What is Hashimoto’s Disease?

Introduction: Why Hashimoto’s Needs a New Approach

Hashimoto’s Disease, a leading cause of hypothyroidism, affects millions of individuals, yet many people struggle for years without a clear diagnosis or effective treatment. At Patients Medical in New York City, we go beyond just managing thyroid hormone levels. Through an integrative approach, we address the root causes of Hashimoto’s—whether they involve immune dysfunction, nutrient deficiencies, or environmental toxins. We aim to treat the whole person, not just the thyroid.

What Is Hashimoto’s Disease?

Hashimoto’s Disease is an autoimmune disorder where the immune system mistakenly attacks the thyroid gland, often leading to hypothyroidism (underactive thyroid). The thyroid, responsible for regulating metabolism, is crucial for many bodily functions. When it is compromised, it can cause symptoms ranging from fatigue to weight gain and mood swings.

Key Aspects of Hashimoto’s Disease:

  • Immune System Dysfunction: The immune system attacks the thyroid as if it were a foreign invader, leading to inflammation and reduced function.
  • Symptoms of Hypothyroidism: As the thyroid’s function declines, you may experience fatigue, weight gain, depression, and cold intolerance.
  • Chronic Condition: While Hashimoto’s can be managed, it is a lifelong condition that requires careful monitoring and treatment.

Common Symptoms of Hashimoto’s Disease

Root Causes: Why Did You Develop Hashimoto’s Disease?

Functional medicine aims to uncover the root causes of autoimmune diseases like Hashimoto’s, focusing on the factors that trigger and perpetuate the immune attack on the thyroid. Common causes include:

  • Genetic predisposition: A family history of autoimmune diseases increases the likelihood of developing Hashimoto’s.
  • Chronic stress: Long-term stress can increase inflammation and disrupt immune function.
  • Leaky gut: Intestinal permeability can trigger immune dysfunction and increase autoimmunity.
  • Nutritional deficiencies: Deficiencies in vitamins and minerals, especially iodine, selenium, vitamin D, and zinc, can impair thyroid function.
  • Environmental toxins: Exposure to heavy metals, endocrine disruptors, and pesticides can affect thyroid health.
  • Chronic infections: Infections like Epstein-Barr virus (EBV) or other viruses can trigger autoimmune reactions in susceptible individuals.
  • Hormonal imbalances: Imbalances in estrogen, cortisol, and other hormones can exacerbate autoimmune conditions.

Diagnostic Testing We Use

At Patients Medical, we take a comprehensive approach to diagnosing and understanding Hashimoto’s disease. Our diagnostic tests include:

Thyroid function tests (TSH, Free T3, Free T4, reverse T3)

Thyroid antibodies (anti-TPO, anti-thyroglobulin)

C-reactive protein (CRP) and other inflammatory markers (to assess systemic inflammation)

Vitamin and mineral panels (including selenium, vitamin D, and iodine levels)

Gut health testing (to evaluate for leaky gut and imbalances in gut microbiota)

Comprehensive hormone panels (to assess cortisol, estrogen, and other hormones affecting thyroid function)

Heavy metal testing (to check for toxic metal exposure)

Epstein-Barr virus (EBV) testing (to assess for viral triggers)

Integrative Treatments for Hashimoto’s Disease

Nutritional Therapy

  • Thyroid-supporting foods (rich in iodine, selenium, and zinc)
  • Gluten-free and dairy-free diets (as they may exacerbate autoimmune symptoms)
  • Anti-inflammatory meal planning (to reduce inflammation and improve overall thyroid health)
  • Elimination diets (to detect and address food sensitivities that may trigger autoimmune responses)

IV Vitamin Therapy

  • Vitamin D (essential for immune function and thyroid health)
  • Magnesium (supports thyroid function and reduces muscle pain)
  • Glutathione (a potent antioxidant that supports detoxification)
  • B-vitamins (to boost energy levels and support thyroid metabolism)

Herbal & Nutraceuticals

  • Ashwagandha (an adaptogen to reduce stress and support thyroid function)
  • Selenium (supports thyroid health and reduces autoimmune inflammation)
  • Probiotics (to support gut health and immune function)
  • Turmeric (a natural anti-inflammatory that can help manage autoimmune reactions)

Stress Reduction

  • Acupuncture (to reduce stress and promote thyroid health)
  • Mindfulness and meditation (to reduce cortisol and promote overall health)
  • Adaptogenic herbs (such as Rhodiola to balance cortisol levels)

Hormone Balancing

  • Thyroid hormone replacement (when necessary, customized to individual needs)
  • Cortisol management (to reduce stress and support thyroid function)
  • Estrogen and progesterone balancing (to support hormone regulation)

Real Case Study: Rachel’s Recovery from Hashimoto’s

Rachel, age 42, came to us with constant exhaustion, hair thinning, and anxiety. Despite normal TSH, her TPO antibodies were elevated, and her gut microbiome showed dysbiosis and candida overgrowth.

Her 12-week plan included:
  • Gut-healing protocol
  • Gluten- and dairy-free anti-inflammatory diet
  • Selenium, magnesium, and iron supplementation
  • IV therapy for adrenal fatigue
  • Desiccated thyroid medication

Results: Rachel’s antibody levels dropped by 60%, energy returned, sleep improved, and she lost 12 pounds—all without increasing her medication dose.

Testimonials

Frequently Asked Questions

 While the autoimmune process can’t be “cured,” you can reduce antibodies, restore function, and feel dramatically better with the right support.

Some patients do, but with healing, dosages may decrease. Others stabilize through integrative care alone.

 We look beyond TSH and treat root causes, not just lab numbers.

 There’s a genetic link—but lifestyle, gut health, and stress often determine expression.

Hypothyroidism is low thyroid function. Hashimoto’s is an autoimmune attack that causes it.

 This is common. We test free T3, T4, antibodies, and reverse T3 for a full picture.

 Yes—gluten, sugar, and dairy can worsen inflammation. We guide you with tailored nutrition plans.

 They are markers of autoimmunity against the thyroid. Reducing them is key.

 Absolutely. Chronic stress increases cortisol, which worsens immune dysfunction.

 We are out-of-network but provide superbills for reimbursement. Many labs may be partially covered.

Begin Your Journey with Patients Medical

Patients Medical specializes in gently helping the patient identify the root cause of their medical issues and then assist them to recover from their problems to help them move forward to good health.

Request your consultation today!

To schedule an in person on Tele-medicine appointment, please call our office at (212) 794-8800 or email us at info@PatientsMedical.com We look forward to hearing from you

Our medical center in New York City.

Patients Medical PC
1148 Fifth Avenue, Suite 1B New York, NY 10128

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