Optimal - The Blog
March 3, 2025
This case study follows a 34-year-old female diagnosed with Hashimoto’s thyroiditis, iron deficiency, and vitamin D deficiency who chose to pursue a personalized, nutrition-focused approach rather than conventional thyroid replacement therapy.
Hashimoto’s is characterized by the presence of thyroid antibodies and can present in various forms of thyroid function impairment. Its development is linked to immune defects, genetic predisposition, and environmental factors such as infections, medications, smoking, iodine levels, soil selenium content, and gut dysbiosis. Untreated celiac disease further predisposes individuals to the condition.
Nutrients like zinc, copper, selenium, iron, thiamine, and vitamin B12 support its management.
At her initial consultation, the patient was advised to follow a modified phytonutrient-rich diet that eliminated gluten, soy, raw vegetables, and foods fortified with folic acid or cyanocobalamin while increasing her intake of omega-3-rich foods, fermented foods, berries, quality fats, and water.
She also began a regimen of nutritional supplements, including magnesium, a coenzyme B complex, vitamin D3, probiotics, α-lipoic acid, and EPA/DHA, along with a customized herbal tincture and herbal tea.
She was encouraged to practice mindfulness and exercise regularly.
Follow-up visits showed significant energy improvements, reduced anxiety, and enhanced memory, although occasional symptom flares following dietary lapses led to adjustments in her supplement protocol.
Her progress demonstrates the potential benefits of a personalized, nutrition-focused approach in managing Hashimoto’s thyroiditis and improving overall wellness.
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