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Nutrition 222 — at a Glance
| Course: | Assessing Thyroid Health in Clinical Practice I · 2 PACE-approved CE hours |
| Faculty: | Howard Benedikt, DC, DCBCN · Clinical Nutrition Faculty, CCEDseminars |
| Format: | On-demand online video with assessment · downloadable handouts · instant certificate |
| Pricing: | $20/hr · automatic 10% off at 6–9 hrs, 20% off at 10+ hrs in one order · no promo codes |
| Approval: | PACE Provider #34015544 · co-sponsored by Texas Chiropractic College · acceptance varies by state |
Board-approved · PACE Provider #34015544 · CE Broker auto-reporting for states served · Instant certificate
The fatigued patient with a “normal” TSH is one of the most common — and most commonly missed — presentations in practice. Nutrition 222 examines the clinical relationship between hormonal balance, thyroid physiology and patient fatigue: the hypothalamic-pituitary-thyroid axis, how chronic stress and cortisol impair T4-to-T3 conversion, the immune-modulating role of vitamin D in thyroid autoimmunity, and how salivary hormone testing and comprehensive lab work sharpen assessment.
Dr. Howard Benedikt works through the overlooked hormonal and nutritional drivers of fatigue, how cortisol suppresses TRH and TSH and inhibits the 5-deiodinase enzyme that converts inactive T4 into active T3 — functional hypothyroidism with a clean TSH — the role of vitamin D in the Th17/Treg imbalance behind Hashimoto’s thyroiditis and its effect on anti-TPO and anti-TG autoantibodies, the clinical utility of salivary cortisol and DHEA for adrenal and thyroid assessment, how to balance hormones through lifestyle, diet and supplementation for the HPT and HPA axes, and why a thyroid panel has to read past TSH to free T3, reverse T3 and autoantibodies.
Choose Your Nutrition Path — Three Lanes, One Curriculum
The Nutrition library — sixty-eight courses by Howard Benedikt, DC, DCBCN — organizes into three working lanes: the gut, the brain, and the conditions you already treat. Nutrition 201–210 is the foundation block, 211–220 the second, 221–230 the third, 231–240 the fourth, 241–250 the fifth, and 201–224 together form the 48-hour Clinical Nutrition Certification (CNC). Two hours each.
1 · Gut, Microbiome, Digestion and Detoxification
Where nutrient status is decided and where systemic inflammation is won or lost — from the intro principles of micronutrients and absorption to the microbiome, the liver’s biotransformation pathways, the GI disease files, the gut/brain connection, functional GI testing, and digestive enzymes.
201: Introduction to Clinical Nutrition
205: Detoxification
207: Microbiota & the Musculoskeletal System
208: Detoxification II
213: Gastrointestinal Disease & Nutrition
214: An Integrative Approach to Gastrointestinal Disease II
221: The Gut/Brain Connection
225: Functional Medicine Testing for GI Disturbances
248: Maximizing Health Through Proper Digestion and Absorption
2 · Brain, Mood, Stress and the Nervous System
Nutritional neurology — the headache patient, the stress physiology your patients carry through the door, the brain-game files on how food drives cognition, the nutrition-and-mood pair, the fatigued patient, memory and dementia, nervous-system function, chronic fatigue with myofascial pain, the concussion protocol, the maladaptive stress response, and the fatigue work-up.
203: Nutritional Management of Headaches
204: Chiropractic Nutrition for Stress Management
211: The Brain Game — How Nutrition Impacts Brain Function
212: The Brain Game II — How Food Impacts Brain Function
218: Nutrition and Mood
219: Nutrition and Mood II
228: Dealing with Fatigue in Clinical Practice
233: Memory, Dementia, and Chiropractic Care
234: Optimal Nervous System Function & Nutrition
237: Chronic Fatigue and Myofascial Pain Syndrome — an Integrative Approach
240: Nutritional Management of Concussions in a Clinical Setting
242: Maladaptive Stress Response & Musculoskeletal Disease
244: Managing the Fatigued Patient
247: Optimizing Nervous System Function with Nutrition
3 · Musculoskeletal, Immune, Hormonal and Clinical Conditions
Nutritional management layered onto what you already treat — arthritic and autoimmune joints, neuropathy and neuropathic pain, immune resilience and the cold-and-flu season, lipids and cholesterol, antioxidants, endocrine disruptors, the thyroid and hormone-testing files, menopause and estrogen, vitamin D, sports injuries, diet and chronic disease, women’s musculoskeletal health, the pain files, the pediatric pair, osteoporosis, and the commonly seen conditions. You are here: Nutrition 222.
202: Nutritional Management of Arthritic Disease
206: Management of Neuropathy
209: Nutrition & the Immune System
210: The Fat Story & Cholesterol
215: Antioxidants in Health and Disease
216: Antioxidants in Health and Disease II
217: Endocrine Disruptors in Health & Disease
220: Management of Autoimmune Disorders — Rheumatoid Arthritis
222: Assessing Thyroid Health in Clinical Practice I
223: Assessing Hormones in Clinical Practice I
224: Assessing Hormones in Clinical Practice II
226: Women’s Health Issues — Focus on Menopause and Estrogen
227: Vitamin D & Musculoskeletal Health
229: Nutritional Management of Sports Injuries
230: A Primer on the Role of Diet and Chronic Disease
231: Women’s Health Issues and the Musculoskeletal System
232: An Integrative Approach to the Musculoskeletal System
235: Pediatric Nutrition & Chiropractic I
236: Pediatric Nutrition & Chiropractic II
238: Chiropractic and Osteoporosis
239: Treating Commonly Seen Conditions in Chiropractic Practice
241: Strengthen Your Immune and Musculoskeletal System through Nutrition and Chiropractic
243: Joint Pain & Inflammation
245: Natural Remedies for the Pain Patient
246: Keeping Healthy During Cold and Flu Season
249: New Strategies for Pain Management in the Chiropractic Setting
250: Neuropathic Pain Management
Every course in the series is 2 PACE-approved CE hours at $40, and the automatic bundle discounts apply across the whole lane. The full 68-course catalog continues on the Nutrition category page.
What You’ll Learn in Nutrition 222
Understand the role of vitamin D in overall health and its specific immune-modulating impact on thyroid autoimmunity and Hashimoto’s thyroiditis.
Review stress and its impact on thyroid function — how cortisol impairs T4-to-T3 peripheral conversion and elevates TSH, producing functional hypothyroidism with normal-looking labs.
Understand why lab work is necessary for accurate diagnosis and treatment, including when standard TSH testing is insufficient and free T3, reverse T3 and autoantibodies are required.
Apply the clinical utility of salivary cortisol and DHEA testing to map the diurnal cortisol curve and HPA-axis dysregulation.
Identify overlooked treatments and protocols for managing fatigue — the hormonal and nutritional drivers practitioners commonly miss.
Balance hormones naturally with lifestyle, dietary and supplementation strategies for the HPT and HPA axes.
Your Nutrition Faculty
Howard Benedikt, DC, DCBCN — instructor of this course. Board-certified chiropractic clinical nutritionist, Diplomate and President of the Chiropractic Board of Clinical Nutrition, with more than 30 years in clinical nutrition and functional medicine. He authors all 68 courses in the CCEDseminars Nutrition library and the Clinical Nutrition Certification (CNC) track at its core, and is known for translating complex nutritional biochemistry into practical, office-ready protocols — here, the thyroid, the stress axis and the fatigue they produce.
Full bio and the complete instructor roster: CCEDseminars faculty page.
Where Nutrition CE Hours Count — State Rules Worth Knowing
Nutrition coursework is clinical subject matter — assessment, clinical reasoning and nutritional management of patient conditions — which is exactly what several state boards ask for. In Iowa, these hours serve the 36-hour clinical case-management minimum; in Rhode Island, they address the 50-of-60 clinical requirement; and in Vermont — where practice-building coursework earns nothing — patient-care education like this counts fully under the clinical-focus rule.
Online-format allowances still vary by state — some accept every hour online, others cap distance learning or require in-person blocks. Check your state’s guide in the full state directory before building your renewal plan.
Build Your Nutrition Block — or Take the Credential
Every course in the Nutrition series runs 2 hours at $40, so the automatic discounts do the bundling for you: 6–9 hours in one order earns 10% off, and 10 or more earns 20% off — any ten courses from the series is 20 hours, which clears the 20% tier at roughly $320 instead of $400, with no promo codes. Assessing Thyroid Health pairs naturally with Nutrition 223 and 224 on hormone testing; the three together reach 6 hours and the 10% tier. Pursuing the credential? The Clinical Nutrition Certification (CNC) packages Nutrition 201–224 — 48 hours — in a single $960 checkout. Browse Nutrition Courses
Nutrition 222 — Frequently Asked Questions
What does Nutrition 222 cover?
Nutrition 222 covers thyroid assessment for chiropractors: the hypothalamic-pituitary-thyroid axis, how chronic stress and cortisol impair T4-to-T3 conversion, vitamin D’s immune-modulating role in Hashimoto’s thyroiditis, salivary cortisol and DHEA testing, reading a thyroid panel beyond TSH, and the overlooked hormonal protocols for fatigue. Also known as Hormones and Thyroid Function, thyroid nutrition for chiropractors, or the thyroid-and-fatigue course.
How does chronic stress impair thyroid function?
Elevated cortisol suppresses TRH and TSH production at the hypothalamic-pituitary level, reducing thyroid output, and inhibits 5-deiodinase — the enzyme that converts inactive T4 into biologically active T3 in peripheral tissue. The result is functional hypothyroidism — fatigue, weight gain, brain fog — even when the standard TSH test looks normal. The course teaches how to identify and address that pattern.
What is the role of vitamin D in thyroid autoimmunity?
Vitamin D acts as an immune modulator that reduces the Th17/Treg imbalance driving autoimmune thyroid conditions like Hashimoto’s. Deficiency is associated with elevated anti-TPO and anti-TG autoantibody titers, and D3 supplementation sustained for more than three months has shown meaningful reductions in autoantibody levels, improved TSH and slowed progression. Nutrition 222 covers assessment and therapeutic dosing in thyroid patients.
Why is salivary hormone testing useful for thyroid and adrenal assessment?
Salivary testing measures free, unbound hormone rather than total serum levels, which makes it more accurate when cortisol-binding globulin varies — oral contraceptives, chronic stress. Salivary cortisol collected across several time points maps the diurnal curve and reveals HPA-axis dysregulation that a single serum draw cannot capture; it is a cornerstone of the fatigue protocols in the course.
How many CE hours is it, and where does it sit in the Nutrition series?
It is 2 PACE-approved CE hours. Nutrition 222 sits in the musculoskeletal, immune, hormonal and clinical-conditions lane of the Nutrition series with Dr. Howard Benedikt, alongside Nutrition 217 (Endocrine Disruptors), 223 and 224 (Assessing Hormones in Clinical Practice I and II), 226 (Menopause and Estrogen) and 228 (Fatigue), and is a core module of the Clinical Nutrition Certification.
State Approval and Licensing Reminder
Continuing education requirements — including online-hour caps and clinical-hour minimums — vary by jurisdiction. Review the online chiropractic CE guidelines page and contact CCEDseminars with questions about your specific licensing requirements before registering.
Ready to Enroll in Nutrition 222?
Half the tired patients on your schedule have a thyroid panel that says they are fine. Two hours here give you the stress-thyroid physiology, the vitamin D connection and the testing to see what the TSH does not.
CCEDseminars · PACE Provider #34015544 · Reviewed by Monte Horne, DC · Last updated September 2026 (CT)