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BackTable / ENT / Podcast / Episode #173
Hypothyroidism Unmasked: The ENT’s Diagnostic Journey
with Dr. Dana Gibbs
In this episode of the BackTable ENT Podcast, thyroid expert Dr. Dana Gibbs speaks with host Dr. Ashley Agan about Hashimoto’s Thyroiditis and hypothyroidism. Despite the high prevalence of Hashimoto’s Thyroiditis (1-2%), the condition is often misunderstood. Otolaryngologists and internists alike will benefit from Dr. Gibbs’ insight into Hashimoto’s presentation, diagnosis, and treatment.
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BackTable, LLC (Producer). (2024, May 28). Ep. 173 – Hypothyroidism Unmasked: The ENT’s Diagnostic Journey [Audio podcast]. Retrieved from https://www.backtable.com
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Podcast Contributors
Dr. Dana Gibbs
Dr. Dana Gibbs is an otolaryngologist specializing in thyroid, hormone, and metabolism conditions in Arlington, Texas.
Dr. Ashley Agan
Dr. Ashley Agan is a practicing ENT and assistant professor at UT Southwestern Medical Center in Dallas, TX.
Synopsis
First, Dr. Gibbs explains how she shifted her clinical focus from comprehensive otolaryngology to thyroid disease. Recounting her decades-long, personal experience with hypothyroidism, she describes how nonspecific symptoms of fatigue, hair loss, and weight gain can lead clinicians astray. Then, she reviews the pathophysiology and diagnosis of Hashimoto’s Thyroiditis. Using labs and questionnaires, she interrogates the patient’s overall endocrine health, which she addresses using a combination of levothyroxine (T4), liothyronine (T3), and select supplements. She demonstrates how lessons learned treating Hashimoto’s extend to hypothyroidism management more broadly. Finally, the use of integrative medicine strategies to treat thyroid disorders is discussed.
Timestamps
00:00 - Introduction
02:33 - Dr. Gibbs’ Personal Experience with Hypothyroidism
11:32 - Understanding Hashimoto’s Thyroiditis
18:26 - Hashimoto’s: A Challenging Diagnosis
33:17 - The Role of Stress in Thyroid Disease
35:04 - Thyroid Medications
51:21 - The Role of Surgery in Managing Hypothyroidism
55:01 - An Integrative Medicine Perspective on Hypothyroidism
59:27 - Final Thoughts on Hashimoto’s & Hypothyroidism
Resources
Dr. Gibbs’ Consultants in Metabolism Profile:
https://www.danagibbsmd.com/
Dr. Gibbs’ Instagram:
https://www.instagram.com/danagibbsmd/
Disclaimer: The Materials available on BackTable.com are for informational and educational purposes only and are not a substitute for the professional judgment of a healthcare professional in diagnosing and treating patients. The opinions expressed by participants of the BackTable Podcast belong solely to the participants, and do not necessarily reflect the views of BackTable.
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