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Dr. Kepal Patel

๐Ÿ‘ค Speaker
633 total appearances

Appearances Over Time

Podcast Appearances

Ologies with Alie Ward
Thyroidology (THYROID GLAND) with Kepal Patel

But these particular immunoglobulins end up stimulating your thyroid as opposed to destroying your thyroid.

Ologies with Alie Ward
Thyroidology (THYROID GLAND) with Kepal Patel

But these particular immunoglobulins end up stimulating your thyroid as opposed to destroying your thyroid.

Ologies with Alie Ward
Thyroidology (THYROID GLAND) with Kepal Patel

So in Hashimoto's, your body is making antibodies that destroy the thyroid. In Graves' disease, your body is making immunoglobulins that actually stimulate your thyroid. So Graves' disease is one of the most common causes of hyperthyroidism. And these are patients who present in the exact opposite fashion. They say that they're losing weight. They always feel hot. They have tremors, anxiety.

Ologies with Alie Ward
Thyroidology (THYROID GLAND) with Kepal Patel

So in Hashimoto's, your body is making antibodies that destroy the thyroid. In Graves' disease, your body is making immunoglobulins that actually stimulate your thyroid. So Graves' disease is one of the most common causes of hyperthyroidism. And these are patients who present in the exact opposite fashion. They say that they're losing weight. They always feel hot. They have tremors, anxiety.

Ologies with Alie Ward
Thyroidology (THYROID GLAND) with Kepal Patel

So in Hashimoto's, your body is making antibodies that destroy the thyroid. In Graves' disease, your body is making immunoglobulins that actually stimulate your thyroid. So Graves' disease is one of the most common causes of hyperthyroidism. And these are patients who present in the exact opposite fashion. They say that they're losing weight. They always feel hot. They have tremors, anxiety.

Ologies with Alie Ward
Thyroidology (THYROID GLAND) with Kepal Patel

They feel like their heart's racing. Their eyes sometimes get a little bulgy. And that's all consistent with Graves' disease. And in those patients, your TSH level is going to be undetectable. It's going to be super low.

Ologies with Alie Ward
Thyroidology (THYROID GLAND) with Kepal Patel

They feel like their heart's racing. Their eyes sometimes get a little bulgy. And that's all consistent with Graves' disease. And in those patients, your TSH level is going to be undetectable. It's going to be super low.

Ologies with Alie Ward
Thyroidology (THYROID GLAND) with Kepal Patel

They feel like their heart's racing. Their eyes sometimes get a little bulgy. And that's all consistent with Graves' disease. And in those patients, your TSH level is going to be undetectable. It's going to be super low.

Ologies with Alie Ward
Thyroidology (THYROID GLAND) with Kepal Patel

And your T3 and T4 levels are going to be high. And so that's the way you make the diagnosis of Graves' disease. The treatment for that, since your thyroid is hyperactive, is you take antithyroid medication. So you're actually taking drugs such as methimazole and PTU that actually block the thyroid, from making thyroid hormone. And that medication works great.

Ologies with Alie Ward
Thyroidology (THYROID GLAND) with Kepal Patel

And your T3 and T4 levels are going to be high. And so that's the way you make the diagnosis of Graves' disease. The treatment for that, since your thyroid is hyperactive, is you take antithyroid medication. So you're actually taking drugs such as methimazole and PTU that actually block the thyroid, from making thyroid hormone. And that medication works great.

Ologies with Alie Ward
Thyroidology (THYROID GLAND) with Kepal Patel

And your T3 and T4 levels are going to be high. And so that's the way you make the diagnosis of Graves' disease. The treatment for that, since your thyroid is hyperactive, is you take antithyroid medication. So you're actually taking drugs such as methimazole and PTU that actually block the thyroid, from making thyroid hormone. And that medication works great.

Ologies with Alie Ward
Thyroidology (THYROID GLAND) with Kepal Patel

And so for a lot of patients, that's all they'll need. Sometimes if their heart is really racing fast, they may put the patient on a beta blocker to help reduce the heart rate. But for most patients, that works really well. The problem with some of these drugs, especially in younger women, is that they're not necessarily safe during pregnancy.

Ologies with Alie Ward
Thyroidology (THYROID GLAND) with Kepal Patel

And so for a lot of patients, that's all they'll need. Sometimes if their heart is really racing fast, they may put the patient on a beta blocker to help reduce the heart rate. But for most patients, that works really well. The problem with some of these drugs, especially in younger women, is that they're not necessarily safe during pregnancy.

Ologies with Alie Ward
Thyroidology (THYROID GLAND) with Kepal Patel

And so for a lot of patients, that's all they'll need. Sometimes if their heart is really racing fast, they may put the patient on a beta blocker to help reduce the heart rate. But for most patients, that works really well. The problem with some of these drugs, especially in younger women, is that they're not necessarily safe during pregnancy.

Ologies with Alie Ward
Thyroidology (THYROID GLAND) with Kepal Patel

So if you have a young female patient who is deciding to start a family, wants to get pregnant, or is planning on getting pregnant, they really can't be on those medications.

Ologies with Alie Ward
Thyroidology (THYROID GLAND) with Kepal Patel

So if you have a young female patient who is deciding to start a family, wants to get pregnant, or is planning on getting pregnant, they really can't be on those medications.

Ologies with Alie Ward
Thyroidology (THYROID GLAND) with Kepal Patel

So if you have a young female patient who is deciding to start a family, wants to get pregnant, or is planning on getting pregnant, they really can't be on those medications.

Ologies with Alie Ward
Thyroidology (THYROID GLAND) with Kepal Patel

So the other two options for definitive treatment for Graves' disease are radioactive iodine, where you give the iodine, it's radioactive. The thyroid gland absorbs the iodine. And since it's radioactive, it kills the thyroid. So ultimately your thyroid's dead and you've treated the Graves'.

Ologies with Alie Ward
Thyroidology (THYROID GLAND) with Kepal Patel

So the other two options for definitive treatment for Graves' disease are radioactive iodine, where you give the iodine, it's radioactive. The thyroid gland absorbs the iodine. And since it's radioactive, it kills the thyroid. So ultimately your thyroid's dead and you've treated the Graves'.

Ologies with Alie Ward
Thyroidology (THYROID GLAND) with Kepal Patel

So the other two options for definitive treatment for Graves' disease are radioactive iodine, where you give the iodine, it's radioactive. The thyroid gland absorbs the iodine. And since it's radioactive, it kills the thyroid. So ultimately your thyroid's dead and you've treated the Graves'.