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20.01.2016
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If your doctor diagnoses you with overactive thyroid, the first step is to learn whether it might be a temporary case, and whether it is mild. At other times, the treatment consists of swallowing a pill of radioactive [ray-dee-o-AK-tiv] iodine.
For people who once had overactive thyroid (hyperthyroidism) and who also have been overweight, one of the most frustrating outcomes is the weight gain that may occur once the overactive thyroid has been treated. When a person is recovering from hyperthyroidism, one of the special skills of the endocrinologist [en-doh-cri-NAlo-jist] is to know when to start the patient on treatment for underactive thyroid (hypothyroidism [hie-po-THIGHroid-is-m]). Weight gain from spontaneous, longstanding hypothyroidism may be very small compared to the weight gain sometimes seen after treatment of hyperthyroidism. Small differences in dose of thyroid hormone can make a big difference in whether your health will be the best it can be. If hypothyroidism was not present in the first place, then treatment with thyroid pills creates no advantage over allowing your thyroid to produce the needed amount of thyroid hormone. Where does this leave the person who is being treated for underactive thyroid and still is having trouble achieving or maintaining ideal body weight, or the overweight person who is considering thyroid treatment but has been found to have normal thyroid function? Helpful information and resources for thyroid patients also Creating awareness for Thyroid.
Alongside insulin and cortisol, thyroid hormones are a driving factor behind metabolic rate and weight management.
Studies show that at the very least 3.7% of American adults have an underactive thyroid, which is likely similar in other developed countries (1). Rates are on the rise, as are those selling thyroid supplements and giving inaccurate dietary advice. It produces two different thyroid hormones – thyroxine (T4) and liothyronine (T3) – which are necessary to send instructions to every single cell in your body. An underactive thyroid (hypothyroid in a medical context) refers to when the gland doesn’t produce enough thyroid hormone.Hashimoto’s Thyroiditis (an autoimmune disease) is by far the most common form of hypothyroidism in the Western world. In almost all cases hypothyroidism is the result of inadequate T4 production, rather than inadequate T3. Conventional diagnosis relies on TSH and T4 blood tests, however there’s good reason to believe those tests alone are inadequate.
Left untreated, an underactive thyroid will lead to a host of health problems including weight gain, hair loss, fatigue, poor memory and feeling unusually cold. Conventional treatment for an underactive thyroid is with the hormone levothyroxine (LT4 or Synthroid). Hormone replacement therapy with prescription medication, such as LT4, is necessary to restore thyroid function. In saying that, if you have underlying nutrient deficiencies or food intolerance that remains untreated, LT4 becomes a bandaid that doesn’t treat the root problem. Summary: There is no one food or thyroid diet that can correct an underactive thyroid on its own. However, a lack of iodine is rarely the cause of hypothyroidism in developed countries where it is abundant in the food supply (3).
Navy beans, potatoes, eggs, cow’s milk and iodised salt are great food sources of iodine, although levels often depend on iodine content in the soil. Note that if you have Hashimoto’s thyroiditis (strong majority of all hypothyroidism cases) then speak with your doctor before increasing iodine intake. To ensure rates remain low, more than 100 countries have adopted mandatory iodization of all food-grade salt or bread. Therefore, if you eat a healthy thyroid diet that contains some iodine-rich foods, it is highly likely you consume sufficient amounts of iodine. Summary: As iodine is required for thyroid hormone production, ensure your diet contains foods naturally rich in iodine (but if you have Hashimoto’s then check first with your doctor).
Be sure to also include selenium-rich foods in your diet, but selenium supplements are unproven to help and linked with several health issues. Cruciferous vegetables as part of an underactive thyroid diet are naturally occurring substances that can potentially inhibit thyroid production (10).
In theory then, eating these vegetables would aggravate an underactive thyroid and should be largely avoided.


Raw cabbage was very problematic in rats when it made up a whopping 33% of their diet (11).
Assuming you don’t eat phenomenal amounts of raw cruciferous vegetables, you are most likely safe. Additionally, cooking cruciferous vegetables and other foods containing goitrogens are thought to greatly reduce its potential impact. As cruciferous vegetables are so nutrient dense, it’s certainly not recommended to cut them out of your diet completely. Summary: If you don’t have a goiter or low iodine levels, cruciferous vegetables are safe when cooked well and eaten in regular amounts. Gluten is a protein found in grain and wheat that is not well-digested by around 6% of people. While it’s fair to say the “gluten-free movement” has gotten out of hand, those with genuine gluten issues are at an increased risk for many health conditions (such as fibromyalgia) if they continue to consume it. And numerous studies have shown a strong link between so-called gluten sensitivity (as well as celiac disease) and hypothyroidism.
For those hypersensitive to gluten, it is thought their immune system can confuse components of gluten with thyroid tissue.
Going by this theory, an individual with Hashimoto’s will not improve unless gluten is removed from the diet. Many studies have found that a gluten-free diet reduces the number of antithyroid antibodies, which is favorable for treatment and in preventing new issues (15, 16, 17). Gluten definitively aggravates an underactive thyroid and at the same time it could very well play a part. Therefore, if you have an underactive thyroid it’s important to get tested for celiac disease first thing.
Gluten-containing foods do not offer any unique nutrients that you can’t get from other foods sources anyway.
If you don’t have symptoms to gluten and don’t feel any different on a gluten-free diet, then it’s likely not a problem. Summary: There appears to be a link between gluten intolerance (or celiac disease) and hypothyroidism.
Some alternative health advocates recommend desiccated thyroid (ground up pork thyroid) instead of the conventional LT4 drug because it’s “natural”. Aside from the huge flaws in assuming natural is always better than artificial, the problem is that desiccated thyroid contains a mix of T4 + T3 hormones. Trials using a mix of T4 + T3 have found it is, at best, equally as effective as LT4 treatment (21, 22, 23).
Combination treatment is typically used as a backup for those who do not respond favourably or feel unwell with regular LT4 treatment. In fact, a study on “thyroid support” supplements found that half of brands contain a low range of T4, while 1 in 10 contained no T4 at all.
In other words, taking desiccated thyroid comes with more risk for potentially no extra benefit than standard LT4. Summary: Studies show desiccated thyroid supplements have no benefit over conventional LT4 treatment, and pose more risks. An underactive thyroid can make it extremely difficult to lose weight, especially if your diet is poor.
For this reason it’s critical to develop eating habits that are supportive of a healthy weight… not unlike regular weight loss advice to help with the right thyroid diet for you (25). That means eating plenty of whole foods that you enjoy, increasing protein intake, cutting down on junk food products, and being more active where possible.
To help you get started I’ve created a 6-step guide on how to lose weight with an underactive thyroid, which you can see here.
If you’re certain that a consistently healthy thyroid diet and regular physical activity have not helped your situation, you may want to consider trialling the Autoimmune Protocol diet (AIP).
Summary: There is no particular thyroid diet for weight loss, although I have created a meal plan as a guide. Anecdotal reports suggest caffeine intake should be limited to less than 300 mg per day (2-3 regular coffees) as large amounts can aggravate the thyroid. Presuming you’ve experienced the symptoms and been professionally diagnosed, you must be prepared to make some dietary changes (recommend doing this under the guidance of a health professional). From what current research can tell us, the best thyroid diet for an underactive thyroid is one that contains whole foods, is high in protein, and naturally rich in iodine and selenium. That means eating more nuts, vegetables, and seafood, and only using supplements if natural foods are not an option.
Most patients report improvement with a thyroid supplement too, but if you consistently eat a healthy and wholesome diet they are unnecessary. Cabbage, broccoli and other related vegetables are safe if cooked well (and you don’t have goiter), while gluten is best limited or cut out completely- depending on your tolerance. If you’ve been doing all the right things and still feel your situation is not improving,  you may want to consider trialling the Autoimmune Protocol diet (AIP) Thyroid Diet. Complete management of an underactive thyroid includes hormone replacement therapy (Synthroid or desiccated thyroid), regular exercise (cardio and strength), adequate sleep and reducing stress. Excellent article but most writers don’t know or forget to mention that strawberries and peaches are goitrogenic.
This site is for informational purposes only and should not be considered a substitute for consulting your physician regarding medical advice pertaining to your health. Join the Nation!Stay up-to-date, get tips, articles and stories that inspire, on all things thyroid! Pregnant or nursing mothers, children under 18, and individuals with a known medical condition should consult a physician before using this or any dietary supplement. Sometimes people are surprised to see a pattern of weight gain begin to level off, or even reverse, such that weight control or weight loss may occur without any obvious additional effort on their part. However, radioactive iodine for overactive thyroid is one of the most common causes of underactive thyroid.
When the thyroid’s condition is changing rapidly, testing is interpreted differently than when thyroid status is stable. There are temporary situations in which hypothyroidism may be mild and not require treatment.
Thyroid hormone should not be offered for weight loss if a person does not have a thyroid problem. For issues of an individual clinical nature please consult your physician, as medical advice will not be provided through this site. Absorption of the T4 hormone is greatly reduced if consumed alongside food, especially soy, high-fiber foods and coffee (2).


It can be helpful, but in particular circumstances an increase in iodine can actually irritate the thyroid. Most developed nations are also well above the deficiency level, which is why iodine-related hypothyroidism is so uncommon.
Note this process isn’t mandatory in the US, but more than half of all salt sold there does contain added iodine (5, 6). Supplemental iodine is not recommended for the general public, and has actually been shown to cause further thyroid dysfunction in some instances (7). Iodine requirements increase by more than 60% because the developing fetus or infant requires iodine too. But this is only the case if you are iodine deficient or you consume ridiculously large quantities. One lady also managed to put herself into a coma by eating 1-1.5 kgs of raw bok choy daily (12).
Frequent intake will only aggravate issues if your iodine intake is poor or you have a goiter. A small study in 10 subjects showed that 150 g (5 oz)  per day of cooked brussels sprouts for four weeks straight had no negative effects on thyroid function (13). The immune system then mistakenly attacks and damages the thyroid gland, characteristic of Hashimoto’s thyroiditis. And if you have a family history of autoimmune disease, or you want to play it extra safe, then eliminate gluten from your diet. However, the favorable effects of a gluten-free diet are inconsistent at best, so recommendations depend largely on an individual’s medical history and dietary preferences. To be fair, study participants tend to report better tolerance and preference of desiccated thyroid over LT4 (24).
For many it can treat symptoms effectively without the bad side effects of LT4. So desiccated thyroid has its place as an alternate treatment, but it’s certainly not better than conventional. Even though they are FDA regulated, supplements aren’t subject to the same strict safety and effectiveness requirements that drugs are. You will need to do some trial and error with your doctor to find out what is best for you. However, anecdotal reports indicate that desiccated thyroid is much better tolerated and can still be an effective form of hormone replacement therapy for some. Once thyroid levels have been corrected with medication, and you have balanced your hormones, than you have a great chance of losing weight. If you are all clear then gluten intake likely won’t aggrevate the issue, but make it infrequent. Try a supplement that contains selenium for thyroid health, as well as vitamin B12 for improved energy levels. All of these things combined will help you determine what the best thyroid diet is for you.
His strongest interest areas of nutrition are metabolic-related conditions (such as high blood pressure and type 2 diabetes), as well as food intolerance and the associated health issues.rom Sydney, Australia. We are not responsible for any loss, injury, or damage that allegedly arises from any information published in this website.
Symptoms of an underactive thyroid may include low body temperature, feeling cold, weight gain, slow metabolism, constipation, depression, low energy, dry skin, fatigue, decreased alertness and difficulty losing and maintaining a healthy weight. If unexplained weight loss occurs, especially with a good appetite, it might be because of overactive thyroid, also called hyperthyroidism [hie-per-THIGHroid- is-m] or thyrotoxicosis [thigh-ro-tox-i-KO-sis]. Sometimes it is best to wait it out to see whether the thyroid will return to normal on its own. Irregular heart rhythm, heart failure, or even death can result from a severely overactive thyroid. The risk of treating hypothyroidism too soon is that thyroid hormone replacement therapy could result in too much thyroid hormone. The most common cause of spontaneous permanent hypothyroidism is the gradual destruction of thyroid function by Hashimoto’s thyroiditis (from cells of the immune system that develop in the body that destroy the thyroid gland’s ability to function). Lifestyle changes may be needed to address unwanted weight gain or inability to lose weight. Women who fall into this category should definitely be supplementing with iodine, as per the World Health Organization’s recommendations. In fact, around 16% of those with celiac disease have antibodies that attack the thyroid (14). He studied a Bachelor’s degree in Exercise Science, and a Master’s degree in Nutrition and Dietetics.
With hyperthyroidism, the body burns up extra food without using it for anything but for producing heat. Sometimes people are treated with pills, especially for types of hyperthyroidism that are severe but possibly capable of future self-correction. However, once it is known that hypothyroidism has occurred, then the patient usually requires lifelong treatment with thyroid hormone (levothyroxine [le-vo-thigh-ROX-een; [T4]).
Francis Hospital, Evanston, IL, and Visiting Clinical Professor at University of Illinois—Chicago. People who may have been gaining weight before the onset of hyperthyroidism eventually begin to experience symptoms or problems that are less welcome than the loss of weight. The risk of delaying treatment is that a person may gain more weight than otherwise might have occurred. She completed undergraduate studies at Harvard and Radcliffe in 1965 and medical school at the University of Chicago in 1969, where she went on to complete medical residency training and a fellowship in Endocrinology and Metabolism. The amount of weight loss one can achieve having their severely underactive thyroid treated is modest at best.
Learn • Why do most women continue to suffer, get run in circles taking the wrong test, and put on multiple medications that only treat the symptoms. More on this at the seminar.) • It might be your Thyroid and the causes might surprise you.



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