Dr. Izabella Wentz, PharmD

Thyroid Pharmacist

Supplements That Help Hashimotos

Which Supplements Actually Help Hashimoto’s?

Medically reviewed and written by Izabella Wentz, PharmD, FASCP

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Taking supplements can help restore your nutrient levels, overcome fatigue, and even increase hair growth. But as a pharmacist, I am well aware that all supplements are not created equally. Vitamin and supplement companies do not undergo the same scrutiny as pharmaceutical products. This can result in ineffective — and even dangerous — products. Here’s what you should look for when choosing supplements:

  • Supplements should be free of artificial additives, gluten, and dairy. Even small amounts can be detrimental and interfere with absorption.
  • Methylated forms of B12 (methylcobalamin) are superior to cyanocobalamin.
  • Folate should be in the form of methylfolate, metafolin, or naturefolate, especially for those with MTHFR gene variations. Avoid folic acid, which is a synthetic form of folate.
  • Formulations should be tested for purity, and the supplements should be tested to make sure the contents match the label description. I have spent a great deal of time researching and testing various supplement brands, but I’ve always been hesitant to recommend specific brands or even products that I created. I didn’t want people to think that I was giving them biased information because of my relationship with a specific company — or worse — that I was only sharing information to sell my own products.

In my first book, Hashimoto’s: The Root Cause, I kept recommendations to a minimum. However, numerous clients and readers have asked for specific recommendations and brands, and many had even asked that I formulate my own line of products. I get it. You’re busy and tired, and the last thing you want to do is to evaluate thousands of supplements out there to see which ones will work for you.

This is why I’ve created an eBook that outlines not just my favorite supplements, but also, specific brand recommendations and guidelines for use, including dosing and precautions.

I was also inspired to create my own line of supplements, called Rootcology, as I wanted to be sure that my clients were getting consistent results with my recommendations.

Below is an overview of the most common supplements I recommend. For a deeper dive into these supplements, recommended dosage amounts, testing information, and brands that I recommend, you can download my FREE eBook below!

1. Naltrexone

Naltrexone is actually a medication, rather than a supplement — but due to its low propensity to cause side effects, many say that it actually acts as a supplement. The primary use of Naltrexone is to counter drug addiction, but it also has an off-label use as an immune modulator. (1) When used in low doses, naltrexone has been found to reduce the autoimmune attack on the thyroid. (2)

Low Dose Naltrexone (LDN) helps reduce antibodies and stabilize immunity. It balances the immune system by increasing the amount of T-regulatory cytokines and modulating TGF-B. This leads to a reduction of Th17, which is a major promoter of autoimmunity. (3)

Many people have been able to eliminate their symptoms and reduce the dosage of their medications with LDN. I’ve also seen women with thyroid antibodies in the 1000s range, that have been able to reduce them down to about 100. Some people have even been able to get off their medications completely!

In the beginning of my journey, I used LDN for a few days, but gave up on it after experiencing symptoms of irritability. I now know that LDN works best in combination with a leaky gut diet, and in titrated doses so that it is better tolerated.

LDN is only available through compounding pharmacies and is not commonly prescribed, so it can be difficult to get access to this medication. I recommend reaching out to your local compounding pharmacist to find out which doctors in your area are knowledgeable about prescribing LDN. Read more about LDN here.

2. Probiotics

Intestinal permeability (leaky gut) is one of the three legs of autoimmunity. (4) We know that eating gluten can cause a leaky gut, and many people have been able to reduce their symptoms and antibodies by following a gluten-free diet. (5,6) However, there are various other root causes of intestinal permeability, including an imbalance of good and bad bacteria in the gut. (7)

We often use antibiotics to fight off bad bacteria and heal infections but, unfortunately, antibiotics also eliminate the good bacteria we need in our gut to help our digestion processes. If there aren’t enough good bacteria to keep the bad under control, they start damaging the gut walls causing leaky gut. Supplementing with probiotics is a natural way to put the good bacteria back in and help restore balance. (8)

Probiotics are known to help with anxiety, gut symptoms, extracting nutrients from our food, and balancing the immune system. (8-10) They can also help with treating Small Intestinal Bacterial Overgrowth (SIBO), which is present in over 50 percent of Hashimoto’s patients and can lead to a leaky gut. (11-13)

When supplementing with probiotics, you want to make sure you’re getting enough. I recommend starting off with a low dose and building your way up. Many probiotics sold in stores have around 10 billion colony-forming units, but your gut has a hundred trillion unit colonies of bacteria. So, most commercial probiotics and yogurts don’t have enough to really make a difference.

My favorite probiotics include Rootcology ProB 50, Klaire Labs Ther-biotic, and the yeast-based probiotic, Saccharomyces boulardii. In addition to supplementing with probiotics, I also enjoy eating fermented coconut yogurt, fermented coconut water, and fermented cabbage. Read more about probiotics here.

3. Selenium

Selenium is a natural antioxidant that provides support for the immune system and promotes healthy blood flow. It works in synergy with vitamin E to assist in healthy growth and fertility, protect normal cell function, and enhance the function of certain energy producing cells. (14 ) Selenium deficiency has been recognized as a trigger for developing Hashimoto’s. (15)

It is thought that when there is a depletion of selenium in the body, we are not able to neutralize hydrogen peroxide which is produced as a byproduct of thyroid hormone conversion. So, it begins damaging the surrounding tissue and may cause an influx of immune cells that tend to get confused and start attacking the immune system. The selenium forms selenoproteins to protect against hydrogen peroxide damage, and acts as a catalyst for converting inactive T4 into biologically active T3. (15)

Selenium has been found to reduce thyroid antibodies and make people with Hashimoto’s-induced anxiety feel calmer. (15,16) People have also been able to improve their thyroid conversion by taking selenium. (15) When the body is functioning at the optimal level, you feel good, and you’re able to process foods and detoxify naturally. This helps process stress, and life in general, and can lift your overall feelings of anxiety considerably.

Thyroid antibodies have been shown to be reduced by 50 percent in three to six months, with dosages of about 200 micrograms of selenium. (17) However, I recommend consulting with your practitioner to determine what dosage is best for you. Read more about selenium here.

4. Betaine with Pepsin

Betaine with pepsin is a natural, gastric acid that helps with the absorption of calcium, B12, protein, and iron. (18) It helps break down food for the body to absorb. This is especially significant in Hashimoto’s patients because many of us have a deficiency in stomach acid. (19)

The breakdown and digestion of protein requires stomach acid. If you’re not digesting your food properly, you’ll have more food sensitivities and symptoms of acid reflux. (20) It makes you tired because your body is using more resources to try to digest food, and it can also lead to liver backlog because you won’t be excreting toxins correctly. (21)

Based on my survey of 2232 people with Hashimoto’s, 50-70 percent of people with Hashimoto’s are likely deficient in stomach acid. Symptoms that improved for participants who supplemented with Betaine with Pepsin included higher energy levels, reduced pain, and improved moods. One-fourth of respondents even reported weight loss. Betaine with Pepsin helped me to digest proteins and finally get my energy back after almost 10 years of fatigue!

Betaine with Pepsin dosage needs to be individualized. The best way to find your target dose for Betaine with Pepsin is to start off with one capsule with a protein-containing meal. If you don’t feel anything, increase the dosage by one capsule with the next protein-containing meal. This rate of increase is continued until a slight burning sensation in your esophagus is felt. Then you know that you have too much stomach acid and need to decrease the dosage by one capsule. Read more about betaine with pepsin here.

5. Systemic Enzymes

Systemic enzymes help to normalize TSH and reduce or eliminate antibodies. (22) They work by helping to break down circulating immune complexes, which can trigger autoimmune disease. (23) Basically, an immune complex is where an antibody and antigen combine forces to damage our immunity. Breaking these immune complexes apart is very important in getting into remission because when they can’t attack the immune system, our bodies are given a chance to heal.

A poster presentation from April 21-24, 2002 presented in Cannes, France found that Wobenzym, a proprietary blend of systemic enzymes, taken at a dose of five capsules, three times per day, showed very promising results in Hashimoto’s.

In the study, 40 people with Hashimoto’s who were on levothyroxine were given systemic enzymes for 3-6 months. Participants saw a reduction of thyroid symptoms and antibodies, as well as a normalization of their thyroid ultrasound. Many patients were able to reduce their dose of levothyroxine or even discontinue their medications!

Systemic enzymes are best taken on an empty stomach, at least 45 minutes before a meal or 1 ½ hours after a meal. If you take them with food, they will be used for the digestion process instead of getting into the bloodstream to work against the immune complexes. I’ve seen great results with Wobenzym PS by Douglas Laboratories and the Systemic Enzyme Complex by Pure Encapsulations. Read more about systemic enzymes here.

6. Moducare

Our adrenals are critical to maintaining overall health. When the adrenals are out of balance, the rest of the body quickly follows suit. This is especially significant for Hashimoto’s patients because stress is often a major contributing factor, and the adrenals and immune system work so closely together. (24)
Moducare helps to promote a normal balance of the adrenal hormones, cortisol, and DHEA, and works as a safeguard against negative stress reactions. (25) It contains natural plant sterols and sterolins that balance Th1 and Th2 helper cells, which strengthens cellular immunity and overactive immune responses. People have been able to improve their adrenal function, as well as reduce antibodies to the thyroid and in other autoimmune conditions, with Moducare.

One study found that participants taking Moducare maintained a more healthy immune response in comparison to individuals taking a placebo. The healthier immune response was thought to be related to cortisol levels, which did not increase in response to the exercise stress in those taking Moducare. (25)

While these sterols can be found naturally in fruits and veggies, I’ve found that using supplements like Thorne Moducare works best because we don’t always know how much is in our foods. It may be helpful to try different amounts and work with your doctor to see what works best for you.

7. Thiamine (B1)

Thiamine (B1) is the fatigue terminator! Thiamine is required for proper release of hydrochloric acid in our stomachs, which is needed for proper protein digestion. (26) (Most people with Hashimoto’s have low stomach acid or do not release any stomach acid.) (19) Thiamine also supports blood sugar function, supports the adrenals, and can boost our energy levels.

One reader said: “After feeling really great with my dietary changes and supplements, I hit a wall. I had already been eating a Paleo diet and my digestion was 90% better, but I continued to struggle with my adrenals, energy levels, and blood pressure. Sometimes my blood pressure would be as low as 90/60 mmHg; my doctor would wonder how I was even walking! A few days after starting thiamine, my energy began to bounce back, and my blood pressure normalized.”

8. Vitamin B12

Vitamin B12 is the energy creator. Taking a vitamin B12 supplement is essential for vegans, and may be helpful for those with low stomach acid and pernicious anemia, until the conditions are corrected.

Low levels of hydrochloric acid, commonly found in those with Hashimoto’s, put people at risk for B12 deficiency. (27) (Note: An intake of breads and cereals fortified with folic acid may mask this deficiency on standard lab tests.)

Please note, I recommend testing for this nutrient, as it’s possible that oral supplements may not be enough. While lab tests will say that levels of 200 pg/mL are adequate, I like to see them above 800 pg/mL.

9. Vitamin D

Vitamin D is a potent immune-supporting substance. It has been shown to prevent and modulate autoimmunity, and I believe that vitamin D is especially important for people who have had a prior Epstein-Barr infection (this infection can often trigger Hashimoto’s and create a chronic low-grade infection), as the cells that fight the virus (CD8+ T cells) are vitamin D dependent. (28) Please note, I recommend testing for this nutrient, as it’s possible to have too much vitamin D.

10. Magnesium

People using this nutrient report miraculous improvements in many symptoms! Magnesium is a nutrient that is very commonly deficient in thyroid patients and may be responsible for a number of symptoms that can potentially lead to thyroid abnormalities. (29)

Magnesium is one of the tools in my toolbox to address my client’s symptoms. Known to help resolve constipation, insomnia, period cramps, body cramps, anxiety, headaches and more, magnesium could play a vital role in helping you eliminate symptoms.

11. Ferritin

Ferritin is the iron storage protein that gives us beautiful hair! Ferritin is a big deficiency to pay attention to, because it’s the storage place for iron in our bodies. (30) If we can’t absorb iron, then we become anemic. When we lack iron, our hair falls out. In fact, this is one of the main reasons why most women start losing hair during perimenopause. (Please note, you should ONLY use this supplement if you have been found to be deficient in ferritin, as you can also have toxic levels of ferritin.)

The Takeaway

Taking the right supplements to address any underlying deficiencies, can help restore your nutrient levels… and even lead to a remission of Hashimoto’s symptoms!

This is why I’ve created an eBook that outlines the top supplements that I recommend for those with Hashimoto’s. In it, you’ll also find specific brand recommendations and guidelines for use, including my recommendations for dosing, as well as precautions. You can download this eBook for FREE, below!


I hope this information helps you on your journey!

P.S. Be sure to sign up to my weekly newsletter to get a free book chapter, recipes, my Thyroid Diet Quick Start Guide, notifications about upcoming events, and my latest research.

For future updates, make sure to follow us on Facebook and Instagram too!

References

  1. Li Z, You Y, Griffin N, Feng J, Shan F. Low-dose naltrexone (LDN): A promising treatment in immune-related diseases and cancer therapy. Int Immunopharmacol. 2018;61:178-184. doi:10.1016/j.intimp.2018.05.020
  2. Mcdermott MT. Low-dose naltrexone treatment of Hashimoto’s thyroiditis. ResearchGate. https://www.researchgate.net/publication/336079103_Low-Dose_Naltrexone_Treatment_of_Hashimoto’s_Thyroiditis. Published September 2019. Accessed August 30, 2022.
  3. Barr L. How low dose naltrexone helps treat autoimmunity. Barr Center. https://barrcenter.com/how-low-dose-naltrexone-works-in-autoimmunity/. Published May 27, 2022. Accessed August 30, 2022.
  4. Fasano A. Leaky gut and autoimmune diseases. Clin Rev Allergy Immunol. 2012;42(1):71-78. doi:10.1007/s12016-011-8291-x
  5. Fasano A. All disease begins in the (leaky) gut: role of zonulin-mediated gut permeability in the pathogenesis of some chronic inflammatory diseases. F1000Res. 2020;9:F1000 Faculty Rev-69. Published 2020 Jan 31. doi:10.12688/f1000research.20510.1
  6. Krysiak R, Szkróbka W, Okopień B. The Effect of Gluten-Free Diet on Thyroid Autoimmunity in Drug-Naïve Women with Hashimoto’s Thyroiditis: A Pilot Study. Exp Clin Endocrinol Diabetes. 2019;127(7):417-422. doi:10.1055/a-0653-7108
  7. Chakaroun RM, Massier L, Kovacs P. Gut Microbiome, Intestinal Permeability, and Tissue Bacteria in Metabolic Disease: Perpetrators or Bystanders?. Nutrients. 2020;12(4):1082. Published 2020 Apr 14. doi:10.3390/nu12041082
  8. Kechagia M, Basoulis D, Konstantopoulou S, et al. Health benefits of probiotics: a review. ISRN Nutr. 2013;2013:481651. Published 2013 Jan 2. doi:10.5402/2013/481651
  9. Vitellio P, Chira A, De Angelis M, Dumitrascu DL, Portincasa P. Probiotics in Psychosocial Stress and Anxiety. A Systematic Review. J Gastrointestin Liver Dis. 2020;29(1):77-83. Published 2020 Mar 13. doi:10.15403/jgld-352
  10. Barkhidarian B, Roldos L, Iskandar MM, Saedisomeolia A, Kubow S. Probiotic Supplementation and Micronutrient Status in Healthy Subjects: A Systematic Review of Clinical Trials. Nutrients. 2021;13(9):3001. Published 2021 Aug 28. doi:10.3390/nu13093001
  11. Zhong C, Qu C, Wang B, Liang S, Zeng B. Probiotics for Preventing and Treating Small Intestinal Bacterial Overgrowth: A Meta-Analysis and Systematic Review of Current Evidence. J Clin Gastroenterol. 2017;51(4):300-311. doi:10.1097/MCG.0000000000000814
  12. Patil AD. Link between hypothyroidism and small intestinal bacterial overgrowth. Indian J Endocrinol Metab. 2014;18(3):307-309. doi:10.4103/2230-8210.131155
  13. Saffouri GB, Shields-Cutler RR, Chen J, et al. Small intestinal microbial dysbiosis underlies symptoms associated with functional gastrointestinal disorders. Nat Commun. 2019;10(1):2012. Published 2019 May 1. doi:10.1038/s41467-019-09964-7
  14. Seo Y, Sweeney C, Smith M. Selenomethionine induction of DNA repair response in human fibroblasts. Oncogene. 2002;21(23):3663-3669. doi:10.1038/sj.onc.1205468.
  15. Negro R. Selenium and thyroid autoimmunity. Biologics. 2008;2(2):265-273. doi:10.2147/btt.s2746
  16. Turan E, Karaaslan O. The Relationship between Iodine and Selenium Levels with Anxiety and Depression in Patients with Euthyroid Nodular Goiter. Oman Med J. 2020;35(4):e161. Published 2020 Jul 31. doi:10.5001/omj.2020.84
  17. Gärtner R, Gasnier BC, Dietrich JW, Krebs B, Angstwurm MW. Selenium supplementation in patients with autoimmune thyroiditis decreases thyroid peroxidase antibodies concentrations. J Clin Endocrinol Metab. 2002;87(4):1687-1691. doi:10.1210/jcem.87.4.8421
  18. Guilliams TG, Drake LE. Meal-Time Supplementation with Betaine HCl for Functional Hypochlorhydria: What is the Evidence?. Integr Med (Encinitas). 2020;19(1):32-36.
  19. Cellini M, Santaguida MG, Virili C, et al. Hashimoto’s Thyroiditis and Autoimmune Gastritis. Front Endocrinol (Lausanne). 2017;8:92. Published 2017 Apr 26. doi:10.3389/fendo.2017.00092
  20. Hypochlorhydria (low stomach acid): Symptoms, tests, treatment. Cleveland Clinic. https://my.clevelandclinic.org/health/diseases/23392-hypochlorhydria#:~:text=For%20example%2C%20undigested%20food%20left,gastritis%20and%20peptic%20ulcer%20disease. Accessed August 31, 2022.
  21. Cline JC. Nutritional aspects of detoxification in clinical practice. Altern Ther Health Med. 2015;21(3):54-62.
  22. Nordio M, Basciani S. Efficacy of a food supplement in patients with hashimoto thyroiditis. J Biol Regul Homeost Agents. 2015;29(1):93-102.
  23. Mancek-Keber M. Inflammation-mediating proteases: structure, function in (patho) physiology and inhibition. Protein Pept Lett. 2014;21(12):1209-1229.
  24. Mizokami T, Wu Li A, El-Kaissi S, Wall JR. Stress and thyroid autoimmunity. Thyroid. 2004;14(12):1047-1055. doi:10.1089/thy.2004.14.1047
  25. Pegel K. MODUCARE® – A Brief History And Mode Of Action.; 2002. Available at: http://www.moducare.com/wp-content/uploads/2016/05/moducare-summary-of-research.pdf. Accessed September 5, 2017.
  26. Martel JL, Kerndt CC, Doshi H, Franklin DS. Vitamin B1 (Thiamine). In: StatPearls. Treasure Island (FL): StatPearls Publishing; October 16, 2021.
  27. Presse N, Perreault S, Kergoat MJ. Vitamin B12 Deficiency Induced by the Use of Gastric Acid Inhibitors: Calcium Supplements as a Potential Effect Modifier. J Nutr Health Aging. 2016;20(5):569-573. doi:10.1007/s12603-015-0605-x
  28. Yang CY, Leung PS, Adamopoulos IE, Gershwin ME. The implication of vitamin D and autoimmunity: a comprehensive review. Clin Rev Allergy Immunol. 2013;45(2):217-226. doi:10.1007/s12016-013-8361-3
  29. Wang K, Wei H, Zhang W, et al. Severely low serum magnesium is associated with increased risks of positive anti-thyroglobulin antibody and hypothyroidism: A cross-sectional study. Sci Rep. 2018;8(1):9904. Published 2018 Jul 2. doi:10.1038/s41598-018-28362-5
  30. Knovich MA, Storey JA, Coffman LG, Torti SV, Torti FM. Ferritin for the clinician. Blood Rev. 2009;23(3):95-104. doi:10.1016/j.blre.2008.08.001

Note: Originally published in August 2020, this article has been revised and updated for accuracy and thoroughness.

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Disclaimer: The information contained herein is for informational purposes only and should not be construed as medical advice. Please consult your physician for any health problems and before making any medical or lifestyle changes.

Lifestyle changes can result in improved thyroid function and/or an increased absorption of thyroid hormone medications, leading to a lower required dose and possible symptoms of hyperthyroidism at a dose that was previously stable. Please discuss lifestyle changes with your physician and ensure that your thyroid function is monitored every 6-8 weeks while making lifestyle changes. Symptoms of overmedication include, but are not limited to: rapid or irregular heartbeat, nervousness, irritability or mood swings, muscle weakness or tremors, diarrhea, menstrual irregularities, hair loss, weight loss, insomnia, chest pain, and excessive sweating. Do not start, change, increase, decrease or discontinue your medications without consulting with your physician.

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Reader Interactions

Comments

  1. Thank you so much for all the information , it is good to know that a lot of other people feel the same as I do. This has been going on for a long time for me and now I want my life back.
    Reply

    • P Pandolfino- 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 🙂

      REVERSING AUTOIMMUNITY? AND THE PERFECT STORM
      https://thyroidpharmacist.com/articles/reversing-autoimmunity-and-the-perfect-storm/

      HASHIMOTO’S SELF CARE, GETTING AND STAYING IN REMISSION
      https://thyroidpharmacist.com/articles/hashimotos-self-care

      Reply

      • hi dear dr.izabella,
        thank you so much for all your doing!
        i had cushing..a tumor in my Hypophysis .it was removed at december 2015,,since than i am taking hydrocortison i have had hell !
        i am taking a lot of herbs and supplements that helps but lately they say i have also hashimoto..i am not taking altroxin i will do everything but not that..
        i am buying now your books and checked the supplements,but i saw that some people say about moducar it reduced their cortisol levels..
        so,i guess the other supplements will be fine but not that one..?
        lilach kats .❤

        Reply

        • lilach – thank you for reaching out and sharing your journey. I wish I could give you more direct advice but, each person will react differently. I would advise you to ask your trusted clinician who’s care you are under. <3

          Reply

  2. Hello , I had RNY Gastric Bypass Surgery ,, I still have some side effects , which I feel are related to my Thyroid , I take Synthroid , brand name not generic. ..I see a regular MD & I have had my Thyroid condition for about 29 years ..Would love to hear more about what you have to say ,, Thank You
    Reply

  3. rs Just found ur site would really appreciate more: info about ur book and Supp was dxed with Hashimoto some fifteen years ago and my symptom s getting worse as I age thanks so much
    Reply

  4. I really enjoyed listening to the helpful information, but I was not aware of the fact I could not watch ALL of the online videos :(. If I can please help me to be able to get back to the site to watch the other videos . Thanks Maggie
    Reply

  6. HI I listened to your inerview with SEan, and oh my goodness it’s so nice to know I’m not the only one with these issues. Thank you for such a great lesson on suppliments. I do have one question for you: The one digestive enzemye you talked about that changed everything for you what is that called. Not the betaine with pepesin but the other one. The one that Sean started to take as well for his knee and it felf better. I’m so lost with digestion. Thank you again.
    Reply

  7. Hi Isabella, If I can only order one supplement at this stage what would you suggest? My gut appears to be going well, but neck tension and anxiety are my key concerns. My antibodies halved after adding selenium and Vit E and I am on 2 grains of NDT. My levels are still very unstable and am needing to increase my medication every month. When they are in range I feel fantastic. I also follow the AIP diet. Would really appreciate any guidance so I can finally feel better and stay that way.
    Reply

  8. EVERY TIME I FIND SONETHING BENEFICIAL FOR THYROID DISEASE, IT COST MONEY. YOUR MAY SEMINAR IS CASE IN POINT: JUST BUY THE VIDEOS. …BODY ECOLOGY IS the SAME WAY. Looking at the book on Amazon gave very little information on the “inside”…at least I knew who you thanked….just my opinion.
    Reply

  9. You said to take selenium with vitamin E on an empty stomach. My question is how far do you wait to take other supplements ? And when is the best time to take the selenium?
    Thank you
    Reply

  11. Isabella, I have your book and I listened to most of the seminar. That was the reason I got your book as I gleaned the most useful info. from your comments. I love that you keep us posted and seem to be concerned about helping us. It’s 3 years since I was diagnosed with hasimotos & myasthenia gravis, lately I have developed psorasis, arthritis, and indigestion, so I’m really needing to change something. I have not been taking thyroid hormone but taking 12.5 mg iodine, hoping to avoid the hormone. (It’s not working!) So I’m ready to take the hormone. I’ve gone gluten free and healthy diet. I am anxious to learn of your addvise on the supplements. Thanks, Isabella.
    Reply

  12. What is the difference between Selenium and Hypo-Selenium? My daughter is 11 and was just diagnosed with Hashimotos and anxiety is a huge symptom.
    Reply

  13. I’m allergic to Iodine — I stopped using regular salt – also allergy to sulfur and sulfa and a ton of meds — for some reason stopping the use of regular salt has started my thyroid to work again – don’t understand — but also stopped eating pre-packaged food and make everything from scratch and feel much better – I still have low thyroid but I’ve keep active and feel much better – any other suggestions
    Reply

    • Christine- 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

  14. I went through an entire bottle of selenomethionine and was finally feeling great. After the fourth day I woke up pain free and had enough energy to go for a walk ( I was practically bed ridden at this point). I couldn’t believe how something so simple finally helped. I took a break after the first bottle and continued to feel fantastic. But after the holidays I had another flare up so decided to try again except every time I do I get these extreme dizzy spells that can last for days. It seems to stop after a few days of not taking it. Should I be worried? Is this something that will clear up if I continue or should I stop completely?

    Reply

  15. Dr. Wentz,
    I can’t thank you enough for your article and your book, The Root Cause.
    Just recently, I learned that I should have been taken my vitamins four hours after taking my Synthroid medicine.
    My question is when can probiotics and Betaine with Pepsin be taken? Should it be immediate taking Synthroid medication? Do you have a time schedule of when vitamins and minerals should be taken? I have read conflicting stories. Please advise.

    Thank you

    Reply

  17. Hi, Dr. Wentz! I’ve been consulting with a PA trained by Dr. Datis Kharrazian, and he believes I should stop the low-dose naltrexone I’ve been on for the last 10 years (and that has successfully kept my antibodies in check–I have Hashi’s). Apparently they believe that while it works for other autoimmune conditions, it can work against Hashimoto’s. I’m not sure I understand why they believe that, but I wondered if you know any evidence to the contrary. I don’t want to lose ground on just a theory. Thanks! 🙂

    Reply

  18. How does the Nutrience multivitamin that you also recommend fit into this? For example, if I’m taking Nutrience then I wouldn’t take additional selenium since it’s already in the multi. Are there other considerations for including Nutrience in this supplement protocol? Thanks!

    Reply

  19. Thank you so much, dear Dr. Wentz, the documentary was fantastic! Question about echinacea. Dr. Kharazzian said in his book, that echinacea would stimulate the Th1 response, which is not good, if you are Th1 dominant. However not every Hashimoto-patient is Th1 dominant. So would it be OK to take echinacea, since I have many symptoms which suggest, that I am Th2 dominant?

    Reply

    • Joanna- Some natural substances have been shown to shift our immune system to produce more Th-1 cells, such as beta-glucan mushrooms, Echinacea, and licorice root. These products are sometimes advertised as “immune boosters” or “immune stimulants.” Also just to add, Chlorella and spirulina are sometimes recommended as detox supplements, but they may have some immune stimulating properties that can induce or exacerbate autoimmune conditions, through the upregulation of TNF-A (the Th-1 branch). This same reaction has also been reported with echinacea. There have been a few cases of new onset autoimmune conditions following the use of these supplements!Not everyone will need every single supplement! In fact, I believe that most nutrients should come from the diet, this is why I always list food sources for most of the nutrients, vitamins, minerals and probiotics that are depleted in Hashimoto’s in the book and on the blog. However, some may require/prefer supplements and the supplements on the website are a resource for those that do. I recommend getting tested for deficiencies to determine your need for a supplement as instructed in the book and blog. I also don’t recommend starting multiple supplements all at once. I recommend starting one at a time and then adding another a week or so later once it has been confirmed that the first supplement is not causing any harm.

      I do have a full supplements chapter in my book. Have you checked it out? Not everyone should be taking every supplement and the book will help uncover your root cause. This will help you figure out your supplementation.

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

      Hashimoto’s Protocol
      https://smile.amazon.com/Hashimotos-Protocol-Reversing-Thyroid-Symptoms/dp/006257129X/ref=sr_1_1?ie=UTF8&qid=1482698453&sr=8-1&keywords=Hashimoto%27s+Protocol

      Reply

  20. It would be really, really nice if you could put a Pinterest button on your posts:) You have such good information and I tend to lose it:)

    Reply

  22. Hi,
    Ive had Hashis hypo for 15+ yrs. Last yr i went through early menopause or ovarian failure. Since then my usually stabile hypo has gone haywire and i feel like im dying. Im 42 yrs old with 3 kids under 8 and can barely function. Im on levo as that as all that is available in my country. I asked my endo re diet and gluten and she disagreed with me taking gluten out of my diet. My body seems to be resistant to levo as my TSH is 13 eventhough im on 100mgs of eltroxin. We dont have any supplements similar to what you listed and no compoyndong pharmacies here. What can i do?? I need my life back. I dev awful anxiety due to being so ill and am on antidepressants but they arent really helping as im extremely med sensitive so cant tolerate a hogh dosage. Please help with any suggestions at all!!

    Reply

  23. Hi Dr. Wentz. I am still so slow. So I am going to try and add some vitamins to the mix. I am one who flip flops from high to low. But mostly low. So I’m more Hypo than Hyper. Oddly my thyroid journey started then I was 15 years old and I am 52!! When I was 15 the doctors wanted to do the radiation with iodine to kill my thyroid. My parents and myself all said no way. At the time they put me on heart medication and I took them for a year. Since then I’ve been a zombie. Well I’m sure you can imagine. So could you tell me some supplements that could help with the fatigue?

    Loved the series you did! Was so awesome
    Cyndi

    Reply

  24. Hi,

    I’ve had roux-en-y gastric bypass and I wonder if betaine is something I should take. I’m concerned it may be harmful since I digest differently than most. I don’t have a doctor I can ask because there aren’t any around here who treat Hashimoto’s as anything but lab numbers. Does anyone else have this concern?

    Reply

  25. Would like to know how much for your book and s
    hipp and handling total. I need my health back and to be my happy self again

    Reply

  26. How about supplements for me without a thyroid??? And do know any doctors in Cleveland,Ohio that will help me so hard to find a doctor that will listen and understands hashie…. I’ve never been treated the correct was for this autoimmune condition. Not sure what else is going on in my body. Help please!!!!! ?❤️

    Reply

  27. I was diagnosed with hashimotos about 8 years ago and am currently not on any thyroid meds since going gluten/ dairy free. However since November I feel like a switch has been flipped and I can’t shut it off. My anxiety is through the roof and I have started having panic attacks.My mind is racing constantly,I no longer digest food easily and have many other weird symptoms. I just don’t feel like myself. It is so frustrating and I just want my life back! Praying your book helps lead me to the answers I need to figure out this complicated puzzle!

    Reply

  28. DR. Isabella,
    my husband has a large nodule on his thyroid and the surgeon wants to remove his thyroid or a partial. I say that is not necessary but most surgeons won’t remove just the nodule. What do you recommend, it has gotten to the point where he cannot swallow.
    Thank you for your time.

    Reply

  29. Thank you for all your research and work !
    I would like to know if you have information about natural dessicated thyroid vs compound of synthetic T3 & T4. I read in your book that NDT can increase the antibodies… but the synthetic T4 is often not enough even with all the supplements. By adding T3 i have this idea that my thyroid will stop doing it…
    Will one or the other slow down or even stop the thyroid regeneration ?
    In France and Switzerland there is a dilution of thyroid gland (homeopathic). It seems to wake up the thyroid who is not able to bring enough hormones. Do you think it’s a good idea to use this product ?
    Also i have found a pharmacy in Germany who makes NDT but they told me that the new material they received from usa is made with different animals thyroid (beef, pork, etc.) What do you think ?
    Thank you

    Reply

  30. Hello, I have cysts on my thyroid and my DR says this may lead to Hashis eventually. There are 4 cysts on one side of my thyroid, & 2 on the other – biopsies on 2 largest cysts (one each side) showed benign colloidal. My thyroid function is apparently normal but I am low in iodine. I have had 2 thyroiditis painful swelling episodes (in particularly stressful times) and experienced 3-5 days hypo symptoms followed by a couple of days of hyper. I am struggling to find any information on this particular thyroid condition and really want to address with diet, the right supplements and lifestyle changes – can you pls point me in the right direction and/or to any articles that may help? Thank you so much x

    Reply

    • ML- 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 an entirechapter on the iodine controversy that references numerous studies as well as the work of Abraham and Brownstein.

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

      Hashimoto’s Protocol
      thyroidpharmacist.com/protocol

      Reply

  31. Hi Dr. Wentz!
    What is your take on Ashwagandha? I’ve seen it suggested by other functional medical doctors online and thru their blogs.
    Thanks for all your wonderful information ♥

    Reply

  32. Hello. I have Hashimoto’s and Lichen Planus. I have been taking Selenium for about half a year now after reading that Selenium would be helpful for my Hashimoto’s condition but I have recently read that Selenium stimulates T cell activity, and over reactive T cell has been implicated to Lichen Planus. In my case, should I continue to take Selenium?

    Reply

  33. My morning temperature is now 96.8 it has slowly fallen over the years. Five years ago it was 97.3.
    I had autoimmune problems with my kidneys, but did not realize it could also affect my thyroid.

    Reply

  34. I have had my thyroid removed, goiter. I had a problem since the 80s. When it was removed they got worse. I have asked a lot of Doctors and even experts on line how can I feel alive again or just better. I have never got an answer that helps. I am 80#over what I should be. At 62 I see a heart attack some day. Something I’d rather not do. I am tired of feeling 95. I should be enjoying what life I have left. Any help would be appreciated.

    Reply

    • Diane – I understand and my heart goes out to you. 🙁

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

      Hashimoto’s Protocol
      thyroidpharmacist.com/protocol

      Reply

  35. I have to say first , your an inspiration to all of us struggling to understand all of our symptoms , I’ve been trying , fighting my way out for at least 7 years without any help from my endo , I’ve been trying to free myself of the synthetic synthroïd that I’ve been taking now for 17 years, as my life is stagnating in advancement but getting worst and still living in no quality of life , I won’t list my depressing symptoms , everyone knows them , recently I’ve tried to take my health back and tried a thyro-support supplement and only made my situation worst I was on .75 now I’m taking .88 , doing it on my own without knowledge just desperation was not an good idea, I asked my endo to try the natural Armour , and she turned red and said ” don’t ask me for any natural remedies ever “!they don’t work and you need synthroïd because there is no way to heal from your illness and if I was you I would be more worried if I got off synthroïd you could get in a coma , she has been giving me a TSH test once a year for many years now and I’ve been living with all my symptoms since ! Since I’m not a Dr or anywhere in the medical field , I felt despair , then I started to find more are more info about this mess of my situation on the internet but everything became confusing until I found you , thank you for being clear an so honest ! Now I’m researching first for a new doctor , I wanted to know one thing about the products listed above in this article , like the probiotics etc… can I try these products even if I’m taking Synthroïd ? Also since I live in Canada , where we can not have a choice or say in what kind of medical care we want , do you know of a doctor in Quebec , Canada that I can be referred to ! I need the right kind of help to heal too , I’ve been also following your amazing episodes on the Thyroid Secret and it’s given me so much hope , but feeling helpless about my situation since I havent found anyone willing to follow up this closely for me . Do you have any suggestions for me ?
    Thank you so much for all of your honesty about this whole mess !

    Reply

    • Myra – thank you for your support, and I’m sorry to hear that you are struggling! 🙁

      Please, understand that due to liability issues, I am unable to answer specific medical questions.

      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.

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

      Ask questions. Post your thoughts. Scan the files. It is an absolutely amazing resource. Best of all it’s kept private from spammers.

      CLINICIAN DATABASE
      http://www.thyroidpharmacistconsulting.com/clinician-database.html

      FIND A FUNCTIONAL MEDICINE CLINICIAN
      https://www.functionalmedicine.org/practitioner_search.aspx?id=117

      Reply

  36. Hi Dr. Wentz! I was looking into purchasing some of the Pure Encapsulation products that you’ve mentioned but some, like the Probiotic 50B for example, contain Rice Starch. I have been completely grain free and following your protocols for seven months and have seen my TPOs drop by more than 1,000! Therefore, I worry about starting these recommened supplements because they contain Rice Starch. Are these supplements supposed to be ok for those of us that are grain free?

    Reply

    • Ivy – thank you for following this page.

      Pure Encapsulations supplements are generally very hypoallergenic I’ve found them to be very helpful for those with Hashimoto’s. However, it’s always helpful to consider your needs and sensitivities when selecting supplements.

      Reply

  37. Dr. Isabella Wentz,
    please help me to understand my blood work test. Do I have Hashimoto’s. I have been extremely tired, dizzy, and have brain fog. I have back and neck pain. I am only 32 years old. I have no insurance. After thinking about my symptoms I asked to test my thyroid hormones. Now the test results came back and I am very scared and I don’t even know where to start. I understand from your book, it is important to top eating dairy and gluten. What else can I do? Do I need to get on thyroid medication. Please help me.
    Nataliya

    Test Name Value Reference Range Loc
    Reverse T3, Serum
    Reverse T3, Serum 12.5 9.2 – 24.1 ng/dL 02

    Collected: 03/22/2017 12:00 am
    Completed: 03/28/2017 2:17 pm
    Test Name Value Reference Range Loc
    Thyroxine (T4)
    Thyroxine (T4) 6.5 4.5 – 12.0 ug/dL 01
    Accession No.: 08122943190
    Status: FINAL
    Collected: 03/22/2017 12:00 am
    Completed: 03/28/2017 2:17 pm
    Test Name Value Reference Range Loc
    Thyroglobulin Antibody
    Thyroglobulin Antibody 1.1H 0.0 – 0.9 IU/mL 01
    Thyroglobulin Antibody measured by Beckman Coulter Methodology

    Status: FINAL
    Collected: 03/22/2017 12:00 am
    Completed: 03/28/2017 2:17 pm
    Test Name Value Reference Range Loc
    Triiodothyronine,Free,Serum
    Triiodothyronine,Free,Serum 3.5 2.0 – 4.4 pg/mL 01

    Status: FINAL
    Collected: 03/22/2017 12:00 am
    Completed: 03/28/2017 2:17 pm
    Test Name Value Reference Range Loc
    Thyroid Peroxidase (TPO) Ab
    Thyroid Peroxidase (TPO) Ab >600H 0 – 34 IU/mL 01

    Status: FINAL
    Collected: 03/22/2017 12:00 am
    Completed: 03/28/2017 2:17 pm
    Test Name Value Reference Range Loc
    TSH
    TSH 6.400H 0.450 – 4.500 uIU/mL 01

    Status: FINAL
    Collected: 03/22/2017 12:00 am
    Completed: 03/28/2017 2:17 pm
    Test Name Value Reference Range Loc
    Thyroxine (T4) Free, Direct, S
    T4,Free(Direct) 1.11 0.82 – 1.77 ng/dL 01

    Reply

  38. Bonjour,

    J’aimerais connaître votre avis concernant la supplémentation de ThyroSense ( thyroid formula) de Womensense. Merci beaucoup ! Québec, Canada

    Reply

    • Nini – I’m very hesitant in recommending supplements that contain 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, 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.

      IODINE AND HASHIMOTO’S
      https://thyroidpharmacist.com/articles/iodine-hashimotos/

      Not everyone will need every single supplement! In fact, I believe that most nutrients should come from the diet. This is why I always list food sources in the book and on the blog, for most of the nutrients, vitamins, minerals and probiotics that are depleted in Hashimoto’s. However, some may require/prefer supplements and the supplements on the website are a resource for those that do. I recommend getting tested for deficiencies to determine your need for a supplement as instructed in the book and blog. I also don’t recommend starting multiple supplements all at once. I recommend starting one at a time, and then adding another a week or so later once it has been confirmed that the first supplement is not causing any harm.

      I do have a full supplements chapter in my book. Have you checked it out? Not everyone should be taking every supplement and the book will help uncover your root cause. This will help you figure out your supplementation.

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

      Hashimoto’s Protocol
      thyroidpharmacist.com/protocol

      Reply

  39. I don’t see anything about how much iodine is too much, just that one should not take too much, but how much is”too much”? My multivitamin has 100 mcg in it. But it has a lot of other good supplements in it. Should I switch to one with fewer vitamins/minerals in it?

    Reply

    • Annette – thank you for following this page. 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, in both 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 an entire chapter on the iodine controversy that references numerous studies as well as the work of Abraham and Brownstein.

      Hashimoto’s Protocol
      thyroidpharmacist.com/protocol

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

      Reply

  40. Hello Dr. Wentz! I start the Gut Protocol tomorrow:) so far I’ve been feeling great! Truly life changing! I have a question about taking too many supplements. I just finished organizing Gut protocol supplements and assigned times to take them and it looks crazy! I’m including all supplements in the protocol plus added a few things my labs showed I’m deficient (Vit.D, Vit B12,Iron) as well as selenium, Vit. E and benfomax for maintenance. Based on best hours to take for absorption (empty stomach, morning with meals, after meals, between meals, divided dosages) I will be taking supplements at 6am, 8am, 10am, 11am, 12pm, 1pm, 3pm, 4pm,5pm, 7pm,8pm ?

    I’m not scared of the hard work but wanted to check if this is the way usually the last protocol looks like 🙂 all supplements included are as per listed on the book plus a few months mentioned I was defficient and for maintenance. Nothing new or outside that is mentioned in the book.

    Im anxiously waiting for your response! Looking forward to starting the last phase!

    Thank you!?
    Ana

    Reply

  41. Thank you for this wealth of information on Hadhimotos, I would like to find out the best supplements for hypothyroidism please.

    Reply

    • Joelle – thank you for following this page. Not everyone will need every single supplement! In fact, I believe that most nutrients should come from the diet. This is why I always list food sources in the book and on the blog, for most of the nutrients, vitamins, minerals and probiotics that are depleted in Hashimoto’s. However, some may require/prefer supplements and the supplements on the website are a resource for those that do. I recommend getting tested for deficiencies to determine your need for a supplement as instructed in the book and blog. I also don’t recommend starting multiple supplements all at once. I recommend starting one at a time, and then adding another a week or so later once it has been confirmed that the first supplement is not causing any harm.

      I do have a full supplements chapter in my book. Have you checked it out? Not everyone should be taking every supplement and the book will help uncover your root cause. This will help you figure out your supplementation.

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

      Hashimoto’s Protocol
      thyroidpharmacist.com/protocol

      Reply

  42. I read in one of your articles about a supplement that can help with shortness of breath. I now cannot find the article or the name of the supplement. I have been reading and following your Hashimoto’s protocol for a month and a half now and have seen a significant reduction in symptoms. Thank you!!!

    Reply

    • Jamie – thank you for following this page. Not everyone will need every single supplement! In fact, I believe that most nutrients should come from the diet. This is why I always list food sources in the book and on the blog, for most of the nutrients, vitamins, minerals and probiotics that are depleted in Hashimoto’s. However, some may require/prefer supplements and the supplements on the website are a resource for those that do. I recommend getting tested for deficiencies to determine your need for a supplement as instructed in my 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. Here is an article you might find helpful.
      SUNSHINE FOR YOUR THYROID
      https://thyroidpharmacist.com/articles/get-some-sunshine-for-your-thyroid

      COMMON QUESTIONS ABOUT SUPPLEMENTS AND YOUR THYROID
      https://thyroidpharmacist.com/articles/common-questions-about-supplements-and-your-thyroid

      Reply

  44. Hey Dr. Wentz. I understand that the adrenals play a huge role in thyroid health. Im a 22 year old who ran into a serious adrenal fatigue and have been fighting it very hard for months. My naturopath and chiropractor are working with me and have me on a grass fed New Zealand glandular. Now that it has been a good deal of time I believe I am now in the hyper adrenal side and high cortisol as I have tons of energy actually too much . This glandulars strong I’ve also experienced a bit of extra water retention. My question that I hope you can answer is how do I get my adrenals to start producing dhea progesterone and all the hormones again without getting an excess of the cortisol adrenaline and all the stuff I don’t need. My diet is organic only and grass fed higher fat and protein with some good carbohydrates. When I take ashwagandha I notice the cold feet symptom goes away and if I do nothing and take that glandular the cold feet will be there . Please help!

    Reply

    • It’s so nice to see how helpful you are and that you answer people here. I really trust your knowledge and it gives me hope. I guess my biggest issues are
      Low stomach acid which has given me acne that gets better with the betaine HCL but doesn’t all go away, and adrenals that are not balanced. I’m actually concerned now if when I get off the glandular my adrenals will be lazy or weak and put me back to square one! Organs healing organs has been a practice for years by many different cultures like eating a liver for your liver so it can’t be that bad I’m just so lost in how to repair the adrenals while also not having cortisol go too high and constantly be in a fight or flight mode! Please help Dr. Wentz! Thank you so much !

      Reply

      • Erik – thank you for following this page. When people have adrenal struggles, we often see that their release of cortisol is altered. People with healthy adrenal function release the most cortisol in the morning. People with impaired adrenal function may wait to release their cortisol at the end of the day. Taking an adrenal adaptogen like the Rootcology Adrenal Support or the Pure Encapsulations Daily Stress Formula in the mornings can help. Additionally, I recommend going to bed before you experience that energy rush. If it comes around 10pm, going to bed around 9pm would greatly help your adrenals. Having Hashimoto’s can feel very stressful. Having out of range thyroid hormones, adrenal fatigue, negative food sensitivities and low nutrient levels can lead to feelings of anxiety, hopelessness and stress. Treating these issues one at a time is the best plan of action. You can recover and regain your health! My new book Hashimoto’s Protocol is a step by step guide to the interventions that helped 80% of the people 80% of the time. I hope you check it out.
        Hashimoto’s Protocol
        thyroidpharmacist.com/protocol

        You also may be interested in this article I wrote. ARE YOUR ADRENALS SABOTAGING YOUR HEALTH?
        https://thyroidpharmacist.com/articles/are-your-adrenals-sabotaging-your-health

        Reply

      • Dr.Wentz thank you so much you are such an Inspiration and so helpful. My adrenal fatigue has been going on for a while but now that I’ve been on the grass fed glandular I feel that I have been actually in the high cortisol range and more hyper. My only concern is if I stop the glandular will my adrenals crash or what should I do. The coldness in the extremities goes away with ashwagandha that is really what makes me feel I’m actually in more of a hyper state. Adrenal tissue supplementation seems great but I am sure it provides me with a lot of the hormones such as cortisol and adrenaline epinephrine etc I just don’t know how much. So confusing !! But thanks again for a response it means the world to me god bless you!

        Reply

        • Interestingly, at first my antibodies were slightly elevated but I got out of that through all organic only as a new lifestyle change and nutrient dense foods. My main concerns are the low stomach acid (acne as a result) and getting out of this sympathetic dominance cold extremities stage. Is it harmful to continue the grassfed adrenal tissue my naturopath provided?

          Reply

        • Erik – you are very welcome! I understand how frustrating and confusing this is. Having Hashimoto’s can feel very stressful. Having out of range thyroid hormones, adrenal fatigue, negative food sensitivities and low nutrient levels can lead to feelings of anxiety, hopelessness and stress. Treating these issues one at a time is the best plan of action. You can recover and regain your health! My new book Hashimoto’s Protocol is a step by step guide to the interventions that helped 80% of the people 80% of the time. I hope you check it out.

          Hashimoto’s Protocol
          thyroidpharmacist.com/protocol

          Reply

  45. I have Hashimoto and I was wondering if you could help me out with a a good multivitamin to take. I get all confuse of what I should look for and what is best to take. Thank you

    Reply

  46. I have hashimotos now for 2 years, I am on synthroid and after alot of research I have became gluten free and eating organic as well as using all organic products. My question is what is the best brand for vitamins D and Vitamin C complex without all the other other minerals that alot of vitamins come with. I am Gluten, Soy, Dairy, GMO free as well as no preservatives. I have researched and I really need help finding the most effective Brand. I would very much appreaciate and recomendations that you have. Thank You

    Reply

    • Laura – thank you for reaching out. As a Pharmacist I am very picky about what brands I recommend to my family, clients and friends. Pure Encapsulations is a pharmaceutical grade brand that has extremely tight quality control and manufacturing guidelines. Each product undergoes rigorous testing by a third party laboratory to verify label claims, potency and purity. All the products sold by Pure Encapsulations are free of gluten, dairy, and additives that may impair absorption. These supplements are normally only available through healthcare professionals, however the company has agreed to allow Dr. Wentz to set up a store on their website for the supplements she has found helpful for Hashimoto’s.

      Link to the store
      http://www.purerxo.com/thyroidpharmacist/rxo/company/my_recommendations.asp

      Reply

    • I use the Now brand for Vit D3 5000IU and eat fruit for Vit C. Time release Vit C from Now brand is ok. Coenzymated B vitamins absorb/help better. Try different brand to find which one helps you the most. Best wishes.

      Reply

  47. Dear Dr. Wentz,
    I was diagnosed with stage 3 triple negative breast cancer almost 8 years ago. After chemo, surgery, and radiation I’ve never been the same. 1 year after my last chemo I was still exhausted and noticed my hair wasn’t coming back in like it should. It will get to about 5-6 inches but is so wispy and fine, and I have about 1/4-1/3 of what I had prior to chemo. I did not have the type of chemo that causes permanent hair loss. After lots of texts I have Hashimoto’s, critically deficient in Biotin, borderline deficient in Vit E, low B5, low ferritin (can’t keep it up despite supplementation and eating iron rich foods), and low Vit D. I just began a 100B probiotic and digestive enzymes and am having the sensitivity tests you recommend. I need to and will get to the root cause/s of this hair issue. My question is, is this a lost cause? Once I finally figure out what is triggering my Hashimoto’s and adhere to a strict diet + supplementation, should I expect my hair to come back? I’m so desperate. Thank you.

    Reply

  49. Hello Dr. Izabella,
    I have been on LDN for about 5 years….it was a wonder drug reducing my antibodies from 600 down to 5 in about 6 months!! I am always on an AIP diet….but now the LDN has worn out it effectiveness and my antibodies are back up to around 200. My Functional and Hormone Doc says LDN does not work long term in her experience…..have you found this also??
    jk.

    Reply

    • LDN helps block hidden gluten, but trying to eating 100% gluten free is needed since a person may become more sensitive to gluten and then smaller amounts may hurt. LDN is a miracle for me. If I don’t take it I sneeze loudly and feel very sick. LDN is saving my life. I have had LDN for 17 years and it still helps me. It is awesome help! It helps my immune system work right.

      Reply

    • LDN doesn’t block GMO which can hurt the gut lining…just gluten which is wheat/barley/rye..oats/corn/rice. Taking LDN and not eating gluten free may not help as much since LDN is a low dose and a person can override the medicine with what they eat.

      Reply

  50. Zn/Se/enough iron/probiotic may help convert T4 to T3. No gluten/LDN to help block hidden gluten/no GMO/no soy/no dairy/low sugar/no food with a label (may have hidden gluten/GMO etc). Mn/Mg/Vit B12 with intrinsic factor/Vit A 10,000IU and more may help the thyroid. Iodine with Se may help. Iodine alone may not help and may hurt. Hair test shows iodine and other mineral levels and heavy metals. Detoxing mercury/silver etc may help the thyroid work better. Sweating may help detox. Sea salt has ~22 minerals and Himayalan salt has ~ 88 minerals which may help restore minerals after detoxing. Progesterone may help the thyroid/adrenals. Herbs may help like Vitex. MACA may help, but it cruciferous family so cooked/gelatinize MACA may not block thyroid. MACA was great help for me. It let my brain work. MACA maybe 30% iodine and have many nutrients.

    Reply

  51. Hi Izabella,
    I’ve followed your work for more than two years, and have found so much helpful information; particularly the addition of selenium and vitamin E have contributed to massive improvement in my vitality. Have you ever calculated the monthly or daily cost of the supplements you recommend, or researched food sourcing of the recommended supplements? I tend to get pill esophagitis, and have a family history of esophageal cancer so I prefer to eat my recommended nutrients. I’m also a bit staggered by the cost of supplementing, as a retired person.

    Reply

    • Nancy – thank you for reaching out. Not everyone will need every single supplement! In fact, I believe that most nutrients should come from the diet, this is why I always list food sources for most of the nutrients, vitamins, minerals and probiotics that are depleted in Hashimoto’s in the book and on the blog. However, some may require/prefer supplements, and the supplements on the website are a resource for those that do. I recommend getting tested for deficiencies to determine your need for a supplement as instructed in the book and blog. I also don’t recommend starting multiple supplements all at once. I recommend starting one at a time and then adding another a week or so later once it has been confirmed that the first supplement is not causing any harm.

      I do have a full supplements chapter in my book. Have you checked it out? Not everyone should be taking every supplement, and the book will help uncover your root cause. This will help you figure out your supplementation.

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

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

      Reply

  52. This is great info! I recently ordered the Pure Encapsulations Daily Stress Formula you recommended. Is it okay for me to start on daily doses of the Moducare at the same time?

    Reply

  53. When I was diagnosed with Hashimotos, I was also diagnosed as osteopenic. I began taking calcium with d3, but started taking only d3 as I progressed through the hashimotos protocol. Is it more beneficial to take calcium with d3 for symptoms of osteopenia or could 5000 mg of d3 suffice?

    Reply

  54. I have tried many different supplements and in different combinations, from what my doctor suggested and I have used your chapter on supplements as a reference. I’m currently taking some of the supplements listed above, but to be perfectly honest I don’t think they have any effect on me, positive or negative. I recently got tired of popping so many pills and I just stopped everything for a couple of months and there was no difference whatsoever. And when I started taking supplements again, gradually, I again noticed no difference, aside from light stomach cramps. I wonder if for some supplements really don’t do much. Are supplements supposed to improve the condition of all Hashimotos patients or does it vary from person to person?
    Im not yet taking medication as my hormone levels are mostly ok, but my symptoms keep getting worse as I age. I guess I’m just tired of taking on major diet and lifestyle changes and seeing no results . I’d love to hear your thoughts on this. And thank you for your well researched and concise articles!

    Reply

    • Maria – thank you for sharing your journey. I understand how frustrating this can be. In general, most people with autoimmunity need to find their food sensitivities, heal from infections, and eat organic; however, bioindividuality is important, because not everyone will respond to the same interventions. The foods that heal one person, may not be the same for another. It might seem like a lot, but feeling your symptoms fade away can make it feel like it’s all worthwhile. Not everyone will need every single supplement, 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. Here is a link that might help:

      WHAT’S CAUSING YOUR LEAKY GUT
      https://thyroidpharmacist.com/articles/whats-causing-your-leaky-gut/

      Reply

  55. Hi Izabella it would be so much easier if any is these supplements could be combined from a compounding pharmacy. Would you suggest any that could be turned into 1 magic pill?

    Reply

    • Kath – thank you fro reaching out. As a pharmacist I am not a big fan of combination products, and prefer to start supplements one at a time, as there is a potential of reacting to some of the ingredients. Not everyone will need every single supplement! In fact, I believe that most nutrients should come from the diet, this is why I always list food sources for most of the nutrients, vitamins, minerals and probiotics that are depleted in Hashimoto’s in the book and on the blog. However, some may require/prefer supplements, and the supplements on the website are a resource for those that do. I recommend getting tested for deficiencies to determine your need for a supplement as instructed in the book and blog. I also don’t recommend starting multiple supplements all at once. I recommend starting one at a time and then adding another a week or so later once it has been confirmed that the first supplement is not causing any harm.

      I do have a full supplements chapter in my book. Have you checked it out? Not everyone should be taking every supplement, and the book will help uncover your root cause. This will help you figure out your supplementation.
      Hashimoto’s Root Cause
      http://amzn.to/2DoeC80

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

      Reply

  57. Hi Miss Wentz, Thank you for all the information. Having been diagnosed only in Dec 2017, I’m trying to tackle Hashimoto slowly and since my antibodies have been increasing, I thought I’d give this enzyme a try. A couple of questions –
    1. When you say to have Betaine with Peptide after consuming protein, do you mean specifically meat protein i.e. seafood, poultry etc or does that extend even to grains and vegetables?
    2. You recommend Selenium for antibodies – I haven’t had much luck with NAC since it raises glutathione. I got some vivid dream and fatigue with NAC. Since selenium increase glutathione, do you know if it may have a similar effect?

    I’m so excited that your Hashi is in remission and you are a new mom – congratulations! It’s so hopeful to me as I hope to be on the same path soon.
    Thank you for all your help and time!

    Reply

  58. Hello Dr. Wentz,
    First of all, I’m so thankful for both of your books!
    I have recently been diagnosed with hyperprolactinemia and I also have Hashimoto’s. I was wondering if it’s safe to take Vitex while on levothyroxine and if I can take them both at the same time in the morning?
    Thank you!
    Alina

    Reply

    • Alina – 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. Please discuss the use of supplements with your personal doctor or pharmacist.

      Reply

  59. I had my thyroid completely removed 10yrs ago after being diagnosed with multi modular papillary cancer. I then had radioactive iodine. My doctors want me to keep my TSH at 0.3 – 2.0, which I can maintain with Thryoxine 1000 mg spread out over the week. I’m always fatigued and want to improve my health. Should I follow a hypothyroid diet and which supplements should I take? I get so confused as most advice talks about making my thyroid healthy again- but I don’t have a thyroid.

    Reply

    • Aynsley – thank you so much for reaching out and sharing your journey. <3 I understand how overwhelming this can be. Most thyroid conditions result from the immune system attacking the thyroid because the immune system is out of balance. Hashimoto’s is a complicated condition with many layers that need to be unraveled. While conventional medicine only looks at each body system as a separate category and is only concerned with the thyroid’s ability to produce thyroid hormone, Hashimoto’s is more than just hypothyroidism, it's an autoimmune disease that needs to be managed. Whether you have all, part or no thyroid, the autoimmunity still persists in most cases. We need to re-balance the immune system which begins in the gut. With the exception of discussing proper thyroid medication dosing, the majority of my website and book's focuses on balancing the immune system. The info I present is based on my own research and journey overcoming my autoimmune thyroid condition.

      Here are some articles I think you might find helpful:

      IMPORTANCE OF GUT HEALTH
      https://thyroidpharmacist.com/articles/importance-gut-health/

      WHERE DO I START WITH HASHIMOTO’S
      https://thyroidpharmacist.com/articles/where-do-i-start-with-hashimotos/

      Reply

  60. Hi Dr. Wentz,
    I bought and am reading your book Hashimoto’s Protocol and have been taking 200mg magnesium citrate — but it seems to cause insomnia for me. Is there another version of magnesium you would recommend?
    Thank you!
    Julie

    Reply

  61. Hello Dr Wentz, my high morning cortisol levels are an issue for me which I think causes most of my anxiety which can be debilitating. Can you recommend anything to help my adrenals please. I am 58 with Hashi’s and post menopause around 6yrs. On reading up apparently cortisol levels can get higher as you get older. I know my adrenals are suffering and have done for years as the slightest bit of stress upsets them. I wondered if a small dose of Selenium would help also

    Reply

  62. How do you get tested for things like ferretin? I can’t afford to pay out of pocket to go a naturopathic doctor and regular doctors only see to request labs check for common things on bloodwork!

    Reply

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