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Are you struggling with the following?

  • weight gain
  • fatigue
  • hair loss
  • constipation
  • unexplained infertility
  • foggy thinking/poor memory
  • joint pain

It’s estimated that over 20 million Americans have a thyroid disease/disorder, and it’s more common in women than men. If you’ve been diagnosed with hypothyroidism (low thyroid function), listen up: did you know there is a greater than 90 percent chance that you actually have an autoimmune thyroid condition called Hashimoto’s thyroiditis that is causing your thyroid to underfunction? It’s treated much differently than primary hypothyroidism conditions because the immune system component must be addressed as well as the underfunctioning thyroid gland.

There are several different causes of  hypothyroid, depending on which gland is affecting the thyroid function (primary thyroid or the pituitary or hypothalamus, for example), but autoimmune thyroiditis, where the body actually produces antibodies to attack its own thyroid tissue, is by far the most common and unfortunately becoming more common due to stress, poor diet, and the toxic nature of our environment.

Our conventional health model has no specific treatment for Hashi’s, so it’s treated just like regular hypothyroid conditions (same drugs prescribed), and because the autoimmune issue isn’t addressed, the body continues to attack thyroid tissue, resulting in extensive tissue death. Or, an immune suppressant is prescribed to calm the overactive immune system, and this can have bad side effects (ranging from digestive disorders to multiple sclerosis). The holistic approach means examining the underlying causes:

  • stress
  • imbalanced gut flora and leaky gut
  • environmental toxicity
  • congested liver
  • deficiencies
  • viruses (Epstein Barr, mono)
  • diet

The thyroid is the command and control center of the body: Thyroid hormones impact brain function/cognition, female hormone balance/fertility, GI function, body temperature, cardiovascular function, and lipid/cholesterol metabolism. When the thyroid starts to malfunction, these body systems can falter, and the following symptoms result:

  • fatigue
  • difficulty losing weight/weight gain
  • constipation
  • cold hands and feet
  • dry skin
  • anxiety
  • heart palpitations
  • menstrual irregularities/heavy periods
  • infertility
  • high cholesterol (especially LDL)
  • low body temperature
  • hair loss (especially outer third of eyebrow disappearing)
  • depression

Click here to read my post on primary hypothyroidism.

Typically, your doctor may first identify hypothyroidism via high TSH (thyroid stimulating hormone), which will show up out of range on the high side, over 4.5uIU/ml, when you go in for blood work. There are actually many problems with this type of diagnosis, because you can still be in this “normal” range and have Hashi’s that goes undiagnosed. In fact, ideal TSH is around 1.5 – 2.0; anything above may signal a problem, and immune flare-ups can cause TSH to be all over the map. If you exhibit the above hypothyroid symptoms yet your TSH is normal, press your doctor to test further. A test for thyroid peroxidase antibodies (TPO) is necessary, as elevated levels indicate the body is attacking thyroid tissue.

Or, if you’ve been diagnosed with hypothyroidism and treated with thyroid drugs (like synthroid/levothyroxine) but your symptoms don’t improve or worsen, ask your doctor to test for elevation in TPO to see if the autoimmune component is driving your hypothyroidism. Hashi’s is an autoimmune disorder before it’s a thyroid disease.

Hashimoto’s Thyroiditis: Causes & Treatments

Risk factors/contributing factors include the following:

  • gluten intolerance (gluten proteins attack thyroid tissue)
  • estrogen dominance
  • vitamin D deficiency
  • poor liver function
  • leaky gut
  • environmental toxicity, high mercury, mercury amalgams
  • selenium deficiency
  • immune dysfunction
  • stress & blood sugar disruptions (causing adrenal fatigue, suppressing immune function, disrupts the hypothalamic-pitutary axis that affects thyroid function)

What to do about it?


  • There are a number of ways to manage Hashi’s through diet alone. Number one, AVOID GLUTEN LIKE THE PLAGUE. Numerous studies show a strong link between gluten intolerance and Hashi’s and all autoimmune disease. The molecular structure of gluten protein, as it’s broken down, resembles that of the thyroid gland. If you are gluten intolerant or have leaky gut syndrome, your body produces antibodies to tag gluten proteins for removal–and because the thyroid gland structure is so similar, thyroid tissue is tagged and attacked too in a case of mistaken identity. According to Dr. Kharrazian’s book Why Do I Still Have Thyroid Symptoms When My Lab Tests Are Normal, 81 percent of Americans are genetically predisposed to gluten intolerance and 35 percent are gluten intolerant.
  • In addition gluten, avoid other foods you are sensitive to + the foods high in anti-nutrients that exacerbate autoimmune conditions: dairy, soy, eggs, nuts, grains, legumes, and nightshades –to preserve gut health. These foods can irritate the gut lining and contribute to immune overactivity. Because the majority of the immune system is in the gut, intestinal inflammation that’s worsened by certain foods results in continual immune system stimulation that eventually causes the immune system to go rogue and begin attacking body tissue. This is why diet is so important; it’s the main way you can control inflammation. Symptoms of food sensitivities include joint pain, skin breakouts, bloating, gas, fatigue (especially after meals), congestion, irregular menstrual cycles, to name a few.
  • Increase vitamin D rich foods (salmon, eggs) and normalize D levels.
  • Try an autoimmune paleo diet. It removes foods (mentioned above) with high levels of anti-nutrients that trigger immune response and inflammation. Click here to learn more.
  • Focus on organic proteins (wild fish, eggs if you tolerate them, grass fed beef/lamb/bison, organic poultry, nutrient rich organ meats), fats such as ghee and coconut oil, and lots of veggies of all kinds.
  • Avoid conventional meats (non organic, CAFO) and fish because the hormones and toxins present in the meat contribute to estrogen dominance, which adversely affects thyroid hormone function.
  • Avoid soy. Soy can suppress thyroid function and cause estrogen dominance that can affect thyroid hormones.
  • Avoid raw cruciferous: they have goitrogenic properties, which suppress thyroid function. Cooking deactivates the goitgrogens.
  • Take virgin unrefined coconut oil daily and cook with it. Click here to read my post on coconut oil.
  • Avoid all processed vegetable oils (canola, soy/corn/cottonseed, grapeseed, safflower, sunflower, etc) and stick to butter, coconut oil, olive oil, and animal fats.
  • IODINE may worsen autoimmune conditions. Iodine rich foods can help hypothyroidism NOT caused by autoimmune illness.
  • Probiotic-rich foods like raw kraut, kvass (fermented drink), or kefir. I recommend this coconut water kefir. It’s dairy free. You only need an ounce per day.
  • Make mineral-rich bone broth for gut health.
  • See also: my post on how to reverse autoimmune disease.

What supplements should you take?

Work with a practitioner to determine what’s right for you.
Taking a thyroid replacement drug isn’t enough. For Hashi’s, I typically recommend the following:


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