• Jasmine Blake Hollywood, MS, HHP

What is Autoimmune Thyroid Disease and How do you Live with It?

Updated: Sep 8



Often enough when discussing my condition as a nutrition coach, I am approached by people that want to know one simple question,"What is autoimmune thyroid disease? How does autoimmune thyroid disease relate to nutrition?" Autoimmune thyroid disease is a condition of the thyroid gland. Autoimmune means the immune system of the body begins to attacks its own cells or tissues. This attack cannot be controlled and results in either a hypothyroid state, which is considered Hashimoto's thyroiditis, or a hyperthyroid state, which is considered Graves' disease. Graves' disease can also be known as thyrotoxicosis.


Unfortunately, conventional medicine claims that there is no cure for autoimmune thyroid disease. Treatment options involve surgery, radioactive iodine, or taking medications that consist of synthetic or desiccated thyroid hormones that will either increase or decrease overall thyroid hormone production. Taking medication is usually a lifetime commitment and sometimes specific vitamins and minerals can be taken alongside these medications to have a better our quality of life.


Which vitamins and minerals are used in treating thyroid disease?


Vitamins and minerals are a huge in today's emerging economy. Almost every person that eats the Standard American Diet (SAD) has some sort of deficiency or excess. Nutrients utilized with thyroid interventions are iodine, selenium, zinc, vitamin A, vitamin D, and a variety of B vitamins. B vitamins often range differently with each individual. Also, tyrosine is an amino acid that can sometimes be used in treating thyroid disease or symptoms. Although the biggest player is iodine, not every thyroid condition is iodine-induced. Meaning many clients with thyroid disease may not have an insufficiency.


How to Diagnose Thyroid Disorders


Most people that find out they have autoimmune thyroid disease, find out because their labs come back with low or high levels of thyroid hormones. The hormone levels range differently depending on how the units are measured. The hormones tested for thyroid disease are T3, T4, and TSH. The hormones tested for autoimmune thyroid disease are T3, T4, TSH, TSI, Tg, and TPO.


  • T3 is triiodothyronine

  • T4 is thyroxine

  • TSH is thyroid stimulating hormone

  • TSI is thyroid stimulating immunoglobulin

  • Tg is thyroglobulin

  • TPO is thyroid peroxidase


TSI, Tg, and TPO are all proteins used to test for autoantibodies. When these proteins are attacked by autoantibodies, then it can be confirmed that there is autoimmunity. Nutrient levels also can determine if a person could be headed towards thyroid disease. Getting your iodine and vitamin A levels checked for deficiencies can also verify hormone conversion issues.


What is the difference between Graves' disease and Hashimoto's Thyroiditis?


The difference between Grave's and Hashimoto's is:

  • Hashimoto's Thyroiditis is a form of hypothyroidism. This particular attack of the thyroid causes the body to not produce enough thyroid hormones.

  • Graves' disease is a form of hyperthyroidism. This type of attack causes the body to over-produce thyroid hormones.

The difference in symptoms between thyroid conditions is, an individual with Hashimoto's Thyroiditis will suffer from many signs and symptoms such as hair loss, dry skin, weight gain, and even sensitivity to the cold. Just the opposite, a person with Graves' disease will usually lose weight, increased heart rate, have a sensitivity to heat, and have bulging eyes. Both conditions can cause similar signs and symptoms such as hair loss or coarse voice.


How can someone be diagnosed with both Grave's disease and Hashimoto's Thyroiditis?


Unfortunately, people can have both Graves' disease and Hashimoto's disease. More than often if someone has both conditions, they usually have Graves' disease first. Graves' disease is a more serious condition and the protocol is to try to get the thyroid back to a euthyroid state or get the condition to a state they can treat longterm. If euthyroid fails, physicians will use surgery or radioactive iodine treatments as an intervention. These two treatments will put the patient into a Hashimoto's state. They will then try to treat this instead.


What is Hashitoxicosis?


There is also a condition now known as Hashitoxicosis. This where the patient gets Graves' disease due to inflammation but thyroid cells are effected by autoantibodies of Hashimoto's. It is sometimes known as a hyperthyroid type thyroid condition in addition to having thyroiditis, but the thyroiditis is what is causing the condition. The end result is a hyperthyroid state.


Originally I was suspected of having a goiter. A goiter is the swelling of the neck where the thyroid is located. The gland swells immensely from the inflammation. Usually, this will draw the attention of the physicians to test the blood for an imbalance of thyroid hormones. Goiters can be symptoms of both Graves' and Hashimoto's diseases.


Can Hashimoto's be Reversed?


Yes, Hashimoto's can be reversed. There are many ways to reverse this condition, but everyone uses a different combination of factors to succeed in it. Other factors that can influence thyroid are toxins, hormone imbalance, and gut imbalance.


How do you treat thyroid disease Naturally?


You can treat thyroid disease by doing a number of things. Some health practitioners say through diet alone, chances of euthyroid are high. Other practitioners say that a combination of diet and lifestyle techniques, along with medication are needed to be successful. This would be the whole body approach to wellness. Factors such as stress level, mental and emotional wellness, dietary intake, and physical activity levels all play a role in thyroid diseases.


There are many techniques to achieve wellness and optimal health. Researching your own condition and practicing techniques can teach you many things. Other health practitioners have had this disease and have successfully managed to reverse or treat it.

Reference:

  • Sriphrapradang, C. & Bhasipol, A. (). Differentiating Graves' disease from subacute thyroiditis using ratio of serum free triiodothyronine to free thyroxine. Annals of Medicine and Surgery, 10: 69-72. https://doi.org/10.1016/j.amsu.2016.07.024

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