Eureka health // march 12, 2024

Controlling and Losing Weight with Hashimotos

medically reviewed by:
DR. MARCO DE SANTIS
&
contents

Understanding weight loss challenges in Hashimoto's disease can be quite a task, particularly when the condition, characterized by an underactive thyroid (hypothyroidism), affects your metabolism, results in weight gain, leads to fatigue, among other health problems. Despite these issues, it's important to realize that specific, strategic steps can help overcome such hurdles.

Now, let's delve deeper into what makes losing weight with Hashimoto’s a tough task and how dietary modifications can serve as a game-changer in this scenario.

Decoding Hashimoto’s Thyroiditis

Hashimoto’s Thyroiditis, or Hashimoto’s, is an autoimmune disease that sees the immune system gradually attack and dismantle the thyroid gland. This disease is the leading cause of hypothyroidism in the Western world and affects women eight times more often than men (1).

Although symptoms might be trivial or non-existent initially, they can escalate as hypothyroidism progresses. Some familiar markers of Hashimoto's include weight gain, overwhelming fatigue, sensitivity to cold, constipation, brain fog, memory issues, joint and muscle pain, and depression.

Unlocking the Puzzle of Weight Loss with Hashimoto’s

With your thyroid's role being closely tied to your metabolism, weight loss can feel like a battle when contending with Hashimoto’s. An under-active thyroid can heavily slow your metabolism, leading to fewer calories being burned than usual. Worse, it can sap your energy levels, leaving you less inclined to exercise or adhere to a healthy eating pattern.

Stress can amplify these issues by further slowing down your thyroid function and subsequently, your metabolism (2). Comprehending all these factors might make weight loss seem like an insurmountable task, but let's bust that myth. Below, you'll find seven effective strategies to recharge your metabolism and kick-start your weight loss journey.

Some Dietary Revisions May Be in Order

The efficiency of your medication, specifically its type and dosage, plays a significant role in your weight loss journey. Thyroid medication works towards striking a balance in your TSH (thyroid-stimulating hormone) and T3 and T4 levels.

Cutting Down a Bit, Are We?

Although you don't need to embark on an extreme low-carb diet for weight loss, reducing your intake of refined carbs, especially added sugars and sweeteners, can be a good start. The average person consumes over 77 pounds of sugar each year which works out to approximately 23 teaspoons or 360 calories per day, sourced from sugar alone. This is still a significant number despite it being less than before

Focus On Your Proteins & Veggies

Structuring your meals around protein and vegetables can be a key to successful weight loss with Hashimoto’s. Proteins have been found to keep you full for longer, thus curtailing overeating. Foods rich in proteins include meat, seafood, eggs, nuts, legumes, and dairy.

Vegetables are a dense source of essential vitamins, minerals, and phytonutrients. Some nutrient-rich vegetables include green leafy vegetables, mushrooms, and cruciferous vegetables like cabbage, broccoli, cauliflower, and Brussels sprouts.

Don't Forget the Thyroid Essentials: Minerals

Selenium, zinc, and iodine are minerals directly involved with thyroid functioning. Getting an adequate supply of these minerals through your diet is crucial for individuals with Hashimoto’s.

What About Gluten & Dairy?

There is an observed link between gluten sensitivity, celiac disease, and autoimmune conditions like Hashimoto’s. Some individuals have reported a notable weight loss simply by sticking to a gluten-free diet.

Fitness Plays Crucial Part in Weight Loss

In addition to modifying your eating habits, regular exercise is also key to triggering weight loss. Exercise helps burn more calories, boosts mood, energy, and metabolism. Starting with an achievable target, like 10,000 steps every other day, can begin your fitness journey.

Now, drawing upon information from various research studies and scholarly articles, let's append the discussion with more data-driven inferences:

Following the Mediterranean Diet

A study by Weronika Kamińska et al. emphasizes the effectiveness of lifestyle changes – specifically adopting the Mediterranean Diet and increasing physical activity – in improving anthropometric parameters in women battling Hashimoto's thyroiditis (Kamińska, 2023). The Mediterranean diet is rich in fruits, vegetables, lean meats, fish, nuts and seeds, and olive oil.

Role of Iodine and Diet

A review by A. Mikulska et al. provides an overview of the metabolic profile of Hashimoto’s thyroiditis patients and underlines the role of micronutrient supplementation and dietary management in easing symptoms (Mikulska, 2022).

Athletic Women and Hashimoto's

Marcin Gierach and R. Junik's study emphasizes the impact of L-thyroxine treatment, a synthetic form of T4, on metabolic parameters in female triathletes with Hashimoto's thyroiditis (Gierach, 2023). The study details significant differences in fat mass and visceral adipose tissue before and after treatment.

The Autoimmune Protocol Diet

Paulina Ihnatowicz et al. studied the effectiveness of the Autoimmune Protocol diet on thyroid function and symptoms in Hashimoto’s thyroiditis patients (Ihnatowicz, 2023). This diet excludes potential food irritants and allergens, allowing the body to heal and recover from inflammation.

Hashimoto's and Radioactive Iodine Therapy

A retrospective study led by J. Tajiri assessed the effectiveness of radioactive iodine therapy in reducing thyroid size and alleviating symptoms in patients with Hashimoto’s thyroiditis (Tajiri, 2006).

And Finally – Some Extra Tips

Ensure a good night's sleep, stay hydrated, and keep tabs on helping control overeating. Remember, each person is unique, and these steps can be modified to fit your personal health profile and comfort level.

Eureka offers a Free Personalized Thyroid Health Recommendation service. Now, gaining control over thyroid health can be simplified and streamlined. With Eureka, you're not alone. Let's reclaim your health, one step at a time.

References

  1. Lifestyle intervention towards Mediterranean Diet, physical activity adherence and anthropometric parameters in normal weight women with Polycystic Ovary Syndrome or Hashimoto's Thyroiditis - preliminary study by Weronika Kamińska et al. (2023). This study highlights the effectiveness of lifestyle changes, specifically adopting the Mediterranean Diet and increased physical activity, in improving anthropometric parameters in women with Hashimoto's thyroiditis. Read more.
  2. The Influence of Nutritional Intervention in the Treatment of Hashimoto’s Thyroiditis—A Systematic Review by Karolina Osowiecka and J. Myszkowska-Ryciak (2023). This review examines the effects of various nutritional interventions on Hashimoto's thyroiditis, noting improvements in symptoms and biochemical markers from diets that include energy restriction and the elimination of specific ingredients like gluten and lactose. Read more.
  3. Metabolic Characteristics of Hashimoto’s Thyroiditis Patients and the Role of Microelements and Diet in the Disease Management—An Overview by A. Mikulska et al. (2022). This review discusses the metabolic profile of patients with Hashimoto’s thyroiditis and the role of micronutrient supplementation and dietary management in alleviating symptoms and managing the disease. Read more.
  4. Assessment of Metabolic Parameters in Female Triathletes with Hashimoto’s Thyroiditis in Poland by Marcin Gierach and R. Junik (2023). This study assesses the impact of L-thyroxine treatment on metabolic parameters in female triathletes with Hashimoto's thyroiditis, finding significant differences in fat mass and visceral adipose tissue before and after treatment. Read more.
  5. Effects of Autoimmune Protocol (AIP) diet on changes in thyroid parameters in Hashimoto's disease by Paulina Ihnatowicz et al. (2023). This study evaluates the effectiveness of the Autoimmune Protocol diet on thyroid function and symptoms in patients with Hashimoto’s thyroiditis, noting improvements in thyroid hormone levels and a reduction in symptoms. Read more.
  6. Radioactive iodine therapy for goitrous Hashimoto's thyroiditis by J. Tajiri (2006). This retrospective study assesses the effectiveness of radioactive iodine therapy in reducing thyroid size and relieving symptoms in patients with Hashimoto’s thyroiditis. Read more.
  7. Hashimoto's thyroiditis: An update on pathogenic mechanisms, diagnostic protocols, therapeutic strategies, and potential malignant transformation by M. Ralli et al. (2020). This review provides a comprehensive update on the pathogenesis, diagnosis, and treatment strategies for Hashimoto's thyroiditis, including the potential for malignant transformation. Read more.

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Alison L. swapped her thyroid meds to improve her energy levels.
Beth S. received new protocols to try even though her TSH is normal.
Sydney T. improved her Hashimoto's through a custom thyroid diet plan.
Tisha R. found better ways to manage her subclinical hypothyroidism.

Have symptoms and want to change or adjust your medication?

Eureka can offer free personalized recommendations, and our thyroid doctors can help.
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