Vancouver Thyroid Centre
Have you been told that you don’t have a thyroid disorder? Has general testing from your MD or other physician been evaluated as normal, yet you continue to feel like there has been a mis-diagnosis?
Vitalia Healthcare Naturopath is proud to host the Vancouver Thyroid Centre with Dr. Jennifer Luis. Using evidence-based medicine including both natural and pharmaceutical treatment options, our Naturopathic Physicians test, diagnose and treat thyroid disorders. Dr. Luis has helped many people resume healthy lives with thyroid disease. Please click HERE for Dr. Luis’ Biography and personal experience with Hashimoto’s Thyroiditis and HERE for testimonials.
A ground-breaking 2012 publication in the Journal of Restorative Medicine brought light to the differences between tissue-level (cellular) hypothyroidism and brain hypothyroidism. Standard blood testing of TSH (thyroid stimulating hormone) is based on brain levels of thyroid hormone. These levels generally stay stable except in extreme cases of hypo- or hyperthyroidism and are not a reflection of the metabolic rate of the rest of the body. In order to look at cellular levels of thyroid hormone, further testing with calculations of hormone ratios and a detailed history of medical symptoms are evaluated. Hypothyroidism is a complex condition and usually involves auto-immunity and inflammation with up-regulation of the immune system.
Our comprehensive thyroid testing starts with a simple blood draw to analyze 7 different markers including free hormone levels, reverse T3, and antibodies. Depending on if the individual has already been diagnosed with Hashimoto’s (auto-immune thyroiditis) and their current symptoms, further tests may be recommended such as:
- Iron and ferritin levels
- Vitamin D *
- Digestive health - food sensitivities, SIBO, microbiology stool testing
- Red Blood Cell mineral levels **
- Inflammatory markers such as CRP and homocysteine
- Methylation and other genetic testing
- Omega 6:3 ratio and lipid profile
- hypothalamus function - prolactin, FSH/LH
- Adrenal and cortisol function, potentially adrenal antibody levels
- Sex hormones such as estrogen, progesterone, testosterone, DHEA
- Heavy metal toxicity
- Multiple other tests are available upon request or as required for a more comprehensive assessment
* Vitamin D is a steroid hormone and influences over 2000 genes in the body. Most people are not reaching optimal levels even with supplementation and should be tested to determine the correct level of dosing. Low Vitamin D levels correlate to many disorders including auto-immune disease.
** RBC Mineral Profile - Nutrient deficiency is common as a result of dietary factors and digestive disorders that inhibit the absorption of minerals from food into the body. Magnesium is estimated to be deficient in more than half the population with normal thyroid function and a much greater proportion in those with abnormal function. In some cases, although selenium is required to convert thyroid hormone, elevated levels of selenium can mimic the symptoms of hypothyroidism. Testing the levels of minerals can be done by a blood draw and examining mineral levels contained within red blood cells which act to transport nutrients through the body.
Also known as auto-immune thyroiditis, Hashimoto’s is the cause of an estimated 50% of hypothyroid cases. But what is it and does it matter when it comes to treatment options? The answer is YES.
Auto-immune thyroiditis is a condition in which the body’s immune system is attacking the thyroid. This results in destruction of thyroid tissue and function over time. If left untreated, the thyroid will become inactive and lifelong thyroid medication may be required. Upon diagnosis, Hashimoto’s patients should have a thyroid ultra sound to determine the extent of scar tissue and potential nodules present due to the antibody attack to the tissue.
Hashimoto’s should be looked at as both a thyroid disorder and an auto-immune disease. Often in conventional medicine, patients are given thyroid replacement therapy only. This is where Naturopathic medicine and functional medicine differs. In order to treat effectively, all causes of inflammation in the body must be identified and addressed. This often starts with digestive health since the foods that we eat and the health of the intestines are the first place where inflammation can enter the rest of the body. The digestive disorder SIBO (small intestine bacterial overgrowth) is extremely common to people with hypothyroid and Hashimoto’s.
When determining if the cause of ones hypothyroidism has an auto-immune component, a blood test is performed. Levels of antibodies against the thyroid are detected in elevated amounts. Testing can be used in part to monitor the impact of inflammation on the auto-immune aspect of Hashimoto’s.
Treatment Strategies in Patients with Thyroid Disorders
Depending on the state of thyroid dysfunction along with patient and doctor preferences, there are a wide variety of treatment options. If a patient requires extra thyroid hormone support, medications such as desiccated thyroid, combinations of levothyroxine (T4) and liothyroxine (T3) and/or herbal and mineral combinations are used. Medications can often be compounded to use forms without dyes and other additives and to provide individual doses not conventionally dispensed in regular pharmacies. Blood thyroid levels are monitored carefully when changes of medication or dose are made until a stable state is achieved.
A newer approach to auto-immune and inflammatory disorders is showing to be beneficial with Hashimoto’s thyroiditis. Low dose naltrexone, or LDN therapy helps to stabilize and improve the immune system by up-regulating endorphins and promoting anti-inflammatory pathways. LDN for inflammatory conditions is an off-label use of the drug naltrexone and is currently being used to improve conditions such as Hashimoto’s, IBS, fibromyalgia, multiple sclerosis, cancer, psoriasis, rheumatoid arthritis and more. For more information, the LDN Research Trust has details on their website.
As there are often many components to hypothyroidism, a patient can expect to look at the body as a whole and not just the thyroid. This includes examining digestion, other hormonal dysfunction such as high or low cortisol, estrogen or progesterone deficiencies or imbalance, blood sugar levels and insulin resistance and concomitant auto-immune disorders.
Low Dose Naltrexone (LDN) Therapy
In the last 10-15 years, the use of the pharmaceutical drug naltrexone in low doses (LDN) has gained attention and popularity. Naltrexone is an opioid receptor antagonist and has been used for many years to help reverse the effects of a drug overdose. When administered at about 10% of the dose, it has an immune-modulating effect in part by releasing endorphins and reducing pro-inflammatory pathways. This means when used to treat Hashimoto’s and other auto-immune or inflammatory conditions, LDN can reverse and work to remove the cause of symptoms and disease. By balancing the immune response to a more homeostatic state, patients feel better.
A documented study of Hashimoto’s patients showed that after 13 months of LDN treatment, 65% of the individuals had a statistically significant decrease in auto-immune antibodies against the thyroid. It is important to note that LDN is a medically supervised treatment that requires regular monitoring in order to insure safety. At Vitalia Healthcare, we are pleased to provide LDN therapy for those that meet the criteria. For more information on LDN, please visit the LDN Research Trust Organization
Dr. Jennifer Luis completed her undergraduate degrees in Cell Biology/Genetics and in Secondary Education at the University of British Columbia. After teaching at an alternative secondary school in Vancouver for a number of years, she returned to school as a student herself and graduated as a Naturopathic Physician from the Boucher Institute of Naturopathic Medicine in British Columbia. She has continued learning with additional advanced training in thyroid and hormonal therapy, SIBO and digestive health, LDN therapy, paediatrics, acupuncture and more.
Hashimoto’s thyroiditis, hypothyroidism and the complications associated with these conditions such as adrenal dysfunction, digestive disturbances, hormone imbalances and weight gain make up the majority of Dr. Luis’ practice. As a patient with thyroid dysfunction herself, Dr. Luis recognizes the challenges of navigating treatment through conventional medicine and is passionate about helping others feel better with both alternative and traditional therapies.
Dr. Luis uses a variety of methods to improve health such as supplementation, acupuncture, Bowen therapy, IV therapy and chelation. A strong emphasis on the use of laboratory testing helps her focus treatment specific to the individual health needs of her patients. Diet and nutrition guidelines are a part of each treatment plan and any deficiencies are addressed. Having 3 children herself, Dr. Luis has a good understanding of the challenges of incorporating healthy life choices into a busy lifestyle.
Dr. Luis is licensed by and in good standing with the College of Naturopathic Physicians of BC and is a member of both the BC Naturopathic Association and the Canadian Association of Naturopathic Doctors. Dr. Luis also holds a license to prescribe pharmaceutical agents in BC.
What Our Patients Say
Dr Luis is an amazing Naturopath. She uncovered my Hashimotos when no-one else had....she was so thorough, that the tests she ran, revealed other issues with my gut. By putting me on a well considered plan, she helped me reduce the toxic load on my gut, helped me regain energy and ultimately a 25 pound weight loss. I cannot speak highly enough of her.5.0 , review by Sheila C.
I can't say enough positive things about Dr.Jennifer Luis and how she has helped me manage my Hashimotos diagnosis. Approximately 10 years ago, I was diagnosed with low-thyroid by my family doctor and put on a high dose of synthroid. Despite this course of treatment, I still suffered from severe joint pain, chronic hives, edema, brain fog, lethargy, weight management, digestive and hormonal issues. Dr. Luis was incredibly insightful, empathetic, truly listened and was able to see the big picture of how my symptoms were inter-related, and reccomend a holistic approach in terms of nutrition, supplementation and fine-tuning of medications, with dramatic positive results- I finally feel like I have my life back after suffering for many years. I highly reccomend Dr.Luis to anyone experiencing thyroid/auto-immune disorders.5.0 , review by Michelle L.
Dr. Jennifer Luis was very knowledgable about the subject, she was able to pinpoint my thyroid problem and provided treatment option with hormon support and medication.5.0 , review by Richard T.
After ten years of hypothyroid treatment, I was facing worsening symptoms despite a strict diet and exercise plan. Dr. Luis' knowledgeable and thoughtful approach diagnosed Hashimotos and my related autoimmune and allergy issues. I've been able to make changes that have improved my wellbeing and health, and I feel better than I have in years. Thank you Dr. Luis5.0 , review by G. K.