Tuesday, April 30, 2013

Weight loss is bonus to anti-inflammatory Hashimoto's diet

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Counting calories, avoiding fats, miniscule portions, living with hunger—dieting is a drag and the majority of people eventually gain back the pounds they fought so hard to lose, especially if they have Hashimoto's hypothyroidism. Newer research shows sloth and gluttony aren’t necessarily to blame for excess weight, but instead hypothyroidism, inflammation, leaky gut, stress, and other health imbalances.

Dieting slows the metabolism, influences hormones that control appetite so you may become hungrier, and can create a cycle of unhealthy yo-yo dieting.

You’ll have better success if you eat with a focus on lowering inflammation, detoxifying the system, and meeting your nutritional needs. Many people take on anti-inflammatory diets to manage constant pain, digestive complaints, skin rashes such as eczema or psoriasis, an autoimmune disease such as Hashimoto’s hypothyroidism, high blood pressure, depression, anxiety, and other chronic health problems.

People are surprised to find that not only do their Hashimoto's hypothyroid symptoms improve, but they also lose unwanted pounds. This is because excess weight can be a symptom of health imbalances, such as an autoimmune thyroid disease, chronic inflammation, stress or leaky gut, a condition in which the lining of the gut becomes inflamed and porous, allowing inflammatory compounds into the bloodstream.

Weight loss through managing Hashimoto's hypothyroidism with diet

An anti-inflammatory diet focuses on whole foods and is free of inflammatory foods. Although it may cut out many of your favorite foods, it does not require you to be hungry. In fact, hunger can work against you by increasing stress and causing low blood sugar. Taking certain herbs and supplements that gently cleanse and detoxify the body can boost the anti-inflammatory and weight-loss benefits of the diet. Ask my office for more details on supporting your success with nutritional therapy.

An anti-inflammatory diet is a vital step to managing your Hashimoto's hypothyroidism condition as it dampens inflammation and autoimmune attacks against the thyroid.

Anti-inflammatory diet basics that can lead to weight loss and improved thyroid function

Although anti-inflammatory diets vary, there are some basics to follow for managing your Hashimoto's hypothyroidism and losing weight:

  • Eliminate all processed foods, fast foods, desserts, coffee drinks, sodas, etc. These foods are designed to be addictive. Your anti-inflammatory diet should consist mainly of whole foods found in the produce and meat sections of the grocery store, with an emphasis on plenty of vegetables. Also eliminate processed vegetable oils and hydrogenated oils. Stick with natural oils such as coconut oil and olive oil.
     
  • Eliminate common inflammatory foods. The most common culprit is gluten, the protein found in wheat, rye, barley, and other wheat-like grains. Studies link gluten intolerance with Hashimoto's hypothyroidism and many people enjoy weight loss simply by going on a gluten-free diet. However, you may have developed an intolerance to other foods, including dairy, eggs, soy, and nuts. Eliminate these foods for about a month to see whether you react upon reintroducing them one at a time.
     
  • Eliminate sweets. Sugars and sweeteners are inflammatory and a major culprit in excess weight. On the anti-inflammatory diet you will avoid all sweeteners, including natural ones such as honey and maple syrup. This helps curb cravings, stabilize blood sugar, lower inflammation, and eliminate excess fat. Enjoy fruit instead, such as berries.
     
  • Some people may need to follow stricter versions of this diet, such as eliminating grains, foods with lectins, or nightshades. An anti-inflammatory diet can be tailored to individual needs, but the focus is on clearing out the junk and getting back to foods in their most natural state, with an emphasis on plenty of leafy green vegetables.
     
  • Eat to satisfaction, but do not overeat. Overeating even healthy foods stresses the system and causes blood sugar problems. If you have an eating disorder or food addiction, you may need additional support for that.
     
  • Get enough sleep. Lack of sleep promotes hunger, stress, and inflammation and is linked with obesity in studies. Sufficient sleep is a major inflammation-buster. And, of course, get regular physical activity, not to burn calories but because it is vital to good health. Overtraining, however, can cause inflammation and actually counteract your weight loss efforts.

Boost success with gut repair and detoxification

I have found adding in nutritional compounds to help repair a damaged gut, lower inflammation, support the liver, and gently detoxify the system is a wonderful way to manage Hashimoto's hypothyroidism and boost weight loss on the anti-inflammatory diet. Ask my office for more information about a detoxification and gut-repair program.

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Tuesday, April 23, 2013

Could your chronic fatigue and other symptoms be autoimmune Hashimoto's?

do you have autoimmunity

Do you have chronic fatigue or other mysterious symptoms that make you miserable? But does your doctor say your lab tests are fine and you’re perfectly healthy? It could be you have autoimmune Hashimoto's hypothyroidism or another autoimmune reaction and don’t know it.

People can develop an autoimmune reaction to virtually any tissue, enzyme, or protein in their body. Autoimmunity means the immune system has failed to distinguish between foreign invaders, which it was designed to attack, and body tissue, which it was designed to protect. As a result, the immune system attacks and destroys specific parts of the body, such as the thyroid gland.

Symptoms of autoimmunity vary depending on which part of the body is being attacked, but they often include chronic pain, chronic fatigue, brain fog, poor neurological function, chronic inflammation, digestive problems, or poor mood. People with autoimmune Hashimoto's hypothyroidism may also complain of cold hands and feet, depression, weight gain, constipation, and other symptoms.

A primary characteristic of undiagnosed autoimmunity is symptoms that seem irresolvable, despite “normal” lab tests and scans. Perhaps you even have been told your health symptoms are due to depression and you need to take antidepressants—this is not uncommon for people with Hashimoto's hypothyroidism.

Autoimmune Hashimoto's hypothyroidism may not be diagnosed or treated

What may be happening is that you have an autoimmune reaction to your thyroid causing hypothyroid symptoms, but the condition is not advanced enough to be diagnosed through conventional testing and qualified as a “disease.” Or you have been diagnosed with hypothyroidism and treated with thyroid meds, but the autoimmune component goes undiagnosed and unmanaged. As Datis Kharrazian, DHSc, DC, MNeuroSci, author of Why Do I Still Have Thyroid Symptoms? and Why Isn’t My Brain Working? explains, people can have symptoms years or even decades before being diagnosed with an autoimmune disease.

For instance, a person may have trouble controlling blood sugar despite a good diet because of an autoimmune reaction in the pancreas. However, not enough tissue has been destroyed for a Type 1 diabetes diagnosis. Or a person can have symptoms of multiple sclerosis, but not enough tissue has been destroyed for it to show up on an MRI. Or persistent and severe adrenal fatigue could be the result of autoimmunity in the adrenal glands that is not advanced enough to be diagnosed as Addison’s disease.

This is not to say you should assume a health problem is autoimmune in nature, but when it is persistent and stubborn, it is a possibility to consider.

You can test for and manage autoimmune Hashimoto's hypothyroidism

Fortunately, we have autoimmunity testing today that can screen for antibodies against multiple tissues to determine whether an autoimmune reaction is causing chronic pain, chronic fatigue, or thyroid symptoms. Antibodies are proteins that tag a foreign compound for the immune system to destroy and remove. When you produce higher than normal levels of antibodies to certain parts of the body (it’s normal for old and dying cells to be tagged for removal), this means you are having an autoimmune reaction against that tissue or enzyme.

When a person presents with chronic thyroid symptoms, screening for an autoimmune reaction can help us determine whether Hashimoto's hypothyroidism plays a role. If so, we then know we can work on balancing an overzealous and improperly functioning immune system. Also, if your test shows an autoimmune reaction but you have no symptoms, you now know that proper diet and lifestyle choices will help prevent the progression of autoimmunity. Avoiding gluten is especially important for those with autoimmune Hashimoto's hypothyroidism, as numerous studies link the condition with a gluten intolerance or celiac disease.

Today we have many scientifically proven strategies to tame autoimmune Hashimoto's hypothyroidism, improve thyroid function, and increase your well being. These include an autoimmune diet and nutritional compounds to balance the immune system and quench inflammation.

Ask my office how we can help you get to the bottom of mysterious conditions, such as chronic pain, chronic fatigue, or hypothyroid symptoms. Despite what your doctor may have told you, you are not making up your chronic symptoms or simply in need of antidepressants.

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Tuesday, April 16, 2013

Do you have Hashimoto's hypothyroidism and start each morning with a cup of fear?

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Do you have Hashimoto's hypothyroidism and start your mornings with a treasured “cup of fear?” As far as your body is concerned, that lovely and seemingly harmless cup of coffee could be tantamount to getting mugged or running from a hungry lion. The physiological reactions caused by caffeine that jumpstart you in the morning are the same reactions triggered by fear.

Morning fatigue could signify adrenal imbalance as factor in Hashimoto's hypothyroidism

We are meant to feel rested and alert in the mornings. Waking up feeling like you have been hit by a garbage truck means you may have an adrenal imbalance. The adrenal glands sit atop each kidney and release adrenal hormones that help keep the body regulated during times of stress. Adrenal function also plays important roles in the sleep-wake cycle, so that you feel tired in the evening and alert in the morning, and are able to sleep soundly through the night. In fact, the health of the entire body relies in part on sound adrenal function: immune health, hormone balance, digestive operations, brain function, and more.

Adrenal function plays a large role in thyroid function, including Hashimoto's hypothyroidism. Managing adrenal health is vital to managing thyroid health.

Depending on caffeine to get going in the morning is a sign the delicately orchestrated relationship between the adrenal glands and the rest of the body is out of balance. A morning cup of coffee stimulates the adrenal glands to release “fight-or-flight” adrenal hormones. This raises your heartbeat, dilates your pupils, tightens the muscles, raises your blood pressure, slows blood flow to the stomach, and releases glucose into the bloodstream. Together these effects on the central nervous system boost energy. The body designed this response to help us get out of a dangerous situation by either running or fighting. However, these days, many use the same response just to get ready for work each morning.

If this is the case, you may need to support your adrenal health to manage Hashimoto's hypothyroidism.

The downsides of coffee if you have Hashimoto's hypothyroidism

As many know, giving up coffee is hard and can come with unpleasant withdrawal symptoms. This is partly because caffeine also stimulates the release of dopamine, a neurotransmitter that activates the “pleasure and reward” centers in the brain and is associated with addiction. This also means over time you need more caffeine for the same effects.

For the person suffering from adrenal dysfunction—producing too little or too much of adrenal hormone—caffeine can intensify your adrenal problems, which can worsen your Hashimoto's hypothyroidism condition. Although it gives you energy, it’s a short-term fix with long-term consequences making an existing problem worse. In addition to taxing adrenal function, caffeine can cause sleep problems, irritability, anxiety, and high blood pressure. It’s also a diuretic that can deplete you of important minerals and electrolytes. A trap many coffee drinkers fall into is that the coffee makes them sleep poorly and they feel terrible in the morning. So they drink coffee to get them going, which again makes them sleep poorly, in a self-perpetuating vicious cycle that gradually worsens adrenal function.

Restoring adrenal function is foundational to managing many health issues in functional medicine, including chronic disease, autoimmune disease, hypothyroidism, obesity, blood sugar imbalances (insulin resistance or hypoglycemia), and other disorders. When you are working on restoring your health from these conditions, coffee can work against your efforts.

Also, if your autoimmune Hashimoto's hypothyroidism is TH-2 dominant, caffeine can actually worsen autoimmunity. This is a concept influencing autoimmunity discussed in Dr. Kharrazian's book Why Do I Still Have Thyroid Symptoms When My Lab Tests Are Normal?

Coffee habit depends on health and Hashimoto's status

This isn’t to say coffee is all bad. Although some studies show negative consequences from caffeine, others show its benefits. As with many things in health, it is something that must be considered on a case-by-case basis. If your Hashimoto's hypothyroidism is under control and your adrenal and blood sugar function is healthy (you do not suffer from insulin resistance, diabetes, low blood sugar, adrenal fatigue, or hyper adrenal function), moderate consumption of organic coffee may be fine for you.

Ask my office how we can help you manage your Hashimoto's hypothyroidism, restore your adrenal function, and kick your dependence on coffee to function.

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Tuesday, April 9, 2013

Lesser known causes of infertility beyond Hashimoto's hypothyroidism

infertility causes

The failure to conceive can be very distressing to couples, and rates of infertility in both women and men are on the rise, affecting between 10 to 15 percent of couples. Although we know an unmanaged Hashimoto's hypothyroidism condition can cause infertility, couples should consider other lesser known but important factors when trying to conceive.

Some of the more commonly known reasons couples fail to conceive include the mother’s age, obesity, endometriosis, uterine fibroids, polycystic ovarian syndrome (PCOS), varicose veins in the scrotum, and fallopian tube damage.

However, managing your Hashimoto's hypothyroidism and addressing less commonly known causes of infertility not only can improve the chances of conception, but also lower the risk of giving birth to a child with asthma, allergies, or a brain development disorder such as autism or ADHD.

Beyond Hashimoto's: Lesser known causes of infertility

Below are some lesser-known but important factors to consider when trying to conceive.

Hypothyroidism. Hypothyroidism, or low thyroid function, can cause infertility, miscarriages, or complications with pregnancy. Low levels of thyroid hormone affect reproductive function in women. Also, most cases of hypothyroidism are caused by Hashimoto’s, an autoimmune disease in which the immune system attacks and destroys the thyroid gland. Research shows a correlation between infertility in women and Hashimoto’s hypothyroidism. Women should have their thyroid function tested before trying to conceive as success rates improve when the condition is treated. Ask my office how we can help you manage the underlying cause of hypothyroidism.

Celiac disease. Celiac disease is an autoimmune reaction to gluten, a protein found in wheat, rye, and barley. Research suggests undiagnosed celiac disease is correlated with infertility in both women and men, and pregnancy complications. Couples wishing to conceive should be screened for a gluten intolerance using newer, more advanced gluten testing (conventional testing fails to diagnose many gluten-intolerant people). Because intolerances to other foods cause chronic inflammation, another barrier to fertility, it’s a good idea to rule out other food intolerances with testing or an elimination diet. Many studies link gluten intolerance and celiac disease with Hashimoto's hypothyroidism--a gluten-free diet is an important strategy in managing Hashimoto's.

Autoimmune disease. An autoimmune disease is a disease in which the immune system attacks and destroys a part of the body. This process greatly imbalances the immune system and increases inflammation. I talked earlier about autoimmune thyroid disease, but studies show other autoimmune diseases can affect fertility. Additionally, an autoimmune disease can attack reproductive organs, directly impacting their function. For instance, women can have an autoimmune reaction to their ovaries or men can react to their sperm. It's not uncommon for people with Hashimoto's hypothyroidism to have other autoimmune diseases.

Environmental toxins. Many environmental toxins are linked with infertility in both women and men. Studies suggest environmental toxins impair semen quality in men, and affect various affects aspects of reproduction in women. If a couple does conceive, exposure to environmental toxins can affect the fertility of their children. We can minimize our exposure to toxins by eating a whole foods diet, drinking filtered water, and using natural body and home care products. Also, certain nutritional therapy strategies, such as glutathione support, can help you become more resilient to toxins. If you are trying to conceive, ask my office for strategies on safely reducing your toxic burden.

PCOS. Although PCOS is a recognized cause of infertility, lesser known are the causes of PCOS. In functional medicine we recognize PCOS as a hormonal imbalance caused by diet and lifestyle choices. Excess sugars and refined carbohydrates, lack of exercise, and chronic stress are factors that contribute to PCOS, which is frequently linked with insulin resistance, or pre-diabetes.

Addressing these factors will not only help improve your chances of conceiving, but they will also help you better manage your Hashimoto's hypothyroidism.

Managing Hashimoto's hypothyroidism and good pre-conception health lowers risk of asthma, allergies, and autism in children

It is best to ferret out and address any health issues, some of which may cause no symptoms, before trying to conceive. Autoimmune disease, chronic inflammation, hormonal imbalances, and other health problems not only can hinder conception, but they also affect the health of the immune system and brain health of the child. Managing these issues prior to conception can help prevent asthma, eczema, allergies, food intolerances, autoimmunity and brain development disorders such as autism or ADHD.

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Tuesday, April 2, 2013

Got Hashimoto's hypothyroidism and allergies? Fix your gut

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When the sneezing, sniffling, and runny eyes of springtime kick in, most people grab for the allergy pills, antihistamines, and eye drops. But did you know you can greatly relieve if not banish your allergy symptoms by fixing your gut? You can also better manage your Hashimoto's hypothyroidism by addressing gut health.

It may sound crazy that your gut health would affect your sinuses, but in fact the two systems are very intertwined. Both the respiratory tract and the digestive tract are immune barriers, meaning it’s their job to protect the body from outside invaders.

The gut in particular profoundly influences the entire immune system. When gut health suffers so does the rest of your body, and the result for many people are allergy symptoms that flare up each spring.

It also explains why the gut plays a role in Hashimoto's hypothyroidism, an autoimmune disease that attacks the thyroid gland. Gut health significantly influences autoimmunity. 

A common culprit in allergy symptoms is leaky gut, also known as intestinal permeability. Leaky gut is a condition in which the lining of the digestive tract becomes inflamed and porous, allowing undigested foods, bacteria, yeasts, and other toxins into the sterile bloodstream. The immune system launches an attack on these toxins, which creates inflammation throughout the body. For many people, this happens every time they eat.

This inflammation manifests in different ways for different people. It can cause joint pain, skin problems, digestive complaints, Hashimoto's hypothyroidism, and…seasonal allergies.

The link between leaky gut, Hashimoto's hypothyroidism and seasonal allergies?

Leaky gut is very common today and can cause bloating, heartburn, gas, constipation, diarrhea, or pain. However, many people with leaky gut have no digestive symptoms at all.

One of the most common causes of leaky gut is eating gluten, the protein found in wheat, rye, barley, spelt, and other wheat-like grains. Wheat today is not like the wheat from past generations. It has been genetically altered, processed, and stored in ways that make it very damaging to people’s guts.

Many studies link Hashimoto's hypothyroidism with gluten intolerance, and a gluten-free diet is key to managing the condition.

Sometimes simply removing gluten from the diet can profoundly relieve allergy symptoms by allowing the gut to recover and repair. Because leaky gut leads to food intolerances and food allergies, you may need to eliminate other foods, such as dairy, eggs, or other grains. You may find significant allergy relief by following an anti-inflammatory diet, or you can ask my office about a lab test to screen for food sensitivities. 

Another factor that contributes to leaky gut and allergy symptoms is an imbalance of gut bacteria. The digestive tract holds several pounds of bacteria that play a large role in immune function. When the bad bacteria overwhelm the good, inflammation and allergies result. Leaky gut repair includes nurturing your beneficial bacteria with probiotics and fermented foods to improve allergy symptoms.

Chronic stress also weakens and inflames the digestive tract, causing leaky gut and seasonal allergies. Stress doesn’t just have to come from a stressful lifestyle or lack of sleep, although those certainly play a role. Eating a diet high in sugar and processed foods is stressful to the body, as is an unmanaged autoimmune disease, or hormones that are out of whack and causing miserable PMS or menopausal symptoms. These are just a few metabolic factors that contribute to leaky gut, seasonal allergies, and Hashimoto's hypothyroidism.

Find seasonal allergy relief by fixing your leaky gut

You don’t have to needlessly suffer every spring and depend on allergy medicines to function. In fact, you should see your allergies as a red flag that your body needs attention. Leaky gut can lead to much more serious conditions than allergies, such as autoimmune disease (Hashimoto’s hypothyroidism, rheumatoid arthritis, Type 1 diabetes, etc.), depression, anxiety, neurological diseases, and more. By repairing your leaky gut and improving your allergy symptoms, you can prevent or even resolve more serious problems and better manage your Hashimoto's hypothyroidism.

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