Stephen J. Schueler, M.D.

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Hashimoto's Thyroiditis Home Care

Home care for Hashimoto's thyroiditis includes:

  • Avoid alcohol.
  • Eat a healthy heart diet:
  • Avoid or limit consumption of brassica vegetables:
    • This includes cabbage, brussels sprouts, broccoli, cauliflower, kale, kohlrabi, rutabaga, pak-choi, and turnips.
    • These vegetables contain compounds that may interfere with iodine uptake in the thyroid gland.
    • For those who are not iodine deficient, receive adequate iodine in the diet, and are cooking these vegetables prior to consumption, this rarely presents a problem.
    • Consult your doctor for guidance.
  • Other vegetables to avoid that may interfere with iodine transport in the thyroid include:
    • Lima beans
    • Cassava
    • Maize
    • Bamboo shoots
    • Sweet potatoes
  • Limit consumption of soy-based foods:
    • They can interfere with the production of thyroid hormone.
    • Consult your doctor for guidance.
  • Some medications and foods may affect your ability to absorb levothyroxine. Let your doctor know if you are:
  • Follow an exercise plan developed with your doctor.
  • Take vitamin A supplements
  • Take vitamin C supplements
  • Take vitamin E supplements
  • Take vitamin B supplements
  • Take prescribed medications as directed:
    • Don't skip doses of your medication. This makes them less effective.
    • Be aware of the common side effects that may be caused by your medication.
  • Learn everything you can about Hashimoto's thyroiditis:
    • The more you know about your condition, the easier it will be to participate with your doctor in making treatment decisions.
    • Ask your doctor about good sources for information.
    • Write down questions to ask your doctor.

Hashimoto's Thyroiditis Low Cholesterol Diet

It is important to follow a healthy diet if you have Hashimoto's thyroiditis.

A low-fat and minimal saturated fat diet can help keep cholesterol at safe levels.

Strategies for a diet low in cholesterol include:

  • Control calories:
    • Eat just enough calories to achieve and maintain a healthy weight.
  • Eat quality fats:
    • Use virgin olive oil and other unsaturated, low-cholesterol fats.
  • Eat the right amount of fats, carbohydrates and protein:
    • Limit your fat intake to 20 or 30 percent, but don't substitute simple carbohydrates for fat.
    • Less than 7% of the day's total calories from saturated fat.
    • Up to 10% of the day's total calories from polyunsaturated fat.
    • Up to 20% of the day's total calories from monounsaturated fat
  • Eat omega-3 fatty acids:
    • Omega-3's are present in salmon, tuna, and mackerel.
    • Walnuts and flax seed are also rich in omega3's.
    • If you don't like fish, your local pharmacy has omega-3 supplements in capsule form.
  • Avoid fad diets:
    • Eat a well-rounded diet instead.
    • Eat small, frequent meals.
    • Avoid large and heavy meals.
  • Limit cholesterol in diet:
    • To less than 200 milligrams a day.
  • Limit iron intake:
  • Eat enough dietary fiber:
    • Whole grains are best.
  • Eat plenty of fresh fruit and vegetables
  • Reduce salt in your diet
    • Optimal: no more than 2 grams per day.
  • Check with your doctor about supplementing your diet with vitamins:

Key Dietary Recommendations for Chronic Disease Prevention
Energy (calories)to maintain BMI < 25
Total fats< or = to 30% of total daily calories
Saturated fats< 7% of total daily calories
Polyunsaturated fats< 10% of total daily calories
Monounsaturated fats< 13% of total daily calories
Cholesterol< or = to 300 mg per day
Dietary fiber25-30 grams per day
Fiber type3:1 insoluble to soluble fiber
Sodium< or = to 1,500 mg per day
Calcium 9-24 yrs1,200-1,500 mg per day
Calcium 25-50 yrs1,000 mg per day
Calcium 51-65 yrs1,200 mg per day
Calcium >65 yrs1,500 mg per day
Vitamin D 9-50 yrs200 IU per day
Vitamin D 51-70 yrs400 IU per day
Vitamin D >70 yrs600 IU per day
Folic acid400 micrograms (ug) per day
Fruits & vegetables5-7 servings per day
Alcohol (men)< or = to 2 drinks per day
Alcohol (women)< or = to 1 drink per day

Hashimoto's Thyroiditis Warning Signs

Notify your doctor if you have Hashimoto's thyroiditis and any of the following:

Continue to Hashimoto's Thyroiditis Outlook

Last Updated: Mar 14, 2011 References
Authors: Stephen J. Schueler, MD; John H. Beckett, MD; D. Scott Gettings, MD
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PubMed Hashimoto's Thyroiditis References
  1. Kon YC, DeGroot LJ. Painful Hashimoto's thyroiditis as an indication for thyroidectomy: clinical characteristics and outcome in seven patients. J Clin Endocrinol Metab. 2003 Jun;88(6):2667-72. [12788871]
  2. Ohye H, Fukata S, Kubota S, Sasaki I, Takamura Y, Matsuzuka F, Amino N, Kuma K, Miyauchi A, Kakudo K. Successful treatment for recurrent painful Hashimoto's thyroiditis by total thyroidectomy. Thyroid. 2005 Apr;15(4):340-5. [15876156]
  3. Vitti P, Rago T, Mazzeo S, Brogioni S, Lampis M, De Liperi A, Bartolozzi C, Pinchera A, Martino E. Thyroid blood flow evaluation by color-flow Doppler sonography distinguishes Graves' disease from Hashimoto's thyroiditis. J Endocrinol Invest. 1995 Dec;18(11):857-61. [8778158]
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