Most physicians diagnose hypothyroidism by simple blood tests that measure the level of TSH (thyroid stimulating hormone), which is made by the pituitary gland in response to thyroid hormone and the body’s needs, and indicates thyroid status. As levels of thyroid hormones fall, the pituitary releases TSH to stimulate the thyroid to produce more hormone. Clinicians may also measure circulating levels of T-3 and T-4, which are the thyroid hormones themselves. Low levels of T-4 and high levels of TSH reveal an underactive thyroid. Other variants of hypothyroidism can exist. Patients can have no symptoms and normal serum thyroid hormone levels, but elevated TSH. Others can have symptoms, but normal TSH and T-4 levels. Patients with either of these variants may benefit from supplementation. In addition, someone with a temporary illness might have a completely normal thyroid but high TSH, a condition called “sick euthyroid” which usually resolves without any intervention.
You must take synthetic thyroxine every day in the morning on an empty stomach. Wait at least 30 minutes before eating or drinking (with the exception of water). Skipping doses can cause your thyroid to go off balance. If you do miss a dose, be sure to take it the next day according to your regular schedule. Don’t double up on your dose by taking two pills at a time, because this can increase your levels by too much.
Heart problems - Hypothyroidism may be associated with increased risk of heart disease, mainly because high levels of low-density lipoprotein cholesterol (“bad” cholesterol) may occur in patients that have an underactive thyroid. Even mild or early stage hypothyroidism that does not present symptoms can cause an increase in total cholesterol levels and diminish the heart’s ability to pump blood.
Probiotic-Rich Foods – These include kefir (a fermented dairy product) or organic goat’s milk yogurt, kimchi, kombucha, natto, sauerkraut and other fermented veggies. Part of your hypothyroidism diet, probiotics help create a healthy gut environment by balancing microflora bacteria, which reduces leaky gut syndrome, nutrient deficiencies, inflammation and autoimmune reactions.
Refined Flour Products – Any food made with refined carbohydrates, like enriched wheat flour, for example, negatively impacts hormone levels and can contribute to weight gain. Refined flour products include bread, cereals, pastas and all baked goods. If possible, remove most grains from your diet all together, or at least try to greatly limit the amount of products you eat that are made with any flour by choosing 100 percent whole, ancient grains instead (like quinoa, buckwheat, etc.)

Thyroid hormones regulate cholesterol synthesis, cholesterol receptors, and the rate of cholesterol degradation. Hypothyroidism increases LDL levels, and increased cholesterol levels have been shown to induce hypothyroidism in animal models. Normalization of thyroid hormone levels has a beneficial effect on cholesterol, which may be worth noting especially for clients who choose not to take prescribed thyroid medications.7
With the availability of multiple forms of thyroid hormone replacement, early clinical trials were designed to assess efficacy and dose equivalency among natural thyroid (typically desiccated), synthetic l-thyroxine, and/or l-triiodothyronine. These were not designed as superiority trials, their therapeutic goals were the normalization of serum PBI or BMR, and doses were dramatically higher than used today. For example, desiccated thyroid and intravenous l-thyroxine monotherapy normalized BMR, pulse, and body weight in myxedema (29), l-triiodothyronine monotherapy was likewise effective (30), and the potency of l-triiodothyronine exceeded that of l-thyroxine (31).

Limit or eliminate junk foods and highly processed products: This plan focuses on whole, unrefined foods as they are fundamental to a healthy diet. Realistically it’s very difficult to eliminate all highly processed (often pre-packaged) foods, but just be mindful of cutting down. Likewise, snacks listed are optional depending on your regular eating habits, and there are bonus snack recipe ideas if you scroll to the bottom.
Having a thyroid condition is no picnic, but you're not alone with this health issue. According to the American Thyroid Association, more than 12 percent of the population may end up dealing with a thyroid condition at some point in their lives. And thyroid issues can be sneaky: Of the nearly 20 million Americans living with the disease, as many as 60 percent don't even realize they have it.

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Please Note: The material on this site is provided for informational purposes only and is not medical advice. Always consult your physician before beginning any diet or exercise program.

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