Clearing the confusion over the two types of subclinical hypothyroidism - Aspire Natural Health

Clearing the confusion over the two types of subclinical hypothyroidism

In this Episode Dr. Gerstmar discusses:
-An update to an earlier post about subclinical hypothyroidism –
-Understanding TSH and the thyroid
-There are two DIFFERENT definitions of subclinical hypothyroidism – one from the conventional medical system, and one from alternative medicine. And they’re opposite one another…
-Why in DrG’s opinion both types need care


2 Minute Quiz – Are We the Right Fit to Help You?


Hey Folks,

It’s Dr. Gerstmar from Aspire Natural Health, and in this quick video, I want to clear up a little confusion from an earlier video I did on something called subclinical hypothyroidism.

This one is going to be just a little bit technical, but if you stick around I’ll teach you about the most common test that doctors use to test your thyroid function, what it means, when it’s useful and when it isn’t.

Are you ready?

Okay, let’s get a few basics out of the way. The thyroid is a gland in our neck that produces thyroid hormone. Sounds pretty obvious there. And thyroid hormone is responsible for our metabolism. We call it the ‘gas pedal’ of the body. When we have thyroid hormone our bodies make heat and energy. When our thyroid is low, our engine runs low and we’re cold and tired and things don’t work properly.

The most common test that doctors use to monitor your thyroid is called the TSH and it’s a blood test.

To understand TSH we need to briefly understand how the thyroid works in the body. The easiest way to do this is to imagine that the thyroid is like the furnace in your house. It can turn on or off to produce heat, but your furnace doesn’t keep track of the temperature. That’s what the thermostat in your house does. The thermostat doesn’t create heat, but it monitors the temperature in your house and if it gets to cold it sends a signal to the furnace to turn on. When it’s hot enough it stops sending the signal to your furnace and it turns off.

In our bodies our brain is like the thermostat. When everything is working properly it keeps an eye on the amount of thyroid hormone in the body and if the level of thyroid hormone starts going down, the brain releases TSH which travels through the blood and turns the thyroid on. So when we need more thyroid hormone we have more TSH. When there’s lots of thyroid hormone it turns the signal down so the level of TSH falls.



That’s confusing to a lot of people, so let me quickly go through it. TSH is the signal to turn the thyroid on. So when TSH is high it’s because there’s not enough thyroid hormone. So high TSH equals low thyroid. When TSH is low it’s because there’s too much thyroid. So low TSH equals high thyroid.

Alright with all that in mind we’re almost ready to make sense of subclinical hypothyroidism. Just a couple more things.

First hypothyroidism. Hypo means low. So hypothyroid means low thyroid.

Now hypothyroidism can be very obvious. Feeling exhausted, cold all the time, gaining weight, losing hair, dry skin, constipation, poor memory, getting sick all the time, slow wound healing. These are all signs of hypothyroidism, and sometimes they’re obvious.

Or it can be more subtle. Low energy but not exhaustion, depression, just feeling bad.

Okay, we’re all set to talk about subclinical hypothyroidism. And the important thing to realize is that there are two very different definitions of subclinical hypothyroidism. There’s the conventional medical definition, and the alternative or holistic definition and they’re very different.

In the previous video I did I talked about the alternative definition. Briefly, in alternative subclinical hypothyroidism, you have the symptoms of hypothyroidism, often in their milder forms, but your doctor is telling you your tests are normal. Your TSH may be slightly high, or other hormone tests may be on the low end of normal, but they’re still considered normal. This is what many alternative practitioners consider subclinical hypothyroidism – symptoms of hypothyroidism with normal or barely normal lab tests.

However, what I left out of my other video is that there is a completely different definition from conventional medicine, and having two different definitions of the same word, is a recipe for confusion.

So what does the term subclinical hypothyroidism mean to a regular doctor. It means that you do NOT have symptoms of hypothyroidism but your TSH is high. Showing there’s something going on, but your body is able to compensate, at least right now, and you feel normal.

And in my experience and that of my colleagues most of the time this conventional subclinical hypothyroidism is really Hashimoto’s thyroiditis, and before long the person will start manifesting symptoms of hypothyroidism.

So there you have it…

2 Minute Quiz – Are We the Right Fit to Help You?

My bad for not being clear enough in my other video on subclinical hypothyroidism and only talking about the alternative definition.

In alternative circles subclinical hypothyroidism is having symptoms of hypothyroidism with normal or near normal lab tests. Many, many people we work with see this pattern. They feel horrible but are told that there’s nothing wrong with them.

And in conventional circles subclinical hypothyroidism is the opposite situation when the lab tests are abnormal but the person feels fine and doesn’t have any symptoms. And in our experience most of the time this is Hashimoto’s thyroiditis and sooner or later the person will begin experiencing the symptoms of hypothyroidism. So if you are in this situation, please don’t wait. Begin making the changes now that might shut down Hashimoto’s and let you avoid having to go on thyroid medication in the future.

Now if you didn’t know, I’ve created a number of FREE reports with some of our best information inside to help with a number of digestive and autoimmune issues. They’re all available for FREE on our website.

If you’d like to know more about your thyroid, I’d like to offer you an audio recording of a lecture I gave on what the real holistic treatment of your thyroid looks like.

There are two easy ways you can get it. The first is simply to click the button below and fill out the very short form and we’ll happily send that to you for FREE. The second if you happen to be watching or listening with your cell phone, or it’s nearby, all you have to do is text the word THYROID to 425-651-6851. That’s the word THYROID to 425-651-6851 and we will happily send that to you for FREE.

So please either click down below or text us and we’ll get that expert report over to you right away.



At Aspire Natural Health we are experts at helping people with digestive issues and autoimmune diseases. If that’s you or a loved one is suffering, we’d love to connect.

We offer a no-obligation, no-pressure chat to see if we can help you, and if we’re the right fit to work together.

If we are, we’ll move forward, and if we’re not, we’ll do our best to connect you with the person who can best help you.

The only thing you have to lose, is being unsure what the best next step for you is, so call us now at 425-202-7849 or email us at

Alright folks, until next time…Take care!


At Aspire Natural Health we are experts at helping people suffering with digestive issues and autoimmunity.

Are you or a loved one looking for help?

Email us at or call us at 425-202-7849.

The first step of our process is to see if we’re a good fit for one another. If we are, we’ll talk about next steps. If not, that’s okay, and we’ll do our best to help you find the right person.

Everything is no-obligation and no-pressure, so you don’t have to worry. The only thing you have to lose, is the frustration of not knowing what to do next!

Call us at 425-202-7849 or email us now!

Another interesting post:

Understanding the Two Types of Thyroid Problems




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