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Balancing Hormones = Balancing Weight

“My hormones are raging!”
“I’m so hormonal!”

We often talk about hormones like...

a) all hormones are sex hormones

b) we have no control over them

The truth is ...

a) there are many kinds of hormones that are impacted by each other

b) there is a lot we can do to balance our hormones

And when it comes to controlling our weight, hormones play a big part, which means that balancing them can make it easier to lose or maintain weight.

This is especially important if you have Hashimoto’s disease, because this autoimmune disorder is known to cause weight gain and impact metabolism.

How Hormones Affect Us and Other Hormones

The hormones that are constantly coursing through our bodies are products of different systems in our bodies but affect each other in miraculous ways.

This is because hormones are all produced by the endocrine system and used throughout the body. So, for example, if dysregulation occurs and one hormone is overproduced, it means other hormones may not be made in adequate numbers.

In addition, it is possible to build up a resistance to certain hormones, most famously insulin, which results in diabetes.

There are a number of hormones that affect our hunger, feeling full, our blood sugar and even how we store fat, so these are often referred to as weight loss hormones. There are a number of ways these can be affected by aging, stress, diet, autoimmune disease and much more so that we may be more likely to gain weight or struggle to lose weight.

A Basic Introduction to Weight Loss Hormones

Ghrelin

Ghrelin is often called the “hunger hormone,” is mostly made by the stomach and small intestines and is released when the stomach is empty. It sends a message to the pituitary gland that the stomach needs food, causing you to feel hungry.
Ghrelin levels should be at their lowest after eating.

In people who are obese however, it has been found that ghrelin levels don’t decrease as much after eating, causing them to continue to eat even once hunger should have subsided.

Ghrelin also triggers the release of growth hormone by the pituitary gland and promotes the storage of fat. It may also play a role in insulin release.

There is interest in how lowering ghrelin levels could support weight loss by lessening hunger and appetite.

Leptin

In some ways, leptin could be considered the anti-ghrelin as it is called the “satiety hormone.” Leptin is made in the fat cells and, when triggered, tells the hypothalamus gland that you are full.

Obese people have been found to have high levels in leptin but are more likely to suffer from leptin resistance, in which the brain no longer responds to the secreted hormone.

Studies have found an association in women between high levels of leptin and fewer depressive symptoms.

Insulin

Not many people think about their insulin unless it’s in the context of diabetes. But you don’t have to be diabetic to pay attention to your insulin levels and, in fact, balancing blood sugar is vital for weight management.

When you consume food that contains carbohydrates, the hormone insulin is released to balance the amount of glucose (blood sugar) broken down from the carbohydrates and store any not needed in that moment as fat.

When blood sugar remains elevated for long periods, namely when the diet regularly contains too much sugar and/or simple carbohydrates, it is possible to become resistant to insulin. Then both insulin and blood sugar levels are high, resulting in obesity and diabetes.

Additional Hormones for Weight Gain and Loss

You’ve heard me rail about cortisol before because it is a stress hormone that can cause inflammation and affect fertility. But cortisol may also be impacting your weight in ways you didn’t realize.

First, the inflammation promotes weight gain, especially around the midsection.

Second, you are more likely to overeat and make poor dietary choices when you are stressed. And lastly, increased sugar intake is associated with high stress levels.

Estrogen is another hormone that we may not directly associate with weight gain but can affect how well you manage your weight.
In order to prepare for possible pregnancy, estrogen levels increase starting in reproductive years, which promotes fat storage. But too little estrogen can also lead to weight gain.

Later I’ll get more into estrogen and how menopause can cause weight changes.

The Big One for Hashimoto’s: Thyroid Hormones

Depending on your base knowledge of Hashimoto’s, you probably understand that it is an autoimmune disease, which means the immune system is attacking your own body, or specifically some aspect of your body.

Hashimoto’s disease is when the immune system attacks the thyroid, a gland located in the neck. When attacked, the thyroid can’t adequately do its job, namely making thyroid hormones.

READ: Your Complete Guide to Understanding Hashimoto’s, Hypothyroidism & Thyroid Testing

Among the many jobs of thyroid hormones is to regulate metabolism, or how quickly and well food is converted into energy (calories), as well as how quickly and well you use those calories. Low thyroid hormones means slow metabolism means weight gain.

So naturally, people with Hashimoto’s are more at risk for weight gain.

In addition, insulin resistance increases your risk of autoimmune disorders like Hashimoto’s, so you may be struggling two-fold.

How Age Affects Hormones Levels and Weight

Once you understand the role hormones play in weight management, it will come as no surprise that different phases of life can bring up hormonal changes that affect weight.

Although anyone can experience a change in metabolism as they age, women are especially susceptible to this, partially because of the role estrogen plays and because women are more at risk for Hashimoto’s.

In general, as you age, you are more prone to nutrient deficiencies because your stomach acid decreases, which affects both the breakdown of food and absorption of nutrients.

This decline of nutrients affects a number of bodily functions, including metabolism.

The risk of insulin resistance increases in your 40s, and this can also be the age when some people start to notice new food sensitivities, which increases inflammation.

While women can experience their first glimpse of menopause at different ages, it is most common to have this process start in your 50s.

If you remember, very high or very low levels of estrogen can both cause weight to go up. And menopause can cause estrogen levels to plummet, leading to weight gain.

READ: Menopause Makes Hashimoto’s Worse! But, Nutrition Can Help!

The Good and Bads News About Hormonal Weight Changes

Here’s the part you may have skipped ahead to: The part where I tell you what single, magic supplement you can take to effortlessly lose weight.

Um, just kidding, that magic supplement for weight loss simply does not exist.

Now that you understand some of the hormones that may be standing in the way of your ideal weight, you may think you can just supplement with some leptin or something. But of course it’s never that easy.

As I’ve said, these hormones work together in a complex system, or really systems, that need to be in balance with each other.
But the really good news is that there are ways that you can boost certain hormones and keep others lower, just by eating certain foods and avoiding others.

And even better, many of the same steps will affect more than one hormone, offering a double-whammy of sorts.

Nutrition to the Rescue!

Get Plenty of Protein

One way you can balance both hormones and blood sugar is to make sure to get your share of protein with every meal. It doesn’t take a ton but including protein (whether from animal sources like meat and eggs, or from vegetarian sources like beans and nuts) reduces:

Reduce Sugar and Simple Carbohydrates

Sugar, high-fructose corn syrup and artificial sweeteners not only cause blood sugar spikes and therefore a sharp increase in insulin, they can prevent the natural ghrelin response after eating, allowing you to overeat.

This goes for simple carbohydrates as well. These are grains that have been processed to eliminate beneficial components of carbohydrates, such as fiber. Without this, the carbohydrates are more quickly converted to glucose.

Making sure you get plenty of fiber has the added benefit of assisting the body in flushing out excess estrogen when it is too high. Insoluble fiber (found in nuts, seeds, whole grains, fruit skin and fibrous vegetables) works as a prebiotic to feed gut bacteria, which helps lower NPY levels.

Eat Healthy Fats Every Day

Healthy fats like omega-3 fatty acids from fish or flax seeds, medium-chain triglycerides from coconut oil and monounsaturated fats from nuts all help increase insulin sensitivity and trigger satiety.

But not all fats are created equal. Trans fats have the opposite effect, decreasing insulin sensitivity and promoting fat storage around the middle.

Know that Cruciferous Vegetables are Your Friends

Whether you roast some cauliflower, steam some broccoli, air fry some Brussels sprouts, saute some cabbage or munch on raw kale, cruciferous vegetables are your best friend if you’re aiming to lose weight.

Cruciferous vegetables are high in fiber, balance estrogen levels and naturally detoxify pro-inflammatory toxins.

Make Lifestyle Choices for Balanced Hormones

In addition to nutrition changes, lifestyle changes can also have a big impact on hormones and therefore weight.

Ok, I’ll start with the obvious: exercise. But not just for the reasons you think. Yes, exercise can burn fat and build muscle. But it also helps with insulin sensitivity while also lowering insulin levels. It also improves leptin sensitivity and levels out estrogen levels.

Depending on the kind of exercise, it can also help you manage stress and lower cortisol levels.

Be careful, though, as too much exercise, or the wrong kind of exercise, if you are duly struggling with some low adrenal function can make things worse. So, in order to know what you're up against, get proper testing.

Also helping with stress is sleep. Getting enough sleep can raise leptin levels, lower ghrelin levels and allows you to make better choices about your diet. (Lack of sleep has been proven to increase cravings and reduce will power.)

Looking for a Guided Approach to Balancing Hormones and Losing Weight?

I know from my own experience that when you have Hashimoto's, the weight loss or weight management struggle is real. And, sometimes, when you feel exhausted, weak, or unmotivated, doing even the simplest things to help your body can feel overwhelming.

Sometimes you need a helping hand.

If you want to learn about how Hashimoto’s, general hormone balance and weight management is interrelated AND improve your total health - working with me one-on-one can provide the most clarity.

You can also check out my Happy & Healthy Adult Program – designed for individuals with Hashimoto’s (and also hormone imbalance or chronic weight issues) looking for a personalized, sustainable and joyful approach to nutrition and lifestyle measures which can help heal your body.

I am here to help!

Set up your free phone consultation today.

Hashimoto's / Hormones / Uncategorized - 12/15/2021
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Everything You’ve Wanted to Know About CBD for Hashimoto’s

If you were to believe every claim about CBD, it will cure you of cancer, chronic pain, depression, insomnia, epilepsy, anxiety, drug addiction, glaucoma and much more. And while CBD is showing promising results for a number of health disorders, it’s hard to sort through all the information (and misinformation!) out there.

Research into CBD for autoimmunity in general is starting to emerge (and it’s looking good), but there is still not a ton of information about how CBD might benefit you if you have Hashimoto’s Disease.

Terms like CBD and THC, marijuana and hemp, and full-spectrum get thrown around, adding to the confusion. And now we can find CBD in anything from sodas, beer and protein bars to lotions, pills and sprays.

The good news is that, despite possibly being a huge fad, CBD can be beneficial for many people and it looks like it’s here to stay.

What Is CBD?

Whether or not you decide to try using CBD for yourself, it’s important to understand what it is, where it comes from, how it works and how it’s different from other similar substances.

CBD stands for cannabidiol, a cannabinoid found in marijuana. In addition to CBD, marijuana also contains the cannabinoid tetrahydrocannabinol (THC), which until recently was the most well known cannabinoid, due to its psychoactive properties (i.e. it gets you high).

But in fact, marijuana contains more than a hundred different kinds of cannabinoids of varying amounts.

Cannabinoids interact with cannabinoid receptors found in many mammals, including humans.

CBD has been found to have some health benefits and early on was discovered to help those with some extreme forms of childhood epilepsy. But finally, after years of limited research being done on CBD, the FDA now allows research into possible benefits of CBD for many kinds of health concerns.

To clarify, while marijuana contains both THC and CBD naturally, CBD-containing products contain only isolated CBD unless otherwise noted. There are some traces of THC in some products because of the nature of how it naturally occurs.

The trace amounts are minimal and would not result in feeling high. But for those who may have to drug test for professional purposes, some people have had problems with CBD products causing a positive drug test result.

Some CBD is sourced from hemp instead of marijuana. Although the same species of plant, hemp has been bred to contain less than 0.3% THC. This has allowed it to be used industrially.

But some companies use hemp as their source of CBD because more states allow it.

Health Benefits of CBD and CBD Products

The idea that you can reap the health benefits of marijuana without the high of THC is just one of the reasons CBD has taken off the past few years. Another, of course, is the legality.

Although state laws vary, most states (last I checked Idaho, Nebraska and South Dakota were the exceptions) allow some form of CBD to be used. But these laws change often so it’s best to stay up to date with the laws in your own state.

Because CBD is legal in most cases, it can be a source of relief for some people without breaking the law or putting their job in jeopardy.

The benefits of CBD come from those receptors that are naturally found in our bodies. There are two main types of cannabinoid receptors, CB1 and CB2, found in the central nervous system.

These receptors are found throughout the body, such as in the eyes, spleen, blood vessels, testicles and the cells and tissue of the immune system. But they are most prevalent in the brain.

These make up what is called the endocannabinoid system (or ECS). The ECS helps regulate sleep, appetite, mood, pain and the body’s immune response.

Our own bodies create neurotransmitters called endocannabinoids that bind with the receptors. By introducing them from external cannabinoids, we are simply using more concentrated forms.

Some studies have found that CBD triggering these receptors may:

But what does all this mean for autoimmunity in general and Hashimoto’s Disease specifically?

CBD for Autoimmune Disease

We know that cannabinoids interact strongly with the immune system because the immune system contains cannabinoid receptors throughout. And although the ECS makes endocannabinoids, we can become deficient when the immune system is overstimulated, as in cases of autoimmunity.

This can even result in clinical endocannabinoid deficiency (CED), which may be a risk factor in fibromyalgia, migraines and irritable bowel syndrome (IBS). (To learn more about the relationship between IBS and Hashimoto’s, check out this blog post.)

This is when adding exogenous cannabinoids, like CBD, can support our bodies and our wellbeing.

Many people are very cautious about anything that boosts the immune system while struggling with autoimmunity. But it’s important to note that there is a difference between amping up the immune system and modulating it.

Cannabinoids, in fact, help balance out the immune system. This is because CB2 receptors can suppress immune response when needed.

Additionally, CBD is anti-inflammatory and slows down T-cell production.

The anti-inflammatory action of CBD should not be underestimated. It has been compared to turmeric and ginger in its ability to impact inflammation and can reduce pain associated with inflammation, as in arthritis.

Hashimoto’s and CBD

Even knowing that CBD can be helpful for autoimmune disorders in general, you may still wonder if it’s right for someone with Hashimoto’s Disease. Afterall, every autoimmune disease is different.

Let’s look at how CBD may affect thyroid function specifically.

Unfortunately, there are few studies that look at the direct connection between CBD and thyroid function and hormones. But with time, we will see more and more information on the subject.

For now, there are some studies that indicate that endocannabinoids, and therefore exogenous cannabinoids as well, can stimulate the hypothalamus’ release of thyroid stimulating hormone (TSH).

This is crucial since low TSH levels are a major cause of hypothyroidism, the leading cause of which is Hashimoto’s. TSH is what triggers the thyroid to produce hormones.

Although there is still more research to be done, at least one study has found that CBD may even directly stimulate thyroid hormone production.

Much like how cannabinoids act as an immune regulator and not an immune stimulator, possible cannabinoid receptors on the thyroid itself indicate that cannabinoids may help regulate the thyroid, as opposed to stimulating it. This means there is potential for both Hashimoto’s and Graves’ diseases.

And even more promising, these receptors seem to influence both T3 and T4 hormone production.

When experiencing a Hashimoto’s flare-up, one of the common symptoms is a headache or even a migraine. But CBD has shown promise in helping to relieve the pain of that experience.

The CBD and THC Debate

If you’ve gotten this far and wondered why you wouldn’t just relive your college years and go for the whole marijuana experience, there are some things to be aware of.

First, there are still many states that do not allow the legal use of THC, even where CBD is legal. Second, not everyone wants the experience of getting high and that can be understandable.

Part of the problem is that many of the health benefits of cannabinoids have looked at THC in conjunction with CBD.

I often preach about the benefits of whole foods over individual nutrients, like how the B vitamins work synergistically together better than they do individually. The truth is that cannabinoids may work the same way, with at least some small amount of THC helping CBD to work more effectively.

The bad news is that this may not be an option for everyone. The good news is that there are many great products out there that offer just CBD and others that contain both CBD and small amounts of THC to boost CBD action.

Don’t Skimp on Quality

Just like with food and supplements, it is important with CBD to make sure you are getting a high quality product since it is going directly into your body.

Look for organic products that do not contain any fillers (especially anything that may trigger an allergic reaction or intolerance). And read the fine print if you are avoiding THC.

If you are wanting something with CBD and a small amount of THC, you will want to look for the term “full-spectrum.” This means that it contains a range of cannabinoids, including up to 0.3% THC, which is still such a small amount that it will not make you feel high. (That 0.3% threshold is legal federally but laws still vary state by state.)

The Many Faces and Forms of CBD

As I said, CBD is found in so many different kinds of products these days: gummies, oils, tinctures, bath salts, sodas, lotions and even chocolate.

If you want to use it therapeutically, it is best to avoid foods. (These can often have tons of crappy additives.)

But if you’re debating between taking CBD orally or topically, it is mostly going to be a personal preference. I tend to recommend topical application because it is well-absorbed, easy to use and well-tolerated.

Creams, salves and lotions can have the added benefit of helping to relieve sore muscles.

Easing into Your CBD Dosage

While dosage will vary greatly person to person and depending on your goal, I also suggest easing into the process.

Start out low and work your way up over weeks. While this may mean you don’t immediately see benefits or experience relief from symptoms, keep the end goal in mind and know that CBD builds up in your body.

A Note on Medication Interactions with CBD

There are no known interactions between CBD (or other cannabinoids) and thyroid medications. However, they may compete for certain metabolism pathways that would be an issue in cases of hyperthyroidism.

Some people have reported feeling nauseous or experiencing anxiety when taking CBD and thyroid medication together. However, spacing them out just a couple hours can prevent this.

Only You Know If CBD Is a Good Option for You

The truth is that you have to weigh your options and the pros and cons of CBD. For the right person, it can be a game-changer. But it may not be for everyone.

The good news is that CBD is considered quite safe with little side effects. This means that you can try it out and see if it helps with your Hashimoto’s or other autoimmune disease. Just remember to use a quality product and ease into a therapeutic dosage.

CBD may not cure you of all diseases, pains and maladies, but it may bring some relief and be another piece of the puzzle.

Want to work with me one-to-one on your thyroid health and overall wellbeing and nutrition? 

I can help you find the right option that will fit your lifestyle, budget and goals and will leave you with personalized recommendations. 

 

Hashimoto's / Uncategorized - 10/17/2021
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Why Your Thyroid Will Go Nuts for Selenium

Have you ever been lucky enough to try a Brazil nut?

I know, weird question. 😂

This very large and distinct-looking nut is often left behind in the bowl of mixed nuts because it looks different and maybe even weird.

In fact, Brazil nuts have a wonderfully creamy flavor and a texture that is often compared to coconut.

Almost as important, Brazil nuts are a great source of fiber and protein. But there’s a mineral that is going to make Brazil nuts your new best friend and a great excuse to put down the peanut and give them a try.

Brazil nuts are one of the richest sources of selenium of any food… almost to a fault. (But I’ll get to that later.)

And if you don’t know how important selenium is for your Hashimoto’s disease and overall thyroid health, you’re about to get a whole lot more knowledgeable about this nutty little mineral.

Selenium for your Health

Like many minerals, selenium isn’t needed in large quantities but it is still very much essential.

Selenium is most often noted for its antioxidant action. This means that it protects from the damage free radicals can have through oxidative stress.

Selenium helps activate enzymes that are critical for detoxification, called glutathione oxidases. Of the eight kinds of glutathione oxidases, five are known to require selenium, making the mineral a detoxing powerhouse, albeit indirectly.

There are indications that selenium-containing enzymes also help the body recycle vitamin C, adding to its antioxidant fame. This is especially important because, unlike most other mammals, humans are not able to make our own vitamin C.

Between acting as an antioxidant and boosting detoxification, it’s no wonder that people are looking to selenium for its abilities to fight cancer and prevent heart disease.

What does this have to do with the thyroid gland? Well, very little actually, except of course that decreasing oxidative stress and supporting detoxification can certainly help thyroid function.

But selenium’s more direct impact on Hashimoto’s and hypothyroidism has even more up its sleeve.

Hashimoto’s, Hypothyroidism and Selenium

Now we’re getting to the juicy stuff.

If you’ve read any of my blogs about Hashimoto’s or followed me on social media, you’ll know already that Hashimoto’s is an autoimmune disease that is the most common cause of hypothyroidism.

Hypothyroidism is when the thyroid gland does not create enough thyroid hormones, T4 and its active form, T3.

This can lead to sensitivity to cold, weight gain, hair thinning or loss, fatigue, infertility, depression and much more.

This is because the thyroid hormones help regulate our metabolism, which is involved in a number of body functions including heat regulation and energy use.

That conversion of thyroid hormones into the active form is where selenium comes in.

There is a group of enzymes called Iodothyronine deiodinases that, just like glutathione peroxidases, need selenium to function. Without these enzymes, the T4 hormone cannot be converted to T3.

Selenium and iodine, another mineral that is of utmost importance is thyroid health, work together to keep the thyroid functioning adequately.

Add to that the fact that the thyroid contains more selenium than any other tissue in the human body and I’m pretty I’ve got you on the selenium train.

Not Enough Selenium, Too Much Selenium

As with many minerals, like its pal iodine, selenium must be kept in balance. Not enough affects thyroid function; too much can even be fatal.

The good news is that selenium deficiency is rare in developed countries. The bad news is that declining soil quality may eventually decrease our natural exposure to selenium in our foods. At this point, we don’t have much to fear but it’s too early to know about future generations.

These days, selenium deficiency is usually caused by other factors, such as impaired digestion and absorption (increased risk in the elderly), HIV-positive status, Crohns’ disease and recent gastrointestinal bypass surgery.

Symptoms of selenium deficiency include:

  • Infertility
  • Hair loss
  • Fatigue
  • Weight gain
  • Impacted immune system
  • Difficulty focusing

If these sound familiar, you’ll recognize many of these as symptoms of hypothyroidism too. Hmmm.

The recommended amount of daily selenium is 55 mcg, but goes up to 60 mcg if you are pregnant and 70 mcg if nursing.

On the other end of the spectrum, it is not advised to digest more than 400 mcg of selenium per day.

If you are getting your selenium from food sources, as opposed to from supplements, you are most likely not in danger of toxicity.

However, the symptoms of toxicity include:

  • Breath smells like garlic
  • Metallic taste in the mouth
  • Hair loss
  • Brittle nails
  • Nausea
  • Skin rashes or lesions
  • Diarrhea
  • Fatigue
  • Irritability

The most common food source of an overabundance of selenium is from our good old friend, the Brazil nut.

As much as they are a wonderful (and very tasty) source of selenium, depending on the soil where they are grown, Brazil nuts can contain so much of the mineral (68-91 mcg), that it is not advised to eat more than two per day.

Other food sources of selenium include:

Tuna, sardines, salmon and cod
Shrimp
Mushrooms (especially crimini and shiitake)
Asparagus
Mustard seeds
Chicken, turkey and lamb

One thing to consider is that while selenium is not affected by the storage of food, the cooking of meats and processing of grains (like brown rice, which contains some selenium) can cause the loss of some of the mineral.

When and How to Supplement with Selenium for Hashimoto’s

Keeping in mind that you need to walk that fine line of deficiency and toxicity of selenium, it can be hard to know whether you should supplement. Ideally you would get most or all of your selenium from food.

My approach is to only supplement if there are indications that it is necessary or you have had your nutrient levels tested and they indicate you are low. Then proceed slowly, starting with a low dosage and building up if needed. Keep your eyes peeled for signs of toxicity and always talk to your primary care provider when you add new supplements to your protocol.

Supplemented selenium comes in a few different forms. The main difference is how well they are absorbed.

The most easy to find and cheapest form is selenium citrate. But it is not as well absorbed as some other (sometimes more expensive) forms, such as L-selenomethionine and selenocysteine.

A good and safe dosage for supplementation is 200 mcg per day, taken with food since that is how you would naturally get your selenium and to allow it to work together with other nutrients.

Supplemented selenium is sometimes found partnered with vitamin E, because they both boost antioxidant action and work together against free radicals.

There has been recent concern and research into the possibility that vitamin E and selenium, taken together and separately, may increase the risk of prostate cancer. I would therefore not advise taking either if you are already at higher risk for prostate cancer.

Although there are no medication interaction concerns with selenium, it is not advised to take it while also taking any forms of blood thinners or anticoagulants, as it may slow blood clotting.

Fortunately, selenium is safe to take while on any thyroid medications, as there are no known interactions.

Think About the Big Picture For Your Thyroid

Look, selenium is an amazing nutrient for supporting a healthy life with Hashimoto’s but it’s not a miracle mineral. It’s a great and crucial piece of the puzzle.

Because of its role in converting the T4 thyroid hormone into the active T3 form, selenium-containing foods should be a part of your regular diet. And if there are indications of a selenium deficiency, supplementation may also be necessary.

But selenium alone is not the answer. You still need the benefits of other thyroid-supporting nutrients like iodine, vitamin D, magnesium, and zinc. And just as important can be finding the right thyroid medication, getting exercise, managing stress and balancing your blood sugar.

And if you see the benefits of having selenium be a part of your thyroid health plan, don’t be scared to grab the occasional Brazil nut.

If you’re ready to go beyond these simple yet effective steps to restore your thyroid health and manage your Hashimoto’s, my 30-day Nourished and Renewed with Hashimoto’s Program provides the necessary tools and resources all in one place for you to set off on your healing journey.

Another great option for those needing more personalized care, check out my Happy & Healthy Adult program, perfect if you’re struggling with more complex health issues related to Hashimoto’s or another disorder.

Hashimoto's / Uncategorized - 08/15/2021
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"We are Family..." The Vitamins That Support The Thyroid and Each Other

Many vitamins work synergistically. But, none work more synergistically together than the ones I like to refer to as the Sister Sledge all stars - or the "We are Family" of B vitamins!

Just like the siblings who achieved international success at the height of the disco era, B vitamins are having their hey-day.

B vitamins are essential to our health in general, but what do they mean for thyroid health specifically?

When we talk about B vitamins, we are actually discussing a group of vitamins, each one unique but also each one working synergistically with the others. It’s actually a pretty beautiful thing. It might even make you want to "get up everybody and sing..." Ok, you get my point.

This group of water-soluble vitamins may be confusing or even come off as somewhat mysterious, partially because some we call by name and others we know as B12 or B6.

But I promise that I will take some of the mystery out of B vitamins without losing any of the disco-magic.

Anyone struggling with autoimmune thyroid disorders like Hashimoto’s Disease needs to understand how B vitamins are definitely our friends, especially vitamin B12.

But like with any nutrients, it’s all about walking a fine line between too much and too little, trying to get most of your B vitamins from food and, hopefully, seeing the benefits in your thyroid health.

Understanding B Vitamins and What They Do

There are eight B vitamins, and just like vitamin C, they are all water soluble.

Water-soluble vitamins are those that are able to dissolve in water and cannot be stored in the body for later use. Fat-soluble vitamins need fat to dissolve and utilize, and they can be stored by the body to be accessed when needed. The fat-soluble vitamins are A, D, E and K.

Because water-soluble vitamins cannot be stored, they must be obtained often so that the body can continue to use them. This explains why you often see vitamin C offered in a time-release form, so that it’s not all dumped into the system at once.

There are eight B vitamins and they each have a number and a name and some come in multiple forms. 

Let’s delve in!

Thiamine

Thiamine is also known as B1. It plays an important role in metabolism and specifically helps utilize the energy found in carbohydrates and fats. Deficiencies in thiamine affect the nervous system, as well as the heart and digestion.

Thiamine is found in small amounts in a wide range of foods but deficiencies are still common because processed foods rids them in thiamine. Many foods include enriched forms of thiamine but these are not absorbed or utilized by the body as well as when they come in their natural forms in foods.

Generally enriched foods are foods in which processing has stripped nutrients so they are added in. (As opposed to fortified, in which they add nutrients to foods that wouldn’t naturally contain them.)

The problem is that these added nutrients may be a different or synthetic form, may be in too large a quantity compared to what would naturally occur, and this does not necessarily allow the nutrient to work synergistically with the other nutrients found in the food.

The good news is that there are some wonderfully delicious foods that naturally contain thiamine. The food richest in this B vitamin (by far!) is asparagus. Other foods with thiamine include:

  • Sunflower seeds
  • Peas
  • Flax
  • Brussels sprouts
  • Beet greens and spinach
  • Cabbage
  • Eggplant
  • Crimini mushrooms

Riboflavin

Riboflavin, also known as B2, is that fun little vitamin that turns your pee bright yellow when you’ve consumed it. (“Flavin” even comes from the Latin word for “yellow.”)

Like thiamine, riboflavin is also necessary for energy metabolism, especially from fat. It also helps recycle glutathione, making it critical for antioxidant action, and promotes iron metabolism.

Riboflavin is rich many of the same foods as thiamine, plus also in:

  • Sea vegetables
  • Eggs
  • Milk 
  • Broccoli 
  • Green Beans

Both deficiency in and toxicity from riboflavin are rare.

Niacin

Niacin, also called B3, is sometimes known more for what happens when you get too much than it is for possible deficiencies.

Toxicity is extremely rare from overconsumption from foods, but if you supplement with too much niacin, you can experience the “niacin flush.” This is when the face, arms and chest flush red for up to hours at a time and some people experience a tingling feeling. While not dangerous or permanent, it is uncomfortable and supplementing with niacin alone is not often advised, unless under medical guidance or when specific forms are used.

As you might have seen coming, niacin is also crucial for energy production from fat, protein and carbohydrates. It also works as an antioxidant against free radicals.

Recently, niacin has started to be used to battle high cholesterol numbers. But while found to possibly reduce LDL, niacin has not been proven to reduce the risk of cardiovascular disease.

The following foods are good sources of niacin:

  • Tuna and salmon
  • Chicken
  • Turkey
  • Crimini mushrooms
  • Lamb and beef
  • Asparagus
  • Tomatoes and bell peppers

Pantothenic Acid

Also called B5, pantothenic acid is found in small amounts in most foods, hence its name: “pantos” means “from everywhere” or “from all sides.” Therefore, deficiency is very rare, except in cases of severe malnutrition.

Pantothenic acid is required by our bodies to synthesize a molecule called Coenzyme A (CoA). Without CoA, we could not metabolize carbohydrates, protein or fat. Fat is especially key to this process because CoA is what allows fat to be stored and to build cholesterol.

Although found in many foods, pantothenic acid is highest in:

  • Shiitake and crimini mushrooms
  • Cauliflower and broccoli
  • Dark, leafy greens
  • Sweet potato
  • Asparagus
  • Bell peppers
  • Cucumber

Vitamin B6

Although most commonly known as vitamin B6, it comes in a number of forms that each have their own name, including pyridoxine, pyridoxamine, pyridoxal.

B6’s metabolism is specifically for carbohydrates, plus it is also involved in red blood cell production, liver detoxification and brain and nervous system function. The neurotransmitters GABA, dopamine and serotonin require B6 for synthesis.

Oral contraceptive pills increase risk of B6 deficiency and those older than 65 can also be at risk because of decreased nutrient absorption.

Vitamin B6 is found in:

  • Tuna
  • Spinach and turnip greens
  • Cabbage and bok choy
  • Bell peppers
  • Garlic
  • Cauliflower

Biotin

Vitamin B7 is more commonly known as biotin and more recently has been known as a beauty vitamin, added to many food and supplements for skin and hair health.

But there is more to biotin than its job in building up healthy fats in the skin. Biotin also helps balance blood sugar by helping in insulin production.

Certain medications and raw egg whites can inhibit biotin absorption.

Foods rich in biotin include:

  • Chicken and beef liver
  • Peanuts
  • Eggs
  • Tomatoes
  • Almonds
  • Onions
  • Carrots
  • Cauliflower

Folate

Vitamin B9 is a tricky one when it comes to names. Many people know it best as folic acid, because that is the form most often used in supplements, especially in prenatal multivitamins. But in its most natural and food form, it is called folate.

Folate as a source from food comes in many forms (methylfolates, dihydrofolates, monoglutamyl folates, polyglutamyl folates) but when used to fortify or enrich foods, is only found in its synthetic folic acid form.

Folate is necessary for the body to create DNA and RNA, hence its importance during reproduction and fetal development (and therefore in prevention of birth defects). It also plays a role in cell division and red blood cell production.

If you have a hard time remembering what foods contain folate, just remember that the name comes from the word “foliage,” because it’s found in such high quantities in dark, leafy greens. It is also in:

  • Peanuts
  • Lentils and chickpeas
  • Asparagus
  • Spinach and turnip greens
  • Broccoli and cauliflower
  • Beets

Nutrition for the body

Vitamin B12

You may not recognize the name cobalamins, but you will definitely have heard of B12. It is one I’ll cover a lot because of its role in thyroid health and beyond.

Like its B vitamin brothers and sisters, B12 is involved in metabolism. In this case, it metabolizes fat and protein. But it also helps in red blood cell production, DNA synthesis as a co-factor, aids in converting inflammatory homocysteine into methionine, and is relied on by the brain and nervous system.

B12 can be a little trickier to get in your diet than many of the other B vitamins, especially if you are vegan or even vegetarian.

The vitamin cannot be made or stored by plants so the only non-animal foods that contain B12 have gotten help from microorganisms in some form.

Animal-sourced B12 sources include:

  • Sardines, salmon, tuna and cod
  • Eggs
  • Milk
  • Lamb and beef
  • Shrimp and scallops
  • Liver

Although not as high in B12, some non-animal sources are:

  • Nutritional yeast
  • Crimini mushrooms
  • Fermented soy products (such as tempeh, miso and natto)

B12 is one of the few vitamins that is also made in the gut.

What B Vitamins Have To Do With the Thyroid

As you read through all that the B vitamins do, you may notice some patterns start to emerge that start to paint a picture as to their connection to the thyroid, thyroid health and Hashimoto’s Disease.

You’ve seen that most of the B’s have something to do with energy production and metabolism. Hey, you know what else regulates metabolism? The thyroid!

The thyroid gland, located in the neck, secretes hormones that change the rate at which our body utilizes energy.

When you have an autoimmune disorder, like Hashimoto’s, your immune system attacks some part of itself, in this case the thyroid. When the thyroid is under attack, it cannot function as well and underproduces those hormones. This leads to hypothyroidism (underactive thyroid), of which Hashimoto’s is the leading cause.

Imagine that you are deficient in the B vitamins that help your body metabolize the fats, proteins and carbohydrates you consume. If they cannot efficiently draw energy from those foods, it puts an extra burden on the thyroid to even better metabolize what energy it does have.

Possibly just as important to understand is how much the B vitamins rely on each other. All of the B vitamins work synergistically so that none can function as well if any of them are deficient.

For example, B12 helps the body recycle folate. When the body has either too much or not enough folate, B12 becomes even more necessary. And when folate and B12 are both deficient, thiamine activity is compromised.

As a matter of fact, B vitamins are often offered in supplement form together because they are better absorbed and utilized when they work as a group.

When they are in harmony, remember?

But this does not mean that some of them don’t have a direct impact on the thyroid.

Vitamin B12’s Relationship with the Thyroid

B12 is probably the most notable B vitamin for its role on the thyroid.

Research has found that of those with hypothyroidism, around 40% are deficient in vitamin B12. This may in part be due to the indications that hypothyroidism can be a cause of some forms of anemia and B12 deficiency is also a risk factor for anemia.

Add to this that people with underactive thyroid have a difficult time absorbing B12.

Those with Hashimoto’s are also known to be at higher risk of producing less stomach acid, impacting absorption of nutrients like B12 or the production of B12 in the gut.

B12 deficiency can be a cause of SIBO (small intestinal bacterial overgrowth), of which around half of Hashimoto’s sufferers have.

Biotin’s Secret Role in Thyroid Diagnoses

There has been no direct correlation between biotin and autoimmune thyroid disorders. But the growing use of biotin supplements may be leading to diagnoses in an unexpected way.

Thanks to its role in skin health, biotin is increasingly being used as a beauty supplement. But doctors and researchers are finding that high levels of biotin (too high to get just from food) are affecting testing levels of thyroid hormones.

This doesn’t mean that the vitamin is actually impacting hormones, just that the test is impacted to make it appear that TSH, T3 and T4 are higher than they really are, leading to incorrect diagnoses of hyperthyroidism (overactive thyroid) and Grave’s Disease.

While doctors are becoming aware of this and asking those with high thyroid hormone levels if they are taking biotin, they aren’t necessarily asking patients with normal levels that same question.

This means that some patients with low levels and an underactive thyroid, may miss getting an appropriate diagnosis.

The best thing to do is to stop taking any biotin supplements at least five days before any thyroid panel.

Other B Vitamins and Their Impact on the Thyroid

While not fully understood in terms of their direct relationship, it has been found that supplementing with thiamine has been effective in supplying relief for those with Hashimoto’s-related fatigue.

There may be indications that a riboflavin deficiency can suppress thyroid function.

And lastly, B6 is necessary for the thyroid to utilize the mineral iodine in order to make thyroid hormones. For more on iodine’s role in thyroid function, check out my blog on this amazing mineral.

My Opinion About Supplementing with B Vitamins

As you’ve seen by now, there are a number of B vitamins that are very easy to get from foods, especially if you avoid processed foods and stick with a whole foods diet ideally.

The problem, of course, is that you can’t see into your digestive system to know if you are breaking down and absorbing your foods. And if you are older, have Hashimoto’s or suffer from a digestive issue like IBS, you may have low stomach acid and are not really getting all those great nutrients you are eating.

And unfortunately, the most common deficient B vitamin, B12, is also the one most important for thyroid health.

The food news is that these days, tests that will look for deficiencies are pretty easy to come by and not expensive.

It can be worth it to know where your nutrient levels stand.

If you are deficient or suspect you may be, I usually recommend taking a B complex supplement as opposed to an individual B vitamin supplement since I think you know by now how well these vitamins work together.

And you can feel comfortable adding a B complex to your day knowing that there are no known interactions with any thyroid hormone medication.

Hopefully, a B complex as a supplement is a short-term solution while you find the missing gaps in your diet and/or supporting healthy levels of stomach acid.

B Vitamin Roundup

While B12 plays the most critical role in thriving with Hashimoto’s and in thyroid health in general among the B vitamins, it’s crucial to understand how much all the B vitamins work together.

They help balance each other out and be utilized by the body. The best way to do this, with a close second being supplementing, is to eat a balanced diet that includes cooked and raw vegetables, and organic meats and eggs.

Whether this simple step feels small or monumental, it truly supports a healthy thyroid that will give you a leg up on thriving each and every day.

Getting Additional Thyroid Support

If you would like to feel great again and really get out there on the dance floor, well, I think you need more support with your thyroid health.  

If you are looking for personalized attention to your thyroid, seek out a program and thyroid advocate who can give you the tools and resources to feel your best again.

I would recommend my Happy & Healthy Adult Program for those with possible thyroid health issues.

Working closely together, we can customize a supplement and meal plan regimen just for you. Get your party dress on - let's go!

Hashimoto's - 07/15/2021
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Hashimoto’s Flare-ups: Symptoms, Causes & Prevention

I personally have had experiences with Hashimoto’s when it was clear that I was in a “flare,” and I can tell you that it’s quite unpleasant.

There was a period both before and after having my two kids when my body and immune system were putting up a bit of a fight.

Have you ever seen a photo or video of a solar flare?

The sun will be acting perfectly normal, doing its regular sunny thing. And suddenly, out of nowhere, there is a violent rupture from the surface. In an explosive arch, red hot gases burst forth, disrupting the previously calm area around it.

You can practically hear it as a scream.

Now imagine something similarly violent happening within your immune system. No, it’s not a “solar” flare, but an eruption inside your immune system.

If you’ve ever experienced a Hashimoto’s flare-up, you know what I am talking about.

When my own Hashimoto’s flared up in my 30s, it was connected to hormones and stress. Those flares not only made me miserable, they affected systems in my whole body that at first did not appear connected to my thyroid. So, unfortunately, I didn’t immediately know that something was going on.

For me, the symptoms were pretty tell-tale: joint pain, asthma-like symptoms, extreme fatigue, skin problems and digestive discomfort. Each subsequent flare looked similar, so while I dreaded them, I began to recognize a pattern.

These symptoms are not the same for every person.

From working with my clients, I know it can be hard to tell what’s causing the flare-up and I understand the fear that coincides with anticipation of another one.

The good news is you can support your thyroid and overall health to prevent flare-ups and start to feel better overall.

Understanding What a Hashimoto’s Flare-up Is

Hashimoto’s Disease is an autoimmune disorder in which the thyroid attacks itself or the thyroid hormones.

It is the number one cause of hypothyroidism, which is a thyroid that is underproducing thyroid hormones (or conversion of usable forms of thyroid hormone).

Symptoms of Hashimoto’s can be mild to severe but often go undiagnosed because they are similar to many other health conditions and because when they are mild, it can go ignored for years.

People get their Hashimoto’s symptoms under control through combinations of medications, dietary and lifestyle changes.

But just because you feel better for a while doesn’t mean that your Hashimoto’s has gone away. If your immune system is still creating the antibodies capable of attacking the thyroid, you still have Hashimoto’s.

The good news is that you have gotten the disease under control. The bad news is, antibody levels can (seemingly out of nowhere) elevate and cause suffering or discomfort. That is a flare-up.

There are a number of issues that can elevate antibodies and trigger symptoms of a flare-up.

Hashimoto’s Symptoms and Flares

Although similar to acute health problems like stress or lack of sleep, Hashimoto’s symptoms are more long-term and include:

  • Fatigue
  • Sensitivity to cold
  • Constipation
  • Hair loss or thinning of hair
  • Weight gain
  • Joint or muscle pain
  • Depression
  • Irregular menstruation
  • Dry skin
  • Problems with memory or focus

Any of these could also be signs of a flare-up. But more extreme versions can also be signs.

Instead of a headache, you may experience migraines. Instead of dry skin, you can start to get rashes. Some people even experience fever or nausea.

How long these flare-ups last varies greatly person to person, as does the cause. But one thing that is true for everyone is that the autoimmunity that leads to flare-ups causes damage to the thyroid.

Remember, this damage is caused by the antibodies that are attacking the thyroid, leaving the gland unable to produce the necessary levels of thyroid hormones. Elevated levels of antibodies are usually the culprit. Hashimoto’s is characterized by a “wonky” immune system, so this makes sense: When the immune system goes awry, and attacks self tissue, you can feel really terrible.

Furthermore, while each flare-up may not do too much damage in the short run, each and every one adds to the cumulative effects. This means that while you might be able to put up with the symptoms, there may be long-term effects that you cannot see.

The Most Common Causes of Hashimoto’s Flare-ups (Which May Differ for Everyone)

What causes your Hashimoto’s to rear its ugly head may be different from your neighbor or relative with the same disease.

But common triggers include:

  • Lack of sleep
  • Stress
  • Changes in hormones (like the postpartum period, or menopause)
  • Lack of exercise or too much exercise
  • Exposure to toxins or pathogens
  • Nutrient deficiencies (more on that later)
  • Medications or supplements that interfere with thyroid medication

Choosing the right doctor to support your thyroid health

Immune system dysregulation is the name of the game with a flare-up. If you are on the “edge” of getting sick or feeling really run down, a flare might be the result instead of a cold or virus that puts you to bed. A flare can feel like you have a “bug,” when in reality, it’s your own immune system attacking your thyroid.

Lack of sleep and stress go hand in hand because one often causes the other and because they often have similar effects. And, we all know what that can do to the immune system.

Poor sleep and stress can lead to inflammation and drain the nervous and immune systems, which can impact thyroid function. This happens when metabolism is slowed, affecting the conversion of the thyroid hormone T4 into the active form, T3. This down regulation of the thyroid can also lead to a flare.

Generally speaking, hypothyroidism symptoms can be exacerbated and feel very flare-like. When they come a go, it might feel like you are always in or out of a flare-up. This is quite common with medication changes early after diagnosis.

Beyond lifestyle factors, toxins have also been found to disrupt thyroid function and may lead to a flare-up if exposure is intense or prolonged.

These include bisphenol A or BPA (commonly used in food packaging) and glyphosate (the most widely used herbicide in agriculture). Toxins like hormones in meat and dairy, pesticides, heavy metals, mold, and even pathogens (parasites, H. pylori bacteria, Epstein Barr virus…) can also all impact the immune system, cueing up a flare.

Certain medications and supplements can interfere with the functioning of your thyroid medications, not allowing them to work quite as well. These can include some antibiotics, antacids, other types of hormones and even calcium or iron supplements.

It’s best to speak to your endocrinologist or other healthcare provider to make sure these aren’t an issue or discuss timing when you take these to avoid interactions.

The bottom line is that if it disrupts your immune system or your thyroid function, a flare is likely.

Hashimoto’s Flare-ups from Nutrient Deficiencies

There are a number of nutrients that are so essential to thyroid function, that if you become deficient, it can definitely send you into flare-up territory.

Each of these could cover quite their own lengthy blogs. And in fact, most of these already have dedicated articles on my site. Others are in the works.

Important Nutrients to Consider

Iodine: This mineral is essentially the backbone for thyroid hormones, making it one of the most important nutrients for thyroid health. The tricky part is that while you don’t want to become deficient, too much iodine can also negatively impact thyroid health.

Vitamin D: Also called Vitamin Sunshine because we can get it from sun exposure, low D levels translates to low TSH (Thyroid Stimulating Hormone), which causes low T3 and T4. And people with autoimmune thyroid disorders are much more likely to have low vitamin D levels.

Zinc: Known for its immune boosting-qualities, zinc is a necessary mineral for TSH and T4 production, as well as the conversion of T4 to T3. Zinc deficiency has also been found to increase the risk of autoimmunity.

Selenium: More selenium is found in the thyroid than in any other organ or gland in the body and a deficiency has been associated with autoimmune thyroid disorders.

B vitamins: B12 in particular has been found to be deficient in those with autoimmune thyroid disorders. But all the B vitamins work synergistically together to support our health, including thyroid health.

 

Think about the ways in which these nutrients support both thyroid function and the immune system...so, if there are deficiencies, well, then, there will be flares.

 

Supplements to support the body

Support and Prevention of Hashimoto's Flare-up

As you can imagine, one of the best ways to prevent flare-ups of your Hashimoto’s is to make sure to include the above-mentioned important nutrients in your diet regularly.

You can learn more about their food sources. But perhaps the best way to naturally attain them is to eat a varied and colorful diet, including lots of both cooked and raw vegetables, fruit, nuts and seeds and high-quality meats and seafood.

Avoiding processed foods also goes a long way to avoiding deficiencies. This works two-fold because it will increase nutrient density while also decreasing foods that actually sap nutrients from your body.

One example is the large amount of salt in most processed foods (even sweet foods!) A diet high in iodized salt can lead to the body’s iodine levels getting too high.

As mentioned before, iodine requires a fine balance. It is therefore better to consume foods that naturally contain iodine in the right balance, like sea vegetables, seafood and eggs, than from salt that has been fortified with the mineral.

Avoiding inflammatory foods like sugar, alcohol, gluten, dairy, caffeine, and any antigenic food that causes a reaction for you personally is also a good idea. Foods should support health, not detract from it. So, if that morning cup of coffee, or nightly bowl of ice cream is at the root of why your immune system is going haywire, time to rethink it.

The Importance of Regulating the Immune System

Many doctors tell their patients that thyroid autoantibody levels “will not change over time,” and are “not related” to a patient’s symptoms - or flares.

Levels of autoantibodies that rise over time may be more significant than stable levels, as they may indicate an increase in autoimmune activity, and fluctuations in antibody levels can be a sign of flare-up activity.

As I have stated, flares are about the ongoing dysregulation in the immune system.

I find that autoantibodies are reflective of the autoimmune process, a person’s degree of immune system dysfunction, and likely, the relative severity of their symptoms.

Routine screening of the thyroid that only involves the TSH test does not always show the whole picture.

In my experience, regular autoantibody tests can show whether or not a degree of immune system dysfunction is taking place.

A history of autoantibody testing is the best way to see patterns of changes over time.

Ideally, with proper nutritional therapy, we can see a decrease in the antibody levels, resulting in improved symptoms and quality of life. (That is very good news.)

Frankly, once antibody levels are back in normal range, flares stop. This is the goal, the endgame.

Our objectives through nutritional therapy for immune system regulation as it pertains to Hashimoto’s is to:

  1. improve digestive function
  2. eliminate outside sources of triggers (foods, pathogens, toxins, stress, etc.)
  3. support the immune system
  4. restore overall balance in the endocrine system

Foundation Supplements to Boost Your Thyroid Health

Once in a flare-up, boosting the previously mentioned nutrients through foods can help. But for more immediate relief, it may be necessary to supplement. (Or in the case of vitamin D, get out in the sunshine!)

Zinc and B vitamins can be especially helpful as supplements during this time, because they are very safe for short and therapeutic use. I especially love zinc in lozenge form because of how quickly it enters the bloodstream. Zinc is also powerful for regulating the immune system.

Always talk to your healthcare provider about adding new supplements to your health protocol.

Working with a board certified holistic nutrition practitioner is the surest way to take only the supplements you need, and only the supplements which are most likely to truly help reverse or heal the damage to your thyroid from Hashimoto’s and resultant flare-ups.

The Importance of Sleep and Stress Management

Of course it can be easier said than done, but I cannot stress (excuse the pun) the importance of sleep and managing stress in preventing Hashimoto’s flare-ups and in helping support your body during a flare-up.

But if you need another voice in your head reminding and urging you to prioritize these essential lifestyle choices, let it be mine.

You can’t always control the stress triggers in your life (bills, traffic, in-laws, the holidays). But you can aim to improve how you manage your reactions to them.

Find what works for you that helps you let go of the stress. It may be meditation, yoga, talk therapy, going for a walk, exercise, shouting into a pillow or journaling.

The same goes for sleep. You may not be able to stop a baby from crying in the night or a kiddo from crawling into your bed at 5am.

But if there are patterns of what is interrupting your sleep or ending it early, factor that into your bedtime. Join me in the 9 pm bedtime club - I am early to bed most nights, but if I feel run down, you better believe I am hitting the sack sooner rather than later.

If you are able to get to bed earlier than you think is necessary, your immune system and your thyroid will thank you.

Medication Hesitation for a Flare-up

If flare-ups feel more like the norm than the exception, it may be time to talk to your endocrinologist about adjusting your medication.

If the current medication you are taking doesn’t feel like it’s working for you anymore, time for a change.

It doesn’t mean your stand-by medication doesn’t work for you, but there may be another version or dosage that may work better for where you and your thyroid are at now.

And, as I mentioned earlier, flares are commonly associated with medication dose changes. So, if too many changes are rocking the boat, try to settle on the prescription that works best for you.

Also remember that if you were diagnosed with Hashimoto’s a decade ago, it may be time to mix things up and try something different.

As we enter different phases of life (postpartum, menopause), different medication, lifestyle changes, supplements, and more are called upon to get us through to the next stage.

Hashimoto's Flare-up Finesse

There are a number of ways to deal with flare-ups as they happen, from diet to lifestyle. But the real truth of the matter is it’s easier to work on preventing them from happening in the first place.

And you’ll be a lot less miserable too.

What triggers flare-ups can vary from person to person, making them harder to pinpoint. But the good news is that once you figure out your own personal triggers, you can work to reduce or even eliminate them.

If you would like more support with your thyroid health and overall wellbeing, check out my 30-day Nourished & Renewed With Hashimoto’s program.

This is a self-paced online lifestyle program that offers tangible, realistic solutions for improving your Hashimoto’s and your overall health in a way that lasts.

If you are looking for personalized attention to your thyroid, seek out a program and thyroid advocate who can give you the tools and resources to feel your best again.

I would recommend my Happy & Healthy Adult Program for those with possible thyroid health issues.

There is so much that you can do to boost thyroid health and live your best life. I hope that no matter your diagnosis and your medication plan, you will consider making nutrition and lifestyle changes part of your plan too.

Hashimoto's / Uncategorized - 06/15/2021
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Thriving with Hashimoto’s in Winter - What You Need to Know

If you know me, you know that in the winter time, I usually have on at least three layers. I get really chilly when other people around me are just fine. Outdoor sports this time of year are tricky for me and I require a lot of specialized extra warm gear, like heated ski boots, Swamy mittens and cozy long underwear (even when it’s not that cold out).

But, I know myself pretty well, and after having Hashimoto’s for more than 20 years, I also know how to cope with the changes to winter weather.

While some people like the chill in the air that indicates a change in the seasons, if you suffer from Hashimoto’s-caused hypothyroidism, you may dread winter and the colder weather.

Unfortunately, winter leads to the stars aligning perfectly to aggravate many of the common symptoms of Hashimoto’s and you may be one of the many who find it a time to tweak their thyroid medication.

But there are other changes you can make that may help as well.

It’s not that winter in and of itself is the problem. But if you consider many of the health issues that Hashimoto’s can exacerbate, winter becomes an obvious time of struggle for those with thyroid health problems.

Hashimoto’s and Heat Regulation

Hashimoto’s is an autoimmune disorder in which the immune system attacks the thyroid gland located in the neck. This can ravage the thyroid and not allow it to function as well.

The reason this is problematic is that this gland is crucial to some very basic body functions.

One of the best understood jobs of the thyroid is to regulate the body’s temperature.

It may not sound like a big job but consider that the internal temperature of the body stays amazingly consistent despite external changes.

We tend to think of the body’s normal temperature as 98.6 degrees. But it’s more accurate to say that everyone’s bodies run at a slightly different temperature.

And in fact a recent study found that the modern average has shifted slightly cooler to 97.5 degrees.

The point though is that there is surprisingly little variance in your body’s temperature. And that is in huge thanks to the thyroid.

How the Thyroid Regulates Temperature and Energy

When you look at our body’s temperature, you are actually considering what’s called your basal body temperature (BBT), that is, the temperature when your body is at rest. This can increase but should never get much lower.

While it may seem that keeping your body at its normal BBT is just a matter of not changing anything, it is actually a symphony of constant little adjustments.

These adjustments are made by regulating metabolism, or the use of energy within the body.

Hormones made and released by the thyroid trigger use of a molecule called ATP (adenosine triphosate) that is fuel found within cells.

Food is the source for the building blocks of ATP. You can have plenty of ATP but if the thyroid hormones don’t accurately trigger the use of ATP to create heat, we can get cold, especially in the hands and feet.

In fact, cold hands and feet are some of the first symptoms for hypothyroidism that people notice. This can happen year round but can certainly become a bigger issue in colder months.

The Thyroid-Cardiovascular Connection

There is some indication that thyroid hormones can also regulate how much dilation there is of the blood vessels, another place heat can be lost.

This essentially equates to a secondary way for those with dysfunctioning thyroid to worsen heat regulation.

Winter Intensifies Your Hashimoto’s Symptoms

Depression and Stress

Another common symptom of Hashimoto’s is depression, which can be exacerbated by winter in many ways and for a number of reasons. You may have plenty to look forward to during the holidays but it doesn’t mean that it’s an easy time for everyone.

The holidays can be a time of high stress stemming from financial problems, family issues, expectations, travel and so much more.

Making matters worse, stress leads to inflammation in the body. And inflammation can cause flare-ups in Hashimoto’s symptoms.

When the adrenal glands are triggered by stress, the body focuses more of its energy on dealing with that stress. Body functions such as thyroid function can be put on the back burner during that time.

In fact, adrenal dysfunction can lead to system-wide inflammation, aggravating thyroid conditions.

Stress also depletes our stored nutrients, leading to nutrient deficiencies.

Depression is also made worse when you don’t have a chance to get your dose of Vitamin Sunshine. Being outside relieves stress just on its own but also factor in that sunshine is also a wonderful source of vitamin D.

Depression is a known symptom of vitamin D deficiency and this deficiency is very common in Hashimoto’s sufferers.

Being stuck inside during cold and snow can also mean you don’t have the same opportunities for exercise you might be used to in warmer months. Lack of exercise can be another factor in depression.

Exercise also helps with metabolism that may have already been slowed by a sluggish thyroid gland.

Dry Skin and Thyroid Hormones

It seems like you can’t transition into winter without hearing a number of people complain about dry, itchy skin.

With lower humidity, it’s no wonder it’s so common. But when you have hypothyroidism, it may be even more common.

In fact, one study found that 100% of those with hypothyroidism had some form of dry skin.

The thyroid hormone triiodothyronine (T3) stimulates the growth of cells along the very outer layer of the skin called keratinocytes.

Lower T3 levels, as is the case with hypothyroidism, can mean new skin cells don’t replace old ones as often. Hence, dry, rough skin.

Adding dry outdoor conditions only makes dry skin worse.

Risk of Getting Colds and Flus with Hashimoto’s

There has been some confusion about whether Hashimoto’s puts you more at risk for viruses like colds and flus.

Some of the symptoms of viruses can be similar to common symptoms of Hashimoto's, like fatigue and chills, making it difficult to diagnose when you have a virus.

One take on this idea is that when your immune system is already on high alert from an autoimmune disease, it is more prepared for fighting viruses you’ve been exposed to.

Another opinion is that an immune system that is always “on” is not capable of that fight as well, making you more vulnerable.

In my experience, and those of my clients, I have found the latter to be true.

Yes, your immune system may be ready for a fight but that doesn’t mean it’s as equipped as that of others not already battling Hashimoto’s or other autoimmune disorders.

For one, Hashimoto’s can be very depleting of nutrients crucial to the immune system, such as zinc, vitamin D (as I mentioned before), and magnesium.

Also, if you have Hashimoto’s, you may already understand that it can impact how well you sleep. While we sleep, our bodies reenergize and let go of stress, giving us more ammunition against viruses.

Solving the Problems of Hashimoto’s in Winter

So now that you have a better understanding of how the cold winter months can affect your thyroid health. But what do you do about it?

Thyroid Medication Tweaking

If you have a pattern of exacerbated Hashimoto’s symptoms in the winter, you can always talk to your endocrinologist or other primary care practitioner about adjusting your thyroid medication.

Symptoms like cold hands and feet should be better on medication, even in the winter.

Obviously, if you’re just underdressed for the weather, you can’t expect to be immune to the cold. But chilly fingers and toes even while in a toasty house is another matter and it may be time for some tweaking.

Answers in Nutrition and Lifestyle

Surviving and thriving through the winter doesn’t have to mean big changes. There are a number of nutritional and lifestyle changes that can have a big impact on your winter health, even with Hashimoto’s.

Vitamin D

Because you may not get outside as much in winter, and because the sun might not be out much anyway, and because with Hashimoto’s you may already be at higher risk of nutrient deficiencies, you want to think about the benefits of vitamin D.

Yes, this can mean taking a daily D supplement but don’t forget about the power of the vitamins in your foods.

Some vitamin D-rich foods include:

  • Mushrooms, especially shiitake
  • Fish (salmon, mackerel, sardines, tuna)
  • Cod liver oil (liquid or capsule)
  • Eggs

The trick with vitamin D is that it is a fat-soluble vitamin. This means it needs to be taken with fat if you supplement. (This isn’t a concern with food, as you’ll notice all the above foods already include fat, except mushrooms, which you can cook in butter or oil.)

But fat-soluble vitamins also store well in our bodies until needed, so supplements don’t need to be spaced out or time-released. Usually, our vitamin D stores are highest in October (after soaking in all that summer sunshine) and lowest in March (after being stuck inside all winter).

If you are ready to start cooking easy, healthy meals that support your health with Hashimoto's and delight your taste buds during the fall and winter months, you may wish to check out my Hashimoto’s Fall Meal Plan or the 2 Week Hashimoto's Winter Meal Plan.

Each comes with specific recipes and a meal plan guide with lots of warming, grounding, energy-sustaining foods to help you get through the change of season and keep your body healthy, and spirits up!

Water is Your Friend

Staying hydrated can do wonders for a number of problems during the colder months. Drinking plenty of water will help keep dry skin at bay, allow nutrients to travel into cells, aid digestion and reduce inflammation.

It can be hard to remember or be motivated to drink water when it’s cold out.

When we’re hot, it seems like a no-brainer to gulp down water. But a cold glass of water may seem less appealing when it’s chilly.

Hot herbal tea is just as hydrating. Or adding a squeeze of lemon, lime, orange or grapefruit may offer a boost of flavor you’re craving.

Sleep and Stress

Sleep and stress (or really, reducing stress) go hand in hand and give you a one-two punch against winter Hashimoto’s symptoms.

This may mean you have to cut your Netflix-binging session short to aim for 8 hours of sleep (or whatever your sleep goal is). But it will be worth it when you give your immune system that extra reenergizing time.

Stress is a tough one because you can’t always eliminate or even reduce the stress triggers in your life. But you may have some control over how you manage that stress.

Only you know what works for managing your stress, but for some people this means meditation, yoga, exercise or walks, therapy, journaling, hobbies (like art, puzzles, cooking) or even coloring books.

Wherever you find your stress relief, this can help promote solid sleep. And solid sleep helps promote stress reduction. It’s a good system when it works. (Not so much when it doesn’t.)

Thriving with Hashimoto’s in Winter

There is so much to look forward to in the winter, whether it’s being with family and friends, traveling, holiday celebrations, playing in the snow or getting cozy with a steaming cup of tea.

You don’t have to let exacerbated Hashimoto’s symptoms get in the way of those wonderful life moments. But it may take some adjustments to be able to enjoy yourself.

Sunshine, exercise, stress reduction, staying hydrated, getting enough sleep, vitamin D and maybe talking to your doctor about making medication changes can all help make the jolliest season just a little more jolly, even with Hashimoto’s.

But a good slather of lotion never hurt anyone either.

Looking for Additional Thyroid Support?

If you would like more support with your thyroid health and overall wellbeing, check out my 30-day Nourished & Renewed With Hashimoto’s program.

This is a self-paced online lifestyle program that offers tangible, realistic solutions for improving your Hashimoto’s and your overall health in a way that lasts.

If you are looking for personalized attention to your thyroid, seek out a program and thyroid advocate who can give you the tools and resources to feel your best again.

I would recommend my Happy & Healthy Adult Program for those with possible thyroid health issues.

There is so much that you can do to boost thyroid health and live your best life. I hope that no matter your diagnosis and your medication plan, you will consider making nutrition and lifestyle changes part of your plan too.

Hashimoto's - 12/05/2020
Hashimoto's & Gerd Cover Image

How Acid Reflux Drives Hashimoto’s (and Vice Versa) and How to Take the Wheel Back

There may be times when your Hashimoto’s Disease just makes you sick to your stomach. But could it actually be causing you digestive upset?

Thyroid imbalances and digestive disorders like acid reflux and GERD have a direct connection that may not be obvious but is certainly common.

If you are someone who suffers from Hashimoto’s and also finds yourself struggling with reflux regularly, you may have wondered if they were related.

The short answer is yes, but the good news is that as you work on improving one problem, you may find the other resolving itself as well.

First, it’s important to understand the difference between terms often used interchangeably (like GERD and acid reflux) and what is exactly happening when you experience them.

And then of course, how this relates to your thyroid.

Digestion Disorder Basics

As you eat, food travels down your esophagus and into your stomach. In order to keep anything from going back up, there is a sphincter at the junction of the esophagus and stomach that closes up, called the lower esophageal sphincter (LES).

The LES is triggered to close by the release of stomach acid, which has been triggered by food.

When the stomach acid doesn’t do this job, some of the acid can get up and into the esophagus, causing a burning feeling.

The Difference Between Acid Reflux and GERD

Acid reflux is the experience of having that stomach acid make its way past the LES.

But it doesn’t describe a condition because it may happen once or it may happen chronically, which are very different things.

GERD, or gastroesophageal reflux disease, is that chronic form that occurs more than just occasionally and over a longer period of time. Some doctors look for the experience to occur at least twice a week before a GERD diagnosis.

In addition to the discomfort it can cause, the long-term effects of GERD can include esophageal cancer.

What Acid Reflux Feels Like

People often have very different ways of describing how acid reflux feels because the experience can vary person to person.

As you may already know, heartburn has nothing to do with your heart.

It is actually acid reflux but the sensation happens in the general area around your heart at the base of your esophagus.

It may range from a slight warming to a burning sensation and may go all the way up the throat.

But some people suffer from GERD for years without actually experiencing heartburn, making it harder to diagnose.

The Symptoms of Acid Reflux and GERD

Besides heartburn, other symptoms of acid reflux and GERD include:

  • Sore throat
  • Hoarse voice or laryngitis
  • Chest pain
  • Chronic cough
  • Difficulty swallowing
  • Regurgitation of food or sour liquid in your mouth

Many people have their symptoms come up often at nighttime or soon after eating.

The Causes of Acid Reflux and GERD

There are a number of causes and risk factors for acid reflux and GERD, some of which you may have control over and some you may not.

The LES can naturally weaken, especially as we age, making acid reflux much more common. Lying down too soon after eating can exacerbate this.

Obesity and pregnancy increase risk because they cause pushing into the organs.

Smoking is also a risk factor.

A Main Factor of GERD: Low Stomach Acid

Perhaps the most common cause of GERD is one that is often misunderstood and is the opposite of what people expect.

Because acid reflux is caused by stomach acid, people often think that excess acid in the stomach is to blame when really the opposite is the real culprit.

If you remember, the LES is triggered by stomach acid, so when there is too little stomach acid and the sphincter doesn’t close, this is when you get acid reflux and eventually GERD.

When we turn to medications and even over-the-counter solutions, too often we are just lowering stomach acid more.

This can help temporarily but doesn’t get to the root of the problem, which leads us to take higher and higher dosages of the same medicine.

There are certainly plenty of cases of acid reflux occurring from too much stomach acid but this is actually the minority of cases.

What Does Acid Reflux Have To Do With Hashimoto’s?

So the question we return to is what is the connection between GERD and Hashimoto’s Disease?

The answer comes down to that low stomach acid and how it relates to the thyroid.

Hypochlorhydria, the term for low stomach acid, can be caused by a number of things, including natural aging and certain medications. Poor diet is also a huge factor.

But among the many roles of the thyroid is one that may surprise you: stomach acid production. This is because the thyroid regulates metabolism and slow metabolism means less stomach acid.

But while digestion may rely on thyroid activity, it goes the other way around as well. As with many organs, systems and glands in the body, the gut and the thyroid work very synergistically together.

The thyroid secretes an inactive form of a thyroid hormone called thyroxine (T4) that must be converted to an active form, triiodothyronine (T3).

The gut plays an active role on this process by supplying necessary nutrients for the conversion.

Other chemicals found in the gut may inhibit thyroid-stimulating hormone (TSH), which has the important job of triggering the production of thyroid hormones.

This means that keeping your gut flora balanced may help regulate thyroid hormone levels.

Thyroid hormones (both T4 and T3) have also been found to help prevent stress ulcers.

The Role of Autoimmunity

Anyone who suffers from Hashimoto’s is also at higher risk for a secondary autoimmune disorder, such as Celiac or rheumatoid arthritis.

The immune system may even attack the parietal cells of the stomach lining leading to less production of stomach acid.

H. pylori and Hashimoto’s

H. pylori, a bacteria that is often found in the gut, can easily become overrun and is a very common cause of low stomach acid. This lower stomach acid allows the H. pylori to take over even more.

Hashimoto’s is known to be triggered by an overabundance of H. pylori and those who have Hashimoto’s are more likely to test positive for the bacteria.

Medications May Make GERD Worse

Unfortunately, there are many doctors who still may not understand the root cause of GERD and their patients end up being put on proton pump inhibitors (PPIs).

The most common of these are Prilosec, Nexium and Prevacid. Their job is to reduce stomach acid, which they do very well.

And in the short-term, this can cause some relief since it stops the reflux.

But if the true problem is LOW stomach acid, the result is that the patient needs higher and higher dosages to combat the fact that the LES is not being triggered anymore.

Even if you’re not taking PPIs, your medication may be affecting your GERD or your GERD could even be affecting your medications.

Levothyroxine is a commonly prescribed thyroid replacement medication.

But GERD has been found to inhibit the absorption of levothyroxine, possibly requiring higher dosage.

There are a number of other medications known to increase the risk of GERD or GERD symptoms, including antibiotics (which are often used to combat H. pylori), iron supplements, ibuprofen and aspirin, opioids, progesterone and statins.

Progesterone, a steroid, is also produced naturally by women (and men in lower amounts).

Some women may experience GERD during peak progesterone times like during pregnancy, PMS and perimenopause.

Foods That Trigger Acid Reflux

If you’ve ever experienced acid reflux more than once, you’ve probably noticed there are some foods that may trigger it more than others.

While this can vary person to person, some foods that may cause acid reflux include:

  • Gluten (both gluten sensitivity and Celiac have a strong connection to Hashimoto’s)
  • Tomatoes
  • Coffee and black tea
  • Dairy (a common food intolerance)
  • Soda
  • Citrus
  • Alcohol
  • Raw onion or garlic
  • Chocolate

You may have heard about taking apple cider vinegar for acid reflux.

This is an excellent food that is fermented and naturally triggers the stomach to produce acid for food breakdown.

A little goes a long way but even just a teaspoon at the start of a meal can offer relief. (Some people experience an increase in burning sensation with apple cider vinegar, so ease into this if you’d like to try it.)

Nutrients for GERD (and Thyroid Support!)

Magnesium

The mineral magnesium plays a number of roles in the body but a major one is the contraction and the release of muscles.

Then it may come as no surprise that a magnesium deficiency is linked to a disorder that comes from a loose sphincter.

There are many antacid products that include magnesium. But a better source would be straight-up magnesium supplement, getting closer to the source of the problem.

A simple supplementation of 200 to 400 mg twice per day should do the trick.

Magnesium is a powerhouse for Hashimoto’s too so this is a real two-fer.

Probiotics to Support your Thyroid and Gut

You’ve learned about the strong connection between the thyroid and the gut. One of the best ways to help support that “friendship” is with probiotics.

Traditionally, most cultures have included fermented foods in their diets. But American society use much fermented foods and as we’ve phased them out, out gut flora has paid the price.

Naturally fermented foods like kimchi, sauerkraut (not all are fermented, it has to be the refrigerated kind), natto, kefir and kombucha are a great way to get your probiotics.

But probiotic supplements can actually give you better numbers and variety.

Look for supplements with CFUs (colony forming units) in the billions and with multiple strains.

Vitamin B12

Another nutrient deficiency associated with GERD is the vitamin B12. Studies have found the people who take PPIs long term are more prone to B12 deficiency.

B12 is also necessary for the conversion of T4 to T3, so it’s a strong thyroid supporter in cases on Hashimoto’s.

While we get some of our B12 from our food, another portion of our B12 is actually made in our gut.

But this can only happen when the gut is in balance with good bacteria.

Other Supplement and Food Options to Remedy Acid Reflux

A quick online search will give you a hearty list of “remedies” for acid reflux.

But the truth of the matter is that most of these will just give you some temporary relief. And of course you may want some relief but you also want to get to the root of the problem.

For relief from acid reflux, you can try:

  • Digestive enzymes before each meal
  • Ginger (fresh or in capsule form)
  • Licorice root supplements
  • Aloe vera juice, gel or capsules
  • DGL (deglycyrrhizinated licorice) lozenges

But if the problem is low stomach acid, consider what would help build it back up.

As I mentioned, apple cider vinegar naturally stimulates the body to make stomach acid (but go slow!) Other options include:

  • Hydrochloride (HCl), which is the main component of stomach acid, with the enzyme pepsin before a meal
  • Betaine /TMG (not to be confused with Betaine HCL) has an overall parasympathetic effect and may help where chronic stress activates the opening of the LES.
  • Digestive bitters or lemon juice in water, which act the same way apple cider vinegar does too stimulate stomach acid

The problem with going the medication route is that the pharmaceutical industry still treats GERD as a high-stomach acid issue.

Lifestyle Changes for Digestion to Relieve Acid Reflux

In addition to what foods and supplements you do and don’t eat and take, there are a number of lifestyle choices that you can make that can have a huge impact on chronic reflux or GERD.

Stopping smoking and losing weight in a healthy way are probably two of the biggest (and hardest) changes you can make to support your digestion to prevent acid reflux.

Overeating or eating beyond where you’re full pushes food up toward that LES, exacerbating GERD. Also, eating too close to when you sleep has a similar effect. Eating at least 2-3 hours before bedtime can help.

Even something as simple as sitting up straight while you eat might seem small but can impact digestion.

A little less simple is not eating when you’re stressed. This may not always be an option of course. But cortisol, a stress hormone, decreases the production of stomach acid.

You might even close your eyes and take a few calming breaths before you eat to help ease you out of fight-or-flight mode.

Gut Health for Your Thyroid, Thyroid Health for Your Gut

If you’re like me, some health issues loom larger, while others get put on the back burner. If you’ve been dealing with Hashimoto’s, you may have felt like your acid reflux experiences can wait to be worked on.

But we know that the long-term effects of GERD can be just as serious.

The good news that I hope has been your takeaway, is that when you work on your thyroid health, your gut health can improve. And vice versa.

Even small changes in your diet and lifestyle will help find you relief from your GERD and therefore make some adjustments to your thyroid as well.

To learn more about how to improve your Hashimoto’s hypothyroidism, check out my Nourished and Renewed With Hashimoto’s program.

Need more specialized and personalized care? MyHappy & Healthy with Hashimoto's Program is just the right fit!

Hashimoto's - 11/09/2020
11

What Hashimoto’s & Hypothyroidism Means for Your Child

We would all do just about anything to keep our kids safe and healthy. We make them wear helmets when they bike, seatbelts in the car and (safe, all-natural) sunscreen at the beach.

But what can we do when our child is facing a thyroid condition like Hashimoto’s or hypothyroidism?

It is natural to feel worried, to seek answers, to harness every resource possible and even to turn to Dr. Google and research for ways in which we can make it all better.

As someone who has battled Hashimoto’s disease for years, the future of my own children’s thyroid health is often at the forefront of my mind.

True, Hashimoto’s does occur in children, and because of genetic influences, I understand that my kids may be at a greater risk.

Luckily, because of the holistic approaches to thyroid health available today, we don’t have to feel powerless if faced with a diagnosis.

In working with many individuals and families over the years, I am very confident in the ways nutrition supports a healthy thyroid for both kids and adults.

What Hashimoto's and Hypothyroid means for your child

Hypothyroidism and Hashimoto’s in Kids

Just like in adults, Hashimoto’s is the leading cause of hypothyroidism in children.

But what makes both Hashimoto’s and hypothyroidism different when it affects kids?

First let me briefly explain these thyroid disorders.

The thyroid is a gland in the neck (in the area of the Adam’s apple) that is triggered by the brain’s pituitary gland to secrete hormones.

These hormones function in the body in a number of ways for kids, including, supporting normal growth and development (like puberty), regulating metabolism, and keeping an even body temperature.

Hypothyroidism is when the thyroid does not adequately produce, convert and release the thyroid hormones.

Hashimoto’s disease is an autoimmune disorder in which the immune system attacks the thyroid gland tissue, thyroid hormones and even thyroid hormone receptor sites on cells within the body.

Hashimoto’s causes hypothyroidism because the attacked and damaged thyroid cannot function as well as a healthy, normal thyroid.

Causes of Hypothyroidism in Children

Causes of Hypothyroidism in Children

Besides Hashimoto’s, the other most common cause of thyroid disorders in children is what is called congenital hypothyroidism. This occurs in 1 in about every 3,000 babies born.

The infants are born with either a poorly functioning thyroid or even no thyroid at all.

It is believed this can be caused by a deficiency in iodine (a key nutrient for the thyroid), an issue with the pituitary gland or problems with an enzyme that produces hormones.

The good news is that this is usually detected very early on because a blood test to screen for congenital hypothyroidism is required in all 50 states.

Unfortunately, although Hashimoto’s affects 1 in 100 children and is a much more common cause of hypothyroidism, screening for Hashimoto’s is not common.

In fact, just like in adults, missed diagnosis, mis-diagnosis and confusion around symptoms can be part of the journey to discovery of the illness and it may take time before the right physician does the right tests to get to the bottom of things for your child.

There are many tell-tale symptoms that alert physicians and pediatricians when there may be a thyroid issue. And, for parents, being aware of certain signs can help you be proactive if you suspect your child needs to be evaluated.

Signs of Hypothyroidism in your child

Signs of Hypothyroidism in Children

With babies and even with young kids, it can be hard to determine what they are feeling and experiencing, and their ability to communicate with us if they are feeling “off” cannot be relied on.

Therefore, we can’t always look for the same symptoms of thyroid dysfunction in kids as we do in adults, even though some may be the same.

Here are common signs in children of hypothyroidism:

  • Slow growth (may cause short limbs)
  • Delayed tooth development
  • Impaired learning and school performance
  • Lack of energy or inactivity
  • Feeling cold all the time
  • Unexplained weight gain
  • Constipation
  • Dry skin
  • Delayed puberty in teens
  • Absent or irregular menstrual periods in teenage girls
  • Droopy eyelids
  • Slow speech
  • Hoarse voice
  • Puffy or swollen face
  • Hair loss

Hashimoto’s Risk Factors

Hashimoto’s Risk Factors

The truth is, there isn’t one cause of Hashimoto’s.

As parents, we can’t help but look to our own life experiences when seeking health for our kids. When faced with a thyroid condition in our kids, we may even wonder if there is something we could have done better or differently.

Yes, genetics is a factor, so if you or your partner suffer from Hashimoto's or hypothyroid, there is a higher risk for your biological children.

But other risk factors can include:

  • A chromosomal disorder like Down syndrome, Williams syndrome or Turner syndrome
  • Iron deficiency or an overabundance of iron
  • Thyroid injury
  • Head or neck exposure to radiation (such as for cancer treatment)

Because Hashimoto’s is an autoimmune disorder, other autoimmune conditions also increase the risk of Hashimoto’s. This can include Type I Diabetes and Celiac.

Inversely, a diagnosis of Hashimoto’s can mean your child has a higher risk of developing a secondary autoimmune disorder.

Just as women have a higher risk than men for Hashimoto’s, girls are more likely to suffer from it than boys are.

Nutritional risk factors such as deficiencies, leaky gut, and food intolerances can also be evaluated.

Testing for Hashimoto’s & Hypothyroidism In Children

Testing for Hashimoto’s & Hypothyroidism In Children

It’s helpful to know the signs and risks, but only by getting your child tested with a standard thyroid lab panel will you know for sure if they have a thyroid disorder.

But, wait, just to make things a little trickier, there are not steadfast guidelines or reference ranges for children in the same way there are for adults regarding thyroid hormones.

The most common indicator that doctors will look at is the level of Thyroid Stimulating Hormone (TSH), which in the hormone the pituitary gland uses to trigger the thyroid.

In children, these TSH levels are generally considered healthy levels:

  • 0-4 days: 1.6-24.3 mU/L
  • 2-20 weeks: 0.58-5.57 mU/L
  • 20 weeks-18 years: 0.55-5.31 mU/L

When TSH is higher than these numbers, hypothyroidism may be considered and doctors may test for other hormones, such as T3 and T4, the hormones made and converted by the thyroid.

If these are below normal levels in addition to high TSH, your children may at that point receive a hypothyroidism diagnosis.

To know for sure if the cause of the hypothyroidism is autoimmune in nature, your child would need to be tested for thyroid antibodies, the cells that the immune system uses to attack the thyroid.

High levels of these antibodies in the blood are a sign that the gland is being attacked by the immune system in Hashimoto's. The two antibodies commonly measured are thyroglobulin antibodies (TgAb) and thyroid peroxidase antibodies (TPO).

Hashimoto's Diagnosis

How to get the right Hashimoto's and Hypothyroidism Diagnosis

I suggest you read my complete guide to understanding all about Hashimoto’s and hypothyroidism as well as the recommended thyroid testing to help you get proper diagnosis for your child.

If you are having trouble communicating the need for these tests with your child’s doctor, or if insurance approval is standing in the way, you can order thyroid lab tests directly.

I suggest the following lab panel (that includes all of the above lab values) for the clients I work with remotely: Extended Thyroid Test for Hashimoto’s Thyroiditis. It costs just $129 but is valued at over $400.

The good folks at True Health Labs allow you to directly order labs that make the most sense for your child’s health condition.

If you do order these labs, be sure to take them with you to your next pediatrician appointment.

Show them that you are willing to do what it takes to get the correct information for the best treatment plan possible for your child.

Long-term Effects of Untreated Hypothyroidism On Kids

Long-term Effects of Untreated Hypothyroidism On Kids

It can be easy to feel overwhelmed with a diagnosis and want to stick your head in the sand and hope the problem goes away.

But, of course, it’s never that simple and ignoring the problem can lead the bigger problems down the road.

When untreated, hypothyroidism, regardless of the cause, can lead to goiters in the neck (this is the thyroid’s response to under-activity), impaired growth, mental retardation, hearing loss or impairment, loss of permanent teeth, impaired hair and nail growth, and behavioral issues.

Because the thyroid plays a large role in energy metabolism, a child with an underactive thyroid can show signs of forgetfulness, lethargy and trouble with concentration.

Untreated Hashimoto’s also presents the co-morbidities of autoimmune illness - the likelihood of developing secondary or tertiary autoimmune conditions increases over time.

In rare cases, the immune system of a child with Hashimoto's can cause inflammation in the brain and nervous system. Symptoms can include strange behavior, confusion, muscle twitching, and seizures.

The good news is that with proper testing, diagnosis and treatment - as thyroid hormone levels are improved, behavior problems often right themselves.

Unfortunately, however, kids may not be able to make up lost growth or teeth/hair/hearing impairments even after treatment with medication.

Managing Hashimoto’s For Your Child

Managing Hashimoto’s For Your Child

I wish I could tell you that there is a cure for Hashimoto’s. But as of now, there are only ways to manage it through medication and dietary and lifestyle changes.

One of the best things you can do for your child after a diagnosis, and in some cases even before, is to find a doctor who knows hormones backwards and forwards and will be open to the paths you may choose for your family’s health.

I recommend looking for an endocrinologist, DO (Doctor of Osteopathic medicine), family practice doctor or integrative medicine doctor.

You may also wish to seek out a holistic team of specialists to help you advocate for the best treatment for your child.

In my practice, I suggest complementary alternative modalities such as acupuncture, naturopathic medicine and of course - holistic nutrition therapy.

Thyroid Medication For Children

Thyroid Medication For Children

It can be scary to think of putting your child on a medication indefinitely, but the right medication can change the quality of life for your kid and your whole family.

And if you think of it as just one piece of the health puzzle, you may find that medication fits perfectly into your plan.

Just know that it can take time and a bit of tweaking to find the right medication at the right dosage.

Because there are many types of thyroid medications, I’ll reiterate here that you ought to check out my Complete Guide to Understanding Hashimoto’s, Hypothyroidism and Thyroid Testing to learn more.

Being prepared to have a thorough conversation with your child’s doctor is an important step.

You can prepare for your next physician appointment by downloading my FREE Hashimoto’s Checklist. These suggestions work for both adults and kids who are seeking proper medical attention for a thyroid condition.

utrition for Hashimoto’s

Nutrition for Hashimoto’s

Now for the good news - the right nutritional choices can help the body manage Hashimoto’s by supplying it with the nutrients it needs to support the thyroid naturally.

What to Avoid

There are foods that can aggravate hypothyroidism and the antibodies that are part of the Hashimoto’s process. You can read more about this on my blog post Eat to Lower Anti-Thyroid Antibody Levels.

Many of these can cause inflammation, throw off our natural gut flora (good bacteria) and trigger additional food sensitivities.

All of this leads to a more heightened immune system, which can attack the foods that are just trying to nourish us, or the body itself.

But, to name a few, you will want to pay attention that your child is not consuming too many of the following aggravating foods:

  • Junk foods, fast foods and heavily processed foods - these are loaded with food additives, preservatives, chemicals, etc.
  • Conventionally-raised meats and dairy which may have hormones added and can disrupt the overall endocrine system
  • Sugar-rich foods which can create candida overgrowth in the body (candida is a bacteria/yeast that when out of balance can compromise thyroid health)
  • Gluten - your child’s body perceives this protein found in wheat and other grains as “antigenic”, which leads to inflammation and may exacerbate thyroiditis

What to Consume

What to Consume

Here’s the best news all day: your child will feel their very best with a clean, home-cooked food plan prepared with high-quality ingredients.

Here are a few critical nutrients (and the foods which supply them) for thyroid health:

Dealing With Food Sensitivities

Food sensitivity can exacerbate autoimmune disorders like Hashimoto’s because they trigger the immune system.

What foods these can include vary greatly for each person but the most common food sensitivities and intolerances are to:

  • Lactose (a sugar found in dairy)
  • Gluten (a protein found in wheat, rye and barley)
  • Casein (a protein found in dairy)
  • Eggs
  • Soy
  • Fish and shellfish
  • Peanuts and tree nuts

Some food additives, like MSG and sulfites, are also problematic for some people. It can be hard to determine what foods aren’t working for your child.

One possible solution is an elimination diet, but it takes time and commitment and can be difficult for kids. Another is to keep a food journal in order to track foods and reactions, keeping in mind that some reactions can take up to 72 hours.

For kids with food reactions and known autoimmune illness, I suggest the Food Inflammation Test (FIT) which is an add-on option with my Child Advanced Program.

This test takes the guess-work out of food modifications and helps get your child on a faster path to feeling better with Hashimoto’s.

Stress impact on Kids

Stress

For kids these days, stress has a huge impact on their overall health. Stress has been shown in research studies to negatively impact thyroid function and is known to be a factor in many autoimmune diseases.

Many of my adult and children (especially teens!) clients report that stress management plays a large role in the management of their thyroid health.

Can you assess the stress levels your child may be dealing with?

What ways can you implement some stress-free time to help them best cope with their feelings, health condition and any other factors in their life which may be upsetting their life balance?

I suggest nature walks around your neighborhood, deep belly-breathing, yoga is super fun for kids, and even just good old fashioned laughter, play time and rest time - these are all good for our kids!

Doing What’s Best For Your Kid

Doing What’s Best For Your Kid

We all want the best for our children. We want them to be safe, to be healthy and most of all, to be happy.

If this article only scratched the surface of what you may be dealing with in supporting your child’s health, schedule a call with me for a customized nutritional program.

For parents struggling with the complexities of their child’s thyroid health and needs, a one-on-one nutritional program is the best bet for ensuring the nutrient needs of your precious child are addressed fully.

Additionally, I have put together a Hashimoto’s self paced online program that is supportive for parents and caregivers of kids with Hashimoto’s.

It’s a 30 day self-paced online program which

  • teaches you about the thyroid
  • empowers you to be your child’s best health advocate
  • helps you speak confidently with doctors
  • guides you to implement dietary changes
  • suggests supplements that may support your child’s overall health

I recommend you check out Nourished and Renewed with Hashimoto’s.

We may not be able to choose the body they have to grow up in, but we can certainly help them nourish that body and support it in ways we hope will let them flourish.

I am also here to help!

Child Nutrition / Hashimoto's - 10/10/2020
blog post cover photos

Boosting Immune, Boosting Thyroid: The Power of Zinc

If you’re like me, you pop a zinc lozenge if you feel a cold coming on. But this wonder mineral is not just for fighting bugs. It’s also a thyroid powerhouse, making it essential for life with Hashimoto’s.

Because of its role with the immune system, there has been a major highlight on zinc lately.

And for good reason.

The mineral is found in cells throughout the body and plays a part in cell division and growth.

Zinc deficiency is also very common in Americans, but often goes unnoticed or undiagnosed.

If you have hypothyroidism, most often caused by Hashimoto’s Thyroiditis, there are reasons why zinc is even that much more important for you.

The Roles of Zinc In The Body

If you ever researched vitamins and minerals, you may have made it to the end of the nutrient alphabet and learned that zinc is considered an essential trace mineral, meaning our bodies can’t make it so we must get it from outside sources like food and/or supplements.

Perhaps best known for its role in the immune system, zinc supports T cells. T cells are white blood cells that attack virus-infected cells and even cancer cells, while also triggering an immune response in other cells as well.

(If you’ve heard of T cells but you’re not sure how or where, these are the cells that the HIV virus attacks, so we use T cell count to monitor someone’s HIV levels.)

Zinc is also a cofactor, like magnesium, meaning that it is necessary for a number of enzymes to function. In fact, we know of hundreds of enzymes that are dependent on zinc.

Because zinc has anti-inflammatory and antioxidant properties, it has been known to help with preventing skin issues, such as acne, rosacea and eczema, as well as rashes, foot fungus and canker sores.

Men’s reproductive health also relies heavily on zinc. Men with a zinc deficiency are more prone to sperm motility issues and low sperm count.

But if you suffer from hypothyroidism, there are other roles of zinc that we’ll explore later.

Causes and Signs of Zinc Deficiency

It is believed that at least 25% of the world’s population is deficient in zinc.

A large part of this comes from impoverished areas with a lack of nutritious food. But even in the United States, around 12% of people are at risk.

So, how did we get here? How is such a crucial mineral lacking in so many diets here and around the world? There are a number of root causes and they don’t all stem from unhealthy dietary choices.

After all, zinc is found in a wide range of foods, from meats and legumes to vegetables and mushrooms.

But, while many foods contain zinc, very few are actually rich in the mineral.

We’ll get into some of the foods that contain zinc later but for now, consider that, while most people would benefit from getting at least 10mg of zinc, 4 ounces of beef (one of the foods most rich in zinc) contains only about 4mg.

Nutrient Depletion in Soil

One of the problems we are currently facing with zinc and many other nutrients, is our changing landscape of farming.

Plant-based foods now contain much less zinc than they used to due to soil depletion. Because of how we utilize land through farming, zinc levels in soil have decreased greatly over the decades.

While use of pesticides and herbicides have added to this, a lack of crop rotating, even among organic farming, is a source of the issue.

This in turn means that livestock consumes less zinc, leading to lower zinc levels in meat over the years.

Problems with Absorbing Zinc

Another possible cause of zinc deficiency, as with many nutrients, is the inability to adequately break down food and access and absorb the vitamins and minerals within.

This can stem from low stomach acid or leaky gut.

But medications can also get in your body’s way of absorbing nutrients.

Signs of Zinc Deficiency

Perhaps one of the only good things to be said for zinc deficiency is that it has a few unique traits.

While many of the signs are common of other types of deficiencies or health issues, some stand out as more obvious to zinc.

Signs include:

  • Weight loss or difficulty gaining weight
  • Poor wound healing
  • Hair loss
  • Skin issues such as canker sores, acne, rashes, eczema and foot fungus
  • Allergies or frequent colds
  • Depression
  • Male infertility
  • Impaired taste and/or smell
  • Brittle nails or nails with white spots on them

Both impaired taste and smell and the white spots on the nails may not only happen with zinc deficiency but they are not common with many other types of deficiencies and are fairly easy to identify.

A lack of hunger during zinc deficiency is thought to come from the impaired taste and smell.

To truly know if you suffer from the deficiency, there are blood tests but some doctors rely on plasma tests.

An at-home test that can be done uses a liquid form of zinc itself.

Although not always thought to be completely accurate, I have found this helpful for clients since it is easy, involves no needles and gives immediate results.

The test involves swishing the liquid zinc around in your mouth for a few seconds before spitting it out. Your results depend on the taste you experience, or lack of taste.

Generally, if you don’t taste anything or if your response is delayed, this can indicate a possible deficiency.

If you immediately notice a very strong bitter or sour taste, you may have adequate zinc levels.

As a bonus, the liquid zinc itself can be used as a supplement if you are deficient.

Zinc Deficiency Risk Factors

Elderly people and those who eat a vegetarian or vegan diet have been found to be more at risk for zinc deficiency.

For the elderly, this can stem from poor absorption, especially as stomach acid decreases with age.

Those who eat a plant-based diet may not get the zinc they need without meat and seafood.

People who suffer from alcoholism also have a higher rate of zinc deficiency.

Zinc and Hypothyroidism

We’ve looked at the importance of zinc in many of the body’s functions and how to know if you may be deficient.

But if you suffer from Hashimoto’s like I do, or another cause of hypothyroidism, there are additional roles of zinc that you may want to better understand.

Hashimoto’s is an autoimmune disorder in which the immune system attacks the thyroid gland.

It is the most common cause of hypothyroidism, which is the underproduction of thyroid hormones. These hormones include thyroxine (T4), which is converted to triiodothyronine (T3), an active form of the hormone.

Production of T4 is regulated by thyroid-stimulating hormone (TSH), produced in the pituitary gland of the brain.

When the pituitary gland is functioning normally, it is released in order to stimulate the release of T4, to then be converted into T3.

In the case of Hashimoto’s, that production can’t happen as well because the attacked thyroid isn’t functioning as well.

The Link Between Zinc and Your Thyroid

But here’s the nutritional kicker: Zinc is required for nearly every step in that process.

Zinc is needed to produce TSH; zinc is needed to create T4; and zinc is needed to convert T4 into T3.

You may have found that your TSH levels are very high but that your T4 and T3 are low.

In some cases, the body will focus dwindling zinc levels on creating TSH, leaving inadequate amounts for T4 and conversion.

In other cases, there may not even be enough for healthy TSH levels, preventing the natural trigger process in the thyroid.

Zinc is also associated with higher risk of autoimmunity: Those with a deficiency have been found to have higher levels of thyroid antibodies, the cells that attack the thyroid.

The Hair Connection To Thyroid Disorders

Hair loss and thinning has a strong association with Hashimoto’s and hypothyroidism. Zinc deficiency related to those disorders may be partly to blame.

The mineral helps with the health of hair follicles. Zinc, along with copper, has been found to be lower than normal in those with hair loss.

How Much Zinc You Actually Need

As with any nutrient, our bodies’ needs can vary greatly depending on many factors, including age and gender. The Recommended Dietary Allowance (RDA) for zinc is:

  • 7 months to 3 years: 3 mg
  • 4-8 years: 5 mg
  • 9-13 years: 8 mg
  • 14+ years, female: 8 mg
  • 14+ years, male: 11 mg
  • Pregnant or lactating female: 11-12 mg

Food Sources of Zinc

As I mentioned before, there are a number of foods with zinc but not a ton that are high in zinc. The biggest exception is oysters. Just one 1 oz oyster contains 8-9 mg of zinc!

Other foods include (but can’t come close to oysters):

  • Beef and lamb
  • Spinach
  • Asparagus
  • Mushrooms (especially Shiitake and Crimini)
  • Pumpkin and sesame seeds
  • Garbanzo beans and lentils
  • Quinoa
  • Shrimp
  • Cashews

One good thing to keep in mind is that, like other minerals, zinc stands up well to cooking.

In fact, sprouting some foods like nuts and seeds has been found to make their zinc more bioavailable.

The Choice to Supplement Zinc

Supplementing always has its pros and cons, its time and place. Zinc, like many vitamins and minerals, can be completely safe for supplementing if you’re careful.

And as always, I recommend food first to try to get your levels in balance.

It is difficult to reach toxic levels of zinc through just food, but with supplementing, it can happen, so always ease in to supplementing with zinc and be aware of the recommendations.

If you choose to supplement with zinc, it can be a good way to help get very low levels up if you suffer from the signs of deficiency.

But supplementing with more than 40 mg each day long-term can increase the risk of depression. It can also lead to lower HDL cholesterol levels (often called the “good” cholesterol).

Zinc as a Piece of the Puzzle

As with any nutrient, zinc is not the one answer to any question. Minerals often work together, play off each other and require balance.

Zinc and copper in particular have to be in the right balance with each other.

In fact, supplementing with too much zinc alone can lead to either a copper toxicity or copper deficiency. Totally odd!

It is often thought best to supplement with both if you supplement with either.

The Right Zinc Dosage To Boost Your Immunity and Thyroid

A safe dosage of zinc for daily use for most people is up to 30 mg.

Although this number looks much higher than the recommended allowance mentioned earlier, it is helpful to remember that nutrients from food is better utilized by the body so less is needed.

I recommend 1 mg of copper for every 15 mg of zinc to keep the ratio balanced.

This would mean 2 mg of copper if you take 30 mg of zinc. If you eat a plant-based diet, you may not need additional copper.

Note that zinc lozenges and zinc supplements have different aims. While zinc lozenges are great for immune health and may help your body fight off colds and other viruses, their purpose is not to raise blood levels of zinc.

Instead, they are meant to help coat the throat with zinc as a way to create a buffer from those viruses and fend them off at the source.

Of course, some zinc will get in the bloodstream but perhaps not at the levels you’re aiming for. A great tool in your immune system toolbox but probably not as helpful for thyroid health.

And if your levels are low, my preferred supplement is Metagenics Zinc A.G.

This formula is tummy-friendly and designed to be well-tolerated by just about everyone.

The dose is perfect for maintaining a good level of zinc. (You can purchase this supplement using the code FAMILY at checkout.)

But, here’s the thing: everyone’s needs are different, so working with a practitioner who is board certified in holistic nutrition is your best bet!

Word of Caution About Zinc Supplementation with Medication

Zinc is considered safe to supplement along with thyroid medications, such as Synthroid and Levothyroxine.

However, there are some other medications that could cause possible interactions, including antibiotics Quinolone, Tetracycline and others, as well as some HIV medications such as Atazavir.

Always talk to your doctor about possible drug and supplement interactions before taking.

Think Zinc

This magical mineral may make you think of your immune system. But for thyroid health, don’t forget to think zinc.

Whether you decide to supplement or aim to get more zinc from your foods (slurp those oysters!), you may be surprised how much this underestimated nutrient can help with your thinning hair, your brittle nails, your not-so-glowing skin, and especially your Hashimoto’s and hormone levels.

Your thyroid will thank you.

More Thyroid Support is Available

If you would like more support with your thyroid health and overall wellbeing, check out my 30-day Nourished & Renewed With Hashimoto’s program.

This is a self-paced online lifestyle program that offers tangible, realistic solutions for improving your Hashimoto’s and your overall health in a way that lasts.

If you are looking for personalized attention to your thyroid, seek out a program and thyroid advocate who can give you the tools and resources to feel your best again.

I would recommend my Happy & Healthy Adult Program for those with possible thyroid health issues.

Working closely together, we can customize a supplement and meal plan regimen just for you.

Hashimoto's - 09/04/2020
Complete Guide to Hashimoto's Hypothyroid and Thyroid Testing

Your Complete Guide to Understanding Hashimoto’s, Hypothyroidism & Thyroid Testing

Perhaps there is nothing more common but misunderstood than thyroid disorders like Hashimoto's and hypothyroidism. Everyone these days seems to know someone who has struggled with thyroid health… or has struggled themselves.

But the causes and “fixes” for those issues still seem to elude many of us.

How can the thyroid, a major gland that is critical to a number of body functions but that seems to inadequately work for so many still be so mysterious?

For one, there are a number of hormones to consider and tests to look at.

But too often, only one of those hormones is tested and it may not be often enough information to go on.

And many people want the “magic bullet” medication that will fix it all.

But I am a firm believer in a combination of medication and dietary changes to create a holistic approach to balancing your thyroid health.

This article is a complete guide for you to understanding all about Hashimoto's and hypothyroidism and recommended thyroid testing to help you diagnose and navigate through your journey and restore your health.

Nourished and Renewed with Hashimoto's

Meet Annette.

Annette is in her mid-40s and is married with two kids in high school. She has been feeling very rundown for the last year or so. Even when she is consistent about working out, she seems to keep putting on weight.

And, although she has always gotten compliments on her thick, luscious hair, it seems to be thinning lately and looking pretty flat.

She was concerned there was something going on so she went to her general practitioner, who ran some tests.

The tests came back and her doctor told her that her thyroid hormone level came back normal. He told Annette that she just needs to get more sleep and maybe take a multivitamin.

Annette has had a number of family members tell her that it’s either all in her head and she’s fine, or that this is just part of ageing.

But she’s certain it’s not that simple and that surely there’s more that can be done. She decides to go see an endocrinologist to get to the bottom of what’s going on in her body.

Hashimoto's Diagnosis

What Is Hypothyroidism? Is It the Same as Hashimoto’s?

Even if you’ve talked to your doctor about your thyroid, or received a diagnosis, you may not fully understand how the thyroid works and what hypothyroidism is.

The Role of the Thyroid

The thyroid is a gland, meaning it excretes hormones, located in the neck. The main purpose of the thyroid is to regulate metabolism, including how we metabolize food and regulate body temperature.

It does this with a feedback system that relies on hormones, such as thyroid stimulating hormone (TSH) that the brain’s pituitary gland produces in order to trigger the thyroid to excrete T3 and T4.

T3 (triiodothyronine) is an active form of the thyroid hormone, while T4 (thyroxine) is the inactive form. These are what actually change the rate at which the body uses energy (metabolizes).

Sara Peternell Hashimotos Checklist blog

When the Thyroid is Not Functioning Properly

Hypothyroidism is when the thyroid cannot offer up enough of these hormones to function normally. (Inversely, hyperthyroidism is when the thyroid over-functions and makes too much of the hormones.)

In more extreme cases, hypothyroidism can lead to goiters (swelling in the neck) as the thyroid increases in size to try to create more hormones.

It is believed that nearly 5% of the population suffers from hypothyroidism but it is much more common in women. As many as 1 in 10 women have this condition.

What Is Hashimoto’s and How Is It Different from Hypothyroidism?

Hashimoto’s Thyroid Disease and hypothyroidism have that a-square-is-always-a-rectangle-but-a-rectangle-is-not-always-a-square thing going on.

The most common cause of hypothyroidism is Hashimoto’s but having hypothyroidism doesn’t necessarily mean you have Hashimoto’s.

Hashimoto’s is an autoimmune disorder.

Autoimmune means the body is attacking itself or something in the body that shouldn’t normally be a threat.

In the case of Hashi’s, the immune system is actually attacking the thyroid or thyroid proteins.

When the thyroid is attacked, it cannot adequately function and make enough hormones, leading to hypothyroidism.

But you can have other causes of low thyroid hormone levels, hence the rectangle not being a square.

When you have Hashimoto’s, the immune system creates specific antibodies.

Tests can measure these antibodies, leading to a Hashi’s diagnosis. It is believed that about 90% of hypothyroidism is caused by Hashimoto’s.

Signs, Causes and Risks of Hypothyroidism

Unfortunately, hypothyroidism is often under diagnosed because many of the symptoms are common or seem to indicate a different issue.

And as with many health disorders, not everyone experiences them the same way.

The most common signs of hypothyroidism are:

Not too surprising then that all of these are also symptoms of Hashimoto’s disease. Unless specifically tested for, many doctors may pinpoint hypothyroidism and not delve deeper.

There are risk factors for hypothyroidism but there is no one cause of it.

Instead, we know that there are a number of factors that can increase your chances.

As I mentioned, women are more likely to have hypothyroidism and Hashimoto’s.

And with any autoimmune disorder, once you have one, you are at much higher risk to develop more.

The most common forms of autoimmune disease in those already diagnosed with Hashimoto’s are arthritis, connective tissue disease (such as Sjogren’s syndrome), vitiligo and celiac disease.

There are indications that some factors of Hashimoto's may include:

If you have hypothyroidism but not Hashimoto’s, what else could have caused it?

Some medications are known to contribute, including lithium (used for some psychiatric disorders)

  • Radiation therapy
  • Over-response to hyperthyroidism treatment
  • Pituitary disorder (this affects communication between the glands)
  • Congenital thyroid disease (infants born with thyroids that are not fully functioning)
  • Surgical removal of all or part of the thyroid
  • Pregnancy and hormonal imbalances or conditions such as polycystic ovarian syndrome (PCOS)
  • Iodine deficiency

TSH Tests For Thyroid

Testing Thyroid Hormones

Anyone with questions about their thyroid health has likely had some tests run. But were they testing the right hormones? And getting them tested often enough?

What is TSH and Why Does It Matter?

Most doctors will test the levels of TSH (thyroid-stimulating hormone), the hormone from the pituitary gland that triggers the thyroid.

Levels are generally considered healthy if they run between 0.4 milliunits per liter (mU/L) and 4.0 mU/L.

But this is a very large range and someone can be technically still in that range but feeling lousy. (Some functional doctors say the optimal range is between 1.0 and 2.5 mU/L.)

Also, we know that TSH does not tell the whole story. This is especially if the pituitary gland is functioning well but the thyroid is not.

First of all, the only way to know for sure if you have Hashimoto’s disease is to test for the antibodies created when the immune system attacks the thyroid, thyroglobulin.

Are TSH tests helpful at all? Absolutely!

TSH shows how hard the pituitary gland is working to send a signal to the thyroid to make more thyroid hormones.

A high TSH indicates the thyroid gland may be sluggish and not producing enough hormones.

On the other side, a low TSH means the thyroid is pumping out more than enough hormone and the pituitary is not sending much of a signal at all anymore.

TSH is affected by medication so it can be used as one indicator for if medication dosages are working for you.

Hashimoto’s or not, if you believe you may suffer from hypothyroidism but your TSH levels appear normal, there are a number of other tests to consider.

Thyroid Disorders

Thyroid Hormones and Other Labs That Can Be Tested Too

You can ask your doctor or endocrinologist to test your Free T3 and Free T4 levels.

This gives a better scope of how well the thyroid is making hormones and how well they are being converted to an active and usable form.

Additionally, tests that look at your Reverse T3 (a metabolite of T4), sex hormone-binding globulin (a liver protein that binds to sex hormones), or ferritin (an iron-containing protein) can also give an idea of what’s really going on.

If you are having trouble communicating the need for these tests with your doctor, or if insurance approval is standing in the way, you can order these labs yourself.

Yes, really!

I suggest the following lab panel (that includes all of the above lab values) for the clients I work with remotely: Extended Thyroid Test for Hashimoto's Thyroiditis. It costs just $129 but is valued at over $400.

The good folks at True Health Labs allow you to directly order labs that make the most sense for your health condition, allowing you to better participate in the overall management of your health.

If you do order these labs, be sure to take them with you to your next provider appointment.

Show them that you are willing to do what it takes to get the correct information for the best treatment plan possible.

Going for blood tests

How Lab Tests Can Help With Supporting Your Thyroid Health

When Annette had gone to her doctor, he said her TSH levels were within a healthy range at 3.5 mU/L. But when she went to an endocrinologist, she was told that was in the high range and also had her Free T3 and Free T4 levels tested.

These tests indicated a sluggish thyroid and was given a hypothyroidism diagnosis. She had heard about Hashimoto’s Disease and when she asked about it, her endocrinologist agreed that it was worth testing for.

She tested positive for thyroid antibodies, giving her a Hashimoto’s diagnosis as well.

Although it was a little scary for Annette, she was also relieved to know that she was getting to the bottom of what was going on.

Ideally, you would get your TSH, Free T3 and Free T4 tested once or twice per year.

However, if you are working with your provider to adjust medication dosages in order to find the right amount, I suggest testing every six weeks.

Regular thyroid tests

What Providers Can Help You Manage Your Thyroid Health

Speaking of providers, you may wonder if an endocrinologist is in order and I do highly recommend seeking one out.

An endocrinologist can help you get a baseline on the health of your thyroid and may offer a thyroid ultrasound.

These are also the best kind of doctors to manage your thyroid medications.

A DO (Doctor of Osteopathic medicine), family practice doctor or integrative medicine doctor may also be good options. And many are willing to work with nutritionists to create conducive plans together.

In addition, certain holistic practitioners can also be part of your thyroid support team as well.

These can include acupuncturists, naturopaths and, of course, nutritionists, especially if they are board certified in holistic nutrition.

Choosing the right doctor to support your thyroid health

What Can Be Done For Hashimoto’s the Hypothyroidism

Some people think that because I am a nutritionist, I am against medicating for thyroid disorders. On the contrary!

Medications have been life-changing for me in my own thyroid journey.

But they have always been just one piece of the puzzle and I try to help my clients realize this as well.

Medication, when paired with a nutrition plan, lifestyle changes and stress management, can have huge impacts on your thyroid health.

Medicating For Your Thyroid

The first thing to understand about medication is that there is no right one for everyone. There are many types, including:

  • Synthetic - a man-made, synthetic form of a specific hormone, meant to imitate the actions of that hormone
  • Natural desiccated - made from dried thyroid gland from other animals (usually pig or cow)
  • T3-only forms - contains only the active T3 form of thyroid hormone
  • Compounded - combined thyroid hormones meant to be tailor-made based on your needs

Choosing the right one depends on your unique biochemistry, which is why working with an endocrinologist or similar doctor can take time but can also help you find the perfect match.

Thyroid Surgery

Studies have started to look at whether total removal of the thyroid helps reduce symptoms of Hashimoto’s.

And although when compared with medication alone, surgery to remove the thyroid has had some promising results, these studies haven’t considered when you do more than just medicating.

Surgery may still be an option for you but it should be a last resort. Always talk to your doctor about all your options and consider making dietary protocols part of the plan.

How Nutrition and Lifestyle Help the Thyroid

You may wonder why anything more needs to be done if you are taking a medication. And you may ask what diet has to do with something in your thyroid (and brain).

Stress

For one, stress has a huge impact on thyroid function and is known to be a factor in many autoimmune diseases.

Many clients report that stress management plays a large role in the management of their thyroid health as well.

This comes in many forms for many people: walks around your neighborhood, meditation, yoga, self-care or “me time,” talk therapy or something completely different.

Toxins

Another lifestyle change that can influence your thyroid is eliminating or reducing exposure to toxins, such as heavy metals, pesticides and herbicides, BPA, phthalates, parabens and more.

Most of these are known to impact hormone levels, not always in an immediate way but after long-term exposure.

Heal the Gut

Gut health is actually crucial for our thyroids because healthy gut bacteria aids in the conversion of the T4 hormone into the active T3.

Hormone Balancing

Also, when one hormone-producing gland gets out of whack, it is very common for other glands to begin to function poorly. This can (and does) include the adrenals, which produce stress hormones, and the testes or ovaries, which produce sex hormones.

So when you eat foods that support one gland, you are in turn supporting all your glands.

Self care for your thyroid condition

Choosing the Thyroid Path That is Right for You

Annette worked with her endocrinologist to find the right medication that would work for her needs, based on her T3 and T4 levels, as well as the Hashimoto’s.

She also found a holistic nutritionist, who was able to make dietary recommendations that worked well with her medications to balance her thyroid.

After tweaking the medications and diet for a few months, she found that her hair wasn’t thinning as much, she was able to maintain her weight and, best of all, she had more energy than she had in years.

It wasn’t an easy or super quick process. But she was willing to make the changes and stick with them in order to feel her best.

When people are diagnosed with hypothyroidism, they often assume they just have one possible plan: get on a medication and stick with it regardless of how they feel moving forward. That’s just the way life will be now.

But often, further testing will reveal more information, like a Hashimoto’s diagnosis. And even medication offers many different options these days.

Looking for Thyroid Support?

If you would like more support with your thyroid health and overall wellbeing, check out my 30-day Nourished & Renewed With Hashimoto’s program.

This is a self-paced online lifestyle program that offers tangible, realistic solutions for improving your Hashimoto’s and your overall health in a way that lasts.

If you are looking for personalized attention to your thyroid, seek out a program and thyroid advocate who can give you the tools and resources to feel your best again.

I would recommend my Happy & Healthy Adult Program for those with possible thyroid health issues.

There is so much that you can do to boost thyroid health and live your best life.

I hope that no matter your diagnosis and your medication plan, you will consider making nutrition and lifestyle changes part of your plan too.

Hashimoto's - 08/07/2020

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The information on this website is for educational purposes only and should not be considered medical advice. This information is provided to help you make informed decisions about your health. It is not meant to replace the advice of your primary physician.

Choosing a holistic approach to health care through nutrition means choosing personal responsibility for your health care. Sara Peternell, MNT, is not liable or responsible for any harm, damage or illness arising from the use of the information contained herein or through any of the nutritional therapy programs available for purchase.

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