I am adding this in here because I recently found out that vitamin D levels need to be checked, as they can cause problems for the thyroid and adrenal glands, as well as contributing to aches, pain, slow exercise recovery, tiredness, mood swings, depression, and weight gain. Do consider being tested for it.
Because Hashimoto’s Thyroiditis can result in reduced digestive capabilities, it is a good idea to support digestion with enzymes, HCl and probiotics when necessary and to supplement with extra quantities of the nutrients most often found lacking with this condition.
High potency, high bioavailability multi-vitamin and mineral: Take as directed, preferably in divided doses.
Extra antioxidants: Take as directed daily (Shames et al, 2006; p. 97).
Extra essential fatty acids: From fish or flax; 1000-2000mg per day, two divided doses (Shames et al, 2006; p. 97; Ross, 1999; p. 245).
Extra B vitamins: Either in supplement form or, preferably, use nutritional yeast.
Calcium: 250-300mg (1-2 at bedtime) (Ross, 1999; p. 245). Calcium and iron need to be taken two hours before or after thyroid medications so as not to interfere with its absorption.
Magnesium: 200mg 2 times daily (Ross, 1999; p. 245; Shames et al, 2006; p. 97).
Selenium: 200 mcg per day has been shown to reduce thyroid autoantibodies (Gartner et al, 2002; Turker et al, 2006; Duntas et al, 2003). NOTE: Do not exceed 40mcg daily if pregnant (Balch, 2000; p. 452).
Iodine: If the multiple doesn’t contain 150-200 mcg iodine, kelp supplementation — 2-3 grams daily — should provide adequate amounts (Balch, 2000; p. 451). Dr. Mercola (in Shomon, N.D.) recommends 5 grams daily. (Supplementing directly with iodine is very controversial, with physicians obtaining erratic results, and should be either avoided or done with extreme caution until more is known about it.) Daily low-dose iodine supplementation (200mcg a day) has been shown to reduce antibody levels in people with Hashimoto’s (Rink et al, 1999).
Vitamin D3: Often low in those with autoimmune conditions, it is necessary for optimal immune function (Hayes et al, 2003). It is also required for thyroid hormone production (Shames, in Shomon, 2007). 1000-2000mg daily to bring up levels. Maintenance doses will vary.
L-Tyrosine: One of the thyroid’s hormone building blocks. Many sources recommend 500mg twice daily; levels of this amino acid are rarely low enough to warrant supplementation (Shames et al, 2006; p. 108).
Chromium: 200mcg daily, if it’s not included in the multiple (Ross, 1999; p. 245).
Iron: If testing shows a deficiency. Calcium and iron need to be taken two hours before or after thyroid medication so as not to interfere with its absorption.
Zinc: If testing shows a deficiency. 50mg daily (Balch, 2000; p. 452).
Thyroid glandulars: These have been shown to be very effective; 50-100mg twice daily. They are made from desiccated thyroid glands of either pigs or cows (use those from non-BSE cow-raising countries), from which most of the hormone has been removed. Dr. Shames likens them to decaffeinated coffee: there’s still a little bit in there (private conversation, May, 2007). Because of this, they also contain T1 and T2, other thyroid hormones that may exert a physiological effect.
Additional supplements, recommended by Dr. Shames, are extra free-form amino acids daily (two 500mg capsules), taurine (two 500mg daily), and proteolytic enzymes for inflammation (2006; p. 97).
Vegans may have to add the nutrients commonly missing in adequate amounts from an animal-free diet: extra B12, D, some L-Carnitine, zinc and selenium (Ross, 1999; p. 244).
HERBSMany herbs are available (often combined in one supplement) to support overall endocrine function and the thyroid gland particularly. These include:
Ashwagandha (Withania somnifera)
Asian Ginseng (Panax ginseng)
Bladderwrack (Fucus vesiculosus)
Coleus forskholii root
Guggul (Commiphora mukul)
Holy Basil Leaf (Ocimum sanctum)
Maca root (not raw, as it’s a brassica). No research exists to date about its effect on the thyroid, but anecdotal evidence from www.thyroid.about.com (Shomon, 2007), and from some of the producers of maca products, suggest it has a beneficial effect on the thyroid. Since it is an adaptogenic, endocrine-balancing herb (Walker, 1998), this would not be surprising.
Rosemary (Rosmarinus officinalis)
The Shames’ recommend a Tibetan herbal product called Padma Basic (2006; p. 122).
HOMEOPATHYThyroidinum 6 times or 6c, three pellets under the tongue 3 times daily for one week, may be helpful to initiate thyroid balance (Shames et al, 2006; pp. 122-123).
Calcarea carbonica may increase thyroid function (Balch, 2000; p. 452).
OTHER CONSIDERATIONSAcupuncture may be very effective to support the thyroid (Ehrlich, 2006).
Lymph massage (Bauman, in Shomon, N.D.) or exercise that includes gentle jumping
Contrast hydrotherapy (hot and cold applications) to the neck and throat may stimulate thyroid function (Ehrlich, 2006).
Stress reduction
Overall detoxification
Good sleep
Exercise, to tolerance
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