It took physicians two years after the author complained of weight gain, depression and fatigue to diagnose her with the autoimmune disease Hashimoto's thyroiditis. Autoimmune disease, which includes such conditions as multiple sclerosis, lupus, rheumatoid arthritis and chronic fatigue syndrome, are estimated to afflict at least 8.5 million Americans. According to Shomon (Living Well with Hypothyroidism), because of the difficulty of diagnosis and tendency of some physicians to prescribe treatments that may have serious side effects, those with autoimmune illnesses are being shortchanged by the medical establishment. Since those who suffer from one are more vulnerable to other autoimmune disorders (not to mention that they may have a genetic predisposition toward a disorder), this informative self-help manual is badly needed. Drawing on extensive research, as well as doctor-patient anecdotes, Shomon's guide is designed to empower patients to participate in their own care. In addition to a detailed discussion of every type of autoimmune disease, the author provides advice on how to choose an appropriate medical team that will work to integrate conventional and alternative therapies. Based partly on her own experience, Shomon advocates an integrative approach to treatment that may include meditation, herbs, exercise and dietary changes along with antibiotics and hormones that together will minimize symptoms and maximize health. (Oct.)
