Can Hashimoto’s Be Reversed, Treated or Cured?

Hashimoto's is the number 1 cause of hypothyroidism in the United States (and in many other countries). 

Despite this fact, there are basically no good treatments which attempt to cure or reverse this condition from conventional medicine. 

But don't let that scare you, there are still some therapies which can potentially be helpful for some people.

And that's exactly what we are going to talk about in this article:

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Hashimoto's and Thyroid Dysfunction

If you're newly diagnosed with Hashimoto's (or if you've had it for a long time) then I want to take a quick paragraph to explain what it is. 

Hashimoto's thyroiditis is considered an autoimmune disease of your thyroid gland

What does that mean?

It means that if you have this disease that your body is creating antibodies (part of the immune system) that are cross-reacting with your thyroid gland and ultimately leading to its destruction. 

This process can occur on virtually any part of your body and depending on where it occurs changes the name of the disease. 

Auto destruction of your joints is known as rheumatoid arthritis (1). 

Auto destruction of your nerves is known as multiple sclerosis (2). 

Auto destruction of your adrenal glands is known as Addison's disease (3). 

And so on. 

Because these diseases are triggered by your immune system the treatment to halt the auto-destruction is to usually slow it down (or attempt to stop it). 

When this process happens in your thyroid it will ultimately lead to the complete destruction of your thyroid gland

end stage hashimoto's causes destruction of the thyroid gland

This process can take years (sometimes decades) but if it is left untreated then it will definitely destroy your thyroid gland. 

And because thyroid hormone is required in order for you to live, if you let this happen you will HAVE to take thyroid medication by mouth for the rest of your life. 

The main problem with treating Hashimoto's is that conventional medicine doesn't have any therapies or medications which target or stop this immune destruction. 

Because of this, many people want to take matters into their own hands to try and reverse the process on their own. 

And that's exactly what I want to talk about today. 

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Understanding How Thyroid Disease is Treated

It may seem obvious to you that the end goal of treating any sort of disease would be to cure it, but that's not actually how doctors approach most disease states. 

It seems strange, but the current thought process when it comes to managing any sort of chronic condition (of which Hashimoto's is definitely one) is to simply manage it. 

The word cure hardly ever comes to mind for a conventional doctor when thinking of autoimmune disease or practically any other disease for that matter. 

They may pay lip service to the idea that curing a disease would be ideal, but their actions say something else entirely. 

And this logic is seen in how conventional Doctors treat Hashimoto's. 

You see, they don't ever really consider Hashimoto's as a treatable entity. 

Instead, they focus entirely on managing the disease through the use of thyroid hormone medications. 

the conventional treatment for hashimotos is medication

The image above highlights the only 2 treatment options available: pharmacotherapy (medication) or surgery (source: emedicine). 

This isn't a necessarily poor approach to management, but as the patient, you should be aware that curing your disease is nowhere on your doctor's radar. 

But why is that?

It has to do with the current thought process behind treating autoimmune diseases. 

The prevailing thought is that these diseases are absolutely not curable but that they can be managed by reducing the immune attack on the body. 

This is usually accomplished by using immune blocking medications such as steroids, monoclonal antibodies, and other techniques (4). 

But these therapies do not work for Hashimoto's. 

standard treatment for autoimmune diseases

So, instead of recommending pharmaceutical medications to treat the condition, your doctor will most likely take a 'wait and see' approach. 

Put into simple terms:

Your doctors will literally wait until your own body destroys enough of your thyroid gland to warrant the use of thyroid replacement medications. 

This will never be explicitly stated by your Doctor, but this is absolutely what they are doing. 

Now again, I'm not saying that this is a necessarily bad approach because not all patients with Hashimotos' can be treated or cured. 

But if you are a Hashimoto's patient, doesn't it make sense to at least try some natural therapies such as changing your diet, taking some supplements, and improving your lifestyle?

What is the downside to these major therapies? 

There is pretty much no risk and potentially a great reward.

Conventional Doctors vs Integrative Doctors

This is why so many patients tend to look for Doctors who think 'outside of the box'. 

Patients are desperate to try any therapy to try and improve their overall condition because it can be very debilitating to have thyroid disease that is left untreated. 

But this has lead to a number of issues as well!

Many doctors have noticed this trend and have attempted to capitalize on the fact that patients are searching for a cure by claiming they have inside information or special therapies that don't exist elsewhere. 

And this is exactly why conventional doctors tend to be distrusting of the integrative medicine crowd, to begin with. 

If anyone can write a blog post and exclaim that they know the 'secret' to treat autoimmune disease or Hashimoto's, then what is to stop them? 

The answer is nothing. 

Because of this, there are many providers and practitioners that claim to have therapies that may seem too good to be true. 

But just because this does exist (and it absolutely does), doesn't mean you should be distrusting of all integrative doctors. 

In fact, the best type of doctors are ones that have one foot planted in conventional medicine and science and the other planted in the world of integrative therapies. 

Practitioners that tend to swing to one side or the other tend to miss the bigger picture. 

T3 conversion booster results

A picture where eastern and western medicine can live together without taking away from the other. 

You should be aware of these differences, especially if you are considering alternative treatments or therapies. 

My general recommendation is that it's perfectly fine to look at natural therapies, but you should stay away from natural therapies that are incredibly expensive, that sound too good to be true, or that may be risky from a health perspective. 

You can usually find this type of approach by looking at the following providers:

  • Integrative Medicine MD's and DO's
  • Functional medicine health coaches
  • Nurse practitioners/PA's trained in functional or integrative medicine

You may want to be cautious about going to providers who can't prescribe medications because they will focus solely on natural therapies and may misunderstand the beneficial aspects of conventional medicine. 

Natural Therapies vs Pharmaceutical Therapies - Do They Work?

So, with this in mind, how likely is it that natural therapies will work?

We've already established that conventional therapies don't actually target the underlying cause of Hashimoto's, but what about natural therapies?

Do they actually work?

The answer is that they have the potential to work but they may not work in every individual. 

Why not?

Because the cause or trigger of Hashimoto's is different for each individual (5). 

In addition, the severity of the disease also varies from person to person!

causes and triggers of hashimoto's thyroiditis

If we looked at 100 people and put them in a line and subjected them to the same stressor we would find that some of these people would come out without any problems, some with trigger Hashimoto's, some would trigger other autoimmune diseases, some would gain weight, some would lose weight, and so on. 

How can the same trigger cause so many different reactions?

Because each of us is genetically unique. 

This makes it almost impossible to find the "one" therapy that will treat any given condition and this is especially true for Hashimoto's. 

The bad news is that it is obviously difficult to treat the condition. 

But the good news is that natural therapies still have the potential to work for many people. 

The key to getting them to work is by addressing the main issues in YOUR body. 

And finding those issues takes time, testing, some luck, patience, and a good provider to help you out (usually a doctor). 

How Likely is it to Reverse Your Condition

I've had the unique opportunity to treat hundreds of patients with Hashimoto's and I want to share that experience with you today. 

My experience tells me that while Hashimoto's is definitely a manageable condition, the chance of completely reversing your condition (or curing it) is actually quite small. 

I would put that percentage at around 10% or less based on the numbers that I have seen. 

Some people may claim that the number of patients who can be reversed is 100% and I agree with that number in theory, but in practice, it is much more difficult. 

The main problem, as I see it, in treating Hashimoto's is that it's very difficult to find the absolute trigger of the disease. 

In addition, even if that trigger is found and treated, it doesn't necessarily mean that the condition can still be reversed. 

For instance:

I've found that a number of patients often find that they have Hashimoto's after an extremely stressful event such as the death of a loved one. 

It's obviously impossible to go back in time and reverse this stress, but is it possible to manage existing and future stress?

The answer is yes, but even in doing this it doesn't mean that your condition will be reversible. 

It appears that, in some individuals, once Hashimoto's has been "triggered", there are probably certain and specific genetic changes that occur which allow for both the emergence and persistence of the disease. 

In case you are wondering, the 10% number I am referencing above comes from my own experience. 

In treating patients with Hashimoto's I've attempted to look at and treat in the following ways:

Even while using all of these therapies (and more), I just don't see the complete reversal in many patients. 

I do, however, see a major improvement in almost every single person that I treat. 

And this improvement can vary from minor (20-30% from baseline) all the way up to major (80-90% from baseline). 

But it is very difficult to get someone back to 100% without the use of thyroid medications in most cases

I only bring these numbers up to try and help you be realistic about your future and the goal in treating your disease. 

Of course, your goal should always be to completely and 100% reverse your condition but don't be upset if you can only get to 70% of normal (because even that is great!). 

Conclusion

The main takeaway I want to leave you with is the fact that Hashimoto's thyroiditis is a potentially reversible condition. 

If you have been diagnosed with this condition then you owe it to yourself to look at all of the options available to you and at least consider using natural therapies. 

Even if you don't see major improvement, there is a high chance that you will see improvement of some sort and that will make it worth it. 

If you opt to try out natural therapies then you want to be sure that you stay clear of therapies with promises that sound too good to be true, stay away from providers who want thousands of dollars up front, stay away from therapies which are not proven to be effective, and from therapies which are potentially dangerous. 

If you stick to these recommendations then you should be able to navigate the integrative world without damaging your health and your bank account. 

If you are currently looking for a Doctor then I would recommend that you take a look at this resource which I've created

I'm not accepting patients at this time, but that resource can help you find doctors who share a similar methodology as me. 

But now I want to hear from you:

Do you currently have Hashimoto's thyroiditis?

Are you looking at natural therapies right now? Have you tried them?

If so, what kind of improvement have you seen?

Have you been able to reverse your condition? Why or why not?

Leave your comments or questions below! 

References (Click to Expand)

This post was most recently updated on August 23rd, 2019

Dr. Westin Childs

Dr. Westin Childs is a Doctor of Osteopathic Medicine. He provides well-researched actionable information about hormone-related disorders and formulates supplements to treat these disorders.He is trained in Internal Medicine, Functional Medicine, and Integrative Medicine. His focus is on managing thyroid disorders, weight loss resistance, and other sex hormone imbalances.You can read more about his own personal journey here.

35 thoughts on “Can Hashimoto’s Be Reversed, Treated or Cured?”

  1. Would you ever consider seeing a child. My 11 year old son was recently diagnosed with Hashimotos and all the pediatric endocrinologist in our area just want him to take T4 and come back every few months. No one even cares to slow it down or look for a trigger.

  2. Thanks so much for this info! It’s good to see how you see recovery/improvement happening in your practice. Following the advice of functional gurus such as Amy Meyers, Izabella Wentz and Peter Osborne to help with treating Hashi’s. I have a great functional MD who prescribes, has supplements, is willing to test all things and follow my lead.
    What are the first things you test for after a CBC, and functional thyroid panel? Symptoms and food sensitivities keep increasing. Can’t find root cause.

  3. Hi Dr. Childs,
    I’m gonna give you a testimonial and a good review here! Your ideas work, and I thank you for giving us a user-friendly system to work with.
    My Hashimoto’s showed up after a family member passed away. My TPO antibodies were over 1000. I was also recently married and wanting to have children. Despite being “normal” weight and having regular periods, I was also diagnosed with PCOS. I didn’t find you right away, but I did find an open-minded PA who was willing to give me Armour, and I’m an acupuncturist, so I knew to immediately remove gluten. In fact I went paleo. Two kiddos later…
    Tired mommy. Armour dose increased from 1 1/2 grains to 2. Fifteen lbs heavier, and no luck with diet and exercise. That’s when I found you. Yay!!!!
    So I did what you suggested. I ran my own bloodwork – you can do that, folks! I found out my fasting insulin was high even though my A1C and other numbers were great. I started intermittent fasting to get my insulin levels down. I found out my progesterone was low, so I started supplementing that during the latter half of my cycle as well. I did a good number of the supplements you suggested.
    A year after starting the fasting, supplements, and progesterone, I lost 10 lbs and my Armour dose was cut to 1 grain 5 days/week. My TPO antibodies dropped to just under 300. (That’s pretty good, right?) For the sake of giving the most detailed report possible, being an acupuncturist, I also take Chinese herbs specifically for the Hashimoto’s, and I do think they are a solid part of my personal treatment protocol.
    If you’re reading this, hang in there. I hate how long it took to get weight off, and I’m not there yet, but I feel good! Not “cured,” but good! Good enough to keep up with my two littles and running a business! This is a program worth following.
    Thanks again!

  4. Almost 68, partial R thyroidectomy at 29 and then diagnoised with Hashimotos. Maintained with clean eating, lo fat, minimal carb and little to no sugar and exercise. and numerous supplements, levothyroxine 50mg and 30 mcg Armor thyroid., green tea and probiotics. Developed vitiligo at 50 and recently(9months ago)granuloma annulare.
    I’m unable to find a Dr. that will treat the entire picture and wants to hand out numerous RX. .What is your recommendation. Thank you Candy

  5. I’ve suffered with Hashimoto for 22 years now. I’ve started seeing a doctor who shares most of your practices. My antibodies are still very high at over 1000. I am on 1 grain of naturethoid as well as hormones. I am still having a hard time with fatigue, weight gain, joint pain and inflammation despite eating clean, GF and working out 3-4 times a week. This is a very frustrating disease. This doctor has recently recommended having surgery for removal of my gland which seems to be somewhat controversial between doctors. What is your opinion on surgery? I do have noduals, some have been biopsied. He picked the most significant ones and results were benign.

    • Hi Kristin,

      I wouldn’t say that your doctor shares most of my practices if they are recommending surgery and if you are not feeling well! That’s the absolute last possible route to take and almost never necessary as far as I can tell.

  6. I have a question about iodine and Hashimoto’s, which I’ve been diagnosed with. I get the impression, from some of your supplement ingredients that it is okay, and that it can actually be beneficial. However I’ve had more than one Dr. that I’ve seen lecture me about not taking iodine. I am curious about your opinion in Tirosint, my Dr. absolutely refuses to prescribe it, he says that it doesn’t work as well as synthyroid.

  7. Hi Dr. Childs,
    My Hashimotos came on fast after the birth of my second child. 5 months postpartum, I had no functioning thyroid and a TSH of 130. During my pregnancy, my TSH was normal. I struggle with the information I read on your site because I don’t know how much of it applies to someone with NO thyroid activity. Is it possible to regain functionality of the thyroid? Are supplements effective with no active thyroid? Etc., etc. Do you have any information on some good practices or protocols for someone in my situation?

    Thank you!
    Lauren

  8. Dear Dr. Childs

    I was diagnosed with Hashimotos over a year ago. I am in chronic pain with my legs. It is more muscular and nerve than joint. I suffer from muscle twitching also. I am on 2 grains of nature thyroid for the past 4 months and although my bloods show that my antibodies are now reduced to 700, I am still in constant pain.

    Could I have a recommendation please?

    Kind Regards

  9. Hi Everyone!
    Answering the questions at the end of the post, first a bit about me:
    I am a 27 year old woman from Hungary, and I have been diagnosed with Hashimotos when I was 14. Since then, 13 years I have been taking levothyroxine daily, doses varying from 75µg-125µg. Now I’m taking the highest dose, 125µg. I have checkups every 3-6 months, with TSH, FT3 and FT4. I asked for including the reverse T3 but they didn’t… Otherwise I can feel now after years of experience that my Hashis are flaring up because of the symptoms (and usually it shows in a higher TSH that I can predict), but no one gave me advice on how to deal with that besides raising the dose. It feels like I have to keep my TSH really low not to feel the sypmptoms.

    I am writing under this post because I have tried to pay attention to the “basic” things. I try to sleep well and enough (I am a good sleeper), exercize regularly (love squash and aerobic training), reducing stress is difficult (even though or because I am a Health Psychologist and do that stuff for others:)but I try. In addition I take my vitamins every day, mostly C with a bit of Zinc, D3, Mg with some B, Selenium. I think those help, but I cannot tell, I am afraid of stopping taking them daily. The other “natural” approach I have tried was the AIP. It was a huuuuge struggle for me with a lot of hard changes to make, and hard to fit in my lifestyle but I have kept it I think fairly rigorously for 8 months, and not only my ATPO hasn’t changed but it went up from 360 to 400. Then I stopped slowly, but was eating absolutely everything in the Christmas season and I have felt really badly and sick and tired all the time. I think it was both my unhealthy eating, and my elevated TSH, I don’t know which caused which but after, I started to reintroduce AIP elements like trying to avoid gluten 95% of the time, dairy and eggs 80% of the time. I felt better, almost a year has passed now but I cannot connect the dots really with my diet. Turned out I have igG based food intolerance for gluten, dairly, eggs, paprika, hazelnut, and orange (weird,ha?) i don’t know how seriously I should take that because my experience is really inconsistent – sometimes I feel like I feel worse after these foods, sometimes nothing happens. I think the quantity also plays a huge role.

    I also had a well-respected and holistic-thinking endocrinologist telling me that he would have liked if AIP worked but in his practice with a few hundred people it hasn’t really helped for patients.

    Sorry for the long comment, I have history and lot of thoughts with Hashimoto’s and I’m constantly trying to figure my body and psyche out, with more or less success. 🙂 Tell me if you have any thoughts or tips on what should I try. I am also interested in the AIP-food intolerance-coeliac disease topic. Should I really always at all costs avoid these allergens?

    • Hi Anne-Sophie,

      I tend to agree with your endocrinologist. I think most people latch onto some therapies and hold to them because they’ve worked for a few people, but that never means it will work for most people. It’s definitely still worth playing around with your diet and avoiding allergens if they cause you issues, the main issue is finding which ones cause you the most trouble which can be difficult. You can do this with testing, keeping a food journal, or with the help of a functional dietician.

  10. Hi Dr Childs
    I live in Australia. 2 years ago I had a total thyroidectomy and now take 75micrograms of Thyroxine daily. I have stage 2 Lipodema/Lympodema progressing to stage 3 which is very painful for my legs and other regions of my body. This condition effects 17% of women across the world. After 2 years,countless blood test , Specialist and GP visits my Blood tests show my T4 is converting to T3 but I am still feeling very tired and have gained 15 kgs during this time which is not acceptable for my 153cm frame. I try to exercise when I can but I fall asleep on the lounge early each night from sheer exhaustion of my working day.
    I would appreciate your suggestions.
    Kind regards
    Deb

  11. Hello Dr. Childs.

    I was diagnosed with Hashimotos in 2009 after ten years of bouncing from doctor to doctor. It was an endocrinologist that finally diagnosed me and started me on 50mcg of Levoxyl. I was also diagnosed with PCOS, Dysmetabolic Syndrome, Hirsutism, Empty Sella and Vitamin D deficiency. He treated the hypothyroidism and vitamin D deficiency for a little over a year and then said I was in remission. I’ll admit I felt better and lost a little weight. What was odd, is that I lost a lot more weight after I was removed from Levoxyl. Did ok off and on for years and each time I began feeling the same symptoms that started my journey prior to diagnosis, I would go in for a blood letting so to speak, only to be told, I was normal and no treatment was needed. They added Lichen Sclerosis to my list of problems but no treatment. I was finally fed up and accepted defeat. Lived my life as best I could until last April. I had gone on a medically supervised form of a keto diet that only had 10 carbs a day and 750 calories. I lost down to 112 pounds under their care. I started losing my voice and noticed I had a ‘golf ball’ sized lump in my neck when I swallowed. I was a retired ENT nurse so I videotaped myself swallowing and sent it to another ENT nursing friend and asked what she thought. She said get to a doctor…which I thought too but didn’t want to ‘over react’ and be humiliated by doctors again. I was under a great deal of stress, on a severely calorie restricted diet and truly wasn’t sure what was because of the diet or my Hashimotos. Went back to endo, not being able to talk for a month and the golf ball had turned into a softball. He said blood work normal, I was .01 away from the low end of every blood test I had but he said go see an ENT. ENT placed me back on Levoxyl to see if changed anything. Had an ultrasound, CT then MRI. The Levoxyl did nothing, continued to have no voice for three months and lump was still there. Ended up having a complete thyroidectomy in September. Struggled with finding a doctor that would listen and work with me on my medications post thyroidectomy but eventually got one to try changing to Tirosint and Cytomel. I was feeling great but still no voice. Started rapidly gaining weight again and put on 20 pounds within three months. He kept Insisting I lower the cytomel and saying that it was dangerous to be on. All my lab values were now in the middle except TSH which was 0.01. Dropped my Tirosint 50mcg lower plus Cytomel kept decreasing and decreasing against my pleading not to. Symptoms were getting worse and worse, weight going up and lab values all over the place. So erratic he thought I had a pituitary tumor. I was beyond frustrated and kept pleading stop messing with my Cytomel and let me level out. He was afraid of malpractice with Cytomel(? Uh ok?) sent me to an endo. Endo repeated labs again, said values did not indicate pit tumor, raised my Tirosint up but wanted to objectively watch my TSH and Cytomel correlation. Asked him about Armour thyroid and he said absolutely not…he would get ‘dinged’ for using it and it was heavily frowned upon. So fast forward to today, 19 months and counting, STILL no voice, still horrible hypothyroid symptoms, still gaining weight and feel awful. I’ve long since accepted my voice is not coming back but where do I go from here??? I would travel anywhere to get the right doctor that will not focus on that stupid TSH level…all labs are back in the middle now except the TSH, which has not budged from 0.01 in seven months. Endo wants to decrease Cytomel again if labs in December do not show improvement. I’m devastated and frustrated once again with medical community but now have no choice…I have no thyroid! I did purchase your new program but I can’t eat seafood for constant nausea and I don’t like it … so I haven’t started it yet. I have developed a plethora of food allergies post thyroidectomy including dairy, nuts and cinnamon. I have horrible reflux, constant nausea, still no voice and haven’t slept more than four hours a night for twenty three years. Yes, 23! Four is an improvement over two to three for 22 of that 23. So…I know it’s a lot! But will your program help me with Hashimotos and Post Complete Thyroidectomy? If not do you have any suggestions or a direction I can try now? I’m running out of ideas and doctors!

    • Hi BigMomma,

      It’s always more difficult to lose weight after a thyroidectomy but my weight loss program does contain all of the information necessary to lose weight if that is your primary goal. Whether or not it works largely depends on you (how much you put into the program), and some other factors not in your control such as genetics and so on. I can tell you that many other people have used the program with success who were also in a similar situation as you, though.

  12. Hello Dr. Childs.

    I was diagnosed with Hashimotos in 2009 after ten years of bouncing from doctor to doctor. It was an endocrinologist that finally diagnosed me and started me on 50mcg of Levoxyl. I was also diagnosed with PCOS, Dysmetabolic Syndrome, Hirutism

  13. I agree with you. My primary doctor, a DO who practices functional medicine, actually sent me to integrative endo, a MD. She put me on tirosint, supplements and herbs. She also recommended certain dietary things that I do. I also go for acupuncture with doctor who studied in China. I am not perfect but this has all helped me. The worst and last issue for me was some environmental sensitivities and that is way better after I started taking some herbs. My endo spends the time with me- 1.5 hours the first visit and regularly now 45 minutes. She has a small practice and doesn’t sell anything, but she reviews all the supplements I am on. Everything is natural with no fillers. I think that makes a difference too.

  14. Sorry for the double post…malfunction on my end! Thank you Dr. Childs for the response but could you tell me what is the best type of specialist post complete thyroidectomy w/Hashimotos? What about using your line of supplements? Which could be beneficial and which would not be?

  15. I am a 67 year old female. I had a partial thyroidectomy due to a large (egg size) nodule in 1984 that was diagnosed Hashimoto’s Disease. I have been on thyroid medication from then on. In 2017, I switched from Synthroid to Levothyroxine. The doctors say the other half of my thyroid is most likely affected with Hashimoto’s. I had a gastric bypass surgery in October 2017, because I could not stop gaining weight. I have lost 110 lbs. to date. Since 2016 I have taken .175 mcg of Levothyroxine. My recent labs are TSH is.018 and T4 is 2.37, PTH is 68. My doctor, most likely will just lower my medication to raise my TSH. I have very low energy, even with all my weight loss. Do you have any ideas I could share with my doctor? Should I ask for additional tests?

  16. Diagnosed 2 years ago. Went to my regular doctor after experiencing panic attacks for a couple of weeks. All started one night with extreme vomiting and vertigo, followed by anxiety, insomnia, fatigue, severe back pain and panic attacks in the following weeks. The panic attacks triggered me to visit my fantastic doctor who straight away tested for hypothyroidism and tests showed antibodies >1000 with TSH at 3.6, T4 and T3 within normal range – diagnosis of subclinical hashimotos and anemia. I believe the trigger was post-partum combined with stress of 2 years of working full time and studying university degree part time while caring for a newborn with the final straw I believe to be a dose of ciguatara poisoning (live in tropics and ate locally caught fish) which has many similar symptoms to Hashimotos but quite a distinct chronology {plus going on a ciguatara avoidance diet of no fish, alcohol, etc saw an immediate reduction or cessation of the ciguatara specific symptoms (eating seafood again now but it will what I call “nerve spikes” in my toes for about a day afterwards). The endocrinologist I was referred to said she would watch and see and offer me hormone drugs if my TSH levels reached 10. I wasn’t prepared to wait. My doctor then referred me to a naturopath and together they have got me on a regime of vitamins and supplements (selenium, myo-inosital,iron, vitamins D, methylation B complexes, B1, zinc, magnesium citrate, etc, etc. We are working through the triggers and so far have reduced stress levels and homocystene (also have MTHFR mutation), controlled a few gut parasites, improving gut impermeability (awaiting test results), will next do a heavy metal detox (have high levels of mercury, lead and arsenic). I have quit gluten and made other dietary changes. I feel like I am in good hands with my GP and naturopath. My latest bloods showed TSH at 2.5, T3 and T4 still within range, antibodies at 400. I still have bad weeks but have turned a corner and the good weeks outnumber the bad and I’m still learning what can trigger a bad episode (e.g. flouride treatment at the dentist) Your article helps puts things into perspective. I know I’ll never be “cured”, and the best I can hope for is to continually aim for improvements (e.g. realising that what I thought was normal for about 30 years was actually clinical anxiety – now not lying awake at night thinking apocalyptic thoughts which is a bonus!) Some days are still bad but from experience I know I’ll get through them so I now don’t worry too much and take each day as it comes and never stop learning about what I can do to make things better, especially online from yourself, and Dr Axe and Dr Isabella Wentz – you’re my go to guys when I have a bad day. So basically, I’m not doing pharms and going completely natural which is slowly but surely working for me. Thanks for asking me to contribute my story and thoughts on the topic.

  17. Hi Dr. Childs! Happy New Year!

    I was diagnosed with Hashimotos in yr 2000 and suffer with major depression. Every few years the depression med stops working. Can you recommend supplements that may help? I currently take MaryRuths liquid vitamins/minerals because of malabsorption issues. In the past I’ve taken B-multis as they help my mood. Currently my t3 is at 75%, t4 is at 25% and my tsh is always low .04. I take 97.5 of naturethroid but sometimes this kicks me into hyperthyroid symptoms like heart palpitations. Anything you can recommend, would be greatly appreciated. Thank you for all the work you’ve done in this field. It helps just knowing we’re not alone…

  18. Hi Dr. Childs,

    I have been diagnosed with Hypothyroidism in 2010 after having my first son, throughout all these nine years I have been suffering from anxiety attacks, with body aches, nausea, IBS etc. Recently I found that my neck was swollen and all the while I thought I had some sort of throat infection. After visiting the hospital I was confirmed to have hashimotos with ANTI TG 685 and ANTI TPO 34.15 and ultrasound that showed the thyroid to be shrunken in size and enlarged lymph nodes.
    My dose of thyroxin has been increased from 75mg to 100mg (200mg once a week) however I still feel ill and unable to comfortably breathe or speak most of the time. I would appreciate if you could provide me with your opinion.
    Thank you.

  19. Hello Doctor Childs,

    They discovered elevated TPO antibodies (+/- 300 kU/L) one year after the birth of my first daughter (the test was done because of recurrent miscarriages), but they told me not to worry. I wanted to do some more research (I’m also following a training for integrative therapist), but then I was pregnant with my second daughter. She’s now almost one year old, and I’m digging out what I actually have. I have no other complaints or health problems (except for the miscarriages of course), I’m feeling good (healthy skin, hair, etc.) with much energy. My antibodies are now at 360 kU/L (TPO) and 374 kU/L (TgAb), TSH at 2,13 and my free T3 and T4 just on the (low) limit of the optimal ranges (following your 50% rule). I found an incredible amount of information on your website (thank you !) and I started a no gluten, soja, and milk diet 2 weeks ago (my anti TPO went from 1300 to 360 in only 2 weeks), I also found a therapist who’s helping me to do a gut analysis (leaky gut, bacteria, candida, etc.) and a hair analysis (for the oligo-elements).
    I have 3 questions for which I can’t find the answer:
    – as I have no symptoms (and thus a kind of pre-Hashimoto stade) how much time should I try this alternative approach before starting (synthetic) thyroid hormones? I’ve read somewhere that it’s important to take already thyroid hormones during the pre-Hashimoto stage in order to prevent further thyroidal damage and the real Hashimoto (with health problems). And if I succeed in lowering my antibodies (and boosting my T3 and T4), which value is « safe » to live with without destroying your thyroid?
    – As I would very much like to have another child and really don’t want to have a miscarriage again, do you think it’s risky to try this with antibodies at 300 and without supplementing with thyroid hormones?
    – on your website, you talk about postnatal Hashimoto, can I consider myself to still be in the postnatal period after one year? And hoping that my antibodies will lower from themselves, or is this too optimistic?
    Thank you so much for your answer,
    Katrien

  20. Hello,

    I had parathyroid tumors removed last year. At that time it was observed that I had hashimotos. I have been on supplements and synthroid and Armour. I feel much better BUT I find I am getting colds ALL the time when I NEVER did before! I was always the only one in the house who would NOT get sick and now I can not be around my grandkids without catching whatever they have! Coincidence, or is something else going on?

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