My Thyroid Blog


In NYC, affordable and effective hypothyroidism therapy cost ranges between $350 and $1155. Dr. Hugh Melnick – founder of Advanced Fertility Services – offers treatment for subclinical hypothyroidism in conjunction with fertility treatment. Dr. Melnick pays close attention to the diagnosis and treatment of hypothyroidism – a common condition among women suffering from infertility.



February 28, 2020 Hypothyroidism Exercise0

You can fight off your hypothyroidism symptoms by exercising regularly. Don’t live with the symptomatic cycle of fatigue, achy joints, muscle weakness, low energy, and weight gain. You need to move and boost your metabolism because regular exercise plays a key role in your hypothyroidism treatment plan.

Regular Exercise and Hypothyroidism

Start slowly with a with a low-impact regimen of stretching and weight training. Then, increase your activity level as tolerated. Gradually increasing your body’s tolerance will ensure that you don’t push yourself to exhaustion and give up.

Five to seven days a week regimen:

  • Stretching
  • Weight-bearing exercises
  • Yoga
  • Swimming
  • Walking
  • Exercise bike
  • Elliptical machine
  • Try a balance ball to help improve your balance

Regular exercise will enable you to lower your dosage of hypothyroidism medication. The more you exercise, the less you will feel fatigued and depressed. Because you will build muscle mass, weakness will dissipate.

Hypothyroidism Therapy Expertise

Take care of your hypothyroidism and overall health through regular exercise. It is important to work with a fertility specialist who has the research and clinical experience to design a therapeutic treatment plan meeting your personal needs. Dr. Hugh Melnick pays close attention to the diagnosis and treatment of hypothyroidism – a common condition among women suffering from infertility.

Read the Doctor’s contribution to the American Journal of Obstetrics & Gynecology about subclinical hypothyroidism and its effect on a woman’s fertility.

Your initial consultation to find out if you are a candidate for Subclinical Hypothyroidism Therapy can be conducted with the Doctor via telephone, Skype or FaceTime.

Schedule your initial consultation with Dr. Hugh Melnick at Advanced Fertility Services by calling 212.369.8700.


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February 25, 2020 Untreated Hypothyroidism0

Treatment for hypothyroidism involves taking replacement thyroid hormone medication. The right dose of medication may take some trial and error to determine, but symptoms are reversed once it is. You should not discontinue your hypothyroidism medication despite any side effects experienced. Untreated hypothyroidism symptoms will become more severe and eventually lead to complications – causing widespread harm.

Hypothyroidism Medical Complications

Infertility – Many women suffering from hypothyroidism face fertility challenges. Hypothyroidism causes a woman’s menstrual periods to become irregular and unpredictable. Autoimmune problems result from irregular periods and cause fertility problems.

Cognitive Problems – Hypothyroidism commonly causes mental and emotional difficulties, including being in a cloud and difficulty focusing on tasks. Hypothyroidism – left untreated – can lead to depression. Treatment with thyroid hormone medication can relieve depression symptoms.

Goiter – An enlarged thyroid gland that happens when it is trying extra hard to generate thyroid hormone. A large goiter interferes with swallowing and breathing. It can cause you to be self-conscious about your appearance.

Heart Disease – Hypothyroidism makes your body retain fluid and can lead to hypertension (high blood pressure) and congestive heart failure. This is when your heart can’t pump an adequate blood supply to your heart. Hypothyroidism also increases heart disease risk by raising cholesterol and triglyceride levels (lipids). This leads to a fatty build up in the arteries.

Peripheral Neuropathy – Untreated hypothyroidism may damage your peripheral nerves carrying information from your brain and spinal cord to the body. Fluid retention puts pressure on peripheral nerves.

  • Pain
  • Numbness
  • Tingling in arms/legs
  • Muscle weakness
  • Loss of muscle control

Hypothyroidism Therapy Expertise

Don’t let your hypothyroidism go undetected and untreated. It is important to work with a fertility specialist who has the research and clinical experience to design a therapeutic treatment plan meeting your personal needs. Dr. Hugh Melnick pays close attention to the diagnosis and treatment of hypothyroidism – a common condition among women suffering from infertility.

Read the Doctor’s contribution to the American Journal of Obstetrics & Gynecology about subclinical hypothyroidism and its effect on a woman’s fertility.

Your initial consultation to find out if you are a candidate for Subclinical Hypothyroidism Therapy can be conducted with the Doctor via telephone, Skype or FaceTime.

Schedule your initial consultation with Dr. Hugh Melnick at Advanced Fertility Services by calling 212.369.8700.


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February 21, 2020 Hypothyroidism Foods0

What you eat can affect your body’s ability to use your thyroid hormone effectively. You must know which foods to avoid when managing hypothyroidism. Fatty meat and cruciferous vegetables can interfere with your thyroid hormone production. Some foods interfere with your hypothyroidism medication and prevent your body’s ability to absorb the replacement hormones you are prescribed as part of your thyroid treatment.

Avoid These Cruciferous Vegetables

  • Cauliflower
  • Cabbage
  • Kale
  • Garden Cress
  • Bok Choy
  • Broccoli
  • Brussel Sprouts

Foods to Avoid

  • Soy
  • Edamame
  • Tofu
  • Miso
  • Gluten – bread, pasta, rice
  • Butter
  • Processed Foods – Dry Packages and Frozen
  • Excess Fiber Foods – Beans and Legumes
  • Excess Coffey (after your morning cup)
  • Artificial sweeteners – Stevia
  • Excessive alcohol
  • Excess Coffee (after your morning cup)
  • Low-fat dairy
  • Soda
  • Tumeric
  • Trans Fats
  • High-mercury fish – swordfish, shark, King mackerel
  • Fatty Meat
  • All Fried Food

Subclinical Hypothyroidism Therapy Expertise

Dr. Hugh Melnick – founder of Advanced Fertility Services in NYC – has decades of clinical experience in diagnosing and treating subclinical hypothyroidism. Read the Doctor’s contribution to the American Journal of Obstetrics & Gynecology about subclinical hypothyroidism and its effect on a woman’s fertility.

Schedule your initial consultation with Dr. Hugh Melnick at Advanced Fertility Services by calling 212.369.8700 – or – clicking the icon below.



When your thyroid doesn’t produce enough hormones, the balance of chemical reactions in your body can be upset. Your thyroid is a small, butterfly-shaped gland situated at the base of the front of your neck, just below your Adam’s apple. Hypothyroidism results when the thyroid gland fails to produce enough hormones. These hormones produced by the thyroid gland influence the control of vital functions, such as body temperature, heart rate, and metabolism.

  • Triiodothyronine (T3)
  • Thyroxine (T4)

Women are at a high risk for hypothyroidism. Low levels of thyroid hormone impairs a woman’s fertility because the condition interferes with her ovulation.

Causes of Hypothyroidism

Autoimmune disease. The most common cause of hypothyroidism is an autoimmune disorder known as Hashimoto’s thyroiditis. Autoimmune disorders occur when your immune system produces antibodies that attack your own tissues. Sometimes this process involves your thyroid gland.

Scientists aren’t sure why this happens, but it’s likely a combination of factors, such as your genes and an environmental trigger. However it happens, these antibodies affect the thyroid’s ability to produce hormones.

Over-response to hyperthyroidism treatment. People who produce too much thyroid hormone (hyperthyroidism) are often treated with radioactive iodine or anti-thyroid medications. The goal of these treatments is to get thyroid function back to normal. But sometimes, correcting hyperthyroidism can end up lowering thyroid hormone production too much, resulting in permanent hypothyroidism.

Thyroid surgery. Removing all or a large portion of your thyroid gland can diminish or halt hormone production. In that case, you’ll need to take thyroid hormone for life.

Radiation therapy. Radiation used to treat cancers of the head and neck can affect your thyroid gland and may lead to hypothyroidism.

Medications. A number of medications can contribute to hypothyroidism. One such medication is lithium, which is used to treat certain psychiatric disorders. If you’re taking medication, ask your doctor about its effect on your thyroid gland.

Hypothyroidism Signs

  • Unexplained weight loss
  • Increased appetite
  • Feelings of nervousness and anxiety
  • Difficulty sleeping
  • Increased sweating and heat intolerance
  • Interference with the release of an egg from the ovary – resulting in infertility

Hypothyroidism Therapy Expertise

It is important to work with a fertility specialist who has the clinical experience to design a therapeutic treatment plan meeting your personal needs. Dr. Hugh Melnick pays close attention to the diagnosis and treatment of hypothyroidism – a common condition among women suffering from infertility.

Read the Doctor’s contribution to the American Journal of Obstetrics & Gynecology about subclinical hypothyroidism and its effect on a woman’s fertility.

Your initial consultation to find out if you are a candidate for Subclinical Hypothyroidism Therapy can be conducted with the Doctor via telephone, Skype or FaceTime.

Schedule your initial consultation with Dr. Hugh Melnick at Advanced Fertility Services by calling 212.369.8700 – or – clicking the icon below.



January 25, 2020 Hypothyroidism Signals0

Because most women don’t know the signals of hypothyroidism, My Thyroid Doctor has compiled a helpful list. The powerful little thyroid gland can have a great impact on your looks as well as your health. Your thyroid gland is a small, butterfly-shaped mass of tissue located in the neck. Despite its small size, it plays a critical role in determining how our bodies function, and ultimately how we feel.



 

A woman’s infertility could be linked directly to hypothyroidism. She can be suffering from hypothyroidism – a direct cause of her infertility – regardless of normal levels of thyroid hormones in her blood. To accurately diagnose the type of hypothyroidism a patient is suffering from, Dr. Hugh Melnick evaluates a comprehensive panel of thyroid blood tests.

Hypothyroidism and Female Fertility

Thyroid blood tests diagnose certain types of hypothyroidism.

Blood Testing

– TSH – Anti-Thyroid Antibodies
– Total and Free T3 – Anti-Thyroglobin Antibodies
– Total and Free T4 – Prolactin
– Reverse T3 (rT3) – Vitamin B12/Vitamin D3

Elevated TSH Level

Failure of the thyroid gland itself is diagnosed when the TSH level is elevated.

  • Hypothyroidism resulting from autoimmune Thyroiditis (Hashimoto’s) is diagnosed when anti-thyroid antibodies are detected.
  • When a patient has low TSH, T3, and T4 – possibly with an elevated prolactin level – the origin indicates Hypothyroidism of a Pituitary or Hypothalamic
  • High levels of reverse T3 indicate an adrenal gland issue, which is a result of chronic stress
  • When a symptomatic patient has low total T3 and vitamin B 12 levels, subclinical hypothyroidism exists

Thyroflex Nerve Conduction Velocity Testing

One the most significant and characteristic findings in Hypothyroid individuals is their slow deep tendon reflexes. This happens because when there is not enough active Thyroid hormone in the nerve cells, the metabolism of the nerve is reduced, so the conduction of an impulse down a nerve is slower than if the cell’s metabolic function was normal.

This test is a very accurate way to diagnose Hypothyroidism in symptomatic individuals who have all their blood tests in the normal range. The actual speed that the nerve conducts an impulse can be measured accurately by a computer and then the rate can be compared to the nerve transmission speeds in individuals with normal Thyroid function.

Like BBT measurements, the Thyrofex can be used to measure the adequacy of Thyroid treatment. If a patient is taking 60mg of Armour Thyroid and is still symptomatic, yet has normal blood tests, a Thyroflex test that shows slow nerve conduction will tell the Physician that the patient does need an increase in the dose of their medication. The Thyroflex test is an accurate way to insure that a patient is getting the optimal dose of thyroid medication.

Hypothyroidism Therapy Expertise

Dr. Hugh Melnick pays close attention to the diagnosis and treatment of hypothyroidism – a common condition among women suffering from infertility.

Your initial consultation with the Doctor can be conducted via telephone, Skype or FaceTime.

Schedule your initial consultation with Dr. Hugh Melnick at Advanced Fertility Services by calling 212.369.8700 – or – clicking the icon below.



January 11, 2020 Hypothyroidism Therapy0

Your cost of hypothyroidism therapy will range between $350 and $1155 when you seek diagnostic testing and treatment from Dr. Hugh Melnick – founder of Advanced Fertility Services in NYC. Dr. Melnick is one of the very few fertility doctors offering treatment for subclinical hypothyroidism. Blood tests are not included in the cost of your initial consultation and follow up visits.

Hypothyroidism Consultation and Therapy

Dr. Melnick pays close attention to the diagnosis and treatment of hypothyroidism – a common condition among women suffering from infertility. Your initial consultation to find out if you are a candidate for Subclinical Hypothyroidism Therapy can be conducted with the Doctor via telephone, Skype or FaceTime.

  • Initial Consultation = $350
  • Follow Up Visits = $200
  • Blood Tests = $60
  • Thyroid Sonogram = $150
  • Thyroflex Testing = $150

Blood Test Costs and Insurance Coverage

If you have insurance coverage for the cost of blood tests through a certain laboratory – Dr. Melnick will have his staff draw blood and send the sample to the lab participating in your insurance plan. This saves the patient out-of-pocket costs and the inconvenience of a trip to the laboratory.

Thyroid Sonogram Costs and Insurance Coverage

Thyroid sonograms can be performed in Dr. Melnick’s office at a cost of $150, whether covered by the patient’s insurance plan or not. In some situations, to have the cost of this examination covered by insurance, the patient may be required to have it performed in a radiologist’s office participating in their plan. In both instances, the patient will be required to remit a co-pay depending on the coverage terms of their insurance plan.

Subclinical Hypothyroidism Therapy Expertise

Dr. Hugh Melnick – founder of Advanced Fertility Services in NYC – has decades of clinical experience in diagnosing and treating subclinical hypothyroidism.

  • Pioneering doctor of preserving a woman’s future fertility through the world class Oocyte Preservation Program
  • Renowned publisher of numerous scientific research articles in prominent medical journals and medical textbook contributions
  • Acclaimed author of The Pregnancy Prescription – a prestigious book written for those coping with the challenges of infertility, including information on how best to overcome infertility

Read the Doctor’s contribution to the American Journal of Obstetrics & Gynecology about subclinical hypothyroidism and its effect on a woman’s fertility.

Dr. Hugh Melnick pays close attention to the diagnosis and treatment of hypothyroidism – a common condition among women suffering from infertility.

Schedule your initial consultation with Dr. Hugh Melnick at Advanced Fertility Services by calling 212.369.8700 – or – clicking the icon below.



January 4, 2020 Fertility Health0

Most women don’t know that their annual fertility health check-up must go above and beyond a simple Pap smear. Your annual reproductive exam must include the health of your thyroid. Be proactive with your fertility health in the upcoming New Year to make sure you are not at risk for infertility.

Fertility Health in the New Year

A slightly elevated blood pressure can increase your risk of heart disease. Hypertension is a silent killer because you may not experience any obvious signs or symptoms. You must have your vital signs check yearly – or – more often if you are experiencing discomfort.

  • Blood Pressure
  • Temperature
  • Height
  • Weight
  • BMI

A patient’s Basal Body Temperature (BBT) is an indirect measurement of her body’s metabolism. Metabolism is controlled by the thyroid gland. Having a BBT of less than 97.4 degrees Fahrenheit is diagnostic of hypothyroidism. Patients symptomatic of hypothyroidism are screened with a comprehensive panel of thyroid blood. However, normal blood test results can be found in patients who are quite symptomatic of hypothyroidism.

Comprehensive Diagnostic Testing

Thyroid blood tests diagnose certain types of hypothyroidism. Patients can be suffering from hypothyroidism even though they have normal levels of thyroid hormones in their blood.

– TSH – Anti-Thyroid Antibodies
– Total and Free T3 – Anti-Thyroglobin Antibodies
– Total and Free T4 – Prolactin
– Reverse T3 (rT3) – Vitamin B12/Vitamin D3

Elevated TSH Level

Failure of the thyroid gland itself is diagnosed when the TSH level is elevated.

  • Hypothyroidism resulting from autoimmune Thyroiditis (Hashimoto’s) is diagnosed when anti-thyroid antibodies are detected.
  • When a patient has low TSH, T3, and T4 – possibly with an elevated prolactin level – the origin indicates Hypothyroidism of a Pituitary or Hypothalamic
  • High levels of reverse T3 indicate an adrenal gland issue, which is a result of chronic stress
  • When a symptomatic patient has low total T3 and vitamin B 12 levels, subclinical hypothyroidism exists

Basal Body Temperature Measurement (BBT)

The thyroid gland controls the metabolism of each and every cell in the human body. If there is not enough active thyroid hormone (T3) getting into cells, the metabolism will be slowed – as reflected by a low BBT. Having a BBT of less than 97.4 degrees Fahrenheit is diagnostic of hypothyroidism. When a hypothyroid individual is adequately treated with thyroid supplemental therapy, the BBT will be over 98.0 degrees Fahrenheit. Not only is the BBT an excellent diagnostic tool, it also is an excellent method for documenting the adequacy of treatment. Improvements in a person’s symptoms correlates very well with the BBT.

Period Regularity

Both heavy and light menstrual cycles are of concern to your fertility.

  • Regular periods?
  • Irregular periods?
  • Cramping?
  • Heavy bleeding?
  • Light bleeding?

These are all concerns to be addressed with your doctor.

Breast and Pelvic Organs Check

Every year – you should undergo a Pap smear to screen-out any potential risk of cervical cancer. Microscopic cells are collected from your cervix during the exam. Your gynecologist also feel-checks your breast and pelvic organs – cervix, uterus, ovaries.

A Healthy Body Mass Index (BMI)

A healthy body weight and diet is essential to increasing your chances of becoming pregnant. Strive to achieve and maintain a healthy body mass index (BMI) to keep your reproductive cycle in balance. A BMI of 19 to 24 indicates a healthy weight. Anything above 24 or below 19 may be hindering your chances of ovulation and conception.

Hypothyroidism Therapy Expertise

Dr. Hugh Melnick – founder of Advanced Fertility Services in NYC – is one of the very few fertility doctors offering treatment for subclinical hypothyroidism.

  • Pioneering doctor of preserving a woman’s future fertility through the world class Oocyte Preservation Program
  • Renowned publisher of numerous scientific research articles in prominent medical journals and medical textbook contributions
  • Acclaimed author of The Pregnancy Prescription – a prestigious book written for those coping with the challenges of infertility, including information on how best to overcome infertility

Read the Doctor’s contribution to the American Journal of Obstetrics & Gynecology about subclinical hypothyroidism and its effect on a woman’s fertility.

Dr. Hugh Melnick pays close attention to the diagnosis and treatment of hypothyroidism – a common condition among women suffering from infertility.

It is important to work with a fertility specialist who has the clinical experience to design a therapeutic treatment plan meeting your personal needs.

Your initial consultation to find out if you are a candidate for Subclinical Hypothyroidism Therapy can be conducted with the Doctor via telephone, Skype or FaceTime.

Schedule your initial consultation with Dr. Hugh Melnick at Advanced Fertility Services by calling 212.369.8700 – or – clicking the icon below.



December 26, 2019 Hypothyroidism0

Most women don’t even know they have a thyroid. This powerful little gland can have a great impact your fertility health. Your thyroid gland is a small, butterfly-shaped mass of tissue located in the neck. Despite its small size, it plays a critical role in determining how our fertility functions.

Subclinical Hypothyroidism Expertise

Dr. Hugh Melnick – founder of Advanced Fertility Services in NYC – is one of very few fertility doctors offering treatment for subclinical hypothyroidism. The Doctor plays close attention to the diagnosis and treatment of hypothyroidism – a common condition among women suffering from infertility.

  • Pioneering doctor of preserving a woman’s future fertility through the world class Oocyte Preservation Program
  • Renowned publisher of numerous scientific research articles in prominent medical journals and medical textbook contributions
  • Acclaimed author of The Pregnancy Prescription – a prestigious book written for those coping with the challenges of infertility, including information on how best to overcome infertility

Read the Doctor’s contribution to the American Journal of Obstetrics & Gynecology about subclinical hypothyroidism and its effect on a woman’s fertility.

Signs and Symptoms

Below is a list of common symptoms associated with thyroid problems.

  • Mentally “Foggy”
  • Hoarse voice
  • Decreased stamina
  • Fatigue
  • Depression
  • Cold extremities
  • Difficulty losing weight
  • Slow speech
  • Hair loss
  • Premature graying of the hair
  • Low body temperature
  • Cracked heels and dry feet
  • High cholesterol
  • Ringing of the ears
  • Constipation
  • Anxiety and/or palpitations
  • Low pulse
  • Decreased tendon reflexes
  • Droopy eyelids
  • Puffy and swollen face
  • Weight gain
  • Constipation
  • Sparse, coarse, and dry hair
  • Coarse, dry, and thickened skin
  • Carpal tunnel syndrome
  • Hand tingling or pain
  • Slow pulse
  • Muscle cramps
  • Orange-colored soles and palms
  • Sides of eyebrows thin or fall out
  • Confusion
  • Increased menstrual flow in women
  • Infertility
  • Miscarriages

Female Infertility Expertise

It is important to work with a female infertility specialist who has the clinical experience to design a therapeutic treatment plan meeting your personal needs.

Your initial consultation to find out if you are a candidate for Subclinical Hypothyroidism Therapy can be conducted with the Doctor via telephone, Skype or FaceTime.

Schedule your initial consultation with Dr. Hugh Melnick at Advanced Fertility Services by calling 212.369.8700 – or – clicking the icon below.




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Visit us anytime

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Send us an email

mythyroidnyc@gmail.com




Copyright by www.mythyroidmd.com 2019. All rights reserved.



Copyright by www.mythyroidmd.com 2019. All rights reserved.