Stephanie Ewals Stephanie Ewals

What Foods Should You Avoid with Hashimoto’s?

This is one of the most common questions—and also one of the most misunderstood.

The Problem with “Avoid This” Lists

You’ve probably seen long lists of foods to eliminate:

  • Gluten

  • Dairy

  • Soy

  • Sugar

  • Nightshades

But here’s the truth:

Not all of these are triggers for everyone.

Why Food Isn’t One-Size-Fits-All

Your body is unique.

Some people react strongly to certain foods, while others don’t.

Blindly removing foods can lead to:

  • Nutrient deficiencies

  • Increased stress

  • Disordered eating patterns

What Actually Matters

Instead of asking:
❌ “What should I avoid?”

Ask:
✅ “How does my body respond?”

A Smarter Approach

  • Pay attention to symptoms after eating

  • Focus on whole, nutrient-dense foods

  • Avoid ultra-processed foods when possible

Also, be aware that food labels can be misleading—terms like “natural” aren’t always regulated.

Avoiding foods isn’t the goal.

Understanding your body is.

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Stephanie Ewals Stephanie Ewals

What Is the “Best” Diet for Hashimoto’s?

Short answer?

There isn’t one.

Why There Is No Perfect Diet

You’ve probably tried:

  • Gluten-free

  • Dairy-free

  • AIP

  • Low-carb

And maybe you felt better… or maybe you didn’t.

That’s because your body is bio-individual—what works for someone else may not work for you.

What Actually Matters More Than the “Diet”

Instead of chasing the perfect plan, focus on:

1. Nutrient Density

Your body needs:

  • Vitamins

  • Minerals

  • Amino acids

  • Healthy fats

These are the building blocks of your thyroid and your cells.

2. Eating Enough

Undereating is one of the biggest mistakes.

Your body needs energy to:

  • Heal

  • Regulate hormones

  • Reduce stress

3. Consistency Over Restriction

Extreme diets often:

  • Increase stress

  • Create food fear

  • Lead to burnout

A Better Approach

Focus on:

  • Protein at every meal

  • Whole, nutrient-dense foods

  • Listening to your body

And most importantly:
➡️ Stop trying to follow someone else’s plan.

The Bottom Line

The “best” diet is the one your body can actually use.

Not the one that looks perfect on paper.

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Stephanie Ewals Stephanie Ewals

Is Stress Causing Your Hashimoto’s Symptoms?

Stress is one of the most overlooked drivers of Hashimoto’s symptoms.

And not just “feeling stressed.”

We’re talking about what stress does inside your body.

What Stress Actually Does to Your Body

Stress disrupts your body’s natural balance (called homeostasis).

This affects:

  • Hormones

  • Blood sugar

  • Digestion

  • Immune function

Over time, this creates the perfect environment for symptoms like:

  • Fatigue

  • Weight gain

  • Anxiety

  • Poor sleep

Your Brain Doesn’t Know the Difference

Here’s the wild part:

Your body reacts the same way to:

  • A real argument

  • A stressful thought

  • Skipping meals

  • Overexercising

That means even thinking about stress can trigger physical symptoms.

Why This Matters for Hashimoto’s

With Hashimoto’s, your immune system is already sensitive.

Chronic stress:

  • Increases inflammation

  • Worsens immune dysregulation

  • Makes healing harder

Signs Stress Is Affecting Your Health

  • You feel wired but tired

  • You crash in the afternoon

  • You wake up exhausted

  • You feel overwhelmed easily

What Actually Helps

Instead of trying to eliminate stress (impossible), focus on:

  • Eating regularly (blood sugar stability = less stress)

  • Prioritizing sleep

  • Supporting your nervous system (not just mindset)

The Bottom Line

Stress isn’t just emotional—it’s physiological.

And if you don’t address it, no diet or supplement will fully work.

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Stephanie Ewals Stephanie Ewals

Why Am I So Tired All the Time with Hashimoto’s?

If you’re living with Hashimoto’s and constantly exhausted, you’re not alone.

Many women are told their labs are “normal,” yet they’re dealing with:

  • Daily fatigue

  • Brain fog

  • Weight gain

  • Mood swings

  • Poor sleep

And it leaves you wondering… what am I missing?

The Truth About Fatigue and Hashimoto’s

Fatigue isn’t just about your thyroid hormone levels.

Hashimoto’s is an autoimmune condition, which means your immune system is actively attacking your thyroid. But that’s only part of the picture.

Your energy is influenced by:

  • Inflammation

  • Nutrient deficiencies

  • Blood sugar imbalances

  • Stress levels

  • Gut health

If even one of these is off, your body has to work harder just to function.

Why “Normal Labs” Don’t Mean You Feel Good

You’ve probably heard: “Everything looks fine.”

But standard lab ranges don’t always reflect optimal health.

You can still feel exhausted if:

  • Your nutrients are low (iron, B vitamins, magnesium)

  • Your body isn’t converting thyroid hormones properly

  • Your nervous system is stuck in stress mode

Stress Is a Huge Missing Piece

Stress isn’t just mental—it’s physical.

Your body doesn’t distinguish between:

  • Emotional stress

  • Lack of sleep

  • Blood sugar crashes

All of these trigger the same stress response, disrupting your body’s balance and energy production.

What Actually Helps (Instead of Guessing)

If you’re stuck in fatigue, the answer isn’t:

  • Cutting more foods

  • Trying another random supplement

  • Pushing through exhaustion

What works is:

  • Supporting your body with enough food and nutrients

  • Stabilizing blood sugar with balanced meals

  • Reducing stress load (not just “managing” it)

  • Identifying YOUR specific triggers

The Bottom Line

Fatigue isn’t a personal failure. It’s a signal.

Your body is asking for support—not restriction.

And when you stop guessing and start working with your body, energy can come back.

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Stephanie Ewals Stephanie Ewals

Long-Term Gut Health for Thyroid Support

If you’re managing thyroid challenges like Hashimoto’s or Graves’, you might feel tired, moody, or struggle with joint pain. As a certified nutrition specialist and licensed nutritionist, I’m here to share how building long-term gut health can sustain your thyroid health. A strong gut supports nutrient absorption, reduces inflammation, and balances hormones, all critical for thyroid vitality. Let’s explore how to create lasting gut health for a vibrant thyroid, based on nutritional therapy principles.

Why Long-Term Gut Health Matters

Your gut is the foundation of thyroid health, delivering nutrients like iodine, selenium, and zinc for hormone production and reducing inflammation that triggers autoimmune flares. Short-term fixes (like a week of probiotics) help, but long-term gut health ensures sustained thyroid support. This means consistently nurturing your gut lining, microbiome, and digestion to keep symptoms like fatigue or brain fog at bay.

Key Components of Long-Term Gut Health

  • Gut Lining: A strong barrier prevents leaky gut, reducing immune overreactions.

  • Microbiome Diversity: Diverse bacteria produce anti-inflammatory compounds like butyrate.

  • Digestive Efficiency: Proper chewing, acid, and enzymes ensure nutrient delivery.

  • Toxin Elimination: Regular motility removes toxins, easing thyroid stress.

A 2022 study in Thyroid found that sustained gut health reduced thyroid antibodies by 14% over six months in autoimmune thyroid patients.

Long-Term Gut Health and Thyroid

A healthy gut supports your thyroid by:

  • Ensuring consistent nutrient absorption for T3 and T4 production.

  • Reducing chronic inflammation, which lowers autoimmune flares.

  • Balancing hormones like estrogen, which can disrupt thyroid function.

  • Supporting immunity, critical for Hashimoto’s or Graves’.

For example, a diverse microbiome boosts T3 conversion, improving energy, while a strong gut lining prevents leaky gut, reducing joint pain.

Common Long-Term Gut Challenges

Factors that disrupt long-term gut health include:

  • Inconsistent Diet: Relying on the same foods reduces microbiome diversity.

  • Chronic Stress: Slows digestion and weakens the gut lining over time.

  • Environmental Toxins: Daily exposure to plastics or pesticides stresses the gut.

  • Medications: Long-term use of antacids or antibiotics can harm gut bacteria.

These can worsen thyroid symptoms like mood swings or weight issues.

Inflammation and Thyroid Health

Chronic gut issues fuel inflammation, increasing thyroid antibodies and autoimmune flares. For instance, a damaged gut lining might let food particles trigger immune reactions, worsening fatigue. Long-term gut health strategies reduce this inflammation, creating a stable environment for your thyroid.

Practical Tips for Long-Term Gut Health

Here are detailed strategies to build lasting gut health, perfect for your love of home-cooked meals:

1. Build a Diverse Diet

Eating a variety of foods sustains microbiome diversity over time.

  • Action: Rotate 30-40 different plant foods (veggies, fruits, grains, herbs) monthly. Try new options like Brussels sprouts or mango.

  • Meal Idea: Make a veggie stir-fry with Brussels sprouts, carrots, and quinoa for diversity.

2. Maintain Consistent Fermented Foods

Fermented foods add beneficial bacteria, but consistency is key.

  • Action: Include a small portion (1-2 tbsp) of yogurt, kimchi, or sauerkraut daily for months.

  • Meal Idea: Add kimchi to a salmon and rice bowl for probiotics and iodine.

3. Prioritize Gut-Healing Foods

Sustained gut lining repair prevents leaky gut long-term.

  • Action: Eat bone broth or collagen-rich meats weekly to strengthen the gut barrier.

  • Meal Idea: Make a weekly bone broth soup with kale and sweet potatoes.

4. Support Digestive Efficiency

Consistent chewing, acid, and enzyme support ensure nutrient delivery.

  • Action: Chew 20-30 seconds per bite and sip diluted apple cider vinegar (1 tsp in 4 oz water) before meals.

  • Meal Idea: Pair grilled chicken with roasted broccoli, chewing slowly to boost acid.

5. Promote Regular Motility

Daily bowel movements (1-3) remove toxins, supporting long-term thyroid health.

  • Action: Eat fiber-rich foods like lentils, chia seeds, or berries consistently.

  • Meal Idea: Enjoy oatmeal with chia seeds and berries for breakfast.

6. Manage Chronic Stress

Long-term stress management supports digestion and gut health.

  • Action: Practice 5-10 deep breaths before meals daily and try a 10-minute mindfulness practice (e.g., meditation or yoga) weekly.

  • Why It Helps: This keeps your vagus nerve active, supporting gut-immune balance.

7. Stay Hydrated Consistently

Water supports gut motility and microbiome health over time.

  • Action: Drink 8-10 glasses daily, adding a pinch of sea salt for electrolytes like magnesium.

  • Meal Idea: Sip lemon water between meals for hydration and vitamin C.

8. Minimize Toxins Long-Term

Reducing toxin exposure protects your gut and thyroid.

  • Action: Use glass or stainless steel containers and avoid canned foods consistently.

  • Tip: Store all leftovers in glass jars to minimize BPA exposure.

9. Consider Ongoing Supplements

Supplements can sustain gut health when diet alone isn’t enough.

  • Action: Explore multi-strain probiotics, L-glutamine, or magnesium for long-term gut support. Visit www.outofthewoodsnutrition.com/dispensary, but consult your doctor to avoid thyroid medication interactions.

  • Why It Helps: These maintain gut lining strength and microbiome diversity.

Sample Thyroid-Friendly Meal Plan

Here’s a day to support long-term gut health:

  • Breakfast: Oatmeal with yogurt, berries, and chia seeds (probiotics, fiber).

  • Lunch: Grilled salmon, quinoa, and Brussels sprouts (iodine, diversity).

  • Snack: Bone broth with carrot sticks (gut-healing, fiber).

  • Dinner: Lentil soup with kale and sweet potatoes (fiber, nutrients).

  • Before Meals: Take 5 deep breaths and sip diluted apple cider vinegar.

Why It Helps

Long-term gut health ensures consistent nutrient delivery, reduces inflammation, and balances hormones, easing thyroid symptoms like fatigue, joint pain, or mood swings. It creates a stable foundation for thyroid vitality.

Scientific Context

A 2021 study in Nutrients found that sustained gut health reduced thyroid antibodies by 14% over six months. Another in Frontiers in Endocrinology (2022) showed consistent microbiome support improved T3 levels by 10%. These strategies build a resilient gut-thyroid connection.

Work With Your Doctor

I don’t diagnose or treat conditions, but I can guide you with diet and lifestyle. Work with your healthcare provider to monitor thyroid levels and you can discuss symptoms like bloating or fatigue to assess gut health with me.

Take Action

This week, try rotating a new plant food like Brussels sprouts or adding bone broth to your routine. Book a personalized consultation at www.outofthewoodsnutrition.com to create a long-term thyroid-friendly plan. Visit www.outofthewoodsnutrition.com/dispensary for high-quality probiotics or L-glutamine. Reply to my newsletter for a custom tip to boost your thyroid health!

What’s one long-term gut health strategy you’re excited to try? Comment below and let’s chat!

About the Author: I’m a certified nutrition specialist and licensed nutritionist, passionate about helping women with thyroid conditions feel vibrant using functional medicine and simple, home-cooked strategies. Visit www.outofthewoodsnutrition.com for more thyroid health tips.

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