November 26, 2022


There are several causes for hypothyroidism, however, Hashimoto’s thyroiditis is the most common cause of hypothyroidism in the United States. Unfortunately, many patients are not aware that they have this underlying autoimmune dysfunction and often have limited thyroid testing such as only TSH and free T4.

Patients are are taking thyroid hormones which may be necessary but still they suffer from common low thyroid symptoms such as fatigue, hair loss, feeling cold, depression, constipation, weight gain, foggy brain, memory issues, and hot flashes. Their labs come back normal, but they still have these symptoms.

I see patients in the office like this all the time. The truth is there is a very common cause of a low thyroid dysfunction that is many times completely missed due limited lab testing. Many patients have an autoimmune problem and not a thyroid problem. It is essential to run a full thyroid panel including thyroid antibodies (thyroid peroxidase antibody and thyroglobulin antibody) as well as TSH, free T3, free T4, and reverse T3.

Most thyroid patients are never told that they have autoimmunity that can be managed with diet, lifestyle, and nutrition therapeutics. It can take months or years to received a diagnosis of hypothyroidism and most patients are never tested for Hashimoto’s thyroiditis. This is because it does not change the treatment in traditional medicine.  Over 90% of of hypothyroidism is caused by Hashimoto’s thyroditis and if you do not address the underlying autoimmunity, you will continue to have thyroid symptoms and a decline in thyroid function.

Although autoimmunity is no curable, it can frequently be put into remission through diet, lifestyle, and nutritional therapeutics.

Like everything I do in the office, my goal is not treat your label (diagnosis) but uncover the “underlying cause” of why your condition exists in the first place. Unfortunately, few healthcare practitioners embrace or investigate into these areas.