Appetite

[JoshRH]

Hi, was just wondering, does anyone struggle to finish there food and get very full up quickly and bloated with hypothyroidism?

[SlowDragon Administrator]

Suggest you ask for full testing for coeliac, plus vitamin D, folate, ferritin and B12

Do you have Hashimoto's (raised antibodies)

[JoshRH in reply to SlowDragon]

B12 was fine last time I checked, folate was just in range but low, never had Vit D tested as my doctors don’t do it, also had my antibodies tested they were fine, I feel like I should probably do a Endoscopy

[SlowDragon Administrator in reply to JoshRH]

B12 range is very wide. With Thyroid issues we often need to at top of range. B12 and folate work together so if folate is low then suggests isssues

Ferritin should be tested, so should vitamin D

For full evaluation you ideally need TSH, FT4, FT3, TT4, TPO and TG antibodies, plus vitamin D, folate, ferritin and B12 tested

See if you can get full thyroid and vitamin testing from GP. Unlikely to get FT3

Private tests are available

thyroiduk.org.uk/tuk/testin...

Medichecks Thyroid plus ultra vitamin or Blue Horizon Thyroid plus eleven are the most popular choice. DIY finger prick test or option to pay extra for private blood draw. Both companies often have money off offers.

All thyroid tests should be done as early as possible in morning and fasting and don't take Levo in the 24 hours prior to test, delay and take straight after. This gives highest TSH, lowest FT4 and most consistent results

[JoshRH in reply to SlowDragon]

Thank you for that much appreciated 🙏

[JoshRH]

So you don’t think the thyroid issue itself could be the course?

[JoshRH]

Literally had it for like a year now

[SlowDragon Administrator in reply to JoshRH]

Yes it's very likely, but GP won't diagnose or medicate

You know your hypo.

Email Thyroid UK for list of recommended thyroid specialists [e-mail]

When hypo we get very often get low stomach acid. This impairs the way the gut works, reduces vitamins and causes gluten intolerance and leaky gut

Poor gut function can lead leaky gut (literally holes in gut wall) this can cause food intolerances. Most common by far is gluten

According to Izabella Wentz the Thyroid Pharmacist approx 5% with Hashimoto's are coeliac, but over 80% find gluten free diet helps significantly. Either due to direct gluten intolerance (no test available) or due to leaky gut and gluten causing molecular mimicry (see Amy Myers link)

But don't be surprised that GP or endo never mention gut, gluten or low vitamins. Hashimoto's is very poorly understood

Changing to a strictly gluten free diet may help reduce symptoms, help gut heal and slowly lower TPO antibodies

thyroidpharmacist.com/artic...

thyroidpharmacist.com/artic...

amymyersmd.com/2017/02/3-im...

chriskresser.com/the-gluten...

scdlifestyle.com/2014/08/th...

drknews.com/changing-your-d...

Low stomach acid can be an issue

Lots of posts on here about how to improve with Apple cider vinegar or Betaine HCL

thyroidpharmacist.com/artic...

drmyhill.co.uk/wiki/hypochl...

scdlifestyle.com/2012/03/3-...

healthunlocked.com/thyroidu...

Other things to help heal gut lining

Bone broth

thyroidpharmacist.com/artic...

Probiotics

carolinasthyroidinstitute.c...

Importance of magnesium

hypothyroidmom.com/two-vita...

[JoshRH in reply to SlowDragon]

Thank you

[Clutter]

JoshRH,

I lack appetite and fill up quickly but I don't bloat. Try frequent small meals rather than one or two large meals. You could try 100% gluten-free diet for a few weeks to see whether bloating improves.

[Winnie2009]

I do but have b12 deficiency think this is common.gravy dinners are easiest....