On Saturday, May 9, 2020, we hosted our first-ever Thyroid Care Virtual Retreat with some of the most influential women's health experts and advocates sharing insights and practical wisdoms to help you take back control of your thyroid health!
During the event, there was not enough time to live answer all the questions posed in the chat. Our experts weighed in to answer all additional questions here.
Endometrial hyperplasia is a known risk of estrogen use after menopause. We have a pretty good understanding of the minimum progestin requirement which dramatically reduces that risk - eg. Prometrium 100mg nightly or 200mg for 10 days of each month, Provera 2.gmg daily.
Pellet therapy is discouraged by the North American Menopause Society.
IUDs do not affect when or how your body goes through menopause.
Some women continue to have menstrual cycles into their late 50s. You may be perimenopausal, and hot flashes are a known symptom of perimenopause due to fluctuating hormone levels. It's good to have thyroid function checked every six months to be sure the thyroid is not a component of your symptoms.
Yes. It is absolutely necessary to help prevent endometrial hyperplasia.
I suggest asking your health care provider to check your thyroid function to be sure this symptoms is not related to abnormal thyroid levels. I don't suspect a kidney or liver source, but it would be easy to check their function with simple blood tests, as well.
I'd recommend one teaspoon daily. It's also important that you are purchasing gelatinized maca versus raw maca, as it's much more bioavailable and easy to absorb. I like Gaia's maca powder.
Well, that's a tough question to answer as it's dependent on so many things. I'm hesitant to give advice without knowing your gut, hormone, lifestyle, genetics, preferences, etc. but I will say that many people have difficulty digesting gluten due to it's ability to penetrate the gut barrier, leading to leaky gut, digestive symptoms, inflammation and autoimmune disorders. If you are experiencing symptoms or a thyroid condition, I definitely think it'd be worth eliminating gluten for a minimum of two weeks and paying attention to how you feel. Ultimately, you'll get a better sense of how your body responds or reacts to gluten and whether or not you should leave it out of your diet.
Absolutely! Cravings are an amazing way to get a sense of what's going on on a deeper level in our body. For example, carb cravings can be a sign of a deficiency in b-vitamins or a blood sugar imbalance, while sweet cravings could mean you're deficient in magnesium, which can impact your sleep, anxiety, cortisol levels, etc. I wrote a post on this to help decode cravings.
Great question! I think it's different for everyone and truly unique to each person's journey. For me, it was a matter of weeks, but I drastically changed my diet from processed foods to real foods, plants, and green smoothies. On average, the bacteria in our gut divides every 20 minutes, so if we feed it food that either empowers the bacteria to flourish or causes inflammation, we can feel results pretty quickly. On a hormonal level, the changes in our diet can help stabilize insulin and cortisol levels within 72 hours. I think it's an ongoing process, and you truly have to do the work to tune in and pay attention to what is feeling right for you. It's ever-changing, so it requires a lot of checking in and deepening your self-awareness.
Our at-home thyroid test kit measures TSH, free T3, free T4, and TPO antibodies to you a comprehensive understanding of your thyroid function. The test is done at home with a small lancet, instead of venipuncture. You prick your finger with the lancet and drop a few spots of blood onto a collection card. Once dry, these cards are extremely stable for shipment and storage. Then, you ship your sample off to our CLIA-certified lab, and results are uploaded to your private online dashboard within five business days. Learn more about the accuracy of dried blood spot testing.
Our at-home thyroid test kit is not reusable. The kit includes everything you need for a one-time collection (including a special collection card, lancets, alcohol swab, bandaid, and prepaid return label). You join our Ambassador program to earn credits toward future purchases, making it more cost-effective.
A few considerations to reduce your TPO antibodies might include diet, sleep, or lifestyle modifications. The more dietary stress you put on yourself, the more likely you are to experience inflammation. This inflammation can worsen your autoimmune reactions and interfere with your thyroid function. Sleep can also lower inflammation, heal, and restore damaged tissue. Work with your care team to determine if supplements might also support your efforts. Learn more about TPO antibodies.
Levothyroxine is not an immunosuppressant. earn more about immunosuppressants and Hashimoto’s.
NatureThroid is a T4/T3 combination medication made from desiccated pig thyroid. It contains lactose as a filler. Learn more about thyroid medications.
Yes, you can definitely still have low thyroid symptoms but have normal labs. This could be caused by a number of issues - sleep deprivation, poor diet, too much caffeine, chronic stress, a pituitary issue, a thyroid hormone conversion issue, etc. It’s important to work with a doctor who takes a comprehensive approach and will help you get to the root cause of your issue.
While the overall risk for an adverse reaction is minimal, Botox is a toxin. It can lead to severe or life-threatening complications if misused. If you have Hashimoto’s, or any other autoimmune disorder, it is worth a consult with your doctor before receiving injectable beauty treatments.
While there is no definitive way to prevent hypothyroidism, you can make informed choices and modifications to reduce your risk or slow progression.
This may or may not have to do with your thyroid and rather hormonal shifts as you age (ie estrogen/progesterone). Hypothyroidism can cause periods to be heavier so making sure your lab work is up to date and normal is important.
See your doctor and get a thyroid ultrasound to make sure they appear benign (a.k.a. not concerning). Addressing Hashimoto's takes a comprehensive approach - please work with your doctor on this either at Paloma, your endocrinologist, or primary care physician.
There is no quick answer to this question. Vitamin D is important for immune regulation and probably plays an important role in autoimmune thyroiditis ie Hashimoto's for example. I would try to optimize the blood level to around 40-60. If you have a chronic gut problem due to an autoimmune disorder or SIBO for example we sometimes see low iron or low zinc levels amongst other issues. It is very individualized so please work with a physician to help you figure this out.
Yes! I don't see any reason not to. Your body still has to convert T4 to T3 even though you do not have a thyroid gland.
There is a happy medium between these two. Yoga can create hyper-mobility and doesn’t help support the muscle, especially when we struggle with low muscle mass with Hashimoto’s. Crossfit can definitely create adrenal insufficiency due to high volume with very little rest breaks, as well as a typical six days a week training WOD. I like kettlebells because you can negotiate form while learning the form, you can take long rest breaks, and I would do functional strength moves. I call them the Essential 7 - hinge (like a deadlift), squat, lunge, push, pull, carry, and anti-rotate.
Eat optimal protein (at least 30 grams per meal) to stimulate muscle protein synthesis, strength training, and full-body movements. If you are doing squats and deadlifts, pick a weight that is heavy enough that by the fifth rep it feels challenging. Take long rest breaks in between lifts, and walk around for 1-1.5 minutes if you are lifting this kind of weight. Seven pounds in the first week is a lot. Just make sure whatever you do is sustainable over time. Usually, you’ll see a drop in weight and water weight with an elimination diet. If you need some guidance on form in your strength program you can check out Thyroid Strong, how to workout without burning out with Hashimoto’s at dremilykiberd.com/yes.
Difficulty losing weight, and the addition of other autoimmune diseases over time, are both common complaints from many women with Hashimoto's hypothyroidism. There are a few key steps to consider:
My first reaction is, "Absolutely! It's time for a new doctor!" But my next reaction is to want to know more about the situation. For example, I've coached some thyroid patients who had long-term Hashimoto's, with constantly fluctuating thyroid function, levels that changed dramatically with every test, and no relief of their symptoms -- even with optimal treatment. I helped them evaluate the pros and cons of having the thyroid surgery recommended by their doctors. They all have said it was the best decision they ever made! At the same time, I've also coached patients whose doctors very cavalierly recommended thyroid surgery -- when there were less drastic and invasive treatment options. Those doctors seemed to think that the thyroid is a non-essential gland that's easily replaced by taking medication. And that's NOT true for many thyroid patients! The bottom line: trust your instinct. If a doctor makes you feel uncomfortable in any way, that's a good reason to move on and find a true partner for your thyroid care.
There are many related issues. For example, with Hashimoto's, the underlying autoimmunity means that you're at a slightly higher risk of developing other autoimmune conditions, including Sjogren's Syndrome, Psoriatic Arthritis, and Alopecia, for example. People with hypothyroidism also have a higher risk of developing Type 2 diabetes. For women, hypothyroidism is associated with an increased risk of fertility challenges, pregnancy complications, and menstrual disorders. And those are just a few examples. The key message? Optimal treatment of your hypothyroidism helps reduce your risks of related conditions, so that's always the crucial foundation for better overall health.
Any toxins - including mold and heavy metals - can negatively affect your overall health, immune system, and hormonal balance, including your thyroid. Pay attention to specific thyroid-sabotaging toxins, like endocrine-disrupting chemicals, excessive fluoride, and pesticides and hormones in food, and make it a point to minimize your exposure to toxins -- including in your water, food, personal care products, and home -- for optimal health and hormonal balance.