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Hashimoto’s Thyroiditis – Common Questions, Misconceptions and Myths

This is a guest post by Magdalena Wszelaki, a certified nutrition coach and the founder of Thyroid Diet Coach, addressing some of the common questions, misconceptions and myths associated with Hashimoto’s disease. 

Hashimoto’s Thyroiditis - Finding the right dietary choices, options you have if you have already lost you thyroid and getting to the cause of your illness.

As some of you who have been around for a while know, I have Hashimoto’s Thyroiditis. I shared my story in the post My Thyroid Journey.

Like with most things in life: there is no black or white. With new and complex conditions like a compromised autoimmunity, there are only many shades of grey.

I was compelled to write this article as I get daily emails and calls from people stating the things they have done and how frustrated they are with the results.

Let’s get right into them.

1. “I don’t have Hashimoto’s Thyroiditis, only hypothyroidism.”

Have you been tested to rule out Hashimoto’s Thyroiditis? Most people have not. Doctors don’t like to test for the TPO and TGB antibodies as there is no medication to reduce the autoimmune attack on the thyroid gland. 90% of people with hypothyroidism have it due to Hashimoto’s disease.

Hashimoto’s Thyroiditis is an autoimmune condition. This means that the immune system gets mutated and starts attacking the thyroid – which causes hypothyroidism. 70% of your immune system lives in your small intestine (duodenum).

This is important to know as in the case of Hashimoto’s Thyroiditis, it is the digestive tract that needs your help and not the thyroid alone.

2. “I’m already off gluten, dairy and soy but…”

But, you are still not feeling good, right?

It’s great that so many of us make these life-altering nutritional changes. For many, however, they do not produce desired results and this is when frustration and doubt step in.

If you have Hashimoto’s Thyroiditis and/or any other autoimmune condition, chances are that you have had digestive issues or infections that triggered this conditions a long time ago. Integrative doctors say that we walk around with Hashimoto’s for an average of 8 years before getting diagnosed.

During this time, the digestive lining gets damaged by the food we do not tolerate well (see more on this below), pathogenic bacteria, yeast overgrowth (aka candida) and parasites. Any of them can be the trigger for an autoimmune condition.

So yes, gluten, dairy and soy are considered big food triggers but, for many people, there may be more. Read on.

3. “I eat really well.”

This is one of the first sentences that I hear from people who contact me. It’s not surprising; after all, if they did not eat well and have a love and appreciation for good food and nutrition, they won’t be searching for diet and thyroid-related solutions.

There are a couple of challenges with this belief: what does “eating well” really mean? Many people would perceive, for example, protein powders, to be healthy food. In my practice I see amazing results every time I switch a person from the “miracle product” marketing claims to real, unadulterated and whole food.

However, the bigger issue is this: for people with autoimmune conditions it is not so much what we eat but what our body does with the food we eat.

Take eggs as an example. They are one of the superfoods, in fact, they are so rich in nutrients that we can survive eating eggs and nothing else. However, if our body does not tolerate eggs well they become a toxic substance that will inflame the immune system even further.

Sadly, the list of “good food” that many people with autoimmune conditions cannot tolerate is long and can include dairy, corn, soy, nuts, seeds, nightshade vegetables, legumes and grains.

A simple elimination diet would help reveal what food a person is reactive to. For a person with an autoimmune condition, it is of paramount importance to remove food that causes digestive distress.

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4. “I’m already a vegetarian.”

I know I’m not going to get in good books with the vegetarians here but if you want to heal yourself, you need to remain open-minded.

Please bear in mind 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. I’m saying: listen to your body if it needs meat.

Sadly (or not), I found many of my ex-vegetarian clients turn a corner with even small amounts of animal proteins in their diet. This is why:

VITAMIN B12 and IRON – you probably know this part already: we get plenty of vitamin B12 and iron from meat. Both Vitamin B12 and iron are key in converting the T4 to T3.

GLUTAMINE – provides cells in the digestive tract with a vital source of energy that is required for regulating their production. Its role in re-building and strengthening the gut lining is critical.

TYROSINE – is also the precursor amino acid for the thyroid gland hormone thyroxin. A defect in this may result in hypothyroidism.

5. “I’ve stopped eating goitrogenic vegetables.”

This is another highly controversial topic. It is true that food high in goiter will inhibit the thyroid gland’s ability to uptake iodine to produce the T4 hormone. This can be highly frustrating as this food includes some of our all-time favorites like cabbage, broccoli, spinach, Brussels’ sprouts, kale, collard greens, etc.

Here is the good news: when cooked, these vegetables lose 70-80% of their goitrogenic properties. Let’s remember that when we have Hashimoto’s, our primary focus should be restoring our digestive tract and detoxifying the body – as they were the original triggers of this condition. Omitting these vegetables completely will not address this concern.

These vegetables are richer in vitamins and minerals than any other of their distant veggie cousins. As it stands, most Americans are undernourished. Taking out foods like these will further make us rely on supplements – which is not the way we should be living and healing.

Lastly, goitrogenic vegetables are rich in a substance called DIM (diindolylmethane), which is key in liver detoxification as well as elimination of mutated estrogen metabolites. Most pre-menopausal women I work with have some level of estrogen dominance which is barely surprising given the estrogenic cocktail of skincare products, cleaners, packaging and food we live in today. Keeping a healthy balance of estrogen, progesterone and thyroid hormone is key not only to the overall hormonal balance but also to the immune system.

6. “I lost my thyroid, is there anything that I can do?”

The short answer is: absolutely YES! I want to empower you with some understanding why that is so:

a. Even if you lost your thyroid, the meds you are taking depend on your gut and your liver for proper breakdown and absorption.

b. If you are only on synthetic T4 (like Synthroid), your body still depends on the health of your liver. The liver converts the inactive T4 hormone to the active T3 hormone utilized by your cells.

c. If you have/had Hashimito’s Disease, you have an autoimmune condition. Why would removing the thyroid gland stop this immune mutation? This is why 50% of people with Hashi’s develop other, often far worse, autoimmune conditions like MS, fibromyalgia, lupus, RA and so many more (it’s a pandemic now).

In all three points, nutritional changes can make a huge difference. Starting with cleaning up your gut and liver to maximize the drug (like Synthroid) utilization to preventing other autoimmune diseases from developing.

It’s true that once you have Hashi’s you have it forever – this includes the author of this article. But, you can get to a place of remission, be symptoms-free and live a full life.

This article was contributed by Magdalena Wszelaki, a certified nutrition coach and the founder of Thyroid Diet Coach. Magdalena has managed to reverse her Graves’ and Hashimoto’s Thyroiditis Disease. She is in full remission and lives a symptom-free and awesome life.

I hope this information is a help to those of you who struggle with this illness.

Hashimoto’s Thyroiditis - Finding the right dietary choices, options you have if you have already lost you thyroid and getting to the cause of your illness.

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  1. I Have a question concerning Hashimoto’s and using a dim supplement. I have Hashimoto’s and take armour but I am going through premenopause currently, it would make sense that following the no goitrogen diet would therefore, make it so our dim levels are at lower levels, to make it possible to remove excess estogen. But is it safe for those who have Hashimoto’s to consume a dim supplement, given we are supposed to avoid cruciferous vegetables in managing our Hashimoto’s?
    I wondered if it might help me and wanted to try it, but worry about whether it would make things worse! Could you advise?
    Thank you!

    1. On Renew Your Health Naturally, Dr. Nik Hedberg talks about excess estrogen:

      “Now if you get too much estrogen in your body, this actually makes that condition much, much worse. So the more estrogen you have, the harder it is for your body to fight off the chronic Epstein-Barr virus infection. The excess estrogen makes it more difficult for the immune system to control it. So we do test our Hashimoto’s patients for their estrogen levels to see if they’re too high. If they are, then we do strategies to reduce their estrogen levels.

      Things like cruciferous vegetables can really help to get rid of excess estrogen. Fiber, increasing fiber in the diet or fiber supplement to help to lower estrogen, taking a compound called DIM, D-I-M, it’s actually a derivative of cruciferous vegetables, like broccoli. And DIM actually helps the body metabolize out the excess estrogen in the body. And then, of course, whenever there’s too much estrogen in the body, you also have to look at body composition because the more body fat you have, most likely you’re going to have more estrogen than the average person.”

      I’d speak with your health care professional to find out what’s best for your situation.

  2. I have fibro, osteoarthritis, degenerative disc disease. I had the radiation cocktail for my thyroid….now borderline hypo. I also had one adrenal gland removed. Exercise/no exercise, work/no work, walking becomes like hot coals/broken glass,huge pebbles in my feet & nights are from hell with pain. Also, chronic inflammation. I am so confused as to what is good for me & what is not. I like most all foods. Allergic to shellfish. I really would like to find what works for me….Can you guide me in the right direction?

    1. So sorry that you are struggling with so many health issues. It sounds like the free workshop might be a good place to start to at least give you some ideas. Every person, every situation is different, so there is no “one size fits all” solution.

  3. “Have you been tested to rule out Hashimoto’s? Most people have not. Doctors don’t like to test for the TPO and TGB antibodies as there is no medication to reduce the autoimmune attack on the thyroid gland.” How is this true? L-selenomethionine. Study after study shows it reduces the number or TPOab.

    1. I’ll see if Magalena has an answer to your question. All the doctor’s that I’ve been to have told me there is no treatment for reducing the autoimmune attack on the thyroid. Other than the initial test to confirm Hashi’s, they have not wanted to test again.

  4. I’m going to be out of town when this workshop is presented. Will it be recorded so that if I sign up I can view/hear it later? Sounds wonderful!