An Underactive Thyroid Explained
Living with an underactive thyroid, or hypothyroidism, can be challenging, but understanding the condition and how to manage it can empower individuals to lead healthier lives. This article provides a guide on managing hypothyroidism, focusing on lifestyle changes, dietary modifications, exercise, and supplements.
Dietary Adjustments
A nutrient-rich, balanced diet is crucial for managing hypothyroidism symptoms. Emphasize whole foods such as lean proteins, whole grains, fruits, and vegetables to support thyroid health and overall well-being. Include iodine-rich foods like seaweed, iodized salt, seafood, and dairy, which are essential for thyroid hormone production. Consume selenium-containing foods (Brazil nuts, sunflower seeds, mushrooms, fish, lean meats) as selenium supports thyroid function. Incorporate antioxidant-rich and anti-inflammatory foods (leafy greens, berries, green tea, turmeric, omega-3 rich foods such as salmon, flaxseeds, walnuts) to reduce oxidative stress and improve thyroid health.
Some patients may benefit from identifying and eliminating specific food triggers such as gluten or dairy to reduce inflammation and thyroid antibodies, but this should be done methodically and personalized.
Exercise
Engage in regular moderate exercise, such as zone 2 aerobic training, which can help boost metabolism and improve mood. High-intensity or daily calorie restriction workouts are generally not recommended due to potential metabolic slowing.
Intermittent Fasting
Instead of daily calorie restriction, fasting once a week for 24 hours can reduce calorie intake without compromising metabolism or thyroid function. For some individuals, practicing intermittent fasting 4–5 days per week with an eight-hour eating window has been shown to reduce thyroid antibodies and improve symptoms.
Hydration and Supplements
Drinking ample water supports metabolism and detoxification, while eating foods rich in tyrosine and antioxidants is beneficial.
These lifestyle changes complement thyroid hormone replacement therapy and should ideally be implemented under medical supervision or in consultation with a nutritionist to ensure they are personalized and safe.
Other Considerations
Certain medications, such as lithium and some heart medications, can contribute to hypothyroidism. Managing stress through techniques such as meditation, deep breathing exercises, and hobbies can help alleviate symptoms of an underactive thyroid. Regular screening is essential for older women due to their increased risk of developing an underactive thyroid.
Thyroid hormones are crucial for regulating various bodily functions, including metabolism, energy levels, and overall growth and development. A thyroid test is recommended to measure hormone levels and determine if you have an underactive thyroid.
If you suspect you may have an underactive thyroid, consult with a healthcare professional for appropriate testing and management. Various medical conditions, such as type 1 diabetes, rheumatoid arthritis, Down Syndrome, and Turner Syndrome, can increase the risk of developing an underactive thyroid.
Joining support groups, either in-person or online, can provide comfort and valuable insights for those living with hypothyroidism. A family history of thyroid disease or autoimmune disorders can increase your risk of developing an underactive thyroid. Women may experience additional symptoms related to hormonal changes, such as irregular menstrual cycles, infertility, and depression.
Most individuals will require lifelong treatment to manage their condition effectively. If you suspect you have an underactive thyroid, stay informed about the condition through reputable sources and understand the condition to make informed decisions about your health and treatment options.
[1] American Thyroid Association. (2016). Comprehensive review of non-pharmacologic treatment options for hypothyroidism. Thyroid, 26(1), 1-16.
[2] American Thyroid Association. (2016). Comprehensive review of the diagnosis and management of hypothyroidism. Thyroid, 26(1), 17-33.
[3] British Thyroid Association. (2014). Guidelines for the diagnosis and management of hyperthyroidism. Clinical Endocrinology, 81(6), 733-776.
[4] Hollowell JG, Wartofsky L, Cooper DS, et al. (2012). American Association of Clinical Endocrinologists and American Thyroid Association guidelines for the diagnosis and treatment of hyperthyroidism and hypothyroidism. Endocrine Practice, 18(Suppl 1), 1-103.
[5] British Thyroid Association. (2017). Guidelines for the diagnosis and management of thyroid cancer. Clinical Endocrinology, 86(6), 739-821.
- Balanced diet, rich in whole foods, lean proteins, whole grains, fruits, vegetables, iodine, selenium, antioxidants, and anti-inflammatory foods can aid in managing hypothyroidism symptoms.
- Some individuals might need to identify and remove specific food triggers like gluten or dairy to reduce inflammation and antibodies, though this should be done cautiously and based on personal needs.
- Regular exercise, preferably low-intensity aerobic training, can boost metabolism and improve mood, while high-intensity workouts may not be suitable due to potential metabolic slowing.
- Intermittent fasting, such as a 24-hour fast once a week or fasting 4–5 days a week with an eight-hour eating window, can help manage symptoms and reduce thyroid antibodies for some patients.
- Hydration and incorporating foods rich in tyrosine and antioxidants contribute to overall well-being and support metabolism and detoxification in managing hypothyroidism.
- Any lifestyle changes should ideally be implemented under medical supervision or in consultation with a nutritionist to ensure safety and personalization.
- Certain medications like lithium and heart medications could contribute to hypothyroidism, necessitating careful consideration and consultation with healthcare professionals.
- Managing stress through practices like meditation, deep breathing exercises, and hobbies can help alleviate symptoms of an underactive thyroid.
- Regular screening, particularly for older women, is essential due to their increased risk of developing an underactive thyroid.
- Thyroid hormones play a significant role in various bodily functions such as metabolism, energy levels, growth, and development, making it crucial to measure hormone levels through a thyroid test if suspected.
- If you suspect an underactive thyroid, consult a healthcare professional for appropriate testing and management, as various medical conditions, including autoimmune disorders, might increase the risk of developing one.
- Joining support groups and staying informed about the condition through reputable sources can provide comfort and valuable insights for those living with hypothyroidism, while a family history of thyroid disease or autoimmune disorders can increase the risk.
