Hashimoto’s Disease: Fast Facts

Hashimoto’s disease is an autoimmune disease that affects the thyroid, a small gland in the front of your throat.

Triggered by the pituitary gland, your thyroid produces hormones that regulate how your body uses energy. With Hashimoto’s disease, your immune system produces antibodies that interfere with this process, slowing down thyroid hormone production, heart rate, cognitive ability and how quickly your body turns food into energy.

Hashimoto’s Disease is the number one cause of hypothyroidism; it is estimated that 90 percent of hypothyroid patients have Hashimoto’s Disease. With this condition affecting so many Americans today, it’s important to understand what causes this condition, the symptoms associated with it and how a functional medicine approach may be the best way to start feeling better fast.

When it comes to Hashimoto’s disease one of the many important things you will want to know off the bat is that studies also show a strong link between Hashimoto’s Disease and gluten intolerance. Gliadin, the protein found in gluten, is similar in molecular structure to thyroid tissue. So, in cases where a patient with Hashimoto’s disease consumes gluten, your immune system is unable to distinguish between thyroid tissue and marks both for attack in the blood stream. This is especially true for patients that also have leaky gut.

If you have Hashimoto’s disease or you suspect that you may be suffering from a thyroid condition, here is a list of some of the most commonly seen symptoms.


An underactive thyroid can go undetected for many years. Others may experience:

  • Enlarged thyroid or goiter
  • Fatigue
  • Constipation
  • Hair Loss
  • High cholesterol
  • Unexplained weight gain
  • Muscle aches, often in shoulders and hips
  • Joint pain
  • Feeling cold
  • Difficulty becoming pregnant
  • A pale, puffy face
  • Depression
  • Prolonged or excessive menstrual bleeding
  • Dry hair or skin

What Causes Hashimoto’s Disease?

While an exact cause is unclear, those who have or who have family members with other autoimmune diseases like lupus, rheumatoid arthritis or type 1 Diabetes are more likely to develop Hashimoto’s disease. Leaky gut is also thought to be a contributing factor.

The most common autoimmune disease in the United States, Hashimoto’s disease affects more women than men and often follows pregnancy. It usually occurs during middle age.

As you will find out throughout this article, there are also a number of different things that can trigger this autoimmune disease. Environmental factors and even other imbalances in the body could be a hidden cause of Hashimoto’s. Without properly uncovering what may be causing Hashimoto’s in the first place it can be difficult to get well. This is where a functional medicine approach comes in.


Diagnosing a thyroid condition can be tricky if you go to a modern medical physician, and you will find out why. For now, just know that if left untreated, hypothyroidism can lead to an enlarged thyroid or goiter, mental illness, heart problems and other complications. Babies born to mothers with hypothyroidism are at greater risk for birth defects and developmental issues.

A Doctor of Functional Medicine can perform hormone and antibody tests to evaluate the health of your thyroid. A functional medicine approach also takes a more holistic approach when determining what the underlying cause of Hashimoto’s is and may be able to diagnose the condition before certain lab tests may even be able to pick up on it.

If you have been diagnosed with Hashimoto’s or have been trying to determine what is causing all of your symptoms I am going to share the difference between the traditional medical option for Hashimoto’s VS the functional medicine approach. Both are quite different, especially when it comes to diagnosing this condition.

Traditional Medical Options for Hashimoto’s

Many of the patients that I see come to me after they have been down the modern medical route many times before. Some patients have already been diagnosed with Hashimoto’s while others suffer from many of the classic symptoms but are told that their lab values are within the “normal” range.

Unfortunately, the traditional medical options for Hashimoto’s are often disappointing as they leave lots of room for missing a diagnosis. The pathologic lab values are likely the lab values your physician uses when they order blood work. The problem with this is that the ranges are far too broad and can easily miss a Hashimoto’s diagnosis. This is just one of the many things that separate a traditional approach of looking at disease when compared to a functional medicine approach to working with patients.

Traditional medical options also almost always include a prescription medication of some sort. Now, while some patients will absolutely need to take their thyroid medication, there are other modalities that can be used along with that medication to help the patient feel better long term.

There are many different things about the modern medical world that makes many patients frustrated and leads them towards wanting to take a more holistic approach to their health.

Let’s take a look at this approach and how it may benefit you.

Functional Medicine Options for Hashimoto’s

A functional medicine approach is much different than traditional medicine in many different areas. The first area it’s different is apparent during the very first interaction with a patient. In functional medicine, we take a holistic and participatory approach to wellness, so we encourage our patients to be a part of the process. This includes involving them in what tests should be run and including each patient is the various different options that are available.

Let’s start by talking about testing. In functional medicine, we look at much more than just a single lab test. Plus, when we do run bloodwork we use the functional lab ranges which are not nearly as broad as the pathological ranges so it allows us to see if there is a thyroid issue going on earlier than other blood tests may detect.

We also look at more than one test and take symptoms into account. How many times have you been to the doctor describing unbearable symptoms only to be told that they are all in your head because every test they run turns out to be “normal?” This is something I see on a daily basis and something that can be extremely discouraging to patients. Even if your previous lab work has come back within normal range, as a Functional Medicine Practitioner, I take all symptoms into account to help uncover what may be going on.

A functional medicine approach also looks at different body systems, not just the thyroid to see where the root cause of the issue may be. I am going to talk more about the tests offered coming up, so keep reading.

How We Can Help

We first evaluate underlying causes such as stress, gut infections, adrenal gland dysfunction, dysglycemia (high or low blood sugar), individual food sensitivities and other contributing factors. By determining your triggers through a variety of tests, we can determine a natural course of support toward healing that is specific to what your own body needs.

It’s important to know that there may be a number of different triggers and uncovering them is a huge step in feeling better. Let’s say we uncover a gut infection; we would work towards ridding the body of that infection first or even in conjunction with a protocol for Hashimoto’s. If there is an imbalance elsewhere in the body that is triggering Hashimoto’s, then it’s important to address that at its source and start a very specific protocol tailored to you.

Tests Offered

When any patient with Hashimoto’s symptoms comes to my practice, I always run thorough testing. It doesn’t matter if you have already had lab tests run by your doctor as you now know that many of these tests are read using broad lab ranges. Here are some of the comprehensive tests I offer in my practice to help determine what the underlying cause of Hashimoto’s is.

  • Complete thyroid panel
  • Food sensitivity testing
  • Gut infection testing
  • Heavy metal testing
  • Adrenal gland tests
  • Blood sugar testing

When all of these tests are run, it allows us to take a look at the entire body and how well it is functioning and what needs work. When thorough and complete tests are run it gives us a whole-body picture as to what could be triggering the autoimmune condition. This will ultimately help us get it under control and keep it under control.

Using a functional medicine approach is not about putting a Band-Aid on your symptoms. It’s about finding out what is causing your symptoms so that remission is possible long term.


Once we have identified your triggers, you can get the gene to change its expression or shut off (known as epigenetics). When this happens many, if not all, of the symptoms being caused by this can disappear. The key to keeping this at bay is to manage stress and maintain a healthy diet & lifestyle.

Since each person is unique, specific dietary and lifestyle recommendations will vary. For example, while one person may do well with one particular food in their diet another person may have a sensitivity to it. The same goes for if there are gut infections or other imbalances going on in the body that need to be addressed as part of the protocol. The action steps I am listing below for taking control of Hashimoto’s are general recommendations. Bear in mind that each and every person will need a bit of a different approach depending on what is going on in the body.

To start taking control of your Hashimoto’s, take a look at the action steps below that you can implement to hopefully start to feel better and to take control of your health.

Take Control of Hashimoto’s

  • Get the proper testing to uncover your root cause
  • Eliminate any reactive foods
  • Start a Paleo style diet
  • Reduce stress
  • Improve sleep habits
  • Live an active lifestyle that is appropriate for your body. Keep in mind that each person will be different and I always work with each patient on an individual basis to determine which form of exercise will work best for them. With any autoimmune disease, it’s important to find the right balance where you are not doing too much, but you are doing enough to keep yourself healthy.

While finding out that you have Hashimoto’s can be confusing, frustrating, and make you feel completely overwhelmed know that there are many steps that you can take. Even if you end up on thyroid medication, including a functional medicine approach into your plan is only going to help keep symptoms at bay long term.

Hashimoto’s is a complex condition and takes a professional who has lots of experience to really dive into the true cause and to help create a plan that is unique to you. It’s important to know that it takes many different approaches to getting Hashimoto’s into remission and that unfortunately, there is no one size fits all. For example, you can’t just eliminate gluten and feel completely better. It takes a whole-body holistic approach to addressing both the physical and mental aspects of health and wellness. However, with just a little effort and some adjustments to your diet and lifestyle, you could be well on your way to feeling better and living your best life.

I have worked with patients who have been able to come off of their thyroid medication and have worked with patients who were able to be diagnosed early enough to where medication wasn’t necessary. No matter what the case, for you, know that a holistic approach is the way to approach this autoimmune condition and that with the right steps you could be feeling better fast.

If you are suffering from weight gain, fatigue, hair loss and more, click here to schedule a phone call with me, so I can find out where you’ve been, where you want to get to, and how I can help you get there.

I know exactly where you are because I’ve been there myself…I remember being so tired that I could barely function. I gained 30 pounds out of nowhere and had a severe case of brain fog. I also started to get severe anxiety and panic attacks. I was driven and motivated…until I wasn’t. I didn’t know what was happening to me. All I wanted was to get my life back…

Finally, I learned about functional medicine and found a practitioner that I hoped could help me. They ran specialized tests that were far different than I had ever had before. When I got the results back, it turned out I had candida, parasites, high cortisol, the Epstein Bar Virus and many food intolerances. I also had an issue with my thyroid that no one found before because they were using the conventional medicine lab ranges which are way too broad….which I now know is one of the leading causes of hypothyroid misdiagnosis.

I went through treatment of all of these things and it completely changed my life.  I immediately lost the 30 pounds I had gained plus more, I had a lot more energy, and my brain fog was gone. I felt amazing and knew that I wanted to help people find the underlying causes of their symptoms and disease.


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