2. A Functional Approach to Thyroid Health National Association of Nutrition Professionals April 2014

3. Andrea Nakayama CNE, CNC, CHHC, pending MSHNFM Founder, Replenish PDX and Holistic Nutrition Lab www.replenishpdx.com www.holisticnutritionlab.com

7. 97% of hypothyroid concerns are actually Hashimoto’s or Autoimmune Thyroiditis

10. Thyroid issues…. Not just about the thyroid. Not just about the diet. What are they?

11. ? synthetic hormones ? gluten? grains? leafy greens? extra T3? iodine? alcohol? seeds? natural hormones?

12. Hashimoto’s symptoms A to Z Anxiety Bloating Body aches Chronic candida Cold all the time and/or cold extremities Constipation or sluggish bowels Depression Difficulty losing weight Diffuse hair loss Dry skin and hair Eczema Fatigue Fibromyalgia Frequent infections, colds or flus Gluten sensitivity GERD (gastro- esophageal reflux disease) Heavy feeling throughout body Hormonal dysregulation (adrenal fatigue, PMS, PCOS) Irritability Insulin resistance Joint pain and stiffness Kidney stones, infection or disease Low ferritin, low iron (anemia) Low vitamin D levels Muscle aches Nutrient deficiency, despite good diet Neck discomfort or pain Osteopenia or Osteoporosis Pale skin Palpitations Poor concentration, memory or motivation Quality of life compromised due to symptoms Run down Shortness of breath Sluggishness Skin problems (dryness, eczema) Throat discomfort, swelling or frequent sore throats Thinning eyebrows Unease Vitiligo Water retention Weakness Wake feeling tired Xeric (dry, deficient in moisture) Yellowish skin or nails Zero energy

13. top 10 symptoms

14. my symptoms

17. nutrients hypo hyper auto- immunity hormones viral load inflammation neuro- transmitters toxins thyroid issues

19. www.replenishpdx.com/nanp

20. You can’t practice functionally without fully understanding the physiology.

28. This silhouette can be altered, cropped, enlarged, and colored for some of our map imagery

35. T4 molecule iodine = purple

36. replenish thyroid lab wish list TSH Free T4 Free T3 Reverse T3 Thyroid antibodies TPO and TgAb Methylmalonic acid Ferritin 25-hydroxy vitamin D

39. I want my Free T3!

53. eight foundational aspects to health gastrointestinal health immune and inflammatory response environmental inputs (external and internal) levels of oxidative stress and cellular energy health of your detoxification systems and organs function of your hormones and neurohormones musculoskeletal and structural integrity spirit, soul, love, connections, sense of purpose

55. Client case study: Heather Age: 45 Occupation: busy advertising designer Health concerns: “none, really, just strive for overall wellness” Medical history: depression; on anti-depressants Sleep: sometimes compromised when work is extra stressful Digestive: constipated, eliminates 2-3 times per week; often bloated by the end of the day Hormonal: regular cramps each cycle Energy (on scale 1–10): 6 Percentage of home cooked meals per week: 10%

56. www.replenishpdx.com/nanp

59. Holistic Nutrition Lab Offers classes for health practitioners in functional nutrition Covers the 6 main body systems Over 950 students in first two years Over 600 students have taken the Digestive Intensive alone Please see us at our booth to talk about enrollment

61. Replenish PDX Offers one-on-one counseling and group classes Approximately 300 on-going counseling clients each year Over 20 programs each year Over 4,000 students have taken programs to date Over 10,000 people receive newsletters weekly

62. I teach holistic health professionals the science and art of functional and personal lifestyle nutrition so that they can transform their clients and patients lives without buying into a one-size fits all approach that bypasses the importance of bio-individuality.

63. Andrea Nakayama andrea@replenishpdx.com www.replenishpdx.com www.holisticnutritionlab.com