Metabolic Syndrome (Syndrome X)
Dr. Weyrich's Naturopathic Functional Medicine Notebook
Overview
Patients with metabolic syndrome are at greatly increased risk of developing
heart disease (2 to 4 times as likely) or diabetes (four to 25 times as likely), depending on
how many risk factors (3 or 4) they present with (see below).
Diagnosis
Diagnosis of metabolic syndrome requires that a patient present with at least three of the
following five symptoms:
- Abdominal obesity (40 inches in men, 35 inches in women).
- Elevated fasting blood triglycerides (above 150).
- Decreased HDL ("good") blood cholesterol (less than 40).
- Elevated blood pressure (above 130/85).
- Elevated fasting blood sugar (above 110).
Treatment
- Weight loss is generally effective at resolving the symptoms of metabolic syndrome.
- If the patient is hypothyroid, correcting that condition is a priority - in many
cases all other symptoms will resolve with effective treatment of hypothyroidism;
dessicated thyroid appears to be superior to synthetic hormones for this purpose
[Starr2005, pg 164; Zondek1944a; Hertoghe1915; Siegal2001].
ICD-9 Codes
| ICD9-Code | Description | Comments |
| | | |
References
Unless specifically noted above, references used in the construction of this web
page include the following:
[FDM]
Lecture notes from Functional Medicine University.
[SCNM]
Lecture notes from Southwest College of Naturopathic Medicine.
[UT]
Lecture notes from the University of Tennessee graduate programs in
Chemistry and Biochemistry.
[Ford2002] Ford E, et al.
Prevalence of the metabolic syndrome among U.S. adults: Findings from the third
national health and nutrition examination survey.
JAMA. 287(3):356-359 (2002). Cited by [Starr2005].
[Hertoghe1915] E. Hertoghe.
The Practitioner Vol XCIV, No. 1 (January), 26-69 (1915). [Cited by Starr2005].
[Siegal2001] Siegal Sanford.
Is Your Thyroid Making You Fat. [Cited by Starr2005, pg 164].
[Starr2005] Mark Starr. Hypothyroidism Type 2: The Epidemic.
Columbia, MO: Mark Starr Trust (2005).
[Zondek1944a] H. Zondek.
Diseases of the Endocrine Glands, Fourth Edition.
Baltimore: Williams & Wilkins (1944). [Cited by Starr2005].
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