Hashimotos Thyroiditis
Hashimoto's is a thyroid condition that can lead to symptoms such as fatigue, weight gain, and muscle weakness. Luckily, there is plenty that can be done naturally to support your health with Hashimoto's. Read on to find out more
What is Hashimoto’s thyroiditis (Hypothyroid)?
Hashimoto's thyroiditis is an autoimmune disease that affects the thyroid gland's ability to produce sufficient thyroid hormone. In this condition, the body produces antibodies that attack the cells in the thyroid. Symptoms of Hashimoto's thyroiditis may include fatigue, weight gain, muscle weakness, and the enlargement of the thyroid gland, known as a goitre[i].
Why do we get Hashimoto’s and who’s most at risk?
Genetics and family history play a role in the risk of developing Hashimoto's disease. If you have a family history of thyroid disorders or other autoimmune diseases, the likelihood of developing Hashimoto's disease is higher. In addition to this, the immune system changes that occur during pregnancy can also contribute to the onset of Hashimoto's disease after giving birth[ii].
What are the risks associated with developing Hashimoto’s?
Heart health
Untreated hypothyroidism can result in poor heart function, irregular heartbeats, and high levels of LDL (low-density lipoprotein) (bad) cholesterol, which increases the risk of cardiovascular disease[iii].
Mental health impact
Depression and other mental health disorders may occur early in Hashimoto's disease and can worsen over time[iv].
Reproductive dysfunction
In women, hypothyroidism can cause reduced sexual desire, difficulties with ovulation, and irregular and excessive menstrual bleeding[v].
Risks for men
Men with hypothyroidism may experience reduced libido, erectile dysfunction, and a decrease in sperm count[vi].
Risks in pregnancy
Hypothyroidism during pregnancy increases the risk of miscarriage or preterm birth[vii].
Myxedema
This is a very rare and life-threatening condition which can occur due to severe, untreated hypothyroidism. Symptoms include extreme drowsiness and unconsciousness[viii].
Why is nutritional therapy important for Hashimoto’s?
Nutritional therapy for Hashimoto's is based on the proper nourishment of the body and regulation of the immune system by an anti-inflammatory diet. We can also use our in-depth and holistic consultations with one of our Nutritional therapists to address the cause of your symptoms.
Supplement recommendations for Hashimoto’s
Selenium
Selenium is a mineral that plays a crucial role in thyroid hormone metabolism and has been shown to help reduce thyroid inflammation. It may also support the conversion of inactive thyroid hormone (T4) to its active form (T3)[ix]. Viridian Selenium 200ug
Vitamin D
In terms of Hashimoto’s, Vitamin D supplementation may help support immune function and reduce inflammation[x]. Terranova Vitamin D3 and K2
Omega-3
Omega-3 fatty acids have anti-inflammatory properties and may help reduce inflammation associated with Hashimoto's disease[xi]. Wild Nutrition Pure Strength Omega 3 / Bare Biology Life & Soul Omega 3 Fish Oil Liquid
Probiotics
A healthy gut microbiome is important for immune function and may play a role in autoimmune conditions. Probiotic supplements can help promote a balanced gut microbiota, which may indirectly support the management of Hashimoto's disease. Look for a high-quality, multi-strain probiotic supplement[xii]. Viridian Synerbio Daily High Strength Probiotic
B vitamins
Such as B12 and folate, are essential for optimal thyroid function and energy production. B vitamins also help to combat fatigue, a common symptom of Hashimoto's disease[xiii]. Pure Encapsulations B Complex Plus
Try these complexes designed with major thyroid supporting nutrients in mind - blends of vitamins, minerals and plant extracts for comprehensive nutritional support: Viridian Thyroid Complex / Pure Encapsulations Thyroid Support Complex
Dietary suggestions for Hashimoto’s
Nutrient-dense diet
Include a variety of fruits, vegetables, whole grains, lean proteins, and healthy fats in your diet to ensure you're getting essential nutrients[xiv][xv].
Reduce inflammation
You can try an anti-inflammatory diet by limiting processed foods, refined sugars, and unhealthy fats. Instead, choose foods rich in antioxidants, such as berries, leafy greens, and fatty fish with beneficial omega 3 fats[xvi][xvii].
Consider removing gluten
Some of those with autoimmune thyroid disease find that avoiding gluten can help reduce inflammation and improve symptoms. It’s best to get advice on a gluten free diet from a nutritional therapist and avoid gluten free processed foods where possible[xviii].
Support gut health
Include probiotic-rich foods like yogurt, kefir, sauerkraut, and kimchi to promote a healthy gut microbiome. This may help reduce inflammation and support overall well-being. Also aim to significantly reduce junk foods which contain additives and poor-quality fats that are detrimental to health[xix].
Look out for selenium levels
Selenium is a mineral that plays a role in thyroid health. Consuming selenium-rich foods like Brazil nuts, seafood, and organ meats in moderation may be beneficial. However, excessive selenium intake (usually supplementally) can be harmful, so it's always best to monitor levels or before planning to take higher levels, please do so under the guidance of a nutritional therapist[xx].
Lifestyle suggestions for Hashimoto’s
Manage stress
Chronic stress can worsen autoimmune conditions like Hashimoto's disease. Think about how you can employ stress management into your lifestyle, such as relaxation exercises, engaging in regular physical activity (what you can manage), getting enough rest and finding activities that bring you joy and peace and help you unwind[xxi][xxii].
Get optimal sleep
Aim for consistent and adequate sleep which is great for supporting overall health and thyroid function. Create a calming bedtime routine, ensure a comfortable sleep environment, and work to establish a regular sleep schedule[xxiii].
Functional testing options for Hashimoto’s
Complete Thyroid Panel - This test analyses serum levels of TSH, total T4, free T4, free T3, anti-TG antibodies, and anti-TPO antibodies, complete with reverse T3 to assess central and peripheral thyroid function, as well as thyroid auto-immunity.
Coeliac & Gluten Sensitivity Panel - A Coeliac and Gluten Sensitivity Panel can help determine if people with Hashimoto's disease have issues with gluten. This panel includes tests that check the body's immune response to gluten, which can help identify if gluten is causing problems and making symptoms worse[xxiv].
Want more advice?
Talk to usProducts that may help
A selection of products chosen by our team to support this condition, all meeting our Therapy Approved standards.
Genetic Testing
Personalised genomic testing for health
Complete Thyroid Panel
Comprehensive thyroid insight for targeted care
Coeliac & Gluten Sensitivity Panel
Gluten response screening for gut health
Complete Hormone Panel - DUTCH Complete Test
Detailed hormone insights for balanced wellbeing
NutrEval
Comprehensive nutritional insight for personalised plans
Metabolomix Plus
Comprehensive urine test for nutritional status
Thyroid Support Complex
Nutritional support for normal thyroid function
Reishi Mushroom - Organic Powder (100g)
Dual-extract mushroom powder for daily balance
Reishi Mushroom - Organic 400mg (60 caps)
Organic reishi mushroom dual extract capsules
Disclaimer
Please note that the information contained within this website does not and should not replace medical advice, and is not intended to treat or diagnose. We always recommend you consult with your doctor. Our Nutritional Therapy team is highly trained and we offer one to one Nutritional Therapy Consultations, which are designed to be complementary to any medical treatment from a functional medicine approach, as well as offering a preventative & optimal health focus.
Academic References
[i] Mincer DL, Jialal I. Hashimoto Thyroiditis. [Updated 2023 Jul 29]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2023 Jan-.
[ii] Lin, HC., Chang, HM., Hung, YM. et al. Hashimoto’s thyroiditis increases the risk of new-onset systemic lupus erythematosus: a nationwide population-based cohort study. Arthritis Res Ther 25, 20 (2023).
[iii] Udovcic M, Pena RH, Patham B, Tabatabai L, Kansara A. Hypothyroidism and the Heart. Methodist Debakey Cardiovasc J. 2017 Apr-Jun;13(2):55-59.
[iv] Menon V, Subramanian K, Thamizh JS. Psychiatric Presentations Heralding Hashimoto's Encephalopathy: A Systematic Review and Analysis of Cases Reported in Literature. J Neurosci Rural Pract. 2017 Apr-Jun;8(2):261-267.
[v] Redmond GP. Thyroid dysfunction and women's reproductive health. Thyroid. 2004;14 Suppl 1:S5-15.
[vi] Chen D, Yan Y, Huang H, Dong Q, Tian H. The association between subclinical hypothyroidism and erectile dysfunction. Pak J Med Sci. 2018 May-Jun;34(3):621-625.
[vii] Min Y, Wang X, Chen H, Yin G. The exploration of Hashimoto's Thyroiditis related miscarriage for better treatment modalities. Int J Med Sci. 2020 Aug 29;17(16):2402-2415.
[viii] Elshimy G, Chippa V, Correa R. Myxedema. [Updated 2023 Aug 14]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2023 Jan-.
[ix] van Zuuren EJ, Albusta AY, Fedorowicz Z, Carter B, Pijl H. Selenium Supplementation for Hashimoto's Thyroiditis: Summary of a Cochrane Systematic Review. Eur Thyroid J. 2014 Mar;3(1):25-31.
[x] Mackawy AM, Al-Ayed BM, Al-Rashidi BM. Vitamin d deficiency and its association with thyroid disease. Int J Health Sci (Qassim). 2013 Nov;7(3):267-75.
[xi] Hahn J, Cook NR, Alexander EK, Friedman S, Walter J, Bubes V, Kotler G, Lee IM, Manson JE, Costenbader KH. Vitamin D and marine omega 3 fatty acid supplementation and incident autoimmune disease: VITAL randomized controlled trial. BMJ. 2022 Jan 26;376:e066452.
[xii] Knezevic J, Starchl C, Tmava Berisha A, Amrein K. Thyroid-Gut-Axis: How Does the Microbiota Influence Thyroid Function? Nutrients. 2020 Jun 12;12(6):1769.
[xiii] Aktaş HŞ. Vitamin B12 and Vitamin D Levels in Patients with Autoimmune Hypothyroidism and Their Correlation with Anti-Thyroid Peroxidase Antibodies. Med Princ Pract. 2020;29(4):364-370.
[xiv] Kaličanin, D., Brčić, L., Ljubetić, K. et al. Differences in food consumption between patients with Hashimoto’s thyroiditis and healthy individuals. Sci Rep 10, 10670 (2020).
[xv] Osowiecka K, Myszkowska-Ryciak J. The Influence of Nutritional Intervention in the Treatment of Hashimoto's Thyroiditis-A Systematic Review. Nutrients. 2023 Feb 20;15(4):1041.
[xvi] Macvanin MT, Gluvic Z, Zafirovic S, Gao X, Essack M, Isenovic ER. The protective role of nutritional antioxidants against oxidative stress in thyroid disorders. Front Endocrinol (Lausanne). 2023 Jan 4;13:1092837.
[xvii] Chakrabarti SK, Ghosh S, Banerjee S, Mukherjee S, Chowdhury S. Oxidative stress in hypothyroid patients and the role of antioxidant supplementation. Indian J Endocrinol Metab. 2016 Sep-Oct;20(5):674-678.
[xviii] Woderyelesh Kassa, Raafia Memon, Kashif M. Munir, The Gluten- Grave's Connection: Is There One?, Endocrine and Metabolic Science, Volume 1, Issues 1–2, 2020, 100048.
[xix] Clifton PM, Keogh JB. A systematic review of the effect of dietary saturated and polyunsaturated fat on heart disease. Nutr Metab Cardiovasc Dis. 2017 Dec;27(12):1060-1080.
[xx] Wang Fei, Li Chunyu, Li Shaoxin, Cui Lili, Zhao Junyu, Liao Lin, Selenium and thyroid diseases, Frontiers in, Endocrinology, 14.
[xxi] Mizokami T, Wu Li A, El-Kaissi S, Wall JR. Stress and thyroid autoimmunity. Thyroid. 2004 Dec;14(12):1047-55.
[xxii] Markomanolaki ZS, Tigani X, Siamatras T, Bacopoulou F, Tsartsalis A, Artemiadis A, Megalooikonomou V, Vlachakis D, Chrousos GP, Darviri C. Stress Management in Women with Hashimoto's thyroiditis: A Randomized Controlled Trial. J Mol Biochem. 2019;8(1):3-12. PMID: 31404454; PMCID: PMC6688766.
[xxiii] Green ME, Bernet V, Cheung J. Thyroid Dysfunction and Sleep Disorders. Front Endocrinol (Lausanne). 2021 Aug 24;12:725829.
[xxiv] Woderyelesh Kassa, Raafia Memon, Kashif M. Munir, The Gluten- Grave's Connection: Is There One?, Endocrine and Metabolic Science, Volume 1, Issues 1–2, 2020, 100048.