Reviews

5 star rating

great info!

Katie Coombs

a bit of a different perspective than what I usually hear from NDs but as always I learn a lot from Dr. Parmar and Dr. Shaw

a bit of a different perspective than what I usually hear from NDs but as always I learn a lot from Dr. Parmar and Dr. Shaw

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What You'll Learn

This multi module course in thyroid offers clarity to the often confusing world of thyroid diagnosis, prescribing and monitoring. There is a lot of erroneous information out there and we hope to answer some of the most burning questions in both basic and advanced thyroid conditions. 

The Webinar Series Includes: 

TSH 

  • Why is there so much controversy over the TSH range? 
  • What is a normal TSH and what is an ideal TSH? 
  • It may not be what you think. What are the latest guidelines for thyroid disease diagnosis? 
  • Is the TSH range used for diagnosis the same as the TSH used to monitor hypothyroidism? 
  • Do you know what TSH level is safe for the elderly? 
  • What is the TSH set point? 
  • Do you measure TSH in the morning, afternoon or night? 
  • Fasting or non fasting? 
  • Do you know why a suppressed TSH is actually harmful and who it harms? 
  • What is the correct way to diagnose subclinical hypothyroidism? 
  • How do we predict Hashimoto’s disease?


TPO Antibodies

  • Are thyroid antibodies always bad? 
  • Why do healthy people have thyroid antibodies? 
  • Do thyroid antibodies predict disease? 
  • Are there different levels of acceptable thyroid antibodies? 
  • When does subclinical hypothyroidism turn into overt hypothyroidism? 
  • How do antibodies affect fertility and pregnancy? 
  • How can you reduce thyroid antibodies? 
  • What is a meaningful reduction in thyroid antibodies?


TPO and Miscarriage 

  • Why should we care about TPO antibodies in pregnancy? 
  • Why do thyroid antibodies cause miscarriage? 
  • Can TPO predict who is at a higher risk of miscarriage? 
  • How does subclinical hypothyroidism affect pregnancy? 
  • Should all patients with antibodies be given levothyroxine to reduce risk of miscarriage? 
  • What are the safest ways to reduce antibodies in pregnancy? 


Desiccated Thyroid (NDT)

  • Why did the medical world abandon desiccated thyroid for synthroid? 
  • Have you reviewed the only good modern RCT on desiccated? 
  • Do you know why we see low serum free T4 while on desiccated? 
  • Can we use fT4/fT3 ratios to accurately measure thyroid hormone replacement? 
  • When does desiccated harm a patient? 
  • Why do endocrinologists fear desiccated in pregnancy? 
  • Does T3 cross the placenta? 
  • Can we safely recommend the use of desiccated in autoimmune thyroid disease? 
  • Do you know how to predict who does best on desiccated? 
  • Does desiccated need to be dosed multiple times per day?


Reverse T3 

  • Why should you stop using this test? 
  • Is rT3 the test ever useful? 
  • Can thyroid replacement make meaningful changes of rT3 levels?


Graves Disease 

  • Graves disease does not mean you're hyperthyroid. Why
  • How to use TSH, T4 and T3 to diagnose and monitor Graves.
  • How relevant is measurement of thyroid antibodies for diagnosis of Graves?
  • Can we use serum antibodies to help us determine course of action and treatment?
  • How does a patient go from Graves to Hashimoto's and back to Graves?
  • How low do antibodies need to go?
  • What are natural treatments for Graves?
  • What use is Carnitine in Graves Disease?
  • Can Carnitine be used in pregnancy? If so, what dosage?
  • How to use Low Dose Naltrexone for Graves?
  • What are the best agents to treat orbitopathy? Yes, it can be treated non surgically.
  • Do anti-thyroid herbs potentiate anti-thyroid drugs?
  • How anti-thyroid is Lycopus?
  • Which drug therapies are best?
  • Can we avoid drug therapies for Graves? If so, in which context can we?
  • What can we do for resistant cases?
  • What role does iodine play with treatment of Graves?
  • How do we compare RAI vs ATD vs surgery?
  • H Pylori and Graves? Wtf?


Thyroid Cancer

If it's not helping patients through their cancer diagnosis, it might be helping to get a diagnosis or for a lot of NDs working with someone who has had radiation or surgery and supporting their metabolic needs. In this webinar we learn to:

  • Diagnose thyroid nodules.
  • What is considered suspicious?
  • What is low/moderate/high risk?
  • Who gets an ultrasound?
  • How do we determine who gets a Fine Needle Aspiration (FNA Biopsy)?
  • What is the risk of tumour seeding from FNA?
  • What determines lobectomy vs full thyroid removal?
  • Who gets Radioactive Iodine (RAI)?
  • What is the safety of RAI?
  • How do we support our patients who want "second opinions" about surgery and RAI?
  • What is the process like getting the RAI?
  • What is the post RAI or surgery experience like?
  • What lab ranges of TSH and T4 are ideal for hemithyroidectomy?
  • What lab ranges of TSH and T4 are ideal for total thyroidectomy?
  • How is thyroglobulin used post treatment for monitoring?
  • How is thyroglobulin antibody used post treatment for monitoring?
  • How can we predict risk of relapse?
  • What's with Celiacs and thyroid cancer?
  • What's with Hashimoto's and thyroid cancer?
  • Supporting patients with persistent disease.
  • How to advocate for patients?
  • What is the benefit of using T3 and T4 in people without thyroids after cancer?
  • And much much more. 

This webinar includes an in-depth interview with Dr. Alana Shaw ND who is a thyroid cancer survivor. Surprise! She let me ask her about her entire experience as an ND/Patient navigating the oncology and endocrinology world. EXTREMELY INSIGHTFUL is an understatement hence the caps lock.


T3 Therapy

When can we use T3 monotherapy in hypothyroidism?

We are told time and time again to be scared about only using T3 prescriptions with patients. We're warned this is unsafe and that it should only rarely be considered. Is this true? Are the fears warranted?

In this webinar we discuss:
1. Is T4 ever not enough?
2. What is the evidence for using T3?
3. Why is T3 used for patients with thyroid cancer?
4. What are the drawbacks of using T3?
5. What are the benefits of using T3?
6. How do T4 and T3 ratios make sense?
7. What versions of T3 are available to prescribe?
8. How compelling is the evidence against using T3?
9. What are cautions and contraindications of using T3?
10. Can you therapeutically use T3 in pregnancy?
11. Is RT3 helpful in T3 monotherapy monitoring?
12. Any updates on RT3
13. Using T3 monotherapy for euthyroid depression?
14. T3 therapy - how to do it?


Upcoming Webinars include:

  • Thyroid Nodules
  • Basal Body Temperature 
  • Fertility and Thyroid
  • Case Studies

Course Description

  • 1

    Welcome to the course!

    • How to use this course

  • 2

    TSH

    • TSH

    • TSH

  • 3

    TPO Antibodies

    • TPO Antibodies

    • TPO Antibodies

  • 4

    TPO and Miscarriage

    • TPO and Miscarriage

    • TPO and Miscarriage

  • 5

    Desiccated Thyroid

    • Desiccated Thyroid

    • Desiccated Thyroid

  • 6

    Reverse T3

    • Reverse T3

    • Reverse T3

  • 7

    Graves Disease

    • Graves Disease

    • Graves Disease: Diagnosis

    • Graves Disease: Natural Treatment

  • 8

    Thyroid Cancer

    • Thyroid Cancer

    • Thyroid Cancer

    • Interview with Dr. Alana Shaw ND

  • 9

    T3 Therapy

    • T3 Therapy: Description

    • T3 Therapy

  • 10

    Next steps

    • You're almost done!

    • Before you go...

Instructor

Dr. Bobby Parmar ND

Dr. Parmar obtained a Bachelor of Applied Science degree in Kinesiology, Psychology and the Humanities at Simon Fraser University. He proceeded to complete naturopathic medical training at the premiere institution the Canadian College of Naturopathic Medicine in Toronto. Going on 13 years working in Vancouver he is practicing in a highly collaborative care wellness clinic called Mint Integrative. He was is also adjunct faculty at the Boucher Institute of Naturopathic Medicine where he teaches and supervises interns at various stages of their program including Genetics, Geriatrics, and Naturopathic Clinical Arts and Sciences.

Dr. Parmar stays engaged with the community by working with multiple organizations giving workshops to members of the Canadian Mental Health Association, The Arthritis Society of BC and Yukon, and the Earthsave Society of Canada. He has also previously served on the Board of Directors for the British Columbia Naturopathic Association and the Friends For Life Society.

As a fervent educator, Dr. Parmar has tailored his academic career to best manage family medicine through naturopathy. His work as a general primary care ND practitioner means he stays up to date with the most current knowledge for most health conditions. He is driven by a passion to better understand the dynamics of health and above all the ever-growing field of mind-body medicine and to convey that understanding to anyone in need or with the desire to be educated. Currently Dr. Parmar is a Key Opinion Leader for Lifelabs/RMA and has lectured on various medical topics to diverse groups of health professionals including MDs and NDs. He has also presented at the Collaborative Education Conference in 2018.

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