It started with a chronic cough, burning in my chest, and a choking sensation… I saw my primary care doctor, an allergist, a gastroenterologist, an Ear Nose and Throat doctor. I tried every over-the-counter product possible. I drank gallons of milk trying to soothe the burn. I drank bottles of Mylanta, and always had antacids nearby. I tried Nexium, Prilosec, Aciphex, Pepcid, and even considered surgery.
But nothing could soothe my acid reflux.
For three years, I slept nearly upright. For three years, I avoided red wine, tomato sauce, oranges, and all of the other “acidic” foods I was told to avoid. The acid reflux continued. I tried the holistic route — adjustments from a chiropractor to push my “hiatal hernia” back in… yoga to relax more… ginger tea. I also cut out caffeine and took more magnesium.
And then, just when I nearly gave up, I made one change to my diet — and my symptoms were completely gone in 3 DAYS!
What was that change? I cut out dairy.
I had been eating it for years without any apparent problems, so I would have never suspected it would be the culprit of my digestive troubles. Since I cut out dairy, I haven’t experienced acid reflux. Second only to gluten, dairy is one of the most problematic foods for people with Hashimoto’s, and I have found that eliminating these two foods from one’s diet can have the most profound effect on bringing a thyroid condition into remission.
In this article, I’d like to explore:
- Why dairy is so problematic for human consumption
- The different types of dairy intolerances
- How consuming dairy impacts Hashimoto’s
- Thyroid-friendly alternatives to dairy
The Problem with Dairy
When I surveyed my readers with Hashimoto’s a few years ago, 40 percent of people reported already being dairy free, while 57 percent reported that they suspected they were sensitive to dairy.
The most common ways a dairy sensitivity may manifest are via gut reactions (like bloating, diarrhea, and acid reflux), as well as lung reactions (coughing, asthma, sinusitis, postnasal drip, and mucus) and skin reactions (eczema, rashes, and acne).
But what is it about dairy that makes it so problematic for people with Hashimoto’s?
Are You a Baby Cow?
Often, the argument against drinking dairy is overly simplified… “Humans are the only mammals that drink another mammal’s breast milk. Cow’s milk is only good for baby cows!”
This argument can be tough to counter, unless of course, you can think of examples of people who are perfectly healthy and drink lots of cow’s milk… and we all know those people.
Therefore, we need to dig deeper and find another explanation.
Cow’s milk contains proteins (primarily casein and whey) that are different from the proteins found in human milk. A person with intestinal permeability (which is always a precursor to autoimmune disease) is likely to recognize these proteins as a foreign invader and make antibodies to the proteins. While this may sound like a food allergy, it’s important to understand how the different parts of the immune system work, and how the body views and reacts to what it sees as invaders.
Food Allergies vs. Food Intolerances
Food allergies are mediated by the IgE part of the immune system, and take effect immediately.
An example of an IgE food allergy would be a person who eats peanuts and goes into anaphylactic shock (in which the airways narrow and breathing is blocked), requiring immediate medical intervention. These types of food reactions are often called a “true allergy” by medical professionals. However, this terminology is a misnomer, suggesting that only IgE allergic reactions exist and that reactions mediated by different parts of the immune system are non-existent.
In fact, there are at least two other parts of the immune system that react to foods: the IgA and IgG branches.
For lack of better terminology, IgA and IgG hypersensitivities have both been labeled as “food intolerances” or “food sensitivities” — however, they are much different in their mechanisms and propensity to cause harm in the body.
Dairy can be an IgA sensitivity, an IgG sensitivity, or both.
IgA Food Reactions
An IgA food intolerance is the more severe reaction and manifests primarily in the intestines. It is an abnormal response of the intestines to certain foods in genetically predisposed individuals. The intolerances may manifest themselves early in childhood, or later in life.
An IgA food intolerance results in irritation and inflammation of the intestinal tract every time that particular food is consumed. This results in damage to the intestines, with an eventual inability to absorb nutrients, and can increase the risk of autoimmune diseases and cancer, as well as accelerate aging through increased intestinal permeability.
IgA food intolerances may be asymptomatic, or they may present with the following symptoms: diarrhea, loose stools, constipation, acid reflux, malabsorption of nutrients from foods, and increased intestinal damage.
They may also cause IBS, gas, nausea, skin rashes (including eczema), acne, respiratory conditions such as asthma, nasal congestion, headaches, irritability, and vitamin/mineral deficiencies.
The most well-known IgA food reaction is called celiac disease, and it is an intolerance to gluten, the protein found in wheat. (Up to 15 percent of people with Hashimoto’s are estimated to also have celiac disease!) However, dairy protein, egg, and soy protein IgA intolerances are also extremely common in those with Hashimoto’s.
A more accurate description of an IgA food reaction may be Protein-Mediated Autoimmune Intestinal Inflammatory Reaction (PAIR).
IgG Food Reactions
As mentioned above, the proteins found in cow’s milk are different compared to those found in human milk. The body may recognize these dairy proteins as foreign invaders and produce antibodies to protect itself from what it perceives to be a threat. Sometimes, it’s the IgG branch of the immune system that reacts. A reaction of this kind is known as a Type IV Delayed Hypersensitivity reaction.
Guess what other kinds of antibodies are IgG mediated? Thyroid antibodies; more specifically, TPO and TG antibodies. In fact, Hashimoto’s is also considered a Type IV Delayed Hypersensitivity.
As far as I’m aware, the research doesn’t exist on this yet; however, experience shows that eating foods that stimulate the release of IgG antibodies and promote a Type IV Delayed Hypersensitivity response, will also increase thyroid antibodies.
Perhaps it’s a “turning on the faucet effect,” or perhaps dairy proteins cross-react with the thyroid gland. More research is needed to identify the exact reaction, but I can say that people who are dairy-sensitive and have Hashimoto’s, will have a reduction in thyroid symptoms and antibodies once they remove dairy from their diets.
Lactose Intolerance
Many people confuse a dairy intolerance with lactose intolerance, and will suggest taking a Lactaid pill so that you can eat your ice cream and go about your day.
However, lactose intolerance and dairy protein intolerance are two completely different reactions to dairy. Lactose is a milk sugar, and the ability to digest lactose depends on having the lactase enzyme necessary to break down the milk sugar lactose.
Although there are similarities in the symptoms caused by lactose intolerance and dairy protein sensitivity (bloating, diarrhea), the difference is that the latter response originates in the immune system. Additionally, lactose intolerance will not cause intestinal tissue inflammation or damage.
Dairy and Hashimoto’s
Limited studies are available on dairy proteins and Hashimoto’s. The only dairy-related study I’m aware of was one that showed lactose-sensitive individuals with Hashimoto’s as being better able to absorb medication after lactose restriction (hey, it’s a start, right?). But just because there aren’t studies yet, doesn’t mean you shouldn’t try this intervention that can be life-changing.
Some people with Hashimoto’s may present with an IgA (celiac-like) intolerance to milk proteins. Many of these cases are undiagnosed, and when people continue to eat these foods, they are damaging their intestines and robbing themselves of vital nutrients. It sounds surprising, but even people who are overweight may be completely malnourished and nutrient depleted because of the foods they eat.
Everyone with Hashimoto’s will have some degree of intestinal permeability, which makes one’s immune system more likely to recognize the whey and casein proteins as foreign invaders, and create IgG antibodies to protect itself.
Many people with Hashimoto’s could have both kinds of immune reactions (IgG and IgA) to dairy proteins, in addition to an intolerance of lactose.
Interestingly, a recent study showed that 76 percent of people with Hashimoto’s who were tested for lactose intolerance, tested positive. When they were placed on a lactose-free diet, their TSH levels dropped significantly, and they were found to absorb their thyroid medications (L-thyroxine) more effectively than when they were consuming lactose.
This means that the consumption of dairy products can prevent thyroid hormones from working, while also causing an autoimmune attack on thyroid tissue.
Testing for Dairy Sensitivity
The problem with pinpointing a dairy reaction, like all delayed food reactions, is that it’s almost impossible to know if dairy is a trigger for you, unless you go off dairy for at least two to three weeks, then reattempt eating it.
When I was working as a pharmacist, we were always on the lookout for “true IgE-related allergies” to foods and medications. I learned about the reactions mediated by the other immune branches in immunology during my first year in pharmacy school, but somehow, calling the IgE-related reactions “true” led me to believe that the other types of reactions didn’t matter.
Unfortunately, most conventional medical professionals and insurance companies hold that same misconception, and food sensitivity tests are considered “experimental.” Fortunately, I don’t mind a little experimentation, and when I “experimented” with removing the foods that seemed to be reactive for me, I felt dramatically better!
The other challenge with food sensitivities is that when we eat the foods that our body is sensitive to on a daily basis, it is very difficult to connect the foods with the symptoms we are having. Every time we eat a food we are sensitive to, the body becomes depleted in its ability to protect itself from that food, and the reactions become less specific, and more chronic, over time.
However, the good news is that, once the sensitizing food is eliminated for a few days to a few weeks, most people find that they feel better with less bloating, less acid reflux, normal bowel movements, more energy, etc. If we then consume that same food, the body will actually produce a stronger, more specific reaction, allowing us to recognize which particular food is problematic.
This is known as an elimination diet and is the gold standard for food-sensitivity testing.
If you think dairy may be a problem for you, I recommend removing it from your diet for at least two to three weeks and noting which symptoms are relieved for you.
What About Raw, Goat’s and Sheep’s Milk?
Some raw milk advocates claim that only pasteurized milk is problematic, and that raw milk is the way to go. They believe that the pasteurization process can potentially denature dairy proteins, making them seem even more foreign to the body, and increasing the likelihood of an immune response. This could potentially be true if you spent your entire life drinking only raw milk. However, most of us have already been sensitized to the pasteurized cow’s milk proteins, and will likely react to the raw milk dairy proteins. The differences are simply not that great.
Goat’s milk and sheep’s milk proteins are also very similar to cow’s milk proteins and have about a 60-75 percent rate of cross-reactivity. This means that a significant percentage of people who are sensitive to cow casein will also react to goat and sheep casein. Once a person becomes sensitized to the casein protein, they may react to all forms of dairy across the board.
The one possible exception is camel milk. The camel is not a ruminant (the category that cattle, sheep, antelopes, deer, and giraffes belong to), but a tylopoda (camel and llama family), and has different proteins in its milk. One study found that, in those with an allergy to cow’s milk, only 18 percent also had camel milk cross-reactivity. Camel milk does not contain beta-lactalbumin (whey protein) and has a different structure of casein — the two most reactive parts in cow’s milk. Camel milk also has little fat (the lactose content is only 4.8 percent), making it easily tolerated by most people with lactose intolerance.
A physician in Israel reported healing cow’s milk sensitivities with camel milk in a subset of children. In my own case, I reduced my reaction to dairy from an 8+ to a 1 (on a scale of 1-10) over the course of four years, and I did drink camel milk for about two weeks as an intervention prior to this. It is possible that the camel’s milk helped, but I also made a lot of other interventions that are known to reduce food sensitivities: I started strict dairy restriction, eradicated gut infections, followed gut healing protocols, and took systemic enzymes.
For those interested in trying camel milk, I recommend the brand Desert Farms.
Living Dairy Free
For me, dairy was a more reactive food than gluten. Eating even tiny amounts of dairy resulted in coughing, bloating, acid reflux, joint pain, and diarrhea. I’ve been dairy free for several years now, and my food reactions have dramatically lessened. However, a small amount of dairy will still trigger a cough for me. (I once ate something that was marked “dairy-free” even though it had butter, and couldn’t figure out why I kept needing to clear my throat!)
The Dairy Withdrawal
If you’re someone who is craving dairy, you should know that it’s not just in your head. The dairy protein casein, when broken down, can bind our endorphin (“feel good”) receptors in the body.
Preliminary research in animals shows that casomorphins (from casein), as well as gliadorphin (from gluten), may have behavioral effects.
There are those that claim that dairy is as addictive as heroin (which is a strong stimulator of our endorphin receptors). It has been hypothesized that when dairy is digested, opioid peptides called casomorphins are released into the gastrointestinal tract and taken up into the bloodstream. These opioid peptides are considered exorphins, as they have morphine-like effects on the brain. In other words, they can have “addictive” properties, so suddenly cutting dairy out of our diet can cause strong withdrawal symptoms. (A similar thing can happen when we withdraw from gluten!)
In my own case, I did find that I had slight withdrawal symptoms when I went dairy and gluten free. I felt a little spacey and dazed for a few days… so while I don’t have personal experience with heroin withdrawal that I can compare this to, I think the “as addictive as heroin” assertion may be a bit of a stretch, so don’t let that scare you from going dairy free!
Additionally, something else happened while I went dairy and gluten free: my bloating and acid reflux went away, while my joint pains began to diminish. (If you are already dairy free and still have acid reflux, check out the video I made about the root causes of Hashimoto’s and acid reflux.)
Can I Ever Have Ice Cream and Pizza Again if I Go Dairy Free?
Giving up dairy can be very scary, as dairy is a common staple in the standard Western diet, and a base for many rich, nourishing foods. However, giving up dairy may just be the one change that makes the greatest difference to your health.
People with Hashimoto’s who have a sensitivity to casein and whey proteins (the two proteins found in dairy products) will need to eliminate all dairy, including milk, cheese, yogurt, ice cream, butter, and certain protein powders. Some people have a primary sensitivity to dairy, while others have a secondary sensitivity, meaning that the reaction to dairy proteins is a result of gluten-induced damage to the gut. People in this latter group may be able to tolerate dairy again after intestinal permeability has been repaired, or after approximately six months of gluten and dairy avoidance.
However, I have found that most people with Hashimoto’s do much better on a gluten and dairy-free diet, and I recommend staying off both of these foods for most of the people that I work with.
If you do find yourself accidentally exposed to dairy while eating out at restaurants, it can be a good idea to have a bottle of Pure Encapsulations Gluten/Dairy Digest on hand. Though not a long-term solution, this product can help mitigate the effects of accidental dairy (and gluten) exposure if taken right away.
Dairy Alternatives
The good news is that there is no shortage of tasty, dairy-free alternatives that are easy to find at your local supermarket, or online. These days, it is easier than ever to live dairy free, and still enjoy your meals.
Please note: all of the suggested brands below are dairy, gluten and soy-free. Some of them are Paleo as well as Autoimmune Paleo-friendly, but others may have additives that are not considered Paleo/Autoimmune Paleo-friendly.
Milk – Milk is a combination of fat, protein, and carbohydrates.
- Coconut milk is my top choice, though it doesn’t contain protein.
- Almond milk is my second choice, but some people may react to nuts.
- Rice milk is an option, but it often contains large amounts of sugar and no fat, and some people may be sensitive to grains.
I recommend avoiding soy milk. While it does contain fat, carbohydrates, and protein, soy is the third most common reactive food for those with Hashimoto’s, and we don’t want to replace one reactive food with another reactive one!
Cheese
- To make cream cheese, soak 1 cup of cashews in water overnight, then blend them with ¼ cup of water, and 1 tablespoon of lemon juice in a blender, such as the Vitamix.
- For shredded cheese, the Daiya brand makes a gluten, dairy and soy-free “cheese” that can be used in place of cheddar, mozzarella, and Pepperjack cheese on pizzas, casseroles and the like. They also have a cheesecake, made with a gluten-free crust.
Ice Cream
- So Delicious Dairy Free makes a coconut milk-based ice cream in a variety of flavors.
- You can also try Yonanas, which is an awesome machine that turns frozen bananas into ice cream.
Butter
- Coconut oil works very well as a butter substitute for most purposes.
- Duck fat is another tasty alternative.
Yogurt
- Daiya and So Delicious Dairy Free make tasty coconut-based yogurts.
Pizza
- Daiya brand makes a tasty gluten, dairy, and soy-free pizza.
Protein for Shakes
- I recommend pea protein or beef protein as a substitute for whey protein in shakes.
Sour Cream
- You can make a purée of cashews and lemon juice, or use a coconut milk with a high-fat content, such as coconut cream.
Additionally, there are many online recipes and cookbooks that are full of ideas for crafting delicious, dairy-free meals. I also released my own cookbook, Hashimoto’s Food Pharmacology: Nutrition Protocols and Healing Recipes to Take Charge of Your Thyroid Health, which contains 125 recipes that are all dairy free! My hope is to inspire people to create their own meals that are nourishing to their thyroid health, while still tasty and fulfilling.
Takeaway
Time and time again, I have seen people with Hashimoto’s shed their symptoms and feel better after giving up dairy. For me, getting off dairy meant no more irritable bowel syndrome, bloating, acid reflux, or carpal tunnel. For one reader, Crystal, getting off dairy meant getting her Hashimoto’s into remission. (Read Crystal’s Hashimoto’s success story here.)
If you have given up gluten, but are still struggling with digestive or respiratory symptoms, I encourage you to try eliminating dairy for a period of at least three weeks, and take note of how you feel. You may even want to get a journal and keep track of your symptoms. You may just find that they disappear altogether!
I hope this information helps you on your journey to better health!
P.S. Be sure to join my email list to get a free chapter of my first book, recipes a, Thyroid Diet start guide, notifications about upcoming events, and my weekly newsletter.
Be sure to follow me on Facebook and Instagram for more news and tips, and to interact with our Hashimoto’s community!
References
- Fasano A. Leaky gut and autoimmune disease. Clin Rev Allergy Immunol. 2012;42(1):71-78.
- Luiz, HV. IgG4-related Hashimoto’s thyroiditis – a new variant of a well-known disease. Arq Bras Endocrinol Metab. 2014;58(8):862-868.
- Ruchala M, et. al. The influence of lactose intolerance and other gastro-intestinal tract disorders on L-thyroxine absorption. Endokrynol Pol. 2012;63(4):318-23.
- Asik M, Gunes F, Binnetoglu E, Eroglu M, Bozkurt N, Sen H, Akbal E, Bakar C, Beyazit Y, Ukinc K.Decrease in TSH levels after lactose restriction in Hashimoto’s thyroiditis patients with lactose intolerance. Endocrine. 2014 Jun;46(2):279-84.
- Cellini M1, Santaguida MG, Gatto I, Virili C, Del Duca SC, Brusca N, Capriello S, Gargano L, Centanni M.Systematic appraisal of lactose intolerance as cause of increased need for oral thyroxine. J Clin Endocrinol Metab. 2014 Aug;99(8): E1454-8. doi: 10.1210/jc.2014-1217. Epub 2014 May 5. PMID: 24796930.
- Muñoz-Torres M1, Varsavsky M, Alonso G. Lactose intolerance revealed by severe resistance to treatment with levothyroxine. Thyroid. 2006 Nov;16(11):1171-3.
- Shabo, Y. et. al. Camel Milk for Food Allergies in Children. Immunology and Allergies. IMAJ 2005; 7:796-798.
- Lister J, et. al. Behavioral effects of food-derived opioid-like peptides in rodents: Implications for schizophrenia? Pharmacol Biochem Behav. 2015 Jul;134:70-8.
- Asik M, Gunes F, Binnetoglu E, Eroglu M, Bozkurt N, Sen H, et al. Decrease in TSH levels after lactose restriction in Hashimoto’s thyroiditis patients with lactose intolerance. Endocrine. 2014 Jun;46(2):279-84.
Note: Originally published in 2015, this article has been revised and updated for accuracy and thoroughness.
Beth- Here is an article where I talk about other ways to get good probiotics in your diet! 🙂
THE FOUR BEST PROBIOTICS FOR HASHIMOTO’S
https://thyroidpharmacist.com/articles/the-four-best-probiotics-for-hashimotos
I have celiac disease and was told in June I have an overactive thyroid and also have high thyroid antibodies. I am thinking casein protein because this came after I had a lengthy period of time with three high protein dairy servings daily and have read casein is cross reactive with gluten. Prior to that I use to get a couple small patches of eczema but much less dairy and they but had went away.
I am trying to figure out if any other foods may be an issue too. Tonight about 30 minutes after I had almond milk my thyroid felt inflamed. I was fine all day and the two previous days too. Could that be an intolerance? I am working my way to the AIP Paleo protocol.
My doctor doesn’t seem interested in IgG testing. Just pills. I have no other symptoms of hyperthyroidism. I don’t want to take the anti thyroid drugs or RAI due to their side effects and they’re not a cure but rather a band aid.
Patty – thank you for reaching out. When it comes to food sensitivities they can take up to 4 days to manifest. Until you eliminate the foods from your diet, it will be nearly impossible to correlate your symptoms with a food. Here are a some articles I hope you find helpful:
FOOD SENSITIVITIES AND HASHIMOTO’S
https://thyroidpharmacist.com/articles/food-sensitivities-and-hashimotos/
GRAVES AND HASHIMOTO’S
https://thyroidpharmacist.com/articles/graves-vs-hashimotos/
AUTOIMMUNE PALEO DIET
https://thyroidpharmacist.com/articles/autoimmune-paleo-diet/
Marjanna- Here is an article you may find interesting! 🙂
THE FOUR BEST PROBIOTICS FOR HASHIMOTO’S
https://thyroidpharmacist.com/articles/the-four-best-probiotics-for-hashimotos
Kenna- Here are two articles you may find interesting! 🙂
REVERSING DIABETES AND HASHIMOTO’S BLOOD SUGAR IMBALANCES
https://thyroidpharmacist.com/articles/reversing-diabetes-and-hashimotos-blood-sugar-imbalances
HASHIMOTO’S, BLOOD SUGAR AND DIABETES
https://thyroidpharmacist.com/articles/hashimotos-blood-sugar-and-diabetes%C2%A0
Alyssa- The gold standard, or the most accurate test for uncovering reactive foods and individual food sensitivities is actually the Elimination Diet.
It works better than trying a recommended dietary approach (i.e. gluten-free, Paleo, etc.) and even better than food sensitivity testing (which may be helpful in many cases, but may not be affordable for many people). The elimination diet can work as a stand-alone or in symphony with food sensitivity testing. Here is an article you will find helpful!! 🙂
ELIMINATION DIET FOR HASHIMOTO’S
https://thyroidpharmacist.com/articles/elimination-diet-for-hashimotos
Mary- I look forward to hearing your progress on this page!! Most people will see a dramatic reduction in gut symptoms, brain symptoms, skin breakouts and pain by eliminating the foods they are sensitive to. Some will also see a significant reduction in thyroid antibodies! An additional subset of people, will actually be able to get their Hashimoto’s into complete remission just by getting off the foods they react to, normalizing their thyroid antibodies, and some even normalizing their thyroid function! Here are a couple of articles you may find helpful.
FOOD SENSITIVITIES AND HASHIMOTO’S
https://thyroidpharmacist.com/articles/food-sensitivities-and-hashimotos
AUTOIMMUNE PALEO DIET
https://thyroidpharmacist.com/articles/autoimmune-paleo-diet
A2/A2 milk is a relatively new found gene in some cows. Those that have had issues with milk in the past, do not with A2/A2. I would encourage you to study this and let us know what you find.
Ruth- 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.
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. This allows us to tailor the diet to the person, not to the dietary philosophy! Going through an elimination diet will help you figure out your individual food triggers and your specific response to each trigger food.
ELIMINATION DIET FOR HASHIMOTO’S
https://thyroidpharmacist.com/articles/elimination-diet-for-hashimotos
Hi Izabella,
Wondering I have had the IgG blood test from Nutripath Pathology Australia for dairy/casein/lactose and according to it I am not sensitive to dairy. Is this conclusive or do you think I should still be giving up dairy for my Hashimotos?
Thank you!
Georgie
Georgie – please, understand that due to liability issues, I am unable to answer specific medical questions.
Here are a few articles related to diet that hopefully help you get started.
FOOD SENSITIVITIES AND HASHIMOTO’S
https://thyroidpharmacist.com/articles/food-sensitivities-and-hashimotos
DAIRY AND HASHIMOTO’S
https://thyroidpharmacist.com/articles/got-hashimotos-you-may-want-to-reconsider-dairy
GOING DAIRY FREE TO REVERSE HASHIMOTOS
https://thyroidpharmacist.com/articles/going-dairy-free-to-reverse-hashimotos
AUTOIMMUNE PALEO DIET
https://thyroidpharmacist.com/articles/autoimmune-paleo-diet
I am just wondering about ghee or clarified butter. Is that OK to eat, as the milk fats have been removed?
Kelly – thank you for following this page. Here are a few articles related to diet that hopefully help you get started.
FOOD SENSITIVITIES AND HASHIMOTO’S
https://thyroidpharmacist.com/articles/food-sensitivities-and-hashimotos
DAIRY AND HASHIMOTO’S
https://thyroidpharmacist.com/articles/got-hashimotos-you-may-want-to-reconsider-dairy
AUTOIMMUNE PALEO DIET
https://thyroidpharmacist.com/articles/autoimmune-paleo-diet
I am unable to find anything in the article you cited to Kelly about ghee specifically?
Farrell – thank you for reaching out. I’m sorry. Some people may react to tiny amounts of dairy proteins from grassfed butter, cream and even ghee. (Clarified ghee is the least likely option to be reactive). Here is an article I hope you find interesting: https://thyroidpharmacist.com/articles/paleo-diet-resolve-hashimotos/
What about for hyperthyroidism, do you have any research on that?
Dr. Wentz, how can someone keep the correct amount of calcium intake with a dairy free diet? Thanks
Ombretta – thank you for following this page.
Here are a few articles related to diet that hopefully help you get started.
DAIRY AND HASHIMOTO’S
https://thyroidpharmacist.com/articles/got-hashimotos-you-may-want-to-reconsider-dairy
GOING DAIRY FREE TO REVERSE HASHIMOTOS
https://thyroidpharmacist.com/articles/going-dairy-free-to-reverse-hashimotos
TAILORING YOUR THYROID DIET
https://thyroidpharmacist.com/articles/tailoring-your-thyroid-diet-to-your-needs
BEST DIET FOR HASHIMOTO’S AND HYPOTHYROIDISM
https://thyroidpharmacist.com/articles/best-diet-for-hashimotos-hypothyroidism
I experienced a hyperthyroid storm and have Grave’s disease a year ago. I had temporary paralysis of the lower extremities,lost 100 lbs within a month,heart was failing,voice was a whisper,numbness in hands,muscles were like jello. I’m better than I was but I don’t feel whole. Yes,I have hair loss and heat sensitivity,anxiety,depression.I am grateful for the grace and mercy that’s been bestowed upon me. I just want to feel whole. I’m taking methimazole 25 mg and propanol extended release. My question: What kind of diet should I try to help in balancing of this condition? Are the groups established for thyroid patients? This condition seems to be common nowadays.
Lillian – thank you for following this page. Graves and Hashimoto’s are both autoimmune conditions that affect the thyroid. They are thought to be closely related. Sometimes one turns into the other. The difference is the site of the antibody attack. In Hashimoto’s, the antibodies are found to thyroglobulin (in 80%) and thyroid peroxidase (TPO) enzyme (in 95% of people)-Hashimoto’s results in hypothyroidism and is usually treated with Synthroid and replacement hormone.
The same antibodies may be present in a smaller percentage of people who have Graves, but the main antibody is to the TSH Receptor (TSHR-Ab). Usually, people with Graves have hyperthyroidism, and they are treated conventionally with thyroid suppressing drugs (methimazole) or radioactive iodine to destroy the thyroid. At that point, the thyroid will no longer produce hormones on its own, and these people end up on Synthroid as well.
Most thyroid conditions result from the immune system attacking the thyroid because the immune system is out of balance. Even when the thyroid is taken out surgically or treated with radioactive iodine the autoimmunity still persists in most cases. Many people will have their thyroids removed, and will develop new autoimmune disorders such as Lupus, Rheumatoid arthritis, etc. The immune system just finds a different target.
We need to rebalance the immune system to prevent this (sometimes the autoimmunity can be reversed as well! The gut determines your immune system. With the exception of discussing proper thyroid medication dosing, the majority of my website and my book focuses on balancing the immune system. The info I present is based on my own research and journey for overcoming my autoimmune thyroid condition.
Hashimoto’s Root Cause
http://www.amazon.com/gp/product/0615825796?ie=UTF8&camp=1789&creativeASIN=0615825796&linkCode=xm2&tag=thyroipharma-20
Hashimoto’s Protocol
thyroidpharmacist.com/protocol
I have Hashimoto’s, causing Hypothyroidism.
I decided to follow the suggested Dairy Free, Gluten Free, Sugar Free, Caffeine Free diet to attempt to lower my TPO’s.
I have followed this diet for a month now and just went to have my TPO levels retested. They barely changed.
How long must one follow this ‘diet’ to see a lowering/elimination of the TPOs? Does it not work for everyone?
Thank you.
Carey – Thank you for following this page. 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; 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!
Hi Izabella,
I’m 23 years old and at the beginning of the two week liver protocol.
Dairy is the hardest thing yet to give up. I do have one question. My little brother is lactose intolerant and he always drinks zero lactose milk. Is that an option for me to?
English is not my first language so maybe I just looked passed it in your book 🙂
Thanks for your reply!
Ella – thank you for following this page. For questions pertaining to the protocols please contact my team at program@thyroidpharmacist.com and they will be happy to help you. 🙂
Is homemade coconut milk kefir allowed on the AIP protocol? I have Hashimoto. Thanks!
Rosaria – thank you for following this page. Here is an article I wrote that you might find helpful.
AUTOIMMUNE PALEO DIET
https://thyroidpharmacist.com/articles/autoimmune-paleo-diet
Hi,
I”m currently on the adrenal recovery protocol and skipping dairy was indeed something to get used to. Fortunately I really like coconut in every possible way. ?
However, I just found out the thyroid medications I take have some lactose in them. Switching medications is not something I’m that eager about. So my question to you is, what do you recommend?
An – Many people with Hashimoto’s are sensitive to multiple ingredients like dairy, soy, corn, and eggs. Tirosint, WP Thyroid, and Nature-Throid have the fewest additives as far as thyroid medications go. You can also work with a compounding pharmacist to have a special thyroid medication made for you without any ingredients that are going to sabotage your health. Thyroid hormones are known to have a very narrow therapeutic index – they are “Goldilocks” medications in that have to be dosed just right to ensure effectiveness and prevent adverse drug events. Thyroid hormones are dosed in micrograms — that is just 1/1000th of a milligram! When the dose is a teensy bit too high, we may have symptoms of hyperthyroidism, and when the dose is a teensy bit too low, we have symptoms of hypothyroidism!
This is why switching back and forth between different brands of thyroid medications is not recommended. Even a teensy bit difference in the formulation can make a profound impact on our well-being! Here are some helpful hints for switching thyroid medications.
LEVOXYL SHORTAGE, LEVOTHROID DISCONTINUATION & SWITCHING MEDICATIONS
https://thyroidpharmacist.com/articles/levoxyl-shortage-levothroid-discontinuation-switching-medications/
Hi Dr. izabella
I heard that some of the products like Daiya contain Carrageenan and that is cancer causing? Correct me if Iam wrong but one of my friends pointed this out on the package and I have stopped eating for that reason. Can you shine some more light on Carrageenan? Thank you
Jacqueline
Jacqueline – Thanks for following this page! I’ll add this to my list of future article possibilities.
Hello. Thank you for your helpful book. When you mention coconut milk, do you mean the beverage available in supermarket dairy cases or the canned coconut milk used for cooking?
Ann – thank you for your question. I’ve found the Trader Joe’s brand to be great (when it’s in stock). I also really like the Aroy-D brand, which you can get on Amazon. Look for one that is free of additives and carrageenan. <3
Dr. Wentz,
I saw an earlier comment asking about A2/A2 milk. You replied discussing the use of elimination diet, but did not address the question if there is any research suggesting A2/A2 milk may not cause reactive issues like A1 milk. Have you looked at this? From what I have learned many people who were dairy sensitive can consume A2/A2 products with no issues. Any comment?
Beverly – thank you for following this page. Some people may not be able to tolerate even raw dairy. If you have been sensitized to casein in conventional cow’s milk, you will likely react to the casein in raw milk, goat milk, sheep milk and lactose-free milk. Casein is a protein within dairy that is highly problematic for people with Hashimoto’s. Camel milk is an alternative that most will be able to tolerate. Here’s an article you may find helpful:
GOT HASHIMOTO’S – YOU MAY WANT TO RECONSIDER DAIRY
https://thyroidpharmacist.com/articles/got-hashimotos-you-may-want-to-reconsider-dairy
Do you consider eggs part of dairy for elimination purposes?
I have already gone Gluten free for my Hashimoto’s and am going to try dairy free. My biggest issues is that I can’t eat coconut and I have a big intolerance to it. Stinks that most of the substitutes for dairy all include coconut.
Katie – thank you for reaching out. I am happy to hear you are taking charge of your health and changing your diet! <3 You could use almond milk instead, or tigernut milk if you're doing AIP. <3
Dairy free. Can you have products by Lactaid? I know they just take the lactose out of products.
Diana – thank you for reaching out. Dairy is a common reactive food in people with Hashimoto’s. Some people may have a primary dairy sensitivity, while others may develop a secondary dairy sensitivity due to the gluten-induced damage to the gut. You may have heard of lactose intolerance, a lack of enzymes that prevent a proper breakdown of the milk sugar lactose. This is just one type of dairy reaction, but it is not the same as dairy sensitivity, which, like gluten sensitivity, is mediated by the immune system. People with Hashimoto’s usually have sensitivities to the proteins found in dairy: casein and whey. All cow milk products including milk, cheese, yogurt, ice cream, and even butter should be avoided.
“Healthy” protein powders containing whey protein also need to be eliminated. Some non-dairy cheeses may contain casein, the most problematic of the dairy proteins. Processed foods may contain dairy proteins and are best avoided.
Finally, casein is a protein in dairy that is highly problematic for people with Hashimoto’s. If you are sensitive to casein in conventional cow’s milk, you will likely react to the casein in raw milk, goat milk, sheep milk, and lactose-free milk.
Here is an article I think you might find helpful:
GOT HASHIMOTO’S? YOU MAY WANT TO RECONSIDER DAIRY…
https://thyroidpharmacist.com/articles/got-hashimotos-you-may-want-to-reconsider-dairy/
If casein is the problem, why can’t you use whey? A good quality whey protein isolate would be free of both lactose and casein.
Guy – thank you for reaching out. Dairy is a common reactive food in people with Hashimoto’s. Some people may have a primary dairy sensitivity, while others may develop a secondary dairy sensitivity due to the gluten-induced damage to the gut. You may have heard of lactose intolerance, a lack of enzymes that prevent a proper breakdown of the milk sugar lactose. This is just one type of dairy reaction, but it is not the same as dairy sensitivity, which, like gluten sensitivity, is mediated by the immune system. People with Hashimoto’s usually have sensitivities to the proteins found in dairy: casein and whey. All cow milk products including milk, cheese, yogurt, ice cream, and even butter should be avoided.
“Healthy” protein powders containing whey protein also need to be eliminated. Some non-dairy cheeses may contain casein, the most problematic of the dairy proteins. Processed foods may contain dairy proteins and are best avoided. Finally, casein is a protein in dairy that is highly problematic for people with Hashimoto’s. If you are sensitive to casein in conventional cow’s milk, you will likely react to the casein in raw milk, goat milk, sheep milk, and lactose-free milk.
Here is an article I think you might find helpful:
GOT HASHIMOTO’S? YOU MAY WANT TO RECONSIDER MILK
Can i use water kefir instead of milk kefir, please answer.
Afreen – thank you for reaching out. If you are not sensitive to kefir then water kefir should be fine. <3
When you say coconut milk, do you mean a product like Silk milk? Or do you mean pure canned coconut milk?
Betsy – thank you so much for reaching out. <3 I recommend looking for a additive and BPA free organic coconut milk such as Native Forest. I hope that helps
Does cooking/heating change the proteins in dairy? (If avoiding milk/cheese/etc, would eating a brownie or cookie have the same effect as pure dairy?)
Tessa – thank you for reaching out. <3 Casein is a protein within dairy that is highly problematic for people with Hashimoto’s. Did you know that 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! Here are a couple of articles you may find helpful.
FOOD SENSITIVITIES AND HASHIMOTO'S
https://thyroidpharmacist.com/articles/food-sensitivities-and-hashimotos
AUTOIMMUNE PALEO DIET
https://thyroidpharmacist.com/articles/autoimmune-paleo-diet
Thanks God I finally started to read your articale. (I’m here for the first time) My sister suggested your book, so I’m here ( we and our mom have Hashimoto’s )
First off all thank you for your job. Secondly, sorry for my English, it isn’t my native language… (so your book is a challenge to me, articles are too although)
I need your advice.
As I’ve mentioned before, I have Hashimoto’s and subclinic
hypothyroidism. I knew about my desease at the age of 27….I have been taking Levothyroxine sodium 50mg during about two years. My tests sometimes fall sometimes “rise” Plus I have hay fever and as a result sometimes I have a cross food allergy. So the question is – is it good to make gluten, dairy sensetivity tests in lab, is it necessery to have some “documents”with prooves? (the indicators are IgG, IgA, IgE, am I right?) I know the better way to understand is by a diet ( I stopped to eat grains and products from them two days ago,so I alaways feel starving 🙁 ) And is it necessery to check vitamins and mineral, l mean iodine, selenium; magnesium; copper; vitamin B6, pyroxin?
Endocrinologists said to me the same as you wrote in book…and thats it. Nothing about gluten, nothing about minerals etc. It’s disappointing
Thank you:)
Christina – thank you for sharing your journey. I understand how hard this can be. <3 Going gluten-free is always the first step that I recommend. Through my research, I've found that a good percentage feel better off gluten. About 20% will actually go into remission by doing so. Some researchers have found that three to six months on a gluten-free diet can eliminate organ-specific antibodies. Here is an article you might find helpful.
IS GLUTEN THE ROOT CAUSE OF YOUR THYROID CONDITION?
https://thyroidpharmacist.com/articles/gluten-root-cause-thyroid-condition/
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 wanted to pass along these articles that I wrote as well. I hope they help.
WHAT’S CAUSING YOUR LEAKY GUT
https://thyroidpharmacist.com/articles/whats-causing-your-leaky-gut/
6 MOST IMPORTANT NUTRIENT DEFICIENCIES IN HASHIMOTO’S
https://thyroidpharmacist.com/articles/6-important-nutrient-deficiencies-hashimotos/
FOOD SENSITIVITIES AND HASHIMOTO’S
https://thyroidpharmacist.com/articles/food-sensitivities-and-hashimotos
Thank you for the fantastic article.
I have an intolerance to dairy so I avoid all dairy products, but I am concerned about my calcium levels. Should I have a lab drawn to decide if I need to take a supplement? I also read vitamin D helps with the absorption of calcium. I take vitamin D so I am not sure if I am getting enough calcium throught my diet or I need to supplement it Thank you😊
Ana – thank you so much! I’m so glad you enjoyed this article! <3 I believe that most nutrients should come from the diet. This is why I always list food sources in the book and on the blog, for most of the nutrients, vitamins, minerals. and probiotics that are depleted in Hashimoto’s. However, some may require or prefer supplements. I recommend getting tested for deficiencies to determine your need for a supplement as instructed in the book and blog. I also don’t recommend starting multiple supplements all at once. I recommend starting one at a time and then adding another a week or so later once it has been confirmed that the first supplement is not causing any harm. I do have a full supplements chapter in my books. Have you checked them out? Not everyone should be taking every supplement and any of these books will help uncover your root cause. This will help you figure out your supplementation. Here are the links
Hashimoto’s Root Cause
https://amzn.to/2XXCqcQ
Hashimoto’s Protocol
https://amzn.to/3cJ89T4
A couple of questions:
1. Daiya cheese uses potato protein, tapioca starch, canola oil, vegan “natural flavors,” tricalcium phosphate, yeast extract, inactive yeast, and potassium chloride. Are those ingredients safe for Hashimoto’s?
2. What is a substitute for buttering my gluten-free toast?
Thanks for all your hard work to help us!
Shirley – thank you so much for reaching out. <3 The most common food sensitivities found in people with Hashimoto’s are gluten, dairy, soy, grains (corn, in particular), nightshades (potatoes, tomatoes, and peppers), nuts, and seeds. Did you know that 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! As for a substitue for your gluten free toast you may want to try a coconut butter or another nut butter you are not sensitive to. Here are a couple of articles you may find helpful.
FOOD SENSITIVITIES AND HASHIMOTO'S
https://thyroidpharmacist.com/articles/food-sensitivities-and-hashimotos
AUTOIMMUNE PALEO DIET
https://thyroidpharmacist.com/articles/autoimmune-paleo-diet
When you refer to coconut milk are you referring to the organic cartons in the refrigerated section or the cans of full fat coconut milk? I’ve been meaning to clarify that. Thanks!
Meghan, thank you for reaching out. ❤️ Canned coconut milk that is free of additives is best to use. The fat content in the coconut milk will really help to satiate you throughout the day.
Hi,
I have Hashimoto’s. Recently I eliminated dairy and I became overmedicated; at first I felt more energy but then things went haywire: high heart rate, jitteriness, etc. I went back to dairy to get my thyroid levels back to normal. How do I handle tapering off the thyroid medication? Thanks.
Stephanie – thank you for reaching out and sharing. ❤️ It is never advisable to stop taking your medications, or alter your dosages, without the advice of your practitioner. T4 thyroid hormone medications have a half-life of about 1 week. This means that when a person stops taking them, the amount of the hormone activity in their body, from the medication, will decrease by about 1/2 each week. For T3 medications, this half-life is only about 1 day. Generally, within three weeks (or a few days for T3), most of the hormone will be out of the body. This could result in increased symptoms, an increase in the autoimmune attack on the thyroid, and extra stress on your body and the thyroid. Thyroid hormones affect every organ, tissue and cell in the body. I recommend discussing this with your practititioner so that they can monitor your levels and make the needed changes to your dosage.
Hi Izabella, I have a question about alpha-lactoalbumin (a whey protein). Besides Hashimoto’s I suffer from PCOS and I was advised by my OBGYN to take an inositol supplement (a 40:1 combination of myo and d-chiro) to improve my symptoms, however this suggested supplement also contains alpha-lactoalbumin. I also suffer from gastritis, IBS and gut infections / UTIs, plus I’m lactose intolerant, so I’ve already cut out all dairy (and gluten) from my diet for several years. That’s why this whey component in the supplement is worrying me. However, I’ve done some research on alpha-lactoalbumin and it seems that it may actually be very helpful to restore the gastrointestinal balance and, more importantly, to correctly absorb inositols (especially considering I’ve got impaired gastrointestinal absorption). I would like to know what’s your stand on this? Do you think it would be harmful if I take the suggested supplement even though it contains alpha-lactoalbumin (and thus dairy)? Looking forward to hearing from you!! Thanks!
Agyn – thank you so much for reaching out. ❤️ Please understand, I am not able to advise on whether this would be appropriate for you and your specific health needs without a comprehensive health assessment. I recommend that you discuss your concerns share the research you have done with your personal doctor.
Thank you for your articles! Always a go to reference for me when trying to decide what to do about Hashimoto’s. I was wondering what your take is about the new brand of milk labeled A2 Milk. It is apparently only from cows genetically tested for the A2 vs A1 genes. Although I do not think I ever has any digestive upset from drinking milk (or eating ice cream) , I did find out that I had an IGg response to casein through a blood test. I gave up dairy and no longer had that chronic stuffy nose at night! I had no idea it was from the milk. Then I read about A2 milk and decided to give it a try. I limit the use of it to my home made yogurt, but I do not get the stuffy nose with it. I find that if I do eat a piece of cheese or a tiny bite of other non A2 dairy, I immediately stuff up. Have you any experience with this?
Jane – thank you for following. I’m so glad you enjoyed this article! ❤️ I’m glad that you are finding you are not experiencing symptoms with the A2 milk. Casein is a protein within dairy that is highly problematic for people with Hashimoto’s. Generally, when you’re sensitized to one of the proteins, and the other one is similar enough, you’ll typically be sensitive to it too.
Thank you for the article, it helps a lot! I was told that almond milk may exaggerate my hypothyroidism, is that true? I consume almond milk almost everyday like one glass a day. Not sure if I should switch to other types of milk…
Sarah – thank you for following! Some people are reactive to almonds, however if you are not and you are not on the AIP diet then it should be fine. Here are a couple articles that you might find interesting:
FOOD SENSITIVITIES AND HASHIMOTO’S
https://thyroidpharmacist.com/articles/food-sensitivities-and-hashimotos
AUTOIMMUNE PALEO DIET
https://thyroidpharmacist.com/articles/autoimmune-paleo-diet
I am happy I came across your very informative page. I’ve been looking for something that makes sense to me. I am definitely going to do your suggestions. Thank You very much
Jennie – you’re welcome! I hope you find it helpful and if you have any questions feel free to email my team at info@thyroidpharmacist.com and they will be happy to help.
Hi, since this article was published so many alternatives to dairy milk have become widely available such as Hemp milk, cashew milk, oat milk and more. Do you plan on updating the article with more information, I would be specificly interested in hemp milk.
Heather – thank you for following! Yes, and I will add your feed back to my notes. Thank you so much for sharing.
Hello Dr. Izabella,
I was wondering what is the problem of eating very small amounts of curated cheese, maybe 100 grams or less.
In the curation process, all the bad stuff from milk like lactose is reduced almost completely if not completely.
It is not the fake “free lactose” plastic cheese they sell in the supermarket.
I was wondering what is the problem with this cheese for people with hashimoto.
I cannot support dairy in general, but i tolerate well this kind of cheese in very low amounts and i don’t feel any symptoms.
Could you please let me know?
Kind Regards
Mike – thank you for following. I generally recommend dairy free as Casein is a protein within dairy that is highly problematic for people with Hashimoto’s.
Dr. Izabella,
Thank you for your answer, but in those “oldschool” farms where the curation process takes a few months, like 90 days or more, the casein is destroyed or reduced to insignificant amount, at least where i live.
What can you say about that?
Best Regards