Email This Article To A FriendLike many people with Hashimoto’s, I have dealt with unwanted weight on my road to healing. Because thyroid disease damages the thyroid gland and affects the output of thyroid hormone—an important hormone in regulating the metabolism—it‘s no wonder that so many people with thyroid conditions have trouble losing weight.
It’s even more frustrating when you continue to gain weight even after taking thyroid medication. Dialing in the right T3 and T4 medications and getting accurate lab readings to determine your TSH levels are important steps towards addressing the root cause of this sudden change. Yet, sometimes we need to look beyond our thyroid medications for other factors that might be causing our bodies to hold onto excess weight.
Lifestyle Factors for Weight Gain
Gut Health
Everyone with Hashimoto’s suffers to some extent from intestinal permeability, which will cause a host of symptoms, including weight gain. Addressing diet and gut health is one of the most important factors in healing from Hashimoto’s and finding a healthy weight within your own body.
The first thing to consider is, what diet are you currently following? The Standard American Diet (S.A.D.) is loaded with sugar, simple carbohydrates and processed foods that easily lead to weight gain. Additionally, research is showing that people who are overweight have an imbalance of bacterial flora in their intestines.
For most people with Hashimoto’s, I recommend a Paleo-style diet that focuses on:
- Whole foods
- Organic vegetables
- Pastured meats
- Probiotics and fermented foods (which contain beneficial bacteria that may be helpful with balancing your gut flora)
One of the surprising reasons why people hold onto excess weight is because they are malnourished. It may seem counterintuitive that a person who is overweight would be nutrient deficient or malnourished, however, the body needs more than just calories. It requires a large variety of micro-nutrients to thrive. Proper nutrient status depends on one’s intake of nutrient-rich food and one’s absorption of the nutrients from the food. Unfortunately, intestinal permeability and multiple food sensitivities, which are commonly seen in those with Hashimoto’s, can contribute to nutrient depletions.
Without sufficient nutrients, your body may sabotage your weight loss efforts by slowing down your metabolism and hoarding excess weight, as it’s not receiving the nutrition it needs to thrive. It can also cause you to have cravings or feel hungry, even when you have had enough to eat.
Food sensitivity testing, or elimination diets, will also help you get to the bottom of any food intolerances and tailor your diet to one that will reduce inflammation, heal your gut, and allow your body to absorb the nutrients it needs.
Adrenals and Stress Response
Another factor that can affect your weight is adrenal health. Just like everything else, cortisol, your stress hormone, needs to be in balance. Too much, and you store excessive belly fat; too little of it, though, and you can feel extremely fatigued. If you have chronic stress, your body will eventually be unable to produce enough cortisol.
When you experience stress, your body goes into “fight or flight response” mode, pumping your body full of adrenaline to prepare it to survive what your body perceives to be a life-threatening event. The goal is to bring your body back to the “rest and digest” stage, so it can actively repair and heal itself.
Ways to support your adrenals and reduce stress include:
- Rest – Aim to get at least 7 hours of sleep each night and go to sleep before 10 pm. Avoid burning the candle at both ends, and be kind to your body to give it time to heal.
- Non-strenuous physical exercise – Gentle physical activities like yoga are a great way to relieve stress and boost endorphin (“feel good” hormone) levels.
- Adrenal adaptogens – Adaptogenic herbs, like ashwagandha and rhodiola, which are found in many adrenal support supplements, can help the body cope with stress and relieve adrenal dysfunction.
- B vitamins and vitamin C – These vitamins become depleted during high cortisol production and have been linked to decreased adrenal function in animals and humans, so replenishing your stores can help restore adrenal health.
- Meditation, massage and acupuncture – These therapies can help get you feeling relaxed!
- Journaling – Being mindful and making a gratitude journal, as well as a list of what makes you feel better and what makes you feel worse, can help you identify and reduce your stress triggers.
You can also strengthen the adrenals by balancing blood sugar levels with a diet rich in whole foods. This can balance cortisol levels, which in turn, will reduce food cravings and help regulate your metabolism and control weight gain.
Liver Health
It can be easily overlooked, but an impaired ability to detoxify is almost always present with Hashimoto’s and can cause weight gain, among many other symptoms.
People with Hashimoto’s often have an impaired ability to detoxify their liver because of a genetic predisposition, nutrient deficiencies, an overburdened system, or excessive exposure to toxins. While liver stressors can come in many forms, the sources that seem to have the most effect on those with Hashimoto’s include:
- Diet – Many foods, such as gluten and dairy, can be processed as toxins by the bodies of individuals with thyroid disease who tend to experience higher levels of food sensitivities. This can overburden the liver, inhibiting it from processing food for fuel, storing and creating essential nutrients, and converting excess hormones in the body.
- Environmental Toxins – Pesticides in the foods we eat, fluoride in our water, toxins in our beauty care products, and pollutants in the air all contribute to an overburdened liver that cannot perform its basic functions.
- Lack of Nutrients – Because the liver is involved with so many chemical reactions, nearly all nutrients essential to the body are essential to the liver. However, many people, especially those with thyroid disease, can be lacking in key nutrients because of an impaired gut. These key nutrients include magnesium, selenium, zinc, vitamin D, vitamin B12, and folate.
However, it’s important to support the liver, as it is a key player in nutrient status. In fact, the liver is the organ that processes the nutrients we absorb from the small intestine. Again, many people with an overburdened liver due to an overload of toxins—which is most of us!—will have trouble losing weight because they are not able to properly process and absorb the nutrients they consume.
That’s why optimizing liver health is important. In fact, liver health is so important to weight loss that 38 percent of my readers reported improvements in weight status with using liver support!
Further Support for Your Metabolism
I was excited when I learned that my good friend, Dr. Alan Christianson, was releasing a new book written to help people with thyroid conditions, diabetes, and numerous other conditions boost their metabolism, as well as bring their weight and their health back into a thriving state. Dr. C, as he is affectionately called by patients and colleagues, has been someone who has had trouble with excess weight — and he is a person whom I deeply trust on this subject.
That’s me and Dr. C with a happy thyroid 🙂
The Metabolism Reset Diet is a new approach because it addresses one of the root causes of a slow or inflexible metabolism—an overloaded liver.
What happens when your liver is unhealthy? You tend to store fuel as fat, especially around your midsection, and you can no longer tap into the nutrients you need to burn fat. This means that no matter which diet you choose—and how hard you try—weight loss is extremely difficult.
Excess fat trapped in the liver can lead to leaky gut, irritable bowel syndrome (IBS), and other intestinal disorders. The Metabolism Reset Diet is designed to help the body remove most of the trapped liver fat in 28 days.
Your liver needs nutrients from your diet to help it get rid of the extra fuel it has accumulated. The Metabolism Reset Diet is carefully constructed to provide your liver the nutrients it needs without giving it more fuel to deal with. Dr. Christianson’s program includes an easy plan that offers healthy amounts of protein, fiber, micronutrients, and phytonutrients that support liver function. It provides adequate nutrients to prevent deficiencies, while still prompting the liver to use its own supplies of stored fuel.
The program is highly adaptable, with options that will work with any budget and diet, including Paleo or Autoimmune Paleo diets. The recipes are family-friendly, and the foods are easily found in your local grocery store.
I highly recommend picking up a copy of The Metabolism Reset Diet as part of your journey to supporting your liver, losing excess weight, and finding healing from thyroid disease.
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Hi Dr. Wentz,
My doctor said that the medication is the only way for me to treat hypothyroidism and that my thyroid gland is not even working to begin with and said there is nothing i can do to help repair my thyroid glands. I wanted to hear your opinion on this. I have been trying to lose weight for quite sometime. I have tried Keto diet as well which didn’t work out. It’s been a constant struggle despite doing cardio workouts. Would you recommend a low carb diet at all?
Nams – thank you so much for reaching out! <3 I am so sorry you are struggling with this. Thyroid tissue can regenerate, but the rate at which it does is not always predictable. Thus, some are able to stop the autoimmune attack on their thyroid and regain normal thyroid function. Others can reduce the dose of medications, and others will need to stay on the medications indefinitely. I'm
currently working on some protocols to help with tissue regeneration. Reversing Hashimoto's means different things to different people. For some, it means a reduction in symptoms, and for others, it means a reduction in your antibodies. I had both. Here a few articles that might be helpful for you:
IS IT POSSIBLE TO RECOVER THYROID FUNCTION IN HASHIMOTO'S
https://thyroidpharmacist.com/articles/is-it-possible-to-recover-thyroid-function-in-hashimotos
REVERSING AUTOIMMUNITY? AND THE PERFECT STORM
https://thyroidpharmacist.com/articles/reversing-autoimmunity-and-the-perfect-storm/
When it comes to weight gain these are a few things to think about.
1) What was your recent TSH, Free T3 and Free T4? Sometimes when those numbers are on the outskirts of normal, your metabolic rate may still be impaired making it more difficult for you to burn calories. Most people report feeling well with a TSH between 0.5-2
2) What type of medication are you on? Some report more weight loss with T4/T3 combinations (Armour, Nature-Throid, compounded medications) versus T4 medications (Synthroid, Levoxyl, Tirosint) alone. T4 is a precursor to T3, but some individuals do not convert T4 to T3 properly, and the T3 component is the metabolically active one.
3) What type of diet are you eating? Some report more weight loss with T4/T3 combination vs T4 alone. Some do not convert T4 properly. The Standard American Diet (S.A.D.) full of sugar and simple carbohydrates is perfectly designed to cause us to gain weight year after year. Even yogurts that are marketed as “healthy” contain the equivalent of 16 teaspoons of sugar. Divorcing the S.A.D. is often a step that many of us must take to not just lose weight, but to also feel better. Some diets that have been helpful include the Body Ecology Diet, the Paleo Diet, the Virgin Diet, Autoimmune Paleo Diet, GAPS diet, SCD diet, Weston A. Price Diet, or the Mediterranean Diet. You may need to modify these diets to your own individuality.
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. Some may even benefit from ketosis. 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! Here are some articles I hope you find helpful as well.
BEST DIET FOR HASHIMOTO’S AND HYPOTHYROIDISM
https://thyroidpharmacist.com/articles/best-diet-for-hashimotos-hypothyroidism
HOW TO LOSE WEIGHT WITH HASHIMOTO’S AND HYPOTHYROIDISM
https://thyroidpharmacist.com/articles/how-to-lose-weight-with-hashimotos
Hello Dr. Wentz,
I am following your Hashimoto protocol (I have 2 more weeks to go) and still get a stomach ache and fatigue after meals. Especially fermented foods give me a stomach ache. Also I am not losing weight. Am I doing anything wrong?
How does the reintroduction of food work after the protocol?
Thank you
Susanna – thank you for reaching out. For questions about the protocols please email my team at info@thyroidpharmacist.com and they will be happy to help. 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/
Dr. Wentz, I know omega 6 fats cause inflammation, but would a organic non GMO CLA safflower oil supplement be harmful? I’m looking to loose weight an I know CLA can be beneficial. The suppliment I’m considering is Naturwise CLA.
Meridith – thank you for reaching out. <3 I am not able to advise on whether this safflower oil supplement would be appropriate for you and your specific health needs without a comprehensive health assessment. I recommend that you discuss this with your personal doctor.
Someday I hope to be able to afford your books. On top of having hoshimoto thyroditis and hypothyroidism, I also have gastroparesis and I am struggling hard to take the 15 pounds off for my gsstric bypass. I am extremely frustrated being that there are so many diseases that run in my family from heart disease to cancer to stroke..you name it. I am trying so hard to get healthy but nothing seems to work. The only e ercise I can do since I hVe a series of back related disorders is walking. I am currently in search of a good beginners walking program on the internet.
Susan – thank you so much for reaching out and sharing your journey with me. <3 You may want to ask your local library if they can stock my books for you!
When it comes to weight gain these are a few things to think about.
1) What was your recent TSH, Free T3 and Free T4? Sometimes when those numbers are on the outskirts of normal, your metabolic rate may still be impaired making it more difficult for you to burn calories. Most people report feeling well with a TSH between 0.5-2
2) What type of medication are you on? Some report more weight loss with T4/T3 combinations (Armour, Nature-Throid, compounded medications) versus T4 medications (Synthroid, Levoxyl, Tirosint) alone. T4 is a precursor to T3, but some individuals do not convert T4 to T3 properly, and the T3 component is the metabolically active one.
3) What type of diet are you eating? Some report more weight loss with T4/T3 combination vs T4 alone. Some do not convert T4 properly. The Standard American Diet (S.A.D.) full of sugar and simple carbohydrates is perfectly designed to cause us to gain weight year after year. Even yogurts that are marketed as "healthy" contain the equivalent of 16 teaspoons of sugar. Divorcing the S.A.D. is often a step that many of us must take to not just lose weight, but to also feel better. Some diets that have been helpful include the Body Ecology Diet, the Paleo Diet, the Virgin Diet, Autoimmune Paleo Diet, GAPS diet, SCD diet, Weston A. Price Diet, or the Mediterranean Diet. You may need to modify these diets to your own individuality.
BEST DIET FOR HASHIMOTO’S AND HYPOTHYROIDISM
https://thyroidpharmacist.com/articles/best-diet-for-hashimotos-hypothyroidism
HOW TO LOSE WEIGHT WITH HASHIMOTO’S AND HYPOTHYROIDISM
https://thyroidpharmacist.com/articles/how-to-lose-weight-with-hashimotos
Hi Dr. Wentz! Firstly I want to thank you because you have helped me through my diagnosis of Hashimoto’s so much in just a few months!
I am going through your protocol slowly and much less fatigued than before I started, so I am ready to start exercising again! Are there any safe workout programs for hashi? I was doing HIIT (Kayla Itsines workouts) for awhile before I hit my worst flare (which led to my diagnosis!).. and I’m now reading it’s not the ideal exercise type for us.
I can’t find too many specifics here or in my own research and I’d like to train a bit more than yoga. Do you have any suggestions?
Thank you so much for reading <3
Sarah – thank you for reaching out. I am happy to hear you are feeling better. <3 I would recommend anyone embarking on a program of exercise starts slowly and progresses at their own pace. Exercise can be very healthy, but for people with Hashimoto’s it can create stress. Stress causes our adrenals to pump out extra hormones, and shifts our body from a relaxing, digesting, healing state to a fight or flight state. The body’s energy is shifted from doing “useless” things like growing beautiful hair, metabolizing, making hormones, digesting and repairing itself, and instead, all of the body’s resources are reserved to make cortisol and adrenaline that is pumped through our veins so that we can keep going.
Eventually, we run out of nutrients that are required for proper adrenal function and we get to a state of adrenal fatigue. This is when our body is no longer able to heal itself and we feel drained. Replenishing nutrients and using adaptogens, that balance out the adrenals can be helpful for everyone. I have also created my own supplements brand, which is named Rootcology. Rootcology’s mission is to provide safe and effective supplement solutions for people struggling with autoimmune thyroid conditions. Rootcology's Adrenal Support contains nutrients and adaptogens that can help your body repair itself.
ADRENAL SUPPORT
https://www.rootcology.com/products/adrenal-support
You may also find this article useful:
ARE YOUR ADRENALS SABOTAGING YOUR HEALTH?
https://thyroidpharmacist.com/articles/are-your-adrenals-sabotaging-your-health