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.


Pick the Right Probiotic Supplement

According to the Food and Agriculture Organization of the World Health Organization, probiotics are live microorganisms (such as bacteria and yeast) that can be administered to provide health benefits. Some disorders (especially intestinal diseases) are strongly linked with an imbalance in the types of bacteria living in the gastrointestinal tract, and many patients have been able to alleviate their gastrointestinal symptoms by adding probiotics to their supplement routine. Most probiotics are available to consumers as dietary supplements just like thyroid supplements. Although this enables patients to easily purchase them, it is important to remember that supplements are not held to the same testing and approval requirements as drugs. Consumers must … Continue reading

Fertility benefits of berberine in women with polycystic ovary syndrome undergoing IVF treatment

Polycystic Ovary Syndrome (PCOS) is a relatively common hormonal disorder among women of reproductive age. The disease is characterized by hormonal imbalance, and by symptoms such as irregular menstruation, obesity, acne, insulin resistance, and reduced fertility. In vitro fertilization (IVF), in which an egg is fertilized by a sperm outside the body and then implanted into the uterus, is sometimes used to help PCOS patients conceive, and insulin resistance represents a considerable risk factor for IVF outcomes. The drug metformin, an antidiabetic medication used to increase insulin sensitivity in diabetic and prediabetic patients, can be prescribed beginning several months prior to the IVF process in order to decrease the adverse … Continue reading

Treating Graves’ Disease During Pregnancy

Graves’ disease is an autoimmune thyroid disorder, and can cause many hyperthyroid symptoms such as increased heart rate, muscle weakness, and irritability. Treatment of Graves’ disease can be categorized as medical (through the use of antithyroid drugs) or nonmedical (through the use of radioactive iodine treatment or through surgical removal of the thyroid gland). In the case of medical treatment, patients receive one of the 2 available antithyroid drugs, methimazole (MMI) and propylthiouracil (PTU). The treatments are administered in an effort to return thyroid function to normal levels, and can be discontinued if Graves’ disease goes into remission.   Although antithyroid drugs can have dramatic beneficial effects, certain facts need … Continue reading

Do Antidepressants Cause Bone Loss?

Approximately ten percent of Americans take antidepressant medications for issues such as depression and anxiety. One study estimates that over twenty percent of American women between 40 and 59 years of age were treated with selective serotonin reuptake inhibitors (SSRIs) over the three-year period from 2005 to 2008. SSRIs are the most prescribed antidepressants in America. These medications work by interacting with brain receptors, thus altering the levels of serotonin, a signaling chemical in the brain.   Some controversy exists regarding SSRIs and their potential negative effects on bone density, as some researchers have indicated that serotonin may play a role in bone metabolism. This possibility, combined with the high … Continue reading

All About Brown Fat

Fat tissue is found in 2 forms, white fat and brown fat. White fat is a form of fat storage, as you become overweight, you will accumulate more white fat. “Brown adipose tissue” (BAT) is a type of fat tissue found primarily in hibernating animals and newborn infants and in smaller amounts in adults. Compared with white adipose tissue, BAT has a greater capacity for energy metabolism. It has the ability to generate heat to regulate body temperature during exposure to low temperatures. It was once believed that BAT was entirely absent in adult humans; however, researchers have recently discovered that adults retain some deposits in the upper chest and … Continue reading

Dietary Supplements for Prevention and For Reduction of Healthcare Spending

The beneficial effects of dietary supplements for prevention of disease has been extensively documented in scientific research, but the available information has not addressed the effect of taking supplements on healthcare costs until recently.   With 75 percent of healthcare dollars in the United States currently devoted to the treatment of chronic conditions more doctors and patients are paying attention to preventive care. One report estimated approximately 78 billion dollars are spent annually on inpatient procedures and emergency room visits related to coronary heart disease. Researchers evaluated the effects of dietary supplementation on the incidence of such events in high-risk populations, and suggested that at least 2.5 billion dollars could … Continue reading

Does Incorporating Whole Grain in Your Diet Make You Healthier?

Many healthcare professionals strongly recommend whole grains as a healthy addition to a balanced diet. This is explained by the fact that a number of studies have shown a correlation between increased intake of whole grains and reduced weight gain. However scientific research remains inconsistent regarding the specific effects on whole grains upon losing weight and reduction in body fat.   Surprisingly, a review of previous whole grain studies did not find a significant link between whole grain consumption and weight loss – although eating whole grains does seem to be related to lower body fat percentages. These seemingly contradicting findings; however, illustrate the need for increased research on the … Continue reading

How to Make Your Yoga Practice as Safe as Possible

Although yoga was originally considered to be a lifestyle approach with the ultimate goal of attaining spiritual peace, it has been adopted in the Western world as a means of developing and maintaining a state of overall health. It is part of the mind-body program for thyroid wellness designed by Dr. Arem (thyroid doctor). Yoga is generally regarded as beneficial and harmless, but recent reports of yoga-related injuries have contributed to a growing concern among practitioners. In a recent study, researchers identified trends of injuries associated with yoga and suggest certain safety measures that should be considered when practicing yoga.   Unsurprisingly, injuries were more commonly associated with yoga poses than … Continue reading

Lack of Sleep Can Make You Overweight by Affecting Your Eating Behavior

As obesity becomes more prevalent in American society, scientists have begun to investigate the ways in which our daily lives might contribute to this epidemic. It is not established that a general decrease in sleep duration could play a role in the growth of weight-related health problems. One study noted a link between reduced time in bed and a so-called “positive energy balance” (generally defined as taking in more energy than is expended). A positive energy balance can be caused by increased eating, which can potentially occur as a result of changes in levels of appetite-regulating hormones such as leptin and ghrelin. Similar changes in energy balance can also be … Continue reading

Meditation as a Treatment Option of Depression

Major Depressive Disorder (characterized by symptoms such as sadness, a decrease in the ability to enjoy pleasurable activities, and changes in sleep and appetite) affects approximately 21% of the population worldwide. Current research has indicated a likely genetic component to depression, although prolonged stress contributes to the occurrence of depression. Chronic stress activates the immune system and causes inflammation in the body that can initiate a chain reaction that can increase the likelihood of developing depression. Healthcare providers often treat depression with antidepressants.   However, many physicians are becoming more open to alternative medicine for a wide variety of chronic disorders, including depression. Meditation, a conscious state of physical and … 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...