A segment from the Wellness Force podcast (host Josh Trent) criticizing medical dogma, especially the tendency to overdiagnose hypothyroidism. The speaker recounts an anecdote with a concierge clinic that pushed multiple medications and characterized the body as "broken," arguing this approach causes harm. They advocate for clinicians to use positive framing and leverage placebo effects to support healing. The speaker also notes that TSH can drift above 4.5 without additional symptoms and without benefit from medication, challenging a rigid treatment threshold.
Chapters
There is this rampant and egregious over and incorrect diagnosis of hypothyroidism. It doesn't mean that hypothyroidism does not exist. There is this drift to incorrectly diagnosing people, albeit probably because we're trying to help them, but it ends up doing way more harm than it does good. I was working with a concierge clinic. The woman was very serious with me on our consult call, and she said, we need to put you on all kinds of medications and all kinds of supplements, and, you know, we need to really get you in the space of understanding that your body is broken. I remember she actually said that when people aren't feeling well, there's already a predilection to be a little bit anxious about, I'm not feeling well. And your mind tends to go to the worst case possible scenario. Right. I've been there. It's really the wrong way to handle these conversations. As clinicians, we should be trying to leverage the placebo in a positive way, like, hey, you can heal and you can recover, and it's not that bad, and these things can be repaired. The myth, the mistaken inference, is functional. Medicine says, oh, if that's the ideal level based upon medication, everyone should be at that level. There's a fairly robust amount of data showing that STSH drifts even above that 4.5. There's no additional symptoms, and there's no benefit from medication. Sam.