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Therapy Therapy

Hypothyroidism (Underactive thyroid)

What is Hypothyroidism?

The thyroid is a small, butterfly-shaped gland that crosses the front of your windpipe. Thyroid hormones help control functions including how your heart beats and how your digestive system works.

Hypothyroidism occurs when there is low thyroid gland function. The pituitary gland produces Thyroid Stimulating Hormone (TSH) which is responsible for producing thyroid hormones when levels are low[i]. The two thyroid hormones are triiodothyronine (T3) and thyroxine (T4). In hypothyroidism, a blood test will likely show high levels of TSH but low levels of thyroid hormones[ii][iii].


What are the symptoms of hypothyroidism?


What causes hypothyroidism?

A common cause of hypothyroidism is iodine deficiency, which can also lead to an enlarged thyroid gland (goitre)[vi]. Some foods can be goitrogenic such as brassica vegetables (broccoli, cabbage, kale and cauliflower). Cooking usually inactivates the goitrogens making them safe for most people to consume[vii].

The most common cause of hypothyroidism is an autoimmune condition called Hashimoto’s, which is where antibodies bind to the thyroid and prevent it from making adequate amounts of thyroid hormones[viii].


Nutritional support for hypothyroidism

Ensure to cook brassica foods (mentioned above) before eating them. The occasional bit of raw kale should be fine as it is in large amounts where is seems to become goitrogenic.

Iodine[ix]: in the right amount is key for thyroid support. Organic seaweed and iodised salt contain adequate amounts, in fact, seaweed has significant amounts so you want to be sure to have this no more than a couple of times a week as too much iodine can also suppress thyroid activity.

Selenium[x]: Having low levels of selenium is indicated in the pathogenesis of hypothyroidism, so getting adequate amounts in the diet or through supplementation is a useful preventative. Brazil nuts are the usual go-to for selenium. However, soil quality has been decreasing in recent years and so often does not offer adequate amounts anymore.

Exercise[xi]: is important for thyroid support as it stimulates thyroid gland secretion.

For autoimmune support, reducing or eliminating gluten from the diet should be considered as gluten can increase thyroid autoantibodies in some people.

Key nutrients: iodine, tyrosine, zinc, vitamin D, vitamin E, vitamin A, vitamin B2, vitamin B3, vitamin B6, vitamin C and selenium[xii].

A super greens formula will also help with energy and general bodily functions by improving oxygen uptake in cells.


Our top product picks for hypothyroidism


Testing options for hypothyroidism

Thyroid function: it is worth checking thyroid function, as this commonly changes around menopause. Thyroid function is also inextricably linked to reproductive health and hormone production and function. Usually testing for markers such as: TSH (thyroid stimulating hormone), FT3 & FT, thyroid function tests can be sought privately or through your GP. Talk to us for further advice.

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Products that may help

A selection of products chosen by our team to support this condition, all meeting our Therapy Approved standards.

Herbs Hands Healing

EnergiRevive (225g)

Sustained energy and mental clarity

£23.00
Kiki Health

Irish Sea Moss - Organic (90 Caps)

Pure organic sea moss capsules

£19.95
Kiki Health

Sea Kelp (90 Caps)

Organic iodine from pure sea kelp

£19.95
Living Nutrition

Organic Fermented Natural Nootropic (60 Caps)

Herbal support for clear mental focus

£27.50
Pure Encapsulations

L-Tyrosine (90)

Pure free-form tyrosine in capsules

£37.20
Pure Encapsulations

Iodine & Tyrosine (60 Capsules)

Supports normal thyroid function daily

£39.25
Viridian

High Potency Adaptogen Complex (90 Capsules)

Botanicals for energy and balance

£35.55
Pure Encapsulations

Rhodiola Rosea (90 caps)

Helps balance stress and support energy

£26.30
Pure Encapsulations

Buffered Ascorbic Acid Powder (227g)

Gentle vitamin C for everyday support

£43.10
Pure Encapsulations

Daily Support Formula (90 caps)

Broad-spectrum support for busy modern lives

£44.95

Genetic Testing

Personalised genomic testing for health

£211.50

Complete Thyroid Panel

Comprehensive thyroid insight for targeted care

£160.00

Complete Hormone Panel - DUTCH Complete Test

Detailed hormone insights for balanced wellbeing

£289.00

NutrEval

Comprehensive nutritional insight for personalised plans

£625.00
Terranova

Vitamin D3 and K2 (1000iu & 50ug)

Vegan support for bones and immunity

From £20.75
Kiki Health

Organic Natures Living Superfood

Alkalising greens with daily energy support

From £29.95
Kiki Health

Ionic Iodine Liquid Concentrate (50ml)

Natural minerals for daily balance

£20.00
Hifas da Terra

Mico-Rei (70 caps)

Organic reishi for daily inner balance

£65.00
Pure Encapsulations

Thyroid Support Complex

Nutritional support for normal thyroid function

From £41.90
Pure Encapsulations

Pure Encapsulations Zinc Complex

Bioavailable zinc for immune support

From £11.05
Pure Encapsulations

Selenium (60 caps)

Essential support for hair, nails, thyroid

£16.15
Pure Encapsulations

O.N.E. Multivitamin(60 Caps)

A high potency daily multi, excellent for energy and immunity

£50.35
Pure Encapsulations

O.N.E. Multivitamin with Iron (60 Caps)

Daily support for energy and vitality

£54.00
Pure Encapsulations

B Complex Plus

Active B vitamins for daily energy

From £30.55
Viridian

Thyroid Complex (60 Caps)

Supports thyroid function and eases fatigue

£27.10
Viridian

Synerbio Daily High Strength Probiotic

High strength gut flora support

From £40.50
Viridian

Selenium 200ug

Supports hair, nails and thyroid function

From £8.70
Viridian

Mineral Complex - Organic (90 caps)

Organic minerals from sea greens and herbs

£20.25
Viridian

Kelp - Organic (90 caps)

Naturally rich in iodine and trace minerals

£21.25
Miscellaneous

Organic Golden Linseed Flaxseed (250g)

Golden seeds for heart and gut

£1.99
Viridian

Organic Flax Seed Oil - Golden, Organic

Pure vegan omega 3 nourishment

From £11.50

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] Kaltsas G, Vgontzas A, Chrousos G. Fatigue, endocrinopathies, and metabolic disorders. PM R. 2010 May;2(5):393-8.

[ii] Mortoglou A, Candiloros H. The serum triiodothyronine to thyroxine (T3/T4) ratio in various thyroid disorders and after Levothyroxine replacement therapy. Hormones (Athens). 2004 Apr-Jun;3(2):120-6.

[iii] Canaris GJ, Steiner JF, Ridgway EC. Do traditional symptoms of hypothyroidism correlate with biochemical disease? J Gen Intern Med. 1997 Sep;12(9):544-50.

[iv] Canaris GJ, Steiner JF, Ridgway EC. Do traditional symptoms of hypothyroidism correlate with biochemical disease? J Gen Intern Med. 1997 Sep;12(9):544-50.

[v] Gupta V, Lee M. Central hypothyroidism. Indian J Endocrinol Metab. 2011 Jul;15

[vi] Babiker A, Alawi A, Al Atawi M, Al Alwan I. The role of micronutrients in thyroid dysfunction. Sudan J Paediatr. 2020;20(1):13-19.

[vii] Bajaj JK, Salwan P, Salwan S. Various Possible Toxicants Involved in Thyroid Dysfunction: A Review. J Clin Diagn Res. 2016 Jan;10(1):FE01-3.

[viii] Mikulska AA, Karaźniewicz-Łada M, Filipowicz D, Ruchała M, Główka FK. Metabolic Characteristics of Hashimoto's Thyroiditis Patients and the Role of Microelements and Diet in the Disease Management-An Overview. Int J Mol Sci. 2022 Jun 13;23(12):6580.

[ix] Chung HR. Iodine and thyroid function. Ann Pediatr Endocrinol Metab. 2014 Mar;19(1):8-12. doi: 10.6065/apem.2014.19.1.8. Epub 2014 Mar 31. PMID: 24926457; PMCID: PMC4049553.

[x] Ventura M, Melo M, Carrilho F. Selenium and Thyroid Disease: From Pathophysiology to Treatment. Int J Endocrinol. 2017;2017:1297658. doi: 10.1155/2017/1297658. Epub 2017 Jan 31. PMID: 28255299; PMCID: PMC5307254.

[xi] Ciloglu F, Peker I, Pehlivan A, Karacabey K, Ilhan N, Saygin O, Ozmerdivenli R. Exercise intensity and its effects on thyroid hormones. Neuro Endocrinol Lett. 2005 Dec;26(6):830-4. Erratum in: Neuro Endocrinol Lett. 2006 Jun;27(3):292. PMID: 16380698.

[xii] Krishnamurthy HK, Reddy S, Jayaraman V, Krishna K, Song Q, Rajasekaran KE, Wang T, Bei K, Rajasekaran JJ. Effect of Micronutrients on Thyroid Parameters. J Thyroid Res. 2021 Sep 28;2021:1865483.

[xiii] Xiao H, Tan C, Yang G, Dou D. The effect of red ginseng and ginseng leaves on the substance and energy metabolism in hypothyroidism rats. J Ginseng Res. 2017 Oct;41(4):556-565.

[xiv] Zen XX, Yuan Y, Liu Y, Wu TX, Han S. Chinese herbal medicines for hyperthyroidism. Cochrane Database Syst Rev. 2007 Apr 18;2007(2):CD005450. doi: 10.1002/14651858.CD005450.pub2.

[xv] 28, T.A.J. (2021) Herbal remedies for hypothyroidism, Thyroid Advisor. Available at: https://thyroidadvisor.com/her... (Accessed: November 21, 2022).