The Importance of Nutritional Factors and Dietary Management of Hashimoto's Thyroiditis

[helvella]

This paper was written with specific reference to Poland. For that reason, there will be elements which are inappropriate in other countries.

My main aim in posting is not to distribute the advice contained so much as to highlight that there are at least some people who recognise that there are issues which need to be addressed.

Review

Ann Agric Environ Med

. 2020 Jun 19;27(2):184-193.

doi: 10.26444/aaem/112331. Epub 2019 Oct 2.

The Importance of Nutritional Factors and Dietary Management of Hashimoto's Thyroiditis

Paulina Ihnatowicz 1 , Małgorzata Drywień 1 , Paweł Wątor 2 , Joanna Wojsiat 3

Affiliations

• PMID: 32588591

• DOI: 10.26444/aaem/112331

Abstract

Hashimoto (HT) is an autoimmune disease in which destruction of the thyroid occurs as a result of lymphocyte infiltration. It is caused by an increased level of titers of antibody against thyroid peroxidase (TPO) and thyroglobulin (TG). Because of that,in HT patients, changes are observed in the level and metabolism of thyroid hormones, which leads to unspecified physical and psychological symptoms. A high level of antibodies attacking thyroid antigens has been positively correlated with the symptoms. From the etiological point of view, the most important are genetic factors; however, environmental factors are necessary to provoke the immune system to attack until the process is over. Scientists indicate specified stress, toxification, microbiota dysbiosis and under- or over-nutrition, to name only a few. Dietotherapy of Hashimoto's is based on the proper nourishment of the body and regulation of the immune system by an anti-inflammatory diet. Observational and controlled trials have shown frequent nutrition deficiencies in HT patients. In literature, there is evidence for selenium, potassium, iodine, copper, magnesium, zinc, iron, vitamin A, C, D and B. The role of the proper level of protein intake, dietary fibre and unsaturated fatty acids, especially the n-3 family, has been indicated. HT patients should often eliminate lactose because of intolerance and interactions with levothyroxine and gluten because of possible interactions of gliadin with thyroid antigens. The article describes the nutrition factors of HT patients, and share nutrition recommendations for diet therapy.

Keywords: diet therapy; gluten; hypothyroidism; lactose.

Full paper freely available from:

pubmed.ncbi.nlm.nih.gov/325...

[userotc]

Very interesting paper, now speed-read. In brief, it confirms a combination of genetics and diet which is broadly comon with other work including Isabella Wentz. Clearly people can influence the latter but maybe feel not the former but I suspect that diet and wellbeing may also influence that in at least some cases although but maybe not all factors which are listed as: major histocompatibility genes (encoding human leukocyte antigens), proteins regulating the immune system and specific thyroid genes.

Genetics influences many health conditions but I understand its often as low as 5%.

[Malusky]

Can you please supply me with a diet

[helvella Administrator Thyroid UK in reply to Malusky]

Sorry, no.

I am in no way qualified in anything medical or dietary. All I'd be able to do is search around and try to find something that appears to me to be suitable.

The paper is rather implying that you need to look at your diet and consider adjustments to that and which supplements might be appropriate for you.