I titled it that way because in an email I got from Chris this morning, he wrote/confirmed much of what I was seeing in comments over my last post about my clinical diagnosis of my subclinical Hashimoto’s Thyroiditis, on top of my own Googling. I shot him an email yesterday. Recently, we’ve been loosely sharing info (not collaborating) in terms of gut biome stuff, resistant starch, and people being more sane about carbohydrate intake…more skeptical of Keto “Clarity.”
Not meaning to take up lots of time. First, the good news. A lipid panel after some months on moderate carb instead of LC. I’m pretty tickled by it. Looks pretty gold standard to me and the graphs pretty dramatic. I’ll bet that with a more relaxed carb intake, mindful eating and less fat gluttony, others are no longer going to have need of finding out why their C is so high, and have to buy a copy of Cholesterol Clarity.
OK, I got the thyroid tests you recommended. Thank you very much. Pretty clear Hashi’s, right? I have a history of elevated TSH. Back in 2008/9, it was 16. Now just under 10.
Yes, that’s Hashimoto’s. Unfortunately treating it is a little more complex than I can get into in an email, but here are a few considerations:
1) Remove any immune triggers. You’re on the right track with what you suggested, but you might also consider autoimmune Paleo for a 30-day period to see if it has any impact on your thyroid numbers and symptoms (if you have any).
2) The goal with Hashi’s or any autoimmune disease is promoting t-reg cell function. Butyrate, as I’m sure you know, is a major t-reg cell promoter/differentiator. So keep it up with the prebiotics/RS. But you also want to focus on optimizing glutathione and 25D levels, since they play an important role in t-reg fx as well.
3) Watch your intake of goitrogens. I doubt you’re having a raw kale smoothie everyday, but that would be a bad idea. Eating a moderate amount of raw or steamed cruciferous veggies is fine; just don’t overdo it.
4) Make sure you’re getting enough zinc, selenium, and iodine. That said, too much iodine can trigger or flare Hashi’s in a small minority of cases so I’d limit to about 1 mg/d. Sea vegetables like kelp, wakame, hijiki, arame, etc. are generally the best option, along with fish head soup.
5) If you’re symptomatic, you might want to consider low-dose naltrexone. Check out my interview with Amy Myers which was part of her autoimmune summit; we went into a lot of detail on LDN.
6) Keep this in mind: right now you have what’s called “subclinical hypothyroidism” (high TSH and normal thyroid hormones). There’s a debate about whether that should even be treated at all. Not all people with subclinical hypothyroidism progress to clinical hypothyroidism, and studies generally don’t show much measurable benefit from treating, especially when there aren’t symptoms to begin with. Something to consider.
Other key things to do are to figure out if there’s anything more fundamental that is triggering immune dysfunction, i.e. SIBO, leaky gut, parasite, heavy metal toxicity, etc. But for that stuff you may need to work with someone.
So, does this look like a lot of sound advice to me, to you—kinda like in the vein of your doctor being a partner, not an authority that just prescribes you pharm from the schedule? And do note: I’ve met Chris in person and he’s very familiar with my medical history. We live in the same state. And it’s perfectly fine to put his guidelines to me, out to you for chewing. His advice to me is not advice to you.
…But did you take very particular note of #6, my lovable HYPOCHONDRIACS?
“Keep this in mind: right now you have what’s called “subclinical hypothyroidism” (high TSH and normal thyroid hormones). There’s a debate about whether that should even be treated at all. Not all people with subclinical hypothyroidism progress to clinical hypothyroidism, and studies generally don’t show much measurable benefit from treating, especially when there aren’t symptoms to begin with. Something to consider.”
This goes to something I’ve told myself for decades, in any situation where some action seems called for:
One Option is to Do Nothing!
This is in stark contrast to the typical human knee-jerk, whenever a problem presents: DO SOMETHING!
So here’s Chris’ NTY Bestselling book. Perhaps you said before, “I have lots of Paleo books already.” Me too. Being on all the publisher’s lists, I recently went to a used bookstore in Campbell and got $300 for two hand carts stacked to the top. My bookshelf is pretty sparse now.
But given the contrast I see here, this one will stay there along with just a few others, and a few amazing cookbooks in hardcover.
Also, take note that Chris’ book will be coming out in paperback soon, with a new title, The Paleo Cure. Fortunately, it’s already subsumed that the cure is personal, not one for all. You might want to snag a hardcopy, before they’re all gone. Or, just get the kindle.
Thanks, Chris. …I still recall when you approached me way back about a GERD series you were doing. I’m so glad you did, and I could not be happier for your marvelous success. You’re one of the very good guys for sure.