Functional and holistic wellness focuses on addressing root causes rather than just symptoms. It uses personalized care, lifestyle modifications, and a combination of traditional and alternative therapies. Hashimoto’s thyroiditis is a complex autoimmune condition that is best addressed by a multifaceted approach, one that supports whole-body healing and long-term well-being. By focusing on nutrition, using targeted supplements and making lifestyle adjustments, a patient can balance hormones, reduce inflammation and improve overall thyroid function.
What Is Hashimoto’s Thyroiditis?
Hashimoto’s thyroiditis is the most common cause of hypothyroidism in the United States and other parts of the world. The thyroid gland is located in the neck, and produces hormones that regulate energy, metabolism and numerous other bodily functions. With Hashimoto’s thyroiditis, the immune system attacks the thyroid gland, leading to chronic inflammation, tissue damage, and eventually a decline in thyroid hormone production.
Common Symptoms of Hashimoto’s Thyroiditis
Hashimoto’s thyroiditis often develops slowly over time, and its symptoms can be vague and easy to overlook. As thyroid function declines, a person may begin to experience various symptoms associated with hypothyroidism. Common symptoms include the following.
- Fatigue or low energy
- Weight gain or difficulty losing weight
- Dry skin and thinning hair
- Cold intolerance or feeling unusually cold
- Constipation
- Brain fog or difficulty concentrating
- Depression or mood swings
- Joint or muscle pain
- Heavy or irregular menstrual cycles (in women)
- Puffy face or swelling around the eyes
- Elevated cholesterol levels
- Enlarged thyroid (goiter)
Since these symptoms can overlap with other health conditions, Hashimoto’s may go undiagnosed for years. However, with essential lab testing from your doctor and a functional medicine approach, it’s possible to identify the underlying issues and support healing.
Diagnosing Hashimoto’s Thyroiditis
Diagnosing Hashimoto’s thyroiditis involves a comprehensive set of blood tests to evaluate thyroid function and identify any autoimmune activity. Here are the key tests used.
TSH (Thyroid Stimulating Hormone) – Elevated TSH levels are typically the first sign of an underactive thyroid. TSH stimulates the thyroid to produce hormones; when the thyroid isn’t functioning properly, the body compensates by increasing TSH levels.
Free T4 and Free T3 – These are the active thyroid hormones. In Hashimoto’s thyroiditis, levels of T4 may be normal or low, while T3 may also be low as the thyroid struggles to convert T4 into T3.
Thyroid Peroxidase Antibodies (TPOAb) – The presence of these antibodies indicates an autoimmune attack on the thyroid. High levels of TPO antibodies are a hallmark of Hashimoto’s thyroiditis.
Thyroglobulin Antibodies (TgAb) – Elevated levels of these antibodies also suggest an autoimmune thyroid disorder like Hashimoto’s.
Reverse T3 (RT3) – In some cases (especially with chronic stress or illness), the body may produce high levels of RT3, which can block thyroid hormone action and contribute to symptoms of hypothyroidism.
A full thyroid panel, along with the presence of antibodies, helps confirm a diagnosis of Hashimoto’s thyroiditis.
Managing Hashimoto’s Thyroiditis Naturally
In functional medicine the goal is to address the root causes of Hashimoto’s thyroiditis, rather than simply masking symptoms with synthetic thyroid hormone replacement. A holistic approach to managing Hashimoto’s includes lifestyle changes, dietary adjustments and targeted supplements to reduce inflammation and support thyroid health.
1. Optimize Nutrition for Thyroid Health
Diet plays a significant role in managing Hashimoto’s thyroiditis. Specific nutrients can support the thyroid, reduce inflammation and promote overall health.
- Selenium – Selenium is a powerful antioxidant that helps convert T4 into the active form, T3. It also has anti-inflammatory properties and can reduce autoimmune activity. Foods rich in selenium include Brazil nuts, sunflower seeds, mushrooms and fish.
- Zinc – Zinc supports the immune system and thyroid hormone production. It can help regulate the immune response and support thyroid function. Good sources include oysters, pumpkin seeds, lentils and chickpeas.
- Iodine – While iodine is essential for thyroid health, people with Hashimoto’s should be cautious with iodine supplementation, as excess iodine can exacerbate autoimmune thyroid disease. A balanced diet that includes natural iodine sources like seaweed is usually sufficient.
- Vitamin D – Many individuals with Hashimoto’s have low vitamin D levels. Vitamin D plays a key role in immune function and inflammation. Adequate levels of vitamin D can help modulate the immune response and reduce autoimmune attacks on the thyroid. Sunshine, fatty fish and fortified foods are good sources.
- Anti-Inflammatory Diet – A diet rich in anti-inflammatory foods can help reduce autoimmune activity. Consider incorporating foods like leafy greens, berries, turmeric, ginger, and healthy fats like olive oil and avocado. A Mediterranean style diet, which is high in antioxidants and omega-3 fatty acids, is especially beneficial for thyroid health.
2. Targeted Supplements for Thyroid Support
In addition to diet and lifestyle changes, specific supplements can support thyroid health and reduce inflammation.
- Ashwagandha – This adaptogenic herb can help reduce stress, balance cortisol levels and support thyroid function.
- Vitamin B12 – Many people with Hashimoto’s are deficient in vitamin B12, which can lead to fatigue, brain fog and mood disturbances. Supplementing with B12 can help improve energy and cognitive function.
- Magnesium – Magnesium supports thyroid health by aiding in the conversion of T4 to T3. It also helps with muscle relaxation and better sleep, which can be especially helpful for those with Hashimoto’s.
3. Exercise for Balance
Regular moderate exercise can help manage symptoms of Hashimoto’s thyroiditis. Physical activity helps reduce inflammation, supports metabolism and regulates hormone levels. However, it’s important to avoid excessive exercise or overtraining, as this can increase stress on the body and exacerbate thyroid imbalances.
Support Whole-Body Wellness at Our Wellness Clinic in Lincolnton
If you’re struggling with symptoms of Hashimoto’s thyroiditis, working with a functional medicine practitioner can help guide you on your journey to better thyroid health. Give us a call at (704) 240-8133 or request a consultation today.
