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Hashimoto's Thyroiditis

What is it?

Hashimoto's thyroiditis is an autoimmune disorder where the immune system attacks the thyroid gland, leading to hypothyroidism (underactive thyroid). This results in reduced thyroid hormone production, which affects metabolism and other bodily functions.

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What are the symptoms?

  • Fatigue

  • Weight gain

  • Cold intolerance

  • Constipation

  • Dry skin and hair

  • Depression

  • Muscle weakness

  • Slow heart rate

  • Puffiness in the face

What else could it be? (Differential diagnosis)

  • Hypothyroidism (without Hashimoto’s)

  • Depression

  • Fibromyalgia

  • Chronic fatigue syndrome

  • Anemia

What are the aggravating factors?

  • Stress

  • Pregnancy or childbirth

  • Infections

  • Nutritional deficiencies (e.g., selenium, iodine)

  • Family history of autoimmune diseases

What types of food are helpful?

  • Selenium-rich foods: Can help support thyroid function (e.g., Brazil nuts, sunflower seeds).

  • Iodine: Important for thyroid health (e.g., iodized salt, seaweed).

  • Anti-inflammatory diet: Omega-3 rich foods like fatty fish to reduce inflammation.

  • Gluten-free diet: Some individuals with Hashimoto’s benefit from a gluten-free diet, especially if they have celiac disease.

Sample Recipe: Salmon with Roasted Vegetables

  • Ingredients: Salmon, zucchini, carrots, olive oil, lemon, rosemary.

  • Directions: Roast vegetables with olive oil and seasonings. Grill or bake salmon and serve with vegetables for a thyroid-supporting, nutrient-rich meal.

What are the traditional treatments?

  • Thyroid hormone replacement: Levothyroxine is the standard treatment to replace the missing thyroid hormones.

  • Monitoring of thyroid function: Regular blood tests to monitor thyroid hormone levels.

  • Medications for related symptoms: Anti-depressants, pain relievers, or cholesterol-lowering medications, as needed.

What are the natural and alternative treatments?

  • Ashwagandha: An adaptogenic herb that may help balance thyroid function.

  • Probiotics: Gut health is connected to autoimmune function, so a high-quality probiotic may help.

  • Vitamin D: Adequate vitamin D levels may support immune function and reduce autoimmune responses.

  • Turmeric: Anti-inflammatory properties may help manage symptoms.

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