Gluten

[BibiNana]

As someone with Hashimotoes disease should I cut out gluten ? I am an not showing as gluten intolerant via any tests but my antibodies are off the scale high.

[SlowDragon Ambassador]

Poor gut function with Hashimoto’s 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

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

healthunlocked.com/thyroidu...

Recent research in China into food intolerances with Hashimoto’s

healthunlocked.com/thyroidu...

More interesting Chinese research on Hashimoto’s and leaky gut

nature.com/articles/s41598-...

Hashimoto's affects the gut and leads to low stomach acid and then low vitamin levels

Low vitamin levels affect Thyroid hormone working

what are your most recent vitamin D, folate, ferritin and B12 results

What vitamin supplements are you taking

[BibiNana in reply to SlowDragon]

Thank you so much incredibly helpful 🙏

[Buddy195 Administrator]

Definitely worth a 100% GF trial for a couple of months to see if this benefits you BibiNana.

Whilst I’m not coeliac, I’m certainly gluten intolerant as eliminating gluten resolved all previous gastric issues. It also massively reduced thyroid antibodies… but they are still out of range!

[BibiNana in reply to Buddy195]

My antibodies are in the thousands so definitely worth going gluten free a try!

[Buddy195 Administrator in reply to BibiNana]

Honesty I used to worry about sky high antibodies but SlowDragon advised me that they can fluctuate and ‘over range’ still demonstrates I have Hashimotos. Since being GF they have been at a fairly constant (over range) level. I wouldn’t test them anymore, but results come as part of private advanced thyroid tests.

[SlowDragon Ambassador]

my TPO and TG antibodies were both extremely high at diagnosis in 1990’s …highest endo had ever seen

They were still very high ten years ago when I went Gluten Free

TPO started to slowly reduce after that, and dropped further when I went dairy free in 2022

2024 ….TPO antibodies dropped below 34

TG still slightly over range

[BibiNana in reply to SlowDragon]

That's given me hope!

I only have half a thyroid but it's getting massively attacked.

🤞

[greygoose in reply to BibiNana]

But you do know that it's not the TPO/Tg antibodies that are doing the attacking, don't you?

[SlowDragon Ambassador in reply to BibiNana]

The antibodies are not doing any attacking, they are the hoovers cleaning up after an immune reaction

[radd in reply to SlowDragon]

But can create chronic inflammation and encourage further inflammatory responses and other autoimmune conditions. Hence lower is better.

[SlowDragon Ambassador in reply to radd]

I certainly feel noticeably better since TPO antibodies dropped