thyroid antibodies are actively attacking the thyroid and affecting brain chemistry, mood, and cognition. How Hashimoto’s antibodies can directly impact the brain. Elevated thyroid antibodies have been linked to anxiety, depression, OCD, panic attacks, and even more severe conditions like Hashimoto’s encephalopathy, where immune activity interferes with neurological function. The thyroid–mood rollercoaster many patients experience. Early-stage Hashimoto’s can cause alternating hyperthyroid and hypothyroid symptoms, leading to cycles of anxiety followed by depression, fatigue, and emotional instability that can feel confusing and frightening. Why T3 is critical for mental health – not just T4. Even when taking thyroid medication, poor conversion of T4 to active T3 can leave the brain under-fueled, contributing to persistent depression, brain fog, and lack of motivation. The overlooked nutrient deficiencies that can mimic or worsen mental health conditions. Low ferritin (iron storage), vitamin D deficiency, methylation issues (like MTHFR), selenium deficiency, and blood sugar instability can all profoundly affect mood and should be evaluated alongside thyroid health. Tune in to learn how supporting your thyroid can transform not only your physical health, but your emotional well-being, too. Be sure to subscribe to the Thyroid Pharmacist Healing Conversations podcast so you don’t miss an episode! Sign up for the Thyroid Pharmacist Weekly Thyroid Solutions Newsletter here: https://thyroidpharmacist.com/gift/  For the full list of resources and products mentioned in this episode, and to get the full episode transcript, see complete show notes here: https://thyroidpharmacist.com/articles/podcast/ Learn more about your ad choices. Visit megaphone.fm/adchoices

In this episode of Thyroid Pharmacist Healing Conversations, Dr. Izabella Wentz interviews Dr. Eric Balcavage, co-author of The Thyroid Debacle and host of the Thyroid Answers Podcast, about seeing thyroid disorders through the lens of adaptive physiology.  Dr. Balcavage explains how the cell danger response, mitochondrial stress, and chronic inflammation, can drive a deliberate downshift in thyroid function – even when TSH and T4 levels appear “normal.” Together, they explore the limitations of both conventional endocrinology and “greenwashed” functional medicine, dig into hot topics like T3 therapy, ferritin, vitamin D, and TSH ranges, and discuss why mindset, relationships, and emotional stress can be just as important as lab work in restoring true thyroid homeostasis. Listeners will walk away with a richer understanding of why they still feel unwell despite treatment, and a more hopeful roadmap for moving out of survival mode and into healing. What you’ll learn in this episode: Why your thyroid may not be “broken” – it may be adapting. Dr. Balcavage explains how the cell danger response and mitochondrial stress can trigger a protective downshift in thyroid hormone conversion, where the body is trying to protect itself from danger, such as an infection, toxins, or emotional trauma. This shift reframes thyroid disease from “self-attack” to an intelligent (but uncomfortable) survival strategy. Why you may be stuck in “thyroid purgatory.” Dr. Balcavage and Dr. Wentz discuss the pitfalls of conventional endocrinology (TSH-only, medication-for-life) and “green allopathy” (using different hormones or supplements solely to normalize labs). When we’re searching for the “perfect” T3, reverse T3, or TSH level, we often miss the real driver: cell stress and inflammation. Why more T3 isn’t always better, and when it may backfire. Dr. Balcavage breaks down the main reasons T4-to-T3 conversion goes down (inflammation, stress, excess T4, and genetics), and why simply adding more T3 can increase oxidative stress, suppress natural hormone production, and even blunt immune surveillance in some people. Instead, he encourages us to ask why T3 is low and address the underlying triggers first. The hidden role of mindset, relationships, and finances in thyroid recovery. Dr. Balcavage and Dr. Wentz explore how emotional turmoil like chronic fear, resentment, relationship stress, and money worries wind up the limbic system, keep the body in fight-or-flight, and shut down gut, reproductive, and thyroid physiology. Dr. Balcavage shares real-life stories of clients whose symptoms improved dramatically when they shifted how they viewed their circumstances – even before changing labs or supplements. How Dr. Balcavage’s “fitness factors” create a roadmap back to homeostasis. Dr. Balcavage evaluates 18 “fitness factors” – including sleep, breathing, emotional fitness, relationship health, habitual routines, and metabolic fitness – to identify the biggest stressors keeping the body in a stressed state. Addressing these systematically allows thyroid physiology to normalize, sometimes even allowing for dose reductions or gland recovery. Why TSH “optimal ranges,” ferritin goals, and vitamin D obsession can be misleading. Dr. Balcavage and Dr. Wentz discuss whether a TSH above 2 is always bad, if low ferritin always means iron deficiency, why 25-OH vitamin D isn’t the whole story, and whether Hashimoto’s can exist without antibodies.   Be sure to subscribe to the Thyroid Pharmacist Healing Conversations podcast so you don’t miss an episode! Sign up for the Thyroid Pharmacist Weekly Thyroid Solutions Newsletter here: https://thyroidpharmacist.com/gift/  For the full list of resources and products mentioned in this episode, and to get the full episode transcript, see complete show notes here: https://thyroidpharmacist.com/articles/podcast/ Learn more about your ad choices. Visit megaphone.fm/adchoices

In this episode of Thyroid Pharmacist Healing Conversations, Dr. Izabella Wentz interviews neuro-optometrist Dr. Bryce Appelbaum about one of the most overlooked drivers of chronic health issues: our vision. Not just how clearly we see, but how our brain interprets visual input. Dr. Appelbaum explains that vision problems often masquerade as ADHD, anxiety, dizziness, and reading struggles, and that retraining the brain through targeted vision therapy can dramatically reduce symptoms. They explore the effect of screen time on the visual system, the shocking number of children misdiagnosed with learning disorders, and how even adults can regain focus, clarity, and spatial orientation. You’ll also learn simple exercises to improve your visual health today, without glasses or surgery. What you’ll learn in this episode: Vision is about brain function, not just eyesight: Vision is a complex brain-driven process involving focus, depth perception, spatial awareness, emotional regulation, and how our eyes coordinate and track. You can have “perfect” 20/20 eyesight yet still experience major visual processing issues that affect learning, attention, movement, and confidence. Functional vision problems can mimic ADHD, anxiety, dyslexia, or clumsiness: Difficulty reading, letter reversals, poor handwriting, focusing challenges, motion sensitivity, or behavioral issues may actually reflect an eye–brain coordination problem. Many children – and adults – are misdiagnosed because standard eye exams only measure clarity, not function. Vision therapy can rewire the brain and resolve symptoms at any age: Vision therapy is like physical therapy for the brain through the eyes. Using targeted, evidence-based exercises, it can strengthen eye coordination, focus, tracking, depth perception, and neural pathways. This helps treat issues related to concussions, dizziness, vertigo, visual intolerance, anxiety in busy environments, driving fears, and more. Screens are reshaping our visual system – and not in a good way: The average adult now spends 7+ hours a day on screens, while many children spend 6+ hours. This strains the visual system, narrows peripheral awareness, reduces blinking, disrupts circadian rhythms, and alters how our brains process information. Dr. Appelbaum shares simple habits – including the 20-20-20 rule and blinking breaks – to prevent visual stress. Simple daily exercises can improve focus, flexibility, and visual comfort: Activities like “eye push-ups,” peripheral awareness training, and eye stretches help strengthen the eye–brain connection and reduce headaches, eye strain, and reading fatigue. These exercises are accessible at any age and can delay or reduce the need for reading glasses. Floaters, headaches, and visual overwhelm may be vision-related – and treatable: Symptoms such as dizziness, nausea, light sensitivity, panic while driving, difficulty with stairs, or overwhelm in grocery stores and crowded environments often have a visual processing root cause. Dr. Appelbaum explains how addressing these issues through functional vision care can restore clarity, comfort, and confidence. Be sure to subscribe to the Thyroid Pharmacist Healing Conversations podcast so you don’t miss an episode! Sign up for the Thyroid Pharmacist Weekly Thyroid Solutions Newsletter here: https://thyroidpharmacist.com/gift/  For the full list of resources and products mentioned in this episode, and to get the full episode transcript, see complete show notes here: https://thyroidpharmacist.com/articles/podcast/ Learn more about your ad choices. Visit megaphone.fm/adchoices

In this episode of the Thyroid Pharmacist Healing Conversations podcast, Dr. Izabella Wentz interviews researcher and Clarisen (formerly Science Mama’s HQ) co-founder Alexandra Karpova, whose personal health challenges – and her children’s struggles with mast cell activation, thyroid symptoms, chronic fatigue, and sensory issues – led her to discover the critical role of functional nutrient deficiencies in chronic illness. Alexandra shares her research on how impaired metabolic pathways, detoxification issues, childhood nutrient depletion, environmental triggers, and poor nutrient activation can create symptoms of thyroid dysfunction even when lab tests look normal. Together, they explore the surprising connections between riboflavin, sulfation pathways, histamine intolerance, autism spectrum symptoms, mitochondrial health, and thyroid metabolism. Alexandra also discusses the emerging science behind transdermal nutrient delivery, which may offer new solutions for children and adults who can’t tolerate or absorb oral supplements. What you’ll learn in this episode: Many thyroid symptoms come from deeper metabolic issues, not just the thyroid itself. Alexandra explains how impaired detoxification (like sulfation or glucuronidation), mitochondrial dysfunction, or functional nutrient deficiencies can mimic hypothyroidism – even when lab tests appear normal. These hidden blocks may lead to fatigue, temperature swings, mood changes, and sensory symptoms in both adults and children. Functional nutrient deficiencies often don’t appear on standard blood tests. Alexandra shares how nutrients such as B2, B6, iodine, selenium, and molybdenum may be present in the bloodstream but not utilized well by cells due to poor gut function, low stomach acid, inflammation, or impaired liver pathways. This helps explain why symptoms persist despite “normal labs.” Children with autism, sensory issues, or mast cell activation may have underlying metabolic disruptions. Alexandra’s story highlights how addressing nutrient imbalances, gut health, and thyroid hormone activation can support dramatic improvements in sleep, sensory processing, allergic reactions, and social and cognitive development. Topical (transdermal) nutrients may be game-changing for kids and adults with poor gut absorption. Alexandra describes how transdermal B2, iodine, and selenium bypass gut inflammation and low stomach acid, leading to faster improvements in energy, mood, and metabolic stability – especially for children who struggle with oral supplements. Histamine intolerance, anxiety, eczema, and food reactions often have biochemical root causes. B2-dependent enzymes (like DAO), infections (like H. pylori), mold, poor detox pathways, and nutrient deficiencies can drive histamine overload. Supporting these pathways can dramatically reduce symptoms like anxiety, sensory overload, and skin symptoms. There is hope – and simple, targeted strategies can improve complex chronic symptoms. Alexandra outlines small, consistent changes parents can make to reduce overwhelm, support metabolism, and gradually rebuild health in themselves and their children. Tune in to learn more about how nutrition, biochemistry, and metabolic support can transform thyroid health for both children and adults. Be sure to subscribe to the Thyroid Pharmacist Healing Conversations podcast so you don’t miss an episode! Sign up for the Thyroid Pharmacist Weekly Thyroid Solutions Newsletter here: https://thyroidpharmacist.com/gift/  For the full list of resources and products mentioned in this episode, and to get the full episode transcript, see complete show notes here: https://thyroidpharmacist.com/articles/podcast/ Learn more about your ad choices. Visit megaphone.fm/adchoices

In this episode of Thyroid Pharmacist Healing Conversations, Dr. Izabella Wentz interviews Dr. Trevor Cates – author, naturopathic doctor, and founder of The Spa Dr. skincare and supplement line – about the intimate links between hormones, skin, and hair. Together, they explore how perimenopause, thyroid dysfunction, and toxic skincare products affect women’s health inside and out. Listeners will gain insight into the role of bioidentical hormones, clean skincare, nutrient-rich foods, and targeted supplements in promoting healthy aging. Dr. Cates also shares her clinical experience with hair loss, the importance of addressing root causes, and how natural approaches can bring harmony back to the body. What you’ll learn in this episode: Perimenopause reveals hidden imbalances. Symptoms like insomnia, night sweats, palpitations, and anxiety can feel overwhelming, but they are signs of underlying root causes – like gut dysbiosis or nutritional deficiencies – that often resurface during this time of transition. Hormones and skin are deeply connected. Fluctuations in estrogen, progesterone, testosterone, and cortisol can cause acne, premature aging, and sagging skin. Instead of masking symptoms, Dr. Cates emphasizes root-cause healing through nutrition, stress reduction, and hormone balance. Skincare toxins can disrupt hormones. Many conventional products contain endocrine disruptors that are absorbed through the skin and contribute to estrogen dominance, thyroid dysfunction, and other imbalances. Choosing clean, pH-balanced, and microbiome-friendly products is key. Hair loss isn’t just about the thyroid. While hypothyroidism is a common cause, other root triggers include low ferritin, high DHT, stress, medications, and infections. Addressing these drivers while supporting hair externally can promote regrowth and resilience. Inside-out and outside-in approaches create lasting beauty. Anti-inflammatory foods, antioxidants, collagen, and gut health practices work synergistically with topical skincare and haircare products to maintain healthy, glowing skin and strong hair. Supplements and botanicals can ease perimenopause. Formulas with Vitex (chaste tree), black cohosh, dong quai, and saw palmetto can help with brain fog, mood changes, and hair loss related to shifting hormones. Be sure to subscribe to the Thyroid Pharmacist Healing Conversations podcast so you don’t miss an episode! Sign up for the Thyroid Pharmacist Weekly Thyroid Solutions Newsletter here: https://thyroidpharmacist.com/gift/  For the full list of resources and products mentioned in this episode, and to get the full episode transcript, see complete show notes here: https://thyroidpharmacist.com/articles/podcast/ Learn more about your ad choices. Visit megaphone.fm/adchoices

In this episode of Thyroid Pharmacist Healing Conversations, Dr. Izabella Wentz interviews Dr. Rajsree Nambudripad, founder of OC Integrative Medicine in Orange County, CA, who specializes in treating gut disorders through an integrative lens. Dr. Rajsree shares her personal journey with SIBO and how it inspired her to develop a comprehensive four-phase protocol addressing motility, digestion, inflammation, and microbial balance. Together, she and Dr. Wentz explore how SIBO impacts hypothyroidism, why many reflux cases stem from low stomach acid, and how to restore gut health without endless food restrictions or antibiotic cycles. What you’ll learn in this episode: Why so many thyroid patients have SIBO. Up to 50% of people with hypothyroidism test positive for small intestinal bacterial overgrowth. Slower gut motility, low stomach acid, and reduced bile and enzyme output make it easier for bacteria to overgrow in the small intestine – and this is why so many thyroid patients struggle with bloating, reflux, and food reactions. How SIBO mimics other gut issues. Bloating, food sensitivities, histamine intolerance, and acid reflux often stem from SIBO, but the underlying issue isn’t “too much acid” or “bad foods” – it’s misplaced bacteria in the small intestine damaging enzymes and inhibiting absorption. Dr. Rajsree’s four-step SIBO protocol. Discover the clear, phased protocol that supports motility, reduces gas and irritation, calms inflammation, and gently clears the overgrowth without overwhelming your system.  Why conventional SIBO treatments fall short. Antibiotics and low-FODMAP diets may help temporarily, but without fixing motility and healing the gut lining, symptoms almost always return. A comprehensive approach reduces relapse and supports long-term gut health. The thyroid-SIBO connection. Low T3 slows the migrating motor complex, the gut’s natural “cleaning wave.” Fine-tuning thyroid medication or even adding a small amount of T3 support can improve motility and make SIBO recovery easier and more effective. Why reflux is often caused by too little stomach acid, not too much: Many people with Hashimoto’s actually have low stomach acid levels. Acid-suppressing medications can worsen nutrient deficiencies and create the perfect conditions for SIBO. Supporting digestion with betaine HCl and enzymes often reduces bloating and reflux far more effectively than PPIs. Be sure to subscribe to the Thyroid Pharmacist Healing Conversations podcast so you don’t miss an episode! Sign up for the Thyroid Pharmacist Weekly Thyroid Solutions Newsletter here: https://thyroidpharmacist.com/gift/  For the full list of resources and products mentioned in this episode, and to get the full episode transcript, see complete show notes here: https://thyroidpharmacist.com/articles/podcast/ Learn more about your ad choices. Visit megaphone.fm/adchoices

In this episode of the Thyroid Pharmacist Healing Conversations podcast, Dr. Izabella Wentz interviews Alice McDonnell, founder of the Hashimoto’s 411 community, the largest autoimmune thyroid support group, and the first to focus on the autoimmune roots of Hashimoto’s. She is also the creator of the Autoimmune 411 community and Academy.  Drawing on two decades of advocacy, Alice shares why the healing sequence matters, how to cut through today’s noisy wellness feeds, and the foundations that help any protocol work better – without the setbacks. We explore iodine, LDN, and peptides, diet frameworks without dogma, and practical stories that save patients from learning the hard way. This is a grounded reset for anyone overwhelmed by conflicting advice about autoimmune conditions like Hashimoto’s. What you’ll learn in this episode: Why sequence is everything. Alice explains how jumping straight into detox (or any “advanced” protocol) without opening drainage pathways and stabilizing the nervous system can backfire – sometimes for months – while a stepwise approach creates steady progress and fewer flares. How to navigate the info-storm. Reels and algorithms don’t equate to your unique healing plan. Not all wellness hacks may be appropriate for you. Remember to use a simple lens, considering context, bio-individuality, and timing, to stop doomscrolling through internet noise, and get to your own root cause. The foundational four to make protocols “stick.” Nervous system regulation, limbic retraining, lymphatic flow, and fascia support are the base layers that help diets, supplements, and detox actually work (and get you feeling better). Iodine, LDN, and peptides pros, cons, and prerequisites. From selenium status and iodine timing, to why LDN helps some and not others, to BPC-157 observations – learn the nuances that turn “it depends” into a personal plan. Diet without dogma. The Autoimmune Paleo (AIP) Diet can be game-changing, but it isn’t the only path. Alice discusses Mediterranean, Whole30-style, low-histamine, and GAPS-inspired approaches, plus when to pause eliminations and evaluate deeper triggers like stress, infections, or mold. Real-world cautionary tales. We share stories on DIY colon cleanses, poorly timed chelation, and even “healthy” spirulina gone wrong, and how to protect yourself with education, labs, and sequence – so you don’t have to learn the hard way! Be sure to subscribe to the Thyroid Pharmacist Healing Conversations podcast so you don’t miss an episode! Sign up for the Thyroid Pharmacist Weekly Thyroid Solutions Newsletter here: https://thyroidpharmacist.com/gift/  For the full list of resources and products mentioned in this episode, and to get the full episode transcript, see complete show notes here: https://thyroidpharmacist.com/articles/podcast/ Learn more about your ad choices. Visit megaphone.fm/adchoices

In this episode of Thyroid Pharmacist Healing Conversations, Dr. Izabella Wentz interviews gallbladder and fatty liver nutritionist Olivia Haas about the connection between bile flow, liver health, and thyroid function. They cover early red flags (like pale, “sticky” stools and nausea after fats), when low-fat makes sense (and when it doesn’t), and practical ways to stimulate bile gently with bitters, minerals, and targeted supplements. They also discuss various testing methods and a step-by-step approach to optimal digestive health for those with and without gallbladders. What you’ll learn in this episode: Fat intolerance is a bile story – start with flow. Nausea after fatty meals, reflux, and pale, sticky, or floating stools point to sluggish bile. Instead of staying low-fat forever, Olivia explains how to gently improve bile composition and flow so you can digest fats again. Bitters are a simple first step. Radicchio, dandelion (tea or greens), lemon water, and diluted apple cider vinegar can quickly nudge bile flow and ease fat sensitivity, especially when used before meals. Olivia shares when to start bitters, how often, and how to scale up safely. The thyroid–gallbladder loop runs both ways. Low thyroid can thicken bile (cholesterol supersaturation) and weaken gallbladder contraction (low CCK), while poor bile flow can impair T4-to-T3 conversion and raise toxin burden – fueling a vicious cycle. Fatty liver is common, and reversible when you catch it early. Don’t wait for elevated liver enzymes. Patterns like high triglycerides, low HDL, insulin resistance, fatigue, 3 a.m. wake-ups, clay-colored stools, and PMS can flag trouble earlier and justify an ultrasound/FibroScan. Post-cholecystectomy? You still need a plan. Without the gallbladder’s “regulator,” bile can drip constantly and irritate the gut – or be too weak to digest fats. Olivia’s priorities: individualized digestive support (enzymes/bile salts/ACV), mineral repletion, fiber, and steady liver support. Myth-busting time. “Low-fat forever saves your gallbladder” (it doesn’t), “you can eat anything after surgery” (please don’t), and “it’s just genetics” (choices and exposures turn genes on) all miss the bigger picture of bile flow, metabolism, and toxins. Be sure to subscribe to the Thyroid Pharmacist Healing Conversations podcast so you don’t miss an episode! Sign up for the Thyroid Pharmacist Weekly Thyroid Solutions Newsletter here: https://thyroidpharmacist.com/gift/  For the full list of resources and products mentioned in this episode, and to get the full episode transcript, see complete show notes here: https://thyroidpharmacist.com/articles/podcast/ Learn more about your ad choices. Visit megaphone.fm/adchoices

In this episode of Thyroid Pharmacist Healing Conversations, Dr. Izabella Wentz interviews Dr. Ann Shippy, an integrative physician and former engineer who has become a leader in functional medicine and environmental health. Dr. Shippy discusses how toxins, genetics, and nutrient status can shape fertility, pregnancy outcomes, and even the long-term health of future generations. Listeners will discover practical, science-based strategies to reduce toxic exposures, restore the body’s natural detoxification systems, and prepare for healthy conception and pregnancy – even later in life. What you’ll learn in this episode: Why preconception health matters for every family. The six to twelve months before conception are a key window to influence fertility, pregnancy outcomes, and a child’s lifelong health. Dr. Ann Shippy explains how both parents’ nutrition, toxin exposure, and stress can shape DNA expression, and how small changes can support healthy conception. The overlooked role of toxins in chronic illness. Mold, heavy metals, plastics, and household chemicals can quietly affect hormones and immune balance. Dr. Shippy shares common environmental exposures she sees in her patients and how testing, detoxification, and lifestyle shifts can help restore balance. How genetics and epigenetics shape our resilience. Your DNA isn’t your destiny. Dr. Shippy explains how nutrients such as methylated B vitamins, folate, and choline can support methylation, helping “turn on” genes that promote health and silence those linked to disease. The critical link between gut health and detoxification. A healthy gut microbiome helps clear toxins, balance hormones, and support fertility. Dr. Shippy outlines ways to strengthen gut and liver detox pathways naturally with binders, glutathione, and key nutrients. How to create a toxin-free home and pregnancy plan. From air and water filtration to safer personal care and cleaning products, Dr. Shippy offers realistic ways to minimize toxic load and protect both parents and developing babies. Be sure to subscribe to the Thyroid Pharmacist Healing Conversations podcast so you don’t miss an episode! Sign up for the Thyroid Pharmacist Weekly Thyroid Solutions Newsletter here: https://thyroidpharmacist.com/gift/  For the full list of resources and products mentioned in this episode, and to get the full episode transcript, see complete show notes here: https://thyroidpharmacist.com/articles/podcast/ Learn more about your ad choices. Visit megaphone.fm/adchoices

In this episode of Thyroid Pharmacist Healing Conversations, Dr. Izabella Wentz interviews Josh Dech, a holistic nutritionist and digestive health expert who is challenging the conventional medicine narrative around Crohn’s disease and colitis. Gut symptoms are common for those with Hashimoto’s and thyroid disease, and they often have similar root causes, including inflammation, food sensitivities, microbiome imbalances, and toxins. Josh reveals why the mainstream approach often fails patients, and how natural strategies and “root cause” thinking can lead to remission and, in some cases, even recovery. What you’ll learn in this episode: Why the conventional view of Crohn’s and colitis may be flawed. Standard approaches often focus on suppressing symptoms with medications or recommending surgery when things progress, but they rarely ask why inflammation is happening in the first place. Josh explains how this limited model leaves many people dependent on treatments that don’t provide long-term solutions. The hidden drivers of gut inflammation. Crohn’s and colitis rarely happen “out of nowhere.” Josh explains how food sensitivities, microbiome imbalances, toxins, and immune dysregulation often interact to create chronic inflammation, and how identifying your personal triggers can open the door to remission. The role of nutrition in calming the gut. Instead of fearing food, Josh shows how the right diet can calm the immune system and repair the gut lining. When nutrition is used strategically – removing irritants and rebuilding with nutrient-dense foods – the body often heals more effectively than it does on medication alone. Real stories of reversal and recovery. Hundreds of Josh’s clients have defied expectations – moving from flare-ups and medication dependence to full, symptom-free lives. Their results show that Crohn’s and colitis aren’t life sentences, but conditions that can improve dramatically when you heal from the inside out. Be sure to subscribe to the Thyroid Pharmacist Healing Conversations podcast so you don’t miss an episode! Sign up for the Thyroid Pharmacist Weekly Thyroid Solutions Newsletter here: https://thyroidpharmacist.com/gift/  For the full list of resources and products mentioned in this episode, and to get the full episode transcript, see complete show notes here: https://thyroidpharmacist.com/articles/podcast/ Learn more about your ad choices. Visit megaphone.fm/adchoices

In this episode of Thyroid Pharmacist Healing Conversations, Dr. Izabella Wentz speaks with integrative cardiologist Dr. Jack Wolfson about how heart health goes far beyond lab numbers. They discuss why thyroid issues and nutrient deficiencies can trigger palpitations, why cholesterol isn’t the villain it’s made out to be, and how lifestyle factors like sleep, sunlight, nutrition, and reducing toxins, can naturally support cardiovascular wellness. What you’ll learn in this episode: Why palpitations may be a message from your body: Heart flutters often reflect deeper imbalances like thyroid dysfunction, iron or magnesium deficiency, or toxin exposure. Dr. Wolfson explains how addressing the root cause can calm the heart and restore balance naturally. Why cholesterol is not the villain we’ve been told. Cholesterol is essential for hormone production, cell membranes, and vitamin D synthesis. Elevated cholesterol is often a sign of other imbalances such as thyroid dysfunction, liver congestion, or nutrient deficiencies, not a statin deficiency. When “conventional” treatments miss the mark: Statins and blood pressure drugs may improve numbers but overlook root causes such as adrenal stress, nutrient depletion, and toxin overload. Dr. Wolfson shares how true healing begins with rebalancing the body. The heart-healing power of lifestyle medicine: Sunlight, sleep, nutrient-rich food, movement, and emotional healing are powerful heart supports. Even daily sun exposure can boost vitamin D, nitric oxide, and melatonin for better blood pressure and sleep. The overlooked connection between your mouth, gut, and heart: Periodontal disease, leaky gut, and microbiome imbalance can fuel inflammation that affects both thyroid and heart function. Discover how holistic dental care and gut healing can protect your cardiovascular system. Supplements and natural supports that work. Nutrients like beet root, L-arginine, grape seed extract, CoQ10, carnitine, and omega-3s can improve circulation, support mitochondria, and optimize heart and thyroid function. Be sure to subscribe to the Thyroid Pharmacist Healing Conversations podcast so you don’t miss an episode! Sign up for the Thyroid Pharmacist Weekly Thyroid Solutions Newsletter here: https://thyroidpharmacist.com/gift/  For the full list of resources and products mentioned in this episode, and to get the full episode transcript, see complete show notes here: https://thyroidpharmacist.com/articles/podcast/ Learn more about your ad choices. Visit megaphone.fm/adchoices

In this solo episode, Dr. Izabella Wentz shares the turning point that shifted her Hashimoto’s recovery: discovering that “acid reflux” can stem from low stomach acid (hypochlorhydria) rather than excess stomach acid, as many believe. She explains how hypochlorhydria drives fatigue, brain fog, pain, nutrient deficiencies, SIBO/H. pylori risk, and why supporting digestion can restore energy and clarity fast. She outlines a practical betaine HCl + pepsin titration, who should avoid it, and simple daily upgrades (like mindful meals, lemon water or diluted ACV, bitters, and thiamine). Real-world response rates and safety notes are included. What you’ll learn in this episode: Why “acid reflux” can actually mean low stomach acid. In hypothyroidism, stomach acid often runs low, which impairs protein breakdown, fuels overgrowths, increases ammonia (hello brain fog), and leaves you tired after meals. Understanding this flips the usual reflux narrative and opens a path to real relief. How low acid drives fatigue, pain, and mood changes. Poor protein digestion means fewer amino acids for neurotransmitters and repair; when you add in nutrient gaps (B12, iron/ferritin) and inflammatory byproducts, you’ve got a perfect storm for low energy, aches, and low mood. A step-by-step guide to finding your ideal betaine HCl + pepsin dose at meals. Dr. Wentz shares how to determine how many capsules would be most suitable for you, and how to use it safely for best results. When to pause or avoid HCl. It’s not for everyone: if you have active or past peptic ulcers, confirmed H. pylori, current acid overproduction, ingredient sensitivities, or chronic NSAID/steroid use, if you use ongoing PPIs (or you’re weaning), or if you are pregnant/breastfeeding, talk to your clinician first. Simple daily upgrades to raise digestive fire. Eating in a calm state, chewing well, trying diluted lemon water or apple cider vinegar with meals, considering digestive bitters, and assessing thiamine can be surprising helpers for stomach acid and thyroid fatigue. Real-world outcomes and what to expect. In Dr. Wentz’s experience, ~60% of people feel better on HCl, ~33% don’t tolerate it, and ~7% feel no change. Wins often include more energy, less pain/bloating, better mood, smoother bowels, and easier weight balance when digestion finally “clicks.” Be sure to subscribe to the Thyroid Pharmacist Healing Conversations podcast so you don’t miss an episode! Sign up for the Thyroid Pharmacist Weekly Thyroid Solutions Newsletter here: https://thyroidpharmacist.com/gift/  For the full list of resources and products mentioned in this episode, and to get the full episode transcript, see complete show notes here: https://thyroidpharmacist.com/articles/podcast/ Learn more about your ad choices. Visit megaphone.fm/adchoices

In this episode of Thyroid Pharmacist Healing Conversations, Dr. Izabella Wentz interviews gut health expert Steven Wright, founder of Healthy Gut. Steven shares his 15-year healing journey and explains why restrictive elimination diets often fail to resolve the root causes of digestive distress. Together, they explore how low stomach acid, SIBO, histamine overload, and stress contribute to food sensitivities – and how to build a more resilient gut that allows for food freedom. What you’ll learn in this episode: Why endless food elimination often backfires. While cutting out certain foods can help in the short term, staying overly restrictive can harm the microbiome, create nutrient deficiencies, and worsen food reactions over time. Healing requires more than just “the perfect diet.” The overlooked role of stomach acid in gut health. Low stomach acid is common in people with Hashimoto’s and can drive SIBO, reflux, nutrient deficiencies, and ongoing inflammation. Steven explains how simple HCl support can restore digestion, energy, and overall resilience. How histamine intolerance fuels food sensitivities. Symptoms like headaches, rashes, diarrhea, anxiety, or migraines can stem from histamine overload. Steven and Dr. Wentz discuss how mast cells, DAO enzymes, and butyrate help calm inflammation and support histamine tolerance. Why probiotics and prebiotics aren’t enough on their own. A healthy gut requires proper digestion, enzymes, and microbial balance. Butyrate and brush border enzymes may be the missing link in rebuilding tolerance to plants and fibers. Stress, the nervous system, and digestion. Even a perfect diet and supplements won’t work if you’re stuck in “fight-or-flight” mode. Discover practical ways to support your parasympathetic nervous system and adrenals, so your body can be in a state of healing. Be sure to subscribe to the Thyroid Pharmacist Healing Conversations podcast so you don’t miss an episode! Sign up for the Thyroid Pharmacist Weekly Thyroid Solutions Newsletter here: https://thyroidpharmacist.com/gift/  For the full list of resources and products mentioned in this episode, and to get the full episode transcript, see complete show notes here: https://thyroidpharmacist.com/articles/podcast/ Learn more about your ad choices. Visit megaphone.fm/adchoices

In this episode of Thyroid Pharmacist Healing Conversations, Dr. Izabella Wentz interviews certified holistic nutrition counselor Debbie Steinbock about the elemental diet – a powerful but often overlooked tool for healing thyroid-related gut imbalances and SIBO, IBS, and IBD. Debbie shares her personal healing journey from Crohn’s disease, her clinical experience guiding clients with complex autoimmune conditions, and why the elemental diet can succeed where other protocols fall short. Together, they explore how elemental diets feed the body while starving bacterial overgrowth, the pros and cons of different formulas, and how to avoid common mistakes that cause setbacks. Debbie also introduces her Elemental Diet Success Plan, a step-by-step roadmap to help people use this therapy with clarity and confidence. What you’ll learn in this episode: The connection between gut and thyroid health. Many people with hypothyroidism may also have SIBO (up to 50%), and motility issues tied to thyroid disease can fuel bacterial overgrowth. The elemental diet offers a way to reset both digestion and immune reactivity. The elemental diet explained. Debbie breaks down what’s actually in an elemental shake, why it’s considered “pre-digested,” and how it feeds the body while giving the gut time to rest and heal. Why SIBO and IBS are so stubborn. Many protocols fail because they either don’t fully eradicate bacterial overgrowth or they overwhelm a sensitive gut. Debbie explains why the elemental diet can be more effective, with research showing that the majority of people who try it find success in a matter of weeks. Partial vs. full elemental diets. Not everyone needs to do a 100% liquid diet. Debbie describes how partial approaches – paired with “soft, warm, and mushy” foods – can calm flare-ups and support long-term remission for conditions like IBD. Practical tips and side effects to expect. From energy swings and hunger to oral discomfort, Debbie shares what to watch for, how to prepare, and the strategies she teaches in her Elemental Diet Success Plan to minimize setbacks. Why personalization matters. Not all formulas are created equal, and not all patients need the same approach. Debbie shares how to choose between amino-based and semi-elemental shakes, and when each might be best. Be sure to subscribe to the Thyroid Pharmacist Healing Conversations podcast so you don’t miss an episode! Sign up for the Thyroid Pharmacist Weekly Thyroid Solutions Newsletter here: https://thyroidpharmacist.com/gift/  For the full list of resources and products mentioned in this episode, and to get the full episode transcript, see complete show notes here: https://thyroidpharmacist.com/articles/podcast/ Learn more about your ad choices. Visit megaphone.fm/adchoices