In this episode, Dr Natalia Spierings is joined by her father, Dr Egilius Spierings, MD, PhD, visiting consultant neurologist to the Spierings Medical Group and a specialist in headache and migraine.
Continuing their conversation about menopause, hormones and headaches, they discuss hypothyroidism, thyroid treatment and why looking at the patient rather than simply the numbers is so important.
In Part Two, we discuss:
• How hypothyroidism can affect energy, muscles and headaches
• Why TSH and free T4 need to be considered together when assessing thyroid function
• The difference between a reference range and what is actually appropriate for an individual patient
• T4, T3 and the complexities of thyroid hormone treatment
• Why fatigue can be an important factor in frequent headaches and migraine
• Why doctors should listen carefully to their patients and consider the whole person
• The importance of clinical experience and continuing to learn from patients
• How medical education and healthcare systems can influence the way medicine is practised
• Testosterone as part of HRT and what we currently know about its relationship with headaches
• Dr Spierings' approach to headache and his belief that headaches can be a signal of fatigue
• His book, Headaches: Why You Have Them, What You Can Do About Them
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