Category: Thyroid Function

How to Gain Weight with Thyroid Problems: A Comprehensive Guide
Imagine waking up each day feeling like your body is in overdrive. You eat what seems like plenty, yet the scale keeps dropping. This hits hard for many with thyroid problems, where fast metabolism steals away hard-earned calories. If you’re searching for how to gain weight with thyroid problems, know that it’s tough but doable. Thyroid disorders like hyperthyroidism crank up your body’s engine, burning fuel at a wild pace and making weight gain feel impossible. In this guide, we’ll share safe steps to build weight steadily, from smart eating to gentle workouts.
First, let’s cover thyroid basics. This small gland in your neck makes hormones that control energy use, hunger signals, and how your body handles food. When it’s out of whack, it messes with appetite, drains your strength, and blocks nutrient grabs. We’ll walk through the science, doctor chats, meal ideas, moves to try, and ways to track wins. Stick around for tips that fit your life and help you reach those goals.
Understanding Thyroid Health Through Functional Medicine
Woman with enlarged thyroid gland, illustration
Thyroid issues touch millions, and they often lead to surprise weight drops. Your body needs the right hormone balance to hold onto pounds. Without it, everyday tasks feel harder, and building size seems out of reach.
How the Thyroid Gland Influences Metabolism and Weight
The thyroid sits like a butterfly in your neck. It pumps out T3 and T4 hormones that set your metabolism’s speed. In hyperthyroidism, these hormones flood your system. This ramps up calorie burn, even at rest. You might eat a full plate but lose weight fast.
Overactive glands cause heat rushes, shaky hands, and quick pulse. These signs scream for a check-up. Track your heartbeat or tiredness in a notebook. Then, see a doctor for blood work. Early catch can slow the burn and open doors to gain weight with thyroid issues.
Doctors say this gland rules 60% of your daily energy spend. Balance it, and food sticks better. Think of it as tuning a car engine—not too hot, not too cold.
Common Thyroid Imbalances Affecting Body Weight
Hyperthyroidism tops the list for shedding pounds. Graves’ disease, an immune mix-up, sparks most cases. It makes the gland overwork, torching fat and muscle. About 1 in 1,000 folks face this each year, per health reports.
Hypothyroidism does the opposite—it packs on weight from slow burn. But we’re focusing on the loss side here. Other culprits include toxic nodules that leak extra hormones. Symptoms like sweat and nerves often tag along.
Get TSH tests early. Low levels flag overdrive. Blood checks cost little and spot trouble quickly. Talk to your doc about family history too. It runs in lines sometimes.
Challenges in Weight Management with Thyroid Imbalances
Computer illustration of a young woman with a normal thyroid gland
Fast metabolism eats calories like fire on dry wood. Your body breaks down food quicker, leaving little for storage. Muscle shrinks too, as the gland pulls protein for energy. Appetite dips from gut speed-up or nausea.
Treatments add twists. Drugs like antithyroid meds calm the storm but might swing weight the other way at first. Nutrient pull suffers—vitamins slip through uncaught. This cycle frustrates many trying to bulk up.
Log your daily burn with a simple app. Note meals and energy dips. This baselines your fight. Adjust as you learn your body’s tricks. Patience pays off here.
Consulting Healthcare Professionals Before Starting
Jumping into changes alone risks bumps. Thyroid care needs expert eyes. Pros guide you past pitfalls like med clashes or hidden lacks.
Doctors stress teamwork. Your plan should match tests and goals. This builds trust and speeds real wins.
Finding a Functional Medicine Specialist for Thyroid Health
Start with an endocrinologist—they know glands inside out. Skip the family doc for deep dives. These pros order scans like ultrasounds to peek at your thyroid.
Book that first visit soon. Bring notes on weight slips and moods. Ask, “How does my treatment tie to gaining pounds?” They might run full hormone panels. Expect chats on diet and meds.
Lists from health sites help find one near you. Check reviews for patient stories. A good fit makes the road smoother.
A woman searches the Internet for prescription drugs in the living room of her home.
Balancing Thyroid Treatment with Weight Gain Goals
Meds such as methimazole dial down hormone floods. Once levels are steady, your body holds calories better. But watch for tummy upset that kills hunger.
Timing matters. Take pills away from meals to avoid blocks. Docs tweak doses based on blood draws. This creates space for extra eats.
Plan talks every four to six weeks. Share weight logs. They adjust to fit your gain path. It’s a team effort, not solo.
Monitoring Progress and Adjusting Plans
Weigh weekly, not daily—scales lie with water shifts. Track energy and TSH numbers too. Apps like MyFitnessPal share data with your team.
Hormones take time to settle, so give it months. Note mood lifts or steady pounds. If off track, tweak with pro input.
Use shared logs for easy reviews. This spots patterns fast. Stay patient; small steps add up.
Nutrition Strategies for Weight Gain with Thyroid Issues
Food fuels the fight. Pick dense bites that feed the gland without overload. Thyroid-friendly high-calorie meals build surplus smartly.
Aim for balance. Nuts, fats, and proteins shine here. They pack punch without gut woes.
Building a Calorie-Surplus Diet Tailored to Thyroid Health
Add 250 to 500 calories over your needs each day. Use whole picks like avocados or olive oil drizzles. Fatty fish brings omega-3s to calm inflammation and aid hormones.
Try TDEE tools online, tweak for thyroid speed. A sample day: oats with nuts for breakfast, salmon salad lunch, nut butter snacks. This surplus sticks when metabolism eases.
Portions grow slow. One extra handful beats force-feeding. Your body thanks the steady flow.
Nutrient-Rich Foods to Boost Appetite and Absorption
Selenium from Brazil nuts mends thyroid paths. Just two a day covers needs. Zinc in seeds and lean meats fights fatigue.
Blend smoothies with banana, yogurt, and almond butter. Quick and calorie-loaded. For low hunger, split into five to six small feeds
Ginger tea aids digestion, pulling more from each bite. Veggies like spinach add iron without bulk. These choices support gain with thyroid problems naturally.
Supplements and Dietary Adjustments to Consider
Check for leaks first—vitamin D or B12 run low in many. Docs green-light fills if tests show gaps. Skip extra iodine; it might rev the gland.
Pair eats with probiotics for better gut hold. Yogurt or kefir works. If nausea hits, sip broths with fats.
Talk supps with your team. They fit your med mix. Simple tweaks like herbal teas ease paths.
Exercise and Lifestyle Modifications for Optimal Thyroid Function
Moves matter, but pick wise. Strength builds mass to trap calories. Rest seals the deal.
Lifestyle ties it. Sleep and calm keep hormones even. This duo turns efforts to results.
Strength Training to Build Muscle Mass Safely
Lift weights three to four days a week. Start light—bodyweight squats or dumbbell rows. Aim eight to twelve reps per set.
Compound lifts like deadlifts hit big groups. They spark post-burn hunger. Rest days prevent burnout, key with thyroid drain.
Hire a trainer if new. They spot form flaws. Muscle adds pounds that stay.
Incorporating Rest and Recovery Practices
Sleep seven to nine hours nightly. It resets hormones and stores fuel. Poor rest spikes stress that melts fat.
Yoga or walks cut cortisol. Deep breaths calm the overdrive. Track with a band—aim for deep cycles.
Nap if needed, but keep routines. Recovery fuels tomorrow’s gains.
Daily Habits to Support Metabolic Stability
Time meals post-meds for best pull. Drink water steadily—dehydration fakes loss. Evening bites like cheese and fruit lock in calories overnight.
Walk after eating to settle without burning. Sun time boosts vitamin D for thyroid aid. Small habits stack big.
Journal routines. Adjust what works. Stability breeds success.
Tracking Progress and Adjusting Your Functional Health Plan
Wins hide without a watch. Set marks and eye hurdles. This keeps you on path.
Real talk: bumps happen. But tools turn them into lessons.
Setting Realistic Goals and Measuring Success
Target half to one pound a week. Scales miss muscle, so measure waist or arms. Photos weekly show shifts.
Log moods and strength too. Gains beyond weight count. Celebrate small things—like fitting old jeans looser.
Apps remind check-ins. Stay true to pace.
Dealing with Plateaus and Side Effects
If stuck, up calories by 200. Post-treatment shifts need tweaks. Nausea? Go for bland fats like rice with butter
Wait two weeks, then call a diet pro. They spot diet holes. Side effects fade with time and tips.
Push through with variety. New recipes spark interest.
Long-Term Maintenance for Sustained Weight Gain
Check thyroid yearly. Life changes, so plans do. Forums link you to others—share wins.
Weave habits daily. Family meals build bonds and bites. Consistency wins races.
Revisit goals quarterly. Adapt and thrive.
Conclusion
Gaining weight with thyroid problems starts with doc talks, smart eats, strength work, and steady tracks. Manage the gland first, then layer in surplus calories from nuts and fish. Build muscle to hold it, rest to recover, and log to adjust. Sustainable change comes patiently and planned.
Key takeaways:
- See pros before changes—get thyroid tuned right.
- Choose calorie-dense whole foods like avocados and seeds for thyroid support.
- Do strength training three times a week to add lasting mass.
- Track weekly and tweak; patience turns struggles to success.
Ready to start? Chat with your doctor today and pick one tip to try. Share your story in the comments—we’re in this together.
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Also Read: Thyroid Supplements: The Essential Role of Selenium, Iodine and Zinc in Thyroid Health
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FAQ’s
1. Can you gain weight if you have thyroid problems?
  - Yes, with proper treatment, calorie-dense foods, and strength training, weight gain is possible even with thyroid issues.
2. Why is it hard to gain weight with thyroid disorders?
  - An overactive thyroid speeds metabolism, burning calories too quickly and making it harder to store weight.
3. What foods help gain weight with thyroid problems?
  - Nuts, avocados, fatty fish, seeds, and smoothies provide nutrient-rich calories that support healthy weight gain.
4. Should I see a doctor before trying to gain weight with thyroid issues?
  - Yes, consult a hormone reset expert to balance thyroid levels before starting any weight gain plan.
5. Does exercise help in gaining weight with thyroid problems?
  - Yes, strength training builds muscle mass, helping your body hold on to calories and gain healthy weight.
6. How many calories should I add to gain weight with thyroid issues?
  - Adding 250–500 calories per day above your needs helps steady and safe weight gain.
7. Can supplements help with thyroid-related weight loss?
  - Yes, under medical guidance, supplements like vitamin D, B12, and selenium can support thyroid and weight health.
8. How long does it take to gain weight with thyroid treatment?
  - It may take a few months, as thyroid balance and consistent nutrition are key to lasting results.
9. What lifestyle habits support weight gain with thyroid disorders?
  - Adequate sleep, stress reduction, and regular meals boost metabolic stability and support healthy weight gain.
10. Can Hormone Reset programs help with thyroid weight issues?
  - Yes, Hormone Reset offers functional medicine strategies to balance thyroid health and support sustainable weight gain.
September 30, 2025
How does Stress Management impact on Hashimoto Thyroiditis Treatment?
Hashimoto’s thyroiditis often brings to mind thyroid imbalances, fatigue, and brain fog, but there’s so much more to this autoimmune condition than what we usually see. Stress plays a significant yet often overlooked role in this journey. In our fast-paced lives, where stress feels almost unavoidable, understanding how chronic stress connects to thyroid dysfunction is essential. Not only can it make the symptoms of Hashimoto’s worse, but it also affects every facet of your health.
Just imagine—what if managing stress could become more than just another task? It could be a turning point in your healing journey! With Hormone Reset’s innovative functional medicine approach, patients find themselves not just coping with their health challenges; they’re rewriting their stories, rediscovering their balance, and thriving despite their diagnosis. Let’s delve into the important Stress Management impact on Hashimoto Thyroiditis!
What’s the Relationship Between Stress And Hashimoto’s Thyroiditis?
Stress, whether it’s physical, emotional, or even from our environment, plays a big role in autoimmune conditions like Hashimoto’s Thyroiditis. When we experience chronic stress, our hypothalamic-pituitary-adrenal (HPA) axis gets activated, releasing a surge of stress hormones like cortisol. Unfortunately, this prolonged activation can take a toll on our bodies. Let’s explore how stress directly affects Hashimoto’s:
1. Immune System Dysfunction: Stress deregulates the immune system, thereby reducing its ability to distinguish between self and non-self tissues, thus increasing the autoimmune attack on the thyroid.
2. Thyroid Hormone Conversion Issues: Stress interferes with the conversion of T4 (inactive thyroid hormone) into T3 (active thyroid hormone), leading to suboptimal thyroid function.
3. Reverse T3: Stress also increases the conversion of T4 into Reverse T3 hormone. Reverse T3 blocks the T3 receptors, resulting in the little T3 that is present becoming useless, as its receptors are already occupied.
4. Inflammatory Cascade: High cortisol levels drive systemic inflammation, exacerbating the autoimmune response against the thyroid gland.
5. Worsened Gut Health: Stress weakens the gut barrier, leading to leaky gut syndrome—a key contributor to autoimmune diseases.
6. Nutrient Depletion: Stress causes the body to deplete vital nutrients such as selenium, zinc, vitamin B12 and magnesium etc, which are important for thyroid function and healthy body and mind operation.
Research confirms that women with Hashimoto’s who manage their stress see improved clinical outcomes, such as reduced thyroid antibody levels and stabilized hormone function.
Also Read: Is Hashimoto’s Thyroiditis Curable? Know With Hormone Reset
Is Functional Medicine Approach Is A New Path To Healing?
Hormone Reset is making a wonderful impact in managing Hashimoto’s by focusing on stress management as an important part of the treatment to ensure recovery. Their holistic and functional medicine approach goes deeper than just managing symptoms; it tackles the root causes of the condition with care and understanding. Here’s how they support patients in achieving hormonal harmony:
1. Identifying Unique Stress Triggers
Stress touches each one of us uniquely. Hormone Reset approaches life from a unique perspective, identifying specific physical, emotional, and environmental stressors using advanced diagnostics. We personalise strategies that will help reduce or even mitigate those triggers that may make you feel less than your best self.
2. Rebalancing the HPA Axis
The HPA axis plays a critical role in the stress response. Hormone Reset focuses on rebalancing it through:
- Dietary Interventions: Anti-inflammatory diets, high in antioxidants and adaptogenic herbs.
- Mind-Body Practices: Using mindfulness, meditation, and restorative yoga to regulate stress hormone levels.
- Lifestyle Changes: Better sleep hygiene, daily movement, and relaxation habits.
3. Healing the Gut-Thyroid Axis
Did you know that gut health is directly related to thyroid health? At Hormone Reset, we use probiotics, prebiotics, and yummy gut-healing foods to repair the lining of the gut, reduce inflammation, and optimize nutrient absorption while nurturing from the inside out!
If you’re looking for such amzing recipes then our Recipe Tips at Hormone Reset is only for you!
4. Balancing Nutritional Deficiencies
Stress can really take a toll on your body, affecting important nutrients like selenium, zinc, and magnesium, which are vital for your thyroid health. At Hormone Reset, we focus on restoring these nutrients through personalized diet plans and supplements, helping you feel your best!
5. Mindset and Emotional Well-Being
Stress is often associated with emotional factors such as anxiety and past traumas. At Hormone Reset, we offer holistic solutions such as cognitive-behavioral therapy (CBT) and guided journaling to help you achieve mental clarity and boost your emotional resilience.
Stress And Hormones Are A Delicate Dance
Stress doesn’t just impact your thyroid; it disrupts your entire endocrine system, including:
- Adrenal glands: Cause for adrenal fatigue, leading to unbalanced cortisol and adrenalin production.
- Sex Hormones: Contributing to menstrual irregularities, infertility, and exacerbated PMS and PCOS symptoms.
- Insulin regulation: It enhances the chances of blood glucose imbalances and weight gain.
By addressing hormonal imbalances holistically, Hormone Reset Program provides lasting solutions for improving overall health and vitality.
Stress Relief Tips
Managing stress isn’t merely a trend; it’s an evidence-based way to enhance your thyroid health. Let’s explore some of the most effective techniques:
1. Mind-Body Practices
- Meditation and Mindfulness: Reduces cortisol levels and increases emotional resilience.
- Yoga: It integrates the physical movement with stress relief, which increases flexibility and reduces inflammation.
- Breathing Exercises: Engages parasympathetic nervous system and encourages relaxation.
2. Sleep
Quality sleep is vital for healing. Patients are guided to:
- Follow consistent sleep schedules.
- Limit screen time before bed.
- Use sleep aids like herbal teas and magnesium supplements.
3. Gentle Exercise
While regular exercise can exacerbate stress, low-impact activities like walking, swimming, or Pilates are encouraged to reduce cortisol and improve circulation.
4. Anti-Inflammatory Nutrition
A thyroid-supportive diet focuses on:
- Whole, nutrient-dense foods.
- Omega-3-rich sources like fatty fish.
- Gluten-free options to minimize autoimmune triggers.
5. Support Systems and Counseling
Stress often feels isolating. Hormone Reset encourages building strong support systems, seeking professional counseling when needed, and engaging in community activities for emotional health.
What are some Benefits of Stress Management in Hashimoto’s?
Scientific studies underscore the profound benefits of stress management:
- Lower Inflammation: Reduced markers of inflammation directly enhance thyroid health.
- Improved Immune Regulation: Replacing cortisol levels returns the immune system to balance.
- Optimized Hormone Conversions: Stress reduction ensures proper conversion of T4 to T3 and reduced reverse T3, thus making energy and mental acuity more efficient.
- Stabilized TSH levels: Patients may experience improvements in lab markers, indicating better thyroid function.
Why Ignoring Stress Is No Longer an Option?
For those living with Hashimoto’s, stress can be more than just a trigger for discomfort; it often serves as a foundational cause of their symptoms worsening. By acknowledging and addressingstress, patients can tap into one of the key elements of their healing journey. This proactive approach helps them regain control over their health, paving the way for enduring relief from fatigue, weight gain, and brain fog.
Master Stress, Transform Your Health
Hashimoto’s thyroiditis is more than just a thyroid disease—it’s a gentle reminder about the hidden challenges affecting the well-being of those who feel overwhelmed. Through our work at Hormone Reset, we’ve discovered that managing stress isn’t just achievable; it can be truly transformative! By rebalancing the HPA axis, healing the gut, and creating a nurturing environment for the thyroid gland, we can make a real difference.
Stress Management impact on Hashimoto Thyroiditis can be seen as a lifestyle shift rather than a daunting, life-altering decision. With the right tools and support, everyone has the potential to improve their health and embrace a vibrant, energetic life. You can find this journey at Hormone Reset. So today, let’s take that first step toward healing together—empower yourself to live a vibrant, balanced life. Cheers to your thyroid journey!
Further if you’re looking for one-on-one consultation with our Specialists, then Book Now!
References
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March 21, 2025
Factors That Can Affect Thyroid Test Results: What You Need to Know
Getting accurate thyroid test results is crucial for diagnosing and managing thyroid conditions effectively. However, several factors can influence the accuracy of these tests. Understanding these factors can help you interpret your results more accurately and make informed decisions about your health. Let’s explore the key factors that can affect thyroid test results.
1. Medications
- How They Affect Tests: Certain medications can interfere with thyroid hormone levels or alter the results of thyroid tests. For example, medications like corticosteroids, lithium, and some antidepressants can impact thyroid function.
- Technical Insight: Medications can either increase or decrease thyroid hormone levels, which can lead to misleading test results. For instance, corticosteroids can reduce TSH (Thyroid-Stimulating Hormone) levels, while lithium can cause an increase in TSH levels.
- What to Do: Always inform your healthcare provider about all the medications and supplements you’re taking before having thyroid tests. They may adjust your medication or recommend timing adjustments for your tests.
2. Dietary Factors
- How They Affect Tests: Your diet can significantly impact thyroid function and test results. Foods high in goitrogens, such as soy and cruciferous vegetables, can interfere with iodine uptake and thyroid hormone production.
- Technical Insight: Goitrogens can inhibit the enzyme thyroid peroxidase, which is essential for thyroid hormone synthesis. This can affect the accuracy of thyroid function tests by altering hormone levels.
- What to Do: Maintain a balanced diet and discuss any dietary concerns with your healthcare provider. In some cases, they may recommend temporary dietary adjustments before testing.
3. Stress and Lifestyle
- How They Affect Tests: Physical or emotional stress can impact thyroid function and hormone levels. Chronic stress can increase cortisol levels, which may interfere with thyroid hormone production and metabolism.
- Technical Insight: High cortisol levels can suppress TSH secretion and affect the conversion of T4 to T3, potentially skewing test results. Additionally, lifestyle factors like poor sleep or excessive exercise can also impact thyroid health.
- What to Do: Aim to manage stress through relaxation techniques, adequate sleep, and a balanced lifestyle. If stress is a significant factor, discuss it with your healthcare provider to understand its impact on your thyroid function.
4. Pregnancy and Hormonal Changes
- How They Affect Tests: Hormonal changes during pregnancy or menopause can influence thyroid hormone levels and test results. For instance, pregnancy increases levels of human chorionic gonadotropin (hCG), which can affect TSH levels.
- Technical Insight: During pregnancy, elevated hCG can stimulate the thyroid gland, potentially leading to lower TSH levels. Hormonal fluctuations during menopause can also impact thyroid function and test accuracy.
- What to Do: If you are pregnant or experiencing significant hormonal changes, inform your healthcare provider before testing. They may interpret results differently based on these factors.
5. Lab Variability and Test Methods
- How They Affect Tests: Different laboratories may use varying methods and reference ranges for thyroid tests, which can lead to discrepancies in results.
- Technical Insight: Variations in testing methods, equipment calibration, and reference ranges can affect the interpretation of thyroid test results. For example, different assays might have slightly different thresholds for normal TSH levels.
- What to Do: Ensure consistency by using the same laboratory for follow-up tests. Discuss any concerns about lab variability with your healthcare provider to understand the context of your results.
6. Timing of Testing
- How They Affect Tests: The timing of your thyroid tests can influence results. Thyroid hormone levels can vary throughout the day, so the timing of your test can affect its accuracy.
- Technical Insight: TSH levels typically follow a circadian rhythm, peaking in the early morning and declining throughout the day. Testing at different times can lead to variations in results.
- What to Do: Try to have your thyroid tests done at the same time of day to ensure consistency. Follow any specific instructions from your healthcare provider regarding the timing of your test.
Wrapping It Up
Understanding the factors that can affect thyroid test results helps ensure accurate diagnosis and effective management of thyroid conditions. By considering medications, dietary factors, stress, hormonal changes, lab variability, and timing, you can interpret your thyroid test results more accurately and take appropriate action.
Pro Tip: Always communicate openly with your healthcare provider about any factors that might influence your thyroid tests. They can help you navigate these variables and provide guidance on interpreting your results.
Taking a proactive approach to understanding how various factors impact thyroid health ensures you get the most accurate and helpful information from your tests. Here’s to a healthier thyroid and informed health decisions!

#GetTestedFrequently
References:
1. Wentz, I. (2024). The Do’s and Don’ts of Thyroid Lab Testing. Retrieved from Thyroid Pharmacist: https://thyroidpharmacist.com (Dr. Izabella Wentz, PharmD) (Dr. Izabella Wentz, PharmD).
2. American Thyroid Association. (n.d.). Biotin Interference with Thyroid Testing. Retrieved from https://www.thyroid.org/biotin/
3. American Thyroid Association. (2024). Thyroid Function Tests. This source provides in-depth information on how medications, pregnancy, and hormone changes can affect thyroid test results, particularly with TSH, T4, and T3 levels. It emphasizes the importance of timing, as hormone levels fluctuate throughout the day, and also discusses how lab variability may impact results. Available at thyroid.org (American Thyroid Association).
4. ThyroidChange. Why Is Optimal Cortisol Needed for Thyroid Balance? (2024). This article explains how stress and cortisol levels can impact thyroid hormone production and test accuracy. It emphasizes the role of stress management in maintaining thyroid health. Available at thyroidchange.org (Thyroid Change).
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September 28, 2024
Thyroid Supplements: The Essential Role of Selenium, Iodine and Zinc in Thyroid Health
When it comes to maintaining optimal thyroid health, the right nutrients play a crucial role. Two essential minerals, selenium and zinc, are particularly important for thyroid function. Let’s explore why these minerals are vital and how to choose the best supplements to support your thyroid health.
Why Selenium, Iodine and Zinc Matter for Thyroid Health
1. Selenium: A Thyroid Superhero
- Why is Selenium important for Thyroid: Selenium is a trace mineral that plays a critical role in thyroid hormone production and metabolism. It helps convert the inactive thyroid hormone T4 into its active form, T3. Sufficient selenium also protects the thyroid tissue from oxidative damage, synthesis of thyroid hormones being a highly oxidising process.
- Functional Medicine Insight: Selenium is a component of several selenoproteins that are essential for the conversion of T4 into T3 and protection from oxidative damage. Adequate selenium levels help maintain thyroid health and prevent conditions like hypothyroidism and thyroiditis.
2. Iodine: The Essential Element
- Why is Iodine Important for Thyroid: Iodine is a crucial element for thyroid health because it is an integral component of thyroid hormones. These hormones, primarily T3 and T4, regulate many important functions in the body, including metabolism, energy production, and overall growth and development. Without adequate iodine, the thyroid gland cannot produce these hormones effectively, leading to conditions such as goiter and hypothyroidism.
- Functional Medicine Insight: Iodine is essential for synthesizing thyroid hormones. The thyroid gland absorbs iodine from the bloodstream and incorporates it into thyroid hormones, which are vital for regulating various bodily processes. Adequate iodine levels support optimal hormone production and prevent imbalances that can affect overall health. Ensuring sufficient iodine intake helps maintain proper thyroid function and supports metabolic health, making it a key nutrient for overall well-being.
3. Zinc: A Key Regulator
- Why Is Zinc important for Thyroid: Zinc is another crucial mineral for thyroid function. It supports the synthesis of thyroid hormones and helps regulate their release into the bloodstream. Zinc also contributes to a healthy immune system, which is essential for preventing autoimmune thyroid conditions like Hashimoto’s thyroiditis.
- Functional Medicine Insight: Zinc influences thyroid hormone production by modulating the activity of enzymes involved in hormone synthesis. It also affects the thyroid gland’s ability to absorb iodine, further supporting thyroid function. Most importantly, zinc is important for conversion of T4 to T3 in the peripheral cells for its activity.
Best Selenium, Iodine and Zinc Supplements for Thyroid Health
When choosing thyroid supplements, it’s essential to select high-quality products that provide optimal and bioavailable doses of selenium, iodine and zinc. Here are some top recommendations:
Selenium Supplements:
- Selenium Yeast: Selenium yeast is a highly bioavailable form of selenium that your body can easily absorb. It’s a natural source of selenium and provides the mineral in a form that is beneficial for thyroid health.
- L-Selenomethionine: This is another well-absorbed form of selenium. L-selenomethionine is a stable and effective option for supporting thyroid function and overall antioxidant protection.
Iodine Supplements:
- Iodine Tablets or Drops: These are commonly used forms of iodine supplementation. They usually contain potassium iodide or iodate, which are both effective for supporting thyroid hormone production. Look for products that provide iodine in a bioavailable form.
- Kelp Supplements: Kelp is a type of seaweed that is naturally rich in iodine. It can be an excellent option for those looking for a natural source of iodine. Kelp supplements often come in capsule or powder form and can also provide additional trace minerals beneficial for thyroid health.
Zinc Supplements:
- Zinc Picolinate: Zinc picolinate is a highly absorbable form of zinc that efficiently supports thyroid function and immune health. It’s often recommended for its superior bioavailability.
- Zinc Citrate: Zinc citrate is another easily absorbed form of zinc. It supports thyroid hormone production and helps maintain overall thyroid health.
How to Choose the Right Supplement
- Check the Form: Opt for supplements that use well-absorbed forms of selenium, iodine and zinc, such as selenium yeast, L-selenomethionine, zinc picolinate, or zinc citrate.
- Look for Quality: Choose reputable brands that provide transparency about ingredient sources and manufacturing processes. Third-party testing can also ensure product quality and safety.
- Consider Dosage: Follow recommended dosages and consult with a healthcare provider to determine the appropriate amount of selenium and zinc for your individual needs. Over-supplementation can lead to adverse effects, so balance is key.
Wrapping It Up
Selenium and zinc are vital for maintaining healthy thyroid function and overall well-being. By choosing high-quality supplements and incorporating them into your health regimen, you can support your thyroid gland’s ability to produce and regulate hormones effectively.
Pro Tip: Before starting any new supplement, it’s always a good idea to consult with a healthcare professional, especially if you have existing health conditions or are taking other medications.
Support your thyroid health with the right nutrients and enjoy the benefits of a balanced and well-functioning thyroid. Here’s to a healthier you!
References:
1. Triggiani V, Tafaro E, Giagulli VA, Sabbà C, Resta F, Licchelli B, Guastamacchia E. Role of iodine, selenium and other micronutrients in thyroid function and disorders. Endocr Metab Immune Disord Drug Targets. 2009 Sep;9(3):277-94. doi: 10.2174/187153009789044392. Epub 2009 Sep 1. PMID: 19594417. – https://pubmed.ncbi.nlm.nih.gov/19594417/
2. Severo JS, Morais JBS, de Freitas TEC, Andrade ALP, Feitosa MM, Fontenelle LC, de Oliveira ARS, Cruz KJC, do Nascimento Marreiro D. The Role of Zinc in Thyroid Hormones Metabolism. Int J Vitam Nutr Res. 2019 Jul;89(1-2):80-88. doi: 10.1024/0300-9831/a000262. Epub 2019 Apr 15. PMID: 30982439. – https://pubmed.ncbi.nlm.nih.gov/30982439/
3. Zimmermann MB, Boelaert K. Iodine deficiency and thyroid disorders. Lancet Diabetes Endocrinol. 2015 Apr;3(4):286-95. doi: 10.1016/S2213-8587(14)70225-6. Epub 2015 Jan 13. PMID: 25591468. – https://pubmed.ncbi.nlm.nih.gov/25591468/
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September 25, 2024
Top 6 Natural Foods That Boosts Your Thyroid Health
Maintaining your thyroid health is essential for overall well-being, and the good news is that adding specific natural foods to your diet can give a significant boost to your thyroid health. These six foods are not only tasty but also packed with nutrients that support thyroid function.
Let’s dive into the details of how each of these 6 natural food boosts your thyroid health.
1. Seaweed: The Ocean’s Gift
- Why It Helps: Seaweed is a rich source of iodine, an essential mineral that your thyroid needs to produce thyroid hormones (T3 and T4 – 3 and 4 indicate the number of iodine atoms attached to tyrosine). Without adequate iodine, your thyroid can’t function optimally, which may lead to hypothyroidism.
- Technical Insight: Iodine is crucial for the synthesis of thyroid hormones. Seaweed varieties like kelp and nori provide a concentrated source of iodine, helping to ensure that your thyroid gland has the raw materials it needs for hormone production.
- How to Enjoy: Incorporate seaweed into your diet by adding it to salads, soups, or enjoying it as a snack in the form of seaweed chips. A little goes a long way in meeting your iodine needs.
2. Brazil Nuts: Tiny But Mighty
- Why It Helps: Brazil nuts are a powerhouse of selenium, a trace mineral that supports the conversion of T4 (inactive thyroid hormone) into T3 (active thyroid hormone). Selenium also has antioxidant properties that help protect thyroid cells from damage and also help in the reduction of thyroid antibodies(in the case of Hashimoto’s Thyroiditis).
- Technical Insight: Selenium is a key component of enzymes known as selenoproteins, which are involved in the conversion of T4 to T3. By ensuring sufficient selenium intake, you can help optimize this crucial metabolic process. Being a powerful antioxidant, it also helps protect the thyroid tissue from oxidative damage, as thyroid synthesis is oxidising in nature.
- How to Enjoy: Snack on a few Brazil nuts daily or add them to your trail mix. Their rich, nutty flavor makes them a delicious way to boost your selenium levels.
3. Fatty Fish: Ocean’s Bounty
- Why It Helps: Fatty fish like salmon, mackerel, and sardines are rich in omega-3 fatty acids and vitamin D. Omega-3s help reduce inflammation, which can support overall thyroid function, while vitamin D is important for maintaining a healthy immune system.
- Technical Insight: Omega-3 fatty acids have anti-inflammatory properties that help manage autoimmune conditions like Hashimoto’s thyroiditis. Vitamin D plays a role in modulating the immune response, which is important for thyroid health.
- How to Enjoy: Aim to include fatty fish in your diet at least twice a week. Grill, bake, or broil your fish to enjoy a nutrient-dense meal that supports thyroid function.
4. Leafy Greens: Green Goodness
- Why It Helps: Leafy greens such as spinach, kale, and Swiss chard are packed with vitamins and minerals, including iron, magnesium, and antioxidants. These nutrients support overall thyroid health and help combat oxidative stress.
- Technical Insight: Magnesium and iron are involved in thyroid hormone production and metabolism. Antioxidants found in leafy greens help protect the thyroid gland from oxidative damage, promoting better thyroid function.
- How to Enjoy: Add a handful of leafy greens to your smoothies, salads, or sauté them as a side dish. They’re versatile and easy to incorporate into a variety of meals.
5. Berries: Nature’s Candy
- Why It Helps: Berries, including blueberries, strawberries, and raspberries, are rich in antioxidants like vitamin C and flavonoids. These antioxidants help protect the thyroid gland from oxidative stress and support a healthy immune system.
- Technical Insight: Vitamin C is crucial for the synthesis of thyroid hormones and has antioxidant properties that protect thyroid cells from damage. Flavonoids further enhance antioxidant protection, supporting overall thyroid health.
- How to Enjoy: Enjoy berries as a snack. They provide a sweet and nutritious boost to your diet.
6. Chia Seeds
- Why They Help: Chia seeds are high in omega-3 fatty acids, fiber, and protein. Omega-3s help reduce inflammation and support overall hormone balance, including thyroid health.
- Technical Insight: Omega-3 fatty acids play a role in reducing inflammation, which can benefit thyroid function. The fiber content aids in digestion and nutrient absorption.
- How to Enjoy: Mix chia seeds into your daily diet. They also work well as a topping for salads.
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Wrapping It Up
Incorporating these thyroid-friendly foods into your diet can be a delicious way to support your thyroid health. Each food offers unique nutrients that play a role in maintaining thyroid function and overall well-being. For personalized advice, consider consulting with a healthcare professional or nutritionist.
By making these nutrient-rich foods a regular part of your meals, you’re taking positive steps towards a healthier thyroid. Enjoy the journey to better health with these tasty and nutritious choices!
References :
1. 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. – https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5307254/
2. Benvenga S, Famà F, Perdichizzi LG, Antonelli A, Brenta G, Vermiglio F, Moleti M. Fish and the Thyroid: A Janus Bifrons Relationship Caused by Pollutants and the Omega-3 Polyunsaturated Fatty Acids. Front Endocrinol (Lausanne). 2022 May 27;13:891233. doi: 10.3389/fendo.2022.891233. PMID: 35712237; PMCID: PMC9196333. – https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9196333/
3. Zhou Q, Xue S, Zhang L, Chen G. Trace elements and the thyroid. Front Endocrinol (Lausanne). 2022 Oct 24;13:904889. doi: 10.3389/fendo.2022.904889. PMID: 36353227; PMCID: PMC9637662. – https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9637662/
4. 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. doi: 10.3389/fendo.2022.1092837. PMID: 36686463; PMCID: PMC9846570. – https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9846570/
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September 17, 2024
Long Haul Covid – Diet And Key Supplements
A significant percentage (>30%) of people who suffered from Covid-19 infection are struggling to return to normal health (there are also reports of these symptoms after the mRNA injections). Some common symptoms that continue to affect them even months after the initial infection are depicted in the image below.
The most common issues reported are fatigue, low stamina, brain fog, memory issues, anxiety, muscular/body pains and sleep problems.
There is broad agreement that the following pre-existing conditions increase the likelihood of struggle with long haul covid symptoms (referred to as LHC). These are:
- Obesity (including mildly overweight)
- Lung issues – even moderate asthma (including sleep apnea)
- Type 2 diabetes (also pre-diabetes and hyperglycemia)
- Cardiovascular diseases (even hypertension)
- Smokers
- Kidney and liver disease (including low-grade NAFLD)
These points hold true even when these conditions are being managed with medications.
The underlying theme is that if the body is already chronically challenged with increased inflammation, oxidative stress and other metabolic imbalances, it will be more vulnerable to infectious diseases of all types. As also more vulnerable to delayed and slow recovery on the other side of the infection.
Using the functional medicine lens to dig deeper into the underlying imbalances and dysfunctions leads us to the following as the root causes of LHC:
- Unresolved low-grade inflammation
- Mitochondrial dysfunction
- Oxidative damage
- Inflammation specifically of the nervous tissues
- Barrier dysfunction – gut and Blood Brain Barrier
- Histamine overload and intolerance
- Immune hypervigilance/dysregulation
- Nutritional deficiencies(maybe triggered by poor absorption)
- Toxicity
- Disrupted serotonin synthesis
Diet, including supplements, can play a big role in helping to reverse these issues. Let us look at them briefly.
DIET
In the functional medicine approach, food is not considered just as calories. In addition to energy, food also impacts the most fundamental processes of the body. This means that food is a source of energy and information and is a natural medicine for the body. Remember the age-old adage – “Food is medicine”? Here are a few key points that can help us eat our way to recovery from LHC.
- Anti-Inflammatory Diet – The most important thing is to remove foods that create inflammation in the body. Some of the most common examples are dairy products (except good quality ghee), wheat, sugar, refined seed oils and processed foods. These should be eliminated 100% from one’s diet.
- Light Food – It has been understood that a significant part of the LHC symptoms is rooted in impaired digestive tract function. Moving to a diet that is as easy to digest as possible, while still nourishing, is very important. It allows the digestive system space where it can repair itself. Towards this, we want to avoid fried foods, spicy foods, processed foods etc. It is also important that we consume only fresh food. Food that is old and stale (even if kept in the refrigerator) is not supportive of recovery
- Fasting – Fasting is the best way to give a complete break to the digestive system. It may seem counterintuitive to someone struggling with weakness and fatigue, however, the results are immediate and very effective. Fasting not only gives a break to digestion, but it is also one of the most effective ways to rebalance and boost immune function.
If someone is unable to go on a complete (water-only) fast, they can be on fresh juices (avoid fruit juices) or even only on salads or fruits. We have seen very good results with fasts lasting a minimum of 3 days
- Histamine – Histamine is an inflammatory mediator involved in many key functions in the body, including LHC symptoms. Histamine overload goes way beyong respiratory symptoms and includes a variety of dysfunction, including anxiety, insomnia, headache, IBS-like symptoms, brain fog, irritability/restlessness, multiple chemical sensitivity, MCAS and so much more. Hence it is important to remove histamine rich foods like fermented foods, alcohol and other fermented drinks, brinjals, spinach, tomatoes, vinegar, processed meats, pickles, etc.
NUTRITIONAL SUPPLEMENTS
It is increasingly being understood that nutritional deficiencies play a major role in the continuation of covid symptoms.
Earlier in this article, we looked a the main underlying imbalances contributing to LHC symptoms. To make it easier to follow, we will see which nutritional supplements are supportive in resolving each of these imbalances.
1.Unresolved low-grade inflammation: Continued unresolved inflammation is a key component of this issue. It is essential to address this inflammation for substantial progress to happen. The following supplements are useful in bringing inflammation down.
- Omega3 essential fats
- Ginger
- Vitamin D
- Selected probiotics like Lactobacillus spp, some Bifidobacteria species, and Akkermansia muciniphila, Saccharomyces boulardii, etc.
- Curcumin
- Resveratrol
- Green tea extract
2. Mitochondrial dysfunction: Mitochondrial dysfunction is perhaps the most common dynamic in LHC responsible for a very large proportion of the symptoms. The following supplements can help improve mitochondrial function:
- B Complex vitamins (specially B1)
- NAD
- Alpha lipoic acid
- Omega3 essential fats
- Magnesium
- L-carnitine
3. Oxidative damage: Excessive oxidation is the hallmark of LHC related symptoms. These supplements can help bring RedOx back into balance:
- Vitamins E and C
- N-acetyl Cysteine combined with glycine
- Turmeric and ginger
- Quercetin
- Melatonin
- S-acetyl Glutathione
- Milk thistle
4. Inflammation, specifically of the nervous tissues: The following supplements have proven efficacious in reducing inflammation of the nervous tissues:
- All B vitamins (specially B6 and B12)
- Magnesium
- Targeted support to bring about GABA/Glutamate balance
- CoQ10
- Omega3 fats
- SAMe
- erotonin supporting nutrients like tryptophan
5.Barrier dysfunction – gut and blood-brain barrier: Many barrier functions get disrupted and become more permeable leading to dysfunctions. The following supplements can support the repair of the barriers:
- Mucilaginous herbs like aloe, slippery elm, etc.
- Glutamine
- Melatonin
- Zinc
- Collagen fibre
- Quercetin
- Vitamin D
6. Histamine overload and intolerance: As discussed earlier, histamine overload plays an important role in LHC-related symptoms. It is fairly important to address histamine overload via diet as well as the supplements and enzymes mentioned below:
- DAO
- Quercetin (with Bromelain and
- vitamin C)
- Stinging nettle leaf
- B vitamins (especially vitamin B6)
- Histamine degrading probiotics like Lactobacillus rhamnosus, Bifidobacterium longum, etc.
7. Immune hypervigilance/dysregulation:
- Vitamins D, C and A
- Magnesium
- N-acetyl cysteine
- Probiotics
- Zinc
- Green tea extract
- Quercetin
- Melatonin
8. Nutritional deficiencies (maybe triggered by poor absorption): Nutritional deficiencies are the rule rather than the exception in LHC. It is important that they are identified and addressed promptly. Recovery becomes long drawn unless the deficiencies are addressed simultaneously with other treatments.
Most of the common deficiencies have already been discussed above. A good quality multimineral and/or multivitamin can be a good support. One can also consider adding supplements that improve digestion and absorption of nutrients in the gut. Some of these are:
- Magnesium
- Stomach acid support via HCL Betain
- Digestive enzymes
- Vitamin D and A
- Essential fats
9. Toxicity: Toxicity is another dynamic that is often completely missed or ignored. The viral mRNA and spike protein can take weeks to get detoxified and removed from our systems. They are likely to continue having toxic effects till then. It is important to support the body to get rid of these faster.
- Fasting is a great support in mobilising detox processes in the body
- GI binders
- Enzymes – especially proteolytic enzymes
- Good quality detox support formulas can be used
10. Insomnia: Sleep-related disorders are amongst the top complaints in LHC. A lack of good deep sleep also becomes an aggravator as the nervous system gets locked in sympathetic (fight or flight) mode. Hence it is very important to focus on ensuring quality sleep. Here are a few supplements and other tips that can help:
- Calming teas like ashwagandha, peppermint, chamomile, lavender, passion flower
- Supplements like L-theanine and taurine can also be used as teas to relax the nervous system
- Melatonin
- Magnesium (liquid supplements may be more effective here)
In addition to supplements, following good sleep hygiene habits can make a big difference in the quality and quantity of sleep, in turn leading to improvements in LHC symptoms.
11. Liver Health: Liver is the chemical factory of the body and must be working well to ensure quick recovery from covid. Given our modern lifestyles, our livers are often loaded with fat and other unwanted toxins as well as badly inflamed. Estimates suggest over 30% of urban populations have different levels of liver issues, fatty liver being the most common. It is important to work with an experienced practitioner who can help bring your liver function back to normal.
It is very important to remember that supplements, though wonderful as they are, cannot remedy a sympathetic dominant lifestyle. We must remember the fact that for the body to heal itself, first the nervous system has to believe that it is in a safe environment. Else it will not focus the body’s resources on healing and rejuvenating. Remember that deeper healing processes are only activated in the para-sympathetic mode!
Also, always remember the fact that we may be able to fool everyone else, but we can never fool our own bodies. The nervous system is listening to every thought and emotion we generate. If these carry even an undertone of negativity (like anger, frustration, fear, insecurity) then the nervous system will activate the fight and flight mode (sympathetic mode) and you can throw any chances of a quick painless recovery out of the window!
How we eat, what we eat, how we sleep, how we move, think, environmental exposures, history of traumas, our community and sense of purpose and more have a big impact on our body’s ability to heal itself. And all these are completely in our hands. Let us take our health into our hands!
The above is only a small part of what can be done to support the body to recover quickly – much more is actually possible.
Note – It is important the supplements etc suggested above are not taken without the guidance of someone well-versed in their usage.
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References:
1. https://pubmed.ncbi.nlm.nih.gov/35334962/ (Luigi Barrea 1 2 , William B Grant 3 , Evelyn Frias-Toral 4 , Claudia Vetrani 5 , Ludovica Verde 5 , Giulia de Alteriis 5 , Annamaria Docimo 5 , Silvia Savastano 2 5 , Annamaria Colao 2 5 6 , Giovanna Muscogiuri 2)
2. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9212635/ (Matteo Tosato, MD, PhD,a Francesca Ciciarello, MD,a Maria Beatrice Zazzara, MD,a Cristina Pais, MD,a Giulia Savera, MSc,a Anna Picca, PhD,a Vincenzo Galluzzo, MD,a Hélio José Coelho-Júnior, PhD,b Riccardo Calvani, PhD,a,∗ Emanuele Marzetti, MD, PhD,a,b Francesco Landi, MD, PhD,a,b and , on behalf of Gemelli Against COVID-19 Post-Acute Care Team)
3. https://pubmed.ncbi.nlm.nih.gov/32664543/ (Elena Campione 1 , Terenzio Cosio 1 , Luigi Rosa 2 , Caterina Lanna 1 , Stefano Di Girolamo 3 , Roberta Gaziano 4 , Piera Valenti 2 , Luca Bianchi)
4. https://pubmed.ncbi.nlm.nih.gov/35355308/ (Karina Janice Guadalupe Díaz-Resendiz 1 , Alma Betsaida Benitez-Trinidad 1 , Carlos Eduardo Covantes-Rosales 1 , Gladys Alejandra Toledo-Ibarra 1 , Pablo Cesar Ortiz-Lazareno 2 , Daniel Alberto Girón-Pérez 1 , Adela Yolanda Bueno-Durán 1 , Daniela Alejandra Pérez-Díaz 1 , Rocío Guadalupe Barcelos-García 1 , Manuel Iván Girón-Pérez)
5. https://pubmed.ncbi.nlm.nih.gov/35069483/ (Chao Shang 1 , Zirui Liu 2 , Yilong Zhu 3 , Jing Lu 4 , Chenchen Ge 4 , Cuiling Zhang 1 , Nan Li 1 , Ningyi Jin 1 3 5 , Yiquan Li 3 , Mingyao Tian 1 5 , Xiao Li)
6. https://www.mdpi.com/2227-9032/10/3/487 (Sonia Sifuentes-Franco 1,2,*, Dellaneira Carolina Sánchez-Macías 3, Sandra Carrillo-Ibarra 3, Juan José Rivera-Valdés 4, Laura Y. Zuñiga 2 and Virginia Aleyda Sánchez-López)
7. https://pubmed.ncbi.nlm.nih.gov/32813065/ (Aravind Sundararaman 1 , Mousumi Ray 1 , P V Ravindra 2 , Prakash M Halami)
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June 20, 2024
Treating Hypothyroidism With Functional Medicine Approach
In the first part of the hypothyroidism blog we understood the problem in detail. Now let us see how we can resolve it.
First, let us understand the various components of the problem. Once we understand these, addressing them becomes easy.
1. Low T4 can result from the following imbalances:
  1. Iodine deficiency: Without sufficient iodine, T4 synthesis cannot happen optimally.
  2. Insufficient selenium: Low selenium in the body impacts both, T4 synthesis as well as T4 to T3 conversion.
  3. Low Protein: This could happen due to insufficient protein intake as well as poor digestion due to low digestive juices and other issues.
  4. Autoimmune activity: AI can damage thyroid tissues as well as the enzymes needed for T4 synthesis.
  5. Toxicity: Chemicals like chlorine, fluorine and bromine can replace the iodine in the hormone, rendering it useless.
2. Poor T4 to T3 Conversion can result from the following issues:
1. Nutrient deficiency can affect the conversion of T4 to T3 (mainly selenium, iron, zinc, and vitamin A).
2. Conversion of T4 to T3 mainly happens in the liver and kidneys. Poor kidney and liver health; insulin resistance, fatty liver etc. adversely impact the conversion.
3. Inflammation, (measured via ESR, HsCRP, etc.) and infections also inhibit the conversion (in this case T4 may be moderate or high)
4. Toxicity: A variety of toxins can impair the conversion. Heavy metals (Pb, Cd, Hg) can do so by impairing the action of enzymes needed for the conversion.
5. It is important to remember that in cases of poor conversion, it is often very useful to take a combination of T4 and T3 supplementation (instead of just T4).
3. Low Free T4:
1. Stress: The most common reason for the low level of fT4 is stress. High-stress hormones increase the levels of binding globulin. These globulins then bind with the T4 and hence less is available for systemic effects.
2. Estrogen dominance (both endogenous or exogenous) also leads to low fT4 levels
4. High Reverse T3:
1. Stress (high cortisol and/or adrenaline) including injury and trauma can lead to a higher conversion of T4 into rT3.
2. People having type 2 diabetes are also more prone to higher levels of rT3.
3. Calorie restriction: Severe dieting or starvation can lead to higher rT3 levels.
4. Specific drugs can increase RT3 while lowering T3 (certain beta-blockers and corticosteroids)
5. Other factors like high alcohol intake, food allergy/sensitivity, and chronic infection (viral, bacterial, fungal, or parasitic) can also lead to higher rT3 levels.
5. Autoimmune Thyroiditis: This is when the immune system produces antibodies that damage the thyroid gland resulting in autoimmune hypothyroidism (also known as Hashimoto’s Hypothyroiditis).
This dynamic can happen due to a wide variety of causative and aggravating factors like:
1. Intestinal permeability, which is caused by low Vitamin D, gluten and dairy sensitivity, SIBO/dysbiosis and certain medications (steroids, NSAIDs and OCPs), etc. Intestinal permeability can also be triggered by allergies/sensitivity and stress. Also by persistent, simmering infections with impaired immune function (viral, bacterial, fungal, parasitic)
2. Stress by itself is fully capable of causing autoimmune disorders.
3. Other factors like insufficient nutrition, especially to fuel the immune system (Vit A and D, Zinc, etc.), poor digestion, and no gall bladder can also contribute to the development of this dynamic.
Here is a simple 4 step process that can help one reverse hypothyroidism.
STEP 1 – It is paramount to focus on reducing stress big time. Without this in place, the other interventions will also not have a full impact.
Address the basics – good sleep, deep relaxation, yoga and meditation, gratitude journaling, etc.
If needed, consider taking help from a professional to work on reducing stress.
STEP 2 – Next step is to ensure optimal availability of nutrients – both for the production of T4 and converting it into T3.
For the production of T4, we need selenium, iodine, and protein. For conversion into T3 selenium, zinc, Vitamin A and iron, etc. are required. Ensuring optimal levels of these can go a long way in helping improve thyroid function.
STEP 3 – Next step is to check and address toxicity due to a variety of common toxins. Some of these are lead, mercury, cadmium, chlorine, fluorine, bromine, etc.
The most common source of mercury toxicity is dental fillings and contaminated fish. Dental fillings are referred to as silver fillings, although mercury is almost half of the total. These fillings tend to be a common and potent source of mercury toxicity. It becomes much worse if they are old and worn out. If one decides to remove these fillings, it is important that the removal is handled by an experienced functional dentist so that no mercury enters the body during the removal process.
Chlorine often comes via chlorinated tap water and swimming pools that use bleaching powder as a disinfectant. Fluoridated toothpastes are the most common source of fluorine. Bromine can sometimes come via bromated flours. An appropriate approach for detoxification should be chosen based on which toxins need to be removed.
STEP 4 – If autoimmunity is present the first step is to do a complete elimination of gluten, dairy and all grains for a period of 2-3 months. The reason for this is that these are the most common allergens leading to autoimmunity. We need to remove all grains as very often. Ensure immune nutrients like VIt A, D and zinc are all in the upper half of the reference range.
Remember that autoimmune problems almost always start in the gut. So focus on healing the gut before moving on to the next steps.
One can consider working with an experienced professional to implement the elimination diet protocol effectively.
Hope this article helped you understand the problem in more detail and gave you the confidence that you can overcome hypothyroidism.
Need help?
- Reach out to us on whatsapp at +91-9620317773
- Join our WhatsApp group to know more about Functional Medicine approach for balancing hormones and stay updated about our upcoming webinars and programs. https://chat.whatsapp.com/KeFOA2DsA296Ht84xYxLfh
- Know more about our Unique program for Hormone Reset : https://hormonereset.in/12-weeks-hormone-reset
References:
1. Only the combined treatment with thyroxine and triiodothyronine ensures euthyroidism. H F Escobar-Morreale , F E del Rey, M J Obregón, G M de Escobar – https://pubmed.ncbi.nlm.nih.gov/8641203/
2. Effect of treatment of overt hypothyroidism on insulin resistance. Aml Mohamed Nada – https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3746089/
3. Endocrine function in mercury exposed chloralkali workers. L Barregård, G Lindstedt, A Schütz, and G Sällsten – https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1128033/
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June 20, 2024
Understanding The Root Causes Of Hypothyroidism
Thyroid is a butterfly-shaped endocrine gland located in the throat. Thyroid related imbalances are perhaps the most common hormonal imbalances in our society. Conservative estimates put people suffering from thyroid issues at well over 200 million!!! And a vast majority of these are women. Over half of these are undiagnosed and many more may not be treated properly.
The thyroid hormones (T4 and T3) affect the functioning of every cell, tissue and organ in the body. Their level determines the rate at which the body produces and uses energy. In other words, the metabolic rate is largely decided by the thyroid levels. T4 is largely inactive and must be converted into T3 to be effectively used by the body. This conversion happens in other organs, primarily in the liver, kidneys and muscles.
Some of the key symptoms of hypothyroidism are:
- Slower metabolism leading to weight gain (also insulin resistance)
- Feeling cold (when others are not)
- Cholesterol imbalances
- Poor digestion including constipation
- Poor Brain function leading to poor memory, brain fog, etc
- Heart health and function
- Slower muscular response and low stamina
- Dry skin and hair fall
- Irregular periods
- Suboptimal immune function
- PMS, Low sex drive, Infertility
- Mood swing
Feedback Loop
Secretion of the thyroid hormones is controlled by a feedback loop. When the brain (hypothalamus) senses low levels it secretes thyroid-releasing hormone (TRH), which in turn, stimulates the pituitary gland to secrete thyroid-stimulating hormone (TSH). This then signals the thyroid to produce more T4 and T3 (about 80% is T4). As T4 and T3 levels increase, the secretion of TRH reduces leading
to lower TSH. This leads to the thyroid gland also reducing the production of the two hormones.
Conventional Approach
Generally, hypothyroidism is approached as a very simple problem. Most of the time only TSH levels are tested. Sometimes T4 is also included. After this, a certain dose of the T4 hormone is prescribed. The dosage is re-evaluated once or twice a year based on TSH and T4 levels. The real active hormone which is T3 is almost never taken into consideration.
We need to understand that thyroid function is way more complex than just TSH or T4 and hence this approach is woefully inadequate!
Thyroid function can be mediated via stress, nutritional deficiencies, toxicity, and autoimmunity. All of these need to be evaluated and addressed to reverse hypothyroidism.
Let us look at some important factors impacting thyroid function:
- Deficiencies can impair the body’s ability to produce T4 as well as convert T4 to T3. Iodine, selenium, and protein are needed for T4 production.
- T4 to T3 conversion also needs Iron, Selenium, Vitamin A, and Zinc.
- Toxins like chlorine, fluorine, bromine, lead, mercury, etc can affect both thyroid production and conversion.
- Stress reduces the conversion of T4 to T3. T4 is the inactive form while T3 is the active one.
- In auto-immunity, the body’s immune system itself can damage the thyroid gland thereby impacting the body’s ability to produce T4.
- Between 80-90% of the hormone produced by the Thyroid gland is T4. It is an inactive form. To be useful it needs to be converted into T3. This conversion happens in many different parts of the body and can be affected by a variety of factors. The liver and kidney convert t4 to t3 (or rt3) for circulation. The deficiency of zinc, iron, selenium, and vitamin A can affect the conversion. Brain, heart, and skeletal muscles do the intracellular conversion (and this does not get captured in lab tests).
- Also, T3 needs to enter the cells to be effective. This is also impacted by a variety of factors including stress.
- Another form of T3 is known as Reverse T3. rT3 blocks the action of T3. Stress can increase the conversion of t4 to rt3 – thereby effectively reducing T3 availability. This is a double whammy – not only do T3 levels reduce, but rT3 also occupies the T3 receptors thereby further reducing the effect of T3.
- Inflammation can reduce T3 intracellularly while serum T3 remains the same. In fact, TSH can even reduce hence we never get to understand why we feel all the symptoms of hypothyroidism.
Tests we should actually do to decode the root causes of Hypothyroidism
If we really want to understand what is happening with our thyroid we need to test for TSH, Total T4, Total T3, Free T3, Reverse T3 and the two main antibodies which are Anti-TPO and Anti-TG. In addition to these thyroid tests, it is also a good idea to test for nutritional deficiencies like vitamins, iron, iodine, selenium, zinc, and toxins like lead mercury, flourine, etc. Only if we run all these tests we can spot where the dysfunction lies.
In this blog on hypothyroidism, we focussed on the main factors that cause and aggravate hypothyroidism In the next blog on hypothyroidism, we will tell you about the strategies to reverse hypothyroidism.
Need help?
- Reach out to us on whatsapp at +91-9620317773
- Join our WhatsApp group to know more about Functional Medicine approach for balancing hormones and stay updated about our upcoming webinars and programs. https://chat.whatsapp.com/KeFOA2DsA296Ht84xYxLfh
- Know more about our Unique program for Hormone Reset : https://hormonereset.in/12-weeks-hormone-reset
References:
1. Only the combined treatment with thyroxine and triiodothyronine ensures euthyroidism. H F Escobar-Morreale , F E del Rey, M J Obregón, G M de Escobar –https://pubmed.ncbi.nlm.nih.gov/8641203/
2. Effect of treatment of overt hypothyroidism on insulin resistance. Aml Mohamed Nada – https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3746089/
3. Endocrine function in mercury exposed chloralkali workers. L Barregård, G Lindstedt, A Schütz, and G Sällsten – https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1128033/
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June 20, 2024