"It's All In Your Head"

How often has your medical practitioner arranged for blood tests which gave come back "normal" and you say "But Doc, what about my symptoms?" And your medical practitioners says It's All In Your Head", and prescribes an anti-depressant, or refers you to a psychiatrist?

You are not alone in this experience. Many sufferers have been in this situation with multiple medical practitioners over 20 years or more.


Typical Symptoms of an Underactive thyroid

  • extreme fatigue

  • weight gain

  • constipation

  • cold hands and feet

  • depression

  • cracked fingernails

  • hair falling out

  • constipation

  • dry cracked skin

  • menstrual dysfunction

  • and many more.

I'll order some tests!

And if you insist that there is something not right, your medical practitioner says... "I'll order some blood tests - just to check", and orders a TSH (Thyroid Stimulating Hormone) blood test, which comes back "in normal range". So, what's wrong with that?


The American Thyroid Association (ATA)

The ATA's 2012 professional "Guidelines" provide very interesting reading. For instance, they state categorically :

  • TSH is the best

  • Synthetic T4 is the best

But then also comment that

  • TSH values can vary by up to 50% during the day

  • TSH values can vary according to ethnicity and age.

TSH - Thyroid Stimulating Hormone

TSH is a Pituitary Gland Measure

The first thing to note is that TSH is a measure of the Pituitary gland, not a measure of the Thyroid gland. And the Pituitary acts in a completely different way to how the other body tissues do, and there is no test to determine what is happening at the cell level. You only have your blood pressure in the morning, and your symptoms. And your doctor has already dismissed your symptoms!

  • How does the thyroid hormone in the blood occupy receptors on the cell membrane?

  • How does thyroid hormone that finds vacant receptor get across the cell membrane and into the cells where it is needed?

  • How does the inactive T4 thyroid hormone get converted to the active form, T3?

But the doctor says that my thyroid is normal!

What does “Normal” Mean?

Are You Really "Normal?" 

Can You be "Normal" in one country, but not in another? Yes!

The laboratory ranges for Pituitary gland TSH for what is considered "normal"is far too wide, And the ranges for "normal" differ depending on which country that you are in! And also depend on what laboratory your doctor sends you to.

Until recently, the higher level of "normal"in the United Kingdom was 10.0, which meant that you could be deemed hypothyroid in the UK, but normal if tested in the United States or elsewhere!  

And Dr. Jeffrey Dach writes (http://jeffreydachmd.com/tsh-wars-part-one/ ):

“Most of the 30 labs used differing reference ranges with the upper range varying from 3.8 to 6.0. There was no single reference range in use. In addition, of 9 different manufacturers of TSH test kits used by the labs, they all had differing reference ranges.”

Which laboratory should we believe?

If you get a negative result from your TSH blood test, simply go to a different laboratory and you may be okay.

Even if TSH was an appropriate blood test, the ATA professional “Guidelines” regarding TSH really don't make any sense! (Refer earlier comments above).

Furthermore, many well-respected thyroid specialists have stated categorically that any TSH measure greater than 2.0 is indicative of an underactive thyroid gland.

What happens if your blood tests are outside the "Normal" range?

If your TSH blood tests come back as outside the laboratory range for "normal", then the doctor prescribes a synthetic thyroid hormone, known as T4 (Thyroxine) and asks you to book another appointment in a month or so to check your TSH levels again. So again you ask "What is wrong with that? The American Thyroid Association (ATA) has been guiding their practitioners for nearly one hundred years, so they must know more than most doctors or other organisations! And the ATA ”Guidelines” state that TSH is the best diagnostic method, and synthetic T4 the best treatment!"

Although the laboratory can measure the contents of the blood, what they cannot determine is exactly what is happening WITHIN THE CELLS.



There is no test to indicate what is happening at the cell level.

Your thyroid produces T4 (4 iodine atoms), T3 (3 iodine atoms). Thyroid hormones T2 (2 iodine atoms), and T1 (a single iodine atom) are produced in other body tissues by removal of iodine atoms.

Your thyroid gland produces about 80% of T4, which is largely inactive, and 20% of T3 (far more active). It is the body's task to convert the inactive T4 to the more active T3, but this conversion relies on certain nutrients being available - in particular iodine and selenium, but many others as well. And over 99% of thyroid hormone is bound to protein as it is carried throughout the body.

So does your doctor know exactly how much T4 is available to the cells? Does he know exactly how much T3 is available to the cells? What about the levels of “reverse-T3? Did he order these tests? Is he aware of the all-important ratio of T3 to reverse-T3?

Or did he just order tests to measure the levels in your bloodstream of the pituitary gland hormone known as TSH (Thyroid Stimulating Hormone)?

And, what is the current state of your Adrenal glands? Does anyone care? Does anyone even know that the levels of hormones being produced by your adrenal glands may be a critical part of the Thyroid story?

Nixon 7-Step Thyroid Protocol

This website has designed the NIXON SEVEN STEP THYROID PROTOCOL to:

  1. identify the underlying cause of thyroid dysfunction,

  2. move towards the restoration of good health in the body,

  3. enable the sufferer's thyroid gland to regain it's designed function (To make and secrete sufficient thyroid hormone to maintain proper metabolism, providing energy and warmth to the body).

The thyroid story is not complete without considering the many other direct and indirect connections, for example:

  • the iodine connection

  • the liver connection

  • the adrenal gland connection

  • the heart connection

  • the diabetes connection

  • the stress connection

  • the lymphatic connection

  • the ‘dieting’ connection, and so it goes on.

These are touched upon within the pages of this website, and explained in more detail in books available from our store.


  • 1) Analysis & Testing.

  • 2) Detoxing.

  • 3) Dietary Factors.

  • 4) Stomach Acid, Supplements, etc.

  • 5) Iodine & Companion Nutrients.

  • 6) Adrenal Glands.

  • 7) What Is Happening At The Cells? Together with “Guidance Sets” (Cheat Sheets) to lead you step by step.


HOME Page - Diabetes/Thyroid Truth

Thyroid - It’s All In Your Head

The Endocrine System