I remember when I started implementing lifestyle interventions to heal my Hashimoto’s, such as a nutrient dense diet. I experienced significant improvements in my symptoms, but then I would experience new symptoms arising, or some of my symptoms would eventually come back.
It wasn’t until I started diving into my gut health that I began to break the cycle and truly start feeling better. After running some tests, I discovered that I had multiple gut infections, including an overgrowth of the pathogenic yeast, Candida.
After making changes to my diet and adding in helpful supplements, I was able to eliminate the Candida overgrowth within six months. These changes may look different for different people — for me, cutting out fruit and adding in biotin helped tremendously and improved several of my Hashimoto’s symptoms.
While eliminating Candida wasn’t a one-stop-shop to healing my thyroid condition, it was a key step in my journey, because it urged me to dig deeper into the root causes driving my autoimmune condition.
Eliminating Candida can be tremendously helpful, not just in improving gut health, but also in bringing you one step closer to putting your symptoms into remission.
In this article, I’ll cover:
- Symptoms of Candida overgrowth
- Candida as a trigger of Hashimoto’s
- Who is more susceptible to contracting a Candida infection
- How to test for a Candida infection
- Treatment options for Candida
What Is Candida?
Candida is sometimes referred to as a microorganism, and other times as an infection.
So which is it? The reality is that Candida is both a microorganism and can be infectious.
Candida is a fungus, or more specifically a yeast, that can reside in our body. There are over 20 types of Candida yeast that can cause infections or symptoms, but the most common one is Candida albicans.
In healthy individuals, Candida albicans acts as a microorganism that is a natural part of the gut flora and doesn’t lead to issues. However, when there is an imbalance between Candida and the other microorganisms in the body, this fungus can become a “bad” or opportunistic pathogen. When this happens, Candida goes from being a natural fungus present in the overall microbiome, to a pathogenic infection.
There are other changes that also mark the transition of Candida albicans from microorganism to opportunistic pathogen, such as switching from a round, yeast form to an elongated, hyphae (branching) form.
A Candida overgrowth can occur in the intestines, vaginal tract, or moist membranous areas such as the mouth and/or nasal cavity (leading to sinusitis). In rare cases, it can even become a systemic infection and affect the following organs and systems:
- Blood
- Brain and the central nervous system
- Heart
- Liver
- Eyes
- Bones, muscles, joints
- Spleen
When there is an overgrowth of Candida, it exerts its opportunistic or harmful effects, and health issues can arise. One mechanism that Candida uses to exert these effects is by releasing toxins that result in various symptoms.
Symptoms of a Candida Infection or Overgrowth
When Candida exerts its pathogenic actions and these toxins are secreted and released, many symptoms can arise, such as:
- Food sensitivities
- Fatigue
- Bloating, especially from carbohydrate-rich foods
- Gas
- Belching
- Diarrhea or constipation
- Endometriosis
- Infertility
- Mood swings
- Insomnia
- Bad breath
- Pain in muscles or joints
- Weakness
- Feeling cold
- Brain fog
- Vaginal burning/itching and recurrent “yeast infections”
- Depression
- Weight gain
- Sinus congestion if the infection is in the nasal cavity
- Rash if the infection is on the skin
- An overall autoimmune disease progression
Interestingly, symptoms of Candida overgrowth or infection, such as fatigue and brain fog, can mirror symptoms of hypothyroidism and/or Hashimoto’s.
The History of Candida in the Medical Community
Candida has long been acknowledged as a normal microorganism or part of the human microbiome. It was also identified and acknowledged as a pathogen that could result in disease states and have repercussions on the immune system of individuals. However, in the past, the mainstream medical community only acknowledged these effects in those who were severely immuno-compromised or had immune-deficient conditions, such as AIDS, leukemia, or those who were undergoing chemotherapy or radiation.
It wasn’t until the 1980s when books such as The Missing Diagnosis by C. Orian Truss, and then The Year Connection: A Medical Breakthrough by William G. Crook came out, that controversy began regarding the prevalence and effects of Candida.
Since then, more medical professionals and the general population have acknowledged that Candida infections aren’t just an issue in those with severe immuno-compromised systems. They can be a contributing factor for other chronic and autoimmune conditions, such as Hashimoto’s.
The Effect of Candida On the Body and On the Thyroid
Candida can be a root cause of Hashimoto’s, and in some cases, it can be a primary factor leading to Hashimoto’s. However, in other cases, it can be a secondary root cause factor, meaning there is another imbalance that is driving both Candida and Hashimoto’s.
The change from a round, yeast form to an elongated, hyphae (branching) form allows Candida albicans to easily weaken and penetrate the intestinal barrier, resulting in intestinal permeability (or leaky gut), which is a prerequisite for autoimmune conditions such as Hashimoto’s. As such, Candida can cause or contribute to thyroid disease!
A leaky gut barrier can also allow for toxins and partially undigested food molecules to cross into the bloodstream. Food sensitivities, autoimmune disease progression, and other systemic problems are often seen as a result.
Furthermore, with a weakened barrier, the pathogenic yeast is able to release its various endo- (internal) and exo- (external) toxic byproducts. Each toxin that is released by Candida albicans (or other Candida strains) will have a different effect on the body and the thyroid gland.
One such toxin is acetaldehyde, which increases free radical activity in the body. Free radicals are highly unstable and reactive molecules that cause damage to the body and contribute to inflammatory and cardiovascular diseases.
Another toxin of note that is released by Candida is gliotoxin, which can affect the immune system. This toxin is released in cases of intestinal and vaginal Candida albicans infections. In fact, one study found that individuals with vaginal candidiasis, or Candida albicans infection in the vaginal area, had high levels of gliotoxins in their vaginal secretions.
Candida and its toxins also have a significant effect on the immune system by throwing off its balance, and are tied to autoimmunity.
The immune system consists of different types of cells that all possess unique roles. One type is the helper T cell, of which there are four types: Th1, Th2, Th17, and Treg. Usually, there is a balance of activity between these four types.
However, Candida activates Th17 cells which then release pro-inflammatory, or inflammation-promoting, cytokines such as IL-17. Because IL-17 is pro-inflammatory, it causes toxicity to the cells around it. Because of their mechanism and effects, Th17 cells can lead to autoimmunity. In addition to their link with Hashimoto’s, these cells have also been implicated in Graves’ disease.
Another way Candida throws off the balance is by increasing the amount of Th2 cells in the body. Whenever there is an imbalance in the immune system with one type of cell being over-activated, autoimmunity can result.
An over-activation of Th1 cells has been linked to Hashimoto’s. However, this is a general rule of thumb and does not apply to everyone. In some cases, an over-activation of Th2 leads to Hashimoto’s.
From a big picture perspective, Candida over activates the immune system and throws off the balance through its toxins, leading to an overactive immune system that, with other factors involved, starts to attack the body and the thyroid gland.
Who Is More Susceptible To Having an Overgrowth of Candida?
There are certain lifestyle and dietary factors that make some individuals more susceptible to a Candida overgrowth or infection.
High Levels of Estrogen
Research suggests that high levels of the sex hormone estrogen can drive Candida to change from its usual state to a pathogenic, or harmful, state. Estrogen does this by binding to Candida and starting a stress response that increases its pathogenic activity, eventually leading to an overgrowth or infection.
Estrogen dominance, or having an excess amount of estrogen, is common in many with Hashimoto’s. Please check out my article on estrogen dominance for more information.
Medications
Yes, medications can affect our microbiome! Specifically, the types of medications that contribute to the overgrowth of pathogens include:
- Medications that reduce sterility in the small intestine (including proton pump inhibitors, nonsteroidal anti-inflammatory drugs and steroids)
- Antibiotics, as they can directly alter the microbial flora
- Medications that alter the pH of the microbiome, such as proton pump inhibitors
- Medications that can alter the body’s levels of hormones (estrogen and progesterone), like birth control pills
- Medications that weaken the immune system, such as corticosteroids
While these can promote the growth of pathogenic bacteria, they also allow yeast such as Candida to overgrow and become pathogenic.
For example, antibiotics reduce the amount of beneficial bacteria in our body, allowing opportunistic microorganisms, such as Candida, to flourish.
Furthermore, a low pH is crucial in preventing the growth of pathogens. However, medications that alter the ideal pH of the gut, create an environment in which pathogens can thrive.
Stress
Stress affects the gut microbiome and increases susceptibility to infections like Candida in a variety of ways. First, when an individual is stressed, the body will carry the distressing signals to the gut via the autonomic and circulatory systems in the body, increasing inflammation that promotes gut dysbiosis and leaky gut.
Secondly, stress releases the hormones norepinephrine and epinephrine, which allow pathogens to grow continuously. In fact, one study demonstrated that increased levels of these hormones, increase levels of opportunistic microorganisms, such as Candida, by 10,000-fold, and can increase their infectiousness in as little as 14 hours. An increased amount of opportunistic microorganisms creates an imbalanced gut flora that Candida thrives in.
Pregnancy
Pregnancy also increases one’s risk of Candida. One study found that Candida growth or overgrowth happens more frequently in pregnant women compared to non-pregnant women.
Another study found that Candida overgrowth has more negative impacts during the second trimester. These negative impacts include higher preterm birth rates and lower birth weight for newborns, for women who have Candida overgrowth in their second trimester, compared to women with Candida overgrowth in the first trimester. This is due to the hormonal fluctuations or, more specifically, the increase in estrogen throughout pregnancy.
Topical Factors
While Candida exists naturally on our skin and in the sinuses, factors that increase the risk of Candida overgrowth in the sinuses or on the skin include:
- The use of corticosteroids (as they can alter the microbiome, leaving skin and sinuses more susceptible to an infection)
- Tight clothing made with materials (often synthetics) that do not allow the skin to breathe
- Humidity (which fungi and yeast thrive on!)
- And in some cases, neglecting hygiene
Diet
Did you know? Even small changes to a person’s diet can have a significant effect on the microbiome. For example, eating 15 grams of inulin or oligofructose can lead to a growth of Bifidobacterium, which is a beneficial probiotic that helps reduce the amount of pathogenic microorganisms, making it the dominant microorganism in the feces.
Likewise, consuming foods that feed pathogenic bacteria, can help them to thrive.
When it comes to Candida overgrowth, a diet rich in carbohydrates can increase the risk of a Candida overgrowth, as Candida feeds on carbohydrates and sugar (fruits, legumes, grains). Some studies investigating the effects of Candida have used 110 g of carbohydrates to mimic a carbohydrate-rich diet, suggesting that this amount of carbs can encourage Candida growth. However, this is by no means a standard rule and will vary for each individual.
Research suggests that it may be the specific carbohydrate glucose that promotes Candida overgrowth. On the other hand, another carbohydrate called fructose can inhibit Candida growth and may help prevent Candida infections.
Ketogenic diets may also continue to feed the Candida, as diets high in saturated fats can alter the gut microbiome. High amounts of saturated fats can decrease the amount of the beneficial Lactobacillus bacteria and increase the amount of Oscillibacter bacteria. A decrease in beneficial bacteria creates an environment in which Candida can thrive, as well as leads to gaps in the tight junctions, increasing the permeability of the intestines.
How To Test for a Candida Infection
Root cause testing can be helpful to get the right diagnosis and treatment, as symptoms of Candida are similar to symptoms of many other diseases and triggers.
The following potential gut-related root causes can lead to a yeast overgrowth or can mimic the symptoms of a yeast infection:
- Parasitic infections
- Gut dysbiosis
- SIBO
To check for a Candida infection as well determine which strain(s) need to be targeted, stool, urine, and in some cases, blood tests, can be utilized.
In my early days in functional medicine, I used to recommend functional medicine stool tests for Candida, such as the GI-MAP and the GI Effects from Genova. The latter also offers the advantage of listing botanical and pharmacological options that are effective against the specific strain(s) of yeast.
The stool tests have helped me identify my own Candida overgrowth when my level of Candida was extremely high. However, in the last few years, I have learned that the Organic Acids Test, a urine test from Great Plains Lab, is actually far more effective at detecting Candida in the body. This test not only shows the Candida overgrowth in the colon (as the stool tests do), but also tests for Candida metabolites in the body.
Treatment Options for Candida
In conventional medicine, Candida is only treated when women have “vaginal yeast infections” or when immuno-compromised HIV patients have an overgrowth of it.
But in functional medicine, we know that if not addressed, Candida has the potential to break down the walls of the intestinal lining, cause leaky gut, and allow for toxins and partially undigested food molecules to cross into the bloodstream.
There are both conventional and root cause options for treating a Candida overgrowth or infection.
Conventional Treatments for Candida
The conventional approach is to treat the infection with antifungal drugs such as fluconazole, amphotericin B, nystatin, and flucytosine.
While diet and supplements can be immensely helpful in correcting a Candida overgrowth, medications such as nystatin and fluconazole can be helpful as well, and may even be necessary in some cases.
Nystatin at a dose of 500,000 units, taken as two capsules, three times per day for 30-90 days, is an antifungal medication that works directly in the gut.
Nystatin in that strength is available commercially as a liquid, but the commercial preparation has sugar (sucrose), which some may wish to avoid on the Anti-Candida diet! An alternate option is to work with a compounding pharmacist to get this prescription prepared without the added sugar.
Nystatin is also used to treat Candida infections of the skin, mouth, sinuses, throat, esophagus, and vagina. Your healthcare provider can determine the best route and dose of medication for you, depending on the area of the body that is affected.
A compounding pharmacist can also formulate the prescription specifically for your individual situation, or as ordered by your healthcare practitioner, to target the correct portion of the body.
I like nystatin because it has a better safety profile. However, it may not be effective for systemic yeast.
Diflucan (fluconazole) is an alternative medication used for yeast. It’s commonly used as just one pill for vaginal yeast infections, but for Candida overgrowth, it has to be taken for a longer period.
The pros of Diflucan are that it is a systemic medication, so it can get to yeast outside of the gut when taken orally, and it’s taken only once per day for 30-60 days. However, as a systemic medication, Diflucan has a much greater potential for side effects, including liver toxicity, when used longer term.
Root Cause Approach for Treating Candida
While medications may be necessary in some cases, I have seen a great deal of success in treating Candida infections with a dietary approach, and through the use of targeted supplements.
My three-pronged approach to correcting Candida includes:
- Preventing the yeast from growing further with diet and supplements
- Building up our defenses to build up our beneficial bacteria/yeast, displace the Candida, and prevent its conversion into its pathogenic form
- Eradicating the yeast with antifungal herbs
Let’s dive into each of these steps!
1. Addressing Overgrowth
The most common and effective ways to address the overgrowth of Candida are through dietary and lifestyle modifications.
Lifestyle Changes
- As mentioned earlier, stress can contribute to the overgrowth of Candida. I recommend addressing underlying adrenal issues to help build one’s resilience to stress. I have found taking Rootcology Adrenal Support, which is a blend of adaptogenic herbs designed to support a healthy stress response, to be particularly helpful.
- If you are prone to Candida infections in the sinuses, then using a Neti-pot to rinse your sinuses on a daily basis can be a helpful, supportive measure you can implement.
- If you are prone to fungal infections on your skin, practicing good hygiene, avoiding tight-fitting and sweaty clothes, and changing your clothes and bedsheets often can help prevent the build up of fungi (and moisture, which they love!) on the fabrics you come in contact with often.
There are various types of therapeutic diets that nutritionists and functional medicine providers may recommend for individuals on their healing journey. Diets that can be helpful for Candida are generally going to be low in sugar and carbohydrates.
There are two diet options I like to recommend when trying to eliminate or clear out Candida overgrowth: the Anti-Candida diet, and the Body Ecology diet.
You can think of these two options as basic and advanced versions of the Anti-Candida diet, with the general Anti-Candida diet as the basic version, and the Body Ecology diet as the advanced version.
General Anti-Candida Diet
As mentioned earlier, a diet high in sugar and carbs can contribute to Candida overgrowth.
Foods to Avoid:
It is generally recommended to starve the fungi through the Anti-Candida diet, which includes cutting out simple carbohydrates in addition to legumes (beans and peanuts), most nuts (except for almonds and pecans), most seeds (except for sunflower, sesame and pumpkin seeds), grains, dairy, corn, mushrooms, potatoes, fruit, caffeine, sweeteners (like honey, sugar and sugar substitutes), peppers, carrots, squash, beets, fruit juices, carbonated drinks, ketchup, vinegar, fried foods, yeast, and alcohol, which feed Candida.
Foods to Include:
Incorporate plenty of protein-rich foods such as fish, beef, chicken, turkey, and protein powders. Pairing the proteins with above ground vegetables (except those mentioned in the avoid list) and fats from seeds (sunflower, sesame, pumpkin) or nuts (almonds, pecans) can also help balance blood sugar and prevent the overgrowth of Candida.
To suppress Candida, follow the dietary instructions above for the first 10 days. Then reintroduce the foods back in slowly, while continuing to avoid foods high in sugar content such as artificial sweeteners, sugar, and of course, foods rich in carbohydrates.
Decreasing one’s intake of saturated fats and avoiding ketogenic diets may also help.
For more information on healing diets and how to tailor your current one to your needs, check out my article on the best diets for Hashimoto’s.
Body Ecology Diet
The Body Ecology Diet is a diet option that may be especially helpful for those who did not see a huge change in symptoms after trying the basic Anti-Candida diet described above. One major difference between the general Anti-Candida diet and the Body Ecology diet is that the latter places an emphasis on soaking grains and nuts (with minimal consumption of them).
In fact, in my survey of over 2000 individuals, of those that tried the Body Ecology diet, 34 percent reported improved thyroid labs, 41 percent saw improved mood, 71 percent saw improved energy, and 35 percent saw improved weight, demonstrating that this diet can be a great option for those who have Candida and Hashimoto’s.
Why is the Body Ecology (BE) diet so effective? While the GAPS (Gut and Psychology Syndrome) diet and SCD (specific carbohydrate) diet are grain-free and include liberal amounts of nuts, fruit, and fruit juices, the Body Ecology diet includes some well-soaked, easy-to-digest grains, and limits fruit and nuts, to starve off the pathogenic yeast and bacteria.
Furthermore, the Body Ecology diet introduces fermented foods that provide us with beneficial bacteria that displace Candida and create a thriving gut microbiome.
You’ve probably heard of fermented cabbage (or sauerkraut), but there are many more delicious fermented vegetables out there, to help you increase the amount of “good” bacteria in your gut. You can buy fermented cabbage at most health food stores (be sure to get the kind that’s kept in the fridge, as the beneficial bacteria die off within two weeks of being at room temperature), and you can also make your own fermented foods.
I love to make fermented coconut water (coconut water + BE Starter + stevia to taste) and fermented coconut cream (coconut cream + BE Starter + stevia to taste after fermentation). I also love making a mixture of various fermented vegetables, including cabbage, cucumber, carrots, broccoli, kale, spinach, and chard.
I learned how to ferment vegetables from Donna Gates (she talks about the technique in the videos on the BE Starter web page, and I was really excited to learn that she actually has her own Online Fermentation Course too!). 🙂
The Body Ecology diet also utilizes additional healing principles (such as balancing acid/alkaline foods, following the 80/20 rule, and implementing food combining). The diet itself is a bit complex, so if you want to learn more about the Body Ecology diet, I highly recommend also checking out Donna Gate’s website, Donna’s book, and the Body Ecology Diet 101 Course.
Please note that there are special considerations for people with Hashimoto’s following the Body Ecology diet:
- Advanced versions of the diet include dairy, which may not be appropriate for people with Hashimoto’s.
- Sea vegetables are also recommended on the Body Ecology diet but should be avoided by people with Hashimoto’s in the early stages of healing, as they contain high levels of iodine.
Additionally, some individuals with symptoms like pain in the body (and/or joint pain), burning with urination, and kidney stones, may need to limit oxalate-rich foods from their diet, as Candida can lead to oxalate sensitivity.
As always, be sure to modify your diet based on your individual needs.
2. Building Up Pathogenic Defenses
S. Boulardii
Using probiotics can be very helpful in crowding out Candida. I really like the beneficial yeast Saccharomyces boulardii for Candida. S. boulardii does not take up residence in the body, but boosts our natural gut defenses to help us clear out the yeast. As a bonus, unlike other probiotics, it is usually taken by those with SIBO. You can read more about S. boulardii, along with supplement dosage and warning information, here.
Biotin
Several supplements have been shown to either prevent the conversion of Candida to the hyphae form or back to its yeast form, rendering it no longer pathogenic. One of these supplements is biotin.
Biotin is a B vitamin and may be especially beneficial for Hashimoto’s patients experiencing adrenal function and hair loss. I have found 5,000-8,000 mcg (5-8 mg) daily to be a helpful dose.
Molybdenum
Acetaldehyde is a highly reactive substance that can lead to cellular damage. Usually, the body uses a mineral called molybdenum to remove excess acetaldehyde. However, individuals with Candida may be deficient in this mineral. As such, Candida can lead to high levels of acetaldehyde.
As molybdenum is a co-factor for proper sulfur metabolism, a deficiency in this mineral can lead to symptoms of sulfur intolerance, such as skin rashes, asthma, and gas when eating sulfur-containing foods. (Sulfur-containing foods include eggs, cruciferous vegetables, garlic and onions, to name a few.)
If this sounds familiar, I recommend supplementing with Douglas Labs Molybdenum at a dose of 500 mcg (2 tablets) daily to restore molybdenum levels.
3. Suppressing the Yeast with Natural Antifungals
In addition to Saccharomyces boulardii, botanicals can also be used to treat fungal or yeast infections, such as oil of oregano and activated charcoal.
- Oil of Oregano: This herbal product contains a compound called carvacrol, which has been found to have powerful anti-yeast, antibacterial, and antiviral properties. It’s often used for Candida as well as parasitic infections and food poisoning. A study in the Canadian Journal of Microbiology found that of several different essential oils, oil of oregano was most effective against Candida.
- I recommend taking 2 capsules, 3 times a day, for 60 days.
- Activated Charcoal: Activated charcoal helps bind up yeast toxins.
- I recommend taking 2-4 capsules daily for 60 days.
- Please note that it may also deplete magnesium levels and cause constipation. If this happens to you, taking additional magnesium may help you offset constipation. For more information, you can check out my article on how magnesium can help with addressing constipation and boosting thyroid health.
- S. Boulardii: As mentioned earlier, this beneficial yeast can also help.
- I recommend taking 5 billion-15 billion CFUs, 2-4 times per day (up to 8 per day) for 60 days.
As always, please work with a knowledgeable practitioner to determine which protocols would be best for your individual needs.
Addressing Resistant Yeast
Yeast organisms can become resistant to medication and herbs alike, so if you are someone that has a yeast overgrowth and are struggling to eradicate it completely, you may want to consider cycling your yeast medications and herbs, or using a combination of a few at a time.
Another thing to consider when you have “resistant yeast” is whether you have other root causes at play that are contributing to its growth. While conventional medicine only acknowledges the role of yeast infections in people who are severely immuno-compromised, natural medicine practitioners of the past have over-diagnosed yeast as the root cause for everything!
This is only partially true. In some cases, Candida can be the primary root cause. In other cases, yeast can be a secondary root cause. This means that it may only be overgrowing because there is an underlying imbalance that needs to be corrected. In that case, treating the yeast will definitely help symptoms, but there’s a chance that the yeast (and symptoms) will return after treatment is stopped.
If you are someone with yeast that never seems to go away, despite diet and treatments, you should consider that you may have a different underlying root cause.
Potential root causes that can lead to a yeast overgrowth or mimic the symptoms of a yeast infection include:
- Parasitic infections – Infections like Blastocystis hominis can create a favorable environment for yeast such as Candida to grow.
- Heavy metal toxicity – Yeast overgrows whenever there are heavy metals present. In fact, yeasts are often successful and abundant in metal-polluted environments because they absorb the cations, or positively charged molecules, which makes them resilient and resistant to pathogens. Heavy metal toxicity is a contributing factor to the development of Hashimoto’s (more about toxins in my patient guide, Hashimoto’s: The Root Cause, as well as in my article on heavy metals and Hashimoto’s). In such cases, following a liver support protocol can help detox these metals from the body.
- Mold toxicity – Fungus begets fungus! If you have been exposed to mold, there’s a chance that mold spores have taken residence in your body and have created an environment that is supportive of their reproduction, as well as the reproduction of certain yeasts such as Candida. (By the way, symptoms of mold toxicity can be similar to those of Candida overgrowth. If you suspect you may have been exposed to mold, you may need to identify/remove its source and eradicate the mold from your body. Check out my article on mold toxicity and Hashimoto’s for more information.)
The Takeaway
While Candida is a natural part of our microbiome, it has the ability to become pathogenic. In its pathogenic hyphae form, it can create intestinal permeability, cause an immune system imbalance, and become a root cause factor for Hashimoto’s. Its effects on the body can lead to symptoms such as bloating, fatigue, and constipation. However, as these symptoms are similar to other conditions, such as SIBO and mold toxicity, it’s important to get tested to confirm a Candida overgrowth.
While receiving a diagnosis of Candida overgrowth can be disheartening, there are steps you can take to correct it and achieve a healthy gut! With the use of supplements, dietary changes, and antifungal herbs/medications, you can rest assured knowing you’re taking a positive step forward in not only healing your gut, but your thyroid condition as well.
To dive deeper into this topic, I outline a step-by-step approach to correcting a Candida overgrowth in my book, Hashimoto’s Protocol.
As always, I am here to support you on your health journey and hope that some of these resources help you find the diet and interventions that will make you feel better. Feel free to ask your own questions about diet and Hashimoto’s in the comments below, or on my Facebook page and Instagram posts!
P.S. You can also download a free Thyroid Diet Guide, 10 thyroid friendly recipes, and the Nutrient Depletions and Digestion chapter of my 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
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- Leli C, Mencacci A, Meucci M, et al. Association of pregnancy and Candida vaginal colonization in women with or without symptoms of vulvovaginitis. Minerva Ginecol. 2013;65(3):303-309.
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Please note: Originally published in June 2016, this article has been updated for accuracy and thoroughness.
Mary says
Hello 🙂 Could you please tell me how Ketogenic diets could continue to feed the Candida overgrowth? Thanks so much in advance for your reply!
CAROLYN BINGER says
There are some who think a ketogenic diet can be harmful for candida because the candida can feed off the ketones when glucose is not available. I personally do not find this true for myself. I am the best when I avoid all carbs. I feel great and energetic and NO BLoating!
Dr. Izabella says
Carolyn -Thank you for following this page. I often have people play around with their fat to protein to carb ratios to find what fits them best. Some people (especially if they’re more active) will benefit from more proteins. Others benefit from more fats, such as those with brain fog, pain, and depression. Personally for me, lower carbs, higher fats, and ketosis made me feel amazing for a couple of years until I hit a plateau and then needed to add back more carbs to feel my best. The bottom line is that you have to adjust the diet to your needs and your needs may change!
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
Maria says
hi!
I am wondering how the charcoal mat effect the uptake of thyroid medicine, and how long should you take it?
Dr. Izabella Wentz says
Maria – Please, understand that due to liability issues, I am unable to answer specific medical questions.
I highly recommend that you work with a functional medicine clinician. It’s a whole medical specialty dedicated to finding and treating underlying causes and prevention of serious chronic disease rather than disease symptoms.
FUNCTIONAL MEDICINE APPROACH TO THE THYROID
https://thyroidpharmacist.com/articles/functional-medicine-approach-to-the-thyroid
WHAT TYPE OF DOCTOR SHOULD YOU SEE IF YOU HAVE HASHIMOTO’S
https://thyroidpharmacist.com/articles/what-type-of-doctor-should-you-see-if-you-have-hashimotos
10 THINGS I WISH MY ENDOCRINOLOGIST WOULD HAVE TOLD ME
https://thyroidpharmacist.com/articles/10-things-i-wish-my-endocrinologist-would-have-told-me
CLINICIAN DATABASE
http://www.thyroidpharmacistconsulting.com/clinician-database.html
FIND A FUNCTIONAL MEDICINE CLINICIAN
https://www.functionalmedicine.org/practitioner_search.aspx?id=117
Jo says
I have pics adrenal exhaustion and a grossly under active thyroid,
Dr. Izabella Wentz says
Jo – thank you so much for following this page.
Did you know that if you live in the United States, the UK, Australia, Europe and most developed countries that add iodine to the salt supply and take thyroid medications, there’s a higher probability that you do have Hashimoto’s?
Depending on the source, estimates are that between 90-95% of those with hypothyroidism have Hashimoto’s.
But most doctors will never tell people that they have Hashimoto’s, or that their own immune system is attacking their thyroid. People are told that their “thyroid is sluggish”, and that these things happen with age and “Just take this pill, you’ll be fine.” I hope you check out these articles that I wrote.
ARE YOU DOING EVERYTHING FOR YOUR THYROID BUT NOT YET WELL?
https://thyroidpharmacist.com/articles/are-you-doing-everything-for-your-thyroid-but-not-yet-well/
DO YOU HAVE HYPOTHYROIDISM OR HASHIMOTO’S OR BOTH?
https://thyroidpharmacist.com/articles/do-you-have-hypothyroidism-or-hashimotos-or-both/
Here are the tests you need for diagnosis. Most endocrinologists don’t run them all so you will have to request them. Make sure to request a copy of your labs as well.
TOP 6 THYROID TESTS FOR DIAGNOSIS
https://thyroidpharmacist.com/articles/top-6-thyroid-tests/
Amanda says
Hi Izabella
I have just finished reading your book. I understand the importance of fermented vegetables, however I have recently been found to be intolerant to yeast (baker’s and brewer’s) and I am unsure if fermented vegetables would help or hinder my gut. Thanks
Dr. Izabella Wentz says
Amanda – 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
Marie says
Hello
There is a contraindication to Activated charcoal as i have experienced it… Activated charcoal is used in case of poisoning by drugs, food, etc. because of it’s capacity to absorb. So after few days it will absorb your medication for your thyroid and you will be in hypo… I wouldn’t recommend it for people with any medication treatment.
Also i don’t understand why you recommand fermented food. Of what i learned fermented food are fuel as yeast for mycoses … And saccharomyces boulardii is a yeast … I would like to understand. Thank you.
joanne says
Hi! I hav a daughter who is 6 months pregnant and has been troubled with vaginal thrush from the start, doctors dont know how to treat other than cream now a steroid cream… They sais it could be just hormonal and might subside after pregnancy. She is very tired and struggling with the symptom’s Thankyou Joanne
Dr. Izabella Wentz says
Joanne – thank you for following this page. I’m sorry to hear that your daughter is having such a difficult time. 🙁
I highly recommend that you work with a functional medicine clinician. It’s a whole medical specialty dedicated to finding and treating underlying causes and prevention of serious chronic disease rather than disease symptoms.
FUNCTIONAL MEDICINE APPROACH TO THE THYROID
https://thyroidpharmacist.com/articles/functional-medicine-approach-to-the-thyroid
WHAT TYPE OF DOCTOR SHOULD YOU SEE IF YOU HAVE HASHIMOTO’S
https://thyroidpharmacist.com/articles/what-type-of-doctor-should-you-see-if-you-have-hashimotos
10 THINGS I WISH MY ENDOCRINOLOGIST WOULD HAVE TOLD ME
https://thyroidpharmacist.com/articles/10-things-i-wish-my-endocrinologist-would-have-told-me
CLINICIAN DATABASE
http://www.thyroidpharmacistconsulting.com/clinician-database.html
FIND A FUNCTIONAL MEDICINE CLINICIAN
https://www.functionalmedicine.org/practitioner_search.aspx?id=117
VICKII GARCIA says
WHAT IS WITH THESE DOCTORS & NURSES WHO SAY THEY WONT TEST OTHER THAN TSH ??? I HAVE BEEN TRYING TO GET MY CLINIC ON THE RIGHT PATH… BUT, THEY WONT LISTEN !!!!
Dr. Izabella Wentz says
Vickii – thank you for following this page. I highly recommend that you work with a functional medicine clinician. It’s a whole medical specialty dedicated to finding and treating underlying causes and prevention of serious chronic disease rather than disease symptoms.
FUNCTIONAL MEDICINE APPROACH TO THE THYROID
https://thyroidpharmacist.com/articles/functional-medicine-approach-to-the-thyroid
WHAT TYPE OF DOCTOR SHOULD YOU SEE IF YOU HAVE HASHIMOTO’S
https://thyroidpharmacist.com/articles/what-type-of-doctor-should-you-see-if-you-have-hashimotos
10 THINGS I WISH MY ENDOCRINOLOGIST WOULD HAVE TOLD ME
https://thyroidpharmacist.com/articles/10-things-i-wish-my-endocrinologist-would-have-told-me
CLINICIAN DATABASE
http://www.thyroidpharmacistconsulting.com/clinician-database.html
FIND A FUNCTIONAL MEDICINE CLINICIAN
https://www.functionalmedicine.org/practitioner_search.aspx?id=117
Rachel says
Hello there!
I just read this article about a link between Hashimoto’s and yeast infections. I was diagnosed with Hashimoto’s in December 2016 (have had hypothyroid since 2009), and all of a sudden keep having yeast infections each week before my period (beginning January 2017). The current one has lasted through my period and well after! I am working with my GYN but am wondering if I should alert my endocrinologist as well. I take a powerful probiotic and have drastically changed my diet (gluten, soy, dairy, nightshade and egg free). I cut gluten and soy August of last year, and cut the remaining ones since January. Is there a link? Is my body telling me I need something in my diet I no longer eat? thank you! You’re book taught me to ask for my antibodies to be checked! 🙂
Dr. Izabella says
Rachel – thank you for following this page. Yeast is an opportunistic organism that acts up when your overall health is impaired or when your immune system is compromised. Most people with Hashimoto’s will have a high degree of yeast overgrowth, especially of the Candida genus. Treating this overgrowth can be very helpful in restoring health. A note about Candida: Candida can be a primary or a secondary root cause. While conventional medicine underdiagnoses issues related to yeast overgrowth, natural medicine practitioners seem to overdiagnose yeast and may say Candida is a root cause for all ailments. I recommend a Candida protocol for most people with Hashimoto’s. I have talk more about this in my book Hashimoto’s Protocoll I hope you check it out. Hashimoto’s Protocol
thyroidpharmacist.com/protocol
Marina says
My results back positive for candida albicans overgrowth. (Food Safe Allergy test) My doctor gave me Caproyl Bentonite Magma and Psyllium to go through a 30 days cleanse. I am little hesitant to start. What are your thoughts on taking this route to get rid of candida. I remember in your protocol book you don’t recommend Psyllium. Thank you.
Dr. Izabella says
Marina – thank you for following this page. Yeast is an opportunistic organism that acts up when your overall health is impaired or when your immune system is compromised. Most people with Hashimoto’s will have a high degree of yeast overgrowth, especially of the Candida genus. Treating this overgrowth can be very helpful in restoring health. A note about Candida: Candida can be a primary or a secondary root cause. While conventional medicine underdiagnoses issues related to yeast overgrowth, natural medicine practitioners seem to overdiagnose yeast and may say Candida is a root cause for all ailments. I recommend a Candida protocol for most people with Hashimoto’s. I talk more about this in my book Hashimoto’s Protocol I hope you check it out. Hashimoto’s Protocol
thyroidpharmacist.com/protocol
Jessica says
What has helped me is hitting it with a combo of low dose zinc, an acidophilus-focused probiotic and 5000g of Vitamin C (powder mixed in a drink) twice a day. Was suffering from recurring oral and esophageal thrush with ensuing chronic sniffles. Diflucan and Nystatin only held Candida off temporarily and dietary restriction would not do it alone. Sniffles are gone, tongue is 95% back to health and it’s not a disaster if on the rare occasion I eat a sugar/carb based food.
Dr. Izabella says
Jessica – thank you so much for sharing your journey! I hope you will keep me posted on your progress here. <3
Gabriela says
Can colloidal silver/Silvercillin interfere with dessicated thyroid medicine? Thank you!
Dr. Izabella says
Gabriela – That’s a great question and unfortunately I don’t have any information to share with you at this time on colloidal silver. I would advise you to discuss this with your clinician.
Marie says
Hi
Can a fungal infection affect the absorption of certain minerals such as zinc?
I guess it’s the same for bad bacteria?
Thank you
Marie
Dr. Izabella says
Marie – 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/
Linda Taylor says
Oddly, both my son and husband took nystatin in the spring (one for an infected toe and one ordered by a functional doctor for signs of candida over growth) and fall blood work show TSH up to 6 from around 3-4. I am encouraging good lifestyle, gut-biome feeding diet and wait and see. Both think they feel ok and were surprised by the finding. I wouldn’t make a connection, except it is both of them. Any thoughts?
Dr. Izabella says
Linda – thank you for reaching out and sharing your husband and son’s journey. <3 Yeast is an opportunistic organism that acts up when your overall health is impaired or when your immune system is compromised. Most people with Hashimoto’s will have a high degree of yeast overgrowth, especially of the Candida genus. Treating this overgrowth can be very helpful in restoring health. A note about Candida: Candida can be a primary or a secondary root cause. While conventional medicine underdiagnoses issues related to yeast overgrowth, natural medicine practitioners seem to overdiagnose yeast and may say Candida is a root cause for all ailments. I recommend a Candida protocol for most people with Hashimoto’s. I talk more about this in my book Hashimoto's Protocol I hope you check it out.
Hashimoto’s Protocol
http://amzn.to/2B5J1mq
Peggy says
Hi Dr Isabella,
I Currently have a systemic fungal infection. My doctor has me on flucanozole and I’ve been on it for over a year. I have had Canadida for years and have had to control it with diet and probiotics, however after taking 2 Saccharomyces Bilardi I began with a terrible case of thrush and then got very sick over a two week span, the yeast everywhere. I’m taking 150mg of flucanozole a day and everyone I come off it’s comes back agrssively. Do you ever recommend a higher dose or a different antifungal like spornox? I’ve been to several doctors and one functional medicine practitioner and no one knows what to do,.
Any advice would be so greatly appreciated.
Sincerely
Peggy
Dr. Izabella says
Peggy – thank you for sharing your journey with me. I am so sorry you are struggling with this. Yeast is an opportunistic organism that acts up when your overall health is impaired or when your immune system is compromised. Most people with Hashimoto’s will have a high degree of yeast overgrowth, especially of the Candida genus. Treating this overgrowth can be very helpful in restoring health. A note about Candida: Candida can be a primary or a secondary root cause. While conventional medicine underdiagnoses issues related to yeast overgrowth, natural medicine practitioners seem to overdiagnose yeast and may say Candida is a root cause for all ailments. I recommend a Candida protocol for most people with Hashimoto’s. I talk more about this in my book Hashimoto’s Protocol I hope you check it out.
Hashimoto’s Protocol
http://amzn.to/2B5J1
Root causes that can lead to a yeast overgrowth or can mimic the symptoms of a yeast infection include:
Parasitic infection like the Blastocystis hominis infection. Heavy Metal toxicity – Yeast overgrows whenever there are heavy metals present (more about toxins in my patient guide, Hashimoto’s the Root Cause). Mold toxicity – Fungus begets fungus! If you have been exposed to mold, there’s a chance that mold spores have taken residence in your body and have created an environment that is supportive of their reproduction, as well as the reproduction of yeast. Here are some articles you might find helpful as well:
HASHIMOTO’S HIVES AND IBS
https://thyroidpharmacist.com/articles/the-common-root-cause-of-hashimotos-hives-and-ibs/
MOLD
https://thyroidpharmacist.com/articles/daves-hashimotos-root-cause-mold/
HEAVY METALS
https://thyroidpharmacist.com/articles/heavy-metals-hormones-and-hashimotos/
Gina B says
My Dr has me on Mycostat(nystatin) and biocidin. I’m wondering if the biocidin is causing me to have a hashi flare though. It has echinacea which I believe stimulates the autoimmune attack…?:/
Dr. Izabella Wentz says
Gina – thank you so much for reaching out and sharing. <3 Please understand, I am not able to advise on whether this could be the cause without a comprehensive health assessment. I recommend that you discuss this with your personal doctor.
Gina says
Hello! I have both mold toxicity and Candida. I’ve had several doctors tell me not to take the s. Boulardi because fungus begets fungus. I’m torn. I’m not sure what to do. They’ve also told me to stay away from anything fermented but I want to repopulate my gut with the good stuff. Not sure what to do:(
Dr. Izabella Wentz says
Gina – thank you for reaching out. <3 S. boulardii boosts SIgA, so it can help in the defense against chronic infections such as Candida. As for the fermented foods, if you check out the article above I discuss the Body Ecology diet and fermented foods. Here is an article with more information about S.boulardii that you might fnd helpful as well:
USING S BOULARDII FOR HASHIMOTO'S
https://thyroidpharmacist.com/articles/using-s-boulardii-hashimotos/
JJ says
Hi! I’ve read in some places over the Internet that Shiitake mushrooms can help to address Candida infections, as they are considered a medicinal type of mushroom with antibacterial and antifungal properties, however I can’t find updated scientific sources backing this claim up and I see you advise against eating mushrooms while doing the Candida diet… Do you have indications and/or specific knowledge about this? Thanks!
Dr. Izabella Wentz says
JJ – thank you for following. ❤️ I don’t currently have information to share on the use of Shiitake mushroom for the treatment of Candida. The Candida diet does exclude mushrooms. Here are some articles you might find interesting.
CANDIDA AND HASHIMOTO’S CONNECTION
https://thyroidpharmacist.com/articles/candida-and-hashimotos-connection/
HOW DO ADAPTOGENIC HERBS AFFECT HASHIMOTO’S?
https://thyroidpharmacist.com/articles/adaptogenic-herbs-benefit-hashimotos
JJ says
Thank you for your swift reply! 🙂
Fjolla says
Hi how are you, I wanted to thank you for all the information that you share with us 🙂 . Personally, I have learned a lot from you and I’m still. But now I’m writing to you because my uncle is coming from the USA next month here to Kosovo, and I asked him if he could bring me a package of S.Boluardi from Rootcology and order it online on Amazon, but it is saying that is currently unavailable. Please can you help me because I have an infection with Candida for a year now, but nothing is seemed to help me, I have used so many antifungals pills. I have bought here a package of S.Boluardi and they were so cheap and I started a diet for 60 days and now I have 10 days left to end it but still, I don’t have any change. I have fatigue, bloating, weakness, gas, and food sensitivities.
Dr. Izabella Wentz says
Fjolla – thank you for reaching out. 💕 I’m so sorry you are struggling with this. Your uncle could order the Rootcology S. Boulardii directly from my website. Here is a link: https://rootcology.com/collections/supplements/products/s-boulardii If you have any questions about the supplements please feel free to email my team at info@thyroidpharmacist.com and they will be happy to help.
Here are a couple articles I hope you find halpful as well:
CANDIDA AND HASHIMOTO’S CONNECTION
https://thyroidpharmacist.com/articles/candida-and-hashimotos-connection/
USING S BOULARDII FOR HASHIMOTO’S
https://thyroidpharmacist.com/articles/using-s-boulardii-hashimotos/
Fjolla says
Thank you so much for replying to me so fast, you are a life-saver :*. I left another comment because I thought it wasn’t posted. Thank you so much <3.
Ive Ammoune says
Very informative! Thank you!
Dr. Izabella Wentz says
Ive – you are very welcome! ❤️
John Kim says
Dr Wentz, your articles are very informative and the information lines up with cross research I have been doing across other online functional health practitioners. Thank you for your efforts in helping others recover from chronic health conditions.
With regards to the Sacharomyces B usage, in your experience does it’s usage when combined with an antifungal supplement reduced its effectiveness? As it is a yeast would usage of coconut oil or berberine combined with it reduce it’s effectiveness?
Dr. Izabella Wentz says
John – thank you so much for sharing! ❤️ I’m so glad you are finding my research helpful. I recommend spacing S. boulardii from any thyroid medications by 30-60 minutes as well as from any anti-yeast, anti-parasitic, or antibacterial herbs, by 30 minutes to an hour. Here is an article that you might find helpful:
https://thyroidpharmacist.com/articles/using-s-boulardii-hashimotos/
Hana says
Hello dr Isabella can you please tell me how to test for oral thrush candida in mouth ? Thank you
Dr. Izabella Wentz says
Hana – thank you for reaching out.❤️ I have some testing option listed in the article above. I recommend discussing with your practitioner to determine what the best option is for you.
Christina says
Hello. I have candida, SIBO, and gut dysbiosis. I tested negative for gut infections. I tried the oil of oregano protocol (under the guidance of a functional medicine doctor) and it made all my symptoms worse. Even my SIBO numbers are higher. I am not sure where to start now, but so far attempts to address SIBO have worsened my overall health. I suspect candida is the root cause considering my gut symptoms began after starting a high estrogen birth control pill. Is it possible to address candida while you have SIBO? Is it unusual that oil of oregano made me worse? Thanks.
Dr. Izabella Wentz says
Christina, thank you for following. I’m so gald you have a FM practitioner to help guide you through this. Everyone reacts differently and sometimes we do feel worse before feeling better. 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. 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!
Here are a couple articles that I hope are helpful.
SIBO
https://thyroidpharmacist.com/articles/sibo-prevent-remission-hashimotos/
6 DIFFERENT ROOT CAUSES OF LEAKY GUT
https://thyroidpharmacist.com/articles/root-causes-leaky-gut-and-autoimmunity/