I think most people with hypothyroidism would agree that their condition is not due to a deficiency of synthetic thyroid hormone. Even though this is obviously true, most endocrinologists tell just about all of their patients with hypothyroidism and Hashimoto’s Thyroiditis to take synthetic thyroid hormone medication for the rest of their life without trying to find out why the person developed a hypothyroid condition to begin with. Although some people do need to take synthetic or natural thyroid hormone on a permanent basis, many people can have their health restored back to normal through natural hypothyroid treatment methods.
Although it’s not very common, newborns are sometimes born with a dysfunction of the thyroid gland, a genetic condition called congenital hypothyroidism. Some evidence shows that people are more likely to develop hypothyroidism if they have a close family member with an autoimmune disease. But according to the National Institute of Health (NIH), the likelihood of congenital hypothyroidism is very low and only about 1 out of every 4,000 newborns is born with a thyroid disorder. (8b)
Hyperthyroidism, particularly Graves’ disease, is known to cause bone loss, which is compounded by the vitamin D deficiency commonly found in people with hyperthyroidism. This bone mass can be regained with treatment for hyperthyroidism, and experts suggest that adequate bone-building nutrients, such as vitamin D, are particularly important during and after treatment.13
Fine needle aspiration biopsy of the thyroid is used to obtain tissue for analysis. Fine needle aspiration is also performed to treat thyroid cysts. The fine needle aspiration biopsy procedure may be recommended to make the diagnosis and/or select therapy of a thyroid nodule. Fine needle aspiration biopsy may also be recommended to drain or shrink a thyroid cyst.
Gluten is the common protein found in wheat, barley, & rye. Gluten is a sticky, storage protein that is challenging for the digestive tract because it binds to the small intestinal wall where it can cause digestive and immune system disorders. Gluten sensitivity is an epidemic that is a major contributing factor with inflammatory and autoimmune diseases (61, 62).
l-Thyroxine monotherapy for athyreotic rats results in a high T4:T3 ratio at doses sufficient to normalize serum TSH levels (8). Yet, the brain, liver, and skeletal muscle tissues of these l-thyroxine–treated animals continue to exhibit markers of hypothyroidism (9), probably because of the inability of l-thyroxine monotherapy to restore tissue levels of T3 (8). This is probably a direct consequence of lower serum T3 levels and the relatively high T4 concentration in these tissues, which inactivates the type 2 iodothyronine deiodinase (D2). In the hypothalamus, loss of D2 is minimal in the presence of T4, which increases sensitivity to T4 levels and explains TSH normalization, despite relatively lower levels of serum T3. Only combination therapy with l-thyroxine plus l-triiodothyronine normalized all thyroid hormone–dependent measures (9), including serum and tissue T3 levels (8). Whether tissue-specific markers of hypothyroidism are restored with l-thyroxine monotherapy in humans remains to be determined, as does the ability of l-thyroxine plus l-triiodothyronine combination therapy to normalize the serum T4:T3 ratio without adverse events. The development of a novel drug delivery system for l-triiodothyronine would facilitate these studies (5).
There are also certain risk factors for hypothyroidism including radioactive iodine or anti-thyroid medications for hyperthyroidism, lithium, Congenital disease or tumors on your pituitary gland, pregnancy, miscarriage, premature delivery and/or preeclampsia, Iodine deficiency, autoimmune disease, enlarged thyroid glands or goiters, and high levels of low-density lipoprotein (LDL) cholesterol.
Another problem of conversion involves too much of the T4 converting into another thyroid hormone called Reverse T3. Reverse T3 is not metabolizing active and can contribute to symptoms of underactive thyroid. Again, proper testing of the thyroid will uncover this issue. Correct thyroid treatment requires the correct evaluation and that is what is performed at LifeWorks Wellness Center.
Although I’m a fan of getting what you need from real food whenever possible, herbs, supplements, and vitamins can still have a place in the thyroid diet plan. It’s hard to give tips here as many people over-medicate and only feel worse later. Hopefully these tips will help; they apply to most auto-immune conditions (This advice was given by my naturopath who focuses on hormonal and thyroid health.):
Although relatively low serum T3 levels could contribute to these residual manifestations, the higher serum T4:T3 ratio should also be considered. This has been well-established for 4 decades (28, 50, 59), but only recently has it been recognized as a relevant measure given that higher serum T4 levels will impair systemic T3 production via downregulation of a deiodinase pathway (9). Thus, some emphasis has recently been directed toward establishing the clinical significance of this ratio (1, 5).
Bladderwrack: Bladderwrack or fucus vesiculosus is a natural treatment for hypothyroidism and has proven to reduce the symptoms of the condition. It is actually a seaweed (a type of brown algae), found in several oceans across the globe. Bladderwrack is rich in iodine content, thereby proving to be an effective thyroid stimulant. It is seen to reduce the size of the thyroid gland during goiter and also restores its functioning. A person suffering from it can take a 600 mg Bladderwrack capsule with water 1-3 times a day.
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**Note: It’s important to realize that thyroid medication is not one size fits all, and there is no ONE right solution for everybody. Dosage is incredibly important, your specific thyroid labs will impact what type of medication is needed and we all have different needs, budgets, goals, and symptoms. So work with a functional medicine practitioner to find the thyroid medication that makes the most sense for YOU!
Dana Trentini founded Hypothyroid Mom October 2012 in memory of the unborn baby she lost to hypothyroidism. This is for informational purposes only and should not be considered a substitute for consulting your physician regarding medical advice pertaining to your health. Hypothyroid Mom includes affiliate links including the Amazon Services LLC Associates Program. Connect with Dana on Google+
Goitrogen Foods – Eating large amounts of raw Brassica vegetables like broccoli, cauliflower, cabbage, kale, soy and Brussels sprouts might impact thyroid function because these contain goitrogens, molecules that impair thyroid perioxidase. When consuming these cruciferous vegetables, it’s best to steam them for 30 minutes before consuming to reduce the goitrogenic effect and keep portions moderate in size. These pose more of a risk for people with iodine deficiencies.
Central or pituitary hypothyroidism: TSH (Thyroid-stimulating hormone) is produced by the pituitary gland, which is located behind the nose at the base of the brain. Any destructive disease of the pituitary gland or hypothalamus, which sits just above the pituitary gland, may cause damage to the cells that secrete TSH, which stimulates the thyroid to produce normal amounts of thyroid hormone. This is a very rare cause of hypothyroidism.
You want to detox your liver and your gut, as this is where the T4 hormone (inactive hormone) gets converted to T3, the active hormone that actually powers us up. Most of our body cells need T3, not just T4. If you are taking Synthroid, you are taking a synthetic version of T4 that still needs to be converted to T3. If you have a sluggish liver and gut, you won’t convert properly.
Coconut Oil – Provides medium-chain fatty acids in the form of caprylic acid, lauric acid and capric acid that support a healthy metabolism, increase energy and fight fatigue. A staple of the hypothyroidism diet, coconut oil is easy to digest, nourishes the digestive system and has antimicrobial, antioxidant and antibacterial properties that suppress inflammation. Coconut oil helps improve immunity and can increase brain function, endurance and your mood while stabilizing blood sugar levels.
With the availability of multiple forms of thyroid hormone replacement, early clinical trials were designed to assess efficacy and dose equivalency among natural thyroid (typically desiccated), synthetic l-thyroxine, and/or l-triiodothyronine. These were not designed as superiority trials, their therapeutic goals were the normalization of serum PBI or BMR, and doses were dramatically higher than used today. For example, desiccated thyroid and intravenous l-thyroxine monotherapy normalized BMR, pulse, and body weight in myxedema (29), l-triiodothyronine monotherapy was likewise effective (30), and the potency of l-triiodothyronine exceeded that of l-thyroxine (31).
The NIH studied the link between hypothyroidism and small intestine problems. These problems included an overgrowth of bacteria, such as yeast. Probiotic supplements contain live bacteria that can help keep your stomach and intestines healthy. Besides supplement forms, fermented food and drink, such as kefir, kombucha, raw cheese, and yogurt contain useful probiotics.
Most physicians diagnose hypothyroidism by simple blood tests that measure the level of TSH (thyroid stimulating hormone), which is made by the pituitary gland in response to thyroid hormone and the body’s needs, and indicates thyroid status. As levels of thyroid hormones fall, the pituitary releases TSH to stimulate the thyroid to produce more hormone. Clinicians may also measure circulating levels of T-3 and T-4, which are the thyroid hormones themselves. Low levels of T-4 and high levels of TSH reveal an underactive thyroid. Other variants of hypothyroidism can exist. Patients can have no symptoms and normal serum thyroid hormone levels, but elevated TSH. Others can have symptoms, but normal TSH and T-4 levels. Patients with either of these variants may benefit from supplementation. In addition, someone with a temporary illness might have a completely normal thyroid but high TSH, a condition called “sick euthyroid” which usually resolves without any intervention.
Also available on the market are combination medications that contain both synthetic T4 and T3 hormones, but such medications aren’t usually recommended. For one thing, most patients see their condition improve with synthetic T4 alone because of the ability of the thyroid to convert these hormones to T3 when needed. Also, synthetic T3-T4 combination drugs can cause anxiety — if you have a preexisting mental health disability, such side effects may be even greater. (3)
Hypothyroidism diet tips: Some foods, especially cruciferous vegetables (cabbage, kale, Brussels sprouts, broccoli, and cauliflower) contain natural goitrogens, compounds that can cause the thyroid gland to enlarge by interfering with thyroid hormone synthesis. Cooking has been reported to inactivate this effect in Brussels sprouts. Cassava, a starchy root that is the source of tapioca, can also have this effect. Other goitrogens include corn, sweet potatoes, lima beans, and soy. Some practitioners recommend that people with under-active thyroid glands avoid these foods, even though most have not been proved to cause hypothyroidism in humans.
They are the building blocks of your digestive tract and of our hormones. We are fat-phobic in America, and low-fat diets are one of the worst things we’ve ever invented. Europeans and Asians have fat-rich diets (traditionally) and enjoy much better health than we do. Good fat tips: avocados, walnuts, coconut oil, coconut butter. Animal fats are the best in restoring a troubled digestion; ghee (clarified butter), butter, chicken and beef fat are essential but need to be rendered and not in fried or processed form.
The symptoms of hypothyroidism are often subtle. They are not specific (which means they can mimic the symptoms of many other conditions) and are often attributed to aging. People with mild hypothyroidism may have no signs or symptoms. The symptoms generally become more obvious as the condition worsens and the majority of these complaints are related to a metabolic slowing of the body. Common symptoms and signs include:
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If you have thyroid issues, then raw cruciferous vegetables may not be the best choice. You might want to skip the kale smoothies and salads, and eat your greens cooked instead. The reason is that the cruciferous vegetables contain goitrogens that may disrupt the thyroid if consumed in large quantities. Other cruciferous veggies include cabbage, Brussels sprouts, broccoli and cauliflower.
The most common cause of hypothyroidism in the United States is an inherited condition called Hashimoto's thyroiditis. This condition is named after Dr. Hakaru Hashimoto who first described it in 1912. In this condition, the thyroid gland is usually enlarged (goiter) and has a decreased ability to make thyroid hormones. Hashimoto's is an autoimmune disease in which the body's immune system inappropriately attacks the thyroid tissue. In part, this condition is believed to have a genetic basis. This means that the tendency toward developing Hashimoto's thyroiditis can run in families. Hashimoto's is 5 to 10 times more common in women than in men.
The thyroid gland uses iodine (mostly from foods in the diet like seafood, bread, and salt) to produce thyroid hormones. The two most important thyroid hormones are thyroxine (tetraiodothyronine or T4) and tri-iodothyronine (T3), which account for 99% and 1% of thyroid hormones present in the blood respectively. However, the hormone with the most biological activity is T3. Once released from the thyroid gland into the blood, a large amount of T4 is converted as needed into T3 - the active hormone that affects the metabolism of cells.
Thyroid hormones regulate cholesterol synthesis, cholesterol receptors, and the rate of cholesterol degradation. Hypothyroidism increases LDL levels, and increased cholesterol levels have been shown to induce hypothyroidism in animal models. Normalization of thyroid hormone levels has a beneficial effect on cholesterol, which may be worth noting especially for clients who choose not to take prescribed thyroid medications.7
Hypothyroidism (overactive thyroid) is a condition in which the thyroid gland produces an abnormally low amount of thyroid hormone. Many disorders result in hypothyroidism, which may directly or indirectly involve the thyroid gland. Because thyroid hormone affects growth, development, and many cellular processes, inadequate thyroid hormone has widespread consequences for the body.
The disease process for Hashimoto’s is a spectrum, and not all patients require treatment. Some patients have autoimmune antibodies but retain enough thyroid function without the need for intervention for years. Generally, once the body can no longer produce an adequate amount of thyroid hormone for necessary physiological functions, thyroid replacement medication is necessary to correct the hormonal imbalances associated with hypothyroidism.
If hypothyroidism is left untreated, symptoms of myxedema can appear. These include very dry skin, and swelling around the lips and nose called non-pitting (firm) edema. More severe symptoms can be life-threatening and include low blood pressure, decreased body temperature, shallow respirations, unresponsiveness and even coma. Fortunately, advanced hypothyroidism such as this is quite rare.
The thyroid is considered a “master gland.” In addition to producing crucial hormones, it helps control the process of turning nutrients from food into usable energy on which the body runs. Because the thyroid plays such a major part in your metabolism, dysfunction can affect almost every part of the body, including your energy levels and ability to burn calories.
It’s commonly believed that hypothyroidism is due to insufficient iodine, but this isn’t true. Dr. Kharrazian states that if you have Hashimoto’s, taking supplemental iodine is like throwing gasoline on a fire, so eschew iodine supplements and iodized salt. Primary sources of iodine: sea vegetables and seafood. Secondary sources: eggs, asparagus, lima beans, mushrooms, spinach, sesame seeds, summer squash, Swiss chard, and garlic.
Gluten — Many people with thyroid issues are also sensitive to gluten or have celiac disease, an autoimmune disease that results in an allergy to gluten. Gluten is found in all wheat, rye and barley products. Carefully check ingredient labels to avoid hidden gluten that is lurking in many packaged foods. Undiagnosed sensitivities to gluten can further raise inflammation, create nutrient deficiencies and worsen hormonal problems.
This is huge topic, especially with women. You won’t be able to fix your thyroid without fixing the adrenals. The adrenals are also part of the endocrine system and fire up when you are stressed out. I recommend looking up adrenal fatigue symptoms to see if you have them. De-stressing by working with a therapist or life coach, getting into meditation, breathing, or positive thinking – or whatever works for you – is key.
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