Three Simple Tips to Lower Thyroid Antibodies and Prevent Hypothyroidism

Three Simple Tips to Lower Thyroid Antibodies and Prevent Hypothyroidism - DrR Featured Image TBT 3TipsIn this week’s video, we discussed two main factors that lead to hypothyroidism – thyroid antibodies and TSH. The most common cause of hypothyroidism is elevated thyroid antibodies, also known as Hashimoto’s.

Let’s look at three simple suggestions you can put in place to help lower your thyroid antibodies and prevent hypothyroidism.

Adjust Your Diet

Research has shown that gluten, a protein found in wheat, barely, and rye, is a common trigger in Hashimoto’s.

The best foods for healthy stomach

Since gluten is pro-inflammatory and contributes to leaky gut, removing gluten can help drive down inflammation in the body.  The gluten molecule and thyroid tissue also happen to look very similar. So, if someone with leaky gut is eating gluten, the immune system will attack both the gluten molecules and the thyroid tissue thinking it’s all the same toxin. As this happens, thyroid antibodies will become more and more elevated.

Also important to note: there is a common link between thyroid autoimmunity, Celiac, and Non-Celiac Gluten Sensitivity. People with Celiac Disease have a higher risk of thyroid autoimmunity.

If you find you are experiencing these symptoms or conditions, implementing a gluten-free, whole-foods diet may reduce thyroid antibodies and help you feel better. If removing gluten doesn’t seem to be enough, then opting for a paleo-style diet may be more beneficial. In this case you will remove all grains, dairy, legumes, and soy. You can learn more about the Paleo diet here.

Treat Gut Infections

Underlying gut infections such as H. Pylori have been linked to hypothyroid, so testing for and treating any type of gut infection will be essential to healing your body.

Consider Supplementation

Certain supplementation may be helpful in supporting thyroid function. One study showed magnesium citrate, CoQ10, and selenium to be beneficial to thyroid health. You can learn more about using these supplements in Dr. Ruscio’s video, Reversing Damage to Your Thyroid.

What do you think? I would like to hear your thoughts or experience with this.

Dr. Ruscio is your leading functional and integrative doctor specializing in gut related disorders such as SIBO, leaky gut, Celiac, IBS and in thyroid disorders such as hypothyroid and hyperthyroid. For more information on how to become a patient, please contact our office. Serving the San Francisco bay area and distance patients via phone and Skype.

Discussion

I care about answering your questions and sharing my knowledge with you. Leave a comment or connect with me on social media asking any health question you may have and I just might incorporate it into our next listener questions podcast episode just for you!

87 thoughts on “Three Simple Tips to Lower Thyroid Antibodies and Prevent Hypothyroidism

  1. Hi Dr. Ruscio
    How can I stop the nausea I get from my Hashimotos? I also suffer from constipation which may be causing the nausea. My endo suggested daily fiber that dissolves in water. My med is 25 mcg of Unithroid. Also wondering if anyone ever comes off thyroid med?! Thanks.

    1. Hi Nancy,
      There are a number of things that can help nausea, in your case it depends on what is causing it and then addressing that; ulcer, SIBO, H. Pylori, low HCl, gastroparesis… Constipation suggests SIBO may be present. People can come of thyroid meds but you need to work with a clinician to be monitored to see if your thyroid can produce adequate hormone once you come off.
      Hope this helps!

  2. Dr Ruscio
    My thyroid hormones are over 2300 and the doctor passed it off like nothing. How is this treated?

  3. Hi there!

    My recent bloodwork shows that my thyroid antibodies are currently in the hundreds, which is the highest they have ever been. I have avoided soy for years and eat a very low dairy (mostly goat/sheeps milk products) and low grain diet already. However, since getting these results I am now going gluten and dairy free and trying to follow more closely to a paleo diet, which is a bit difficult for me as I am not a big meat eater. I prefer beans, which is not allowed on the paleo diet so I am having a bit of a hard time.

    I think the biggest issue for me has been stress and its effect on my thyroid. In the last two years, I have attended law school full time, worked part time, gotten married, gotten pregnant and gave birth, graduated law school, moved cross country leaving behind family, and our cat of 9 years recently passed away. Also, I have been going through many job interviews and have recently secured a new job. I think the constant stress and change in my life in recent years has greatly opened me up to thyroid issues and my problems seem to have gotten worse since the birth of my son.

    I am not currently on medication as I am trying to first see how this new diet will affect my thyroid antibodies. I will have a blood test in 8 weeks to check. However, I am considering low dose NDT. Not sure if this would help reduce antibodies or not, but my TSH is just slightly elevated (5.5).

    Anyway, I guess my question for you is, do you find that this type of dietary change (gluten, dairy, soy free and trying to stick to a paleo diet) reduces antibodies enough for one to not need medication? I am also worried about a future pregnancy and whether or not NDT would be best during pregnancy to avoid any possible issues (I was on Synthroid for my first pregnancy but would like to try NDT next time).

    1. Thought I should clarify my thyroid antibody levels: one of them is in the 300s, the other in the 500s (can’t remember which is ata and which is tpo).

      Also thought I would clarify that I do eat meat, but just eat a low meat in general. I am just finding it hard to eat as much as a paleo diet requires.

  4. Hi there!

    My recent bloodwork shows that my thyroid antibodies are currently in the hundreds, which is the highest they have ever been. I have avoided soy for years and eat a very low dairy (mostly goat/sheeps milk products) and low grain diet already. However, since getting these results I am now going gluten and dairy free and trying to follow more closely to a paleo diet, which is a bit difficult for me as I am not a big meat eater. I prefer beans, which is not allowed on the paleo diet so I am having a bit of a hard time.

    I think the biggest issue for me has been stress and its effect on my thyroid. In the last two years, I have attended law school full time, worked part time, gotten married, gotten pregnant and gave birth, graduated law school, moved cross country leaving behind family, and our cat of 9 years recently passed away. Also, I have been going through many job interviews and have recently secured a new job. I think the constant stress and change in my life in recent years has greatly opened me up to thyroid issues and my problems seem to have gotten worse since the birth of my son.

    I am not currently on medication as I am trying to first see how this new diet will affect my thyroid antibodies. I will have a blood test in 8 weeks to check. However, I am considering low dose NDT. Not sure if this would help reduce antibodies or not, but my TSH is just slightly elevated (5.5).

    Anyway, I guess my question for you is, do you find that this type of dietary change (gluten, dairy, soy free and trying to stick to a paleo diet) reduces antibodies enough for one to not need medication? I am also worried about a future pregnancy and whether or not NDT would be best during pregnancy to avoid any possible issues (I was on Synthroid for my first pregnancy but would like to try NDT next time).

    1. Thought I should clarify my thyroid antibody levels: one of them is in the 300s, the other in the 500s (can’t remember which is ata and which is tpo).

      Also thought I would clarify that I do eat meat, but just eat a low meat in general. I am just finding it hard to eat as much as a paleo diet requires.

  5. I have very high antibodies with otherwise normal thyroid function levels. My doctor says one of the highest she has seen. My symptoms are fatigue, can’t get going til noon, 30 lb weight gain in this 5-6 yr period, brain fog, joint and muscle pains and excessive sleeping with ? Depression. Used to be very bubbly, high energy . I am 63 yrs old and don’t think I can subscribe all this to age. Otherwise healthy and on no meds.

  6. I have very high antibodies, but otherwise normal thyroid levels. This has been for over 6 yrs. my symptoms are fatigue, brain fog which lasts til noon, 30 lb weight gain in 5 yrs, very low energy . I used to be high energy all my life. Would you recommend supplementation with synthroid? Will see endocrinologist next week.

  7. I have very high antibodies with otherwise normal thyroid function levels. My doctor says one of the highest she has seen. My symptoms are fatigue, can’t get going til noon, 30 lb weight gain in this 5-6 yr period, brain fog, joint and muscle pains and excessive sleeping with ? Depression. Used to be very bubbly, high energy . I am 63 yrs old and don’t think I can subscribe all this to age. Otherwise healthy and on no meds.

  8. Hi Dr. Ruscio:

    My Thyroid antibodies are slightly elevated: Thyroid peroxidase Ab is 35 (ref. range 0-34 IU/mL), Thyroglobulin Antibody is <1 (ref. range 0.0-0.9 IU/mL) with elevated levels of TSH (5.42 uIU/mL) and normal free T4 (about 1.17 ng/dL). I am male, 32 years old. In your opinion do you think I should start taking synthroid 25 mcg ?
    Thanks,
    Anonymous

  9. Hi Dr. Ruscio:

    My Thyroid antibodies are slightly elevated: Thyroid peroxidase Ab is 35 (ref. range 0-34 IU/mL), Thyroglobulin Antibody is <1 (ref. range 0.0-0.9 IU/mL) with elevated levels of TSH (5.42 uIU/mL) and normal free T4 (about 1.17 ng/dL). I am male, 32 years old. In your opinion do you think I should start taking synthroid 25 mcg ?
    Thanks,
    Anonymous

  10. Hello Dr Ruscio
    I have been fighting Thyroid problem for years…My t3 and t4 are in normal range but my TSH is 20..But I feel just fine.
    No symptoms…The only way they ever get me TSH IN range is to increase my meds..Which only last for a short period
    than my TSH goes up…I was on levothyroxine which made me fill bad…Amour is better but not working now..Should we be looking at something else since me t3 and for are good and i feel good?
    Thanks

  11. Hello Dr Ruscio
    I have been fighting Thyroid problem for years…My t3 and t4 are in normal range but my TSH is 20..But I feel just fine.
    No symptoms…The only way they ever get me TSH IN range is to increase my meds..Which only last for a short period
    than my TSH goes up…I was on levothyroxine which made me fill bad…Amour is better but not working now..Should we be looking at something else since me t3 and for are good and i feel good?
    Thanks

  12. I’m wondering about the ref ranges for tpo. My top is 14.5 IU , can you tell me how that translates to the other ref.ranges that I see out there? My tsh has gone up markedly , yet the doc is offering absolutely no help. Tsh is 1.95. I have extreme exhaustion and fatigue. Too young for this. Any suggestions?

  13. I’m wondering about the ref ranges for tpo. My top is 14.5 IU , can you tell me how that translates to the other ref.ranges that I see out there? My tsh has gone up markedly , yet the doc is offering absolutely no help. Tsh is 1.95. I have extreme exhaustion and fatigue. Too young for this. Any suggestions?

  14. I am 40 yrs old, having Hypothyroid from last 4 years. My T3, T4, FT3,FT4 and TSH are in normal range, first time i got report for , AMA or TPO is 114 IU/ml and ATG is 136 IU / ml. I take Thyronorm 100 mcg tablet daily morning. Recently I am facing problem of itching and some times hives comes on by body randomly which goes away in 1 or 2 hrs.
    Please advise the treatment .

  15. I am 40 yrs old, having Hypothyroid from last 4 years. My T3, T4, FT3,FT4 and TSH are in normal range, first time i got report for , AMA or TPO is 114 IU/ml and ATG is 136 IU / ml. I take Thyronorm 100 mcg tablet daily morning. Recently I am facing problem of itching and some times hives comes on by body randomly which goes away in 1 or 2 hrs.
    Please advise the treatment .

  16. Hi Doc!

    I am taking levothyroxine for over 10yrs. Gut issues are being addressed with gluten free and paleo plus low fodmap. Stress is still huge so still get the fog etc. I am taking digestive enzymes plus supplements from naturopath plus LDN. Only 1 month in so will stick for 2 more months, however I feel unless stress is changed I won’t get the improvements. The question is would you recommend Viome as this is now available in the UK?

    THANKS

  17. Hi Doc!

    I am taking levothyroxine for over 10yrs. Gut issues are being addressed with gluten free and paleo plus low fodmap. Stress is still huge so still get the fog etc. I am taking digestive enzymes plus supplements from naturopath plus LDN. Only 1 month in so will stick for 2 more months, however I feel unless stress is changed I won’t get the improvements. The question is would you recommend Viome as this is now available in the UK?

    THANKS

  18. I just found out that my Thyroglobulin Antibody is 1200. My TSH has dropped from 9.5 to 6.9 since I have been on Levothyrixine 25 mcg for 3 weeks. Some of my symptoms have gradually gotten better but it’s been a slow process. The heart palpitations and chest pains at times have been most concerning. I am supposed to get an ultrasound on my thyroid in a month. With this new finding, however, I am concerned about possibility of cancer. My Endo does not have this new lab finding. I think I should report this. Any suggestions for where I go from here?

    1. I would follow up with your doctor. The Endocrine Society (I believe) only recommends cancer screening in select cases and not for all patients with Hashimoto’s. So, follow your doctors recommendations as he or she will need to make that adjudication.

  19. Hi Dr Ruscio,

    I live in India. I recently had a lab test. My Tsh level is 5.45 , my T4 Free is 0.92,
    Antithyroglobulin bas level is 16.0, Anti- TPO ( The. Microsomal) is 299.1
    Do you recommend medication? Do I need to take thyroid medicine? I really need your help I will be glad if you answer. Thank you . One more thing my Tsh level was 6.37 in June this year and it dropped to 5.45 now. Iam confused what to do and how to lower my thyroid antibody. Please help if I need medication.

  20. Hi Dr Ruscio,

    I live in India. I recently had a lab test. My Tsh level is 5.45 , my T4 Free is 0.92,
    Antithyroglobulin bas level is 16.0, Anti- TPO ( The. Microsomal) is 299.1
    Do you recommend medication? Do I need to take thyroid medicine? I really need your help I will be glad if you answer. Thank you . One more thing my Tsh level was 6.37 in June this year and it dropped to 5.45 now. Iam confused what to do and how to lower my thyroid antibody. Please help if I need medication.

  21. I have hashimoto for 10 years and I am under medication .Iin the last 3 years I had few miscarriages while my TSH was in a normal rage at the time . I feel like it’s caused by hashimoto antibodies and I really want to have a baby as I’m already 34. Is there anything I can do?

  22. I have hashimoto for 10 years and I am under medication .Iin the last 3 years I had few miscarriages while my TSH was in a normal rage at the time . I feel like it’s caused by hashimoto antibodies and I really want to have a baby as I’m already 34. Is there anything I can do?

  23. Hi. I’m 33 years old, and recently I had a biopsy done for a 1.1 solid thyroid nodule. Results were benign, but I have high antibodies consistent with Hashimotos. Lab results for anti-tpo were 257 initially, but after 3 wks of taking 25 mcg levothyroxine, it’s higher. It’s now 275. I’m always tired, and I was wondering if the thyroid meds were supposed to lower my antibodies or does it not affect them at all? I was just recommended to stop the meds for now as they made me jittery. My thyroid level is normal. Doctor suggested I change my diet.

  24. Hi. I’m 33 years old, and recently I had a biopsy done for a 1.1 solid thyroid nodule. Results were benign, but I have high antibodies consistent with Hashimotos. Lab results for anti-tpo were 257 initially, but after 3 wks of taking 25 mcg levothyroxine, it’s higher. It’s now 275. I’m always tired, and I was wondering if the thyroid meds were supposed to lower my antibodies or does it not affect them at all? I was just recommended to stop the meds for now as they made me jittery. My thyroid level is normal. Doctor suggested I change my diet.

  25. My thyroglobulin antibodies are at 205 TSH normal and no symptoms. Should I go see an Endocrinologist and start medicine?

    1. I would recommend following the suggestions in the article above. If you don’t see results doing that, it’s probably a good idea to work with a qualified practitioner. If you’d like to apply to become a patient of Dr Ruscio’s, you can do so here: https://www.drruscio.com/gethelp

      Good luck!

    1. I would recommend following the suggestions in the article above. If you don’t see results doing that, it’s probably a good idea to work with a qualified practitioner. If you’d like to apply to become a patient of Dr Ruscio’s, you can do so here: https://www.drruscio.com/gethelp

      Good luck!

  26. doctor

    i have TSH 14 without medicine noticed last year started taking electroxine
    and came to normal level but antibodies checked it is more than 2000 level

    always tired sitation , whenever i took electroxin i will feel sleepy , what should i do my t3 and t4 normal range

    t3=3.19
    t4=1.62
    TSH = 7.69

    i have severe stomach digestion issue started when i checked that time tst was 14

    please help

  27. doctor

    i have TSH 14 without medicine noticed last year started taking electroxine
    and came to normal level but antibodies checked it is more than 2000 level

    always tired sitation , whenever i took electroxin i will feel sleepy , what should i do my t3 and t4 normal range

    t3=3.19
    t4=1.62
    TSH = 7.69

    i have severe stomach digestion issue started when i checked that time tst was 14

    please help

  28. Hi there Dr.,
    Last year I was diagnosed with stage 3 bowel cancer which fortunately had not metastised, but did involve one positive lymph node affected out of 11. Surgery was followed with 21 weeks of chemo. I have had (Hashimoto’s) hypothyroidism for many years, but decided to stick to a healthy diet/exercise program while going through chemo & was able to lose 35 kg. SInce the weight loss, blood tests have shown that I have been over medicating on thyroxine, and further testing have shown my Thyroglobulin antibodies (TG) were >500, and my Thyroid Peroxidase antibodies (TPO) were > 1300. I am investigating ways to attempt to reduce these antibodies through healthy eating etc., but was wondering how likely these high levels might be in indicating thyroid cancer (I don’t have any other symptoms), or can being over medicated with levothyroxine, also cause higher antibodies? Any tips you can give, would be greatly appreciated. I have just watched the link you showed in another post re vitamin d, selenium, vitamins etc. Thankyou

    1. Hi Jill,

      Unfortunately we can’t give personalized medical advice on this forum, but I would definitely recommend checking in with a doctor (someone who specializes in thyroid would be a good idea) to talk about your case. If you’d like to become a patient of Dr Ruscio’s, he does see people virtually and you can apply here: http://www.drruscio.com/gethelp Good luck!

  29. TPO >7000 Tg>300 TSH = normal. Euthyroid hashimoto with chronic ideopathic urticaria. Goiter with two nodules. Have had horrible hives since early October. along with severe angiodema on my face (eyes,lips). Started Xolair-2 shots in after seeing a very nice allergist. Have been on wvery level & combo of antihistamines and prednisone. Seems to help very little. At the end of my rope. I truly beleive levoxine would help but my endo doc doesn’t seem to care unless my TSH is up. Help?

  30. Hi there Dr.,
    Last year I was diagnosed with stage 3 bowel cancer which fortunately had not metastised, but did involve one positive lymph node affected out of 11. Surgery was followed with 21 weeks of chemo. I have had (Hashimoto’s) hypothyroidism for many years, but decided to stick to a healthy diet/exercise program while going through chemo & was able to lose 35 kg. SInce the weight loss, blood tests have shown that I have been over medicating on thyroxine, and further testing have shown my Thyroglobulin antibodies (TG) were >500, and my Thyroid Peroxidase antibodies (TPO) were > 1300. I am investigating ways to attempt to reduce these antibodies through healthy eating etc., but was wondering how likely these high levels might be in indicating thyroid cancer (I don’t have any other symptoms), or can being over medicated with levothyroxine, also cause higher antibodies? Any tips you can give, would be greatly appreciated. I have just watched the link you showed in another post re vitamin d, selenium, vitamins etc. Thankyou

    1. Hi Jill,

      Unfortunately we can’t give personalized medical advice on this forum, but I would definitely recommend checking in with a doctor (someone who specializes in thyroid would be a good idea) to talk about your case. If you’d like to become a patient of Dr Ruscio’s, he does see people virtually and you can apply here: http://www.drruscio.com/gethelp Good luck!

  31. TPO >7000 Tg>300 TSH = normal. Euthyroid hashimoto with chronic ideopathic urticaria. Goiter with two nodules. Have had horrible hives since early October. along with severe angiodema on my face (eyes,lips). Started Xolair-2 shots in after seeing a very nice allergist. Have been on wvery level & combo of antihistamines and prednisone. Seems to help very little. At the end of my rope. I truly beleive levoxine would help but my endo doc doesn’t seem to care unless my TSH is up. Help?

  32. Hello,

    My TSH is normal, T3 normal T4 normal but Thyroglobulin ab is 2236. I feel weak, no energy. How can I lower this value? My family physician gave me Synthroid 25 mg. I don’t want to take chemicals, I haven’t started taking the medication yet. I want some neutral remedies to help me lower this value and start feeling better.

    Thank you,
    Cristina

  33. I hope you can help me !!!
    I have MTHFR , I’m hypothyroid and have been on the wrong meds for years for my thyroid my T4 is high and my T3 is low and I’ve been on synthroid I recently changed to cytomel and synthroid together but my reverse t3 is getting higher , my cortisol is low all day , my testerone is low . My hashimotos antibodies are 360 which I never knew I even had and have had epstein Barr and herpes antibodies . I’m on AIP right now but really want to get pregnant I recently lost my baby to chromosomal issues , my iron is low , I have no gallbladder and I’m on a few things now – progesterone, magnesium , vitamin C , vitamin d and methofolate B , I’m taking also NAC because I have the genetic mutation help!!!!

    1. Hi Eve,

      I’m so sorry you’re dealing with this. Health issues can be incredibly frustrating. It sounds like you have a complicated case, so I would recommend making an appointment to see Dr Ruscio as a patient (he does virtual consults if you don’t live in the Bay Area). You can do so here: https://www.drruscio.com/gethelp

      Good luck!

  34. I hope you can help me !!!
    I have MTHFR , I’m hypothyroid and have been on the wrong meds for years for my thyroid my T4 is high and my T3 is low and I’ve been on synthroid I recently changed to cytomel and synthroid together but my reverse t3 is getting higher , my cortisol is low all day , my testerone is low . My hashimotos antibodies are 360 which I never knew I even had and have had epstein Barr and herpes antibodies . I’m on AIP right now but really want to get pregnant I recently lost my baby to chromosomal issues , my iron is low , I have no gallbladder and I’m on a few things now – progesterone, magnesium , vitamin C , vitamin d and methofolate B , I’m taking also NAC because I have the genetic mutation help!!!!

    1. Hi Eve,

      I’m so sorry you’re dealing with this. Health issues can be incredibly frustrating. It sounds like you have a complicated case, so I would recommend making an appointment to see Dr Ruscio as a patient (he does virtual consults if you don’t live in the Bay Area). You can do so here: https://www.drruscio.com/gethelp

      Good luck!

  35. Hi Dr. Ruscio
    How can I stop the nausea I get from my Hashimotos? I also suffer from constipation which may be causing the nausea. My endo suggested daily fiber that dissolves in water. My med is 25 mcg of Unithroid. Also wondering if anyone ever comes off thyroid med?! Thanks.

    1. Hi Nancy,
      There are a number of things that can help nausea, in your case it depends on what is causing it and then addressing that; ulcer, SIBO, H. Pylori, low HCl, gastroparesis… Constipation suggests SIBO may be present. People can come of thyroid meds but you need to work with a clinician to be monitored to see if your thyroid can produce adequate hormone once you come off.
      Hope this helps!

  36. Hello,

    My TSH is normal, T3 normal T4 normal but Thyroglobulin ab is 2236. I feel weak, no energy. How can I lower this value? My family physician gave me Synthroid 25 mg. I don’t want to take chemicals, I haven’t started taking the medication yet. I want some neutral remedies to help me lower this value and start feeling better.

    Thank you,
    Cristina

  37. I have very high antibodies, but otherwise normal thyroid levels. This has been for over 6 yrs. my symptoms are fatigue, brain fog which lasts til noon, 30 lb weight gain in 5 yrs, very low energy . I used to be high energy all my life. Would you recommend supplementation with synthroid? Will see endocrinologist next week.

  38. I just found out that my Thyroglobulin Antibody is 1200. My TSH has dropped from 9.5 to 6.9 since I have been on Levothyrixine 25 mcg for 3 weeks. Some of my symptoms have gradually gotten better but it’s been a slow process. The heart palpitations and chest pains at times have been most concerning. I am supposed to get an ultrasound on my thyroid in a month. With this new finding, however, I am concerned about possibility of cancer. My Endo does not have this new lab finding. I think I should report this. Any suggestions for where I go from here?

    1. I would follow up with your doctor. The Endocrine Society (I believe) only recommends cancer screening in select cases and not for all patients with Hashimoto’s. So, follow your doctors recommendations as he or she will need to make that adjudication.

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