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Listen to the new episode here:

https://www.alieward.com/ologies/thyroidology

Sad? Cold? Hot? Wired? Blame the thyroid. Maybe.

It's a butterfly-shaped gland under a shield-shaped Adam’s Apple and it controls your whole life ....eeeeeh, kind of. Thyroidologist and surgeon Dr. Kepal Petal of NYU's Langone Hospital explains how to decipher TSH to T4 to T3, libido factors, radioactive cats, stress and thyroids, how diet can affect them, flim-flam and how being on TV might save your life.

Pass it on! Did you listen? what did you think? And hands up: whose thyroid has BETRAYED them in the past or present?

I love to cause trouble,

Alie's Sometimes Insubordinate Thyroid

Comments

Sarah Jo

Woah, this is very exciting as someone with a busted thyroid!

Cassidy Sharp

My thyroid has also betrayed me. I’m excited to listen to this. Thank you!

Lizzy Martinez

It's soooo cool how such an important organ like the Thyroid can be identified as inflamed and having a problem by a Doctor just by looking at it .. even one on TV! Way to go bodies and doctors!!!!

Patrick W

Not me, seeing this pop up in my feed as I have a thyroid biopsy scheduled in a few days 😅

Amie Allen

Meeeee!! My thyroid gave me a big middle finger while I was pregnant with my son! It decided to ✨completely✨ stop functioning. My TSH was 140 and I had no trace of thyroid hormones in my body. I was dying. Betraying little bitch just died on me. 😤

Alie Ward

TSH 140?!?!?! I mean, FIVE is high??? Ddi they give you a framed certificate because that is fucking crazy!

Alie Ward

Ooooh, I hope the part about the biopsy comforts you -- he says it's really easy.

Alie Ward

Isn't that bonkers?? And TWICE?

Alie Ward

Did you try asking it WHY WHY WHY

Cassidy Sharp

I did ask! And I’m asking again with an ultrasound in March. Maybe it will tell me more then!

Espi Oyarzun

I’ve had blood work to check my thyroid levels multiple times in my life because I have many symptoms of hypothyroidism but my lab tests always come back “within range”. I’ve been told that sometimes the range for one person may be different than for someone else and that although my levels are within range for someone else it may be low for me (the levels are always on the lower end of acceptable). Is this true? or is that just something people say when they want to pull you into one of those strange “medical” schemes? If it is true, is there anything I can do to get treatment even if my range is within acceptable range? Thanks!! Looking forward to what is sure to be an interesting episode!

John Bochanski

As someone with no thyroid (thanks PTC) that was a great episode!

Alie Ward

And the episode is live -- ready to listen to wherever you get podcasts!

alikelytori

Ahhh yay!! maybe this will give me some clues as to how to understand/make life a little easier for my partner with hypothyroidism <3 hormones are CRAZY and no one teaches us about them

Alie Ward

Oh so glad it helped! Did they remove yours then?

Alie Ward

Oh good -- I hope this helps take it from a murky concern to one that feels easier to manage!

Sarah Jo

I love hearing other people’s TSH levels at diagnosis! Mine was 123 and I could literally feel my body shutting down, so I can imagine that being at 140 (and also pregnant, yikes) was bad!

John Bochanski

Yup. Totally accidental discovery. Went from feeling fine in June to surgery in August. Been on levo for about 1.5 years and basically feel the same.

Greg Walloch

Much like the HGTV stories. There was a story I think I heard on Bananas podcast where an Only Fans performer convinced a patron of hers to go get his balls checked after having several video interludes with him and it saved his life!

Zuleika Pevec

This winter I learned that a friend (who is a nurse) had been asking her doctor FOR A YEAR to check her thyroid because she had so many symptoms…when the doc finally “gave in” and checked, my friend had fucking cancer! A man friend of hers complained about symptoms and was checked within a week…he also had cancer! She had her thyroid removed and is getting chemo now, but come on, a year to be listened to?!

Cat

My thyroid developed cancer and had it removed. That’s my betrayal.

Espi Oyarzun

haha thanks! it helps to process all the words sometimes

Keagan Joseph (edited)

Comment edits

2026-09-06 05:00 I have Hashimoto's disease 🙃 luckily it’s easily managed by medication. But I went through years of trying to figure it out and even went on a handful of psych meds before getting it under control.
2025-01-30 03:57

Jessie Pearce

Thank you thank you!! I’ve been so very excited for this ology!! My thyroid betrayed me too, fellow ologists! The biggest betrayal came after I found my diagnosis and medicine dose, and then my thyroid just decided to be a moving target and get worse?! I didn’t know that was something to monitor until I was uncontrollably crying at my birthday party🥳

Smiley Kylie (she/her)

I loved this episode! I’m grateful to not have my thyroid betray me, at least yet! I have family members who have had trouble so I’ll be keeping an eye out! P.s. Thanks for taking the time out of your schedule going to a wedding on the other side of the country to interview him. You make the best science podcasts! I hope you and your family are doing well still with the fires💕 stay safe!

Iris Hutchings

My immune system betrayed me and caused my poor thyroid to become an overachiever. Graves is a beast. I do wish you'd had more time with this ologist. I lived his laugh, and really wanted to hear more about Graves and meds and stuff. But very good info all around.

Rachel Guthrie

My grandma had hypothyroidism and she recently passed away (from pancreatic cancer). This episode was oddly comforting and a nice way to learn more about something that was part of her experience and life. Thank you!

Matt Ceccato

Pod Dad, I took your advice in your secret. I will remember where my money goes when I doom scroll. Thank you for sharing this!

Hannah McCain

So excited to listen to this episode! I was diagnosed with hypothyroidism when I was 12 years old. It's been a lifetime of trying to understand what that means for me

JENN 'Benthopelagic squirrel' ALVAREZ

Loved the episode! My mother had Graves disease and she had the radioactive treatment. We couldn't use the same bathroom as her bc of the radioactive pee. Lol

Jade Greene

Loved this episode. Thyroid issues run rampant through the women in my mom's side of the family so I'm so paranoid about thyroid issues. I would have loved to hear some discussion about Thyroid eye disease though! My mom suffered greatly with TED and even lost much of her vision from this.

Stephanie Coombes

This was such a great episode! Such a good overview of the subject 😍

Alena Grilla

Omg I have postpartum thyroiditis, spent my whole life totally fine and healthy and BAM, I got a baby AND a broken thyroid 😅 my levels were only 96 at diagnosis but I actually thought I was dying, 140 sounds hellish 😰

Jaclyn and her cat Phil

I’m only halfway through the episode but oh my gosh do I ever love it! What a fun listen 🤍

Blue NC, not the insurance

Thyroid is a thing, Hashimoto's (autoimmune hypo) for me. I was utterly exhausted, as in sleeping 18 hrs/day. I had to FIGHT my GP for a diagnosis - he patted me on the head, that I was a woman of a certain age.... that was 20 years ago. Proper meds = game changer!

Blue NC, not the insurance

TSH isn't enough. Must test T3 and T4 too. Look at Hashimoto's disease and see if you have other symptoms of that, exp the maddening rashes. Esp women often have to fight to be taken seriously in medicine.

Heather J

My thyroid betrayed me almost 20 years ago! I had undiagnosed Hashimotos and had developed stage III papillary thyroid cancer by the time I was able to convince my endocrinologist to send me to a surgeon. He operated and lo! It was cancer and had spread to lymph nodes. I had to put up with doctors suggesting that I was fat and exhausted and cold all the time because I had small children or wasn’t eating right…anything but listen to me describe my hypothyroid symptoms.

roni 💥

have had a thyroid ultrasound— top 5 weirdest sensations i have ever experienced for sure.

Ana Bee

Looks like we need a dietology episode? I, too, have questions about what to eat to support my disappearing thyroid (thanks to every one who asked about diet <3) Great episode, made me appreciate my thyroid for fighting to stay with me :)

HeartRhubarb

Graves disease haver here. Loved this episode. Also something all women of a certain age (of which I am one) should know that wasn't mentioned... hyperthyroidism symptoms are similar to perimenopause. I thought I was just stressed out and perimenopausal, and then I ended up in the hospital with a thyroid storm and a heart rate of 250. Get your thyroids checked uterus havers! Also wish he would have talked more about stress as a trigger and the role of genetics.

Abby Sellers

If you are considering pregnancy and have Grave’s Disease, talk to your OBGYN and or a Maternal Fetal Medicine Specialist. We do give pregnant women Methimazole in pregnancy and beta blockers. But a OB or MFM can better guide you and reassure you based on your history. ❤️ A Women’s Health NP

ThymeOnMyHands

Thank you for this awesome episode! I teach pathophysiology & pharmacology for nurses and shared this with my students, who said it was super helpful and interesting. I love your show, and thank you for helping to mold the brains of budding nurses - much more fun than reading a textbook! :)

Alie Ward

Woooow! I'm glad they caught it!

Alie Ward

That would be a great one. It would have to be a 5-part episode, I reckon

Alie Ward

I'm glad they caught it! How high was your TSH???

Alie Ward

Thank you so much! Luckily we are safe now!

Alie Ward

Your thyroid gets the blame, but its the victim. Tell it I am holding space.

Alie Ward

Oh I hope it helped in some way!

Alie Ward

Oh wow, thank you for the heads up!

Alie Ward

Oh yay! I wasn't sure people would care about thyroids and I'm so tickled that y'all do

Alie Ward

That must have been soooo frustrating!

Alie Ward

I am experiencing rage on your behalf.

Ana Bee

yep, and would take about 5 months to edit

Keagan

12.48

Beth Martin

I absolutely loved this episode! However, I was hoping to finally hear someone discuss congenital hypothyroidism. My 2½-year-old daughter was diagnosed at four days old with a TSH over 400. She’s doing well now, but I’d love to learn as much as possible about supporting her as she grows. Each time she experiences a developmental milestone or a significant lifestyle change, her levels need adjusting. I’m especially nervous about helping her manage her condition independently as she gets older—particularly once puberty hormones come into play. Are there any resources I could look into for more information? (We live near Albany, NY.) Additionally, my husband was diagnosed with Graves’ disease and underwent radioactive iodine therapy about 15 years ago. Because I’m concerned about the possibility of secondary cancers, are there any routine health checks or warning signs we should watch for, given his medical history?

C M

Loved this episode!! I sent it to all my family to learn more about my health issues with Hashimoto’s!

Susan G

A great episode! I work with cats and we do I131 every week, so it was fun to hear that being discussed. It's the most common endocrine disease in senior cats, so we see a lot of it!

Keerat Singh

I definitely thought about buying iodine when the ologist mentioned that those “in the know” bought it after nuclear disasters. It was helpful to get the follow up that it’ll only protect from radioactive iodine and not everything else :)

Catherine

I was born without a thyroid (which you’d think would make me an expert on the subject) but I learned SO much from this episode! After years of recommending Ologies to my mom she finally listened to this episode after I insisted, and now she loves you and your podcast (I told you so MOM). She listened to the Memory episode and recommended it to her friend who had a stroke a couple years ago and has been really concerned about his own memory issues, and he was SO GRATEFUL for that episode because it prepared him for an appointment he had with a neurologist. It gave him a better idea of what questions to ask, what concerns to bring to the doctor, and generally just set his mind at ease. He had my Mom call me just to thank me for the indirect recommendation! It's the one podcast I recommend to anyone, theres something fore everyone here. I’ve been a longtime listener, you’ve been such a wonderful resource and companion over the years, not to mention all the silliness and laughter you bring to my life. Thank you so much Alie, from all three of us!

Rebekah Fitchett

As someone who has just been (literally this past week) diagnosed with Hashimoto's, I can't express my gratitude enough for this episode. I was able to understand what my thyroid numbers meant and ask really good questions of my PCP. THANKS DAD WARD!