A Functional Approach
to Thyroid Health
National Association of Nutrition Professionals
April 2014
Andrea Nakayama
CNE, CNC, CHHC, pending MSHNFM
Founder, Replenish PDX and
Holistic Nutrition Lab
www.replenishpdx.com
www.holisticnutritionlab.com
97%
of hypothyroid concerns
are actually Hashimoto’s or
Autoimmune Thyroiditis
Thyroid issues….
Not just about the thyroid.
Not just about the diet.
What are they?
leafy
greens?
gluten?
iodine?
grains?
synthetic
hormones
?
alcohol?
extra T3?
natural
hormones?
seeds?
Hashimoto’s symptoms A to Z
Anxiety
colds or flus
Low vitamin D levels
Sluggishness
Bloating
Gluten sensitivity
Muscle aches
Body aches
GERD (gastroesophageal reflux
disease)
Nutrient deficiency,
despite good diet
Skin problems
(dryness, eczema)
Heavy feeling
throughout body
Osteopenia or
Osteoporosis
Pale skin
Unease
Depression
Hormonal dysregulation
(adrenal fatigue, PMS,
PCOS)
Palpitations
Vitiligo
Difficulty losing weight
Irritability
Water retention
Diffuse hair loss
Insulin resistance
Poor concentration,
memory or motivation
Dry skin and hair
Joint pain and stiffness
Wake feeling tired
Eczema
Kidney stones, infection
or disease
Quality of life
compromised due to
symptoms
Run down
Yellowish skin or nails
Shortness of breath
Zero energy
Chronic candida
Cold all the time
and/or cold extremities
Constipation or
sluggish bowels
Fatigue
Fibromyalgia
Frequent infections,
Low ferritin, low iron
(anemia)
Neck discomfort or pain
Throat discomfort,
swelling or frequent
sore throats
Thinning eyebrows
Weakness
Xeric (dry, deficient in
moisture)
top 10 symptoms
my symptoms
my symptoms
thyroid issues
viral load
hyper
hypo
hormones
toxins
nutrients
inflammation
autoimmunity
neurotransmitters
www.replenishpdx.com/nanp
You can’t practice functionally without
fully understanding the physiology.
This silhouette can be altered,
cropped, enlarged, and colored
for some of our map imagery
T4 molecule
iodine = purple
replenish thyroid lab wish list
• TSH
• Free T4
• Free T3
• Reverse T3
• Thyroid antibodies TPO and TgAb
• Methylmalonic acid
• Ferritin
• 25-hydroxy vitamin D
I want my Free T3!
I want my Free T3!
I want my Free T3!
I want my Free T3!
I want my Free T3!
eight foundational aspects to health
• gastrointestinal health
• immune and inflammatory response
• environmental inputs (external and internal)
• levels of oxidative stress and cellular energy
• health of your detoxification systems and
organs
• function of your hormones and neurohormones
• musculoskeletal and structural integrity
• spirit, soul, love, connections, sense of
purpose
Client case study: Heather
• Age: 45
• Occupation: busy advertising designer
• Health concerns: “none, really, just strive for overall
wellness”
• Medical history: depression; on anti-depressants
• Sleep: sometimes compromised when work is extra
stressful
• Digestive: constipated, eliminates 2-3 times per
week; often bloated by the end of the day
• Hormonal: regular cramps each cycle
• Energy (on scale 1–10): 6
• Percentage of home cooked meals per week: 10%
www.replenishpdx.com/nanp
Holistic Nutrition Lab
• Offers classes for health practitioners in
functional nutrition
• Covers the 6 main body systems
• Over 950 students in first two years
• Over 600 students have taken the Digestive
Intensive alone
• Please see us at our booth to talk about
enrollment
Replenish PDX
• Offers one-on-one counseling and group classes
• Approximately 300 on-going counseling clients
each year
• Over 20 programs each year
• Over 4,000 students have taken programs to
date
• Over 10,000 people receive newsletters weekly
I teach holistic health professionals the science and
art
of functional and personal lifestyle nutrition
so that they can transform their clients and patients
lives
without buying into a one-size fits all approach
that bypasses the importance of bio-individuality.
Andrea Nakayama
andrea@replenishpdx.com
www.replenishpdx.com
www.holisticnutritionlab.com