Self-care is an important process of the Hashimoto’s healing journey, and taking a little time for yourself to do little things you like is crucial. I encourage you to indulge in things that make you feel good and give you more energy and be mindful of things that make you feel worse and take away your energy.
Now and then I like to have little “spa” days to take care of my adrenals. This past Friday I went to yoga, got a non-toxic facial, and spent a good hour soaking in Epsom Salts. I also spent some time browsing my favorite organic beauty products at Whole Foods! Little rituals like this make me feel rejuvenated and ready to take on the world.
Most of my clients and readers find that being in the sunshine, naps, relaxing and being around loved ones are things that make them feel better. On the other hand, being cold, stressed out, being around negative people and eating inflammatory foods makes people feel worse.
In some cases, it’s easy to pinpoint the things that are making us feel worse, in other cases, it may be more difficult to figure out what’s sabotaging our health.
Skin problems in Hashimoto’s
Our skin is a window to our internal health. It is the body’s largest elimination organ, and also a canvas where toxicities, nutrient deficiencies, food sensitivities, and hormonal imbalances can show up. Often, changes in the texture of skin and hair will be a first sign that something is off about our health. For me, I remember my hair being difficult to brush and my skin becoming drier before I was diagnosed with Hashimoto’s.
Women with Hashimoto’s and autoimmune conditions are more likely to have dry, dull skin, rashes, hives, pre-menstrual acne and facial swelling, especially if their thyroid levels are not optimized, and they are not absorbing vitamins and nutrients correctly.
Many women with Hashimoto’s feel like their skin is aging prematurely; this is often as a result of the dryness due to hypothyroidism/nutrient deficiencies while at the same time, some may see breakouts that they haven’t had since teenage years, due to hormonal imbalances/toxicities/food sensitivities.
Unfortunately, men and women will often turn to using more potentially toxic personal care products, worsening their thyroid and hormonal health.
If you’ve read my book, Hashimoto’s The Root Cause, you’ll know that chemicals found in our personal care products can act as endocrine disruptors. This means that they can offset the gentle balance of hormones, mimicking hormone activity and or blocking hormone activity in our bodies. Hormones work together in symphony, and when we have one hormonal imbalance, it’s likely that we have others. Thus an under-active thyroid can affect estrogen and vice versa.
The consequences of these endocrine disruptors can result in skin breakouts, as well as some other scary things, including triggering autoimmune thyroid disease (especially by the chemical triclosan, which is found in our anti-bacterial soaps), causing weight gain, birth defects, and now, a recent study found that exposure to endocrine disruptors found in common personal care products and plastics (PCB’s, phthalates) can lead to early menopause. Women with greater exposure to these chemicals (as measured in 30,000+ women), went through menopause 2-4 years earlier compared to women with less exposure.
Recommendations + Resources
- If your skin is dull and dry, be sure to check your thyroid hormone levels, TSH, Free T3/Free T4. If your thyroid is under-active, you may benefit from medications, a dose increase, or switching medications.
- Don’t use plastic to store or heat your food. You can use Ball mason jars (I prefer the wide-mouth ones) and/or glass storage containers instead. These do not contain toxins that can disrupt hormones.
- Do not use triclosan-containing antibacterial soaps, and check your toothpaste for triclosan as well. If you’re looking for triclosan (and fluoride) free toothpaste, I recommend Wellnesse Whitening Toothpaste which includes all-natural ingredients to support dental health and teeth remineralization, as well as Hyperbiotics Activated Charcoal Probiotic Toothpaste, which is uniquely designed with a targeted probiotic strain to help support healthy teeth and gums, by supporting the oral microbiome.
- Check out Environmental Working Group’s Skin Deep Database; that ranks personal care products based on safety and toxicity profiles.
- If you’re breaking out, consider food sensitivity testing or an Elimination diet to figure out which foods may be causing your breakouts (I was surprised that nuts were causing mine!).
Hope that this information helps you on your journey!
P.S. Be sure to subscribe to my email list to get a free book chapter, recipes, Thyroid Diet start guide and notifications about upcoming events.
Frances Phillips says
Dr. Izabella Wentz says
Frances- You are so very welcome! Most people will see a dramatic reduction in gut symptoms, brain symptoms, skin breakouts and pain by eliminating the foods they are sensitive to. Some will also see a significant reduction in thyroid antibodies! An additional subset of people, will actually be able to get their Hashimoto’s into complete remission just by getting off the foods they react to, normalizing their thyroid antibodies, and some even normalizing their thyroid function! Here are a couple of articles you may find helpful.
FOOD SENSITIVITIES AND HASHIMOTO’S
https://thyroidpharmacist.com/articles/food-sensitivities-and-hashimotos
AUTOIMMUNE PALEO DIET
https://thyroidpharmacist.com/articles/autoimmune-paleo-diet
Lucy says
Hi Dr Wentz. I have hashimoto and hypothyroidism and am trying to get pregnant. My cycles are all over the place with no regular periods. What can I do to get pregnant? I don’t even know what to ask my doctor!
Thanks
Dr. Izabella says
Lucy – thank you for following this page. Here is an article you might find helpful.
PREGNANCY
https://thyroidpharmacist.com/articles/hashimotos-and-pregnancy
Lucy says
Thanks DR. That article doesn’t address what thyroid does to periods and cycles. In your opinion what can I do or ask my dr to get my cycles in check. They are anywhere between 40-48 days normally.
Lio says
hello?
Sharon says
Dr. Izabella Wentz says
Sharon- Hashimoto’s is a complicated condition with many layers that need to be unraveled. While conventional medicine only looks at each body system as a separate category, and is only concerned with the thyroid’s ability to produce thyroid hormone, Hashimoto’s is more than just hypothyroidism. I wanted to pass along these articles that I wrote. I hope they help 🙂
WHERE DO I START WITH HASHIMOTO’S
https://thyroidpharmacist.com/articles/where-do-i-start-with-hashimotos/
OVERCOMING HASHIMOTO’S
https://thyroidpharmacist.com/articles/overcoming-hashimotos-in-the-new-year/
Ashly says
Dr. Izabella Wentz says
Ashly- There are quite a few options for thyroid medications. In my experience, what works for one person may not work for another. If your doctor will not prescribe the medication you are looking for, ask your local pharmacist for doctors in your area who prescribe the medication you are looking to try. Have you read these articles?
WHICH THYROID MEDICATION IS BEST?
https://thyroidpharmacist.com/articles/which-thyroid-medication-is-best/
TOP 11 THINGS YOU NEED TO KNOW ABOUT THYROID MEDICATIONS
https://thyroidpharmacist.com/articles/top-11-things-you-need-to-know-about-thyroid-medications
apelila says
Dr. Izabella Wentz says
Apelila- Do you have Hashimoto’s or a thyroid condition?
Hashimoto’s is a complicated condition with many layers that need to be unraveled. While conventional medicine only looks at each body system as a separate category, and is only concerned with the thyroid’s ability to produce thyroid hormone, Hashimoto’s is more than just hypothyroidism. I wanted to pass along these articles that I wrote. I hope they help 🙂
WHERE DO I START WITH HASHIMOTO’S
https://thyroidpharmacist.com/articles/where-do-i-start-with-hashimotos/
OVERCOMING HASHIMOTO’S
https://thyroidpharmacist.com/articles/overcoming-hashimotos-in-the-new-year/
Vicki B. says
Dr. Izabella Wentz says
Vicki- Most thyroid conditions result from the immune system attacking the thyroid because the immune system is out of balance. Even when the thyroid is taken out surgically, is ‘dead’, or treated with radioactive iodine the autoimmunity still persists in most cases. Many people will have their thyroids removed, and will develop new autoimmune disorders such as Lupus, Rheumatoid arthritis, etc. The immune system just finds a different target. We need to re-balance the immune system to prevent this (sometimes the autoimmunity can be reversed as well). The gut determines your immune system. With the exception of discussing proper thyroid medication dosing, the majority of my website and my book focuses on balancing the immune system. The info I present is based on my own research and journey for overcoming my autoimmune thyroid condition.
HASHIMOTO’S ROOT CAUSE BOOK
http://www.amazon.com/gp/product/0615825796?ie=UTF8&camp=1789&creativeASIN=0615825796&linkCode=xm2&tag=thyroipharma-20
THE COMMON ROOT CAUSE OF HASHIMOTO’S, HIVES AND IBS
https://thyroidpharmacist.com/articles/the-common-root-cause-of-hashimotos-hives-and-ibs
Ruth says
Dr. Izabella Wentz says
Ruth- Most people will see a dramatic reduction in gut symptoms, brain symptoms, skin breakouts and pain by eliminating the foods they are sensitive to. Some will also see a significant reduction in thyroid antibodies! An additional subset of people, will actually be able to get their Hashimoto’s into complete remission just by getting off the foods they react to, normalizing their thyroid antibodies, and some even normalizing their thyroid function! Here are a couple of articles you may find helpful.
FOOD SENSITIVITIES AND HASHIMOTO’S
https://thyroidpharmacist.com/articles/food-sensitivities-and-hashimotos
AUTOIMMUNE PALEO DIET
https://thyroidpharmacist.com/articles/autoimmune-paleo-diet
meg says
I have only been on Armour for 5 days and already I feel a little more energetic. Im taking this as a positive and hopefully continue on an upward path. Thank you for your information ..now I will look into dry skin!
Dr. Izabella Wentz says
Meg- Most thyroid conditions result from the immune system attacking the thyroid because the immune system is out of balance. Even when the thyroid is taken out surgically, is ‘dead’, or treated with radioactive iodine the autoimmunity still persists in most cases. Many people will have their thyroids removed, and will develop new autoimmune disorders such as Lupus, Rheumatoid arthritis, etc. The immune system just finds a different target. We need to re-balance the immune system to prevent this (sometimes the autoimmunity can be reversed as well). The gut determines your immune system. With the exception of discussing proper thyroid medication dosing, the majority of my website and my book focuses on balancing the immune system. The info I present is based on my own research and journey for overcoming my autoimmune thyroid condition.
HASHIMOTO’S ROOT CAUSE BOOK
http://www.amazon.com/gp/product/0615825796?ie=UTF8&camp=1789&creativeASIN=0615825796&linkCode=xm2&tag=thyroipharma-20
HASHIMOTOS AND THYROID CANCER
https://thyroidpharmacist.com/articles/hashimotos-and-thyroid-cancer
Bets says
I have had hypothyroidism since about 1994, gained weight & kept gaining. Got up to 217 (I’m 5’6″) & never could lose more than 5 lbs then just gained it back.
Last April, 2014, I began on the KTC Phase 1 diet. July had doctor appt -weighed 215 & had lost by Jan next dr. appt – & was 195. As of today 4-9-2015, I weigh 184. – Without exercising, Without watching calories or fat
But there was & is a complete change in what I eat & drink. Yet I plan to stay on this diet with some variations using the Phase 2 diet.
Dr. Izabella Wentz says
Bets- When it comes to weight gain these are a couple of things to think about.
1) What was your recent TSH, Free T3 and Free T4? Sometimes when those numbers are on the outskirts of normal, your metabolic rate may still be impaired making it more difficult for you to burn calories. Most people report feeling well with a TSH between 0.5-2.
2) What type of medication are you on? Some report more weight loss with T4/T3 combinations (Armour, Nature-Throid, compounded medications) versus T4 medications (Synthroid, Levoxyl, Tirosint) alone. T4 is a precursor to T3, but some individuals do not convert T4 to T3 properly, and the T3 component is the metabolically active one.
3) What type of diet are you eating? Some report more weight loss with T4/T3 combination vs T4 alone. Some do not convert T4 properly.The Standard American Diet (S.A.D.) full of sugar and simple carbohydrates is perfectly designed to cause us to gain weight year after year. Even yogurts that are marketed as “healthy” contain the equivalent of 16 teaspoons of sugar. Divorcing the S.A.D. is often a step that many of us must take to not just lose weight, but to also feel better. Some diets that have been helpful include the Body Ecology Diet, the Paleo Diet, the Virgin Diet, Autoimmune Paleo Diet, GAPS diet, SCD diet, Weston A. Price Diet, or the Mediterranean Diet. You may need to modify these diets to your own individuality.
BEST DIET FOR HASHIMOTO’S AND HYPOTHYROIDISM
https://thyroidpharmacist.com/articles/best-diet-for-hashimotos-hypothyroidism
HOW TO LOSE WEIGHT WITH HASHIMOTO’S AND HYPOTHYROIDISM
https://thyroidpharmacist.com/articles/how-to-lose-weight-with-hashimotos
Tresia Miller says
Dr. Izabella Wentz says
Tresia- Here is an article you may find interesting! 🙂 BLOOD SUGAR IMBALANCES AND HASHIMOTOS
https://thyroidpharmacist.com/articles/blood-sugar-imbalances-and-hashimotos
Bets says
#1 – Stop all sugar
#2 – for sweeteners – use Xylitol (from birch) (tastes just like sugar – but don’t overdo, begin slowly – some have tummy problems if they eat too much at once + keep away from animals, can kill them)
AND OR – use Stevia (but nothing else in it – some are filled with bad stuff) – You can also grow your own.
I use the Vanilla Stevia a lot.
And you could check out the TV show & or website for Know The Cause with Doug Kaufman –
Dr. Izabella Wentz says
Bets- Most people will see a dramatic reduction in gut symptoms, brain symptoms, skin breakouts and pain by eliminating the foods they are sensitive to. Some will also see a significant reduction in thyroid antibodies! An additional subset of people, will actually be able to get their Hashimoto’s into complete remission just by getting off the foods they react to, normalizing their thyroid antibodies, and some even normalizing their thyroid function! Here are a couple of articles you may find helpful.
FOOD SENSITIVITIES AND HASHIMOTO’S
https://thyroidpharmacist.com/articles/food-sensitivities-and-hashimotos
AUTOIMMUNE PALEO DIET
https://thyroidpharmacist.com/articles/autoimmune-paleo-diet
Rose Mayginnes says
Dr. Izabella Wentz says
Rose- I highly recommend that you work with a functional medicine clinician. It’s a whole medical specialty dedicated to finding and treating underlying causes and prevention of serious chronic disease rather than disease symptoms.
FUNCTIONAL MEDICINE APPROACH TO THE THYROID
https://thyroidpharmacist.com/articles/functional-medicine-approach-to-the-thyroid
CLINICIAN DATABASE
http://www.thyroidpharmacistconsulting.com/clinician-database.html
FIND A FUNCTIONAL MEDICINE CLINICIAN
https://www.functionalmedicine.org/practitioner_search.aspx?id=117
Brenda k miller says
Dr. Izabella Wentz says
Brenda- Graves and Hashimoto’s are both autoimmune conditions that affect the thyroid. They are thought to be closely related. Sometimes one turns into the other. The difference is the site of the antibody attack. In Hashimoto’s, the antibodies are found to thyroglobulin (in 80%) and thyroid peroxidase (TPO) enzyme (in 95% of people)-Hashimoto’s results in hypothyroidism and is usually treated with Synthroid and replacement hormone.
The same antibodies may be present in a smaller percentage of people who have Graves, but the main antibody is to the TSH Receptor (TSHR-Ab). Usually people with Graves have hyperthyroidism and they are treated conventionally with thyroid suppressing drugs (methimazole) or radioactive iodine to destroy the thyroid. At that point, the thyroid will no longer produce hormones on its own and these people end up on Synthroid as well.
Most thyroid conditions result from the immune system attacking the thyroid because the immune system is out of balance. Even when the thyroid is taken out surgically or treated with radioactive iodine the autoimmunity still persists in most cases. Many people will have their thyroids removed, and will develop new autoimmune disorders such as Lupus, Rheumatoid arthritis, etc. The immune system just finds a different target. We need to rebalance the immune system to prevent this (sometimes the autoimmunity can be reversed as well! The gut determines your immune system. With the exception of discussing proper thyroid medication dosing, the majority of my website and my book focuses on balancing the immune system. The info I present is based on my own research in journey for overcoming my autoimmune thyroid condition.
http://www.amazon.com/gp/product/0615825796?ie=UTF8&camp=1789&creativeASIN=0615825796&linkCode=xm2&tag=thyroipharma-20
manzarm says
Dr. Izabella Wentz says
Manzarm- You are so very welcome! Most people will see a dramatic reduction in gut symptoms, brain symptoms, skin breakouts and pain by eliminating the foods they are sensitive to. Some will also see a significant reduction in thyroid antibodies! An additional subset of people, will actually be able to get their Hashimoto’s into complete remission just by getting off the foods they react to, normalizing their thyroid antibodies, and some even normalizing their thyroid function! Here are a couple of articles you may find helpful.
FOOD SENSITIVITIES AND HASHIMOTO’S
https://thyroidpharmacist.com/articles/food-sensitivities-and-hashimotos
AUTOIMMUNE PALEO DIET
https://thyroidpharmacist.com/articles/autoimmune-paleo-diet
Greg says
Are you recommending products that are contributing to my digestive and skin problems? I have been ordering products you recommend through PureEncapsulations (several hundreds of dollars) and I continue to have recurring digestive and skin problems – several products contain ascorbyl palmitate which is derived from corn dextrose. YIKES! All of the discussions on the various webinars and articles you reference identify corn as a real problem for many with Hashimotos and certainly with those with food intolerances with corn. Why would you recommend products with ascorbyl palmitate? Any alternative products without ascorbic palmitate? Also, those products at PureEncapsulations that contain d-alpha tocopherol (Vit E) – is this soy derived??
Thank you for your help!
greg
Dr. Izabella Wentz says
Greg- Thank you so much for sharing! Not everyone will need every single supplement! In fact, I believe that most nutrients should come from the diet, this is why I always list food sources for most of the nutrients, vitamins, minerals and probiotics that are depleted in Hashimoto’s in the book and on the blog. However, some may require/prefer supplements and the supplements on the website are a resource for those that do. I recommend getting tested for deficiencies to determine your need for a supplement as instructed in the book and blog. I also don’t recommend starting multiple supplements all at once. I recommend starting one at a time and then adding another a week or so later once it has been confirmed that the first supplement is not causing any harm.
I do have a full supplements chapter in my book. Have you checked it out? Not everyone should be taking every supplement and the book will help uncover your root cause. This will help you figure out your supplementation.
http://www.amazon.com/gp/product/0615825796?ie=UTF8&camp=1789&creativeASIN=0615825796&linkCode=xm2&tag=thyroipharma-20
Bart says
Hello,
I do have your book. Very well written. I am male and I am 41 years old. I found about my hashimotos cause i asked to test for it cause my dad has it. I dont have any symptoms except higher TSH and some antibodies. Started with 90, went to 496 and now they stay around 30 TPO. My doctor says that TPOS below 30 they are not significant. My doctor did a stool test, food sensitivities, adrenal tests. No leaky gut, some stress issues and little food sensitivities to potato and eggs. (on scale from 1-10 around 3) He found EBV that was put under control with vitamin C and monolarium protocol. But nothing changed when it comes to my health. I always was feeling great and after i started treating hashimotos i was more stressful as i needed to be gluten free, etc. I cook everything myself. I am Polish as you are and i always wonder if Polish people and their Hashimotos is completely different then Americans. If i eat gluten i feel no difference at all. The only thing i can notice is dry skin and hair loss on my calves. I wonder why people with Hashimotos have dry skin? Is there a fix for it? Is it due to low t4 hormons?
I dont understand why all the supplements and all that good diet dont affect my TSH at all. It always stays at higher range 3.5-7 depending on the time when tested. One day i had it 2.4 but then 2 weeks after 7. Is it possible that i am in some earlt stage of Hashimotos where dietary changes make no difference? I just dont get it?
Should not my skin not be dry if i do everything not to aggravate the Hashimotos?
Dr. Izabella Wentz says
Bart- Our skin is a window to our internal health. It is the body’s largest elimination organ, and also a canvas where toxicities, nutrient deficiencies, food sensitivities and hormonal imbalances can show up. Those with Hashimoto’s and autoimmune conditions are more likely to have dry, dull skin, rashes, hives, pre-menstrual acne and facial swelling, especially if their thyroid levels are not optimized and they are not absorbing vitamins and nutrients correctly.
Keeping your thyroid levels balanced and getting the right oils in your diet such as from wild salmon, avocados, olives and coconuts should help. Topically, almond or coconut oil might help hydrate your skin naturally.
The gold standard, or the most accurate test for uncovering reactive foods and individual food sensitivities is actually the Elimination Diet. It works better than trying a recommended dietary approach (i.e. gluten-free, Paleo, etc.) and even better than food sensitivity testing (which may be helpful in many cases, but may not be affordable for many people). The elimination diet can work as a stand-alone or in symphony with food sensitivity testing. Here is an article you may find helpful! 🙂
ELIMINATION DIET FOR HASHIMOTO’S
https://thyroidpharmacist.com/articles/elimination-diet-for-hashimotos
Bart says
Thank you for your comments. I do eat lots of avocados (3-4 a week) and salmon (1-2x a week). I never tried the almond oil.
The truth is that no matter how hard i try i cannot tell if my body is reacting to any food. I feel good after eating any food i prepare. Eggs are fine, even wheat that i dont eat is ok.(if i try, last time i went on vacation to europe i had bread in France and i did not have any reaction, my antibodies were exactly same before and after eating gluten) Funny part is that the food sensitivities test says that i am allergic to pineapples which i barely eat, but when i eat it nothing happens so i dont know if you can even trusts these tests.
What i dont understand is if i do all the things correctly in regards of diet, the EBV virus control, stress control why my TSH never stabilizes and wont go below 2-3. Should i ever worry about that number or rather go by how my body feels? Is it beneficial to people like me to take any thyroid medication? Do you need medication if you feel ok, but lets say have dry skin?
Another problem is that my wive is exact replica of me. Before she cannot get pregnant we did some testing and she also have antibodies but feels great, has regular periods, is very lean and healthy. But has tsh is now 5.8 where it was 3.3 few months ago and 5 years ago it was 2.4. Conventional medicine wants to do some intrusive testing and xrays, but I dont want her to go through this nightmare as i am worried it will do more bad then good. I wonder if she must takes t4 medication in order to get pregnant? We have been trying for over a year and it does not click. All her blood results look great on paper. The only warning signs are her antibodies 222TPO and TSH higher. She started to supplement with selenium, D (has low levels in last test 25) and zinc (she fails the zinc liquid test) hoping it will drop the antibodies likeit did for me.
Like you say in your book supplements are good to stabilize issues but the root cause still must be discovered. I read lots of articles where some treat Hashimotos with Iodine and it gives excellent results, but most of the functional doctors in USA stay away from iodine. I wonder if maybe iodine is not a key to heal it? I read this polish book “zdrowie na wlasne zyczenie” by Jozef Slonecki and he claims that with Kelp supplementation he saw his patients regenerate the thyroid tissue. (tom3, page 217)
Dr. Izabella Wentz says
Bart- I’m very hesitant in recommending iodine in Hashimoto’s. Although iodine serves as fuel for our thyroid and is very important in iodine deficiency hypothyroidism, Hashimoto’s is a different mechanism. It’s like pouring gas into an engine that’s on fire… that’s essentially what’s happening in Hashi’s, thyroid inflammation, and adding iodine to the mix before putting out the fire and fixing the engine may result in further damage to the thyroid. In those with a predisposition to autoimmunity, this has been documented time and time again, animal and human studies. I have spent 4 years researching this and have seen too many people suffering the consequences of adding iodine too soon. My approach is, let’s fix the engine first (usually a gut issue), and then add the fuel once we know that the engine is no longer on fire. Hope that you will check out my book. I have a whole chapter on the iodine controversy that references numerous studies as well as the work of Abraham and Brownstein. I would encourage you to reread the chapter, it starts on page 93. I would also highly recommend that you work with a functional medicine clinician. It’s a whole medical specialty dedicated to finding and treating underlying causes and prevention of serious chronic disease rather than disease symptoms.
FUNCTIONAL MEDICINE APPROACH TO THE THYROID
https://thyroidpharmacist.com/articles/functional-medicine-approach-to-the-thyroid
CLINICIAN DATABASE
http://www.thyroidpharmacistconsulting.com/clinician-database.html
FIND A FUNCTIONAL MEDICINE CLINICIAN
https://www.functionalmedicine.org/practitioner_search.aspx?id=117
Bart says
Thx again.
I do work with functional medicine doctor but to tell you the truth I don’t know what my goal should be. I came to this doctor cause I noticed my antibodies were existent. I did. It have any symptoms except cold feet and hands but this was not that bad as it was only happening when it was cold. So I asked the doctor to help me find a root cause of my hashimotos and put it in remission. Before I started to see him my antibodies were 90 tpo. Then I was on autoimmune diet for 3 months and they went up to 490. Something I could not ever understand. Then I started to see the doctor and he discovered ebv. With selenium,zinc, vit d and vit c and minolarium protocol ebv went away. It my tsh was always higher around 6-7.
I could never understand why if ebv was removed, I was gluten free and for some time no eggs and diary but tsh still Did not like to go down. I did extra medidation every night but it did Not change anything. It was only this year when i saw my tsh go down just before going on vacation. I was curious and i checked if ebv was deactivated and this is when I noticed it reactivated. I tested it myself to prove to my doctor that gluten was not a cause and something else got the ebv reactivated. After that I went to Europe and I was eating bread like crazy. I retested myself after 1 month after coming back from the trip and nothing changed except ebv being active. So it is crazy difficult to figure out what is wrong especially when there is not much symptoms affecting my life dramatically like I see in others.
Yes I got your book and I will reread it. I also read the brownstein book and it was very interesting but my doctor thinks like you that iodine is bad for me.
MARLO MARTIN says
Dr Wentz, I do have your book Root Cause and it has been very informative to read! I have Hoshimotos and am an RN so you can imagine how some of my symptoms are extremely frustrating. At times I have flushing to my upper chest, neck, ears. This starts with redness and heat to my throat area then typically on day 2 the redness remains around the front of my neck but progresses to the back of my neck and ears accompanied by itching. This can last for a couple of days to a week. I have not pinpointed a trigger for this. I take armour thyroid (2 different doses) and see an endocrinologist regularly. I was also having itching and hives mainly on my extremities about 6-8 months ago and starting being as gluten free as possible and that itching has ceased. My celiac panel is negative, I initially had an elevated hystamine level in my 24 hour urine test but a repeat 6 months later came back normal. My last TSH is ‘normal’ at 1.03 and free T4 is .60. I do have an elevated ANA at 1:1280 and see my rheumatologist regularly but no definitive diagnosis there other than an high ANA. I see a dermatologist because I have completely lost all of my eyebrow hair and my B12, D3 and pariatal cells antibodies are all normal. And the list goes on…
Any input that you could give me would be greatly appreciated. Thanks!
Dr. Izabella Wentz says
Marlo – please, understand that due to liability issues, I am unable to answer specific medical questions.
I highly recommend that you work with a functional medicine clinician. It’s a whole medical specialty dedicated to finding and treating underlying causes and prevention of serious chronic disease rather than disease symptoms.
FUNCTIONAL MEDICINE APPROACH TO THE THYROID
https://thyroidpharmacist.com/articles/functional-medicine-approach-to-the-thyroid
WHAT TYPE OF DOCTOR SHOULD YOU SEE IF YOU HAVE HASHIMOTO’S
https://thyroidpharmacist.com/articles/what-type-of-doctor-should-you-see-if-you-have-hashimotos
10 THINGS I WISH MY ENDOCRINOLOGIST WOULD HAVE TOLD ME
https://thyroidpharmacist.com/articles/10-things-i-wish-my-endocrinologist-would-have-told-me
CLINICIAN DATABASE
http://www.thyroidpharmacistconsulting.com/clinician-database.html
FIND A FUNCTIONAL MEDICINE CLINICIAN
https://www.functionalmedicine.org/practitioner_search.aspx?id=117
Michelle says
I had my thyroid removed, due to thyroid cancer. My acne is severe and in my chin area. It’s the big, red, puffy kind, some are really large white heads, too. It makes me really sad and to the point of tears. It is also beginning to get painful. I am 33 years old.
Dr. Izabella Wentz says
Michelle – thank you for following this page. Most thyroid conditions result from the immune system attacking the thyroid because the immune system is out of balance. Even when the thyroid is taken out surgically, is ‘dead’, or treated with radioactive iodine the autoimmunity still persists in most cases. Many people will have their thyroids removed, and will develop new autoimmune disorders such as Lupus, Rheumatoid arthritis, etc. The immune system just finds a different target. We need to re-balance the immune system to prevent this (sometimes the autoimmunity can be reversed as well). The gut determines your immune system. With the exception of discussing proper thyroid medication dosing, the majority of my website and my book focuses on balancing the immune system. The info I present is based on my own research and journey for overcoming my autoimmune thyroid condition.
Hashimoto’s Protocol
thyroidpharmacist.com/protocol
Hashimoto’s Root Cause
http://www.amazon.com/gp/product/0615825796?ie=UTF8&camp=1789&creativeASIN=0615825796&linkCode=xm2&tag=thyroipharma-20
J Rayfoes says
Why is it that only women have these skin conditions and men don’t? I am a man with Hashimotos and with similar skin issues.
Dr. Izabella says
J Rayfoes – thank you for reaching out. While the majority of my audience are women, I am well aware that men are also affected by the symptoms of Hashimoto’s. Statistics state that 5-8 women are diagnosed with Hashimoto’s thyroiditis for every man who is diagnosed. With the exception of discussing proper thyroid medication dosing, the majority of my website and my book focuses on balancing the immune system and is suitable for men. The info I present is based on my own research and journey for overcoming my autoimmune thyroid condition. I hope you find this article useful too:
THYROID DISEASE IN MEN
https://thyroidpharmacist.com/articles/thyroid-disease-in-men/
Marelize K says
Dr Izabella
When aging, it seems that once again acne can be a problem (I’ve read a weeny bit on perimenopause acne and it seems to fit my condition to a T). But how do I know whether it is thyroid related or estrogen-progesterone related? I turn 47 within days, have been following a strict AIP for 6 months, added some foods, use homeopathic medicine and drink Thyroid S…
Dr. Izabella says
Marelize – Thank you for following this page. There are many causes for reproductive disfunction. Many of the same underlying causes help trigger Hashimoto’s. Please, understand that due to liability issues, I am unable to answer specific medical questions, but I highly recommend that you work with a functional medicine clinician. It’s an entire medical specialty dedicated to finding and treating underlying causes and prevention of serious chronic disease rather than disease symptoms. Here are some links which might help:
FUNCTIONAL MEDICINE APPROACH TO THE THYROID
https://thyroidpharmacist.com/articles/functional-medicine-approach-to-the-thyroid
CLINICIAN DATABASE
https://www.thyroidpharmacistconsulting.com/clinician-database.html
MY RECENT CHALLENGES AND FINDING DR. RIGHT
https://thyroidpharmacist.com/articles/my-challenges-and-finding-dr-right/
Meridith Neal says
Dr. Izabella,
I have been suffering from extremely dry skin. When I was diagnised with Hashimotos in May 2017, I was put on levothyroxin, it made my hair fall out. I then went to a functional medical doctor and was put on WP Thyroid, my hair continued to fall out. I had a new doctor this past December tell me I could go off my meds and supplement with coconut oil, as she thought my hair loss was mainly a side effect of the WP thyroid medication not my thyroid levels. Again the hair loss continued and it wasn’t until another provider started treating me for MTFHR gene mutation via supplementation ( my body’s inability to process and absorb vitamin B) that I noticed my hair really took a turn for the better. However, everytime I wash it I notice a lot of hair fall. I use organic coconut shampoo and conditioner twice a week. It has a short list of organic paraben and sulfate free ingredients. I’ve tried hair conditioning masks ex; egg wash, Olive oil, honey, potato, neem oil, essential oil(s), aloe Vera and castor oil masks, ALL of these make me loose even more hair like I mean clumps! I don’t know why but these dry my scalp out even more. I’ve lost about half the hair I had since my diagnosis and can’t afford to keep guessing what might work. What shampoo can I use that isn’t going to exacerbate my hair loss when I wash it? In addition the rest of my skin is always dry my face and hands in particular, I feel like I look older then 33. I’m on vitimine and mineral suppliments including primrose oil, but still having this problem. I’m desperate, do you have any suggestions? Thank you so much!
Dr. Izabella says
Meridith – thank you for following this page. Sometimes, when your TSH is on the outskirts of the normal range, you can continue to lose hair, and your hair may lack luster and shine. If your hair tangles easily, this is a sign that you may not be getting enough thyroid hormone. Talk to your doctor. You should see a change within 4-6 weeks.
Consider the type of thyroid medication you are taking. T3, the more active thyroid hormone, is your “beautiful hair” hormone that helps you grow your hair and prevents it from falling out. Synthroid, Levoxyl, and Tirosint only contain T4, the less active hormone. T4 should be converted to T3 in the body…except this doesn’t always happen. Sometimes an addition of Cytomel**may be cross-contaminated with gluten*** (a T3 medication) or a switch to a medication that contains a combination of T3/T4 such as Armour, Nature-Throid or compounded T4/T3 may result in a return of your hair’s luster and shine.
WHICH THYROID MEDICATION IS BEST?
https://thyroidpharmacist.com/articles/which-thyroid-medication-is-best/
TOP 11 THINGS YOU NEED TO KNOW ABOUT THYROID MEDICATIONS
https://thyroidpharmacist.com/articles/top-11-things-you-need-to-know-about-thyroid-medications/
Lilac says
Hi Dr. Wentz, I was wondering if you ever heard of a problem like mine. The skin on my arms became VERY strangely dry, wrinkly and saggy a year ago and are getting progessively worse. It is very pronounced with sagging from the inner elbow to the forearm. When I lie down and turn my arm sideways, they look like a 90 year old wrinkled and loose skin. I am freaking out! I am 54 and going through menopause. My blood work shows a TSH of 4.7 and I believe it’s been undetected and high for a long time. My estradiol is too high and my progesterone doesn’t exist. I’m seeing an endo later this month and might go to a functional dr. if I don’t get help. I asked my primary to put me on levothyroxine just to tide me over until I see the endo and I am taking .25 mcg four times a week. I understand that you can’t diagnose me online, and I need more thorough thyroid tests, etc as well. In the interim I am just wondering if such a skin problem as I’m seeing with wrinkled loose skin on my arms could be common to Hashimoto’s or non- Hashi’s hypothyroidism? I am going to ask to be tested for Hashimoto’s as well. I’ve also had hair loss for three years with fine and thin regrowth since then. However my skin is now scaring me more. Thanks very much!
Dr. Izabella says
Lilac – Our skin is a window to our internal health. It is the body’s largest elimination organ, and also a canvas where toxicities, nutrient deficiencies, food sensitivities and hormonal imbalances can show up. Women with Hashimoto’s and autoimmune conditions are more likely to have dry, dull skin, rashes, hives, pre-menstrual acne and facial swelling, especially if their thyroid levels are not optimized and they are not absorbing vitamins and nutrients correctly. Also, hair loss is a distressing symptom experienced by women with Hashimoto’s. For women,
our hair represents our femininity, and losing our hair is a constant reminder that something is off and that we are not well. Check out these articles:
THE THYROID AND SKIN
https://thyroidpharmacist.com/articles/the-thyroid-and-skin
HASHIMOTO’S AND GETTING YOUR HAIR BACK
https://thyroidpharmacist.com/articles/hashimotos-and-getting-your-hair-back/
HAIR LOSS AND YOUR THYROID
https://thyroidpharmacist.com/articles/hair-loss-and-thyroid
Lilac says
thank you very much! I am a strong believer in digging for the root cause of problems. I gave up all gluten, added sugar, the very few packaged foods I ate, table sugar, etc. etc. and I am equipped with the knowledge of all the right tests to order from great articles like yours. I think thryoid is directly related to my hair and extremely dry skin on my arms. I am still uncertain about why my arms sags and wrinkle like a much older person, as if aging has accelerated, but next I will dig into cortisol and insulin resistance testing while working on balancing my estrogen to progesterone and testosterone levels. I hope that skin can snap back as well as hair but I am not sure it’s that easy. Before taking drastic measures like surgical options I will test everything and exhaust all possible treatment methods while continuing to follow an optimal diet and exercise daily. By the way, going gluten free, while not yet changing the fat collection in my lower body and upper arms, has brought the scale numbers down effortlessly by several pounds, even if I sit and binge on nuts every so often! Good fats do not cause weight gain which I found a shock as I was always brought up to think of fat as the enemy! If I do find I have Hashimoto’s then I’ll certainly add your Hashimoto’s protocol to my must read list. Thanks for all you do!
javi says
Lilac,
I have got a similar problem with my arms. They are ageing too fast and look very saggy compared to other people the same age. I’m 42y and I have deep elephant wrinkles on my elbows too. I just started to look for any solution. I also scared to age so fast without having a time to used to it. Please share if you find smth. I have thyroid problems (hormonal dysbalance, nodules) since my teen years
Jennifer Sampson says
I am wondering if you ever found the underlying cause for your arms? I really am having a problem with this – going to see a dermatologist and an endocrinologist this month. I have had Hashimotos for 25 years.
Ana says
Hi Dr. Wentz,
I just started taking NDT capsules for my Hashimoto and my skin broke out bad on my chin and jaw line and I’m wondering if this could be the side effect of the pills.
Do you have any suggestions or recommendations?
Thank you,
Ana
Dr. Izabella says
Ana – thank you for reaching out. I wish I could give you more direct advice but, each person will react differently. I would advise you to ask your trusted clinician who’s care you are under. There are quite a few options for thyroid medications. In my experience, what works for one person may not work for another. If your doctor will not prescribe the medication which you are looking for, ask your local pharmacist for doctors in your area who prescribe the medication you are looking to try. Have you read these articles?
WHICH THYROID MEDICATION IS BEST?
https://thyroidpharmacist.com/articles/which-thyroid-medication-is-best/
TOP 11 THINGS YOU NEED TO KNOW ABOUT THYROID MEDICATIONS
https://thyroidpharmacist.com/articles/top-11-things-you-need-to-know-about-thyroid-medications/
HOW THE DOSE OF YOUR THYROID MEDICATION CAN UNCOVER YOUR ROOT CAUSE
https://thyroidpharmacist.com/articles/the-dose-of-your-thyroid-medication-can-uncover-your-root-cause/
HOW TO GET ACCURATE LAB TESTING WHEN TAKING MEDICATIONS
https://thyroidpharmacist.com/articles/how-to-get-accurate-lab-tests-when-taking-thyroid-medications/
Janet says
I had a TT for cancer in Nov 2017. Right now I am on NP. For the past 6ish months my scalp, back of my neck and top 1/3 of my back is DRIVING my insane! I am on the Keto diet and have lost 70 lbs but nothing since my TT. I do have Hashi and not sure what to do now.
Dr. Izabella says
Janet – thank you for for reaching out and sharing your journey. There are quite a few options for thyroid medications. In my experience, what works for one person may not work for another. Did you know that most thyroid conditions result from the immune system attacking the thyroid because the immune system is out of balance? Even when the thyroid is taken out surgically or treated with radioactive iodine the autoimmunity still persists in most cases. Many people will have their thyroids removed, and will develop new autoimmune disorders such as Lupus, Rheumatoid arthritis, etc. The immune system just finds a different target.
We need to rebalance the immune system to prevent this. Sometimes the autoimmunity can be reversed as well! The gut determines your immune system. With the exception of discussing proper thyroid medication dosing, the majority of my website and my book focuses on balancing the immune system. The info I present is based on my own research and journey for overcoming my autoimmune thyroid condition. Here are the links to my books:
Hashimoto’s Root Cause
http://amzn.to/2DoeC80
Hashimoto’s Protocol
http://amzn.to/2B5J1mq
You may find these articles helpful as well:
WHICH THYROID MEDICATION IS BEST?
https://thyroidpharmacist.com/articles/which-thyroid-medication-is-best/
TOP 11 THINGS YOU NEED TO KNOW ABOUT THYROID MEDICATIONS
https://thyroidpharmacist.com/articles/top-11-things-you-need-to-know-about-thyroid-medications/
Kayla says
Hi there!
I was just wondering will the signs of premature aging improve or be reversed once you have found your root cause and are on the appropriate treatment? I am in my late 20s and I have some forehead wrinkles from my very dry skin. I’ve addressed most of my root causes and am on np thyroid. I’ve noticed a great improvement in my dryness and breakouts but unsure if the wrinkles will improve.
Dr. Izabella says
Kayla – thank you for reaching out. It is hard to say because everyone is different. Our skin is a window to our internal health. It is the body’s largest elimination organ, and also a canvas where toxicities, nutrient deficiencies, food sensitivities and hormonal imbalances can show up. Women with Hashimoto’s and autoimmune conditions are more likely to have dry, dull skin, rashes, hives, pre-menstrual acne and facial swelling, especially if their thyroid levels are not optimized and they are not absorbing vitamins and nutrients correctly. Here are some articles I hope you find helpful.
5 TOXIC SKINCARE INGREDIENTS YOU SHOULD AVOID IF YOU HAVE A THYROID CONDITION
https://thyroidpharmacist.com/articles/5-toxic-skincare-ingredients-avoid-thyroid-condition/
MY HASHIMOTO’S AND HYPOTHYROIDISM JOURNEY
https://thyroidpharmacist.com/articles/my-hashimotos-and-hypothyroidism-journey/
FOOD SENSITIVITIES AND HASHIMOTO’S
https://thyroidpharmacist.com/articles/food-sensitivities-and-hashimotos
Amy says
Hi Dr,
I’m curious as to whether or not you have seen redness around the upper chest and neck area on any of your thyroid patience. I have had it for the last 3 years, it gets worse at times but never completely goes away, I’m trying to figure out if it’s thyoid related.
Dr. Izabella Wentz says
Amy – thank you for reaching out. I am so sorry you have been dealing with this for so long. I wish I could give you more direct advice but, it would not be legal or appropriate for me to give any type of medical advice without a comprehensive health assessment. I recommend that you discuss this with your personal doctor. I believe that everyone needs to find a practitioner that will let him/her be a part of the healthcare team. You want someone that can guide you, that will also listen to you and your concerns. You want someone that’s open to thinking outside of the box and who understands that you may not fit in with the standard of care. It’s a good idea to ask some standard questions when contacting a new doctor for the first time. Something else to consider is you can work with a functional doctor remotely, via Skype. You could also contact your local pharmacist or compounding pharmacy, who may be able to point you to a local doctor who has a natural functional approach. But I encourage you to keep looking for the right one for you! Here are some resources you might find helpful.
CLINICIAN DATABASE
https://thyroidpharmacist.com/database-recommended-clinicians/
FIND A FUNCTIONAL MEDICINE CLINICIAN
https://ifm.org/find-a-practitioner/
COMPOUNDING PHARMACIES
https://thyroidpharmacist.com/database-recommended-compounding-pharmacies/
Valerie D. says
Hi! My son was diagnosed with Vitiligo a few months ago. He has a couple small spots on his eyelids. Is this an autoimmune disease?
I would really appreciate any advice you can give on treatment for Vitiligo. I haven’t read much on a connection between Vitiligo and autoimmune diseases, but he did have cold sores, several allergies and sensitivities.
I read your Hashimotos Protocol and I’m wondering if I should follow the same plan for him. When I diagnosed with Hashimotos I felt hopeless until my brother bought me your book. You saved my life. Your book was so helpful and easy to follow even when my brain fog was in full effect so thank you so much for that!!
Thank you,
Valerie
Dr. Izabella Wentz says
Valerie – thank you for reaching out and sharing. My heart goes out to you and your son. <3 The root cause treatments that I recommend for Hashimoto’s may also potentially be helpful for vitiligo. Any infection or toxin can produce these symptoms of autoimmune disease. Also, with vitiligo, antibodies may cross-react with the thyroid. I’ve had a few clients who have been able to reduce or eliminate their vitiligo through my Hashimoto’s Self-Management Program. Specifically, I had one client who had vitiligo because of an infection. Another client’s vitiligo patches stopped growing after doing the program.
For children, teens, (and adults), I always recommend starting with the diet. Are they gluten, dairy, corn and soy free? Are they eating a nutrient dense diet with fermented foods?
Implementing those changes can help many symptoms. Most of the interventions recommended in my book can be done with children, with the exception of the dosing of supplements. I do suggest that you work with a functional medicine doctor that is familiar in working with children (I only works with adults). I hope this helps!
FUNCTIONAL MEDICINE APPROACH TO THE THYROID
https://thyroidpharmacist.com/articles/functional-medicine-approach-to-the-thyroid
CLINICIAN DATABASE
https://thyroidpharmacist.com/database-recommended-clinicians/
FIND A FUNCTIONAL MEDICINE CLINICIAN
https://www.functionalmedicine.org/practitioner_search.aspx?id=117