Dr. Izabella Wentz, PharmD

Thyroid Pharmacist

Top 7 Hashimoto’s Food Myths

Medically reviewed and written by Izabella Wentz, PharmD, FASCP on September 13, 2018

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Early on in my journey with Hashimoto’s, I realized that my own health significantly improved with the use of nutrition. I had a hunch that I was not the only person that could see improvements in Hashimoto’s with dietary changes, though I wasn’t fully convinced that one particular diet was the answer for every single person. When I began working with clients with Hashimoto’s, however, I noticed that the majority of people I did see improvement with had implemented a dietary approach that was very similar to my own.

The question “What is the right diet to heal Hashimoto’s?” is very complicated since we are all different, and although we may have the same condition, different interventions may be required for each of us to heal. As a healthcare professional and scientist, I consider myself to be diet-agnostic. I try not to form too many attachments to any dogmas, be it diets, herbs, medications or other treatment modalities. My goal is to simply try to find the most successful protocols, and to show my clients and readers what works!

That said, there are some common myths and questions I hear about food, the thyroid and Hashimoto’s that I want to address, because many of these myths are based on facts that have been misunderstood. While there may not be a “one size fits all” diet that will work for everyone, there are some diet guidelines that are important to clarify for anyone looking to find the optimal diet for their individual situation.

Some questions that I’ll cover include:

  • Do I have to avoid broccoli if I have Hashimoto’s?
  • Is raw dairy better than pasteurized dairy?
  • Are almonds a good substitute for grains?
  • If I’m not celiac, can I eat gluten?
  • Should I eat Brazil nuts to get more selenium?
  • Is the low carb diet bad for my thyroid?

Myth 1: Goitrogens need to be avoided in Hashimoto’s, so I can’t eat broccoli.

Those poor cruciferous vegetables! Delicious and healthy vegetables like cabbage, Brussels sprouts, broccoli, kale, and cauliflower have gotten a bad rap due to some old nomenclature and outdated patterns in thyroid disease. Goitrogen is a word that was coined in the 1950’s to describe a substance that causes the formation of a goiter, also known as an enlarged thyroid gland. It’s a very deceiving word and can mean a variety of different things for different substances, ranging from suppressing the release of thyroid hormone and changing the way thyroid hormone gets produced in the body, to suppressing the absorption of iodine.

“Goitrogen” is a name for any substance that has the potential to interfere with thyroid function. The tricky part is that not all of them work in the same way. I like to look at research studies and clinical outcomes before I determine if a food is contraindicated for Hashimoto’s.

There are certain goitrogenic mechanisms that make me cautious, such as the inhibition of the thyroid peroxidase enzyme or the inhibition of thyroid hormone release. I do recommend avoiding certain goitrogens that do this, including soy, as well as iodine in excess. I also recommend looking at scientific and clinical evidence that a substance may be harmful to the thyroid. For example, research studies have documented that canola (made from rapeseed) and nitrates found in processed foods have direct toxic effects on the thyroid gland. However, the evidence of harm from other goitrogens such as cruciferous vegetables (broccoli, cabbage, turnip, etc.) is lacking. The goitrogen categorization of crucifers is due to substances known as glucosinolates that are contained within them. When consumed in large quantities, glucosinolates can prevent the absorption of iodine into the thyroid gland.

This was a concern in the 1950’s when the primary reason for hypothyroidism was due to iodine deficiency, and any further changes in iodine levels were potentially problematic. However, since public efforts have been made to add iodine to the salt supplies of most industrialized countries, hypothyroidism induced by iodine deficiency became less of a concern. In fact, Hashimoto’s has become the primary reason for hypothyroidism, responsible for 90-97 percent of cases of hypothyroidism in the United States. Iodine deficiency is not widespread in people with Hashimoto’s, and most cruciferous vegetables do not have enough glucosinolates to induce iodine deficiency. Therefore, eating cruciferous vegetables (unless a person is otherwise sensitive to them) is perfectly healthy for most people with Hashimoto’s and should not impact thyroid function.

In my experience, most cruciferous vegetables are well tolerated and offer health benefits for most people with Hashimoto’s. They help the body detoxify, especially when cooked. Even in their raw state, I have not seen issues with cruciferous vegetables in most clients, with the exception of those with SIBO or small intestinal bacterial overgrowth (because crucifers are high in FODMAPs, which aggravate SIBO), and in those with the CBS genetic mutation or sulfur sensitivity (due to the high sulfur content of crucifers).

For those people that do have concerns about iodine deficiency and crucifers, I recommend steaming, cooking or fermenting the vegetables. This alone will be enough to break down the small amount of glucosinolates contained within the veggies.

You can read more about the breakdown of the science behind the thyroid and goitrogens in this article.

Myth 2: I do not need to get off gluten, because tests indicated that I was not sensitive.

Gluten is a substance found in wheat, barley, and rye. Gluten is a staple of the Standard Western Diet in North America, Europe, and Australia. It is found in bread, cakes, pastries and most processed foods. People with Hashimoto’s are more likely to have celiac disease compared to others, and eliminating gluten has helped some people dually diagnosed with celiac and Hashimoto’s shed their Hashimoto’s diagnosis (ie. their antibodies went into remission, and their thyroid function returned to normal). However, celiac disease is not the only problem related to gluten. My personal and clinical experience has shown that non-celiac gluten sensitivity is one of the biggest triggers in Hashimoto’s. (You can read more about gluten-related issues and Hashimoto’s, here.)

Lab testing can be very helpful in determining if you are sensitive to gluten, but unfortunately, testing technology is not perfect. More often than not, false negatives can be seen for common reactive foods like gluten, dairy, and soy. The best test for figuring out if you are sensitive to gluten is doing an elimination diet, where you avoid gluten for 2-3 weeks, then try it again to see if you react to it.

Studies have shown that gluten induces intestinal permeability in all individuals, regardless of whether or not they have celiac disease. And we know that intestinal permeability, or leaky gut, is almost always a factor with Hashimoto’s. Therefore, it only makes sense that eliminating a common irritant like gluten will lead to improved gut health and overall wellness for many people with Hashimoto’s.

In surveying my clients, 90 percent of them felt better on a gluten free diet, while only 10 percent were diagnosed with celiac disease. Going gluten free can help alleviate many symptoms associated with Hashimoto’s, such as fatigue, hair loss, bloating, constipation, diarrhea, pain, acid reflux, weight gain and many others. It can also reduce the autoimmune attack on the thyroid gland.

Going gluten free is one of the first things I recommend when you have a thyroid condition, be it Hashimoto’s, hypothyroidism, or Graves’ disease. My studies have shown that 88 percent of people who do so will feel significantly better. If you have a thyroid condition, I suggest you give it a try for just two weeks to see if you feel better. (Remember, the best test goes by how you feel). You can always go back to how you were eating if you don’t feel any different.

Starting a gluten free diet can be challenging, and many people have setbacks along the way—this is why I developed a quick start guide to help you ease into the transition. Click here to download my Gluten Free Quick Start Guide.

Myth 3: Almonds are a health food, so I should eat them every day.

In an effort to eat a healthier, nutrient dense diet, many people turn to almonds as a substitute for eating grains. This is because almonds are very tasty and quite versatile, can be made into Paleo bread, can be used as a substitute for bread crumbs, and can be eaten as snacks.

Unfortunately, many people can be sensitive to almonds. In fact, after gluten, dairy and soy, almonds are one of the top reactive foods for people with Hashimoto’s. I often see people develop new food sensitivities because they have not yet healed their guts (see Myth #7).

You run a greater risk of becoming sensitive to almonds if you eat them over and over again, day after day. If you don’t react to them now, I suggest rotating almonds with other foods, eating them only every 3-4 days.

Myth 4: The best source of selenium comes from eating Brazil nuts.

Selenium is a trace mineral that plays a critical role in thyroid function, and a deficiency in it has widely been recognized as an environmental trigger for Hashimoto’s. Selenium acts as a catalyst to convert the inactive T4 to the biologically active T3, and helps protect thyroid cells from the damaging effects of hydrogen peroxide that is generated from the synthesis of thyroid hormones.

While selenium is a required nutrient for proper thyroid function, its effect is dose responsive and it is considered to be a narrow therapeutic index supplement. Studies have been done on the specific dose of selenium needed to reduce thyroid antibodies. Doses below 200 mcg were not helpful for reducing thyroid antibodies, and doses greater than 900 mcg per day were found to be toxic.

Many people believe eating Brazil nuts will help boost their levels. However, it’s important to note that the selenium content in Brazil nuts can vary tenfold, depending on where the Brazil nuts were grown. This means that a Brazil nut can contain anywhere from 55 mcg to 550 mcg of selenium. Unless your Brazil nuts were tested for selenium content, you might be unknowingly overdosing or under-dosing yourself. Additionally, many people with Hashimoto’s may be sensitive to nuts, so stocking up on Brazil nuts would be counterproductive.

For this reason, getting selenium from a supplement may be a better option for you. Selenium methionine in supplement form, at a daily dose of 200 mcg, has been clinically tested to show a 50 percent reduction in thyroid antibodies over the course of three months. Some clinicians may even recommend a dose as high as 400 mcg per day.

Supplemental selenium has been found to reduce Hashimoto’s antibodies and symptoms, improve Graves’ disease outcomes, and reduce the incidence of postpartum thyroiditis when taken during pregnancy. I credit selenium supplementation and blood sugar balance with lowering my thyroid antibodies and helping me get rid of panic attacks. My clients report the same results over and over again, along with fewer heart palpitations, more energy and less hair loss. I’ve seen great results with Pure Encapsulations Selenium.

Myth 5: Raw dairy is fine for Hashimoto’s, as it’s only pasteurized dairy that’s problematic.

Proponents of this myth rely on the information that the pasteurization process changes the protein structure of dairy proteins, making them more reactive. However, if you’ve already been sensitized to the dairy proteins casein or whey from drinking conventional milk, then consuming raw dairy, organic dairy, lactose free milk, or goat’s milk may still be a problem.

It is possible that if you drank raw dairy your whole life, you might not have developed a sensitivity, but in general, cow’s milk is difficult to digest for most adults with Hashimoto’s. Goat’s milk is highly cross-reactive as well for those with cow milk sensitivity. Camel milk, however, may be well tolerated by people with Hashimoto’s as the proteins are different enough not to cross-react.

The most common ways people experience a reaction to dairy include gut reactions (like bloating, diarrhea and acid reflux), as well as lung reactions (coughing, asthma, sinusitis, post nasal drip, mucus) and skin conditions (eczema, rashes, acne).

The thing about dairy reactions, like all delayed food reactions, is that it’s almost impossible to know if dairy is a trigger for you unless you eliminate all dairy for at least 2-3 weeks and see if some of the symptoms you are experiencing are alleviated. You can then slowly introduce dairy back into your diet and notice whether or not your symptoms return.

Dairy was a huge trigger for me, personally, and 60 percent of my clients have reported feeling better on a dairy free diet! (Read more about my acid reflux and dairy story and why you should avoid dairy with Hashimoto’s here.)

Myth 6: Low carb eating is bad for people with thyroid issues.

It may come as a surprise, but carbohydrates are not a required element in our diet. Up to 50 percent of people with Hashimoto’s may have carbohydrate metabolism issues, and a low carbohydrate diet has been shown to be beneficial for Hashimoto’s.

Limiting carbohydrate intake while healing from Hashimoto’s helps balance blood sugar, and will likely lead to feeling significantly more clear headed, energetic, and less anxious. Furthermore, thyroid antibodies have actually been shown to trend downward with this kind of dietary plan.

In a 2016 study, 108 people with Hashimoto’s were randomized to follow a low carbohydrate study diet for 3 weeks, and were then compared to a control group of 72 patients who were given a standard low-calorie diet without food restriction.

After just 21 days, all the patients in the study group on a low carb diet showed a significant decrease in their levels of thyroid antibodies, which are known to indicate how aggressive the attack is on the thyroid gland. While other diet factors came into play, such as the exclusion of dairy, eggs, and goitrogens, the study lended weight to the benefits of low carb-style diets for people with Hashimoto’s.

Some people with Hashimoto’s (though not all) may even benefit from an ultra-low carbohydrate diet such as a ketogenic diet, where high levels of fat are consumed, and carbohydrates are restricted to less than 20 grams per day. While some people report feeling tired after starting a protein/fat heavy diet, this is not always due to needing carbohydrates.

If you’re feeling tired on a diet that is mostly comprised of fats and proteins, this could be due to low stomach acid, which leads to improper protein digestion. Most people with Hashimoto’s have been found to have low or no stomach acid, which impairs their ability to digest protein foods. Improper protein digestion may make a person tired because digestion takes a lot of energy. People who are low in stomach acid may find themselves naturally gravitating towards carbohydrates for energy, as carbohydrates do not require as much stomach acid as proteins do for proper digestion.

To improve digestion while increasing protein, I suggest starting your day with a green smoothie, increasing your veggie intake, and taking the protein digestive enzyme betaine with pepsin. Other options for increasing stomach acid and improving digestion include drinking hot lemon water or taking a teaspoon of apple cider vinegar in a glass of water with protein containing meals.

Myth 7: Diet can heal everything, so If I just eliminate more foods, I will be healed.

While some people have had great success through changing their diets, even going into complete remission from Hashimoto’s, this is not always the case. Don’t get me wrong, eating a nutrient dense diet that is free of reactive foods can do wonders, and is one of the first things I recommend. However, if you’ve been following a specific diet for 3 months and are not seeing results, you likely have a gut infection that is causing inflammation and preventing you from healing.

Gut infections lead to intestinal permeability, which is one of the main triggers of Hashimoto’s. Eradicating most infections will require targeted treatments such as herbs, antibiotics, antifungals or antiprotozoal agents. If the infection is not treated, a person can become sensitive to more and more foods, further narrowing the list of foods that are tolerated.

If you suspect that you have a gut infection, I recommend one the following tests:

  • Small Intestinal Bacterial Overgrowth 2-Hr – This breath test from Genova Diagnostics screens for SIBO.
  • GI Effects Comprehensive Profile – This panel from Genova Diagnostics uses DNA analysis to go beyond the standard parameters for identifying gastrointestinal disorders.
  • GI Pathogen Screen with H. pylori Antigen – This panel screens for ova, parasites, bacteria, fungi, yeasts, and occult blood. It also checks for antigens to Helicobacter pylori, Entamoeba histolytica, Cryptosporidium parvum, and more.
  • GI-MAP – This panel includes bacteria, opportunistic organisms, normal flora, parasites, fungi, and viruses. It also measures antibiotic resistance genes and virulence factors that contribute to pathogenicity.

You can read more about infections and testing in this article, and in my book, Hashimoto’s Protocol.

Next Steps

While figuring out the diet that is right for you might take some trial and error, I am confident that, with a little perseverance, you will be able to find the way of eating that will help you to feel better on your healing journey. I created a Hacking Diet eBook to inspire you as you sort through all of the information out there and determine what diet works for you! You can download it for free below!

P.S. Be sure to subscribe to my email list to get a free book chapter, recipes, Thyroid Diet start guide and notifications about upcoming events.

References

  1. Skodje G, Sarna V, Minelle I, et al. Fructan, Rather Than Gluten, Induces Symptoms in Patients With Self-reported Non-celiac Gluten Sensitivity. Gastroenterology. 2017;S0016-5085(17):36302-36303. doi:10.1053/j.gastro.2017.10.040.
  2. Schnedi W, Lackner S, Enko D, Schenk M, Mangge H, Holasek S. Non-celiac gluten sensitivity: people without celiac disease avoiding gluten-is it due to histamine intolerance? Inflammation Research. 2017. doi:10.1007/s00011-017-1117-4.
  3. Leccioli V, Oliveri M, Romeo M, Berretta M, Rossi P. A New Proposal for the Pathogenic Mechanism of Non-Coeliac/Non-Allergic Gluten/Wheat Sensitivity: Piecing Together the Puzzle of Recent Scientific Evidence. Nutrients. 2017;9(11):1203. doi:10.3390/nu9111203.
  4. Hollon J, Puppa EL, Greenwald B, et al. Effect of Gliadin on Permeability of Intestinal Biopsy Explants from Celiac Disease Patients and Patients with Non-Celiac Gluten Sensitivity. Nutrients. 2015;7(3):1565–1576. doi:10.3390/nu7031565.
  5. Shabo Y, Barzel R, Margoulis M, Yagil R. Camel Milk for Food Allergies in Children. Immunology and Allergies. IMAJ 2005;7(12):796-798.
  6. Fasano A. Leaky gut and autoimmune disease. Clin Rev Allergy Immunol. 2012;42(1):71-78.
  7. Esposito T, Lobaccaro JM, Esposito MG, et al. Effects of low-carbohydrate diet therapy in overweight subjects with autoimmune thyroiditis: possible synergism with ChREBP. Drug Design, Development and Therapy. 2016;10:2939-2946. doi:10.2147/DDDT.S106440.

Note: Originally published in March 2015, this article has been revised and updated for accuracy and thoroughness.

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Dr. Izabella Wentz

Dr. Izabella Wentz, PharmD, FASCP, is a clinical pharmacist, New York Times Bestselling Author, and a pioneering expert in lifestyle interventions for treating Hashimoto’s Thyroiditis.

She received a Doctor of Pharmacy degree from the Midwestern University Chicago College of Pharmacy at the age of 23, and has worked as a community pharmacist, a clinical consulting pharmacist, as well as a medication safety pharmacist. She is a Fellow of the American Society of Consultant Pharmacists and holds certifications in Medication Therapy Management and Advanced Diabetes Care.

Dr. Wentz has dedicated her career to addressing the root causes of autoimmune thyroid disease, after being diagnosed with Hashimoto’s Thyroiditis in 2009. As a patient advocate, researcher, clinician and educator, she is committed to raising awareness on how to overcome autoimmune thyroid disease.

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Comments

  1. Michelle Valentine says

    My name is Michelle and thyroid disease has run in my Dad’s side of the family heavily, mostly the women. My Aunt recently just passed away from Thyroid cancer age 57… I recently just had half my thyroid removed, from nodules and from Doctor said “very ill thyroid” Today i suffer greatly still with the half remaining .. it gets inflamed and goes bonkers.. I have autoimmune disease from it and i have all the clinical signs and symtoms of fatigue, bloat, weight gain, constipation and so on.. 🙁
    Reply

    • Dr. Izabella Wentz says

      Michelle- Most thyroid conditions result from the immune system attacking the thyroid because the immune system is out of balance. Even when the thyroid is taken out surgically, is ‘dead’, or treated with radioactive iodine the autoimmunity still persists in most cases. Many people will have their thyroids removed, and will develop new autoimmune disorders such as Lupus, Rheumatoid arthritis, etc. The immune system just finds a different target. We need to re-balance the immune system to prevent this (sometimes the autoimmunity can be reversed as well). The gut determines your immune system. With the exception of discussing proper thyroid medication dosing, the majority of my website and my book focuses on balancing the immune system. The info I present is based on my own research and journey for overcoming my autoimmune thyroid condition.

      HASHIMOTO’S ROOT CAUSE BOOK
      http://www.amazon.com/gp/product/0615825796?ie=UTF8&camp=1789&creativeASIN=0615825796&linkCode=xm2&tag=thyroipharma-20

      Reply

  2. Samira says

    Thank you for this article. It makes so much sense and suggests that I am doing quite a bit right. I need to work on Myth 3 and 4 and I will do this right away!
    Reply

  3. James C. says

    Hi Dr. Wentz,
    Thank you for the information. It’s very helpful to know the truth about these myth as I will better adapt my diet. Two years ago I was diagnosed with sub-clinical Hypothyroid and Hashimoto. I grew up on a salty diet and was wondering if iodine in table salt might have triggered my Hashimoto. I believe other people might have this problem. Could you please comment on excessive iodine and Hashimoto?
    If the subject has already been covered in a different section of your blog, can you please provide me with the link?
    Thank you and please keep writing these wonderful articles! : )
    James
    Reply

    • Dr. Izabella Wentz says

      James- Thank you so much for following this page! Did you know that if you live in the United States, the UK, Australia, Europe and most developed countries that add iodine to the salt supply and take thyroid medications, there’s a higher probability that you do have Hashimoto’s? Depending on the source, estimates are that between 90-95% of those with hypothyroidism have Hashimoto’s. The thyroid is very sensitive to iodine levels and has been shown to adapt its physiology based on the available levels of iodine. The relationship between iodine intake and occurrence of thyroid disease has been described to have a U-shape distribution; another Goldilocks supplement!I’m very hesitant in recommending iodine in Hashimoto’s. Although iodine serves as fuel for our thyroid and is very important in iodine deficiency hypothyroidism, Hashimoto’s is a different mechanism. It’s like pouring gas into an engine that’s on fire… that’s essentially what’s happening in Hashi’s, thyroid inflammation, and adding iodine to the mix before putting out the fire and fixing the engine may result in further damage to the thyroid. In those with a predisposition to autoimmunity, this has been documented time and time again, animal and human studies. I have spent 4 years researching this and have seen too many people suffering the consequences of adding iodine too soon. My approach is, let’s fix the engine first (usually a gut issue), and then add the fuel once we know that the engine is no longer on fire. Hope that you will check out my book. I have a whole chapter on the iodine controversy that references numerous studies as well as the work of Abraham and Brownstein.

      AMAZON
      http://www.amazon.com/gp/product/0615825796?ie=UTF8&camp=1789&creativeASIN=0615825796&linkCode=xm2&tag=thyroipharma-20

      Reply

      • Kristina Xega says

        Hello Dr Isabela Wentz,
        i am a beginner on Hashimoto club,
        Is 9 months now that i was diagnosed with Hashimoto and this in the age 53 years old.It all started after the dath of my hasband last year.
        I broke down and fell in deepest depresion of all my life.This moment killed all of me and changed me in to a ill very ill person.
        To this day i lived a life without symptomes ,i was never ill i was very strong and full energy .
        This is all gone and here i am reaching out for an answer that can bring me back again.
        I hope you have this answer.
        Thank you for been there as a hope for the future.

        Reply

    • Dr. Izabella Wentz says

      Melissa- I’m very hesitant in recommending iodine in Hashimoto’s. Although iodine serves as fuel for our thyroid and is very important in iodine deficiency hypothyroidism, Hashimoto’s is a different mechanism. It’s like pouring gas into an engine that’s on fire… that’s essentially what’s happening in Hashi’s, thyroid inflammation, and adding iodine to the mix before putting out the fire and fixing the engine may result in further damage to the thyroid. In those with a predisposition to autoimmunity, this has been documented time and time again, animal and human studies. I have spent 4 years researching this and have seen too many people suffering the consequences of adding iodine too soon. My approach is, let’s fix the engine first (usually a gut issue), and then add the fuel once we know that the engine is no longer on fire. Hope that you will check out my book. I have a whole chapter on the iodine controversy that references numerous studies as well as the work of Abraham and Brownstein.

      AMAZON
      http://www.amazon.com/gp/product/0615825796?ie=UTF8&camp=1789&creativeASIN=0615825796&linkCode=xm2&tag=thyroipharma-20

      Reply

  5. Martha homrig says

    this might help me with my thyroid problems i do not take any medications any more because of the side effects
    Reply

  8. karen elliott says

    i recently (september) had half of my thyroid removed because of a nodule which was benign and so i am left with half of my thyroid. I am taking synthroid but having a problem with weight and muscle weakness should the other half of the thyroid be taking over or do I have hypothyroidism and what can I do to loose weight
    Reply

    • Dr. Izabella Wentz says

      Karen- Most thyroid conditions result from the immune system attacking the thyroid because the immune system is out of balance. Even when the thyroid is taken out surgically, is ‘dead’, or treated with radioactive iodine the autoimmunity still persists in most cases. Many people will have their thyroids removed, and will develop new autoimmune disorders such as Lupus, Rheumatoid arthritis, etc. The immune system just finds a different target. We need to re-balance the immune system to prevent this (sometimes the autoimmunity can be reversed as well). The gut determines your immune system. With the exception of discussing proper thyroid medication dosing, the majority of my website and my book focuses on balancing the immune system. The info I present is based on my own research and journey for overcoming my autoimmune thyroid condition.

      HASHIMOTO’S ROOT CAUSE BOOK
      http://www.amazon.com/gp/product/0615825796?ie=UTF8&camp=1789&creativeASIN=0615825796&linkCode=xm2&tag=thyroipharma-20

      Reply

    • Dr. Izabella Wentz says

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

      Most people will see a dramatic reduction in gut symptoms, brain symptoms, skin breakouts and pain by eliminating the foods they are sensitive to. Some will also see a significant reduction in thyroid antibodies! An additional subset of people, will actually be able to get their Hashimoto’s into complete remission just by getting off the foods they react to, normalizing their thyroid antibodies, and some even normalizing their thyroid function! Here are a couple of articles you may find helpful.

      FOOD SENSITIVITIES AND HASHIMOTO’S
      https://thyroidpharmacist.com/articles/food-sensitivities-and-hashimotos

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

      Reply

  10. Christy says

    I had a partial thyroidectomy due to a large benign goiter. It was causing dysphagia. So it’s possible to have a non cancer nodule removed. It was supposed to only be the nodule, but when I woke up it was half of my thyroid due to the way it looked to my doctor.
    Reply

    • Dr. Izabella Wentz says

      Christy- Most thyroid conditions result from the immune system attacking the thyroid because the immune system is out of balance. Even when the thyroid is taken out surgically, is ‘dead’, or treated with radioactive iodine the autoimmunity still persists in most cases. Many people will have their thyroids removed, and will develop new autoimmune disorders such as Lupus, Rheumatoid arthritis, etc. The immune system just finds a different target. We need to re-balance the immune system to prevent this (sometimes the autoimmunity can be reversed as well). The gut determines your immune system. With the exception of discussing proper thyroid medication dosing, the majority of my website and my book focuses on balancing the immune system. The info I present is based on my own research and journey for overcoming my autoimmune thyroid condition.

      HASHIMOTO’S ROOT CAUSE BOOK
      http://www.amazon.com/gp/product/0615825796?ie=UTF8&camp=1789&creativeASIN=0615825796&linkCode=xm2&tag=thyroipharma-20

      Reply

  13. Stacey Rawlings says

    Just curious–before I was diagnosed with hypothyroidism, my hair was falling out in clumps (thank God I had a ton of it so it’s not so noticeable). In January I was tested for and diagnosed with Hashimoto’s and celiac disease and changed to a gluten free diet. Wondering if the hair loss is reversible now that I am finally on the path to being healthy or if that is a permanent side effect.
    Reply

  15. Victoria says

    I have had to add Biotin to my list of supplements to help with hair loss, especially thinning in the front. Since adding the Biotin my hair has stopped falling out and I have little hairs growing back in that I can see. I got the gelcaps at the pharmacy, in 10,000 MCG, and take two a day. It took about six weeks to see the new hair coming in, but only took about a week to notice less hair coming out in the shower and the brush. I have recommended this to many women I met when I was a hair stylist and all of them had good results as well.
    Reply

  16. Brandy says

    Hi, Victoria
    I was wondering if you would be willing to share what other supplements you are taking daily. I have found myself that Biotin does help with the hair growth. I didn’t know we could take that much.
    Thank You
    Reply

  18. Teresa Prefountain says

    Stacey, I started using a natural line of supplements in April 2014. Since then I haven’t been experiencing the same hair loss and my hair grows like crazy now. My hair stylist can’t believe it. I was just in to see her Saturday for another cut and she couldn’t believe it because I was there in January. I used to only need hair cuts 4-5 times a year.
    Reply

    • Dr. Izabella Wentz says

      Teresa- 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.

      http://www.amazon.com/gp/product/0615825796?ie=UTF8&camp=1789&creativeASIN=0615825796&linkCode=xm2&tag=thyroipharma-20

      Reply

    • Dr. Izabella Wentz says

      Sandra- 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.

      http://www.amazon.com/gp/product/0615825796?ie=UTF8&camp=1789&creativeASIN=0615825796&linkCode=xm2&tag=thyroipharma-20

      Reply

  21. Alisia Klimasewiski says

    If someone has a FOD or CPT2 should they eat Paleo. Should that be discussed when promoting a high fat diet? I went Paleo because of the info you have posted about it and feel horrible. Some people need carbs and lots of them. Please educate about FOD’s.
    Reply

    • Dr. Izabella Wentz says

      Alisia- The gold standard, or the most accurate test for uncovering reactive foods and individual food sensitivities is actually the Elimination Diet.

      It works better than trying a recommended dietary approach (i.e. gluten-free, Paleo, etc.) and even better than food sensitivity testing (which may be helpful in many cases, but may not be affordable for many people). The elimination diet can work as a stand-alone or in symphony with food sensitivity testing.

      In contrast to other diets that simply exclude common problematic foods, an elimination diet is done to determine what particular food intolerances the individual may have. This allows us to tailor the diet to the person, not to the dietary philosophy! Going though an elimination diet will help you figure out your own individual food triggers and your specific response to each trigger food. Here is an article you may find interesting! 🙂

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

      Reply

  24. Jamie says

    What about “reducing dietary Neu5Gc by replacing beef, dairy, lamb, and pork with seafood and bird meats”?
    Reply

  25. Brooke says

    Isabella, for those unwanted pests that may be in our gut causing inflammation do you recommend daimacaeous earth stuff to get rid of parasites?
    Reply

  27. Tracy Jones says

    Does this apply if I don’t have a thyroid at all. I am negative for TPO Antibodies, but I have several autoimmune diseases as well my thyroid was removed because of swelling. I am so frustrated my spleen is enlarged now
    Reply

    • Dr. Izabella Wentz says

      Tracy- Most thyroid conditions result from the immune system attacking the thyroid because the immune system is out of balance. Even when the thyroid is taken out surgically, is ‘dead’, or treated with radioactive iodine the autoimmunity still persists in most cases. Many people will have their thyroids removed, and will develop new autoimmune disorders such as Lupus, Rheumatoid arthritis, etc. The immune system just finds a different target. We need to re-balance the immune system to prevent this (sometimes the autoimmunity can be reversed as well). The gut determines your immune system. With the exception of discussing proper thyroid medication dosing, the majority of my website and my book focuses on balancing the immune system. The info I present is based on my own research and journey for overcoming my autoimmune thyroid condition.

      HASHIMOTO’S ROOT CAUSE BOOK
      http://www.amazon.com/gp/product/0615825796?ie=UTF8&camp=1789&creativeASIN=0615825796&linkCode=xm2&tag=thyroipharma-20

      Reply

  28. Miriam says

    Thank you so much for this article. I found it very helpful! I’m a vegetarian and eat a lot of these foods but never gone gluten free. I think I’ll try it now! I’m feeling OK now with my current “meat free” diet, but had felt terribly some times. My thyroid was removed completely about seven years ago.
    Reply

    • Dr. Izabella Wentz says

      Miriam- Most thyroid conditions result from the immune system attacking the thyroid because the immune system is out of balance. Even when the thyroid is taken out surgically, is ‘dead’, or treated with radioactive iodine the autoimmunity still persists in most cases. Many people will have their thyroids removed, and will develop new autoimmune disorders such as Lupus, Rheumatoid arthritis, etc. The immune system just finds a different target. We need to re-balance the immune system to prevent this (sometimes the autoimmunity can be reversed as well). The gut determines your immune system. With the exception of discussing proper thyroid medication dosing, the majority of my website and my book focuses on balancing the immune system. The info I present is based on my own research and journey for overcoming my autoimmune thyroid condition.

      HASHIMOTO’S ROOT CAUSE BOOK
      http://www.amazon.com/gp/product/0615825796?ie=UTF8&camp=1789&creativeASIN=0615825796&linkCode=xm2&tag=thyroipharma-20

      Reply

      • Robin DeChants says

        Can people with hashimoto’s and are gluten free benefit from drinking Essiac Tea? I was diagnosed about 2 yrs ago after a yr of pure hell. I finally added for antibodies to be tested and found a Dr who listened. I’m on 100mcg synthroid and even though I exercise and am gluten free I am still having weight and energy issues. Recently I had a bout of my hair falling out but has since stopped. At my worst my hair never fell out. Dr says my numbers are perfect but feel awful. I had maybe a 6 month period of feeling “good” and that was right after I started Synthroid. Now it’s just a constant battle with energy and weight.

        Reply

  29. Teresa Prefountain says

    i suffer from Hashimoto’s and had 1/2 my thyroid removed 4 years ago. I’ve suffered from extreme fatigue, hair loss and dry skin. I started using a line of natural supplements in April 2014 and have so much sucess. I’ve lost 40 lbs my hair and skin are healthier now and I no longer have afternoon crashes from exhaustion. I feel so good.
    Reply

    • Dr. Izabella Wentz says

      Teresa- Most thyroid conditions result from the immune system attacking the thyroid because the immune system is out of balance. Even when the thyroid is taken out surgically, is ‘dead’, or treated with radioactive iodine the autoimmunity still persists in most cases. Many people will have their thyroids removed, and will develop new autoimmune disorders such as Lupus, Rheumatoid arthritis, etc. The immune system just finds a different target. We need to re-balance the immune system to prevent this (sometimes the autoimmunity can be reversed as well). The gut determines your immune system. With the exception of discussing proper thyroid medication dosing, the majority of my website and my book focuses on balancing the immune system. The info I present is based on my own research and journey for overcoming my autoimmune thyroid condition.

      HASHIMOTO’S ROOT CAUSE BOOK
      http://www.amazon.com/gp/product/0615825796?ie=UTF8&camp=1789&creativeASIN=0615825796&linkCode=xm2&tag=thyroipharma-20

      Reply

  31. Lori says

    What natural supplements did you start using in April? I have Hashimoto’s & no thyroid, progressively getting sicker.
    Reply

    • Dr. Izabella Wentz says

      Lori- 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.

      http://www.amazon.com/gp/product/0615825796?ie=UTF8&camp=1789&creativeASIN=0615825796&linkCode=xm2&tag=thyroipharma-20

      Reply

    • Dr. Izabella Wentz says

      Jessica- 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.

      http://www.amazon.com/gp/product/0615825796?ie=UTF8&camp=1789&creativeASIN=0615825796&linkCode=xm2&tag=thyroipharma-20

      Reply

  34. Gerri says

    Hi Teresa,
    I have had fibromyalgia for several years and have just been diagnosed with Hashimoto. I also have IBS and all the possible symptoms of Fibro. I finally got an appointment to see an endocrinoligist next week. The last 3 months have been horrible with extreme fatigue, occassional ansomnia, hives, dry skin, hairloss, joint pain, etc., etc. I am praying that the specialists i will be seeing will give me advise on supplements and not just rx drugs. I am nervous about trting a whole bunch of different meds and the do nothing but cause other problems. From my research so far I’m hearing that diet and the right suplements can help tremendously. Could u plase share which ones you take. My email is gaduarte20@gmail.com. Thank you and b bkessed!
    Reply

  37. debbie roe says

    Have had thyroid problems for 32 years. They have tryed different meds but every 3 months when I go back have to change my meds I’m on synthiord 2.25 right now was 2.50. I feel bad all the time stay sick at my stomach. I have had h poring twice. My skin stays dry hair loss tired all the time stressed depressedand have gained so much weight. I’ve tryed everything to feel better test .
    Reply

  38. Donna Gulyas says

    Due to Hashimotos, my thyroid is totally destroyed. Wyatt supplements should I be taking now that I don’t have a thyroid. I am feeling terrible on levitation. I see my doctor on April 2nd and hoping he will finally listen to me and change that!
    Reply

    • Dr. Izabella Wentz says

      Donna- Most thyroid conditions result from the immune system attacking the thyroid because the immune system is out of balance. Even when the thyroid is taken out surgically, is ‘dead’, or treated with radioactive iodine the autoimmunity still persists in most cases. Many people will have their thyroids removed, and will develop new autoimmune disorders such as Lupus, Rheumatoid arthritis, etc. The immune system just finds a different target. We need to re-balance the immune system to prevent this (sometimes the autoimmunity can be reversed as well). The gut determines your immune system. With the exception of discussing proper thyroid medication dosing, the majority of my website and my book focuses on balancing the immune system. The info I present is based on my own research and journey for overcoming my autoimmune thyroid condition.

      HASHIMOTO’S ROOT CAUSE BOOK
      http://www.amazon.com/gp/product/0615825796?ie=UTF8&camp=1789&creativeASIN=0615825796&linkCode=xm2&tag=thyroipharma-20

      Reply

  39. primal says

    @Donna Gulyas, levitation? Wyatt? Metaphysical pharmaceuticals .. try exercise, fresh air, pure easy to digest food, and people who promote your natural health.
    Reply

  40. Kristen S. says

    I was diagnosed with Hashimotos in 2009 and have been on Synthroid. I was told all of my issues are Hashimotos and deal with it. I have found a Functional Medicine Chiropractor who wants to charge me a lot of money out of pocket that is not billable through insurance. Is going through him worth it or are these tests something I can do on my own for a fraction of the cost? Would really like direction. He also wants to see me every week for 24 weeks! Huge time commitment as well. Thanks for any information you can provide.
    Reply

  41. Nhelta says

    I have had a total thyroidectomy and the levothryoxine makes me really sick but I also realized Ince i don’t eat gluten for a little while I feel a bit better. What natural supplements can I use to help me? My hair became brittle dry and shedding so I ended up cutting it all off. Any recommendations I would be grateful. Thanks
    Reply

    • Dr. Izabella Wentz says

      Nhelta- Most thyroid conditions result from the immune system attacking the thyroid because the immune system is out of balance. Even when the thyroid is taken out surgically, is ‘dead’, or treated with radioactive iodine the autoimmunity still persists in most cases. Many people will have their thyroids removed, and will develop new autoimmune disorders such as Lupus, Rheumatoid arthritis, etc. The immune system just finds a different target. We need to re-balance the immune system to prevent this (sometimes the autoimmunity can be reversed as well). The gut determines your immune system. With the exception of discussing proper thyroid medication dosing, the majority of my website and my book focuses on balancing the immune system. The info I present is based on my own research and journey for overcoming my autoimmune thyroid condition.

      HASHIMOTO’S ROOT CAUSE BOOK
      http://www.amazon.com/gp/product/0615825796?ie=UTF8&camp=1789&creativeASIN=0615825796&linkCode=xm2&tag=thyroipharma-20

      Reply

  44. Gretell says

    I have hypothyroidism is coffee good for you. I changed my meds recently.I was on synthroid now I take armor synthroid which I was told is natural and is from pigs gut. I will take anything to feel better. Please, dr.went, izabella help feel better and loose this twenty pounds extra that I have put on.
    Reply

    • Dr. Izabella Wentz says

      Gretell- In some,removal of gluten will lead to intestinal healing within three months,
      in others, it may take up to two years. Other foods may cross-react with gluten and cause a similar immune response as well as intestinal permeability, and include: dairy products, chocolate, yeast, oats, and coffee. When it comes to weight gain these are a couple of things to think about.

      1) What was your recent TSH, Free T3 and Free T4? Sometimes when those numbers are on the outskirts of normal, your metabolic rate may still be impaired making it more difficult for you to burn calories. Most people report feeling well with a TSH between 0.5-2.

      2) What type of medication are you on? Some report more weight loss with T4/T3 combinations (Armour, Nature-Throid, compounded medications) versus T4 medications (Synthroid, Levoxyl, Tirosint) alone. T4 is a precursor to T3, but some individuals do not convert T4 to T3 properly, and the T3 component is the metabolically active one.

      3) What type of diet are you eating? Some report more weight loss with T4/T3 combination vs T4 alone. Some do not convert T4 properly.The Standard American Diet (S.A.D.) full of sugar and simple carbohydrates is perfectly designed to cause us to gain weight year after year. Even yogurts that are marketed as “healthy” contain the equivalent of 16 teaspoons of sugar. Divorcing the S.A.D. is often a step that many of us must take to not just lose weight, but to also feel better. Some diets that have been helpful include the Body Ecology Diet, the Paleo Diet, the Virgin Diet, Autoimmune Paleo Diet, GAPS diet, SCD diet, Weston A. Price Diet, or the Mediterranean Diet. You may need to modify these diets to your own individuality.

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

      HOW TO LOSE WEIGHT WITH HASHIMOTO’S AND HYPOTHYROIDISM
      https://thyroidpharmacist.com/articles/how-to-lose-weight-with-hashimotos

      Reply

  45. Judy Gorman says

    I drink coffee every day. I am on synthroid for hypothyroidism. I have been on Synthroid for over four years. I feel great but is coffee good for me. I am 75 years old and very active.
    Reply

    • Dr. Izabella Wentz says

      Judy- In some, removal of gluten will lead to intestinal healing within three months,
      in others, it may take up to two years. Other foods may cross-react with gluten and cause a similar immune response as well as intestinal permeability, and include: dairy products, chocolate, yeast, oats, and coffee. Coffee, alcohol, and tea (except for herbal tea) may need to be avoided. Caffeine stimulates ACTH, which in turn stimulates the adrenals and cortisol production.

      ARE YOUR ADRENALS SABOTAGING YOUR HEALTH?
      https://thyroidpharmacist.com/articles/are-your-adrenals-sabotaging-your-health

      Reply

  46. Debbie says

    I have been completely off medication for about 5 years. I started by taking kelp tablets and coconut oil. Also I heard that if you are iodine deficient, your thyroid gland will replace iodine with whatever if can. Including flouride.
    Reply

    • Dr. Izabella Wentz says

      Debbie- I’m very hesitant in recommending iodine in Hashimoto’s. Although iodine serves as fuel for our thyroid and is very important in iodine deficiency hypothyroidism, Hashimoto’s is a different mechanism. It’s like pouring gas into an engine that’s on fire… that’s essentially what’s happening in Hashi’s, thyroid inflammation, and adding iodine to the mix before putting out the fire and fixing the engine may result in further damage to the thyroid. In those with a predisposition to autoimmunity, this has been documented time and time again, animal and human studies. I have spent 4 years researching this and have seen too many people suffering the consequences of adding iodine too soon. My approach is, let’s fix the engine first (usually a gut issue), and then add the fuel once we know that the engine is no longer on fire. Hope that you will check out my book. I have a whole chapter on the iodine controversy that references numerous studies as well as the work of Abraham and Brownstein.

      AMAZON
      http://www.amazon.com/gp/product/0615825796?ie=UTF8&camp=1789&creativeASIN=0615825796&linkCode=xm2&tag=thyroipharma-20

      Reply

  47. Kristy says

    I was diagnosed with a hypothyroid 3 years ago and am currently on Synthroid. I was sick for years before my diagnosis. Could I have had Hashimotos even though I was never diagnosed with it? Would eating Paleo help with my Hypothyroid ? Is it something that with a clean diet could eventually be reversed? I would love to eventually be free from my medication for good.
    Reply

    • Dr. Izabella Wentz says

      Kristy- Did you know that if you live in the United States, the UK, Australia, Europe and most developed countries that add iodine to the salt supply and take thyroid medications, there’s a higher probability that you do have Hashimoto’s?Depending on the source, estimates are that between 90-95% of those with hypothyroidism have Hashimoto’s. But most doctors will never tell people that they have Hashimoto’s, or that their own immune system is attacking their thyroid. People are told that their “thyroid is sluggish”, and that these things happen with age and “Just take this pill, you’ll be fine.”

      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/

      Reply

      • Tris says

        TOFU AND TEMPEH???

        Hi Dr Wentz. I am a hashimotos patient and have been adapting a vegan diet. I thought staying away from soy (tofu and tempeh) and gluten (including seitan) should help keep my thyroid health in check. But I’m starting to wonder if the vegan forms of protein in soy like the tofu and tempeh would be harmful since they are considered fermented??? I thought I would just double check with u because I see a lot of vegan recipes including tofu, tempeh, and seitan. Mainly for protein I’ve been using nuts and seeds and protein powder (hemp protein). But it’s starting to become boring and meals seem incomplete. I accidentally became a vegan when I was doing a juice fast. I felt phenomenal! Then I had to take an emergency trip and couldn’t bring my juicer so instead I just ate raw fruits, veggies and nuts. Sometimes I made warm salads but that was the beginning of becoming vegan. I also assume seitan is completely out of the question since it’s pure gluten protein. Just looking to expand options… thank you?

        Reply

        • Dr. Izabella Wentz says

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

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

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

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

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

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

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

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

          Reply

  48. Amelia Ramos says

    Thank you for posting this article. I typically eat 1-2 servings of almonds a day. I like them as a snack, and I incorporate almond butter in my protein shakes. Maybe I should switch to cashew butter for a while…. BTW, I love your book. It has been very helpful for dealing with my Hashimoto’s and hypothyroidism.
    Reply

  49. Trace says

    I did some allergy testing for my Hashimotos. It showed I was sensitive to soy, sulphur, brewers yeast, malt, walnuts and potatoes. Selenium I take drops.
    Reply

  50. Gena says

    I need to know if I can take Navarro to increase my testosterone level while having hashimoto thyroiditis. I am squishy, can’t lose weight, and my test was 18.7
    Reply

    • Dr. Izabella Wentz says

      Gena- When it comes to weight gain these are a couple of things to think about.

      1) What was your recent TSH, Free T3 and Free T4? Sometimes when those numbers are on the outskirts of normal, your metabolic rate may still be impaired making it more difficult for you to burn calories. Most people report feeling well with a TSH between 0.5-2.

      2) What type of medication are you on? Some report more weight loss with T4/T3 combinations (Armour, Nature-Throid, compounded medications) versus T4 medications (Synthroid, Levoxyl, Tirosint) alone. T4 is a precursor to T3, but some individuals do not convert T4 to T3 properly, and the T3 component is the metabolically active one.

      3) What type of diet are you eating? Some report more weight loss with T4/T3 combination vs T4 alone. Some do not convert T4 properly.The Standard American Diet (S.A.D.) full of sugar and simple carbohydrates is perfectly designed to cause us to gain weight year after year. Even yogurts that are marketed as “healthy” contain the equivalent of 16 teaspoons of sugar. Divorcing the S.A.D. is often a step that many of us must take to not just lose weight, but to also feel better. Some diets that have been helpful include the Body Ecology Diet, the Paleo Diet, the Virgin Diet, Autoimmune Paleo Diet, GAPS diet, SCD diet, Weston A. Price Diet, or the Mediterranean Diet. You may need to modify these diets to your own individuality.

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

      HOW TO LOSE WEIGHT WITH HASHIMOTO’S AND HYPOTHYROIDISM
      https://thyroidpharmacist.com/articles/how-to-lose-weight-with-hashimotos

      Reply

  52. Tracey S says

    Interesting information. What I find, though, when I read health newsletters and such, is that articles are well-written but not referenced. Could you please cite your sources for this information? This will also help build credibility among practitioners. Thanks for what you are doing to promote healthy eating and living.
    Reply

  53. Marie says

    Hi, was just wondering if anyone has tried herbalife? I have hypothyroidism and am not sure if it is safe to use
    Reply

    • Dr. Izabella Wentz says

      Marie- 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.

      http://www.amazon.com/gp/product/0615825796?ie=UTF8&camp=1789&creativeASIN=0615825796&linkCode=xm2&tag=thyroipharma-20

      Reply

  54. Psm says

    Sounds like maybe you have Leaky Gut Syndrome…from what I’ve read, fixing the gut will help incredibly with healing the rest of our body. I’m starting that journey July 1st. Best of luck to u in finding your healing journey. 🙂
    Reply

    • Dr. Izabella Wentz says

      Amy- 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.

      http://www.amazon.com/gp/product/0615825796?ie=UTF8&camp=1789&creativeASIN=0615825796&linkCode=xm2&tag=thyroipharma-20

      Reply

  57. Pat says

    Once you have your thyroid under control your hair will grow back.. I take 1000 mcg of biotin now . When my hair first fell out I lost over 85% of it and was taking 3000mcg
    Reply

    • Dr. Izabella Wentz says

      Laurie- 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.

      http://www.amazon.com/gp/product/0615825796?ie=UTF8&camp=1789&creativeASIN=0615825796&linkCode=xm2&tag=thyroipharma-20

      Reply

  61. shelley N. says

    Hi Kristen, I have Hashi’s and have been on Synthroid for a long time. I saw a functional medicine doctor 3 years ago. He told me to go gluten, dairy, corn, soy free. I did go about 99% GF and lowered my dairy but did not cut out soy or corn (but I didn’t each that much anyway). I did not and do not have a lot of symptoms, although lately I seem to not feel as well, so getting hormone tested ’cause don’t know if it’s Hashi’s or menopause or both. Anyway, yes, it is expensive to see a functional medicine doctor but I think that they will basically just tell you the same thing: cut out gluten, dairy, corn and soy. And they will recommend vitamins and supplements. From a lot of reading I do myself, I figured out the major ones I should be taking. The functional doctor also wanted to do a host of tests, i.e., ALCAT, stool, spit test (adrenals). I’m not sure how much I believe in them so I opted not to take them. Although, 3 years later out of curiosity I did do the ALCAT on my own ($700). In short, by just going GF, cutting out most dairy and just eating healthy (not a lot of sugar), I think I have been able to take control of my thyroid issues. I’ve been off Synthroid for awhile. Another thing my functional dr. told me is “just eat sushi twice a week and 2 Brazil nuts twice a day.” It has something to do with the iodine and selenium. So I do try to eat the little seaweed snacks and also sushi every 1 or 2 weeks. Hope this helps.
    Reply

    • Dr. Izabella Wentz says

      Shelley- I’m very hesitant in recommending iodine in Hashimoto’s. Although iodine serves as fuel for our thyroid and is very important in iodine deficiency hypothyroidism, Hashimoto’s is a different mechanism. It’s like pouring gas into an engine that’s on fire… that’s essentially what’s happening in Hashi’s, thyroid inflammation, and adding iodine to the mix before putting out the fire and fixing the engine may result in further damage to the thyroid. In those with a predisposition to autoimmunity, this has been documented time and time again, animal and human studies. I have spent 4 years researching this and have seen too many people suffering the consequences of adding iodine too soon. My approach is, let’s fix the engine first (usually a gut issue), and then add the fuel once we know that the engine is no longer on fire. Hope that you will check out my book. I have a whole chapter on the iodine controversy that references numerous studies as well as the work of Abraham and Brownstein.

      AMAZON
      http://www.amazon.com/gp/product/0615825796?ie=UTF8&camp=1789&creativeASIN=0615825796&linkCode=xm2&tag=thyroipharma-20

      Reply

  63. anita says

    Hi im 39 year old just was diagnosed with hypothyroidism my blodd results showed 11 low.. im lossing lots of hair they put me on synthroid 100mcg…im always constipated. …fatigue … is there any information you can help me with to stop my hair from falling please.. im taking vitamin D5000iu…one 65mg…and a multivatim. …i was taking a biotin but dr said i dont need ….please help what can i do?
    Reply

  64. Anna says

    I was diagnosed with hypothyroidism, but not Hashimoto, because my antiTPO values are good. Should I go gluten-free and dairy free in this case, too? I am not autoimmun patient, that is sure. Thank You!

    Reply

    • Dr. Izabella Wentz says

      Anna- The gold standard, or the most accurate test for uncovering reactive foods and individual food sensitivities is actually the Elimination Diet.

      It works better than trying a recommended dietary approach (i.e. gluten-free, Paleo, etc.) and even better than food sensitivity testing (which may be helpful in many cases, but may not be affordable for many people). The elimination diet can work as a stand-alone or in symphony with food sensitivity testing.

      In contrast to other diets that simply exclude common problematic foods, an elimination diet is done to determine what particular food intolerances the individual may have. This allows us to tailor the diet to the person, not to the dietary philosophy! Going though an elimination diet will help you figure out your own individual food triggers and your specific response to each trigger food. Here is an article you may find helpful! 🙂

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

      Reply

  65. Barbara Hyde says

    Hello,
    First of all thank you so much for all the research you do so that we in the Hashimotos community can live healthier lives. I, for one, am so grateful. Izabella I was wondering if you know anything about Juice Plus which is a vegetable juice capsule containing a number of (but not exclusively) goitogenic foods. Do you think it would be safe for someone like me with both Hashimots and Lyme disease?
    I don’t want to put you on the spot but a caution or go ahead would really help me. Thank you so much Izabella.
    Kind regards,
    Barb Hyde

    Reply

  66. Mona says

    Hi Dr Izabella,

    I am eagerly waiting for your new book, which will be releasing in March !!

    I read your last book, few months back, and have started with my journey of lifestyle interventions like going Gluten, Soy, Dairy, Corn and Nuts free. I have also started taking selenium supplements and other vitamin supplements like Vitamin B12, zinc, iron, cod liver capsules and adaptogens (ashwagandha & licorice).
    Fatigue and body aches which I used to have every morning have completely gone. I have now more energy and my brain fog has also vanished, in just four month of following these interventions
    However what I find surprising is that my TPO antibodies have increased from 300 to more than 1000 !? I am really surprised…after doing so much of hard work. My TSH seems to have reduced a little bit (around 7 now).
    Could you please throw some light, on where could I be going wrong as I am really working hard and such results are really demotivating !
    Thanks.

    Reply

  67. Farhan Usmani says

    Hello Dr Izabella,
    I am from India; I was diagnosed with Hashimoto 3 months back with TSH at 58 and TPO antibodies 1300 and the endocrinologist straight away suggested me to be on Eltoxin 50 which I was very reluctant to start as I am keen on knowing what is wrong with my immune system and I wanted to get the root cause but the trouble is I don’t see doctors having such good knowledge as I found in your articles. I then turned up towards a Ayurveda and though the doctor started medicine but she advised me to start eltroxin which may eventually be removed as well as my TSH was quite high. So I am now on Ayurvedic medicines and Eltroxin but alongside I am also looking to create the right diet plan for me which I can follow to eat what is right and will help and avoid anything that may harm but I am not reaching anywhere. Some sites says avoid X item and other site mentions that same X item can be taken and am very much confused. I don’t folllow any specific diets and eat most of the things, with my breakfast consisting of egg and breakfast cereals and in other meals I have wheat and rice and pulses but I know that is not enough and I might be eating things which may be harming me, Some sites also mentions eggs should not be taken so I am very unsure and concerned. Kindly advise.

    Thanks,
    Farhan

    Reply

  68. Selina says

    Hello Dr. Izabella,
    Can people with Hashimoto’s eat corn? I always see gluten free on items made with corn.

    Reply

    • Dr. Izabella Wentz says

      Selina – thank you for following this page.

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

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

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

      Most people will see a dramatic reduction in gut symptoms, brain symptoms, skin breakouts, and pain by eliminating the foods they are sensitive to. Some will also see a significant reduction in thyroid antibodies! An additional subset of people will actually be able to get their Hashimoto’s into complete remission just by getting off the foods they react to, normalizing their thyroid antibodies, and some even normalizing their thyroid function!

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

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

      Reply

  69. Ombretta says

    Dear Dr Wentz, I wanted to ask you, as a general consideration: If someone with Hashimoto’s and already on a gluten free diet were to accidentally ingest gluten once, would we have a rise in antibodies so significant as to threaten his thyroid or throw his values out of balance?

    Reply

  70. Vivian says

    Dr Izabella, I haven reading many of your articles and have been able to reduce my thyroid antibodies by half. However I cannot take betain as I suffered with terrible pains and burning sensations in my stomach. Then I read your article that you shouldn’t take betain if you have gastritis which I do. Also I have an absorption issue and am deficient in many vitamins and minerals. I don’t absorb fats. As a consequence of being on the paelo diet, even though I felt better, I lost a LOT of weight so had to start eating more carbohydrates to gain and stabilise my weight. How can I increase my absorption especially of proteins and fats?

    Reply

  71. Yas says

    Dear Dr. Izabella Wentz,
    I came across your website as I have been trying to dig out the reason behind my costochondritis which i have had for the past eight months without finding any major cause. I was wondering if you have ever heard of anybody with Hashimoto’s or any other thyroid disorders with costochondritis, only to find out that the only reason for it was the thyroid disorder. I’ve been doing all the tests and nothing is really showing up on my tests (TSH, T4, T3, antibodies, TPO, Ag) but somehow I have all the symptoms of Hashimoto… I’ve done an ultrasound and they’ve found a massive nodule (which is non-cancerous). Otherwise, my other symptoms include:
    1) heart palpitation and heart rate sitting at higher rate than my normal (56bpm used to be my normal and now it seats between 75 and 80bpm!!!!)
    2) chronic fatigue (since forever)
    3) hormonal imbalance which has resulted in super heavy and irregular periods
    4) excessive sweating at night
    5) heart burn –> this one is new!!!
    6) headaches
    7) cold hands and feet all the time
    8) and of course my chest inflammation (Costochondritis), which is killing me because I can’t exercise too much (i used to do a lot of exercise before)
    but nothing shows on my tests! my TSH is between 1 and 2, no anti-bodies detected, T3 and T4 okay range…. just the massive nodule and all the horrible symptoms.
    Is it possible to have Hashimoto and virtually nothing showing up in blood tests? and could my costochondritis be related?

    I’ve just ordered your book and will go through it religiously even if i don’t have Hashimoto… I just want my heart and my chest to be normal again.

    many thanks,
    Yas

    Reply

  72. An Lina says

    Hi! I am a TB Meningitis survivor and had focal seizures thereafter. That’s when I started drinking coffee after taking my anti-seizure medications in the morning because I need to stay up for my classes. And just last year, when my dosage was almost doubled, I needed to consume at least 2-3 cups a day. Then a month after, I noticed that I feel rather weak and had significant weight gain, plus falling hair. When I consulted my endocrinologist, I was found to have been suffering from Hashimoto’s disease and was given Levothyroxine. I was just wondering if this was because of my increased coffee consumption? And why am I still gaining weight until now? Thank you

    Reply

    • Dr. Izabella says

      An Lina – thank you for reaching out. 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

      Here is an article you might find helpful as well.

      CONTROVERSY COFFEE AND YOUR THYROID
      https://thyroidpharmacist.com/articles/controversy-coffee-bad-thyroid-myths-truths/

      Reply

  73. April says

    I have purchased your books. Followed the diet. Bought the supplements. Worked with functional doctor and continue to suffer. Recently discovered that I am over-medicated on dessicated thyroid hormone. I have done stool testing, blood tests and been on strict diets. I also have Celiac disease which has not been a problem since cutting all grains out but have lingering gut issues.

    It has been 5 years of suffering and now that I am flat broke after buying all the supplements and testing…wondering if I just give up the fight. I’m beginning to believe that only the RICH and WEALTHY get well.

    Functional doctors are not in network and that’s the biggest drain on your wallet. My first visit was $700 and follow-ups $200 a pop. This does not include any testing or supplements. Emotionally drained..physically drained..bank account drained!!

    Reply

    • Dr. Izabella says

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

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

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

      Reply

  74. Jo Anne says

    I have replaced dairy in my coffee/tea with almond milk. #3 says daily almonds can cause sensitivities. Does this include almond milk? What alternative is there? cashew milk?

    Reply

    • Dr. Izabella says

      Jo Anne – thank you for following this page. After gluten, dairy and soy, almonds are one of the top reactive foods for people with Hashimoto’s. Did you know that reactive foods trigger an inflammatory response in the GI tract, leading to malabsorption of nutrients (gluten sensitivity, in particular, has been implicated in causing a Selenium deficiency, a well-known risk factor for Hashimoto’s), and can also produce intestinal permeability whenever they are eaten?

      Most people will see a dramatic reduction in gut symptoms, brain symptoms, skin breakouts, and pain by eliminating the foods they are sensitive to. Some will also see a significant reduction in thyroid antibodies! An additional subset of people will actually be able to get their Hashimoto’s into complete remission just by getting off the foods they react to, normalizing their thyroid antibodies, and some even normalizing their thyroid function! Here are a couple of articles you may find helpful.

      FOOD SENSITIVITIES AND HASHIMOTO’S
      https://thyroidpharmacist.com/articles/food-sensitivities-and-hashimotos

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

      Reply

  75. Andrea says

    Dr. Wentz,
    Thank you for all you do! I’m reading your Hashimoto Protocol book right now and would like to begin the reset. I noticed meats as well as bone broths are listed to eat. I’ve been a vegetarian the past 3 months and it’s helped with some of my inflammation. I’d like to move into being a vegan while following your reset. Can you suggest some form of protein other than meats?
    Thank you!

    Reply

    • Dr. Izabella says

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

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

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

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

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

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

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

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

      Reply

  76. Beth says

    Dr. Wentz,
    Thank you so much for all of the great information around Hashimoto’s and diet. I have been gluten free, dairy free and soy free for over a year, following a paleo diet, and am starting to feel like a normal person again, which is so great. I felt horrible for well over a decade and I’m so grateful to start feeling well again. Where I’m struggling is with weight. No matter what I do, the weight won’t come off. I’m wondering if I’ve just been hypothyroid for so long, that my metabolism is just broken. Any suggestions to kick start weight loss?

    Reply

    • Dr. Izabella says

      Beth – thank you for reaching out. I understand how frustrating this can be. <3 When it comes to weight gain these are a few things to think about.

      1) What was your recent TSH, Free T3 and Free T4? Sometimes when those numbers are on the outskirts of normal, your metabolic rate may still be impaired making it more difficult for you to burn calories. Most people report feeling well with a TSH between 0.5-2

      2) What type of medication are you on? Some report more weight loss with T4/T3 combinations (Armour, Nature-Throid, compounded medications) versus T4 medications (Synthroid, Levoxyl, Tirosint) alone. T4 is a precursor to T3, but some individuals do not convert T4 to T3 properly, and the T3 component is the metabolically active one.

      3) What type of diet are you eating? Some report more weight loss with T4/T3 combination vs T4 alone. Some do not convert T4 properly. The Standard American Diet (S.A.D.) full of sugar and simple carbohydrates is perfectly designed to cause us to gain weight year after year. Even yogurts that are marketed as "healthy" contain the equivalent of 16 teaspoons of sugar. Divorcing the S.A.D. is often a step that many of us must take to not just lose weight, but to also feel better. Some diets that have been helpful include the Body Ecology Diet, the Paleo Diet, the Virgin Diet, Autoimmune Paleo Diet, GAPS diet, SCD diet, Weston A. Price Diet, or the Mediterranean Diet. You may need to modify these diets to your own individuality.

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

      HOW TO LOSE WEIGHT WITH HASHIMOTO’S AND HYPOTHYROIDISM
      https://thyroidpharmacist.com/articles/how-to-lose-weight-with-hashimotos

      Reply

  77. Lina says

    Dr. Wentz, thank you for the all information you are providing to us! I have a question: how do we, Hashimoto’s, get the required high calcium daily intake (up to 1000mg) if we are sensitive to dairy? Also, is it safe for Hashimoto’s to consume iodine enriched regular salt? On a daily basis I consume only Himalayan salt, and very rarely – seaweed. So, I am concerned if I get the adequate iodine intake… Thank You!

    Reply

    • Dr. Izabella says

      Lina – thank you for reaching out. I am very hesitant in recommending iodine in Hashimoto’s. Although iodine serves as fuel for our thyroid and is very important in iodine deficiency hypothyroidism, Hashimoto’s is a different mechanism. It’s like pouring gas into an engine that’s on fire… that’s essentially what’s happening in Hashi’s, thyroid inflammation. Adding iodine to the mix before putting out the fire and fixing the engine may result in further damage to the thyroid. In those with a predisposition to autoimmunity, this has been documented time and time again, in animal and human studies.

      I have spent 4 years researching about this issue, and have seen too many people suffering the consequences of adding iodine too soon. My approach is, let’s fix the engine first (usually a gut issue), and then add the fuel once we know that the engine is no longer on fire. Hope that you will check out my books. I do have a chapter on the iodine controversy that references numerous studies as well as the work of Abraham and Brownstein. Here are the links to my books :

      Hashimoto’s Protocol
      http://amzn.to/2B5J1mq

      Hashimoto’s Root Cause
      http://amzn.to/2DoeC80

      Reply

  78. Claudia Ramos says

    I am going through menopause and was told I could use Maca to regulate my menopausal symptoms. However, since it is a brassica family vegetable, I heard it may worsen my hypothyroidism. Have you done any research on Maca? Thank you for your help.

    Reply

    • Dr. Izabella says

      Claudia – thank you for reaching out. 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. <3

      Reply

      • Claudia says

        My question was more about Maca. Have you done any research on the affects Maca may have on the thyroid? If not, no worries, just thought I would check. Thank you so much for taking the time to respond. I appreciate it.

        Reply

  79. Adrid says

    Dr. Isabella thank you very much for your work, i’m writing fronte italy.
    I read about an enzime called “serrapeptase ” that seems able to stop infiammation and dissolve the non -vital tissue halping the regeneration process. Do you know anything about it ? I ‘ d like to know what you think a out it. Thank you for your time

    Reply

    • Dr. Izabella says

      Adrid – thank you for reaching out. <3 That's a great question and unfortunately I don't have any information to share with you at this time but, I will add this to my list of future article possibilities. I would advise you to discuss this with your clinician.

      Reply

  80. Lauren Reed says

    I enjoyed your presentation in the Autoimmune Revolution Summit. Thank you. I did some research on filtering Fluoride from tap water. Most inline water filtration systems do not seem to handle fluoride. Probably because it is not considered a contaminant. Do you have any filter recommendations? Thanks

    Reply

  81. Cherie says

    Dr, Isabella, thank you so much for this article! I am one of those that can’t eat almonds because I get a severe allergic reaction to them. I have always not understood about carbs with ones who have a thyroid condition. Now, because of your article I’m starting to understand it more. If one is trying to do a low carb autoimmune diet, how many grams of carbs do you recommend? I’m a female in my 50s. Thank you for all of your work that you do!

    Reply

    • Dr. Izabella says

      Cherie – you are very welcome! I appreciate your support! <3 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!

      Reply

  82. sara says

    Hi,

    Thanks for the post. I have thyroid disease, too slow. But I really want to use DIM supplement for Oestrogen dominance. I do have a CBS mutation, a minor one. Can I still use DIM or would that be a problem?

    Thanks so much.

    Reply

    • Dr. Izabella says

      Sara – thank you for reaching out. <3 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.

      Reply

  83. Catherine says

    My teen was just diagnosed with Hashimoto’s (TPO Ab is 201) but all other thyroid activity is normal. She had a bout of alopecia areata which is how we ended up getting to this diagnosis. Negative for Celiac. I would like to get her on an auto-immune diet but do this in baby steps given her complete addiction to pasta and cheese. Would gluten-free substitutes be okay for now? GF pizza, GF pasta, etc while we slowly make the transition? Or do we need to go cold turkey? Thanks!

    Reply

  84. Amy-K says

    Hi Dr Wentz,
    I’m in my early 50s. I’ve had issues with weight gain, tinnitus, lumps in neck. While getting an ultrasound on neck lumps, my thyoid was checked also. What does ‘hypoechoic coarse parenchyma, no focal nodularity’ mean? I’ve tried to do some research; if there’s no focal nodule, does that mean there’s diffuse nodularity? {I have calcifications in breast tissue + family history of early (mum – mid-30s) breast cancer.}
    Blood tests showed thyroid antibodies. I’m due an autoimmune disease blood test soon as I have vitilgo patches.
    Should I be concerned with the ‘hypoechoic’ part? My Dr wants me to start thyoxine soon.

    Reply

    • Dr. Izabella says

      Amy – thank you for reaching out. I am sorry you are struggling with all of this. Please understand, I am unable to answer specific medical questions here. I recommend that you discuss this with your personal medical practitioner who is familiar with your health history is always best.

      Reply

  85. David Fouquette says

    Hi Izabella,
    As a very active type-1 diabetic and now with Hashimoto’s, it’s next to impossible to train with low carbs. Since complex carbohydrates are the primary fuel for energy, I’m having a very difficult time not eating adequate carbs for sustained energy. I’m doing my best to eat gluten-free. I still eat rice. Also, corned tortilla’s occasionally. Not sure why corn would be an issue. Any issues with potatoes? They are gluten-free. There’s no way that I can eat vegetables only for every meal. Thank you.

    Reply

    • Dr. Izabella says

      David – thank you for reaching out and sharing. I understand how hard this all is. I generally recommend the healing diets for 30-90 days. Most people will be able to reintroduce foods once they have healed their intestinal permeability. <3 The most common food sensitivities found in people with Hashimoto’s are gluten, dairy, soy, grains (corn, in particular), nightshades (potatoes, tomatoes, and peppers), nuts, and seeds. Did you know that reactive foods trigger an inflammatory response in the GI tract, leading to malabsorption of nutrients (gluten sensitivity, in particular, has been implicated in causing a Selenium deficiency, a well-known risk factor for Hashimoto's), and can also produce intestinal permeability whenever they are eaten? Most people will see a dramatic reduction in gut symptoms, brain symptoms, skin breakouts, and pain by eliminating the foods they are sensitive to. Some will also see a significant reduction in thyroid antibodies! An additional subset of people will actually be able to get their Hashimoto's into complete remission just by getting off the foods they react to, normalizing their thyroid antibodies, and some even normalizing their thyroid function! Here are a couple of articles you may find helpful.

      FOOD SENSITIVITIES AND HASHIMOTO'S
      https://thyroidpharmacist.com/articles/food-sensitivities-and-hashimotos

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

      Reply

  86. Eunice says

    Hi Dr Izabella Wentz!
    From the gut tests listed above, which would you recommend doing first? Unfortunately my antibody levels did not change a bit, even after being on AIP for 6 months. 🙁

    Reply

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