How should Hashimoto patients be fed?

Hashimoto is a very common autoimmune thyroid disease. It is a chronic, life-long disease that progresses with elevated TSH levels and ultrasonographically damaged thyroid gland in patients. Diagnosis is made by looking at antibodies called TSH, Anti-TPO and Anti-Tg.

In the treatment of Hashimoto’s disease, thyroid hormone should be used for life. It is necessary to pay attention to some nutritional rules when using drugs in the treatment of disease.

First of all, when using drugs, the drugs taken should be taken on an empty stomach in the morning. Thyroid medicine should be taken at least 45 minutes before breakfast. Vitamins, iron drugs, minerals such as calcium and magnesium should not be taken together with thyroid medication. Patients who use antacids or stomach drugs due to stomach discomfort should not take these drugs together with thyroid drugs. These measures are very important in the dose adjustment of thyroid medication.

Hashimoto patients need to pay attention to many important points in their nutrition. The most important of these is iodine intake. Unfortunately, our country is in a region where there is a great shortage of iodine. More than 10 percent of our society has iodine deficiency. Iodine is necessary for the synthesis of thyroid hormone. That’s why getting enough iodine is very important. Excess iodine intake can lead to an increase in thyroid auto antibodies. Therefore, it should be decided whether it is sufficient by looking at the level of iodine in the urine.

Selenium is one of the important minerals involved in the hormone synthesis of the thyroid gland. Deficiency is not seen in healthy diets. Selenium is abundant in fish and other seafood, sesame, tahini, walnuts, turkey, lentils, mushrooms and eggs. Those who consume such foods adequately do not have selenium deficiency. In some studies, it has been shown that taking selenium can reduce antibody titers, especially in people with high Anti-TPO. There are publications on the fact that taking selenium reduces antibodies, especially in those who have pregnancy problems and have a normal TSH value but have high antibody titers.

B12 deficiency is very common in Hashimoto’s patients. This is because a hormone called intrinsic factor must be released from the stomach for the absorption of vitamin B12. In some of Hashimoto’s patients, the release of intrinsic factor may be impaired. In this case, B12 deficiency and its symptoms can be seen. If this situation is detected, it is very important to take foods rich in B12. In cases where it is not sufficient, vitamin B12 should be taken in the form of injections from the hip or sublingual sprays.

It can be seen in many different autoimmune diseases in people with Hashimoto’s disease. One of them is celiac disease. If Hashimoto’s is accompanied by celiac disease, it is recommended to avoid gluten-containing bakery products.

As a result, people with Hashimoto’s disease should be fed adequately in terms of iodine, selenium, Vitamin B12. Especially considering that the metabolism slows down, gluten-containing foods should be avoided in order not to gain weight.

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