Hypothyroidism is a condition in which the thyroid gland does not produce adequate amounts of thyroid hormones (T4 and T3) resulting in a multitude of symptoms. The most common cause of hypothyroidism is the result of an autoimmune (the immune system inappropriately attacks its own tissues) condition called Hashimoto’s thyroiditis. In this condition, the immune system attacks the thyroid gland causing inflammation of thyroid tissue. As a result, the thyroid gland becomes “sluggish” and the production of T4 and T3 is impaired. Other causes of hypothyroidism include: radioiodine ablation, surgical removal of the thyroid, head and neck radiation, and certain medications.

The thyroid gland is regulated by the release of thyroid-stimulating hormone (TSH) from the pituitary gland. The healthy thyroid responds to TSH by producing more T4 and T3, but in hypothyroidism, the thyroid gland is unable to keep up with the demands. In response to the sluggish thyroid, the pituitary releases more and more TSH in attempt to “wake up” the thyroid that is not functioning properly. Hypothyroidism is diagnosed when the TSH level in the blood is elevated while the T4 and T3 levels are low. However, diagnosing hypothyroidism is sometimes not a straightforward matter. Many people begin to experience the symptoms of hypothyroidism even when their blood tests are still considered “normal.” On the other hand, some people are clearly hypothyroid based on blood tests, but they do not have significant symptoms.


An Interesting Link Between Alcohol, Gluten Sensitivity, and Neurological Problems

Ataxia is defined generally as a lack of physical coordination, and it can be caused by a wide range of medical conditions as well as by chronic alcohol abuse. Patients experiencing ataxia typically have difficulty walking and performing fine motor skills, and can eventually develop speech and vision problems as well. These symptoms often cause the patient to appear drunk, which is unsurprising considering long-term alcohol abuse can cause ataxia and other neurological problems. In recent years, healthcare providers have identified another potential contributing factor to this medical condition. As researchers learn more about gluten sensitivity, it is becoming apparent that this dietary inclusion can have effects beyond those previously … Continue reading

Is Routine Iodine Supplement Safe During Pregnancy?

Iodine is necessary for thyroid hormone production, which explains why severe iodine deficiency during pregnancy can lead to irreversible brain damage in the developing fetus. Studies documenting the serious effects of iodine deficiency have had a worldwide impact, and have led to the development of salt iodization programs in many countries. As a result of these programs, severe iodine deficiency has become rare, though mild to moderate iodine deficiency has persisted in many regions of the world. It has been the general tendency of healthcare providers to recommend routine iodine supplementation during pregnancy, in order to prevent developmental abnormalities in the infant, related to iodine deficiency. However, there is not … Continue reading

Does T4/T3 Combination Treatment Benefit Everyone?

Hypothyroidism, an abnormal decrease in thyroid function, causes a broad range of symptoms and is an increasingly common disorder in the United States. The thyroid gland is primarily responsible for producing the Triiodothyronine (T3) and Thyroxine (T4) hormones, which control metabolism and the rate of function of many systems in the body. The thyroid gland primarily produces T4 hormone, which is converted to T3 (the more active form) in the body. Because of this conversion, it is possible to restore normal T3 levels in many hypothyroid patients through synthetic T4 medication alone. Despite this, perhaps 20 percent of hypothyroid patients receiving T4 supplementation treatment continue to experience persistent nonspecific symptoms … Continue reading

Should We Rename Polycystic Ovary Syndrome?

PCOS is not an ovarian cystic disorder it is actually a complex hormonal/metabolic disorder. Polycystic Ovary Syndrome (PCOS) is a complex disorder that affects many women of reproductive age. PCOS was originally regarded as a reproductive disorder, due to the most obvious symptoms of menstrual irregularities and infertility. A more thorough examination of the disorder reveals that PCOS is more accurately described as a hormonal disorder affecting multiple body systems. Still loosely defined, PCOS is associated with insulin resistance, thyroid dysfunction, metabolic problems, and psychological symptoms. In these patients, hormonal imbalances disrupt proper function of the ovaries, often resulting in the formation of multiple partially-developed egg cells. The structures surrounding … Continue reading

The Wonderful Effects of Blueberries

More than ever, Americans are turning to supplemental and alternative medicine to help improve their health and well-being. Our culture is beginning to recognize the value of initiating lifestyle changes in the areas of nutrition, exercise, and stress-reduction as preventive measures against many serious chronic medical conditions such as cardiovascular disease. In recent years, blueberries have emerged as a so-called “superfood” with reported benefits in weight loss, immune system support, digestive regulation, eye health, and even bone development, brain function, cancer prevention, blood sugar regulation, and urinary tract health. It is speculated that a class of molecules known as polyphenols may be responsible for the previously noted benefits of blueberries … Continue reading

Celiac Disease – Spreading Worldwide

Celiac disease, an autoimmune disorder of the GI tract, is commonly associated with digestive symptoms such as chronic diarrhea and abdominal pain. Caused by an immune response to a gluten protein found in wheat, barley, and rye, celiac disease was once believed to be an affliction primarily affecting individuals of Western European descent. Despite this, the diagnosis rate of this disorder has continued to increase globally, perhaps in part because of the increase in availability of Western food items containing gluten. Currently, the global incidence of celiac disease is estimated at approximately 1%, with experts suggesting there may be 5-8 million cases in India alone. Researchers continue to develop a … Continue reading

Hashimoto’s thyroiditis might increase your risk of thyroid cancer

Thyroiditis can be described as an inflammation of the thyroid gland, and chronic cases are often caused by autoimmune disorders such as Hashimoto’s thyroiditis. In the past few decades, the incidence of Hashimoto’s thyroiditis and thyroid cancer have both increased, with some studies indicating that the two conditions often coexist. In addition, it appears that inflammation may increase tumor size and likelihood of recurrence in cases of thyroid cancer.  Although thyroid inflammation is closely associated with thyroid cancer, researchers continue to debate whether or not thyroiditis actually causes thyroid cancer.   A recent study investigated health information from a sample of nearly 10,000 patients in an effort to identify patterns … Continue reading

Benefits of Omega 3 Fatty Acids in Sleep Apnea

The recently released book, The Protein Boost Diet details the importance of paying attention to the amount of sleep and quality of sleep you get to avoid the trend of weight gain and weight loss resistance. One of the sleep disturbances often overlooked that can lead to slow metabolism and serious effects of health is sleep apnea. Obstructive Sleep Apnea (OSA) is a disorder in which the throat muscles relax during sleep, causing the airway to be blocked. Present in 15 to 20 million Americans, OSA is associated with a broad range of risk factors, including high blood pressure, older age, and obesity. OSA is a potentially serious problem in … Continue reading


The Premier Houston Thyroid Specialist to appear on 21st Century Television January 12, 2014 on Bloomberg   Boca Raton, FL (January 10, 2014) — MMP (USA) is pleased to announce that Dr. Ridha Arem and the Texas Thyroid Institute/Arem Wellness has been selected to appear on 21st Century Television, an award winning international television series. The Texas Thyroid Institute, directed by Ridha Arem, M.D., is an endocrinology practice specializing in thyroid disease, hormonal disorders and weight loss at the Texas Medical Center in Houston, TX. This story will focus on Dr. Arem’s expertise in diagnosing and treating thyroid disorders, as well as on his effective diet and supplements for both … Continue reading

The Top Reasons to Get Your Thyroid Checked

The human thyroid gland is essential for maintaining a proper metabolism. If something goes wrong, there could be severe complications along the way. Because a number of thyroid imbalance symptoms can often look like other problems, many of them go unnoticed before it’s too late. Even if you don’t have a family history of thyroid problems, you’ll want to make sure that you keep an eye out for several symptoms for thyroid disease. Changes in Your Weight – If you’re experiencing any new food cravings for no reason, or cannot seem to stop gaining or losing weight, it may be one of the several symptoms of thyroid disease to watch … Continue reading

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Dr. Arem featured in The People's Pharmacy with Joe and Terry Graedon

Proud Supporter of

Dr. Arem, I do thank God, and I thank you and your staff for the wonderful balance I know it takes to run such a dynamic, yet down to earth and compassionate institute as The Thyroid Institute. My appreciation runs heartfelt and I thank you for the endless work and dedication you provide for the sake of...loving and helping others.
–Dinah Kelley, Houston TX

Dr. Arem is truly a great physician. He cares about his patients and focuses on the root causes of his patient's problems. From his line of ThyroLife vitamins, to his superb knowledge of the thyroid and its mental effects, Dr. Arem has not only helped me with thyroid imbalance, but has improved the overall quality of my life.
–Sonya R., Houston TX

After reading Dr. Arem's book, The Thyroid Solution, I decided that my health was important enough to travel to Houston, and the trip was well worth it. Dr. Arem is a thyroid specialist, he is a true expert in his field. I am thankful to have found such excellent medical care. My thyroid function is in balance again and I feel great! I strongly urge anyone with a thyroid condition to read his book, and make an appointment!
–Elizabeth H., Petoskey MI

I wanted to thank you [Dr. Arem] for having diagnosed me with Celiac disease almost 10 years ago. For years I had been going to other doctors, and none of them had any clue as to what my symptoms were. You were the only one who was able to correctly diagnose me.My family and I are very grateful to you. My health has definitely improved over the years as a result of staying away from gluten. My mother and sister have also been on a gluten free diet almost as long as I have. I have also helped other people who are newly diagnosed with celiac disease on what products to buy and where to get them.I just wanted you to be aware of how many people you have helped by diagnosing me.
–Michael P

I've tried many times going on fads and diets and never succeeded. I ran across an article in a magazine about the thyroid solution diet. After reading reviews I decided to purchase the book and give it a try. The book is very informative for those who like to know the "Whys". The biggest gain I've seen regardless of my weight was the drop in my hypothyroid level. I got all the way up to taking 125mcg of Levothyroxine. Since March, i've gotten it dropped all the way to 88mcg.

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January 7, 2013

  Exciting news! Tomorrow, my book The Thyroid Solution Diet will hit the shelves of Amazon, Barnes and Nobles, and other bookstores. This book is a must have for anyone looking to lose weight as well as for people looking for a healthy body and elevated mood. The Thyroid Solution Diet is a science based diet focused on making your metabolism function well. This book will help people lose weight and regain control of their health and their lives!       Simple diet and exercise are often not effective. Weight gain doesn’t just affect your body outside; science is now showing that weight gain perpetuates a multi-hormonal disorder that … Continue reading

August 24, 2012

Unlike many medical conditions which are better understood, thyroid dysfunction still has numerous treatment philosophies around the medical community.  As a result, not every thyroid doctor or endocrinologist will be a good fit for your preferred treatment strategy.  A critical aspect of the doctor-patient relationship, which many patients forget, is that you hire them to treat you.  You always have the option to seek second opinions and discuss treatment strategies with other doctors.   This is particularly important to remember if you are interested in discussing a more holistic, natural, or mind – body approach which your original endocrinologist may not support.  Deciding to switch doctors can be a difficult … Continue reading

July 12, 2012

Discovering you have a thyroid disorder can instantly feel like a life-changing moment.  While coping with a thyroid disease is something that can be a life-long process, there are a number of things you can do in order to make everything a little easier.  One of the biggest advantages you can have is information.  Specifically, you need to understand the information related to your thyroid and how it affects your body.  While there are a lot of common features and symptoms among thyroid patients, there are also some unique characteristics which can dramatically impact your quality of life.   Blood Test Results   Most doctors will not give you the … Continue reading

July 11, 2012

While many health professionals believe that thyroid disease does not pose treatment problems, patients often know addressing symptoms and concerns and going through the process of being regulated with the right treatment can be overwhelming and frustrating.  Fortunately, if you identify the critical elements of dealing with a thyroid imbalance, it becomes much easier to live a full and healthy life with minimal side effects.  If you have just discovered that you are suffering from a thyroid imbalance or have been coping with a thyroid disease unsuccessfully then these 5 tips are for you.   1.  Learn More about Your Disease   Unlike straightforward medical problems, such as a broken … Continue reading

July 5, 2012

It has been well documented that thyroid patients can have problems losing weight and even maintaining their weight.  In fact, weight gain is one of the most commonly reported problems associated with a thyroid imbalance.  Fortunately, by understanding some of the fundamental truths of weight management and combining that with the unique situation a thyroid imbalance creates, losing weight doesn’t have to be as difficult as it seems.  Here are five simple weight loss tips geared specifically towards thyroid patients.   1.  Keep a Food Diary   This is a weight loss tip that is shared by professionals regardless of your medical conditions.  The best part is that it is … Continue reading

June 21, 2012

Often respecting and assessing a thyroid imbalance is not straightforward.  This is primarily because many of the symptoms can just as easily be related to something else.  As a result, many doctors do not suspect thyroid disease as the root of the symptoms and have problems assessing borderline thyroid imbalances which can cause major problems later on.  There is a number of signs you can look for.  While having any single sign is not necessarily cause for concern, once you start ___ more than one ___ it might be beneficial to start taking proactive steps to support your thyroid function through supplements, diet, and exercise.   1.  Fatigue   If there … Continue reading

January 21, 2013

You need your sleep! Lack of sleep does not only affect the brain, but it can also alter the endocrine system which regulates various fat-burning chemical signals (hormones) in the body. Hormones regulate appetite, food cravings, metabolism, and your ability to burn fat. Hormone levels fluctuate throughout the day and night. Keeping hormones well balanced is key for effective weight loss and optimal health. When you are not getting enough sleep, there is an increased secretion of the hunger hormone ghrelin and decreased secretion of the metabolism-booster leptin. When this occurs, metabolism slows down, hunger level surges, and food cravings intensify. Research published in Cell Biochemistry and Function demonstrates that … Continue reading

August 8, 2012

It is no surprise patients with a solitary neck mass ask their physicians to evaluate it.    One of the most common factors considered that may indicate that the tumor is cancerous is the age of the patient.  If the patient is younger than 40 years old, it is most likely benign.  Once the patient surpasses 40 years of age, the likelihood of identifying a lesion associated with malignancy is greater than 60 percent. For neck masses, the surgeon often performs an excision biopsy.  However, for thyroid lesions a fine needle aspiration biopsy (FNAB) is considered to be a better alternative than the traditional excisional biopsy.  Most people are not familiar … Continue reading

December 31, 2012

  Happy New Year’s Eve everyone! This special holiday is celebrated all around the world, with common themes of fireworks, family and alcohol. An estimated 130.6 million people consume alcohol in the U.S.  and the World Health Organization estimates that over 2 billion people across the world drink. It’s easy to give up carbs for a healthy salad, however it’s not so easy to give up the favorite social that includes drinking with friends. So what do you need to know about the thyroid and alcohol? What about weight loss efforts and alcohol?   Thyroid and Alcohol A thyroid condition doesn’t have to impact every corner of your lifestyle. This holiday season, … Continue reading

September 23, 2013

Polycystic ovary syndrome (PCOS) is a common hormonal disorder affecting as many as 21% of women depending on the population. The condition is much more commonly diagnosed in the adolescent years. Women who are overweight are much more likely to suffer from PCOS. Insulin resistance is common in PCOS and worsens the metabolic risk profile of patients. Insulin resistance in PCOS also contributes to reduced ovulation and fertility. Due to the association between obesity and insulin resistance, it is important for overweight people suffering from PCOS to control weight issues and lose weight by sticking to a healthy weight loss conducive diet, exercise, and behavioral changes.   Reducing intake of … Continue reading


There is clear evidence that thyroid imbalance can cause cognitive impairment in people suffering with hypothyroidism (low thyroid function) and hyperthyroidism (overactive thyroid). Cognitive impairment refers to symptoms such as poor memory, difficulty concentrating...