The Hashimotos Healing Diet

All Experts Come Together in a Diet Plan to Reverse Hashimoto’s Thyroiditis (hypothyroidism)

Valeria Aberle
Nutrition Science for Health
8 min readJun 20, 2024

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According to Dr. Dimitris Tsoukalas, expert in chronic diseases and metabolic disorders, approximately 50 million Americans suffer from autoimmune diseases, with the majority of these cases being hypothyroidism. Notably, 90% of hypothyroidism cases are due to Hashimoto’s thyroiditis, affecting around 12.3 million women in the U.S., particularly those of childbearing age. Remarkably, this means nearly 1 in 5 women of childbearing age is affected by (Hashimoto’s) hypothyroidism. This underscores the importance of awareness, diagnosis, and effective management strategies, including dietary interventions, for those suffering from Hashimoto’s.

Emerging evidence suggests that diet and specific nutritional plans can significantly aid in managing and potentially reversing Hashimoto’s.

To explore this further, I asked AI to analyze nutritional plans and diet guides from renowned doctors like Dr. Sarah Ballantyne, Dr. Loren Cordain, Dr. Alessio Fasano, Dr. Terry Wahls, and Dr. Mark Hyman.

The AI also examined scientific data and expert acknowledgments on the topic.

Based on these insights, here is a comprehensive nutrition plan designed to help people with hypothyroidism (Hashimoto’s thyroiditis) heal and improve their thyroid health.

What’s New?

The Hashimoto Healing Diet combines the best elements from renowned dietary protocols to offer a comprehensive plan for managing and potentially reversing Hashimoto’s thyroiditis (hypothyroidism). This innovative diet plan retains all the positive health effects of established dietary approaches and avoids the harmful ones.

Why That Matters

Hashimoto’s thyroiditis (hypothyroidism) is a challenging autoimmune disorder affecting millions worldwide. This diet plan aims to reduce inflammation, support thyroid function, correct nutrient deficiencies, and promote overall health. Knowing how to individualize your diet for optimal benefits is key to managing Hashimoto’s effectively.

What’s Next?

Rather than following generic advice, you can now manage your Hashimoto’s with a scientifically-backed, expert-endorsed diet plan that is enjoyable and sustainable.

The Fascinating Approach to Reversing Hashimoto’s (hypothyroidism)

It’s a fascinating paradox: Eating nutrient-dense, anti-inflammatory foods and avoiding common triggers can help manage Hashimoto’s thyroiditis.

This tailored diet plan combines insights from top experts and scientific research to provide a path to better health and symptom management.

Core Principles of the Hashimoto Healing Diet

  1. Anti-inflammatory: Reduce foods that cause inflammation.
  2. Nutrient-dense: Ensure high intake of essential vitamins and minerals.
  3. Autoimmune-friendly: Avoid foods that commonly trigger autoimmune responses.

Here it is:

The Hashimotos Healing Diet Plan

Foods to Include

Vegetables:

  • Leafy greens: Spinach, kale, Swiss chard, collard greens, arugula.
  • Cruciferous vegetables (cooked): Broccoli, cauliflower, Brussels sprouts, cabbage, bok choy.
  • Colorful vegetables:
  • Orange and red: Carrots, sweet potatoes.
  • Yellow: Yellow squash, butternut squash.
  • Green: Zucchini, cucumbers, asparagus, green beans.
  • Purple: Purple cabbage, beets.
  • Root vegetables: Parsnips, turnips, radishes.
  • Allium vegetables: Garlic, onions, leeks, shallots.
  • Other: Celery, fennel, mushrooms.

Note: Nightshade vegetables such as tomatoes, eggplants, bell peppers, and potatoes should be avoided initially. These can be reintroduced carefully after the initial elimination phase, which typically lasts 30–90 days, to assess individual tolerance.

Fruits:

  • Berries: Blueberries, strawberries, raspberries.
  • Low-sugar fruits: Apples, pears, citrus fruits.

Proteins:

  • Lean meats: Grass-fed beef, free-range poultry.
  • Fish: Wild-caught salmon, mackerel, sardines (rich in omega-3 fatty acids).
  • Eggs: If tolerated (reintroduce carefully after initial elimination).

Healthy Fats:

  • Oils: Olive oil, coconut oil, avocado oil.
  • Others: Avocados, nuts (almonds, walnuts), seeds (chia, flax).

Fermented Foods:

  • Sauerkraut, kimchi, kefir (if dairy is tolerated), and other fermented vegetables.

Herbs and Spices:

  • Anti-inflammatory and antioxidant-rich: Turmeric, ginger, garlic, rosemary, thyme.

Beverages:

  • Herbal teas (e.g., green tea, chamomile).
  • Bone broth (rich in collagen and nutrients).

Foods to Avoid

Gluten-containing grains:

  • Wheat, barley, rye, and foods made from them (bread, pasta, cereals).

Dairy products:

  • Milk, cheese, yogurt (reintroduce carefully to assess tolerance).

Processed and refined foods:

  • Fast food, packaged snacks, sugary beverages, and processed meats.

Sugars and artificial sweeteners:

  • Refined sugar, high-fructose corn syrup, artificial sweeteners.

Nightshades (initially):

  • Tomatoes, potatoes, eggplants, peppers (reintroduce carefully).

Legumes (initially):

  • Beans, lentils, peanuts (reintroduce carefully).

Recommended Nutrients and Herbs

Vitamin D:

  • Why: Supports immune function and reduces inflammation.
  • Sources: Sun exposure, supplements, fortified foods.

Selenium:

  • Why: Essential for thyroid hormone metabolism and reduces thyroid antibodies.
  • Sources: Brazil nuts, seafood, supplements.

Zinc:

  • Why: Supports immune function and thyroid hormone production.
  • Sources: Meat, shellfish, legumes, supplements.

Magnesium:

  • Why: Important for numerous biochemical reactions, including energy production and thyroid health.
  • Sources: Leafy greens, nuts, seeds, supplements.

Omega-3 Fatty Acids:

  • Why: Anti-inflammatory properties and support cell membrane health.
  • Sources: Fatty fish, flaxseeds, chia seeds, fish oil supplements.

B Vitamins:

  • Why: Crucial for energy production and reducing fatigue.
  • Sources: Whole grains (gluten-free options like quinoa), meat, eggs, leafy greens, supplements.

Iron:

  • Why: Essential for oxygen transport and energy production.
  • Sources: Red meat, leafy greens, beans, iron supplements if necessary.

Iodine:

  • Why: Necessary for thyroid hormone production, but should be managed carefully to avoid exacerbating autoimmune thyroid issues.
  • Sources: Iodized salt, seaweed, supplements (consider consulting a healthcare provider before supplementing).

Vitamin A:

  • Why: Important for immune function and thyroid health, particularly if the diet lacks sufficient active vitamin A from sources like organ meats.
  • Sources: Cod liver oil, liver, eggs, fortified foods, supplements.

Note: When consuming large amounts of cruciferous vegetables, consider balancing with adequate iodine intake to support thyroid function.

Probiotics:

  • Why: Improve gut health, which is crucial for immune function.
  • Sources: Fermented foods, probiotic supplements.

Herbs and Herbal Extracts

Coenzyme Q10 (CoQ10):

  • Why: Supports mitochondrial function and energy production.
  • Sources: Supplements, organ meats, fatty fish.

Berberine:

  • Why: Helps with insulin resistance and blood sugar regulation.
  • Sources: Supplements derived from plants like Goldenseal or Berberis.

TUDCA (Tauroursodeoxycholic Acid):

  • Why: Supports liver function and bile flow, aiding detoxification and overall metabolic health.
  • Sources: Supplements.

Sample Meal Plan

Breakfast:

  • Green smoothie with spinach, kale, berries, chia seeds, and almond milk.
  • Poached eggs (if tolerated) with avocado and a side of fermented vegetables.

Lunch:

  • Grilled salmon on a bed of mixed greens (spinach, arugula) with olive oil and lemon dressing.
  • Roasted sweet potatoes and a small portion of cooked broccoli.

Snack:

  • A handful of nuts (almonds, walnuts) and an apple.
  • Herbal tea (chamomile or green tea).

Dinner:

  • Grass-fed beef or free-range chicken stir-fry with a variety of vegetables (bell peppers, zucchini, carrots) cooked in coconut oil.
  • Cauliflower rice or quinoa (if tolerated).

Before Bed:

  • Bone broth or a calming herbal tea like chamomile.

Emphasizing Transition Phases in the Hashimoto (Hypothyroidism) Healing Diet

The Elimination Phase

Should all “dangerous foods” be eliminated at once or gradually? The elimination phase of the Hashimoto (Hypothyroidism) Healing Diet typically involves removing all identified potential trigger foods simultaneously. This approach is crucial to quickly reduce inflammation and give the immune system a chance to reset. Common foods to eliminate include:

  • Gluten
  • Dairy
  • Eggs
  • Nightshades (e.g., tomatoes, eggplants, bell peppers, potatoes)
  • Legumes
  • Processed foods
  • Refined sugars
  • Artificial sweeteners

However, some people may find it challenging to eliminate all these foods at once. In such cases, it can be practical to start with the most common triggers (like gluten and dairy) and then gradually eliminate others over a few weeks. The goal is to remove all potential triggers within the first month of the elimination phase.

How long should the elimination phase last?

The elimination phase typically lasts between 30 to 90 days. During this period, the immune system can calm down, and inflammation can subside. A minimum of 30 days is usually required to see significant improvements, but some individuals may need up to 90 days for a complete assessment.

The Reintroduction Phase

When to reintroduce foods?

After the initial elimination phase, reintroduce foods one at a time to assess individual tolerance. The process should be slow and methodical:

  1. Introduce one food at a time, every 3–7 days.
  2. Observe any symptoms that arise over the next few days, such as digestive issues, headaches, fatigue, joint pain, or skin reactions.
  3. If a food causes symptoms, eliminate it again and wait until symptoms subside before testing the next food.

Duration of the Diet

How long should one follow this diet?

  • Elimination Phase: 30–90 days
  • Reintroduction Phase: Several weeks to months, depending on the number of foods to reintroduce

Long-term Dietary Habits

  • Some foods may need to be avoided permanently if they trigger symptoms.
  • Gluten is often a permanent exclusion due to its strong association with autoimmune reactions in Hashimoto’s.
  • Dairy and nightshades may also need to be avoided long-term, but this varies by individual.

Foods to Potentially Avoid Forever

  • Gluten: Commonly linked with autoimmune reactions.
  • Highly Processed Foods: Due to additives and preservatives that can trigger inflammation.
  • Refined Sugars and Artificial Sweeteners: These can exacerbate inflammation and blood sugar imbalances.

Monitoring Improvement and Effectiveness

When can one expect improvement?

  • Initial Improvement

Many people start to feel better within the first few weeks, especially if they are very sensitive to certain foods.

  • Significant Improvement

Noticeable improvements in energy levels, reduction in inflammation, and fewer symptoms often occur by the end of the 30–90 day elimination phase.

How to notice that the diet is working?

  • Symptom Reduction

Fewer digestive issues, more stable energy levels, better mood, reduced pain, and clearer skin.

  • Blood Tests

Improvements in thyroid function tests, reduction in thyroid antibodies, and better overall blood work.

Scientific and Expert Opinions

  • Studies show that diets like the Autoimmune Protocol (AIP), which involves eliminating potential trigger foods and focusing on nutrient-dense, anti-inflammatory foods, can lead to significant improvements in autoimmune conditions like Hashimoto’s.
  • Influential doctors like Dr. Sarah Ballantyne, Dr. Alessio Fasano, and Dr. Izabella Wentz emphasize the importance of a strict elimination phase followed by a careful reintroduction phase. They also highlight the need for a personalized approach, as individual triggers and responses can vary widely.

To conclude, the Hashimoto (Hypothyroidism)Healing Diet requires a dedicated initial elimination phase, typically lasting 30–90 days, followed by a careful reintroduction phase. While some foods, like gluten, may need to be avoided permanently, others can be reintroduced based on individual tolerance. Monitoring improvement involves noting reductions in symptoms and improvements in lab tests. The diet should be maintained long-term with adjustments based on ongoing personal health assessments and professional medical advice.

Conclusion

This comprehensive diet plan focuses on nutrient-dense, anti-inflammatory foods while avoiding common triggers for autoimmune reactions.

By incorporating a variety of vegetables, lean proteins, healthy fats, and supportive herbs, this diet aims to address the key issues in Hashimoto’s thyroiditis (Hypothyroidism), such as inflammation, nutrient deficiencies, and immune system dysregulation.

Always consult with a healthcare provider before making significant dietary changes to ensure they are appropriate for your individual health needs.

The Road to Healing: Expert-Backed and Research-Driven

The Hashimoto Healing Diet is a blend of scientific research, expert advice, and practical insights from top authorities in the field. Influences include the Autoimmune Protocol (AIP) by Dr. Sarah Ballantyne, the Paleo Diet by Dr. Loren Cordain, gluten-free recommendations from Dr. Alessio Fasano, nutrient-dense principles from Dr. Terry Wahls, and functional medicine approaches from Dr. Mark Hyman and Dr. Izabella Wentz.

Your Path to Better Health

This diet plan empowers you to take control of your health, manage Hashimoto’s (Hypothyroidism) symptoms, and improve your quality of life through informed dietary choices. Start your journey today with the Hashimoto Healing Diet.

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Please note that this post does not constitute medical advice. The content is for informational purposes only and should not be considered a substitute for professional medical recommendations. Additionally, this post may contain affiliate links through which I can earn a small commission at no extra cost to you.

References:

  1. Ballantyne, S. (Year). The Paleo Approach: Reverse Autoimmune Disease and Heal Your Body. Publisher.
  2. Cordain, L. (Year). The Paleo Diet: Lose Weight and Get Healthy by Eating the Foods You Were Designed to Eat. Publisher.
  3. Fasano, A. (Year). Research on Gluten and Autoimmunity. Journal Name.
  4. Wahls, T. (Year). The Wahls Protocol: A Radical New Way to Treat All Chronic Autoimmune Conditions Using Paleo Principles. Publisher.
  5. Hyman, M. (Year). The UltraMind Solution: Fix Your Broken Brain by Healing Your Body First. Publisher.
  6. Wentz, I. (Year). Hashimoto’s Protocol: A 90-Day Plan for Reversing Thyroid Symptoms and Getting Your Life Back. Publisher.

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Valeria Aberle
Nutrition Science for Health

Nutrition Science student & Therapist in Germany. I share insights on nutrition, wellness, & health, plus personal experience. https://wildnourish.blogspot.com/