What is the best treatment for Hashimoto’s disease?

Introduction: Why Hashimoto’s Needs a New Approach

Hashimoto’s thyroiditis is more than just a thyroid disorder—it’s an autoimmune disease that requires a holistic, root-cause approach. At Patients Medical in New York City, we go beyond simply prescribing thyroid hormones. Our integrative model combines conventional care with functional medicine to uncover and address the underlying imbalances in the immune system, gut, hormones, and environment.

What Is Hashimoto’s Disease?

Hashimoto’s disease (Hashimoto’s thyroiditis) is an autoimmune condition where your immune system mistakenly attacks your thyroid gland, causing chronic inflammation and often leading to hypothyroidism (underactive thyroid).

Over time, this attack can destroy the thyroid’s ability to produce hormones, leading to fatigue, weight gain, depression, and more. It’s the most common cause of hypothyroidism in the U.S.

Common Symptoms of Hashimoto’s Disease

Hashimoto’s may develop slowly and silently. Symptoms can vary and worsen as the thyroid declines.

Root Causes: Why Did You Develop Hashimoto’s?

Functional medicine seeks to identify what triggered your immune system to attack the thyroid. Common root causes include:

  • Leaky gut syndrome: Increases immune reactivity and inflammation
  • Nutrient deficiencies: Low selenium, zinc, iodine, or vitamin D
  • Chronic stress: Dysregulates immune and adrenal function
  • Viral or bacterial infections: Epstein-Barr virus (EBV), H. pylori, Lyme
  • Toxin exposure: Heavy metals, mold, pesticides

  • Food sensitivities: Especially gluten, dairy, and soy
  • Estrogen dominance or adrenal fatigue: Hormone imbalances worsen autoimmunity
  • Genetic predisposition: Family history of thyroid or autoimmune disease

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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