Start Here

Newly diagnosed or otherwise have no clue how to tackle your lingering symptoms? First of all, register for our forums to connect with other patients and learn what’s worked for them. Read our FAQ and browse our Recommended Reading to get a basic understanding of the science behind autoimmune disease and the various methods to treat it. Here are some other things to consider:

Recommended Lab Work

  • Complete Thyroid Panel: Free T3, Free T4, TSH, reverse T3, TPO Antibodies, and Tg Antibodies. Note that once an autoimmune thyroid condition has been diagnosed, there is no need to retest the antibodies.
  • Sex/Adrenal Hormone Panel: Estrogen, Progesterone, Testosterone, DHEA, and Cortisol. Saliva-based is preferred, and the cortisol should be looked at over a 24-hour period.
  • Deficiencies: Test D3, iron (including ferritin, TIBC, and % saturation), B vitamins, calcium, and any and all other vitamins or minerals. Most of us have multiple deficiencies, especially vitamin D.
  • Gut Infections: H. Pylori, Candida, worms, and protozoans are common problems in autoimmune patients. These can be done as stool tests.
  • Neurotransmitter tests can be helpful, and are offered as urine-based from Labrix via Canary Club.

Recommended Rx Drugs and Practitioners

  • Natural Dessicated Thyroid or a compound of both T4 and T3 is generally better-tolerated and more effective for autoimmune thyroid patients than Synthroid.
  • Low-Dose Naltrexone can help modulate the immune system, if needed.
  • Functional doctors use a subtler, more accurate range when examining test results, and generally have a better understanding of autoimmune disease than mainstream doctors.
  • Doctors trained by Dr. Kharrazian are also a good place to start.
  • You may benefit from consulting with a nutritionist during an elimination diet, however, more and more blogs and books are being written for allergen-free and anti-inflammatory diets.
  • You may also benefit from a chronic illness counselor, massage therapist, acupuncturist, or other practitioner.

Recommended Anti-Inflammatory Diet

Supplements to Consider

  • Common Supplements for Autoimmune Patients
  • Probiotics or Fermented Foods
  • Multivitamin/mineral
  • Vitamins like a B Complex, Buffered Vitamin C, Emulsified D3, Vitamin E
  • Minerals like Calcium, Chromium, Iron, Magnesium, Selenium
  • Fermented Cod Liver Oil
  • Betaine HCl and Digestive Enzymes for low stomach acid, acid reflux, and poor digestion
  • Oil of Oregano for infections
  • Herbs like Ashwagandha, Dandelion Root, Ginger, Ginseng, Gingko, Licorice Root, Nettle, Peppermint, Raspberry Leaf, and Rhodiola

Exercise and Mental Health

  • Control stress, depression, and insomnia with daily meditation.
  • Go for a walk, do some gentle yoga, or do some mild resistance exercises every day.
  • Get outside and soak up some sun. Any non-burning exposure will help bring up vitamin D levels, give energy, and help fight low mood.
  • Practice positive affirmations, optimism, and gratefulness.

15 Responses to Start Here

  1. Misha says:

    I’m curious as to why you indicate there is no need to retest the antibodies. I’ve read about remission of Hashimoto’s Thyroiditis (shown through antibodies testing) and regeneration of a thyroid gland in the journal Thyroid.

    • lindeyrig says:

      Because it’s possible for a person to test really low on antibodies and have tons of symptoms still. It’s also possible for a person to test negative on both antibodies and be highly symptomatic. The best thing to go by is symptoms and ultrasounds to monitor the atrophy of the thyroid.

  2. Natalie says:

    Do I start with healing the gut even if I have many signs of Candida? Many of the symptoms for AI are also Candida signs, but I have had oral thrush (my mouth and tongue have had a burning feeling for over a year). My diet is SOOO restrictive because of Candida and it is hard to go out and eat even at a friend’s house. Thanks

    • lindeyrig says:

      Yes, healing the gut will also help treat candida. The AIP diet made a little stricter can definitely help with that. I avoided fruit and starchy carbs to help get it under control.

  3. Roberta Bliss says:

    About 5+yrs ago, I had to have all of my thyroid out. This was my third surgery on it. When they got in there they discovered I had Hashimoto Thyroiditis. They have not been able to stabilize my thyroid yet. And 2 months ago, I had done the flip/flop to the extreme. My question is this, is it still possible to have this disease since my whole thyroid was taken out? I have major comprehension issues along with memory issues and I know very little of this disease.

    • lindeyrig says:

      Yes, removing the thyroid does not remove hashimoto’s. Hashimoto’s is an autoimmune disorder and the attack is on the thyroid. Look in to addressing overall gut health – start with getting rid of gluten and grains in general. Lean meats and veggies will help heal leaky gut and also leaky brain which will help with the brain fog and memory issues.

  4. Deborah Patalonis says:

    Please send me a practitioner in my area. Preferably one who works with Cigna.

    • lindeyrig says:

      thyroidbook.com has a practitioner finder located on their site. We also have a list of recommended docs in our files section in the Facebook group.

  5. What does TPO of 49 ml mean?
    And tgb of 58?

    • lindeyrig says:

      It depends on what your lab lists as the ranges for those numbers. Normally they will list >a number meaning anything higher than that number is a positive result. MY lab uses 35 for both and so if that was the same case as yours it would be positive for hashi. Hopefully that helps.

  6. Lanaye Dempsey says:

    My Dr checked my TSH & antibodies (because my mother has hashimotos)…my TSH was 3.000 & my antibody level was 200 …! That seemed high to me ? He’s sending me to an endocrinologist but that could take a year! He saId my body was PREPARING to attack it’s thyroid but hasn’t yet.

  7. sharon fussell says:

    My TPO is 114 i take .137mcg of synthroid(generic) is that level consider hashi

  8. Michelle says:

    I have read in many articles and books about the importance of vitamins. I am writing this as a CAUTION for any Hashimotos patients who have high cholesterol or high triglycerides. Do not take Vitamin E supplements. I personally do not have a problem in small doses, such as in a multi-vitamin, but I took a separate Vitamin E supplement and almost passed out. If you read about Vitamin E, there are warnings advising not to take if you have high Cholesterol, especially high triglycerides. Unfortunately I have not located any literature talking about Hashimotos that includes this warning.

  9. vanessa says:

    Hello…so I’ve had a thyroid problem for a good 10 years now but ever since I had my 4th baby 2 years ago I started noticing my hair loss just wouldn’t stop. At first I thought it was a post partum stuff …long story short. Went to dr. turns out I have Hashimotos. My antibodies levels are really high …is that what is causing my hair loss. I am desperately looking for answers. My dr just added me to armour in addition to levothyroxine. but 6 weeks later not much change so she increased the armour dosage. Is the hair loss related to the autoimmune hashimotos ?…
    Will going gluten free and approaching it from that perspective help?!
    Thanks :)

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