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General health

Hashimoto's and Auto-Immune diet

76 replies

mumat39 · 01/06/2014 08:00

Hello.

I have Hasphimoto's thyroiditis, which was diagnosed about 6 years ago, after the birth of DC1.

I have only recently learned that I should not be eating gluten, after seeing a nutritionist, and am annoyed that I wasn't told this when I was first diagnosed. Anyway, I know now, so have been eating gluten free for the last 4 months. I think I have had the odd exposure, but on the whole have managed to avoid it.

The nutritionist has given me details of an auto-immune diet, and I was wondering if anyone else is following one of these and whether you'd be happy to share some food ideas with me.

At the moment I feel like an elderly person. My joints ache. I have no energy. I have had my annual blood tests done and they show my TSH and T3 levels are at a good level, but I still feel like poo!

I don't eat well which I know is the problem but I spend most of my time just completely lethargic and lacking in any interest or motivation esp when it comes to food for me, so we live on cheap ready meals, like risotto. I'm stuck in a rut and need some hell from a real life person who is actually going through, or has gone through this.

My pnutritionist is lovely and I will ask her for help, but thought I'd ask here first.

Many thanks in advance.

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PloddingDaily · 03/06/2014 12:34

Glanced through the thread so apologies if this has already been said, but before you change your diet ask your doc to test whether you are coeliac - apparently that's another autoimmune thing & it's like ruddy health bingo- if you've got one, you're prone to others! Hmm I have typ 1 diabetes & an underactive thyoid for example. If you do get a formal coeliac diagnosis I believe you can get some food things (gluten free) on prescription, as gluten free bread etc is horribly expensive. Definitely worth checking! Smile

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mumat39 · 03/06/2014 12:43

Hi Plodding.

I was tested for celiac a couple of years ago and that test came back negative. I think that put me off the gluten trail, to be honest. But, I believe that you can have non celiac gluten issues, which is what I have.

I have also heard that if you have one auto immune condition, that you could have/develop others. That's why I'm so desperate to sort myself out. I just wish I didn't feel so bloomin' stuck with it.

I should have mentioned that my daughter has lots of allergies, which has been incredibly hard for me to deal with and that has had a massive effect on me and my confidence, or lack of, with food. Interestingly, she is allergic to pretty much, most of the things that I am intolerant to. :(

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Trillions · 03/06/2014 13:30

I have Hashimoto's, eat loads of bread and feel fine now that I am on the right dose of thyroxine. It's true that many Hashimoto's patients ALSO have coeliac disease or other issues with gluten but you don't necessarily need to cut out gluten just because you have Hashi's.

Are you aware that nutritionists are not doctors? They aren't regulated and they are not supposed to give direct health-related advice to individuals as, unlike dietitians, they are not trained in clinical practice. Be careful.

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Trillions · 03/06/2014 13:32

Didn't mean to say many Hashimoto's patients also have coeliac! Meant to say it is more likely - but still only a small percentage.

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RawCoconutMacaroon · 03/06/2014 13:33

Mmmmm, and with that new information, I'd suggest both you and your DD are tested for Coeliac, especially as you mention anaemia too.

A negative test 2 years ago doesn't mean a negative test now. There are lots of false negatives both with the blood test and the gut biopsy. Some people can be quite sick and still not have a high antibody level (so below the threshold for a positive), and the biopsy can sample healthy tissue (patches of gut can be normal or abnormal).
Autoimmune diseases seem to go hand in hand with wheat/gluten consumption, food intolerance and allergy seem to be part of that picture... But coeliac is just the tip of the iceberg IMO, if it's making you and your DD sick then stop eating it even if the tests come back negative Smile.

But if you do decide to change diet, I'd recommend staying clear of processed gf foods as you are unlikely to get the same health benefits if you do as you may well be reacting to other things in the grains, not the gluten iykwim.

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mumat39 · 03/06/2014 15:14

Thanks Raw.

am i right in thinking that I have to eat Gluten for a few weeks before a celiac blood testMy DD is actually allergic to wheat, so has never eaten it and couldn't inorder too have the test performed.

I also am not going to go back to eating gluten, which I gave up before seeing the nutritionist. i feel much better without it. th last time i ate gluten i had the worst stomach ache and basically pooped myself on the school run. thats what used to happen all the time. if i ate i couldnt go out as i didnt know how my stomach would react. thats how mad i am. instead of just not eating it, i would eat only when i knew i didnt have ti go out. in the end i thought id just stop eating wheat as that way i could go out and get on with life. I went to see the nutrionist as I needed help with what else i could eat as i was also reacting to eggs, beans and a few other things. it was actually my GP who suggested seeing one. i had no idea that nutritionists weren't the same as dieticians.

I feel better without gluten, and some of the stuff ive read, i have experienced, so it makes sense for me to stay GF for the time being at least.

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mumat39 · 03/06/2014 15:18

sorry, i meant to say that you're right, RAW. I do need to steer clear of processed food.
xxx

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mumat39 · 03/06/2014 15:46

Trillions, you are of course absolutely right and I apologise if I've inadvertently suggested that all people with Hashimoto's will have issues with Gluten.

Raw, I was just remembering that Ive been tested about 3 times for celiac, and was negative each time. I believe it is possible to have non celiac gluten intolerance. or at least that's what i seem to have.

thanks again

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RawCoconutMacaroon · 03/06/2014 16:15

Yes, you need to be eating wheat (or actually, any gluten containing grain, so rye, barely also. Antibody levels drop after a few weeks to months (depends on the individual).

I had antibody blood testing done privately, about 6 weeks after stopping eating wheat (I did have some the day before), and did get an antibody response but my reaction to all it the other grains was much higher (was still eating them at the time).

It's not that unusual to cross-react too other grains if you are allergic/intolerant to one.

Honestly, with respect, they more you say, the more I'm thinking "the entire family needs to go on an exclusion diet". Shock, there is a lot of health stuff going on, and an exclusion diet might help you get to the bottom of it... Or on the other hand it might rule out food being the problem. Either result is a good result Smile.

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RawCoconutMacaroon · 03/06/2014 16:22

I forgot to say, I read an interesting study recently where they tested "non ceoliac gluten intolerant" people who had negative bloods and biopsy, using a different test and quite a lot of them had very high antibody levels within the tissues of the gut wall, but only small amounts in the blood (so testing negative). The hypotheses was these people have coeliac, it just hasn't destroyed the gut yet (and may or may not progress to that stage). I thought that was pretty interesting.

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LackaDAISYcal · 03/06/2014 16:48

I would be very wary about any sort of whole family exclusion diet without proper advice and guidance from qualified HCPs. Removing whole food groups from a child's diet is not something that should be done lightly.

I have coeliac disease. Coeliac UK have information about blood testing here and it is possible to have a false negative from blood testing alone. But the gut biopsy, though it can sample healthy tissue, takes samples from at least four separate sites so a false negative on a gut biopsy is very unlikely. It is currently the only way to reliably test for gut damage. That said, gut damage can be caused by other conditions, but if symptoms improve after positive biospy and a GF diet, then it is definitely coeliac disease.

Can't answer about the auto-immune diet (though I should research it as I have, like many people, more than one auto-immune condition) but I agree you should get some more thorough blood work done.

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LackaDAISYcal · 03/06/2014 16:51

and you need to be eating the equivalent of four slices of bread for anything from a few weeks to a few months before testing/biopsies. Hard to go back on it when you know it makes you feel ill though Sad

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mumat39 · 03/06/2014 22:36

RAW, I have considered the GAPS diet for my daughter as that seems to have some success with allergies related to leaky gut. But I've never felt comfortable removing rice and corn from her diet, so haven't ventured down that route.

I am going to try the AIP protocol, as I have nothing to lose. If I can actually manage it for a month then do you think that would be enough time to see a difference? I am just psyching myself up for the prospect of eating more meats. I,m hoping the fact that I can eat fruits will make it a bit easier, and will help me see this through.

I went to the doctor this afternoon as I had my annual blood test done. My TSH was less than 1, my active t3 is 6.2, I am low in iron and no doubt my D3 levels will also be low. I have many aches and pains and feel like tin man when I wake up, and need to move around a bit to feel like I've been oiled, so he's going to see if the blood that was take for the test a few days ago can be tested for rheumatic markers or something like that. I think this might be another autoimmune thing, but not sure.

He didn't say I needed supplementing with iron but will see me again when the next results are back.

Just out of interest, how do those of you that take iron, take it? What form and what with? I was given fearsaday a while ago but it really upset my stomach, and spat one gave me heartburn, so wondering if there's a way to take it to avoid these side effects.

Many thanks again.
Xxx

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mumat39 · 03/06/2014 22:39

LackaDaisycal, I can't bring myself to eat wheat or rye bread again. Its just not worth the terrible stomach issues it causes. I've also managed to stay off gluten for a few months now and it's just now a normal thing for me, so really reluctant to go back.

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mumat39 · 03/06/2014 22:41

Spat one = Spatone

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YeGodsAndLittleFishes · 04/06/2014 00:24

I take iron in the form of liquid ferrous fumarate. I take several teaspoons a day, not with the Levothyroxine (they can interfere with the absorbtion of each other).

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mumat39 · 04/06/2014 07:36

Thanks YeGods.

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RawCoconutMacaroon · 04/06/2014 07:55

With the exclusion/aip you may feel results very fast, I did within a few days, but some things take a month or two (example, for me, headaches and gut pain gone in about 3or4 days but joint pains a bit longer and (what I believe was) gluten ataxia took about 4 months to gradually improve. Remember, you might feel quite ill for a few days at the start of exclusion - and that's normal.
But I cut out absolutely all grains including rice and maize, I will have the occasional bit of white rice now but that's it for grains.

Re cutting out food groups - grains are not really a food group and no one needs to eat them... They are just part of a food group (carbohydrate), and there are plenty of better (more nutritious) carb foods even for people like me who can't have much potato either (nightshades, although baby potatoes are ok for me in moderation).

Sweet potato and various squashes and pumpkins, carrots and swede are the main starchier carbs we have (whole family including toddler eat this way, although the others not as strictly as me).
And ALL veg and fruit are carb... Replace the grains with other carb foods and you should get more, not less, nutrition as grains are pretty poor in vitamins and minerals. True, they have fibre (if whole grain), but it's not a good form of fibre - the fibre in veg and fruit is much better for your gut and your gut bacteria.

So - we are not missing out on anything nutrient wise, quite the opposite, we are just eating different sources of carbohydrate and fibre, and feel very much better for doing that Smile!

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YeGodsAndLittleFishes · 04/06/2014 10:25

I think it I've been doing this by instinct, Raw and do find it helps. I think I will try going for more of this. I don't really see the point of the gluten free foods you can get off the shelf, as they seem to be pretty poor nutritionally.

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YeGodsAndLittleFishes · 04/06/2014 10:35

Raw what kinds of thimgs do you have for cold breakfasts and lunches?

I can invent dinner time meal plans but I'm strughling for cold/packed lunch ideas.

Fruit would do me for breakfasts.

Lunches?

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RawCoconutMacaroon · 04/06/2014 12:40

Breakfasts we usually have cold leftover meat (a little chicken or roast leftover from the day before), or some Parma ham (additive free apart from the salt it's cured with), with either berries, nuts or raw baby spinich leaves. And coffee with double cream. The DC often have an omelette or eggs and gf sausage (I'll cook those in batches and heat them in microwave while the eggs are cooking).

Although I don't eat any grains, the DC do have rice, wheat free oats and maize, but a lot less of it than "normal".

Lunches, home made soup, salad with roast chicken portion, baked sweet potato and tuna, normal stuff really but home made so I know what's in it.

Dinners - roasts, curries, stir frys etc, I use dried herb mixs or pastes with no added flours. For sauces, I will reduce meat juices with cream, or use a little arrowroot to thicken.

Marksdailyapple has lots of recipes for free, so you needed be stuck for things to eat even while your on an exclusion phase.

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RawCoconutMacaroon · 04/06/2014 12:43

I'm at home for lunches mostly but a bento box with a soup and salad section is really useful for taking food from home (amazon has lots of nice ones).

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YeGodsAndLittleFishes · 04/06/2014 13:19

That's really helpful. A lot of that one or other of the DCs struggle to eat/prefer not to eat (soup, salad, cream, stir fries, berries, nuts) but we usually have a good range to choose from for lunches, so I can work around them.

We do eat a lot of potato, rice, pasta, tomatoes and red peppers and I'd like to try to cut down, but hard to do that just now.

I'll look on that website for a few more ideas. Thanks. Flowers :)

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mumat39 · 04/06/2014 21:28

Raw, wow! You seem to have really got it sorted.

When you make curries, what do you use in place of tomatoes? Or are you okay with those?

YeGods, there are some interesting breakfast ideas including granola which looks rather yummy, on this site.I linked it above, but am putting it here in case it hot missed.

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YeGodsAndLittleFishes · 04/06/2014 22:41

I roasted lots of veg (aubergines, onions, butternut squash, celariac, sweet potatoes, courgettes, green beans, carrots) and mixed some of it with fresh herbs and tuna for dinner. Dds had pasta with it. DD2 not keen on aubergine or onions, but other than that went down well. Have 3 big tubs of veg for future meals too. Grin

Thanks, you lot.

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