{"id":2338,"date":"2019-04-21T12:35:39","date_gmt":"2019-04-21T12:35:39","guid":{"rendered":"http:\/\/ibshypo.com\/?page_id=2338"},"modified":"2019-04-23T21:28:36","modified_gmt":"2019-04-23T21:28:36","slug":"polydimethylsiloxane","status":"publish","type":"page","link":"https:\/\/ibshypo.com\/index.php\/polydimethylsiloxane\/","title":{"rendered":"Polydimethylsiloxane"},"content":{"rendered":"\n<p>My hypothyroidism was getting worse and in desperation I searched PubMed for a non-absorbable lipid with affinity for PBDEs that could be safely ingested.  I came across a study in which polydimethylsiloxane is used in sorption tubes for air sampling of PBDEs, it has an extraordinary capacity to capture minute traces of PBDEs, <strong>as low as 6 picogrammes per cubic metre<\/strong>: &#8211;<\/p>\n\n\n\n<hr class=\"wp-block-separator\"\/>\n\n\n\n<div class=\"wp-block-image\"><figure class=\"aligncenter\"><a href=\"https:\/\/link.springer.com\/article\/10.1007%2Fs11356-015-5028-z\" target=\"_blank\" rel=\"noreferrer noopener\"><img loading=\"lazy\" width=\"884\" height=\"347\" src=\"http:\/\/ibshypo.com\/wp-content\/uploads\/2019\/04\/image-29.png\" alt=\"\" class=\"wp-image-2393\" srcset=\"https:\/\/ibshypo.com\/wp-content\/uploads\/2019\/04\/image-29.png 884w, https:\/\/ibshypo.com\/wp-content\/uploads\/2019\/04\/image-29-300x118.png 300w, https:\/\/ibshypo.com\/wp-content\/uploads\/2019\/04\/image-29-768x301.png 768w\" sizes=\"(max-width: 884px) 100vw, 884px\" \/><\/a><\/figure><\/div>\n\n\n\n<hr class=\"wp-block-separator\"\/>\n\n\n\n<p>Searching for other forms of  polydimethylsiloxane  I came across Simeticone which is used as an antifoaming agent in endoscopy: &#8211;<\/p>\n\n\n\n<hr class=\"wp-block-separator\"\/>\n\n\n\n<div class=\"wp-block-image\"><figure class=\"aligncenter\"><img loading=\"lazy\" width=\"223\" height=\"148\" src=\"http:\/\/ibshypo.com\/wp-content\/uploads\/2019\/04\/image-30.png\" alt=\"\" class=\"wp-image-2400\"\/><figcaption><strong>Polydimethylsiloxane<\/strong><\/figcaption><\/figure><\/div>\n\n\n\n<div class=\"wp-block-image\"><figure class=\"aligncenter\"><img loading=\"lazy\" width=\"250\" height=\"96\" src=\"http:\/\/ibshypo.com\/wp-content\/uploads\/2019\/04\/image-31.png\" alt=\"\" class=\"wp-image-2401\"\/><figcaption><strong>Simeticone = Polydimethylsiloxane + silica gel<\/strong><\/figcaption><\/figure><\/div>\n\n\n\n<p>Simeticone is marketed as relief for trapped wind: &#8211;<\/p>\n\n\n\n<hr class=\"wp-block-separator\"\/>\n\n\n\n<p><\/p>\n\n\n\n<div class=\"wp-block-image\"><figure class=\"aligncenter is-resized\"><img loading=\"lazy\" src=\"http:\/\/ibshypo.com\/wp-content\/uploads\/2019\/04\/image-32.png\" alt=\"\" class=\"wp-image-2404\" width=\"202\" height=\"293\" srcset=\"https:\/\/ibshypo.com\/wp-content\/uploads\/2019\/04\/image-32.png 403w, https:\/\/ibshypo.com\/wp-content\/uploads\/2019\/04\/image-32-207x300.png 207w\" sizes=\"(max-width: 202px) 100vw, 202px\" \/><figcaption>Simeticone in the UK.  All brands are equally effective.<\/figcaption><\/figure><\/div>\n\n\n\n<p class=\"has-background has-very-light-gray-background-color\">It seems a bit weird but logically simeticone should reduce the PBDE burden, so I trialled the recommended dose of up to 4 x 0.125g daily hoping for a small improvement.  This dose is very small compared to 10g olestra.  After eight weeks, I experience mild breathlessness when warming up for badminton, I went home and checked my heart rate with a sphygmomanometer.  It was very erratic, so I went to my GP who sent me to the local hospital where I was admitted to Resus with supraventricular tachycardia (SVT) which fortunately reverted with IV magnesium and a Valsalva manoeuvre.  My liothyronine requirement had reduced very dramatically.  My hypothyroid symptoms resolved completely.  After reducing my liothyronine dose to 20 mcg I eventually settled on 40 mcg daily.  If I don&#8217;t take any thyroid hormone, I feel tired and have a poor working memory and ability to concentrate.  I believe this is because my TSH was suppressed for over a decade and this has down-regulated my hypothalamic pituitary thyroid axis leading the consequences of <a rel=\"noreferrer noopener\" aria-label=\"Subnormal TSH Secretion (opens in a new tab)\" href=\"http:\/\/ibshypo.com\/index.php\/subnormal-tsh-secretion\/\" target=\"_blank\">Subnormal TSH Secretion<\/a>.<\/p>\n\n\n\n<p class=\"has-background has-very-light-gray-background-color\">The instructions for simeticone products caution that it may reduce the absorption of thyroid medications.  This is good news!  It confirms that simeticone blocks the absorption (or reabsorption) of thyroid hormone like products.  You should take simeticone a few hours away from your thyroid hormone.<\/p>\n\n\n\n<p class=\"has-text-color has-background has-vivid-red-color has-very-light-gray-background-color\"><strong>IMPORTANT: Lowering my PBDE burden led to a sudden reduction in my hormone requirement, which is not gradual or predictable.  If you are on supraphysiological doses of thyroid hormone, say > 150 mcg levothyroxine or > 40 mcg liothyronine then you must monitor your status daily, including your pulse and be prepared to reduce your dose substantially.<\/strong><\/p>\n\n\n\n<h3>A Bit of Trivial Evidence<\/h3>\n\n\n\n<p class=\"has-background has-very-light-gray-background-color\">A highly specific sign of hypothyroidism is slow tendon reflexes.  I have played badminton for many years, just for exercise.  I was never able to hit the shuttle from one end of the court to the other, it doesn&#8217;t need strength, just a snap of the arm to deliver speed.  After my SVT episode I suddenly found the shuttle was travelling the full length of the court.  My reflexes had speeded up.  I never expected this.  A consequence was that after a few weeks I developed tennis elbow, or rather painful triceps!  I&#8217;d never had this, my muscles were not used to fast contractions.<\/p>\n\n\n\n<p class=\"has-background has-very-light-gray-background-color\">I suspect ARTH is the prime source of <a href=\"http:\/\/ibshypo.com\/index.php\/brain-fog\/\">brain fog<\/a>.<br><\/p>\n\n\n\n<hr class=\"wp-block-separator\"\/>\n","protected":false},"excerpt":{"rendered":"<p>My hypothyroidism was getting worse and in desperation I searched PubMed for a non-absorbable lipid with affinity for PBDEs that could be safely ingested. I came across a study in which polydimethylsiloxane is used in sorption tubes for air sampling of PBDEs, it has an extraordinary capacity to capture minute traces of PBDEs, as low [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":[],"_links":{"self":[{"href":"https:\/\/ibshypo.com\/index.php\/wp-json\/wp\/v2\/pages\/2338"}],"collection":[{"href":"https:\/\/ibshypo.com\/index.php\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/ibshypo.com\/index.php\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/ibshypo.com\/index.php\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/ibshypo.com\/index.php\/wp-json\/wp\/v2\/comments?post=2338"}],"version-history":[{"count":55,"href":"https:\/\/ibshypo.com\/index.php\/wp-json\/wp\/v2\/pages\/2338\/revisions"}],"predecessor-version":[{"id":2575,"href":"https:\/\/ibshypo.com\/index.php\/wp-json\/wp\/v2\/pages\/2338\/revisions\/2575"}],"wp:attachment":[{"href":"https:\/\/ibshypo.com\/index.php\/wp-json\/wp\/v2\/media?parent=2338"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}