Hashimoto therapy: Only a holistically oriented treatment leads to success

Hashimoto’s thyroiditis cannot be cured to this day and therefore the causes of the disease cannot be treated directly. In the intended therapy, only the symptoms of the resulting hypothyroidism are treated with synthetic thyroid hormones such as L-thyroxine.

According to most doctors, Hashimoto’s thyroiditis can be treated well with this form of therapy and most of those affected have little or no symptoms.

In reality, on the other hand, things usually look very different and there are many patients who retain a whole range of symptoms and limitations, although the blood values ​​look quite good at first glance.

However, the fact is that we humans are very different and our feel-good values ​​are different for everyone. Some people need low thyroid values ​​to feel good, while others need thyroid values ​​at the upper limit of the norm.

For this reason, it is almost impossible for a doctor to be able to adjust the hormone levels of a thyroid patient perfectly based on the measured blood values.

Only the patient can assess his condition and should also trust himself when adjusting the thyroid hormones in order to find the comfort zone and thus the right dosage.

But first: Research into the causes!

If the patient finds a doctor who actually diagnoses Hashimoto’s thyroiditis, he will quickly notice that the doctor will only initiate a pure symptom control using thyroid hormones.

The reason for which the patient was afflicted by this disease and what causes should be considered are only addressed in the rarest of cases . There are now quite a few possible and known triggers that need to be worked through in advance.

These include: micronutrient depletion, heavy metal pollution, fungal diseases , HPU/KPU , LeakyGut , viral and bacterial infections and much more. Thyroid problems often disappear if the triggers of the disease are treated appropriately in advance. You can find detailed explanations of the most common causes of Hashimoto’s thyroiditis under: Main  causes of Hashimoto’s thyroiditis

When should thyroid hormone treatment begin?

In addition to researching the cause, it is particularly important to start therapy in the form of hormonal treatment as early as possible in order to keep the patient’s suffering as low as possible.

This applies to a pronounced underfunction of the thyroid gland, as well as to a slight underfunction. Early treatment can dampen the autoimmune process and prevent the disease from progressing further.

Due to the fact that Hashimoto ‘s progresses in phases, it is important to determine the thyroid hormones (fT3, fT4, TSH) in the blood at regular intervals at the beginning of therapy in order to be able to get an idea of ​​the course of the disease.

How does the hormone intake work?

Basically , you start taking hormones with L-thyroxine very carefully and in small steps, since the body and all organs first have to get used to the hormone supply from outside. Normally you start with a low dose around 25µg and then increase by 6.25µg every few weeks or if you tolerate it well by 12µg.

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If increased too quickly , the body will respond with overdose symptoms. Every 4-6 weeks the fT3, fT4 and the TSH in the blood should be determined. The hormone dose should then be adjusted accordingly.

For me personally, for example , after changing my hormone dose, I feel constant changes… and that for exactly 6 weeks. Only then did the dose level off for me or did the dose arrive, so that a blood test only makes sense again.

However, this is very different for everyone. Roughly speaking, Hashimoto aims for a TSH of around 1.0 µlU/ml or below . Basically, I need a significantly lower TSH to feel reasonably good. The two free values ​​fT3 and fT4 should be in the middle or in the upper third.

While this is true for most patients, it is not true for all. Some sufferers also feel comfortable with quite low values. So you should always go by your own feelings and not necessarily just rely on what the doctors and the values ​​say. The blood values ​​only serve as a rough guide .

It is particularly helpful to keep and document the blood values ​​determined in order to keep an eye on the course of the values ​​and the condition over the long term.

Which thyroid hormones are there?

There are currently various drugs on the market that can be used in the treatment and therapy of hypothyroidism. Pure T4 mono preparations are usually used .

Thyroxine (T4) is a storage hormone which, in combination with the metabolically active hormone triiodothyronine (T3), is secreted by the thyroid in a controlled manner.

T4 has a half-life of at least 7 days and is therefore broken down very slowly in the body, which makes a “quick” adjustment with thyroid hormones difficult and requires appropriate patience.

The T4 is converted in the organs to the metabolically active triiodothyronine, which is responsible for the entire human energy balance.

However, it very often happens that this process does not run smoothly and that treatment with pure T4 monotherapy is therefore not successful . In this case, depending on the condition and blood values, additional T3 preparations or combination preparations should be taken.

A detailed list of the common, synthetic thyroid hormones can be found under:  Which thyroid medications are available?

The T4 mono preparations mostly use L-thyroxine from Henning, Euthyrox or Eferox, which are available in dosages of 25 to 200 µg per tablet.

The T3 mono preparations are Thybon from Henning or triiodothyronine in dosages of 20 to max. 100 µg per tablet.

The most common combination preparations are Prothyrid and Novothyral. Prothyrid has a T4:T3 ratio of 10:1 (100µg T4 + 10µg T3) and Novothyral is produced in a ratio of 5:1 (100µg T4 + 20µg T3).

Why natural pork hormones are better

Fortunately, in addition to the commercial, synthetic thyroid hormones , there are also natural thyroid preparations such as Acella NP Thyroid, Armor Thyroid, Erfa Thyroid, Nature Throid, Westthyroid Pure or Receptura Thyroid hormone capsules.

These are not medications commonly used in Germany, but if the usual medications are not successful, they can bring about a significant improvement in the course of the disease and should therefore definitely be considered if necessary.

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In the US, natural thyroid hormones are the absolute standard , and with good reason. Natural hormones are more bioidentical and are usually better tolerated. In addition to the well-known T4 and T3, they also contain T2, T1 and calcitonin, which are also produced by a healthy thyroid gland.

Due to this fact, it quickly becomes clear that a pure monotherapy with L-thyroxine can hardly lead to success, especially in patients without a thyroid gland or with a severely reduced thyroid gland , since the other thyroid hormones are missing.

Important nutritional supplements and antioxidants

Due to the poor intake of food, which is unfortunately observed in Hashimoto’s patients, certain deficiencies can occur, which can cause quite significant symptoms and problems.

In addition to a  thoughtful and balanced diet , the following  dietary supplements  can help Hashimoto’s patients and should also be  determined in the blood count when diagnosing the disease  .

According to the latest scientific knowledge, various diseases such as Hashimoto’s, Graves’ disease, rheumatism, etc. are caused or negatively influenced by free radicals, among other things. Therefore, one should pay attention to a conscious intake of antioxidants.

These are able to positively influence the course of the disease and make the therapy more effective. These include in particular vitamin A, C, E, selenium and zinc.


Zinc is a particularly important trace element , which is required for the formation of many hormones. It intervenes in the sugar, fat and protein metabolism. Zinc has been shown to reduce the autoimmune process in thyroiditis . It also has an anti-inflammatory effect and increases mental performance.

The intestinal mucosa and the pancreas also need quite large amounts of zinc in order to be able to do their job and to ensure digestion and the detoxification process in the body. Zinc has a high bioavailability as orotate or picolinate and can be absorbed particularly well by the body.


The trace element selenium is involved in the conversion of fT4 into active fT3 . It has been proven to lower the antibodies in an autoimmune disease, thus reducing the inflammatory process and is the drug of choice in an acute Hashimoto’s attack.

Personally, with the daily intake of 100 µg of sodium selenite, I was able to observe a two-thirds decrease in TAK and TPO antibodies . Even during strong flare-ups, I was able to effectively counteract them with 200 µg a day and significantly reduce the duration of the flare-ups.

Selenium is present in quite high concentrations in the thyroid tissue. It is a building block of deiodases, which convert thyroxine into triiodothyronine. According to studies, the course of the disease in Graves’ disease could also be positively influenced with the help of a high concentration of selenium in the blood .

In the event of a deficiency, hypothyroidism can develop or an existing hypofunction can be aggravated. Thus, a selenium deficiency should be avoided, especially in Hashimoto’s patients. In addition to thyroid hormone administration or as an alternative to therapy with thyroid hormones, 50-300 µg per day are recommended.

Vitamin D

Most Hashimoto’s patients suffer from D deficiency . The problem is that vitamin D3 is produced almost exclusively via the skin using sunlight (UVB) and in today’s generation too little time is spent in the sun or in the open daylight.

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Since a vitamin D deficiency is associated with fatigue and a drop in performance, for example, the symptoms overlap with the classic Hashimoto’s symptoms.

A blood value above 40 ng/ml should be aimed for . Vigantolettes with 1000 iE are very good to start with, but the dosage is also very low. You should take at least 5 tablets a day or have your doctor prescribe Dekristol. This contains more than 10 times the amount in just one tablet and is permanently significantly cheaper.


Iron or ferritin is significantly involved in the production of thyroid hormones. If the ferritin value is below 30 μg/l, it can happen that the free thyroid values ​​(fT3 and fT4) drop and the thyroid hormone dose is incorrectly increased instead of the ferritin storage being replenished.

Therefore, iron and ferritin should always be examined as well . Preparations such as Ferroverde, which provides purely vegetable iron from curry leaf extract, are useful. This iron variant is significantly better tolerated than the artificially produced variant, as is the case in Ferro Sanol.


Magnesium is one of the most important intracellular elements and is therefore also involved in the complex process of hormone production. In relation to thyroiditis , it helps, among other things, with severe muscle tension and problems falling and staying asleep .

It’s also very calming. Magnesium orotate is particularly well absorbed by the body.

Vitamin B6  and B12 complex

Due to poor absorption in the intestines in Hashimoto’s patients, the B vitamins are usually low and should be supplemented from the outside. If you suffer from paleness, tiredness, lack of concentration, a tendency to fall, dizziness, etc., you should have the Holo-TC determined in your blood and, if necessary, take a suitable preparation.

A good preparation also contains the vitamins B1, B2 and niacin, folic acid, biotin, pantothenic acid (B5), inositol and choline.

Vitamin C

Vitamin C is also  a very effective antioxidant , which has a very positive effect on the autoimmune process. Vitamin C is found in almost all cells of the immune system that make up the defense system. It is also used in higher doses for CFS and Lyme disease.

Whenever the body is under stress, the need for vitamin C increases rapidly . It is important to note that vitamin C not only contains pure ascorbic acid, but also bioflavonoids. A good supply is only possible in combination.

Vitamin E

Vitamin E is the most important fat-soluble antioxidant. It protects fats from attack by free radicals and thus prevents their oxidation. Due to these antioxidant properties, the substitution of vitamin E in Hashimoto’s thyroiditis makes sense.

The Hashimoto usually comes with intestinal problems, so that the nutrient absorption via the intestine is usually no longer sufficient. For this reason, Hashimoto patients should pay attention to their nutrient balance and also take the basic nutrients through dietary supplements.

An intestinal flora screening is also a good idea to see whether the intestines are out of balance. If this is the case, the food supplements usually do not bring as much as desired and an intestinal cleansing should also be carried out.

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