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The following discussion is for educational purposes only and is not intended to diagnose or treat

any disease. Please do not apply any of this information

without first speaking with your doctor. Now, let's head to the show. Hi, everyone. Welcome back to

Dr. Roush Radio. This is Dr. Rucho. Let's jump into a case study overview I'd like to walk you through

that illustrates this interplay that when we work with a

new patient, we're trying to balance, which is really asking the question, where is someone's

symptoms coming from? And we'll go through a case here where someone had been suggested

that the symptoms were coming from their thyroid thyroid and they were diagnosed hypothyroid.

However, if you look at the symptoms with a discerning eye, you see that these symptoms don't look very much like thyroid symptoms, which I'll help to clarify that a little bit here in a moment and look more like their gut

derived symptoms. And so we'll walk through, okay, you're someone with a number of symptoms.

How can you tell where they're coming from? And what is the thought process for? I was diagnosed

with hypothyroid prior. I'm on medication.

I'm still not feeling great. What do I do? How does a clinician like myself think through this?

How do we discuss this with the patient? And how do we organize our actions so that we can figure out what is causing symptoms

with minimal confusion? I think this is one of the things that patients struggle with the

most is feeling like there's not a good process that's being worked through and there's not a high degree of understanding and clarity

in terms of what's causing their symptoms or how are we figuring out what's causing symptoms.

So in this case, we have a roughly 60-year-old female Beth with the symptoms of anxiety, some gas, bloating, and fatigue. Now, if we just honed it on these,

especially with the fatigue, one might say, oh, it sounds like thyroid, but as you look a little bit further, there's also some hives,

...