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What is the treatment of Hashimoto's thyroiditis?

There is no cure for Hashimoto's thyroiditis. The timeframe of the autoimmune process and inflammation will continue is not predictable. In the vast majority of patients, hypothyroidism results from the inflammatory process.

Thyroid hormone medication can replace the hormones the thyroid made before the inflammation started. There are two major thyroid hormones made by a healthy gland (T3 and T4). Replacing one or both of these hormones can alleviate the symptoms caused by the absolute or relative lack of hormones as a consequence of Hashimoto's thyroiditis.

The treatment of choice for Hashimoto�s thyroiditis is typically synthetic T4 or thyroxine (levothyroxine). Brand names for this medication include Synthroid, Levothroid and Levoxyl. The medication must be taken indefinitely, and successful treatment alleviates the symptoms and signs of hypothyroidism. Without medication, there is very little chance the thyroid would be able to maintain hormone levels within the normal range, and symptoms and signs of hypothyroidism would occur or worsen. The dosage of levothyroxine may need to be modified after checking TSH levels once yearly. Adjustment of the dose may also be required in pregnant women.

Return to Hashimoto's Thyroiditis

See what others are saying

Comment from: Pj, 45-54 Female (Patient) Published: January 15

I've spent the last four years in pain and searching for an answer. For me avoiding gluten and maltodextrin has helped dramatically with inflammation. Finally I found a doctor who would address my Hashimoto's thyroiditis and hormone imbalance. I'm doing better but there is still too much inflammation. So I need to get tighter with my food. I've been cheating lately and I feel it. My advice is that if you aren't getting any relief look at the S.H.I.N.E protocol. My pain levels were so high that I had zero testosterone so it's no wonder that I felt so bad. It is diet, stress management, thyroid, hormones, and sleep apnea, along with proper pain management. I use medical marijuana. CBD patches are a godsend. No high, just pain relief. Unfortunately insurance doesn't cover it. But opiates are free. So hang in there and keep looking for what you need to feel normal again.

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Comment from: giddyupbronco, 25-34 (Patient) Published: December 17

I've been dealing with Hashimoto's thyroiditis for the past 6 years but have been on Synthroid since I was in my 20s. I recently switched to natural thyroid and gone on a paleo, dairy, and gluten free diet. I exercise regularly and have been feeling so much better. There is a Hashimoto's cook book I've been inspired to use and I have found, to be creative with my foods is making a difference. The best thing is to talk with an endocrinologist.

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Comment from: MN Girl, 55-64 Female (Patient) Published: April 16

A higher dose of levothyroxine and a gluten free and dairy free diet have been my treatment for Hashimoto's thyroiditis.

Was this comment helpful?Yes

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