Hello, recent results :
Serum tsh level 1.1 my/L (0.35-4.9)
GP says normal. I am in horrendous pain in upper back and neck. This has been on and off for years. Seems to have started with a stressful event at work and lasted for weeks. GP will possibly refer me to pain clinic again. I am off work for Easter and really concerned I won’t be able to manage returning. Any advice appreciated
How long since you had full thyroid and vitamin testing
As you have Hashimoto’s are you gluten and/or dairy free
Been about two years since I had full thyroid and vitamins test. No not gluten or dairy free. Should I do gluten test?
Should I do gluten test?
Yes…..ideally via GP
While still eating high gluten diet ask GP for coeliac blood test first as per NICE Guidelines
nice.org.uk/guidance/ng20/c...
Or if GP unhelpful buy a test online, about £20
Poor gut function can lead leaky gut (literally holes in gut wall) this can cause food intolerances. Most common by far is gluten. Dairy is second most common.
A trial of strictly gluten free diet is always worth doing
Only 5% of Hashimoto’s patients test positive for coeliac but a further 81% of Hashimoto’s patients who try gluten free diet find noticeable or significant improvement or find it’s essential
A strictly gluten free diet helps or is essential due to gluten intolerance (no test available) or due to leaky gut and gluten causing molecular mimicry (see Amy Myers link)
Changing to a strictly gluten free diet may help reduce symptoms, help gut heal and may slowly lower TPO antibodies
Assuming coeliac test is negative you can immediately go on strictly gluten free diet
(If test is positive you will need to remain on high gluten diet until endoscopy, maximum 6 weeks wait officially)
Trying gluten free diet for 3-6 months. If no noticeable improvement then reintroduce gluten and see if symptoms get worse
chriskresser.com/the-gluten...
amymyersmd.com/2018/04/3-re...
thyroidpharmacist.com/artic...
drknews.com/changing-your-d...
Non Coeliac Gluten sensitivity (NCGS) and autoimmune disease
pubmed.ncbi.nlm.nih.gov/296...
The predominance of Hashimoto thyroiditis represents an interesting finding, since it has been indirectly confirmed by an Italian study, showing that autoimmune thyroid disease is a risk factor for the evolution towards NCGS in a group of patients with minimal duodenal inflammation. On these bases, an autoimmune stigma in NCGS is strongly supported
nuclmed.gr/wp/wp-content/up...
In summary, whereas it is not yet clear whether a gluten free diet can prevent autoimmune diseases, it is worth mentioning that HT patients with or without CD benefit from a diet low in gluten as far as the progression and the potential disease complications are concerned
restartmed.com/hashimotos-g...
Despite the fact that 5-10% of patients have Celiac disease, in my experience and in the experience of many other physicians, at least 80% + of patients with Hashimoto's who go gluten-free notice a reduction in their symptoms almost immediately.
Similarly few months later consider trying dairy free too. Approx 50-60% find dairy free beneficial
With loads of vegan dairy alternatives these days it’s not as difficult as in the past
Post discussing gluten
Obviously you also need thyroid and vitamin levels tested
Come back with new post once you get results
I will do. Many thanks
If being tested for coeliac it is important that you have had at least one portion of gluten (eg slice of bread) every day for 6-8 weeks prior to the test to give the antibodies sufficient time to build before checking. So don’t stop eating foods containing gluten prior to having that test.
Thyroid results suggest overactive thyroid?
Thyroid Test Results 
Thyroid function test results
Thyroid Function Results 
Abnormal thyroid results - results included
