Help For Hashimoto's Episode 2

In this second episode, we talk about how our immune system is affected by gluten and why it is important to avoid it to ensure our thyroid can stay healthy. We discuss how to go gluten free, how I went gluten free and where to find hidden sources of gluten. 

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I have Hashimotos and I’m hypo. 

I’m tired of feeling bad everyday. I wake up and go to bed feeling bad. I have no energy throughout the day and I have 3 children to take care of. I’m unable to work due to my anxiety and depression. I have no support at home. 

I haven’t my house in 3 days. I feed my children whatever is quick and something I don’t have to stand over the stove and cook. I’m tired of being this way. I’m tired of being tired. It feels like I don’t belong here. I need help—-

LITTLE BY LITTLE, A LITTLE BECOMES A LOT.  I have been there. When I was first diagnosed I had a 2 year old and a baby. I remember my tongue feeling heavy and it felt really hard to talk. I remember writing a check and feeling like it was so much effort to move the pen across the paper. 

My first best guess is that you are either not on the right dose of medication or you are not able to convert the T4 in your medication to the form your cells need which is free t3. 

If you can, search for a doctor willing to test more than TSH which is a test looking at what your brain is telling your thyroid to do. Thyroid Stimulating Hormone is coming from the pituitary gland. When the amount of thyroid hormone in your blood is low, it is stimulated to send a message to the thyroid to make more hormone. When there is too much thyroid hormone in the blood it is stimulated to tell the thyroid to make less. So when you have a high TSH (mine was 150 when I was first diagnosed and then the doctor was happy with it around 5 despite the fact that I still felt terrible) it means you are in a hypothyroid state or your thyroid has been told to slow down. When your TSH is really low that means you are in a hyperthyroid state and your thyroid has been told to speed up. The reason why your number is what it is, is dependent upon your bioindividuality. TSH can vary from day to day as well so when you go in, you are getting a picture of how things are working at that moment. This is true of many blood tests.  The other problem here is the way the lab ranges were made. The “normal” range was set based on a group of healthy and sick patients. Some with thyroid conditions, and some without so the range is not necessarily based on healthy people. Most healthy folks have a range at or around 2.5. Personally, I am feeling much better at just below one. I am on compounded medication though and so that makes the TSH test result lower than normal. The problem is your doctor may have a lab range that shows 8 as normal which for most people will make you feel sluggish, tired when you wake up or need to sleep 10-12 hours or more, gain weight, lose hair, feel cold and generally not feel well. This is why it is so important to find a practitioner who will treat you based on your symptoms and not just on your labs. Take note that a normal or low TSH number doesn’t mean you don’t have low thyroid function. 

Free T3 and Free T4 measure the levels of the active hormone in your body. Free T3 is a more accurate indication that your thyroid is working properly. The free in these means they are available for your body to use. 

Depression is really common in people who are on T4 only medications. If that is the case for you, switching to a Natural Desiccated Thyroid Hormone Medication could help you out a lot. Before you even do that though, you really should take a look at your diet. If you body is not nourished it can’t do what it needs to do because certain biochemical processes in the body need certain nutrients to do their job. For example, the enzyme that makes T3 free for the cells to take up is very sensitive to things like malnutrition, inflammation and toxicity in the body and will not work as well. 

The major nutrients needed to make our thyroid work well are: iron, B12, vitamin A, vitamin D, magnesium, selenium, zinc and iodine. 

TPO Antibodies (Thyroid peroxidase)- this is an enzyme that is needed to produce thyroid hormone. 

TG Antibodies (antithyroglobulin)- this is a protein carrier for your thyroid hormone. 

These two mean your immune system has produced antibodies to attack because they perceive a problem. When these are present, it can make using the other labs useless because an unmanaged autoimmune condition can cause you to swing between hyper and hypo. 

What are your symptoms?

What I am seeing here for your symptoms are no energy, basically tired all the time, and anxiety and depression. You also state you have no support at home. I’m sorry. That makes it especially hard and I get how you feel. I didn’t have a lot of support in the beginning either. I suffered for years and my family suffered because I suffered. My kids, between toddler and early teenage years had a mom who had zero energy. who was angry all the time, who didn’t sleep at night and therefore was totally crabby. Everyone felt like they had to walk on eggshells around me and I have a lot of guilt over that. It took changing my diet without support for me to really see a change in my mood and my energy. Figuring out which foods were sucking the life out of me helped a lot. 

So, diet first. You can manage the autoimmune portion of the thyroid (the hashimoto’s) with nutrition. Start with gluten free, then dairy free and then you would want to consider an autoimmune protocol diet/elimination diet. You probably will find that the changes in diet will be life changing for you. 

You may need to take some supplements as well. Get your vitamin D checked to see if it is low and if you supplement with it, monitor your levels to make sure you don’t over do it. 

A lot of us will have iron deficiency as well. Get a full iron panel, especially ferritin. You need a ferritin level of around 75 for T4 to convert to T3. If you have a ton of inflammation you might have high levels of ferritin so as you change your diet, and reduce inflammation in the body, you should have this checked as well. 

Almost all of us are magnesium deficient. It does a lot of stuff in the body. 

We need selenium for enzyme systems in the body that help the thyroid work well. Chelated selenium is recommended at a dose of 100-200mcg a day. 

Zinc- important for us to make enough HCl to digest our food but also important in T4 to T3 conversion as well. 

It is also very important to manage your blood sugar. This can be done with diet and I often find people need support to do this but if you can do it on your own, great. 

You may need fish oil and a B complex as well but I recommend working with someone to figure out just what your body needs. 

Best of luck to you on your journey. 

 

NEXT Q

Hi. My insomnia, fatigue, and short term memory problems have been really bad lately. I don't know what to do. My newest endo wants me to chase down a whole bunch of other possible reasons for my symptoms. I suppose there's always a possibility that I've developed another autoimmune disease that causes the same symptoms. But, I'm exhausted. I feel like I'm being sent down a rabbit trail that I'll never get off of. I need something that works. Tell me honestly, how much better did those symptoms in particular improve with diet and exercise? I hate always feeling this way.

Does anyone ever have issues controlling the temperature of your body? Like being too hot or too cold? Is this part of Hashi’s?

I was diagnosed with hashimotos after my daughter was born a little less than 3 years ago. My whole life I was a size 5 and now I’m a size 14 and can’t seem to lose weight. My levels seem to like to jump around a bit but currently are level.

What I want to know is what do you do about the lack of energy? I have no energy. I don’t even know where to start with diets or what to do. What are diets that have helped? Anything!!! My energy is so low that I can barely get up some days.  Also all I have currently is a family doctor. Should I be trying to get connected with another kind?

  1. Diet- yes diet helps. AIP, Paleo, gf/df, sugar free, managing blood sugar. Find a practitioner to help you.

  2. Diet will help with weight and energy

  3. Temperature issues can be related to the kind of medication you are on. Natural Desiccated Thyroid hormone can help with this. Either way you are probably not on the right dose of medication and/or it can be that your have low iron. Eating meat and liver especially is a great way to get liver from diet. Low iron is a big deal for us. I said earlier that ferritin is super important here but a full iron panel is very helpful. TIBC or total iron binding capacity is measuring the ability of transferrin to bring iron to parts of your body. This will be high when your total iron stores are too low. Serum iron measures what is circulating in blood on transferrin. Next you want to look at the percent of saturation. If this is low, supplementation may be needed. If you need to take a supplement of iron you should be monitored by your doctor as you can get too much.

    1. Another option here is that you could have an issue with your hypothalamus/pituitary axis. Working on your thyroid and adrenal health will help this a lot. Our adrenals are directly related to the HPA axis, play a big role in managing our blood sugar and also help us respond to stress. If you have any amount of chronic stress at all and consume the standard american diet then you likely will have an issue with this. Diet, again is so important here.

I see so many people struggle with making diet changes and I just want to say that you can do it. YOu have to want to be well more than you want to be sick. You have to want to let go of what is a crutch for some of us- we are not our disease, it doesn’t have us. We can manage it. 

Pork Patties with sweet potatoes recipe

Chicken Hashbrown recipe from The Healing Kitchen

Hidden Sources of Gluten in The Paleo Approach

Have you seen the documentary Food Choices on Netflix?

I was flipping through Netflix looking for a good documentary to watch and came across Food Choices.  When I read the description and realized it was about a plant based diet I was ready to take notes and tell you all about why it was a ridiculous documentary and how you should just not bother watching it. I am not going to do that though because they actually made some valid points in parts of the film. The opinions expressed in this post are just that, I do not make reference to any studies or papers. I would encourage you to watch the film and make an informed decision about what is best for your health by doing a little research and not doing something because someone, including myself, says so. 

I did find a lot in the movie I didn’t agree with but I was so surprised to find there was some parts of the movie that I actually did agree with. 

The movie starts out with a lot of information about how animal protein is really bad for you. How it will raise your cholesterol, cause diabetes and cancer. Dr. T. Colin Campbell, author of The China Study tells us that the amount of animal protein we eat is the problem. He states that too much will stress the kidneys and the liver. He states all the animals we eat for protein are vegetarians and the movie shows a picture of a cow, chickens and turkeys. 

Not all animals we eat are vegetarians. First of all, the natural diet of chickens and turkeys includes bugs which are “animal” protein and chickens will eat mice and other varmints if given a chance. They are NOT vegetarian. Pigs are not vegetarians either. They eat other animals, they eat just about anything actually. 

The movie claims that protein elevates cholesterol, starts heart disease, increases the production of free radicals and stimulates the production of hormones.   Personally, my diet is pretty high in protein and fat and my most recent (spring 2017) total cholesterol was 167. Read my post on protein and fat to learn more about why these two macronutrients are not villains. Bottom line, protein breaks down in to amino acids which help us make neurotransmitters and are the building blocks of the body. You can get protein from vegetables too, I prefer to get some protein from meat and you should know that it is okay for you to get some protein from meat too. 

The next claim was that we are getting too much saturated fat, calories and sodium from meat. If you are eating a high quality piece of meat, you are not getting too much of any of these things. Again, read my post on fat to learn why saturated fat will not kill you. Also, think about this- how can something like saturated fat which is solid at room temperature or colder go plant itself in our arteries as a solid? Isn’t fat broken down and emulsified by bile in our body? Yes it is. Our body temperature is also 98.6º which would keep that saturated fat in a liquid state keeping it from planting itself in our arteries and clogging them. 

The film goes on to vilify milk and dairy products. They are telling you to get your calcium from oranges but they don’t tell you that you would need about 10 oranges a day to get the recommended amount of calcium for an adult. Calcium is found in many vegetables including leafy greens and you don’t need to eat dairy products to get enough calcium daily. The problem with calcium is not that we aren’t getting enough but that we don’t have the proper co-factors (things in our body needed to help us use the calcium we do get) to digest and assimilate calcium. We need to have good digestion, proper pH within the body, good hormone function, enough water, other minerals and vitamins and fat (helps get calcium in to our cells). 

The film calls dairy liquid meat. “A cocktail of growth hormones engineered for rapid growth”. The campaign for raw milk would, of course, disagree with that statement. Dairy products that are not from grass fed and pastured animals would not be on my list of things to consume but if my body tolerated dairy, I would drink raw milk and consume raw milk products occasionally without worrying about the effects. 

Next on the films list of foods to avoid to be healthy was eggs. Some people consider eggs to be the perfect food. Pasture raised eggs are best. Eggs contain a variety of minerals and vitamins and are a great source of high quality protein and contain a complete protein. All the B vitamins are in eggs and contain more choline than any other food. They are a good source for most of the minerals our body requires including selenium and iodine which are important for thyroid health. According to www.whfoods.com, eggs sho no increased risk of heart attack or stroke and they can help increase your HDL, or good, cholesterol. 

Food Choices is telling us that eggs are too high in cholesterol and they show you some very moving pictures of a chicken developing in the eggshell. They also talk about the feed for chickens being full of Genetically Modified corn and soy and the toxin Roundup. They are not wrong about this if you are not buying eggs from a local farmer. Even then the chicken feed may contain corn and soy. It is cheap feed. As long as they are on pasture and getting most of their diet from bugs, you might have to be okay with a bit of supplemental feed. 

The movie moves on to talk about the high amount of omega-3 and omega-6 fatty acids needed in our diet. They say a higher Omega 3 amount in our diet leads to Type II Diabetes. I would bet that processed foods and sugar would be a more likely culprit for most of Americans with Type II Diabetes. The studies are out there at your finger tips. 

Meat will give you Erectile Dysfunction says the movie, because it blocks blood vessels. I think we covered that in talking about saturated fat.  

Low carb diets are all the rage and they claim high carb diets don’t cause weight gain. They say the paleo diet is a copy of the Atkins diet and that was written by people who have not published a scientific paper. They claim low carb diets make you sick and are dangerous. They are in agreement that cutting down on sugar and refined carbs would be a good thing. The paleo community is pretty big, just as is the vegan community. Neither diet is the be all end all for everyone. That is what we need to remember. We are bio-individuals. What works for one person will not work for everyone. 

Their next claim is that many people who are plant based are healthy but there are still a lot of vegetarians who are still sick because they are eating junk food or dairy and some fish. I would agree with the filmmakers about eating junk food. They also say that if you have not given up oil as a vegan and are still fat, then the oil is the reason why you are still fat. “Fat you eat is fat you wear” they said. Again, read my post on fat

They claim a whole foods plant based diet is free. You don’t have to pay for any gimmicks or shakes. I would say that if you are just eating real food, it is not free because you have to pay for it, then you are one step ahead of the rest of the world who is looking for that great organic convenience food to buy. 

I agree with them when they say we ought to be 90-95% plant based. Maybe 80% plant based would be more like it. We could all stand to eat more vegetables, including me. I love how I feel when my diet is mostly veggies with a little bit of meat each day. I have lots of energy, I feel clean inside. I have little bloating and my eliminations are just where they should be. 

They are telling you in this movie that you should not believe “The key to good health is moderation”. They say this doesn’t work. I know it doesn’t work for me. I can’t just have one bite of a sweet treat. I want the whole pan. Moderation might work for you. It does for some people and for some it doesn’t. 

Next on the list is blaming the media for making the Paleo diet credible. The problem was that the media “let both sides speak” in regards to the China Study which has hundreds of references and then interviewed someone on the Paleo diet which was little more than a story book.  The Paleo diet has helped thousands of people feel good just as a vegan diet has. A vegan diet doesn’t work for everyone though. A few more notable folks who really struggled with their health on a vegan diet are Denise Minger and Lierre Keith. I am sure there are people who don’t do well on a Paleo diet too. I just have not heard of them. 

I have to agree with the film when they talk about the nutrition training doctors receive in medical school. It is little to nothing. Doctors are not able to get to the root cause of your health problems because they are being taught pharmaceutical based medicine. This is sometimes necessary but there are other options out there. People on medication long term may have side effects causing other health problems and their overall health to decline. The movie is spot on here. A plant based diet may be very helpful for the short term and maybe long term. It depends on you and your individual biological make up. 

They state the cause and cure for disease is in our hands and that the money is in the drugs. We need to shift our dollars from expensive procedures to education. I could not agree more. 

Supplements- they say it is a big industry stealing your money. I am in partial agreement with them on this. There is no magic bullet supplement. The nutrients you need are in your food. You have to be able to digest and assimilate your food and for that, you may need a supplement. You may be depleted of certain nutrients and need a supplement to get you by until you are able to get them from your food again. 

The big problem for plant based diets is vitamin B12 which is found in animals. One expert in the movie says you can get B12 in a supplement or from fortified foods. As long as you don’t have a methylation problem this might work for you. Again, it is not for everyone. 

One thing I found interesting and quite intriguing is their statement of “what we eat determines how we use the planet”. They said that 98% of destroyed rainforest is used for meat production. This is sad. This is also why I tell everyone I teach and work with to know where your food comes from. Buy local whenever possible. Support your local farmers. They said 70% of farmable land is used to grow crops for animals and not humans. This statistic is also quite sad. 

Another quote from the movie, “It takes 2400 gallons of water and 12 pounds of grain to make one pound of beef.” Cows eat grass. They were evolved to eat grass and not grain so if you stop buying grain fed meat, that will help. “The excrements of 80 billion land animals raised for food each year aren't’ treated and go in to water basins and oceans”. They show pastured cows in the movie after this statement, not livestock in concentrated animal feeding operations (CAFO) which is more likely to be what they are referring to. This can be solved by eating local, supporting local farmers and eating less meat than you might right now. 

“The environmental impact we have is more than just about livestock. it is what we consume, the amount of stuff we acquire, overpopulation, dependance on fossil fuels, etc” says an expert in the movie. He is not wrong. All the packaging in processed foods, the cars we drive the amount of electronics in our households. All of this stuff has an environmental impact on the earth, not just factory farms. 

The movie goes on to attack grass fed beef as a fabrication by the meat and dairy industry to perpetuate the slaughter of animals. They say grass fed beef is even less sustainable because of land shortages and is worse than CAFO’s. I am not sure how they are coming up with this type of information. They do not list resources. I could put two cows on my 8.5 acres and have enough meat to feed my family and the families of two of my neighbors if we all ate meat just a few times a week. Small organic local farms that practice sustainability are better for the planet than CAFO’s in my opinion. 

Over fishing is depleting the oceans. I think maybe this is true. The ocean provides more oxygen to us than trees do. It is a very important ecosystem worth protecting. 

The final point I took away from the movie is that people have eaten animals for 1000’s of years and today there is no reason for us to eat them because it is not essential for survival as it was 1000’s of years ago. The film says we now have a choice and we can choose not to eat meat. 

They say we resist taking in information from places other than the mainstream. I agree with this. Many of my views on health and wellness are not what is considered mainstream. Things that are not mainstream are scary to some and so they choose to believe what is safer.

Lastly, “It won’t matter how healthy we are if the planet isn’t healthy. Stop following the system without questioning it. Vote with your dollars.” I couldn’t agree more. 

Tell me in the comments if you have seen Food Choices on Netflix and what you thought?