Dr. Izabella Wentz, PharmD

Thyroid Pharmacist

Autoimmune Paleo Diet

Autoimmune Paleo Diet

Medically reviewed and written by Izabella Wentz, PharmD, FASCP

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There are numerous dietary protocols that can help a person with Hashimoto’s feel better. In some cases, a dietary approach can produce a complete remission of the condition!

For me, as a clinician, the goal of the approach is to help your body reset, nourish itself, and reduce inflammation caused by reactive foods — as well as to help you reconnect to an intuitive way of eating, where (eventually) you will naturally select foods that make you feel better, and avoid those that make you feel worse.

While I don’t believe in a “one size fits all” diet, I have seen versions of the Paleo style diet work wonders for many people with Hashimoto’s, as it eliminates many of the foods that are most problematic — including gluten and dairy. However, some people with autoimmune conditions will need to take their diet a step further. In such cases, the Autoimmune Paleo (AIP) diet has been shown to be highly effective for many.

Recently, some exciting new research was released on the benefits of the AIP diet, so I’d like to take some time to explore:

  • The origins of the Paleo and AIP diets
  • What the AIP diet consists of
  • Benefits of the AIP diet for Hashimoto’s
  • A sample meal plan
  • More resources to help you heal

The Origins of the Paleo Diet

First, let’s talk about the Paleo diet, which is the diet from which the Autoimmune Paleo (AIP) diet originates. Many people, even those not diagnosed with Hashimoto’s, are aware of the benefits of the Paleo diet. It has helped countless people feel better from a wide range of symptoms: fatigue, brain fog, joint pain, gas, and bloating, to name a few. In a survey of my readers and clients, a resounding 81 percent reported that they felt better on a Paleo or grain free diet. In the case of Hashimoto’s, the traditional Paleo diet has even helped many people lower — or completely eradicate — their thyroid antibodies.

For those of you who have tried going Paleo but have not seen significant improvement, I want you to know there are additional steps you can take that will give you the power to take back your health!

The traditional Paleo diet is a classic elimination diet that focuses on omitting foods people are commonly sensitive to in an effort to lower inflammation.

As you may know, the Paleo diet eliminates all grains, legumes, soy, and processed foods. The focus is on replacing the foods you take out of your diet with other nutrient-dense foods, such as organic or grass-fed meats, wild-caught fish, organic vegetables and fruits, nuts, seeds, eggs from pasture-raised hens, and (depending on who you ask) dairy.

The Paleo diet is certainly a great start, but it is not always enough to address every case of Hashimoto’s. Often, we need to peel back more layers of that onion! The good news is, with each new diet, supplement, or treatment that you try, you are finding out how your body responds to different external factors. Each case of Hashimoto’s is unique, and many of us have additional food sensitivities that are deregulating our immune system. People with Hashimoto’s often have sensitivities to a wide range of foods — particularly to gluten, dairy and soy — which are all omitted on the traditional Paleo diet.

Anecdotally, the Paleo diet is said to have been introduced in the 1970’s with the book The Stone Age Diet by Walter Voegtlin, but it has significantly gained in popularity over the past ten years. Since then, countless resources such as cookbooks, websites, and articles have been created that include recipes ready for you to use. I’m sure many of you have seen these resources at your local bookstore, your go-to health food store, and even at Costco. It’s a very exciting time to be on a Paleo diet!

If the Traditional Paleo Diet Does Not Improve All My Symptoms, What’s Next?

Now that you understand Paleo, let’s talk about the AIP diet, which helped many of my own symptoms of Hashimoto’s.

The creation of the AIP diet has been attributed to Loren Cordain, a scientist who discovered that certain foods can sometimes trigger inflammation in people with autoimmune disease. It was further popularized by Paleo authors such as Robb Wolf in The Paleo Solution, and Sarah Ballantyne (also known as The Paleo Mom) in her book, The Paleo Approach.

The goal of the AIP diet is to heal leaky gut by removing commonly problematic foods, thereby reducing inflammation in the body and healing autoimmune disease.

I have seen many of my clients find almost complete relief from their symptoms by implementing the AIP diet into their lifestyle changes. The symptoms that many find relief of include joint pain, muscle aches, fatigue, bloating, diarrhea, brain fog, tinnitus, skin rashes, as well as decreased food sensitivities. Even those who do not recover completely will often experience significant improvement. You have nothing to lose (except for symptoms!), and everything to gain by considering the AIP diet.

Will I Feel Better Right Away on AIP?

Please note that there is often a short transition/withdrawal period before you start feeling better on the AIP diet, especially if you are new to coming off gluten, dairy, and processed foods.

Research suggests that casomorphins (from the dairy protein casein) and gliadorphins (from gluten, a protein found in wheat) can bind our “feel good” endorphin receptors, much like the morphine found in addictive drugs can.

This has led some people to say that these foods are as addictive as heroin and other drugs (which also bind our endorphin receptors). While I think this is an exaggeration, I have seen people experience withdrawal-like symptoms, including brain fog, irritability, cravings, fatigue, and headaches, after quitting gluten, dairy, and sugar while they were adhering to the Autoimmune Paleo diet.

The good thing is, once these inflammatory foods have been eliminated, you will start to feel better. You can expect to see results within 30-90 days of implementing the AIP diet, although it may take longer. If you do not see results in 30 days, eliminate mammalian meat and use fish as your main protein source. Then, you can start to systematically reintroduce certain foods one by one. This allows you to create a diet for the long term that is tailor-made for you.

This process will allow you to be more in touch with what does — and doesn’t — work for you. I felt incredibly empowered when my grocery shopping and prep work resulted in a lasting improvement in health — and this can be your story, too!

AIP and Hashimoto’s

I was excited to discover new research by my colleagues Angie Alt (who co-wrote The Autoimmune Wellness Handbook with Mickey Trescott), Rob Abbot, and Adam Sadowsk, that shows the impact an AIP diet can have on those with Hashimoto’s.

In this study, 17 women between the ages of 20 and 45 with a prior diagnosis of Hashimoto’s participated in a 10-week online health coaching program, focused on the implementation of an AIP diet. They each filled out a questionnaire that was used to measure the participant’s health-related quality of life (HRQL) and clinical symptom burden, in addition to undergoing thyroid function tests and white blood cell counts, before and after the 10-week program.

The study revealed some exciting results, including a statistically significant improvement in HRQL, particularly in the areas of physical role functioning, emotional role functioning, vitality, and general health. Clinical symptoms, as reported by each participant at the beginning of the study, decreased from an average of 92 symptoms, to an average of 29 at the end of the program. Symptoms that saw significant improvement included joint pain, muscle aches, headaches, sleep quality, energy, body weight, mood, and cognitive function, among many others. Inflammation, as measured by hs-CRP (c-reactive protein), was noted to significantly decrease by 29 percent, from an average of 1.63 mg/L pre-intervention, to 1.15 mg/L post-intervention. Additionally, weight and body mass index (BMI) saw statistically significant decreases, with an average of six pounds lost, and a one point drop on the BMI scale.

Surprisingly, there were no statistically significant changes noted in any measure of thyroid function, including TSH, free and total T4, free and total T3, or thyroid antibodies. However, the study suggested that the AIP diet may decrease systemic inflammation and modulate the immune system, as evidenced by changes in white blood cell counts.

Additionally, six out of the 13 women beginning the study on thyroid replacement medication decreased their dose of hormone replacement medication after the 10-week intervention, while all three of the women who began the study without the use of hormone replacement medication continued without the use of medication (as of the final post-intervention study visit). The authors of the study speculate that we would observe an eventual decrease in thyroid antibodies and a decreased need for thyroid medication, as well as further changes in immune and inflammatory markers, in participants adhering to the AIP dietary principles for longer periods of six to 12 months.

Given the improvements seen in the participants’ HRQL, symptom burden, and markers of immune activity and inflammation, this is exciting news, indicating that an AIP diet can have a profound impact on healing from Hashimoto’s!

While the Paleo diet has helped some people with Hashimoto’s feel much better, I have found that the AIP diet can be even more helpful, based on 75 percent of my readers and clients reporting significant symptom reduction — and almost 40 percent seeing a reduction in thyroid antibodies!

On a personal level, this was one of the key protocols on my own healing journey, and it helped me get my condition into remission.

However, while the Autoimmune Paleo diet has helped many people with Hashimoto’s and autoimmune conditions get better, it can be quite difficult to implement. As a pharmacist, I see this daily: many people know what they need to do to get better, but just don’t know how to get started.

If you’ve been eating the standard Western diet for most of your life, starting a dietary protocol like the AIP can be extremely intimidating. Though you may eventually end up “going AIP,” it’s okay to take baby steps and begin with going gluten free, then move on to going dairy and soy free.

I encourage you to remove one food group at a time, if that makes you feel more at ease with the transition. Committing to a 100 percent gluten-free diet is an important first step, and 88 percent of my readers with Hashimoto’s have indicated that they felt better after going gluten free.

I know that some of you, however, love taking action and will dive right in and immediately begin your healing journey with the AIP! However, many of you will find the AIP diet difficult to adhere to at first. We all have different needs, motivations, and challenges, and I encourage you to honor your individuality and listen to your body.

The Autoimmune Paleo Diet Guidelines

At this point you’re probably wondering where to begin with the AIP diet. Let’s start by going over the lists of foods to avoid and those to focus on with the diet.

Foods to Be Avoided on the AIP Diet

When you do decide to start the AIP diet, you’ll notice that, in addition to following the Paleo diet guidelines of removing gluten/soy/dairy/grains/nightshades/legumes/processed foods, it also removes additional foods that are known to cause inflammation in many people. Here’s the full list of foods to be avoided on the AIP:

  • Gluten
  • Grains (including corn, quinoa, buckwheat, and rice)
  • Dairy
  • Eggs
  • Soy
  • Alcohol
  • Caffeine
  • Beans and legumes
  • Nightshades – tomatoes, potatoes (except for sweet potatoes), eggplant, peppers, goji berries, ashwagandha (herb that helps balance adrenals), paprika and other nightshade spices
  • Seaweed and other sea vegetables*
  • Sweeteners (including honey, maple syrup, and agave) in high quantities (small amounts are allowed)
  • Canned foods, processed foods, coffee
  • High glycemic index foods
  • All nuts and seeds (except coconut)

*While seaweed and sea veggies aren’t traditionally removed on the AIP diet, I recommend avoiding them because of their high iodine content, which may exacerbate autoimmune thyroid disease.

Foods to Be Included on the AIP Diet

  • Organic vegetables (except nightshades and legumes)
  • Fermented foods (sauerkraut, nightshade free kimchi, coconut kefir, kombucha, fermented vegetables, and jams)
  • Organic and grass-fed meats
  • Organic and grass-fed organ meats
  • Wild-caught fish
  • Fats and oils
  • Low-glycemic organic fruits
  • Coconut (including coconut milk and coconut oil)
  • Herbs and spices
  • Hydrolyzed beef protein
  • Sweet potatoes

Recommended Best Practices

While the AIP diet can seem a bit intimidating, if you follow a few rules and stick to the list of allowed foods, you will find that you quickly adjust to the diet, and it’ll become second nature:

  • Limit fruits to 1-2 servings per day and make sure they are low on the glycemic index (a ranking of how fast carbohydrates are digested)
  • Include 6-8 servings of vegetables per day
  • Aim for 80 percent vegetables, and 20 percent meat or fish in each meal
  • Focus on sauces, dips, and broths
  • Incorporate plenty of fats and oils (coconut oil, duck fat, beef tallow, avocado oil, olive oil), cooked at the appropriate temperature
  • Don’t eat on the run, and make sure to chew your food thoroughly
  • Learn to ferment your own vegetables
  • Drink plenty of filtered water
  • Don’t forget to check supplement labels to make sure they are free of non-compliant ingredients. For your thyroid medication, read Is Your Medication Gluten Free?

An Example Day’s Worth of Meals

On a personal note, eliminating eggs was a tough step for me, and although I knew I was sensitive to them, I put off excluding them from my diet. This delayed my progress for many months, and I don’t want that to happen to you!

I’m sure many of you are thinking… what am I going to eat for breakfast? I know I asked this question! I used to eat eggs for breakfast almost daily, in omelets or scrambled eggs on weekdays… and every weekend, my husband would cook a nice breakfast for us that included runny yolk eggs.

However, the transition to life without eggs did not feel limiting after all. I found it made me more creative in the kitchen! Here are some meal ideas — my husband’s included:

Breakfast, Courtesy of My Hubby

  • Bacon
  • Steamed spinach with olive oil
  • Avocado
  • Fermented cabbage (from farmer)
  • Fermented cucumbers (my recipe)

Lunch

  • Butternut squash chili — last night’s leftovers! (Remember, batch cooking is your friend 🙂
  • Fresh Swiss chard with lemon, sea salt, and olive oil

Dinner

  • Coconut crusted trout

Thirsty?

  • Mineral water with lemon and lime or, for the occasional treat, add a few berries
  • Herbal teas are a great choice on an AIP diet

Need a Snack?

If you are interested in these recipes, you can find those and more in my cookbook, Hashimoto’s Food Pharmacology. In the meantime, you can check out a sneak peek here. (Please note that not all recipes are AIP-friendly, but they can be modified by omitting non-AIP compliant ingredients.)

For more AIP recipes, you can download my Root Cause Recipes eBook and select the Autimmune Paleo option. You’ll receive a bundle of some of my favorite recipes, along with a 10-day meal plan to make your AIP diet easy to follow!

Symptoms Improved by Autoimmune Paleo Diet

What If AIP Is Not Enough?

The Autoimmune Paleo diet is meant to be short term. As I mentioned earlier, the goal is to reduce body inflammation and allow the gut a chance to heal. These variations in diet give you the power to improve how you feel and isolate your root causes.

If, however, AIP doesn’t resolve many of your symptoms after 90 days of following it, you may have to go a step further and incorporate a rotation diet (as described in Hashimoto’s Protocol), a low-histamine diet, or low-oxalate diet.

After you are finished with the 90-day elimination period on the AIP diet, you may want to re-test your thyroid antibodies to monitor improvement. You should see a trend in your antibody levels reducing (or going away). If, after 90 days, you are still having gut issues, it may be a good time to test for parasites and other gut infections, as well as SIBO.

Other Resources for Your Autoimmune Paleo Diet Journey

Ready to start? To help kickstart your AIP journey, I’ve compiled a list of helpful resource to make this transition a little bit easier for you.

Books & Recipes

Food & Pantry Items to Help You Stock an AIP-friendly Kitchen

Other Related Articles

Some Helpful Cooking Tools to Make AIP Life Easier

The Takeaway

While there is no one-size-fits-all diet, the Autoimmune Paleo diet has helped many people with Hashimoto’s. If you find you are stuck in a rut with your thyroid symptoms, trying this diet for a period of time may be the solution you need to find relief.

Starting an AIP diet may seem intimidating at first, but for many people with Hashimoto’s, the benefits far outweigh the inconveniences. Remember, 75 percent of my clients saw a reduction in symptoms on the AIP diet, so it is definitely worth a try! I know that you can do it… and enjoy it too. ? Once you get going and see the progress you make, you will not want to turn back!

I’d love to hear from you… what type of benefits have you seen from the AIP diet?

P.S. To help you on your journey, you can download a free Thyroid Diet Guide, 10 thyroid-friendly recipes, and the Nutrient Depletions and Digestion chapter of my Hashimoto’s Root Cause book for free by signing up for my weekly newsletter. You will also receive occasional updates about new research, resources, giveaways, and helpful information.

References

  1. Abbott RD, Sadowski A, Alt A3. Efficacy of the Autoimmune Protocol Diet as Part of a Multi-disciplinary, Supported Lifestyle Intervention for Hashimoto’s Thyroiditis. Cureus. 2019 Apr 27;11(4):e4556. doi: 10.7759/cureus.4556.

 

Note: Originally published in July 2017, this article has been revised and updated for accuracy and thoroughness.

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Disclaimer: The information contained herein is for informational purposes only and should not be construed as medical advice. Please consult your physician for any health problems and before making any medical or lifestyle changes.

Lifestyle changes can result in improved thyroid function and/or an increased absorption of thyroid hormone medications, leading to a lower required dose and possible symptoms of hyperthyroidism at a dose that was previously stable. Please discuss lifestyle changes with your physician and ensure that your thyroid function is monitored every 6-8 weeks while making lifestyle changes. Symptoms of overmedication include, but are not limited to: rapid or irregular heartbeat, nervousness, irritability or mood swings, muscle weakness or tremors, diarrhea, menstrual irregularities, hair loss, weight loss, insomnia, chest pain, and excessive sweating. Do not start, change, increase, decrease or discontinue your medications without consulting with your physician.

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Comments

  2. Hi Laina, be sure to see a functional physician. He/she may help you out with balancing your immune system. Trying a diet like autoimmune paleo may also be helpful
    Reply

  3. Do you recommend *starting* with the Autoimmune Paleo Diet if we have Hashimoto’s? Or do it only if we don’t see any improvement on the regular Paleo Diet?
    Reply

  4. Hi Kirstin,
    From my personal experience the AIP may be a good place to start. It would be the most efficient place to start, for let’s say 1-2 months, allowing your gut to heal. Eggs, seeds and nuts on the regular Paleo diet can still cause problems in someone with intestinal permeability and delay healing… You will likely see improvements with Paleo, but than may hit a wall if you continue eating eggs/nuts/seeds
    Reply

  5. Izabella, I was so surprised to read your list. Prior to getting antibiotics for my Hashimoto’s rosacea (which have been MOST effective!), I went to an ayurvedic practitioner. And the elimination of nightshades, peppers, alcohol, sugar, coffee, dairy, etc. is almost EXACTLY what they prescribed. The only problem for me is, the cure was worse than the problem!
    Reply

    • Jennifer – In general, most people with autoimmunity need to find their food sensitivities, heal from infections, and eat organic; however, bioindividuality is important, not everyone will respond to the same interventions. The foods that heal one person, may not be the same for another. It might seem like a lot to give up, but feeling your symptoms fade away can make it feel like it’s all worthwhile. And don’t forget it’s not forever! You will be reintroducing these foods once your gut heals.

      WHAT’S CAUSING YOUR LEAKY GUT
      https://thyroidpharmacist.com/articles/whats-causing-your-leaky-gut

      Reply

  6. (sorry this didn’t post under the reply above…I kept getting an error message!)
    Thanks so much! That’s kind of what I was thinking. Interestingly, I already know I’m sensitive to eggs, so I’ve nearly eliminated them (I can tolerate them baked in things). I wonder if, after I do the AIP diet, I might be able to add them back in???? One can dream, right? 🙂
    So do I understand correctly that I would do the AIP diet for roughly 2 months and then add in different categories of foods one at a time, to see if I see a reaction? How will I tell if the AIP helps my Hashimoto’s?
    Reply

    • Kirstin – In contrast to other diets that simply exclude common problematic foods, an elimination diet is done to determine what particular food intolerances the individual may have. An elimination period of at least 2-3 months is a good starting place, but you may want to continue if you feel that you still have more healing to do. Then you can trial a new food every 4 days and monitor yourself for reactions. Going though an elimination diet will help you figure out your own individual food triggers and your specific response to each trigger food. Here is an article I hope you find interesting! 🙂

      ELIMINATION DIET FOR HASHIMOTO’S
      https://thyroidpharmacist.com/articles/elimination-diet-for-hashimotos

      Reply

  8. Hi Beth, there are some schools of though that believe we don’t need as many carbohydrates as we currently consume. In particular, that grains and grasses are a detriment for human health, and that fruit should be limited due to their ability to feed pathogenic bacteria and cause too much insulin issues . I tend to feel best on a grain free, low fruit diet…That said, we are all different, and autoimmune paleo is just one dietary approach that may be helpful
    Reply

  9. Hi Izabella,

    I am vegan. I do not and will not eat meat. Am I out of luck here? How can I get the protein that I need if legumes, grains, nuts and seeds are taken away? Are truly whole grains, possibly even sprouted, and well soaked beans or lentils still a problem? I am not aware of having any food allergies. Is soy nevertheless bad for me? (Thank you for your very kind providing of highly useful information!)

    Reply

    • Evan – Recovering from adrenal fatigue and hypothyroidism when following a vegetarian diet is very challenging, as vegetarian diets are often carbohydrate heavy.
      Vegetarian sources of protein such as legumes (beans), dairy, grains, soy and some seeds may be incompatible with trying to heal a leaky gut, which is almost always present with Hashimoto’s. Pea protein is an alternative that may be easier to digest and is less likely to cause food sensitivities (I use NOW Foods brand).

      Eggs, some seeds, and nuts would be the preferred sources of protein for vegetarians, however, some people with Hashimoto’s may be intolerant to those as well, especially in the early stages of starting a healing diet.

      Being a vegan is even more challenging, and nuts and seeds would be the go-to source of protein, which are usually too difficult to digest for many in the beginning of their thyroid healing journeys.

      While vegan and vegetarian diets have been reported to be extremely helpful with autoimmune and chronic conditions, I have not been able to find reports of people recovering from Hashimoto’s by following a vegan diet. Even devout vegans who are nutritionally conscious still struggle with low body temperatures, hypothyroidism and Hashimoto’s.

      Additionally, many former vegans have reported improved symptoms of Hashimoto’s following transitioning to a Paleo diet. Based on this, I believe that animal proteins must play an important role in building back the health of people with Hashimoto’s.

      That said, while meats and fats are important for healing, eating them exclusively will produce an acidic environment in the body; hindering healing, and thus the diet should be balanced with plenty of nutrient rich vegetables (suggested ratio may be 20% meat/80% veggie).

      Additionally, vegan and raw vegan diets can be extremely helpful for cleansing and detoxifying, especially for those with persistent protein digestion issues. A vegan diet can be followed for a few days to a few weeks and may help the body detoxify. B12 and iron or ferritin supplements should be utilized at this time to prevent deficiency.

      Reply

    • Hi Evan, I’ve had the same problem as you. I have been vegetarian for over 30 years. Since my health was compromised I started the AIP diet. The first month has been challenging to say the least. It was very uncomfortable but I promised myself I would give it a month to see if the blood works got better. After a month I could start introducing new foods and when I tested after 3 months my blood was much better. Then a alternative dietist advised me to eat more protein, in the form of pea protein and although this was good, she advised me to eat some fish. I felt awful and prayed for the fish but I tried since my fear of medicine was bigger than my determination to exclude animal protein. My health got so much better that my blood has been in normal range after 6 months. I eat fish sometimes, mostly once a week, sometimes twice and stick to pea protein daily or an egg. It felt like me or the animal. It helps if I thank the animal before I eat it, for its help in my health journey. Meat is one step too far so I don’t eat that. Good luck on your path!

      Reply

  10. I have had Hashimoto’s for a very long time, and am at the stage where additional autoimmune problems are manifesting. I live in a rural area, and none of the drs. around here have a clue as to how to treat Hashimoto’s. As such, I have been on a daily regimen of Levothyroid and Cytomel for many many years. With that said, I am 99% sure that I have an allergy or sensitivity to gluten and dairy. I am aware that I need to eliminate these from my diet, along with several others foods as well. However, because I am a very picky eater and the majority of the foods listed in the autoimmune paleo diet, and the cookbook, are not things I would eat. Suggestions for a picky eater?

    Reply

    • Alicia- You may be interested in checking out the Root Cause Recipe Portal. It is full of autoimmune paleo and paleo recipes. You’re able to organize weekly shopping lists, meal planning, etc. Hope you check it out.

      http://rootcauserecipes.com/

      Reply

  11. I just wanted to THANK YOU for being so responsive to everyone’s questions. I’ve learned so much just from reading all your responses.
    Thaia

    Reply

  12. I suffer from acid reflux mostly wakes me up at night. I have hashimotos and take synthroid for 20+ years.what can i do besides taking rolaids. Would drinking lemon water help?

    Reply

  13. I was diagnosed with hypothyroidism in my 30’s. In my 40’s, I was told I had Hashimoto’s and now in my 50’s, I have been told I have type 2 diabetes. I have been overweight for years and am having other symptoms such as swollen joints, joint pain (primarily hips), severe tiredness, no energy, mental fog, forgetfulness, indigestion and bloat. I do not take medication for diabetes yet although that seems to be the only thing my doctor is concerned about. I am wondering what your thoughts are about this diet and diabetes. I know that I would probably not be able to eat enough carbs as suggested by my doctor to maintain blood sugar levels.

    Reply

  14. Hi,
    I have a history of multi thyroid nodules for years, tested and was cleared as non-cancerous, with my TSH results always running on the lower side of norm,somewhere between 0.4-0.5 my endo doctor always sent my home with normal results BUT I know I am not well.
    Thank you so much for all you do, please inform me does my condition with nodules and low TSH indicates hypothyroidism or hyperthyroidism?? Please help me understand. I am in the process of finding functional medicine practitioner in Chicago area but its not so easy.
    Am I hypo or hyper? Thanks so much in advance.

    Reply

  15. Hi. I have hypothyroidism and also vitiligo. Should I start for the food sensitivities test first or just start with the autoimmune paleo diet? Have you seen in your practice people with these two conditions getting their pigmentation back after healing their thyroid? Thank you!

    Reply

  16. Hi Izabella – Thank you for your informative site. My father has Hashimotos and I have recently been working with a provider for my apparent leaky gut. I was vegetarian for about 15 years and while I eat well, with lots of organics, I realize now I ate too many carbs. Since my we have a family history, I’m following the autoimmune diet for healing. I adore eggs, nuts, legumes. It’s very difficult to eat meat, but I’m finding that easier with bone broth and small amounts of high quality beef and chicken.

    My healing journey started with the discovery that if I drink fluoridated water, I get horrible migraines. When I cut out tap water and started drinking spring water known to be F-free, my health greatly improved. I also cut all foods known to be high in F, like grapes.

    I’m curious if you advise those living with auto-immune disease or those at high risk to cut out fluoride, esp. fluoridated water? I see you have it listed as a risk factor for Hashimotos and I’ve also seen it’s linked to hypothyroidism. I’ve been drinking fluoridated water since I was 7 and can’t help but wonder if it’s played a major role in my migraines and digestive woes. I know you can’t speak to my case, but I’m curious what you’ve observed on this topic.

    Thanks again. All my best, Julie

    Reply

  17. Sorry if this is long. I have hypothyroidism along with rheumatoid arthritis. Last summer I began the Low Dose Naltrexone protocol with a knowledgeable functional medicine doctor. Four weeks ago I began to have erratic (high to normal) bp issues along with high heartrates. Went to the ER 2X, saw my pcp 3X, saw a cardiologist, had loads of tests and my heart was deemed “normal”. I called my func. dr. who told me to quit the LDN as I may have developed allergies because of it (or to it). I see him next week. My pcp thinks I may have a parathyroid issue but I’m waiting several days to be tested to get the LDN out of my system so it’s more accurate. I was placed on 2 new bp medications, for 2+ days I had more normal bp and heartrate—that is until today. I’m thinking now I do have allergies to whatever I’m eating. I also want you to be aware that for 5+ yrs I’ve been on the Wheat Belly protocol so have already eliminated grains, processed foods, sugars, soda and more recently dairy from my diet. Have you ever run across anyone similar to what I’ve been experiencing? I’m looking at the AIP diet and it seems almost impossible to think about. I know that it could be temporary and it is a mind-set. Can you help give me words of wisdom??

    Reply

  18. Was diagnosed with Hashimotos 8 months ago… went gluten free…. blood work was still bad 3 1/2 months ago… went full AIP 3 1/2 months ago… feel great, thinking I’ll try to make it 6 months and then try to reintroduce some foods…(I use to daily drink for 25 years, so want to give it more time to keep healing) 49 years old and went from 289 to 215 in the past year…so happy….I also am only eating between 12-8pm….feels great!!!!
    my question is how long should I give on the AIP to see change in antibodies in my blood work?? I’ve heard rumors of 6 months after the gut heals??? Is this correct?? Hoping I can “heal”/ improve my gut health without medication …hoping !!! Will always stay gluten/dairy free, but miss a few items like eggs, beans, nuts, & bananas… (whiskey, beer, pizza ,fast food & Soda…..gone forever!!)
    Thanks for all the advice!!

    Reply

    • Stephen – thank you for following this page. It depends on the person and their individualized food sensitivities. Some people go into remission just gluten free; others may have to go as far as autoimmune Paleo. The most common triggers in Hashimoto’s are nutrient deficiencies, food sensitivities, intestinal permeability (leaky gut), stress, an impaired ability to get rid of toxins and in some cases, infections. Optimizing your health starts with food. Figuring out which foods nourish you, and which ones cause you harm is the single most important thing you can learn in your health journey.

      I’ve found that recognizing and eliminating reactive foods can be a life-changer for most people with Hashimoto’s.

      Reactive foods trigger an inflammatory response in the GI tract, leading to malabsorption of nutrients (gluten sensitivity, in particular, has been implicated in causing a Selenium deficiency, a well-known risk factor for Hashimoto’s), and can also produce intestinal permeability whenever they are eaten.

      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!

      BEST DIET FOR HASHIMOTO’S AND HYPOTHYROIDISM
      https://thyroidpharmacist.com/articles/best-diet-for-hashimotos-hypothyroidism

      TAILORING YOUR THYROID DIET
      https://thyroidpharmacist.com/articles/tailoring-your-thyroid-diet-to-your-needs

      DAIRY AND HASHIMOTO’S
      https://thyroidpharmacist.com/articles/got-hashimotos-you-may-want-to-reconsider-dairy

      Reply

  19. Izabella,

    I am an avid reader of your blog and books and a huge fan of your documentary series. Just wanted to take a moment to thank you for all you are doing. It is because of you I am currently healing my body and in tern, living an extremely fulfilling life. Thankfully my physical symptoms were never debilitating but mentally they grew to be. It’s because of you, and all those involved in your documentary series, that enabled me to take hold of my health, never accept what my current medical doctors were telling me and to find TRUTH.
    Thank you. Thank you for all you do in sharing this blessed knowledge with the world.

    Candice

    Reply

  20. I would like to try incorporating green smoothies in my diet. I am currently avoiding foods I have tested sensitive to and am on a 4 day rotation diet. I am concerned about having the same ingredients in my smoothie every day, specifically the protein powder and the coconut milk as I think I can rotate the other ingredients such as the fruits and vegetables. Any suggestions for alternatives for the protein powder and coconut milk on alternate days?

    Reply

    • Cindy – thank you for following this page. You may be interested in my 12 week online program called Hashimoto’s Self-Management Program that covers all of the strategies that I go through with my one-on-one clients, in a self-paced format, so that participants have access to all of the things I’ve learned about Hashimoto’s without having to schedule costly consults with me or another practitioner. In addition, any person that goes through the program will get access to a Quick search Q&A Database of 1000+ questions asked by past program participants, Root Cause Assessment based on 100’s of my clients’ root causes and triggers, 2-week Meal Plans, recipes, and shopping lists to get you started on the following diets: Paleo, Autoimmune Paleo, SIBO, Candida. Also, Discounts on lab tests, high-quality supplements, and consultations and much more to support you in your journey! There are a few requirements that you should pay attention to, such as my book is a required read.

      Hashimoto’s Self-Management Program
      http://hackinghashimotos.com/

      Reply

  21. It would be nice if you had a website that you could pay a nominal fee and I mean nominal to address simple questions for people struggling. It takes so long and now costs so much to get into a functional medicine doctor. Be the first Isabella to truly help those of us who are dying to live.
    Thank you

    Reply

    • Melinda – thank you for following this page. Please, understand that due to liability issues, I am unable to answer specific medical questions.

      When I was first diagnosed with Hashimoto’s, I felt so alone. My doctor didn’t think it was a big deal, and none of my friends or co-workers had it. It wasn’t until I started to research online that I found others who were going through the same thing.

      A couple of years after my diagnosis, I found Hashimoto’s 411, a closed Facebook group run by Alice Berry McDonnell. This group is amazing! It is comprised of an army of highly motivated, smart, supportive women and men (now 45,000+ strong), and each of them sharing ideas of what worked for them, things they were planning to try, and offering support to one another. The comfort I received from knowing that there were others going through the same challenges as I, was enormous.

      https://www.facebook.com/groups/hashimotos411/

      Ask questions. Post your thoughts. Scan the files. It is an absolutely amazing resource. Best of all it’s kept private from spammers.

      Reply

  22. I feel like I am starving trying to eat bananas instead of organic brown rice, but they don’t have the same nutrients and I have the symptoms of low Vit B1. Se/niacin/protein and more are in the organic brown rice. I am too dizzy/inflammation/swollen/leaky gut/nails bend/got new varicose vein/could not think/no energy etc…trying to eat organic brown rice again. The first day is fine, but by day 3 my intestines are hurt and many symptoms are kicking in. I can’t eat meat/dairy/soy/high sugar/food with a label/gluten/heated oils/saturated and monounsaturated fat etc. My adrenals are burned out…stage 3+ maybe. Meat/coconut oil/olive oil clogs my blood vessels. I try to eat organic. I need more than vegetables…need a carb. Sugar/starch causes glycation. I still have Lyme. My mitochondria have been hurt too many times. What has the same nutrients as organic brown rice, but no gluten. I think quinoa etc in a package has contamination and is expensive. Thanks!

    Reply

  23. I was diagnosed with Hashomoto’s a month ago. I’ve been sick for 4 years. For the last month I’ve been following gluten-, soy-, dairy-, caffeine-, sugar-, grain-, potato-, alcohol-free diet. It’s been tough. I never feel full. I’ve gained more weight. I eat lots of vegetables, salads, meats though I always have.

    I’d like to try the AIP diet but I got Alletess food sensitivity test done. And It shows reaction to lettuce, mushrooms, carrots, spinach, green peas, coconut, watermelon, almonds, salmon, different spices like cinnamon, oregano, nutmeg etc. among other things.

    Would AIP diet be advisable for me or should I go by what the food sensitivity test say? If I illuminate all of my reactive foods + nightshades + legumes and limit fruit to 1 serving (half an apple?) also I’m not a huge fan of meat I’m looking at a diet that’s really hard to maintain — meats, carrot-free bone broth, extremely limited selection of vegetables and 1 fruit per day. It doesn’t sound very healthy, honestly.

    Am I understanding the necessary dietary changes correctly? Would it be ok to include non-reactive foods (according to the food sensitivity test) like rice, tomatoes, eggs into my AIP diet?

    Thank you 🙂

    Reply

    • Lola – thank you for following this page. In general, most people with autoimmunity need to find their food sensitivities, heal from infections, and eat organic; however, bioindividuality is important, not everyone will respond to the same interventions. The foods that heal one person, may not be the same for another. It might seem like a lot to give up, but feeling your symptoms fade away can make it feel like it’s all worthwhile. And don’t forget it’s not forever! You will be reintroducing these foods once your gut heals.

      WHAT’S CAUSING YOUR LEAKY GUT https://thyroidpharmacist.com/articles/whats-causing-your-leak

      Reply

  24. Hi Izabella,
    first thank you for the amazing work you do in giving us informations which help. I live in Germany and Functional Physicians aren’t here. I hold on to your nutritional advice since a year , strict AIP . And I have followed your plan outlined in your book how to find my root causes.

    However eating AIP didn’t seem to be enough!
    I had to dig deeper. Among other root causes physician found out I have Histamine intolerance. DAO is too low, the causes are genetical.
    I love your recipies, but they all don’ t consider HIT.
    No batch cooking, no left overs, all your good and so supportive nutritional advice…now I can’t use it.
    Please write an article on Hashimoto and HIT as one root cause with some supportive advice . Reading your posts always give me a feeling:”Oh ! What a good idea, what an inspiration! I can do that, she did it.” 🙂

    Reply

    • Ursula,
      My wife will be getting tests done shortly, and if she also has both of these conditions, we will let you know what is recommended to us. I do think Izabella does very well to emphasize bioindividuality since all people will react different to different foods. So, everything must be taken individually, but I hope the community of people with these disorders can help each other.
      All the best,
      Chris

      Reply

  25. Hi!
    I was wondering where flours Fall into this program (like coconut flour, almond flour, etc) and are they okay to consume?
    Also, what about nut-butters?

    Thank you!

    Reply

  26. After watching the Thyroid Summit I began the AIP Diet on March 23, 2017. I have been Gluten Free, Soy free and egg free for 2 years and taking Nature-Throid. I weighed 194lbs. 12 weeks later and I have lost 34lbs! Everytime I step on the scale I’m afraid to check but am always excited to see a few more pounds lower. My Dr. was really impressed. I feel so amazing and I wish I would have tried this sooner! Don’t be afraid to dive in and try AIP, you won’t regret it!

    Reply

  27. Hi,

    I was dignosed with Hashimoto’s this past January, and I started following your protocol a couple of days ago.
    When you mention that Kombucha is ok for an AIP Diet, are there any restrictions?
    I know almost all Kombucha has caffeine. Just want to make sure it is ok.
    Thank you so much for all you do!

    Reply

    • Débora – thank you for following this page. Kombucha can be helpful sometimes, but I recommend proceeding with caution, as some people may have adverse reactions to the wild yeast. I prefer probiotics and fermented foods.

      Reply

  28. Aloha! So far, haven’t come across articles about incorporating sprouts into the AIP diet. I understand no seeds or nuts, and with sprouts soooo full of nutrients, it’s difficult to not incorporate. This may be redundant also, but what about wheat grass, before it’s processed. Spirulina also. Thank you for all that you do and have done. You came into my life this February after being diagnosed with Hashi and empowered me. Such very right timing!! (Initially my DO did the first screenings, and since my symptoms are so vague, I went to a ND, who confirmed it again. And we were doing well, then she wanted me to start Levothyrozine. That prompted me to seek out a Functional MD who is working with a couple alternatives.) Mahalo nui loa, once again. Aloha

    Reply

    • Lynn – thank you for following this page and for your support. <3

      You may be interested in my 12 week online program called Hashimoto’s Self-Management Program that covers all of the strategies that I go through with my one-on-one clients, in a self-paced format, so that participants have access to all of the things I’ve learned about Hashimoto’s without having to schedule costly consults with me or another practitioner. In addition, any person that goes through the program will get access to a Quick search Q&A Database of 1000+ questions asked by past program participants, Root Cause Assessment based on 100’s of my clients’ root causes and triggers, 2-week Meal Plans, recipes, and shopping lists to get you started on the following diets: Paleo, Autoimmune Paleo, SIBO, Candida. Also, Discounts on lab tests, high-quality supplements, and consultations and much more to support you in your journey! There are a few requirements that you should pay attention to, such as my book is a required read.

      Hashimoto’s Self-Management Program
      http://hackinghashimotos.com/

      Reply

  29. I literally blew my doctors away with the degree of success I’ve had on the AIP diet. At the beginning of this year, I told both my GP and my endocrinologist that I was tired of treating the symptoms of my disease with pharmaceuticals and intended to heal my body with food, with a goal of being off all prescription medication except thyroid hormones by the end of the year. They were not optimistic. I said, “Watch me”; they shrugged.

    Both my endo and GP were stunned and thrilled when I saw them after having followed the AIP protocol for 90 days. They could not stop crowing about how amazing I looked and how beautiful my bloodwork was.

    Here’s why:

    A1C: before – 6.2 (prediabetic); after – 5.9 (healthy)

    LDL cholesterol (the bad one): before – 115; after – 86.

    Triglycerides: before – 214; after – 133

    Total cholesterol: before – 230; after – 166

    Chol/HDL ratio: before – 4.4 (avg. risk of heart disease); after – 3.3 (reduced risk by half)

    Free T3: before – 2.7 pg/mL; after – 3.8 pg/mL (Free T3 levels below the reference range [of 2.3 – 4.2 pg/mL] are considered evidence of hypothyroidism. … [L]evels in the top half of the reference range are considered evidence of sufficient thyroid function, and levels in the top 25th percentile of the reference range are considered optimal.)

    https://www.verywell.com/interpret-your-thyroid-test-results-3231840

    Weight loss: 30 pounds!

    THIRTY POUNDS! ?

    My endo was so overwhelmed she had me write down all the resources I used to get these incredible results (are you sitting?) so she could use them to help her other patients! Of course I started with “Finding the Root Cause,” and included your website and your newest book, along with links to Paleo Mom and Hypothyroid Mom.

    I wish you could have seen the looks on their faces!

    And guess what? They took me off statins and off blood pressure medication, with Metformin elimination only a couple of months away.

    I cannot thank you enough for the vast amount of great information and resources you make available to men and women like me who have been suffering for years using conventional treatment only. It has saved my life.

    With gratitude,
    Jill

    Reply

    Reply

  30. Hello Isabella, I have a question I was hoping you could help me with. I have been trying to follow Bright Line Eating (no sugar, no flour) and found that I was putting on weight despite being on BLE. I have subclinical thyroid levels and I’m seeing a Naturopath. The treatment seems to be going well. I have read that dairy is in the “NO” list. I take about 1 oz of milk in coffee / black tea and I have about 2 cups of coffee with milk and 2 cups tea with milk almost every day. Is this a problem if I have no other form of dairy?

    I have been quite good about giving up flour and sugar but am finding it difficult to give up milk with the hot beverages. I have a stressful job and I have a cup of tea with milk helps me get my work done.

    I’d appreciate your thoughts.

    regards, Anne

    Reply

  31. To avoid painful swelling in my left hand I’ve had to cut out wheat, corn and rice — even black rice which is not inflammatory according to some but it definitely is for me. Not sure about quinoa. I also have to avoid sugar, wine, beef and nuts. For me, dairy, eggs, coffee, and potatoes do not cause a problem so far.

    Reply

  32. I’ve been paleo for 6 months now. I wake up at 6 full of energy. My dr. Has lowered my synthroid. I still won’t give up my wine though. I love it and enjoy a bp coffee 4 times a week. I’ve lost 20 lbs by going grain, dairy and sugar free. Feel awsome. Thank you Dr. Isabella. I came across through thyroid secret guide by accident and it changed my life. Thank you!!!

    Reply

  33. Izabella,
    A warm thank you for the wisdom, experience and love you have put into helping others with Hashimoto’s.
    I have two questions.

    1) I am a vegetarian and the AIP diet is not an option for me. I went back on fish for awhile but with most seafood being radioactive from Fukushima, it’s not worth the risk (for me) so I went off again. Eggs have been my primary source of protein. I’ve been off gluten for about 10 years. But I’m feeling pretty discouraged with how limiting this will be & it scares me I will go off. Are there other options?
    2) Would it be more beneficial to have the tests done first before starting a 90 day diet in case there is an underlying infection going on?

    Thanks so much,
    Jolene

    Reply

    • Jolene – thank you for following this page.

      Recovering from adrenal fatigue and hypothyroidism when following a vegetarian diet is very challenging, as vegetarian diets are often carbohydrate heavy.

      Vegetarian sources of protein such as legumes (beans), dairy, grains, soy and some seeds may be incompatible with trying to heal a leaky gut, which is almost always present with Hashimoto’s. Pea protein is an alternative that may be easier to digest and is less likely to cause food sensitivities (I use NOW Foods brand).

      Eggs, some seeds, and nuts would be the preferred sources of protein for vegetarians. However, some people with Hashimoto’s may be intolerant to those as well, especially in the early stages of starting a healing diet.

      Being a vegan is even more challenging, and nuts and seeds would be the go-to source of protein, which are usually too difficult to digest for many in the beginning of their thyroid healing journeys.

      While vegan and vegetarian diets have been reported to be extremely helpful with autoimmune and chronic conditions, I have not been able to find reports of people recovering from Hashimoto’s by following a vegan diet. Even devout vegans who are nutritionally conscious still struggle with low body temperatures, hypothyroidism and Hashimoto’s.

      Additionally, many former vegans have reported improved symptoms of Hashimoto’s following transitioning to a Paleo diet. Based on this, I believe that animal proteins must play an important role in building back the health of people with Hashimoto’s.

      That said, while meats and fats are important for healing, eating them exclusively will produce an acidic environment in the body; hindering healing, and thus the diet should be balanced with plenty of nutrient rich vegetables (suggested ratio may be 20% meat/80% veggie).

      Additionally, vegan and raw vegan diets can be extremely helpful for cleansing and detoxifying, especially for those with persistent protein digestion issues. A vegan diet can be followed for a few days to a few weeks and may help the body detoxify. B12 and iron or ferritin supplements should be utilized at this time to prevent deficiency.

      AUTOIMMUNE PALEO DIET
      https://thyroidpharmacist.com/articles/autoimmune-paleo-diet

      ELIMINATION DIET FOR HASHIMOTO’S
      https://thyroidpharmacist.com/articles/elimination-diet-for-hashimotos

      Reply

    • Jolene – thank you for following this page. In general, most people with autoimmunity need to find their food sensitivities, heal from infections, and eat organic; however, bioindividuality is important, not everyone will respond to the same interventions. The foods that heal one person, may not be the same for another. It might seem like a lot to give up, but feeling your symptoms fade away can make it feel like it’s all worthwhile. And don’t forget it’s not forever! You will be reintroducing these foods once your gut heals.

      WHAT’S CAUSING YOUR LEAKY GUT https://thyroidpharmacist.com/articles/whats-causing-your-leaky

      Reply

  34. Hi Dr. Wentz,

    I have been AIP for almost 8 weeks now. I read today that people with Hashimoto’s can be triggered again by even a molecule of gluten that may drift onto the GF food at a restaurant and the have antibodies go back up for 8-9 months after this exposure. Is this true? I have been absolutely GF, as far as I know. But I have eaten the occasional grilled chicken salad at a restaurant where it wasn’t marinated in a GF dressing. Do we have to be so careful as to request glove changes at Chipotle and separate pans at restaurants?

    Thanks so much for all your work!

    Reply

    • Jen – In contrast to other diets that simply exclude common problematic foods, an elimination diet is done to determine what particular food intolerances the individual may have. An elimination period of at least 2-3 months is a good starting place, but you may want to continue if you feel that you still have more healing to do. Then you can trial a new food every 4 days and monitor yourself for reactions. Going though an elimination diet will help you figure out your own individual food triggers and your specific response to each trigger food. Here is an article I hope you find interesting!
      ELIMINATION DIET FOR HASHIMOTO’S
      https://thyroidpharmacist.com/articles/elimination-diet-for-hashimotos

      Reply

      • Thanks for your reply! Do you know if we need to avoid gluten to such an extreme level? For instance, replacing all kitchen tools and avoiding eating out completely? Do you do this for yourself?

        Also, when re-introducing foods, for someone like me who has no symptoms b/c antibodies are barely elevated, how do I know if a reintroduced food is okay or not?

        Thanks, again!

        Reply

        • Jen – thank you for following this page. In contrast to other diets that simply exclude common problematic foods, an elimination diet is done to determine what particular food intolerances the individual may have. An elimination period of at least 2-3 months is a good starting place, but you may want to continue if you feel that you still have more healing to do. Then you can trial a new food every 4 days and monitor yourself for reactions. Going though an elimination diet will help you figure out your own individual food triggers and your specific response to each trigger food. Here is an article I hope you find interesting!
          ELIMINATION DIET FOR HASHIMOTO’S

          https://thyroidpharmacist.com/articles/elimination-diet-for-hashimotos

          Reply

  35. need an advice
    i have started reintroduction of food and start with egg yolk, and after 3 time he complain stomach pain and i have introduced 10/6/17 and blood test done on 5/7/17 and TSH raise 16.42. whether reintroduction fails can raise TSH level.

    Reply

  36. I recently purchased the AIP meal portals. I have 2 questions. Can lunch recipes be used for dinner? Above it states to avoid all sweeteners including honey. Several of the recipes call for honey??? So far all of the recipes are delicious!

    Many thanks

    Reply

  37. Hi Dr. Izabella Wentz and thanks for all informations you share here.
    I write from Italy to ask you an advice.
    Some months ago, i was always felt tired, with headache, suffering pain on my back and having a lot of problems with my mood… well, actually i don’t exactly know what is really related to the disease… all doctors say that i don’t have anything, but i decided to go ahead for myself.
    After tiroid analysis i have found Hashimoto’s, with values TSH 0.89, FT3 2.83, Anticorps anti-thyroglobuline 579,3 (in a range of about 20-30 if i remember well), anticorps anti microsomal 307,8.
    Here, endocrinologists usually don’t give anything for this disease. They let waiting patients for six months or more, to bring overall hormones out of range values and, only then, they give a drug called Eutirox…
    But, most of all patients have a lot of collateral effects, including tachycardia, mood swings, etc.

    So, i’ve decided to follow your Paleo diet, but here we don’t have some foods like sweet potatoes… So i made this integrations:
    – 2 times a week legumes, such as peas, chickpeas, always gluten free
    – 1 fruit a day (less sweet as possible)
    – Almonds, pumpkin seeds, sunflower oil, oil of various seeds
    – Total abolition of gluten-based foods, milk and derivates, sugars, flours (except quinoa, 2 times a week)
    – D3 Vitamin (5000units, once a day), selenium (1 capsule/day 100mg), serotonin (1 capsule/day).

    Hope i’m doing well for my health. I’m crossing fingers for future…
    Sorry for my english and thanks again.
    Have a nice day!
    Raffaella

    Reply

    • Raffaella – thank you for following this page. I am so proud of you for taking charge of your health! 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. You may find this article interesting! 🙂 ELIMINATION DIET FOR HASHIMOTO’S
      https://thyroidpharmacist.com/articles/elimination-diet-for-hashimotos

      Reply

      • Hi Dr. Izabella Wentz!
        After following your diet and your tips for some months, i’ve get the new blood analysis some days ago…
        And i’ve made some progress thanks to you!!
        Anticorps anti-thyroglobuline 58,6 (ten times less than last time!) and with this i’m in the correct range value.
        Anticorps anti microsomal 172,6 (about halved, 307,8 last time…) but with this i’m still out of range (must be less than 31,5)…
        I’d like to continue this diet to try to continue decreasing these values.
        I’ve found that coconut is magic, but the problem is that it’s hard to find it in winter…
        What else could i eat instead of this for the moment? I’d like to find something alternative, for breakfast at least…
        Also, i’ve experimented some fermented foods, such as water kefir with coconuts and fermented vegetables (these are the only that i can eat cause of my intolerance for the others you listed on this page…), but i always felt swollen and constipated.
        What can i use instead?
        Many thanks in advance!!
        Raffaella

        Reply

  38. Hello Dr. Izabella!

    First I want to thank you for showing a us the light at the end of the tunnel:-)
    I’m almost done reading your Hashimoto’s Protocol book and I’m going to start my 90 day diet in two weeks! I have a questions about using organic raw honey during the 90 day diet? This was not mentioned in the book, is this safe to use? Thank you for your time!!

    Reply

    • Kristine – thank you for following this page. Optimizing your health starts with food. Figuring out which foods nourish you, and which ones cause you harm is the single most important thing you can learn in your health journey. I’ve built a database of 300+ paleo and autoimmune paleo Root Cause Approved recipes. The software allows you to customize your weekly menu and grocery store list by aisle. I hope you check it out: http://rootcauserecipes.com/

      Reply

  40. I am curious if you have numbers or an idea of how many people who follow the AIP actually experience complete healing from their thyroid issues (as in, being completely off of thyroid meds) or if you know where I could find any information about that? Thanks

    Reply

  41. Hi Dr. Izabella,
    I’m wondering if you’ve seen patients that have hypothyroidism and asthma? My Dr. and I can’t figure out why my asthma kicks in shortly after taking the medication and we’ve tried a few different things. I’m in Canada so we don’t have access to the variety of medications that you do in the States. I’m working hard on the leaky gut issue, AIP diet, and a host of other things but I’d love to know if you’ve heard of any connection between hypothyroidism and asthma.

    Reply

  42. Dra Izabella,
    I was diagnosed with Hashimoto several years ago. I made some small changes and was able to quit my meds very soon. I check my thyroid levels and visit my endo every quarter or so. I recently started feeling foresaken and anxious. My T levels were under control but my TPO was higher than when I was diagnosed (I haven’t checked them in between, just those two times). So I started the AIP, since I really didn’t want to feel anxious not lonely I also started taking magnesium citrate and thiamine (in lower doses than your articles about the nutrient deficiencies). Within few days I started feeling better; no more loneliness and no more anxiety. But I feel kind of stuck. I am also constipated and very gassy. Is it normal? Every since I started AIP I was also very hungry, even 30 min after a meal when I had felt full. At the beginning if I did not eat when I was hungry I will feel like depressed, took me a few days to discover the link. So I will eat and I will feel better. It does not happen anymore (to feel depressed if I don’t eat when I am hungry) but the constant hunger continues.
    Is it normal and part of the healing process? How to know when to reintroduce the foods? I’ve read that some do after 30 days, some later (even years later!). If I am not feeling neither anxious nor foresaken can I say it is safe to start the reintroduction foods? Or is my TPO supposed to lower after the AIP (should I testing it again to see if it lowers?). Is it common to have my thyroid levels under control but my TPO to be higher? Also, if my soap is made with not oils such as safflower, castor, sunflower, etc. does it mean that I’m not AIP compliant at all?

    Reply

    • Liv – thank you for reaching out. We know that intestinal permeability (aka leaky gut) is present in every case of autoimmunity and often precedes the development of Hashimoto’s. Symptoms of leaky gut may include bloating, diarrhea, constipation, stomach aches, acid reflux and irritable bowel syndrome. According to the Institute of Functional Medicine, many people develop IBS 5-10 years before an autoimmune diagnosis. I was one of them and didn’t take my gut health as seriously as I should have. Gut problems are often caused by infections like H. pylori, parasites like Blasto, SIBO, an imbalance of bacteria, and enzyme deficiencies or food sensitivities (especially to gluten, dairy, and/or soy). Even stress can be a factor in gut permeability. Here is an article you might find interesting.
      6 DIFFERENT ROOT CAUSES
      https://thyroidpharmacist.com/articles/6-different-hashimotos-root-causes/

      Reply

  43. I have celiac and Hashi’s. I started the autoimmune diet six weeks ago and am feeling good. My problem is weight loss which I do not need. I’m loosing a pound a week & don’t want to lose more. Any suggestions?

    Reply

    • Bonnie – thank you for following this page and my research. Most people with Hashimoto’s will experience weight gain, and so of course that’s what gets the most focus, but some people actually experience weight loss, or they can’t keep their weight on.This is especially problematic when a person has multiple food sensitivities and needs to adhere to an autoimmune diet that restricts foods. Here are a few tips to keep in mind:

      1. Get a calorie counting app like My Fitness Pal on your phone, to help you keep track of your daily calories. Eating real food can be more filling than eating simple carbohydrates and you may not be getting enough calories. Use the app to figure out your target weight and the number of calories per day you need to get there.
      2. Supplement after dinner with The Root Cause Building Smoothie: 1 avocado (300 calories), 1 cup coconut milk (150 calories), 1 banana (100 calories), 2 egg yolks (100 calories, if tolerated), 1 scoop of protein of beef/pea protein (60 calories) – You can also add cooked sweet potatoes if you need more carbs.
      3. Get tested for gut infections. Gut infections can prevent the digestion and assimilation of foods, leaving you underweight and malnourished. The 401H test or GI Effects test are my go to tests.
      4. Get your adrenals tested with an adrenal saliva tests. In some, stressed adrenals may actually lead to poor absorption of foods.
      5. Be sure that you are not over medicated.
      6. Work on reducing your antibodies with a selenium supplement
      7. Stress reduction, when we’re stressed we don’t digest.
      8. Add coconut oil in your beverages, this can add extra calories in your day
      9. Avoid caffeine, it can make you less hungry and stress out your adrenals.

      In case you would like to read more, here are the links to my books:
      Root Cause: http://www.amazon.com/gp/product/0615825796?ie=UTF8&camp=1789&creativeASIN=0615825796&linkCode=xm2&tag=thyroipharma-20

      Hashimoto’s Protocol (this is my latest book): https://www.amazon.com/Hashimotos-Protocol-Reversing-Thyroid-Symptoms-ebook/dp/B01HXK6GVQ/ref=sr_1_1?ie=UTF8&qid=1505933035&sr=8-1&keywords=hashimotos+protocol+izabella+wentz

      Reply

  44. With the paleo diet or at least low carb incl. taking supplements, I started to eat meat again regularly as suggested (beef/ organic). I thought it might be good as well to increase ferritin. However it seems – in my case – eating meat has caused an inflammation (sinusitis). The first days I felt pale, then started getting shadows around the eyes and finally a swelling around the nose. Is there a chance that the supplements like Vitamin B complex, B1, Vitamin D, Zinc, Mangan, NAC can cause inflammation? My nutrition is already strict avoiding gluten, sugar, coffee, nightshades, dairy and no processed food at all and 100% organic. Anyway, I’ll avoid meat and see if it will make a difference.

    Reply

  45. Hi Izabella,
    I have been diagnosed with hashimoto a good 11 yrs ago, but since the last 1 yr started taking levathyroxin. But I believe I have hashimoto since childhood ( very visible goitre since grade 7 /8 now I am 40+) I have your “root cause book” and feel really good and after going gluten free.
    Now with a recent outbreak of shingles and thyroid inflammation I am seriously thinking about followig AIP.
    At the end of your book you recommended supplements with breakfast like selenium. Could I take those breakfast supplements with my thyroxine or there should be a gap,and what should I do for the inflamed goiter will AIP also help for that.
    Thank you,
    Sana

    Reply

  46. Hi Dr. Izabella,
    I was diagnosed with Hashimotos approximately 6 months ago. I am a 20 year old college student and it’s been so rough.im still drinking the pills prescribed but they are not working I’m am frustrated and can’t find a way out. Because I’ve changed my endocrinologists twice but they are not talking to me. They just increase the dose and hope it works. I really need help. Is there a kind of doctor I can visit that will help me through this diet. I know I can start the diet on my own but I want to be able to know if it’s working. And do I stop drinking pills?

    Reply

  47. Hi,
    I struggle incredibly with weigh gain (bloat) when my symptoms are bad. Do you find that many loose weight following the protocol? Many thanks

    Reply

    • Eve – thank you for reaching out. I have seen many of my clients find 100% relief from their symptoms by implementing the AIP diet into their lifestyle changes. The symptoms that many find relief of are joint pain, muscle aches, fatigue, bloating, diarrhea, brain fog, tinnitus, skin rashes as well as decreased food sensitivities. Even for those who do not recover completely, they will experience significant improvement. You have nothing to lose (except for symptoms!) and everything to gain by considering the AIP diet!

      FOOD PHARMACOLOGY FOR HASHIMOTO’S
      https://thyroidpharmacist.com/articles/food-pharmacology-hashimotos/

      Reply

    • Eve – thank you for reaching out. We know that intestinal permeability (aka leaky gut) is present in every case of autoimmunity and often precedes the development of Hashimoto’s. Symptoms of leaky gut may include bloating, diarrhea, constipation, stomach aches, acid reflux and irritable bowel syndrome. According to the Institute of Functional Medicine, many people develop IBS 5-10 years before an autoimmune diagnosis. I was one of them and didn’t take my gut health as seriously as I should have. Gut problems are often caused by infections like H. pylori, parasites like Blasto, SIBO, an imbalance of bacteria, and enzyme deficiencies or food sensitivities (especially to gluten, dairy, and/or soy). Even stress can be a factor in gut permeability. Here is an article you might find interesting.

      6 DIFFERENT ROOT CAUSES
      https://thyroidpharmacist.com/articles/6-different-hashimotos-root-causes/

      Reply

  48. Dr. Izabella
    My name is Blanca, I’m from Mexico. I was diagnosed with Hashimoto hypothyroidism four years ago when I was 55 and since then I take 100 mg levotiroxina every day. I didn’t know anything about this disease until I began to read your extraordinary book “Hashimoto, Causa Raiz” and all the information of your website. Thank you very much.
    I am decided to make many changes for dealing with fatigue, join pain and other symptoms. I’ll try the Paleo Diet, but I am vegan and I don’t know how to supply the animal protein. I’ve been eating soy, fungi, legumes and grains, but now I’m not sure what I have to do. Can you please help me? How can I be vegan and deal properly the root cause?
    Than you

    Reply

    • Blanca – thank you for reaching out. Recovering from adrenal fatigue and hypothyroidism when following a vegetarian diet is very challenging, as vegetarian diets are often carbohydrate heavy. Vegetarian sources of protein such as legumes (beans), dairy, grains, soy and some seeds may be incompatible with trying to heal a leaky gut, which is almost always present with Hashimoto’s. Pea protein is an alternative that may be easier to digest and is less likely to cause food sensitivities.

      I have created my own line of supplements, which also includes an Organic Pea Protein. Here’s the link: https://rootcology.com/collections/supplements/products/copy-of-purepaleo-protein-vanilla

      Eggs, some seeds, and nuts would be the preferred sources of protein for vegetarians. However, some people with Hashimoto’s may be intolerant to those as well, especially in the early stages of starting a healing diet. Being a vegan is even more challenging, and nuts and seeds would be the go-to source of protein, which are usually too difficult to digest for many in the beginning of their thyroid healing journeys.

      While vegan and vegetarian diets have been reported to be extremely helpful with autoimmune and chronic conditions, I have not been able to find reports of people recovering from Hashimoto’s by following a vegan diet. Even devout vegans who are nutritionally conscious still struggle with low body temperatures, hypothyroidism and Hashimoto’s.

      Additionally, many former vegans have reported improved symptoms of Hashimoto’s following transitioning to a Paleo diet. Based on this, I believe that animal proteins must play an important role in building back the health of people with Hashimoto’s. That said, while meats and fats are important for healing, eating them exclusively will produce an acidic environment in the body, hindering healing, and thus the diet should be balanced with plenty of nutrient rich vegetables (suggested ratio may be 20% meat/80% veggie).

      Additionally, vegan and raw vegan diets can be extremely helpful for cleansing and detoxifying, especially for those with persistent protein digestion issues. A vegan diet can be followed for a few days to a few weeks and may help the body detoxify. B12 and iron or ferritin supplements should be utilized at this time to prevent deficiency. Please know that I’m a big proponent of bio-individuality which honors the distinct nutritional needs of every human being. I’m not saying everybody needs to eat meat, but I am saying to listen to your body if it needs meat. Here are a few articles which might help:

      AUTOIMMUNE PALEO DIET
      https://thyroidpharmacist.com/articles/autoimmune-paleo-diet

      ELIMINATION DIET FOR HASHIMOTO’S
      https://thyroidpharmacist.com/articles/elimination-diet-for-hashimotos

      Organic Pea Protein. Here’s the link: https://rootcology.com/collections/supplements/products/copy-of-purepaleo-protein-vanilla

      Reply

      • Dr. Izabella,
        Thank you very much for your response. This information, along with your books, helps me a lot to reorganize my diet to deal with Hashimoto’s disease.

        Thank you

        Reply

  49. Hi,
    I noticed that in the “foods to avoid” list, it mentions honey but in the 2 week meal plans, it includes honey in several recipes. So, should I use it minimally or not at all? Is it ok to use other natural alternative sweeteners? I was diagnosed with Hashimotos. I have just about eliminated all my symptoms with diet and supplements but cannot seem to lose the 60 lbs that I gained. Could this be the last key to getting my thyroid working properly and losing weight?

    Reply

    • Christy – thank you for reaching out. Sugar is not allowed on AIP, however, honey because it is a natural product is allowed in small amounts. I hope that helps. It’s wonderful that you have eliminated many of your symptoms with diet changes. When it comes to weight gain these are a few 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

      Reply

  50. Hi, I have Hashimotos and resorted to the AIP diet after being medicated and not seeing results. The Dr. believes it could be because my body is not absorbing the medication due to the fact that I regularly use the restroom about 5 times a day, often diarrhea. I am six days in and feel physically well. I am using the restroom much less, but I feel bloated and my stomach is observably more distended than usual. I do plan to stick with the diet for 30 days, but this I am just wondering if this is normal? It’s quite uncomfortable and a little discouraging to be following the diet so rigorously, but feeling even more bloated.
    Thanks so much!

    Reply

    • Sylvia – thank you for reaching out and sharing your journey. <3 We know that intestinal permeability (aka leaky gut) is present in every case of autoimmunity and often precedes the development of Hashimoto’s. Symptoms of leaky gut may include bloating, diarrhea, constipation, stomach aches, acid reflux and irritable bowel syndrome. According to the Institute of Functional Medicine, many people develop IBS 5-10 years before an autoimmune diagnosis. I was one of them and didn’t take my gut health as seriously as I should have. Gut problems are often caused by infections like H. pylori, parasites like Blasto, SIBO, an imbalance of bacteria, and enzyme deficiencies or food sensitivities (especially to gluten, dairy, and/or soy). Even stress can be a factor in gut permeability. Here is an article you might find interesting.

      6 DIFFERENT ROOT CAUSES
      https://thyroidpharmacist.com/articles/6-different-hashimotos-root-causes/

      Reply

  51. Hi Dr. Izabella,

    Hope this finds you!

    I’ve just finished your book “Root Cause” and have been grain free and dairy free (egg free too) since Jan. 1 2019. (9 days) I’ve struggled with Hashimoto’s for 13 years. My antibodies (I have both hashi and graves antis) TPO antibodies at one time were >10,000. (YES over ten thousand!) higher than my functional med doc as ever seen. I’ve always had symptoms, no medicine has ever made me feel 100%. I take Synthroid and Cytomel and have for years now.
    I finally understand that its not all about the thyroid and have been implementing many supplements and dietary changes. One of the most amazing things Ive noticed since starting this diet/new way of eating is that my brain fog, that Ive had all day every day for 13 years (after every meal) is gone! completely gone… I have very strong blood sugar swings (I am very petite and thin and sensitive to everything) so I believe this was a big part of it. I am just starting this journey back to good health but am so encouraged by this that I had to comment. Do you have a blog or something else for discussion/communication purposes?
    One question I have is about a supplement that you recommend in your book-N Acetyl Cysteine. My functional med doc has also recommend I try it. However, I am a research junkie and am concerned about PAH associated with this supplement. What are your thoughts on this? Is this something that we might expect with any excessive dosing of ANY antioxidant or is it more likely that it is specific to N Acetyl Cysteine itself?

    Reply

    • Jamie – thank you for reaching out and sharing your journey with me. <3 That's a great question and unfortunately I don't have any information to share with you at this time but, I will add this to my list to research. I would recommend that you to discuss this with your clinician.

      Reply

      • I have discussed it with him. Unfortunately he no information either. Thank you for sharing your research/knowledge with the world- I look forward to reading the next book.. And thanks for the quick reply!

        Reply

  52. Hi Izabella,

    I’m struggling with constipation and have been for several months. Even though I take the correct supplements to get things going (magnesium, probiotics etc) it doesn’t seem to matter if I don’t have a cup of coffee in the morning. It’s very frustrating since I’m really dedicated to follow AIP and heal my leaky gut. Being constipated for weeks just doesn’t feel like an option and can’t be much better for my body, right?
    Can I heal my leaky gut without fully excluding coffee?
    I’d so appreciate your advice on this topic.
    Thank you.
    Kind regards
    Hannah

    Reply

  53. Hi Izabella,
    Do you recommend Coconut sugar on the AIP diet? I also notice that on other sites the AIP diet allows for honey and/or maple syrup. What is your reasoning for excluding these sweeteners?

    Reply

  54. Incredible information! Thank you, as many have said, for taking the time to reply to everyone’s comments.
    My issue is this – family history of hypothyroidism, I have been tested and my level is in the “normal” range but I know something is wrong. After a bit of research, I am seeing a major connection to my thyroid issues and my extreme sensitivity to nickel through food sources. Any tips you can give me to help me work on both issues at the same time? I know I need to start with going gluten free, but from there? I truly believe there is a connection between the two and would explain lots of issues in my family’s medical history.

    Reply

  55. Hi there

    I have hit a wall when it comes to my hashimotos. I was diagnosed 3 years ago when I initially couldn’t conceive a second time. After diagnosis and medication I had my son, 2 years ago. Initially I felt better but pretty much since having my son, and in particular over the last year, I feel worse and worse but doctors keep telling my levels are ‘fine’. I’m not overweight and never was but I’m 3kgs away from my personal ideal weight (which I achieved again after having my second child) for the last 5 months. Nth that I do or no matter how little I eat, I put on weight rather than loosing it and it’s getting me really down. I’m bloated and look like I’m pregnant most days too. (I also have IBS) I am interested in your 2 week recipe plan, however there’s a lot of meat and fish on there, which I’m trying to avoid. Is there a vegetarian option? Or is that just not this particular diet then? I don’t know what to do but I don’t want to eat animals.
    HELP!

    Reply

    • Lena – thank you so much for reaching out and sharing your journey. Recovering from adrenal fatigue and hypothyroidism when following a vegetarian diet is very challenging, as vegetarian diets are often carbohydrate heavy. Vegetarian sources of protein such as legumes (beans), dairy, grains, soy and some seeds may be incompatible with trying to heal a leaky gut, which is almost always present with Hashimoto’s. Pea protein is an alternative that may be easier to digest and is less likely to cause food sensitivities.
      I have created my own line of supplements, which also includes an Organic Pea Protein. Here’s the link: https://rootcology.com/collections/supplements/products/copy-of-purepaleo-protein-vanilla

      Eggs, some seeds, and nuts would be the preferred sources of protein for vegetarians. However, some people with Hashimoto’s may be intolerant to those as well, especially in the early stages of starting a healing diet. Being a vegan is even more challenging, and nuts and seeds would be the go-to source of protein, which are usually too difficult to digest for many in the beginning of their thyroid healing journeys. While vegan and vegetarian diets have been reported to be extremely helpful with autoimmune and chronic conditions, I have not been able to find reports of people recovering from Hashimoto’s by following a vegan diet. Even devout vegans who are nutritionally conscious still struggle with low body temperatures, hypothyroidism and Hashimoto’s. Many former vegans have reported improved symptoms of Hashimoto’s following transitioning to a Paleo diet. Based on this, I believe that animal proteins must play an important role in building back the health of people with Hashimoto’s. That said, while meats and fats are important for healing, eating them exclusively will produce an acidic environment in the body, hindering healing, and thus the diet should be balanced with plenty of nutrient rich vegetables (suggested ratio may be 20% meat/80% veggie).
      Additionally, vegan and raw vegan diets can be extremely helpful for cleansing and detoxifying, especially for those with persistent protein digestion issues. A vegan diet can be followed for a few days to a few weeks and may help the body detoxify. B12 and iron or ferritin supplements should be utilized at this time to prevent deficiency. Please know that I’m a big proponent of bio-individuality which honors the distinct nutritional needs of every human being. I’m not saying everybody needs to eat meat, but I am saying to listen to your body if it needs meat. Here are a few articles which might help:

      AUTOIMMUNE PALEO DIET
      https://thyroidpharmacist.com/articles/autoimmune-paleo-diet

      ELIMINATION DIET FOR HASHIMOTO’S
      https://thyroidpharmacist.com/articles/elimination-diet-for-hashimotos

      Reply

  56. Hi Izabella, thank you for your wonderful work in the field of Hashimotos. I am just starting on my journey to healing through diet. Since I plan to go dairy free, is it ok to eat mushrooms for protein?
    Jenny

    Reply

  57. Be sure you get tested for FOOD SENSITIVITIES BEFORE venturing on these diets (or before deciding what to keep or skip in your own daily diet.) Food sensitivies impact the body several days after eating the dang culprits. It may not seem like a big deal, because it’s not outwardly life-threatening like a huge allergic reaction that closes up the throat, and can kill you instantly. …. But the toll on the body can add up to cancer eventually, or even leaky gut, because the body doesn’t tolerate foods its sensitive to very well. The other hard part about food sensitivities is that they impact each person’s body differently. For instance, for me, I have perfectly fine non-diabetic non-insulin-resistant responses to sugar (so I know it’s not that). But, it turns out all these gluten free products aren’t good for me, because I have a WHEAT SENSITIVITY, and a problem with COCONUT even, as well as FISH. I’m mentinoing the wheat sensitivity in particular becuase gluten free products are merely stripped of the protein that makes Celiacs react to wheat (just gluten). So if you are gluten free and wondering why nothing’s really improved, check for WHEAT sensitivites, and write down what happens when you eat it (even three days after the fact.) Ok, getting off my soap box. Healing and happiness to all!!!

    Reply

  58. So, in the effort to avoid dairy, is there any credence to the Eat Right For Your Blood Type guidlines. As in a blood type of AB needing to avoid coconut products (milk, flour)?
    Thanks for your time

    Reply

  59. Dear Izabella, I am following your page. Thank you for it. I have been diagnosed with Hashimoto`s so I have decided to go for AIP. One month later I let the anti TPO checked and found out that nothing had changed. Is it possible to see any decrease in antibodies after one month? The other question is have you seen in your practise people with no fluctuation in antibodies? I have got the same level over 2 years no matter what type of diet.

    Reply

    • Veronika – thank you for reaching out. <3 I understand how frustrating this is. IgG subclass antibodies have a half-life of 21 days and stick around on immune cells for about two to three months. They need constant “reminders” in the form of an antigen so that their production continues. If the antigen is removed, the antibodies will go away as well. The time period required for them to completely forget about the antigen and disappear is nine to twelve months.
      The following things need to be in place for the antibodies to forget about the thyroid:

      1) The thyroid stops expressing TPO.
      2) The thyroid cells are not damaged and able to regenerate.
      3) There are no substances that look like TPO (glandulars, gluten, infections, other triggers).
      4) The immune system is balanced.
      5) The autoimmune cells are confused by a decoy.

      Some of these requirements are quick and easy, and others will take some time ...

      The thyroid will stop expressing TPO for two reasons. One of them is thyroid destruction, which we do not want; the other is thyroid suppression. Thyroid suppression is induced by limiting iodine and taking a thyroid supplement to bring TSH to 1 mIU/L or so. This can take up to three months

      In the case of autoimmune conditions, traditional and alternative medicine practitioners may focus on rebalancing the immune system (i.e. steroids and immune-modulating drugs used in traditional medicine, or else herbs, supplements, or acupuncture used in alternative medicine).

      While this approach may be helpful for taming the immune system in the short term or overcoming autoimmune flares, it is often a temporary solution and the immune system may become imbalanced again once the medications,acupuncture, and herbs and supplements are stopped if the underlying issue that lead to the immune system imbalance is not addressed. Thus we can say that immune modulation treats only the symptoms, and not the root cause.

      As we can’t change genes, our approach to addressing the root cause of Hashimoto’s is threefold:

      1) Reducing triggers
      2) Eliminating intestinal permeability
      3) Providing the body with nutrients to regenerate

      Identifying and eliminating triggers and toxins will likely take a few weeks to a few months. Providing the thyroid with the nutrition needed to help rebuild and detoxify will likely take three to six months.

      Rebalancing the immune system by addressing the root cause of autoimmunity (intestinal permeability, gut dysbiosis, infections) may take one to three years, but in the meantime, we can modulate the immune system and throw our thyroid antibodies a decoy. Hope this helps!

      https://thyroidpharmacist.com/articles/hashimotos-and-tpo-antibodies/

      Reply

    • Beth – thank you for reaching out. I’m so sorry you are having this reaction. <3 Recovering from adrenal fatigue and hypothyroidism when following a vegetarian diet is very challenging, as vegetarian diets are often carbohydrate heavy. Vegetarian sources of protein such as legumes (beans), dairy, grains, soy and some seeds may be incompatible with trying to heal a leaky gut, which is almost always present with Hashimoto’s. Pea protein is an alternative that may be easier to digest and is less likely to cause food sensitivities.

      I have created my own line of supplements, which also includes an Organic Pea Protein. Here's the link: https://rootcology.com/collections/supplements/products/copy-of-purepaleo-protein-vanilla

      Eggs, some seeds, and nuts would be the preferred sources of protein for vegetarians. However, some people with Hashimoto’s may be intolerant to those as well, especially in the early stages of starting a healing diet. Being a vegan is even more challenging, and nuts and seeds would be the go-to source of protein, which are usually too difficult to digest for many in the beginning of their thyroid healing journeys.

      While vegan and vegetarian diets have been reported to be extremely helpful with autoimmune and chronic conditions, I have not been able to find reports of people recovering from Hashimoto’s by following a vegan diet. Even devout vegans who are nutritionally conscious still struggle with low body temperatures, hypothyroidism and Hashimoto’s.

      Many former vegans have reported improved symptoms of Hashimoto’s following transitioning to a Paleo diet. Based on this, I believe that animal proteins must play an important role in building back the health of people with Hashimoto’s. That said, while meats and fats are important for healing, eating them exclusively will produce an acidic environment in the body, hindering healing, and thus the diet should be balanced with plenty of nutrient rich vegetables (suggested ratio may be 20% meat/80% veggie).

      Additionally, vegan and raw vegan diets can be extremely helpful for cleansing and detoxifying, especially for those with persistent protein digestion issues. A vegan diet can be followed for a few days to a few weeks and may help the body detoxify. B12 and iron or ferritin supplements should be utilized at this time to prevent deficiency. Please know that I’m a big proponent of bio-individuality which honors the distinct nutritional needs of every human being. I’m not saying everybody needs to eat meat, but I am saying to listen to your body if it needs meat. Here are a few articles which might help:

      AUTOIMMUNE PALEO DIET
      https://thyroidpharmacist.com/articles/autoimmune-paleo-diet

      ELIMINATION DIET FOR HASHIMOTO’S
      https://thyroidpharmacist.com/articles/elimination-diet-for-hashimotos

      Reply

  62. Hello Dr. Izabella, I HAVE been diagnosed with hypothyroidism. And I have been TESTED for Hashimoto’s but that came back negative. So I’m still wondering if the AIP protocol would be good/best for me?

    Reply

  63. Hi, I’m on the adrenal protocol and have seen a huge change in my lifestyle since I started with the liver protocol. I just was wondering about the grains that should be avoided. Corn and beens Should also be avoided when not whole like corn tortilla or refried beens? Thanks!!

    Reply

  64. Dear Dr. Izabella,
    I read and like all your blog posts. Last summer I followed your recommendations for supplements, but my blood results did not improve. Then I thought of improving my gut for absorption, and have been strictly following AIP diet for the past two and a half months, I did lose 6kg, but my results went worse…especially TSH and antiTG (it is now 808 IU/ml). Not sure what to do. I also have insulin resistance, but fasting insulin is in normal range and in Thailand, labs dont measure post glucose insulin. My Endocrinologist (here in Thailand) does not even ask to check antibodies, only TSH and told me she will prescribe medications only once TSH reaches 10. I would be very grateful if you have any advice what to do next for me. Thank you so much for sharing your knowledge with all of us.
    Sincerely grateful, Kristina.

    Reply

    • Kristina – thank you for reaching out and sharing your journey. <3 I know how overwhelming everything can be. Gut healing is a journey; you may need various interventions like removing reactive foods and infections, taking enzymes and probiotics, and balancing nutrients. We know that intestinal permeability (aka leaky gut) is present in every case of autoimmunity and often precedes the development of Hashimoto’s. Symptoms of leaky gut may include bloating, diarrhea, constipation, stomach aches, acid reflux and irritable bowel syndrome. According to the Institute of Functional Medicine, many people develop IBS 5-10 years before an autoimmune diagnosis. I was one of them and didn’t take my gut health as seriously as I should have. Gut problems are often caused by infections like H. pylori, parasites like Blasto, SIBO, an imbalance of bacteria, and enzyme deficiencies or food sensitivities (especially to gluten, dairy, and/or soy). Even stress can be a factor in gut permeability. Remember, be kind to yourself and learn to listen to your body so that you can support and feed it properly! You are worth it! You may find these articles helpful as well!

      6 DIFFERENT ROOT CAUSES
      https://thyroidpharmacist.com/articles/6-different-hashimotos-root-causes/

      WHAT’S CAUSING YOUR LEAKY GUT
      https://thyroidpharmacist.com/articles/whats-causing-your-leaky-gut/

      Reply

      • Thank you so much for your kind reply Dr. Izabella, it is amazing to be in contact with you after so much reading of your thorough and really helpful posts. I am motivated to continue my fight with leaky gut and Hashimotos and will reread the articles you recommended. Will try to test other issues out of Thailand once we are free to travel again. Wishing you strength and great health throughout these difficult times.

        Reply

  65. Dr Izabella, Great website and resources! I’m new here and want to start the AIP diet. a bit confused about removal of Ashwagandha? I recently found out i have Hashimotos . Last year i did a cortisol test and found i have high levels of Cortisol. I’ve been taking Ashwagandha for my adrenals and found it was helping with my overall wellness.

    can you please explain why you want this out of the AIP diet?
    thanks

    Reply

  66. Hi Thank you so much for your amazing work. Could you please suggest whether the people with Hashimoto thyroiditis can take duck eggs instead of chicken eggs ? Need to make sure my 2 yrs old kid gets proper protein intake . Thank you in advance

    Reply

  67. What about goiterogens (like sweet potato?) I have been dairy, legume, nut free for many years, gluten free for six months and am transitioning to grain free, seed and nightshade free. And I do my best to avoid soy although sometimes it seems like it’s everywhere so I’ve cut out processed foods which will cut out any lingering soy I’ve been consuming. I also quit eating goiterogens 6 months ago with the gluten and I am finding a lot of opposing information about them in my research. I have seen some improvement going from hyperthyroid with undetectable TSH/ normal T4 and an enlarged thyroid to now a hypothyroid state with high TSH and low T4 (although the swelling has gone down) and just starting thyroid medicine two days ago, and I’m feeling unsure what TO eat with all of these restrictions.

    Reply

    • Maege – thank you for sharing your journey. I understand how hard it is. There is a myth that foods known as goitrogens, are not good for those with Hashimoto’s. Iodine deficiency is not widespread in people with Hashimoto’s, and so eating these vegetables (unless you are sensitive to them) is perfectly healthy for people with Hashimoto’s and should not impact thyroid function. In the case that a person does have hypothyroidism due to iodine deficiency, he/she can still enjoy crucifers as long as they are cooked or fermented. Cooking/fermenting will break down the iodine blocking content. You can read more about the breakdown of the science behind the thyroid and goitrogens here:

      WHAT ARE GOITROGENS AND WHY DO THEY MATTER WITH HASHIMOTO’S?
      https://thyroidpharmacist.com/articles/what-are-goitrogens-and-do-they-matter-with-hashimotos

      Reply

  68. Hi Izabella, my husband has been diagnosed with Hashimotos and would like to undertake the APD. He has already cut out gluten, dairy and soy and is taking Ashwagandha for adrenal support. I saw that you shouldn’t take Ashwagandha on the APD. Could he take licorice instead?

    Thank you so much for your your information for Hashimoto sufferers. It has been an incredible learning curve for my husband and I.

    Reply

  69. My husband mistakenly drank almond milk (a couple f cups) and is now suffering with bloating and lower intestine pain. He has been drinking water and plain tea for the last 24 hours and has eaten only a spoonful of plain applesauce. The pain abated somewhat but then came back though not so vigorously.

    How long can this go on for and what is the best way to treat it.

    Thank yu for your help with this.

    Reply

  71. Hi Izabella Thank you for the reply re using ashwagandha on the AYP diet, Would Holy Basil be a good alternative?
    Also I can’t find any Vitamin E (I live in Malaysia) that is not made of soy oil or palm oil. I have found one made of Sacha inchi oil – would that be ok? From my research on it, it looks like a good alternative.

    The final question is about the H. pylori infection. My husband has a reading of 32.5 U/ml. How does one get rid of it without using antibiotics? Or are antibiotics the only way.
    \
    Thank yo so much for your help!
    Carmen

    Reply

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