Email This Article To A FriendWhen I was first searching for a healing plan for Hashimoto’s, I learned about the important role of gut health in autoimmune disorders — and how replenishing it with probiotics and fermented foods can help bring gut health back into balance.
According to research, every person with an autoimmune disorder has something called intestinal permeability, also known as a “leaky gut.” This made a lot of sense to me, because I had many of the symptoms of intestinal permeability — including bloating, stomach pains, irritable bowel syndrome (IBS), and acid reflux — as do many people with Hashimoto’s.
However, not everyone with intestinal permeability will have these symptoms. Some may have no apparent gut symptoms at all. As awful as it was to deal with IBS for almost a decade, and acid reflux for three years, I’m grateful that I had them. These symptoms were signals from my body, telling me what part of the system was broken.
Autoimmunity has been determined to be a three-legged stool, requiring a combination of the right genes, the right triggers, and intestinal permeability, to manifest itself. This was exciting to me because, while I knew that I couldn’t change my genes, and wasn’t sure if I would be able to identify the exact trigger that set off the autoimmune cascade in my body, I was hopeful that I could fix my intestinal permeability.
Discovering the right type of probiotics was an important part of healing my own gut, and in this article, I’d like to share more information about:
- The role of the gut
- Sources of probiotic-rich foods
- Different types of probiotics
- Tips for using probiotics
Root Causes of Intestinal Permeability
Our gut barrier has the important job of letting nutrients into the body while keeping bacteria, viruses, parasites, and toxins out. When the gut barrier is impaired, these harmful organisms can leak into the body. We call this intestinal permeability, or “leaky gut.”
A leaky gut has gaps in the gut lining that allow irritating molecules and substances to escape from the digestive system, and enter into the bloodstream. This irritation can interrupt the immune system’s ability to regulate itself and put the body into a perpetual “attack mode” that is counterproductive to healing.
There are various reasons why a person may have intestinal permeability.
Gluten, which is the protein found in wheat products, has become a well-known cause of intestinal permeability, and many individuals with autoimmune conditions have been able to find relief in symptoms by following a gluten-free diet, the Paleo diet, or another elimination diet such as the Autoimmune Paleo diet (AIP). Some people have even seen a complete remission in their autoimmune condition after removing gluten from their diet.
Other common reasons a person may experience a leaky gut include stress, food sensitivities, nutrient deficiencies, and intestinal infections.
A gut may also be more permeable due to an imbalance of probiotic (good) vs. opportunistic (bad) gut bacteria, also known as dysbiosis. E. coli and Proteus bacterial species are often referred to as “opportunistic pathogens” because they only become pathogenic when the opportunity is just right. If they are outnumbered by probiotic bacteria, they behave like good citizens of the gut and may add value. When they outnumber the probiotics, they may start to bore into the gut wall, leading to intestinal permeability.
People with autoimmunity have been found to have lower amounts of the probiotic bacteria Lactobacillus and Bifidus, and higher amounts of the opportunistic E. coli and Proteus bacteria. I’ve seen this pattern of low levels of probiotic bacteria with high levels of opportunistic bacteria on my lab tests, as well as the tests of many clients with Hashimoto’s that have had stool testing to quantify microbial flora. (You can have your functional medicine doctor order this test for you, or you can self-order the GI-MAP or GI Effects test.)
When I first took a stool test, I was shocked to see that I had zero growth of Lactobacillus bacteria, even though I was eating yogurt on a daily basis. I didn’t realize at the time that the problem with most commercial probiotics and yogurts, is that they don’t have enough beneficial bacteria to make a difference.
I started to eat fermented foods and added high doses of probiotics… and began to feel better and better. (I had already been gluten and dairy free and had hit a “healing wall.”)
I retested myself with the same test when all of my Hashimoto’s symptoms were gone, and found that my probiotic bacteria were in the optimal range, and the E. coli and Proteus species were no longer dominating my gut flora.
Thus, one of the very first recommendations I make for EVERYONE with Hashimoto’s is to be sure to get enough probiotics on board.
Probiotic-Rich Foods
One of the easiest ways to introduce more beneficial bacteria to your microbiome is to eat fermented foods (like my friend and mentor Donna Gates recommends).
In my latest book, Hashimoto’s Food Pharmacology, I’ve included some of my favorite fermented foods, which you can make in the comfort of your own home (and save money as well!).
Here’s a peek at one of my favorite recipes from the cookbook. I love making this coconut milk yogurt to add a dose of probiotics to my weekly diet.
Coconut Yogurt
Prep time: 30 minutes
Cook time: 8 to 24 hours
Serves: 4
Coconut yogurt is a delicious way to restore balance to your gut. This creamy homemade coconut yogurt provides all of the gut-healing benefits of yogurt, without the extra sugar and other additives that can complicate your health journey. I love using this in salad dressings and smoothies, or enjoying it topped with shaved coconut, pumpkin seeds, nuts, berries, or a splash of maple syrup.
Ingredients:
14 ounces creamed coconut
½ cup water (omit if using canned coconut cream)
2 teaspoons collagen
1 tablespoon maple syrup
Dairy-free yogurt starter, 2-4 high-quality probiotic capsules, ¼ cup yogurt starter, or ¼ cup yogurt from a previous batch
Directions:
- Blend the creamed coconut with water in a high-powered blender. Alternatively, if you can find an organic canned cream coconut product without additives, you may also use that (omit the water as you will not be blending the coconut cream). Heat the coconut milk to 180ºF, then cool to 110ºF.
- Add the yogurt starter, and then add the collagen and maple syrup. Mix to combine.
- Place the mixture in a yogurt maker or tightly sealed Mason jar at room temperature for 8 to 24 hours.
- If using a yogurt maker, remove and put into sealed containers, such as glass Mason jars.
- Store in the fridge for up to 2 weeks.
If you don’t want to make your own fermented foods, I’ve listed some tried and trusted brands below, that I had incorporated into my own diet before I started making my own.
- Fermented coconut yogurt: CoYo Coconut Milk Yogurt and So Delicious Dairy Free are two options sold in the United States.
- Fermented coconut water: I love CocoBiotic by Body Ecology.
- Fermented cabbage: Check your organic grocery store and make sure you get the kind that is refrigerated, as the probiotic bacteria only survive for a couple of weeks at room temperature. To order online, try Superkrauts, which is a great brand that ships its products, chilled to your home, through Amazon.
Probiotic Supplements
Probiotics have been widely researched for a variety of conditions, including irritable bowel syndrome, constipation, anxiety, depression, and even skin disorders. They can help improve digestion and nutrient extraction from the foods we eat, and can also balance the immune system. Additionally, probiotics can help with many types of gut disorders, including small intestinal bacterial overgrowth (SIBO), which is present in over 50 percent of people with Hashimoto’s.
Types of Probiotics That I Have Used Successfully
Beneficial Yeast Probiotics
Saccharomyces boulardii (S. boulardii) is a beneficial yeast that helps to clear out dysbiosis such as pathogenic bacteria, Candida, mold, and some parasites (including Blastocystis hominis).
It also helps to clear out H. pylori, an infection that has been implicated in ulcers and has been linked to Hashimoto’s. S. boulardii does not colonize the gut wall, but instead, it causes an increase of secretory IgA, which supports our own body’s natural defense against infections and opportunistic gut bacteria. Low secretory IgA is very common in Hashimoto’s — I reviewed secretory IgA test samples for 298 people with Hashimoto’s, and 53 percent of people had low secretory IgA levels.
This beneficial yeast is generally safe for SIBO, and should be used whenever you are taking a course of antibiotics (or after their use), to help rebalance the gut flora. While the label of the product recommends taking 2 capsules per day, I used higher doses, building up to 4 capsules, three times per day.
I really love this probiotic because it’s so broad-spectrum and actually assists our own gut with working better on its own. I’ve been recommending S. boulardii for many years, and some versions are stable at room temperature, while others need to be kept in the fridge. As a pharmacist, I’m always looking for ways to make taking supplements easier, so I created a heat-stable version of S. boulardii for Rootcology, so that my clients don’t forget to take it.
(Remember, getting the supplement and keeping it in your home is the first step, but getting benefits from it actually requires taking it! #thingsIlearnedthehardway)
Lactobacillus-Based High Dose Multi-Strain Probiotics
Most grocery stores and health food stores sell Lactobacillus-based probiotics that contain 10 billion colony forming units (CFU’s) of one probiotic strain. While this seems like a really big number, in reality, we have one trillion bacteria in our gut, and that small amount is not likely to make a difference. In fact, most probiotic supplements only contain enough probiotics to maintain an already healthy gut, not to restore gut microbe balance. I personally haven’t seen major benefits from using Lactobacillus probiotics — unless taken in very high doses.
Furthermore, research is showing that probiotic diversity is associated with greater health and improved gut function. I prefer probiotic blends containing Lactobacillus strains in addition to other probiotics, instead of single-strain probiotics that only contain one type of Lactobacillus. Probiotic blends generally contain various strains of Lactobacillus, Bifidobacteria, and in some cases, beneficial Streptococcus bacteria. Thus, I recommend taking higher doses of multi-strain probiotics.
If you’ve never taken probiotics, you will want to start with the 10 billion CFU probiotic, but work your way up to a higher dose over time.
Rather than taking multiple pills, numerous companies have created high dose probiotic blends.
Probiotic 50B by Pure Encapsulations, which contains 50 billion colony forming units, is a great high dose probiotic to start with as you work your way up. I’ve also started using the Designs for Health ProBioMed 50 probiotic with great results! (This version also has the benefit of being stable at room temperature).
Another high dose Lactobacillus-based probiotic that I have used with great success, and that has the most research behind it, is known as VSL #3, which contains 450 billion CFU of probiotics per dose. This particular probiotic has been clinically studied for ulcerative colitis and irritable bowel syndrome. The probiotic has been so successful in inducing remission, it has been labeled as a “medical food.” Please note, this is a very expensive probiotic, but you may be able to get it covered by your insurance if you have the right diagnosis.
While this used to be my go-to probiotic, in the last few years, I’ve had some negative experiences with it… Namely, a family member with new onset ulcerative colitis seemed to have a flare-up after using it. The word on the street in functional nutrition circles is that the probiotic can exacerbate inflammatory bowel conditions, which I also learned the hard way. (It was surprising, as all of the studies about this probiotic actually reported that it helped those conditions.)
Additionally, there was some recent controversy between the inventor and manufacturer of this probiotic. Allegedly, the inventor left the company, along with his proprietary recipe, and the product that the VSL-3 manufacturer has been making is different than the clinically tested product. According to the website of Visbiome, the inventor’s new company:
“Claudio De Simone, inventor of high-potency probiotic, sued pharmaceutical companies for making false advertising claims, ownership rights to the product formula and unpaid royalties.”
I have since stayed away from VSL-3 and have not yet tried Visbiome, but I also learned about a less expensive yet equally effective brand of high dose multi-strain probiotics from my brilliant nutritionist friend, Tom Malterre, called Klaire Ther-Biotic. I’ve been using Ther-Biotic for many years now, with great outcomes.
High dose, multi-strain probiotics can be very helpful for people with Hashimoto’s in general, and especially for those who often show low levels of them on gut lab tests. However, they may be problematic for people with SIBO, which can be caused by an overgrowth of various bacteria, including Lactobacillus and Streptococcus bacteria — often found in probiotics. It’s important to note that up to 50 percent of people with Hashimoto’s may have SIBO — and the overgrowth, in up to 75 percent, may be comprised of Lactobacillus or Streptococcus bacteria.
Soil-Based Probiotics
Soil-based probiotics came on my radar after some colleagues reported seeing excellent results while using them with their clients. Soil-based probiotics are naturally occurring, spore-based, and have a unique mechanism of action, which allows them to directly modulate the gut microbiome.
Spore-based probiotics have shown promise in supporting various autoimmune diseases, as well as in reducing allergies and asthma. They also have an ability to boost Lactobacillus colonies, so they can be used concurrently with Lactobacillus probiotics, as well as in place of them. Unlike the Lactobacillus probiotics, spore-based probiotics can reduce SIBO and increase gut diversity by boosting the growth of other beneficial flora.
Clients and colleagues with Hashimoto’s have reported the following after using them for 30 to 90 days:
- A reduction in thyroid antibodies
- Improved mood
- Less pain
- Better bowel movements
- More energy
- A reduction or complete elimination of food sensitivities
I have had clients use MegaSporeBiotic with great success. The starting dose for MegaSporeBiotic probiotics is one capsule every other day, and the therapeutic dose is two capsules per day. Once the desired effect has been seen (generally three to six months in people with Hashimoto’s), I recommend dropping down to a maintenance dose of one capsule per day.
Tips for Using Probiotics
If you’ve never taken probiotics before, you will want to start low and go slow, as you may have increased symptoms if your gut flora changes too rapidly. For example, if your target dose is 50 billion CFU, then you may want to start off at a dose of 10 billion CFU, until your gut has adjusted. If you’ve found that you can tolerate that dose, but have not reached your gut health goals, you can work your way up to your target dose.
To boost the effect of probiotic supplements, I recommend making sure you are getting plenty of prebiotics in your diet. Prebiotics are the foods your microbiota feed on, and are necessary to ensure that the population of healthy bacteria in your gut grows and flourishes.
Foods rich in prebiotics include: chicory root, Jerusalem artichoke, dandelion, garlic, leek, onion, bananas, apples, konjac root, cocoa, burdock root, flax seeds, yacon root, jicama, and asparagus.
Additionally, those with SIBO (small intestine bacterial overgrowth) will need to avoid many probiotics, especially those containing prebiotics, as they will just be adding fuel to the fire.
Soil-based probiotics have been found to be effective for those with SIBO, and S. boulardii is generally safe as well.
One more thing to note when you first start taking a high-quality probiotic: the “good” bacteria will begin to colonize your gut and crowd out the “bad” bacteria that had taken up residence there. When these bad bacteria are crowded out and attacked, they may start to release toxins that build up faster than your body can get rid of them. This will cause your body to begin an immune response to clear them out, with symptoms that may include digestive discomfort, changes in bowel movements, muscle aches, headaches, and skin sensitivity.
This is often referred to as a healing crisis or a Jarisch-Herxheimer reaction. While uncomfortable, this type of reaction is an indication that your probiotics are working and that you are eliminating the bad bacteria!
However, this highlights the importance of starting low and going slow when you begin taking a new probiotic, so that you can minimize the unpleasant symptoms. Staying hydrated and moving your body as much as possible will also help your body clear out the toxins more rapidly.
The Takeaway
Gut healing is a journey; you may need various interventions like removing reactive foods and infections, taking enzymes and probiotics, and balancing nutrients. In some cases, such as after a bout of food poisoning, antibiotic treatment, or a stressful life period, you may need to start the healing process from scratch. 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!
Wishing you all the best on your journey!
P.S. For further support on your health journey, you can download a Thyroid Diet Guide, 10 thyroid-friendly recipes, and the Nutrient Depletions and Digestion chapter of my first book for free! You will also receive occasional updates about new research, resources, giveaways and helpful information
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Note: Originally published in May 2015, this article has been revised and updated for accuracy and thoroughness.
Disclosure: We are a professional review site that receives compensation from the companies whose products we review. We test each product thoroughly and give high marks to only the very best. We are independently owned and the opinions expressed here are our own.
Hi Kelly,
I have the same problem with VSL#3. I take Custom Probiotics d-lactate free, Megaspore Biotic, Sacro B by Thorne, and Just Thrive by Body Ecology.
Be well,
Ali
Ali – thank you for following this page and for sharing what has worked for you! 🙂
Dr. Wentz,
Thank you for teaching us so much. I saw my naturopath and a medical intuitive on Sunday and they both said my biggest problem is a heavy viral load (EBV) so now I’m taking an antiviral. According to self-muscle testing I have 40/60 EBV strains probably most came from a blood transfusion when I had an apendectomy while I was four months pregnant. Yay me! It will get better.
Ali ?
Ali – thank you for following this page. Without going into too much detail, the first of the crucial defining moments in my disease development may have started during my undergraduate studies at the University of Illinois. Due to the communal living setting of dormitories (and less than stellar hygiene habits of most college students) I had recurrent strep throat infections and even contracted mononucleosis, a viral infection caused by the Epstein-Barr Virus (EBV), which is implicated in triggering many autoimmune conditions. I received multiple courses of antibiotics as well as flu shots (which may be associated with EBV infections), and started birth control for menstrual cramps.
It is my belief that this combination had a profound impact on my gut flora, and thus my immune system.
Epstein-Barr is a virus that causes mononucleosis (commonly called “Mono”) , a debilitating viral infection that is common among college students, and is also known as the “kissing disease,” because individuals are exposed to the virus through saliva of those who are infected.
Specific immune cells known as CD8+ T cells are needed to fight off the Epstein-Barr virus, however, some individuals may have a low baseline level of these types of immune cells. (CD8+ T cells decrease with age, are lower in women, and in the presence of low vitamin D intake). When these fighter cells are low, the Epstein-Barr virus may take up residence in our organs (such as the thyroid) and essentially hijack the organ to help the virus hide and multiply.
The timing of infection may also matter as well, for example, children in developing countries usually contract the Epstein-Barr Virus when they are under the age of 10. This usually results in an asymptomatic infection—one that does not cause them symptoms. In contrast, in developed countries, where individuals are not usually exposed to the virus until they are in high school or college, the infection is symptomatic in 50% of the older kids affected. This is because by the time we reach college age, CD8+ T cells, the ones that fight EBV, have declined by threefold compared with the number of cells we had in childhood.
Additionally, animal fat and broths, soups and stews support the body’s ability to suppress the viruses. Monolaurin/lauric acid, one of the components of coconut oil, has been found to be active against the Epstein-Barr virus. Replication of many viruses including Epstein-Barr is inhibited by glycyrrhizic acid, an active component of licorice root. Quercetin, Co-Enzyme Q10, N-Acetylcysteine, and glutathione were also reported to be helpful in chronic fatigue syndrome because of their anti-viral properties.
EPSTEIN-BARR VIRUS AND HASHIMOTO’S
https://thyroidpharmacist.com/articles/epstein-barr-virus-and-hashimotos
Hi again,
Thanks again. I have read that before and I have your book. For some reason, I muscle test poorly for quercetin. I take liposomal glutathione 3 times a day and unbiquinol once a day plus a whole bunch of other things. I’ll check out glycyrrhizic acid though.
I just started Viru-tox for the EBV by Physica Energenics – it’s so powerful, I can only handle three drops a day.
I have mild psoriasis, celiac, hashimoto’s, and microscopic colitis. I plan to get rid of the EBV and reverse all of the autoimmune diseases. ?
Ali
Ali – I am happy you are taking charge of your health! 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. The gut determines your immune system. With the exception of discussing proper thyroid medication dosing, the majority of my website and my book focuses on balancing the immune system. The info I present is based on my own research and journey for overcoming my autoimmune thyroid condition.
Hashimoto’s Protocol
thyroidpharmacist.com/protocol
Hashimoto’s Root Cause
http://www.amazon.com/gp/product/0615825796?ie=UTF8&camp=1789&creativeASIN=0615825796&linkCode=xm2&tag=thyroipharma-20
Hi, I bought your book Hashimoto’s protocol and had lost 25 pounds so far. Hashimoto’s had taken my life and this new eating habits have given me my life back. One I struggle with is horrible constipations mostly when I don’t drink plenty of water and eat what I am not used to eat anymore (rice, red meat, etc.) I wanted to ask is if probiotics can be taking with thyroid medication? Or is it better to take it with the other to meals so it doesn’t interfere with the medication?
Thanks Doctor!
Vilma
Vilma – thank you so much for sharing your journey! I’m so happy to hear you are enjoying my book and are seeing results! <3 Thyroid medication absorption can be impacted by many things, including food, other medications, and supplements. Thyroid medication should be taken on an empty stomach, one to two hours before eating, taking other medications, supplements or coffee to ensure appropriate absorption. Antacids such as Tums, iron, magnesium, and calcium supplements can impair the absorption of thyroid medications. Thus, you need to have at least 4 hours of time in between your thyroid medications and these agents. Please be sure to read the directions provided with the medication. I hope you find this free ebook helpful. https://thyroidpharmacist.com/meds-ebook/
Blessings!
Thanks,
JC
I would like to know that too… would you please clear this questions for us? Thank you. Warmest
Anna – thank you for reaching out. <3 Kombucha can be helpful sometimes, but I recommend proceeding with caution, as some people may have adverse reactions to wild yeast. I do prefer probiotics and fermented foods like sauerkraut and fermented miso.
Plexus has ALA in it…something to avoid I’ve read.
plexus is nothing but a multi level marketing scheme. you can’t in all seriousness recommend this stuff.
Michele – thank you for following this page. Not everyone will need every single supplement! In fact, I believe that most nutrients should come from the diet. This is why I always list food sources 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/prefer supplements and the supplements on the website are a resource for those that do. I recommend getting tested for deficiencies to determine your need for a supplement as instructed in the book and blog. I also don’t recommend starting multiple supplements all at once. I recommend starting one at a time, and then adding another a week or so later once it has been confirmed that the first supplement is not causing any harm.
I do have a full supplements chapter in my book. Have you checked it out? Not everyone should be taking every supplement and the book will help uncover your root cause. This will help you figure out your supplementation.
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’m suffering so bad with hives and itching only on my neck and scalp. I have Hashimoto’s and severe gut problems. Anxiety and Uncontrollable rage. Please help. Cant eat or afford most products. I take culturelle 30 bil. The itching on scalp hurts. Lost, lost.
Frances – thank you so much for reaching out and sharing. I’m so sorry you are struggling with all of this. <3 My heart goes out to you. I’ve found that many Hashimoto's patients also have the gut infection Blastocystis hominis, which has recently been connected to irritable bowel syndrome, hives AND Hashimoto’s. In the last few years, I’ve noticed that getting rid of the Blastocystis hominis infection can help people to get their Hashimoto’s into remission. You can read more about it in this article:
A COMMON ROOT CAUSE OF HASHIMOTO'S, HIVES AND IBS
https://thyroidpharmacist.com/articles/the-common-root-cause-of-hashimotos-hives-and-ibs
Hi Teresa, I also seem to have the same skin condition. Did you found out what it is? Hope you’ve gotten well.
Look up bromine poisoning/cherry angiomas
Jewls – thank you for following this page. Do you have Hashimoto’s or a thyroid condition?
Hashimoto’s is a complicated condition with many layers that need to be unraveled. While conventional medicine only looks at each body system as a separate category and is only concerned with the thyroid’s ability to produce thyroid hormone, Hashimoto’s is more than just hypothyroidism. I wanted to pass along these articles that I wrote. I hope they help 🙂
WHERE DO I START WITH HASHIMOTO’S
https://thyroidpharmacist.com/articles/where-do-i-start-with-hashimotos/
OVERCOMING HASHIMOTO’S
https://thyroidpharmacist.com/articles/overcoming-hashimotos-in-the-new-year
Answering to “Theresa Balchus says..June 30, 2015 at 7:36 PM”, what you had is called vasculitis, you are probably allergic to something you had up to 3 months before seeing the red tiny spots, it happens to me to sometimes.
My son has Down Syndrome and diagnosed with multiple autoimmune disorders including, alopecia universalis, Hoshimoto/Compensated Hypothyroidism. and chronic constipation. He also has very dry skin. I am certain that all of these are related. His TSH was very low and Free T4 within normal range. He is only 8yrs old and is on synthroid. His diet is extremely limited as he is super picky and only eats 8 or so things…same every single day. He will only drink milk and water and will not eat any meat. His protein solely comes from milk and cheese sticks. Both I am sure are contributor to his issues. He is also nonverbal and globally delayed. I am not sure what dietary changes I can do that he will adapt to but I can hide some things in the foods he will eat. I have not found a doctor yet who is willing to help functionally for him without the standard synthroid. Not sure dosage of bro biotic you suggested are best for his age. Can you make suggestions?
Bonny- You may like to check out the doctors that other patients recommend on this list:
CLINICIAN DATABASE
http://www.thyroidpharmacistconsulting.com/clinician-database.html
FIND A FUNCTIONAL MEDICINE CLINICIAN
https://www.functionalmedicine.org/practitioner_search.aspx?id=117
OMGosh, how do you do it all! Thanks in advance for all the knowledge you continuously share. Always have recommended that pt’s change up or rotate probiotics.
You mention & provide a link to MegasporeBiotic in your Hacking Hashimoto’s program, but didn’t mention it here. Is it still one you’d recommend?
Nancy- Thank you so much for your support!! Not everyone will need every single supplement! In fact, I believe that most nutrients should come from the diet, this is why I always list food sources for most of the nutrients, vitamins, minerals and probiotics that are depleted in Hashimoto’s in the book and on the blog. However, some may require/prefer supplements and the supplements on the website are a resource for those that do. I recommend getting tested for deficiencies to determine your need for a supplement as instructed in the book and blog. I also don’t recommend starting multiple supplements all at once. I recommend starting one at a time and then adding another a week or so later once it has been confirmed that the first supplement is not causing any harm.
I do have a full supplements chapter in my book. Have you checked it out? Not everyone should be taking every supplement and the book will help uncover your root cause. This will help you figure out your supplementation.
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
Dear Isabella
I’ve tried many different probiotics and fermented foods and I have had a bad histamine reaction to them all. It’s the same with bone broth. Do you have any suggestions for how to heal the gut when you have a histamine intolerance? I’m currently taking L-glutamine and the prebiotic Prescript Assist but I really want to add some other foods or products if possible.
Thank you so much for all your work. I absolutely loved your documentary. It really hit it home for me and I have started to inplement all of your advice xx
Inger – thank you for following this page and I’m sorry to hear that you are struggling. 🙁
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
Dr. Izabella,
What are your thoughts on the Custom Probiotics brand? Have you heard of it? It was recommended by my natural path. They have really high CFU’s. I was taking their 11 strain, but after no lactobacillus growth after several months, they recommended their D-lactate. I send in another stool sample in 6 weeks to see what my bacteria growth is at and will be anxious to see if this did the trick with facilitating the lactobacillus. Thanks so much! Tara
Tara – thank you for following this page. As a pharmacist, I have access to numerous high-quality brands. After much research and deliberation, I have personally decided on Pure Encapsulations brand for my own health needs. This is also the brand I recommend for family members and friends.
Pure Encapsulations is a pharmaceutical grade brand that has extremely tight quality control and manufacturing guidelines. Each product undergoes rigorous testing by a third-party laboratory to verify label claims, potency and purity. All the products sold by Pure Encapsulations are free of gluten, dairy, and additives that may impair absorption.
http://www.purecapspro.com/thyroidrootcause/pe/products/product_details.asp?ProductsID=1328
Here’s an article about probiotics I hope you’ll also read.
THE FOUR BEST PROBIOTICS FOR HASHIMOTOS
https://thyroidphramacist.com/articles/the-four-best-probiotics-for-hashimotos
Should probiotics be taken with or without food? You mention you may need to reset your immune function–how do you do that? Thank you so much for sharing all the information that you do. I loved the webinar.
Kathleen – you should start with the directions on the bottle and adjust your dosage from there. I cannot tell you specifically what you can and cannot do over the internet as I could be held liable for what would happen to you.
I do have a full supplements chapter in my book. Have you checked it out? Not everyone should be taking every supplement and the book will help uncover your root cause. This will help you figure out your supplementation.
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
https://thyroidpharmacist.com/protocol
Have you heard of Bravo Yogurt? I just received your Hashimoto’s Protocol book. I’m thinking of doing the Root Cause Autoimmune Diet & Bravo Yogurt. What are your thoughts?
Trayreece – 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
TAILORING YOUR THYROID DIET
https://thyroidpharmacist.com/articles/tailoring-your-thyroid-diet-to-your-needs
Thank you so much blazing this trail! I watched the Thyroid Secrect and learned so much! I am pretty sure I have Candida even though my GI effects test said it was negitive. I have just started your Candida Protocol and hope to get some relief soon. I recently purchased VSL#3 but did not realize it did not have S. Boulardii in it. Can I take both or should I just do S. Boulardii? Thanks so much!
Jerti – thank you for your kind words and support. 🙂
I’m hesitant to say what you should do … based on liability. If something were to happen to you I could lose my license.
I do 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
What is the amount of time you should wait between taking your thyroid medication and your probiotics? Thank you for everything, you have really helped me personally!
Constinteen – thank you for following this page. You should start with the directions on the bottle and adjust your dosage from there. I cannot tell you specifically what you can and cannot do over the internet as I could be held liable for what would happen to you.
Have you ever heard of PB Assist Doterra Essential oil brand of probiotics .? Have you ever heard of people having success using essential oils in treating Hashimotos? Thanks.? for all the good info.
Vicky – thank you for you your question – I will certainly look into this! In one of my articles I refer to Carrie Vitt who uses essential oils to balance the thyroid. You may be interested in checking out her articles, which can be found here:
Are You Sacrificing Your Health for External Beauty?
https://thyroidpharmacist.com/articles/are-you-sacrificing-your-health-for-external-beauty/
In general do you think people with Hashmito thyroiditis need to take S. Boulardii indefinitely or are you saying in this article just until pathogenic bacteria, Candida, parasites like Blastocystis hominis, H Pylori, or some kind of an infection are cleared up and then generally S. Boulardii isn’t needed? I am not understanding if this is a short term or long term recommendation or assuming you don’t have any of the above, what do you do personally?
Nancy – thank you for following this page. 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
I wish I had known about the slow & low start recommendation for probiotics. I have certainly had more problems after taking them. Started with 50B. Is it too late or will it just take a long time to adjust? Been over 6 months.
Sara – thank you for following this page. 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
Hi, I’m in a hashimotos group on FB and asked about experiences with VSL #3. A number of commenters said that it now contains corn starch which makes it non AIP compliant. Everyone reveres you in the group 🙂 but it was also stated that this article was written before the corn starch became an ingredient. However, after looking at the website, they say VSL has returned to Italy for production and cornstarch was always an ingredient. A bit confusing but my question is would you still recommend this for Hashi’s if corn starch, is indeed, a new ingredient in the formula. Pure encapsulations is not sold in Italy.
Ro – 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
thank you but my question was really more if you still recommend VSL#3 for hashimotos patients given it has cornstarch now ? thank you
I have just started taking Prescript Assist. Can someone let me know if these have been successful for them. Any feedback would be greatly appreciated. They were also fairly expensive and are soil based as well.
Melissa – thank you for following this page. I regret that I do not have the time to evaluate every supplement on the market. Not everyone will need every single supplement! In fact, I believe that most nutrients should come from the diet. This is why I always list food sources 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/prefer supplements and the supplements on the website are a resource for those that do. I recommend getting tested for deficiencies to determine your need for a supplement as instructed in the book and blog. I also don’t recommend starting multiple supplements all at once. I recommend starting one at a time, and then adding another a week or so later once it has been confirmed that the first supplement is not causing any harm.
I do have a full supplements chapter in my book. Have you checked it out? Not everyone should be taking every supplement and the book will help uncover your root cause. This will help you figure out your supplementation.
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
Dr. Wentz,
Quick question about the GI Effects Gastrointestinal Function Comprehensive Profile (METAMETRIX KIT). When I click on the link and go to the Direct Labs Services page in the link the GI Effects Gastrointestinal Function Comprehensive Profile (Genova kit) is the one that shows up for this test. Do you know if the lab changed their name to Genova or is that test now done by a different lab (Genova vs Metametrix)? Hope you can clear up my confusion about this.
Thanks for all your help and the great resources!
Sam
Sam – thank you for following this page. Please contact my team at info@thyroidpharmacist.com and they will be happy to help you. 🙂
Hi Dr. Wentz,
I’m currently on the AIP and taking the Betaine HCL Pepsin, and currently am up to 9 pills without a real burning sensation. Could this be right, that I need up to 10 pills per meal? I was at about 6 or 7 with a slight warmth, but don’t feel a strong burn. Am I reading too much into the burn I should be feeling in my throat?
Also, thank you for all you do. Your guidance on diet and your book have been the best thing to happen to me in years!
Kristin – thank you for following this page. For questions pertaining to the supplements please contact my team at info@thyroidpharmacist.com and they will be happy to help you.
Should I only take probiotics at certain times or is it ok to take them daily – all the time.
Sherry – thank you for following this page. You should start with the directions on the bottle and adjust your dosage from there. If you’ve never taken probiotics, you will want to start low and go slow, as you may have increased symptoms if your gut flora changes too rapidly. If you’ve found that you can tolerate that dose, but have not reached your gut health goals, you can work your way up to higher doses. I do have a full supplements chapter in my book. Have you checked it out? Not everyone should be taking every supplement and the book will help uncover your root cause. This will help you figure out your supplementation.
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
Hi Dr Izabella. I am trying very hard to get my hashimotos and hypothyroid under control and lose weight. There are so many probiotics out there, it is difficult to know which one to take to be most effective(hopefully reasonably priced). Could you recommend one to me? Thank you in advance for your help.
Theresa – thank you for following this page. As a pharmacist, I have access to numerous high-quality brands. After much research and deliberation, I have personally decided on Pure Encapsulations brand for my own health needs. This is also the brand I recommend for family members and friends.
Pure Encapsulations is a pharmaceutical grade brand that has extremely tight quality control and manufacturing guidelines. Each product undergoes rigorous testing by a third-party laboratory to verify label claims, potency and purity. All the products sold by Pure Encapsulations are free of gluten, dairy, and additives that may impair absorption.
PROBIOTIC 50B
http://www.purecapspro.com/thyroidrootcause/pe/products/product_details.asp?ProductsID=1328
Hello Dr Wentz!
I started reading your Hashimoto’s Protocol this week and am really enjoying the information you provide, plus your website is a wealth of information too! Thank you for your calling! 🙂 I have a great functional medicine doctor, but my Hashimoto’s has been getting worse and worse the past few years. I was diagnosed with Hashimoto’s in 2003 and only recently have I been dealing with the litany of effects.. They are compounded by chronic Candida (from 2 years going undiagnosed 10 years ago), heavy metal exposure, HLA-DR mold gene, stress, etc.
My doctor is starting therapeutic probiotic treatment for me and put me on MegaSpore 6 weeks ago. Since day 1 my energy has plummeted and I’ve been plagued by periodic debilitating die offs of some kind, even though I started out slowly at 1 pill/every other day. My doctor says to keep on it. I’m now up to 2/every day.
I haven’t found a lot of information on MegaSpore and was keen on your experience. I’ve read that Hashimoto’s patients do really well with it, but in your experience have you seen this kind of continuous dramatic fatigue or die off when taking it? I’ve read of die offs if you start too quickly, but then people seem to have miraculous experiences. I know you can’t give personal medical advice, just trying to figure out if this is a common reaction or if it’s yet another issue to figure out.
Thank you!
Jill
Jillita – thank you for following this page. Please contact my team at info@thyroidpharmacist.com and they will be happy to help you. <3
I contacted the So Delicious company about what kind of B-12 is in there products, and was told it’s the cyanide based. So I would not recommend there brand to anyone.
Evelyn – thank you for following this page and for sharing this! <3
Dear Wentz, My name is Jennifer and I am so grateful I found your web site and information on Hashimoto’s. My gut issues have always been an issue and this past May 2017 they got worse (feeling sick after eating, food allergies to things I have always eat (I am gluten and dairy free and have been for years), I have bad acne roseaca/itchy skin after eating, psoriasis and I have hypothyroidism (Hashimoto’s), which has gotten worse recently — my thyroid which was fine for 20 years on synthroid and is now suppressed plus my menstrual cycle is off. I am seeing this a regular/alternative doctor who diagnosed me with SIBO (currently taking Candibactrin AR and BR), but doesn’t understand the thyroid and hormone component which is frustrating. I have lost weight loss despite being low thyroid, have stomach pain, malabsorption and my hormones are out of whack. I also took a special Parasites test that was sent to a lab in Colorado, as well as a Comprehensive Stool Analysis test (Genova Diagnostics, and Intestinal Permeability test as well to rule out other digestion issues including Leaky Gut. I would love to speak with you, or perhaps you can direct me to the right doctor in my area who can help me(I am in New York City) to help me. Thank you so much!
Jennifer – thank you very much for your inquiry. I do provide a limited number of consultations, however, my consultative schedule is all full at the moment. I highly recommend that you work with a functional medicine clinician. It’s an entire medical specialty dedicated to finding and treating underlying causes and prevention of serious chronic disease rather than disease symptoms.
FUNCTIONAL MEDICINE APPROACH TO THE THYROID
https://thyroidpharmacist.com/articles/functional-medicine-approach-to-the-thyroid
CLINICIAN DATABASE
http://www.thyroidpharmacistconsulting.com/clinician-database.html
FIND A FUNCTIONAL MEDICINE CLINICIAN
https://ifm.org/find-a-practitioner/
Hello! I have had Hashimoto’s for two decades now and I have had a horrible time kicking a bad soda habit. I notice several people have inquired about the safety of Kombucha teas but their posts were either removed or not answered. I actually like the taste, and it helped me to sleep better than I have in years, but I’ve read articles contraindicating it’s use with a compromised immune system. I’d love to learn more about the safety of Kombucha and Hashimoto’s. I am not home-brewing but am drinking a natural grocery store brand.
Michelle – Kombucha can be helpful sometimes, but I recommend proceeding with caution, as some people may have adverse reactions to the wild yeast. I prefer probiotics and fermented foods. Here is an article you might find helpful.
THE BEST PROBIOTICS FOR HASHIMOTOS
https://thyroidphramacist.com/articles/the-four-best-probiotics-for-hashimotos
Hello Dr. Izabella and thank you for all you do. I am a 56 year old female with adrenal fatigue and hashiamotos. I have worked with several functional medicine practitioners and it appears that we are zeroing in on a claustridial bacterial infection as the possible root cause. I have been on several rounds of biociden but it seems to keep coming back. I recently started on megaspore probiotic with hopes of successfully erradicating this infection. My question is what if any other probiotics can be used in conjunction with the megaspore. Thank you in advance for your help.
Jennifer – Please, understand that due to liability issues, I am unable to answer specific medical questions, but I recommend you refer back to your practitioner, who is familiar with your health history. Here are come articles you might find helpful as well.
INFECTIONS AND HASHIMOTO’S
https://thyroidpharmacist.com/articles/infections-and-hashimotos
INFECTIONS AS HIDDEN TRIGGERS FOR HASHIMOTO’S
https://thyroidpharmacist.com/articles/infections-as-hidden-triggers-for-hashimotos
My Rx carrier recently suggested I consider a switch from my usual Armour Thyroid to NP Thyroid Tablet. I can’t find enough information about that prescription and wonder if you may enlighten me. I was also told my a PA that anyone over 65 should no longer take Armour Thyroid…..I’m 72. What is your opinion about that also?
Donna – thank you so much for following this page. There are quite a few options for thyroid medications. In my experience, what works for one person may not work for another. If your doctor will not prescribe the medication which you are looking for, ask your local pharmacist for doctors in your area who prescribe the medication you are looking to try. Have you read these articles?
WHICH THYROID MEDICATION IS BEST?
https://thyroidpharmacist.com/articles/which-thyroid-medication-is-best/
TOP 11 THINGS YOU NEED TO KNOW ABOUT THYROID MEDICATIONS
https://thyroidpharmacist.com/articles/top-11-things-you-need-to-know-about-thyroid-medications/
HOW THE DOSE OF YOUR THYROID MEDICATION CAN UNCOVER YOUR ROOT CAUSE
https://thyroidpharmacist.com/articles/the-dose-of-your-thyroid-medication-can-uncover-your-root-cause/
HOW TO GET ACCURATE LAB TESTING WHEN TAKING MEDICATIONS
https://thyroidpharmacist.com/articles/how-to-get-accurate-lab-tests-when-taking-thyroid-medications/
I am writing this because im going through one of the biggest crisis of my life. And I cant find a practioner that can help me, these I tried they caused me more pain. Do you have someone good to suggest please?
Iam suffering all my life and out of desperation I ve tried some things that a person that wasnt exacltly expert suggested me and now im ten times worse. I have chronic fatigue syndrome and hashimoto,fibromyalgia and depression and anxiety. What I ve done is that I took the product restore gut, that solved my mental issues,but then I started taking bravo probiotic,that made me feel very sick and I was taking it for one month,in the middlewhile I was taking everyday chlorella, and few times I took charchoal and I was doing everyday coffee enemas and water enemas, I was also taking many different vitamins sometimes,one liposomal multivitamin made me also very sick. I know I have malnutrition and I was doing all this detox while I had hyperthyroidism,the dose of thyroxin was too much in that period and didnt know it. I ve stopped two months ago all these things and I still suffer a lot. I ve stopped working and going out, I feel extremely weak and exhausted,I feel sick everyday, I have gastroissues,that I think enema caused me, and feel lightheaded and dizzy and a pressure on my head and neuropains on my head, I have a series of symptoms also liver pain nd yellow dark skin,but these are the main. Can somebody help me please? I dont know how to recover and the practitioners I met only made me worse with their suggestions. Its really scary feels like it will never end. 🙁
Now im only take the restore gut in low dose,magnesium, vitamin d, dandelion and st.johns wort tea. The practitioners suggested me some supplements but was too strong for me and I quitted them. It will past? Or I made a permanent damage?
Please help
Thank you in advance
Hanna thank you for reaching out. Please understand, I am not able to respond directly to these types of questions here. I highly recommend that you work with a functional medicine clinician. It’s an entire medical specialty dedicated to finding and treating underlying causes and prevention of serious chronic disease rather than disease symptoms.
FUNCTIONAL MEDICINE APPROACH TO THE THYROID
https://thyroidpharmacist.com/articles/functional-medicine-approach-to-the-thyroid
CLINICIAN DATABASE
http://www.thyroidpharmacistconsulting.com/clinician-database.html
FIND A FUNCTIONAL MEDICINE CLINICIAN
https://www.functionalmedicine.org/practitioner_search.aspx?id=117
Dr.WENTZ ,thank you for the marveless work you do.
I should like to ask you about prebiotics, are they good to take them with probiotics? Thank you .
Dana – thank you for following this page. Here is an article you might find helpful.
ELIMINATION DIET FOR HASHIMOTO’S
https://thyroidpharmacist.com/articles/elimination-diet-for-hashimotos
COULD SIBO BE PREVENTING YOUR REMISSION FROM HASHIMOTO’S?
https://thyroidpharmacist.com/articles/sibo-prevent-remission-hashimotos/
Are you recommending in this article the Klaire Pro-Biotic powder or are capsules ok for us with Hashimotos?
Kerri – thank you for following this page. The article lists the types of probiotics that I have used successfully. As a pharmacist I have access to numerous high quality brands. After much research and deliberation, I have personally decided on Pure Encapsulations brand for my own health needs. This is also the brand I recommend for family members and friends.
Pure Encapsulations is a pharmaceutical grade brand that has extremely tight quality control and manufacturing guidelines. Each product undergoes rigorous testing by a third party laboratory to verify label claims, potency and purity. All the products sold by Pure Encapsulations are free of gluten, dairy, and additives that may impair absorption.
https://www.purecapspro.com/thyroidrootcause/pe/products/product_details.asp?ProductsID=1328
MEGASPOREBIOTIC™
https://www.rootcology.com/pages/megasporebiotic
Here’s an article about probiotics, which I hope you’ll also read.
THE BEST PROBIOTICS FOR HASHIMOTOS
https://www.thyroidpharmacist.com/articles/the-four-best-probiotics-for-hashimotos
Soil-based probiotics came on my radar after some colleagues reported having excellent results using them with their clients. I have had clients use MegaSporeBiotic with great success. Here is a link:
MEGASPOREBIOTIC™
https://www.rootcology.com/pages/megasporebiotic
I am currently following your 90 day protocol and just started the gut series a week ago. I’ve never taken probiotics but I ordered your gut bundle from Pure Encapsulations. I’m taking 1 Probiotic 50B/day and 3 Saccharomyces Boulardii/twice a day. I was going to start taking 2 Probiotic 50B today. However, I noticed yesterday afternoon that my face was feeling a little hot and my complexion was very red and breaking out a little. I’m concerned that I may be reacting to pineapple listed in the ingredients of Probiotic 50B, or is this just a side effect of taking probiotics in larger doses. I don’t want to do anything to increase antibodies in my system because I have been feeling much better, generally. I have been having no other side effects this last week.
EDIT: I am also taking Wobenzym as recommended which has pineapple enzymes, not the probiotics. So, my question is: Am I having a reaction to something like the pineapple in Wobenzym or is this just a normal side effect of Probiotics?
Elaine – thank you for reaching out. I wish I could give you more direct advice but, each person will react differently. I would advise you to ask your personal pharmacist or a trusted clinician who’s care you are under. I am not able to respond directly to these types of questions here. 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. You may also contact my team at info@thyroidpharmacist.com and they will be happy to help you. <3
vHi,
I was about to order Mega sporebiotic then this came out on google. https://fixyourgut.com/hsos-part-7-why-i-do-not-recommend-megaspore-or-my-issue-with-bacillus-licheniformis/
What is your opinion about this?
Thanks,
Milica
Milica – thank you for sharing this blog article. I wish I could give you more direct advice but, each person will react differently. I would advise you to ask your personal pharmacist or a trusted clinician who’s care you are under. I am not able to respond directly to these types of questions here. I also would like to encourage you to do your own research on the best products for you. Gut healing is a journey. Remember, be kind to yourself and learn to listen to your body so that you can support and feed it properly! You are worth it! You may find this article helpful as well!
WHICH SUPPLEMENTS ACTUALLY HELP HASHIMOTO’S
https://thyroidpharmacist.com/articles/which-supplements-actually-help-hashimotos/
https://thyroidpharmacist.com/articles/whats-causing-your-leaky-gut/
Hi there,
I’ve bought your books and also hoped to find a detailed guideline for intestinal cleansing. In this article and in your book you introduce some probiotics. Should I get all of them? I have read somewhere that when taking probiotica both useful and harmful bacteria are being destroyed therefore the prebiotic Inulin is recommended in addition. Would I need to take that extra? I honestly don’t know how to proceed here. I already eat gluten-,dairy-, sugar free incl. eggs, stopped drinking coffee and substitute them with what you and Dr. Kharrazian recommend incl. the results of my IgG test (which products I should avoid). You give a recommendation for use for Saccharomyces boulardii as well as for soil based probiotica for Lactobacillus you mention Pure E. Probiotic50B. How many do you recommend to take here? If you say you do not recommend to use all at once, would it be okay to start with one, a week later with the second and when everything is fine with the third probiotica in the third week, meaning I’d take three probiotics for the rest of the 90 day? Thanks a lot in advance, Tina.
Best, Tina
Tina – thank you for following this page. For questions pertaining to the protocols and supplements please contact my team at info@thyroidpharmacist.com and they will be happy to help you.
I’ve been to several doctors (endocrinologists, rheumatologists, nutrologists, gastroenterologists) and I’m still lost… I’m diabetic, celiac and have hashimoto… I’m studying all by myself to buy my supplements… I still do not know which probiotic I should use…
I live in Brazil, everything here is so more expensive…
What do you think of the probiotic
Healthy Origins, Probiotic, 30 Billion CFU’s, 150 Vcaps (https://www.iherb.com/pr/Healthy-Origins-Probiotic-30-Billion-CFU-s-150-Vcaps/19519)
and
Garden of Life, Primal Defense, HSO Probiotic Formula, 90 Vegetarian Caplets (https://www.iherb.com/pr/Garden-of-Life-Primal-Defense-HSO-Probiotic-Formula-90-Veggie-Caplets/3161)
?
Thank you!
I’ve been taking Schiff Digestive Advantage for a few weeks now. Decided to try because someone I know was able to get off her Rx for acid reflux. Asked my endo, he was ok with it, just wait 4 hrs after the Synthroid. Started with the gummies, but couldn’t stand the thought of chewing on live thingis. 🙂 Switched to the capsules. Still have the heartburn. Figured it couldn’t hurt since I’ve been on Rx Prevacid and others for 10+ yrs. For a years been taking Prevacid OTC, and now trying to go between that and Zantac. This week started doing baby steps reducing my intake of glutten foods. Reading your Protocol book now.
Mayra – thank you for reaching out. There aren’t too many tell-tale signs of low stomach acid, other than perhaps feeling full and tired after meals as well as experiencing acid reflux like symptoms. Nonetheless, low stomach acid is very common in Hashimoto’s. Signs and symptoms that would leave me to believe that a person with Hashimoto’s had low stomach acid include: acid reflux symptom (this condition that is conventionally treated with acid suppressants can actually be caused by low stomach acid), low B12, ferritin, or iron levels, fatigue despite thyroid medications and constipation/diarrhea. Here is an article that might be helpful as well.
ENZYMES
https://thyroidpharmacist.com/articles/using-enzymes-to-overcome-hashimotos/
DAIRY AND HASHIMOTO’S
https://thyroidpharmacist.com/articles/got-hashimotos-you-may-want-to-reconsider-dairy
GOT ACID REFLUX?
https://thyroidpharmacist.com/articles/got-acid-reflux
Ok..2 quick things..Is a soil based veggie probiotic the same as a spore based? And though Iam kinda on Paleo Autoimmune but with Hashi’s we have our quirks, so seeds my stomach does not handle as the other normal stuff..Celiac Test was normal, but I think I have a gluten intolerance because even a bulk of non gluten has gluten..so now my bowels go then stop, yet with brain injuries, I have a delay..so eating healthy but having a stop and go, yet I am not uncomfortable..I think I need more water..I do a drink of aloe Vera gel, apple cider vinegar and organic apple juice daily and started spiralina as a supplement..found my body was odd with psyllium husk..so my weight stays at this Mark..goes up 2, then down 2 and inches just stopped yet clothes still fall off and I am finally cutting so the weight can be muscle conversion..My primary food is veggies, fruit and meat, with salads..and I occasionally started adding eggs and just picked up A2 milk to experiment..yes bone broth and I found heating Dr Axe’s powder..wow great for skin compared to liquid boxed..I have not ventured in home made..when I react I get a rash in my opening of my but..it gets red and bumpy, I take Zyrtec and it goes down, so I analyze what is different..so I feel my body progressing, but the bowels could be the message..before I found out about the Hashimoto’s..My Health was declining..the endometriosis effected my ovaries..pain that led to a hysterectomy..my kids were born in vitro because of infertility and I was an anovulator and I had a colon resection before the hysterectomy and the doc found endometriosis as the block..so many answers..thank you for your time..I know, I talk too much and yes, I have been proactive with my twins…
Barbara – thank you for sharing your healing journey! <3
Dear Dr. Izabella,
I was wondering if it was safe to take S. Boulardi during pregnancy? Also is it safe to take systemic enzymes while pregnant? Bought your books and have been following protocols and just found out that I am pregnant and just want to make sure these are safe to continue taking. Thanks so much for your reply. I know your very busy, especially with your family, and truly appreciate your help.
Megan – thank you so much for reaching out and congratulations on your pregnancy! I am not able to advise on whether these supplements would be appropriate for you and your specific health needs without a comprehensive health assessment. I recommend you discuss the use of these supplements during your pregnancy with your personal doctor.
Dear Izabella
Thank you so much for doing what you have done. I´m writing you from Spain. I didn´t know if I had Hashimoto before my pregnancy, I was always very healthy, but during pregnancy something went wrong and I was diagnosed with Hashimoto. Me baby girl was born two months before due date since I got three preecalmpsias and almost died. I started to investigate about Hashimoto only then and found your web page, I was impressed by the quantity and quality of the information you share, so I bought two of your books and followed the first three protocols and I had some improvement, but I couldn´t get into remission. Finally, I did the gut disbiosis test a month ago (it took me a while to figure out what test to do since here in Spain, we don´t have exactly the tests you suggest) and I found out that I have Blastocystis Hominis, Pseudomona spp, Clostridium coccoides and perfringens,Bacteroides and Enterobacteriaceae overgrowth additionally with low Akkermancia muciniphila. When I talk to my family doctor, endocrinologist or digestive doctor, it seems that they were born centuries ago. They have no idea even about leaky gut! I think I also had SIBO before that analysis, but I used your protocol en the book, and the syntoms are gone. Now, since I can´t find any medical help, I decided to try eradication of Blastocystis first before dealing with the bacterias, but in Spain Alinia o nitazoxanide doesn´t exist at all. I asked my friends to get it for me from Peru!It´s so terrible not being able to have an advise from any doctor. I would like to start taking nitazoxanide but I coud be pregnant. If I was, could I take it? FDA says it´s type B drug. I don´t know who else to ask… Do you do any e-mail or Skype consulting?I would be so grateful to you for any insight.. Thank you very much in advance and congradulation with you baby.
Best wishes from Spain, Miro.
Miro – thank you so much for reaching out and sharing your journey with me. <3 I am so proud of you for taking charge of your health! I highly recommend that you work with a functional medicine clinician. It’s an entire medical specialty dedicated to finding and treating underlying causes and prevention of serious chronic diseases, rather than disease symptoms.
If you cannot find a Functional Medicine practitioner in your area, it is possible to work with an overseas practitioner remotely via Skype or some other online video platform. Here's a link which might help:
http://www.thyroidpharmacistconsulting.com/europe1.html
Dear Dr. Izabella,
I have been trying to take S.Boularii. I took 1x capsule twice a day. Unfortunately even with this low dose I got dizzyness and strong brain fog. I took it for about 10 days until it effected me being able to work. The reason for me taking it is that I have a strong suspecion that I have Blastocytis Hominis, I am a veterinary nurse.
Do think I was experiencig die off symptons or could S. Boulardii just not agree with me? Do you think I could start taking it again just with a lower dose i.e. 1 capsule every other day, then 1x capsule every day, …
It would be amazing to hear back from you. Your books have helped me so much.
Thank you
Susanne – thank you for reaching out and sharing your journey with me. <3 I wish I could give you more direct advice but, each person will react differently. I recommend that you ask your trusted clinician who’s care you are under. Here is an article you might find interesting as well.
https://thyroidpharmacist.com/articles/the-common-root-cause-of-hashimotos-hives-and-ibs/
Hi dott. Izabella,
The immunoglobulins of microbiome labs can be useful in Hascimoto?
Grazie
I have been gluten free for 7 years, I was recently diagnosed with Hashimotos. Many of the dietary suggestions lean toward coconut. I am allergic to coconut, what other source is there for beneficial nutrients and MCT oils?
Michele – thank you for reaching out and sharing your journey. MCT oil most often comes from coconut. You could use non dairy milks such as almond milk instead, or tigernut milk. You can also add some good fats like avocados, avocado oil and olive oil.
Thank you Dr. Wentz. I really enjoy all your articles! My daughter 8 years old was recently diagnosed with hashimoto. I feel her pediatric endocrinologist and pediatrician are less helpful trying to prescribe me alternative supplements in addition that would be helpful for my daughter other then her synthroid to help with her severe constipation. Is there a particular brand of probiotics I can look for her that maybe can help. She has had no luck with childrens probiotics and with so many to choose from it is very confusing. I appreciate all your time in knowledge on helping people on their journey with hashimotos.
Brandy – thank you so much for reaching out and sharing your daughters journey. My heart goes out to you both. <3 For children, teens, (and adults), I always recommend starting with the diet. Are they gluten, dairy, corn and soy free? Are they eating a nutrient dense diet with fermented foods? Implementing those changes can help many symptoms. Most of the interventions recommended in my book can be done with children, with the exception of the dosing of supplements. I do suggest that you work with a functional medicine doctor that is familiar in working with children (I only works with adults). I hope this helps!
FUNCTIONAL MEDICINE APPROACH TO THE THYROID
https://thyroidpharmacist.com/articles/functional-medicine-approach-to-the-thyroid
CLINICIAN DATABASE
https://thyroidpharmacist.com/database-recommended-clinicians/
FIND A FUNCTIONAL MEDICINE CLINICIAN
https://www.functionalmedicine.org/practitioner_search.aspx?id=117
Hi Isabella! I am struggling with the sequencing of my supplements (including probiotics) in the mornings. At the moment, it looks something like this:
– 7am thyroxin (50mg)
– 7.30am celery juice (it’s supposed to be consumed on its own on an empty stomach, 15-30 mins before of after anything else) to help with skin issues
– 7.45am lemon water
– 8.15am healthy breakfast + probiotics (I swap between VSL3 and Lactibiane)
As you can see, I don’t have time to spread out my probiotics from my breakfast. Can I take my probiotics at the same time as my thyroxin? Or should I take my probiotics in the evening, just before going on bed (after digesting dinner)?
Also, is it ok to take two different types of probiotics (e.g. VSL3 and Lactibiane) at the same time instead of alternating? I haven’t had any side effects so far…
Bec – thank you for reaching out. Thyroid medication absorption can be impacted by many things, including food, other medications, and supplements. Thyroid medication should be taken on an empty stomach, one to two hours before eating, taking other medications, supplements or coffee to ensure appropriate absorption. Antacids such as Tums, iron, magnesium, and calcium supplements can impair the absorption of thyroid medications. Thus, you need to have at least 4 hours of time in between your thyroid medications and these agents. Please be sure to read the directions provided with the medication. I hope you find this free ebook helpful. https://thyroidpharmacist.com/meds-ebook/ If you have more specific questions on how and when to take particular supplements under normal circumstances, please do reach out to my team by email, at info@thyroidpharmacist.com and they will be more than happy to help ?
Oh Dr, Wentz! I have been so helped by going through your self-management protocol, but it has been slow going for me. I am now at the point where I am doing the gut cleanse. I did the 401H test and it came back high in E. Coli and medium in B. Fragilis. I suspect SIBO, but can’t get Advil-free long enough to test – I have neck and back issues. I just started the cleanse and started MegaSporeBiotic. It is wonderful and I am seeing results from it. My question is this – can I take different probiotics at the same time I am taking the MegaSpore and gut cleanse herbs? Just not sure if you can mix all that at the same time and you have said certain probiotics aren’t good for SIBO. Thank you so much for your heart to help those of us that were helpless! You are the best!! Peggy
Peggy – thank you so much for reaching out! I am so happy to hear you are finding the self management program helpful! <3 For questions about the protocols and supplements please email my team at info@thyroidpharmacist.com and they will be happy to help you. <3
I sure will!! Thank you so much!!
Hello, thank you for all the amazing information once again. I am wondering how you feel about the use of kombucha for probiotic support as well?
Kristin – thank you for following this page. Kombucha can be helpful sometimes, but I recommend proceeding with caution, as some people may have adverse reactions to wild yeast. I do prefer probiotics and fermented foods like sauerkraut and fermented miso.
What are your thoughts about tofu? A lot of Japanese restaurants use tofu in miso soup.
Christiana – thank you so much for reaching out. <3 Here is an article you may find helpful: https://thyroidpharmacist.com/articles/soy-and-hashimotos/
Are kefir grains(milk kefir) healthy to take as probiotic?
Afreen – thank you for reaching out. <3 Kefir can offer an abundance of good bacteria, but should be avoided by those who have been determined to have a sensitivity to dairy. Fermented coconut kefir is a great alternative.
IMPORTANCE OF GUT HEALTH
https://thyroidpharmacist.com/articles/importance-gut-health/
AUTOIMMUNE PALEO DIET
https://thyroidpharmacist.com/articles/autoimmune-paleo-diet/
Where can i get this,fermented coconut kefir.please give link.
Afreen – thank you for reaching out. <3 Here is a link to the coconut kefir I recommend in my resources: https://bodyecology.com/digestive-health-kefir-starter.html
Dear Dr. Wentz, first of all I would like to thank you for all your efforts.
I am here becouse my daughter 17 is diagnoised with Hashi since October last year. We have been following your books advices on protocols and root couses.
Please could you suggest proibiotics available in Europe, since the US brands you suggested does not ship in Europe. Thank you in advance.
Greta
Greta – thank you so much for reaching out. I am so sorry to hear about your daughter. My heart goes out to you both. Please email my team at info@thyroidpharmacist.com and they will be happy to help you with this.
Dear Dr. Wentz,
Thank you so much for compiling all this information! Since reading your articles, I switched my probiotic for MegaSporeBiotic about 3 months ago. I was taking a pretty high dose multi strain probiotic before, but didn’t really feel that it was helping my hashimotos symptoms. The difference was immediate, and stark. However, I’m wondering if there’s another probiotic I should be taking with it? I am gluten free and on Synthroid but recently developed mirrored joint pain and feel like a good probiotic should be helping with inflammation enough to limit these symptoms. Any thoughts are totally welcome.
Thanks for your time,
Sarah
Sarah – thank you for reaching out. <3 Please understand, I am not able to advise on whether you should add another probiotic without a comprehensive health assessment. I always recommend that you discuss the addition of any supplement with your practitioner.
Hi,
I have suspected MCAS (Mast Cell Activation Syndrome), and apparently you aren’t supposed to eat fermented foods because they can raise histamine too much in the body. However, I do find I am able to tolerate kefir (which apparently kefir’s content of kefiran has anti histamine effects) and lacto fermented pickles (Bubbies brand, if eaten in moderation). I have a bit of hard time with lacto fermented sauerkraut. I have also focused on taking saccromyces boulardii and soil based probiotics like Klaire Labs Biospora or Thrive probiotics (I have taken Megasporebiotics in the past as well but harder for me to get a hold of at a reasonable price) because apparently some Lactobacillus strains like L casei and others particularly cause histamine release with no anti histamine or anti inflammatory effects corresponding, so I’m staying away from commerical “women’s blends” or ones that have an assortment of Lactobacillus. Also, I’m not eating yogurt.
However, due to the more restricted diet to help symptoms, I’m really needing snack ideas and I really miss having some yogurt. Can you make yogurt with probiotics that aren’t lactobacillus based, such as only with spore based probiotic capsules? There are some recipes online that say add Thrive probiotic capsules to milk to make yogurt. I’m wondering if you know if this is actually works out to do and if it would actually make a probiotic rich yogurt. The question I can’t get answered is “to make yogurt, do you HAVE TO HAVE lactobacillus to culture the milk. If yes, what on earth is happening if you mix a SBO probiotic into it??” It would be good to be able to have a probiotic friendly snack!!
Angie – thank you so much for reaching out! <3 That is a great question! I don’t currently have information to share on this but, I will add it to my list for future research. I would love to hear what you find.
Since dairy should be restricted, could you recommend how to get enough calcium naturally (and by avoiding other products that are not friendly to hashimoto)? Thank you
Tautvydas – thank you for reaching out. Great question! Small fish with bones like sardines, as well as green, leafy vegetables are going to be options, if you are dairy-free. Here are a couple articles with some other tips:
NUTRIENT EXTRACTION
https://thyroidpharmacist.com/articles/thyroid-function-and-nutrient-extraction
GET SOME SUNSHINE FOR YOUR THYROID – VITAMIN D
https://thyroidpharmacist.com/articles/get-some-sunshine-for-your-thyroid/
Hello!
I have hashimotos and was diagnosed after an extreme exposure of mold. I have been diagnosed with SIBO in the past. Now would I need to avoid Bacillus coagulans? (different from lactobacillus.)
Erica – thank you for reaching out and sharing! <3 I'm so sorry you are struggling with all of this. I am not able to advise on whether this 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.