Ruscio Michael, Guard Gavin, Mather Joe
Ruscio Institute is based in Austin, Texas.
Integr Med (Encinitas). 2022 Jul;21(3):22-29.
The integrative and functional medicine field has drifted towards a thyroid-centric approach of care (fine-tune thyroid medication, support thyroid hormone conversion, and improve thyroid levels). However, many patients still do not improve symptomatically. Here, we show how a gut-focused clinical care model can improve thyroid function, reduce thyroid medication dose, and improve symptoms originally thought to be from thyroid dysfunction. We present a literature review on the gutthyroid axis and then document clinical application of this evidence through six case reports of how patients improved thyroid function and thyroid-related symptoms by improving their gastrointestinal health. Clinicians will likely experience better patient outcomes by integrating the contents of this paper into their practice.
整合医学和功能医学领域已倾向于以甲状腺为中心的治疗方法（微调甲状腺药物、支持甲状腺激素转化并改善甲状腺水平）。然而，许多患者的症状仍未改善。在此，我们展示了一种以肠道为重点的临床护理模式如何改善甲状腺功能、降低甲状腺药物剂量，并改善原本认为由甲状腺功能障碍引起的症状。我们对肠-甲状腺轴进行了文献综述，然后通过六个病例报告记录了这一证据的临床应用，这些病例报告展示了患者如何通过改善胃肠道健康来改善甲状腺功能和甲状腺相关症状。临床医生若将本文内容融入其临床实践，可能会获得更好的患者治疗效果。
