Strategies To Overcome Hair Loss With Hashimoto

Strategies to Overcome Hair Loss with
Hashimoto’s
DR. IZABELLA WENTZ / APRIL 5, 2018
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For many of us women, hair loss can be a distressing symptom that we experience with
Hashimoto’s. In many ways, our hair represents our femininity. When we experience hair
loss, we feel that we are losing some of our sense of self. Every time we brush our hair or
look in the mirror, we are met with a constant reminder that something is off in our bodies
and we are not well.
Hair loss was one of the symptoms I experienced on my journey with Hashimoto’s, and one
of the early clues I had that something was not right inside my body. I know first-hand how
distressing it can be to wash your hair in the shower and watch huge clumps of hair clog the
drain!
The good news is that there are many different strategies that have worked for me and many
of the people I have worked with to overcome hair loss, by addressing the following
questions:
 What causes hair loss?

 How can adjusting thyroid medications improve hair loss?
 What supplements are helpful for hair growth?
 Can hair growth be promoted by dietary changes?
 Can topical treatments be beneficial to reduce hair loss?
In the case of Hashimoto’s, hair loss usually occurs when the body is shunting resources,
such as nutrients, to be used elsewhere in the body.
But, just as there are many triggers, or root causes, for Hashimoto’s in the first place, there
could be many different reasons why you are experiencing hair loss.
What Causes Hair Loss?

There are several types of hair loss, with a wide variety of causes, from inheritance, to stress,
to autoimmune disease.
Androgenetic alopecia is the most common type of hair loss. Usually, we see this as “male
pattern baldness or even “female pattern baldness”, with thinning primarily at the front and
top of the scalp. This type of hair loss affects an estimated 50 million men and 30 million
women in the United States. Many patients with androgenetic alopecia have a family history
of this condition. It can begin as early as during a person’s teen years, though risk does
increase with age. In women, most hair loss of this form begins after menopause.
Alopecia areata is acute, patchy hair loss that is thought to occur when the immune system
mistakenly attacks hair follicles. It occurs in about 2.1 percent of the population and affects
both men and women alike. Its cause is likely autoimmune, and it can have a single episode
or remission and recurrence.
Telogen effluvium is the most common type of hair loss we see with Hashimoto’s. Its
primary causes include high fevers, childbirth, severe infections, chronic illness, severe
mental stress, surgery, an over or under active thyroid gland, protein deficiency, nutritional
deficiencies, and some medications. It’s characterized by large clumps of hair falling out,
usually while showering or brushing. It usually causes hair loss in a diffuse pattern, over the
entire scalp.
Is Your Hair Thinning?
Have you experienced hair loss on your journey with Hashimoto’s? If so, there are so many
things we can address to stop the hair loss and restore a sense of confidence and femininity.
Sometimes, just one of these solutions will be effective in restoring hair growth; for others, it
may be a multi-faceted approach. But be assured that there are options and hope for you. You
can get your hair back!
Adaptive physiology is a concept that suggests that our bodies develop autoimmune
conditions as a protective measure to conserve energy when resources are low. One example
would be the body not getting the nutrition it needs, either from a compromised digestive
tract or restricted calorie or nutrient intake, causing the thyroid gland to sense danger and
down regulate the body’s metabolism to conserve resources.
You can read more about my safety theory in this article, but I think it’s a reasonable
conclusion that addressing the nutrient deficiencies in the body and restoring a sense of
“safety” that the body has all the resources it needs can have a huge effect on preventing hair
loss.
1. Adjust Your Thyroid Medication
A primary root cause of hair loss is a deficiency in thyroid hormone. This could be because
you’re not getting a high enough dose of thyroid medications, or because you’re not getting
the right kind of thyroid medication.
When your TSH is on the outskirts of the normal range, you can continue to lose hair, and
your hair may lack luster and shine. If your hair tangles easily, this is a sign that you may not
be getting enough thyroid hormone.
In 2015, I conducted a survey of 2232 people with Hashimoto’s that resulted in as many as
36 percent of patients reporting that optimizing their TSH helped with improving their hair.
Optimizing the type of thyroid medications they were taking also helped many people restore
hair growth. As many as 38 percent of people surveyed reported that Nature-Thyroid helped
to improve their hair; however, it is important that you find the thyroid medication that is
right for you.
If you’re on thyroid medications and experiencing hair loss, the general rule of thumb is to
check that you are on a T3 containing medication like WP Thyroid, Nature-Throid or Armour
Thyroid* and that your TSH is between 0.5 and 2 μIU/mL. While most thyroid medications
contain the T4 hormone, it’s the abundance and availability of T3 hormones that help your
hair grow and keep it from falling out. On paper, T4 medications convert to T3, but this
doesn’t always happen effectively in the body. Many people have reported finally getting
their hair back after T3 levels were optimized.
*Note: While Armour Thyroid does not have any gluten-containing ingredients, it is not
tested for gluten content, and cannot be certified as gluten-free. Armour does contain sodium
starch glycolate, which can be derived from wheat or corn.
To learn more about how to optimize your thyroid medications, download my free eBook on
Optimizing Thyroid Medications.
Discover How to Get the Most Out of Your
Thyroid Medication
Find out the 5 Rights of optimizing your thyroid medicine, how to get on
the right type/dosage, and whether medications are forever.
DOWNLOAD THE FREE THYROID MEDS EBOOK TODAY
2. Consider Nutrient Depletions

A nutritional deficiency is often at the root of thyroid related hair loss. One of the most
common culprits is a lack of iron, but a few other supplements may also prove effective in
restoring hair growth.
Iron
Iron deficiency is the primary cause of hair loss in premenopausal women and is often the
reason women with Hashimoto’s continue to lose hair despite taking thyroid medications. A
study conducted in Iran of adolescent girls studied the effect of low iron on young women by
collecting urine and serum samples of iron deficient girls. The results concluded that there
was a significant correlation between the T4, TSH and ferritin levels studied in the subjects
and an indication that iron deficiency may affect thyroid hormone status in adolescent girls.
In our survey of people with Hashimoto’s, 21 percent saw improvement in their hair
condition by increasing their intake of iron or ferritin, so it’s definitely worth investigating.
Your doctor may test for anemia (low iron levels) by running a panel for red blood cells,
hemoglobin, hematocrit, and iron levels, and all of them may come up normal. However, you
may still be low in iron. If not enough iron is available, the body may pull the iron from less
important physiological processes, such as hair growth, to keep enough iron circulating in the
blood.
Ferritin, the name given to the body’s iron reserve protein, is required for the transport of T3
to cell nuclei and the utilization of the T3 hormone. A decrease in ferritin can present as
increased hair loss during shampooing and brushing, as well as overall thinning of hair
without a specific pattern or bald spots.
Ferritin levels can also be measured and will be a better predictor of how much iron you have
stored in your body and that are available for use. Ferritin should be checked in all women
with Hashimoto’s and for anyone experiencing hair loss.
Normal ferritin levels for women are between 20 and 200 ng/mL. According to some experts,
ferritin levels of at least 40 ng/ml are required to stop hair loss, while levels of at least 70
ng/ml are needed for hair regrowth. The optimal ferritin level for thyroid function is between
90-110 ng/ml.
You can check your ferritin levels easily with Ulta Lab Tests.
What causes iron depletion?
In addition to poor intake of dietary iron rich foods and a lack of hydrochloric acid which
helps us absorb iron from foods, pregnancy (due to an increased need for iron) and heavy
menstruation increase the risk of iron/ferritin deficiency. During each menstruation, a woman
will lose 1-6 mg of iron while a pregnancy may cause a loss of 600–1000 mg of iron! Any
bleeding, such as that present in nosebleeds, bleeding from the gut, as well as gut infections
could also cause iron loss. Furthermore, malabsorption of iron can occur due to certain
medications, dietary factors, SIBO, Celiac disease and food sensitivities.
A gluten free diet or elimination diet can help with addressing your iron levels and
resolving many symptoms.
As iron needs an acid present to be absorbed, antacids and calcium supplements that are taken
around mealtimes may reduce the absorption of iron from foods and supplements. Anyone
with hair loss and taking PPI’s or acid-suppressing medications should immediately get their
ferritin levels checked.
Dietary factors can also impact iron levels. Tannins in tea and coffee can inhibit iron
absorption and should be spaced out by an hour from iron-containing meals. Phytic acid
found in nuts, legumes, and grains, is known to be a food inhibitor and can prevent
micronutrients, such as iron, from being absorbed by the human body. Even egg whites may
also affect iron absorption.
Sometimes the simple act of eliminating these problematic foods can help restore iron levels,
and thereby hair growth!
So, how can I increase iron levels?

If you are mildly iron deficient, or not consuming enough iron rich foods, food as medicine
may be a key to increasing your iron levels.
Iron is present in both heme and non-heme versions in different foods. The heme version is
the better-absorbed version and is found primarily in animal products.
The highest levels of iron are found in organ meats. I know what you may be thinking:
Mmmm, liver! Beef, turkey, and chicken are the next best choices. In contrast, non-heme iron
is found in nuts, beans, and spinach and is not usually absorbed as well.
To restore your iron and ferritin levels with food you can:
 Eat cooked liver twice per week

 Eat beef a few times per week
What if food isn’t enough?
If you continue to struggle with low ferritin levels, despite eating adequate red meat and liver,
or if you just can’t look at liver without wanting to cry, supplements may help.
Here are some options for getting your iron levels up:
1. Digestive Enzymes and High-Dose Probiotics

We are what we absorb… absorption is dependent on digestion. Iron is best absorbed in an
acidic environment, and if you’re not making enough stomach acid, you can boost your iron
absorption by doing one of the following along with eating an iron-rich food: taking a
vitamin C tablet, eating a vitamin C rich food such as cooked broccoli, or creating an acidic
stomach environment by taking a Betaine with Pepsin supplement with meals. Here’s a
comprehensive article on Betaine with Pepsin and low stomach acid, which commonly co-
occurs with thyroid disease.
We often absorb nutrients from our food because of the type of bacteria we have within our
digestive tract. Probiotics can increase our absorption of iron from foods. Lactobacillus
Plantarum can help to increase iron absorption by 50 percent! Probiotic 50B contains L.
Plantarum. For more information on probiotics, you can read this article on the best
probiotics for Hashimoto’s.
2. “Liver Pills”
Taking encapsulated liver can be a fantastic option for boosting ferritin levels in people who
are not liver lovers. 🙂 Paleovalley makes an encapsulated liver supplement that can help.
Please note, liver is also high in other nutrients such as copper, so people with copper toxicity
should avoid liver supplements.
3. Iron Supplements
Most iron supplements are in the non-heme form and may not be absorbed as well.
Additionally, many people find that they get terrible stomach aches from the supplements,
and they find them extremely constipating! Here are a few more gentle and effective ferritin
boosting options to consider:
OptiFerin C contains ferritin and has helped numerous of my clients boost their ferritin
levels. Ester-C, a natural, water soluble version of Vitamin C, is added to increase intestinal
absorption.
Thorne Iron Bisglycinate is an iron supplement that is more gentle on the stomach and less
likely to cause constipation.
If choosing to take iron supplements, do so with much caution as they are one of the leading
causes of overdose for children and adults. An iron overdose can be deadly, so make sure you
keep the iron out of reach of children and speak to your physician or pharmacist about a dose
appropriate for you. Please note, I don’t recommend supplementing with iron unless you test
positive for iron deficiency.
4. IV Iron
Another option, especially for those who have tried EVERYTHING, is to work with a
functional medicine practitioner to obtain intravenous iron. Intravenous iron can restore your
ferritin levels with a few IV’s that can be done in two weeks time, won’t give you
constipation, and won’t require you to take a daily pill.
This is a great option for people who are not absorbing iron orally. While any doctors can
prescribe or order iron IV’s, most clinics are not set up to offer it. The iron is usually infused
over time in saline. Look for integrative, functional and naturopathic clinics that offer this
service, or a medical specialist that is known as a hematologist.
Additional Nutrient Deficiencies

If you don’t have an iron deficiency or if you’re already addressing it, there are additional
nutrient deficiencies that can lead to hair loss that you may consider testing for. While I
always recommend testing for iron deficiency, most people can take the remaining
supplements safely.
Biotin
Hashimoto’s always co-occurs with inflammation in the body. The inflammation puts the
adrenals on overdrive, depleting our biotin stores. Biotin is an important vitamin for many
bodily functions, and deficiencies have been found to cause hair loss.
Supplementing with Biotin at a dose of 5000 mcg-10,000 mcg (5-10mg per day) per day can
help with hair loss. Biotin can also help with adrenal fatigue and Candida.
Please note, new reports are surfacing that 5-10 mg of Biotin per day can interfere with some
thyroid labs, making it appear as though the person has Graves’ disease and hyperthyroidism,
when they do not. Case reports of people taking Biotin and having a low TSH test, high T4,
high T3 and elevated TSH-receptor antibodies (in the absence of hyperthyroid or Graves’
symptoms) have been reported. The lab values do normalize after 7 days of being off
Biotin. While Biotin doesn’t actually cause hyperthyroidism, it interacts with the lab
reporting in a way that can cause a false appearance of hyperthyroidism. If you’re going in
for a thyroid lab draw, please be sure to skip the Biotin for 1-7 days before your lab test to
ensure that the supplement doesn’t interfere with the results.
Zinc
Zinc is an essential element to our well-being. It acts as a catalyst in about 100 different
enzyme reactions required by our body, and is involved in DNA synthesis, immune function,
protein synthesis, and cell division. It is required for proper sense of taste and smell,
detoxification, wound healing, and thyroid function. And it’s critical for hair growth!
An analysis by the World Health Organization concluded that an estimated 17.4 percent of
the world’s population may be zinc deficient, and most people with hypothyroidism are in
fact zinc deficient. Thyroid hormones are essential for zinc to be absorbed, and a deficiency
of thyroid hormones can result in zinc deficiency.
Zinc deficiency prevents the conversion of T4 into the active T3 version. This results in a
slowed metabolism of proteins. Zinc is also needed to form TSH, and may become depleted
in those with hypothyroidism who are constantly producing more TSH.
Where does zinc come from?

Zinc is not stored in the body, so a daily intake of zinc is required to maintain sufficient
levels. Unfortunately, there are many problems with relying on food sources to give us the
proper intake of zinc.
Oysters have the highest concentration of zinc, but they are not practical for most of us to eat
every day. Beef, liver, pork, lobster, and chicken are the next best sources of zinc, as it is
easiest to extract zinc from meat compared with non-meat sources. This means that
vegetarians are also at an increased risk of developing a zinc deficiency.
Absorption of zinc may be impaired by damage from intestinal disease such as celiac disease
and other malabsorption syndromes – common conditions for those with thyroid disorders.
Additionally, phytates found in grains, legumes, nuts and seeds can bind zinc and prevent its
absorption when eaten alongside zinc containing foods.
What about zinc supplements?

Zinc supplementation is often the best way to address a deficiency. In my survey of people
with Hashimoto’s, 18 percent did report that adding a zinc supplement to their diet improved
their hair growth. The recommended dose is no more than 30 mg per day. A word of caution:
zinc doses over 40 mg may cause a depletion of copper, necessitating the use of a copper
supplement.
Gelatin/Collagen
Hair grows out of follicles, which are essentially tiny sheaths formed out of collagen. The
papilla, also made of collagen, is what links the follicle to the rest of the body.
Collagen is a protein that consists primarily of the amino acids glycine and proline. Gelatin is
formed when collagen has been boiled-down, dried and pulverized into a powder.
People used to naturally eat a lot more collagen by consuming the bones and other parts of
animals that are rich in collagen. These days, we mostly just eat muscle meat, which is high
in amino acids, but low in collagen. This is not only bad news for our hair, but for our health
in general.
By increasing the amount of collagen in your diet, you can support your hair follicles and
papilla – the longer the and stronger they are, the healthier your hair will be!
There are many collagen and gelatin supplements on the market today. You can try the Pure
Prescriptions Perfect Collagen or Bulletproof Collagen. Or, you can make your own
cheap and easy bone broth that is also delicious! You can find a video with simple
instructions for making your own bone broth HERE.
Biosil
Biosil is a supplement designed to improve hair, skin, nail and joint strength. Its primary
ingredients are choline and silicon. Choline likely improves the appearance of hair by
improving fat absorption into the body. A higher silicon content in the hair results in a lower
rate of hair loss and increased brightness. Studies have suggested that silicon has an effect on
the tensile strength of hair, making it more resistant to breakage.
3. Use Food to Boost Hair Growth
Blood Sugar
Blood sugar swings brought on by eating too many carbohydrates and not enough quality
proteins and fats can wreak havoc on your health and hair! Blood sugar swings encourage the
conversion of T4 to reverse T3. Reverse T3 is an inactive hormone that blocks the body’s
utilization of T3, resulting in increased hair shedding.
For some, a Paleo style diet that emphasizes high quality proteins and fats and limits grains,
processed sugar and starchy carbohydrates can keep blood sugars lowered and stable. My
Hashimoto’s survey resulted in 27 percent reporting an increase in hair growth when
following a Paleo diet, with 32.6 percent noticing improvement with a strict autoimmune
Paleo diet! But any diet that reduces sugar and keeps carbohydrates at a moderate level can
help bring blood sugar back into balance and reduce the likelihood of hair loss.
Healthy Fats
I first noticed the role of fats in hair when I was studying the effects of low fat and high fat
diets on lab rats (this volunteer research assistant position sounded much better on paper). I’ll
spare you the lab rat research stories for another time, but you should know that the rats fed a
high fat diet had beautiful long and shiny rat hair. The low fat diet ones, not so much. This is
because fatty acid deficiencies result in dry, dull, lifeless hair.
Another six-month long study conducted on 120 healthy women evaluated the changes in
hair density after being given Omega-3 and -6 supplements. At the end of the treatment,
superior hair growth improvement was demonstrated in the supplemented group, with 89.9
percent reporting a reduction in hair loss, 86.1 percent an improvement in hair diameter, and
87.3 percent an improvement in hair density.
Eating Omega-3 containing fish or taking a supplement can also help bring back the shine to
your hair. As many as 26 percent of the people with Hashimoto’s that I surveyed concluded
that adding an Omega-3 fatty acid supplement brought noticeable improvement to their hair!
Green Vegetables
There is some indication that increasing the amount of green vegetables in your diet could
lead to improvements in hair growth. My survey indicated that 19 percent of participants
reported increased hair growth by adding green smoothies into their diets, while further
improvements were seen by adding in green juices and increasing vegetable intake. While I
don’t recommend a vegan or vegetarian diet to people with Hashimoto’s disease, upping the
number of vegetables, particularly greens, in your diet can certainly improve hair growth and
lustre.
4. Explore Topical Treatments

If you’ve addressed your thyroid medication, adjusted your supplement intake and looked for
any deficiencies in your diet but you’re still experiencing hair loss, there are several topical
treatment options that you may find effective. Although I believe that healthy hair comes
from within, external factors, such as the shampoo that you are using, might be exacerbating
your hair loss.
Hair Products
Shampoos that contain toxic chemicals and gluten can be detrimental to your scalp, resulting
in inflamed hair follicles. There are also a host of endocrine disrupting chemicals in most
commercial hair care products that can wreak havoc on your thyroid. Opt instead for for an
organic shampoo and conditioner that are free of toxic chemicals. I use the Acure
Organics line, which I’ve found to be both safe and effective in giving me beautiful and
shiny hair.
For people with tangled hair (often a first symptom of an underactive thyroid), I
recommend Acure Leave In Conditioner and the Tangle Teezer brush. These two together
did wonders for me when my hair was tangled, and I still like to keep my brush with me at all
times, especially when I travel.
Because fatty acids are so important for healthy hair growth, another topical treatment option
is to massage olive oil into the scalp itself. The rich fat will nourish the hair right at the roots
and can help to stimulate hair growth in dormant hair follicles.
Scalp Mites
Demodex hair mites – sounds gross right? But there are tiny mites that live in the hair
follicles of 96 to 98 percent of people that may be responsible for your hair loss, and could
cause your hair to be more greasy. You can wash your hair with a sulfur and tea tree oil
containing shampoo like Ovante’s Demodex to kill the mites – just remember to let the
shampoo sit on your scalp for 3-5 minutes to effectively kill the mites.
Growth Lasers
Recently, the use of low-level laser therapy (LLLT) has shown promise as a treatment for
hair loss and to stimulate hair regrowth. Laser combs and laser helmets, such as
the Theradome, emit a low level of laser light that can stimulate hair growth. They can be
purchased without a prescription and used in the comfort of your own home.
PRP
The latest in hair growth research is focused on stem cell therapies and platelet-rich plasma
(PRP) therapy. Some dermatologists and anti-aging doctors are using PRP to inject a
concentration of the patient’s own blood platelets into the scalp to help retain and regrow
hair.
In a recent study, eleven patients suffering from androgenic alopecia hair loss who hadn’t
responded to drug treatments were injected in the scalp with PRP four times over a period of
3 months. Results showed a significant reduction in hair loss, and their hair count increased
from 71 hair follicular units to 93 hair follicular units.
A Final Word About Hair Loss…

Stress can make you shed hair like crazy. I’m speaking from personal experience, as well as
the experiences of hundreds of my clients. What can you do to reduce the stress in your own
life that might be contributing to hair loss? Taking time to care for yourself with yoga,
meditation, journaling, or light exercise are all great options to help reduce your stress
load. Here are some of my favorite strategies, that you can save or print for easy reference:
You might also consider supporting your stress hormones with adaptogenic herbs, such as
those in Rootcology Adrenal Support.
I want you to know that there is help for your hair loss! I know how crushing it can be to deal
with a symptom as difficult to disguise as hair loss, but there are so many avenues for you to
explore that can lead to a huge shift in your current hair growth. As I began to get to the root
cause of my own thyroid condition and make changes that restored health and balance to my
body, the hair loss I was experiencing stopped. Start with the solutions that resonate the most
with you and are easiest to implement, and note that it may take several weeks to see
noticeable changes with any supplement, medication, dietary, or topical changes that you
make.
I wish you all the best on your journey toward recovering a healthy head of hair!
P.S. Be sure to sign up to receive my Thyroid Symptom Hacker for more tips on
overcoming hair loss!
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From Thyroid Symptoms!
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FILED UNDER: AUTOIMMUNE, BEAUTY, RECOVERY, SYMPTOMS TAGGED
WITH: BETAINE, FERRITIN, HAIR LOSS, IRON, MEDICATIONS, MENOPAUSE, NUTRIENT
DEPLETIONS, OPTIMAL LABS, PROBIOTICS, T3
RECENT POSTS
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 Why Women Have More Thyroid Disorders: The Izabella Wentz Safety Theory
 Are You Sacrificing Your Health for External Beauty?
eader Interactions
Comments
1. Christina Lachner says
July 6, 2013 at 10:53 PM
Hashimotos patient. Unsuccessfully been ttc now for 24 months w/my husband.
Reply
o Dr. Izabella Wentz says

December 18, 2016 at 2:09 PM
Christina- Thyroid tissue can regenerate, but the rate at which it does is not always
predictable. Thus, some are able to stop the autoimmune attack on their thyroid and
regain normal thyroid function. Others can reduce the dose of medications, and others
will need to stay on the medications indefinitely. I’m currently working on some
protocols to help with tissue regeneration.
Reversing Hashimoto’s means different things to different people. For some, it means a
reduction in symptoms and for others it means a reduction in your antibodies. I had
both. Here a few articles that might be helpful for you 🙂
IS IT POSSIBLE TO RECOVER THYROID FUNCTION IN HASHIMOTO’S

https://thyroidphramacist.com/blog/is-it-possible-to-recover-thyroid-function-in-
hashimotos
REVERSING AUTOIMMUNITY? AND THE PERFECT STORM
https://thyroidpharmacist.com/articles/reversing-autoimmunity-and-the-perfect-storm/
HASHIMOTO’S SELF CARE, GETTING AND STAYING IN REMISSION
https://thyroidpharmacist.com/articles/hashimotos-self-care
Reply
 Ollie Whitener says

April 9, 2017 at 5:16 PM
Is there anything that can help if you have had the thyroid removed? I had cancer
and it and some of the glands were removed. No more cancer as I know of, but
still have problems like I did with just a non working thyroid.
Reply
 Dr. Izabella Wentz says

April 10, 2017 at 5:01 PM
Ollie – thank you for following this page.
Most thyroid conditions result from the immune system attacking the
thyroid because the immune system is out of balance. Even when the
thyroid is taken out surgically, is ‘dead’, or treated with radioactive iodine
the autoimmunity still persists in most cases. Many people will have their
thyroids removed, and will develop new autoimmune disorders such as
Lupus, Rheumatoid arthritis, etc. The immune system just finds a different
target. We need to re-balance the immune system to prevent this
(sometimes the autoimmunity can be reversed as well). The gut determines
your immune system. With the exception of discussing proper thyroid
medication dosing, the majority of my website and my book focuses on
balancing the immune system. The info I present is based on my own
research and journey for overcoming my autoimmune thyroid condition.
Hashimoto’s Root Cause

http://www.amazon.com/gp/product/0615825796?ie=UTF8&camp=1789
&creativeASIN=0615825796&linkCode=xm2&tag=thyroipharma-20
Hashimoto’s Protocol
thyroidpharmacist.com/protocol
IS HASHIMOTO’S A SURGICAL DISEASE

https://thyroidpharmacist.com/articles/is-hashimotos-a-surgical-disease
Reply
 Julianne says
July 14, 2017 at 3:10 PM
What if your Ferritin is high? Is that indicative of Hashimoto’s?
 Dr. Izabella Wentz says
July 16, 2017 at 3:33 PM
Julianne thank you for following this page. Here is an article you
might find interesting. 🙂
6 MOST IMPORTANT NUTRIENT DEFICIENCIES IN
HASHIMOTO’S
https://thyroidpharmacist.com/articles/6-important-nutrient-
deficiencies-hashimotos/
2. Barbara G says
July 13, 2013 at 12:37 AM
Which high-dose probiotics did you use? Thank you!
Reply
3. Thyroid Lifestyle says

July 13, 2013 at 1:17 AM
Pure Encapsulations brand: S boulardii, Probiotic 50B (gluten and dairy free)
VSL#3 (may contain traces of gluten/dairy; I have not had a problem but not recommended
for celiac/anaphylactic reactions)
VSL #3 can be ordered online, and Pure Encapsulations can be bought from your healthcare
professional of from the E-store I set up with them
http://www.purecapspro.com/thyroidrootcause/pe/products/product_details.asp?ProductsID=
1000
http://www.purecapspro.com/thyroidrootcause/pe/products/product_details.asp?ProductsID=
1328
Reply
4. Tonia Pridgen says

July 24, 2013 at 8:15 PM
Doctor says my thyroid levels are level and I am still having hair loss!! It falls out really bad
when I take a bath and brush it. I am taking Armour at 30 mg a day. I was on 60 but started
with heart palps. Ferritin is normal, actually a little high from IV iron. I started taking Vit D
4000mg a day because my level was low and also Evening Primrose oil. Don’t know what
else to do. My iodine level was high via a urine test and blood test was 50 and normal levels
are 40-92. Blood test says I do not have celiac. I also have periods of itching and get these
fluid filled bumps on my head, face and body. I have been to so many different doctors and
still no help!!!!! If anyone has any info PLEASE comment!!! I also have horrible
constipation!!!
Reply

Tonia- Most conventional physicians use the TSH test to determine if one has a thyroid
disorder and to dose thyroid medications.
However, this test can often times be misleading, as levels of circulating hormones
may fluctuate at different times, such as in Hashimoto’s, the person affected may
fluctuate between highs and lows.
Additionally, when scientists first set the “normal” ranges of TSH for healthy
individuals, they inadvertently included elderly patients and others with compromised
thyroid function in the calculations leading to an overly lax reference range.
This resulted in people with underactive thyroid hormones being told that their thyroid
tests were “normal,” based on this skewed reference range.
WHAT TO DO IF YOUR TSH IS NORMAL AND YOU ARE ANYTHING BUT

https://thyroidphramacist.com/blog/what-to-do-if-your-tsh-is-normal-and-you-are-
anything-but
Here are the tests you need for diagnosis. Most endocrinologists don’t run them all so
you will have to request them. Make sure to request a copy of your labs as well.
TOP 6 THYROID TESTS FOR DIAGNOSIS

https://thyroidphramacist.com/blog/top-6-thyroid-tests
Reply
5. susan criddle price says
July 27, 2013 at 7:47 AM
please post your question to the Hashimoto 411 site on Facebook. It is a wealth of support
and expertise
hugs, susie
Reply
6. Thyroid Root Cause says

July 27, 2013 at 7:56 AM
Hi Tonia,
Have you tried going gluten free, and using gluten free shampoo? I would say majority of
people if not all have an issue with gluten. There is new research that suggests that gluten
sensitivity is a spectrum, with Celiac being at the end of the spectrum and most severe. You
can try excluding it from your diet and trying it again in 2-4 weeks to watch for a reaction.
Google dermatitis herpetiformis, to see if your bumps look anything like that. This is a rash
associated with gluten sensitivity.
Reply
7. Glaucia Cutini says

January 4, 2015 at 5:24 PM
Oi Tania, faça o exame genético para Doença celíaca. HLA-DQ2 e DQ8. Abçs.
Reply
8. Wendi Shelton-Mathis says

January 5, 2015 at 6:09 AM
Tonia, even if you do not have celiac, you are probably sensitive to gluten. Go GF, and see if
your symptoms improve. You may feel worse before you feel better. My breakouts stopped
once I was GF for three months. This weekend I ate a little, and guess who had a breakout?!?
Me!!!
Reply

Wendi- Here are a couple of articles you may find interesting as well! 🙂
DAIRY AND HASHIMOTO’S

https://thyroidpharmacist.com/articles/got-hashimotos-you-may-want-to-reconsider-
dairy
GOING DAIRY FREE TO REVERSE HASHIMOTOS
https://thyroidpharmacist.com/articles/going-dairy-free-to-reverse-hashimotos
Reply
9. Cindie says
August 23, 2013 at 4:49 AM
I am a 63 year-old woman with Hashimotos. I take Levoxyl 100 mcg M-F and 112 mcg on
weekends. I also have Type 2 diabetes that is being controlled with diet and exercise. I have
chronic hives and angioedema so must take 10 mg Zyrtec daily. I have had GI issues in the
past…I have occasional bouts of severe nausea, diarrhea and vomiting (happens 1x per year
or sometimes I go a couple of years) …when that happens I also have uncontrollable shaking
and I end up in the ER from the pain, nausea and dehydration. I have seen a GI specialist and
an allergist and they have no clue as to why this happens. Now, I also have a low ferritin
level 5.5 and because I have not been able to tolerate oral iron they want to infuse Iron 1x per
week for 5 weeks to get my level up. I am reluctant to do this as I have always been anemic
and have had an infusion in the past which caused so many side effects, My last T4 was 1.01.
My TSH was 0.118. I just ordered your book, but would like your thoughts. Thank you!
Reply

Cindie- Thank you so much for your support. I’m looking forward to hearing your
progress on this page. Make sure to take the book slow, take notes, highlight, and
establish a baseline when making changes. You may be interested in my 12 week
online program called Hacking Hashimoto’s that covers all of the strategies that I go
through with my one-on-one clients, in a self-paced format, so that participants have
access to all of the things I’ve learned about Hashimoto’s without having to schedule
costly consults with me or another practitioner. There are a few requirements that you
should pay attention to, such as my book is a required read.
HACKING HASHIMOTOS
http://hackinghashimotos.com/
Reply
10. Dawn says

May 1, 2015 at 9:56 AM
Think you might be as well having a saliva cortisol test. x
Reply
11. Lisa says

May 1, 2015 at 11:39 AM
Hi, Cindie iam 50 and at 23 had most of large bowel removed, they had just told me prior to
this that i had Hashimoto’s and if it would of been diagnosed sooner i might not have had all
this troulbe. I was always anemic and shots,pills didn’t do it. So i started iron transfusions. I
have to tell u i went every 2 months for 2 years. Really helped and only side affect i had was
tired for a few days. So after my ist bowel surgery i was in and out of hospital most of my
30’s. Then we did iron and wow i had energy and all the other things that were wrong.
Unfortunatly at 42 i had to have an ileostomy and the first 4 years were a nightmare. Then
had to have my rectum removed and i just feel like some days i want to give up. I have been
diagnosed with DIGITS by a surgeon who has 200 pattients 2 are men. Diffuse Irritable
Gastronal Intestenal Disease and he had named this disease and has been trying to get it into
the medical books as it is very rare. It’s like your bowel is a snake and it pushes and pulls on
the bowel so it works only when it wants. I hear your problems and i just thought i would tell
u give the iron transfusions a try. Love to hear from u . Take care. Lisa
Reply
12. Elizabeth May says
September 12, 2013 at 9:29 PM
Hi. I was diagnosed with Hypothyroidism (normal TSH, low T3, low T4) about a year ago
and am still struggling with Hairloss all over my head but worse at my temples. Despite
supplementation with Iron, my ferritin is in the 30 range. Before supplementing it was 19. I
originally tested negative for Hashimoto’s and have never been tested again. Do you have
any experience with Iron supplements not working to resolve the problem? Thanks!
Reply

Elizabeth- Some people with Hashimoto’s test negative for thyroid antibodies because
their overall immune health is so weak they do not produce enough antibodies. I’ve
tested negative for antibodies several times. Now I’ve insisted on a thyroid ultrasound.
Given that Hashimoto’s is one of the leading causes of hypothyroidism worldwide, I
wouldn’t stop until I know one way or another.
you will have to request them. Make sure to request a copy of your labs as well. Have
you done all these tests?

https://thyroidpharmacist.com/articles/top-6-thyroid-tests/
Reply
13. Stephanie Vincent says

August 29, 2014 at 1:55 AM
Did you ever find anything to help with hair loss? It’s mainly at my temples also and seems
to be even getting worse!!
Reply
Stephanie- Did you know that reactive foods trigger an inflammatory response in the
GI tract, leading to malabsorption of nutrients (gluten sensitivity in particular has been
implicated in causing a Selenium deficiency, a well known risk factor for
Hashimoto’s), and can also produce intestinal permeability whenever they are eaten?
Most people will see a dramatic reduction in gut symptoms, brain symptoms, skin
breakouts and pain by eliminating the foods they are sensitive to. Some will also see a
significant reduction in thyroid antibodies! An additional subset of people, will actually
be able to get their Hashimoto’s into complete remission just by getting off the foods
they react to, normalizing their thyroid antibodies, and some even normalizing their
thyroid function! Here are a couple of articles you may find helpful.
FOOD SENSITIVITIES AND HASHIMOTO’S

https://thyroidpharmacist.com/articles/food-sensitivities-and-hashimotos
AUTOIMMUNE PALEO DIET
https://thyroidpharmacist.com/articles/autoimmune-paleo-diet
Reply
14. Dawn says

December 31, 2013 at 3:09 AM
I saw that calcium is in the ingredients of the Opti-Ferin C. I thought that calcium was one of
the things that inhibits the absorption of iron?? (how many Opti-Ferin C did you take a day to
bring up your Ferritin?)
Reply

Dawn- Not everyone will need every single supplement! In fact, I believe that most
nutrients should come from the diet, this is why I always list food sources for most of
the nutrients, vitamins, minerals and probiotics that are depleted in Hashimoto’s in the
book and on the blog. However, some may require/prefer supplements and the
supplements on the website are a resource for those that do. I recommend getting tested
for deficiencies to determine your need for a supplement as instructed in the book and
blog. I also don’t recommend starting multiple supplements all at once. I recommend
starting one at a time and then adding another a week or so later once it has been
confirmed that the first supplement is not causing any harm.
I do have a full supplements chapter in my book. Have you checked it out? Not
everyone should be taking every supplement and the book will help uncover your root
cause. This will help you figure out your supplementation.
http://www.amazon.com/gp/product/0615825796?ie=UTF8&camp=1789&creativeASI
N=0615825796&linkCode=xm2&tag=thyroipharma-20
Reply
o Brittyn says
February 21, 2018 at 10:47 AM
I had the same question- I got this answer from Pure Encapsulations:
“The calcium ascorbate form was chosen as the source of vitamin C in Pure
Encapsulations OptiFerin-C because it will not have an oxidation reaction with the
Ferrochel iron bis-glycinate. Ascorbic acid reacts with the iron in the capsule. The
amount of calcium is small enough not to interfere with the absorption of the iron.”
Reply
15. Ali says

What dose of Optiferrin-C do you recommend and how do you divide doses throughout the
day? When I was tested, my ferritin level was only 4 ng/mL.
Reply

Ali- Not everyone will need every single supplement! In fact, I believe that most
Reply
16. Philicia 33 says

April 20, 2014 at 8:42 AM
I had long frizzy and almost damaged hair, after I had my son I was constantly losing my
hair! I was in tears and so upset! I couldn’t take any vitamins since I was breastfeeding so I
wanted something natural. I only used the Shielo Volumizing Shampoo 3 times and my hair
completely stopped falling! Feels and looks so healthy, shinny and strong! It was so strong
that I decided it was ready for some color so I dyed it and it looks awesome! The good thing
is the Shielo products are known for also protecting hair color, while not having any harmful
chemicals. It will solve all your pregnancy hair problems!
Reply

Philicia- Thank you so much for sharing! Conventional cosmetics, potions and lotions
are filled with petroleum by-products, phthalates, formaldehyde, hormone disruptors
and other toxins, and as a pharmacologist, I can tell you that what you put on your skin
definitely gets absorbed into your body! Here is an article you may find interesting! 🙂
ARE YOU SACRIFICING YOUR HEALTH FOR EXTERNAL BEAUTY?
https://thyroidpharmacist.com/articles/are-you-sacrificing-your-health-for-external-
beauty
Reply
17. Sonia says

August 21, 2014 at 5:59 PM
Where can I find this shampoo
Reply

Sonia- Conventional cosmetics, potions and lotions are filled with petroleum by-
products, phthalates, formaldehyde, hormone disruptors and other toxins, and as a
pharmacologist, I can tell you that what you put on your skin definitely gets absorbed
into your body! Here is an article you may find interesting! 🙂

beauty
Reply
18. Rahmat khan says

Reply
19. anne says

July 7, 2014 at 3:35 PM
Can you go in the heart of the matter with Hashimoto? being the immune system. When a
person have Hashimoto for a long time it becomes a chronic issue therefore the immune
system would be most likely suppress. The TH17 than come in place. Can you talk about
this? You can take all the right supplements in the world but if you do not work on you
immune system therefore on infection and inflammation nothing will happen as far as
correcting for good the situation.
Reply

Anne- Thyroid tissue can regenerate, but the rate at which it does is not always

hashimotos
Reply
20. Jolene says

August 29, 2014 at 3:20 AM
I was looking at the Optiferrin-C and noticed it has calcium in it as well. Since calcium
inhibits the absorption of iron why would an iron supliment contain calcium?
I’m pregnant and hashimotos/celiac and need to bring my iron levels up and am confused by
the calcium/iron combination.
Reply
Jolene- Not everyone will need every single supplement! In fact, I believe that most
Reply
21. Lynn Tapper says

April 22, 2015 at 9:33 PM
You may want to try Nutricology Vitamin C powder (camu-camu and acerola cherry – Pure
formula’s carries it). My Dr. put me on it when my iron level was 271! Now it’s 436!!!
Yikes! I have stopped taking it, but if you are LOW in iron, this could help. I took it with
meals containing meat which may be my big mistake since Vitamin C increases iron levels!!!
Reply

Lynn- Not everyone will need every single supplement! In fact, I believe that most
Reply
22. Laurel says

August 29, 2014 at 12:33 PM
I have Hashimoto’s and eat a Paleo diet but not a lot of beef and no organ eats. My iron was
148 in December and Ferritin was 45. How do I raise my Ferritin without raising iron levels
Reply

Laurel- Not everyone will need every single supplement! In fact, I believe that most
Reply
23. Lynn says

August 29, 2014 at 10:19 PM
The Thyroid Sessions Kelly Brogan suggested using Liver capsules from Radiant Life (she
has a video on her website about using it). I started taking this for my low ferritin and my
number DOUBLED in eight weeks. I was only taking one capsule a day! A great way to have
liver, without smelling up your home. They also sell a liver powder that you can add to
smoothies, or mix into soups. Here’s the description from their website: “All natural grass fed
cattle raised free from hormones, antibiotics, and pesticides. Made without introducing
excessive heat, solvents, deodorizers, bleach, and refining. No supplemental iron added, just
pure beef liver. Regularly tested for purity.” Iron supplements always constipate me, so this is
a great solution for those who can’t tolerate it.
Reply
24. Loretta Boal says

August 29, 2014 at 11:40 PM
Hi…..you can try going back to 60 mg of armour a day but take 30 mg twice a day…
Reply

Loretta- There are quite a few options for thyroid medications. In my experience, what
works for one person may not work for another. If your doctor will not prescribe the
medication you are looking for, ask your local pharmacist for doctors in your area who
prescribe the medication you are looking to try. Have you read these articles?
WHICH THYROID MEDICATION IS BEST?

https://thyroidpharmacist.com/articles/which-thyroid-medication-is-best/
TOP 11 THINGS YOU NEED TO KNOW ABOUT THYROID MEDICATIONS
https://thyroidpharmacist.com/articles/top-11-things-you-need-to-know-about-thyroid-
medications/
Reply
25. Ashley says

Is there anything that can be done to improve hair texture. My hair is so frizzy and coarse
since having this disease. Its really upsetting how hard it is to manage my hair now. I dread
even so much as washing it everyday.
Reply

Ashley- Conventional cosmetics, potions and lotions are filled with petroleum by-

beauty
Reply
26. K says
October 8, 2014 at 6:41 PM
I have been diagnosed w/ Hashi’s for 8 years. Recently, I had low iron. I started taking an
iron supplement (again.) That is when my hair started thinning and my skin got dry. This has
happened to me every time I restart an iron supplement after being told previously to stop
taking it. Why do I lose my hair after I start taking the supplement?
Reply
K- Not everyone will need every single supplement! In fact, I believe that most
Reply
27. AK Clinics says

October 10, 2014 at 11:48 AM
If you have thyroid-related hair loss, you may have to settle in and be a bit patient. It’s likely
that for most, the hair loss will slow down, and eventually stop, once hormone levels are
stabilized and in the normal range. This may take a few months, however. But rest assured,
I’ve had many thousands of words from people, and have yet to hear from anyone who lost
most of his or her hair, or became bald, due to thyroid disease.
Reply

AK- Thyroid tissue can regenerate, but the rate at which it does is not always

hashimotos
Reply
28. Heather says

October 20, 2014 at 6:56 AM
Dr Wentz,
What do you know about liver desiccated pills? Are they safer than iron supplements? Will
they help increase ferritin levels?
Thank you
Reply

Heather- Not everyone will need every single supplement! In fact, I believe that most
Reply
29. Alan says

Is Ferritin called Ferremia in spanish? Because I am having this issue and my Ferremia lvls
are at 39.
I have coffe after every meat meal.
Reply
30. Linda says

i take Biotin 5000mg twice a day and after a few months hair is regrowing
Reply

Linda- That is great! Conventional cosmetics, potions and lotions are filled with
petroleum by-products, phthalates, formaldehyde, hormone disruptors and other toxins,
and as a pharmacologist, I can tell you that what you put on your skin definitely gets
absorbed into your body! Here is an article you may find interesting! 🙂

beauty
Reply
31. Margaret batten says
Why do most of these articles that I read say that the labs such as t3 or t4 or tsh and now an
iron lab sometimes come back as normal and symptoms are still present? Why do different
labs have different normal levels. Are these test not sensitive enough?
Reply

Margaret- These are the recommended labs from my book, page 32.
RECOMMENDED THYROID FUNCTION TESTS

TSH
TPO Antibodies
Thyroglobulin Antibodies
Free T4
Free T3
Reverse T3 (Optional)
Have you read my book, Hashimoto’s The Root Cause? Here’s the link in case you’re
interested.

HOW TO GET ACCURATE LAB TESTING WHEN TAKING MEDICATIONS
https://thyroidphramacist.com/blog/how-to-get-accurate-lab-tests-when-taking-thyroid-
medications
Reply
32. Cecilia says

March 27, 2015 at 1:15 AM
The problem with the ranges that say what is “normal” is that unhealthy people are included
in the range. As my doctor explained it, to get a range for “normal” ferritin levels, scientists
survey all kinds of people, some of whom many have excess iron and some of whom may
have low iron. Yes, sick people are factored into the range! In Dr Wentz’s Root Cause book
she lists the ideal range for iron. You can also search for this information on other thyroid
sites. Hope that makes sense!
Reply

Cecilia- thank you so much for your support! I know it’s a lot to ask, but if you haven’t
already, would you mind leaving a review on Amazon? 🙂
http://www.amazon.com/Hashimotos-Thyroiditis-Lifestyle-Interventions-
Treating/dp/0615825796/ref=cm_cr_pr_product_top?ie=UTF8
Reply
33. Pam Jordan says

Do you need iron post-menapausally? Do we take calcium & magnesium together or
separately? Thank you!
Reply

Pam-Not everyone will need every single supplement! In fact, I believe that most
Reply
34. Theresa says

I had a gastric bypass and I have hypothyroid any suggestions for us?
My hair is so much thinner and my energy levels are awful
Reply

Theresa- Did you know that if you live in the United States, the UK, Australia, Europe
and most developed countries that add iodine to the salt supply and take thyroid
medications, there’s a higher probability that you do have Hashimoto’s?
Depending on the source, estimates are that between 90-95% of those with
hypothyroidism have Hashimoto’s.
But most doctors will never tell people that they have Hashimoto’s, or that their own
immune system is attacking their thyroid. People are told that their “thyroid is
sluggish”, and that these things happen with age and “Just take this pill, you’ll be fine.”
I hope you check out these articles that I wrote.
ARE YOU DOING EVERYTHING FOR YOUR THYROID BUT NOT YET WELL?
https://thyroidpharmacist.com/articles/are-you-doing-everything-for-your-thyroid-but-
not-yet-well/
DO YOU HAVE HYPOTHYROIDISM OR HASHIMOTO’S OR BOTH?
https://thyroidpharmacist.com/articles/do-you-have-hypothyroidism-or-hashimotos-or-
both/

Reply
35. Shirley Costigan says

For constipation I find that Prune Juice with Pulp is very helpful. Prune Juice w/o pulp does
nothing to help me.
I drink a 4 oz glass at bedtime. Another 4 oz in the morning if no good result. I dont think it
has ever taken more then 3 glasses. Sometimes I heat it a little. Then drink 1 glass a day. You
will need to listen to uour body.
Reply

Shirley- Did you know that reactive foods trigger an inflammatory response in the GI
tract, leading to malabsorption of nutrients (gluten sensitivity in particular has been
implicated in causing a Selenium deficiency, a well known risk factor for
Hashimoto’s), and can also produce intestinal permeability whenever they are eaten?
Most people will see a dramatic reduction in gut symptoms, brain symptoms, skin
breakouts and pain by eliminating the foods they are sensitive to. Some will also see a
significant reduction in thyroid antibodies! An additional subset of people, will actually
be able to get their Hashimoto’s into complete remission just by getting off the foods
they react to, normalizing their thyroid antibodies, and some even normalizing their
thyroid function! Here are a couple of articles you may find helpful.

Reply
36. Linda says

Dr. I’m on levothyroxin 125mcg,can I swich to armour since everybody says they feel better
coz I feel sicky sometimes,why I feel my muscles feel tingling when I wake up
Reply

Linda- There are quite a few options for thyroid medications. In my experience, what

medications/
Reply
37. Jenn says

I was just diagnosed with hereditary hemochromatosis. My iron is high and my ferritin was at
1390 prior to my most recent phlebotomy. I have been on thyroid meds and have all my
levels checked regularly yet my hair still falls out in handfuls and has changed from very
thick to thin and whispy. I was told it was due to my low thyroid. Should I be looking for
another cause?
Reply
Jenn- Did you know that if you live in the United States, the UK, Australia, Europe and
most developed countries that add iodine to the salt supply and take thyroid
not-yet-well/
both/

Reply
38. Effie Elkorek says

I have my thyroid removed three years ago. Since than start loosing lots of hair and is getting
thinner every day. I am taking sythroid I wonder if the medication making my hair thiner?
Reply
Effie- Most thyroid conditions result from the immune system attacking the thyroid
because the immune system is out of balance. Even when the thyroid is taken out
surgically, is ‘dead’, or treated with radioactive iodine the autoimmunity still persists in
most cases. Many people will have their thyroids removed, and will develop new
autoimmune disorders such as Lupus, Rheumatoid arthritis, etc. The immune system
just finds a different target. We need to re-balance the immune system to prevent this
(sometimes the autoimmunity can be reversed as well). The gut determines your
immune system. With the exception of discussing proper thyroid medication dosing,
the majority of my website and my book focuses on balancing the immune system. The
info I present is based on my own research and journey for overcoming my
autoimmune thyroid condition.
HASHIMOTO’S ROOT CAUSE BOOK

Reply
39. Jessica says

How do you know if your supplement is non-heme? What should I be looking for on the
label? Thanks!
Reply

Jessica- Not everyone will need every single supplement! In fact, I believe that most
Reply
40. penny avent says

I have hypo, on 137mcgs of synthroid, major hair loss! I take 10.000 biotin, 1000mg evening
primrose, and collagen6000mgs. it really helps!!
Reply

Penny- Did you know that if you live in the United States, the UK, Australia, Europe
and most developed countries that add iodine to the salt supply and take thyroid
not-yet-well/
both/

Reply
41. stephanie desrosiers says

March 12, 2015 at 10:55 PM
Ive been losing hair on an off……have had to have iv iron…..and about to change thyroid
meds…….the drs. No matter what they do my body dont hold iron so nothing works…….and
when its does its 6 months at a time then hoes haywire…….im tired…been through tjis since
I was eleven……..now 42……..im ready to throw in towel……
Reply

Stephanie- Fatigue was the most debilitating symptom I experienced with Hashimoto’s.
It actually started 8 years before I was finally diagnosed in 2009, after I got Mono
(Epstein-Barr Virus) in college. I needed to sleep for 12 hours each night to be able to
function, and by “function” I mean after hitting the snooze button on my alarm clock
for two hours (ask my poor husband), I would drag myself out of bed and then had to
drink 4-6 cups of caffeine everyday to keep myself awake. I often had Red Bull and
Pepsi for breakfast, and was the epitome of “wired but tired”. I hope my articles help
you get started 🙂
OVERCOMING THYROID FATIGUE

https://thyroidpharmacist.com/articles/top-10-tips-for-overcoming-hashimotos-fatigue
THIAMINE AND THYROID FATIGUE
https://thyroidpharmacist.com/articles/thiamine-and-thyroid-fatigue
Reply
42. Nette says
April 30, 2015 at 12:35 PM
I have taken lots of different brands of Iron supplementation and I would like to recommend
Spatone Liquid Iron Supplement sachets. I buy it over the counter at my local pharmacy. It is
so gentle on the stomach, no more nasty gastric upsets!
Reply

Nette- Thank you so much for sharing! Here is some information you may find
interesting! Thyroid tissue can regenerate, but the rate at which it does is not always

hashimotos
Reply
43. Rana says

Try LDN
Reply

Rana- There are quite a few options for thyroid medications. In my experience, what

medications/
Reply
44. Sally Aversa says

June 4, 2015 at 4:34 AM
I’m on 60 armour two months and my hair is falling out in handfuls too! I was on raw thyroid
bought online at Walmart. No hair loss. My daughter was freaking out that I was not under dr
care so I got on armour through my dr. I have had thyroectomy and RAI pill for thyroid
cancer. Now that that is over my hair is my main concern. I think I’ll go back to raw thyroid
fron Walmart online store recommended by many bloggers. Hope this helps you.
Reply

Sally- Most thyroid conditions result from the immune system attacking the thyroid

Reply

June 13, 2015 at 5:11 AM
I’m on 60 amour and take biotin and evening of primrose oil as well as b-15. My hair stopped
falling out three days ago when I began these supplements to my armour. It’s been three
months since my RAI treatment for thyroid cancer. I think THAT RAI pill is the reason for
my hair falling or it could be the thyroidectomy pre-RAI pill. I am still mourning the loss of
my thyroid. When I think about it , it makes me mad that the medical profession removes
organs instead of supplying supplements. ok that was a rant but I AM glad my hair has
stopped falling out now. I bought the B-15 on Amazon because it’s not available anywhere
else. Read up on it – it provides buco energy.
Reply

June 30, 2015 at 5:33 AM
I was on 60 Armour. I’ve switched to raw thyroid bought online at Walmart pharmacy. No
itching hair is much better too. No heart palpatations.
Reply
47. Crystal Jones says

August 5, 2015 at 2:10 PM
Sally, what is the amount (dose) of raw thyroid that you take? I have Hashimoto’s my TSH is
normal at the moment 3.5 but, my doc went ahead and put me on 25mcg of Synthroid.
Unfortunately all it has done is make my hair fall out worse than it already was. I feel lost!
Reply
48. Christine says

Are you still consuming dairy?
Reply

Christine- Most people will see a dramatic reduction in gut symptoms, brain symptoms,
skin breakouts and pain by eliminating the foods they are sensitive to. Some will also
see a significant reduction in thyroid antibodies! An additional subset of people, will
actually be able to get their Hashimoto’s into complete remission just by getting off the
foods they react to, normalizing their thyroid antibodies, and some even normalizing
their thyroid function! Here are a couple of articles you may find helpful.

Reply
49. Anne says

June 29, 2015 at 9:44 AM
Where can I get this shampoo please
Reply
Anne- Conventional cosmetics, potions and lotions are filled with petroleum by-

beauty
Reply
50. billiana says

Interesting enough, I had phases this year my hair fall out in bunch, I was scared to brush
how bad it was. I have started with iron supplements, but also with AMLA OIL applications
at the same time, and got good results pretty quickly. My doctor then discouraged me to
continue with iron suppl, but I somehow stopped with amla as well (I would oil it up like
crazy though, it was hard to wash off with no-poo method). So I found myself in same
situation soon later. (my ferritin 18, and just discovered I have Hashimoto) So now I am on
iron supplements for one month, and just for the sake of feeling better about hair, I applied
AMLA OIL once few days ago – I have already noticed a difference. You just need to take a
little bit, oil scalp, and also ends, it has done miracle for my dry/split ends. Bought it in indian
store in Little India (Toronto, Canada).
Reply

Billiana- Thank you so much for sharing! Thyroid tissue can regenerate, but the rate at
which it does is not always predictable. Thus, some are able to stop the autoimmune
attack on their thyroid and regain normal thyroid function. Others can reduce the dose
of medications, and others will need to stay on the medications indefinitely. I’m
currently working on some protocols to help with tissue regeneration.

hashimotos
Reply
51. Sally says

Its best not to take calcium and magnesium together as they are antagonistic….leave two
hours between and take magnesium just prior to bedtime, calcium at least 2 hours before that.
Hashimotos commonly causes raised calcium levels to circulate around the body and soft
tissues; this is an abnormal situation, calcium should be in the bones. Taking supplemented
calcium will just add to the problem but if your calcium is prescribed discuss this with your
Doc. Low thyroid function is likely to see low thyroid hormone including calcitonin.
Calcitonin encourages calcium into the bones. Parathyroid glands produce parathyroid
hormone; these glands are within the thyroid gland; parathyroid hormone encourage calcium
out of the bones and into circulation. This hormone output is usually unaffected by
Hashimoto’s therefore, the normal balance between calcitonin and parathyroid hormone is
disrupted leaving parathyroid hormone and its effects dominant. Porcine thyroid hormone
such as Armour includes calcitonin whereas other thyroid hormone supplement such as
synthetic T4 or synthetic T3, does not include calcitonin.
Reply
52. susan says

June 8, 2015 at 11:46 AM
I have been diagnosed with hypothyroidism for about 17 years. I was cold all the time,weight
gain,and most obvious was the exhaustion and the hair loss. I found out only because I
thought I had carpal tunnel syndrome. The doctor said he better check my thyroid. It had just
been tested 2 months before and was found normal. This time, I was diagnosed with
hypothyroidism. Recently, I have been suffering from severe exhaustion and just constant fog
and forgetfulness. I read an article about Hashimotos disease. I went to my doctor and asked
for a test specifically for Hashimotos. He told me that the test was negative,but that the
antibodies would have been long gone because I’ve suffered from hypothyroidism for over
23 years. (I had sudden weight gain and hair loss during my pregnancy). I take iron
supplements for iron because I am unable to eat meat. He said all my levels were fine. I
started taking hair skin and nail vitamins as well because my eyebrows are so sparse. What
can I do or get tested for to figure out what is truly my problem? I currently am on .125 mg of
Levothyroxine.
Reply

Susan- Some people with Hashimoto’s test negative for thyroid antibodies because
their overall immune health is so weak they do not produce enough antibodies. I’ve
tested negative for antibodies several times. Now I’ve insisted on a thyroid ultrasound.
Given that Hashimoto’s is one of the leading causes of hypothyroidism worldwide, I
wouldn’t stop until I know one way or another.
you will have to request them. Make sure to request a copy of your labs as well. Have
you done all these tests?

Reply
53. Tanya says

June 10, 2015 at 7:22 PM
Please try switching to Armour. It took me years to find a doctor that would prescribe Amour.
My hair did grow back after being on Armour. I’m now on NP Thyroid (Armour equivalent)
the doctor also prescribed several supplements: iodine, prengenolone and DHEA to boost
energy level. I also take Siberian (ginseng) Eleuthero for energy, and homemade tumeric tea
for iron deficiency. Hope this is helpful.
Reply
Tanya- There are quite a few options for thyroid medications. In my experience, what

medications/
Reply
54. Tanya says

June 12, 2015 at 6:00 AM
I forgot to mention that I was able to loose weight, only after being on Armour. I eat normally
now, and do not diet. I use coconut oil, which I read that eating coconut oil promotes healthy
thyroid, and weight loss. Of course, I do exercise when I can. Hope you find this helpful.
Reply
55. Sally says

It is good you are taking hose supplements but it is not appropriate to take both Pregnenolone
AND DHEA together, take one or the other but not both together. Best wishes.
Reply
56. Kammy says
September 23, 2015 at 1:19 AM
Susan, I have been on the Levothyroxin for almost three months now. Like you, I also suffer
from the exhaustion, hair loss and weight gain. YOU are the first one to mention “sparce”
eyebrows! I suffer from that also and have for quite a long time. For over 10 years I tested
negative for thyroid issues. This past summer my test came back positive and thus, here I am.
I just had to reply to your posting because all this time I thought my eyebrows were just
hereditary through my Mother. Now, it may be from this disease. I just have to wonder about
the medication(s) really working because it doesn’t seem that many have been successful at
finding the proper dosage. It is very discouraging. I wish you (and everyone else) the best on
this journey to finding their way back to “normal” from this illness.
Reply

Kammy- Here is some information you may find interesting.
Three things MUST be present in order for autoimmunity to occur…
1. Genetic predisposition
2. Environmental triggers
3. Intestinal permeability (leaky gut)
Developing autoimmunity is like a three-legged stool, all of these factors must be

present for autoimmunity to occur! When you remove one of these, you can prevent or
stop autoimmune disease. While we can’t change genes, if we know the trigger, we can
remove it and we can heal the gut.
REVERSING AUTOIMMUNITY AND THE PERFECT STORM

IS HASHIMOTO’S HYPOTHYROIDISM GENETIC
https://thyroidpharmacist.com/articles/is-hashimotos-genetic
Reply
57. Meredith says
June 8, 2015 at 1:51 PM
Thank you, this was incredibly timely for me.
Reply
58. Emma says

June 8, 2015 at 2:09 PM
I have had hashimoto over 30 years. And I did loose all my hair. It always fell out after I had
children. After the first child it came back after 6 yrs…..then after 2nd child it all fell out
ahain and has not come back. I have really read alot lately about it…but when I finally went
to a specialists. He blew me off loke it was nothing. He gave me no hope. And he seems
impartial to how this has affected over the years. Can anyone send me info that I can give
him maybe help me? Very frustrated.
Reply

Emma- You may also like to check out the doctors that other patients recommend on
this list:
CLINICIAN DATABASE
http://www.thyroidpharmacistconsulting.com/clinician-database.html
FIND A FUNCTIONAL MEDICINE CLINICIAN
https://www.functionalmedicine.org/practitioner_search.aspx?id=117
Reply
59. Tanya says

June 8, 2015 at 3:58 PM
I was on synthetic thyroid (synthroid, levothyroxin) for years, and my hair falling out. When I
finally switched to Armour, my hair actually grew back. I was always anemic, but once I
started drinking homemade tumeric tea, my iron levels were tested normal range for the very
first time. Turmeric has many minerals, and iron being one of them.
Reply

Tanya- There are quite a few options for thyroid medications. In my experience, what

medications/
Reply
60. Samanth Clark says

July 17, 2015 at 12:22 PM
Is Amour a new thyroid medication.
Reply

Samanth- There are quite a few options for thyroid medications. In my experience,
what works for one person may not work for another. If your doctor will not prescribe
the medication you are looking for, ask your local pharmacist for doctors in your area
who prescribe the medication you are looking to try. Have you read these articles?
medications/
Reply
61. Lori says

Tanya, how long did it take for your hair to start growing back when you switched to Armor?
I started on it just this week after being on 50 mcg Synthroid for about 18 months, and my
hair has thinned probably since last winter.
Reply
62. Marie says

June 9, 2015 at 5:19 AM
I’m 31, Diagnosed with PCOS 6 years ago and have been battling hair loss for almost 5 years
now. My thyroid tests are normal every time it gets checked. My Iron is just fine. Since all
I’ve seen are lousy endocrinologists, I continue on with hair loss and thinning. No doctor can
find out whats going on or if its the PCOS or fails to see it as an issue. I’m at a complete loss
for help as my Insecurity about hair keeps growing. I have found that using Nioxin hair
products help it to look thicker but does not stop it from falling out. Any suggestions would
be appreciated…. wasting my money on seeing more doctors would be my last resort.
Reply

Marie- Most conventional physicians use the TSH test to determine if one has a thyroid
disorder and to dose thyroid medications.
However, this test can often times be misleading, as levels of circulating hormones
may fluctuate at different times, such as in Hashimoto’s, the person affected may
fluctuate between highs and lows.
Additionally, when scientists first set the “normal” ranges of TSH for healthy
individuals, they inadvertently included elderly patients and others with compromised
thyroid function in the calculations leading to an overly lax reference range.
This resulted in people with underactive thyroid hormones being told that their thyroid
tests were “normal,” based on this skewed reference range.
WHAT TO DO IF YOUR TSH IS NORMAL AND YOU ARE ANYTHING BUT

https://thyroidphramacist.com/blog/what-to-do-if-your-tsh-is-normal-and-you-are-
anything-but

https://thyroidphramacist.com/blog/top-6-thyroid-tests
Reply
63. Cindy says

June 29, 2015 at 2:08 AM
Very interested in this “Turmeric Tea”! Anyone have a special one for us HASH/Hair Loss
Folks. I have been Gluten and Dairy Free for years–but even with additional B Vits., nothing
is helping with the Hair. At age 62 — taking Iron is scary. My range is always 40 to 70 and I
keep my D-3 up as well. On Natural Thyroid. Thank you!
Reply

Cindy- Here is an article you may find interesting! 🙂 TURMERIC FOR YOUR
THYROID AND HASHIMOTO’S
https://thyroidpharmacist.com/articles/turmeric-for-your-thyroid-and-hashimotos
Reply
64. Adrienne says
July 14, 2015 at 6:12 AM
Hi Izabella. I just saw this on Mercola – he states that ferritin over 80 is overload. What do
you think about this?http://articles.mercola.com/sites/articles/archive/2009/07/14/little-
known-secrets-about-optimal-iron-levels.aspx
Reply

Adrienne- Not everyone will need every single supplement! In fact, I believe that most
Reply
65. Julia says

July 31, 2015 at 3:00 AM
My doctor recently put me on Ferrous Sulfate 324 MGEC Tabs. After reading your thoughts
on the OptiFerin-C I ordered a bottle. I am now wondering what would be the equal dose to
the Ferrous Sulfate I was prescribed? Right now I am only taking one OptiFerin a day
because I’m not sure.
Reply

Julia-Not everyone will need every single supplement! In fact, I believe that most
Reply
66. wizmo says

August 7, 2015 at 12:11 AM
Yes it is true that if we have thyroid we would surely lose hair.
Reply

Wizmo- Thyroid tissue can regenerate, but the rate at which it does is not always

hashimotos
Reply
67. Polly says

August 26, 2015 at 3:25 PM
Has anyone heard of high doses of wheatgrass for hair loss due to low ferritin? This is what
my NP prescribed for me. I only started 12 days ago, and now have run into constipation.
Gave myself a fleet enema, and stopped for a couple of days until my bowels started back
themselves. I started back again, but cut the dose in thirds. Just wondered if anyone else has
heard or tried this themselves.
Reply

Polly-Not everyone will need every single supplement! In fact, I believe that most
Reply
68. Marina says

Hi, I’ve had my thyroid removed due to “the good cancer” followed by radioactive iodine
treatment on synthetic medication for thyroid all blood work is normal however I have lost
eyebrows and hair has thinned out so much that I look bald! Also going through menopause
doing gel hormone cream. Desperate please help if anybody has some information
Reply

Marina- Most thyroid conditions result from the immune system attacking the thyroid

Reply
69. cindy says

I had Graves D., so my thyroid was killed. I now take a high dosage of synthroid. I feel like
crap all the time. I tell tell the doctor & he keeps increasing dosage. I have a huge problem
with sleep. Can you help me? Cindy
Reply
70. Izabella Wentz says

November 3, 2015 at 9:42 PM
Actually the tiny bit of calcium that is found in the supplement I recommend helps iron
absorption!
Reply
71. Elisabeth says

March 8, 2017 at 1:49 AM
My iron and ferritin levels are in the “normal range” (53 and 29 ng/ml), but my transferrin
levels are high (318) and my transferrin saturation low (11.8%). My GP recommended an
iron supplement (40mg/day), would you recommend the same? I don’t experience extreme
hair loss, but extremely dry hair and skin, low energy and weight gain. Thanks so much!
Elisabeth
Reply
March 8, 2017 at 10:45 AM
Elisabeth – thank you for following this page. Please, understand that due to liability
issues, I am unable to answer specific medical questions.
Do you have Hashimoto’s or a thyroid condition?
Hashimoto’s is a complicated condition with many layers that need to be unraveled.

While conventional medicine only looks at each body system as a separate category
and is only concerned with the thyroid’s ability to produce thyroid hormone,
Hashimoto’s is more than just hypothyroidism. I wanted to pass along these articles
that I wrote. I hope they help 🙂
WHERE DO I START WITH HASHIMOTO’S

https://thyroidpharmacist.com/articles/where-do-i-start-with-hashimotos/
OVERCOMING HASHIMOTO’S
https://thyroidpharmacist.com/articles/overcoming-hashimotos-in-the-new-year
Reply
72. Mary says

April 18, 2017 at 10:43 AM
Hi, my daughter has Hashimoto’s and is experiencing hair loss even though she is stable on
NDT but her ferritin has always been high 260-285, iron saturation between 11-13%, serum
iron in low range and hemoglobin in low range. We were referred to a hematologist since her
ferritin was elevated over two years since they’ve tested it. She doesn’t have
hemochromatosis but an “unspecified inflammation” the doctor said and not to supplement
with iron since she is “not too low in my opinion” . Well, we have tried everything as far as
all the recommended vitamins and shampoos, and the hair loss is still there and getting worse.
Would her low iron serum still be the culprit for the hair loss even though her ferritin is high?
Or should we look elsewhere for causes? Thanks in advance!
Reply
73. Pam says
June 21, 2017 at 10:42 PM
What is the PPI’s discussed in the article? What over the counter meds can be taken for low
iron to promote hair growth?
Reply

June 22, 2017 at 9:38 AM
Pam – thank you for following this page.
You may be interested in my 12 week online program called Hashimoto’s Self-

Management Program that covers all of the strategies that I go through with my one-
on-one clients, in a self-paced format, so that participants have access to all of the
things I’ve learned about Hashimoto’s without having to schedule costly consults with
me or another practitioner. In addition, any person that goes through the program will
get access to a Quick search Q&A Database of 1000+ questions asked by past program
participants, Root Cause Assessment based on 100’s of my clients’ root causes and
triggers, 2-week Meal Plans, recipes, and shopping lists to get you started on the
following diets: Paleo, Autoimmune Paleo, SIBO, Candida. Also, Discounts on lab
tests, high-quality supplements, and consultations and much more to support you in
your journey! There are a few requirements that you should pay attention to, such as
my book is a required read.
Hashimoto’s Self-Management Program

http://hackinghashimotos.com/
Reply
74. Linda Sisco says

August 28, 2017 at 5:04 AM
Hi,
Thank you so much for all your great advise and information. I was wondering what should I
be looking for to slow down hair loss as a postmenopausal women. I am having a Biote pellet
(for hormones) inserted every three months and they have me on additional Iodone 12.5mg,
which has Zinc 10 mg, Selenium 200mcg, and Potassium 1.2 mg. I take Naturethroid for my
hypothyroid, and have started using the Betaine/Pepsin (which has made a huge difference in
the way I digest food!) I eat a modified keto diet (usually lower carb morning and lunch with
some starch carbs at dinner. Gluten free as well. My hair used to be so thick and is now so
much thinner with handfuls coming out every shower. I’d love to hear your advise.
Thank you!
Reply
o Dr. Izabella says

August 28, 2017 at 11:04 AM
Linda – thank you for following this page.
Hair loss is a distressing symptom experienced by women with Hashimoto’s. For

women, our hair represents our femininity, and losing our hair is a constant reminder
that something is off and that we are not well. Have you read this article?
HASHIMOTO’S AND GETTING YOUR HAIR BACK

https://thyroidpharmacist. com/articles/hashimotos-and- getting-your-hair-back/
Reply
75. Mourning My Hair says

Izabella, Did your hair ever fully return? If so, how long did it take? I have followed your
advice religiously and all my levels are in the optimal range. Antibodies are dropping and I’m
close to being in remission, yet my hair has not come back. Is it possible that the hair follicles
died and it will never return? I went almost 7 years before I received treatment. I can’t seem
to get a direct answer on this. Please, give it to me straight sister. 🙂
Reply
o Mourning My Hair says
PS. My hairloss has stopped thought. It stopped about 1 year ago.
Reply
o Dr. Izabella says

Mourning – thank you for following this page. Here is an article you might find
helpful. <3
GETTING YOUR HAIR BACK
https://thyroidpharmacist.com/articles/hashimotos-and-getting-your-hair-back/
Reply
76. Becky says

I switched to Klaire Labs Ther-Biotic Powder after taking Metagenics Ultra Flora Balance for
about 8 years. (I had no idea you were supposed to alternate different kinds). The Ther-Biotic
was ok at first then created bad blood sugar issues. I felt weak and my arms felt tingly every
time I ate like you do before you vomit. The feeling almost completely stopped after I ran out
of the Ther-Biotic. Now I am experiencing with that same symptom every single time I try to
take any kind of probiotic, so I am not taking any. I also get nauseous if I try to drink lemon
water or eat fermented vegetables. Have I damaged my stomach lining? What should I do?
Reply
o Dr. Izabella says
Becky – Thank you for following this page. Please, understand that due to liability
issues, I am unable to answer specific medical questions, but I highly recommend that
you work with a functional medicine clinician. It’s an entire medical specialty
dedicated to finding and treating underlying causes and prevention of serious chronic
disease rather than disease symptoms
FUNCTIONAL MEDICINE APPROACH TO THE THYROID

https://thyroidpharmacist.com/articles/functional-medicine-approach-to-the-thyroid
CLINICIAN DATABASE
http://www.thyroidpharmacistconsulting.com/clinician-database.html
FIND A FUNCTIONAL MEDICINE CLINICIAN
https://ifm.org/find-a-practitioner/
Reply
77. priya says

October 16, 2017 at 11:42 PM
Hair loss is a common problem both in men and women regardless age.So many people hair
gives a negative impact. Many Thanks.
Reply
o Dr. Izabella says

October 17, 2017 at 10:52 AM
Priya – thank you for following this page. Hair loss is a distressing symptom
experienced by many with Hashimoto’s. For women,
our hair represents our femininity, and losing our hair is a constant reminder that
something is off and that we are not well.
Here are some articles which might help:
Reply
78. Lil West says

Hi, How do you increase your ferritin levels? Mine is low normal 49, however, my hair has
gotten extremely thin. I have researched and optimal levels for ferritin for thyroid patients
should be 80-90. My doc didn’t do the iron serum test and told me to take a daily w/iron. I
did, daily allotted 18%. Now my hemoglobin/hematocrit went into the abnormal range and
ferritin really didn’t change much. I now know I should have had an iron/transferrin test b4
supplementing w/iron. Going to test that, however, if my iron levels are NORMAL and my
ferritin is still at 49, what do I do to increase . What does that mean? Thank you
Reply
o Dr. Izabella says

January 23, 2018 at 11:24 AM
Lil – thank you for reaching out. To restore your iron levels, you can eat cooked liver
twice per week or eat beef a few times per week. Vitamin C increases the absorption of
iron, so taking a vitamin C tablet or vitamin C rich food such as cooked broccoli along
with an iron-rich food is the best way to increase iron and ferritin levels. Creating an
acidic stomach environment by taking a Betaine and Pepsin supplement with meals can
be helpful as well.
https://www.purerxo.com/thyroidpharmacist/rxo/products/product_details.asp?Product
sID=929
Reply
79. Lynn says

February 2, 2018 at 12:57 PM
I started taking Synthroid 9 months ago (0.05g/day). I didn’t really have any hypothyroid
symptoms however was diagnosed with hypothyroid based on TSH/T4 results. My T4 has not
changed (11-12 pmol/L) but my TSH is down from a high of 8mlU/L to 3.86mlU/L with this
dose. My major complaint is that I started losing my hair about 3 months ago. I have lost
about 50% of my hair to this point. I was lucky to have started out with a very thick head of
hair. I have spoken to my doctor, she says my levels are fine and let’s just wait and see. My
ferritin levels are good (100ug/L). Becoming very distressed
Reply
o Dr. Izabella says

Lynn – thank you for following this page. Hair loss is a distressing symptom
experienced by women with Hashimoto’s. For women,

HAIR LOSS AND YOUR THYROID
https://thyroidpharmacist.com/articles/hair-loss-and-thyroid
Reply
80. Cornelia Ros says

Hi Izabella,
I am a big fan of you, I`ve read your books and all your articles! Thank you so much for your
work! I`ve a question, could I take OptiFerin with these levels of iron and ferritin?
Iron *203 (Oct-15); 139 (Aug-2016); 145 (Apr-17); *176 (Sep-2017); 66 (Jan-2018)
TIBC *409
Transferrin saturation: 43 (Sep-2017)
Ferritin : 42 (Oct-15); 49 (Aug-2016); 61 (Apr-2017); 43(Sep-2017); 64 (Jan-2018)
I have Hashimoto`s for 9 years, take 100 mcg T4 + 55 mcg T3, I have SIBO (I took
combination of two antibiotics but I think it came back), T4 to T3 conversion problem, H
pylori (didn`t succeed to eradicate it with treatment), and deal with non-stop hair loss for
more than two years. I am seeing since last May a functional medicine endocrinologist in UK
but haven`t took iron until now.
I went to see a specialist from a hair clinic and I was told I have female pattern hair loss
without even proper testing and I was told to use Minoxidil to which gave me an ugly allergic
reaction. Could you please advise me? I am desperate, I am 32 years old and I`ve lost 60-70%
of my hair, like you said in one of your books, during shampooing and brushing, without a
specific pattern or bald spots.
Many thanks for your reply!
Cornelia
Reply
o Dr. Izabella says

Cornelia – thank you for following this page. Hair loss is a distressing symptom
experienced by women with Hashimoto’s. For women,

HAIR LOSS AND YOUR THYROID
https://thyroidpharmacist.com/articles/hair-loss-and-thyroid
Reply
81. Tabs says

March 6, 2018 at 8:55 PM
Iron pills cause esophageal ulcers. This is not a known side effect but it happens. The iron
sets up in the esophagus and slowly eats through the tissue. It is the most painful chest issue I
have ever had. After 3 different times of getting them, I decided to research all my meds. Iron
was the culprit. There has been research on this iron burned esophagus but it is still not listed
as a side effect. Everyone who takes this needs to know. It’s a dangerous adverse effect that
is ignored.
Do not take it before bed or laying down. Always take it with a full glass of water. Or take
the liquid iron supplement as it does not cause this issue.
Reply
o Dr. Izabella says

March 7, 2018 at 4:20 PM
Tabs – thank you for sharing! 🙂
Reply
o Lilac says
June 12, 2018 at 6:02 AM
Iron pills should be avoided by sensitive people and perhaps everybody – they gave me
severe gastritis taking daily while my dr. said that I would be perfectly okay on them.
I’ve long since switched to a chewable tablet which works great taking only once every
four days to make sure my ferritin stays where it should be – I easily managed to
stabilize my ferritin over100 taking this minimal dosage. Of course, I didn’t get my
hair back but at least I am able to take iron off my root cause of hair loss list.
Reply
 Dr. Izabella says

June 15, 2018 at 5:48 AM
Lilac – thank you so much for sharing what has worked for you! I hope you keep
me posted on your progress here! 🙂
Reply
82. Maggie says
April 8, 2018 at 6:07 PM
MSM powder in a glass of water with a squeeze of lemon. Drink each morning young
waking. This also helps with restoring thinning hair.
Reply
o Maggie says
April 8, 2018 at 6:08 PM
Sorry. Upon waking. Not young waking.
Reply
83. Lilac says

April 18, 2018 at 3:28 PM
Dr. Wentz, A few questions I had for you.
I am wondering how long I should go off my supplements – there are way too many to list
here – before I get my labs for thryoid, and to check cortisol and insulin levels? I see you
noted to give up to seven days off from biotin. Any others that I should stop for up to seven
days before taking these tests?
I would also like to know your opinion on calcium d-glucarate for helping rid excess estrogen
from the body as my labs show I am estrogen dominant. Is it a good one for detoxifying the
liver?
And I am also interested in a supplement called Relora. Are you at all familiar this? It is an
herbal preparation made from magnolia bark. It is supposed to help relieve anxiety and
balance cortisol levels. I suffer from anxiety esp. with all the changes of thinning and lost
hair, weight gain, etc. and do not want to rely on Xanax as a sole way to manage this.
I’d love to know what you think. thanks!
Reply
84. Elizabeth Johnson says

April 21, 2018 at 7:02 PM
I really wish you were my doctor. Where I live the dermatologists don’t know what to test for
and I can’t afford to go to a specialist that doesn’t take Medicaid. I lost my hair after 2
months of being on zoloft but that may not be the problem. It just happened to start shedding
after extreme stress reactuon from zofolt and it was after i got off zoloft. It took just under 1
year to lose All of my hair everywhere. My tsh used to be 1.74 but now its 4.71 as of 5 days
ago. My free t3 (3.0ng) and free t4 (1.2ng) middle of normal range. My ferritin 108ng, iron
151mcg, iron saturation 55%, TIBC 173mcg, UIBC 122mcg. I was supposed to have my
ANA tested for antibodies but they didnt do it. I needed that. Ive always had optimal health
so it boggles me that this is happening. I wish i knew where to go who would know what to
do.
Reply
o Dr. Izabella says

April 23, 2018 at 6:29 AM
Elizabeth – thank you for following this page. There are many measures you can take
to reclaim your health, even without the help of a good doctor. Have you read my book
Hashimoto’s The Root Cause?
Here’s the link in case you’re interested.

http://amzn.to/2DoeC80
The Hashimoto’s Protocol book is a step by step in depth plan that streamlines the most
effective interventions.
http://amzn.to/2B5J1mq
Reply
85. Elizabeth Johnson says
April 21, 2018 at 7:11 PM
I eat egg with whites in the morning with some avocado and pink salt. Banana or apple.
Chicken breast salad with romaine lettuce and yogurt dressing. Sometimes chocolate chips. I
love snacking on them throughout the day. Carrots, veggies, workout for an hour. Then eat an
apple. Dinner is either another chicken salad with extra veggies or chicken veggies and
roasted sweet potatoes. Then dessert is either popcorn using olive or virgin coconut oil or my
frozen chocolate plant protein almond milk. Sometimes plain greek yogurt with frozen
blueberries and a tbsp of strawberry jam. I don’t do cookies, breads, rice, cake, or ice cream. I
don’t really like them. The only sweet junk i like is semi sweet or bitter or dark chocolate.
Reply
o Dr. Izabella says

April 23, 2018 at 5:59 AM
Elizabeth – thank you for sharing what has worked of you! <3
Reply
86. CMW says

April 24, 2018 at 12:02 PM
Hi Dr. Wentz,
I am wondering how long I should go off my supplements before I get my labs for thryoid,
estrogen, progesterone, etc. along w/ cortisol and insulin levels? I don’t want to distort
results. thanks!
Although I will find out soon, is menopause a cause of sub-clinical hypothryoidism and if so,
could that progress, without the presence of Hashimoto’s or other autoimmune disease?
Everything I’ve read suggests 95% of those w/ hypothryoidism are affected by Hashimotos,
but another statistic said only 1 in 5 women with hypothryoidism are Hashimoto’s sufferers.
Can you clarify?
Reply
o Dr. Izabella says

April 30, 2018 at 1:06 PM
CMW – thank you for following this page. I wish I could give you more direct advice.
I would advise you to ask your trusted clinician who’s care you are under. I am not able
to respond directly to these types of questions here.
Reply
87. Eva van Loon says

June 1, 2018 at 12:04 AM
Just call me Miss Diagnosis! I’ve been diagnosed with FMS, polymyalgia rheumatica,
anemia, Addsonian crisis, Hashi’s, bone cancer, torn meniscus, and adrenal fatigue–all
mostly shots in the dark! What’s really going on, IMHO, is a single process of endocrine
disruption manifesting various signs (which MDs prefer to ignore, apparently) and symptoms
(which MDs want to soothe away). Arrgh!
Three years ago I almost died…again. Symptoms were extreme fatigue, weight loss and
Sjogren’s; signs were no red blood cells except a few tiny ones, ferritin score of 10, CRP 80,
TPO sixty times normal. All but ferritin were ignored. Hurray! cheered the MDs. It’s anemia!
On their advice I took highly bio-available iron…and the CRP ballooned to 104! Then I read
that cancer cells love iron and use it to metastisize. Oh, great! I was a five-year-survival
colon-cancer patient but nobody had bothered to consider how much fun iron could have in a
body toying with the idea of doing up some more cancer cells. I instantly dropped the
damned iron and the CRP fell to 46 in a month. (Now it’s in the range of 5 to 8.)
A fine doc had diagnosed me 26 years ago with Sjogren’s; more recently I read that Sjogren’s
points in the direction of four diseases: (1) lupus, (2) scleroderma, (3) Hashi’s and (4) CML
After years of waiting, I recently scored a thorough thyroid scan: TUS 1. So I guess I don’t
have Hashi’s after all (97% of my thick mane is still curling all over the scalp and the nasty
TPO score has not gone away). Is it CML? What the hell? I am so tired of the endocrine
labyrinth….
Reply
o Dr. Izabella says
June 2, 2018 at 3:34 PM
Eva – thank you for sharing your journey. I understand how frustrating this can be.
While I only work with patients with Hashimoto’s, oftentimes patients will have
additional autoimmune conditions. Most autoimmune conditions have common root
causes, and a lot of times the things that are recommended for one autoimmune
condition will help with others. Conditions that I have found to respond really well to
the Hashimoto’s protocols have been rheumatoid arthritis, lupus, Celiac disease,
irritable bowel syndrome, eczema, asthma, Graves’, premature ovarian failure,
psoriasis, Alopecia Areata, and Sjogrens. I have also seen the protocols help with
Fibromyalgia, chronic fatigue syndrome, PCOS, as well as Type 2 diabetes, Crohn’s,
and Ulcerative colitis.
Reply
88. Monica says

June 11, 2018 at 11:12 AM
Hi,
I was wondering if a TSH of 4.5 – 4.7 can cause poor hair regrowth. My derm and endo insist
it is unlikely! Both think it is just from nearing menopause and getting older! Well, my older
sister and my mother did NOT experience hair loss during menopause. And they do not have
the extreme dry and wrinkly sagging skin that I do. I do not have thryoid antibodies. I am
going to visit a holistic dr. in August and can’t wait to finally see someone who will
understand what I am going through and is able to offer some help. Wondered if in your
experience patients can still experience thinning hair that pulls out easily with a TSH in this
range. Thanks
Reply
o Dr. Izabella says
June 15, 2018 at 5:57 AM
Monica – thank you for sharing your journey! Most people feel best with a TSH of
around 1 or lower and with a Free T4 and Free T3 in the upper half of the range. It is
expected that your TSH will be very suppressed when optimal on NDT medication.
How much thyroid replacement therapy is needed is unique and different for each
person, so it’s important to work with a functional medicine practitioner or a doctor,
who can closely monitor your dosage and your progress.Every six weeks is usually a
good schedule for testing your thyroid hormones.
Sometimes, when your TSH is on the outskirts of the normal range, you can continue
to lose hair, and your hair may lack luster and shine. If your hair tangles easily, this is a
sign that you may not be getting enough thyroid hormone. Talk to your doctor. You
should see a change within 4-6 weeks.
Consider the type of thyroid medication you are taking. T3, the more active thyroid
hormone, is your “beautiful hair” hormone that helps you grow your hair and prevents
it from falling out. Synthroid, Levoxyl, and Tirosint only contain T4, the less active
hormone. T4 should be converted to T3 in the body…except this doesn’t always
happen. Sometimes an addition of Cytomel**may be cross-contaminated with
gluten*** (a T3 medication) or a switch to a medication that contains a combination of
T3/T4 such as Armour, Nature-Throid or compounded T4/T3 may result in a return of
your hair’s luster and shine.
Have you checked out these articles?

medications/
Reply
89. Gaye Cooper says

Wow, I hadn’t heard of how biotin could affect your readings. I do take a Hair, Skin, and
Nails formula with biotin regularly. My T4 was on the high side, TSH very low, this past
time I had my bloodwork done, and it has me scared of having hyperthyroid symptoms again
(even though I was recently diagnosed with Hashimoto’s.) (In the beginning I was diagnosed
with Graves, and about a week later I was hospitalized with thyroid storm, so the thought of
hyperthyroid has me anxious). I’m so glad you shared this.
Reply
o Dr. Izabella says

Gaye – thank you for reaching out. There is some preliminary evidence that biotin can
affect thyroid test results (not actual thyroid hormone levels), but I’m yet to see a well-
documented study on the matter. If you are concerned, you could try stopping your
biotin supplement 2-3 days before your test to see how that affects your results. I’d be
interested to hear about it if you do 🙂 Graves and Hashimoto’s are both autoimmune
conditions that affect the thyroid. They are thought to be closely related. Sometimes
one turns into the other. The difference is the site of the antibody attack. In
Hashimoto’s, the antibodies are found to thyroglobulin (in 80%) and thyroid
peroxidase (TPO) enzyme (in 95% of people) Hashimoto’s results in hypothyroidism
and is usually treated with Synthroid and replacement hormone.
The same antibodies may be present in a smaller percentage of people who have
Graves, but the main antibody is to the TSH Receptor (TSHR-Ab). Usually, people
with Graves have hyperthyroidism, and they are treated conventionally with thyroid
suppressing drugs (methimazole) or radioactive iodine to destroy the thyroid. At that
point, the thyroid will no longer produce hormones on its own, and these people end up
on Synthroid as well.
Most thyroid conditions result from the immune system attacking the thyroid because
the immune system is out of balance. Even when the thyroid is taken out surgically or
treated with radioactive iodine the autoimmunity still persists in most cases. Many
people will have their thyroids removed, and will develop new autoimmune disorders
such as Lupus, Rheumatoid arthritis, etc. The immune system just finds a different
target.
We need to rebalance the immune system to prevent this. Sometimes the autoimmunity
can be reversed as well! The gut determines your immune system. With the exception
of discussing proper thyroid medication dosing, the majority of my website and my
book focuses on balancing the immune system. The info I present is based on my own
research and journey for overcoming my autoimmune thyroid condition. Here are the
links to my books:
Reply
90. billy w. says

another amazing article Dr Wentz. But… can you address how zinc and iron are supposed to
be taken over the course of a typical day? everyone is different, but what works best for you?
i found that my ferritin levels drop when taking zinc and iron on the same day, and i know
they aren’t supposed to be taken simultaneously. the only way i am able to raise ferritin is by
eliminating zinc altogether while on the iron supplement. I apologize in advance if the issue
has been previously addressed elsewhere on this website
Reply
o Dr. Izabella says

Billy – thank you so much! For specific questions on how and when to take particular
supplements under normal circumstances, please do reach out to my team by email,
at info@thyroidpharmacist.com and they will be more than happy to help. 🙂
Reply
91. Ellie Isacs says

May 15, 2019 at 2:13 AM
Hi. I am reading your book and looking if you have a FB Group I could join.
I noticed a spot in the middle of my eybrow, which is now bold and I was wondering if this
could happen because of Hashimoto’s.
My TSH, T3 and T4 are in normal range, with T3 and T4 gravitating towards the lower end.
TSH is rather perfect. I have anti-bodies in the 700…..and I am 3 months pregnant.
Is it safe to go without thyroid medication, while supplementing Vit D, Zinc, Vit C, Omega
3? I can’t find much information on Pregnancy and Hashimotos.
Thank you
Reply
o Dr. Izabella says

May 17, 2019 at 7:27 AM
Ellie – thank you for reaching out and sharing your journey. Our skin is a window to
our internal health. It is the body’s largest elimination organ, and also a canvas where
toxicities, nutrient deficiencies, food sensitivities and hormonal imbalances can show
up. Women with Hashimoto’s and autoimmune conditions are more likely to have dry,
dull skin, rashes, hives, pre-menstrual acne and facial swelling, especially if their
thyroid levels are not optimized and they are not absorbing vitamins and nutrients
correctly. Here are some articles you might find helpful:
THE THYROID AND SKIN

https://thyroidpharmacist.com/articles/the-thyroid-and-skin
HASHIMOTO’S AND PREGNANCY
https://thyroidpharmacist.com/articles/hashimotos-and-pregnancy
When I was first diagnosed with Hashimoto’s, I felt so alone. My doctor didn’t think it
was a big deal, and none of my friends or co-workers had it. It wasn’t until I started to
research online that I found others who were going through the same thing. A couple of
years after my diagnosis, I found Hashimoto’s 411, a closed Facebook group run by
Alice Berry McDonnell. This group is amazing! It is comprised of an army of highly
motivated, smart, supportive women and men (now 45,000+ strong), and each of them
sharing ideas of what worked for them, things they were planning to try, and offering
support to one another. The comfort I received from knowing that there were others
going through the same challenges as I, was enormous.
https://www.facebook.com/groups/hashimotos411/
Reply
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Strategies To Overcome Hair Loss With Hashimoto

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Strategies to Overcome Hair Loss with

 What causes hair loss?

What Causes Hair Loss?

2. Consider Nutrient Depletions

So, how can I increase iron levels?

 Eat cooked liver twice per week

1. Digestive Enzymes and High-Dose Probiotics

Additional Nutrient Deficiencies

Where does zinc come from?

What about zinc supplements?

4. Explore Topical Treatments

A Final Word About Hair Loss…

Email This Article To A Friend

 MTHFR, Hashimoto’s and Nutrients

o Dr. Izabella Wentz says

IS IT POSSIBLE TO RECOVER THYROID FUNCTION IN HASHIMOTO’S

 Ollie Whitener says

 Dr. Izabella Wentz says

Hashimoto’s Root Cause

IS HASHIMOTO’S A SURGICAL DISEASE

3. Thyroid Lifestyle says

4. Tonia Pridgen says

o Dr. Izabella Wentz says

WHAT TO DO IF YOUR TSH IS NORMAL AND YOU ARE ANYTHING BUT

TOP 6 THYROID TESTS FOR DIAGNOSIS

6. Thyroid Root Cause says

7. Glaucia Cutini says

8. Wendi Shelton-Mathis says

o Dr. Izabella Wentz says

DAIRY AND HASHIMOTO’S

o Dr. Izabella Wentz says

10. Dawn says

11. Lisa says

o Dr. Izabella Wentz says

TOP 6 THYROID TESTS FOR DIAGNOSIS

13. Stephanie Vincent says

FOOD SENSITIVITIES AND HASHIMOTO’S

14. Dawn says

o Dr. Izabella Wentz says

15. Ali says

o Dr. Izabella Wentz says

16. Philicia 33 says

o Dr. Izabella Wentz says

17. Sonia says

o Dr. Izabella Wentz says

ARE YOU SACRIFICING YOUR HEALTH FOR EXTERNAL BEAUTY?

18. Rahmat khan says

19. anne says

o Dr. Izabella Wentz says

IS IT POSSIBLE TO RECOVER THYROID FUNCTION IN HASHIMOTO’S

20. Jolene says

21. Lynn Tapper says

o Dr. Izabella Wentz says

22. Laurel says

o Dr. Izabella Wentz says

23. Lynn says

24. Loretta Boal says

o Dr. Izabella Wentz says

WHICH THYROID MEDICATION IS BEST?

25. Ashley says

o Dr. Izabella Wentz says

ARE YOU SACRIFICING YOUR HEALTH FOR EXTERNAL BEAUTY?

27. AK Clinics says