Hashimoto’s Disease

Introduction: Why Hashimoto’s Needs a New Approach

Hashimoto’s disease is an autoimmune disorder in which the immune system attacks the thyroid, leading to hypothyroidism (underactive thyroid). It’s a common cause of low thyroid function, affecting millions of people worldwide, especially women. Conventional treatments typically involve thyroid hormone replacement, but they may not address the underlying causes such as autoimmune dysfunction, nutritional deficiencies, and gut health.

At Patients Medical in New York City, we take an integrative approach to treating Hashimoto’s, using functional medicine to get to the root causes of the disease. Our treatments focus on optimizing thyroid function, reducing inflammation, and supporting immune health through diet, lifestyle changes, and natural therapies.

We treat the whole person—not just the thyroid.

What Is Hashimoto’s Disease?

Hashimoto’s disease, also known as Hashimoto’s thyroiditis, is an autoimmune condition where the body’s immune system mistakenly attacks the thyroid gland. This leads to inflammation and damage, which impairs the thyroid’s ability to produce thyroid hormones, causing symptoms of hypothyroidism.

Common symptoms of Hashimoto’s disease include:

  • Fatigue and weakness
  • Weight gain
  • Sensitivity to cold
  • Dry skin and hair
  • Constipation
  • Depression and mood swings
  • Muscle and joint pain
  • Memory problems or brain fog
  • Swelling in the neck (goiter)

While thyroid hormone replacement is a common treatment, many patients continue to experience symptoms. Our approach goes beyond just hormone replacement to address the underlying immune dysfunction and thyroid health.

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: Maria’s Journey to Healing

Maria, 38, had been struggling with fatigue, weight gain, and brain fog for years. Despite being diagnosed with Hashimoto’s and taking thyroid hormone replacement, she still felt unwell. After testing, we discovered high levels of thyroid antibodies, low selenium, and a gut imbalance.

We developed a personalized 3-month integrative plan with:

  • Anti-inflammatory meal plan
  • Selenium supplementation
  • Gut repair protocol
  • Herbal immune support

Three months later, Maria felt more energized, her thyroid antibodies were reduced, and her cognitive function improved. She was able to reduce her reliance on thyroid medication with her doctor’s approval.

Testimonials

Frequently Asked Questions

Hashimoto’s disease is an autoimmune disorder where the immune system attacks the thyroid, leading to hypothyroidism.

While the autoimmune component cannot be reversed, integrative treatments can reduce inflammation, optimize thyroid function, and help manage symptoms.

Common symptoms include fatigue, weight gain, cold intolerance, dry skin, hair loss, and brain fog.

Functional medicine helps by addressing the root causes of Hashimoto’s, such as inflammation, nutritional deficiencies, and gut health, to optimize thyroid function and immune response.

Some patients may reduce their need for medication with integrative care. Always consult with your healthcare provider to adjust your treatment plan.

Most patients notice improvements within 3-6 months, depending on their adherence to the treatment plan.

Yes, untreated Hashimoto’s can lead to heart disease, infertility, or other autoimmune conditions.

Yes, certain foods, like gluten, can exacerbate Hashimoto’s symptoms. An anti-inflammatory and nutrient-dense diet can support thyroid health.

Yes, people with Hashimoto’s are more likely to develop other autoimmune conditions, such as rheumatoid arthritis or celiac disease.

We are an out-of-network provider but offer superbills for reimbursement. Some lab tests may be covered by insurance.

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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