Latest / Health with Hashimoto’s - Thyroid or Immune Education for Autoimmune Thyroid Disease / 129 // What Is LDN and Can It Help with Hashimoto's ⎸ Interview with Pharmacist Steve Anderson
Transcript
- 0:00Welcome to this super special episode of Health with Hashimoto's.
- 0:03I am so excited for you to listen in.
- 0:05On this episode, I interviewed a pharmacist. So a little backstory,
- 0:09I have had LDN the last couple winters.
- 0:13And when I got my prescription this winter, I had to get it from a new pharmacy.
- 0:18And when it came, it came with a gorgeous packet of information along with what
- 0:23LDN is and how to track my symptoms.
- 0:26It was so well done that I reached out to the pharmacy and I was like,
- 0:30hey, can I interview one of your pharmacists?
- 0:32So you are going to hear this interview with Steve Anderson.
- 0:36I forgot to ask him how people can contact him or work with him.
- 0:42So if you are in Minnesota or Wisconsin, I do have a link and I will put that
- 0:48down in the show notes how you can access his pharmacy.
- 0:51Another way is in our school community, skool.com is school,
- 0:56and we are the Health with Hashimoto's community.
- 0:59In there, before the interview, I asked our community, what questions do you
- 1:03have for the pharmacist?
- 1:05And so I was able to ask a lot of those questions during this interview.
- 1:09And Steven Anderson is going to come into our school community and he's going
- 1:15to do a call with us at the end of January.
- 1:18So if you are in our school community, you can hop on that call and you can
- 1:22ask him questions whether or not you live in Minnesota or Wisconsin.
- 1:26He is there to help us all learn about LDN, how it can benefit people with autoimmune problems.
- 1:33And to answer our questions, he is a pharmacist at The Apothecary.
- 1:37It is again in Minnesota and Wisconsin, and he is going to be serving all of
- 1:42us in the school community at the end of January. So come over to the school
- 1:47community so you can get in on that live call.
- 1:50All right, here is the interview. This episode is a little longer than my normal
- 1:54episodes because I wanted to ask him all of these questions.
- 1:57Enjoy the interview and I will see you in our school community.
- 2:00Welcome back to Health with Hashimoto's.
- 2:02Today, I have a special guest. You guys are going to love this podcast episode.
- 2:07We have Steve Anderson, and he is a pharmacist. He is going to tell us all about LDN.
- 2:13If you haven't heard of that, you're going to find out what it is,
- 2:15how it might benefit you if you have Hashimoto's.
- 2:18Steve, thank you so much for being here. Let me introduce you.
- 2:21Steve Anderson is a pharmacist and owner of The Apothecary. It's a compounding pharmacy since 1994.
- 2:27Over the past 30 years, he has combined his expertise in functional and integrative
- 2:32medicine with advanced training in naturopathic approaches to health.
- 2:36The apothecary provides personal compounded medications for individual needs
- 2:41and offers a wide selection of quality nutraceuticals, vitamins, and supplements.
- 2:46And outside of his work, Steve enjoys spending time with his wife,
- 2:49four kids, and two grandkids.
- 2:51They play a lot of sports and outdoor adventures at the
- 2:54lake thank you so much for joining us today
- 2:57and can you kick us off by telling us like what
- 3:00is a compounding pharmacy thanks for having me today oh so compounding pharmacy
- 3:04is where we're licensed pharmacy like others but you know all pharmacies can
- 3:09compound most pharmacies probably don't do a lot of compounding just you know
- 3:14they you know getting occasional prescription here there we've decided to you know years back
- 3:19to, you know, focus on compounding and preparing medications.
- 3:23So it's preparing medications that aren't commercially made.
- 3:27Just to give some ideas of some things that why we get asked to compound,
- 3:31could be somebody who's allergic to medications, they have sensitivities to
- 3:35things, sometimes for children or hospice patients, you know,
- 3:39they can't swallow pills anymore.
- 3:41So we might make a cream or suppository or some oral suspension that they can take.
- 3:48We do some veterinary medication a little bit too, same, kind of the same principle
- 3:52as pediatrics, just getting lower doses of things for the pets.
- 3:57One of the areas, we do a lot of hormone therapies as well.
- 4:00So what they call bioidentical hormone
- 4:03therapies too, because that's very individualized dosing for the person.
- 4:09So know, of estrogen, progesterone, testosterone, they use, you know,
- 4:14it's very individualized dosing on that too.
- 4:16That is something that needs to be compounded. There's not commercially made
- 4:19products for, you know, for this whole range of strength that people need.
- 4:23So things of that nature, just things that aren't commercially made and specialty
- 4:27items that for, you know, very individualized patients need.
- 4:31Very cool. Well, I know that when I got my most recent prescription for LDN,
- 4:36the pharmacist I used to use or the pharmacy I used to use was out of business.
- 4:39And so my PA looked around and found your pharmacy.
- 4:43And I am so impressed with the information I got.
- 4:47I got a full little packet with some flyers all about LDN, a symptom tracker, a welcome letter.
- 4:53I was blown away. I love it. So can you tell us what is LDN and how could it
- 5:00benefit somebody with an autoimmune problem?
- 5:03Okay, yeah. So LDN stands for low-dose naltrexone. It's not a commercial-made product.
- 5:08So that's why we get asked to compound it, get like the hormone therapies,
- 5:11very individualized dosing in the end, you know, to find the right dose for
- 5:16the right person, but it, it works on the immune system. So it was,
- 5:20it was like a lot of good discoveries.
- 5:22It was an accidental discovery. There's a higher dose of naltrexone that they
- 5:27use for different things.
- 5:29Not sure exactly how they got to this lower dose spectrum of it.
- 5:32I think probably part of it is the high dose causes a lot of side effects.
- 5:36So they use lower dosing to hopefully avoid some of that too.
- 5:41But it's kind of interesting within that framework, once they started using
- 5:45lower doses of it for that issue they use it for, people started to note, God, my pain is less.
- 5:53My inflammation seems better. I feel better. I have a better mood.
- 5:56And it was probably perplexing to the docs because they're like,
- 6:01well, this medication doesn't do that.
- 6:02So, but it was kind of an overtime discovery of, so they find out in the end
- 6:08that it has two big actions that can help for pain and inflammation,
- 6:13including, you know, all autoimmune conditions.
- 6:15It increases the endorphin levels in the body.
- 6:19By a large degree and you know most people think well
- 6:22endorphins that helps for pain and it and it does but if
- 6:25you really if you look into an endorphins affect our whole body
- 6:28you know bone health heart two degrees has very good brain health mental health
- 6:33aspects as well it's just uplifting and people feel better on it which is a
- 6:36a great aspect of it that people aren't even aware of and nobody's unhappy about
- 6:41that part of it the other side of its action you know and i'm not sure exactly if it's 50-50 or what,
- 6:47but the other huge side, it's working on the immune system side,
- 6:52improving that and increasing many of our body's anti-inflammatory markers that are naturally present.
- 6:59So in the end, endorphin increase is helpful because most autoimmune,
- 7:04not all of them, I guess, Hashimoto's not necessarily pain involved with it,
- 7:09but nonetheless, that's there, but that, You know, it's always having anti-inflammatory
- 7:14action from on the body, from head to toe.
- 7:17So as far as autoimmune, very, we have many, many prescriptions on the Hashimoto side.
- 7:23That's a very common one. But really, technically, any autoimmune inflammatory
- 7:28condition is beneficial for it. It doesn't really matter the diagnosis.
- 7:32You know, LDN is not treating a particular diagnosis.
- 7:35It's just, in the end, just making the body work better. So it's helping normalize
- 7:41the immune system through its actions.
- 7:43And maybe somebody can't explain exactly the precise aspect of how it's doing that.
- 7:48But in the end, the end result, it's doing all these things that that's what is happening.
- 7:53That's awesome. I love it when we can find things that help the body work better,
- 7:58like the body do what it's supposed to do. Yeah.
- 8:01Yeah. So how does it affect labs? Does it affect hormone replacement therapy?
- 8:06And does it affect any other supplements? Can you go over them?
- 8:10Actually, I would say it's as far as other questions,
- 8:13The first part, other supplements, I would say all of them are just complementary
- 8:18or beneficial with low-dose altruxone.
- 8:20If you think about it, if it's lowering inflammation in the whole body,
- 8:25inflammation is just a disruptor of everything.
- 8:27So if you've got inflammation bogging up your body, the proper signaling and
- 8:32communication isn't done properly too.
- 8:36So by removing the inflammation, that's opening up all the pathways in your
- 8:41body that, you know, that are necessary to get hormones,
- 8:46mediators, you know, so the hormones, just even in the brain as well,
- 8:50serotonin, dopamine, norepinephrine.
- 8:54GABA, all the brain neurotransmitters, when you have inflammation clogging out
- 8:57the pathways, you know, they don't get to the receptor site.
- 9:00So, you're clearing up the pathways to make everything work better.
- 9:05So, in theory, your supplements, when you take those, are going to be more beneficial then.
- 9:13So, the LDN is clearing up the body to make things work more efficiently,
- 9:18and it's going to help the supplements.
- 9:20As far as the labs are going, there's no labs necessary for this, technically.
- 9:27It's, you know, if somebody has autoimmune conditions, more than likely their
- 9:31providers have done different inflammatory labs, CRP,
- 9:37RA, I don't even know all of them, but there's numerous ones that are measuring
- 9:41some aspect of inflammation or autoimmune things.
- 9:44It's not necessary to do that on this, but their docs are doing the labs anyway.
- 9:49We see those coming down over time, you know, so that actually with Hashimoto's,
- 9:55it's TPO and the thyroid antibodies.
- 9:57So with the LDN, it has the ability given the right dose and time to bring labs down.
- 10:04So it should just have a positive impact on those labs.
- 10:08If they're being taken, it's not going to interfere.
- 10:12It doesn't interfere with any other medications. You can take LDN,
- 10:17just begin it without regard to other medications other than opioid or narcotic
- 10:23drugs. That's the only thing it interferes with.
- 10:26But it'll affect labs in positive ways. You mentioned on the thyroid side and
- 10:30on the hormone side, in the end, if it's doing what it's doing,
- 10:34lowering inflammation, opening up the pathways, the body can work more efficiently in those ways.
- 10:39So it could improve the labs as they're on the LDN, too, where they're,
- 10:46because we do hormone therapies, they may have to lower their hormone dose as
- 10:51they get down the road because their body's just working more effectively.
- 10:54A lower dose will work better.
- 10:56We have many of those that began LDN have to lower their thyroid dose in the
- 11:01end because the information's being lowered.
- 11:05The pathway, again, pathways are better.
- 11:08Whatever thyroid you have present in the body is going to get to the site better,
- 11:12more effectively, and work better.
- 11:13So it's not uncommon to see when the labs are done in thyroid,
- 11:18they might come up a little high.
- 11:20Not the TPO side, but the actual T3, T4, reverse T3, whatever is being checked.
- 11:26Because the levothyroxine or armor thyroid, whatever you're taking,
- 11:32you don't need as much anymore because it's working better. So that's one thing
- 11:37you have to watch for if you're taking LDN and on thyroid medication. That's so interesting.
- 11:42So is LDN something people would have to take the rest of their life?
- 11:47We go to conferences on this and that gets asked all the time.
- 11:51In the audience, there's a lot of doctors learning about it as well too.
- 11:54But the response to that is, well, if somebody has some circumstance,
- 11:59some inflammatory injury or whatnot going on, If they're taking the LDN and
- 12:04maybe they take it for a year or two and they get assessed that it's like,
- 12:08okay, everything's back to normal where, you know, there's no issue here whatsoever.
- 12:13You know, you could go off the LDN at that point if you've addressed that circumstance.
- 12:19But there's a huge argument to be made to take it the rest of your life,
- 12:22you know, as it's, you know, because behind pretty much, I think it's agreed
- 12:27by most, you know, disease states are inflammatory and processed.
- 12:31And we have, we just have this, you know, just plethora of autoimmune conditions
- 12:38just across, you know, just across the country.
- 12:42So, you know, and if you have this inflammatory process going on,
- 12:45so if you're taking something that's lowering inflammation in your body every
- 12:48day that you take it, you know, in theory,
- 12:51that can prevent some of these auto, if somebody is healthy,
- 12:54you know, that can prevent some of these autoimmune inflammatory conditions
- 12:58from even, you know, arising. things.
- 13:01You know to a certain state i mean when
- 13:04you're 100 years old you know maybe you know it's it's going to
- 13:07maybe run out of a little bit of juice then but you
- 13:10know because of that aspect of it too just preventative and
- 13:13you know to get that say because cardiovascular disease is inflammatory and
- 13:19in underlying nature which is people we've known that for a long time but also
- 13:23i think a huge part of it now that we understand that the some of the newer
- 13:28understanding of low-dose cell trexone that's even arisen just the last couple of years.
- 13:33So it's actually gotten a little bit lower dosing level than has been traditionally understood.
- 13:38It's really opened up this whole positive aspect of just brain health, mental health aspect.
- 13:43And that's, you know, we follow up with everyone that begins on their prescriptions
- 13:48here at the LDN to help, you know, help most of the providers we work with will
- 13:53have us help guide and monitor the dosing.
- 13:56You know, we just, we don't know anybody's best doses, so you just start low
- 13:59and then you taper up slowly and gradually to find whatever the best individualized
- 14:05dose for the person is for whatever they're taking it for.
- 14:08But it's, you know, the starting...
- 14:11Point dose dosing point has lowered
- 14:14over the last few years because they've found understood that
- 14:17it has this very good mental health brain
- 14:20health aspect so people in the early stages when they first started they just
- 14:24said gas i just feel better i have more energy you know my mood is better you
- 14:29know my anxiety is less you know my you know just even brain fog and memory
- 14:34too there's There's a lot of kind of long COVID from that.
- 14:39For instance, one long-term aspect of that is just brain fog.
- 14:45And so it's just, again, it's just this brain health action that is a benefit too.
- 14:51So again, that's kind of one of those long-term scenarios that you just,
- 14:56we'd all like to be in good mood and, you know, good memory.
- 15:01Not feeling anxious, having good energy, you know, is our whole life. Right.
- 15:06So there's a huge argument to be made just to stay on it your whole life.
- 15:11And even people are choosing to just go on it just for that reason,
- 15:17you know, understanding that.
- 15:18So a lot of the medical providers that are at the conferences that start to
- 15:22understand all these things, even, you know, the young ones with no issues, they're all taking it.
- 15:28Interesting. Yeah, it is. It's really interesting.
- 15:32So if somebody has any of that, long COVID, brain fog, Hashimoto's,
- 15:38and they decide to go on LDN, how do they know when to go up or down?
- 15:43Because I mean, in the ER, when I was working there, it was always bigger is better.
- 15:47That's what people come in feeling like. If it's not working, you just go big.
- 15:51What is it with LDN? It's a quirky medication. You know, the high dose does
- 15:57totally different 50 milligram tablets.
- 16:00They use it in treatment centers, you know, for opioid or alcohol abuse.
- 16:04So, again, the discovery of
- 16:06this low dose was accidental, and it's an entirely different medication.
- 16:11I mean, it doesn't even make sense at all what it's doing.
- 16:15But the literature is there. There's tons of literature out there on that that
- 16:20explains, you know, the details of it.
- 16:22But the dosing to have success, what we found, you just need somebody to help
- 16:27guide that and at least bounce things off as you're taking up the dose. So we just start low.
- 16:34From our place, we'll follow up once a month. We just tell the patients that
- 16:40are out, just call anytime you have any questions or anything.
- 16:42We're here to help to the best of our ability.
- 16:45Find your best dose for whatever that's going to be to try to,
- 16:50you know, to slide into that range. If you get too high of a dose,
- 16:56you know, you start to get some side effects.
- 16:57There's not much for side effects with this, but it's you, as you're tapering
- 17:01up, trying to find that if you
- 17:03get to a dose, it causes some annoying side effects, you know, if it does.
- 17:08So it just gives you a sign that you just have to work on the,
- 17:12you know, tighten the dose up a little bit. But it could be a headache or an
- 17:16upset stomach, you know, gut, you know, GI, gastrointestinal things.
- 17:20It could be nausea, vomiting, diarrhea, you know, constipation.
- 17:24It could be a little tired or fatigue. You know, it's doing a lot.
- 17:27It's the immune system and it's doing a lot of internal things, changes.
- 17:31It's transitioning to hopefully better states and stuff.
- 17:35So that takes a little energy. So some people might get a little tired,
- 17:38fatigued in the early stages.
- 17:40You'll see some things on, you know, vivid dreams. Typically,
- 17:44it's not like nightmares or terrors or anything like that, but part of that
- 17:48is people are getting a different sleep state too, so it can change their dreams.
- 17:55So it's vivid. It's just colorful dreams.
- 17:58Somebody's dream, they don't notice much of a difference, but a lot of people
- 18:02say, it's kind of actually interesting.
- 18:05So they are colorful, and it's kind of enjoyable in a way. So the side effects
- 18:12will tell you if you're too high, hone in on the dose.
- 18:15But it's really important to find that best dose for a person.
- 18:19You can't guess what their dose is.
- 18:21And our thought is there's really what we've seen working with thousands of,
- 18:26of those over the years on their dose too there's really no reason in the world
- 18:29why it shouldn't help anybody because it's with every dose you're increasing
- 18:34the endorphins you're helping the immune system increase all the anti-inflammatory markers so,
- 18:40there's the so that's what the drug is influencing the body to do that you know there's really.
- 18:46There's really no reason why it should but you need to just try to find the
- 18:50right dose for the person.
- 18:51And sometimes it's just, there's a little time element as well.
- 18:54Okay. And one of the people in the community, Wendy, she wanted to know what
- 18:58the best time is to take it.
- 19:00And she's read that it does cause vivid dreams like you were talking about,
- 19:03and that those can sometimes go away after a couple of weeks.
- 19:07So what would be the best time?
- 19:09Yeah, that's correct. It's typically more of the side effects,
- 19:13these things that we mentioned before, most of the time it occurs
- 19:16when people first start on it and if they're
- 19:19on too high of a dose uh you know that's just if they notice that
- 19:22we just say we go lower because it's starting to again affect
- 19:26immune system and endorphins and you know so it's you know
- 19:29it's if somebody's perfectly healthy they you know
- 19:32they probably don't need to take ldn but most people
- 19:35are taking it got there are issues going on too so to
- 19:37get to a better state you have to transition to that
- 19:40state you know too so that's it's so it just stirs things up
- 19:43a little bit so the sleep part if
- 19:47you it's always traditionally been said to take it
- 19:50that time and usually in the
- 19:53early stages if it does cause some issues with keeping a person
- 19:55up or vivid dreams it can go away uh for most people it'll go away if you you
- 20:01know kind of knuckle through it and and do that if it's a little more troublesome
- 20:04we just tell people to take it at beef supper time okay just take it earlier
- 20:09on that too and that that should alleviate in the short term, in the end,
- 20:14it shouldn't matter either way if you take it earlier or later.
- 20:17But there are some people that long-term, it'll affect their sleep in some way.
- 20:22So they just take it earlier.
- 20:24But typically people take it at bedtime?
- 20:27Yeah, we usually tell them just take it in the evening, maybe when they start,
- 20:32just to take it earlier, just to hopefully avoid that issue in the end.
- 20:36But now it's very common now with some of the newer understanding of its great
- 20:43benefits for the mental health, brain health too.
- 20:45So we have many of those that start on it now. Most of that that we start with
- 20:50actually take it twice a day.
- 20:52It's just kind of a newer understanding of it. And the low dose in the morning,
- 20:58less than a milligram, half a milligram or less, it's still increasing the endorphins
- 21:05and the anti-inflammatory markers in the body.
- 21:08But for whatever reason, there's a greater impact on mental health and brain
- 21:14health with that low dose in the morning and energy.
- 21:17So that is just within the last few years, that understanding has come about.
- 21:22And that's what we've seen with thousands of people over the last couple of
- 21:28years as that's the dosing schedule the docs have been ordering.
- 21:33Very good benefits on the mental health, brain health, which,
- 21:37again, everybody's really happy about that.
- 21:40They weren't aware of that. That was even an aspect of this.
- 21:43And then the evening dose is the one that ends up.
- 21:49Being adjusted up to higher levels if needed
- 21:52for the autoimmune disease so the
- 21:56the twice daily dosing we've seen that and
- 21:59it's it's it's borne out with all these patients we've worked with is lower
- 22:03dose in the morning for energy and then the higher and mood and stuff too if
- 22:09and most people will notice that earlier on so they'll stay there and then then
- 22:14the second part is you know how oh, their autoimmune issues are coming,
- 22:18and then the evening dose is the one that,
- 22:21which is kind of the traditional dosing.
- 22:24This is the one that you go up to whatever level that person needs to hopefully
- 22:30start balancing out and recalibrating some of their autoimmune conditions,
- 22:34whatever the autoimmune is.
- 22:36So if somebody has been on LDN for a while and they have that evening dose that's
- 22:41pretty set for them, if they added a morning dose, would they subtract that
- 22:47from the evening dose or would it be above and beyond? How does that work?
- 22:50Oh, that's a good question. I don't think there's a black and white answer on
- 22:53that, but I think overall from what we picked up our confidence,
- 22:57they're actually two separate doses.
- 22:59Well, there's overlapping activity, but the morning dose, like you were saying,
- 23:04we'll make adjustments on that
- 23:06accordingly if there's benefits needed or adjustments on the brain health,
- 23:12mental health side, And then the evening one will be more on the autoimmune
- 23:17type conditions outside of that, the other brain health, mental health side of things.
- 23:21I have one more question from the community, and this is from Colleen.
- 23:26And she says that LDN was the medication that helped her feel normal.
- 23:30She's really interested in hearing more about it. On the podcast,
- 23:33I talk a lot about finding our root causes.
- 23:35She says, I tried many treatments, medications, dietary strategies for a few
- 23:40years, but I still struggled. My doctor finally prescribed LDN,
- 23:43which helped me feel normal.
- 23:45Did I shortchange my healing by taking LDN and not finding my root cause?
- 23:50That was a fascinating question. I'd love to hear your thoughts on it.
- 23:53Okay, yeah, thank you. Well, I'll try on that, too. Yeah, there's just,
- 23:57well, you know, there's a lot of factors with health, too.
- 24:01And I know with your podcast, too, you talk, you know, there's dietary issues,
- 24:05there's environmental issues that can create troubles as well, too.
- 24:09So probably, you know, whatever the underlying root of the autoimmune thing
- 24:13is, it's got to be something on the environmental, dietary side as part of the root of it.
- 24:20But the LDN, it's not pushing or pulling the body anywhere where it doesn't want to go.
- 24:30And this is not, I'm not an immunologist, right?
- 24:34I don't have the background there. But just in the conferences,
- 24:36too. I mean, in the end, kind of the summary is LDN is helping normalize the
- 24:42immune system activity on that, too.
- 24:45But if you think about it, it's helping normalize the immune system's ability
- 24:50to work better and help us better and do a better job of what it's supposed
- 24:55to do because you're removing the inflammation.
- 24:58And that's, you know, one of the root causes of why we're having all these things
- 25:04going on is the inflammation that's causing all these issues.
- 25:07But I mean, there's one step behind that too. It's like what's causing the inflammation, you know, too.
- 25:12So, you know, and I guess with the LDN, I guess you would say it probably doesn't
- 25:18matter what the, you know,
- 25:21what the particular autoimmune issue is or what it's the underlying thing is
- 25:26you don't really have to identify that because through its actions,
- 25:29it should be helping the body work towards,
- 25:33in a way, starting to help resolve that.
- 25:38Circumstance, whatever it is, just, you know, by doing, you know,
- 25:42again, the endorphin increased immune systems working better.
- 25:45So it should be helping get after that and just helping the body do a better
- 25:51job what it's supposed to do. I mean, is that, is that kind of what?
- 25:54Yeah. Yeah. That's great. I mean, helping the body do what it's supposed to
- 25:58do. That's, that's our goal. I love that. Thank you.
- 26:01And it thinks that's what she was asking then too, but it, yeah,
- 26:04I know there, they're a little worried about using low-dose naltrexone.
- 26:10Doctors prescribing it for people with autoimmune issues that are on the biologics,
- 26:16typically these injections that people think of that.
- 26:19And again, they're kind of dampening and calming down the immune system and
- 26:24helping the symptoms there.
- 26:25And they're worried like LDN is because it's helping the immune system.
- 26:30Their idea was, well, it's stimulating the immune system. And that's not what
- 26:34we need with these biologics. that would be going against each other,
- 26:38but it's not stimulating the immune system.
- 26:41It's just helping normalize it.
- 26:44I love that. Well, thank you so much for answering all these questions.
- 26:48And for you listeners, Steve has agreed to come to our school community and
- 26:54do a question and answer session over there.
- 26:57So make sure you are in the school community, skool.com, health with Hashimoto's.
- 27:02And I will have it in the calendar once Steve and I figure out a date.
- 27:07It will be in January or February sometime so that you can get your questions
- 27:12answered for as many as we have time for.
- 27:15And thank you so much again, Steve, for answering these questions and being
- 27:18willing to come back and do a personalized Q&A. I appreciate it.
- 27:23Okay. You're welcome. Thank you. This podcast is for informational and educational purposes only.
- 27:28Please discuss any concerns and plans with your trusted healthcare professional.
- 27:31If you found this episode helpful, will you please share it with a friend?
- 27:35I'll see you next week on the Health with Hashimoto's.
- 27:38Music.