If your son is experiencing low TSH with normal T3 and T4 levels, it suggests a condition known as subclinical hyperthyroidism. Lithium, commonly used in bipolar treatment, often has complex interactions with thyroid function, occasionally leading to such imbalances. Given the thyroid’s impact on mental health and the risk of complications, it’s important to address this promptly.
Firstly, working closely with his healthcare provider is crucial to evaluate whether lithium might be influencing his thyroid function and if adjustments are needed. It’s a delicate balance between managing bipolar disorder effectively and maintaining optimal thyroid health, so adjustments must be supervised medically.
From an Ayurvedic perspective, an imbalance like subclinical hyperthyroidism can often relate to vata aggravation or excessive pitta dosha. To harmonize his doshas, consider introducing cooling and calming practices:
1. Diet: Encourage him to consume cooling foods like cucumbers, watermelons, and bitter greens. Avoid spicy, fried, and very stimulating foods that can aggravate pitta.
2. Herbs: With professional guidance, lightly experienced herbs like Brahmi (Bacopa monnieri) can help stabilize mental calm without directly affecting thyroid function.
3. Routine: Regular daily routines with adequate rest can support vata balance. Gentle yoga and pranayama breathing exercises may support mental steadiness without overly stimulating the system.
4. Oil Massage: Abhyanga, or self-massage with cool oils like coconut or olive, can be grounding and supportive.
However, given the complex nature of bipolar disorder and thyroid interactions, it’s pivotal to work alongside his medical team to ensure any Ayurvedic interventions complement and do not interfere with his existing treatment. Always err on the side of caution with any adjustments to his regimen.



