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Thyroid Answers Podcast

Dr Eric Balcavage
Thyroid Answers Podcast
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  • Episode 16: Bile, Bugs, and Barriers - The Thyroid Connection You’ve Never Heard
    Your thyroid doesn’t work in isolation. It relies on your liver, your bile, and even your gut bacteria to keep hormone conversion running smoothly. In this episode of Thyroid Shorts, Dr. Eric Balcavage explains how thyroid hormone T3 regulates bile acid production, shapes your microbiome, and keeps your gut lining strong in a state of homeostasis. But what happens when stress, inflammation, or the Cell Danger Response lower circulating T3? The liver shifts bile chemistry, gut bugs change, and your barrier can loosen. This isn’t necessarily dysfunction — it’s your body’s intelligent defense mode. Short-term, it helps fight microbes and fuel the immune system. Long-term, it can leave you stuck with fatigue, bloating, constipation, brain fog, and “normal” labs that don’t match how you feel. You’ll also learn why giving T3 medication in this state can be both helpful and harmful — and why timing, context, and removing the underlying threats matter more than simply “optimizing” your labs. Key topics: How T3 regulates bile acid balance, gut microbes, and barrier function. Why low T3 shifts bile acids toward defense mode (↑CA, ↓CDCA). The adaptive purpose of sluggish bile and reduced conversion. The pros and cons of T3 replacement during inflammation. Clinical guardrails for restoring thyroid health without chasing numbers.   www.drericbalcavage.com
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  • Episode 208: Nitric Oxide - The Molecule That Could Transform Your Thyroid Health
    Episode 208: Nitric Oxide - The Missing Link in Thyroid & Chronic Disease with Dr. Nathan Bryan In this episode, Dr. Eric Balcavage is joined by nitric oxide researcher and author Dr. Nathan Bryan, whose new book The Secret of Nitric Oxide explores why this tiny signaling molecule may be the key to preventing and reversing chronic illness. Together, they dive deep into: What nitric oxide is and why it’s foundational for human health. How nitric oxide is made in the body—through both enzymatic and dietary pathways. The connection between nitric oxide, inflammation, oxidative stress, and the Cell Danger Response (CDR). How nitric oxide influences thyroid hormone production, conversion (T4 → T3), and the rise of reverse T3. Why loss of nitric oxide is one of the earliest triggers in chronic disease, including Hashimoto’s, cardiovascular disease, Alzheimer’s, and more. Common disruptors of nitric oxide production—nutrient deficiencies, environmental toxins, poor lifestyle habits, and even fluoride exposure. Practical steps to restore nitric oxide production naturally for better thyroid, metabolic, and overall health. This is a powerful conversation that reframes nitric oxide not as just a cardiovascular molecule, but as a master regulator of cellular health, energy production, and thyroid physiology. 👉 If you’ve struggled with thyroid issues, chronic fatigue, or unexplained symptoms, this episode will help you see why restoring nitric oxide may be a critical missing piece in your recovery journey. Dr. Bryan earned his undergraduate Bachelor of Science degree in Biochemistry from the University of Texas at Austin and his doctoral degree from Louisiana State University School of Medicine in Shreveport where he was the recipient of the Dean’s Award for Excellence in Research. He pursued his post-doctoral training as a Kirschstein Fellow at Boston University School of Medicine in the Whitaker Cardiovascular Institute. After a two-year post-doctoral fellowship, in 2006 Dr. Bryan was recruited to join faculty at the University of Texas Health Science Center at Houston by Ferid Murad, M.D., Ph.D., 1998 Nobel Laureate in Medicine or Physiology. Dr. Bryan has been involved in nitric oxide research for the past 25 years and has made many seminal discoveries in the field. Dr. Bryan is a successful entrepreneur and Founder, Chairman and CEO of Bryan Therapeutics, Inc., a privately-held, clinical-stage biotechnology company that is actively engaged in the discovery and development of nitric oxide-based therapies. BTI has active drug development programs in heart disease, Alzheimers’ Disease and topical drugs for diabetic ulcer and non-healing wounds. Dr. Bryan’s consumer line of products are some of the most successful nitric oxide products on the market. Dr. Bryan is an international leader in molecular medicine and nitric oxide biochemistry. Dr. Bryan's website: www.n1o1.com
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  • Thyroid Shorts Episode 15: Myth - Low fT3 Means You Just Need More T3
    Episode 15 – Myth: Low fT3 Means You Just Need More T3 Many people struggling with chronic hypothyroid symptoms are told the answer is simple: “Your free T3 is low, so you just need more T3 medication.” But is that really the solution? In this episode of Thyroid Shorts, Dr. Eric Balcavage explains why low T3 is often an adaptive response to stress, not a sign that your body is broken. He explores how gut health, diet, inflammation, and immune activity drive thyroid conversion, and why simply adding T3 may provide temporary relief but can worsen long-term issues. Key insights include: Why the majority of T3 is produced outside the thyroid gland How dysbiosis, leaky gut, and inflammation reduce conversion The risks of overmedicating with T3 (immune suppression, anxiety, palpitations, and more thyroiditis) Practical strategies to restore healthy T4-to-T3 conversion through gut and lifestyle support If you’ve been chasing “optimal labs” with more medication but still feel unwell, this episode will give you a new perspective, and tools you can start using right away.
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  • Episode 14: The Role Your Mitochondria Play in Thyroid Recovery
    In this Thyroid Answers Shorts episode, Dr. Eric Balcavage explores the critical role your mitochondria—the true powerhouses of your cells—play in thyroid health and recovery. Too often, thyroid care focuses solely on optimizing lab values like TSH, Free T4, or Free T3. But true recovery isn’t about chasing numbers. It’s about understanding what happens inside your cells. Dr. Balcavage explains how cellular stress impacts mitochondrial function, how this stress disrupts thyroid hormone conversion, and why patients can still feel hypothyroid even when their labs look “normal.” In this episode, you’ll learn: Why mitochondria are the missing link in thyroid recovery. How cellular stress shifts thyroid physiology away from homeostasis. Why simply adding more T4 or T3 may provide temporary relief but rarely leads to lasting recovery. Practical ways to support mitochondrial health and improve thyroid function. Whether you’re on thyroid medication, exploring functional medicine, or still searching for answers, this episode will help you understand why addressing mitochondrial health is essential for lasting thyroid recovery. 👉 Subscribe to the Thyroid Answers Podcast for more insights, and share this episode with someone who needs a new perspective on thyroid health. www.drericbalcavage.com IG: drericbalcavage Youtube: @askdreric
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  • Episode 207: Emotions and Trauma as Drivers of Thyroid Dysfunction
    Are you stuck in "thyroid purgatory" - optimized labs but persistent symptoms? The missing piece might be emotional.   In this powerful conversation, Dr. Eric sits down with Licensed Professional Counselor and Board-Certified Art Therapist Kate King to explore the hidden emotional roots of thyroid dysfunction that conventional medicine completely ignores.   What You'll Discover: How ancestral trauma and intergenerational patterns literally encode themselves in your cellular metabolism Why your thyroid might be your body's intelligent way of protecting you from feeling too much The difference between managing stress and actually reprogramming your stress response patterns How the Cell Danger Response keeps your thyroid stuck in protection mode Practical steps to shift from emotional survival patterns to thyroid recovery Why accountability and inner work are as crucial as diet and supplements for healing And more... Kate King’s experience is sourced from her 17+ year background as a Licensed Professional Counselor, Board-Certified Art Therapist, and award-winning author. As the founder and owner of The Radiant Life Project, Kate’s mission is to help individuals heal their inner wounds so that they can positively contribute to the evolving collective. She teaches how to ignite your inner spark with psychology-based personal growth and relationship books, inspirational public speaking, creative consulting, and individual and group coaching. Kate’s work is where psychology meets spirit, where creativity meets clarity, and where burnout meets renewal. Kate's impactful resources, tools, and practices provide an accessible entry point into a life of greater authenticity, fulfillment, and illumination. #ThyroidHealth #EmotionalHealing #AncestralTrauma #StressManagement #FunctionalMedicine #ThyroidRecovery #MindBodyConnection #Epigenetics #ThyroidPurgatory #CellDangerResponse   Connect with Kat: https://theradiantlifeproject.com   Connect with Dr. Eric: 🌐 www.drericbalcavage.com  📱 Follow @dr.ericbalcavage on Instagram
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Thyroid Answers podcast is focused on providing answers to the most common question people who have a thyroid problems and thyroid symptoms need and want answers to. The podcast is hosted by Dr Eric Balcavage and Dr Erica Riggleman. Both are doctors of functional medicine, chiropractors and certified nutrition specialists. Their practices focus on helping people with thyroid conditions improve their symptoms and regain their health using functional medicine.
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