Which Diet is Best for Hashimoto's? What you Should and Shouldn't Eat

The Best Hashimoto’s Diet: How to Lose Weight and Feel Better

If you've ever been confused about what to eat because of your Hashimoto's then this is the article for you. 

I'm going to take away the guessing game that is your Diet...

Reduce your stress about what foods you should be eating and what foods you should be avoiding...

So that you can get back to what's important:

Healing your autoimmune disease.

This article is going to go over how you should be approaching your diet after your diagnosis of Hashimoto's.

And here's the thing:

There is no one-size-fits-all diet that you should be following!

Everyone is completely different and that means the diet you need is not the same as your friends or someone on your support group. 

This article will teach you everything you need to know to get started and feel confident you are on the right track...

So let's jump in:


The Secret to Finding the Right Diet for Your Body

If you want to find the best diet for your body you will need to follow a few rules:

  • Don't be afraid of Trial and Error (you most likely will not get it right on the first try)
  • Pick your diet based on your symptoms and other medical problems (blindly picking a diet to follow is NOT the best approach)
  • Don't base your results off of your antibody levels alone (It is possible for your antibody levels to stay the same but for your symptoms to improve and is a GOOD thing)
  • Your diet should NOT be a huge source of stress in your life - if it is then it will be counterproductive to healing! (1)

By following these guidelines you will improve your chances drastically of finding the diet that works for you. 

And remember: 

Use this outline as a GUIDE - it is not a replacement for medical advice.

Will These Diets Help me Lose Weight?

You've been conditioned to think that Diet and Exercise are the keys to weight loss.

But in Hashimoto's and Hypothyroidism that couldn't be farther from the truth.

Changing your diet will HELP you lose weight, but in the majority of patients, it's really just one step.

You may lose 5-20 pounds by changing your diet (depending on how much you have to lose) but changing your diet will NOT get you back to your normal weight if your thyroid is underdosed. 

I've written extensively about how to lose weight with Hashimoto's and Hypothyroidism: 

As you can see from the case studies above that you can lose weight with each of the diets listed below. 

The most important part is picking the diet best for YOUR body.

Download my Free Resources:

Foods to Avoid if you have Thyroid Problems: 

I've found that these 10 foods cause the most problems for thyroid patients. Learn which foods you should absolutely be avoiding if you have thyroid disease of any type. 

The Complete List of Thyroid Lab Tests:

This list includes optimal ranges, normal ranges, and the complete list of tests you need to diagnose thyroid hypothyroidism correctly!

Download more free resources on this page

Why Diet is the MOST Important Part of Treating Hashimoto's Thyroiditis

As you know...

Hashimoto's disease is an autoimmune disease - that means your body is literally attacking and killing itself.

In the case of Hashimoto's, this attack occurs on the thyroid gland itself!

If left untreated over long periods of time this will ultimately result in the destruction of your thyroid gland tissue. 

That means your thyroid won't be able to produce thyroid hormone anymore and you will be left with supplementing with thyroid hormone... indefinitely.

It doesn't sound pretty, but here's the deal:

You can reduce and even prevent the attack on your own thyroid by making some targeted changes.

While diet is a critical component of reducing the inflammation in Hashimoto's, it isn't the end all be all treatment. 

In order to treat Hashimoto's, you must reduce inflammation. 

That means you have to address ALL causes of inflammation including:

  • Dietary allergies and antigens
  • Gut Imbalance (Dysbiosis, SIBO, Gut infections, Leaky Gut, etc.) 
  • Physical, Emotional and Physiological stressors
  • Chemical Toxins and Endocrine Disruptors
  • Nutrient Deficiencies
  • Lifestyle changes including improved sleep, exercise and stress reduction techniques

Doing just one of these is a recipe for failure... 

There is almost no question that your diet may increase inflammation in your body, but it's certainly not the only culprit.

And in order to reduce all inflammation, each area must be addressed.

So diet (while probably the MOST important aspect of reducing inflammation) is really just the beginning...

Which Diet is the Best for Reducing Antibody Levels?

There are MANY different diets you can choose from to help reduce inflammation and autoimmunity, but the important part is finding the right one for you. 

I've successfully used all of these diets in my patients to help them feel better, lose weight and reduce antibody levels.

The 5 diets that I want to go over in detail include:

  • The Elimination Diet
  • Autoimmune protocol diet
  • Gluten-free diet
  • Paleo diet
  • Low FODMAP's diet

If you've never heard of any of these diets don't worry, I'm going to go over what factors may lead you to choose one over the other and how to pick the best diet for you. 

When it comes to following a diet the truth is you really will get 90% of the benefit as long as you can remain consistent with whichever diet you pick. 

So don't get caught up in all the nuances, instead just focus on sticking to the plan. 


Food Sensitivity Diet (Elimination Diet)

What is it?

The Elimination diet is based on the idea that certain foods may cause negative reactions in certain people. 

In the most basic sense, you simply remove these foods from your diet and then monitor how you feel. 

Pretty simple, right? 

There are two ways to do this diet:

1. Blood testing for food sensitivities: Find specific foods that you are sensitive to using delayed IgG food sensitivity testing. Testing for IgG antibodies will find food *sensitivities* that you may be reacting to, but may not be allergic to. You can find more information in the video below: 

When most people think of food allergies they think of allergies to foods like shellfish and tree nuts which may cause swelling of the face airways leading to potentially life-threatening situations. 

We aren't talking about food allergies like these.

Instead, we are talking about sensitivities to certain foods that may make you react with low-grade inflammation, changes in colonic bacteria, depression, anxiety, mood disorders, acne, postnasal drip, etc. 

This type of food "allergy" is mediated by a different type of immunoglobulin known as IgG.

This type of food is more sinister and difficult to spot. 


Because your reaction to the food might be delayed by up to 48 hours AFTER eating the food you are sensitive to.

This delayed reaction makes it difficult to put your finger on which foods may be causing you problems and can get really frustrating.

The delayed IgG food sensitivity testing can be very helpful for patients who don't respond to the traditional elimination diet that simply removes the most common food allergies from the diet. 

2. Eliminate foods systematically: Instead of getting the Delayed IgG blood test you can simply remove the major food groups that most people are sensitive to for 30-90 days.

This allows enough time for the inflammation to cool down, your GI tract to begin healing and most of the other symptoms you may be experiencing to resolve. 

Once you've eliminated your symptoms (and only if you have eliminated your symptoms) you can then begin to slowly reintroduce these food groups back into your body while monitoring how you react.

join 30,000 plus thyroid patients

If you find that you feel poorly after reintroducing certain foods back into your diet then you have some great information: 

Stop eating the food that makes you feel terrible! 

I've found that this type of diet can be difficult for patients who like things to be black and white.

Sometimes people just don't want to give up their favorite foods even if they react poorly to them, so if you fall into this category it may be a good idea to just get the food sensitivity test to see which foods you need to avoid.

The most common food groups removed in this diet include Gluten, Dairy, Soy, Sugar, Artificial Sweeteners, Corn, Peanuts, Eggs, and Shellfish. 

Elimination diet food list

If you elect to go this route (without the blood testing), then it's best to remove at least the top 5-7 most common food allergens. 

You don't want to remove too many foods initially because that can make dietary choices very difficult and doesn't always lead to long-term success. 

You can find an example below of the various phases of the elimination diet:

Phase 1 elimination diet
Phase 2 elimination diet

Does it work?


The combination of going gluten, dairy, soy free + removing any foods you may be sensitive to by checking your delayed IgG antibodies is one of the most effective methods for determining which diet your body needs.

In order for this diet to be effective just remember that you need to stick to it for at least 2-3 months.

According to a group study using this diet, 62% of people reported that they felt better, 4.2% said they felt worse, and 43% had a reduction in Hashimoto's antibodies.

More information: 


  • Highest reduction in antibodies
  • Easy Implementation (can start right away)
  • You don't necessarily need to see a nutritionist to start
  • A moderate percentage of people felt better on this diet
  • Can be cost effective if you do not get delayed IgG food allergy testing


  • The highest percentage of people felt WORSE on this diet
  • Testing can be expensive and at times inaccurate
  • Requires a lot of time to reintroduce food groups
  • May take weeks to months  to feel better

Who Should Consider the Elimination Diet?

Anti inflammatory diet food pyramid
  • People who react with itching, swelling, hives, runny nose or post nasal drip after eating certain foods
  • People who also have a personal history of Asthma or Eczema
  • People who have failed other more basic diets like Gluten-free, Soy free or Grain free and are still symptomatic or still have high levels of antibodies
  • Quick Tip: You don't necessarily need to have delayed IgG sensitivity testing to get started. It may be necessary for some people but you can get started right away by eliminating the 7 most common reactive foods (listed above). 


Autoimmune Paleo Diet (AIP)

What is it?

Also referred to as the autoimmune protocol or autoimmune diet, this diet is very similar to the paleo diet except it also excludes Nuts, Seeds, Eggs, Legumes, and Nightshades.

The AIP diet is felt to be one of the best diets to reduce antibody levels in Hashimoto's but it is also one of the most restrictive diets out there making it difficult to sustain for long periods of time. 

To see a case study of one of my patients using AIP to lose weight and feel better please see this post.

If you remove all of those food groups, then what is left to eat?

You can see the list of the allowed foods below:

  • Vegetables (Except Nightshades)
  • Fruits
  • Coconut Products
  • Fats: Olive oil, Coconut oil, Lard
  • Fermented Foods
  • Bone Broth
  • Grass Fed Meats, Poultry and Seafood
  • Non-seed Herbal Teas and Green Tea
  • Vinegar (Including Balsamic without added sugar)
  • 1 Tsp of Maple Syrup and Honey used as sweeteners
  • All fresh non-seed Herbs
  • Grass Fed Gelatin and Arrowroot Starch
AIP foods to include
AIP foods to avoid

Does it work?

As long as you can sustain this diet it has the highest potential to help reduce antibody levels and improve symptoms.

One of the problems with the AIP diet is how restrictive it is which can lead to a lack of consistency by many patients. 

According to group data 75% of people felt better, 4% of people felt worse, and 43% had a reduction in antibodies while following the Auto-Immune Paleo Diet. 

More information: 


  • A moderate percentage of people felt better on this diet
  • May help many people feel the "best" fastest
  • Includes gut healing foods like bone broths
  • Good support community online
  • Easy access to recipes online


  • A high percentage of people felt WORSE on this diet
  • Lots of restrictions initially, making compliance difficult
  • Requires a lot of time to reintroduce food groups after phase 1
  • Patients may start reacting to foods they didn't react to previously

Who should consider the Autoimmune Paleo Diet?

  • People who have multiple autoimmune conditions (in addition to Hashimoto's), multiple food sensitivities and multiple medical problems
  • People who have failed other less restrictive diets (Gluten-free, paleo, dairy free, etc.)
  • People who want to jump to the "best diet" and are willing to make drastic changes to their diet
  • Quick Tip: I don't typically recommend that all Hashimoto's patients start with this diet because for many patients less restrictive diets are enough to lower antibody levels and improve symptoms - if you fit into the categories above I would strongly consider AIP to start. 


Gluten-Free Diet

What is it?

Gluten free foods

If you don't already know about gluten here is a quick primer:

Gluten is a name that includes multiple proteins found in wheat, rye, and barley. There are two varieties of problems that people can have as it relates to gluten: 

1. Celiac disease:

People with this condition have an autoimmune response when introduced to the protein which results in damage to the intestines, inflammation and MANY other signs and symptoms.

Patients with this condition typically have elevated blood levels of Gliadin, Transglutaminase-2, and Endomysium which you can find on serum testing. 

The autoimmune and inflammatory component from coming into contain with gluten results in direct damage to the intestinal wall. 

This damage leads to increased intestinal permeability ("leaky gut") and a variety of symptoms including increased risk of developing autoimmune diseases (2) like Hashimoto's thyroiditis.

This process happens through molecular mimicry. (3)

Basically, you consume portions of undigested proteins that float in the bloodstream and your body mistakes these pieces of protein for parts of your body and then attacks itself. 

Obviously not something you want going on in your body, but what about non-celiac gluten sensitivity? Is it even a real thing? 

It turns out it is and its supported by plenty of data... (4)

2. Non-celiac gluten sensitivity:

People with this condition still have a reaction to gluten but the reaction is much more sinister and much more difficult to diagnose.

Traditional blood tests for gluten antibodies are all negative (5) which may make patients falsely believe that they can tolerate gluten without a problem.

Unfortunately, non-celiac gluten sensitivity still causes plenty of problems both in the intestinal tract and outside of the intestinal tract and that's one of the ways that some experts recommend diagnosing the condition:

symptoms of non celiac gluten sensitivity
  • Intestinal symptoms: Bloating, abdominal pain, diarrhea, epigastric pain, nausea, gas, acid reflux, IBS like symptoms and constipation
  • Extraintestinal symptoms: Fatigue, headaches, anxiety and other mood changes, brain fog, numbness/tingling, joint and muscle pain and skin changes including rashes or random outbreaks

Do you have any of these symptoms but negative blood tests for Celiac disease? 

Or have you removed gluten in the past and felt better when you did? Only to find out that your symptoms return when you start eating it again?

If so then you might have non-celiac gluten sensitivity. (6)

In addition to the symptoms listed above NCGS can also cause increased inflammation and increase intestinal permeability just like Celiac disease leading to much of the same increased risk of developing autoimmune diseases. 

For this reason, (and many others) it may be smart to avoid gluten altogether if you have Hashimoto's whether you have Celiac disease or non-Celiac gluten sensitivity. 

Gluten free food list

Does it work?

Again, going gluten-free will usually result in SOME improvement in symptoms (7). In my experience, up to 80% of patients with Hashimoto's have some improvement when going gluten-free.

Occasionally sticking to a gluten-free diet can be difficult if the patient isn't serious about removing all sources or if they aren't careful.

Even when I consciously went gluten-free I continued to find small sources of contamination in food products and condiments month later. 

According to group data 88% of people felt better on this diet, 0.73% of people felt worse, and 33% of people had a reduction in antibodies. 

More information: 


  • The highest percentage of people felt better on this diet
  • Lots of free information and guides online
  • Good support community online


  • Can be difficult to remove ALL sources of gluten
  • Lots of gluten-free junk food available - it's easy to eat an unhealthy gluten free diet
  • Going gluten-free isn't enough for most patients

Who should consider the Gluten-Free diet? 

  • All patients with Hashimoto's (Going gluten-free for 3 months should be standard for any newly diagnosed Hashimoto's patient)
  • Patients with a family history of Celiac disease, Hashimoto's or other Thyroid problems
  • People who have chronic migraines, chronic headaches, acne or multiple gastrointestinal symptoms
  • Quick Tip: Most people benefit from going gluten-free (even if you decide on a different diet you should still ALSO be gluten-free for 3 months). Don't fall into the trap of thinking that if you have negative antibodies to gluten that you are fine to eat it. Most people do MUCH better cutting out gluten. 


Paleo Diet

What is it?

Another very popular diet, and for good reason. The paleo diet consists of real whole food that attempts to mimic the diet of the paleolithic man/woman and removes inflammatory industrial seed oils, GMO food products, refined grains and added sugar. 

Put into a simple graphic:

What's included in the paleo diet

Paleo diets tend to be higher in healthy fats with moderate amounts of protein and generally fewer carbohydrates. 

Paleo food pyramid

One of the dangers of going paleo is actually reducing your carbohydrates too much because the most common sources of carbs are generally forbidden.

While reducing the number of carbohydrates can be good in certain medical conditions (leptin and insulin resistance), reducing all sources of carbohydrates can result in worsening fatigue in some patients. 

Another potential pitfall of eating a paleo based diet is consuming too much protein. 

High levels of protein can activate the mTOR pathway (8) and influence leptin levels leading to worsening leptin resistance and inflammation. (9)

As long as healthy fats, proteins and carbs are balanced the diet is excellent - but it does require some manipulation and personalization. 

Does it work?

Many of my patients start with a modified paleo type of diet and then manipulate their macromolecules based on their symptoms and lab tests. 

The paleo diet is a great starting point because there is plenty of information including recipes and diet guides available on the internet to help with transitioning your diet. 

In addition - according to group data 81% of people felt better, 3.2% of people felt worse and 27% of people had a reduction in antibodies after adopting the paleo diet. 

More information: 


  • A large percentage of people felt better on this diet
  • Lots of free information and guides online to help beginners 
  • Good support community online
  • Free Recipes online
  • Lots of research backing the health claims


  • May not include enough carbs for those with Adrenal problems and thyroid problems
  • Some people can have problems maintaining body weight due to a lower amount of carbs
  • May be too restrictive for certain individuals

Who should consider the Paleo Diet?

  • People who have tried going gluten-free but still have room for improvement in their symptoms
  • People with any of the following: Acne, Depression, Anxiety, Fatigue, Eczema, Environmental/Seasonal allergies, Post nasal drip, IBS/IBD, GERD, Chronic constipation
  • People who are unsure of what diet is best for them - this is a GREAT first place to start
  • Quick Tip: The Paleo diet is great to start with because of the supportive online communities that exist. Be careful when switching to this diet if you rely heavily on healthy sources of carbs for energy - sometimes switching to low carb diets can make patients with Hashimoto's worse. 


Low FODMAP's Diet

What is it?

What in the world are FODMAP's? I'm glad you asked...

It's an acronym that stands for Fermentable Oligo-Di-Monosaccharides And Polyols. 

FODMAPs diet acronym

It's really just a fancy name to describe a class of sugars and carbohydrates that are found in certain foods. FODMAP's can cause gastrointestinal issues like gas, bloating, cramping and irritable bowel-like symptoms (10) in certain groups of people.

Those who have SIBO, or candida overgrowth, appear to be particularly sensitive to FODMAP's and react poorly when eating them. (11)

This diet removes these food groups by eliminating foods that are high in these types of carbohydrates:

  • Fructose (Fruits, Honey, High fructose corn syrup)
  • Lactose (Dairy products)
  • Fructans (Wheat, Garlic, Onion, Inulin)
  • Galactans (Beans, Lentils, Soybeans)
  • Polyols (Sweeteners like Xylitol and Mannitol, along with stone fruits such as Avocado)
Low FODMAPs grocery checklist

Does it work?

This is definitely a specialty type of diet and not one that I would regularly recommend to the average patient.

In most cases simply removing the primary sources of carbohydrates like bread, pasta, gluten-containing starches, etc. is enough to significantly improve any GI related issues.

A minority of patients will require the complete removal of FODMAP's especially if they have constipation-predominant IBS or treatment refractory SIBO.

Otherwise, most patients should stick to the other diets listed above as a starting point (unless otherwise directed by their Doctor). 

According to the group data 39% of people felt better, 0% of people felt worse, and 27% of people had reduced antibodies while following this diet. 

More information: 


  • Will also treat SIBO and Candida overgrowth
  • Great Diet for those with IBS
  • Zero patients felt worse on this diet


  • Smallest reduction in antibodies out of all diets
  • Doesn't necessarily exclude gluten
  • Smallest number of patients felt better on this diet

Who should consider the Low FODMAP's Diet? 

  • People who have Hashimoto's and have been diagnosed with (or have symptoms of) Small Intestinal Bacterial Overgrowth (SIBO for short) and/or Yeast or Candida overgrowth
  • People who still have gas/bloating despite adopting a paleo or gluten-free diet
  • People who have failed less restrictive diets
  • Quick Tip: This diet may be effective for patients suffering from chronic gas/bloating, abdominal distention or extreme chronic constipation (1 bowel movement every 4-7 days). If you have these symptoms there is a very high chance you are suffering from SIBO and/or yeast overgrowth. 

Soy-Free and Wheat-Free Diets

If you didn't already notice there were a few diets that weren't mentioned above but were in the original data.

Namely: Soy free and Grain free. 

I didn't elaborate on these diets because they are self-explanatory and because for the most part they should be a component of other diets and I wouldn't recommend using them in isolation.

But, to complete the data let's go over them...

Soy Free Diet: 63% of people felt better, 1.2% of people felt worse and 35% had a reduction in antibodies while on this diet.

Grain Free Diet: 81% of people felt better, 0.74% of people felt worse and 28% had a reduction in antibodies on this diet. 

Diets To Avoid with Hashimoto's 

Having gone through diets that are beneficial to people with Hashimoto's we should also go over some diets that you should avoid if you have this condition. 

Some of these diets should be avoided at all costs and others can be used but only if you are working with a skilled practitioner who understands your condition. 

Let's dive in:


Low-Fat Diets

Why you should avoid this diet: 

I'm referring to the typical low-fat diet that modern medicine and the conventional media recommends for weight loss and better health. 

Despite these widespread recommendations and beliefs that a low-fat diet is somehow healthy for your heart and waistline, none of these reported "facts" are supported by the literature.

Low-fat diets (even diets low in saturated fat) have never been shown to be effective for weight loss or heart health but they are unfortunately pushed by most physicians and Cardiologists. 

Low fat diet pyramid

This is especially important for patients with Hashimoto's or Hypothyroidism because these patients commonly have problems with weight. They are often told to "eat less and exercise more" for weight loss.

Hashimoto's patients commonly have cholesterol problems as well (due to low thyroid function)(12) and are commonly told to "eat less red meat". The problem is: these people don't have a cholesterol problem, they have a thyroid problem. 

Unfortunately, nowadays low-fat has become synonymous with high sugar (13). Foods that have "low-fat" or "non-fat" on the label should be avoided at all costs. 

Quick tip: Some people do better with lower amounts of fat and that's ok. But if you do better on low-fat your diet should still consist mostly of fruits, vegetables - not sugar based products. 


Any and All Low-Calorie Diets

Why you should avoid these diets at all costs: 

Despite the fact that calorie-restricted diets don't work for weight loss! They can also be incredibly harmful to your thyroid function... 

25 days of a calorie-restricted diet is enough to reduce thyroid function and T4 to T3 conversion (14) by up to 50%. 

Whatever you do, do NOT use a calorie-restricted diet if you have Hashimoto's. You will only make your thyroid function worse and it will ultimately lead to more weight gain.

Also avoid the mentality of counting calories - calories matter, but your hormones matter so much more.

Special Considerations

Each of the diets above needs to be modified slightly in the setting of certain medical conditions. 

I've highlighted some of the more common conditions and how you can consider altering your diet if you have one or more of these conditions...

Blood Sugar Issues (Pre-diabetes, Diabetes & metabolic syndrome)

Blood sugar issues are so common that nearly 50% of adults in the United States has either pre-diabetes or diabetes. (15)

And Hashimoto's patients are no different. In fact, they are at increased risk for blood sugar problems. 

How do you know if you have blood sugar problems?

You can have your doctor order the following tests: Hgb A1c, fasting blood sugar, fasting insulin levels. You can also personally check your own blood sugar with a glucometer after eating meals.

Healthy blood sugar levels when fasting are in the 70-80 range (16). A healthy Hgb A1c is less than 5.5 and fasting insulin levels should be < 5.

If you fall above this range you likely have blood sugar problems...

How does this affect your diet?

Well, the traditional advice to fight high blood sugar is to exercise more and eat less. This is the WRONG answer for people with Hashimoto's. Well, it's bad advice in general but especially if you have Hashimoto's.

The best way to address blood sugar issues is by reducing unhealthy fattening carbohydrates and incorporating high-intensity exercise (17) with intermittent fasting routines (18).

This can pose a problem with Hashimoto's patients because they commonly have Adrenal problems.

Consider these ideas if you have insulin resistance:

  1. Optimize your thyroid medication if you are on it! 
  2. Work out only if you have the energy, and until your dose is optimized I would recommend against high-intensity training. Start out slowly with walking and build up as you tolerate it. 
  3. Do not incorporate intermittent fasting until your adrenals have been addressed and your thyroid medication is optimized. 
  4. Avoid calorie-restricted diets, they will only make your thyroid worse.
  5. Eat at least 20% carbohydrates to start with. 
  6. Avoid high sugar foods and opt instead of healthy sources of carbohydrates like vegetables and healthy starches.

Adrenal Related Problems

Stages of adrenal fatigue

Adrenal fatigue is incredibly common in Hashimoto's patients and it should not be ignored!

If you find yourself crashing in the afternoon or NEEDING caffeine to keep you going - then your adrenals are most likely suffering.

The fatigue from Hashimoto's is usually a crushing fatigue first thing in the morning, but as you get up and moving you may tend to have more energy. This energy you get after a few hours comes from your adrenals - and they only last so long.

This cycle is one of the reasons that many people with Hashimoto's also suffer from Adrenal fatigue. 

There are a few tips you should know about how to make appropriate changes to your diet if you suspect you have this condition...

(I do recommend either Salivary testing or DUTCH urine testing to diagnose adrenal problems - don't treat if you aren't sure)

My adrenal profile

My recommendations if you have diagnosed adrenal fatigue: 

Use an adrenal supplement (or combination of adrenal glandulars + adrenal adaptogens

  1. Eat a moderate amount of carbohydrates in your diet, 15-30% of total calories are healthy carbs. Experiment with what works best for your body (start out at 20%).
  2. Don't be afraid to eat meals more frequently if you need to. You may need to eat every 2-3 hours in the beginning. 
  3. Eat protein with every meal and have an especially high protein breakfast (at least 40 grams). 
  4. Make sure to eat enough sodium (salt)! If you are having salt cravings you can put 1/2 to 1 teaspoon of salt in a tall glass of water and drink that in the morning. Make sure to add salt to your food as well. 
  5. Avoid caffeine and alcohol! Caffeine puts excess strain on your adrenals every time you consume it.
  6. Use an adrenal supplement (or combination of adrenal glandulars + adrenal adaptogens)

Gut and digestive problems

Leaky gut pictures

Gut and digestive problems are also very common in Hashimoto's. 

Unfortunately, several things can go wrong when your thyroid is low...

Low thyroid hormone leads to slower peristalsis (19)(the movement of your GI tract) leading to constipation and an increased risk for reflux, bacterial overgrowth, and yeast overgrowth.

Not only that but about 20% of T4 is converted to T3 in the GI tract (20). This means that any problems of the GI tract may result in lower thyroid hormone, which may then cause further GI issues in a vicious cycle. 

It can be difficult to break the cycle and the first step starts with getting on the right kind of treatment protocol, but there are also some dietary special dietary considerations you should consider:

  1. Consider a low FODMAP's diet. 
  2. Make sure to add fermented foods into your diet daily (Kimchi, Kefir, Beet kvass, Sauerkraut, etc.) - Go easy on fermented foods if you have SIBO. 
  3. Add in probiotics in the form of Soil-based organisms. Lactose based probiotics may make some GI issues worse. 
  4. Consider advanced stool testing for definitive diagnosis (It's hard to treat if you don't know what you're treating).
  5. Consider adding 1-2 cups of Bone broth to your diet each day (helpful for repairing gut lining). 

A Word About Goitrogens

What are goitrogens?

Goitrogens are compounds that limit your thyroid from taking up iodine and which may theoretically lead to decreased thyroid function. (21)

The conventional opinion is to avoid these foods if you have thyroid problems.

But, do you really have to?

Foods high in Goitrogens include Cruciferous vegetables (Bok choy, Broccoli, Brussel sprouts, Cabbage and Cauliflower), and some other foods - peaches, pine nuts, pears, soy milk, soybeans, etc.

Some people are so worried about thyroid function that they completely avoid these food groups. 

And, when you look at the list, you'll find that this list includes some of the most healthy foods on the planet. 

The truth is that it would require a VERY large amount of these foods to have a meaningful impact on your thyroid gland. What's more is that the goitrogenic effect of these foods can be limited by how you prepare them.

To reduce the impact that foods have on your thyroid you can consider the following steps:

  1. Limit yourself to 6-8 servings of these foods per week and when preparing make sure to steam them (to remove goitrogenic compounds). Steaming these foods will reduce their gotroigenic potential.
  2. Eat foods high in both selenium and Iodine, this includes foods like [High Iodine] kelp, kombu, hijiki, arame, cod, dulse, iodized salt, wakame, shrimp, eggs, tuna, nori, prunes, banana. [High Selenium] Brazil nuts, tuna, halibut, sardines, ham, beef, turkey, chicken, egg, spinach. Consuming both iodine and kelp may have a protective effect on your thyroid gland. 

Where to Start + 4 Week Hashimoto's Eating Plan

While deciding what diet you ultimately need may take a combination of time and trial and error, it is critical that you get started right away. 

Don't be afraid to make some mistakes along the way - it happens for every patient. 

What is important is that you just get started. 

With that in mind, I am recommending this book as a solid starting place

I like it for several reasons:

#1. Most patients make several mistakes in the beginning and may end up eating allergenic and problematic foods for months before they realize it. This book will help remove those foods from the get-go.

#2. Removing the stress involved with what foods are safe to eat and what isn't is a huge part of success. Having these details in front of you will reduce your stress and anxiety surrounding food and help you in your healing journey. 

#3. This eating plan is a GREAT starting point for beginners. As I mentioned you may need to tweak recipes and it may not work for everyone 100%, but it gets you started in the right direction. 

Final thoughts

I hope this gives you some direction in how to approach your diet with Hashimoto's. 

Just remember that your diet is a highly individualized thing. It should be something you are constantly working on, tweaking just for your body.

One thing I would caution against:

Don't fall into the trap that if a certain diet worked for someone else that it will work for you.

Every single one of us is different - just like we all look different on the outside, on the inside we all have different needs.

And remember, if you have any questions or concerns about your health make sure to talk to a qualified and knowledgeable practitioner! 

To finish, I'm curious to know - what kind of diet has worked for you? Which ones have you had success with in lowering your antibodies or just improving your symptoms?

Let me know in the comments below!

References (Click to Expand)

what foods should you eat if you have hashimoto's thyroiditis?

Dr. Westin Childs

About Dr. Westin Childs

Hey! I'm Westin Childs D.O. (former Osteopathic Physician). I don't practice medicine anymore and instead specialize in helping people like YOU who have thyroid problems, hormone imbalances, and weight loss resistance. I love to write and share what I've learned over the years. I also happen to formulate the best supplements on the market (well, at least in my opinion!) and I'm proud to say that over 45,000+ people have used them over the last 4.5 years. You can read more about my own personal health journey and why I am so passionate about what I do here.

77 thoughts on “The Best Hashimoto’s Diet: How to Lose Weight and Feel Better”

  1. Thank you so much for your posts! I was diagnosed with Addisons and hashimotos in May and am still struggling with weight, fatigue and the correct diet. Your blog posts are incredibly helpful though I still feel overwhelmed!

    • Hey Tracy, I’m glad the article was helpful to you.

      Hashimoto’s and health in general can be very overwhelming! My best recommendation is to make sure you find a very caring, knowledgable and understanding Doctor to help you along the way. If you take everything one piece at a time or one step at a time it becomes a lot more manageable (and less overwhelming!).

      • It is almost impossible to find doctors that understand fibromyalgia, chronic pain and chronic fatigue along with my thyroid issues. I go from dr to dr seeking answers. My weight increases and I get more depressed. Exercise is all they say, cut calories. Nothing helps, where are you and do you see patients?

        • Hey Marjorie,

          I agree it can be very difficult. Most Doctors who specialize in these disorders are out there on the internet somewhere, either with a blog or videos or something like that. I practice in Gilbert, Arizona.

        • You and I are in the same boat. It’s a nightmare! Total incompetence. It leaves the patient holding the bag! I’ve been dealing with this since 2014. Suffer with the same as you and more. I’m at the end of the road. Just can’t go on endlessly like this. NO quality of life whatsoever! Good Luck.

  2. I loved your article! Thank you for sharing information. I’ve been following GAPS diet for six months, unfortunately antibodies have increased. I’m gluten and lactose free since one year and feel better, but suffering with chronic constipation, fatigue, inflammation, reflux and candida.
    What would you recommend me to do? Thank you in advance!

    • Hey Eli,

      I’m glad you enjoyed it!

      Following antibodies isn’t necessarily a perfect science. In some cases patients can improve and still have an increase in their antibodies. For this reason I focus on a combination of antibody levels as well as symptoms. There are some things you can do in terms of taking supplements that may also help to reduce those antibody levels – for instance I am a big fan of selenium for my patients. In addition you may also find some benefit to low dose naltrexone.

      In regards to your constipation I would look to treating your yeast overgrowth and likely SIBO. Once these are taken care of your bowel movement should improve. In the mean time I would try magnesium citrate + vitamin C until you have 1 loose bowel movement per day.

  3. Hi Westin, I’ve just read your article on the different diets. I was diagnosed in 1971 with type 1 diabetes, in 2007 with hypothyroidism and 2015 with Hashimotos/thyroiditis. I’ve been gluten free for about 8 months now and feel better for it. A couple of months ago I started eating Paleo and I feel so much better, I’ve even dropped 6 kg which is amazing! However I still have inflammation, anaemia and I suspect candida overgrowth happening that I’m trying to treat with diet and supplements. I also have adrenal problems and I’m about to do my second saliva test and treat that problem. I get so tired and my brain just doesn’t take everything in like it should!

    So my main question is should I start the AIP diet or just stay with Paleo and increase my carbs? I really like the Paleo way of eating as does my husband for the most part!


    • Hey Fiona,

      That’s a really difficult question to answer. Generally I would recommend that you stay on paleo while you treat your adrenals and optimize your thyroid function. I will occasionally recommend AIP in patients with multiple autoimmune conditions, however. Bottom line is that finding the best diet for you is a very individualized process that involves trial and error. I would stick to what is working and only make changes if necessary.

  4. Hi! Thanks for this wonderful article. Are there any diets you’d recommend for those of us who have Hashimoto’s, insulin resistance AND are vegan or vegetarian? I have been gluten free for three years now (although I don’t monitor non-food items for gluten). I haven’t had any digestive issues, either before or after going gluten-free. I’d love any advice you may have. Thank you again!

    • Hey Anna,

      The best way to reverse insulin resistance is with a fasting protocol. Diet is actually only effective in reversing insulin resistance to a certain degree, in many individuals it simply won’t be enough. So in your case it might not be a matter of your diet so much as a matter of the degree of insulin resistance in your body.

  5. I have stopped eating the gluten. Mainly because it seems to make me feel bloated and like I ate a brick. Also seems like my fingers would swell up and I would have no bowel movements for days. I still have the weight problem and Im going to take your advise and see if I can find a doctor that will prescribe me something for T-3. Im on synthroid and thats all. In fact I cant seem to lose any weight. Im running and cut sugar, and gluten. I hope this helps for your research. Thanks !

    Deedee Dollins

    • Hey Deedee,

      I see patients in your situation on a daily basis! Weight loss for hypothyroid patients is not about diet (though a poor diet will make you gain weight rapidly), it’s about balancing hormones. Often times even getting on the right type of thyroid medication will not lead to 100% normal body weight, though you may still lose 20-50% of the extra weight. Each hormone imbalances contributes to your overall weight and in order to achieve that normal weight each must be balanced.

      Thanks for your comments 🙂

  6. Hi,
    Great and informative article. I am curious, you mentioned that going gluten free will not help with inflammation and autoimmunity…what should I be doing, in addition to gluten free, to help with these things? One of the other diets? I feel better on gluten free, but still struggle with losing weight and feeling like I am “swollen” all the time. Any insight is appreciated! Thank you very much!

    • Hey Melissa,

      What I meant was going gluten free may not be enough to lower inflammation and autoimmunity in EVERYONE. Though it is a great first step, sometimes a more restrictive diet is necessary.

      If you’ve cleaned up your diet, are gluten free, avoiding excess carbs, etc. and haven’t lost weight it means that your weight is due to some other problem. I see plenty of patients who can’t lose weight on AIP, and for them it’s not about the diet (the food they eat) – it’s about balancing hormones.

  7. Great article. Wonderful information.

    I have been GF and low carb for about a month now and not feeling any better or losing any weight. My doctors suggested that I try out GF and low carb. My doctor found that I have insulin resistance,low testosterone,low vitamin D,celiac and hashimoto thyroiditis. What other type of changes do you suggested?

  8. Finally, information that connects hypothyroidism and digestive problems–THANK YOU! Having followed a wide variety of healthy lifestyle advice for over 30 years and having no success with my thyroid and digestive problems for most of those years–doctors and alternative practitioners did not make the connection Dr. Childs has made–, this article makes so much sense and gives me a clear path through the self-heal/ diet labyrinth. I’m so excited to start feeling better! Quick question: Around the same time I started taking desiccated pig thyroid for hypothyroid, I became severely reactive (like food poisoning) to garlic. Can I expect this to resolve once I have my thyroid and digestion working properly?

    • Hey Bev,

      I’m glad you found the information to be helpful. Your intolerance to garlic may improve as your digestion improves but it may also be due to something else entirely, hard to say for sure.

  9. So thankful to come across your site. I ate horribly for the first 20 years of my life; all processed and refined foods. When I elimated animal products and gluten completely from my diet, i felt better, I lost twenty pounds without stepping foot in the gym but knew I had damage. I did some research and I came across leaky gut and knew I had this so I supplemented with soil based organisms (Prescript Assist for the first 12 months, Body Biotics for the last ten months or so) plus l-glutamine and digestive enzymes. I also cut out grains for about a year and I’ve been refined sugar free for about 15 months. The issue I’m having now is that even though I eat an EXTREMELY clean diet with less than 5% of my diet being processed in anyway and the rest of my diet being whole plant foods, I also practice intermittent fasting eating only between 1-9pm on top of strength training and doing HIIT 5x per week, I’ve gained 20 pounds in the past year that I can’t seem to get to the bottom of. I also have pyrrole disorder which I’ve been supplementing for the past year. I’m a nutrition student and will go on to grad school to study naturopathic medicine next year, I worked in the supplement section of whole foods the last four years and would love to tackle this naturally without medications. What would be ideal percentages for my macros? Because of my pyrrole, I do best on low protein so I’m sitting at about 10% protein, 50% carbs, 40% fat. Odd, but since giving up refined sugar I tend to eat a lot more fat which looks like is good for Hashimoto’s and hypothyroidism. And as far as supplements, I already take zinc, soil based organisms, turmeric with black pepper, magnesium, green vibrance, digestive enzymes, glutamine, evening primrose oil, apple cider vinegar, B vitamins, iodine among a few others. I’m thinking after reading on your site adding in selenium is a must along with vitamin D. Anything else you would suggest? Should I back off on working out so much/so hard? I also this year implemented prolonged water fasts into my life 2 times a year which I’ve done twice, 5 days at a time. I do this for mostly spiritual reasons but also to allow my body to rest. Reading your site it looks like restricting calories makes the thyroid function worse. Could this play into my weight gain? Thank you kindly in advance!

    • Hey Sarah,

      Before you start treatment with anything you need to figure out why you gained the weight to begin with so you can target your treatment towards that issue. To start you should focus on a full set of comprehensive labs including hormones and go from there.

  10. So… Is fasting for 5 days on water bad for people with Hashimotos or not? I am really looking for a ‘yes’ or ‘no’ answer but can’t find it in the web. Thanks.

  11. Hello Dr. Childs,

    I was wondering if you recommend intermittent fasting for somebody diagnosed with hashimoto? I tried the AIP before which went well for me but I didn’t stick to it after 30 days and gained everything back plus more weight. Now I am looking into a new lifestyle/diet. I want to eat what m body can handle. Today is my 3rd day of intermittent fasting. I am feeling OK. No fatigue or too much hunger. But I was not sure if it is OK not to eat every 3 hours.I workout in the morning and eat right after. 7 hours later I eat again probably around 6pm and don’t eat after that until next day post workout. I cannot eat eggs, rice or wheat ,no potatoes and no dairy.I get very uncomfortable for a few days if I do eat these things.

  12. I have Hashimoto’s, type 2 diabetes and osteo arthritis. I have a lot of symptoms of a candida overgrowth too, so I’m not sure where to start with diet change! I’m seeing my endo doc next week, and getting back on cytomel (i’m on 250mcg a day of levothyroxin daily). I also have all the symptoms of adrenal fatigue…

    • Hey Sandra,

      It’s best to find someone to help guide you so you can get the best results, where to start really depends on what is causing the main problem.

  13. Hi. Thanks for all of the information.
    I have had Hashimoto Thyroiditis for 15 years. I had a specialist who never made any recommendations to me other than medication despite me asking whether stress had any bearing on my condition. When her ultrasound of my Thyroid showed no thyroid function whatsoever she said she could do nothing more so to manage meds through my GP. Up until 4 years ago I was managing my health via 100mg Eutroxsig daily and had even lost weight via a 12 week program, but then life got busy, I wasn’t sleeping enough hours, I didn’t know about Gluten and I was trying to reclaim my mornings by boot camp, and the 5:2 diet. This perfect storm saw me exhausted and foggy brained. I changed Dr and I feel better. I am on compounded DHEA and until last month where I weaned myself off it Progesterone(400MG daily), Zinc, Multi, Probiotics, Liver support, Vit D and magnesium. Over this past year however I have gone from 72 kg (which I was concerned about) to 81.5 and climbing.I am 163cm! I am fit and do some form of exercise daily after really cutting back while I recovered from adrenal fatigue for a year. I like feeling fit and run on treadmill 3 times a week, I have a rower which I use 2x week and have started to try to re incorporate toning and weights dvd which I found success with in the past.
    My family have a horrible heart history and have since my mid 20’s had exercise as a daily feature.
    I feel frustrated that despite eating mostly well I see the scales going up.
    I look forward to any suggestions.
    Thanks for your info thus far.

  14. Have you read any of Ray Peat’s research? I finally think I may have figured out my diet from reading this. Thank you. I am going to actually try a blend of a few of them probably. First I need to see a Dr though. I haven’t seen one since I was 16 and I am 26 now.

    • Hey Elle,

      I’ve skimmed through some of his information but I have been meaning to go back and read more into it.

      I hope it helps and good luck!

  15. Seemingly all the right steps- wrong results. September 2016 routine bloodwork TSH shows 73.2 and TPO at 354IU. I felt fine. I am vegan. Dr. prescribed .5 mcg of Levothyroxine and topical progesterone. That day I cut out gluten, switched to low glycemic fruit, no caffeine (only water and herbal tea) added selenium and e and a pro/prebiotic.
    Went back in November. TSH is now at 4.88 but TPO number has skyrocketed from 354 – to over 900 – Yikes. Any ideas on what I’m doing wrong? Any help would be much appreciated.

  16. Hi there,

    Just discovered you through Pinterest. I’m so screwed up I don’t know where to begin. I need a good doc who truly cares. Something that is about impossible to find in Florida. All I hear is how my levels are’within range NORMAL”. Really than why do I feel so awful? Bed bound. Recently diagnosed with Hashimottos and Endo increased my Levothyroxine to 50mcg after 2 yrs of being on 25mcg. I have lost so much of my hair which is TERRIFYING to me! Out of all the horrible that’s happening to me that is the WORST! All this doc wants to do is blame everything on my advanced Fibro (diagnosed in 1986 at UofM) Chronic Fatigue Syndrome and sleeping (when I do) for only 1-3 hours a night for many, many years. I’ve lost count. Brain fog? I have redifined that term. I used to be so constipated, got up to 21 days. Tried EVERYTHING. Nothing worked. All I got told was to eat more veggies. My husband was so scared for me and started going to my appointments telling the doctor exactly what I ate. If I ate any more veggies I would have been a rabbit. That’s what I told the doctors! I was almost a vegan at that time. Now I go both ways. I cut out my Carafate for my peptic and that helped me. I resigned myself that I will probably either have diahhrea or be constipated. Here’s what is going on w/ me: Ridiculous pain I am under a pain management doc, he doesn’t have a handle on it yet, 7 bulging deteriorated discs, Ankilosing Spondylitis thru my spine, Planter Fascitis in both feet, endless migraines that last days/weeks at a time, blurry vision that changes (6-8 times in the am I had really bad bloodshot eyes), Mengioma of the Tentorium again, I was treated with Radiosurgery back in 2000. I have been a tumor factory since I was young. At 21 I had just under 11lbs of tumors, resulted in surgeon taking all but 1/4 of an ovary. 16 months later another operation, a tumor on the 1/4 ovary, scar tissue and lots of adhesions, 14 months later back in again for my final female operation. I had 2 tumors on top of each other on the 1/4 ovary, bowel had attached itself to my uterus, uterus was badly inflamed and “full of cysts” surgeon took what was left. For the next 13 yrs I was on 3 different hormones, depending on the day of the month determined which I took. I thought I was always going to feel the misery because I was do young when I ended up with a complete hysterectomy. Wasn’t until we moved and I got lucky and got a female gyro who became unglued when she saw the crazy hormone combo and put me on my Premarin 1.25 EVERYDAY of the weeek and within 30 days I began to feel NORMAL again. It was truly unbelieveable!! So I bring that part of my health history up because I can’t get an answer from this current Endo IF that and having 16 rounds of Radiation has anything to do with why I’m feeling so horrible. From all of my own reading, it seems like I may be suffering with Adrenal failure failure as well. What do you think???? I am NOT functioning like I once was with the CFS. He wants to blame all of it on me having CFS and Fibro for so many years. THAT IS A COPOUT to me!! I know my body! I’ve lived in it for 54 years. I’ve been under some intense non stop serious unrelenting stress for the past 13 years alone since my husband died. Actually add another 18 months onto that from the time he got sick and died because he didn’t get his new heart in time. I was his caregiver. He spent 9 0f those months in 5 different hospitals around our state. I never left his side. So it’s no surprise to me with all that’s happened (losing E/th because of health ins/meds before Pres O got me the ACA) my body in EVERY way has paid such a huge price for the unmeasureable stress. I don’t have any fight left in me. I’m at a loss because I don’t have the money to get the medical help I desperately need. I don’t know where to hold from here. Do you have any suggestions? I’m at such a loss. If we’re lucky enough to land a great, caring, compassionate doctor who is dedicated to helping us get the answers to feel better than we get the positive results we’re desperately wanting. Right now to feel as worn out and exhausted as I always did with having CFS/Fibro— that would be so much better than how I feel now. My memory is suffering so bad as well. Total darkness in my head trying to remember the simplest of things! It’s extremely embarrassing. It really concerns me now because it’s so out of control. I’m so sorry this turned out to be a book. I didn’t mean for that. I didn’t even list the arthritis issues. And I think forgot some things. There is way too much going on in my body! I CANT cope anymore! I still have to survive. Trying desperately to switch my line of work from CNA to Medical Biller because of the pain. I don’t know how much longer I can go on like this. And if rump takes my insurance from me, we’ll he will be responsible for what happens next. Wish someone had a wand and could help me feel NORMAL. Thank you so much for your help, Janice

    • Hey Janice,

      The single best thing you can do is seek out a local provider to help you further. As you suggested, without the addition of physician support it’s not likely that you will get significant improvement. If you haven’t already you can try to manage what is in your control to manage (diet, stress, sleep, exercise), but if you’ve done what you can there and you aren’t seeing improvement then you will likely need hormonal/medication support.

  17. Hi Doctor, Unfortunately I fall into all of the diet categories and I’ve done most of them. Which diet do you recommend? I also tried Juicing diet & Ketogenic diet & did not do well. Please help. ThankYou! Berta

    • Hey Berta,

      For some patients changing their diet won’t be enough by itself, in order to figure this out you will need a complete hormone + functional analysis by someone knowledgable.

  18. Hi Dr.Childs,

    I suffered from hypothyroid since I was 12. My doctor never told me about any diets and now after 30 years researching this on my own I came across your site. Thankyou for all this info. I just wanted to ask which diet is best for me since I also have PCOS. Can I still have gluten free corn flour and honey?


    • Hey Kush,

      I would focus on a diet which is low in refined carbohydrates first to help treat insulin resistance.

  19. I have tried AIP, keto, very low calories 500 a day, paleo, FODMAPS, and weight watchers. Weight watchers is the only one that previously worked. All others I lost at most 15lbs of the 35 lbs that I gained – and then I gained it right back. I am currently 35 lbs heavier than I was before my diagnosis with hoshimotos

  20. Thank you for your blog!!! I lost 25 lbs going gluten free. Gained it back……now I simply cannot lose it. I feel helpless. I have always been in shape and maintained a normal weight. I am on 2 thyroid meds and tons of supplements. Won’t touch an egg to save my life. Now in your article, I see peanuts, tomatoes, shellfish….I will begin to remove from my diet……I will update you…..Aside from wiring my mouth shut……eeeeekkkkkk

  21. Hello Dr. Childs. Four weeks ago I had two parathyroid glands removed. I had been irradiated after birth for a skull tumor. I’m 70 years old and have suffered for the last 4-5 years from GERD, kidney stones as well as kidney stone surgery, osteoporosis, essential tremor and depression. I look forward to the success of the surgery with regard to these issues. During the last 4-5 years and definitely since the surgery I have been gaining weight despite efforts to watch my diet and exercise. Does your advise apply to the parathyroids as well as the thyroid? I had a biopsy of one of my tumors on my thyroid and it proved benign and not necessary for removal. Thank you for your advice.

  22. I was recently diagnosed with eurothyroid hashimotos and am just starting my gluten free journey, so this was all very helpful! I’m curious, why are oats on the “run” list for a gluten free diet?

  23. Dr. Childs: In your article about Reverse T3, you mentioned that high Reverse T3 can cause serious problems for the body. Could you please be more specific as to exactly the type of serious problems this causes over time if left high?

    Also I am in a Catch 22 situation. My ex-Dr. told me that I burn only 1300 kcals daily and if I wanted to lose on Weight Watchers, I would need to reduce my points from their 30 points daily to 20 points daily. All was working well, I lost 25 lbs from Jan 2017 to April 2017….but my reverse T3 is sky high…mine is 33.2 (ranges is 9.2–24.1). My Hashimoto titers are sky high as well (TPO Ab 77 (range is 0-34) Thyroglobulin Antibody is 1.9 (range 0.0-0.09).
    My Free T3 is 3.21 (range is 2.72-4.19). My cortisol was done separately and my nurse practitioner told me it was normal (do not have a copy yet). My sex hormones are also in normal range…
    So the diet is more likely my cause…it is 20 points with emphasis on protein and veggies and limited carbs.

    I began gaining weight this past week ….even on 18 points….no sugar except that of strawberries….

    In order to reduce my reverse T3, my NP and I decided to go from 4 grains on Naturethroid to 2 grains and 2 capsules to 3 of T3 daily. (I do take selenium on my own)….

    My question is: Is if feasible to even be able to continue with 20 points and keep my reverse T3 in check and lose weight without the reverse T3 climbing up again? Or do I take T3 and the 2 grains and see a gain.
    Reducing my Naturethroid will cause me to gain weight and lowering my points to lose weight on WW will cause my reverse T3 to go up.

    What, if anything, are any answers for me. I do have Hashimoto’s, Grave’s and Epstein-Barr virus.

    Thank you in advance.

    Gloria Hawkins

    • Hi Gloria,

      The more you calorie restrict (less than 1,200 calories per day) the worse your metabolism will get. This will continue to happen until you reach a point where you will be eating 700-800 calories per day just to maintain your weight. Calorie restriction is not a long term solution to weight loss and will always cause damage long term. I’ve gone over how to treat this in detail on other posts on this blog.

  24. I’ve suffered with Hashimotos Thyroiditis for over 6 years, I gained 10 pounds per year no matter what diet or exercise I used, and I finally made a decision at the start of this year to go gluten free. I was able to reduce my thyroid antibodies (thyroid attackers) from well over 100 down to 22 in just 2-1/2 months from going JUST gluten free! It works! In early March, I started working with a functional doctor to do blood work, trigger testing, and went on a more paleo diet. We added more diet restrictions…no dairy, no sugar, no grains/oats, no alcohol, and no nuts/seeds. I also have to refrain from any vegetables and fruits that I have a moderate or extreme sensitivity and just under 8 weeks into this, I’ve lost 13 pounds without any exercise. I’ve started looking at my food as more medicine than enjoyable and delicious fuel. 🙂 Detox and hormone balancing will occur in the next 8 weeks but I already feel more normal than I have in the last decade! Good luck with your own journey!

  25. I have Hashimoto’s and Hypothyroidism. What brought me to an Endocrinologist were thyroid anti-bodies discovered from testing by a dermatologist that was treating my vitiligo. I’ve been on Armour for the last 9 years and I feel fine, it seems to me my only issues was controlling my weight which I have been able to do with a high protein/low carb diet, but it seems I have to stay on that type of eating for the rest of my life. I guess because of the vitiligo I would not believe I had a thyroid issue because I don’t feel fatigue or brain fog, or depressed or any of the other complains I read that some many suffer from but yet I know there’s an imbalance because I have vitiligo and that’s what I want to get to the source of and of course no one seems to have real answers for but the thyroid and leaky gut seems to be at the source of where this issues stems from and that’s really why I’m here hoping that one of your diets can help…

  26. Hello! I was wondering if fasting is really right for everyone. I have adrenal dysfunction, estrogen dominance, and Hashimotos. I read conflicting information all the time about whether fasting is really ok for people with these issues, particularly with restoring the adrenals and the need to eat breakfast (when I tried IF, I would wait to eat until lunch).
    In the past, I’ve had restrictive eating habits and over-exercise, so my BMR is already reduced to around 1450.
    Thank you!

  27. Hello,
    Thank you so much for this post! It was really helpful! Quick question, you mention a book and a 4 week program but the amazon link does not work. Could you tell me the name of the book please? I am a bit overwhelmed and would be nice to have an outline!

    “While deciding what diet you ultimately need may take a combination of time and trial and error, it is critical that you get started right away.

    Don’t be afraid to make some mistakes along the way – it happens for every patient.

    What is important is that you just get started.

    With that in mind I am recommending this book as a solid starting place.”

    Thanks for your help!

  28. Hi there,

    Thank you for all of this information! 2018 is my year to figure out this body of mine and heal and feel like myself again!
    In December I read about the diets and choose to start eating Paleo since I have hashimotos. All of my levels are in a good range and I am taking levoxyl and liothyrine for 3 yrs now. I am 37 years old and have a very hard time losing weight. It doesn’t matter what I try, or how much I workout. I have a lot of inflammation in my body and I have not felt well for a long time even though my thyroid numbers are good. Since starting paleo 2 weeks ago, I feel way worse than I did. My gut is a mess. I am horribly boated, belly aches, and gasy. I should mention that I had already been eating a gluten free diet for 2 years before that since my daughter has celiacs. Should I give it a few more weeks? Or should I do paleo and low-fodmaps or switch to low fodmaps diet only? I did struggle with candidiasis a year ago. Itching in between my fingers. I found a wellness doctor in my area that I am going to see next week that has an infrared sauna that I am going to use and also do a 10 day metagenix cleanse. Any insight and thoughts would be so helpful. Thank you! Jessica

  29. Greetings Doctor,

    I am curious what do you suggest for vegans? Everything is high protein low carb. I have hypothyroidism,(diagnosed 1-2 years ago) 50 yrs old and have put on weight. I am trying to eliminate processed foods and remain whole foods plant based to see if that helps. I am on 112 mcg of Levothyroxine. My doctor won’t prescribe the T3 meds Cytomel because it is really expensive and I have no insurance. Too damn tired to exercise in the morning anymore like I’ve done most of my life. However, I do walk and hike. It is all just so frustrating sometimes.

  30. I have Hashimoto’s and an underactive thyroid…I can’t figure out which diet to try, I tried working out for 6 days a week 2 hrs at a time and I couldn’t really lose the weight.

  31. Thanks, Dr. Childs. I’ve learned so much about what to look into with my Hashimoto’s. I love how you outlined that you can’t just focus on diet alone or stress alone etc. One needs to become healthier multi-systemically. Many of your responders are women and I just wanted to add to any of those who may be in this category that toxic/foreign objects in the body are severe endocrine disruptors and can lead to dysfunctional thyroid. These include breast implants, IUD’s, silicone mesh devices, etc… I had breast implants for 6 years and I believe they wrecked my immune system and thyroid. For women wanting more information please visit: healingbreastimplantillness.com
    For many people, it can be mold or heavy metal toxicity. Eliminating toxicity in our bodies and immediate surroundings is equally important as focusing on diet changes.

  32. I have spent over 10 years trying to manage my thyroid condition (Hashimotos) for over 10 years using diet and supplements and its still not under control. Mostly because I can’t afford all the supplements I need to make proper headway. Unfortunately It’s gotten to the point where there are no safe foods, it seems like I react to everything. I started taking LDN a few months ago. At first, it seemed to be helping, but lately not so much as my TPO has gone up again. I’m interested in your thoughts regarding the GAPS diet. I also have Asperger’s syndrome, so I’m thinking it should help. Only I’ve tried to do the intro and crashed badly… not getting enough carbs. Had to stop and add in more carbs but that triggered a binge spree, which had aggregated things. Any advice would be very welcome. I am limited financially so whatever would help most will be my focus.

  33. Thank you for this article. I am pescetarian and dairy free. I have coeliac and hashimoto’s. I am allergic to peanuts and chocolate. I feel like there is nothing left for me to eat. Oestrogen excess has just triggered a major bout of fatigue and weight gain with hashimoto symptoms.

    • Hi Amanda,

      You may benefit from individual advice from a nutritionist and/or it may be a good idea to get a food sensitivity test.

  34. Westin,

    Your article was excellent.I really enjoyed your abundant knowledge. I would definitely go to you if lived close but I live in Amarillo.

    I was diagnosed with adrenal fatigue, hashimoto’s, depression and leaky gut. I have a question concerning can you have inflammation in your arteries, and muscles.

    Also I find that people with Hashimoto’s definitely have sleep problems especially with insomnia. How do you deal with sleep problems with your patients. Thank you.

    • Hi Guy,

      Yes, you can have low-grade inflammation in the arterial wall. There is a test which can identify this from the Cleveland heart lab but I can’t think of the name right now.

  35. This was very helpful. I am diagnosed with Hashimoto’s last 5 years, Ankylosing Spondylitis, Endometriosis and PCOS at one point. I exercise regularly (HIIT) and eat a Keto diet for the great majority of time. I currently am on Synthroid, T3, LDN and despite eating a calorie restricted diet just can’t seem to lose weight. I have been strict Keto for 14 weeks and lost a nominal amount of weight. I am going to request the Insulin Resistance, Leptin Resistance blood work to see if that may be a contributor. My question is after being Keto will this blood work show a true picture of my insulin and leptin levels? I am tired of being fatigued, in pain, random rashes, memory loss and restricting calories and feeling like instead of getting better, I get a new diagnosis. Would appreciate some guidance as I’ve exhausted what I believe my options to be. I’m even doing ozone therapy and IV therapy. Many Thanks

    • Hi Melinda,

      If you are doing the keto diet your leptin/insulin will reflect that on your labs but they are still considered “true”.

  36. Thank you so much for this blog.
    My I ask your advice? I was recently diagnosed with Hashimoto’s and lymes disease. I also was prediabetic. Side note: I have been gluten free for years
    My doctor told me to go on keto. I have done this for almost 7 months now and have not seen to much improvement. What diet would you recommend? My antibody numbers are still out of sorts as well. Thank you so much!

    • Hi Kortney,

      Your diet will need to be tailored to your body and hormones which means that there really isn’t a specific diet that you need. The best way to figure out what will work best is working with a health coach or a knowledgeable physician to help guide you.

    • Hi Karen,

      Sorry about that! The link should be updated and fixed now 🙂 It’s called the Hashimoto’s 4-week plan.

  37. What would you recommend for vegans? I am vegan for ethical reasons so meat and bone broth are out of the question for me. I have been gluten-free for several years.

  38. A great article and video, thank you. How do you feel abut Whole30? I and on day 2 of my 2nd round and feel as though I have had a flare up. Possibly from going off sugar and the carbs. If it causes a flare-up could I not have enough carbs in my diet?

    Thank you!

    • Hi Mary,

      I think whole30 is generally a fairly good diet, I don’t have anything against it. It’s plausible that the change in diet could cause those symptoms but I would put my money on some other cause.

  39. I’ve been diagnosed with Hashimoto’s recently. I’ve started a paleo diet, somewhat AIP (so restrictive). My problem is eating high fat. I had my gallbladder removed awhile ago, likely due to so many health issues like this, that went undiagnosed. In any case, what do you suggest for people like me, to eat fat and it get digested properly? I’ve taken digestive enzymes and sometimes ones with ox bile but the bile ones don’t seem to do well for me. Any advice would be hugely appreciated.

    • Hi Julianna,

      Most people become more accustomed to the high fat intake over time. Your best bet is to give it time, slowly increase fat consumption, and take enzymes.

  40. Hi. My husband has hypothyroidism and has been gaining weight steadily. Up nearly 30# in a couple years. Recently he began to really cut down on portions, is eating a lot of salads and nuts. However, he gained 5#! He rides a stationary bike and does a 30-minute workout daily. He is starving most days and still gaining. I follow the whole 30 and lost 20#, but I don’t have thyroid issues. He is very frustrated and I just don’t know how to help him. His doctor just increases Synthroid dose and doesn’t address a diet. After reading your article I am confused and don’t know which is best for him.

  41. Hi,
    I have been reading your site with great interest. My 12 year old daughter was diagnosed with Hashimotos 3 years ago :((( and it’s been a steep learning curve having discovered that endocrinologists are largely unable/uninterested to help.

    She was a fit and healthy child at diagnosis (found Hashimotos when a dr spotted her swollen thyroid – TSH initally 7, TGAB 932, TPA 320). No symptoms other than anxiety and problems getting to sleep. They started her on 50mcg Levothyroxine – no notable improvements made to her symptoms but reduced TSh to 2, antibodies remain high.

    We have been gluten free since diagnosis ( tested negative for celiac – would love to put her back on gluten as it has not reduced antibodies but do not want to risk other symptoms.) Would you recommend we try ? The strict diet negatively affects her life.

    Symptoms are still anxiety, trouble sleeping and now brain fog – she seems to experience problems in regulating her blood sugar and can swing from high to low – with flushed cheeks.

    Any advice you can give would be fantastic as we feel lost and unsure of what to do next. Are they Lab reference ranges for children? We are UK based.

    Thank for any advice you can offer – Nikki xx

  42. Thanks so much for all your informative articles! Like most people with Hashimoto’s I also struggle with weight loss. I live in Canada so getting Naltrexone prescribed is pretty much an impossibility. Also the price of the supplements online with the exchange rate is out of reach for me as I am a retired senior with a fixed income. Have tried most of the diet suggestions with little positive results and still have the gastro problems. My doctor is not very knowledgeable about this but I have a pharmacist who is very helpful. Can you recommend any health food supplements that are readily available to help with weight loss?

  43. Hello, I have been diagnosed with left ear Ménière’s disease, migraines ( without headaches ), I just had surgery at Columbia university ( endolympatic decompration sac ) . I am currently following Ménière’s disease diet ( which is similar to migraines diet) but Lots of ppl and doctors telling me to follow migraine diet because migraines triggers Ménière’s disease as well, so I have to stop eating food that contain tyramine, etc .. although is very complicated…
    anybody can help or suggest a link that can help and guide me please – thank you !

  44. Hello everyone
    I also have Hashimoto’s, metabolic syndrome, T2 Diabetes, high blood pressure, and insulin resistance, non-alcoholic fatty liver disease, gallbladder stones, and osteoporosis, diagnosed over a 5 year period. All the doctor did was write prescriptions.
    All the meds I was on kept me from being able to lose weight and made me feel even worse, besides not helping with anything. The final straw: adding Janumet to Jardiance last year. I got so sick I couldn’t stay more than 10 minutes away from a bathroom, everything I ate went through me or came right back up. Four days of that and I was also dehydrated. This occurred over the Christmas holidays; impossible to contact my doctor.
    Well, that was 4 days without meds as well, as nothing would stay down.
    I drank water and searched the Internet for info on the meds, which finally led me to YouTube and 4 doctors with insightful videos on my health problems, which I went after one at a time: first the liver with apple cider vinegar with water before meals, and milk thistle. I alternate with lemon water just for a change of taste. Then I found a desiccated thyroid replacement on Amazon, which really helped.
    Next, I eliminated all sugars and grains: no bread, rice, pasta, pizza and alas, no donut holes. I didn’t return to taking the prescriptions because I also lost about 18 pounds over 2 weeks, even though that wasn’t my goal.
    Then I found out about keto and my outlook on life changed from despair to hope. I have been eating high-fat, low-carb along with intermittent fasting for almost 3 months now and am considering going completely carnivore for the next 3 to see if the T2D will resolve. My most recent A1C went from 7.5 to 6.4 which is a huge improvement already.
    I am adding nutritional yeast, and ground flaxseed for fiber to every second day’s meal and it seems to help. I credit my success so far to Dr. Ken D. Berry’s videos, Dr. Jason Fung’s videos, Dr. Eric Berg’s videos and also Dr. Sten Ekberg’s most excellent explanations on what works and why. I am very optimistic about becoming healthy and reversing insulin resistance with the help of enlightened doctors and their helpful videos on YouTube.
    To anyone still looking for answers: just start with a tablespoonful of unfiltered, organic apple cider vinegar in a small glass of water before you eat anything, it will help. Then try other things, as is suggested here on this site. It won’t be long till you find what works for you. You don’t have to make all the changes at once, and you are not alone.

  45. Thank you for taking the time to makes these posts! I’m newly diagnosed hashimotos and have been gluten free for about two months and have seen a great decrease in antibodies… what I can’t figure out (thyroid specialist I’m seeing is minimal help with anything other then telling me my lad results) how do I determine how long I go gluten free? Is this life long on and off GF due to flare ups?


Leave a Comment

Item added to cart.
0 items - $0.00
Your Cart
Your cart is emptyReturn to Shop
Calculate Shipping