Functional Approach: Thyroiditis

Autoimmune Thyroiditis or Hashimoto's thyroiditis (HT), also known as chronic lymphocytic thyroiditis, is an autoimmune disorder affecting the thyroid gland and is the most common cause of hypothyroidism in the US. But before 20 th century, iodine deficiency was the most common cause of hypothyroidism in the United States. Interestingly, In the early 20th century, we began to add iodine to salt. Iodine deficient hypothyroidism and related goiters decreased, and Hashimoto’s thyroid disease emerged as the predominant form of hypothyroidism. It’s possible that over supplementation with iodine increased autoimmune thyroid disease. I have noticed, alternative medicine practitioners often prescribe high-dose iodine supplementation, in the range of 10-15 mg. However, this approach is not supported in scientific and medical literature. I’ve personally treated patients whose Hashimoto’s disease and that was clearly induced by high intake of iodine prescribed by such practitioners.

Key point to explore:

Minerals and vitamins

Iron, ferritine (stored iron), zinc and vitamin D are frequently low in women with Hashimoto’s.

Avoid gluten

As a side note, I’ve worked with patients who were able to bring thyroid antibodies into normal range by completely avoiding gluten.

At Functional Medicine approach:

Check your Iron, zinc ferritine (stored iron), and vitamin D.

Test for small intestine bacterial overgrowth and food sensitivity test as a increase gut permeability.

Do not ignore the probiotics: it showed that intake of the probiotic :Lactobacillus spp., Bifidobacterium spp., and Streptococcus thermophilus – reduced the number of L-thyroxine dose adjustments compared to the control group without probiotics.

Contribution: DR Rumki Banerjee

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