Stephanie Ewals Stephanie Ewals

Sleep Across Ages: A Thyroid Health Essential

For women managing thyroid conditions like Hashimoto’s or Graves’ disease, stress can exacerbate symptoms like fatigue, brain fog, and hormone imbalances. As a certified nutrition specialist and licensed functional medicine nutritionist, I’m here to share how quality sleep, tailored to your life stage, can regulate your circadian rhythm, lower cortisol, and support thyroid health. Sleep is a cornerstone of stress management and overall wellness, influencing everything from immunity to weight balance.

The Stress-Thyroid-Sleep Connection

Chronic stress disrupts the hypothalamic-pituitary-adrenal (HPA) axis, elevating cortisol and worsening thyroid symptoms. Quality sleep restores hormonal balance, reduces inflammation, and enhances resilience, helping you manage thyroid challenges more effectively.

Sleep Needs Across Life Stages

Sleep requirements vary by age, each stage supporting thyroid health differently:

  • Newborns (0-3 months): Need 14-17 hours daily, with no circadian rhythm. They start with REM sleep, aiding brain growth, which is critical for early development.

  • Infants (4-12 months): Require 12-15 hours, with emerging circadian rhythms. By 3 months, melatonin and cortisol cycles mimic adults, supporting thyroid hormone stability.

  • Toddlers (1-2 years): Need 11-14 hours, including naps, to consolidate memory and support growth, reducing stress on developing systems.

  • Children (3-5 years): Require 10-13 hours with naps, fostering emotional and immune health, key for thyroid function.

  • School-Age (6-13 years): Need 9-13 hours, with sleep chronotypes (night owl or early riser) emerging, influencing energy and stress response.

  • Adolescents (14-17 years): Require 8-10 hours, but puberty’s changes can make early mornings tough, impacting cortisol and thyroid balance.

  • Adults (18-64 years): Need 7-9 hours for optimal hormone regulation, immunity, and cognitive function, all vital for thyroid health.

  • Older Adults (65+): Require 7-8 hours, but aging reduces deep sleep, increasing risks from chronic conditions like hypertension, which can stress the thyroid.

How Sleep Supports Your Body

Sleep cycles through four stages—light sleep, stage 2, deep sleep, and REM—each impacting thyroid health:

  • Deep Sleep: The brain detoxifies, growth hormone repairs tissues, and inflammation decreases, supporting thyroid function.

  • REM Sleep: Consolidates memories and supports emotional resilience, reducing stress-related thyroid disruptions.

  • Circadian Rhythm: Regulated by the hypothalamus, it balances cortisol (wakefulness) and melatonin (sleep), crucial for thyroid hormone stability. Morning sunlight (10-15 minutes) boosts serotonin and melatonin production, while blue light from screens at night suppresses melatonin, increasing cortisol.

Sleep impacts multiple systems:

  • Respiratory/Circulatory: Deep sleep lowers heart rate (50-90 bpm) and blood pressure, reducing cardiovascular stress linked to thyroid issues.

  • Nervous: The glymphatic system clears brain toxins, supporting cognitive clarity and stress management.

  • Endocrine: Growth hormone aids tissue repair, while balanced insulin, leptin, and ghrelin prevent weight gain and cravings, common thyroid challenges.

  • Immune: Sleep boosts T and B cells, strengthening immunity, critical for autoimmune thyroid conditions.

  • Digestive: A healthy microbiome, supported by sleep, reduces inflammation and supports thyroid health via the gut-thyroid axis.

  • Renal: Reduced urine production during sleep prevents waking, but imbalances (e.g., blood sugar drops) can disrupt this, signaling cortisol spikes.

Supporting Your Sleep

  • Morning Sunlight: Get 10-15 minutes of natural light to align your circadian rhythm.

  • Evening Routine: Avoid screens 1-2 hours before bed, use dim or red lights, and keep your bedroom cool.

  • Nutrition: A light dinner 3 hours before bed supports digestion and sleep quality.

  • Caffeine Timing: Stop by noon to allow adenosine to build “sleep pressure.”

Call to Action: Enhance Your Sleep Tonight

Try one sleep-supporting habit tonight, like avoiding screens or eating a lighter dinner. Share your favorite sleep strategy in our Thyroid Warriors community or reply to my newsletter for personalized tips to boost your rest and thyroid health!

What’s your go-to sleep tip? Comment below to share!

About the Author: As a certified nutrition specialist and licensed functional medicine nutritionist, I empower women with thyroid conditions through evidence-based strategies. Follow my blog for weekly insights on nutrition, sleep, and lifestyle.

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Stephanie Ewals Stephanie Ewals

Sleep: Your Thyroid’s Secret Weapon Against Stress

For women with thyroid conditions like Hashimoto’s or Graves’ disease, stress can disrupt hormone balance, worsen fatigue, and increase inflammation. As a certified nutrition specialist and licensed functional medicine nutritionist, I’m here to highlight how quality sleep can regulate your circadian rhythm, lower cortisol, and support thyroid health. Sleep isn’t just rest—it’s a powerful tool for reducing stress and enhancing overall well-being.

Why Sleep Matters for Your Thyroid

Chronic stress overactivates the hypothalamic-pituitary-adrenal (HPA) axis, spiking cortisol and disrupting thyroid function. Quality sleep restores balance, reduces inflammation, and supports hormone production. Research shows it lowers heart disease and dementia risk, boosts immunity, and improves cognitive performance—crucial for managing thyroid symptoms like brain fog and mood swings.

The Physiology of Sleep

Sleep occurs in four stages, cycling every 60-90 minutes:

  • Stage 1 (Light Sleep): You’re half-awake, with relaxed theta brain waves. A noise can easily wake you.

  • Stage 2: Heart rate and body temperature drop, preparing for deeper sleep. Sleep spindles begin memory consolidation.

  • Stage 3 (Deep Sleep): Delta waves signal restoration. The brain detoxifies, and growth hormone repairs tissues. Adults need 1.5-2 hours nightly for optimal recovery.

  • REM Sleep: Dreams occur, consolidating memories. Heart rate and brain activity rise, but the body is paralyzed except for eyes and breathing.

A good night’s sleep (7-8 hours for adults) includes 4-6 cycles, with 75% in non-REM stages. Deep sleep is vital for thyroid health, reducing inflammation and supporting hormone balance.

The Circadian Rhythm and Hormones

The circadian rhythm, controlled by the hypothalamus’s suprachiasmatic nucleus, regulates hormones like:

  • Cortisol: Peaks in the morning for energy, but chronic stress keeps it elevated, harming thyroid function.

  • Melatonin: The “sleep hormone,” it rises at night to promote rest, acts as an antioxidant, and balances estrogen.

  • Serotonin: Supports wakefulness and mood; 95% is produced in the gut, linking diet to sleep quality.

  • GABA: Calms the brain for sleep.

  • Adenosine: Builds “sleep pressure” during the day, cleared during sleep.

Disruptions, like late-night screen time, suppress melatonin, keeping you alert when you should rest.

Supporting Your Circadian Rhythm

  • Morning Sunlight: Get 10-15 minutes of natural light between 6-8:30 AM to boost cortisol and serotonin, setting up melatonin production later.

  • Limit Blue Light: Avoid screens 1-2 hours before bed or use blue-light-blocking glasses. Dim lights or use candles to mimic sunset’s red light.

  • Sleep Environment: Use blackout curtains, keep your bedroom cool, and remove electronics to minimize disruptions.

  • Caffeine Timing: Stop caffeine by noon to avoid blocking adenosine, which causes “sleep pressure” for restful sleep.

Sleep and Your Thyroid

Poor sleep increases ghrelin (hunger hormone) and reduces leptin (satiety hormone), leading to cravings and weight gain—challenging for thyroid patients. It also lowers insulin sensitivity, spiking blood sugar and stress. Quality sleep supports hormone balance, reduces inflammation, and enhances emotional resilience, helping you manage thyroid symptoms.

Call to Action: Prioritize Sleep Tonight

Try one sleep-supporting habit tonight—like 10 minutes of morning sunlight or dimming lights after sunset. Share your favorite sleep tip in our Thyroid Warriors community or reply to my newsletter for personalized advice to enhance your rest and thyroid health!

What helps you sleep better? Comment below!

About the Author: As a certified nutrition specialist and licensed functional medicine nutritionist, I empower women with thyroid conditions through evidence-based strategies. Follow my blog for weekly insights on nutrition, sleep, and lifestyle.

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Stephanie Ewals Stephanie Ewals

Finding Purpose: A Stress-Busting Strategy for Thyroid Health

For women managing thyroid conditions like Hashimoto’s or Graves’ disease, stress can amplify symptoms like fatigue, anxiety, and brain fog, disrupting the hypothalamic-pituitary-adrenal (HPA) axis and thyroid function. As a certified nutrition specialist and licensed functional medicine nutritionist, I’m sharing how cultivating purpose, positivity, and social connections can reduce stress, lower cortisol, and support your thyroid health. Research shows a strong sense of purpose is linked to lower risks of mortality and cardiovascular events, making it a powerful tool for wellness.

The Stress-Thyroid Connection

Chronic stress overactivates the HPA axis, increasing cortisol and inflammation, which can worsen thyroid symptoms. Finding meaning and connection helps buffer stress, promoting resilience and hormonal balance.

Cultivating a Positive Mindset

A positive outlook opens doors to purpose and reduces stress’s impact. Two effective strategies are:

  • Self-Affirmations: Repeating phrases like “I am calm and capable” shifts negative thinking. Studies show affirmations reduce activity in brain areas tied to stress responses (e.g., amygdala), lowering cortisol and depression risk.

  • Reframing: Shift your perspective to see challenges as opportunities. For example, view a tough work task as a chance to grow. Try Dr. Chatterjee’s 5-question exercise: Identify one worry, a preparation step, why it’s not as bad as feared, why you can handle it, and one upside. Gratitude journaling—writing 3 things you’re thankful for daily—also fosters positivity.

Hobbies: Joyful Stress Relief

Hobbies like gardening, baking, or bird-watching provide a mental break, reducing cortisol, blood pressure, and inflammation, per research. Even 20 minutes weekly can lower fatigue and boost life satisfaction. Choose an activity you love, and schedule 10-15 minutes this week to enjoy it without guilt.

Volunteering and Serving Others

Serving others, like helping at a shelter or smiling at a neighbor, fosters purpose and releases oxytocin, a hormone that buffers stress. Studies show volunteering reduces cortisol and C-reactive protein, improving mental and physical health. Small acts, like holding a door or sending a card, make a big difference.

Social Connections: A Thyroid Health Booster

Loneliness increases cortisol and inflammation, raising heart disease risk by 29% and stroke by 32%. Strong relationships, like those in Blue Zone communities, dampen the HPA axis and enhance resilience. Nurture connections by:

  • Joining a group class or community event.

  • Scheduling coffee with a friend.

  • Reaching out to a neighbor for a walk.

The Power of Touch

Gentle touch—like hugs or hand-holding—releases oxytocin, dopamine, and serotonin, reducing cortisol and stress. A study of 406 adults found frequent hugs lowered illness severity during stress. Incorporate caring touch with loved ones to support your thyroid and mood.

Call to Action: Start Small Today

Pick one strategy—like saying a daily affirmation, scheduling 10 minutes for a hobby, or texting a friend to connect—and try it today. Share your experience in our Thyroid Warriors community or reply to my newsletter for personalized tips to keep you motivated!

What brings you purpose? Comment below to share your journey!

About the Author: As a certified nutrition specialist and licensed functional medicine nutritionist, I empower women with thyroid conditions through evidence-based strategies. Follow my blog for weekly insights on nutrition, mindset, and lifestyle.

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Stephanie Ewals Stephanie Ewals

Mindfulness for Thyroid Health: Simple Practices to Ease Stress

Living with a thyroid condition can make stress feel like a constant companion, worsening symptoms like fatigue, anxiety, and brain fog. As a certified nutrition specialist and licensed functional medicine nutritionist, I’m here to share how mindfulness practices can help women with thyroid issues shift from overwhelm to calm, supporting both mental wellness and thyroid function.

The Stress-Thyroid Connection

Chronic stress overactivates the hypothalamic-pituitary-adrenal (HPA) axis, disrupting thyroid hormone balance and increasing inflammation, which is especially challenging for those with Hashimoto’s or Graves’ disease. Mindfulness practices train your brain to respond to stress with calm, reducing cortisol and protecting your thyroid.

Mindfulness: A Thyroid-Friendly Stress Reliever

Mindfulness is about being present, noticing your thoughts and emotions without judgment. For example, if you’re anxious about a work deadline, acknowledging that anxiety—saying, “It’s okay to feel this way”—can create calm instead of spiraling into frustration. A simple beginner exercise, “find your feet,” helps you focus on physical sensations (e.g., are your feet warm or cool?) to anchor you in the moment. Practice this daily to build resilience.

Mindfulness can be informal, like savoring your morning coffee or listening fully to a loved one, or formal, through structured practices like meditation.

Meditation Techniques for Thyroid Warriors

Meditation cultivates mindfulness and reduces stress, anxiety, and cortisol. Here are thyroid-friendly options:

  • Deep Breathing: Slow, counted breaths lower heart rate and blood pressure. Try inhaling for 4 counts, exhaling for 5, for 5 minutes daily.

  • Body Scan: Mentally scan your body, noticing sensations without judgment. This promotes relaxation and body awareness.

  • Progressive Muscle Relaxation: Combine deep breathing with tensing and relaxing muscles (e.g., shoulders) to release tension.

  • Guided Imagery: Visualize a peaceful place, like a beach, to ease anxiety. Apps like Calm or Headspace offer guided sessions, shown to reduce stress in studies.

  • Gratitude Journaling: Write 3 things you’re thankful for daily (e.g., a kind coworker, a sunny walk). Research links gratitude to lower depression and higher life satisfaction.

  • Yoga or Tai Chi: These combine movement, breath, and mindfulness, reducing cortisol and inflammation, as shown in prior posts.

Decluttering for Mental Clarity

A cluttered environment raises cortisol and distracts the mind, per UCLA research. Decluttering your home or workspace reduces stress, improves focus, and even supports healthier food choices, per a Psychological Science study. Start small: clear one drawer or desk area this week.

Nature: A Natural Stress Reducer

Spending time outdoors lowers cortisol and boosts serotonin, supporting mood and sleep—critical for thyroid health. A 10-minute walk in a park can reduce stress, though larger green spaces (e.g., forests) amplify benefits. Try gardening, reading under a tree, or eating lunch outside to reconnect with nature.

Alternative Therapies

  • Acupuncture: This low-risk practice may balance energy flow, reducing stress and anxiety, per studies.

  • Massage Therapy: It promotes relaxation, lowers blood pressure, and improves mental health, easing thyroid-related tension.

Call to Action: Take One Step Today

Pick one practice—like 5 minutes of deep breathing or gratitude journaling—and try it today.

Share your favorite mindfulness tip in the comments!

About the Author: A certified nutritionist specialist and licensed functional medicine practitioner, I’m dedicated to helping women with thyroid conditions through evidence-based approaches. Follow my blog for tips on nutrition, mindfulness, and lifestyle tailored for you.

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Stephanie Ewals Stephanie Ewals

Nourishing Your Thyroid: Stress-Busting Nutrients and Sleep Tips for Women

As a woman managing a thyroid condition, stress can feel like an extra hurdle in your daily life. Chronic stress disrupts the hypothalamic-pituitary-adrenal (HPA) axis, which can throw thyroid hormones out of balance and increase inflammation—especially problematic for those with Hashimoto’s or Graves’ disease. As a certified nutrition specialist and licensed functional medicine nutritionist, I’m here to share how specific nutrients, adaptogenic herbs, nervines, and sleep can empower you to build resilience and support your thyroid health.

The Stress-Thyroid Connection

Stress triggers the HPA axis, leading to elevated cortisol levels that can suppress thyroid function and exacerbate symptoms like fatigue, brain fog, and mood swings. A holistic approach—focusing on nutrition, herbs, and sleep—can help regulate this axis, reduce inflammation, and improve your body’s stress response.

Sleep: The Foundation of Stress Resilience

Sleep and stress are deeply connected. A hyperactive HPA axis can disrupt sleep, while poor sleep can overactivate the HPA axis, creating a vicious cycle. A study of over 67,000 people found that sleeping five hours or less increases perceived stress, while better sleep quality improves stress levels the next day.

For women with thyroid issues, prioritizing sleep is critical. It supports hormone balance, reduces cortisol, and enhances decision-making, all of which help your thyroid thrive. Simple steps like a consistent bedtime routine, limiting screen time, and incorporating calming nutrients or herbs before bed can make a big difference.

Nourishing Your Body with Stress-Busting Nutrients

Food is more than fuel—it’s information that influences your hormones, mood, and thyroid health. The gut-brain axis, primarily via the vagus nerve, plays a key role in how diet impacts stress. A 12-week study showed that a diverse Mediterranean diet reduced depressive symptoms by 33% in participants, compared to just 8% in those who didn’t change their diets. Here are key nutrients to focus on:

Antioxidants: Vitamin C, Vitamin E, and Glutathione

  • Vitamin C: Essential for adrenal health, it supports cortisol production and neutralizes free radicals during stress. Find it in kiwi, red bell peppers, oranges, and broccoli. Opt for raw or lightly cooked foods to preserve vitamin C, or consider a high-quality liposomal supplement for better absorption.

  • Vitamin E: Works with vitamin C to combat oxidative stress. Get it from nuts, seeds, spinach, and avocados. These foods also provide healthy fats to aid absorption.

  • Glutathione: The “master antioxidant,” it regenerates vitamins C and E. Support its production with foods rich in cysteine, glycine, magnesium, selenium, and vitamins C, B6, and B12 (e.g., eggs, spinach, and salmon).

B Vitamins

These water-soluble vitamins support the nervous system, adrenal function, and mood regulation. A review of clinical trials found B vitamin supplementation reduced stress symptoms. Include animal proteins, legumes, nuts, seeds, whole grains, and dark leafy greens in your diet, or choose an activated B-complex supplement.

Magnesium

Known as the “relaxation mineral,” magnesium calms the nervous system by promoting GABA activity and reducing cortisol. About half of Americans don’t get enough magnesium, and stress, alcohol, and refined sugars deplete it further. Add pumpkin seeds, chia seeds, almonds, spinach, and oatmeal to your meals, or try a magnesium supplement before bed to enhance sleep.

Electrolytes

Stress increases heart rate and blood pressure, relying on electrolytes like magnesium, calcium, sodium, and potassium for nerve conduction and muscle function. Chronic stress can lead to dehydration, raising cortisol. Stay hydrated with water and electrolyte-rich foods like spinach, kale, avocados, and strawberries.

Omega-3 Fatty Acids

Omega-3s reduce inflammation and cortisol, countering stress’s effects. A study of medical students found that 2.5 grams of fish oil daily reduced pro-inflammatory cytokines by 14% and anxiety by 20%. Include wild-caught salmon, chia seeds, flaxseeds, walnuts, or a high-quality omega-3 supplement to balance the typical Western diet’s high omega-6 ratio.

Probiotics and Prebiotics

Stress disrupts gut bacteria, linked to anxiety and inflammation. Probiotics and prebiotics restore gut health, potentially lowering cortisol and improving mood. A review of 21 studies showed probiotics reduced anxiety symptoms. Enjoy fermented foods like kimchi, sauerkraut, and kefir, and prebiotic-rich foods like asparagus, garlic, and oats. Avoid excessive antibiotics, alcohol, and refined sugars to protect your microbiome.

Adaptogenic Herbs and Nervines

  • Adaptogens: These herbs help your body adapt to stress. Rhodiola boosts energy and regulates stress hormones, while Schisandra reduces cortisol and acts as an antioxidant. (Note: Ashwagandha, while effective, may increase T4 to T3 conversion, so consult your doctor before use.)

  • Nervines: Calming herbs like lavender, chamomile, passionflower, and valerian support the nervous system by enhancing GABA activity. Try chamomile tea before bed or a few drops of lavender essential oil in a bath to unwind.

  • Medicinal Mushrooms: Lion’s mane, cordyceps, and reishi offer adaptogenic benefits, reducing stress and inflammation. Add them to recipes or try a mushroom-blended coffee for a gentler caffeine option.

Call to Action: Start Small, Thrive Big

You don’t need to overhaul your diet overnight. Pick one nutrient-rich food or herb from this list—like a handful of almonds for magnesium or a cup of chamomile tea—and add it to your routine today.

What’s your favorite way to nourish your body for stress relief? Share in the comments!

About the Author: As a certified nutrition specialist and licensed functional medicine nutritionist, I’m dedicated to helping women with thyroid conditions thrive through evidence-based nutrition and lifestyle strategies. Follow my blog for weekly insights to support your journey.

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